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HomeMy WebLinkAboutPermit Building 2000-3-3 '" . Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991342 ./ 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 812 MCKENZIE CREST DR Assessors Map #: 17032343 Lot: 90 Block: Tax Lot #: 02102 Subdivision: RIVER GLEN~:, Phone #: 744-2660 City/State/Zip: EUGENE, OREGON 97401 Owner: FUTURE B HOMES Address: PO BOX 7425 Describe Work: S,F, RESIDENCE NEW Canst. Contractor Contractor # Expires Phone General: FUTURE B HOMES 0036499 05/18/00 485-3176 3593 River Painte Dr Eugene OR 9740 Plumbing: CUSTOM PLUMBING 0081994 05/06/00 485-1146 3248 KENTWOOD DR EUGENE OR 97401000 Mechanical: ROLFS HEATING 0102455 10/04/00 686-4927 PO BOX 66 DEXTER OR 974310000 Electrical: BOB FISHER ELEC 0096275 01/25/00 689-7973 180 KINGSBURY AVE EUGENE OR 9740400 QUAD AREA: 2RNW # OF UNITS: 1 CONSTR. TYPE: VN SECONDARY HEAT: FP INSUL PATH: PI OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 WATER HEATER: G SQ FOOTAGE: 4841 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG RANGE: E TO request an inspection, call the 24 hour recording at 726-3769, All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the follow~ng work day. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDERFLOOR MECHANICAL - Prior to insulation'or decking. ROUGH GAS - after line is installed and capped if not attached to an appliance POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. UNDERFLOOR DRAIN - Prior to cover or placement of concrete. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. SPRINGFIELD . Job Number: 991342 FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: S Topography: 2 Solar Approved: Y Lot Sq. Ft.: 20850 Total Height: 27 Lot Type: INTERIOR Setbacks S W E 9 7 50 9 Page 2 Lot Coverage: 23.22\ Setbk From NPL: 100 N House Garage Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 4002 839 $/Square Feet 69.64 18.34 Building Permit Fee Surcharge/Admin TOTAL FEE PLUMBING PERMIT --- Item Residential Bath(s) 4 Plumbing Permit Surcharge/Admin TOTAL CHARGE --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & W/H GAS F.P. 5 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk WILLAMALANE SDC CITY SDC ELECT PERMIT TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) (AI = Value 278,699.00 15,387.00 294,086.00 871.75 87.17 958,92 Fee 192.50 192.50 19.26 211. 76 6.00 4.50 15.00 3.00 5.00 4.50 38.00 10.00 3.80 51. 80 0.00 60.00 1,000.00 4,088.16 269.50 5,417,66 6,640,14 (Cl (D) . . . , Job Number: 991342 Page 3 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and. use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Received By: Plans Reviewed By: DON Building Site Reviewed 566.64 Date Paid: 10/01/99 Receipt Number: 35749 MOORE Date: 11/22/99 By: LISA HOPPER ADDITIONAL COMMENTS --- REVIEWED BY J. KENWORTHY PATH 1; DRIVEWAY REQUIRED TO BE PAVED 3 STREET TREES REQUIRED By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. \~,' ~\- ~~---- Si~atur'-..::::. ~ /2. It) f9 Date -- - VALIDATION Date Paid: 3~ 3/<1 /2-1-'15' cq '" 4/J. /4- ~-t Receipt Number: Amount Received: Received By: ~. . 1 "\' ~. . _~- . JOU~AL .JOB NO. 9'1 (3'1L - ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: h...'"lVJ2.E "'& -I-h,...."..--:"'., LOCATION: 'b l 2 ~~-c \E. c.. ~--s-r DEVELOPMENT TYPE: Sr:: IC... n* I/o3?~'f>-'OZIO'L BUILDING SIZE: "'~~ I LOT SIZE 20850 SQ.Ft. 1. 'STORM DRAINAGE ~ 1760.75 " "Dfv..> 1~4 IMPERVIOUS SQ. FT. '~404,7S'X $0.232 PER SQ. FT. . 5 1<.+&5.'10 , , 2. SANITARY SEWER-CITY NO. OF PFU'S 34 (See Reverse Side) : ,~ ' X $48.27 PER PFU 5 '''41. Hs 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP \ 'X 1,0 I X $486.73 PER TRIP S 491,(.,0 X X 5486.73 PER TRIP , 5 -e-- 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 2'12,,(, PER FEU 5 '2't2..7f" B. IMPROVEMENT COST: , NO. OF FEU'S /. X 'Z~-o>PER FEU TOTALSDC 5 2:2. ,oS- -<5 5:? > 5 10.00 S 274-.81 S 3S'13.'I'1 $ jQ'f.ftJ7 $ q() g 8. I (p .'