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HomeMy WebLinkAboutPermit Building 1999-12-27 SPRINQFIELD . Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991412 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 537 NICHOLAS DR Assessors Map #: 17032212 Lot: 18 Block: Tax Lot #: 01900 Subdivision: ZACHARY PLACE Owner: TOM WIRFS Address: PO BOX 237 Phone #: 747-8704 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: S.F. RESIDENCE NEW Contractor Const. Contractor # Expires Phone General: COZY HOMES 0032947 1275 S 2ND SPRINGFIELD OR 974770000 Plumbing: BMC 0103570 648 W OREGON AVE CRESWELL OR 974260 Electrical: BILLS ELECTRIC 0021351 3170 W 11TH EUGENE OR 974020000 06/28/00 747-8704 12/15/99 895-4575 04/28/00 341-8426 QUAD AREA: lRNW # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1872 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 work day. REQUIRED INSPECTIONS --- PRE BACKFILL: To verify site is clean of debris prior to final grading and backfill. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDER FLOOR DRAIN - Prior to cover or placement of concrete. UNDER FLOOR MECHANICAL - Prior to insulation or decking. 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. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. 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. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Job Number: 991412 Lot Faces: N Topography: 2 Solar Approved: Y N House Garage 18 Item Main Garage Total Value Building Permit Fee surcharge/Admin TOTAL FEE Item Residential Bath(s) Plumbing Permit Surcharge/Admin TOTAL CHARGE Furnace Exhaust Hood Vent Fan Dryer Vent Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT Surcharge/Admin Sidewalk Curb Cut CITY SDC WILLAMALANE PLAN CHECK FEE ELECT. PERMIT Lot Sq. Ft.: 5000 Total Height: 24 Lot Type: INTERIOR Setbacks S W E 20 6 10 BUILDING PERMIT --- Square Feet x 1560 520 PLUMBING PERMIT --- 3 --- MECHANICAL PERMIT --- 4 --- MISCELLANEOUS PERMITS --- TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted Page 2 Lot Coverage: 29 % Setbk From NPL: 24 $/Square Feet 69.64 18.34 (A) (C) (D) (E) TOTAL AMOUNT DUE (A, B, C, D, and E combined) Value 108,638.00 9,537.00 118,175.00 475.75 47.57 523.32 Fee 192.50 192.50 19.26 211.76 6.00 4.50 12.00 3.00 25.50 10.00 2.56 38.06 0.00 60.00 60.00 2,422.63 1,000.00 60.00 126.50 3,729.13 4,502.27 SPRINGFIELD . .' Job Number: 991412 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. Received By: Plans Reviewed By: AL WARD Date: 10/23/99 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 2 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 ~ite at all times during construction. Signature /J?-7 h l' ( Date ( --- VALIDATION Receipt Number: ~~~~ " Date Paid: /2_? ';>.~~ Y;;//;;2..."2 "/ /l //__J'~?h . -/7' Amount Received: Received By: SPRINGFIELD . Page 1 ENGINEERING DIVISION.DEVELOPMENT PLAN REVIEW RESIDENTIAL IMPROVED STREET Developer: TOM WIRFS Mail Address: PO BOX 237 Tax Lot #: 1703221201900 Subdivision: ZACHARY PLACE SPRINGFIELD, Project Lot: 18 Job No.: 991412 OREGON 97477 Phone #: 747-8704 Address: 537 NICHOLAS DR Blk: Eng. Rev. No.: Book: Street Gravel Ac Mat 537 NICHOLAS DR EXISTING IMPROVEMENTS Curb Full Imp SW Width Curbside Setback Y 5 FEET 12:1 FLAIRS Existing Curbcut: N ENGINEERING REQUIREMENTS Additional Right of Way: N Improvement Agreement: N Easements: N SANITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344 Available: Y Stubbed Out To Property Line: Y Depth: 4-6 Ft Size of Line: 8 In. Tee: 6 In. Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT Make Connection: PER PLUMBING CODE Comments: NO CONNECTION UNTIL CITY ACCEPTS INFRASTRUCTURE STORM SEWER Available: Y Pipe Downspouts And Drains To: CURBS & GUTTERS Pipe Parking Lot Drainage To: N/A Comments: NO CONNECTION UNTIL CITY ACCEPTS INFRASTRUCTURE New Curbcut Appr. : Sidewalk Permit: Y Curbcut Permit: Y Handicap Ramp: N Y Width: Width: SIDEWALK AND STANDARD 5 Ft 28 Ft DRIVEWAY INFORMATION Width: 16 Ft Flairs: 6 Length: 66 Ft Ft ENCROACHMENT AND ASSESSMENT Encroachment Permit Required: N Sanitary Sewer In Lieu Of Assessment: N Comments: NO OCCUPANCY UNTIL CITY ACCEPTS INFRASTRUCTURE SPECIAL NOTES AND REQUIREMENTS All work within the public right of way shall be in conformance with the City of Springfield standard specifications for construction. All existing unused curbcuts or portions thereof shall be restored to full curb height as directed by the