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Home My WebLink AboutPermit Building 2011-9-2 . CITY OF SPRINGFIELD SP~IN:G.. F.I.E~ .\; ~. tJi t; ~.~ OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-01927 IVR Number: 811166292624 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: ' APPLIED: 09/02/2011 08/11/2011 Issued 09/02/2011 EXPIRES: VALUE: 02/28/2012 $30,000.00 . I SITE ADDRESS: 604 CLOVERLEAF LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703224207400 SCOPE: Family Room WORK INVOLVED: Addition lYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION:. Expand family room in residential care facility Phone Number: OWNER: ADDRESS: CLOVERLEAF PROPERTIES LLC 611 N CLOVERLEAF LOOP SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Gen!,!ral Contractor Contractor Name JEFF JOHNSTON CONSTRUCTION INC Lie Type CCB # of Units: BUILDING INFORMATION , # of Stories: Height of Structu~e: Type of Heat: Water Type: Range Type: Hazmat: o Occupancy Type Construction Type SR-4 Type VB # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! De'velbpment Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition:' . ; Yes Yes Lic No 154575 Lic Exp 03/10f2013 Phone 541.914-8044 Lot Size: Sq Ft 1st Floor: 194 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: ATTENTION: Oregon law requires you to foil.ow rules adopted by the Oregon Utility ~otlflcatlon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification 2010 Center is 1-800-332-2344). Si.te l~formation ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: No No No No No Spri~gfield Building Permit 9/212011 2:06:03PM , '10TICE: (HIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of 5 .. sp. RIN GFIE~ ~,'- " ..~ , OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone' 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-01927 IVR Number: 811166292624 permilcenter@ci. springfield. or. us PROJECT STATUS: STATUS DATE: Issued 09/02/2011 ISSUED: APPLIED: 09/02/2011 08/11/2011 EXPIRES: VALUE: 02128/2012 $30,000.00 SITE ADDRESS: 604 CLOVERLEAF LOOP, Springfield, OR 97477 AssEsOR'S PARCEL NO: 1703224207400 SCOPE: Family Room WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Expand family room in residential care facility DEVELOPMENT INFORMATION ~ Overlay Oist: # Street Trees Reqd: Pave.d Drive Reqd: I % of Lot Coverage: Highest point on structure to north property line:, REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I , Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Bid Tvpe of Construction NA Unit Amount Unit Tvoe I : 30,000,00 Bid Unit Cost 1.00 Value 30,000.00 30,000.00 Springfield Building Permit 9/2/2011 :2:06:03PM ! Page 2 of 5 SP~.ING. FI.E~.D ~\\- ,-'.""'- \.~ .) "~:,,,,\ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01927 IVR Number: 811!166292624 www.ci.springfieJd.or.U5 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 09/02/2011 ISSUED: APPLIED: 09/02/2011 08/11/2011 EXPIRES: VALUE: 02/28/2012 $30,000.00 SITE ADDRESS: 604 CLOVERLEAF LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703224207400 SCOPE: Family Room WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Expand family room in residential care facility FEES PAID ~ Description Amount Paid Structural Plan Review Fee Commercial $207.25 -- SDC: Total Sewer Administration Fee $7.72 ------~- ,.-. ."