~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOT AL-MWMC SDC 5.' ADMINISTRATIVE FEES,: BASE CHARGE (SUBTOTAL ABOVE) X ,05 SUBTOTAL (ADD ITEMS 1,2,3 & 4) ...s-~/~, SDC Cootclinator ATTACH'A.WPD .Date: .1=1 r;;/q:, FIXTU~ lJNIT CALCWLA nON TABLE: Nwnber of New Jalres X Unit Equivalent = Fixture,..u~ / 1 (NOTE: For remodels, calculate only ~ additional fIxtures)" ' , NUMBER OF UNIT FIXTURE ' FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub...... ............. .......................... ........,L............ Drinking Fountain.............................. ....................... Floor Drain.......... ................................,....,................ Interceptors For Grease/OiI/SolidslEtc..................... Interceptors For Sand/Auto WashlEtc...................... La~diy Tuii/ClotheswashetMo~! S ink......ll............ Clotheswasher - 3 Or More..............,....................... Mobile Home Park Trap (1 Per Trailer)................... Receptor For RefrigeratorA\'ater StationlEtc........... ReceDlor For Commercial SinklDishwasherlEtc...... . ( .....t... Shower, Single StaII..............:.:.~.....................Il.1..... Shower, Gang.......... ...... ....... .................. .................. Sink: Bar, Commercial, Residential Kirchen..l......... Urinal, StalllW aiL..........................................:........ Wash BasinlLavatory, Single....................\II.L........ Toiler, Public Installation.....................................:.., Toilet, Private...........................................lll.i.......:. Miscellaneous: ;'.It:-r: I CREDIT CALCULATIOS TABLE: redits separatelY~ear 'Annexed l ~ 't ...--. 1 , -, ...-- 2 I 2 3 ,6 ,,' '2 6 6 I 3 2 IlHead 2 2 1 6 4 .;1. 4 c, :J.. 4 ,(" 3"\ Based on assessed value. If improvements occurred after annexation date in table, calcub,e ':-' :,....-, -i J ~ . ., r '-: ::J.~ '..... .' ,. . ~ ~ .t.~ ~ ~ ..3 ~(' -", '.,' ...-- 4' . l. ---- 4 1 1- ")~. :; (; , 'I" TOTAL FIXTURE UNITS Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.38 . 3.03 2.62 Credit for Parcel or Land Only If Applicable' X $ (Rate X Assessed Value) lmprovement'(if after annexation date) X $ (Rate X Assessed Value) . :. j .. - . .' ,.' -, . . r' j.o ..: RUNOFF COEFFICIENTS FOR STORM DR.UNAGE (For Estimating Purposes Only) Residential... ........................ Commerical.........,............... IndustriaL... ..,....,...........;.... Governmental...................... .. ......,. .! '. 0.4 0.9 0.5 0.5 , I....' ! - . . , ,.. 'llIIPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT FIXUNIT.WPD c ..:. .1 . . ~....... . . The following project as sUb.mittsepdec~~ land use zoning, and does not require approval, Lv (l, Zoning ~r- 11,1-..:!.-... , Dale 9~~E~~r~d Signature 225 FIITH STREET SPRINGPIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATI~~OF. JNSTALLATj:ON 1., , ~!2 ryC::. KOc.JZLer~B7 (K,,- ~AL DESCRI.nION )/v3 2.~ 7'~ 1/.0 ".-w02- JOB DESCJl.,IPTION ~r#~ Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ()NLY ,B. Electrical Contractor~~c Address /8 D K.. n 9 <; h..H'Y J'ljJe- City E.LI'I~/JI>: Phone 'B9- '79'1'.1 Supervisor License Number ~7.~4 S Expiration Date Constr Contr. Number q~:J 7" ELECTRICAL PERKIT APPLICATION City Job Number 99/-:542 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less -k $ 85.00 &ci' Each additional 500 sq. ft or portion thereof 9J S 15.00 /ZD Each Hanuf'd Home. or Modular'Ovelling Service or Peeder $ 40.00 D. 200 ampS"QT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u Branch Circuits Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401' amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date Signature of Supervising Electrician 04~J fXI-:,~ Owners Name ,FuTLJl?