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Home My WebLink AboutPermit Plumbing 2006-09-22CITY F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line PERMIT NO: COM2006-007 32ISSUED: 0912212006APPLIED: 06/1312006EXPIRES: 0312212007 VALUE: SITE ADDRESS: 1944 9TH ST ASSESSOR'S PARCEL NO.: 1703261304700 PROJECT DESCRIPTION: Connecting to sanitary sewer and SDC's being calculated and Owner: Address: METCALF WESTYE D I944 N 9TH ST SPRINGFIELD OR OF USE: Alteration gto License Residential Expiration Date Phone 503-304-7637 ent o\ C H ,tF9 \Contractor Tvpe Applicant # 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: Notes: \9 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: uts/Drains: nla $ Per Sq Ft or multiplier PARKING Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Pase I of3 Value Date Calculated I [3- Springfield TYPE OF WORK: Plumbing Only Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line PERMIT NO: COM2006-00732ISSUED: 0912212006 APPLIED: 06/1312006EXPIRES: 0312212007 VALUE: Fee Description + lOoh Administrative Fee + 87o State Surcharge Sanitary or Storm Sewer Cap Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitaryiStorm Admin Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 2200600000000001 338 2200600000000001338 2200600000000001338 2200600000000001338 2200600000000001338 2200600000000001338 2200600000000001338 2200600000000001338 2200600000000001338 2200600000000001338 $9.00 $7.20 $45.00 s45.00 s305.06 $401.18 $10.00 $865.31 $82.03 s83.18 $1,852.96 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 Fees Pai.l Plan Reviews Public Works Review 06n312006 06n3t2006 APP SB SDCs added. In-lieu-of-assessment paid today. Needs an Encroachmenl permit application ($130.) if entering the right-of-way or Public Utility Easement for connection to the sewer stub. Must provide County Sanitarian's Decomissioning Report for approval of SePtic Tank RemovaUDisposal. PLEASE HAVE THE APPLICANT SIGN THE IN-LIEU.OF.ASSESSMENT DOCUMENT. To Request an inspection call the24 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. Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is requested and approved, and all debris is removed from the site. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as required by the code. Paee 2 of3 red Insnections I !!aLr mr*-: D Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line PERMIT NO: COM2006-00732ISSUED: 0912212006 APPLIED: 06/1312006 EXPIRESz 0312212007 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I turther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. qlt loa Owner or Contractors Signature Date Paee 3 of3 t E;lr ATTACHMENTA CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT C}IARGE WORKSHEET JOURNALORJOBNUMBER COlv{2006-00732 NAMEORCOMPANY: LOCATION: Westye Metcalf 1944 9rl St MAP&TAXLoTNUMBER: 17 03261? 04700 DEVELOPMENT TYPE:Connection to NEW DEVELOPED AREA (S.F.): EXTSTTNG DEVELOPED AREA (S.F.): TOTAL TMPERVTOUS Sr.lRrACE (S.F.): I. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY A. REIMBURSEMENTCOST: NUMBER OF DFU's B. IMPROVEMENTCOST: NUMBEROF DFU's (SEE REVERSE SIDE) 16 l6 x $ 0.323 PER SF TOTAL STORM DRAINAGE x $ 25.07 PER DFU x $ 19.07 PER DFU $ 44.14 TOTAL LOCAL WASTEWATER SDC: NTF $182.66 sewer 1.00 $ 84.19 PERTRIP $ 19.09 PER TRIP ITE: ITE: LOT SrZE (S.F.): NTF 210 $805.71 $0.00 3. TRANSPORTATION BLDGAREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENTCOST: 1.00 x 9.57 x $ 19.09 PER TRIP x B. IMPROVEMENT COST: 1.00 x 9.57 EXlSTTI'IG A. REIMBURSEMENTCOST: 0.00 x 0 B. IMPROVEMENT COST: 0.00 x 0 x $ 84.19 PER TRIP $ 103.28 x x x x x 0 0 NTF $0.00 NTF $0.00 4. SANITARY SEWER - MWMC NEW: A. REIMBI.JRSEMENT COST: NUMBER OF FEU'S B. IMPROVEMENTCOST: NUMBER OF FEU.s 1.00 r.00 EXISTING: A. REIMBURSEMENTCOST: NUMBER OF FEU's 0.00 B. IMPROVEMENTCOST: NUMBER OF FEU's 0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL TRANSPORTATION REIMBI]RSEMENT TOTAL TRANSPORTATION IMPROVEMENT TOTAL TRANSPORTATION $82.03 PERFEU $82.03x 5. ADMINISTRATIVE FEES : BASE CHARGE (SUBTOTAL ABOVE) Sz..