HomeMy WebLinkAboutPermit Building 1999-5-4
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SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990477
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 885 OLD ORCHARD LN
Assessors Map #: 17032343
Lot: 52 Block:
Tax Lot #: 02600
Subdivision: RIVER GLEN 1S
Owner: FUTURE B HOMES
Address: P,O. BOX 7425
Phone #: 744-2660
City/State/Zip: EUGENE OR,97401
Describe Work: S/F RESIDENCE
NEW
Cons t .
Contractor Contractor # Expires Phone
General: FUTURE B HOMES 0036499 05/18/95 485-3176
3593 River Pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994 05/06/00 485-1146
3248 KENTWOOD DR EUGENE OR 97401000
Mechanical: ROLF'S HEATING 0033601 10/04/00 741-0002
P,O. BOX 66 DEXTER OR 97431
Electrical: BOB FISHER ELEC 0096275 01/25/98 689-7973
180 KINGSBURY AVE EUGENE OR 9740400
OFFICE USE _ _ f\1 I CI'J Ilur\l:ur~yullld.W 1t;4UII~:::t yuu lU
LAND USE: 111fpllow rules adopted b!6~mmm,Ytility
# OF BDRMS: t'!otification Center, ThOffl:A'fe~~: II!
RANGE: G inOAR952-001-0010th~O~ : -9 .
0090, You may obtain copies of t e rules y
calling the center. (Note: the telephone
To request an inspection. call the 24 hour ',1\!'ClYE'dJ.'n\;fIl1i'~~J3'i~~'y ,.u,;r;"a;;u"
Cemeris 1-800-332-2344),
QUAD AREA: 5RNW
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 2119
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 ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
UNDER FLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOQR 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,
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.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place,
'.
, ~,
Job Number: 990477
Page 2
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: N
Topography: 2
Lot Sq. Ft.: 7174
Total Height: 19
N
Setbacks
S W
41 8
6
E
6
House
Garage
20
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1661
458
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F,P,
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
TEMP POWER
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D,
and E combined)
*Db'L elt:c1;flc..tG jI/Jfr.w11
Lot Coverage: 29.53%
Lot Type: INTERIOR
$/Square Feet
69,64
18,34
(A)
(C)
(D)
(E)
Value
115,672,00
8,400,00
124,072,00
489,25
39.14
528.39
Fee
160,00
160.00
12.80
172,80
6.00
4.50
9,00
3.00
5.00
4,50
32,00
10.00
2,56
44,56
0.00
60.00
60.00
1,000.00
2,426.58
43,20
3,589,78
4,335,53
/40.40
+4 '15, 93
,
~,
Job Number: 990477
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
318.01
Date Paid: 04/09/99
Receipt Number: 033454
MOORE Date: 05/01/99
By: BOB BARNHART
--- ADDITIONAL COMMENTS
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED
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 QRS 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.
"'~ ~h^vJM
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- -- VALIDATION
Date Paid:
(J '3 '3 f}&--
t)l(/97
:;dfJ~
Receipt Number:
Amount Received:
Received By:
.. JOURNWR JOB NO, QQ0477
ATTACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
rcJWIt/:S ~ H~
LOCATION:
~ ok9-
~~
O~
DEVELOPMENT TYPE:
5F='D
BUILDING SIZE:
LOT SIZE
SQ. F t.
IMPERVIOUS SQ, FT,
102- _ 'I
~('300/ ~
zi43>
ZIL9 1-' 20 Cz-t,)
1. STORM DRAINAG~
X $0,227 PER SQ. FT, $ (",Z2..,",
2, SANITARY SEWER-CITY
NO. OF PFU'S J~
(See Reverse Side)
X $47,14 PER PFU
$ Qq5. Cole
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X Lot' X $475.32
L48n,07_
X
X $475,32
'$
4, SANITARY SEWER-MWMC
A, REIMBURSEMENT COST:
NO, OF FEU'S
X 277,# PER FEU
$ 2."11,44
B. IMPROVEMENT COST: .
I
NO, OF FEU'S I ' X 2.5,20PER FEU
$ 2'5.20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$- >
$ 10.00
TOTAL-MWMC SDC $ 31 Z'b~
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
5, ADMINISTRATIVE FE~:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
$ Z;I/. 03
.I
U/.l('.55
i1i'5l.-
SDC Coordinator
ATTACH' A. WPD
Date: 4j/~1?I
TOTAL sac $2Fnb.5f
FIXTURE UNIT CALCULJa)N TABLE: Nu;"ber of New FixtueUnit Equivalent = Fixture Un~ts
(NOTE: For remodels, calculate only t.NET additional fixtures) .
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.."""",.",..."""."....,.".."""""".,...""",;""", ,
Drinking Fountain,.."...,..,..",...............,...",......".... ,.
Floor Drain....,..."."".......",.... ,...."...""....",.,.",...."...
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc.................,
Laundry Tub/Clotheswasher....,.........,."., ...."",......
Clotheswasher - 3 Or More..,.......,.............,............
Mobile Home Park Trap (1 Per Trailer)........,........,
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall".,....".........,.....,.......,......".......
Shower, Gang ....."........ ....., ...,............ ....,............""
Sink: Bar, Commercial, Residential Kitchen...,..............,..:..
Urinal, Stall/Wall....",..........,..,....,....................... ......
Wash Basin/Lavatory, .Single,:"....,......"......."......"
Toilet, Public Installation.."...,...,.,............,.."",.....,
Toilet, Private,..,....,.........,...............".......""........
Miscellaneous:
I
z.
, .
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
'3
'l!'
I
z.
'Z.
I
I
z.
-
/1/
-
/I
TOTAL FIXTURE UNITS
,0;
=
. CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates,
Year,
Annexed
Rate per $1,000
Assessed Value
II
1979 or before
19BO
19B1
19B2
19B3
19B4
19B5'"
1986
1987
1988
$4,27
4,18
4,12
3,99
3,83
3,68
3,48
3.18
2,82
2.42
Year
Annexed
Rate per $1,000
Assessed Value
1989
1990
1991
1992
1993
1994
',", .1995
1996
1997
$1.98
1,55
1,15
0,96
0,83
0,67
0,52
0,38
0,21
Credit for Parcel or Land Only If Applicable
=
Improvement (if after annexation date)
X$' ~.
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
= $
','
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential...................,....... 0.4
Commerical......................... 0,9
Industrial..........................., 05
Governmental...,....:..........,.... 0,5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
" ..
~~~o~
;o~" '9. """.
()~ ..../<$l-:>. 19
v. . 0'.0"
of. ~.. 00_ 9,'
,,~ ~ -.... "C'/
Oo?:' . -')0 "IS'
225 FIFTH STREET ""0'." (t1~~... ""6 . ELECTRICAL PERMIT ~tWTION
SPRINGFIELD, OREGON 97477 U'~-:>. P4;'..~~"", q. 11
INSPECTION REQUEST: 726-3769 <$lot,,' ~... <I<$l City Jab Number
OFPICE: 726-3759 .. "'~..~ . -,
COhc ~ FEE SCHEDULE BELOV
".. ...~
Ne Resfd~tial-Single .or
It'-Family per dwelling unit.
Se ic Included:
1.
~N~\JT~
\~'\Pf~ON 02J.oCO
O~ iUq 4: 1:" inL J
Per 'ts are nan-transferable and expife
if wark is nat started within 180 days
.of issuance .or if wark is suspended far
180 days,
2. CONTRACTOR INSTALLATION ONLY
.
Electrical Can tractor 4/-f11N1 Et..E.c:..
Address r.O.'8 f))t C;; () 1
Ci ty SPfl..J). Phane 7'1'1'" Z:z..~l)
Items Cast 15.
