( LL..4 Use Planning Division 1600 SE 190tn Ave, Ste 116 ~ Multnomah Portland OR 97233 FIRE SERVICE AGENCY a a County Ph: 503-988-3043 Fax: 503-988-3389 REVIEW multco.us/landuse TO THE APPLICANT: Take this form to the Structural Fire Service Provider* that serves your property along with the following: all A site plan drawn to scale showing the subject property, its improvements, location of fire hydrants and driveway information; ~ ~ A floor plan of the proposed development; and l _'!:_~ NA A fire flow report from your water purveyor (if applicable) [Not applicable for Prozrties s~ b) IMCRFD#14lcustomers] J,.q!\I -... t D After the fire official signs this form, include it with your application material. Se Fire Code 2 6 <o <..:.,'.(j Application Guide for fire-related access standards and fire flow information. ..._ l(J *If your property is not served by a structural fire service provider, your project is to be revie~­ appropriate building official serving your property. Address of Site 40301 E. Larch Mountain Road. Corbett. OR 97019 Map & Tax lot: 1N-5E-30CC - Tax Lot 1600 61500 'R' number R832300010 6 R832301940 Description of Proposed Use: Spa retreat center with overnight accommodations Roof Footprint 5 175 Total Square Footage of Building (including roof projections, eaves & attached structures):s1dg Total (011 firs) u.s2s Applicant Name: Keith Daily - Emerick Architects Phone: 503-235-9400 Mailing Address: 321 SW Fourth Avenue 11200 City: Portland State: _ O_R __ Zip Code: 97204 Email: keith(llemerick-orchitects.com STRUCTURAL FIRE SERVICE AGENCY REVIEW Fire Agency completing this form: Corbett Fire Dist. 14 Date of Review 1/23/18 ~ The subject property is located within our service boundaries or is under contract. D The subject property is outside of our service boundaries and will not be providing fire protection services via contract. (Additional review is not needed.) **Access Review by Structural Fire Service Agency Providing Service** 'FL_ The proposed development is in compliance with the fire apparatus access standards of the · Oregon Fire Code standards as implemented by our agency. 0 The following access improvements must be completed prior to issuance of the building permit and be re-inspected by our agency before flammable materials are placed on the property. 0 The proposed development is not in compliance with the adopted Fire Service Agency's access standards. The proposed building/structure is required to have a fire sprinkler system installed in compliance with Section 903.1.3 (NFPA 130) of the Oregon Fire Code. Fire Official: Please sign or stamp the presented site plan & noor plan and attach it to this form. d~-;z;Y Tfrv alt!--f- / I ~nature rTitle of Fire Official See Other Side J' 3--1 EXHIBIT A.16 STRUCTURAL FIRE SERVICE AGENCY REVIEW, cont ** Fire Flow by Structural Fire Service Agency Providing Service ** The stmcture, building or addition is exempt from the fire flow standards of the OFC B-105.2. D The proposed non-commercial structure is less than 3,600 sq. ft. (including the horizontal projections of the root) and there is 1,000 gallons per minute of fire~flow available at 20 psi from public water lines. No mitigation measures are necessary. D The proposed non-commercial structure is more than 3,600 sq. ft (including the horizontal projections of the roof) and the fire-flow & flow duration at 20 psi is available from public water lines or private well and is in compliance with minimums specified in Appendix B, Table B 105.1 of the Oregon Fire Code. No mitigation measures are necessary. D The existing fire-flow & flow duration available from public water lines or private well is not adequate to serve the proposed non-commercial structure in compliance with Appendix B of the Oregon Fire Code. The following mitigation measures are necessary* and must be installed prior to occupancy or use of the structure. D A monitored fire alarm must be installed. D Class A or non-combustible roof materials must be installed. D Defensible space of30 feet around the structure/building/addition. D A defensible space of I 00 feet around the structure/building/addition due to slopes greater than20%. D A fire sprinkler system meeting Section 903.1.3 (NFPA I 3D) of' the Oregon Fire Code shall be installed. D Other ______________________________ * The above required structural features are required by the Oregon Fire Code and shall be shown clearly on all building plans. Commercial/Industrial Buildings & Uses. ~The minimum fire flow and-flow duratio rom public water lines or private well as specified in Appendix B, Table Bl 05. l. on measures are required. 