{; B .t).~ Address City ,- Phone~~() OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, leas~ or rent. Owners Signature: ------------~-------------------------- DATE: ~~L...L'rl1i: RECEIVED BI: 1---' $ 40.00 4n. $ 55.00 $ 80.00 VOlts see "B" aDove . .. .' New, Alteration or Extension Per Fanel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 1!% State Surcharge 3% Administrative Fee TOTAL ' $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 24-.s-.~ '/.,.1 , ""J~ /7 /9 ~n ~/' . . fill", ' ~t~~\'Yki!I~n!2!~~~ Job. No. OAl~ ,.., SYSTEM DEVELOPMENT CHARGE \..\...,,~~RKSHEET NAME: ~.\\no ~\) 1Jn\!l ~ PHONE:l44.Q1U) _ ADDRE~~~ STATE:~ZIP:Q1()1 LOCATION OF PROPOSED BUILDING SITE:. 1\. . ... L f\, Street Addrff::. B\ tL ~~'lli1 ~rin..Q...J Plat Namill)HO 6.t,gl\(~d Tax Lot Number: V\(1)JJ...?A~~ 1. DEVELO.PMENT TYPE (Check appropriate dwelling(s), SOC calculations and dwelling t ype definitions are on the back,) A. Sinole-Fllmilv Detllr:heo \ Single Family home NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ J!A'X) pC! B, Sinolfl-F:.Jmilv (ill:.Jflhp;r!. NO, OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Mmn.!fPctured Home PRl1~ NO, OF UNITS WILLAMALANE SDC X $699 per unit c $ $ tODO.CO !l $ 'OOD~ 2. SDC CREDIT (If applicable) SOG-payer must furnish proof of WiUamalane Credit approval. See sac Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit> 1) evelopment Ser\ es Department City of Springfield . I I Date I ! . . . Job# 99-01342-01 Page 1 of 5 TRANS#:01-0000B14 DATE:MAR 03 2000 AMT RECD:2 $ 33.00 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01342-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 812 Mckenzie Crest Dr Spr Assessors Map#: 17032343 Lot: 90 Block: Addition: Tax Lot #: 02102 Subdivision: River Glen ~ Owner: Future B Homes Phone Number: 541-744-2660 City/State/Zip: Eugene, OR 97401 New Value: $294,086 Address: P.O. Box 7425 Scope Of Work: Single Family Residence $294,086 Contractor Type Contractor Registration # Expiration Date Phone General Contr Future B Homes 36499 5/18/00 ' 541-744-2660 P.O. Box 7425, Eugene, OR 97401 Electrical Contr Bob Fisher Electric Inc 96275 1/25/00 541-689-7973 180 Kingsbury Ave, Eugene, OR 97404 Mechanical Contr Rolfs Heating 102455 10/4/00 541-686-4927 Po Box 66, Dexter, OR 97431 Plumbing Contr Custom Plumbing 102455 10/4/00 541-485-1146 3248 Kentwood Drive, Eugene, OR 97401 Office Use Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN) Wood Frame Gas Land Use: Zoning Code: Bedrooms: Range: Single Family Dwelling LDR 3 Electric # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 4002 To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Footing Foundation Underfloor Drain Gas Service Sanitary Sewer Line Storm Sewer Line Special Required Inspections r Transfered Records I -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to cover or placement of concrete. -After line is installed and line has been connected to a minimum of one appliance. Pressure tes - Prior to filling trench. - Prior to filling trench. -See Plan Review and/or Inspectors Notes. Street Improvement: Fully Improved Curb Cut?~ Improvement Agr,?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? ~ Special Req,: Security Required: Bond Begin DateTime: 00/00/00 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Footing Foundation Post and Beam Floor Insulation Shear Wall Nailing Framing Wall Insulation Drywall Final Building Temporary Power Rough Electrical Electrical Service Low Voltage Final Electrical Underfloor Plumbing Rough' Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical Curbcut Sidewalk . . I Job# 119-o1342-o1i Page 2 of 5 Required Inspections I Building -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. - Prior