City. The owner/developer is responsible to relocate any utilities and establish private or public easements when the utilities conflict with the development, at their expense. Reviewed By: DENNIS ERNST Date: 10/18/99 SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION . The following project as submitted has the following loning. and does not require specific land use approval. Zoning, 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 I.Dll.. ('2--;l"'7- "1'1 ~ 974ftte 72(j1li8'16ged Signature 1. ~~~Ifl\ Of\~~( \%%~~ 0\0.00 , f.L~:~~bl' \~:::" if work is not started within 180 days of issuance or if work is suspended for 180 days. ! i 2. CONTRACTOR INSTALLATION ONLY B. - ~ . II!r /'17" Electrical Contractor- be ~ ~. Address ~ (70 tV J Ire... ' Ci ty '2.J O? Phone "=? (/1 ;r~.f, Supervisor (icense Number 9 t t) ~ Expiration Date / C> - J - / Constr Contr. Number -::1-/ ~S I Expiration Date ~ - ""2....- F' - () D ~reWe~1?V\ician .~f) 3l Phone14:1 ~ The installation is being made on property I ovn which is not intended for sale, lease,or rent. Ovners Signature: --------------------------------------- DATE: 1'2"2"7.-;?-=? RECEIPT: ~ ~~ RECEIVED BY: - "./"7 ._~~. ~ .~ ..... ELECTRICAL PERMIT ,f.'PLICi~ION ::~J Job Number Ll\q\~ Q./ 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Hodular 'Dwelling Service or Feeder 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 Items Cost Sum $ 85.00 ~ $ 15.00 ::i) $ 4b.00 \ !} $ 50.00 S 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or'less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "B" above .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00' not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ 1/~f4J !if/) 1'1.'.<-n . . ATTACHMENT A CITY OF SPRINFFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNALORJOBNUMBER 991412 NAME OR COMPANY: COZY HOMES LOCATION: 537 NICHOLAS DRIVE TAX LOT NUMBER 17032212-01900 LOT 18 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE BUILDING SIZE: 1872 LOT SIZE 5065 I, STORM DRAINAGE INPERVIOUS SQ. FT. 1856.3 x $0.232 PER SQ. FT. $430.65 I 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 23 x $48.27 PER PFU $1,110.21 I 3, TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP TOTAL TRANSPORTATION SDC $491.60 I $0.00 $491.60 I x x 1.01 x $486.73 PER TRIP x $486.73 PER TRIP 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x 242.76 PER FEU $242.76 I B. IMPROVEMENT COST: NUMBER OF FEU's x 22.05 PER FEU $22.05 I $0.00 I $10.00 I $274.81 I $2.307.27 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $115.36 I ~~"..... SDC COORDINATOR /Uh>? DATE I TOTAL SDC CHARGES I $2,422.63 I . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUM8ER OF NEW FIXTURES x UNIT EQUIVALENT = PLUM8ING FIXTURE UNITS (NOTE: FOR REMODEI._" CALCULA TE ONLY THE NET ADDITIONAL FIXTU~ES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOILDS/ETC. INTERCEPTORS FOR SAND/AUTO W ASH/ETC. LAUNDRY TUB/CLOSTHESW ASHER/MOP SINK CLOTHESW AHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TOR/WATER ST A TION/ETC. RECEPTER FOR COMMERICAL SINK! DISHW ASHER/ETC. SHOWER, SIGNLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERICAL, RESIDENTIAL KITCHEN URINAL,STALLAVALL WASH BASIN/LAVA TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIV ATE INSTALLATION MISCELLANIOUS: FIXTURES NEW OLD 2 3 3 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 I 3 2 1 2 2 1 6 4 PLUMBING FIXTURE UNITS 4 o o o o 2 o o o o o o 2 o 3 o 12 o o o TOTAL PLUMBING FIXTURE UNITS~I 23 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPERA TEL Y YEAR RATE PER $1,000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 or before $4.47 1989 $ 2.18 1980 $4,38 1990 $ 1.75 1981 $4.32 1991 $ 1.35 1982 $4.20 1992 $1.17 1983 $4.03 1993 $1.03 1984 $3,88 1994 $0.86 1985 $3.68 1995 $0.71 1986 $3.38 1996 $0.57 1987 $3.03 1997 $0.39 1988 $2.62 1998 $0.18 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE x $0.00 IMPROVEMENT (IF AFTER ANNEXATION DATE) x $0.00 CREDIT TOTAL $0.00 . . Job. No. C\C\\~\tV SYSTEM DEVELOPMENT CHARGE , ^ _ _ WORKSHEET NAME: U)ti&\~' PHONE: 14\ ~CJ4 ADDRESS:~.L~.~ ,STATE:~IP:-.it1L77 LOCATION OF PROPOSED BUILDING S!TE: C"\. "" '\ Street Address: '6~'l \\ L~ t\1)\ ~ \Jt.-./ Plat Name~\.~\t\tQ...xax Lot Number: \"D~').n....1~\qco 1. DEVELOPMENT TYPE; ~Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Sinole-Fl1milv Detached \ Single Family home NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ .1{X't').