HomeMy WebLinkAboutPermit Building 1988-08-05-a
CITY OF SPRINGFIELO
COHBI IIATION APPLICATION/PER},IIT
OOCLegal 0escription
Job Address
Hea
EIIERGY SOURCES:
l,later Heater
Owner
Value of ,,o"r, /e, M
. Ftg . l.lai n_
Sq. Ftg. Access._
Sq. Ftg. Other_
-l'lewJdd-AlIerl-AP'__Fence_Demo Change/Use
-other-
Address Phone Builciinq Permit Info: DescrFamily Residence ltith Attach
re., Build SingIe
Construction Lender luLe/ "/
Address Phone
O(,
-?c)
u]coP
name address 'I ics. no.exD res ohone no.
Structura I
Prima
\1nEI ectrl cal
Hechani cal
CONTRACTORS -n ame address 'I i cs. no.exn rPs nhnnp no
Genera I
P l umbi nq
PLUt{B I NG ELECTRI CAL MECHAN I CAL
FEE CHARGF NN FFF CHARGF N(I FFF CHARGF
Each single fixture Residence of
FTSQ
furnace/burner to
BTU' S
Relocated building
(new fix. additional)(/New circuits alts.
or extensions2 )n /ra?e 27.r,
Floor furnace
and vent
S.F. Residence(l bath)SERV I CES Recessed wal I
Soace heater and vent
Duplex (l bath) each
Additional bath Temporary Construct i on Apol iance vent
seDa ra te
Hater service Change in existing
res i dencc
Stationary evap
coo I er
Sewer multifamily, comm. or
I ndustri a I
Vent fan with
sinole duct
+)'Storm Sewer :z:2.e 0f Vent systern apart from
heatinq or A.C.
c0Ml.1./IND. FEEDERS Mechanicai exhaust
hood and duct
Instal I /al ter/rel ocate
di stri b. feeders l.Jood stove/heater
1\,)>0f amps.
1 t I uq
L{}t4
t/ISSUANCE OF PFRI{IT
TOTAL CHARGES 24-'TOTAL CHARGES ?",to TOTAL CHARGES
WHERE STATE LAI{ REQUIRES thAtshall not be valid until the labe
the E'lectrical work be done by an Electrical Contractor, the electrical portion of this perr,ritI has been signed by an Electrical Supervisor and returned to the Buildinb Division
(please print 6, lrl,D/.IGNATURE&/aN {
Ci ty
made
' Oregon
the Bu i
f exempt
.055 wi l
ontheEXAM I NED eY L trmI and dorca a rmat hereonon s trueapp0ecerttthacomphereb.ytandac0rrecndfuhertcertrhaftworkshrmedabedone wlaandfyperfoaordancecc th the 0rd n of theances
efi dfo
any
ofndatheofLawssthetetaSprn9 to wothe kr r.tdesc bed nrta thnghereipeand NOat UPAI,ICYOCC wl berestructuthoutwlthessnofpermidvlDiSonfucert irtherng that s tra t vJlon theth ulB r sdefyregmyany
rdBoa s n fu force ef'and asfect red ORS 701 055 tha t bas s rfohetbyrequi ex on noted hereon thatandempti
SUonl bc anontractors d awho re Ivempoyeesn cean thwl I?S0 07 oncomp th s tp roj ec
Fttt
Ftg
Ftg
. Access_ x Va.orn*.4?B,-rucroup F-2 sq.
re Zone Bedrooms 0ccy Load
Flood Plain S tori es
its 'lue
lue
5^N unt.s l'lain x Va
Be#04ao,13 terns 'Deve
rqe t1.57
Svs
cha
opment / 80.'o
s
F
---?2-,Se_
A/C Paving
Sidewal k
DBmo
Fence
PIan Ck.
anBUILDING PERI'IiT
Charges andSurcharges l
PLUI4BING PERMIT
Charges and
Surc ha rges
ELECTRICAL PERI1IT
Charges and
Surcha rges
.aa
Z?. SA
Total Cornb. Permit /r'/ z
Curb CutHECHANICAL PERMIT
Charges and
Surcharges TOTAL Vz/.76;
TOTAL VALUATION.--
____7e,_
hea t/e l ectri ca i
water
r
(
{
(
(
(
(,
(r
t:)
CITY OF SPRINGFIELD
Clty H.ll
Sprlngtold, Orogm
Olffco ol Community and Economlc Dcvelopmenl
OFFICIAL RECEIPT
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Oescriptionl. gaT.'Elg- Tax Lot 100, Lane County Map Reference17 03 432. example- Lot l. Block 3, 2nd Addition toSpringfieid EstatesC. Name, etc. of owner and construction IenderD. Energy Sources1. examol e-2. examol e-
squaie T6-o-:a
12053
a
From
Address
For:'I
ge or valuati oht
or
500 sq. foot ga
new - if addit
r
E
I
2
example- 1250 s,
example- if new
EIEEF-add, etc.
