The URL can be used to link to this page

Home My WebLink AboutPermit Building 2003-6-26 (2) , , Status Issued . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00402 ISSUED: 06/26/2003 APPLIED: OS/23/2003 EXPIRES: 12/26/2003 VALUE: $ 139,461.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 723 Crest LaDe ASSESSOR'S PARCEL NO.: 1703341407300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR Owner: KOIVULA MICHAEL G Address: 743 CREST LN SPRINGFIELD OR 97477 I BUILDING INFORMATION I '\::~ \ ,,/ -' '-' \.i' \. . . , < # of Buildings: 1 J'" #.'of Stories:' ,'. ',. ..', ' " \ \, ."'" ~ " . ,.' .... ). >- Primary Occupancy Group: R-3. ,'\~ ._,..'. Height of Structure '. 29.50 Secondary Occupancy Group: ,,:u~i ,\'J\;\ "., Type of Heat: ":'Forced:A.ir Elect Primary Construction Type' . ~,VN~, ., " ,,' Watet Type;., :."." Electric Secondary Construction Type:,_ .' ........ ',.. " .' . 'Range1:ype:",,' ::~" Electric # of Bedrooms: \' .' , , .,.2.' '., Energy'Path: ..' . Path 1 A " ,,,, .~,.,." . ,: , . .. -,~ ......" Contractor Type General Electrical Mechanical Owner Plumbing SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR Il'i~UK1\fATION I Contractor OWNER OWNER OWNER KOIVULA MICHAEL G OWNER License Expiration Date Phone -,'" ~\~ . 2 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: . Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: _\t. , ~ :'I.DEVELOPMENTINFORMATION, ,\\~~\)~~\ 0\\1"" \ ~~~ ~ ~ \~ ~ REQUIRED PARKING 21.00 Overlay Dist: \, fr,~ ~1\l1&~~ C(~ Total: 2 6.00 # Stree! X~~s R9~\\~~fr,~ \~ ~\)~~ Handicapped: 23.00 pa~\1~.tr~d-~ ~~'V \~ ~~~ Yes Compact: 48.00 % o\'{\~ ~~Ct~ ~\~~\). 22.00 0.00 ~~~,,~~~~ ~~ ~ h..[ ... ...) I PUBLIC IMP~~"EMENTS I 1,200 409 562 . ~.~ '''',' . . Sidewalk Type: Partially Improved Yes DOWDspouts/Drains: Curb and Gutter As per Don Branch 10/15/02, no sidewalks, driveway approach to be build to city standards for future curbside sidewalks. Storm water to be pumped to Crest Street as per applicant. Sanitary to connect to 6-inch line off Level Lane. Pae:e 1 of 5 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-00402 ISSUED: 06/26/2003 APPLIED: OS/23/2003 EXPIRES: 12/26/2003 VALUE: $ 139,461.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft Square Footage or multiplier or Bid Amount Dwelline:s V Wood Frame $74.60 1,200.00 Dwelline:s V Wood Frame $74.60 562.00 Garae:e Garae:e $19.60 409.00 Value Date Calculated Total Value of Project $89,520.00 $41,925.20 $8,016.40 $139,461.60 OS/23/2003 06/20/2003 OS/23/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $362.60 5/23/03 1200200000000001309 -Mechanical Issuance Fee- $10.00 6/26/03 1200200000000001651 + 10% Administrative Fee $93.57 6/26/03 1200200000000001651 + 7% State Surcharge $65.50 6/26/03 1200200000000001651 1 Bath One & Two Family $145.00 6/26/03 1200200000000001651 Addressing Assignment $8.00 6/26/03 1200200000000001651 Annexed 1979 or Before $-158.67 6/26/03 1200200000000001651 Building Permit $695.65 6/26/03 1200200000000001651 Curbcut Permit $75.00 6/26/03 1200200000000001651 Dryer Vent $6.00 6/26/03 1200200000000001651 Exhaust Hoods $9.00 6/26/03 1200200000000001651 Furnace - up to 100,000 btu $12.00 6/26/03 1200200000000001651 Minimum! Adj ustment Mechanical $12.00 6/26/03 1200200000000001651 Plan Review - Planning $59.00 6/26/03 1200200000000001651 Plan Review Residential $89.57 6/26/03 1200200000000001651 Sanitary Sewer - Improvement $268.64 6/26/03 