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HomeMy WebLinkAboutPermit Plumbing 2018-09-06SPRINGfIELD eb OR€GOi( Web Address: www.sDrinqfield-or,oov Building Permit Residential Plumbing Permit Number: 8'l I -18-001941-PLM IVR Number: 81 1067157699 city of Springfield Development and Public works 225 Fifth Street Springfield, OR 97477 gt-726-3753 Email Address: p€rmitcenter@sp.ingf ield-or,9ov Permit lssued: September 06,2018 Category of Construction: Single Family D\,\,elling Type of Work: New Submifted Job Value: $0.00 Description of Work: Sewer line to prgperty line through easement at 610 W D St. Water line to Worksite address 588WDST Springfield, OR 97477 line thro h easement at 601 E emont Wa Parcel 1703341307100 Owner: Address: wlNDHEIiil LIVING TRUST PO BOX 816 PLEASANT HILL. OR 97455 Business name SEE PROPERTY OWNER INFORiTATION - Primary License Owner (Property) License number OWNER Phone lnspection 3999 Final Plumbing 3200 Sanitary Sewer 3201 Sewer Connection 3300 Water Service 3315 Water Line lnspection group Plumb Res Plumb Res Plumb Res Plumb Res Plumb Res lnspection status Pending Pending Pending Pending Pending Various jnspections are minimally required on each project and ofren dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildangpermits.oregon.gov Schedule by phone call '1-888-299-2821 use IVR number: 811067157699 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store All provisions of la$,s and ordinances governing this type of work will be complied with whether specified herein or not. cranting of a pernit does not presume to give authority lo violate or cancel the provisions of any otherstale or local law regulating construction or the performance of construction. ATTENTION - CALL BEFORE YOU DIG: Or.gon law requires you to follow rules adopted by the Oregon Utility Notilication Center. Those tul€s are 3et fonh in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copi* of the .ules by catting the center at (877) 668-4001 or dial 811. All persons or entities pertorming work under this permit are required to b€ licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Etectricat), and ORS 693.OtO{20 (ptumbing). Pnnled on: 9/6/18 page j ol2 id_Burtdingpermil_pr TYPE OF WORX JOB SITE INFOR.TIATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permits must be posted in clear view on the worksite. Permits expire if wor* is not started within 180 Days of issuance or if work is suspended for 180 Oays or longer depending on the issuing agency's policy. Permit Number: 8'l 'l -18-00'1941-PLM Page 2 ol 2 Fee Description Technology Fee Sanitary sewer - Total linear feet Water service - Total linear feet State of Oregon Surcharge - Plumb (12olo of applicable fees) Quantity Fee Amount $11.s0 $127.00 $103.00 $27 .60 $269.10 nd-BurldingPermit-Pr 108 63 Total Fees: Page 2 ol2Prinled onr9/6/18 PERMIT FEES SPRII{GFIILD t6 0[tG0rr www.springfield-or. gov Worksite address: 588 W D ST, Springfield, OR 97477 Parcel: 170334'1307100 Development and Public Works 225 Fifth Street Sprinqfield, OR 97477 541-726-3753 permjtcenter@springfi eld-or.9ov Transaction Receipt 811-18-001941-PLM Receipt Number: 467935 Receipt Date:9/6/18 City of Springfield Fees Paid Transaction date 9/6/18 9/6/18 9/6/18 Unils 63.00 LnFl 108.00 LnFt 1.00 Ea Descriptlon Waler service - Total linear feel Sanitary sewer - Total linear feel State ol Oregon Surcharge - Plumb ('12% of applicable fees) Account codE 224-00000425603-1034 224-00000-425603-1 034 821 -00000-2't 5004-0000 Foe amount $103.00 $127.00 $27.60 Pald amount $103.00 $127.00 $27.60 91 1a 1.00 Automatic Technology Fee 1 00,00000-425605-0000 $1 1.50 $11.50 Payment Method Credit card authorization 043788 Payer: Roer