1000 sq,ft. .or less L $ 85.00
Each additianal 500
sq. ft .or partian ~ 15
thereaf $ 15.00
Each Manuf'd Hame. .or
Madular'Dwelling
Service .or Feeder $ 40.00
B. Services .or Feeders
Installatian, Alterations
Cl.L Relacation: '
AfTENT/ON'Oregan I '
tc~~O' rli/n}.ts3~tMJ,sa~~equ~res yo~ ~$ 50.00
~cti!~tiam~rIt!lr~' ~ ~~"Ilr_::Iv" ~tIIiSl60. 00
lr1 04m.98JllP~1l6tl I am ~!'u.'. '" """ 'CSl1oo. 00
00960l'o~l!lP~ 08 fPlM g....n ::I,,<:-oSBO. 00
c{W~Q t~g12~nnk~J, '98~flS'1 III" rUles$~OO . 00
nullAAW1lJfflIa tjnlgo cte, the ''',epncne$ 40.00
, CenteriR-1~Rn~~.,~~i~ l~cIJt/caticn
C. Temparary'semces',o1'l4Veeders .
Installatian, Alteratian .or Relacation
I $ 40.00 . 4f)
$ 55.00 .
$ 80.00
valts see liB" abave
Supervisor License Number 4z.~ S
Expiration Date I r>/O IJO I
I (
Canstr Contr. Number 133" 77
Expiration Date ()'Z..~/
Si~a~ure ,.of sUP:;C Electrician
~ R. - -W",,^ A f\
Owners Najl!.,e ~ \ -\iill_ ~ l~~ D.
Addr~s ~ l4![~ .
Ci tyL.~ Phanel.44 tWd)
O~ ~NSTALLATION
The installatian is being made on
praperty I awn which is not intended
far sale, lease .or rent.
Ovners Signature:
~
----------f-I--------------------------
DATE: '')/'f/CJr
RECEIPT #: O..s M? J ,~
RECEIVED BY: tJI WJ
200 amps' '.or less
201 amps ta 400 amps
Over 401 ta 600 amps
Over 600 amps .or 1000
Branch Circuits
"
New, Alteratian or Extensian Per Panel
$ 35.00
Miscellaneaus (Service/feeder
-Each installatian
Pump .or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Camm
One Circuit
Each Additianal
Circuit .or with Service
or' Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/7/1~
, ~.>t.J
;::- I' 0
..... -
-IC~.~
.
.
. 1'-'... Willamalane
t,,,,!, Park & Recreation District Job. No.9c\'(Jl-ill
"'V SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: If,~~ ~t\~
ADDRESS: lSJYk.. lL.\.,!) S
PHONE: ll.{l-hQ(;,~()
'-
.. STATE: f1L zIP:~l.L{{)L
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 88 c:. CJ&.<r\ (), ~ ~ ~\t\,J'l ~ 't. \1\,
Plat Name: \.1 (\~ 3Lt ~ Tax Lot Number: F),!).h 00
1. DEVEL9PMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back,)
A. Binolp.-F::Jmilv Dp.t::J~hp.r1
\
Single Family home "
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ l C5ur> Qb
B. Binolp.'-F::Jmilv Att::J~hP.rf.
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv AO::Jrtment
NO. OF UNITS
X $692 per unit = $
D. ManufacturArI Home PIllk
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
, 'I
2. SDC CREDIT (If appficable) SDCilayer must fu""sh proof of
Willamalane Credit approval. See SOC Credit Worlcsheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
$
/000 ~
~ment Services Department
City of Springfield
S- I r I 77
Date
CJ9 0 ~ 11
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 cttJ day of A-orl\
bet"een the City of Springfield, a municipal corporation ot
hereinafter called, Ci ty,' and t;:-...ub .oC'> R .
the' Applican t"
VHEREAS, the applicant has applied to the City Community Services Building
Division for issuance of certain cOl!.stru~iR'\ permi,tlJ, for ,de:Slopmenr .