1200200000000001651 Sanitary Sewer - Reimbursement $353.44 6/26/03 1200200000000001651 SDC MWMC Administration $10.00 6/26/03 1200200000000001651 SDC MWMC Improvement $34.83 6/26/03 1200200000000001651 SDC MWMC Reimbursement $332.86 6/26/03 1200200000000001651 SDC Sanitary/Storm Admin $71.87 6/26/03 1200200000000001651 SDC Transpo Admin $47.91 6/26/03 1200200000000001651 SDC Transpo Improvement $709.81 6/26/03 1200200000000001651 SDC Transpo Reimbursement $160.87 6/26/03 1200200000000001651 Storm Drainage Impervious Area $683.85 6/26/03 1200200000000001651 Temp Power 200 amps or less $50.00 6/26/03 1200200000000001651 Vent Fan $6.00 6/26/03 1200200000000001651 Willamalane Single Family $1,000.00 6/26/03 1200200000000001651 Total Amount Paid $5,214.30 I Plan Reviews I Initial Review OS/27/2003 OS/27/2003 APP LLH Pae:e 2 of 5 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2003-00402 225 Fifth Street, Springfield, OR ISSUED: 06/26/2003 APPLIED: OS/23/2003 541-726-3753 Phone 541-726-3676 Fax EXPIRES: 12/26/2003 541-726-3769 Inspection Line VALUE: $ 139,461.00 Plannine: Review OS/27/2003 06/04/2003 APP AID Tree felling permit required if more than 5 trees (5"dbh) are removed because lots 6 and 7 of Emerald Heights are in common ownership. Public Works Review 06/03/2003 06/05/2003 WE VRJ Contacted applicant 6/5/03, site plan does not show connection for sanitary and storm sewer. Spoke with Sue asked for re-submittal site plan with sanitary and storm sewer clearly marked on plans, also if either private line crossed another parcel a private easement is required prior to building permit approval or issuance. Applicant has been made aware of this and that their permit is on hold waiting for external information from them. Public Works Review 06/13/2003 06/13/2003 WI VRJ As per Don Branch 10/15/02, no sidewalks, driveway approach to be build to city standards for future curbside sidewalks. Storm water to be pumped to Crest Street as per applicant. Sanitary to connect to 6-inch line off Level Lane. Applicant submitted information regarding sewer connection from Level Lane. PW Engineering is waiting to hear from PW Maintenance regarding sewer line, expectation is for a call on 6/16/2003. PW review and fees have been completed, waiting for information J from PW Maintenance. Public Works Review 06/16/2003 06/16/2003 APP VRJ As per Don Branch 10/15/02, no sidewalks, driveway approach to be build to city standards for future curbside sidewalks. Storm water to be pumped to Crest Street as per applicant. Sanitary to connect to 6-inch line off Level Lane. Please coordinate with Keith Miyata, Sewel Supervisor, Public Works Maintenance, #726-3761, to have line TV'ed once exposed at the property line. Revised Plan Review - Pia 06/17/2003 Revised Plan Review - Pu 06/10/2003 06/17/2003 APP VRJ Revised plot plan brought to office 6/6/2003. Received on 6/10/2003 because I was out of the office Pae:e 3 of 5 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00402 ISSUED: 06/26/2003 APPLIED: OS/23/2003 EXPIRES: 12/26/2003 VALUE: $ 139,461.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Revised Plans Received/Ro 06/17/2003 APP LLH Plot plan received as requested by Virginia J. Structural Review OS/27/2003 06/17/2003 APP RJB To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 1 Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Site Inspection: To be made after excavation but prior to setting forms. 