HomeMy WebLinkAboutPermit Building 1992-5-5
RESIDENTIAL
PERMIT APPLICATION
'!
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Ins'pections: 726.3769
Office: 726.3759
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LOtATION' OF PROPOSED ~~K: _ I nc:p.,
ASFES~S~P' \\l ~~fA'~ ~ .
LOr . l '- "J: . I BLOCK: ~,
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.' nn f".c:::rV)
JOBNUMBER~/_-,
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OWNER: -.:
,
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ADDRESS:
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CITY:
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.x'i\').J:.'h(\ oL 'C\~~ffiC\A PHONE: \ ~ln:-~\:-\+-
\ ot~ \ \~ ~\.~ ~ ~ 'L,
D~SCR;BEWciRK\
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STATF'
ZIP:
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NEW
I O~t (~n \..0 \. ~ f\i lj iT\_1---
ADDITION DEMOLl~tJ O;r~ER (J
REMODEL
,
CONST.
CONTRACTOR #
CONTRACT~ NAME l C",. ADDRESs-."" "
G~NERAL:, uC\. i\ "i\l) '-..'J.\ \. ~c\()f_ )
PLUMBING'
... "
MECHANICAL' .'
,E.~I~~~ICAI't'\_~~ 0_)
QUAD AREA: \~\\ \11 ')
# OF BLDGS' ,\
O~CY GROUP: ....~ jJ
# OF STORIES: L
, W~TER HEATER: P./
- OFFI,E~Z-
LAND USE: \ \0 '"
# OF UNITS' I
CONSTR. TYPE: ~f\J
HEAT SOUR"'" v:- <3']
G "
RANGE:
EXPIRES
PHONE
FLOOD PLAIN:
ZONING CODE:
ru\~
\4-
# OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:' ~Q,~~
To'request an Inspection, you must call 726-3769. This Is a 24 hour recording. AlIlnspectlons requested before 7:00 a.m. will be
made the sa"me working day, Inspections requested after 7:00 a.m. will be m?de the following work day.
CJ Temporary Electric
D.Site Inspection - To be made
, after excavation, but prior to
II settIng forms.
ITI
'I'
[2(] Footing - After trenches are
. H . excavated. '
Underslab Plumbingl Electricall
Mechanical - Prior to cover.
co
,
Masonry - Steel location, bond
beams, gro.uting.
rV1 Foundation"':' After' forms are
l..tf..J erected but prior to"concrete
placement
(Xl Underground Plumbing - Prior
, to filling trench.
I '
1\71, Underfloor Plumbing/Mechanical
L4--J _ Prior to Insulation or decking.
rb1 Post: and Beam :- Prior to floor
~ insulation or decking. .
[2(] Floor Insulation - Prior to
, decking,
"
~ Sanitary Sewer'- Prior to filling
; trench.
"
,
CKI Storm Sewer - Prior to filling
, trench.
rVI Water Line - Prior to filling
~ trench.
"d
~ Rough Plumbing - Prior to
ltJJ cover.
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REQUIRED INSPECTIONS
IVl Rough Mechanical - Prior to
LAJ cover. .'
IVi Rough Electrical - Prior to
~ cover.
r\7l Electrical Service -Must be
I,.6J approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing I.n_sp.
rn Framing - Prior to cover. .
[ZI Wall/Ceiling Insulation:'" Prior to
cover. . .
[Xl Orywall - Prior to .l?plng.
'.
D Wood ~tove - After lnstallatio~.
D Insert -"After flreplace approval
and Installation of unit.
rn
Curbcut & Approach - After
forms are erected but prior to
placement of concre!e. -
. EX! Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material in place.
~ Fence "-'When c~mPleted.
I\7l Street, T~ees ~. Wh.e'n" all. required
L.4-J trees are planted:. . . ."
n71 Final Plumbing - When all
L.AJ plumbing work is complete.
IVl'Final Electrical - When al)
L...,t3.J electrical work I~ complete.
rn
Final Mechanical - When all
mechanical work is complete.
