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Home My WebLink AboutPermit Building 1988-12-14CITY OF SPRINGFIELD COHBI NATI ON APPL I CATION/PERMIT 726-3 Job Address Q r4 Legal Description -a EIIERGY SOURCES n Hea Sq. Ftg. Access._ Sq. Ftg. Other_ _f,lew_Adda1 ter_Rep. _Fence_Demo Change/Use -other-- t(ater Heater Ran Value of l,lork:ai> Bu nq Pernrit I' Residence e Fami l m N N rd m /fuaa*, r?<€A.0wner Addre s s a Phone Constructi on Lender Address Phone DESIGN TEAI'I name address tcs. n(exDt res 10ne no Pri mary / **rD 722-* 1>%,*-*=u >-/rfr Structura l,4*,*-g d/=Sa<' El ectri ca l i Mechani cal CONTRACTORS name addres s (l icq no exDl res ohone no- ) Genera I Pl umb i nq El ectri ca I llechanical PLUI.{B I NG ELECTRI CAL MECHAN I CAL FEE CHARGE NN FFF .HAPCF NO FFF CHARGF ,Each single fixture 7,f,a TZSD Residence of SQ FT furnace/burner to BTLI' s Relocated building (new fix. additional)/New circuits alts. or extensions'7 .48 )v7D/28 ?zz Floor furnace and vent S. F. Residence(1 bath)SERV I C ES Recessed wal l Soace heater and vent Duplex (l bath) each Additional bath Temporary Constructi on Apol iance vent se Da ra te <fr '!later servi ce /f4 Chan res i ge in existing dence Stationary evap. coo l er <ud 'sewer ?.4 multifamily,comm. or I ndu stri a I Z Vent fan with sinole duct 3,n b.* {o-t fo/ Storm Sewer T.oo of /aO s.27.f,z Vent systern a heatinq or A. part from C. c0t4t1./tND. FEEDERS Mechan'ical exhaust hood and duct InstaI I /aI ter/rel ocatedistrih- fppdprs l'lood stove/heater 0f ISSUANCF OF PFRI{IT TOTAL CHARGES /d 7.5o TOTAL CHARGES {f*TOTAL CHARGES /?tq - /5) oo WHERE STATE LAI'I REQU shal] not be valiC unti] IRES that the Electrical work the label has been signed by be done by an Electri ' an Electrical Contractor, the electrical portion of this permit cal Supervisor and returned to the Building Division I D t he comp I eted apnl ication for and all work pe 0regon oertaini the Building Div t an he re b.v ce rt 1 fy th a t a 1 I 1 n fo rma t 'I on hereon 'I s true a nd co rrec t an d I fu rther cer t 'I f v tha t a ny s ha I I be done 'I n a cc0 rd an ce wl th t he Ordi na nc es of t he ci ty o f spr l ng fi e I d and th e La ws of the s ta of ng to th e work descr I bed he re '|n an d tha t NC OCCUPA t,lc 1 1 I be made o f any truc ture wt thou t t he perm I ss 'I on of I s .l o n I furt he r ce rt 'I fy tha t m.y reg 'I s t ra ti on v,t th t he B u I I de r s Boa rd I 'I n fu I I fo rce a nd e f fec t a s req u 1 red by 0 RS 7 0 I 05 5 t ha t 'I f exempt the ba s 'I s for e xemp t 'I 0n 'I s noted he reon and t ha t n I v subco ntra cto rs and emP I 0yee s wh are I n comD I 'I a nce t/'l +h 0l?S 7ot 055 w1 .I I be used o n th 'I s proJ ec t tlAl'lE(please print)P*r"te// P F/n o a.r-,s I GNATURE zone_-/*-.9_/.__fype/Const. 51,2!, units So. Ftg. l,la 1n oF*16 x./fu Ual cessfuz?e--x /4ao-ualFire Zo Bedrooms ; 0ccy Load Sq. Ftg. Ac Flood Plain Stori es 0c cy GroupRy'fT-Zq F tS. }ther 5.% r/.y84&q\ a'lue 5fu2 oooy--14--i fl ?<z>*zza TOTAL VALUATI BUILDING PERNIT Charges and \Surcharges ,* aa 7af Plan Ck. Conm/IilZ 65%/B1dq Per Fee /2*49 p'7 ter,1s opment 52f.'o PIan Ck. Res 30%/B1do Per Fee 7-) PLUt4BING PERI4IT Charges and Surcha rges /2Zsa5f ,39 Fence Demo ELECTRICAL PERIIIT Charges and \lSurcharges I u<' ---J-J -aa 2-z{ Sldewal k ,{/t-Ozt o fra1t6v) S>zz<re:Z A/C Paving*,ggl ': 52'50 Total Comb. Fermit {zzo= HECHANICAL PERMIT Charges andSurcharges i:S ,75 Curb Cut TOTAL 75/ 03 - .€. t V (n -/r- t.4 aPJ2: COMBINATION APPLICATION/PERMIT (CAP) L Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition toS[rTnlTie1d EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION 1. example- heat/2. examElE water Square footage or air gas E II. l. example- 1250 sq. foot house, 500 sq. foot garage2. example- JT-n-ew project, cheik-new - if additio;,ifEEI-I-dd, etc.F. Bui lding permit information:1. example - construct singie family house with anattached garage2. example - remodei existing garage into family room3. example - convert single 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, BuildingDivision Staff must be able to contact appropriitepersons regarding design information or job s.itecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electr.ical Schedules,the appl.icant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electr.ical Schedulesare avaiiable at the Building Divisionl. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefull schedulesC. BUILDING DIVISION STAFF l.lILL 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 author.izedto sign the electrical label Applicant to sign and date Whenever possible, the initial application will be, used asa worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is.issued for hissignature. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no pians will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY III IV. <"-r*#/&?o e-- V Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE.EC€$F*III€]I+/SSA*17<A Af PZ4O" ' Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name s'l g nature date / ?-/ ?-€e, Md,,tu5 THIS DEVEL0PI'1ENT AGREEMENT, hereinafter "Agreement,", is entered into tn'is l4Yq day of D<ctvt\bcr- , 1988 (ine "Ef fecti ve Date" ) 5V and between the C ITITF SpittngrIEln:ne-reJ:fi-a-fier "City", and Starr B. Triplett, hereinafter "Applicant,", in accordance with Section 31.b90, and Section 3.070(3), 3.080(3), 3.090(3), ano 3.100(3). SITE PLAN REVIEI,J DEVELOPMENT AGREEMENT REC ITALS WHEREAS, ifl consioeration for Site Plan a Permit, and the issuance of an Occupancy Perm Development Cooe Section 31.090, Appl icant ag specific conoitions imposeo by the City as part of 1. The edge of the paved area shall have a railroao ties, etc) securely attached to. wanoering on to graveled areas. WI{EREAS, on the llrl\oay of December 1988, the City approved the Final Site Plan App I 'i cati on submi tteo-Ey-The App I i cant for the purpose of a I I owi n9: Type I Site Plan approval for an office ano parking.structure. The site is located at' 1259 l,torth 35rh Street on the east si de (Aisessoi' s Map 17-02-30-43 Tax Lots 1100 and 1200) Journal Number 88-10-175. WHEREAS, ifl consioeration for Site Plan approval, the issuance of a Builgilg Permit, and the issuance of an 0ccupancy Permit, as specifieo in the Springfielct Development Cooe Section 31.090, Applicant-agrees tg comply with all the standards of the S'pringfielo Development Coob and Springfielo Municipal CoOe which may be applicable to this Oevelopment pqoject unless modified or excepted.by.the Site Plan n'eview Development Agreembnt, Planning Director, Planning Cornmission, Bui loing 0fficial or their agents, or the Fire Marshal, which modifications or exceptions shal I be reduced to writing. pproval, the issuance of a Builoingit, as specifie0 in the Springfiel<l rees to comply with the fol lowing the Site Plan approval: pp th roved curbing (pre-cast concrete, e ground to prevent vehicles from 2. Each of the four parking spaces shall have approved wheel stops (see #1 above) securely attached to the ground to prevent vehicles from <tamaging the bui I <ti ng. 3. Signing of an Improvement Agreement for full improvement of the property fronting llorth 35th Street (Tax Lots 1100 ano 1200). 4. A blackflow prevention oevice shall be instal'leo on the water service to this oevelopment. 