3 Erosion/Grading Inspection: After all erosion measures are in place. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to floor insulation or decking. 8 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 9 Floor Insulation: Prior to decking. 10 Shear Wall Nailing: Before covering sheathing with finish materials. 11 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 12 Wall Insulation: Prior to cover. 13 Ceiling Insulation: Prior to cover. 14 Drywall: Prior to taping. 15 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 16 Final Building: After all required inspections have been requested and approved and the building is complete. 17 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 18 Underfloor Plumbing: Prior to insulation or decking. 19 Underfloor Drain: Prior to cover or placement of concrete. 20 Rough Plumbing: Prior to cover and including required testing. 21 Water Line: Prior to filling trench and including required testing. 22 Sanitary Sewer Line: Prior to filling trench and including required testing. 23 . Storm Sewer Line: Prior to filling trench. 24 Final Plumbing: When all plumbing work is complete. 25 Rough Mechanical: Prior to Cover 26 Final Mechanical: When all mechanical work is complete. 27 Temporary Electric: Approval required prior to Utility Company energizing pole. 28 Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or foundation inspection. 29 Rough Electric: Prior to Cover 30 Electric Service: Approval required prior to utility company energizing service. 31 Final Electric: When all electrical work is complete. Pae:e 4 of 5 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2003-00402 ISSUED: 06/26/2003 APPLIED: OS/23/2003 EXPIRES: 12/26/2003 VALUE: $ 139,461.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany structure 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 further 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. /~ /(&;v~J()/ l/ Zb/()3 Owner or Contractors Signature Date Pae:e 5 of 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department., Public Works Department Receipt #: 1200200000000001651 Date: 06/26/2003 2:45:41PM . Amount Paid 8.00 1,000.00 59.00 683.85 353.44 268.64 160.87 709.81 332.86 34.83 10.00 71.87 47.91 (158.67) 75.00 145.00 12.00 6.00 9.00 6.00 10.00 12.00 695.65 89.57 50.00 65.50 93.57 $4,851.70 . Job/Journal Number COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 C0M2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 Description Addressing Assignment Willarnalane Single Family Plan Review - Planning Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Annexed 1979 or Before Curbcut Permit 1 Bath One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- Minimum! Adjustment Mechanical Building Permit Plan Review Residential Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee . Item Total: Payments: Type of Payment Check Paid By HELEN KOIVULA Received By djb Check Number Batch Number Authorization Number How Received In Person Payment Total: Amount Paid $4,851.70 $4,851.70 . . , " . " ./ 1./ , -.-" " ./ J~ - . " . .....,,'"' r'l", r- r- '" t;. ;i..~ :~)~) '(J - - E A S E MEN T -------- , THIS INDENTURE made and entered into this C" :J1H day of J\J Cl\l(, I-lIsr;'( , 1958, by and between BERNARD LARSON WRIGHT and GENEVIEVE WRIGHT, , . . . , , husband and wife, hereinafter referred to as the Grantors and the " '.' ... _I. : CITY OF SPRINGFIELD, a municipal corporation, hereinafter referred to ." . t' '. , . .; ;.... .. as the Grantee, '~. '. ( . -. - - - - - - - - - WIT N E SSE T H: : ::.. " ~ . .