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Home My WebLink AboutPermit Building 2006-05-09Status Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 05/0912006 APPLIEDz 0410412006 EXPIRESz 03128/2007VALUE: $ 2,880.00 SITE ADDRESS: 3312 OSAGE ST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: r802062108500 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing single family residence. Adding elevated deck 9126106 PhoneNumber: 541-988-3450Owner: Address: Contractor Type General Electrical Plumbing BRUCE HAMILTON 3312 OSAGE ST SPRINGFIELD OR 97478 Contractor OWNER OWNER OWNER rty Phone 616-45s-2223 mn # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Range LL EXP Overlav dt il AY PERIO D # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Sq Ft^Garage/Carport il r ilE$SlUtner: RM\flS+$It Load: VN R-3 6.00 57.40 32.00 # of Stories: Height of Structure Type of Heat: Water Type: ., 25.00 Heat Pump Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: 224 224 160 Curbside 5' Curb and Gutter Fullv Improved Yes ONE Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Notes: No structure in easemant survey required; storm into existing piped to curb face 411212006 CAS PUBLIC IMPROVEMENTS Page I of3 tortl 12n8t2006 Date ) the Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0510912006APPLIEDz 0410412006 EXPIRESz 0312812007VALUE: $ 2,880.00 Description DecVBalconv Dwellings Tvne of Construction Deck V Wood Frame $ Per Sq Ft or multiplier $18.00 $99.00 Square Footage or Bid Amount 160.00 448.00 Value $2,880.00 $44,352.00 s47,232.00 Date Calculated 09t26t2006 04t04t2006 Fee Description Plan Review Residential + l0o/o Administrative Fee + 87o State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet + l0oh Administrative Fee + 57o Technology Fee + 8%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Plan Review Residential + lOoh Administrative Fee + 57o Technology Fee + 87, State Surcharge Building Permit Total Amount Paid Amount Paid $221.91 $38.64 $30.91 $341.40 $4.22 $84.30 $45.00 $5.50 $2.75 $4.40 $43.00 $12.00 $34.32 $s.28 $2.64 $4.22 $52.80 s933.29 Total Value of Project Date Paid 4t4t06 st9t06 5/9106 5t9t06 5t9t06 5t9t06 5t9t06 9t7t06 9t7106 9t7t06 9t7t06 9t7t06 9t26t06 10t23t06 10t23t06 10t23t06 10t23t06 Receipt Number 2200600000000000423 1200600000000000628 1200600000000000628 1200600000000000628 r200600000000000628 1200600000000000628 1200600000000000628 1200600000000001380 1200600000000001380 r200600000000001380 1200600000000001380 1200600000000001380 1200600000000001449 1200600000000001559 1200600000000001559 1200600000000001s59 12006000000000015s9 tr'pes Pnid Plan Reviews Initial Review Initial Review Planning Review Planning Review Public Works Review Public Works Review Structural Review Structural Review 0912712006 10t05t2006 APP JLP Deck Addition Deck Addition No Planning issues. No Planning issues. No structure in easement, survey required;storm to weep hole 4n2t2006 c{s No change to SDC's.JLPDeck Addition Deck addition 04t05t2006 09t27t2006 09t27t2006 04nU2006 04nu2006 09127t2006 04nu2006 04nt/2006 09t27/2006 10t06t2006 04t27t2006 04n2/2006 t0t20t2006 04t2st2006 APP APP APP APP APP APP APP LLH LLH TAJ TAJ CAS Pase 2 of3 RWC Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0510912006APPLIEDz 0410412006 EXPIRESz 0312812007VALUE: $ 2,880.00 F 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. Floor Insulation: Prior to decking. Framing lnspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Ceiling Insulation: Prior to cover. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Storm Sewer Line: Prior to filling trench. Reou 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 Communify 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 etrsure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is at the front of the property, and the approved set of plans will remain on the site at all times construction. /o' z 3^o G or Con rs Signature Date Page 3 of3 & 225 Fifth S*reet Springfield, Oregon 97 477 541-726-3759 Phone Cit, of Springfield Official Receipt Dr .opment Services Department Public Works Department RECEIPT#: 1200600000000001559 Date: 1012312006 2:22:06PM Job/Journal Number coM2006-00398 coM2006-00398 coM2006-00398 coM2006-00398 Description Building Permit + 5% Technology Fee + 8% State Surcharge + 10oh Administrative Fee Amount Due 52.80 2.64 4.22 5.28 Item Total:s64.94 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard BRUCE HAMILTON njm 034985 In Person $64.94 Payment total: -$6ii5i| cReceintl Page I of 1 1012312006 *nit*.ffi3,,n Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0510912006APPLIED: 0410412006 EXPIRESz 0412412007VALUE: $ 2,880.00 SITE ADDRESS: 3312 OSAGE ST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: r802062108500 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing single family residence. Adding elevated deck 9/26106 BRUCE HAMILTON 3312 OSAGE ST SPRINGFIELD OR 97478 PhoneNumber: 541-988-3450Owner: Address: Contractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER Expiration Date 