- Zd A,*Z/ B-*- SDC COORDINATOR $865.3I PERFEU $865.31 $0.00 PERFEU PER FEU $0.00 $0.00 TOTAL MWMC REIMBURSEMENT TOTALMWMC IMPROVEMENT MWMC ADMINISTRATIVE TOTALIUWMC SDC SUBTOTAL (ADD rTEMS 1,2,3, &.4) 1,663.s8 x 5% TOTAL TRANSPORTATION ADMINISTRATION TOTAL SEWER ADMINISTRATION 6n3t2006 x x x $40 1.1 8 s706.24 182.66 $805.71 $0.00 $82.03 $865.31 957.34$$957.34 83.18 1,746.76 IE@ COM2006-00732, Westye Metcall 1944 gth St.xls $ DATE TOTAL SDC CHARGES 1 JULY2OO4 1 I 117:& l[,75, I 190: DRAINAGE FIXTURE TINIT (DFU) CALCULATION TABLE NUMBER OF NEWFIXTURES X UNIT EQUIVAIENT: DRAINAGE FIXTURE UNITS FOR REMODELS. CALCTJLATE ONLY THE NET ADDITIONAL Connection to sanitarv sewer FXTURE TYPE FIXTURES NEW OLD BATHTUB DRINKING FOUNTAIN FLOORDRAIN, FLOOR SINK INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB CLOTI{ES WASHER/MOP SINK CLOTTIES WASHER.3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWE& SINGLE STALL SHOWE& GANG (NT]MBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALUWALL TOILET, PUBLIC INSTALLATION TOILET, PRTVATE INSTALLATION MISCELLANEOUS: TOTAL DRAINAGE FIXTURE UNITS: *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day UNIT DRAINAGE FXTURE IINITS 3 1 3 J 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 J 0 0 0 0 0 J 0 0 J 0 0 J 0 0 0 0 J 0 0 16 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCI'RRED AFTERANNEXATION DATE IN TABLE, CALCIJLATE CREDITS SEPARATELY YEAR ANNE)GD CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $I,OOO ASSESSED VALUE $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 $0.00 $0.00 $0.00 x x $0.00 RATE PER $I,OOO ASSESSED VALUE YEAR ANNE)GD 1979 1980 I98l 1982 1983 1984 1985 1986 1987 1988 1989 1990 l99l or before $s. l9 $5. 12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.2s $1.80 $5.29 1992 1993 1994 1995 1996 1997 r998 1999 2000 2001 2002 2003 2004 $0.00 $0.00 COM2006-00732, Westye Metcalf, 1944 gth St.xls CREDIT TOTAL ,I JULY 2OO4 NL]MBER OF EDU'S* 3 1 I I I I 1 225 Fifth Street Springfielti, Oregon 97 477 541-726-3759 Phone Cir- of Springfield Official Receipt I) ;lopment Services Department Public Works Department RECEIPT #: 2200600000000001338 Date: 0912212006 3:13:00PM Job/Journal Number coM2006-00732 coM2006-00732 coM2006-00732 coM2006-00732 coM2006-00732 coM2006-00732 coM2006-00732 coM2006-00732 coM2006-00732 coM2006-00732 Description Sanitary Sewer - lst 50 Feet Sanitary or Storm Sewer Cap Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC M WMC Administration SDC Sanitary/Storm Admin + 89/o State Surcharge + l0%o Administrative Fee Amount Due 45.00 45.00 401 ,1 8 305.06 82.03 86s.31 10.00 83.r8 7.20 9.00 Item Total:$1,852.96 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard DAVID HUNT djb 069088 In Person Payment Total $ 1,852.96 -5il8-m6- cReceint I Page 1 of I 912212006 CITY OF SPRINGFIELD IMPROVEMENT AGREEMENT AND APPLICATION FOR SEWER HOOKUP Tax Map & Lot Numbers 17-03-26-13-04700 (on the date of execution) We, the undersigned property owners D. Metcalf hereinafter referred to as Applica nt(s), request perm on to connect e following described property to the sanita ry