\ . '.. That the Grantors for and in consideration of One ($1.00) Dollar . . I . ,',' :: l !: '. ~ :. . I . . ... and other good and valuable consideration to them paid do hereby '. grant, bargain, sell and convey unto the Grantee a perpetual slope ~ ' , . . . .,' . t '. : I . P . . . easement across the following described real property, to-wit: ! .. That segment of Lots 6 and 7 of Block 27 of Emerald Heights Addition to Springfield, Lane County, Oregon, being,;bound by ,.the..Westerly and Easterly property lines of said lots and on ,"', the North by the North property line and on the South by a ,;.,' lin~..ten (10) feet South of and parallel,. to the North line t. . ':"',,"\ ';of ';,sai'd lot, in Springfield, Lane . County , ".Oregon. ,.', '. '. ,\ .. ,;... ,: .'" ,f) t {. :: ~ , " " "", ,..,:This':, easement is for the purpose 6f" providing"a slope easement I '. . .. , . -', . . ,'J .. .' ." '. " ,... ~. . . .-for a ..City street known as Crest Lane i~ the City of Springfield and grants to the Grantees the right of ingress and egress to and from " said slope to place fill thereon if necessary for the purpose of supporting said street. Nothing herein contained shall prevent the Grantors hereof from' having full and free use of said property at all times subject to' the right in the City to use said property as a slope support for said ,,, street. : " ,.: .. IN WITNESS WHEREOF the Grantors above named have hereunto set , '.', .-...... ....,.-+ '.,.. their hands and seals this 5'T4 day of r\/OVD-i 15&:r;,~ , 1958. ~I ,(~J ,uhM6.L Bernard Larson \~right / ' .I J. /f 1'7 / ~ 7.1) IlA.4rj )- ~eve \.Jrighi: 0 SEAL r~SEMENT - 1 - E-4~8 ...'---.' ~-.... , :t.........::.;~. \ - , ....,..., . , . . ....", '. . - ..'. ,.It-':.....I."". " ~ , ' '..... ,_ !' '~. "'_ tf!l<_A"",,,,,,,-.,'~~~~,~~~.~4'jI;1-~~~~~~qlM~ '. , ,. . I',' .~.. ..". ';'":'. -.. :-. .-. ....... , ." r. 'J T" ,. ". -. . .~. ...'. ...'... }~~ JilL ~~IIJ. '. .....:-..~:__.,: ',....t... _~;r. fi" urt-'~I r ~."' ..' '~-'~'''I''I'' o~. J . ., ... -' -.-..... " 11 .... ..... 1~'~"~J;i~'~"""!.....;..;..'..1l;.,:t."""'~"~':;".:":~i:.irl~.j.,,"*.''''''',;''~_.j(:' . , . " ~ .. ;u", J~'~~"~""-~.l'~r~_~fo"""""""~ .....j..... .. . , . ,. ..~.,~.~I....:~l.'.,.~. ',:' ,'. . ". f<:- .., r I'" ,... ~. . .t ';'.. ..... t .' .. -,' .... r -. \ ~ .. . ". . " I .' . .' . . ' . ... ','j .' .~ ~ \ :'11 :..." ...7"'o;'""O......:t ~. ,1 C)".-,' , ,'! 'filJ55rj ,'-' ." , . ~.... ...., . ;.' , .. ., ,',',' STATE OF OREGON, ) . ,....J County' of Lane " ". r . ss. . .' ;, . BE IT REMEMBERED, that on this slX: day of ~~~, 1958, before me the undersigned, a Notary Public in and for said County and State, per'sonally appeared the within--narned .BERNARD LARSON. WRIGHT and GENEVIEVE WRIGHT, husband and wife, who are known to me to be the identical 'persons descri;b~d.. in and who executed the within instrument and acknowledged to me that they executed the same freely and voluntarily. ": ,'- ~. ' ; , . IN TESTIMONY WHEREOF, I have hereunto set my hand and seal the . .. " .r. . ',,' , " day and year above written. . I ;t... . . : "; " " " .,. '. ,';." I,' ::.:: \,~'H;I!li';j}'I~~~\~}I~ir;;';,:): .... .;, .\\\\ "'.r.I.;:-.;"'" 11II .~.~\.:...l.'::;'., " "\ ~. j ~ ~.' . " " I "'t~i:J,., ~...,.~. , ,. \. i(, . .." "",.". I,.~". ..... ,..,. - ')j. .S H~""'. ,., ''''.M:(:d ';," "."