HomeMy WebLinkAboutPermit Plumbing 1991-1-7
. CITY U, SPRINGfIELD
COMBINATION APPLICATION/PERMIT
EIIERGY SOURCES:
Heat
\~a ter Hea ter
Range
valU'~W\r,", ~
BUlhll~Q \~lt Info: Describe Work( Le.,
Familv nesiaence With Attached GaraQe~
e
lNFORf1ATION Utle
726-3753
Sq, Ftg, J1ain
~C]. Ftg. Access.
Sq, Ftg, Other
New Add Alter Rep.
--Fence Demo Change/Use
Other- -
1 INSPECTION LINE'
726-3769
-:lob Address (r; ~ Of) rl ..'3lJ fJO..h
Legal Dmription I f!()?)d5:..1.t-) rio 'XC1J
owne~.\J o.,~) ~\ 1\\(\ n 'htJ'(\
Address I nl-J.y, 0 n tS \.. "T ..) , Phone
--5nJkJ (1 (\.1P} q f) 4111/
construct~n le~er )
Build Single
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G)
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,
Address
DESIGN TEAl'"
(namel
Phone
(address)
,_\'1\\) {'(\h\f\~~_f\\lt)
(lies. no_~ {exoires1 (ohane no..
-
Primary
Structural
Electrical
Mechanical
CONTRACTORS
(name)
{address'
(1 ice;,. no. \
(pxnirec;\
(ohonf> no. \
Genera 1
PI umbino\\t.'if\ '6.\'R>rsS~ Vi) 'qi~}l/lDI E..
\ f7loC\~ 8/11lq I [o~3-\4\-+
, I .
Electrical
~1echanical
PLUJ.1BING
ELECTRICAL
MECHANICAL
NO. I FFF rHAQf;1=" ~'()
/1 n Each single fixture In, !t.o(),
Relocated building
(new fix. additional)
>C>
I r".lRliE. ..po
>>>
('~j.'lRGL
SQ. FT.
furnace/burner to
BTU's
Res i dence of
New circuits alts.
or extensions
Floor furnace
and vent
S.F. Residence
(1 bath)
Duplex (.1 bath) .each
Additional bath,
~Iater service &~J
Sewer rtOf"
Storm Sewer 8t:{)/1
SERVICES
Recessed wall
Snace hpatpr ~nrl vpnt
Of
amps.
Appliance vent
c:.Pl)arate
Stationary evap.
cooler
Vent fan wi th
sin9le duct
Vent system apart from
hea t i nr. or A. C.
Mechanical exhaust
hood and duc t
Vood stove/heater
~.'
fJ(),
Temporary Construction
Change in existing 'I
res.; (tepce
multifamily. comm. or
Induc;trial
CO~1./IND, FEEDERS
Install/alter/relocate
dic:.trih. ff'pdprc;.
Of
amps.
I SSUANCF OF PFR!IIT
TOTAL CHARGES r!.J6f 5~U I TOTAL CHARGES TOTAL CHARGES
WHERE STATE L'\~ REQUIRES that the Electrical work be done by an.'Electrical Contractor. the electrical portion of this perr.1it
shall not be valid until the label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFUllY EXAMINED the completed application for permit. 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 OCCUPAHCY will be made
of any structure without the permiSSion of the Building Division. I furt~er certify that my registration with the Builder's
Board is in full force and effect as required by ORS 701.055, that if exempt e basis fo exemption is noted hereon, and that
only subcontractors and employees who are in compliance with ORS 701.055 W 1 be used 0 his project.
,
Zo~e
Fi re Zone
Flood Plain
Type/Canst.
Bedrooms
Stories
Units
Occy load
Occy Group
SIGtl^TURE
FOr. OrnCE USE OrlL Y I -
.
