HomeMy WebLinkAboutPermit Building 1995-08-22OTT OF SPilNGFIEIT',
SPRINGF!ELD
a
RESIDEMTIAIJ PERIIIT APPI,ICATION
CITY OF SPRINGFIEI,D
COUMT'NITY SERVICES DIVISION
BUII.DING SAFETY
Page 1
ilob Number: 951141
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 1148 N 12TH ST
Assessors ttap #: L7032644
Lot: Block:
Office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #: 14801
Subdivision:
Owner: GEORGE HARLOW
Address: 2433 MARCOLA ROAD
Describe Work: FND FOR MOVED HOUSE
phone #:
city/state/zrp: SPRTNGFIELD, OREGON 97477
ADDITION
General-
ConEractor
MARQUARDT 0067550
PO Box LL754 Eugene OR 974400000
Const.
Cont,ractor #Expiree
07/02/es
Phone
341-65s9
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 2
# OF BLDGS: 2
OCCY GROUP: R3
To request an inspection, calf the 24 hour recording aL 726-3759.
A11 inspections requested before
inspections requested after 7:00
a.m. will be made Lhe same working day,
will be made the following work day.
7:00
a.m.
--- REQUIRED INSPECTIONS ---
FOOTING - Aftser trenches are excavated.
FOtIIDATION - AfE,er forms are erected but prior to concrete placement.
POST AI.ID BEAII - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking waII/ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SATiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to fil-l-ing Erench.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: E
Sofar Approved: Y
House
Garage
LoE Sq. Ft
Lot Type:
SetbacksswE
20
16 15
: 6510
INTERIOR
Total Height: 14
N
5
IUem
Main
Garage
FOUNDATION
Total Value
Building Permit Fee
Surcharge/aamin
TOTAL FEE
BUILDING PERMIT
Square Feet x $/Square Feet Value
0.00
0.00
3, o00. oo
3, 000.00
38.50
3.09
41.59(A)
IEem
Sanitary Sewer
Fee
25.00
--- PLI'MBING PERMIT ---
SPRINGFIELD
Job Number: 951141
CITY a
Page 2
Water
Storm Sewer
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
25
)q
00
(c)
75.00
6.00
81. 00
--- UISCELLA.I.IEOUS PERIIITS ---
Surcharge/admin
PLAN CHECK FEE
TOTAL MISCEI.LA}IEOUS PER}IITS (E)
0.00
25.03
25.03
(Excluding Electrical )
unlees otherwiee noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)L47.52
--- BUILDING VALUE, PI.A}I CHECK A}ID BUILDING PERMIT
This permit is granted on the express condition that Ehe said construction
shall-, in aII respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating Ehe construction and
use of buildings, and may be suspended or revoked at any time upon violaEion
of any provisions of said ordinances.
--- ADDITIONAL COMMENTS -.-
RESIDENCE TO BE LOCATED FROM 1620 H STREET, SPFLD
2 STREET TREES REQUIRED
By eignature, I atate 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
shalt be done in accordance with the Ordinances of the CiEy of Springfield,
and the Laws of Ehe State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY wifl be made of any strucEure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on Ehis project.
I further agree to ensure that all required inspections are reguested at the
proper time, that each address is readable from the street, EhaE Ehe permit
card is located at the front of the property, and the approved set of plans
wiII remain on the site at all times during construction.
E--//
ignature Date
--- v
\t1
ALIDATION
"uReceipt Number:
Date Paid:
Amount Received:
Received BY:
w
OFEGO'VCITY OF
225 FIFTE STREET
SPRINGFIELD, OREGON 97 477
INSPECf,I0N REOIEST: 726-3769
OFFICE: 726-3759
1
FlELO
ELECTRICAL PERHIT APPLICATION
City Job Number
3. COHPTTFTE PEE SCEEDIILE BELOI{
A. Nev Residential-Single or
. Multi-Family per dvelling unit.