..~,'-' " ., \\ v' . '.........I'il~' .\.:4i,<,'{,., >:!. ~ .. \ ..' t~lr!f('~..r~~":"", , "" LA. ., " . :. . -:d "~.'-"~I\il , f_~..'."o' T' A:Il:''''f~~...~(tt~.:: ' .: ......~:~. l^\. ~"'~,.~ , . _ ". . '1.' .,I".'r". ..'.; :..~ * .. \>.~;'; '?'{It.~, '.?$. (t.;;:: " ,~. ':'"{.\ l:.~~t~ll~~~''','~ ,..t, .:':~";f:f!f;l". " ......... -. · rJ\'i"",". ""'.-. ' ." <= ' .... ~"""'~'r"'r"~'.:,,,,;,,~ .: .,.', . "'~ .. ..'"....""': .> "\,,.,... :.:.,,, ,.., "'" . ""(;.~~'''/' 't 'ill .........- ~- '! '.':', ~ .4' ."~: ,\~'~:"~"d~~'~,'~"" .. (,1'<0.. :A' ~ '... ~ _,)-II.~ "'/t~;:I1; ',' ..~...J ....., . "- -....- X-' ...... "",-: ~ ........ n ., .' '" c.: '0 1:'., .tJ \' "" '" t- ,," III .,\' "f"j..!"I' :7~~ ';(;I~ Notary Public tor Oregop . . My Commission expires: My Commission Expires Aug. 25, 1959 ... ./,1 .;' I "" . "/' ,../ .' , - . , ' I .. I " " /~' ,.' ~.....J......--- .', i I .A . ~ , ,.,' ,< " .' , .' .! ; " ~SEMENT - 2 - I "r- "I' . . c' 'f" ") ~ '. ~ -" " ~ ....: , . ,. , i: ", ('. \. ,. t: :..' '-' ., ,.,' ~ .''''' ;'." " :~ . , " /v' t:,"I/~ ...' ~.... ,'.- ...,. - ,.. " \ ~i ..i' "iti- , .'"J 'i.'--' ./ " , ,;;.:,~/'. ,- '/.- '. )'j /' '/. . i/ ... 11 ~-- ft. ...... -j " ~/' '~. /J.. , .1 ,.. . . . .. 8-20-68 Joe Reeves xx Chief Building Inspector xx Ha 1 Fleck Director of Public Works Sanitary Sewer hookup for Tax Lot 7300 (lots 6 & 7, block 27, Emerald Heights) fronting on Crest Lane. Subject property belongs to Larson Wright 660 Level Lane There is a sanitary sewer in both Crest Lane and Level Lane but due to the terrain the Crest Lane sewer CDnnot be reached and therefore it is necessar.y to ~erve said Tax Lot 7300 from the Level Lane sewer. , Mr. Wtight has provided the city with an easement across his Tax lot 6600 (lot 15) and 'the Engineering Division will stake same on the ground. Mr. t,..Tright has been advised that he may now ohtain a hookup permit and install a 6 inch 10 line (within the easement) with a 'y' and 1/8 bend connection to the existing sewer and a cleanout at the end of the 6 inch line located approximately 15 feet within Tax lot 7300. This to be done by his contractor at Mr. 4righl's expense and inspected by the Building Division. This line will then be turned over to the City for maintenance. We have not been able to ascertQin definite a~sessments to the properties in this area. However, it if, believed that these sewers were constructed by the subdivider to serve these par- ticular properties and therefore no additional assessment to this Tax lot 7300 is required. Hal Fleck Director '} HF:vo cc: Engineering Div. I ..........- .. : - - . . " ---- ...DDRESS OF' JOB OWNER ,. CONTRACTOR .-," I' CON"TR...CTOR BLOCK 'LOT RE......RKSI : S'E.WCR.... , I \ - P"'''''' ) ~- , I ~~~I J-t' "I I I I . I I , \.. , ~ - -' - - . .., .-- - ~1~Y., t.,f\\'\ ~ \ Oe\Z-l C6 /-Z-\ I fog I~ ~ pi't cd/Jr. 1p'7-f'_e~ - --- - D...TE PER...IT N~. P VALUE FEE - fJJ- Z/-~8 1z.78 - - - ADDRESS - - ...DDRESS '- - ,INSPECTIONS MADE: ADDRESS ( \ TYPp, < DATE liY I ~ wJCt. f"enAt..- D I q -4 -66 L,Cld TRACT I , S E: vJt.1!. oJS.. \ , c,~b-bS LC~ PiP \ ; . - ,. - I - -.-- -- -- .\ \ ------] .' 1----- .' .~ ,I - ~. --'~v-{./:l;::...... ../_V ~ - . - -,---- - ./ ~ 7JJ . . . . 