to decking. - Before covering sheathing with finish materials. - Prior to cover. - Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete. I !:Iectrical I -Approval required prior to SUB energizing pole. - Prior to cover. - Must be approved to obtain permanent power. -When all electrical work is complete. I Plumbing - Prior to insulation or decking. - Prior to cover. -Prior to filling trench. - Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. I Mechanical - Prior to insulation or decking. -After line is installed and capped if not attached to an appliance. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure tes -When all gas work is complete. -When all mechanical work is complete. I Public Works I -After forms are ereceted but prior to placement of concrete. -After excavation is complete, forms and sub base material is in place. Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Setback - 5' o 4 To Storm Sewer 6 00/00/00 00:00 AM Types Of Warning Devices Reqd. . . Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: I Job# 99-01342-01 I Overlay District: # of Street Trees: 3 Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? ~ 3: Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 ,Area (Sq, Feet) I Main: 4002 AccessoryB39 Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Flood Plain FEMA: Store # Of Stories: 2 Current Units: Census Code: Does not apply Height (feet): 27 Proposed Units:1 Total:4841 Moving Length: # of Sections Moved: Begin Move Datetime: 00/00/00 00:00 AM Structure Moved To: Moved To Taxlot: Moving Width: Dolly Height: End Move Datetime: 00/00/00 00:00 AM Fee Paid On Receipt# Value/Quantity Transfered Records I 12/01/1999 35749 567 12/01/1999 35883 150 Fee Amount Plan Check Fee Quick Start Total Transfered Records $566.64 $150.00 $716,64 Residential Plan Check Total Plan Check Plan Check 10/01/1999 35749 294,086 $566.64 $566,64 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 12/01/1999 36314 294,086 12/01/1999 36314 12/01/1999 36314 $871.75 $61.02 $26.15 $958,92 f:lectrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less Limited Energy - Residential Restricted Energy - Multi Family State Surcharge For Electrical Permit State Surcharge For Electrical Permit Electric Administrative Fee 12/01/1999 12/01/1999 12/01/1999 02/28/2000 02/28/2000 12/01/1999 02/28/2000 12/01/1999 36314 36314 36314 734 734 36314 734 36314 1 8 1 1 $85.00 $120.00 $40.00 $20.00 $.00 $17.15 $1.40 $7.35 . . Job# 99-01342-011 Page 4 of 5 Paid On Receipt# Value/Quantity Fee Amount Electrical 02/28/2000 734 $.60 $291,50 Plumbing 12/01/1999 36314 $.00 03/03/2000 814 $,00 03/03/2000 814 3 $30.00 12/01/1999 36314 1 $192.50 12/01/1999 36314 $13.48 03/03/2000 814 $2.10 12/01/1999 36314 $5.78 03/03/2000 814 $.90 $244,76 Mechanical 12/01/1999 36314 1 $4.50 12/01/1999 36314 1 $2.00 12/01/1999 36314 $.00 12/01/1999 36314 $1.14 12/01/1999 36314 1 $6.00 12101/1999 36314 5 $15.00 12/01/1999 36314 3 $3.00 12101/1999 36314 1 $4.50 12/01/1999 36314 1 $3.00 12/01/1999 36314 $10.00 12/01/1999 36314 $2.66 $51,80 Public Works 12/01/1999 36314 90 $60.00 12/01/1999 36314 1 $60.00 $120.00 System Development 12/01/1999 36314 6,405 $1,485.90 12/01/1999 36314 34 $1,641.18 12/01/1999 36314 1 $491.60 12/01/1999 36314 1 $242.76 12/01/1999 36314 1 $22.05 12/01/1999 36314 1 $10.00 12/01/1999 36314 $194.67 $4,088,16 Willamalane SDC 12/01/1999 36314 1 $1,000.00 $1,000,00 $8,038,42 Fee Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Number of Fixtures Three Bathrooms State Surcharge For Plumbing Permit State Surcharge For Plumbing Permit Plumbing Administrative Fee Plumbing Administrative Fee Total Plumbing Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Miscellaneous Mechanical Gas Fireplace Dryer Vent Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Total Public Works Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development S.F. Residence - Willamalane Total Willamalane SDC Grand Total . . I Job# 99-01342-01 I Page 5 of 5 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction, ~ U.