sewer owned and maintained by the City of Springfield, hereinafter referred as the City. We therefore agree to pay a charge of $0.35 per square foot of the be nefiting property for the first 150 feet of depth as a deposit against future assessments for sanitary sewer. Area in excess of the above mentioned 150 feet of depth is charged $0. t e per square foot. Address: 1944 gth Street Receipt No.: PROPERTY DESCRIPTION: Lot 8, Block 1, Fuchsia Gardens, as platted and recorded in Book 29, page 14, Lane County Oregon Plat Records, in Lane County, Oregon. Fee Calculation $0.35 per Sq. Ft. = $0.18 per Sq. Ft. = Total This agreement does not include the cost of a house connection to said City Sewer, sewer user charges, connection fees, plumbing permits or other such costs to be assumed by the property owner. lT lS UNDERSTOOD that the Applicant understands that this agreement is enforceable by the State of Oregon, Lane County or the City. lt is further understood that the applicant agrees to sign any and all waivers, petitions, consents and all other documents necessary to obtain the above said sanitary sewer improvement under any improvement act or proceeding of the State of Oregon, Lane County or the City as may be proposed or adopted. The applicant agrees to waive all right to remonstrate againsi an improvement project for sanitary sewer to be duly initiateO Oy the City Councilibut not the right to protest the amount or manner of spreading the assessm'ent thereof, ifthe same shall appear to Applicant to bear inequitably or unfairly upon said property ofApplicant' Applicant's acceptance of the non-remonstrance condition is in considerition for the City's waiver of the requirement for the immediate construction of the public improvements that the development necessitates. The improvement agreement waives the property owner's right to file written remonstrance. lt does not waivL a property owner's right to speak on the proposed district or any related matters orally or in writing. NOW THEREFORE, the City agrees that if Applicant complies with the terms of this agreement, Chapter 2, Article 10 of the Springfield Code and Ordinance 5584 along with all other applicable laws of the State of Oregon, Lane County, and the City, thJ saidApplicant shall be entitled to connect the existing residence to the public sewer systems. 84I91 00 2 0 Sq. Ft. at Sq. Ft. at :8,342.4 0 $ $ $84I912 Dlvislon of Chhf Deputy Clerk Lenc County Drede tnd Recordo 2006-069835 ililllilll lllllllllllllll llllllllllllllllll lll $4' 00 oo847o2t2o06006sE3s0o3oo34 09/2612008 I I : 0z : 20 f,ll RPR-RGRE Cnt=2 Stn=1 $5.00 $15.00 $10.00 $1 CRSHIER 05 1 .00 AFTER RECORDING RETURN TO: CITY OF SPRINGFIELD - PUBLIC WORKS DEPARTMENT _ 225 FIFTH STREET -SPRINGFIELD OR 97477 l:UOBS\SEW-HOOK\Metcatf-1703261304700-pMr of Attny.doc REVTSED Januery, 2OO5 Pag6 1 of 2 The covenants herein contained shall run with the land herein described, and shall be binding upon the heirs, executors, assigns, administrators, and successors of the parties hereto, and shall be construed to be a benefit and a burden upon the property herein described. This agreement shall be recorded in the Lane County Deed Records. rh WHEREFORE, the parties have hereunto set their hand this ZT- day oEsVt. ,.2906 . ,^^)By Bv l."