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HomeMy WebLinkAboutPermit Building 1998-11-17CITY OF SPRINGFIELD 225 North Fifth Street Springfield, OR 91477 RESIDENTIAI, PERMIT APPIIICATION CITY OF SPRINGFIELD COMMI'NITY SERVTCES DIVISION BUILDING SAFETY PL Tax Lot #: Subdivisi.on: Page 1 ilob Nr:rnber: 981255 a Office: Inspection Line: 725 -37 59 726-3759 03800 RIVER TRATLS NAry of the rules by Phone -5 A€ell€gJhesgDterr HYstenhdd@phone City/stat e/ ztp EAGLE POINT OR, numberforthe Oregon Utility Notif ication PERMIT IS NOT COMMENCID OB IS ABANDONED FOR ne s c r iGEnhS h<1-890rff3&t80r8[cn General: Plumbing: MechanicaL: El-ectrical: Contractor .J&K DEVELOPMENT OO57O43 2740 REUBEN BOISE ROAD DALLAS OR 97 CUSTOM PLUMBING OO58OO5 4894 Newtown Ave SE Salem OR 973020 MARSHALLS OO2579O 4110 OLYMPIC ST SPRINGFIELD OR 9747 THORTON ELECTRI 0047845 27631, SE SUN RAY DR BORING OR 97009 Const. Contractor #Expires o7 /1,1,/eg lL/26/e3 L2 /23 / e8 05 /1,7 / e8 Phone 523 - 827 0 362-5233 141-1445 563 -3925 QUAD AREA: 1RMI OCCY GROUP: R3 HEAT SOURCE: FG - - OFFICE USE - - LAND USE: 1111 CONSTR. TYPE: VN INSUL PATH: P1 # OF BLDGS # OF BDRMS SQ FOOTAGE 1 3 1,9L2 To request an inspection, call- the 24 howr recording aL 725-3769. A11 inspections 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. --- REQUIRED INSPECTTONS --- FOOTING - After t.renches are excavated. FOTNDATION - After forms are erecLed but prior to concrete placement. ROUGH GAS - after line is installed and capped if not attached to an appliance ITNDERFLOOR PLITMBING - Prior to insulation or decking. ITNDERFLOOR I{EC}IAI'IICAL - Prior Lo insufation or decki-ng. POST AND BEAII - Prior to floor insulation or decking. INSULATfON - Floor; prior to decking Walf/Ceiling; Prior to cover WATER LINE - Pri-or to fil1ing trench. SATiIITARY SEWER LINE - Prior to fil,ling trench. STORM SEWER LINE - Prior to fi11i-ng trench. ROUGH PLTMBING - Prior to cover. ROUGH MECHANICAT - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheathing with finish materials. FP.AI,IING - Pri-or to cover. INSULATION - Floor; prior to decki-ng Wa11/Ceiling; Prj-or to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior Lo placement of concrete. SIDEWALK - After excavation j-s complete, forms and sub-base material in p1ace. NEW SPRINGFIELD Job Number: 981255 CITY OF SPilNGFTELI',a Page 2 FINAL PLWBING - When all plumbing work is complete. FINAL MECHANICAL - When afl- mechanicaf work is complete. FINAL ELECTRICAT - When all electrical work is complete. GAS SERVICE - After line is installed and line has been connected to a mj-nimum of one appliance. Pressure test done at this point. FINAT BUILDING - When all required i-nspections have been approved and the bui-lding is complete. Lot Faces: E Topography: 2 Lot Type: INTERIOR Lot Sq. Ft.: Total Height 6 013 21, Lot Coverage: 31.8 % Solar Approved: Y N)) 2L Setbacks SW 5 10 E House Garage t2 ftem Main Garage Total Value Building Permit Fee Surcharge/Admin TOTAL FEE --- BUII,DING PERMIT --- Square Feet x L440 472 $/Square Feet 64 .65 1,5.27 (A) Value 93, 110.00 7,579.OO 100, 789 . oo 435.25 34.82 47 0 .07 PLI'MBING PERMIT --- Item Residential Bath(s) Plumbing Permit Surcharge/admin TOTAL CHARGE Fee 160.00 150.00 12. B0 L7 2 .80(c) --- MECHA}.IICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & W/H GAS F. P. Mechani-cal Permit Issuance Surcharge/admin TOTAL PERMIT 3 5.00 4.50 9.00 3.00 s.00 4.50 -), ) 10 ) 00 00 56 (D)44.56 --- MISCELLAIiIEOUS PERMITS --- Surcharge/admin Sidewalk Curb Cut WILLAIVIALANE SDC CITY SDC TOTAL ![ISCELLATiIEOUS PERI{ITS 0 t7 1-4 1,000 2 ,264 00 05 05 00 59 3 ,29s .69(E) 3 ,983 .L2(Excluding Electrical) unless otherwise noted --- TOTAL AITOI'NT DUE --- (A, B, c, D, and E combined) SPFI]{GFIELD Job Number: 981255 OTT OF SPilNGFIELD,t Page 3 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condj-tion