12n8t2006 Phone 6t6-455-2223 License 08699 )R INFORMATION # of Units: Primary Occupancy Grou p: Secondary Occupancy Primary Secondary # of Bedrooms Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Lot Size: Sq Ft 1st Floor: Ft 2nd Floor: Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 224 224 o\ Energy REQUIRED PARKING Total: Handicapped: Compact: 160 Curbside 5' Curb and Gutter rso ;€ 6.00 57.40 32.00 o//o Fully Improved Yes Sidewalk Type: Downspouts/Drains: Notes: No structure in easemant survey required; storm into existing piped to curb face 411212006 CAS Pase I of3 s Range Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0510912006APPLIEDz 0410412006EXPIRES: 0412412007VALUE: $ 2,880.00 Description Deck/Balcony Dwellings $ Per Sq Ft or multiplier $r8.00 $99.00 $221.91 $38.64 $30.9r $341.40 $4.22 $84.30 $45.00 $s.s0 $2.7s $4.40 $43.00 $12.00 $34.32 $s.28 s2.64 $4.22 $52.80 $4.s0 $2.25 $3.60 $r4.00 $31.00 $988.64 Square Footage or Bid Amount 160.00 448.00 Value $2,880.00 $44,352.00 $47,232.00 Date Calculated 09t26t2006 04t04t2006 Type of Construction Deck V Wood Frame Amount Paid Total Value of Project Date Paid Fee Description Plan Review Residential + l0o/o Administrative Fee + 87o State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet + l0o Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Plan Review Residential + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit + l$oh Administrative Fee + 5%o Technology Fee + 87o State Surcharge Fixture Minimum/Adj ustment Plumbing Total Amount Paid Receipt Number 2200600000000000423 1200600000000000628 1200600000000000628 r200600000000000628 1200600000000000628 r200600000000000628 1200600000000000628 1200600000000001380 120060000000000r380 1200600000000001380 1200600000000001380 1200600000000001380 120060000000000r449 1200600000000001559 1200600000000001559 1200600000000001 559 1200600000000001 559 2200600000000001491 2200600000000001491 2200600000000001491 2200600000000001491 2200600000000001491 4t4t06 5t9t06 st9t06 5t9t06 5t9t06 st9t06 5t9106 9t7t06 9t7t06 9t7t06 9t7t06 9t7t06 9t26t06 t0t23t06 10t23t06 t0t23t06 10t23t06 t0t24t06 10t24/06 10124106 10t24t06 10t24t06 tr'pes Peid Plan Reviews Initial Review Initial Review Planning Review Planning Review Public Works Review 04t05t2006 09t27t2006 09t27t2006 04nU2006 04fiu2006 04nu2006 09t27t2006 10t06t2006 04t27t2006 04fi2t2006 APP APP APP APP APP LLH LLH TAJ TAJ CAS Deck Addition Deck Addition No Planning issues, No Planning issues. No structure in easement, sutrey required;storm to weep hole 4n2t2006 cAS Page 2 of3 Valuation Descrintion I F Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0510912006APPLIED: 0410412006EXPIRES: 0412412007VALUE: $ 2,880.00 Public Works Review Structural Review Structural Review 09t27t2006 09t27t2006 04tru2006 10t20t2006 04t25/2006 RWC 1010st2006 APP JLP No change to SDC's.JLPDeck Addition Deck additionAPP APP 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. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Ceiling Insulation: Prior to cover. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Reouired Insnections 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 Communify 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,the permit card is times construction. /o- z l-o Q Con ature Page 3 of3 Date Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line at the front of the property, and the approved set of plans will remain on the site at all 225 F'ifth Street Springfield, Oregon 97 477 54l-726-3759 Phone Cifr..of Springfield Official Receipt L ;lopment Services Department Public Works Department RECEIPT#: 2200600000000001491 Date: 1012412006 2:23:53PM Job/Journal Number coM2006-00398 coM2006-00398 coM2006-00398 coM2006-00398 coM2006-00398 Description Fixture Minimum/Adjustment Plumbing + 5% Technology Fee . + 8%o State Surcharge + l0%o Administrative Fee Amount Due 14.00 31.00 2.25 3.60 4.50 Item Total $55.3s Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard BRUCE HAMILTON j.p 096384 In Person $55.35 Payment Total: -Sffi cReceinl I Page I of I 10t24t2006 *sfut$,llfs SPB I N Gi FI ELD P.{::i:<{:j:i*+ .$*.= Qf,*ffi Q. --r -ZC\r?Date A. Nerv Residential - Singlc or Nlulti-Family per dwelling unit. Service Included 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 s 19.00 $50.