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Home My WebLink AboutPermit Building 2000-1-25 . TRANS~:01-0000355 DATE:JAN 25 2000 AMT RECD:2 $ 3752.63 CHANGE: CASHIER: 001 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991414 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 561 NICHOLAS DR Assessors Map #: 17032212 Lot: 20 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 Canst. Contractor # Expires Phone General: TOM WIRFS 0032947 1275 S 2ND SPRINGFIELD OR 974770000 Plumbing: BMC 0103570 648 W OREGON AVE CRESWELL OR 974260 Electrical: BILLS 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: WH SQ FOOTAGE: 1506 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 --- 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. UNDER FLOOR PLUMBING - Prior to insulation or decking. UNDER FLOOR DRAIN - Prior to cover or placement of concrete. UNDERFLOOR 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. ELECTRICAL SERVICE - Must be approved to obtain permanent power. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. 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: 991414 Lot Faces: N Topography: 2 Solar Approved: Y House Garage 21 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 N Lot Sq. Ft.: 5065 Total Height: 15 Lot Type: INTERIOR Setbacks S W E 26 5 5 BUILDING PERMIT --- Square Feet x 1026 480 PLUMBING PERMIT --- 1 --- MECHANICAL PERMIT --- 2 --- MISCELLANEOUS PERMITS --- TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted Page 2 Lot Coverage: 30 % Setbk From NPL: 35 $/square Feet 69.64 18.34 (A) (C) (D) (E) TOTAL AMOUNT DUE (A, B, C, D, and E combined) Value 71,451. 00 8,803.00 80,254.00 376.00 37.60 413.60 Fee 91.20 91.20 9.12 100.32 6.00 4.50 6.00 3.00 19.50 10.00 1. 96 31.46 0.00 60.00 60.00 1,880.75 1,000.00 80.00 126.50 3,207.25 3,752.63 SPRINQFIELD . Job Number: 991414 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: 10/22/99 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 wm <'~t!f;;1' "d, ., .n ,,~, '"do" ooo""o"o~ 1_ Z' -Od ~Signature I 'Date --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By: . . A TT ACHMENT A CITY OF SPRINFFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 991414 NAME OR COMPANY: COZY HOMES LOCATION: 561 NICHOLAS DRIVE TAX LOT NUMBER 17032212-01900 LOT 20 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE BUILDING SIZE: 1506 LOT SIZE 5065 1. STORM DRAINAGE INPERVIOUS SQ. FT. 2128.5 x $0.232 PER SQ. FT. $493.81 I 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) II x $48.27 PER PFU $530.97 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: $22.05 I $0.00 I $10.00 I $274.81 I $1,791.19 I NUMBER OF FEU's x 22.05 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2, 3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $89.56 , ~&.,.:",- SDC COORDINATOR' 1'0/;i:/f1 DATi' '/ ' TOTAL SDC CHARGES I $1,880.751 . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODEL~. CALCULA TE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OILlSOILDSIETC. INTERCEPTORS FOR SAND/AUTO W ASH/ETC. LAUNDRY TUB/CLOSTHESW ASHER/MOP SINK CLOTHESW AHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER ST A TIONIETC. RECEPTER FOR COMMERICAL SINK! DISHW ASHERlETC. SHOWER, SIGNLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERICAL, RESIDENTIAL KITCHEN URINAL,STALLAVALL W ASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANIOUS: FIXTURES NEW OLD 1 UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 PLUMBING FIXTURE UNITS 2 o o o o 2 o o o o o o 2 o 1 o 4 o o o TOTAL PLUMBING FIXTURE UNITS=I 11 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPERA TEL Y YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 RATE PER $1,000 ASSESSED VALUE $4.47 $4.38 $4.32 $4.20 $4.03 $3.88 $3.68 $3.38 $ 3.03 $2.62 YEAR ANNEXED 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,000 ASSESSED VALUE $2.18 $ 1.75 $ 1.35 $1.17 $1.03 $0.86 $0.71 $0.57 $0.39 $0.18 x x ., $0.00 $0.00 CREDIT TOTAL $0.00 . '.t!. " . Job. No. (lq\4\ t SYSTEM DEVELOPMENT CHARGE . ^ _ . WORKSHEET NAME: \.D't;{ k \ ~. PHONE: \4\ ~a4 ADDRESS:~.l~.~ .STATE:~IP: 071-77 LOCATION OF PROPOSED BUILDING SITE: Street Address: ..~\.o\ . \\~ DV Plat Name~\.~\t\tVax Lot Number: \"D~ll!Ll~\Q.