Windheim Payment Amount $269.'r0 Cashier: Toste Muniz Receipt Total $25S.10 Pinted:9/6/18 1'59 pm Page 1 of 1 FIN_T.ansacliDnReceipt_pr Plumbing Permit Application DEPARTMENT USE ONLY Permit no tB -lqL{ I b ln lao tgL#e :15 Fifih Srreq . Springfield. OR 974', . PH(54:)726 l75l . FAx(541)716-3689 Zoning approval verified? ! Yes n lo i Sanitation approval verified? n Y.s n Xo Date Thii permir is issued under OAR 918-780{060. Permits are issued onl} to the person or cotrtractor doiDg the t orli. Permits expire if *'ork is not started nithitr 180 days ofissuance or if $ork is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE \e$ resideotiel CATEGORY OF CONSTRUCTION ! Residential ! Government t rt\ L-.1 Lommercral I I 0A feet ofvater/sewer lines hose bibs. ice maker. underfktor low-potnr drains and rain4rain packages) s323.00 s )ob sire address: 5*8 W et I bathroomsrl kitchen 5506.00 s595.00 : s sEach addirional bathroom (over Sl I s128.000lrEach addilionai kjrchen lover I i s128.00 s ,,<(l sate: of._ l, np, q z{z?3 bathrooms,l kirchen i Reference: I I3 S<to<r L:.e- To eA *)tkbta",^ ] .'raar"r.P. o. Eox 8rL Ta.lilot DESCRIPTION OF WORK Ll,te *l"r^. <o-t<tr^< rLf $15E.00 s236.00 S Name ?.001 to 3,600 square feet 3.601 to 7.200 square feet I 7.201 square feet and grearer I cit.", Plc<zt^t- 4;t1 I State: ,A I zrp,ftvsg Phone:ll( 7(t - eo l$*!g -%3-utD olo-fam E-maii Mtnimum fee s31s.oo S Manufactured dwelli re-Iab (circl€ one) Connections to building sewer and warer suppl) Commercial, industrial. and dwellitrgs other thaD one- or s99.00 5 Each fix1ure $24.00 s 100 storn1. sewer. water line s 103.00 Each [xn:re. appunenance. and plprng s24.00 S i Srorm waler retentionrdetention facilirl s103.00 s lrrigation sysremslBackfl ou s24.OO S Prping or pnvate slorm nage s24.00 $9S.OO S Lor I This rnsrallarr ov,,ned hr me on ls ora berne maoe on residenlial or larrn proper.\ member of mr immediate tamilr. atrd lsexemDl from der OAR 918-695-0020 S rgnalure IicensineF;L Business name Address i Stare ZTP the firsr 100 feer Specialq fixrures s\5 $24.00 s Crrv or SpnncrrnlD, OREGToN Description a$'Cost ea. Miscellaneous fees R INSTALLATIONco Phone Fa\Reinspection (no. ofhrs. x fee per hr.l , $99.00 S E-mail Special requested hrs. x fee per hr.) rnspections (no of equal m lAll s9S.00 s s99.00 s Minimum fee I 5 s $ PlumornC lrcense no CCB license no BCD iicense nc Each additioDal iDspection: l Medical gss (Minimudl Permir Fee S99.00J (B ) lnvestigative fe€ ( Enter taiue of insraliatioD and equipmenl 5 _ I Enter fee based on installadon and equlpment value ! OEPARTMENT USE Sir..nature 5et-,e< (tne - LuAtrA Lln<, .- (A) Enter subto(al ofabove feeslo8 t a(^^1 Esr 63' - f*,r" €s!gr66nr i (c) Enter ltoz sulchar-ee (.12 x [A-B]l (Dl Technoiog\ Fee (5% of s o l,ast edired 7/l,20tS biones TOTAL fees aDd surcharges (A through D)5 / I l Totrl cost tt I JOB SITE INFORMATION AND LOCATION , \, AibLihe- 'i-ts )rcpz,.+v Lut. t{.r,.". ttk rne -{-i PROPERTY OWNER i Residential fire sprinklers (includes Dleo revielr') s9s.00 s Crrr': Print name s Property Owner Statement Regardi n g Construction Responsi bi Iities Oregon Law i'equires resident,ai construction permit applicants who ai-e noi licensed with the Construction Contracto:s BoarC tc sign the following statement before a buiidin-o Dermit can be issL,e.i. (ORS 701.325 {2],) This statement is required ior tesicjentiai build,ng, elecrrical, mechanical, and piumbing permits. Licensed a.chitect anci engineer apolicants, exempt from licensing under ORS 701,010 (7), need not submit this statement. This statement will be filed with the permit. Pleese cneak lhe aoprcoriate box Name =xDiraiion Daie I will inform my general ccntractor that all subconti-aclors