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only ZON INITIALS DATE 225 FIFTH STREET r SPRINGFIEL-D,OR97477 o PHz(541)726-3753 o FAX: (541)726-3689 E LECTI{T CAL P E,RM IT AP PLICATI AN City Job Number Convtzo<>6- oo378 1 .NSTALIATIAN:. LACATION OF I 33(Z os/+Gr eT LEGAL DESCRIPTION lgozo6L\ D,'Soc> JOB DESCRIPTION:Aiz;lu*'to 5 c,<o.J,T Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. City , Electrical Contractor Address Phone Supervisor License Number I o Constr. Contr. Number Expiration Date Signature of Supervising Electrician B. Sen'ices or Feetlers * Installation, Alteratiorts or Relocatittrt: $ 63.00 $ 7s.00 $ r 2s.00 $ 163.00 $37s.00 $ 50.00 C. Tcmporarl'Sen'ices or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Cirruits New Alteration or Extension Per Panel / one Circuit ' $ 43.00 ?7 Each Additional Circuit or with U Service or Feeder Permit L /,tv Owners Name t-' $ 3.oo /z $ s0.00 $ 2s.00 Addrers 3fur o*4G/$ 9fl E. , h{iscellarreous (Service/feeder not included) -Each lnstallation ciq lftiLffitdoD phone /ffi-l{;o 1ffiffffi"t," 7r z' 4 szz OWNER INSTALLATION The installation is being made on property I own which is not intended for sale,or rent. Signature: Sign/Outline Lighting $ 50.00 Limited Energy/Residential Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 4 Surcharges 4. SUBTOTALOFESOI,ry -5r 8% State Surcharge l0% Administrative Fee 5% Technology Fee ?t' 67 6L -1 - Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application 8-06.doc 3. COIWPLETE FEE SCHEDWE BELOI,\T Expiration Date Nflr, ", Ll'1'.5 6€0 :, 'L (- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line OF Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0s10912006 APPLIEDz 0410412006EXPIRES: 1212912006VALUE: $ 44,352.00 SITE ADDRESS: 3312 OSAGE ST ASSESSOR'S PARCEL NO.: 1802062r08500 PROJECT DESCRIPTION: Addition to existing single Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PhoneNumber: 541-988-3450\Owner: Address: Contractor Type General Electrical Plumbing BRUCE HAMILTON 3312 OSAGE ST SPRINGFIELD OR 974 $o\ (u\" 'to$ 0u Contractor OWNER OWNER OWNER ,91 \o(al \"License Expiration Date Phone 616-455-2223Qo$ TI IILDING INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronfyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes 224 224 R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rq dl Paved Drive Rqd oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Ca Sq Ft Other: Occupant Compact: rport ARKING Curbside 5' Curb and Gutter ) 25.00 Heat Pump Path I nla J 6.00 57.40 32.00 s)"c$ .\j\ Sidewalk Type: Downspouts/Drains: Notes: No structure in easemant survey required; storm into existing piped to curb face 411212006 CAS DEVELOPMENT INFORMATION Page I of3 \(\ ,$,"' tlttB 1O Iro$ x.e o Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0510912006 APPLIEDT 0410412006 EXPIRESz 1212912006VALUE: $ 44,352.00 Valu afion f)escrintion Description Dwellings Tvpe of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $99.00 448.00 Total Value of Project Amount Paid Date Paid Value $44,352.00 $44,352.00 Date Calculated 04t04t2006 Fee Description Plan Review Residential + l0o/o Administrative Fee + 8%o State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet + l0o/o Administrative Fee + 5olo Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid $221.91 $38.64 $30.91 $341.40 $4.22 $84.30 $4s.00 $5.50 $2.75 $4.40 $43.00 $12.00 4/4t06 5t9t06 5t9t06 5t9t06 5t9t06 st9/06 5t9t06 9t7t06 9t7t06 9t7t06 917t06 9t7 t06 Receipt Number 2200600000000000423 1200600000000000628 r200600000000000628 1200600000000000628 1200600000000000628 1200600000000000628 1200600000000000628 I 200600000000001380 1200600000000001380 1200600000000001380 1200600000000001380 I 200600000000001380 $834.03 Fees Peid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 04t0st2006 04nu2006 04nu2006 04/LU2006 04t27t2006 04n2t2006 APP APP APP LLH TAJ CAS No Planning issues. No structure in easement, survey required;storm to weep hole 4/12t2006 cAS 04nu2006 04t25t2006 APP RWC 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. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Page 2 of3 Reorrired Insnections Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0510912006APPLIED: 0410412006EXPIRES: 1212912006VALUE: $ 44,352.00 Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Ceiling Insulation: Prior to cover. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Storm Sewer Line: Prior to filling trench. 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 Safefy. I further certify that only contractors and employees who are in compliance with ORS 70f .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 permit card is at the front of the property, and the approved set of plans will remain on the site at all times construction. f - r-o C rCo re Date Page 3 of3 SPF| FIELD D EVELO P MENT SERVIC ES DEPARTM E NT October 24th,2006 Bruce Harrilton 3312 Osage Street Springfield, Oregon 97 478 Enclosed is a form frorn the State of Oregon Construction Contractors Board that we neglected to have you cornplete and sign when you obtained your permits on October Z3rd, 2006 for the improvements to your residence at 33 12 Osage Street, Springfield, Oregon. Please trll in the appropriate'boxes" and sign and date the fonn. Please keep the pink copy for you. ,..oods ind return the white original form to me in the enclosed self starnped envelope at your earliest convenience. Thank you, and if you have any questions, please feel free to phone me at 726-3753. Sincerely, 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www. ci. sp ri ngf ield. o r. u s N i-lkd cAar.{ u ervices Division Encl Construction Contractors Board Permit #: Co^a,4sr-: ( - 6; 03 ? I 700 Summer St I\E Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:ry[.