HomeMy WebLinkAboutPermit Miscellaneous 1992-5-15
~o~~ ERCIALlI N DUsTRIAL.
PERMIT APPLICATION
.
, JOB NUMBER
~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' tis 7,(
/ASSESSORS MAP: /7 - 0 ~ - 5:2.-
ftlt";: J1/
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OWNER' /H'-k~ W 0.".,./
ADDRESS' '2 ~ '30 <7 :s u ~ y2.{ r
CITY- 7-", // (J A" ."",k
LotJ.d/
DESCRIPTION OF WORK'
/I'l.l/-lUtAhd'Jv,,"O'/ /:6n?../
NEW REMODEL
ADDITION
DEMOLISH
NAME
ARCHITECT:
CONTRACTOR'S NAME
GENERAl ' ~ Iff yo
ADD RESS
r M,JtJ../;! ?'i??&?
PLUMBING'
1
MECHANICAl'
ELECTRICA"
PLUMBING
I
CHARGE I
I
I
25.<>-1
Z.{;.6'a 1
;z. 5.~ 1
1
1
/5,col
1
1
I
I
NO,
FEE
Single Fixture
Relocated Bldg.
lnew fix. addtl)
Water Serv;ce ./ ~
"'- ft.
Sanitary Sewer L f:.o
It.
Storm Sewer L So
It.
Backflow Device
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~}(),.( J &:;;17 tJAJ
TOTAL PERMIT
'OUAD AREA:' (.~ ""\ N~
\
. OF BLDG""
. OF UNITS'
DCCY GROUP'
. OF STORIES:
\
SO, FTG MAIN
SO FTG ACCESS
\ ~0rf\9
x
$/SO. FT.
x
SO, FTG OTHER
x
PLAN CHECK FEE
RCPP
I BUILDING PERMIT
15% State
SurcharQe
I MECHA'NICAL
15% State
Surcharae
I PAVI NG
L\4. . ~\)
~ . :4.'=\
PLUMBING
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
CURBCUT
FT,
FT.
5/}'I~e; A~/,j
;;-
TAX LOl' It/V
920700
PHON'"
7'-/7- It, 41
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STATE:
ZIP'
(''JaJJ
.
/Jl5.41I'J//A /,,,;'" ,
OTHER
ADDRESS
CONST,
CONTRACTOR'
J"~W/ 1 ',-,d/ It,,1 ('('If
97f/Sg
VALUE:
'~
~..~
PHONE
EXPIRES _ 7. '13 PHONE
n 2./, </ 7Y'/,.b.? /
..n
MECHANICAL
I
I
- OFFICE USK
LAND USE: \ \ ~( .J
\
CONSTR. TYPE: V 1\)
HEAT SOURCE: F f' ./
Furnacel burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent FanfSingle
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
TOTAl! PERMIT
HANDICAP ACCESS:
"""
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I
I
I
I
I
1
I
I
$10.00 I
I
I
I
FLOOD PLAIN:
'--'ZONING' ~ ffi \
WATER HEATER'
LIGHTING POWER BUDGET:
'. VALUE \. .
,~O) C\N') "
I") t'l r-' l'
,. , J.....l 0
-, -
TOTAL VALUE OF PROJECT
DATF
BY
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- \ \ ) \'1\(\ f\.. \ N~,
~ .5.n~O/rf
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SUBTOTAL
PERM ITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
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\\jS.CO i
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11I151?~ I
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.
REQUIRED INSPECTIONS
.
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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 desJgnated job number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a.m. witl be made the same workIng day, requests made after 7;00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ROUGH PLUMBING.
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
PAVING: After graver is in
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
SPECIAL INSPECTIONS: [n accordance
Section 306 of the State Spec;alty Code
a special inspector shall be employed
by the Owner I Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
,><
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
'>(' UNDERGROUND: Plumbinp,
/' eleGtric:al, ga-.. ;:.dnnarv s~
r'ltorm 'e~.w3te) and
dralnageT(nes. To be made
prior to covering or filling
trenches.
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.
STRUCTURAL CONCRETE: tn
excess of 2500 P.S,1. (306 a,l)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
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, .
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: UB.G.
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to installation of floor
Insulation, deckIng or floor
sheathing,
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.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed, (2501 UB.C.
STDS, 25.10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made priqr to Installation of
decking or floor sheathin~g.-
SIDEWALK & DRIVEWAY:
Aequired 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.
y
/X
'X
STRUCTURAL MASONRY: (306
a.7)
M.H. 5F:T-tJP
~l-L E; L f:;JJ-r:
~I-l, PLUMp.,
.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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
;r>(
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, AFTeR i:RMAJJe..JT SJa<lS 05'J(.IA.n~
F/iVAL MJ-I. Sm-~UD: P;AV,"" '5TN!6-T ~ ~ INSi7iJ.i4J,
FINAL BUU':Dlf,l"G: l'leq'ues(ed aiter the inal"prtlmbing, ere'1:trlca[,
" 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
FINAL FIRE DEPARTMENT and posted on the premises,
AD~I~AL CO<~MEN~S: S~~ ~ h:pt(t"M. /.1CJt.~",ilOf17~ 1 ,f.<! ~U/Re'J)
\ '\ \~ (\ >~ CJ.... '/L ,l r ~ \. l) \ (\ '0-1'\ 0 r rruJL llJ.tllt'...;t-:
FINAL ELECTRICAL
FINAL MECHANICAL
y
/
PLANS REVIEWED BY
DAT~
, ,
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 wi.!IlOl!t permission of the Building Safety Division. I further certify that only contractors and employees
who ar~ in compliance with OAS 701.055 will be used on this project.