96ZZ97Z DECLARATION OF PRIVATE EASEMENT KNOW 1\LIJ BY 'I'HESE PRESENTS, that the undersigned, hereby called the grantors, are hereby declaring that the following described property is a permanent sanitary sewer easement: That portion of lot 6 in block 27 plat of Emerald Heights as recorded in Book 4 Page 14 of Plat Records, Lane County, state of Oregon, more particul~rly described as follows: Commencing on the IlIOSt southerly property corner of said lot 6;thence North 65029' East along the south line of said lot 6 28.0 feet to the TRUE.POIN'l' OF BEGINNING of said easlllent; thence continuing east along said south li.ne, North 65029' East 52.0 feet, more or less, to the most easterly corner of said lot 6; thence northerly along the east property line of said lot 6 North 2'1001' West 20.0 feet; thence South 49009' West 53.3 feet; thence South 24031' West 5.0 feet to the True Point of Beginning. TIllS EASEMENT shall be used for the installation, maintenance, and replacement of sanitary sewer line to serve the following described property: Lot 7 in Block 27 of said plat of Emerald Heights. ~'IJI~ Grantor- STATE OF OREGON) ) COUNTY OF L1\NE ) ;;Q~;AF'R.09'96ff05REC 5.00 ~Q~~APRu09'96~05PFUND 10.00 ;Qg;I~F'R" 09' 96a05A& T FUND 20.00 ss. IN WITNESS personally and S vE: instrument WHEREOF, that on this B day of Ap'~'L , 19 qi> , appeared before me the above named Mike ~J\/lI,-A ANi) MA/oJOE.I/IUb who acknowledged the foregoing to be their voluntary ac 4- OfFICIAL SEAL tB. DENNIS P. ERNST \ ) NOTARY PUBLIC - OREGON ......... COMMISSION NO. 014245 MY COMMISSION EXPIRES APR. 20,1996 12-<< Notary Public "for Oregon My Comission. expires: 4:.hr>/ 9~ , , R€.TtJRAJ To /V1/C.Io/At. L kCJlvu c..A 743 CR.€S r LANe S P!?,/J6FfE. LO OR.. . ~ .):-J \)~"J I. . . .r --------- E A S E MEN T . .- THIS INDENTURE MADE and entered into this 21 day of August, 19,-'&.., by and between LArson B. ~mn Gpuavi'p~ ~1T'1e::l1t ,.., hereinafter referred to as the Grantors, and T'HE ITY OF SPRINGFIELD, a municipal corporaLion, in Lane County, Oregon, hereinafter referred to as the Grantee. WIT N E SSE T H ----------- That the Grantors, for and in consideration of one dolla-r to them in hand paid, do hereby grant, bargain, sell and ~unvey unto the Grantee, a per- petual -easement 7.0 feet in width, toget.her with the. right to go upon -said easement area hereinafter described for the purpose of constructing, ...recon-structing, maintaining and using a sanitary sewer which may hereafter be installed on the following described property, to-wit: A 7.0 foot ~ide strip, 3.5 feet each side of the following described centerline: "- ~ Beginnin8 at a point on the Grantor's northwesterly property line North 65 29' East 32.0 feet from the most westerly corner of Lot 15, Block 27, EmerAld Heights Addition to Springfield, as platted and recorded in Book 4, ~age 14, Lane County Oregon Plat Records, thence South 370 30' 3011 East to a point on the north- westerly right-of-way line of Level Lane 3.5 feet northeasterly from the Grantorrs most southerly property corner and there terminating. The actual c9nsideration for this conveyance is one ($1.00) dollar. ., TO HAVE AND TO HOLD the above easement to the said Grantee, its heirs and assigns forever. IN WITNESS WHEREOF, the Grantors above named have hereunto set their hands and seals this 21 . day o"'f August, 19 68 . kl "T::? /?'" ./~. -.{W1.A..1/-,....../ /..1 ../.{/-, 7 .,,~; (SEAL) i, d...':""rw1', . ./'I.-(~}- r Al ('4f'<,{ ~ C oJ r. Itr,j ''*''- h. " ~... V ........ 4~'/ .., , ~.J'II.- 111'. r STAT~" Ql1'~OREGO~". ~)# . ~. ~f ~O."A~}- \~~~ ss Cou~)\' ~.ot4~~Jt j~} ~ tf*-. va1:\ I.