q. foot house,project, check
ra9e
ron,?-e =?-26-eaF. Building permit information:1. exampie - construct single family house with anattached garage
?. example - remodel existing garage into family room3. example - convert singie family residence .inio
^ restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specia)ty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc.
Abbreviated Plumbing, Mechan.ical, & Electrical SchedulesA. Except where blank spaces occur in the description--portion of the Mechanical and Electrical Schedules,the app)icant need f.ill-in only the No. Boxes adjaient
- to the appropriate item(s) to be .instalIed
B. Full Plumbing, Mechanical, and Electrical Schedulesare available at the Building Divisionl. To conserve space on the permit form the scheduleshave been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefulI schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the Iabel must be delivered to theelectrical contractor for signature by his electricalsupervisor, The generai contractor ii.not authorizedto sign the electrical labelApplicant to sign and date
l{henever possible, the initial application will be used asa.worksheet only. Where possible, Building Division Staffwill prepar.e a type written copy and returi it to theapplicant at the time the actual permit.is issued for his
s i gna ture.
Fees and Charges
Plan check fees are due and payable at the t.ime of the .application, and no plans will be processed until thesefees are paid. Al l other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
/
., Ej
7
II.
III.
IV
()
o
6o
Amount Received 3zt 76
()ffiEl gusrnpss FoRMs. lNc. l5{xtl3'2'6149
V Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
c&.2
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY:
name date C- Z7-a>s'l
g-,f^re
g nature
L CITY OF SPRINGFIELD
COHBI NATI ON APPL I CATION/PERMIT 726-3753
Job Address &s
Legal Description 0vvb
Ran
l^Jater Heater
EIIERGY SOURCES
Hea t
/)
0wner
Value of tlork:
Fto. l'1ain_
Ftg. Access.
Sq. Ftg. Other_
-l{
ew-Ad dJl te r P.-e p . -
_Fence_Demo_C ha n ge/ U se
0ther
Sq
Address Phone Farni l
n I
den
t
ce 'e., Bui1d Single
Construction Lender -4,0rni
Addre s s Phone /
d)
*)o
t\l
Ca
9)
DESIGN TEAI,I name address Iics. no.exD l res phone no.
Primary
Structura I vd
El ectri cal
Mechanical
name a ddres s lics- no,)exDt res nhone no-')
cenerat /) t 4,.
El ectri I
(
PLUI.IB I NG EL ECTR I CAL MECHAN ICAL
FEE CHARGF NN FFF THAPGF NO FFF .HAPT:F
Each single fixture Residence of
SQ. FT
furnace/burner to
BTU' S
Relocated buildinq
(new fix. additional )
New ci rcui ts al ts
or extensions
FIoor furnace
and vent
S. F. Residence(l bath)SERV I CES Recessed wal l
Soace heater and vFnt
Duplex (1 bath) each
Additional bath Temporary Constructi on Apol iance vent
separate
tJater service Change in existing
resi dencp
Stati onar_v evap
cool er
Sewer multifamily, comm. or
I ndustri a I
Vent fan with
sinole duct
Storm Sewer 0f amps.apart from
.c.
Vent systern
heatinq or A
COMI'I./IND. FEEDERS Mechanical exhaust
hood and duct
Instal I /al ter/re1 ocate
di stri b. feeders l'Jood stove/heater
-amp s.0f
ISSUANCE OF PFRI,IIT
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES
WHERE STATE LAl.lshall not be valiC
REQUIRES that the Electriuntil the label has been s
cal work be done by an Electrical Contractor, the electrical portion of this perm.itigned by an Electrical Supervisor and returned to the Building Divis.ion
re )r9omo1/A=f-tz
t on reonperfo
.2
s
completed apnl ica oermit, and do hereb.y cert that all information s truefurther certi fy that any and al I work rmed shall be done in accordance with the 0rdinances of the Cityto the work described herein, and that N0 0CCUPANCY will be madLthe Laws of the State of Oregon oertaining
the Building Divis further certify that m.y registration vrith the Builder,sthout the permission ofrce and effect as requi
ion. Ired by ORS 701.055, that if the basis for exemption is noted hereon, and thatand ernployees who a i ance wi th 0lls 701 .0
exempt
t55 wi lI be used on this nroject.