------ ---------- A~rnin fee ~100/03fapplicablef~.:s)~ _ _ $1.94 ~..t':_of <?!:~_<:~ Sur~harge (1~:, .of applicable fees) $38.26 Technology fee (5% of permit to~al) _~4 Branch circuits without service or feeder -1st circuit $55.00 I Branch circuits without service or feeder - each additional $6.00 State of Oregon Surcharge (12% of applicable fees) $7.32 Technology fee (5% of pemnit total) $3.05 Planning - Minor Review - City $119.00 Commercial Fire (.10 Per Sq Foot) $19.40 SDC: Improvement Cost - Storm Drainage $91.56 I SDC: Reimbursement Cost - Storm Drainage $62.94 B_uE~"r;-g~pem;ilFee- --- ------$3i8.85 Total Amount Paid $954.23 i Date Paid 08/11/2011 09/02/2011 09/02/2011 09/02/2011 09/02/2011 09/02/2011 09/02/2011 09/02/2011 09/02/2011 09/02/2011 09/02/2011 09/02/2011 09/02/2011 09/02/2011 ReciD. # 2011002228 2011002386 2011002386 2011002386 ---- 2011002366 ._--~-_._-- 2011002386 2011002386 2011002386 2011002386 2011002386 2011002386 2011002386 2011002386 2011002386 Springfield Building Permit 9/212011 .2:06:03PM Page 3of5 . CITY OF SPRINGFIELD SP,~,~:, _~~ ~~ ~OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-01927 IVR Number: 811166292624 www.ci.springfield.or.us 225 Fifth St . Springfield, OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 09/02/2011 ISSUED: I APPLIED: 09/02/2011 08/11/2011 EXPIRES: VALUE: 02/28/2012 $30,000.00 SITE ADDRESS: 604 CLOVERLEAF lOOP, Springfield, OR 97477 I ASSES OR'S PARCEL NO: 1703224207400 SCOPE: Family Room WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial " ~. : ~,~ Structural Review 08/17/2011 08/17/2011 08/24/2011 ; Waiting internal Comments: Plans were not routed by PW to planning- I gave them to Liz today. ;Fire Review '. "08/17/201,1 '08/17/2011" 08126/2011:, Approved. Gilbert Gor~on . Comments: Pla_ns Review: addition of 194, sq. ft. to Buitding604 and ~79 sq. _ft. 10 BUiJd}ri,9,608 dining areas. Job #SPR2011-01927 and -01926. .9ccupancy Classificatlori": SR.,~(Construction'Type: V~B-~pri~~lered"(NFPA .13.0); PlaI")S"r~viewed underJhe 2010 Spri~gfield Fire Code an~~0100regonStructural Spe~alty Code, . PROJECT DESCRIPTION: Expand family room in residential care facility I Plan Review DeDartment Application Acceptance Initial Review . , I ,-. Result I Application Accepted I , 08/1,/2011- ,:08/17/201J "'.08/17/2011 " "~_ Approved ~. '. " .. . . .. .. :..' :> ,':. . . 'A '. _ ., ' ~1~~<,: ,.'" ."" A Received Due Date ComDleted 08/17i2011 08/11/2011 08/11/2011 Public Works Review 08/17/2011 08/17/2011 08/22/2011 'I I Approved Comments: Storm water to tie into existing i Structural Review 08/17/2011 . '08/17/_2011 ......08/24/2011. ~ Wa.iting interhal I Reviewer David Bowlsby David BOW~~bY ; "..',.. ~ "'- ,_A. Kaye Wilson ,Chris Carpenter Chris Carpenter ., .' . "'.- , ... Historical note: Original buildingswere reviewea under the~1988 Uniform Building Code/1990 Oregon Structural Specialty .Codeand the 198~Uniform Fire:Qoqe/1989)ocally adopted:OrE?:90nFireCpde as anSR~2-occupancyllT!,ore that 5'~ residents clas'sifieCl .as Slow for.evacu+ation purposes), ~f.. '. '. - ." ''<t, ,~. . < . - , .. ....'. ';i", .... t.. ,. ," Extend sprinkh~r-"coverage as'fleected to me~t~ih~:requirement~ of 2007' NFPA.13D, Standard for the:ln~t<:,lfation of Sp'rinkler SystemsJn Orie'and"TwoFamily Dwe'lIings and.MarHJfactured'H-omes: .,.:> -. .." .. , ," '.; ~ . .. . ~ '.. ',' ~'t:.,.,. .. ~'. _ \. " ..;., - .." <./;7- :' .' ,'; "".. '. . f .' ..': ~';:1~', .' )';",,;\;" ""~ ',' ~ L _ ..;..'-'-~ ____ y.a.I!.tbeJnsp.ectioD;lif)e~(l_1~5,4.t;?.?_6:3},6.~~foLany.op~n _ c()Y~L i!1!3P.fl!,ctiOD.s_ot.