HomeMy WebLinkAboutPermit Building 2000-3-3
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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)
.
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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
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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
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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,
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S~JlF'ELD
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726,3753
FAX (541) 726,3689 '
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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...
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\/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 $150,00,
NO\/, THEREFORE, in ,consideration of the foregoing recitals and of the mutual
, promises contained herein; the City authorizes immediate commencement of the
development improvement specified in'the, permit application subject to the
folloving terms and conditions:
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Authorization to Proceed Agreement
Pa'ge 2,
1. City agrees that the Applicant may immediately commence vith the
development improvements set forth in the permit application. ,City's
au tho,riza tion to proceed is condi tione$! '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
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Authorization to Proceed Agreement
Page 3,
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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,", '. '
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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. '
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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/~,
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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
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CITY JOB #
~ECEIPT NUMBEF
DATE PAID
AMOUNT RECEIVED
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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.
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EXHIBIT B
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Requited Inspections
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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
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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
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Sanitary Sewer - Prior to filling trench
Storm Sewer - Prior to 'filling trench
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~':' WateroLine.- Prior. to filling trench
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