HomeMy WebLinkAboutPermit Building 1993-09-07t
SPRI]{GFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
?s/s78
h,
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT bO-c
h
BLOCK:SUBDIVISION
PHONE:
ZIP:STATE:D,R. ? ^CI
OWNER
ADDRESS:
't{
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW REMODEL
CONTRACTOR'S NAME ADDRESS EXPIRES PHONE
GENERAL:c"ryf? ( rz_
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR ''
# OF BDRMS
- OFFICE USE -
LAND USE:
WATER HEATER:
r OF UNITS:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. Thls ls a24nour recording. All inspections requested before 7:O0 a.m. will bemade the same working day, lnspectlons requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
l-l .Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing :- When alt
plumbing work is coinplete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Eleclrical - When all
electrical work is complete.cover,
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Fireplace - Prlor to facing
materlals and framing lnsp.
Final Buildlng - When atl
required lnspections have been
approved and building is
completed.
Foundation - After forms are
erected but prior to concrete
placement.
EFraming - Prior to cover.
Wall/Ceiling Insulation - Prlor to
cover.
Underground Plumbing - Prior
to filling trench.l---l Drywall - Prior to taping
Underlloor Plumblng/ Mechanical
- Prior to insulation or decking.
MOBILE HOME INSPE TIONS
Wood Stove - After installation.
Post and Beam - Prlor to floor
lnsulation or decking.lnsert - After flreplace approval
and installation of unit.
Blocking and Set'Up - When all
blocking is complete.
Floor lnsulalion - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prlor to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prlor to filling
trench.
Fence - When completed.
Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
RANGE:
E
E
tl
E
r
E
E E
Other
-
E
fl
r
r
Lot faces
Lot sq. ftg.
Lot coveragel
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
t bac ks IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
X $/SO. FT.VALUE
..ry+t)
m/sh
7s
JSZd(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Plan Check Fee:
Date Paid
Fleceipt Number:
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State'Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan
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 f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, 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 Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther 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 f ront
of the property, and the approved set of plans will remain
Xsi
9-2-4gnature
Date
on the site at all times during struction
I
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
7r 7d
7
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
3gs s, )(ft
93??Z?3 - IMPRoVEMENT AGREEMENT
lN CONSIDERATION of the covenants herein recited, the Ci$ of Springfield, hereinafter referred to as City, and
MOSS THOMAS , hereinafter referred to as Applicant, do covenant and agree as follows:
WHEREAS Applicant desires Development Approval from City; and
WHEREAS, any future development within Cig or within City's Urban Growth Boundary located in Lane County will
cause both an immediate and long-term demand on the various public facilities of City and Lane County;
NOWTHEREFORE, Applicant and City agree to the following schedule of public facility improvements and respective
cost assumotion policy:
STREET IMPROVEMENTS along the frontage of SOUTH 34TH STREET to include: (X) surface paving;
(X) storm sewers; (X) sanitary sewers; (X) curbs; (X) gutters; (X) planter strips; (X) street trees; (X) street lights;
(X) sidewalks.
TRAFFIC SIGNALS at the intersection of N/A
OTHER IMPROVEMENTS
LEGAL DESCRIPTION:
N/A
The South half of Lot 4, Block 9, Douglas Gardens, as platted and recorded in Volume 4, Page 73, Lane
County Oregon Plat Records in Lane County, Oregon'
EXCEPT: That portion lying within the right-of-way of South 34th Street.
ilLlN"lu " t? " ?ii+0iii[ri I.
-i!.liN0v . 39 , ?3ii0 L F,FUND 10 .
ADDITIONAL I NFORMATION 385 SOUTH 34 TH STREET 17 02 31 34 0600
Property Address Tax Lot No.
lT lS UNDERSTOOD that this agreement is enforceable by the State of Oregon, Lane County or City.
lT lS FURTHER UNDERSTOOD that Applicant agrees to sign any and all waivers, petitions, consents and all other
documents necessary to obtain the above listed improvenrents r.tnder any imprcvement act or proceeding of the State
of Oregon, Lane County, or City as may be proposed or adopted by the State of Oregon, Lane County or City anci
to waive all right to remonstrate against such improvements, but not the right to protest the amount or manner of
spreading the assessment thereof, if the same shall appear to Applicant to bear inequitably or unfairly upon said
property of Applicant;
NOW THEREFORE, City agrees that Applicant's execution and performance of the terms of this Agreement will be
deemed to be in compliance with City's policy pertaining to improvement requirements, and if Applicant complies in
every respect with all other applicable laws of the State of Oregon, Lane County and City, the said Applicant shall
be entitled to Development Approval; and
lN ADDITION, it is the intention of the parties hereto that 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.
