HomeMy WebLinkAboutPermit Sewer Connection Record 1988-05-23..RESID.=NTIAL..
Zzs North rrt, irrnff"'cATtory/PgRt/ffr
SprLngfteld, 2regon 97477
ButLding Diuiston
7 26-37 53
SPFlI]{GFIEL.D
Signed L (*rrt*o
#
53cnJob Locaticn:
* /- aV-ze -z ,rot Ipt # O/gAAasessors Map
Svbdirsision:
1/^ € /V. Zzttra
2a1 6'h ehone:776-7lSAAddress:
5rrcb. - oR.City:zip:272?
Coryyez r F,xta2 -5.f; fu*Pszz.eG OtryrvF7 Sauq
Ddte of Oppttoorl", f-2%
Describe l,loyk:
TI
Value
Add.itian
RenoCeL
eoiinacio"s Adlress
GeneyaL
r-t ia the responaibi-Lity of the pentrit ltoldet' to aee that aLL inapeetions oe nade at the prope! tiile, that each address is reqCahlefron the etneet, atd that the petmit card ia Located at the frcni of the otooerht.*Building Diuici.on approted pLot sTtcLL remain on the Bunlding site'at aLL' tikes."
?RoC DUPErF04 IySPEC2I)N.E!-37ES?:CALL726-3769(reeorder) state Aou? City desigrated job ntniibet,, job aCitess, type of inspecti.cnreQuested and uhen you uiLL be ready foz, inspection, cont?aetors oir a,tners nane'and plaie number.' -p.equests reLeii:Za iefcri 7:00 az'*'iLL be nade the eane dcg, tequests-made aftez, 7:00 att urLLL be nade the neat uotki$ day.
Conatm.ction Lende?
Raatt'narl
Iout, City Desi.gtated Job thttnbez, rs: . 88O/V7
SITE INSPEC?ION:
etcansation, but
?o be nwde aftet,prtor tc set up of INSULATTON/VAPOR BARRTER IIISPECTTON:
To be made after aLL insulaticn e..d.
required uapor berie?s @e in pl,ace
but before otg la.th, Wpsun boatC or
tnLL cooeying is applied, and. before
oty ittsulation is concealed.
DRYWALL INSPECII)N: Tc be nade@A-AT@;;n'is in plnce,
but prior to ang taping.
ILASONRI: Steel Location, bond
beans, grouting ot oerticals in
accotdqtce LtLth U.B.C. Section
24L 5.
WO)DSTOVE: After installation ie
antpleted.
CARB & APPR1ACH APPAN: Aftet fonnsd.;-;;;;tAEtVGol, to pounng
concrete.
SIDE|ALK & DR|IEWAI: For aLL con-
erete paoing uithin styeet right-gf-txA, to be nade after aLL erca-
oating canplete & forn uork & sub-
fu,se matet"ial in place.
DEI.IOLTTIO]] OR !1OWD BUILDIIICS
Sanitatg seoet capped at properfil Line
Septic tank putnped cnd. filled utth gratel
Final - l(hen abcoe itens ate ecnpleted
and uhen Cqoll tion is eomplete o! st"uc-
ttu,e notsed otd prewises cleaneC up.
Hcmes
Blockittg otd Set-ttp
Plutrbing cormections -- aaie? atd, uater
Eleetyical Cotnection - Bloektng, eet-up
ard plmbing conneetions tntst be apprcxed.
before requesting el,ectrical inspeetion
Aceessory Building
aNDERSLAB PLUMBIN?, ELg1TRICAL &
WCH{IIICAL: ?o be made befoz,e anytlotk is cooet,ed,
FO)I|ING & F)UNDA?TCN: Io be naCe
7f te!-rel,t"enc@ercauated.and
forns are erected, but prior to
Wuz.ing ccnc?eta.
fi urogncnoultD qLUMETNG rffi w.,trsn.L)Lir4 trenches.
UIIDEP,FLOOR PLUT,ETNG & I,IECIIANICAL :
floor insulation or decking.
POST AND BEAI,I: To be made pr.Lot, toGl&TffiTof ftoot, insuT)tion ot
deckitrg.
ROUGH PLU-IBII;IG. ELECTRICAL & MECH:
ANICAL: No aotk is to be co.^et,edffilTthese inspections lntse been
nad,e cnd. approoed..
ET.D.EPI,ACE: PrLon to placirg facingma.terials and. before ftaning inspec-tion.