#V 3-3-dCJ _~re I ~ / ,'\'. .., v . S~JlF'ELD DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726,3753 FAX (541) 726,3689 ' ~.., . . ,,", , . THIS ,AGREEMENT is entered into this J4.11 day of t""JS-Tl'7'e1Q., 19 . by and betveen the Ci ty 6fSpringfi'Cl'~ 8\.mu!lic~l .Ii...'\l'Eo.r~~i~ oi: the State OI oregon,' 'hereinaft~r calle~ City,' and ~ ~~ ,,-hereinafter called the' Applicant: " , ,', ' , ' CITY OF SPRINGFIELD COMMUNITY'SERVICES DIVISION BUILDING SAFETY AUTHORIZATION TO,PROCEED AGREEMENT, \/HEREAS, ,the applicant has applied to the Ci ty communi ty Services Building Division for issuance of certa,in~q~tl\uft\hll~tmi 11\, f9~ fl~elopment ' improvements to be located at n~'~ ~' 5'l \"KllDIur. Springfield, Oregon or vi thin. the Ci ty' s. Urban GH'vth,;J.qJj.~).fdon~1 A~1A\ k,ane 'County.' , Assessor's Map and ,Tax Lot 'number ~ \ D~~Q . _ Cln ( ll.\o1... . /'\ \/HEREAS, 'the applican t has 'asked the Ci ty to au thorize the Applican t to immediately commence development improvements ~thout a completed plan reviev or subsequent approval as required by the Springfield Building Safety 'Code. . ,Adm~ni,strative Code section 303(a) , '\/BEREAS, .the Appli~ant has submitted to, the City a cOInpleted permit application, 3 (three) sets. of.construction dravings, specifications, and. other, data required for th~ Ci~y to ,complete the necessary plan'reviev of the proposed development improvement. \/HE~AS, the intended development impr()vemellt is of a 'nature that requires no other reviev approval from other State or local agencies and is 'exempt from the criteria established by the Building Safety Diyision, attached as Exhibit A of this Agreement.' , " \/HEREAS, the City has not revieved or approved the submitted materials for the development improvement, the ,City is, therefore unable to confirm at this time 'vhether the permit applicati0~ submitted vill be approved, and ...nether the ~equired construction permits can be issued, '\/HEREA'S, the applicant has' req~ested ,the City to ,provide expedited authorization to proceed vi th, certain phases of constr,uction prior to the completion of 'the Ci ty~ s .reviev of the permi t application; IiHEREAS, the City's fee for the administrative services rendered in providing expedited authorization is $150,00, NO\/, THEREFORE, in ,consideration of the foregoing recitals and of the mutual , promises contained herein; the City authorizes immediate commencement of the development improvement specified in'the, permit application subject to the folloving terms and conditions: " '- . .. Authorization to Proceed Agreement Pa'ge 2, 1. City agrees that the Applicant may immediately commence vith the development improvements set forth in the permit application. ,City's au tho,riza tion to proceed is condi tione$! 'hovever, . upon Applicant's agreemen t ,that the project viII be constructed as set forth in the attached submitted dravings and specifications, except as may be modified by City, and viII' comply vith all' applicable lays and ordinances. Applicant's' immediate commencement of construction is at Applicant's oVII risk. The City makes no assurance that the development or construction improvements vill'be approved or the required construction permits viII later be issued. 2. City agrees to reviev Applicant's permit application in the'normal reviev 'process and to thereafter: . a) issue Applicant the appropriate construction permits; ~ b) advise Applicant of deficiencies in the proposed construction vhich' ,must be remedied before permi ts' can be issued; ~ ' c) advise Applicant of any statutes, ordinances or code provis;ons vith vhich 'Applicant must comply vith before City can issue the permit. 