'[YJ
Final' Building - When all
required Inspections have been,
approved and building is
completed.
WOther
/7 A<'A' L "5/r.,c-
/>~r/M'e-
MOBILE HOME INSPECfIONS
D Blocking and Set,Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Co~nection - When
blocking, set-up, and plumbing
inspections have been approved ...
and the home is connected .to:";-
the service pa~el. ...,."
D Final - After all required
inspections are approved and
. porches, sklrtl'ng, decks, and
venting ,have' been Installed.
Lot faces
~
~
Lot Type.
-X- Interior
Lot sq, ltg,
[Lot coverage ~$
Topography ~ _ Panhandle
f , , .
Total height "2''7'''':'':;; _ Cul.de.sac
kircP~~~W~
L:4".9N~ ,."y' ~ ~ ~~~,.~
Corner
. THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
I PL
IN
Is
Iw
IE
Setbacks
I t "1
HSE GAR ACC
'<:/ !VA/'. I
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,BUILDING PERMIT
ITEM SQ, FT. X $/SQ, FT. ~ VALUE
Main
y?, t/2,23
ij:z. "A? N'.2. 7 /~ :7.Z
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
/1"27/3,::2':2
.t;'29. 75
~C:;;.Sl9
~"').b. '2'7"
(Bl
SYSTEMS DEVELOPMENT CHARGE (SDC) p3
I-;0./580;!;
PLUMBING PERMIT
ITEM,
Fixtures
:z:z. ~./D
Residential Bath(s) NO
Sanitary Sewer
FT,
FT.
FT,
Water
Storm Sewer
FEE
d8,~
75
25
'/5'"
Mobile Home
~r/P/-j&Y/ce /0
:::?.A.? ~- .--.---~
Plumbing Permit ;;J .., r/-:Z... -~.
I':~.L" I' -,'"'"
State Surcharge 7- r .. ~ _ .......-c:.>
Total Charge (c)7~.~"C/I. ZS-
MECHANICAL PERMIT
Q.-='
/".~&> --;:;./ - ,~
k:?. .-e>
Furnace
Exhaust Hood
I
Vent Fan
N' -:z ~
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
_~~ Z>"..:z:>/~
7' --/" r I-r.""'p, ~
Mechanical Permit
Issuance
.? ' 4>_
l/, 50
/-... ' <=?
~ -- ',:
~ ).
State Surcharge
Q'2 ./_~
.,.7 ,.....:-c..>
..,_ c/ = 7_" ..r-_
(0)""'- 1"'7 .-_. ~.,c,;.-'
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
~-S-It
1'1 It
Curbcut
Demolition
State Surcharge
hpee 7h'S'.::sc>
~.
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
1"1.71>
/ 2JC>
ccs-C>
~-~
LLU.~" '.
~";'1. -/'1
~9'~. 7'9
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is gra.nted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code; regulating the 'construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
,Plan Check Fee: ~t/RL'r ~~ t;/~ -=-
Date Paid:
Receipt Number"
ReC~BY: ~
~-,~~
"~p$ Reviewed By /~
y./&::'-'9:;L.
Date
Systems Development Charge is <:!~e on all undeveloped
properties within the City limits which are being improved.
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ADDITIONAL COMMENTS
~ ~/
,-;f(~o ~. YOII:J;s
.
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 Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
~
I furth~r 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, a the ap rove et plans will remain
on the site at al ti s ring ons uction.
Signaturp
Date
VALIDATION: c:<. ~
RECEIPT NUMBER 4-'05
DATE PAlO 'h. 'is.q ~
AMOUNT RECEIVEr},_,} ~~ 4\:) /"1\
RECEIVED BY \-J\iL...D
.