WHEREFORE, the parties have set their hand and seal tfris Z{a day of NC}l€r.\c€JR-- , 1993.
Di of Public Appl
srATE OF OREGON)
couNTY oF LANE)
)SS A nnliaant, rrtJrrvqr '.
On this 2-9TA day of Ncr.{EAAB<fL , 1993, there personally appeared before me the above named
applicant(s) and signed the above document.
Notary Public for
My Commission Expires NaJ 6 , 19*
RETURN TO:
CITY OF SPRINGFIELD - PUBLIC WORKS DEPT. - 225 FIFTH STREET - SPRINGFIELD, OREGON 97477
,nr:> OFFICIAL SEALr7&ci{ DoN R. RocERs
[k6fl, slffL3l,"',h'k"9t539],\p', itY mMHtsstut ilPtf,Es ilw. I rss4
$s (Z A_ra,q"y*
2
0
3Ds s.3{t3
fl JJr.$r E /a$
TL 17 02 31 34 600
93?77."{*
BARGAIN AND SALE DEED
KNOW ALL MEN BY THESE PRESENTS' thAt MOSS THOMAS
' t t.,.
Grantor, in
consideration of the acceptance by the City of Springfield, Oregon, Grantee, and the use or holding of said
property for present or future public use by grantee, grantor hereby grants, bargains, sells and conveys unto
ihe said grantee, its successors and assigns, all the following real property, with the tenements, hereditaments
and appurtenances, situated in the County of Lane and State of Oregon, bounded and described as follows:
The East 10.0 feet of the West 30.0 feet of the South half of Lot 4, Block 9, DOUGLAS GARDENS,
as platted and recorded in Volume 4, Page 73, Lane County Oregon PLat Records in Lane County,
Oregon.
i.i-1. iiriii.,r .,:?' ?l H[ 1 F:[;:
iI:,iilljLl . :?' i]#0 i Ff iJNn
The same hereby and forever dedicated to the public to be used as public road.
TO HAVE AND HOLD, the above described and granted premises unto the said grantee, its successors and
assigns forever.
The monetary consideration for this conveyance is E
lN WITNESS WHEREOF, the grantors above named have hereunto set their hands and seals this LgTtrday
o1 NcNIS^\B€r_ , 1993.
EAL)
EAL)EAL)
State of Oregon, County of l.ane ,ss Personally appeared the above named and acknowledged the foregoing
instrument to be his voluntary act and deed. Before me:
oR6o. Nct./Er.lE€c- @ A.D. 1993.9D^. 7
Notary Public for Oregon
Ngv e+lre€.lz- G, 199+
My Commission Expires
RETURN TO:
CITY OF SPRINGFIELD - PUBLIC WORKS DEPT. - 225 FIFTH STREET - SPRINGFIELD, OREGON
.t
1!"
@ ,e**i*U
78t 5" b.rt\
93"?;C35 DECI..ARATION OT EASEHENT
JOII.IT USE HATMENAIICE AGREEHEM
f;1
and
statethatthepropertymoreParticularlydescribedandsetforthinExhibit''A'',
attached hereto and incorporated herein by reference' is hereby declared' granted'
conveyed and created to be a perpetual and non-exclusive easement for access' ingress
and esress, and drivevay purposes i;;;ft.;f ,;l[ijf;__
z. Said easement is not personal or in gross but is appurtenant to each and
every portion of the property more particularly described and set forth in Exhibit
,r8,,, attached hereto and incorporated herein by reference'
3. Said easement shall run vilh the.. properties herein described and sha1l be
binding on and shall inure'to the benefit of the parties hereto' their heirs'
successors or assigns'
4. said easement is made for the purpose of complying vith the Springfield
Development Code regarding th: d:vlsion or partition of land or any other development
of land. As such, the city of Springfield shall also have tT.,'.li.nt ""1 -tllndins
to
secure judicial recognition and enforcement of the rLghts granted by this
Declaration, and this easement sha11 not be affected oI negated by title or the
merger of title of the dominant and' servient properties in a common ouner'
5. Grantor ('s ) 'shaIl at all
use the easement for PurPoses not
times, and vithout restriction, have the right to
inconslstent vith the easement'
DECLARATION OF EASEMENT - 1
4_
b,,.Aoss Tlte)(}lxs
93?'7Ue5
6. The maintenance and repair of said easement shal1 be in accordance vith
Exhibit rrcil, attached hereto and incorporated herein by reference'
- .. .i
7, Grantor(s) further hereby declares, grants, conveys and creates the right
to use said easement for a perpetual and non-exclusive easement for access, ingress
and egress, and drivevay purposes as may be needed to serve the properties more
particularly described and set forth in Exhibit rtBrr, attached hereto and incorporated
herein by reference.
