HomeMy WebLinkAboutApplication APPLICANT 4/7/2008 (2)
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City of Sprmgfield Date ReceiVGI:
Development Services Department
225 FIfth Street
Sprmgfield, OR 97477
Phone (541) 726-3759
Fax (541) 726-3689
SPRINGFIELD
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Original submittal-- ~~---
FP Floodplain Overlay District, Type I
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Apphcant Name ~uJ 1" "-I15el" "bx..iett.<<o.rr;5C1\. (,,~'
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Address {'-I4( I-fWv. qq AI. EU-4eJ-{~ {)R. 97'fod-.
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Property Owner Name ,).-..HleS I.J.Jn~C'J.
Address -1..9 7 (n 'X.,Jo.J"J. 1.LKu.P 5J!J. () ~'I' 74 7"L- Phone Cf { 3 - 'f! c, '-' 5
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Phone
bf!J1-77fo 7--
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Property Address I q 7 ~ TJ"J~ Wa-"
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Assessor's Map No (/2,-03 -6~-3 3
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Tax Lot No
(,50 e>
Size of Property
';;ZoO -+01'--
Square Feel or
Acres
EXlstmg Use of Property 'Re5~j""i:... ~
ExplanauonofWorktobeDone T(,ot;}Ia.c:.<2- M",~:l~ lioMc:'" l~J~ff". A),su)
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fhe undersigned acknowledges that tbe mformatlon lD thiS apphcatlOn In correct and aCCUfJte
Apphcant Signature '-'7"<$u //~ - Date tj -I-of{
If the 'pp~C.lDt IS other tj ~er, t~e :wfer herehy grants permI>slon for app~c"nt to a~t ID hlslher hehalf
ownerSlgnature~-~ IJ/7r~'/__/ Date J.../~i--IJ~
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For Office Use Only'
Journal No (<;'M-r( 2fo 6 - mOOd-- ReceIved By
Map No 1~-D3-0'2.-33 Ta.,LotNo
Date Accepted as Complete
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CITY OF SPRINGFIELD
VICINITY MAP
SHR2008-00002
1976 Inland Way
Date Received:
APR - 7 2008
Original Submittal
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Map 18-03-02-33
Tax Lot 6500
North
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Date Received
APR - 7 2008
Onglnal SubmlttPl
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Public. Works
APPLICANT'S COpy
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SANITATION AUTHORIZATION NOTICE
FOR SP087024
Permit Sub-Type: AUTHSITE
ApplicatIon Date: 01/25/2008
Proposed actIvity: AUlHORIZATlON WITH SITE VISIT
Job Address: 1976 INLAND WAY SPR
AppllLant'
JENSEN BOYD
WOODARD JAMES
1441 HWY 99N
EUGENE OR
97402
Owner:
1863 PIONEER PKWY E #434
SPRINGFIELD OR
97477
Parcel #: 18-03-02-33-06500
Discussion:
No eVidence of failure Replacement
will reqUire pre-tt eatment
MH m same foot pllnt No mcrease
m design flow
Setbacks met
pumpmg lecpt lec'd from Above All
SamtatlOn
Authorized?: Y
Y = Yes
N=No
InspectIon By: JM
InspectIon Date: 01/29/2008
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Inspector Slgnatun'~_"'" ~ ~__ ~-ate:
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/-50-6
Date Received
APR - 1 2008
Ongmal SubmlttF I
January 23,2008
Branch No 08-0] 8
@
~ Branch Engineering, Inc.
310 5th Street. Spnngfield, Oregon 97477. (541) 746-0637' Fax (541) 746-0389"\
PRINCIPALS
James A Branch, P E , P L S
Rene Fab"cant, S E , P E
Michael Lane Branch, P E
Damlen Gilbert, P E
Renee Clough, P E
(
Gooden-Hamson ConstructIOn Co
144] I:lIghway 99 North
Eugene, OR 97402
Date Received
Attn Boyd Tensen
Re ]976 Inland Way, Spnngfield
APR - 7 2008
Ongmal Submittal
Dear Boyd,
We have drawn a lIne with a pennanent marker on the northeast carport snpport post at the Base
Flood ElevatIOn of 449 50 NGVD'29 as Interpolated from FEMA Flood Insurance Rate Map
Numbcr 4l039Cl144F With Effectlve Date of June 2,1999 Tlus mark IS 142 feet above the
concrete floor of the carport
-
City of Spnngfield Bench Mark bemg a chiseled square m the top back of curb return at the
southwest comer of Inland Way and Kremont Avenue havmg an elevatIOn of 447 60 City of
Spnngfield Datum and adJusted to 447 90 NGVD'29 was used as the BasIs ofElevatlons shown
hereon
Please call If you have any questIOns or reqUire further services
Yours truly,
a;,~
Rex A Betz, PLS
Survey Manager
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Date Received
APR - 7 2008
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Streets
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1976 Inland Way
Springfield Streets - Tooltip is Street Name
Tax Lots - Tooltip is Maplot
Springfield UGB
FEMA Flood Zone A
Major Water Features by Type - Tooltip is Feature Name
Springfield City Limits
Inside City Limits
Not within City Limits
Eugene City Limits
EUG
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SCALE 1 : 415
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20 0 20 40
FEET
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60
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Date Received:
/~
APR - 7 2008
Original Submittal
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
SHR2008-00002
SHR2008-00002
Payments
Type of Payment
CredltCard
cReceml1
RECEIPT #
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r 'of Springfield Officl3l Receipt
l- _velopment Services Department
P'ubllc Works Department
I
1200800000000000323
Date, 04/07/2008
2 43 52PM
Item Total
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
1.61900
8095
$1,69995
DescriptIOn
UGB Floodplam Dev Base Fee
+ 5% Technology Fee
P.,d By
GOODEN-HARRISON
CONSTRUCTION
Amount Paid
lJ
617034 Phone
$1,69995
Payment Total
$1,699 95
Date ReceIved
APR - 7 2008
OnglOal SUbmJttat
Page I of I
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