$g1!4 Address: 33tZ oS*CA Issued by:\Date:oL Statement: lnformation 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 thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: ( t. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction conffactor if the structure is sold or offered for sale before or on completion. 3A. My general contractor is (Name)(ccB #) M I will instruct my general conhactor that all subcontactors who work on the stnrcture must be licensed with the Construction Contractors Board. OR 38. 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 notiff 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 Construction Responsibilities on the reverse side of this form. 4-7-oc ofpermit applicant)@ate) (White copy to issuing agenq) permitfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 tr V Acting as Your Own General Co-ntractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBI LITIES Ifyou are existing structure, Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with iU * "employees" if you use contraciors not licensed with the Construction Conkactors Board to do labor in construiting.or tp assist in the corstruction 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 withlold income taxes from employed 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 more information, call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for rmenrploynent insuranee purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIhD is a combined number for,both Oregon Withholding and UnemploymentInsuranceTax.Tofi1eforaBIN,cal1503.945.80910rforthe appropriate forms. Workers' Compensatior Insurance: As an ernployer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtaia workers' compensation insurance, you could be subject to penalties and be liable for all cl:iirncosts if one of yor.r ernptoyeed is injured on the job. For more information, call the Workers' Compersation Division at the Department of Consumer and Business Services at 503-947-78 15. U.S. Internal Revenue Service: As an employer, you must withhold fedeial income tax frorn ernployees' *g"I\ You wili be iiable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at'l-800-8294933 or visit their web site at www.irs.gov . -: Other Respcnsibilities and Areas of Concerns Code Ccrnpliancc: ;\s the permit holder for ttris proj*ct, you are responsible f'or resolving any failure to meet code requirements that may be brought to your attention through inspections .r Liability and Property l)arnage fnsurance: Contact your insurance agent to see if you have adequate insurance coyeragt: fi:r a*ciclents anri ornissions suci'l ;is falling tools, paint over spray! water damage from pipe punctures, fire <tr wcrk that must be redone. Tirne: Make sure y6tr hatb sufflcient time to supervise your employeed, ' , .i .. .-i. ., ,..rir . Expertise: Make sure you i"u. the skills to act as your ovrm general colihactoi, tc eoordinaie the work of rough-in and finish tra<Ies, and 1o nCIlify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the ConstrucNion Contractors Board $A34784621) ar write the agency at PO Box 14140, Saiem, OR 97309-5052. property-owner.doc 06-0r-04 " 1: rir -r('r 1';i':'1 ; "'.' :"'r NOfEj This lnformation Notice to Praperty Owners about Construction Responsibilrfi'es rryas developed by the Construction Contractors Eoard in accordance with ARS 7U.A55(5), passed by the 1989 Oregon Legislature. 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C-*'- of Springfield Official Receipt l elopment Services Department Public Works Department RECEIPT #: 1200600000000001380 Date: 0910712006 t:24:46PM Job/Journal Number coM2006-00398 coM2006-00398 coM2006-00398 coM2006-00398 coM2006-00398 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5%o Technology Fee + 8% State Surcharge + l0Yo Administrative Fee Amount Due 43.00 t2.00 2.75 4.40 5.50 Item Total:$67.6s Payments; Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard BRUCE HAMILTON djb 000071 I In Person $67.65 Payment Total: -56ffi cReceint I Page I of I 9t712006 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0510912006APPLIED: 0410412006EXPIRES: 1110912006VALUE: $ 44,352.00 SITE ADDRESS: 3312 OSAGE ST ASSESSOR'S PARCEL NO.: 1802062108500 PROJECT DESCRIPTION: Addition to existing single family residence Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PhoneNumber: 541-988-3450 Jto Owner: Address: BRUCE HAMILTON 3312 OSAGE ST SPRINGFIELD OR 97478 {equ\{ estjo\u c\.fi\ON 5 N1 010 License Expiration Date Phone 616-455-2223\,n coqContractor Type General Electrical Plumbing rr fna'i the c obta entel (F.