service rncluded' ,a"*" cost
5Pr
ilTEI\ 3I#l'*LArroN
I.EGAL DESCRIPTION
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INST
Electrical Contractor
Address 3
l-000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
Sum
s 8s.00
s 1s.00
$ 40.00
B
s s0.00
s 60.00
$100.00
s130.00
s300.00s 40.00
fD
Ci ty Phone
Supervisor License Number A1X-S
6wffi 200 amps or 1
201 amps to 4
40L amps to 6
601 amps to 1
Over 1000 amp
Reconnect OnI
ess
00 amps
00 amps
000 amps_
,s /voI t s
v
Expiration Date
Constr Contr. Number
S
-/ -
c.Temporary Services or Feeders
InstalIation, Alteration or Relocation
Expiratio"o^r. @/zZ/e 200 amps''or less $
201 amps to 400 a,nps - $
over 401 to 600 amps
-
$
0ver 600 amps or 1000-ilofTs s
trician
40. 00
s5.00
80.00'ffi'
u!,,,r^ n
ure of
Ovners Name /Act-t-t lxrttEqtMANTS
666tu"" tSbE toltcANtETTE >7
Ci ty ANe Phone 34, ^73 6,Ecs
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circui t or vi th Servic € 't
or Feeder permi t 3 $ 2.oo b, -
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting_
Limited Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
ee trBrt. a6ove
40.00
40.00
20.00
36.00
5 a
RBCEIVED
€t
$
s
$
$
+ 7s,tt// fto A/, tzfu-c'\; r,rlrrr 2 0'1 4 4'+/c i-tr6097Tax Acct .lt|L294279
I 1, /j...,.,.;.,; i
_g I(NOW N LI, MEN BY
call.ed gral)t.ors,
described proPe rtY
DECLARATION OF PRIVA'TE EASEMENT
s532960
THDSE PRESENTS, that
are hereby clecl aring
is a permanent Ut,ilitY
l-he uncle rs igned , he re):Y
thal: t lre fo 1. Iowing
Easement:totgt
The
East
West 5
46 feet
feet of 1:he East, 10 feet ancl 1:he sc.rttth S feet of t-.he
of the following described tractr
nt5
Begipning at a poinL on tfie Nort[ line of nJ'|r Street' which is
855.O@ feet East ancl 76i.'13 feeL North @o to'oo" west from the
Northwest corner of t.he Partl- Brattain Donal.,i.on Land claim No'
63, ,fownship l7 south, Range 3 West of the V^Illlamette Meridian'
running thence North oo @B' 2:1" west 9@.6@ feet to the True
point of Beginntng; thence continuing North ou 08' 25" west
62..4A f eet:; thence NorLh 89" 59' 1.7" East LOs.O@ f eet to a Polnt
on the west margin of L2th Street; thence along said margin
south o" oa' 25" East 62.4@ f eeL; t:hence leaving sai.d margin and
running North 89" 59' L7" West l@5.@O feet to the True Point of
Begiuning, all in Springfie)'cl, Lane County' Oregon'
The easement shatt be usecl for tlte maintenance or replacement of
ut-.:-Iity facrljf ies serving Lhe fol1owin9 described properl-'y:
Beginning at a polnt on Lhe North tine of "J" street whlch is
-g55 f eet .East ancl 't63.73 f eet North oo la' oo" l^lest f rom the
Northwest corner of tl're Paul Brattain Donation Land claim No '
6:t, Townshil: 1-'t Sout:h, Range 3 West' WillameLte Mer:idian'
running thence North (0o oa' 25" West 17.6@ feet; thence North
Bg. 59, 1.7" East- tos.a@ feeL to a point-. on the west margi'u of
12th sLreeti thence along setirl margln south ao o8'25" !':ast
j7 .6,0 f eet: to a po j trt whi.clt j.s tlte inl:ersecl:1on of sald West
margin 12th Street witlr Lhe North rnargln of "J" Street; tlrence
aJ.ong saicl North margin of "J" street souLh B9' 59', lJ" west
L@s.@@ feet to Lhe point of Beginning, aII in springfleld, LdttP
Couttt'.v Oregoll .