3. Applicant agrees that if City finds Applicant's permit' application and submitted materials inadequate or deficient in any manner including,but not limited to, ,the application or the,proposed construction do not comply vith all applicable statutes, ordinances or code provisions, Applicant vill expeditiously cure the deficiencies so that the City may issue the required permits. Should Applicant fail'tei expeditiously' correct submitted' materials, or should correction prove impossible, City may in it's discretion, ,.take any or all of the .folloving actions: ' a) stop all further construction of the project in the manner prescribed, in the Springfield Building Safety Code Administrative Code (BSCAC), SECTION 201 (d) b) order disconnection of serving utilities in a manner as prescribed in BSCAC, SECTION 201 (f) c) issue a NOTICE JJC) ORDER for removal of all such vork in a manner as prescribed in BSChC; SECTION 204. ABATEMIDiT OF UNSAFE, SUBSTANDARD OR DANGEROUS.BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon receipt of such notice, Applicant 'shall'immediately' remove. the york specified .in the Notice and Order. 4. Applicant agrees, if the issuance of the permit is denied:' a) to remove, at the Applicant's sole cost and expense, all completed construction or improvements; and b) to restore the site or structure to it's pre-agreement condition and free of all hazards ., ; . .. Authorization to Proceed Agreement Page 3, , . 5. Applicant agrees that until Applicant's permit application is approved, construction viiI not to proceed beyond the point of authorization approved by '~~~l)l' B"~f .<i,l A,p1i...,', Poi.' of A.,Oo,i.",oo', 6" ~p cant a:r~t a~l vork perfo med under, this agreement shall be' accesslble and exposed, for inspection purposes and that neither the Building Official nor City shall be liable tor the expense 'entailed in the removal or replacement of. any material necessary to allov'inspection, ' 7. Applicant agrees that any or all'-deficiencies'identified during the necessary inspections viII ,be promptly remedied, at Applicant's sole cost and expense before.proceeding vith' any further .construction. Applicant also agrees that these inspections do not replace the required plan reviev nor do they imply any approval of the submitted materials. ' 8. Applicant agrees that no vork shall be' done ,on any part of the building or structure beyond the point indicated in each successive inspection vithout first obtaining. the approval of the Building Official. Such, approval shall, be given only after an inspection has been made of each successive step in the construction .as indicated on the attached Exhibit B, 9. Notvith~tanding any other provisions of this Agreement, this Agreement 'shall terminate upon ,issuance of a building permit or thirty (30) ,days from the. date of this Agreement, whichever first occurs. ,Applicant understands that all vork on the project shall immediately cease without any notice from the City if this Agreement terminates before a building per~it, is issued. This agreement shall terminate on A!/Ov /1 ../1'9,", '. ' ,. , 10. Applicant agrees to defend, indemnify and hold 'City harmless from any and all costs (including attorney fees), liability or damages of any' kind or nature vhatsoever, for personal injury anq,property damage arising from the Applicant's early commencement of construction and the work undertaken or completed. ' 11. The terms of this Agreement shall extend to and be binding upon the parties he.reto and ,their heirs, successors and assigns. 