\ot nul Cerrler # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: S\'lt Coverage: ) 25.00 Heat Pump Path Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 224 224 Curbside 5' Curb and Gutter t REQUIRED PARKING Total: Handicapped: Compact: 6.00 57.40 32.00 Fully Improved Yes Sidewalk Type: Downspouts/Drains: Notes: No structure in easemant survey required; storm into existing piped to curb face 411212006 CAS PUBLIC IMPROVEMENTS Page I of3 {u\es Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0510912006APPLIED: 0410412006 EXPIREST 1110912006VALUE: $ 44,352.00 Description Dwellings Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $99.00 448.00 Total Value of Project Amount Paid Date Paid Value $44,352.00 $44,352.00 Date Calculated 04t04t2006 Fee Description Plan Review Residential + l0o/o Administrative Fee + 87o State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid $221.91 $38.64 $30.91 $341.40 $4.22 $84.30 $45.00 4t4t06 5t9106 st9t06 5t9t06 5t9t06 5t9t06 5t9t06 Receipt Number 2200600000000000423 I 200600000000000628 1200600000000000628 I 200600000000000628 I 200600000000000628 1200600000000000628 1200600000000000628 $766.38 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review No Planning issues. No structure in easement, survey required;storm to weep hole 4n2t2006 cAS Structural Review 04ny2006 04t25t2006 APP RWC 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. FIoor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Ceiling Insulation: Prior to cover. Pase 2 of3 04t05t2006 04nu2006 04nu2006 04nu2006 04t27t2006 04n2t2006 APP APP APP LLH TAJ CAS J Valuation Descrintion Reouired lnsnections I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00398ISSUED: 0s10912006APPLIED: 0410412006 EXPIRESz 1110912006VALUE: $ 44,352.00 Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Storm Sewer Line: Prior to filling trench. 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, Buitding 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, th the permit ca located at the front of the property, and the approved set of plans will remain on the site at all times t-Q-aQ or Con Signature Date Page 3 of3 i CITY OF -. RINGFIELD SYSTEMS DEVELOPMEN. WORKSHEET JOURNAL OR JOB NUMBER: COM2006-00398 NAME OR COMPANY Bruce Hamilton LOCATION 3312 St TAX LOTNUMBER:I 802062 I 08500 DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEWDWELLING I.]NITS BUILDING SIZE I. STORM DRAINAGE DIRECT RI.JNOFF TO CITY STORM SYSTEM 0 0 IMPERVIOUS S.F x 261.00 RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS COST PER S.F $0.323 COST PER S.F, $0.323 COST PER DFU $25.07 $r 9.07 NUMBER OF TINITS 0 NUMBER OF UNITS 0 ADM. FEE RATE 50 CHARGE $84.30 DISCOLINTRATE 5OYo $84.30 224 LOT SIZE (SF) DISCOUNT $0.00 IMPERVIOUS S.F 0.00 NIA4BER OF DFU's 0 B.IMPROVEMENT ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.s7 ST]BTOTAL $84.30 x x x x x x x ITEM 1 TOTAL - STOR]VI DRAINAGE SDC 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: x ITEM 2 TOTAL- CITY SAI\ITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: $0.00 COST PER TRIP $19.09 COST PER TRIP $84. I 9 $0.00 xx xx NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 x B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVE FEE: $0.00 $84.30 CHARGE $4.22 TOTAL SANITARY ADMIMSTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 4t12/2006 NUMBER OF DFU's 0 $84.30 $0.00 $0.00 $0.00 $0.00 s0.00 4.22 $88.s2 r 070 l09l 1092 I 093 1094 I 056 a s.loo() & trlF(h Eld I COST PER FEU $82.03 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTTJRES x UN]T EQUTVALENT: DRAINAGE FXTURE UNITS FOR REMODELS, CAICULATE ONLY TI]E NET ADDITIONAL NO. OF FIXTURES T'NIT OLD MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FD(TURE UNITS lsa toa unit set at I 67 MWMC CRBDIT CALCULATION TABLE: BASED ON COTINTY ASSESSED VALUE TYPE NEW IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) DRAINAGE FIXTURE TINITS 0 2 t9'19 20 BEFORE 1979 t9?9 I 980 1981 1982 I 983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $+.oz $3.67 $3.22 $2.73 $2.25 $1.80 VALUE / IOOO $0.00 CREDITRATE $s.29 2 x CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CR.EDIT$1.59 $1.45 $1.2s $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 BATI{TUB 0 0 3 0 DRINKING FOT]NTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LATINDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 0 3 0 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWE& SINGLE STALL 0 0 2 0 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 STNK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 URINAL, STALL / WALL 0 0 5 0 TOILET, PLIBLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE INSTALLATION 0 0 3 0 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 2000 IEI 2001 Construction Contractors Board Permit#: c-ow\ZL '6 - Oo37 I Address: =3/ Z OsA(,-o Sf Issued D,@, s/q/ck Statement: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residenttal construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38: 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. tr 3,A.. My general contractor is CName)(ccB #) I will instruct my general conEactor that all subcontractors who work on the structure must be licensed with the Construction Conffactors Board. OR .K lr. 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 notiff the office issuing this building permit of the name of the contractor. I hereby certify that the information is correct and that I have read and do understand the Information Notice about Construction Responsibilities on the reverse side of this form. €/- L/- 0b ofpermit applicant)@ate) (White copy to issuing agency permitfile, pink copy to applicant.) 