0 The minimum fire flow & flow duration is not available from public water lines or private well as specified in Appendix B, Table BI 05. l. The follo\ving mitigation measures arc required: NFPA 13 system lo be installed - nearby fire hydrant meets 1500 gpm requiremenper 2014 OFC B105 Signature & Title of Fire Official To the Fire Official· D Lantl Use Planning has determined that the proposed building will qualify as an Exempt Farm Structure antl the property owner has indicated that the building will be used solely for fonn purposes and they intend on using the provision under ORS 455 315 and will not be obtaining a building pcnnit for its construction. Multnomah County Land Use Planning ·ir.- ...""'-.· --- - - ~ I ·-..... ............... '- - l I I I I I I 1.. HSF. LLC )> VIEW POINT INN & 0 WELLNESS CENTER 41.:~1111 E l):Ut:h r..~1::'.1ritc-d'1 ~ ;J, Ci'Jlll:A1l~ C~ ?1::'."Y :, ,,! ''\ a ,,I \ '>{ \\ \ I I \ ! I i : I I I I ! I I I ! I I • l ~ : I I I I ' I UTILITY PLAN, __ I HSF, LLC T T () VIEW POINT INN & 1:11 N 11 WELLNESS CENTER I;! 0 4030 1 I· lcn·"'.h MC;•,mlajr, Rd I --1 C•J4baP r::·R w:~i:·· 9 H I I 1111 ,,I, J, 0 \ \ -r," ' 1~ \ \ -\ N \N \ HS.F, LLC n :~11 ~ FLOOR PLAN~· 0 z ·z m f~QP_Q_S_l::D VIEW POll'JT INN & !..-"" 0 "' ';' ~ ii' ~ i'ii .. 2:: c. -n ~' WELLNESS CENTER () (1 ::: :::! "' i 40J01 E lotch M:..1tntai·1 Rd D iii Corbell. OR 97019 z 1 ~ ~ ·-n 1-~ ~~ ~ ../ n Cl a ~ ::> ~I ~ !' ' ~' ~ ~ I ~ c ~ I ·~ ,, HSF. LLC I .·J' A> )> v· H• 0 VIEW POINT INN & :5 9 "' ~ tv ~I i ~" WELLNESS CENTER i tv 40301 E Lorch Mounlain Rd. ~! ~ Corbeil, OR 97019 , __. i HSF. LLC ,.~1 F"OOR PLANS· 0 )> m f'LQl'Q.~~·~ VIEW POINT INN & ~ s"' N c WELLNESS CENTER n"' ~ 0J ~030 I E L01ch MO'Jnloin Rd. 0 !ii '.L"' Corbell. OR 97~: 9 ,; MULTNOMAH Cd tmlTY CERTIFICATIO"- OF WATER SERVICE LAND USE & TRANSPORTATION PROGRAM Take this form to the Water District that 1600 8 .E. 190TH AVENUE PORTLAND OR 97233 serves the property. 503-988-3043 FAX 503-988-3389 ''.l!~ . •• ' www.co.multnomah.or.us/dbcs/LUT/land_use Address of Site 40301 E Larch Mtn Rd , Corbett, OR f'>::::...... Map&TaxLotNumber____________________ -+ /_~--..::~~~~------ 1 N SE 30CC, #1500 & 1600 I ~ If Residential Use, Total Number of Units fa 1> . --------------~~--~~-=----~-+--- Applicant's Name Jenai Fitzpatrick of Humber Design Group, Inc. Mailing Address __1_1_7_S_E_T_a--=-y_lo_r_S_tr_e_et_ , _S_ui_te_0_0_1 ________City Portland State--=0-=-R'--__Zip Code--=--97:....::2~1....;..4 ____ -TO THE APPLICANT- Approval of most land uses involving a new or expanded use or involving creation of a new parcel requires a determination that the water system is adequate. If you propose to use a public water system, deliver this form to the appropriate water district prior to making any land use application. After the water district fills in the following section and returns it to you, include this form with your application. If you will be using a private water system, complete the bottom section of this form. -TO BE COMPLETED BY A 01$TRICT OFFICAL ANO RETURNED TO THE APPLICANT- The District will provide service from a 10 inch line located south side of larch mt rd The proposed use should be required to make the following water system improvements: None There is an existing 1" service to the property Name of District Corbett Water District Name of Official_J_e_f_f_B_u_st_o __ ~ ~~i/=_(11,_,,,_&__ _ Date I 01/10/2018 Office held by Official District Manager -TO BE COMPLETED BY THE APPLICANT IF A PRIVATE WATER SYSTEM WILL BE USED- If you propose to use a private water system, a determination that the system is adequate must be made to satisfy Comprehensive Plan Policy 37. There are two different times that determination can be made: (1) In the initial review of your proposal if the on-site well or other form of private system is existing at the time of the land use application, OR (2) After the initial review but before issuance of a building permit when documentation is provided to the Planning Director that a water system is in place. At that time public notification will again be given which may result in a new public hearing. Describe Water Source, Including Location ________________________ Describe Supply of Water Available (i.e., Gallons Per Minute)________________ _ O:\Brochures & Forms\Planning Forms EXHIBIT 7/28/2004 A.17 ~and Use Planning Division ' 1 POLICE I SHERIFF 1600 SE 190 h Ave, Ste 116 ~ Mul t nom a h Portland OR 97233 SERVICES REVIEW a a County Ph : 503-988-3043 Fax: 503-988-3389 Take this form to the multco.us/landuse Police/Sheriff Services that serve the property. Address of Site: 40301 E. Larch Mountain Road , Corbett. OR 97019 Tax Roll Description of Property: 1N-5E-30CC.