that the sald construction sha11, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildj-ngs, and may be suspended or revoked at any time upon violation of any provj-si-ons of said ordj-nances. Plan Check Fee: 282.91, Date Paid: Received By: Plans Reviewed By: DON MOORE Date: Buildi-ng Site Reviewed By: BOB BARNHART to/os/e8 1,1,/02/e8 Receipt Number: 63L656 --- ADDTTIONAL COMMENTS PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signature, I 6tate 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 sha1I be done in accordance with the ordinances of the City of Sprj-ngfield, and the Laws of the St.ate of Oregon pertainj-ng to the work described herein, and that NO OCCUPANCY wil-I be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and empJ-oyees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that a1l- required inspections are requested at theproper 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 wil-1 remain on the site at all times during construction. //-t7-?PSignatDate --- VALIDATION --- Receipt Number: Date Paid: o 3 > otc-/ // - t7-q? Amount aeceivedi[Z /)-, Received By o \,,uunllJ1L VI\ IJVO llu. CITY OF SP. ATTACHMENT A NGFIELD SYSTEMS DEVEL( WORKSHEET NAME OR COI,IPANY: LOCATTON DE\i tL0PI4Ei'li I 'i PE BUILDiNG SiZi LCT SiZ 1. STORM DRAINAGE 1?+ 1 r 440 r too + fe I t5 CrO) IMPERVIOUS SQ. FT #,* lql+ x $o. zz7 pER SQzzll ?E/-%IENT CHARGT 0Fr Fr.s# 5 t€,5La(SAN IiAR'1 Sir^/ER -C ITY NO. OF PFU'S /g X 54i. 14 PER PFU s *r,,5L(See Reverse Si cie) 3 . TRANSPOR T,ATION N0 0F UNITS X TRiP R1,iE X COSI PtR IRip X t,ot x $475.32 Q la-r:J lr'Vl s s ,++ $8,(-g 00 x $475.32 SANITARY S['',.JER-MWMC A. REII'4BURSEMENT COSI NO. OF Fi'J'S X 211,4*PER FEU B. IMPROVEMENT COST: N0. 0F FEU'S r X U,zO pER FEU MWMC CREDII IF APPLIC,{BLE (SEE REVERSI) MI^/MC ADl'lINISTRATIVE FEI TOTAL-Mt^iMC SDC SUBTOIAL (ADD ITEMS 1.2,3 & 4) ADMINiSTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 nsL X A $i q s ?t2, b7 $ -"/5C,K $ /0'+ SOC Coor"di nator ATTACH'A.I^IPD 0ate: ToTAL sDc s 2264,57 /Eas i*oii,;;;;;";.: ;;;;;il':';.;'"i#,:ff;,[',]:" ot Ne'ar Fixtures X Unit Equivarent = Fixture unirs NUMEER OF UNIT FIXTUREFIXTURE TYPE NEW FIXTURES - EoUIVALENT UNITS Bathrub..... Drinking Fountain.... Floor Drain. lnterceptors For Grease/Oil/Solids/Erc................. lnterceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher. Clotheswasher - 3 Or More.... Mobile Home Park Trap (1 Per Trailer.)...... Receptor For Refrigerator/Water Starion/Etc........ Receptor For Commercial Sink/Dishwasner/Etc.. Shower, Single Stall.....:.... Shower, Gan9........ Sink: Bar, Commercial. Residential Kircnen.. Urinal, StalUwall.. Wash Easin/Lavatory, Single....... Toilet, Public lnstallation. Toilet , Private.. Misceilaneous: I 1 2 b 2 6 6 I ) 1t 2 2 1 6 -z- lt tl tt TOTAL FIXTURE UNITS Fiead CREDIT CALCULATION TABLE: Basec cn assessed yalue lf improvemenis occurred after annexation date in :aole,calcuiate credits arates Credit for Parcel or Land Only If Applicable lmprovement (if after annexation date) (Rate X Assessed Value)x$ - (Hate X Assessed Value) . CREDIT TOTAL $ Year Annexed Hate per S1,OOO Assessed Value Year AnnexeC Rate per $ 1,000 AssesseC Value 1979 or before'r980 1 981 1982 1 983 1 984 1 985 1 986 1987 1 988 $4.27 4.18 4.12 ?oo 3,83 J.b6 3.48 1 10 2.82 2.42 1 989 1 990 1 991 1 992 1 00" 1 00,, 1 00tr 1 996 1 997 torct t $1.98 1.15 0.96 ^'oa 0.67 o.3B o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating purposes Only) Residential....... Commerical. lndustrial..... Governmental.. o.4 o.9 o5 0.5 FIXUNIT.WPD I IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFF|C|ENT I 225 FIFTE STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST. 726- OFFICE: 726-3759 1 0No f+3flr*Eer6n 4r . ntu.ro Sts IGFIELO UD ELECTRICAL PERHIT APPLICATION b Number COHPLETE FEE