<ill~ge_s_toJh~.sprLIJ!:<:leLsY~~~In," Planning Review 08/17/2011 08/17/2011 08/29/2011 Add'llnfo Required Liz Miller Comments: Need to provide deed restriction for building over property line and within the required setback between lots commonly owned lots, , PlannjngR'evie;:--',~ '-. _. '-~f17i2011 ::-o8i1'712611'--,68i31i261,l;'~ 'J. , Approved': .~ --- :::-~":CliMfiler-~-:~' ~ -r ~ - -" ". . - " '. ",." ~ ., .. , . . "- . 'I' ." ..- ." .. ,.. ,: ... '.. : . .- ". " . "- ~ .: ," . . Comments: Received'd~ed restriction.. See documents..J:. copy of th~ m~dified plan afldfdeed restriction have been placed in Site Plan Review file 90-09"142 ' . " . .. .. Structural Review 08/17/2011 08/17/2011 09/01/2011 Approved Chris Carpenter Comments: Deed restriction received/attached Permit Issuance . 09/01/2011 . 09/q2l2011,:" ,~' . lfisued 09/01/2011 .. - ~.". Springfield Building Permit 9/2/2011 2:06:03PM "1 '. Chris C~rpenter Page 4 of 5 u SP, R,' I"H. ~ FIELD. ~.,.. :,.... i.~ .:"... . OREGON , CITY OF SPRINGFIELD Building I Commercial Permit 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfieJd.or.U5 , PERMIT NO: 811-SPR2011-01927 IVR Number: 811166292624 permitcenter@ci.springfield.or.U5 PROJECT STATUS: STATUS DATE: Issued 09/02/2011 ISSUED: . APPLIED: 09102/2011 08/11/2011 EXPIRES: VALUE: 02/28/2012 $30,000.00 SITE ADDRESS: 604 CLOVERLEAF LOOP, Springfield, OR 9747'7 ASSESOR'S PARCEL NO: 1703224207400 I SCOPE: Family Room WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Expand family room in residential care facility I INSPECTIONS'REQUIRED ~ Inspections 1020 Zoning/setbacks 1110 Footing 1120 Foundation Footing: After trench~s are excavated. Foundation: After forms are erected but prior to concrete placement. 1220 Underlloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1530 Exterior Shearwall 1540 Gypsum Board/LathlDrywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Roof Sheathing 1630 Roof Sheathin9 1800 Emergency Egress Lighting 1829 Special Inspection 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. . I By signature, I state and agree, that I have carefully examined the 'completed application and do hereby certify that all information hereon 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 or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of.the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance wit~ ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper tim~, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set o.f plans will remain on the site at all times during construction. owner21i~atu~ Cj-d.---// Date Springfield Building Permit 9/212011 2:06:03PM Page Sot 5 I I Electrical Permit Application ' 225 Fifth Street. Springfield, OR 97477+PH(54I)726-3753+FAX(541)726-3689 SPRINGF1ELD ~ ~~'~ "-~- .'!p-~ DEPARTMENT USE ONLY Permit no.: i - /92'7 Date: ~. /1 I { , This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . '[OCALGOVERNMENT APPROVAL, .'."';.";. ':',.,y , :~('F~.'"i'~~~":'~~;";r~~~if:~~!~ii;~::~'~":~,EJ~'::~;sc_ HESQ(jE::(~lr:'~'~~,0l~f.1W~~X~~~:~t~ Zoning approval verified? DYes DNo , ..Nurri~er' ~.f inspe~tio'Iis ~er it~~.' (.) Qty. Cost Total ea,', cost .... . . :CATEGORY.OfiCONSTRUCtION ., , 't.,," ..'.' . Residential, per unit, service included: o Residential T 0 Government I ro:C;ommercial ~fri1:':J.