HomeMy WebLinkAboutPacket, Pre PLANNER 7/22/2008
PRE-SUBMITTA T
DISTRIBUTION LIST:
Date Distributed:
7- 2:2--0[5
./ Dave Puent - Building
,/ Gilbert GordonlMelissa Fechtel- Fire
v {'Jon Driscoll- Traffic
./ Matt Stouder - Public WorkslEngineering
Dennis Ernst/Chris Moorhead, Surveying
Planner. '7rl11/1~
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City of Sj1ringfield
I Development Services Department
225 Fifth Street
Springfield, OR 97477
541-725-3753 Phone
541-726-3689 Fax
Pre-Submittal Meeting
Case Number Assigned: PRE2008-00049
Date Submitted:
7/22/2008
APPLICANT: LANE COUNTY MANAGEMENT SER
ISI WEST 7TH STREET
EUGENE
OR
97401
Proiect Name:
RIVERSTONE CLINIC ADDITION
Project Description:
Presubmittal - Riverstone Clinic addition of modular office building
Application Type:
Job Address:
Site Plan Review
PRE.SUBMITTAL REC'O
JUL 2 2 2008
1645 H ST
Assessor's & Tax Lot #:
1703362108900
Meeting Date!Time:
Meeting Room:
Planner:
) II'.OD.~
615/616
'-1Y) aJlfl... ~
Friday, August 1, 2008
DISCLAIMER: Applications will not be -~-'4" from Development Code or procedural amendments that may occur
between the time of the Pre-Submittal Meeting and Submittal of the Application for Development Review. Please contact our
office at 541-726-3753 with any questions or concerns.
A Planner will be assigned the following business day and will contact you to confirm the meeting date and time.
PlanJobPrinlrpl
712212008
9:08:15AM
~re-Su)mitta.. ~eeting
Development Services Department
Room 615/616
PRE-SUBMlTIAL MEETING DATE: Friday, August 1,2008
1. PRE-SUBMlTI AL MTG #PRE2008-00049 (SITE TENT) LANE COUNTY
Assessor's Map: 17-03-36-21 TL 8800, 8900, 9600
Address: 1645 "H" Street
Existing Use: Residential
Applicant submitted plans to install a new modular office building to support adjacent
health clinic operation for Riverstone Clinic
Meeting Dateffime: Friday, August 1, 2008 DSD 616 11:00 - noon
Planner: Mark Metzger
PRE.SUBMIITAl REC'O
JUL 2 2 2008
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,City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
Site Plan Review
PRE-SUBMIHAL REC'O
JUL 2 2 2008
Phone
(541) 228-0669
Applicant Name: David Suchart
Icompany:
IAddress:
,
IAPPlicant's Rep.: Bill Seider
Icompany:
IAddress:
,
I Phone
Propertv Owner: Michael y, T. Liu 503-485-2600
Icompany: C/O Crown Prooertv Manaqement Co. Fax:
IAddress: 1255 Lee Street SE. Suite 130. Salem. OR 97302
,
I IT".~~:,O_T
ASSESSOR'S MAP NO: 17-03-36-21 ~
I Property Address: 1645 "H" Streel. Soringfield. OR 97477
ISize of Property: 0,797
I Proposed Name of Proiect:
, ,
I Description of If you are filling in this form by hand, please attach your proposal description to this application.
Prooosal: Install new modular office building to support adjacent health clinic operations. See attached narrative
I Existinq Use: Single Family Residenlial
[New Impervious Surface Coveraqe (Includinq Bldq. Gross Floor Area): 2,816
Si natures: Please si nand rint our name and date in the a ro riate box on the next
Lane County
Fax:
(541) 6824290
151 Wesl7th Avenue. Eugene. OR 97401
PIVOT Architecture
I ~hone
I Fax:
541-342-7291
,
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j
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541-342-1535
72 Wesl Broadway, Eugene, OR 97401
503-485-1950
08800,08900,09600
Acres [;8J
Square Feet 0
Riverstone Clinic Modular Office Building Addilion
sf
. -.
. . - .
Associated Applications: :.tlJ,:JW08 -u...ut-z.-.(t1KJ ISiQns:
I P"-Sub Case No., P.,. ? ....)8 ~., Dat.. 1-('7. i c61 Rev;ewed bY"'!"'"
Icase No.: I Date: 1/--rll b8 I Reviewed by: IJJ/T-r
IAPPlication Fee: $ ~4lo"""- I Technical Fee: '$ I PostaQe Fee: $
l.~!~ FE~~~~I!.Q]EcJ,.,.~~!~~,~~1~;"g~Oci1...
Revised 1/1/08 Molly Markarian -W
1 of 10
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Owner Signatures
This application form is used for both the required pre-submittal meeting and subsequent
complete application submittal. . Owner signatures are required at both stages in the application
process. An application without the Owner's original signature will not be accepted.
Pre-Submittal
The undersigned acknowledges that the information in this application is correct and accurate for scheduling of the
Pre- Submittal Meeting.
Owner:
/7-;~. -
Signature
~
Date:
1/oll~~
/'--1, r=..H A,E: L-
Print
f-ILJ
'Submittal
J represent this application to be complete for submittal to the City. Consistent with the completeness check
performed on this application at the Pre-Submittal Meeting, I affirm the information identified by the City as
necessary for processing the application Is provided herein or the information will not be provided if not otherwise
contained within the submittal, and the City may begin processing the application with the information as
submitted. This statement serves as written notice pursuant to th~ requirements of ORS 227.178 pertaining to a
c?mplete application.
Owner:
Date:
Signature
Print
PRE-SlIBMITTAL REC'O
JUL 2 2 2008
Revised 1/1/08 Molly Markarian
2 of 10
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CITY OF SPRINGFIELD
VICINITY MAP
PRE2008-00049
1645 "H" Street
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Map 17-03-36-21
Tax Lot 8900,
8800,9600
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JUL 2 2 2008