8. The true consideration for this Declaration of Easement is (1) S O.og
(2) other than monetary.
STATE 0F OREGON, County of Lane ) ss.
Personally appeared before me this Zda day of tlc^/el.@eL , 1993 , the
r.rithin named t\.4C69 -Tt{O}b.SS vho
acknovledged the foregoing instrument to be their voluntary act and deed.
tary u n r
My commission Expires: Na/ b) t9?,+
./6r-* OFFICIAL SEAL/APdT. DON R. ROGERS
frWry Sffil;3lf'h''-i,9ffi9$'\sr/ lw mmutsr0t 0CIlnts il{il.0, lg{
1 1.8
DECLARATION OF EASEMENT - 2 (END)
IN IIITNESS THEREOF, I (ve) have executed this Declaration of Easement on this
z u day of Nc^J€r-aeerz- , tggS .
l>E\ fL A*Ar"--
,' ,r#l ,<o o/ Ea 5ne;T ; rt /)tni o{ br ,/
, B/ o. r- t ,r2ou9 ta5 6aa).,t5.:'" irr, //c 5 '/ 4 Jccr)on st /r75 AlvJcsl w-/4- Sf*ry{;,,/
n ,r,,i Lar'te counf/ onelofi An/ Fl-ir7 )e5cr<,lk/ oS. {&tout},N . -? -t .4 l,s,
- o o{of,'wti /to'o877st
H )c/n)no1 ar o,,/o1i:!f rl^T leaAa*s J o
q,
ay) g ir/g'to{;'r' 89'oi 17,'o": /Ac N E colncr<
Lafr/3/ocl.2s2au1/a56.an/on51//tt€flceMs,,/iQvesT
/ 73.ri li /a a VinT slAcnce tV d oP oi E :io fi /o
a /oinf /Acnc.-i 4'?B oin E /g-oj rt /to a- /a| nT
fler". 5o"rh frif jd f /gg-gA ff lo an/o,'nT /Aenc(-
jaurA o o/'o/"Aw /ofi fo /Ac poinq ol o./nln7
Ex)l;r L
:-
.93??ezs
Exhlblt B
A parcel of land ln part of Lot 4, Block 9, Douglas Gardens,
1n the SVJ 1/4 Sectlon J1 I T1?Sr RZW, Ur.M. Sprlngfie1d, Lane
Countyl Oregon and belng more par':icularly described as follows:
Beglnning at a polnt thar. bears S Oo04'O9r'w t ?5.O4 feet
from the NE corn.er of Lot 4, Block 9r Douglas Gardensr thence
S OoO4tOgtrw t ?5.O4 feet to a po1nt, thence U89o48'rO'tW, Bg.O,
feet to a polnt, thence N Oo 0{rggrrg t ?5.o9.feet to e poirt,
thence S89o45,52,,8t 89.O5 feet to the polnt of beginntn6.
A parcel of land ln part of Lot 11, Block 9, Douglas Gardenst
in the S'II 1/4 Sectlon ]1, T17S, Rllr, W.M. Spr:inp;fieId, Lane
Countyr Oregon And belng more particularly describe,l as follows:
Beg"inni-ng at a point that bears S 0oO4'O9rtW, ?5,O4 feet
and SB9o46t52ttv, 89.o5 feet from the'NE corner of Lot 4r
Block $, Dou6las Gardene, thence S Oo04r09nW t ?5.O9 feet to
a polnt, thence tl89o4{}r r0ilW, 102.80 feet to a polnt, thence
tt ooo5r02trEr ?5.15 feet to a po1nt, thence sB9o46 t rzttE, lo?-.??
feet to the point of beginnlng.
o
qJ
J
UriroJOU
trc
UUoocc66
JJ
E,
cr)
CD
@
F
oa
rcE
G-!a>6, i=€;:
Zt u.iaL.,5 htr>.iE<-- .!U6 - o > aJ6 . U'i ._,ttx_"ro: b3'P 4.,Oc ;-o- IEo.S "i3 '':i
!e! >,! >
v o :.6E :-r.
:>,,?..9- t_ " 4trsi 3:= -S o = Z-. -r.
tn U -'u .E (..:
nNilr\fi
(t,o