9erc IGNATURE
E
I'lAl'lE ( pl ease pri nt)
and comsct, and Iof Springfie)d andof any structure wi
Board is in full fo
only subcontractors
Ftg
Ftg
FtgFlood Plain 5 tories x - ValGroup Sq
Zone
Fire Zone Bedrooms_ 0ccy Load Val ue
TOTAL VALUATION-
nst. Uni ts_ So
. Access
. 0ther
. l,lain x Value
Plan Ck. Comm/Ind
65%/B1dq Per Fee
Systerirs Deve
Charqe (1.52 opmentBUILDING PERI'IIT
Charges and
Su rcharges Plan Ck. Res
30%/Bldq Per Fee
FencePLUI4BING PERI'1IT
Charges andSurcharges {
JO-cro
oo Demo
SldewalkELECTRICAL PERIlIT
Charges and
Surcha rges A/C Paving Tota"l Comb. Permit
Curb Cut
I,IECHANICAL PERMIT
Charges and
Surc harges TOTAL 2t.n
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Description
l. example- Tax Lot 100, Lane County Map Referencei7 03 432. example- Lot 1. Block 3, Znd Add.ition toSpringfield EstatesC. Name, etc. of owner and construction ienderD. Energy Sources
1. exampl e-2. exampl e-E. Square footag
heat/electrical cei I in or forced air gas
ol arwateeaec tr ca ors
e or valuat on, e
l. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addit.ion,
check add, etc.F. Building permit information:1. example - construct singie family house with an
attached garage2. exampie - remodei existing garage into family room3. example - convert singie family residence into
restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Bui)d.ing
Division Staff must be able to contact appropriate
persons regarding design information or job s.itecorrections, etc.II. Abbreviated Plumbing, Mechanical, &, Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanicaj and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division1. To conserve space on the permit form the schedules
have been abbreviated2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label.III. Applicant to sign and date
Hhenever possible, the initial application will be used asa worksheet only. Where possible, Bui)ding Division Staffwill prepare a type wnitten copy and return it to theapplicant at the time the actuai permit is issued for hissignature.IV. Fees and Charges
Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued.
V. FOR OFFICE USE ONLY
PERMIT VALIDATION
(2481
8-t2-kK
Permit Clerk CC
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI,ICY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information
PLANS REVIEWED BY:
name s i gnature date
'D cCrlu'rP
r*M
,6
frL
SITE PLAN REVIEt.l DEVELOPMENT AGREEMENT
THIS DEVEL0PMENT AGREEMENT, hereinafter "Agneement", 'is entered 'into
fiis lCft day of FoSrtt*A"l , 1987 (tne.."Effective Date") by and between
the eTiY- Of SpnTffiiElDl--here'inafter "City", and CROMBIE DEVEL0PMENT
C0MPANY hereinafter "Applicant", in accordance with Section 31.090, and
Section 3.070(3), 3.080(3), 3.090(3), and 3.100(3).
REC I TALS
I,IHEREAS, on the 6th day of July, 1987, the City approved Site Plan
Application submitted by the App'licant for the purpose of allowing:
Proposed storage add'ition to R & S Industrial Supp'ly located at 162
South 15th Street, Springfield, 0regon. Journal Number 87'06-82.
I.IHEREAS, i n consi deration for Site Pl an appnoval , the i ssuance of a
Bui'lding Permit, and the issuance of an Occupancy Permit, as specified in
the Springf ield Development Code Sect'ion 31.090, Appl icant agrees to comp'ly
with al'l the standards of the Springfie.ld Development Code and Springfield
Municipa'l Code which may be applicable to this development project,
including but not limited to, the following:
Landscaping shall be installed (includ'ing irrigation) between the
sidewalk and the first parking sta11 (in the area of the sign pole)
and in the north side yard between the curb and the front of the
building, except that landscaping 'in area of sign pole may include
drought resi stant p1 ants i n pl ace of i rri gati on provi ded that
verification of certificate of res'istance t,o drought pursuant to
Spri ngf i el d Deve'l opment Code 'i s del 'i vered to Ci ty.