SCEEDTILE BELOV Hffir%ffi;iffir"E L d,{ 3 A 804 ts are non-transferable and expirerk is not started vithin 180 dayssuance or if vork is suspended for ays. Nev Residential-Single orMulti-Family per dvelling unit.Service fncluded; I tems Cos t I s Bs.oo g\ -e -* i.000 sq. f t. or less Each additional 500sq. ft or portion thereof Each Manuf,d Home. or Modular Dvelling Sertice or Feeder Services or FeedersInstallation, Alterationsor Relocation: amps or lesso 400 amps -600 amps Io 1000 amps Sum Peif of 1B Ci ty vo is 0d 2. CONTRACTOR INST B Electrical Contractor D Address 3l o Ci ty 5 /{o Phone' 7 rHB Supervisor License Number 35ll Expiration Date /O- I - O 4 constr contr. Number 2 o -4 Expiration Date ^?r -a Signature of ising Ele c 0vners Address Temporary Services or Feedersnstallation, Alteration or Reloca 'or less e'U Rec t 0n1y 400 amps/vo1 ts amps -ampsr 1000ro-ITs s 1s.00 $ 40.00 s s0.00 s 60.00 $100. 00 s130.00 $300.00s 40.00 s 40.00 s ss.00 $ 80.00 see "8" aEffi- f(100 onnec tion the one I b.*"u ,6%n or Extension per panel <. One Circuir $ 35.00) Each AdditionalCircuit or vith Serviceor Feeder permit g 2.OO OVNER The installation is being made onproperty I ovn which is not intendedfor sa1e, lease or rent. Ovners Signature: E Miscel-laneous (Service/feeder not included) -Each install-ation 40.00 00 00 00 Pump or irrigation Sign/Out1ine Lighting_-Limited Energy/Res - Limited Energy/Comm $ s $ $ 40. 20. 36. 5 DATE: SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTALRECETVED C) I Willamalane Park & Recreation District Job.No.iSt&ss .t SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:PHONE:dga-se 65 ADDRESS:q STATE:. ZIP:t] s.al LOCATION OF PROPOSED BUILDING SITE: Street Address: Ptat Name: tlQ)js-\5j Tax Lot Number: OSBcio DEVELOPMENT TYPE (Check ype definitions are on lhe back.) .. A. Single-Family Detached Y Single Family home appropriate dwelling(s). SDC calculations and dwelling t Manufactured home not in a park NO. OF UNITS B. Single-Family Attached X $924 per unit \ 1 t NO. OF UNITS C- Multi-Familv Aoartment NO. OF UNITS X $692 per unit $ D. Manufactured Home Park NO. OF UNITS X $699 per unit WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDCaayer must lumish proof of Willamalane Credit approval. See SOC Credit Worksheet. $ $ lo t 1b $ $ $ urs3. TOTAL WILLAMALANE NET SDC ASSESSED (it SDC reduced for Credit) B}E \C LCI DateDevelopment Services Department City of Springfield X $1,000 per unit = $ 't CXJOS5' t OFEGOA'CITY OF D EVELOPM ENT S ERVICES DE PARTM E NT THIS AGREEHENT is entered inro betveen the City of Springfield hereinafter caIled. City, and the Applicant. VHEREAS, the applicant has appDivision for issuance of certa improvements to be located at 0regon or vithin the Cityrs Ur Assessor's Hap and Tax Lot nun SPRIN 'ELE) CITY OF SPRINGFIELD COHMLJNfTY SERVICES DTVISI0I'I BUILDING SATETY AUTHORIZATION TO PROCEED AGR.EEMENT 6,225 FIFTH STREET SPRINGFIELD, OR 97477 (541 ) 726-s7s3 FAX (541 ) 726-368s by and 0regon, thi s day of DliD'bLv , 1e,95 rotcorporation of the State ,, hereinafter called uilding nt ringfield, Coun ty am ] lied to the City Community Services B]n const ct rmits developme Sp t ct ea; ber VHEREAS, -the applicant has asked the City to authorize the Applicant toimmediately commence development improvements vithout a compilted plan reviev orsubsequent approval as required by the Springfield Building- Safety Code.Administrative Code section 303(a) - IJEEREAS'-the Applicant has submitted to the City a completed permit appllcation,3 (three) sets of'constructlon drawings, specificaqioni, and other dati requiredfor the City to complete the necessary plan reviev of the proposed developmentimprovement. : IHEREAS, the intendbd development improvement is of a nature that requires noother reviev approval from other State or local agencies and is "xerpt from thecriteria established by the Building Safety Division, attached as gxiribit A ofthis Agreement. UHEREAST the.Epplicang has requested th! city to provide expedited authorizationto proceed vith -certain phases of construction prior to the completion of theCity's reviev of the permit application. IIHEREAST the City has not revieved or approved the submitted materials for thedevelopment improvement, the City is theiefore unable to confirm at this timevhether-the permit applicatici submitted vill- be approved, and whether therequired construction permits can be issued. IIH.Ery+S,.the gity's fee for the administrative services rendered in providingexpedited authorization is S150.00. N0v' THEREFORE, in consideration of the foregoing recitals and of the mutualpromises contained herein, the City authorizes immediate commencement of thedevelopment improvement specified in the permit application subject to thefolloving terms and conditions: Authorization to Proceed Agreement Page 2. 1. City agrees that the Applicant may immediately commence vith the development improvements set forth in the permit application. City,sauthorization to proceed is conditioned hovever, upon Applicant's agreementthat the project viII be constructed as set forth in the attached submitted dravings and specifications, except as may be modified by city, and vil1 comply vith all applicable lavs and ordinances. 4ppUge4!,s imnediate commencenent of construction is at licant's ovn r:GE.-TEe-C[tyEes no assurance t or construct ts viII be a rovedorconscttsteron t 2. City agrees to reviev Applicant's. permit application in the normal reviev process and to thereafter: a) issue Applicant the appropriate construction permits; eI b) advise Applicant of deficiencies in the proposed construction vhich must be remedied before permits can be issued; or c) advise Applicant of any statutes, ordinances or code provisions vithvhich Applicant must comply vith before city can issue the permit. 3. Applicant agrees that if City finds Applicant's permit application and submitted materials inadequate or deficient in any rnanner including.but notlinited to' the application or the proposed construction do not comply vithall applicable statutes, ordinances or code provisions, Applicant viU expeditiously cure the deficiencies so that the City ruay issue the requiredpernits. Should Applicant fail to expeditiously correct submitted materials,or should correction prove impossible, City may in it,s discretion, take anyor all of the .folloving actions: a) stop aII further construction of the project in the manner prescribedin the Springfield Building Safety Code Administrative Code (BSCAC), sEcTroN 201 (d) b) order disconneetion of serving utilities in a manner as prescribed in BSCAC, SECTToN 201 (f) c) issue a NOTICE -li'l OP.DEB, for renova.l of alL such vc::!: in a manner as prescribed in BSCAC, SECTI0N 204. ABATEHET{T OF LiNSAFE, SUBSTAI,IDARD 0R DAI(GEROUS BUILDTNGS, STRUCTT,PJS OR BUILDING SERVICE EQUIPMEM. Uponreceipt of such notice, Applicant sha1l immediately remove the vork specified in the Notice and 0rder. 4. Applicant agrees, if the issuance of the permit is denied: a) to remove, at the Applicant,s sole cost and expense, all completedconstruction or irnprovementsl and b) to restore the site or structure to it's pre-agreement condition andfree of all hazards Authorization to Proceed Agreement Page 3. 5. Applicant agree s that until Applicant,s permit application is a pproved,construction vi1l not toby the City,s of profic ceed beyond the point of authorization approvediaI. Appli cant's Point of Authorization is( 6' Applicant agrees that all vork performed under this agreement shal1 beaccessible and exposed for inspection purposes and that ileither the Building0fficial nor City shalI be liable for the'expense entailed in the removal orreplacement of any materiar necessary to arrov inspection. 