PRA,l.lfNG: ltust be requested after
apptooal of rough plwnbing, electti-
cal, & neclnnical. ALL roofittg
bracing & chhrmeys, etc. nrast be
. cornpLeted. Ito uotk is to be con-
., cealed until this inspectton has'been nade anC approued.
fomns
FTNAL PLUAAIM
FIIIAL MECHANICAL
FINAL ELECTRICAL
of
Fitnl - Aftet,
etc. ate e,cnrp,
pa,ehes, skirting, decks,
Leted.
IENCE:
gates
P.U.E.
h*ren conplete -- ProuiCe
or mortable sections through
ALL project conditions, such as the installation of street tnees, conpletion of the
required landsccping, etc,, tmtst be satisfied befoTe the NIfLDING FLNAL can be z,equested,
n F|-NAL BUTLDTN|: The Final Build,ing rnspection nruEt be requested after the Final Plwnbing
\J Eleetnical, otd. Mechanical fnspections haoe been nade atd approueC.
K
*ALL ILANHCLES AND CLEANOU?S TIUS? BE ACCESSIBLE, ADJUSTIIEI\I TO BE I,L4DE AT NO CCST TO CNY Page 1 of 2
{'/
Date:
Z
JoB No.8ga 3> SOLAR ACCESS REQ.-
TotaL
L-CO d
Bedtooms:
{.
-l-z z-ga
-
f HAW CAREFULLy EXAMINED thz eornpLeted applieation for permit, and. do
hereby cettify that aLL information het,eon is true and. eorreet, anl I
fut'thet, cettify that anA ar.d aLL aork perforned slwll be done in accor-
dance ttLth the Ordinances of the City of SprLngfield, and. the Las of the* State of Oregon pentaining to the uo?k Cescribed herein, en"d. that N0 )ccu-
PANCY LrLIL be tnde of anl stlucture uithout permission of the Building Di-uision. f further certif'g that only eoilt?acto"s ad. anplcyees uho are in
eazplianee uith ORS 707.055 uiLL be used on this project
5-zs-ff
Crc
Lot Faees -Enerqu Sources ?uoe
Setbaeks lteat
Df House Cataqe Aceess.Water, lleatet
Not,th
East FirepLace
South lloodatoxe
fa+ aa D+-
% cf Lct C-"rog.:-
LCT ?WE
_ Intetict
_ Corner
_ Panltand.Le
_ Atl-de-sac
# of Stories
Total Height
lopogrqhy West
-- Fees --
Building Volue & Permit
This penn t is granted on the etpress condition t?at the said eonstructionslnll, in all respeets, conforn to the Cr&incnce adopted t)y the City of
Springfteld, including the Zoning CYdinatce, regulating the ecnsttaeticn
and use of buildings, antd may be suspend.ed or reuokeC at cnu time upon o.lc-
lntion of dnA prcttisions of satd }ydinances.
TOTAL VALUE
D-+^ D-;5.
Signed:
X VaLue
S.D.C. 7.5 r
Building PermLt
?otal Clanges
State
Plumbing Perrnit
No pereon shall construct, instal?., altet' or cltange anA ned cr eristing
plwnbing or dtainage systan in ulole ot in part" ztnleee sueh person is the
Legal possessor of a oalid plutnber,ts Li,eense, e.ccept tlnt a pe"son may do
plunbing uork to ptope?tA uhieh is otmed, Leased or operated by the 6ppli.-
eant.
/N-lzaa- af .*>a=s.>z@7 ,{sa ?f"a *W
4.2.
---
'/
N0.FEE CHARGE
@
ea
Fi.rtut,es
Resid.etttial (1 bath)
Plwnbing Perrrit
Electricol Permit
Where State Lan requires tlat the electyical uork be done by an Eleetrical
Contraetor,, the eleetrtcal portion of this pernit slwll not be oali.C until
the Label lns been signed bg the Eleetrical Contraeto!.
L PermLt
IotaL
lla,t/Eetend Circuits
Set uice
CIIARCE
llcodstotte
*
Mechqnicql Permit
bhanat HooC
Vent Fot
Pentnt fssuotee
Meelwnicel Per,nrtt
lgcrity Deposit
Sto?age
Mainterwnee
Perttrit
Cvtbcut
Sideualk
lence
EZeettical la.bel
Mobile Hotne
TOTAL AMOUNT DUE:*fr 3/-e Signed Date
rTEM
Sdnitdnt Seuer
Watpt
NC.FEE
FLtrnacc PTll I s
?otal Charoes
State Swehayqe
KN0W ALL MEN BY THESE PRESENTS, that the undersiqned, hereb.v called erantors,
are_hereby declaring that the follow'ing described nrooerty is a oermanentutility easement:
DECLARATION OF PRIVATE EASEMENT
The West 3 feet of the East 6 feet of Lot 11 First Addition to E-Z Living
Estates as platted and recorded on Page 16 of Book 70, Lane County 0regon
Plat Records, in Lane County, 0regon.
