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Home My WebLink AboutPermit Plumbing 2004-4-16 . </ . .... CITY OF SPRINGFIELD Building/Combination Permit 'PERMIT NO: cOM2004-00386 ISSUED: 04/16/2004 APPLIED: 04/07/2004 EXPIRES: 10/16/2004 VALUE: ,~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1109 DIAMOND ST ASSESSOR'S PARCEL NO.: 1703342400217 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New PROJECT DESCRIPTION: Septic abandonment and connect to sanitary sewer. Verify contractor info. Residential . Owner: BETTY BELL Address: 1109 DIAMOND ST SPRINGFIELD OR 97477 Phone Number: 541-741-4453 Contractor Type Plumbing I CONTRACTOR INFORMATION I Contractor License ROYAL FLUSH ENVIRONMENTAL SERVIC153694 Expiration Date 12123/2005 Phone 541-895-2072 I BplLDING INFORMATION I ~'~ # of Units: , x-.~':~"" ~ofStories: Lot Size: Primary Occupancy Group: R-~ -<.: ~ '\ C'\~eight of Structure Sq Ft I st Floor: Secondary Occupancy Group: ,<<-.<<- ~~ ~ <("Type of Heat: 0 Sq Ft 2nd Floor: Primary Construction Type :'$V~<<; ~<<; Water Type: O"""~'::;' Sg Ft Basement: Secondary Construction Type: '::':7 <c; '\~ ~<::;\:S Range Type: !'J ->; v~ "-'S'!lt Garage/Carport # of Bedrooms: ",,-<;-."f' 'N<<-~ ~"f' Energy Path: ,/" ~'" c,W ~q Ft Other: ..~. _~~ ~~ ^ ~ 'N' <,<b0'.0,0 ~<b C!l~'j.~fP"el'J'ious Surface Area: ..'\.u ^~... _<" ,,"0 ~('\ ..., ..... Q.. oe.;: ....~ ...<::- ~~~,'S? q,_;~I,,~'0<<-<::;; q,<<Y I DEVELOPMENT INFOwiAiioN-:.:)' ~'$'~4<~v~ SETBAl>KS~ ~~ <::;~ 0~ 1>- 0'" 0".- 0C, 0 0,0_,ct REQUIRED PARKING ~ ~~ Q;:,~ 0" ....0,,~ ~ 'if ;s' " l>" Frontyard Setback':'0\:S A" Overlay Dist:,. ~o~ ,. \:l;s'. vO 0"~ ~l> Side 1 Setback: ..f" # Street~e!:R'I~:~ t;:)\:l": ~'" ~(f -S-"r,fJ')' Side 2 Setback: Paved:Yri~'<Rq:d: 0" &~ 0<'~ ~'" rl ^ ," 0'" \:S ~ ~ ..0 C' Rearyard Setback: % l!l'~rSlivetjie~::-'l1 v0 0 ~ 9- Solar Setbacks: ....0' ,~v g;. OJ 0" ~0 '$'0;-< . ~ bo;' ~ ~-..:. _, t' - 11 r- ~"';' ... .' I PUBLIC IMP~9-\'EMt:~l'S I' . v.... ~ Total: Handicapped: Compact: Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: Downspoutsillrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee I of2 . ,I , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Encroachment Permit In Lieu of Assessment Miscellaneous Plumbing Sanitary Sewer - 1st SO Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each AddtJ 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00386 ISSUED: 04/1612004 APPLIED: 04/07/2004 EXPIRES: 10/16/2004 VALUE: L.Fpps Paid I Amount Paid Date Paid Receipt Number $10.40 $7.28 $120.00 $3,504.55 $45.00 $45.00 $395.83 $520.72 $14.00 $10.00 $214.23 $314.63 $72.77 4/16/04 4116104 4/16/04 4/16/04 4/16/04 4/16/04 4/16/04 4/16/04 4/16/04 4/16/04 4/16/04 4/16/04 4/16/04 3200400000000000046 3200400000000000046 3200400000000000046 3200400000000000046 3200400000000000046 3200400000000000046 3200400000000000046 3200400000000000046 3200400000000000046 3200400000000000046 3200400000000000046 3200400000000000046 3200400000000000046 $5,274.41 I Plan Reviews I 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. I Rp?uire1 Tnsoectionsl I Sanitary Sewer Line: Prior to filling trench and including required testing. 2 Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and verification from company performing pump and fill. 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 of any 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. AkI" ~)l &-u Owner or Contractors Signature Lj-- (& - {) Y Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 '\ 541-726-3759 Phone . ~ ~ Job/Journal Number COM2004-00386 COM2004-00386 COM2004-00386 COM2004-00386 COM2004-00386 COM2004-00386 COM2004-00386 COM2004-00386 COM2004-00386 COM2004-00386 COM2004-00386 COM2004-00386 COM2004-00386 Payments: Type of Payment Check 4116/2004 RECEIPT #: <;i.y of Springfield Official Receipt .elopment Services Department Public Works Department 3200400000000000046 Date: 04/16/2004 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Miscellaneous Plumbing + 7% State Surcharge + 10% Administrative Fee Encroachment Permit In Lieu of Assessment Sanitary