improvements to be located at ~t)s. ~)~ ~t:JI^~UD Springfield,
Oregon or "ithin the City'S Urban Gro"ih Jurisdiciional Ar~a; ane 'County:
Assessor's Map and .Tax Lot number \ 1.():z.-~~4~ ()~("C'kJ' '
, 19 C;5,by and
the State-oI Oregon,
,'hereinafter called
VHEREAS, the applicant has asked the City to authorize the Applicant to
immediately commence development improvements "ithout a cOmpleted plan revie'" or
subsequent approval as required by the Springfield Building Safety 'Code
,Adm.inistrative Code section 303(a) ,
VHEREAS, ,the Applicant has submitted to, the City a completed permit application,
3 (three) sets of.construction dra"ings, specifications, and other data required
for the City to .complete the necessary plan'revie" of the proposed development
improvement,
VHER!>AS, the intended development improveme'nt is of a 'nature that'requires no
other revie" 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. '.
VHEREAS, the City has not revie"ed or approved the submitted materials for the
development improvement, the .City is, therefore unable to confirm at this time
'"hether the permit applicati0~ submitted "ill be approved, and "hether the
required construction permits can be issued,
'VHEREAS, ,the I'pplicim t has' reques ted the Ci ty to ,provide expedi ted au thoriza tion
to proceed "ith certain phases of construction prior to the completion of the
City's revie" of the permit application;
YHEREAS, 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'
follo"ing terms and conditions:
.
.
Authorization to Proceed Agreement
Page 2.
1. City agrees that the Applicant may immediately commence vith the
development improvements set forth in the permit application..City's
authorization to proceed is conditione~ '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 construr.tioD is~t Applicant's ovn risk. The City makes no
assurance that the development-or-construction improvements vill'be approved
or the required construct1on 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; or
b) advise Applicant of deficiencies in the proposed construction vhich
,must be remedied before permits can be issued; or
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 1n 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 ~,~ O?~ER for removal of all such vork in a manner as
prescribed in BSCAC, SECTION 204. ABATEMEI'T 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 permi t 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 will not to proceed beyond the point of authorization approved
by the City's Building Offlcial. ~pplicant's Point of Authorization 'is ~
. ,.~,\"~~ '. " ."
6. Applicant agrees that all work 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 allow'inspection. '
7. Applicant agrees that any or all'deficiencies identified during the
necessary inspections will be promptly remedied, at Applicant's sole cost
and expense before proceeding with' any further construction. Applicant also
agrees that these inspections do not replace the required plan review nor do
they imply any approval of' the submitted materials.
8. Applicant agrees that no work 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 vithout any notice from
the City if this Agreement terminates before a building permit'is issued.
This agreement shall terminate on . '
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 york undertaken or
completed. '
11. The terms of this Agreement shall extend to and be binding upon the
parties hereto and t:.eir 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
- l ~
contractor ~ ~}Jl(\.~ ~~.
CITY.
By:',
Business Name
Building Official
Address
CC Registration #3(nL{S,q
LAND/PROPERTY OWNER/S\
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 1\LL
TERMS AND CONDITIONS OF THE AGREEMENT.
Name '~~~_~~~~
Address (\ , (\ a.
VALIDATION:
RECEIVED BY
C1CJ 0 Ll' ~
'33S1C,
1..\ - &.0 ~l1 "!
c$ \:(b, .--
'-NvJ
CITY JOB #
I<ECEIPT NUMBER,
DATE PAID
AMOUNT RECEIVED
.
.
EXHIBIT A,
Purpose
The purpose of this agreement is to allov'certa'in 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 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'
,submitted material is in compliance' vith the One and Tvo-Family DveIling
Specialty Code, may be considered eligible for this agreement.
The following 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 vithin wetland areas;
f) pole buildings or other such type of structure that is n~t of conventional
construction.
"
.
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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 7:00a.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
~ 'Footing - After trenches are excavated
v-
Foundation - After forms are erected but prior to concrete placement
v--
Underfloor Plumbing' - Prior to filling trench
~
Underfloor Mechanical - Prior to insulation or decking .
t-"
Post & Beam - Prior to floor insulation or decking
L,/"
Underfloor Insulation - Prior to decking
,
~
sanitary Sewer - Prior to filling trench
/../'"
storm Sewer - Prior to filling trench
....
~ Water,Line,- Prior. to. filling ,trench