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Home My WebLink AboutPermit Demolition 2008-9-10 Status Issued CITY OF SPRINGFIELD Build.ing/Combination Permit PERMIT NO: COM2008-01354 ISSUED: 09/10/2008 APPLIED: 09/08/2008 EXPIRES: 03/10/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 270 Q ST ASSESSOR'S PARCEL NO.: 1703262401500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Demolition Residential PROJECT DESCRIPTION: Demolish Residence Owner: EUGENE SPRINGFIELD NEPHROLOGY ASSOC Address: 1200 HILYARD ST STE 470 EUGENE OR 97401 Phone Number: 541-485-6851 I CONTRACTOR INFORM,A TlON I Contractor Type Contractor License .^ Expiration Date Phone # of Units: . Primary Occupancy Group: Secondary Oecupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMA nON I . -'.t. ",. ',..'i ,", . .'r~ 1/]...... ,'(;'?'i -I El, "-(;'" tI(~f;iSt9~~~~':! Ce':;/~t)t~;;;17 1~~1-' ~ Lot'Size: ~ieht..ofStr.1!.cture: .,.: by l'- e9Uit Sq Ft 1st Floor: /f.'. i" 1-00 1110 'Ie 0 es I) "/!;W 6!lt,'Yo lOtI) Se.tUl 'ego .8.ttJtt2nd Floor: tlf fCel}l btllil} tOUgl) eSlite t} S~ 'pBasement: RaullS: :<Pb"e Oer. (A;~OPies 00.</1;> 9%etjlJ,i~;Y Garage/Carport Energy P'&I1vs /egOI) te:. tl)e f tl)e" <-S9r.:~ Other: Sprinkled Buila1il@J_;> Utility ~ fnte.oI]Ule~upant Load: J.~_ ... _ N~~ ,'1. On,. I. DEVELOPMENT INFORMATfOJ0t'~"'iOI1 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Sola.. Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: ufo of Lot Coverage: Total: Handicapped: Compact: Notes: JI'V~J.lBLIC IMPROVEMENTS I rftlS ;'t. 4Urf.!. 'tRfl4lr' C0fl4/J,,,oRI2ED Sf/4ll 4Ny,0. 'tNCED UNDER !:JrPIRE '0 D4y OR IS rf/IS p. If: rf/S PERIOn 484NDn~~fl4lr I.~~ORI( t.",__ "t,1 I Valuation Descriotion tR Sidewalk Type: Street Improvements: Storm Sewer Available: Speciallnstrnction: Downspouts/Drains: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Valne Date Calculated Paee I of 2 . Status Issued CITY OF SPRINGFIELD Building/Combination Permit 'PERMITNO: COM2008-01354 ISSUED: 09/1012008 APPLIED: 09108/2008 EXPIRES: 03/1012009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid. Fce Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Demolition Sanitary or Storm Sewer Cap Amonnt Paid Date Paid Receipt Number $]0.40 $6.24 $5.20 $52.00 $52.00 9/1 0/08 9/10/08 9/10/08 9/10/08 9/10/08 2200800000000001366 2200800000000001366 2200800000000001366 2200800000000001366 2200800000000001366 Total Amount Paid $125.84 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a,m. will be made the saine working day, inspections requested after 7:00 a.m, will be made the following work day. ~~'1!J.ired Ins')~ct.i,!n~ I Demolition: After demolition is complete, sewer is capped or septic is pnmped and filled and inspection is requested and approved, and all debris is removed from the site. Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as required by the code. . By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all inform"tion hereon is trne and correct, ami I fnrther certify that any and all work performed shall be done in accord"nce with the Ordin"nces of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will.be made of any strnctnre without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther 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, and the approved set of plans will remain on the site at all times during construction: . Ihlv~' {P/VV'VYYl 0> q ~ /P ~. 1/ S' Owner or Contractors ~ignature Date Paee 2 01"2 ~" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 DEMOLITION PERMIT APPLICATIONS Your demolition permit is currently being processed. There may be a slight delay, of up to 2 working days for small structures,' due to the time required to review the. history of the structure to deterinine if it 'needs to be documented before demolition. This documentation is for archival purposes only and will not affect the granting of the demolition permit. If the structure is very large or complicated the documentation process may take up to a maximum of4 working days. Documentation will consist ofphotbgraphing the building, taking measurements and making scaled drawings. The documentation will be undertaken by the City at no cost to you. Documentation is being done on all structures dated prior to 1940 that may have historic importance to the City's development. THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOLmON PROCESS, An age cut-off of 1940 was chosen because this is the date that the National Parks Service and The Springfield Development Code use to determine potential historic significance. . If you would prefer to complete this documentation yourself you must provide the City with the following infof~iti6niC~t:~ack and white photographs of each elevation, a floor plan withvm,~~~1}fem~IJ~~ilft\1l/ll~Met.of elevation drawings with measurements. In OAR 9~011 Center..