tt stiitl be thb obii'gation of the'grantee to restor.: th. prop
grantor.to original condition immed'iately upon completion of
performed in the private.easement
erty of the
any work
The easement sha'll be used fbr the maintenance or replacement of utilityfacilities serving the following.described property:
Beginning at a point 2276.56 feet North Oo OI' Westfrom the Southeast corner of the Jacob Halsted DonationLand Clain No. 47, Township 17 South, Range 3 West ofthe Willamette lleridian;. running thence West 330.22 feet;thence North 0o 01r West 65 feet to the true point ofbeginning, thence West 235.0 feet to the East line of5th Street, thence North 60.0 'feet, thence East 235.0feet to a point North of the point of beginn irg, thenceSouth 60.0 feet to the point of beginning,
85 feet thereof.
in Lane County,
Oregon EXCEPT the east
STA 0F0
ss.
County of Lane
. BE IT REI4EI"IBERED, That on this
the undersigned, a Notary Public in
appeared the within named
known to me to be the iden ca
fiay or
and for sai
l9&? , before me,
State, personally
v
unZ
V ua cri n nd who execu e
within instrument and acknowledqed to me thatfuli=l executed the same freely
and voluntarily.
. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official
seal the day and year last above written.
H.y Commission expires :
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8821169 CITY OF SPRINGFIELD
IMPROVEMENT AGREEMENT AND APPLICATION FOR SEWER HOOKUP
l,le, the undersigned property owners, request permission to connect the following
described property to the sanitary sewer owned and maintained by the City of Springfield.
}Je therefore agree to pay a charge 0f.170 per square foot of the benefiting property forthe first 150 feet of depth as a deposit against future assessments for sanitary sewer.
Tax Lot No. /7 OU 2 t^ 2_ I /8m Receipt No. 162, b fizee?
Beginning at a point 2276.s6 feet North 0o oil westfrom the Southeast corner of the Jacob Halsted, DonationLand clain No. 4'l, Township 12 south, Range 3 west ofthe Willamette lleridiani. running thence West 330.22 feet;thence North 0o 0rr west 65 feet to the true point ofbeginning, thence west 235.0 feet to the East line of5th street, thence North 60.0'feet, thence East 23s.0feet to a point North of the point of beginning, thencesouth 50.0 feet to the-po1nt qf beginning, in iane county, -Oregon. . EXCEPT the east 85 feet thereof . :. t:rr : it ,-1 ; t,; 1::i: .. : ,
i ' : r:t
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 theproperty owner.
The applicant agrees to waive all right to remonstrate against an improvement project fc
santiary sewer to be duly initiated by the City Council, but not the right to protest the
amount or manner of spreading the assessment thereof, if the same sha'l'l appear to Applicantto bear inequitably or unfairly upon said property of Applicant;
NOI,I THEREF0RE, the City agrees that if App'licant complies with the terms of this agree-
ment and with all other app'licable laws of the State of 0regon, Lane County, and the City,
the said Applicant shal'l be entit'led to connect the existing residence to the public sewer
systems
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 describe
This agreement shall be recorded in the Lane County Deed Records.
WHEREFORE, the parties have set their hand and seal this fuQday ot ,ilazt legtr
5
-TCITY OF SPRINGFIELD APPLICANT
/)J
Jr
o
STATE OF OREGON
COUNTY OF LANE
'tc s
ss.
r Pub
0n thi t 2^O/ a
above document.
ay of
My conrmission Expires /- 8: 8Z
For Fi nance Department Information:g
Lateral Sewer
9 there personally appeared bqfole. me and signed the
.:
/530, OOTrunk Sewerc/s ED 120
REV 2/81 ,/- y'se 3-fr 0-l,a /-4f6
8821169
tl
|l /
,(
State of Oregon,
CountY of Lane-ss'
L the County Clerk' in.'rnd for the said
[.,r.,u,'Ji' irerehy certify- that the within
:;i;;#";i *is rJcel'cd.t.r rectrrd at
31 I".'tY t3 1C: 16
n""r 1516R
Lane CountY OFFICIAL Records'
Lane CountY Clerk
a
c3Nhrl.
o)(D
By'
t'
(
?9o? rve €& >7.