who work on the structure must be licensed with the Oon$ruction Confacrors Bcard. or --1/-L5 iwill be periorming work on properi) I own, a residence that i reside in, or a residence that I will reside in. lf I hire subcontractors, lwill hire oniy subcontractors licensed wilh the Construction Contractors Board. lf i change my mind and hire e generai contractor, I will seiect a contractor who is licensed with the CCB and will immediately give the name oithe contractor to the ofice ,ssuing this Buiiding Permit. I have read and understand the lnformation Notice to Homao\,vners About Construclion Responsibililres. and I hereby certify that the inrormation on this homeovrner statement is true and accurate. er Lu t rrr dln <-ivr-- Print Name of PermitApolic€ni-R t9 tt-i{i, Senaiurc o .5ermir ApoIcant io-mlLerm? ACdres 58P> 'LAJ D S.r d Dy:444-Dare Th,s :ouy- fo. Permi: Ofhcer I ] I i own, reside in, or will resioe in the compieted structure anc'my general contractoi is: I tr u_ Dale q lt,l'q SPFI'NGFIET-D 22s FIFTE STREET . SPRII{GFIELD,OR9T4TT o PH:(541)126-3753 r FAX: (341)726-3689 €h, R ADDRESS REQUEST ,€v^ LU.*J hzi^- Mailing Address:Po.Bo,r 8tt Property Owner: City:A"-t_i\(State: O R\Zip: q7 V55 Phone number where you can be contaded between 1:00pm and 5:00pm: Assessor Map #: €14-9sz-rrro Tax Lot#: 17- oZ- 3{-rs-.o7/oo Properties are generally assigned addresses when application is made for a permit to improve the property. Please explain specifically why you need an address assigned prior to the property being improved: Proposed Address: Property Owners 5 58K N D s+. ignature: . OFFICE UsE. Date: A f Date Received:Received By: Fee: f;.eference Number: Receipt #: l7 O<3q /3 TaxLot#: O7/O O Denied Amount Paid: /tppror"a lf approved. new address is: 588 Reviewed By: ----effst,ac^ Date: (c) v{T):/Building Fo 6 Request I l{2.doc Person or Agency requesting address if other than owner: ,\f [:: 8:::tl3l]!l .". ^.."".= 2018.036850 lllllllllllllllllllllllllllllllllllllllllllllllil $102 00 o77364lo2otsos35E500o4004s 08/0?/2018 11 : lE:07 f,ll Send Tax Statement To: After Recording Return To: Roger Windheim P.O. Box 816 Pleasant Hill, Oregon 97455 RPR-ESI'IT Cnt=l Stn=40 CiSHIER 01 $20. o0 $10.00 511.00 t61.00 A 3'PRIVATE SEWER LINE EASEMENT A 3 foot wide private sewer line easement located in the Northeast Quarter of Section 34, Township 17 South, Range 3 West of the Willamette Meridian, Lane County, Oregon, being within Parcel 2 of the Land Partition Plat no. 97-P0972 as recorded in the Lane County Oregon Plat Records. The following is the description of the South line of sard 3 foot wide easement. Beginning at the Southwest corner of Lot 105 of River Hills as platted and recorded in File 72, Slides 79 thru 81, Lane County Oregon Plat Records; thence East along the South line of said Lot 105, 35.67 feet; thence South 65.00 feet; thence South 63"51'51" West 67.00 feet; thence South 85'58'13" West 25.04 feet ; thence South 37'09'03' West 30.89 feet; thence South 02"02'38'East more or less to a point on the North right of way of a Public Utility easement along D Street, which is 12 feel parallel to the existing back of walk. The walk is not parallel to the property line causing the easement to vary it's width on the property, said point being the TRUE POINT OF BEGINNING OF SAID EASEMENT; thence along the North line of the said Public Lftility easement in a Northeasterly direction to the East line of Parcel 2 of said Partition 97 -PA972, being the END POINT OF SAID EASEMENT, all in the City of Springfield, Lane County, Oregon. '1) This easement is not personal or in gross but is to be appurtenant to each and every portion of the following described property owned by the