5. Areas shown for paving and lanoscaping shall complete construction by June 30,1989. Site Plan Development Agreement 1 THEREFORE IN CONSIDERATiON OF THE FOREGOiNG RECiTALS I,IHICH 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 Springfielo Development Co0e. 2. STANDARDS. The applicant agrees to ful fil I al I applicable standardsspecifieo in the Springfielo Development Code and the specific stanoaros listeo in RECITALS prior to occupancy, un'less certain standards have been oeferred to a later date in accordance with Section 31.110 of the Springfielo Development Code. 3. CONDITI0NS. The Applicant agrees to fulfil l all specific conoitions of approval requireo by the City listeo in RECITALS prior to occupancy, unless certain conditions have been deferred to a later clate in accordance with Section 31.110 of the Springfielo Development Cooe. 4. M0DIFICATI0NS. The applicant agrees not to mo0ify the approved Final Site Plan without first notifying the City. Mooifications to the Final Site Plan shall be reviewed in accordance with Section 31.100 of the Springfiel0 Development Code. 5. I'IAINTAINING THE USE. The applicant agrees to the following: (a) The bui loing and site shal I be maintained in accordance with the provisions of the Springfiel0 Development Co0e in order to continue the use. (b) It shal I be the continuing obligation of the property owner tomaintain the planting required by Section 31,140 of the Springfiel0 Development Codein an attractive manner free of weeds and other invacting vegetation. In addition, plantings in the vision clearance area shall be trimmed to meet the 2 l/2 foot height standard in accordance with Section 32.070 of the Springfielcl Development Co<te. (c) Parking lots shall be maintained by the property ov{ner or tenant in a condition free of 'litter or dust, and deteriorateo pavement conditions shall be improve<t t,o maintain conformance with these standards. (0) Undevelopect lano within the oevelopment area shall be maintaineo freeof trash and stored materials in a mowed and attractive manner. Undevelopect lan<l shall not be used for parking. 6. In addition to all other remedies which may be provided by law or equity(tncluding but not limiteo to penalties provicteo by applicable State Law or City 0roinances), Applicant agrees that City may enforce Applicantrs responsibilities by withholoing Applicant's Final Occupancy Permit, and terminating any Temporary Occupancy Permit which may have been granted. 7. {ny.Final Site Plan. approved-becomes nul I and voict if construction does notco,finence wrtntn one year ot the'date of this Agreement. Site Plan Developrnent Agreement 2 IN I,lITNESS I,IHEREOF, the Applicant and the City have executed this Agreement as of the date first hereinabove written. APPL ICANT z?r.-D4BY: BY: t v0 untary ac re me: BY:/z- //- aDe-fe"--- STATE 0F OREG0N, County of L >. pe. S.rvo un ry ac , lggEl Personal ly appeareo the above named , who acknowledged the foregoing instrument to me: TE 0F OREG0N, Coun of 1 p who ack now edged tary c or re90n My Commission expires C ITY <l the above named the foregoing instrument to s 0r B-*_, My Commission expires b - l\ - >Z Site Plan Development Agreerne't 3 CITY OF SPRINGFIELD COMBI NATION APPL I CATION/PERMIT Job Address I aS 35 7f/ sf EIIERGY SOURCES Hea t Sq. Ftq. l.lai l,later Heater Sq. Ftg. Access...- Sq. Fto. 0ther__ _ll e w_Ad d_A I IEF_P-e p . _Fence_Demo_Cha nge/ U s e 0ther Ranrle. Val ue of l.lork Pe si t Inf NJ 0 Des Wo rk .€. t S 'I dence At ch Ga I o()oa C) ^.-) TN \ Legal Description Owner Addre s s fy Phone 87> Construction Lender (l / Addre s s Phone DESIGN TEAM name addre s s lics. no.ex0 r res ohone no. Pri ma Structura I El ectri cal Mechani cal u CONTRACTORS name (lics. no.exot res ohone no. Genera l Piumbinq 1, I'techan i ca l PLUIlB I NG ELECTR I CAL MECHAN I CAL FEE C HARGF NN FFF l" HA PCF NN FFF CHARGF Each single fixture Residence of SQ. FT furnace/burner to BTLI ' s Relocated building (new fix. additional) New ci rcui ts al tsor extensions FIoor furnace and vent S.F, Residence(l uatn)SERV ICES Recessed wal I SDace heater and vent Duplex (1 bath) each Additional bath Temporary Constructi on Apol iance vent seDa ra tP [,]ater servi ce Chang resid e in existing e nce Stationary evap. cool er Sewer multifami Iy, cornm. or Industrial Vent fan with sinqle duct Storm Sewer 0f Vent systern apart from heatino or A.C. COMI.I./IND. FEEDERS Mechanical exhaust hood and duct Instal I /al ter/re1 ocate di stri h- fppders,l'lood