~ B. ,S,inQIA'-Fl'lmilv Attached NO. OF UNITS X $924 per unit = $ C. Multi-Fl1milv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufa~lIrp;rl Home PRrk 2. SDC CREDIT (It applicable) SDG-payer must furnish proof of Willamalane Credit approval. See sac Credit Worl<sheet. $ $ \DO() .en fI1 \rd)~ NO. OF UNITS X $699 per unit c WILLAMALANE SDC $ 3. TOTAL WILLAMALANE NET SI"C ASSESSED (if SDC reduced for Credit) ~~nfs~~rtS!. City of Springfield $ I I Date . SP-'FIELO .~ DEVELOPMENT SERVICES DEPARTMENT 225 FIF.TH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 CITY OF SPRINGFIELD COMMUNITY 'SERVICES DIVISION BUILDING SAFETY AUTHORIZATION TO PROCEED AGREEMENT, THIS ,AGREEMENT is entered into this :J- 5 day of (?e..7u J~ ,199'1 by and bet'v~en the Ci ty of~pringfiel9v a munici*o:_.~ora:ti,on of the St~ te 01 Oregon,' herelnaf~er , called, Cl ty,' and I 'll~:I . _ ,,(1):\ . " herelnaf ter called the Appl1cant. " " OCj , , . . YHEREAS, the applicant has applied to the City community Services Building Division for issuance of certainbi)lfl~~'o ermi~or development ' improvements to be located at ,'l;'')'} _ . 1)..lL- Springfield, Oregon or vithin, the City's, Urban Grovt Ju..ps lctiona Are.lLi.~~e 'County" Assessor's Map and ,Tax Lot number ~O'?l~~:>-\" . f'O' t)\~ ' , , ' . ,\ YHEREAS, the applican t has asked, the Ci ty to authorize the Applican t to immediately commence development improvements vithout a completed plan reviev or subsequent approval as required by the Springfield Building Safety 'Code, ' .Administrative Code section 303(a) . , \(HEREAS, ,the AppliC:ant has submitted to, the City a completed permit application, 3 (three) sets of.construct,ion dravings, specifications, and other data required for the City to ,complete the necessary plan'reviev of the proposed development improvemen t. YHERi'AS, the intended development improveme~t 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 Agreemen t. '. ' . YHEREAS, the City has not revieved or approved the submitted materials for the development improyement, the ,City is, therefore unable to confirm at this time 'vhether the permit applicati0~ submitted vill be approved, and vhether the lCequired construction permits can be issued. 'YHI~REAS, the !,pplic,m t has' req~es ted the Ci ty to ,provide expedi ted au thoriza t'ion to proceed vi th certain phases of construction prior to the completion of 'the City's ,reviev of the permit application; IiHEREAS, the City's fee for the administrative services rendered in providing expedited authorization is $150.00. NOV, 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 with the development improvements set forth in the permit application..City's authorization to proceed'is conditionep ,however, ,upon Applicant's agreement ,that the project will be constructed as set forth in the attached submitted drawings and specifications, except as may be modified by City, and will' comply vith all'applicable laws and ordinances. Applicant's' immediate commencement of construction is at Applicant's own risk. The City, makes no assurance that the development or construction improvements vill'be approved or tbe required construction Dermits vill later be issued. ,2. City agrees to review Applicant'S, permit application in the normal review process and to thereafter: a) issue Applicant the appropriate construction permits; ~ b) advise Applicant of deficiencies in the proposed construction which . must be remedied before permits can be issued; or c) advise Applicant of any statutes, ordinances or code provisions with 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 viII expeditiously cure the deficiencies so that the City may issue the required permits. Should Applicant fail'to expeditiously' correct submitted' materials, or should correction prove impossible, City may in it's discretion, ,take any or all of the ~olloving 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 ~,~ ORDER for remov~l of ~ll such ~ork in a manner as prescribed in BSChC, SECTION 204. ABATEMENT OF UNSAFE, SUBSTANDARD O~ DANGEROUS ,BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon receipt of such notice, Applicantshall'immediately' remove, the work 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 the City's ~uildini Of cial. A~l!