GRANTEE, see EXHIBIT B for a descriptron of the two parcels of land; 2) This easement is granted over and across the property owned by the GRANTOR, see EXHIBIT A for a description of Parcet 1: Page 1 of 4 For value received, receipt of which is hereby acknowledged, James E. Yarnall and Jacqueline Z. Yarnall, owners of Parcel 1 (Grantor), as described on EXHiBIT A, hereby grants, transfec, and conveys unto, Roger Windheim, (Grantee) owner of two parcels of land, as described on EXHIBIT B, its successors, and assigns, and to run with the owners of Parcel 2, a non-exclusive easement for construction of a sewer system with access to a 3 foot wide private sewer line situated on said Parcel 1, which will serve the two parcels of land as described on EXHIBIT B. The following is a description of the South line of the 3 foot wide private sewer easement. Said easement is a strip of land over and across said Parcel 1 and is more particularly described as follows: 3) This easement is made upon the following terms: 3.1) Grantor grants to Grantee a nonexclusive right to use the 3 foot wide private sewer line easement for households located on the two parcels of land described on EXHIBIT B, and owned by the Grantees. 3.2) The easement grants for maintenance, repair and replacemenl of the sewer line across Parcel 1 . 3.3) Owners of the Parcels shall each pay the real property taxes assessed upon their respective parcels. 3.4) The owner of Parcel 2 shall have the right of access across Parcel 1 as necessary for the maintenance and repair of the common facilities located on Parcel 1 . 3.5) The parties intend that the rights and obligations arising under this agreement run with the ianci and inure to the benefit of, and bind the successcrs in interest of the parties. Page e of 4 Dated this )71"day of -)/v b"*U; ? 4at o-./1 2018 l,lafquetine Z.tY afatl ames E. Y STATE OF OREGON COUNTY OF LANE On this )7k day of I , 2018, personally appeared before me the within named Jam# E. Yarnall and Jacqueline Z Yarnall and acknowledged the foregoing to their voluntary act and deed. My Commission Expires On: EXHIBIT "A" Parcel 1 Parcel 2 of Land Partition Plat No.97-P0972, as recorded in Lane County Plat Records. OFFICI.AL STAMP KATH JOHNSON NOTARY PUBLIC€REGON roN No. 9i4202iX :i{fi1i}trt*+:iHf*H.ryI Page 3 of4 --i_-)- Parcel 2 Parcel A (one of the two parcels using the 3 foot wide private sewer line) A tract of land located in the Northeast Quarter of Section 34, Township 17 South, Range 3 West of the Willamefte Meridian, Springrfield, Oregon, being more particularly described as follows: Beginning at the Northeast corner of Parcel 1 of Land Partition PIat No. 97-P0972, as platted and recorded April 14, 1997, Lane County Oregon Plat Records, said point on the South Boun(ary of River Hills, File 72, Slides 79 thru 81, Lane County Plat Records; thence along said East boundary of said Partition Plat run South 121.30 feet to a point on the Northerly right of way of West D Street, said point being 30.00 feet, when measured at right angles from the centerline of West D Street; thence along said Northedy right of way run North 61" 48'37'East77-81 feet; thence leaving said Northerly right of way North 84.54 feet to a point on the South Boundary of said River Hills; thence along the said South boundary run West 68.58 feet to the point of beginning, all being in the City of Springfield, Lane County, Oregon. Parcel B (one of the two parcels using the 3 foot wide private sewer line) A tract of land located in the Northeast Quarter of Section 34, Township 17 South, Range 3 West of the Willamette Meridian, Springfield, Oregon, being more particularly described as follows: Beginning at the point that is East 68.58 feet of the Northeast comer of Parcel 1 of Land Partition Plat No. 97-P0972, as platted and recorded April 14, 1997, Lane County Oregon Plat Records, said point being on the South boundary of River Hills, File 72, Slide 79, Lane County Oregon Plat Records; thence run South 84.