stove/heater 0f ISSUANCF OF PFRIIIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES I./HERE STATE LAtl REQUIRES that the Electrical workshall not be vali:l until the label has been signed by be done by an Electrical Contractor, the electrical portion of this permit an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAI1INED the completed apnlication for and correct, and I further certify that any and all work pe of Springfield and the Laws of the State of 0reoon pertainiof any structure without the permission of the Building Div Board is in full force and effect as required by ORS 701.05only subcontractors and employees who are in comcliance wit 'oermit, and do hereb.y certify that all information hereon is true rrformed shal'l be done in accordance with the 0rdinances of the City ng to the work described herein, and that NC 0CCUPANCY will be made'ision. I further certify that my registration r.r'i th the Builder's5, that if exempt the basis for sxemption is noted hereon, and that h ot?s 701.055 ""/"used on this oroject. tlAl'lE(please print)(qeer.l l2 ?ur S I GNAT Zone T'YPel Const ts Sq.Ftg l{a i n Val ue Fire Zo np Bedrooms Load Grou Sq. r tg Acce s s x Val ue Flood Plain p Sq.Ftg Value TOTAL VALUATION- Stori es .0ther BUILDING PERFIIT Charges and Surcha rges Plan Ck. Corm/Ind 65%/8ldq Per Fee Svs Cha tems De rqe t1. rve 57 0pment Plan Ck. Res 30%/Bldq Per Fee PLUI4BING PERMIT Charges and Surcha rges Fence Domo ELECTRICAL PERI,IIT Charges and Surcha rges 5_SldewaIk A/C Paving Total Comb. Permit T4ECHANICAL PERHIT Charges and Surcharges Curb Cut ,?r%[5.?fcr.h,)5 e COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. glaTplg- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot l. Block 3, Znd Addit.ion toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources1. example- heat/eiectrical ceil.inq/or forced air oasz. example- waterheater/electr.ical/or sbJarE. SquaiE-Tootage or valuat.ion, etc. 1. examp_le- 1250 sq. foot house, 500 sq. foot garageZ. example- if new project, check new - if addition, check add, etc.F. Building permit information:1. example - construct s.ingle family house with anattached garage ?. example - remodel existing garage .into family room3. example - convert single family residence intorestaurant (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, Bu.ildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc.II. Abbreviated Plumbing, Mechanical, &. Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electr.ical Schedules,the appiicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedulesare available at the Bu.ilding Div.ision1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful l schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the labei 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 Whenever possible, the init'ial appl.ication will be used asa worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theappiicant at the time the actual permit is issued for his s i gnature. IV. Fees and Charges PIan 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 lt\1 L .K22 Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Bu'ilder's Board because Additional Project Information: PLANS REVIEWED BY: name s'l gna tu re date a 6ruta fa /ilfDeTa,+s3.zz*t -JoU * 88or3a DATE:Fdr-l qqt)Sboo ub FIRE DA}4AGE P.TPORT OR ELECTRICAL HAZARD TO: FROM: SUBJECT: Estimated value of building Estimated loss to building Date of fire {^e-l,YS' Bu i I d'ing Depa rtment Spri ngf ie'ld Fi re Department Structural Damage to Building Address or location of bu'ilding /fi dq tJ 3f !! v( Name of ovrner Type of building (Dwel I i ng, Store, l,Jarehouse, et ) o ooD oo Location of damage in buiiding -^)-4nJ Ltft- t"*-L'1 6 L I (Roof, hlal I , Exterior, Interior, etc. ) Structural weakness as a result of the fire 6-, ^rr---..,,1 .,',Jijr, -+-.* *oi-,,*.*t-a 4*tnLn ,(euinem Add'itjonal pertinent information E'lectrical Hazard (l^jirinq, 0utlets, etc. ) cc Siened (r