7' Applicant agrees that_any or a1I'deficiencies identified during thenecessary inspections viIl be promptly renedied, at apl1ic.ni," sole costapd expense bLfore.proceedine yith'any il;ih;; construition. Applicant alsoagrees that these inspections do not ieplace the r"quii"a ff.n"r"ui;;-";;-;"they imply any approvil of the submittei mateiirtr.' B' Applicant agrees that no vork shall be done_on any part of the buildingor structure beyon9 !h" point indicated in each =ucclsiire inspectionvithout first obtaining ihe approval of tt,e guifaing 0fficial. Such approvalshal1-be given only afier an inspection has been made of each successivestep in the construction as inditated on tr,. "tt".n"J r"niuii g. 9' Notvithstanding an{ other provisions of this Agreement, this Agreementshall terminate upon lssuance of. a builaing-p.rrii or ir,iitti tgol"aais-iiomthe date of this Agreenent, vhichever ftrsi 6""ur". applicait understandsthat all vork on the project shall imnediaieiy ""."" irithout any notice from !1,9 citv if this-egreLnent terninates before-i u"iiJirs;"riii is issued.This agreement shall terninate ou r 10' Applicant agrees to defend, indemnify_qng hold City harmless from anyand alr costs (incrudins attorney fees),-liabiriai;; e;;;;; of any kind ornature vhatsoever, for personal injury- and.. prop"riy damage"aiising -r.o, ir,"-Applicant's early conmencenent of lonltruction a"a the vork undertaken orcompleted 11' The terns of this Agreenent shall extend to and be binding upon theparties he.reto and tlreii heirs, successors and assigns L2. rf any suit, action or other proceeding, or an appear therefrom, isinstituted to obtain, establish,. enfoi"., 3i iompel any right or.obligationresulting from this Agreement, ih. pr.""iri"g-paity snarr Ee-entitred torecover from the adverse party' in iaaition io-costs and disbursementsr.suchadditional sums as the courtsl both triai-"ni-.pp"lrater may judgereasonable attorney fees Authorization to Proceed Agreement Page 4 BEFoRESIGNINGTHISAGREEMENT,PLEASE_READANDUNDERSTANDTHE UEANING OF EACII PARAGRAPE OT IrHIS AGRE;MENT' IT AFFECTS YOUR rNTEREsrs rN THE pRopERTy'AN;, ilr rns_nv-gG oF.DEFAur'T' rr Pr'AcEs YOU PERSONALLY AlT RISK ANO. TiN SUSJNET PROPERTY AT RISK OF FoREcLosI]REFoRcosrs"*-rx-psNsrsrNcunnnoBYTHECITYIN ENFORCING TIIE TER!{S OT THIS ACNTSUSNT' --iN TUT EVENT TIIAT YOU DO NoTUNDERSTANDANyTERI.ISoncoNoTTIoNsoTTEISAGREEMENT,PLEASE SEEKAI{YLEGaionoUTSIDEoPINIoNsYoUMAYDESIRE. By CITY City of SPringfield APPLICANT Contractor Business N I Building official Address CC Registration # I,AND/PROPERTY OWNER ( SI tl WE EAVE READ TEE ABOVE AUIEORIZATION TO PROCEED AGREEI{ENT 'r/lIE UND ERSTA}ID WEAT IT EXPRESSES A}ID EEE PONSIBII,IIIIES IT PI,ACESRES AGREE EO BE BOI'ND BY AIJI, UPON gS AS TEE LAND PROPERTTY OWNERS.I lsEI TERUS A}TD CONDITI OF [ *.*" {aaat"f,tt-d eA{.- 6r L Orz-7'toz SS, VALIDATION: CITY JOB #44r )55 RECEIPT NUMB 3 DATE PAID lo AI{OUNT RECEIV RECEIVED BY ED ls-at< ETHTBIT A Purpose The purpose of this agreement is to aIlov'certain development improvementsoccur prior to obtaining plan reviev approval from the Springfield CommunitServices Division. Scope The use of this agreement shall be limited to certain one and tvo-familydvellings not complex in nature as determined by the Building 0fficial andminor alterations or modifications to existing commercial and industrialbuildings-vhich are of a non-structural"type and do not adversely affect anystructural member of the building or any part of the building having fireresistant construction. One and tvo-family dvelling plans for structures that are complex in nature that have been prepared by an 0regon licensed architect or engineer and accompanied. by a letter of reviev prepared by said architect or engineer, stating that