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. _ j / /7
J \l Slgnaturo ~,,~ ~.vv:::~ Dato c: -(:)- '72
VALIDATION:
AMOUNT RECEIVED: /9 -4 '6, ~'7
4 '-0 7'
RECEIPT N'
DATE PAID'
RECEIVED BY'
C:;--/<<.i-'7L
~
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.
SPRIFIELD
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726.3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be 'placed at
Springfield, Oregon, City Job Number
Development Code, I understand
permits, one of th~ following
~~r0q \.p ~\\\}",
l..;\f)r)lor, .-
and agree
Type I Manufactured Home. A multi-sectional (double wide or wider)
unit with an enclosed floor area of not less than 1,000 square feet,
that has a nominal roof pitch of 3 feet in height for each 12 feet in
width, that has no bare metal siding or roofing, and that has been
certified by the manufacturer to have an exterior thermal envelope
meeting performance standards which reduce heat loss to levels
equivalent to the performance standards required of single family
dwellings constructed under the State Specialty Codes.
Type II Manufactured Home. A unit of not less than 12 feet in width
with an enclosed floor area of not less' than 500 square feet, that has
a nominal roof pitch of 2 feet in height for each 12 feet in width and
that has no bare metal siding or roofing.
I further state, by my signature below, that I have been provided with the
following information:
- Manufactured Home blocking
- Vater line connection
- Street tree standards
- Sanitary sewer connection
- Electrical connection
- Minimum requirements for permanent steps
I also understand that if I am installing a Type I Manufactured Home, the home
shall be enclosed at the perimeter with stone, brick or other masonry materials,
and with no more than 12 inches of the enclosing material exposed above grade.
?U-/J~~ ~
Signa ture "
,)-/5 -,,92.-
Date
.:-
\
''i
.
.
AdJI"~ss ri Ie.-
'13?6- ,v(oA~ ~+-
SITE PLAN REVIEW DEVELOPMENT AGREEMENT
rz
THIS DEVELOPMENT AGREEMENT, hereinafter "Agreement", is entered into this day U of
I'-AA!".' ,1992 (known as the "E,ff~ctive Date") by and between the CITY OF
SPRINGFIELD, hereinafter "City", and /'1\ 11<('::' \1./ A{? i) , hereinafter
"Owner," in accordance with Section 31.090, and Sections 3.070(31. 3.080131. 3.090(3) and
3.100(3).
RECITALS
WHEREAS, on the Uth day of May, 1992, the City approved the Final Site Plan
Application (Journal Number 92-04.70) submitted by the Owner for the purposes of allowing
the siting of a Type 1 Manufactured Home to serve as a nightwatchman's dwelling on
industrially zoned property located at Main and 44th Street (Assessor's Map 17-02.32.3-1,
Tax Lot 100). The Metro Plan designation of the property is Light-Medium Industrial.
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 Development Code
Section 31.090, Owner 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
agent~, 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 OWNER 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 Owner agrees to fulfill all applicable standards specified in the
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 Owner 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(41(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.
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.
(dl Undeveloped land within the development area shall be maintained free of trash
and stored materials in a mowed and attractive manner. Undeveloped land shall 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 Ordinancesl. Owner
agrees that City may enforce Owner's responsibilities by withholding Owner's
Final Occupancy Permit, and terminating any Temporary Occupancy Permit which
may have been granted.
7. A Final Site Plan approved becomes null and void if construction does not commence
within two years of the date of this Agreement.
2
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.
IN WITNESS WHEREOF. the Owner and the City have executed this Agreement as of the date
first hereinabove written.
OWNER
'!;;-/3'91-
Date
BY:
~ /L- n/~
BY:
STATE OF OREGON, County of L;J;JC
/tIClA.f /')
I
JlJ.J" - tI?- W A-d
be their voluntary act. Before me:
. 1992. Personally appeared the above named
CITY
_ '~~ aCknO~le~ged the f,O~eg.,oing instrument to
cr:.:!.~./.J f. /1/ L r.-L:h.L.,,,-\
Notary Public for Oregon.J
My Commi~SiO!1,ex,l?ireS 0/5/1./
CITY'Sl'( I v"\~ u.; d
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;.~;;:ilijl~i.c':~:,t';",,'
Date 5/0/12
./
. BY:
Dev8JPPment
STATE OF OREGON. County of Lane. 111(1'-1 /3. .1992. Personally appeared
the above named ;:;"w.\ J.1;)d,."l.i., H 'j , 'r'ho acknowledge the foregoing instrument
to be their voluntary act. Before me: ( )f-., / 1/ /J 'L,' .,'
1f'. :~.i l/.lvC: _ '1/-1 :.LJ.e..l1
~ '.',:- ....~)F::I:.~T>;~Z,~-~....:: N'ltary Public for Oreg'on' .;- .
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11\1';'.. J'o;", . '. .:'1'11',...(,...; '''',', ":.l.l~.,:" My commiSSion explres~ ..J
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