CITY OF SPRINGFIELD
IMPROVEMENT AGREEMENT AND APPLICATION FOR SEWER HOOKUP
We, the undersigned property owners, request permission to connect the following
described property to the sanitary sewer owned and maintained by the City of Springfield.
}Je therefore agree to pay a charge of.17d per square foot of the benefiting property forthe first 150 feet of depth as a deposit against future assessments for sanitary sewer.
Tax Lot No. /7 oJ 2 b Z I /8@ Recei p t No. //56>, h fiue*
Beginning at a point 2276.56 feet North 0o 01' Westfrom the southeast corner of the Jacob Halsted, DonationLand Clain No. 47, Township 12 South, Range 3 West ofthe willamette lteridian;. running thence west 330.22 feet;thence North 0o Ort west 65 feet to the true point ofbeginning, thence west 23s.0 feet to the East rine of5th Street, thence North 60.O teet, thence East 235.0feet to a point North of the point of beginning, thencesouth 60.0 fegt.to the-go-int gf beginning, in iane county,Oregon. . EXCEPT the east 85 feet thereof.
This agreement does not include the cost of a house connection to said City sewer, sewetuser charges, connection fees, plumbing permits or other such costs to be assumed by theproperty owner.
The app)icant agrees to waive all right to remonstrate against an improvement project fcsantiary sewer to be duly initiated by the City Council, but not the right to protest the
amount or manner of spreading the assessment thereof, if the same shall appear to Applicantto bear inequitably or unfairly upon said property of Applicant;
NOI^I THEREF0RE, the City agrees that if Applicant complies with the terms of this agree-
ment and with all other applicable laws of the State of 0regon, Lane County, and the City,the said App'licant shall be entitled to connect the existing residence to the public sewer
systems
The covenants herein contained shall run with the land herein de-scribed, and shal'l 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 describe
This agreement shall be recorded in the Lane County Deed Records.
WHEREFORE, the parties have set their hand and seal this ful day of Ha..letrR
CITY OF SPRINGFIELD APPLICANT 6
a
STATE OF OREGON)-
)
couNTY 0F LANE )
0n thi , Z-Ort auy o
above document.
ro Pub c
ss.
f
C/"otz"z- {
there personally appeared,before me and signed the.\,
' t 'l,, ,,.-
' i'
;
My cornmission Exp ires: /-S-A7
For Finance Department Information:
Trunk Sewerc/s ED 120
REV 2/81
,,) tLateral Sewer
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ON OATH, SAY THAT
LAXD AS SHOUN ON
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D TIFE DONAT IOil
LAXETTE IIERIDIAN,e-./-z
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SEPTIC SYSTEM REPAIR
v thori za,ttott for'FOR OFFICE USE ONLY
i!wiisHIp
t7 03
FAIIGE 26.2.LSECTION TA): LOT I--IOUT OF1900 L-r
S-'BDIVISIoN/PARTITION (l-f appficable)I,OTIPARC'EL
FIiC}.()SED USE OF PROPERTY
X r,.esidential
[l c<,nrmercial
fndustrral
Public
2309 N. 5th St., Springfield 97477
I^fCATION ADDRESS ZTPL'I']'Y
i-9llafirDrc,
STRE ET
5rh
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S fld exit off 105 turn L on N.
SFD
Septic system repair
a
DaSCRIPTION Or pnoposeo I",ORK - BE SPECIF tc DECI.ARED S VALUE
OIi EI'jPLOYECS l./A}ER SUPPLY
NAME AND
TELEPHONE NUMBERsiteCLINE, Charles
Proposed
isting
(Bravado Const.,Inc.37123 Wheeler RdBOYDBill
ccNTRAcToRIs NAME AND oSR #
Bill B
TELEPHONE NUMBER746 5554
/ {m,*HONE NUMBER
al
and
-in conpliance
f-tz-rt
DATE
f:rther
the following INinterest thelegal ofpropergyf]o,n".certi that and aI workfyany shal be INperfomed
n1 thetopertaing dework cribed herein and that NO
cether rti thatfy tration theth lderBuiregis
henoled reon and that subcontractors ildonly
THISCHECKED THOROUGHLYAPPLICATION
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L];rt' , ,"illr eO
I TIAVE CAREFULLY EXAI.TINED THE COMPLETED APPLICATION POR l)) certiiy inforration hereon is true and correct, and that I
ra.L pllrchasef
of aL'r
zed agent.