()l3j~SITE:INfQRMAj'nONrANjji.t;Qc'AtiON',11h~;:i, i 1,000 sq. ft. or less (4) $134.00 $ Job site address: &DTj &61/t::7Z.Lc./::"f'::- Each additional 500 sq. ft. or portion $ 25.00 $ thereof City: (";;/21 AL {::/t... <.J' I State: IirL I ZIP: cnl.f71 Limited energy (2) $ 32.00 $ Reference: !7tJ3 2Z.<{Z- I Taxlot.O'74'OO I Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK ". ? I dwelling service or feeder (2) /I-/?!} /~c...rt:;^ I> ~./ I/fl-rl Fdr2- /f/)/)/77([/ V Services or feeders: installation, alteration. relocation 200 amps or less (2) $ 81.00 $ PROPERTY OWNER 20 I to 400 amps (2) $ 95.00 $ .. Name:;::Lo. h ~./ ~~,.:z;.. IP 40 I to 600 amps (2) $168.00 $ Address: fA J I ('/ /lV672-U::7fF' LP 60 I to 1,000 amps (2) $205.00 $ City: <; P~( . n I State: 0f2- I ZIP: 111.(11 Over 1,000 amps or volts (2) $469.00 $ Phone: . - I Fax; . - Reconnect only (2) $ 63.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This 20 I to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 40 I to 600 amps (2) 479.540(1) and 479.560(1). $126.00 .$ Signature: Over 600 amps or 1,000 volts, see services or feeders section above . CONTRACTOR INSTALLATION Branch circuits: new, alteration. extension per panel Business name: SnIJE HAVe%- a Fee for branch circuits with purchase of a service or feeder fee: Address: p, 0, JSOj( 113icl Each branch circuit $ 6.00 $ City: Eve,.. I State: 012. I ZIP: q7</O) b. Fee for branch circuits without purchase of a service or feeder"fee: ~ Phone:S", ..22'_ 2,,<.:, I Fad'(l- - "HI-loBS First branch circuit (2) I $ 55.00 $~ E-mail: SWUe: .'MI) @.. COMo I1S r NH Each additional branch circuit I $ 6.00 $ f4C.>' CCB license no.: /476>/8 I BCD license no.: 2o-<-nzc Miscellaneous fees: service or feeder ~ot included Signing supervisor's license no.: 351 t .5 Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor: S Tf;vt:: I1AOcj:. , Each sign or outline lighting (2) $ 63.00 $ Signature of signing supervisor: .J,);r . ~ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) , Each aaditional inspection: (J) $58.00 $ ! ;.'~:f.,;)jf.~!,~~~~t~N~f~it~t;tAR:'~j~Tc"ANif;'}:US_EV;:~;ti:/,<.:ij~:!;W,;,~t~':~'::i;;;!::~':",::_', ~\)~ (A) Enter subtotal of above fees $(; ,O~ ~ (Minimum Permit Fee $58.00) , (B) Enter 12% surcharge (.12 x [AD $ 732- (C) Technology Fee (5% of(AD $ J~ TOTAL rees and surcharges (A through C): $ ?/E-- ~ 440-2584-J (9/08/COM) Structural Permit Application DEPARTMENT USE ONLY. ~<. .,." ,"~. " . '.. ,_ ;", ." ::.. .,. _. M _ ::-j, :,\',:~ir:y O{Sp"RrN9.FiqLD~:q,R~90N ">~;":" ,: "';", ,,; Date: I l This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ," ,', ,LOCAL. ~9YER,1'lM~NT.ARg~(hi!',tl~;~~i:fi::lJi!!:I)\'bH This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No f1M~~!{)H,~~!CATE99~YkQf;tC.ONSTRIjC;f,I,9~l~~~~;U';'~:(:i1.vii;ci o Residential I 0 Government gCommercial !<,' 'J;; ,.;Jp i3:SIJE: liliF,ORMA TIQiIi\';ft:N [j},(6,qATIQNi.(,iiiF!i~'t;; Job site address: t6(( f':fd'vrfJ /4't:/-t:: 1 J>? P City: (,Pr'lD Stateoe I z1P971(f'7 Subdivision: I Lot no.: Reference:/703ZZlIZ lTaxlo!: 1')7'160 'PROPERTY OWNER . Name: mrKz /;/v() ""'r'\/ch~ t/~_ Address: 611 CI 01/ IF.?- / t!:rA I'- L r' City: f:~ 5 () r~ State: ure.. I ZIP:'.W'1'> / Phone5T/1 !J!JlL..9'7 '11/ Fax: - - '1'7'{ 77 E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. 225 Fifth Street' Sp,ingfield, OR 97477' PH(541)726-3753' FAXC54l)726-368~ Sign here: CONTRAC[OR .INSlALLATlON;,., . Business name: jeCP ~h,,<ctci'\ CM\.J. J/1C Address: XSC7 k 9 f/1., 9/, City: I/e-Y'l.... 1" State:OfL I zIP97/if') PhoneSl/( '1/f(- fjoClC/ Fax:5'f? -9'iS '>'!