Sq, Ftg. !Iain
Sq, Ftg, All e
Sq, Ftg, Other
OATE 1 .jqJ "'ll
\:
\\x Value
'"
x Value
x Value
tlM1E(please print)
~~0J
'i-ePrn ..x"
TOT^L VALUATIOtl
BUILDING PER~1lT
Charges and
Surcharges
, Plan Ck. COIrrn/!nd
65%/81do Per Fpp
------------ Plan Ck, Res
30%/Bldq Per Fee
'Systems Development I
Charqe (1,5~ '
PLU!1BING PERMIT
Charges and
Surcharges
&fQ~rr5
Fence
D~mo
MECHANICAL PERMIT
Charges and
Surcharges
Curb Cut
TOTAL
t
j~n:s
ELECTRICAL PER!HT
Cha rges and
Surcha rges
'Sidewalk
AIC Paving
Total Comb. Permit
.
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COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
1. Applicant to furnish
A, Job Address
B. legal Description
1. example- Tax lot 100. lane County Map Reference
17 03 43
2. example- Lot 1, Block 3. 2nd Addition to
~prlngtield Estates
C. . Name, etc. of owner and construction lender
D. Energy Sources
1. example- heat/electrical ceilinQ/or forced air Qas
2. examyle- waterheater/electrlcal/or Solar
E.: Square footage or valuation, etc. -
1,1 example- 1250 sq. foot house. 500 sq. foot garage
'Z. exa~le- if new project. check-new - if addition.
check. add, etc.
F. Building permit information:
1. exam~le ~ construct single family house with an
attached garage
2. example - remodel existing garage into family room
3. example - convert single family residence into
restaurant (change of use)
G. Value of work as defined in Section 303 (a) of the
Structural Specialty Code
H, DESIGN TEAM ANO CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact'appropriate
persons regarding design information or job site
corrections, etc.
II, Abbreviated Plumbing, Mechanical, & Electrical Schedules
A. Except where blank spaces occur in the description
portion of the Mechanical and Electrical Schedules,
the applicant n~ed fill-in only the No. Boxes adjacent
to the appropriate item(s) to be installed
B. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division
1. To conserve space on the permit form the schedules
have been abbreviated
2. If the item{s) to be installed are not covered on
the abbreviated schedules you should consult the
full schedules
C, BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES
D. As noted an the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervisor. The general contractor is .not authorized
to sign the electrical label. ---
III. Applicant to sign and date
Whenever possible, the initial application will be used as
a worksheet only. Where possible, Building Division Staff
will prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
s i goa ture.
IV. Fees and Charges
Plan check fees are due and payable at the time of the
application, and no plans will be processed until these
fees are paid. All other fees and charges are due and
payable when the permit is issued.
.~
I ~ 7-q /
:# /q'030
V, FOR OFFICE USE ONLY
\
Clerk~lfJ~
Permit
r
.
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
.
PLANS REVIEWED BY:
name
signature
date
.
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SITE PLAN REVIEW DEVELOPMENT AGREEMENT
THIS DEVELOPMENT AGREEMENT, herei nafter "Agreement", is entered into th is \ ~
day of fr{-\Q-nJ~ , 1990 (the "Effective Dat!iJ') by and .be~een the CITY OF
SPRINGFIELD, hereinafter "City", and ~~~I'\,ttW'vtZ>v)?f.1<:V:;> (t~) , hereinafter
"Applicant", in accordance with Section ~1,090, and' Section ~.d70(3), 3.080(3),
3.090(3), and 3.100(3).
REC ITALS
WHEREAS, on the 31st day of January, 1990, the City approved the Final Site Plan
Application submitted by the Applicant for the purpose of allowing:
CITY JOURNAL NUMBER 90-01-13. Type I Site Plan requesting the approval of the
relocation of the Springfield Depot to be rehabilitated for use as an office, visitor
information center and public meeting space to include a parking lot. The location
of the property is 129 South A Street (Assessor's Map 17-03-35-32, Tax Lots 6800 and
6900). See also Jo. No. 89-06-111.
WHEREAS, in consideration for Site Plan approval, the issuance of a Building
Permit, and the issuance of an Occupancy Permit, as specified in the Springfield
Development Code Section 31.090, Applicant agrees to comply with all the standards of
the Springfield Development Code and Springfield Municipal Code which may be
applicable to this development project unless modified or excepted by the Site Plan
Review Development Agreement, Planning Director, Planning Commission, Building
Official or their agents, or the Fire Marshal, which modifications or exceptions
shall be reduced to writing.