!iJillJUN,, 15', ?5il08nEC
lnaiJuN " 1 5', 95il08r'[:UNt)
Dated this /t/day of- JLlne, 1995
George R. Har ow Artie Mae Harlow
STATE OE OREGON 5rllJuii" 15'95ll0BA&T FUND i0"00ec
County of Latle
5.00
10. u0
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BE IT REMEI'IBERED, that oll tlris day of June, 1995, bef ore lll€,
Lhe unclersignecl, a NotarY Ptrblic in and for saicl Coutrl'y and State'
personatJ.yappearerft,trewiLhinnameclGeorgett.tlarlowandArt.Lel.lae,ar:ro,: l:::y"-:: ::-::^t:^:'l:.,1,:':i"1::,,,:l:l;i::l:.r"il";:':il"l".i:i
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Fteglnnlng aE a poinE on
feet East and 763-73 feccrner of the Paul BraEseurh, Ranga 3no 0E' 25" llesE
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cn Ehe We6t margln of 10B' 25" Eaet, 11 .60 f eet
Weet margln 12Eh Street
95.59?10i{t'3SH aLL },!EN gY THtrSE PRESENTS, that the
l-.1r-r=GEsr Ef€ hereby declarS.ng that their: a permenent Utlllty EaoeBCnE:
DECLARATION OF PRIVATE EASEMENT
0g'
regon My eomm TJ t'
underelgned, hereb Y r-a 1^,1
#.*'! r^.,.1 ** r***"-r-u -1.L!rJ, IvFrrr:, uEFUl. lLrStl,iri:i}pt: i: i r
E.he North line of rrJlr Street *hich ie 0SE,uCet NofEh 0s 10' 00" Irleet from t,he Northwest_taLn Donatlon Land Claim No. 63, Townehlp ,?the wlLIametE,e I'lerldlan, runnlng Ehence Eir;rtlreetr t,o the True polnt, of Beginning,. thence25" West 62.40 feet,. thence NorEh Bgo 59' 1-,,.
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saar 1,-15.00 feet to a polnE, on t,he West, margin of i2th Streecl theiiei:aLong saLd margln souEh oo 08' 25" East 62.+0 feet; Ehence leavirrfeaid, margln and running North 896 59r 1?tr WeBt 105.00 feet to the'i'i:i,.
Pol nU of- Begtnnlng, al,1 in Springf ield, Lrane County, Oregon.
The easement shalI be ueed for the mainEenance or replacemenE, ofuLiliry tacilities eervlng the followlng deserlbed property:
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*sts-acr he ,g day of 04*1995.d
GAIL
o
HE IT REI'{EMBERED, that on thle d.ay of 0c*6Ue4 26 , 11gg1, hr-:i..,rf
me the underaigned, a Notary Publlc ln and for Baid County and SraLi:.p-*reonalLy appeared the wlEhLn named Rex E. Purkereon and Gali C"Furkerson, known Eo me to be t,he indential individual described ln ari,j
vsho execuced the slthin inet,rument and acknot+ledged to me Lh&t Ltiey6x6cut,€d the aame freely and volunEarlly.
ii'i TESTIMONY wliEREOF, I have hereunto set my hand and aff ix.-imy eff Lcl-al- eeal the day and year l-aet above written.
*S?ATE OF OREGOH)
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4-..,vt! rr ^E t --- Ir-.JuilLj, UL UalllCl I
State of Oregon
Countlr nf lsne - oa.
[, rhc County Clrrlr, in and lor thc rcid
Counlg, do hereby certily thet the wi&ln
iilrtrulr,er,t wei recelved for rccord at
20mTfi Lt2e
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ZlltCICT.30'g5ilc7PfufiD :.r-,E
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exp reg i-f,tary
Aftar recording return Eo:
Reer 2106R
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Lane County Oi:FlClAL Reconds
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INSPECTIONS 726-3769
OLD ADDRESS
ega scr pt
- CITY OF SPRINGFIELD
225 North Sth Street BUSINESS 726-3753
BUILDING MOVING PERMIT/BUILDING DIVISION
S (Furnished by Building Div.)