JOB NO, qUS~'2-
CITY OF StINGFIELD SYSTEMS DEVELOPM. CHARGE
WORKSHEET I
, (COMMERCIAL & RESIDENTIAL)
NN1EOR Cor'lPANY: MfC.I-IAEE.L ;.JUPN14N
LOCATION: 00Q C/..oV€.fl!:-L(:.I'rF
170'?7.-2.'I7.. - ~,gooO
DEVELOPNENT TYPE: Mola. - 4DVL.T CA-t2.E:.. 1:74<.-'/-11'1"
BUILDING SIZE:
1, STORM DRAINAGE
'IMPERVIOUS SQ. FT. 4';'-11 X $0.186 PER SQ. FT. I~ 9'-1fo!!..
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
LOT SIZE
SQ. Ft.
2. SANITARY SEWER-CITY
NO. OF PFU'S :;5 X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. . TRANSPORTATION
Is I ?<I'17!:-1
NO OF UNITS X TRIP RATE X COST PER TRIP
c::::,.....oE. J.'50"L
.10 X .17'7 X $388.61
Is " 72- 7:J- f
x
X $388.61
s
x X $388.61 i
(Se~ Attachment C To Determine Trip Rates) 5
.'. . , SUBTOTAL (ADD ITEMS 1,2, & 3) S 28(,,7 ~
4, ADMINISTRATIVE FEES
BASE. CHARGE (SUBTOTAl ABOVE) X ;05
Is 1<17:> ~~l
TOTAL-CITY SDC s3011 o~
5. SANITARY SEWER-MWMC
NO. OF PFU'S
,f 7'"
'?S x S13.25 PER PFU .+ S!OMWI~C ADMIN. FEE s ..,.7'1:/-
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
L~~
'"0 Kip Burdick
SDC Coordinator
? /~I /'12-
, f
s Z'- ~
TOTAL-MWMC SDC Is I.Nr. "!.!.I
TOTAL SDC s '?'fSB o~
FIXTURE UNIT CALCULAW)N TABLE: Number 01 New F.i'1ures.x~t Equivalent = Fi,1ure Units (NOTE:
For remodels, calculate only the NET_itional li'1ures) , ·
NUMBEfl OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
2-
2
I
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
'2-
Bathtub"""..",,,,,......,,,,,,..........,................................
Drinking Fountain..,'...: ..........., ". ....................... ...."..
Floor Drain....... ..":........:.............."......,,................ ".
Interceptors For Grease/Oil/Solids/Etc............."..
Interceptors For-Sand/Auto Wash/Etc........:.:,......
Laundry Tub/Ootheswasher................"............."..
Ootheswasher . 3' Or More.............................,.......
Mobne Home Park Trap (I Per Traner)..................
Receplor For Refrigerator jWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc.:
Shower, Single Stall...........................,..,....-............
Shower, Gang......,............:,..,...................._......... '
Sink. Bar, COmmerclaL.......,................__......_....
Urinal. StanjWan..,......,........:.............."......-..........
Wash BasinfLavatory, Single._............_.......
Water Ooset. Public Installation...........-._......."..
Water Ooset, Private-.................._......
Miscellaneous:,
1
7..-
'-I
4.
I'?
I"':>
...,
IZ-
TOTAL FIXTURE UNITS
=
,~
CREDIT CALCULATION TABLE:
calculate crecfllS ~parates.
'j
.5
Based on ,asses-;erI value. If Jmprovements occurred after, annexation date' In .table,
1979 or before
1980
1981
1982
1983
1~'
Rate per $1,000
Assessed Value
$2.66
2.64
2.53
2.41
2.19
2.04
Year '
AnneXed
, Rate per $1,000
Assessed Value
Year,
. Anneietl
1985
1986
1987
1988
1989
1990
$1.69
1.35
1.15
0.92
0.59
0.23
.- ----
.- - - - -
Improvement (If after annexation date) .
Z,(t,l.. X $ 10.0"
(Rate X Assessed Value)
X S
(Rale X Assessed Value)
CREDIT TOTAL
z.",~
Credit for Parcel or Land Only If Applicable
=
1"
= s...7-'- -
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resid entiaL...,......................,.. ........... "".....,.... 0.4
CommerciaL....,.....,..................,..................... 0.9
Industria!...,............... ......,........,.....,' .... .... ,..." ,.. 0.45
GovernmentaL......................,.........."........,.... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
~.~--
.~.,"'_..
