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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 ~ ~,.. r'" G) ~ ~ , 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 . . 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 . ,,' '?7' t:N? .- . ~ 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 1 /J , " .- . 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 2 " ~ .,. '., . . 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 3