*n
Legal Desc r1 pt on
It-l
Building 0wner Address Phone
ng dress Exp eCS
D e scription tende Use
D escr].ono Route
CITY DESIGNATED JOB Ntn{BER
*rr
ng
.Square Footag " \}Cf) Moving Leng th BD Moving width 3+Hei gh t On Do11y
Number 0f Sections Being l"loved Ad.Of Construction V/U VALUATION
c pt ono
\
NOTIFICATION OF I'{OVE: The Bu 1 ing Division PLANS, FEES, AND CHARGES:or to receiv-
will route copies of this application to all
appropriate divisions, departments and Agen-
cies. HO}JEVER, the applicant must contact
property owners if trees are involved in the
proposed move. IN ADDITION, the applicant
must secure the approval of all appropriate
municipal, county and state authorities
should the move originate or terminate out-
side the City of Springfield.
ldings within the
City limits shall have the sewer capped at
the property line and inspected one working
day prior to the move. If the inspection
indicates that the sewer has not been prop-
erly capped, the moving permit will be
ing a permit to move a building to property
within the City, the applicant or his/her
authorized representative must :
1. Subnit 2 copies of site or plot plan
for new site.
2. Subnit 2 copies of foundation plan for
the relocated building.
3. Obtain a permit covering the new founda-
tion, as well as all plumbing/mechanical
and electrical work relating to the re-
located building.
4. Pay Systens Development Charge if appli-
cab1e.
C TANK REQUI Pri or to moving,
owner sha1l have all sludge from the septic
tanh, seepage pit or cesspool removed by a
person holding a sewage dispoal service li-
cense, and sha1l fill same with clean bar-
run gravel or other material approved by the
revoked.Director or his authorized resentative.
I CERTIFY TFIAT the above information is true and correct, that all uired contacts have
b made and authorizations obtained,that the move will be gin at orclock
and will be completed bY a !1QLorclock @p,on
no Ln the route will be made without contacting the Buil V1S I
also certify that I hAVE bEEN iNfOrMCd thAt NO PERI.4IT WILL BE ISSUED BEFORE I{ORKING DAYS
HAVE ELASPED. I further certify that my regis tration with the Builder's Board is in fu11
force and effect as required by ORS 701.055 and 701
noted hereon. Basis for Builderrs Board Exemption:
O7O, and that if exemPt the basis is
NAME SI
OFFICE USE ONLY
a"rr.*..t", V Ni occupancy w5ZoneFlood Plai n__-IyPe of
Stories \Living Units I sqr"re Footage.
F OR
VALUE
Application fee $18.00 -- Date
Permit fee $60.
Number of Block
00 -. Date Paid
Sewer Cap
lice DePartment
L-lFire Department
t<--Northwest Gas
Receipt Number
Receipt Number
Amount q 5AC\
e Paid
an Recreation inbow lVater SUB
1\):\DeAb
istrict
OTHER -- sp ecify
.60 +
amal
-t-t*+upttt-€6,tite-\Q-5-.4aneCountyA&T
DATE
I
BUILDING MOVIN
-:RMIT
Applicant to furn'ish (except as indicated)A. 0ld address for bui'ldingB. Legal DescriptionC. New address for bu'i1di ng
(Building Div. wjll furnish)D. Legal DescriptionE. Name, etc. of building ownerF. Name, etc. of moving firmG. A description of intended useH. A description of proposed route
I . A descri pti on of the bui'ldi ng
Applicant to contact property owners if trees
'involved, and secure authorizations from
other jurisdictjons as necessary.
A site or plot p1an, and foundation p'lan must
be submitted for the new site (2 sets)
Plans must also be subrn'itted for any other
work rel ati ng to the rel ocated bu'i 1di ng.
Fees & Charges:A. Application fee due and payable at t'ime
of appf icationB. Moving permit fees due and payable upon
permit issuanceC. FEES & CHARGES TO BE CALCULATED BY
BUILDING DIVISION STAFF
FOR OFFICE USE ONLYA. Plan check data collectedB. Copies of appiication to appropriate
divisions, departments and agencies
PERMIT VALIDATION
PERMIT CLERK
III.
IV.
V.
II.
VI.
D NG DIVI ON RE
TRAFFIC DIVISION REPORT:
- h4r g,e 4
Sie n Bg bu
Date 8 5
ENGINEERING DIVISION REPORT:
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