HomeMy WebLinkAboutPermit Building 1993-6-18
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ASSESSORS MAP: . , TAX LOT .~ ,~~
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OWNER' ~/'5'~.yr r# /??C;A?/?j
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D ..a:=r-::~ ;F: STAT~' ~/? .
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DESCRIPTION OF WORK: ~~~ ~"r7:.r---: ,~, ~
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
ADDRESS'
CITY:
NEW X
REMODEL
ADDITION
~~~~
NAME
~...-:-"~
CONTRACTOR'S NAME
GENERAL: ~.AI'f?F;
PLUMBING: c.. 7' _~C .
. MECHANICAL- ~~~
, ~"/I' ~,. --
ELECTRICAL: ~/1"2?-- ,
I PLUMBING
I NO. I FEE
I?? Single Fixture /0
I Relocated Bldg. I
(new fix. addU)
I ~ - Water Service I
<:~fl.
I (/ Sanitary Sewer I
<~l.
I -- Storm Sewer f 1
~.?~ l.
I ............. - Backflow Device I
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I TOTAL PERMIT
'. QUAD AREA \(\'t\.1.0
'--'
. OF BLDG~.
OCCY GROUp.
. OF STORIES:
SQ. FT. P
SQ. FTG MAIN ~'7-:;;S X
SQ. FTG ACCESS X
SQ. FTG OTHER Mwn'..:... " -5/".rG
I' -.f -.
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JOB NUMBER "9'=?"O ~t<:?
INSPECTION LINE: 726.3769
OFFICE: 726.3759
PHON~.
~-S-:2.~.
ZIp.
.q::> 7'..::>"2-.
DEMOLISH
rj;:~E /yy4t-,/ ~
VALUE:7~ ;:.-.~~
OTHER
ADDRESS
PHONE
ADDRESS
CONST.
CO NT RACTO R .
PHONE
EXPIRES
MECHANICAL
I
"HABGy
/"z,.-o I
I
I 1
1.-
I &;:-.-=:-
II
I~>~'I>I
I V I
I ~3e>1
1-::<,-1
I $10.00 I
I ~.:z..50 I
CHARGE
~-
",n
~~~
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
6
-:;z
--:75-0
~S_dD
70.--
/.0. .....
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Ventr,ij'~~ '5.
separateWA',/..5>'l'~ /"'""?
Stationary evap.
cooler
Vent Fan/Single
duel ~
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
~:J' ?/'?'7~
-
7?-
~
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I'?~-
Permit Issuance
TOTAL PERMIT
- OFF.'5;E~T"'\
LAND USE: S<~"i 1.J
HANDICAP ACCESS:
FLOOD PL~IN' .
ZONI NG' \}v\,\) \2...)
. OF UNIT~.
CONSTR. TYPE:
HEAT SOURCE~ > ~ .
$/SQ. FT.
-5"/
LIGHTING POWER BUDGET:
WATER HEATER: ~
/
,
VALUE
:;:> 66_ -=f '2 g
-:z<IP. ~t!!>
,
TOTAL VALUE OF PROJECT ...c 2&>. '"'32_~
. r -
PLAN CHECK FEE ~::Z~ /~ RCPTN <?//~
I BUILDING PERMIT
15% State
SurcharQe
I MECH~;;':
15% State
Surcharoe
I PAVING /_.
~.2S
-g~. 0 /
i'b_~
4/'2 - "5-z:>
'2./3
/~tt?- :>.0
DATE
~'/~~ BY ~-~IP-? --'
-- " /' ~ ~
,
I DEMOLITION
I PLUMBING
?~.""..,.
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~ .,.,..
79. ~ S-
/ Y.ZC>
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
I
I
I
/3'/"7:"9Y I
'If ?~ ?7tfoJ.l#:'
5% State
Surcharge
FENCE \ 1'1"''\
VALUE $ ~\ }J
SIDEWALi(:,..,.
I~y FT.
CURB CUT
-:el!Z. FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
~~~5"
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an Inspection, call
726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready
for Inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work day. .
SITE INSPECTION: To be ;I .ROUGH PLUMBING,
made after excavation, but ELECTRICAL &
prior to setup of forms. MECHANICAL: No' work is to'
be covered until these
inspections have been made
and approved.
.
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UNDERSLAB PLUMBING.