700 Summer St lttE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: Igrygful@ltg4g E- w, Property_owner.doc 06-0 I -04 Actimg es Your Swm Gexl*ral Cdntractor? rruroRr**Ytoht NCIT'cH T* pm,*pHR?Y *wNmR$ ee0ur csills?RusTa&N Rmsp0N${mlLnYlH$ Xf y*u ry* a*ting a$ y*]*?: *wlx $*ntril*t*r t* fr)fistr*ct a xl*w hom* *r make a s*bstantial impr*ve;xen{ t* an existing structur*, you ean prevent many problems by being aware of the fallowing respexsibilities and e*neerffi$. Krmploysr Kesp*rxsib***ti*x Y*u will, in m*st instar:crs, be rutreql t* be an 'oempleyer" a::ld &e s*ntractor* y<lu **ntraot with wiil be *'employtes" if, ya,r, u$e contra$t*r's n*t ]icens*d with the Constr*cti*n C*nkactors Board t* d* 1ah*r i* corrstructing *r t$ assist {& the eoxstrx*ti*n *r impr*vern*nt *f a residential xtrx*ture. &s *he erxptroy&i") y${, wtxst s*mXlly with tk* f*}}*rwing: $reg*Nrrs 1&/itkhar!*ixg ?'*N X**w; As an employer, y,-)rr must withk&)d ine*me taxes &om *rnpl*yee wesss a{ t}r* ti*1e *mp}*y**s xr* paid. Y*ll will ?:* Iiabtre fCIr tl:r: tax p*3m*nts *:v**r if y*u d*tr"t a*tually withhold thc tax fr*m your erapiery*ex" $elr *xlr* ixf*rm*ti*n, *aI} the *eparknent clf R"*ve&ue at 5S3-3?S*4S88" um*xxptr*ymsm* Xmsux'*nce Txx; &x ax c*:pI*y*r, y*i; ar* required to pay a tax for unemployment insurance purpo$as - *n the wases *f atl erupl*yeer*" F*r m*re inf*rma{i*n, eat} the *reg*n fir*p}*3"r::.**t Separ*x*nt a, 5S3-947-X48S" ?!ro {h"*g*n &usi*ess }denti$sation N*nrb*r SINi is a sombined n*mber fi:r both Oregon Withholeiing *nd Unemp1o3me*tInsuran**?ax,Y*fitr*foraB1X,c*1i5{}3-945-8$91*yf*rthe appropriate forms. 'lYrrkersn Corrpe*s*tian l*surance: As an ernployer; you are subject t* the Oregon W*rkers' Compensati*n Law, and mast obtain wsrkers' compensation insurance fnr yorr empl*yees. If ycu fail to gbtain workers' c*mpensation insurance, yau cculd be subject to penatrties and be liable for all claim costs if one of yorr ernployees is injured on the job. For more in{brrnation, call the Workers" Compensati*n Divisioa at the Deparlment of Consumer and Busi::ess Servi*es at 503-94?-78 15. [i,$, ]mterw*l Kev*mua Serv*ce: As :i* *mp]oyer, y*u rxxst wit]:hold federal incorne tax &nrn employees' wagrs.\r Y*u ivili b* liabie f,*y the *m p*r3*r*n! *1i*n i{ycx diq}n't a*txx}ly withh*}<i the tax. F*r a F*dera} EI}'i nun:ber, *4tr1 th* ${.S at 1-8SS-82$-4933 or rrisir their web *ite al ryEi\Y.ir$.sQ:{" $th*r Kesponsibilifies and Area$ $f Comcerms C*de C*wpLixme*: ,\s thr perrrrt h<ikirr fi:r tkis pr*ject, y*L: are respccsibl* fcr resolvi*g any l'ailure t* ixe*t e*de r*quilernents that::'l*y b* trr*uglet 1* y**r attsnti*ri tlx*ugh inspectt*ns. Lixhtlity nmd Prerperty tr)xxxx*g* I*sxrance : {lorract your insuranc* ag*nt t* s*e if y*u have adequate ins*rance s4'v*rage {cr a**i<**nt* and *;:"li*sr*:ns srl*}r as {rel}irrg t**}s, pai*t *ver sprfiyl urater d*mage *r:m pip* pu**h:rs$, fire or vv*rk thai ;xusl t:* r*<lerx*. Time: Make sure you have sutfie ient time {o supervise your elnployces. &xper€is*: &{*k* s*re 3'"ru have the skrlls to acl as yolrr o\rn ge**ral c*ntraetor, ter coordinate the work of r**glt-in and finish #ade*, ar:el l* n#tify b*itrding offrci*is *s the *:ppr*pr{;lt* fi*:es *c} {h*y *ar perlbrm the required inspections. If y*u iravr ;sdEliti*::atr qu*sti**s cal! t}"re C*nshr.reti*n Co:ttraet*rs l}*erd {5t}3-3?8*{6?1} *r rqnit* th* ag*ncy al F(} 8ox I4140, Salenr. $R 9?3{}9-5052" Pr*perty_*x'r:er.dpe {3$-* t -$4 A-IOr{: This ln{armafion f{ofice t* Prapefty Owners a*o*f Construc#on Sesponsl*ilifias wfis devel*p*d bythe Gonsfruc#an Ssnfracf*rs Soard irz a*c*rdan** wrf/i ORS 7*1.085f5J, possed by the ?989 Oregon leglsfafure" s866248 EXI{IBIT A PUBLIC UTILITIES EASEMENT SITUATED in the Northwest t/4 of Section 6, Township 1-8 South, Range 2 West of the Willamette Meridian in the City of Springfield, Lane County, State of Oregon and described as follows: BEING (1) a portion of Lots 188 and !94 of. 'THAYDEN GARDENS THIRD ADDITION" as platted and filed February 13, L998 in FiIe 75 at Slides 608 thru 611 in Lane County Oregon Plat Records and (2) a porUon of the lands of Willamalane Park & Recreation District as said lands are described in that certain Warranty Deed recorded July 26,1966 in Reel 292D at Reception No. 5551-2 in Lane County Official Records, the perimeter of said easement being described as follows: BEGINNING at the southeast corner of said Lot l-88 as said corner lies on the north margin of Osage Street (a 50.0O-foot wide right-of-way) as said margin is shown on said plat; THENCE, leaving said POINT OF BEGINNING NORTH 80" 25' 26" WEST 5.00 FEET along said north margin of Osage to a point on a line that is parallel with and 5.00 feet westerly by perpendicular measurement from the east line of said Lot 188; THENCE, Ieaving said margin and crossing through said Lot 188, NORTH 9" 34' 34" EAST 69.87 FEET along said parallel line to a point; THENCE, leaving