WHEREAS, in consideration for Site Plan approval, the issuance of a Building
Permit, and the issuance of an Occupancy Permit, as specified in the Springfield
Development Code Section 31.090, Applicant agrees to comply with the following
specific conditions imposed .by the City as part of the Site Plan approval:
1. All improvements must be constructed/installed as shown on the Final Site Plan
dated January 31, 1990.
2. A signed joint use/access and parking agreement between Lamarc, Inc. and the
Depot Foundation for the proposed parking area. This agreement will need to be
recorded at the Lane County Courthouse.
THEREFORE IN CONSIDERATION OF THE FOREGOING RECITALS WHICH ARE EXPRESSLY MADE A PART
OF THIS AGREEMENT, CITY AND APPLICANT AGREE AS FOLLOWS:
AGREEMENT
1. FINAL SITE PLAN. The applicant has submitted a Final Site Plan in
accordance with Section 31.080 of the Springfield Development Code.
2. STANDARDS. The applicant agrees to fulfill all applicable standards
specified in the Springfield Development Code and the specific standards listed in
RECITALS prior to occupancy, unless certain standards have been deferred to a later
date in accordance with Section 31,110 of the Springfield Development Code.
Site Plan Development Agreement
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3. CONDITIONS. The Applicant agrees to fulfill all specific conditions of
approval required by the City listed in RECITALS prior to occupancy, unless certain
conditions have been deferred to a later date in accordance with Section 31.D4D(4)(b)
of the Springfield Development Code.
4. MODIFICATIONS. The applicant agrees not to modify the approved.Final Site
Plan without first notifying the City. Modifications to the Final Site Plan shall be
reviewed in accordance with Section 31.100 of the Springfield Development Code.
5. MAINTAINING THE USE. The applicant agrees to the following:
(a) The building and site shall be maintained in accordance with the
provisions of the Springfield Development Code in order to continue the use.
(b) It shall be the continuing obligation of the property owner to
maintain the planting required by Section 31.140 of the Springfield Development Code:
in an attractive manner free of weeds and other invading vegetation. In addition,
plantings in the vision clearance area shall be trimmed to meet the 2 1/2 foot height
standard in accordance with Section 32.070 of the Springfield Development Code.
(c) Parking lots shall be maintained by the property owner or tenant in a
condition free of litter or dust, and deteriorated pavement conditions shall be
improved to maintain conformance with these standards.
(d) Undeveloped land within the development area shall be maintained free
of trash and stored materials in a mowed and attractive manner. Undeveloped land
shall not be used for parking.
6. In addition to all other remedies which may be provided by law or equity
(including but not limited to penalties provided by applicable State Law or City
Ordinances), Applicant agrees that City may enforce Applicant's responsibilities by
withholding Applicant's Final Occupancy Permit, and terminating any Temporary
Occupancy Permit which may have been granted.
7. Any Final Site Plan approved becomes null and void if construction does not
commence within one year of the date of this Agreement.
IN WITNESS WHEREOF, the Applicant and the City have executed this Agreement as of the
date first hereinabove written.
J-/- 1,Q
Date
APPLI CANT
BY: f:~~
i?~tvJ--
BY:
OF OREGON, County of IA'lA,1L;
,/J .. 1i7f' '" 1990. -Personany appeared the above ~amed
I n j/J' , who acknowledged the foregolng instrument to
Site Plan Development Agreement
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be their voluntary act.
Before me:_ ~~.\t1 - ,
Not-ary Pub I; c tor Oregon ~
My Commission expires rf(; 1Jblq'7-;
CITY ___ /./
BY: _/L..__ / ~ pea-mG:
oeV~l~nt Code Adm;~;strator
Z-l~"iO
Date
,
E OF OREGON, County of I /I 1/1 J)
')1^iC , 1990. --ve;.sQnally appeared the above named
" ,V f) 1\ {J , who acknowl edged the foregoi ng instrument to
oluntary adt. Before me: ~A aMt-L, Hi {' ~ 'S
Not-a-fy pubiic for bregon (~ -
My Commission expires J~/1t() /1'7
Site Plan Development Agreement
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