2. Parking spaces abutting the north side of Joey's Pizza must be
restriped along a southeast axis (they are presently aligned on a
southwest axis) to provide safer vehicular maneuvering access.
WHEREAS, in consideration for Site Plan approval, the 'issuance of a
Building Penm'it, and the issuance of an Occupancy Permit, as specified in
the Springfielrl Development Code Section 31.090, Appl'icant agrees to comply
with the following specific condit'ions imposed by the City as part of the
Site Plan approva'l :
Site Plan Development Agreement
I
c
1
None.
P
NOt^l THEREFORE IN
EXPRESSLY MADE A PART
FOLLOWS:
CONSIDERATION OF THE FOREGOiNG RECITALS WHICH AREOF IHIS AGREEMENT, CITY AND APPLICANT AGREE AS
AGREEMENT
1. FINAL SITE PLAN. The app'l'icant agrees to submit a Final SitePlan in accordance with Section 31.080 of the Springfie1d Development Code
concurnently with this Agreement.
2. STANDARDS. The app'licant agrees to fulfill all applicablestandards specified in the Springfield Development Code and the specificstandards 'listed in RECIIALS prior to occupancy, unless certa'in standards
have been deferred to a'laten date in accordance with Section 31.110 of the
Spn'i ngfield Development Code.
3. C0NDITIONS. The Applicant agrees to fulfill all specificconditions of approval required by the City listed in RECITALS prior tooccupancy, unless certain conditions have been deferred to a later date in
accordance w'ith Section 31.110 of the Springfield Development Code.
4. M0DIFICATI0NS. The applicant agrees not to modify the approvedFinal Site Plan without first notifying the City. Mod'ifications to theFinal Site Plan shall be reviewed in accordance with Section 31.100 of the
Springf ield Development Code.
5. MAINTAINING THE USE. The app'licant agrees to the following:
(a) The building and site shal I be maintained 'in accocdance w'iththe prov'isions of the Springfield Development Code in orden to cont'inue the
us g.
(b) It shall be the continuing obligat'ion of the property ownento maintain the planting requ'ired by Section 31.140 of the Springfield
Development Code in an attractive manner free of weeds and other invadingvegetation. In addition, plantings in the vision clearance area shall be
trimmed to meet the 2 Ll? foot height standard 'in accordance with Section
32.070 of the Spningfield Development Code.
(c) Parking lots shall be maintained by the propenty owner ortenant in a cond'ition free of litter on dust, and deteriorated pavement
cond'iti ons shal I be improved to ma'intai n conformance wi th these standards.
( d ) Undevel oped I and wi thi n the devel opment area shal I be
maintained free of tnash and stored materials in a mowed and attractive
manner. Undeveloped land shall not be used for parking.
Site Plan Development Agreement
2
I'
6. In addition to all other remedies which may be provided by law or
equity (including but not limited to pena'lties provided by applicable state
I aw or c'ity ordi nances ) Appl i cant agrees that C'i ty may enf orce Appl i cant' s
responsib'ilities by withholding or term'inating Applicant's Occupancy
Perm'it.
7 . Any Fi na I Si te P'l an approved becomes nul I and voi d 'i f
construction does not commence w'ithin one year of the date of this
Agreement.
IN I^IITNESS WHERE0F, the Applicant and the City have executed this Agreement
as of the date first hereinabove written.
APPLICANT CR9MBIE DEVELSPMENT C6MPANY
BY: )hl*-- Yy .du.nA<-Ecbluary lo- l98B
Date WALTER CROMBIE
BY:
\ ),\ t
.,' ,\,) l ',,,,)
STATE 0F 0REGON, County of Lane
Feb 1989.
Walter Crombie
be their voluntary act. Before me
Per-sona'l1y appeared the above named
, who acknowledged the foregoing instrument to
ta c ot e9on
My Commission expires 2'23'?o
." r);r),\
C ITY
1--rtsr
Date
STATE 0F 0REGON, County of
198
be their voluntary act. Before me:
ota
L rqr.l e
@ot
who acknowl edged the
he above named
foregoing instrument to
1r;:) 1.'/. t
.) I ,
*'t )
o
(
My Commiss'ion exp'ines 3- + - 7Z
Site Plan Development Agreement
3
av,a,*-.r^3hadfoe{}rl}1} cooe Admi ni strator
/'1