<f I E-mail: (,</c.r/-c.ij:v.lt.,ed. \~C @ 0, l",(l.; L , (tN"" CCB license no,: IS y 5' l ') Print name: -Je C'P \ x--, "./..., 1'-... Signature: QA-I '" ,c7~ :~;~fK:.;t'r?::!;~~~'Sl:l~~q:0~J1,RAGJ:.Q'R)I.NFqJ~M:Aml_Q~~~7f~~0;~~~?$fj.B:T Name CCB License Number Phone Number Electrical Plumbing Mechanical IV)M15 r10n -e v/ein <- n f} JJ. /-Jr;c C" Permit no, 511-1 c; 2 '. .;'" ,";?'FEESCHEDUL.E' .. if,," ., '.:i.~_Va~~~'tW)-n?i~Iot[iI1"iti9P':::~!'lh~~i.'~;~~~'~'i~h;~;~t,;'~~.r/~~('/ !,;~~~.,~:: {')),~:~; Ca) Job description: 1.). .1~ L Occupancy <; L - 'I Construction type: ReWl()J~L ~ Square feet: fltJtJ rft s;, PI Cost per square foot: v Other infonnation: Type of Heat: t')r[~fi,,-,Q. At'c.~ /-J ('Il. Energy Path: o new 0 alteration (b) Foundation'only permit? &addition DYes [3"No Total valuation: ~o " :~2j,;B.~tid~ng,'t~e.SjJ;~;YTI\,~~:,r~!!${i.:t~}~(1~}~.~;irt,#f~~.,~~.~:-,i:":t ,;, ':;'\r~ : _ 'J/':::-":'~\ ~,.'_: \ (a) Permil fee (use valuation table): "Z,x ~ (b) Investigative fee (equal to [2a]): $ (c) Reinspeetion ($ per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (,12 x [2a+2b+2c]): $ (e) Subtotal offees above (2a through 2d): $ )~~<~~~i~~~fe~.i~W1[~~)1'f~~4ft~~i1~~'tW'S~~~~~~..0~~!~ (aJ Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): ~AWM.I~~~Ji.~,ij'~Q:G~}f~~~l\~~t;iJ~'~t;;:;~JtjJ;~;!(~M:;'i\E~~:.~~j..:; ~':.:. ~..': $ /.aJ~- $ $ ;:-i:<".: (a) Seismic fee. 1 % (,01 x permit fee [2a]): $ TOTAL fees and surcharges (2e-t3c+4a): $ 8 ~_Q-fc- (j7C~ ~~ QuY-R- ~ ~ 9{ (- 1(Li -@>04 q 12.e ihf ~ ~ ~cft~ -,' ,', ,\ COVENANT Hvo M4N (Please Print) BEING THE RECORD OWNER(S) of all of the following described property located in the CitY of Springfield, or its urbanizable area, in the County of Lane, State of Oregon: (l/\ lc.HiA- 6: L See Attachment A IN CONSIDERATION FOR the issuance of a Building Permit by the City of Springfieid which allows the owner(s) to construct a structure, over the common property line ,of two or more abutting Jots, record owner(s) do hereby make the following covenants (for the good and safety of the pubiic, in compliance with the Springfield Development Code and the building reguiations of the City of Springfield), covering the above described real property, specifying that this covenant shall constitute a limitation to run with the land and shall be binding on all persons claiming under them, and that the covenants shall be for the be'nefit of present and future owners of said real property. BE IT. HEREAFTER KNOWN and agreed that: 1. The land described in Attachment A which includes 2 or more iots, must either hereafter be' sold together without separation of the lots or portions thereof as a single unit of land so long as the structure is constructed over the common property line(s) of the abutting lots; or 2. Prior to the sale of the lots individually, the structure shall be removed, and a finding made by the City that there is no violation of any applicable setback regulations applicable at the time of sale. IN WITNESS WHEREOF, the ?;ot-~ day of / A ' undersigned have caused this instrument to be executed this 20~. Lane County Cle~k Lane County Deeds and Reco~ds l~ 11.~J~J~o Owner' 11111111111111111111111"11 II 1111""""111" III $47,00 01241686201100393960020021 08/31/2011 11:11:40 AM RPR-REST Cnt=l Stn=15 CASHIER 01 $10.00 $10.00 $11.00 $16,00 STATE OF OREGON) ) ss. County of Lane ) ON THIS 30+1) day of Public, the within named (h ; (:IAn p-l 4~US'-\- \-'\' L><d (Y\D...f) , . 