~~t's Point of Authorization ,is' ' I ~I::)+-, \ ~ J ra. . , , ~ 6, APPlicant:g s that a york p~~formed und~r' thi~' agreement shall be accessible and exposed for inspection purposes and that neither the Building Official nor City shall be liable for the expense entailed in the removal or replacement af. any material necessary to allov'inspectian. ' '7. Applicant agrees that any or all'deficiencies' identified during the necessary inspectians viII be promptly remedied, at Applicant's sole cast and expense befare,praceeding vith' any further construction. Applicant also agrees that these inspections do nat replace the required plan reviev nor do they imply any approval of' the submitted materials. ' 8, Applicant agrees that nO' vark shall be done an any part af the building or structure beyond the paint indicated in each successive inspection vithout first obtaining, the appraval of the Building Official. Such. approval shall, be given anly after an inspectian has been made af each successive step in the construction ,as indicated on the attached Exhibit B. 9. Notvithstanding any ather provisians af this Agreement, this Agreement 'shall terminate upon ,issuance of a building permit ar thirty (30).days fram the. date af this Agreement, vhichever first occurs. Applicant understands that all york an the'project shall immediately cease vithaut any,natice from the City if this Agreement terminates before a building permit. is issued. This agreement shall terminate an . ' '10. Applicant agrees to defend, indemnify and hald'City harmless from any and all casts (including attarney fees), liability or damages afany'kind or nature vhatsoever, far persanal injury anq.property damage arising fram the Applicant'S early cammencement of constructian and the vark undertaken or . campleted. ' 11. The terms af this Agreement shall extend to and be binding upon the parties hereto and their heirs, successors and assigns. 12. If any suit, actionaI' other proceeding, ,or' an appeal t'herefrom, is instituted to obtain, establish, enforce, ar compel any right a~ abligation resulting from this Agreement', the prevailing party shall be enti tIed to recover from the adverse party, in addition ta.casts and disbursements, such additional sums as the courts, both trial and appellate, 'may judge reasonable attarney 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 EJq'ENSES 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 City of springfield . APPLICANT contractor By: aI NJ f'-: ))~ ;JwJ- , Building Official Business Name Address \>t) ~ '. '" CC Registration # '1>0 ~~c\L\[l LAND/PROPERTY OWNER (Sl, I/,WE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED 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 AND C9~~NS OF THE AGREEMENT. , Name ~ ' , . Address VALIDATION: CITY JOB II m \4.VL/ ~ECEIPT NUMBER 0'3 5'17b /oJ.:2f /7'f . . j'" 41 AMOUNT RECEIVED ~ ~ o () ~'I// ' DATE PAID RECEIVED BY . .. EXHIBIT A, PurDose The purpose of this agreement is to allov'cena'in development improvements to , occur prior to obtaining plan reviev approval from the Springfield Community, Services Division. Scope The use of this agreement ,shall be limi ted to certain one and tvo-family dvellings not complex in nature as determined by the Building Official and minor alterations or modifications to existing commercial and industrial buildings vhich 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 tvo-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 reviev prepared by said architect or engineer, stating that- the " submi t ted material is in compliance' vi th the One and Tvo-Family Dvelling Specialty Code, may be considered eligible for this agreement. The folloving items include but are not limited to certain conditions of development identified as ineligible for this agreement: a) development requiring site approval vhich ,has not been obtained; b) nev development located on land vith over six-percent slope; c) lots having expansive (clay) soil; d) development located vi thin flood hazard areas; e) development located within wetland areas; f) pole buildings or other such type of structure that is nqt of conventional construction. . . EXHIBIT B Required Inspections 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 This is a 24 hour recording. made'the same working day, the following work day. 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 placement 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 deck~ng Sanitary Sewer - Prior to filling trench Storm Sewer - Prior to filling trench co Wa\;er'Line - Prior, to filling ,trench ...-.'.