~: . ... ,/\"'.. . " ~ BE It~~~~~~R~~O;that on this 21 day of the unde.tSMgrtM1t.....a Notary Public in and for appeared 'the'.'Within named Larson B. Wr!ght known to me to be the identical individual~ the within instrument and acknowledged to me and voluntarily, IN TESTIMONY WHEREOF, 1 have hereunto set my hand and affixed my official seal the day and year last above written. , (SEAL) (SEAL) , (SEAL) August ,19 68 before me) said County and State) personally and Genevieve Wright described in and who executed that they executed the same freely ... '. ri:B.I/;- /171 My Commission Expires~ cIs ED #46 q-?07~ & YIA~- No~y Public . ~ E II/}.: . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us - . Permit#: L.olAAZDO,S.-DOL{OL Issued by: 723 Cr~~ '":Des. u Address: Date: 06 zb oJ Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~1. Qr 2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. D 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR ~ 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. 1/ A J / I / ~ -r/ / 03 ~ .K6i;v~J~/ v 1"7'" (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner. doc 03/11/03 . . Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For a State Business ill number, call the Business Information Center at 503-986-2200. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7115. . Other Responsil;Jilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. . Time: Make sure you have sufficient time to supervise your employees.. Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner. doc 03/11/03 \ I ~ \ } CITY OF, Si-ttl1\TGFI5l;D, q~GO~~, '~,~ ~ , 1. LOCATION OF INSTALLATION \0110INin9 s\ne . FAX: (541)726-3689 h(t\i\\ed n~\. land use . ssuv eCIIC loiec\ a Uile s? ;;~ \OIlOINin9? eS nO\ le~ -+-.. fI I Ine nd dO L-\/~'-:'" b '20 0 So "7onin9, a . "\ '1 ..-() I' lO'Jal. -& .. a?? ;2Dt\in9 COMPLETE FEE SC1:1EDUL 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 ELECTRICAL PERMIT APPLICATION City Job Number (bl11zoo3 -00 l.(O,?- Date LEGAL DESCRIPTION 17033 '-IlL{ JOB DESCRIPTION ()7~ oa\e . na\Ule . . .... ..'zed 519. .. ... A. New Residentra'f~~ingle or Multi-Family per dwelling unit. Service Included 3. 723> Ct.es. -t UJ-N€ --;e-M p ?~t-Jc Q... 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders '-- Installation, Alterations or Relocation: Electrical Contractor 200 Amps or less 20 I Amps to 400 Amps / 401 Amps to 600 Amps / 601 Amps to 1000 Amps Phone Over 1000 AmpsNolts / . ....,.'\;,~\~, Reconnect Only \ 0::.'" ~" ,\;\.') , .\}\\ \.;Y\:' '. ~ . ..' . ~.. . Supervisor License Number , .",\\1 ,eu.\~.),-:~~)\ \ .' ~"'.\ e\'femporary Services, or Feeders ,-;) . \" .. '. . .., . '" .. .. . h ,v'{\ \~ ,v \~ ~. , .,;:'.:4..r; ,.\ .'"'. ~ . . :"'\'.!J . i'J ',\ \ ,...' .'.' '. ,"').. Expiration Date . ,.\".,)\ .;,;.:;,-) \) . ',) <":" , ", ,,\,\' 'fstallation, Alteration or Relocation tT \.'- ',\\,.;,' '1'\";1;\" T,t"'i\.\ ,,".\'\. 1 .......{," I , .,'. ,,'.:.\". ;.' .~;.~,. ." t'\T':' 20QtAmps or less ~,\ ,;.~v"'" .\,',;"10..:..",,\: 'to ~....'<'.,' ~~t;.\'),'-,f. .,.\\~)' Constr. Contr. NUItl ]. \ ~ .." . .,t, , _ ,.:' """'C'~. ,,~:,,'f' '201 Amps to 400 Amps ",\ \'.. \'" ~ . ~.,"" ~ \ ~'~).. -." ~\.~' \ J"- ,'.'. .~n' ,,",,~:,, ..\~,'.' t>;~ 401 Amps to 600 Amps ..'t ~ , \-" ~~'- ^.O . . I'.'" '". n' '",'I \... "" ,!'\!Jt ... ExpIratIOn Date ,~,. ."" . <(.,\ . _\',' -",'\\",;;,.;.) 0 600 A . 1000 V I "B" b , \;. '-F., .....",__ ,.' . ("':'::; o.:;;:;~ ver . mps or . 