20-1..1-. personally appear~d before me, a Notary acknowledged the foregoing to be their voluntary act and deed. WITNESS my hand and seal this day and year iast written above. C~~ b. f\I'L~ . 01. ClAL8EAL ~ Jfotary Public for Oregon c.n.... OIMY II ,/ NOTARY Pl8JC. 0IlE00N My Commission Expires: mQlI '31, ')(')/'-f COMMlSSIONNO,448811 I ' MY ~OMMISSIO~, EXPIRES MAY 31, 2014 A copy of this recorded document must be returned to the City of Springfield, Development Services Department, 225 Fifth Street, Springfield, OR 97477. deed rest. haus pI ~ ... -.' , ~ EXHIBIT A PARCEL I: 7, 8, 9, 10, 11, 12, 13, 14 and IS, GRANADA PHASE II, as platted and recorded in File 73, Slides 108, 109 and 110, Lane County OregonPlilt Records, in Lane County, Oregon. PARCEL II: Lots 74, 75 and the Southerly 15 feet of76, GRANADA PHASE II, as platted and recorded in File 73, Slides 108, 109 and 110, Lane County Oregon Plat Records, in Lane County, Oregon. ALSO: Lots 16 and 17, GRANADA PHASE II, as platted and recorded in File 73, Slides 108, 109 and 110, Lane County Oregon Plat Records, in Lane County, Oregon. ALSO: Lot 76, GRANADA PHASE II, as platted and recorded in File 73, Slides 108, 109 and 110, Lane County Oregon Plat Records, in Lane County, Oregon. SAVE AND EXCEPT THEREFROM the Southerly 15 feet. ALSO: Lot 77, GRANADA PHASE II, as platted and recorded in File 73, Slides 108, 109 and 110, Lane County Oregon Plat Records, in Lane County, Oregon. EXHIBIT A TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfleld,OR 97477 541.726-3753 www.ci.springfield.or.us 811-SPR2011-01927 604 CLOVERLEAF LOOP permilcenter@cLspringfield.or.us RECEIPT NO: 2011002386 RECORD NO: 811-SPR2011-01927 [DESCRI~tfONi,j", "<<'4:}'~:.f0'}'0"';:"',~ -f:t~:c:<~,;.. ,f :>-.k. ~Ac.C;O\.JN't~C:bDE:;:' ,.'; "', Admin lee (10% 01 applicable lees) 224-00000-426605 Branch circuits without service or feeder -1st circuit 224wOOOOQ-426102 Branch circuits without service or feeder - each additional 224-00000-426102 Building Permit Fee 224-00000-425602 Commercial Fire (.10 Per S'lfoot) 100-00000-424005 Planning - Minor Review - City 100-00000-425002 SDC: Impr!'vement Cost:_ St'?':.", Drain~~ _, _ 440-00000-448028 . __SD.s:-'. Reimbu~~ Co~t =-S~o!!,:,_ Drainajl~ _ _.,___.~~:0000..c>:~48029 SDC: Total Sewer Administration Fee 719-00000-426604 ______ ~..__~_~_ _._ _~_"_'_"~.'_'__~__"__','_._____._m__ ___ State 01 Orego~s..~charg_e (12% 01 applicable leesl~___ll21-00000-215004 Technology lee (5% olpenmit totai) 100-00000-425605 TOTAL DUE: DATE: 09/02/2011 /'. '..J AMOUNT-DUE 1.94 55.00 6.00 318,85 19.40 119.00 91.56 62.94 7.72 45.58 18.99 746.98 IjtEAj;M~Nf.iYlfE'...'''~PA YQ.R-.~;:cAst-ifER:.CCA'R';ENfER; Check Gateway Assisted Living 58399 ~.'tt:.,;,:::.:COMM'E'NT~"'*:~"t,~, ":+",~~"/20+~k~:'1~2AMOUNT:P.AID'" ":-:'~.- 746.98 TOTAL PAID: 746.98 SPi~:~ L~~ ~OREGON www.ci.springfield.or.us , TRANSACTION RECEIPT I 811-SPR2011-01927 I 604 CLOVERLEIl-F LOOP , CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 perm itcenler@ci.springfield.or.us RECORD NO: 811-SPR2011-01927 . ~ACCOUNT~COOE'" 224-00000-425602 TOTAL DUE: L_PAYMEr.jTJ:XPE~_p~YOfL~R~~!'Eg~~ -=,i-~<<OMMEN:J:~==__.L_:~' =---=- Credit Card JEFF JOHNSTON CONSTRUC' RECEIPT NO: 2011002228 lOESCRIRTION,":;" . '.,;w ". Structural Plan Review Fee Commercial DATE: 08/11/2011 AMOUNT_O.UE 207.25 207.25 _ ~A_M()~NI!AID _ ________ __4_. ____ 207.25 I '.1 357506 TOTAL PAID: 207.25