(\N) Applicant ).8-,r,.rApplicant State of Oregon Courury oF_ /o^*-_)SS BE lT REMEMBERED that on th is___*T 200Qbefore me, the u ndersig ned, a notary public in and for said Cou nty and State, personally appeared the within named attornev in fact for D. Metcalf whose identity was proved to me on the basis of satisfactory evidence and who executed the within instrument and acknowledged to me that he executed the same freely and voluntarily lN TESTIMONY WHEREOF, I have hereunto set my hand and official seal the day and year last above written. Notary Public for Oregon My Commission Expires fr1 *T,bd Y City of By sP.urveyor ld State of Oregon Counry IF_J_A.__)SS BE lT REMEMBERED that on this before me personally appeared proved to me on the basis of satisfactory subscribed within the (type of document) as the attorney in fact of thereto as principal and FINANCE DEPARTMENT INFORMATION : Trunk Sewer Lateral Sewer l:UOBS\SEW-HOOK\M6t€lf-170326130470GPower of Attny.doc REVTSED Jenuary, 2OO5 Page 2 ol 2 evidence, to be the person whose na me ts name as Public ( My ission Expires of 2006 wfact. @ MY SEAL NO.379218 27 .rln4.,* fl-fu Lrurreo Powsn or ArroRNry I, Westey Metcalf, resident and owner of Lot 8, Fuchsia Gardens subdivision, in T.17south R.3west, the SW of the NE quarter of Section 26,Tax Lot 04700, at 1944 9th St, Springfield OR, approve of Dave Hunt, working for and through the Indian Health Service, to act as my agent in any and all activities necessary to connect the above address to the City of Springfield, Oregon sanitary sewer collection system. This approval includes any power and authority needed for dealing with the City of Springfield and all other agencies in regard to permits and approvals for; and construction and inspections of the physical connection of the above address to the sanitary sewer system. The anticipated construction activities include installation of a sewer serviceline, with cleanout, from the house to the existing sewer stub-out near the cleanout near the southeast corner of the property; re-routing, as necessary, the under-house plumbing drains; and properly decommissioning the existing septic tank (per Lane County Sanitarian and DEQ requirements). I have signed this limited power of attorney this l- Ll day of August, 2006. STATE OF OREGON COUNTY OF LqYl* on this Mday of August,2006, before me personally appeare aWru"rcalf and acknowledged to me that he executed this limited power of attomey freely and voluntarily. N, My commission expires @ SEAL MY Lrurrpo PowpR op ArtonNey I, Westey Metcalf, resident and owner of Lot 8, Fuchsia Gardens subdivision, in T.17south R.3west, the SW of the NE quarter of Section 26,Tax Lot 04700, at 1944 9th St, Springfield OR, approve of Dave Hunt, working for and through the Indian Health Service, to act as my agent in any and all activities necessary to connect the above address to the City of Springfield, Oregon sanitary sewer collection system. This approval includes any power and authority needed for dealing with the City of Springfield and all other agencies in regard to permits and approvals for; and construction and inspections of the physical connection of the above address to the sanitary sewer system. The anticipated construction activities include installation of a sewer serviceline, with cleanout, from the house to the existing sewer stub-out near the cleanout near the southeast corner of the property; re-routing, as necessary, the under-house plumbing drains; and properly decommissioning the existing septic tank (per Lane County Sanitarian and DEQ requirements). I have signed this limited power of attorney this day of August,2006. Westey STATE OF OREGON l,.arwCOL]NTY OF rnally ^ro"*"\ffi* rtcatf and acknowledged to me that he executed this limited power of attorney freely and voluntarily. Public My commission expires:@ MY SEAI 11" r g00z t I gnv 03 Al3 3 3U