# feet to a point on the Northedy right of way of Wast D Street, said point being 30.00 feet, when measured at right angies, from the centerline of West D Street; thence North 61"48'37" East 7.87 feet; thence along said Northerly right of way along the arc ol a 425.14 foot radius curve to the right (the long of which bears North 68'16'54" East 95.84 feet) a distiance of 96.05 feet; thence leaving said Northerly right of way run North 0"20'00' East 45.36 feet to a point on the Southeriy boundary of said River Hills; thence along said South boundary run West 96.24 feet to the point of beginning, all in the City of Springfield. Lane County, Oregon. Page 4 of4 EXHIBIT ..8" E::3".ili1ilil!.,'an".o"a' ?0lt'03$tll lll!utululluu]uit[u[u[\I$}[,,,, il;';Send Tax Statement To: After Recording Return To: Roger Windheim P.O. Box 816 Pleasant Hill, OreBon 97455 RPR-ESiiT CnL=l Sln=40 CBSHIER 01 $2o.oo $to.oo r11 00 $51 . o0 DECLARATION OF A 6' PRIVATE WATER EASEMENT FOR SHARED WATERWELL AND PIPE LINE For vaiue received, receipt of which is hereby acknowiedged, James E. Yamall and Jacqueline Z. Yarnall, owners of Parcel '1 (Granto|, as described on EXHIBIT A, hereby grants, transfers, and conveys unto, Roger Windheim owner of Parcel 2 (Grantee). as described on EXHIBIT B, its successors, and assigns. The 6 foot wide private water easement will run with the owners of Parcel 2, a non-exclusive easement for a water Iine running from the existing water line in Edgemont Way access Parcel 1 to service Parcel 2. The following is a description of the 6 foot wide water easement. Said easement is a strip of land over and across said Parcel 1 and is more particularly described as follows: A 6 foot wide private sewer line easement located in the Northeast Quarter of Section 34, Township 17 South, Range 3 West of the Willamette Meridian, Lane County, Oregon, being within Parcel 1 of the Land Partition Plat no. 97-P0972 as recorded in the Lane County Oregon Plat Records. The following is the description of the South line of said 3 foot wide easement. Beginning at the North Northeast corner of Parcel 1 of Land Partition PIat No. 97- P0972, recorded on April 14, 1997. in the Lane County Plat Records; thence aiong the East Iine of said Parcel 1. South 22"34'55" East 16.77 feet to an interior corner of said Parcel 1; thence leaving the East line of said Parcel 1, South 22'34'55" East 11.23 feet; thence East 31 .30 feet to a point on the East line of said Parcel 1 ; thence along the East line of said Parcel 1 , South 6.00 feet; thence leaving the East line of said Parcel 1, West 35.30 feet; thence North 22'34'55'West 32.09 feet to a point on the Southerly right of way of Edgemont Way; thence aiong the Southerly right of way of said Edgemont Way, along the arc of a 200.40 radius curve to the left (the long chord of which bears North 68"16'34" East 6.00 feet) a drstance of 6.00 feet more or iess to the point of beginning, all in the City of Spnngfield, Lane County, Oregon. 1) This easement is not personal or in gross but is to be appurtenant to each and every portion of the following described property owned by the GRANTEE, see EXHIBIT B for a description of the two parcels within Parcel 2; Page 1 of 4 2) This easement is granted over and across the property owned by the GRANTOR, see EXHIBIT A for a descnption of Parcel 1; 3.1) Grantor grants to Grantee a nonexclusive right to use the 6 foot wide private water line easement for households located on the two parcels of land described on EXHIBIT B, and owned by the Grantees. 