.
.
AcidYe~5~/ (e..-
G~d'
7=;::..:;......~ .
SITE PLAN REVIEY DEVELOPMENT AGREEMENT
J2111
THIS DEVELOPMENT AGREEMENT, hereinafter "Agreement", is entered into this ---
day of May, 1992 (the "EV~ctive Date") by and between the CITY OF SPRINGFIELD,
hereinafter "City", and /lIf 'K~ )...jLrOMAN , hereinafter
"Applicant", in accordance with Section 'f1.090, and Section 3,070(3), 3,080(3),
3.090(3), and 3.100(3),
RECITALS
YHEREAS, on the
Application submitted
/I~
.!:1'--day of May,
by the Applicant
1992, the City approved the Final Site
for the purpose of allowing:
Plan
CITY JOURNAL NUMBER 92-04-67, Type II Site Plan requesting approval
residential care facilities. The property' is located at '605 and 609
Loop (Assessor's Map# 17-03-22-42; Tax Lots 7900, 8000, and 8100,
zoned Medium Density Residential (MDR); the' Metro Plan designation
Residential, The proposed use is a permitted use in this District,
to construct two,
North Cloverleaf
The property is
is Medium Density
YHEREAS, 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 wi th all the standards of
the Springfield Development Code and Springfield Municipal Code which may be
applicabl~ 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.
YHEREAS, 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 May 4, 1992.
2. A copy of the recorded deed restriction waiving the 5 foot sideyard setbacks for
Lots 74. 75 and 76 of Granada Phase II,
THEREFORE IN CONSIDERATION OF THE FOREGOING RECITALS YHICH ARE EXPRESSLY MADE A PART
OF THIS AGREEMENT, CITY AND APPLICANT AGREE AS FOLLOYS:
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.
.
.
- c_
--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 31.040(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
condition free of litter or dust, and deteriorated pavement
improved to maintain conformance with these standards,
owner or tenant in a
conditions shall be
(d) Undeveloped land
of trash and stored materials
shall not be used for parking.
within the development area shall be maintained free
in a mowed and attractive manner. Undeveloped land
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 YITNESS YHEREOF, the Applicant and the City have executed this Agreement as of the
date first hereinabove written,
6'\1,41-
APPLICANV # / /
BY: ~,~
Date
v
M 1 ~f f-\V'Dt1A-N
BY:
STATE OF Q..RB9SW, County of Li1-VL(./
H~l'rr , ,'1992, Personally appeared the above named
N " ' I.L~ ,who acknowledged the foregoing instrument to
be theIr vo untary act, Before me:
Site Plan Development Agreement
2
.
,:':.' t;.:J;: :',:.':.
I. {~~~~;~.;.~:::;s;,:,~<:\.
i/tL,n ..Y I . ':"L~, .....,-,'. :_,..:
- /J v uvlJ31---- l- It lt1At1A;lV:'::~~'': ':':'.'":,,:~::/
Notary Public for oregon(Jj ^ ..,.. .'..~..;.:.S;>.:.
My Commission expires D0a1t:tr'q'7] "".
.:...".;........;..,.
.,
~11~>4v
Date
::~y ~
JYev~ M~ra't6r
F'1e .7J.f l,;!:.
,
;,
STATE OF O!.E~ County of LovYu/ ",:':;";:::;;~':;/':>';
~.1 1',f1 r ,,1992. Personally appeared the above named .:' -: " ::~,,, """,'; .I ",
~'A f1/1, IC7DlJl , who acknowledged the foregoing instru~ept:.:to . "\">",
be t eH'cyluntary ad, Before me: , . . :o';t:i ~.r~:;:,'~,! ..'
~ l1(,th~l. {l1&'~A,iJJ.<__...:;. ':.;:
Nota~ublic for' oregoe.JJ . , . ,'>........... .,..,:,
tfh'f0 ,qlJ-j o' ,,','
My Commission expires
Site Plan Development Agreement
3