12. If ,any suit, action or other proceeding, ,or an appeal therefrom, is instituted to obtain, establish, enforce, or compel any right or- obligation resulting from this Agreement', the prevailing party shall be entitled to recover from the adverse party, in addition to costs and disbursements. such additional sums as .the courts, both trial and appellate, 'may judge reasonable attorney fees. ' " ., . .. Authorization to proceed Agreement Page 4 BEFORE SIGNING THIS AGREEMENT, PLEASE READ AND UNDERSTAND THE MEANING OF EACH' PARAGRAPH OF THIS AGREEMENT. IT 'AFFECTS .YOUR INTERESTS IN THE PROPERTY AND, IN THE EVENT OF,DEFAULT, IT PLACES YOU PERSONALLY AT RISK AND, THE SUBJECT PROPERTY AT RISK OF FORECLOSURE ,FOR COSTS AND EXPENSES INCURRED BY THE CITY IN ENFORCING THE TERMS OF THIS AGREEMENT. IN THE EVENT THAT YOU DO NOT UNDERSTAND ANY TERMS OR CONDITIONS OF THIS AGREEMENT, PLEASE SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU MAY DESIRE. ' city of Springfield APPLICANT \ i t contractor:::9U11W_. ~"<\O.D- ' CITY By:, ~- 7J/~, _v' ( . ffJY'- Building Official Business Name Addres~~~ ~. flM.!6\& CC Registration # ~ \ A~ LAND/PROPERTY OWNER(S1 I/WE HAVE READ THE ABOVE. AUTHORIZATION TO PROC,EED AGREEMENT. I/WE" UNDERSTAND WHAT IT ,EXPRESSES AND THE RESPONSIBILITIES IT PLACES UPON US AS THE LAND/PROPERTY OWNERS. I/WE AGREE TO BE BOUND BY ALL TERMS ~CGf.DITI';>NS ~.~AGREEMENT. Name (' ~-- U:. ' , ,Address -qq~ ~~~ 4~ A r' , 1~f"2cf77 VALIDATION: RECEIVED BY ~ C\ \~.t\ 'l- JC;-~ 1 /0// '/9i . I / )O!!f!-. '~ CITY JOB # ~ECEIPT NUMBEF DATE PAID AMOUNT RECEIVED '. .' . .. EXHIBIT A, Purpose' The purpose of this agreement is t6 allov ~ertain development improvements to occur prior to obtaining plan review approval from the Springfield Community Services Division. Scope The use of this agreement shall be limited to certain one and two-family dvellings not complex in nature as determined by the Building Official and minor alterations or modifications to existing commercial and industrial buildings which are of'a non-structural'type and do not adversely affect any structural member of the building or any part of the building'having fire .resistant construction. One and two-family dvelling plans for structures that are complex'in nature that have, been prepared by an Oregon licensed architect or engineer and accompanied. by a letter of review prepared by said architect or engineer, stating that the' . submi t ted material is in compliance vi th the One and Two-Family [)veIling Specialty Code, may be considered eligible for this agreement. . The following items include but are not limited to certain conditions of develqpment identified as ineligible .for this agreement: a) development requir~ng site approval which ,has not been obtained; b) new development located on land with over six-percent slope; c) lots having expansive (clay) soil; d) development located within flood hazard areas; e) development located within wetland areas; f) pole buildings or 'other such typ~ of structure that is nqt of conventional construction. , ~, ., . EXHIBIT B , Requited Inspections .. This is a 24 hour recording. made' the same working day, the following work day. To request an inspection, you must"call 726-3769'. All inspections requested before 7:00 a.m. will'be Inspections requested after 7;00 'a.m. will be made ~ Temporary Electric ,., ~ ~ ~ ~ ~ ~ ~ site'- To be made after excavation, but prior to setting forms Footing - After trenches are excavated Foundation - After forms are erected but prior to concrete placeme~t Underfloor Plumbing- Prior to filling trench Underfloor Mechanical - Prior to insulation or ,decking , Post & Beam - Prior to floor insulation or decking Underfloor Insulation - Prior to decking , Sanitary Sewer - Prior to filling trench Storm Sewer - Prior to 'filling trench .... ~':' WateroLine.- Prior. to filling trench '.'