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
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FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete Is placed.
x
UNDERGROUND: Piumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior .to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
v
FINAL PLUMBING
./
FINAL ELECTRICAL
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FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS.
REQUIRED INSPECTIONS
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
frami ng inspectlon.
)( FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
K
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
applied. .
1
.
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FIRE & SEPARATION WALL:
Located and constructed
according to plans.
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LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board.
interior and exterior, is in
place but before any
plastering is applied or before
gypsum board Joints and
fasteners are taped and
finished.
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PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
y
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall, be employed
by the OwnerJ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.G.
STDS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
"In addition to the Inspec-
tions specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
)( SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish inspection. All project conditions suCh as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection. .
VALIDATION:
AMOUNT RECE~ _ ,-P\HB. Cf.3-
RECEIPT ': L/\ I;:)~ ry' .
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CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises 'can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
A liT no"i/DO.Jj C) .?:>I-,i'l
f'\.f\,\\L - Acr 1J9'1DO. _9:61.,0 \ {(\. ......l-
U\\.\. 'jB"'L-r~ .C)\'O.0\l 0 !c AJ\~ \\\0 L \\JX'lo,\('i'f"\
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PLANS ~EVIEWED BY / ~.. ,
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By sIgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
hereIn 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 c~rtify that only contractors and employees
who are in compliance with ORS 701.055 witl be used on this project.
/? . Mr'J/"~"- ....-"6-;0:;-
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I further agree to ensure that all required inspections are requested at the proper time, that project 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. '
/ /4..., /~c:;? ,
I "'Srgnaturo ~-- "7-? - '" -,
Date 7- 2/-9 J
~ V ,-,/I \ !i~.)
DATE PAID: '. ,...u \' r---
RECEIVED BY. . ~)J') ')
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.B NO. qSa l?G. 7
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: _ trl3t:-/!-r J-/. 'BLI'lI}e
LOCATION: Zf.?(,q 5. CL-DV/3..!!-UA-F L()r~ 7-547-G.:GfUM/A-0A-(>I/.7L
DEVELOPMENT TYPE: Cc...: Co/oJGsfZ-I:&A-rE;. CA/2.FF:. FACAL-I-ry
BUILDING SIZE: 1-fl700 S. F. ,LOT SIZF SQ. Ft.
1. STORM DRAINAGf,
IMPERVIOUS SQ. FT. G,. ? <;;0
2. SANITARY SEWER-CITY
NO. OF PFU'S ::"
(See Reverse)
X $0.192 PER SQ. FT.
Ct'l-Iq~
""- ----
X $39.78 PER PFU
c:; Lhl ii)
--- ---
3. TRANSPORTATION
() ./~ /1''''10-''''-'0../& UN'T'
NO OF UNITS X TRIP RATE X COST PER TRIP
10 X 0 . I~ X $401.05
c: 6~10
--- ---
X
X
X $401.05
X $401.05
$
$
SUBTOTAL (ADD ITEMS 1,2, & 3) $ :, '2. 11- <I~
4. ADMINISTRATIVE FEE~
BASE CHARGE (SUBTOTAL ABOVE) X .05
c( 1,"0 "i'>
-... ----
TOTAL-CITY SDC $ ~:'-7?e~
5. SANITARY,SEWER-MWMC
NO. OF PFU'S 71 .x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 5r~ 'Ii
(Use PFU Total From Item 2 Above)
, .
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
~ ~~Jv
, - 7J Kip Burdick
SDC Coordinator
ll1-c//'i~
f (
. $052- ~
TOTAL-MWMC SDC~bO~
-/
TOTAL SDC $ 3'J?;1..J- ~
.
FIXTURE UNI1"'CAlCULA.N TABLE: Number af New Fixtures xtlt Equivalent = Fixture Units (NbTE::~~ .'
For remodels. calculate anly the NET additianal fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
FIXTURE
UNITS
Bathtub........ ............. ....... ........... ......... ...... ................
Drinking Fauntain......... ......... ................ ...................
Flaar Drain....... ........................... ..............................
Interceptars. Far ~re?s~/Oil/Solids/Etc............:....
InterceptOrs Far Sand/Auto Wash/Etc..............::., .
Laundry Tub /Clatheswasher.......:..... ...... ........ ... .....