(X) 1. DEVELOPMENT TYPE ~Check appropriate dwelling(s). SDC calculations and dwelling t ype delinili()ns are on the back.) A ilinQlp;-F~mily DAt:lr.hAri \ Single Family home NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ .l[(:().~ B. ,RinoIA'-F:lmilv Attached NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. M:lnufactureri Home Park. NO. OF UNITS X $699 per unit = $ $ \Doo .en WILLAMALANE SDC 3. TOTAL WILLAMALANE NET S (If SDC reduced for Credit) ~C\.~~ Development Services City of Springfield C ASSESSED ~ $ ---1tCO tp - 2. SDC CREDIT (If applicable) SDG-payer mustfumlsh proof 01 Willamalane Credit approval. See sac Credit Worksheet. $ I I Date . . . The following projecl as submitted has the follow zoning, and does nol require specific land use approval. I..- Zonin" LV / - a...~ - 0"'t1 CX,;) 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 Date 726-3A&i~orized Signeture 1. g'\Ao\O\\1dVf~\)V f~~!l!lSlL ~ O\Q(:J)_ UO~~E~f~ 0./ \ 7-Dl.o ~~s 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 ONLY Electrical contra.c~ I J/; ~ Address q 17D " I'D / I~ Phone =3 <//3t/ v, Number L'io .s ~~ /~-/-/ Ci ty 7:- ~ f Supervisor License Expiration Date Constr Contr. Number ;;;J.../3), / Expiration Date 4/- y 8"- (!) D Signa~re of Superv' ing Electrician ~-f}(I/} -~ Owner~ Name~ \l_ll~<k<:::. Addr ~s~l& ~r't~ ~~'l V . hone~ The installation is being made on property I own which is not intended for sale, lease.or ~ent. Owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: II J:;LJ:;\:uuI-AL PERMIT f\l')1IC'l~rrOl" Ci ty Job Number 4Y \Lt-\L- \ 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t 1000 sQ.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder ~ .B. 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 Reconnec t Only' Sum ( $ 85.00 B5 ~n $ 15.00 $ 40.00 $ 50.00 /$ 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 Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.09 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ... \ -"... . . ~ TRANS~:01-0000522 DATE:FEB 09 2000 AMT RECD:2 $ 1163.29 CHANGE: CASHIER:059 Job: 99-01414-01 Address: 561 Nicholas Dr Owner: Tom Wirfs Enterprises Inc Received: 12/08/199 Unit: BLOG: FLR: FEE DETAILS Fees Value/Quantity Amount Oue Amount Paid Building ;SuDtotal Building Permit Fees Building Permit 80,254.00 376.00 SubTotal 0.00 376.00 r,ammlsUatlve ,.ee Building Administrative Fee Building Administrative Fee 11.28 SubTotal 0.00 11.28 lSurcnarge Buildin9 Surcharge State Surcharge For Building Permit 26.32 SubTotal 0.00 26.32 Total for Building 0.00 413.60 BWOP's .:;uDtotal Mechanical Miscellaneous BWOP - Mechanical 15.00 15.00 Plumbing Miscellaneous BWOP - Plumbing 30.00 30.00 SubTotal 45.00 0.00 Total for BWOP's 45.00 0.00 Electrical ,:;uDtotal Residential Per Unit Service Included Wiring Footage 1,000 Sq Ft or Less 1.00 85.00 Wiring Footage Each Add'l 500 Sq Ft 2.00 30.00 SubTotal 0.00 115.00 ~omiiiistrative Fee Electric Administrative Fee Electric Administrative Fee 3.45 SubTotal 0.00 3.45 Page 1 of 5 . . . . City Of Springfield Development Services Community Services Division Building Safety I Job# 99-01414-01 Location Of Proposed Site: 561 Nicholas Dr Spr Assessors Map#: 17032212 Lot: 20 Block: Addition: Tax Lot #: 01900 Subdivision:Zachary Place Owner: Address: Tom Wirfs Enterprises Inc Po Box 237 Phone Number: 541-747-8704 City/State/Zip: Springfield, OR 97477 New Value: $80,254 Scope Of Work: Single Family Residence Contractor Type General Contr Contractor Tom Wirfs Enterprises Inc Po Box 237, Springfield, OR 97477 Bills Electric 3170 West 11th Avenue, Eugene, OR 97402 Bmc Properties Inc Po Box 292, Terrebonne, OR 97760 Registration # 32947 Expiration Date 06/28/2000 Electrical Contr 21351 04/28/2000 Plumbing Contr 104805 03/13/2000 Fee Paid On Recelpt# Value/Quantity Transfered Records l 10/25/1999 35981 150 Quick Start Total Transfered Records Hourly Plan Review Total Plan Check Plan Check 01/25/2000 355 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 01/25/2000 355 01/25/2000 355 01/25/2000 355 80,254 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Electrical 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Number of Fixtures One Bathroom State Surcharge For Plumbing Permit State Surcharge For Plumbing Permit Plumbing Administrative Fee Plumbing Administrative Fee Total Plumbing Plumbing 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 