Sewer. Reimbursement Sanitary Sewer - Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin Paid By BETTY J BELL Received By jmp Page 1 of I Item Total: Check Number Authorization Batch Number Number How Received 1348 In Person Payment Total: II :50:25AM Amount Due 45.00 14.00 45.00 7,28 10.40 120,00 3,504.55 520.72 395.83 314.63 214.23 10.00 72.77. $5,274.41 Amount Paid $5,274.41 $5,274.41 ~ ' '.,. CITY OF SPIGFIELD SYSTEMS DEVELOPMEN"ORKSHEET JOURNAL OR JOB NUMBER: Com2004-00386 NAME OR COMPANY: Be!IY Bell LOCATION: 1109 Diamond Street TAX LOT NUMBER: 17033424 t1217 DEVELOPMENT TYPE: Sewer Hookup Oolv NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECf RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 0.00 I $0.290 I = I $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT I 0.00 I $0.290 I I 50% = I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC SO.OO ~ 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x, COST PER DFU I 23 I' $22.64 8. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 23 $17.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, S916.55 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I I 9.57 I I 0 I I 8. IMPROVEMENT COST: I ADTTRIP RATE I x I 9.57 I COST PER TRIP $17.23 x INEWTRIPFACfORI I 1.00 I I NUMBER OF UNITS I x I I 0 I I COST PER TRIP $76.01 SO.OO x INEW TRIP FACfORI I 1.00 I ~ I ITEM 3 TOTAL - TRANSPORT A nON SDC = , 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: /NUMBER OF FEU's I x ICOST PER FEU I 1 I I S314.63 8. IMPROVEMENT COST: INUMBER OF FEU's I x I I = ICOST PER FEU i S214.23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRAT,v" ..,,,: ISUBTOTAL I x I ADM. FEE RATE 1= I $1,455.41 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Virginia Jurasevich PREPARED BV 4113/2004 DATE o SO.OO S520.72 S395.83 SO.OO SO,OO S314.63 'I~ Igj 10 10 I~ I~ ell - " ~ 11070 , 1091 1092 1093 I 11094 1054 . . , , ~ .J I DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS l (NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL AXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS I BATHTUB 1 0 ~ 3 3 = IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH I ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER I MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION I ETC. 0 0 1 = 0 IRECEPTOR FOR COM, SINK I DISHWASHER I ETC. 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 ISHOWER. GANG tNUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 3 0 1 = 3 IURlNAL. STALL! WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INST ALLA TION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Equivalent Dwellin.ll: Unit) is a dischar~ equivalent to a sinJde family dwellin.ll: unit (20 DRJ's) set at 167 ~lIons ocr day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/S 1,000 ~ ANNEXED ASSESSED V AWE IS LAND ELGIBLE FOR ANNEXATION CREDIT! 0 BEFORE 1979 $5.04 (Enler I for Yes, 2 for No) 1979 S5,04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT! 0 1980 $4.9.5 (Enler I for Yes, 2 for No) 1981 54,88 BASE YEAR 1979 1982 54,75 1983 54.58 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.41 VALUE /1000 CREDIT RATE 1985 54.20 SO.OO x S5.04 = , SO. 00 1986 $3.88 1987 53.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $3.07 VALUE /1000 CREDIT RATE I 1989 $2,60 $0,00 x $5.04 0 I 1990 $2.14 I 1991 $1.71 I 1992 SI.52 TOTAL MWMC CREDIT = SO.OO I 1993 SI.38 I 1994 SI.I9 I 1995 $1.03 I 1996 SO,87 I 1997 $0.68 I 1998 $0.46 I I 1999 $0.27 I I 2000 $0.09 I ,I 2001 $0.04 II ! ,~ , , . . CITY OF SPRINGFIELD IMPROVEMENT AGRE~MENT AND APPLICATION FOR SEWER HOOKUP We, the undersigned property owner(s), Bel!V J. Bell ,hereinafter referred to as Applicant(s), request pennission to connect the following described property to the sanitary sewer owned and maintained by the City of Springfield, hereinafter referred as the City. We therefore agree to pay a charge of $0.35 per square foot of the benefiting property for the first 150 feet of depth as a deposit against fllture assessments for sanitary sewer. Area in excess of the above mentioned 150 feet of depth is charged $0.18 per square foot. Tax Lot No. 17-03-34-24-00217 Receipt No. ~~ Address J 109 Diamond St. PROPERTY DESCRIPTION: That tract ofland described in a deed from Anthony D. Rigney and Myndi B. Fertal, who acquired title as Myndi B. Rigney to Betty J. Bell, recorded for Pllblic record May 4, 1998 at Reception No. 9833351, Official Records of Lane County, Oregon being further described as: Lot 9, Block 2 of Diamond Acres, as platted and recorded in Book 41, Page 25, Lane County Oregon Plat Records in Lane County, Oregon. . Fee Calculation: 10.013 Sq. Ft. at $0.35 per Sq. Ft. = o Sq. Ft. at $0.]8 per Sq. Ft. = Total $ 3,504.55 $ 0.00 $ 3,504.55 , This agreement does not include the cost of a hOllse connection to said City Sewer, sewer user charges, connection fees, plumbing pennits or other such costs to be assumed by the property owner, IT IS UNDERSTOOD that the Applicant IInderstands that this agreement is enforceable by the , State of Oregon, Lane County or the City. It is further understood that the applicant agrees to sign any and all waivers, petitions, consents and all other documents necessary to obtain the above said sanitary sewer improvement under any improvement act or proceeding of the State of Oregon, Lane County or the City as may be proposed or adopted. The applicant agrees to waive all right to remonstrate against an improvement project for sanitary sewer to be duly initiated by the City Council, but not the right to protest the amount or manner of spreading the assessment thereof, if the same shall appear to Applicant to bear inequitably or unfairly upon said property of Applicant. Applicant's acceptance of the non- remonstrance condition is in consideration for the City's waiver of the requirement for the immediate construction of the public improvements that the development necessitates. The improvement agreement waives the property owner's right to file written remonstrance. It does not waive a property owners right to speak on the proposed district or any related matters orally or in writing. NOW THEREFORE, the City agrees that if Applicant complies with the terms of this agreement, Chapter 2, Article 10 of the Springfield Code and Ordinance 5584 along with all other applicable laws of the State of Oregon, Lane County, and the City, the said Applicant shall be entitled to connect the existing residence to the public sewer systems. The covenants herein contained shall run with the land herein described, and shall be binding upon the heirs, executors, assigns, administrators, and successors of the parties hereto, and shall be construed to be a benefit and a burden upon the property herein described. This agreement shall be recorded in the Lane County Deed Records. Division of Chief Depuly Clerk 'lM!.^'lnel! Lane Counly Deeds'and Records 'UU' U,~g, 1111111111111111111111111111111111 $36,00 JJ';'..H2,":j",40J:"961..."'C'l2M804/23/2004 11:00:27 AM RPR-AGRE Cnl=2 Sln=a CASHIER 08 sa.oo S10.00 S10.00 Sll.00 RETURN TO: CITY OF SPRINGFIELD - PUBLIC WORKS DEPT - 225 FIFTH STREET - SPRINGFIELD, OREGON 97477 Crry OF SPRINGFIELD I \,;;- . .... . . WHEREFORE, the parties have set their hand and seal this' Q day of ,A? iZ-' L , 2001:. ByL__~ City Surveyor Dennis P. Ernst STATE OF OREGON ) COUNTY OF LANE ) S.S. Signed and attested before me on by Dennis P. Ernst - City Surveyor. ~ I~ 2004 , ~~---- T --- --------d l. ~~: : < ) ==~~~~~ :; ~.. IIYCO'olIoISsaUlll9SlEEMBER 8, 2007 ~ :------ ~-':T,dJ -"r------. \{it~;u~\~ MyCommissionExpires~ ~j 20c>1 APPLICANT: ba- Q~.J . ,,- lle~ J. Bell ' STATE OF OREGON) ) SS COUNTY OF LANE ) On this 13 day of b~ . ,200'2., the applicant, me and signed the above document. fi. . . . . . ;,;;,;;~;;;;-: . NANCY J MACHADO ~ i i NOTARY PUBLIC - OREGON , \. i COMMISSION NO. 335646 L '.., /~y.~~~~:~~~~!~:~,~;~d .....-..0.. .0 " ~ . _ . . Bettv J. Bell ,personally appeared before -J. ~(Al'.Zd(; u for Oregon ) . sion expires:~ ./ / rx; .::>rrc:;y Finance Department Information: Trunk Sewer ' Lateral Sewer RETURN TO: CITY OF SPRINGFIELD - PUBLIC WORKS DEPT - 225 FIFTH STREET - SPRINGFIELD. OREGON 97477