said parallel line, NORTH 6" 42' 10" EAST 58.31 FEET to point that lies in said Lot 194; THENCE, leaving said point and crossing through said Lot194, NORTH 41o 55' 59" EAST 60.14 FEET and NORTH 41" 10' 17" EAST 32.27 FEET to a point on the southwest line of said Lands of Willamalane Park which point bears South 26" t6' 40" East 5.82 feet from the most westerly corner of said lands; THENCE, leaving last said line and crossing said lands of Willamalane Park along the northeasterly prolongation of last called course, NORTH 47" 10'17" EAST 20.42 FEET to a point on the northwest line of said lands which point bears North 63' 43' 20" East L9.57 feet from said most westerly corner of said lands; THENCE, leaving last said line and crossing through said Lot L94 NORTH 4'7" L0' 17" EAST 50.08 FEET to a point that bears NORTH 47" LO' L7r' EAST 102.77 FEET from the northeast terminus of aforecalled course having a bearing and distance of NORTH 41" 55' 59" EAST 60.L4 FEET; THENCE, leaving last said point, NORTH 55" 23' 42'r EAST 52.62 FEET to the southwest corner of Lot L95 of said plat; THENCE, leaving said corner, SOUTH 84" t9'00" EAST 7.73 FEET along the south line of said lot to a point on a line that lies parallel with and 5.00 feet distant Page 3 of 5 986624u southeasterly by perpendicular measurement from aforssallgfl course having a bearing and distance of NORTH 55' 23' 42,' EAST 52.62 FEET; THENCE, Ieaving said south line, sourH 55" 23' 42" wEsr 58.i-6 FEET, sourH 47" L0' 17" WEST 102.18 FEET, and SOUTH 41' 55' 59" WEST 53.00 FEET along last said parallel line and along a line that lies parallel with and 5.00 feet southeasterly byperpendicular measurement from the aforecalled courses having bearings and distances of NORTH 47" LO'L7" EAST 1A2.77 FEET and NORTH 41' 55r 59', EAST 60.14 FEET respectively to a point in said Lot 194 that Iie on the northerly prolongation of the aforesaid east line of Lot 188; THENCE, Ieaving said point and parallel line, SOUTH 9" 34'34" WEST !3'1,.27 FEET along said prolongation and east line of Lot 188 RETURNING to the POINT OF BEGINNING and CONTAINING 18I-0 SQUARE FEET (0.0415 ACRES) more or less. ExptRES fzlar|=c'a REG:STE;?E'} PROi:E$SiCi\iAL t-AND SU;'iV['tCR ctlccl'l Jt,r-Y 20, 'i993 DAVID L. BROVVN 2609 Page 4 of 5 SEbriZ4B ACKNOWLEDGMENT STA'|E OF OREGON COUNTY OF T,ANE Tlrere personally appeared before me the above named Daniel Plaza, who certified that he is the secretary of Willamalane Park and Recreation District, and does hereby acknowledge said instrument to be his voluntary act and deed and that said instrument was signed in behalf of the district. Dated r 998 Notary Public for Oregon ) )SS April 7, 1998 Page 2 of5Project No. 93- I l8C ,t,gBSff s PUBLIC UTILITY EASEMENT a1 S -+l+<T-A .-t THIS INDENTURE MADE and entered into this"99*/tday J.- ( + = , 1998, by and between Hayden Enterprises, Inc., a Washington Corporation (Grantor Number l), and {tillainalane Park and Recreation District (Grantor Number 2), and.the CITY OF SPRINGFIELD, a municipal corporation, in Lane County, hereinafter referred to as the Grantee. WITNESSETH: 11 consideration of the acceptance by Grantee and the use or holding of said easement for present or future public use by Grantee, Grantors hereby grant, bargain, sell and convey unto the Grantee, a perpetual easernent of varying width, together with the right to go upon said easement area hereinafter described ior the purpose of constructing, reconstructing, maintaining and using public utilities which may l-rereafter be installed on the lollowing described property, to-wit: See "EXI{IBIT A" attached hereto and made a part hereof for legal description arrd Exhibit Map. TO FIAVE AND TO I-IOLD the above easelnent to the said Grantee, its heirs and assigns forever' WI WI{EREOF, Grantors above named have hereunto set their hand and seal this 494, day of I 998 AETURN TO CASCADE TITLE C7- 2t I33-F Daniel Plaza, Secretary Willamalane Park and Recreation District 'F*) ACKNOWLEDGMENT ffiE:$B:BE$BiF.Ffi-o fB:BB srATE OF OREGON ) COI-INTY OF DESCHUTES ) ss There personally appeared before me the above nameri Hayden FI. Watson, President of Hayden Enterprises, Inc', a Washington Corporation, who is known to me to be the identical individual who executed the foregoing instrument and does hereby acknowledge said instrument to be his voluntary act and deed and that said instrument was signed in behalf of said corporation' Hayden RETURN TO: CITY OF atson, President , lnc. 1998 Notary Public SPRINGFIELD - PUBLIC WORKS DEPT.225 FIFTH STREET, SPRINCFIELD, OREGON 97477 Project No. 93-l I 8C i8 OZ oG 2l oqtoo)ttcotSToO April 7, 1998 Page I of 5 -+ A x'r8EHt0'c15thn,eW nhffiHf;i{ilid'F'rF?if E -5t85 225Fif*. Street Spring.relti, Oregon 97 477 541-726-3759 Phone r-"v of Springfield Official Receipt Livelopment Services Department Public Works Department RECEIPT #: 1200600000000000628 Date: 0510912006 2:3e:16PM Job/Journal Number coM2006-00398 coM2006-00398 coM2006-00398 coM2006-00398 coM2006-00398 coM2006-00398 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Storm