thesubmitted material is in compliance vith the One and Tvo-Family DvellingSpecialty Code, may be considered eligible for this agreement. The folloving items include but are not limited to certain conditions of development identified as ineligible for tiris agreement: a) development requiring site approval vhich has not been obtained; b) nev development located on land vith over six-percent slope; c) lots having expansive (elay) soil; d) development located vithin flood hazard .r"1.rt , e) development located vithin vetland areas; f) pole buildings or other such type of structure that is not of conventionalconstruction. to J To request an inspection, you must call 726-3769. This is a 24 hour.recording. AII inspectlons requested before 7:00 a.m. will be made the sarne working day, fnspectl-ons reqfuested after 7:O0 a.m. will be made the following work day. EXHIBIT B Reqrrired Iaspectioas TeEporary Electric Site - To be made after excavatLon, but prior to setting forms Footiagr - After trenches are excavated Fouadatioa - After forms are erected but prior to concrete placemdht Uaderfloor Pluobl-ng - Prl-or to ftlling trench l/- Uaderfloor Mecb,auical - Prl-or to insulation or decking-]- u4oa<1c/a6ra 4r*,t k*sE t-- Post & BeaB - PrLbr to floor lnsulation or decking Uaderfloor fusulatioa - Prior to decking tl Saaitary Sewer - Prior to filling trench _< l- l-' storu sewer - Prl-or to fLllLng trench Wat6r, Line - PrLor to filling trenchll 7//** tnt fttu*t 4?tzss {fotPnwrPt sPRTNGFIELD P I.I; BLt C WOBKS D EPAR7 MENT ADMINISTRATION ENGINEER/NG DIVISION MAINTENANCE ert,225 FIFTH SIBEEI INGFIELO OR 97477 It tgsg October 8, 1998 RayAyres fl?e nS 554 Vista Park Drive Eagle Point, Oregon 97524 Dear Mr. Ayres, Sincerely Enclosed is the Public utility Easement document we spoke about today. please sign thedocument and have it notarized. Then, return it to me along with a $ 15.00 check made toLane county Deeds and Records, in the envelope providedl The city of Springfield willsend it to Lane county for recording and u.opy oith" recorded document will bereturned to you. If you have any fuither questions, please call me at 54r-726-3753. ry4l,*bfu Molly Lindblom. p.E. Civil Engineer Enclosure: 1 cc: Dennis Ernst )C'TY OF Onecotl A D M t N t srRAn o N / E N G t N \Elt.N q F@ 726 _3753 FAX (50s) 726_ s 68 sMATNTENANCE (s03) 726_0761 Airiosj zib_sozr 1fl26 5 e882909-pUelrc Urtutw EASEMENT " THIS INDENTURE MADE and entered into this day of 1998, by and between _ A rs and Don hereinafter referred to as the Grantors, and the CITY OF SPRINGFIELD, a municipal corporation, in Lane County, hereinafter referred to as the Grantee. WITNESSETH: ln consideration of the acceptance by Grantee and the use or holding of said easement forpresent or future public use by Grantee, Grantors hereby grant, bargain, sell and convey unto the Grantee, aperpetual easement 7.00 feet in width, together with the right tJgo upon said easement area hereinafterdescribed for the purpose of constructing, reconstructing, maintainiig and using public utilities which mayhereafter be instailed on the following described property,lo-wit: The Northe rly 7 'oofeet of Lot 4 of RIVER TRAILS SUBDlVlSloN, as platted and recorded on File 75, Slide 57g,PIat Records of Lane County, Oergon. 3EZg0Cr.16'98#08REC 5. 35700CT.16'98#08FFUND 10. To HAVE AND To HoLD the above easement to the said Grantee, its heirs and assigns forever IN WHEREOF, the Grantors above named have &^,1998. hereunto set their hands and seals this of C A. ndC.A Jr. /ge cs na S. STATE OF OREGON) couNTY OF LANE) R3"" t SS IN TES written. TIMONY WHEREOF, I have hereunto set my hand and affixed sealthe da y and year last above Public Oregon My Commission Expires RETURN TO: N I IERRI T. BLODGETT OFFICIAT SEAt CIry OF SPRINGFIELD - PUBLIC WORKS DEPT. - 225 FFTHSTREET - SPRINGFTELD, OREGON 97477