~% by the 6~res You to 0090. Yo~2-001'0010 those, rUles afon Utility Thank you for your patience-fling th n;ay,Ot)tain c rOUgh OAR ~ Set forth nUmber ~ e center. (N OPles of th 52-DOl. . Or the 0 ote' th e rUle Center is rS;oon Utilit/~elephon~ by 0-332 2'0 Olitioa.tl' - "44), 0" I grant the City of Springfield permission to enter my property to complete documentation prior to the r~sted demolition o. f the structure located at: Address: A fJ () l)( ~bl.2 Q 1- _ . Property Owner Signature: .~!~ /:. .[;J ~ Job Number: ~~.. Date: f' - / & -17 JY . Ai/;'~;ERlvllr Sit COIvtIvt/IZED UND~L ExPIRE IF ANy 180 b~~pOR is ~;Z:oPERrlt~~sWDR/( . 'ERIOO. ONED FOR Nor " 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 DEMOLITION PERMIT APPLICATION Address: A~D ~ ~~t ffoLA-Se(s~ Structure to be Demolished: ~~. ~'tA Job Number: The applicant is hereby notified that any redevelopment of the subject site must comply With all of the applicable laws, codes, ordinances, polices and plans in effect at the time the redevelopment proposal is accepted as complete for City review. This would include correction of substandard conditions associated with the present development. Examples of such cvu~~~;ons may include modification of inadequate drainage facilities; compliance with building set- backs from property lines; correction of substandard sidewalks and street improvements, including driveway width and placement; and other corrections which may be, necessary to comply with existing deve!opml!nt standards. Furthermore, if an existing uSe is.,dep:lOlished or otherwise removed prior to the development of the proposed use,)lieirth,e,~ystem development charge credit for the previously existing use shall'expiretw9'Y,eai"si~er the date of issuance of the dem?l~tion permitoroth~r :emox~rofth~[~;!eVi6J.1Blt~JGllPRP use. (Springfield MuniCipal Code 3.4i6(1)f/ niqy ObOlcJ IhlOU IUles i'l:e nUtility . nU:nb~;' (,h;,cenie ri'l/~?OPiegh OAR /et (orth . My s~~ature be.low mdl!:.'~,f'~il1b~~%havelfP.~~ il?'\'ltVlf~/IJld the above conditIOns relating to the (iI!HiQjj.twi31i1l9.~iJ~~h'~~d structure. 00-33< Y.No{jt,. ne . -<344). 1Ci'ltiOll . . .' .... m/1//rh--P rI'~r f-f,tJ ~t:lY Signature Nor/CE..' Date rH/S p . AUr/t 'tR/it1/r COM OR/ZED SH4ll ANy 7~b~~~p~i~ff~ffE~~:~~;/IORK 00. ONED FOR NOr 225 Fifth .Street Sp"'ingfield~ Oregon 97477 541-726-~759 Phone Job/Journal Number COM2008-0 I 354 COM2008-0 I 354' COM2008-0 1354 COM2008-0 I 3 54 COM2008-01354 Payments: Type of Payment Check cRcceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000001366 Date: 09/10/2008 9:51 :55AM Description Demolition Sanitary or Storm Sewer Cap + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 52.00 52.00 5.20 6.24 10.40 $125.H4 Item Total: Check Number Authorization Pa!d By Received By Batch Number Number How Received SPRINGFIELD DIALYSIS LLC djb 1030 In Person Payment Total: Amount Paid $125.84 $125.H4 Page I of I 9/10/2008 - ,- " ' EXECUTION VERSION The Units repr/,sentedbythe Operating Agreement have not been registered under the' Securities Act of ]933 or any state securities laws. No oller, sale, transfer, pledge, or other disposition of the Units represented by tbis Operating Agreement may be made nnJess pursuant to an effective registration statement filed under the Securities Act of 1933 and applicable stat, securities laws, or unless the Company receives an opinion of counsel, in form . and from counsel acceptable to the Company, that the oller, sale, transfer, pledge, or other disposition is ellempt from the registration requirements of the Securities Act of 1933 and applicable state securities laws. OPERATING AGREEMENT OF SPRINGFIELD DIALYSIS LLC This Operating A""..~,uent ("Agreemeut")is among Springfield Dialysis LLC, an Oregon limitoo liability.company (th~ "~om~any"), and the Interest Holders o~the Company set forth on Schedult,; 2. L This a,;,,,",,,,..ent IS effective q- / J - 2,.p !;; 7 (the "Effective Date"). . SECTION 1 DEFlNITIONS Unless defined elsewhere in this Agreement, capitalized tenns used in this Agreement will have the meanings ascribed to them in the attached Annendix A. SECTION 2 COMPANY INFORMATION 2.1 Schedule 2,1. ~chedule 2.1. sets forth the following Company information: (a) the name of each Interest Holder, and whether the Interest Holder is a Member or an Assignee; , (b) the number of Units owned by each Interest Holder; (c) each Int~est Holder's contribution to the Company, together with the date and value of the contribution; (d) the value of each Interest Holder's Capital Account; (e) the name of elIi:h Manager; (f) the address of the Company, each Interest Holder, and each Manager; (g) the ta,. matters member of the Company; and (h) the name of each officer of the Company, if any, OPERATING AGRECMENr-RlYER A VENUE PROPERTIES, LLC 1 c0/.0'd' CS~0 S8~ .~S ^90l0~Hd3N a~dS 3N39n3 ~.:0. 800c-0.-d3S c0 . d ltHOl . .' , '. r,- EXECUTION VERSION By: fjlJ q( 2- flOf-- R' d ~tka, M.D. (date) By: /'UQ ) r/ 'l,t'/df chaIidR lac . ' M--./ (date)[ I By: M/P/" ..a ,;.... ._',,; 9r,;J'I_in William G. Gutheim, M.D. (date) rt;;:: Pt By: PL~ j. ~'Q_ 9 - 2 y: - 't) 7 Pltrvis Family L' 't Partnership (date) By: T- L~-rl)l (date) ~~. "8,~~ . ()~~RATING AGRbEMENT-R!l.- m PROPERTI~~. LLC 31 c0/c0'd CSV0 S8v .VS ^80l0~Hd3N a~dS 3N38n3 [.:0. 800c-0.-d3S