3.2) The easement grants for maintenance, repair and replacement of the water line across Parcel 1 . 3.3) Owners of the Parcels shall each pay the real property taxes assessed upon their respective parceis. 3.4) The owner of Parcel 2 shall have the right of access across Parcel 1 as necessary for the maintenance and repair of the common facilities located on Parcel '1 3.5) The parties intend that the rights and obligations arising under this agreement run with the land and inure to the benefit of, and bind the successors in interest of the parties. Page 2 of 4 3) This easement is made upon the following terms: Dated this day of I zut6 Jam .Ya STATE OF OREGON COUNTY OF LANE On this /rh -2u I ,,t , 20i 8, perscnallyday of appeared before ine wmrin named Jame( E. Yarnall and Jacqueline Z Yarna and acknowledged the foregoing to their voluntary act and deed. Notary Public r Oregon ) )ss ) - t - /-o./o 2/ 2otMy Commission Expires On: EXHIBIT "A" Parcel L Parcel L of Land Partition Plat No.97-P0972, as recorded in Lane County Plat Records ffiY\{tta# "vt'- CFFICIA]. STAMF KEITH JOHNSON NOTARY PU8'-IC.OREGON ;ouMrssroN No. 97,(20:lr'i a(tliirtss,tN txoraES MAY 0l2@' Page 3 of 4 I -'7 tI /+h Crr*,,,/-,.a 1r*ol/ fl J{ouetine z.;\ ar/ait I EXHIBIT ..B" Parcel 2 Parcel A (one of the two parcels using the 6 foot wide private water line) A tract of land located in the Northeast Quarter of Section 34, Township 17 South, Range 3 West of the Willamette Meridian, Springfield, Oregon, being more particularly described as follows: Beginning at the Northeast corner of Parcel 1 of Land Partition Plat No. 97-P0972, as platted and recorded April 14, 1997, Lane County Oregon Plat Records, said point on the South Boundary of River Hills, File 72, Slides 79 thru 81, Lane County Piat Records; thence along said East boundary of said Partition Plat run South 121.30 feet to a point on the Northerty right of way of West D Street, said point being 30.00 feet, when measured at right angles from the centerline of West D Street; thence along said Northerly right of way run North 61' 48' 37" Eas|77.81 feet; thence leaving said Northerly right of way North 84.54 feet to a point on the South Boundary of said River Hills; thence along the said South boundary run West 68.58 feet to tlre point of beginning, ali being in the City of Springfield, i-ane Counry", Oregon. Parcel B (one of the two parcels using the 6 foot wide private water line) A tract of land located in the Northeast Quarter of Section 34, Township 17 South, Range 3 West of the Willamette Meridian, Springfield, Oregon, being more particularly described as follows: Beginning at the point that is East 68.58 feet of the Northeast corner of Parcel 1 of Land Partition Plat No. 97-P0972, as platted and recorded April 14, 1997, Lane County Oregon Plat Records, said point being on the South boundary of River Hills, File 72, Slide 79, Lane County Oregon Plat Records; thence run South 84.54 feet to a point on the Northerly right of way of West D Street, said point being 30.00 feet, when measured at right angles, from the centerline of West D Street; thence North 61 '48'37" East 7.87 feet; thence along said Northerly right of way along the arc of a 425.14 foot radius curve to the right (the long of which bears North 68"16'54' East 95.84 feet) a distance of 96.05 feet: thence leaving said Northerly right of way run North 0"20'00" East 45.36 feet to apoint on the Southerly boundary of said River Hllls; thence along said South boundary run West 96.24 feet to the point of beginning, all in the City of Springfield, Lane County, Oregon. PaBe 4 of 4