Clatheswasher - 3 Or More...........:.:..:'...,..:,...........:.
Mabile Hame Park Trap (1 Per Trailer)..................
Receptar Far Refrigeratar fWater Statian/Etc........
Receptor For Cammercial Sink/Dishwasher/Etc..
Shawer, Single Stall.................................................
Shawer, Gang..........,...............................................
Sink, Bar, Cammercial.............................................
Urinal, StallfWall.......................................................
Wash Basin/Lavatary, Single..................................
Water Claset. Public Installatian.............................
Water Claset, Private...............................................
Miscellaneaus: ,. '
?
2
1
2
3
.6
2
6
6
1
3
2
l/Head
2
2
1
6
4
(.,
2
4-
'2.
IS
~
I~
12
TOTAL FIXTURE UNITS = 37
CREDIT CALCULATION TABLE:
I~alculate credits separates.
Year
. . Annexed
i 1979 ar befare
1980
1981
.1982
1983
,1984
Based an assessed value. If impravements accurred after annexatian date in table,
Rate per $1.000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
$2.83
2.76
2.71
2.60
2.46
2.33
1985
1986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
Credft far Parcel or Land Only If Applicable
Improvement (if after annexatian date)
??3 X $ 1'iI.72-
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
52'!!.
-
=
=$ 52'!.!.
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential...... ............. ..... ..... ............. .............. 0.4
Cammercial... .................................... ............... 0.9
IndustriaL........................... .............. ............... 0.45
GavernmentaL................................................. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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SITE PLAN REVIEW DEVELOPMENT AGREEMENT
THIS DEVELOPMENT AGREEMENT. modifying a previous agreement entered into July 13,
1993. hereinafter "Agreement", is entered into this day 12.. of Tu I.- It' ,1993 (known
as~he "Effective Date") by and between the CITY OF SPRINGFIELD, her~inafter "City", and
~1' H !Jlq.,... , hereinafter "Applicant", in accordance with
Section 31.090, and Sections 3.070(3), 3.080(3), 3.090(3) and 3.100(3).
RECITALS
WHEREAS, on the II.th day of ":fUt...-I(, 1993, the City approved the Final Site
Plan Application (Journal Number 93-06-96) subMitted by the Applicant fOr the pUrposes of
allowing the construction of a residential care facility (Assessor's Map 17-03-22-43, Tax Lots
800 and 900). The Metro Plan designation of the property is Medium Density Residential and
the zone is Medium Density Residential.
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 Developm"ent 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, Development Services Director, Planning Commission, Building Official or their
agents, or the Fire Marshal, which modifications or exceptions shall be reduced to writing.
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 lh:
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.
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 Sections 31.00 of the Springfield Development Code.
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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, and to replace sick,
dying or dead plant materials to ensure a healthy landscape and fulfill the planting area
requirements of the development.
(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 S"iall 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 9ranted.
7. An 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.
APPLICANT
I :J-T'1/.,
Date I
~ '::f7L~~
17?~
BY:
BY:
STATE OF OREGON, County of
L~
~~ \3, ,1993.
~ It. RPn.:: ,
be their voluntary act. Before me:
. OffICIAL SlAL
LESLIE BARNUM
NOlARY PUBLIC. OREGON
\.. 4.../ COMMIS~ION NO. 02_273
MY COMMIS~ION !XPIR!SMAY .. 1997
Personally appeared the above named
, who acknowledged the foregoing instrument to
rX_~~ 30_., )
~~ Public for Oregon
My Commission expires Gl'l/17
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CITY
CITY <;'rz-i,j~ PJ81))
Date 13 .1\li.f (0/t3 BY: ~ /CJ1;~/
fit- Planrlin~rger i.. - /
STATE OF OREGON, County of Lane, Tu. J." \ :') ,1993. Personally appeared
the above named I'-\-e. \ 0 b..-..d -, who acknowledge the foregoing instrument
to be their voluntary act. Before me:
~~; 'RCM_'''.'",..~
iifotary Public for Oregon
My commission expires
s/~ /93
I I
I) OFf/CIAl SfAl
i.. i LESI.IE BARNUM
'.. ,/. NOTARY PUBliC. ORfGON
COMMISSION NO 02
MY COMMISSION fXPIRfS 'MA:2:'~997