Lane Cowty and the Laws of the State of Oregon
f fu!-the pemission of the Buildj.ng Divisj.on
701.055, tha! if exempt the basis for exemptibe used on this project- I HAVE READ AND
ACTION 5-12-8B
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B. P. f
I pnuurllc,zzoNrNG:
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READ THIS SECTION
c L, front_
NO SPECIAL
SANITATION: s. I. #
inte ()I
COM}lENTS
AUTHORI ZATION
re ar
Parti-tion
, siMinimum Setbacks 3
COI'01ENAS:
Installation
Specifications:
ING CONDITIONS:
parcel Size
EN BASED ON THE
parcel
DaLe
tion Record rssued? fl vu" f] u"
Le:
gta9/V r)Use
Maximum Depth
of Trenches
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LANE COUNTY
(Der ORS
E PUBLIC WORKS
125 EAST 8TH AVENUE, EUGENE,97401
DATE
olvlstoN, 687-4061,
SEE REVERSE POR INSPECTION INT'ORMATION cL4-2s R*
i,"il:.7"i,-*137fr- ?r,
f OE STORIES
(i}:''.,
EXISTING BUILDINGS
ON PROPERTY
ElHouseEl BarnE GarageEl Mobile. HomeE Shed
other
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SITE AODRESS
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MAP, PARCEL NUMBER
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MAIL PERMIT TO:
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CITY
FOR MOBILE HOME
PLACEMENT ONLY
No. of 1ip-outs
-
No. oI Bedrms
License #
Model
Year
Size
Land Managem€nt Div..tatt can not
be held responslble for evaluatlon8 or
recommendatlonr based on laleo,
lnaccurat6 or lncomplete lnlormatlon
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CANCELLATION
REFUND AUTHORTZATTON PERMIT #
TRS/T I V-r ,2,1 TL')8NAME (PLEASE PRI
3 7l 2-3 h)Aoe /orADDRESS
neeurcaNr jr4 owNER( ) coNT
REASoN poh cRuceLLlNG PERMIT(oR APPLIoATIoN)
nrcronft /t b)d, /a 4
SIGNATURE
FEES PAID FOR WASTE DISPOSAL SYSTEMS (SITE INSPECTIONS AND/OR APPLICATIONS TO INSTALL THE SEPTIC TANK AND DRAINFIELD)
ARE ORDINARILY NONREFUNDABLE. SOME REFUND MAY BE ON BUILDING, PLANNING,ORPLUMBING PORTIONSACCORDINGTOTHE
AMOUNT OF THE PERMIT/APPLICOIO* pROCasseo.
FEES PAID % REFUND
Flood Plain Fee
Building Permit Fee
Mobile Home Fee
Plumbing Permit Fee
Mechanical Fee
Plan Check Fee
State Surcharge Fee
_%
_%
-o/o
-"/o
_%
_%
_%
Septic Disposal Fee
Site lnspection Fee
DEQ Surcharge
Land Use Application
Planning Director
Recording Fees
Partitions
Copies & Ordinances
Surveyors
Minus $25. for Processing Fee
rOTAL AMOUNT TO BE REFUNDED $
$
$
$
$
$
$
$
$
$
$
%
%
Yo
o/o
%
%
SIGNATURE
TO DEPARTMENT OF FINANCE:
Building Permit Refund
State Surcharge Refund
Septic Disposal Refund
Site lnspection Refund
Land Use Application
Planning Director
Recording Fees
Partitions
Copies & Ordinances
Surveyors
TOTAL AMOUNT REFUNDED $
24 -067 4 I Accl.421 20 I P r o9.020
24 -067 4 I Acct.421 23l Pro9.02 0
24 -0427 I Accl.421 33/ Pro g .24 0
24 -0 427 I Accl.421 34 I P r o 9.24 0
24 -067 4 I Accl.46202l P ro g . 0 20
24 -067 4 I Accl.4 62021 P ro g. 0 1 0
24-1 87 0l Acct.462 1 1 /Prog. 1 1 0
24-067 4l Accl.46202lProg.01 0
24- 1 87 0l Accl.4441 9/Prog. 1 1 0
25-067 4 I Accl.4 4 451/ Pro9.0 1 0
$
$
$
$
$
$
$
$
$
$"
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PLEASE MAKE CHECK PAYAFLE TO
NAME
ADDRESS -i7 /J..3 ,'.dhpe lpr fr"}, i'' it*:q,t/ h,:,// Li/( -/ ry,";!,
LAND MANAGEMENT DIVISION / Public Works Department I 125 E. 8th Ave., Eugene, OR 97401 (503) 687-4061
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