0 tssee .. a ove. Signature of Supef\\is'iii1g E!~ctri?i~n. \'}'" \':1 '\ ~C:l!J' D.Branch Circuits '{\\},,""~ <:.3(\\e' ~:~;\~o, Extension Per Panel ~~~l~al Circuit or with ./J/J ,I I \r \ 't...;s\~ ~~~tler Permit $ 3.00 Owners Name rn 1'-11\ -z:e 1- 0.'''; V'.. 1>" \~\~ ~~:~ _ . . . . Addre" 7'1 So CrE ~t.\t~~~'i)':~ ~~lSe~lIaneons (Se"",elfeede, not mdnded) ~E..b Installation, C;ly S PF.1 Pbon'\~\~~:O:~~'i)'i),pnmp odITig,tion $ 50.00 ~~ ~~~ ~~ Sign/Outline Lighting $ 50.00 OWNER INSTALLATION ~<::s ~ \'O~ Limited Energy/Residential $ 25.00 The installation is being made on prope~~own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Address . City $ 50.00 $ 69.00 $100.00. 50 $ 43.00 Owners Signature: ~/ hi v/,~_ t" M~ ;t;/vu/V Inspection Request: 726-3769 4. SUBTOTAL OFABOVE 7% State Surcharge 10% Administrative Fee ~o :sSO SOD ct.sS ~ TOTAL , Shared Dnve(T:)/Building Fonns/Electrical Pennit Application I-03.doc . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: Com2003-00402 NAME OR COMPANY: Michael Koivula LOCATION: 723 Crest Lane TAX LOT NUMBER: 17033414 tl7300 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2425.00 1 $0.282 = I $683.85 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE DISCOUNT I 0.00 I $0.282 50% = $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x COST PER DFU 16 $22.09 B. IMPROVEMENT COST: . NUMBER OF DFU's. x COST PER DFU . 16 $16.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x NUMBER OF'UNITS x 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I 9.57 I ITEM 3 TOTAL - TRANSPORTATION SDC = , 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU I $332.86 B. IMPROVEMENT COST: NUMBER OF FEU's x COST PER FEU I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE = I $2,395.63 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: , $683.85 I $622.08 I 16553 , $683.85 = , $353.44 = $268.64 COST PER TRIP $16.81 x INEWTRIP FACTOR I 1.00 = , $160.87 COST PER TRIP $74.17 $870.68 x INEW TRIP FACTOR I 1.00 = , $709.81 I $219.02 I I $2,395.63 CHARGE $119.78 ~.,..,~ ,...-- 6/13/2003 TOTAL SDC CHARGES Virginia Jurasevich PREPARED BY DATE =, $332.86 =, $34.83 =, ($158.67) =, $10.00 , 71.87 I $47.91 =, $2,515.41 CI) ~ Q o u ~ ~ r-< CI) ...... C) ~ 1070 1091 1092 1093 1094 1054 1055 1054 1056 1079 I 11078 I . . , ~ DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAJNAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRArNAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 -- SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SrNK: COMMERCIAL BAR 0 0 2 = 0 SrNK: WASH BASIN/DOUBLE LAVATORY 1 0 2 . = 2 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 I 0 1 = 0 URINAL, STALL / WALL 0 I ' 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 I 0 6 = 0 TOILET, PRIVATE INSTALLATION 1 I 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EOD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS I 16 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE \979 1979 \980 \98\ 1982 1983 1984 1985 1986 1987 1988 1989 1990 199\ \992 \993 \994 \995 1996 1997 1998 1999 2000 CREDIT RA TE/$I ,000 ASSESSED VALUE $4,92 $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3.78 $3.4\ $2.98 $2.52 $2.06 $1.64 $1.45 $1.31 $1.13 $0.97 $0.82 $0.63 $0.41 $0.22 $0.04 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $32.25 x $4.92 = I $158.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $4.92 = I o TOTAL MWMC CREDIT , $158.67 = j .