Page 1 of 4 Phone 541-747-8704 541-341-8426 541-548-7510 Fee Amount $150.00 $150.00 2 $80.00 $80.00 $376.00 $26.32 $11.28 $413.60 1 2 $85.00 $30.00 $8.05 $3.45 $126.50 3 1 $.00 $.00 $30.00 $91.20 $6.38 $2.10 $2.74 $.90 $133.32 . . City Of Springfield Development Services Community Services Division Building Safety Fee Hood and Exhaust Minimum Mechanical Permit Minimum Mechanical Permit Mechanical Administrative Fee Mechanical Administrative Fee Less than 100,000 STU Vent Fan to One Duct Vent Fan to One Duct Dryer Vent Mechanical Issuance Mechanical Issuance State Surcharge For Mechanical Permit State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Total Public Works Residential - Single Family - Storm Sanitary Sewer Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee SDC Administrative Fee Total System Development S.F. Residence - Willamalane Total Willamalane SDC swap - Plumbing swap - Mechanical Total SWOP's Grand Total Job# 99-01414-01 Paid On Receipt# I MeChanical 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 Public Works 01/25/2000 355 01/25/2000 355 System Development 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 01/25/2000 355 Willamalane SDe 01/25/2000 355 BWOp.s Required Inspections Scheduled Inspection Inspector Date Date Underfloor Mechanical Foundation Rough Mechanical Post and Beam I Transfered Records . Value/Quantity Res u It Comments Pending Pending Pending Pending 60 1 2,129 11 7 1 1 1 1 30 15 Page 2 of4 Fee Amount 1 $4.50 $.00 $12.00 $.59 $.45 $6.00 $6.00 $3.00 $3.00 $10.00 $10.00 $1.37 $1.05 $57.96 1 2 1 1 $60.00 $60.00 $120.00 $493.81 $530.97 $337.89 $491.60 $242.76 $22.05 $10.00 $89.56 $16.89 $2,235.53 1 $1,000.00 $1,000.00 $30.00 $15.00 $45.00 $4,361.91 . City Of Springfield . . Page 30f4 Development Services Community Services Division Building Safety I Job# 99-01414-01 Required Inspections Scheduled Inspection Inspector Result Date Date Comments I Transfered Records Floor Insulation Pending Special Pending Sanitary Sewer Line 01/05/2000 Steve Graham OK Footing 01/01/1900 11/10/1999 Tom Marx OK Underfloor Plumbing 12/01/1999 12/01/1999 Steve Graham OK Underfloor Plumbing 12/01/1999 12/01/1999 Steve Graham OK Post and Beam 12/01/1999 12/01/1999 Tom Marx OK Wall Insulation 12/01/1999 12/01/1999 Tom Marx OK Footing 12/08/1999 11/01/1999 Tom Marx OK Special 12/08/1999 11/10/1999 Tom Marx OK Foundation 12/08/1999 11/12/1999 Tom Marx OK Stonn Sewer Line 01/05/2000 01/05/2000 Steve Graham Partial OK NH Rough Mechanical 01/25/2000 01/25/2000 Tom Marx Not OK C/N Rough Electrical 01/25/2000 01/25/2000 Dave Gadomski OK Rough Plumbing 01/25/2000 01/25/2000 Steve Graham OK Electrical Service 01/25/2000 01/25/2000 Dave Gadomski OK sub-called Shear Wall Nailing 01/25/2000 01/25/2000 Tom Marx Partial OK C/N Framing 01/25/2000 01/25/2000 Tom Marx Partial OK C/N Rough Mechanical 01/26/2000 01/26/2000 Tom Marx Not OK stop work order BUilding Site Pending Verify Ground Rod Pending Footing Pending Foundation Pending Post and Beam Pending Floor Insulation Pending Ceiling Insulation Pending Final Building Pending Shear Wall Nailing 01/26/2000 01/26/2000 Tom Marx Not OK stop work order Framing 01/26/2000 01/26/2000 Tom Marx Not OK stop work order Shear Wall Nailing 01/27/2000 01/27/2000 Tom Marx OK Framing 01/27/2000 01/27/2000 Tom Marx OK Wall Insulation 01/27/2000 01/27/2000 Tom Marx Not OK cln . . . . City Of Springfield Development Services Community Services Division Building Safety Wall Insulation Drywall Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical Final Mechanical Curbcut Sidewalk I Job# 99-01414-01 Required Inspections Scheduled Inspection Inspector Date Date 01/28/2000 02/03/2000 I Building I 01/28/2000 Bob Barnhart 02/03/2000 Tom Marx Electrical Plumbing Mechanical Public Works End Of Report . Page 4 014 Result Comments OK C/N NO MORE INSPTIONS UNTIL PERMITS/FEES HAVE BEEN ABTAINED/SEE DON M OK Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending . ,. .. . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNALORJOBNUMBER 991414 NAME OR COMPANY: COZY HOMES LOCATION: 561 NICHOLAS TAX LOT NUMBER DEVELOPMENT TYPE: BATHROOM ADDITION DWELLING UNITS: BUILDING SIZE: LOT SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 0.0 x $0.232 PER SQ. FT. $0.00 I 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 7 x $48.27 PER PFU 3. TRANSPORTATION NUMBER OF TRJPS x TRJP RATE x COST PER PM PEAK HOUR TRJP o 1.01 x $486.73 PER TRJP x $486.73 PER TRJP TOTAL TRANSPORTATION SDC x x 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's o $242.76 PER FEU x B. IMPROVEMENT COST: NUMBER OF FEU's o x $22.05 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) $337.89 I $0.00 I $0.00 $0.00 I $0.00 I $0.00 I $0.00 , $0.00 I $0.00 I $337.891 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $16.89 I ,..---, _ ~ t;,~ -,.-; ...- SDCCOORDINATOR / ~ / TOTAL SDC CHARGES I !-"7 _. ATE $354.78 I . . PLUMBING FIXTURE UNIT (PFU) CALCULA TION TABLE NUM8ER OF NEW FIXTURES x UNIT EQUIVALENT: PLUMBING FIXTURE UNITS (NOTE: FOR REMODElS CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETe. INTERCEPTORS FOR SAND/AUTO WASH/ETe. LAUNDRY TUB/CLOTHESW ASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRlGERA TOR/W A TER ST A TION/ETe. RECEPTOR FOR COMMERCIAL SINK! DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) . SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL,STALLAVALL WASH BASINILA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD I UNIT EQUIVALENT 2 I 2 3 6 2 6 6 I 3 2 I 2 2 1 6 4 ~, .' . PLUMBING FIXTURE UNITS 2 o o o o o o o o o o o o o 1 o 4 o o o TOTAL PLUMBING FIXTURE UNITS=I 7 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 RATE PER $1,000 ASS!2..SED VALUE $4.47 $4.38 $4.32 $4.20 $4.03 $3.88 $3.68 $3.38 $3.03 $2.62 Y,EAR ANNEXED 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 RATE PER $1,000 ASSESSED VALUE $2.18 $ 1.75 $ 1.35 $ 1.17 $1.03 $0.86 $0.71 $0.57 $0.39 $0.18 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION J?A TE) x x $0.00 $0.00 CREDIT TOTAL $0.00 r/. I ,,' . . SPRINGFIELD Q1/41l.j DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH 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 2- r day of ()e-7u /u,." , 19'1'7 by and bet."'een the City of .Springfield, a m.unicipalcorporation ot the State--01' Oregon, 'hereinafter called. City, and . Lo'2.... . ~ . ,'hereinafter called the. Applicant: . /- VHEREAS, the applicant has applied to the City community Services Building Division for issuance of certain cpaJtruction p'ermyts jo.r development . improvements to be located at .::> (pI 1Il1c+c.;fA r Springfield, Oregon ()r vithin. the City's. Urban Grov>>.t!iu)isdjnional Area; Lane 'County.. . Assessor's Map and .Tax Lot number . -, -, ,"I I V .. . . VHEREAS, the applicant has asked the Ci ty to authorize the Applicant to immediately commence development improvements vithout a completed 'plan reviev or subsequent approval as required by the Springfield. Building Safety .Code . . .Adm~n~strative Code section 303(a) . WHEREAS,' the Appli!i~t has submitted to the City a completed permit application, 3 (three) sets. of 'construct.ion dra",ings, specifications, and other data required for the City to .complete the necessary plan'reviev of the proposed development improvemen t. VHE~AS, the intended development impr~vement 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. . VHEREAS, the City has not revieved or approved the submitted materials for the developnient improvement, the .Ci ty is. therefore unable to confirm a t this time .",hether the permit applicati~~ submitted ",ill be approved, and ",hether the ~equired construction permits can be issued. . . .' r VHEREAS, the ~pplicant has requested the City to .provide expedited authorization to proceed vi th certain phases of construction prior to the completion of .the City'S reviev of the permit application. IlHEREAS, 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: . . Autho~ization to P~oce~d, Ag~eement Page 2. 1. City ag~ees that the Applicant may immediately commence vith the development improvements set forth in the permit application. ,City's authorization to proceed is conditionep ,hovever, ,upon Applicant's agreement ,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 ovo risk. The City. makes no assurance that the development or construction improvements vill'be approved or the required construction permits vill later be issued. 