Sewer - I st 50 Feet + 8% State Surcharge + l0%o Administrative Fee Amount Due 84.30 4.22 341.40 45.00 30.91 38,64 Item Total:s544.47 Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard BRUCE HAMILTON djb 054901 In Person Payment Total: $s44.47ru cReceint I Page I of 1 s19t2006 Construction Contractors Board permit g. C6-00398 Issued by:Nancy II.Dafu. r0 /23 /2006 Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submtt this statement. This statement will befiled with the permit. Fill'1,i:tliezippirili4iate blanks and initial boxes 1 and 2, and either box 3A or 38: 700 Summer St NIE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Address: 3312 OSAGE STREET dw A :.:.:.:.:.:.:.:.:.:. : reside in, or will reside in the completed structure. ! .:j;:.:.i:g:qtl"..qt*ra that I must become licensed as a construction conkactor if the structure is sold or offered for sale before or on completion. 3A.. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be - _ _ _ Iige_nsed with the Construction Contractors Board. OR my own general contractor :':':.:.:If l.ht+s'rbcontractors, I will hire only subcontractors licensed with the Construction Contractors" " bbard: 'If l 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 Construction Responsibilities on the reverse side of this form. /o * z {-o@ of applicant)@ate) (White copy to issuing agency pennitfile, pink copy to applicant.) Property_owner. doc 06-0 I -04 tr Acting a$ Your Own General Cdntractor? INTSRMATION nIOTISH TO PKOPERTY OWNERS ABO{.'T GShI$TRUSY'ff N Rf; $Ptrru$IBILIT'IE$ AIOIH; This lnfarmafior; Nolice t* ?rapefty Olv*ers a*o{.,f Construcfion Responsibltrtr'es was dereloped by the Construc#on Confr*cfors Saard in aceardan*e witk SeS 7CIr.0$5{5J, pa"ss*d by the ?989 Oreg*n L*gislature- * y** ar* a*ling e$ y*mr oxx ***tract*r l* *onstrxct a n*w k*me *r mak* a substantial irnpravemenl t{} an existing sh-rlcture- y*i"r #slr pri:vmlt many problerns i:y being awar* of the following responsibilitiee and csntern$" ffi rxapXoy#r &#spwxx sihiXit**x yor.l will, in most insta:rces, be fi.rled to b* a:: u'effiployer" ai:d the s*ntract*rs y*u c*ntract with will be "'emp}*y***" if y*u $se contractors n*l trieensed wi& the Co*straeticra ilonkactors Board t* d* labor in ccnstructing cr tc assist in the e *nstr:cfrnn or rmprsvffncnt *{ a rcsidcntia! $fi-iicrE:ic. As the emp!o3'cr, you rn*st courpl3' w:ith the fel!}cvYtag; *regoxer* \,Vitkh**ding ?*x X,*wl 3,s an em;:tr*y*r, yt>u {t'}*st rvithhold lncorn* taxes from employee'r'ages at the tirne **pioy**u are paid. Ynu rrill be llabtr* f*r ths fax pe]rnefits ev*:: if" y*u dfln't a**:altry wit]:h*ld the tax from your *mptroy*cs. F*r rnclr* infonre*tior:, *a11t}:e ilep*rtrnect *f,&ev*nue at 5{)3-3784988, Unempl*ym,eut gxr*nrxm*e Yax; -{x sn emp}*yer, ysu ars required to pay * tax fbr unemployxent insurance prrposes syx lhe *agur *f all *mpl*ye*s. F*r m*r* inf*m:ation, *all t1::* Oregex firyr}*3.l:r**t l)epar*::ex* at 503-947-1488" T'he &eg*n Susiness identifi*ati** I{umh*r {eIN} is a comhined nurnber fbr bot}r Or*gon \ffithht"r}di*g and Ux*mp1*r3"n:ext in*ur*r:r:* Tax" ?'*: fii* for * &tr?d, *a1] 5*3-945-S*S1 or .$:B*y..i1$r.$!elq,ar. &ll:il flr:r lhe appropriate {i:rrns. lYorkers, Compensafior Insurax*c*: As *x *rry:i*yer, y$u are subje*t t* t1:* {k*gern W*:"kers' C**rpensation I-aw. ar:d must abtain w*rkers' *ompensxti*n insuran*e fbr y*r.lr en:ployees. Xf yo* fail to *btain worker$" compensation in$urance, you cculd be subje*t t* p*xalties and be liable fbr atrtr clailn *osts if one of y*ur empl*yees is idured ofi the jotr" F*r m*re {nf*rmatiun, eall t}r* V/*rkers' Compensation }ivi*i*n at the Departrnant of Consumer and Business Services *:t 5*3-$47-78 15. {J"$. }xrt*rxx! }tevemxe $ex'vie*: As xn *mpl*3"er, }ior'e ffius{ i ithh*ld federa} i:r**me tax from e:xployees' wages. Y*u wiitr he liable fi:r the tax paylxefit *vfin if yi:x ejidn't a*tu*}ly rvithh*id thr: *x. For a Fed*rai EIN number, cail the IRS at 1-BS0-8?9493i *r r"isit thsir ra,'eh sife at i',rq-,r'.ii:s.gcY &ther Xtesponsibiliti*s *nd Area$ of C*ncernr C*rde Comrplix*ee: As th* permit hcl*er f*r this pr*jeet, you urJ r*spr:*sible f*:r res*lYing any failxr* t* rva*et **de requireme*ts that m*y be brought t* y*lx attexli*n tlrr:ugh inspections. Liability xxd Prop*x"ty llarx**tg* Isxsurx*ee: Ccntaet y*ur insurafice egent tc see if you have adequatd insurance eov*rage f,*r ac*.i<i*nts ;lnd *missicx'ls $u{h as flalk:lg t**3s, p*inl *v*r spray, rv*{sr damage fr*m plp* pw*tures, fir* *r w*rk th*t rv:ust [:e red*n*:" Tims: &,fakr sure ycu have sufficient time t* supervise yc,ur employees. f,xpertise: Make sure you have the skills [o act as your own general contractor, to coordihate the w*rk of rt>uglr-in and finish kades, and to notify building offieials as 1i:e apprapriate times s* they *an perform the required inspecticns. If y*u have aelditr*nal questions e*!! the C*ns*ru*ti** C*nkactors **:rard {5{}3-37$4621} *r writ* th* ag*n*y *t l}S lJox 14lr+u" )alem. LiK y/JUv-)u)/. Propertv_oumer.doc 06-0 I -04