2. City agrees to reviev Applicant's permit application in the normal reviev ~rocess and to thereafter: . a) issue Applicant the appropriate construction permits; ~ b) advise Applicant of deficiencies in the proposed construction vhich' ,must be remedied before permits can be issued; ~ ' c) advise Applicant of any statutes, ordinances or code provisions 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 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 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 ~\:) ORDER for removal of all such ~ork in a manner as prescribed in BSChC, SECTION 204. ABATEMENT OF D~SAFE, SUBSTANDARD O~ DANGEROUS ,BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon receipt of such notice, Applicant shall' immediately' remove, the vork 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 Building Official. Applicant's Point of Authorization is . ~)~ ". 6.' Applicant agrees tha/all york performed under this 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 of. any material necessary to allov'inspection. . 7. Applicant agrees that any or all"-deficiencies identified during the necessary inspections vill .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 requi.red plan reviev nor do they imply any approval of the submitted mater~als. . . 8. Applicant agrees that no york shall be. done .on any part of. the building or structure beyond the point indicated in each successive inspection without 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. Notwithstanding 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 work on the. project shall immediately cease without any notice from the City if this Agreement terminates before a building permit. is issued. This agreement shall termina te on , V (J c/ 2..) / f 1 1. .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 whatsoever, for personal injury anq.property damage arising from the Applicant'S early commencement of construction and the wor~ undertaken or completed. . 11. The terms of this Agreement shall extend to and be binding upon the parties he.reto a,nd their heirs, successors and assigns. 12. If any suit, action or other pro.ceeding, .or. an appeal t:herefrom, 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 EX?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 _APPLICANT city of springfield Contractor By: q!/i/~ .~ A7~ (Jw-/ Building Official Business Name Address CC Registration #- LAND/PROPERTY OWNERCS' I/WE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/WE' UNDERSTAND WHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES UPON US !l-S THE LANDlfJP . PERTY OWNERS. I/WE AGREE TO BE BOUND BY ALL TERMS AND CONDITI THE AGREEMENT. . . . Name . . . Address_ VALIDATION: CITY JOB #. '1 q / L( I 'f nECEIPT NUMBEF ().3 Sf g- / -/o!z.l Iff ()(/ v d tJ "1/ DATE PAID AMOUNT RECEIVEI" RECEIVED BY . - .w. . .. EXHIBIT A. Purpose The purpose of this agreement is to alloy 'certain development improvements to occur prior to obtaining plan reviev approval from the Springfield Community. Services Division. i~ope e use of this agreement shall be limited to certain one and tvo-family dvellings not complex in nature as determined by the Building Official and minor al tera tions or modifica t ions to exis ting 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 dwelling 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 develQpment identified as ineligible for this agreement: a) development requiring site approval vhichhas not been obtained; b) nev development located on land vith over six-percent slope; c) lots having expansive (clay) soil; d) development located vithin flood hazard areas; e) development located vi thin vetland areas; f) pole buildings or 'other such typ~ of structure that is nqt of conventional construction. . . . " J... .tt. 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 This is a 24 hour recording. made. the same working day, the following work day. Temporary Electric Site - To be made after excavation, but prior to setting forms After trenches are excavated Foundation - After forms are erected but prior to concrete placeme~t Underfloor Plumbing.- Prior to filling trench nderf~oor Mechanical - Prior to insulation or decking . & Beam - Prior to floor insulation or decking Underfloor Insulation - Prior to decking . sanitary Sewer - Prior to filling trench .~ . Sewer - Prior to filling trench ..~at~r'Line - Prior. to ~iliing.trench ... .',r