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Application APPLICANT 4/27/2023
SPRINGPIULD 1City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 Floodplain Overlay District Development A Iicant Name: AfZra-i 17 Phone: 5q.1 1 ` - ©3 � Company: Ci4 hFr IZ- Gt.. ..A ►3�iLF Tvi.� Email: ' �r�n a ®�a��r ; r� Address: 3`41 r'rltA # u ��licant's Rep.: — Phone: "ompany: _ Email: Property Owner: VeM C, Mt n e�1 L k, AQ c Phone: 5q 1— or7 -5 c9 - [company: Email: V6W-Sow&- 4" 'I 4,k - Address: oExistin R'S MAP NO: TAX LOT NOS -U a•4 -49 -O ok 7 �. Address: �rJ0 fl► _ Q r 97 �+'7 -7 Property: Ca ► { Acres Square Feet ❑ se: n of If you are filling in this Form by hand, please attach your proposal description to this application, s: Please sl n and print Zour name and date in e appropriate box on the next paae. lAssociated Cases: Case No.: l Alira#ion Fee: $ �� TOTAL FEES $ Cj I Revised 3!9/22 sandy Belson ]Nr ► Date: 1,19 Reviewed by: Technical Fee,car $ S r IJ Postage Fee, $0 PROJECT NUMBER: LAA 1 of 4 Signatures The undersigned acknowledges that the information in this application is carred and accurate. Applicant: _ F Date: S+g ath r Print -zs If the applicant Is not the owner, the owner hereby grants permission for the applicant to act in his/her behalf. Owner: Signature \)e -(-A('. Print CAMPFIRE COLLABORATIVE - 2 - ARCHITECTURE & DESIGN —ir www. campfire Iab.caim #ccimpfirel ab primary suite and add a second bathroom. The existing kitchen and bathroom will also be remodeled as part of this project. New patio covers will be added to the front and rear stoops. The existing mini -split ductless heat pump system to remain in service with minor alterations per new layout. Substantial Improvement Calculation: Addition to Living Space: 268sf x $167.37 p/sf = $44,885.16 New Covered Porches & Patios: 294sf+208.5sf = 5745 sf x $33.24 p/sf = $19,113.00 Total= $63,968.16 RLID Improved Value $299,761 $63,968.16/299,761 =21 % value of changes => NOT A SUBSTANTIAL IMPROVEMENT SDC 3.3.430 Compliance: Project site is located within Floodplain Overlay District, divided between two hazard areas: - X hazard area (0.2% annual chance flood hazard) - includes most of the footprint of the existing living space, half of garage, rear yard, and on-site sanitation system; most of proposed building addition falls within the X area - AE hazard area - includes the front yard and driveway, half of the existing garage, most of the proposed front patio, and a small corner of the proposed residential addition Per Substantial Improvement Calculation above, project scope is not considered a Substantial Improvement, thus the following development standards do not apply: - Anchoring (3.3.430(A)(2)) - Construction materials and methods (3.3.430(A)(3)) - Replacement of Electrical, Mechanical, Plumbing, and other equipment (3.3.430(A)(4)(a)) - Flood openings (3.3.430(B)(1)) - Elevated residential construction (3.3.430(B)(3)(b)) Campfire Collaborative: Architecture & Design, PC 341 Main Street, Springfield, OR 97477 541.914.0334 Ar.CAMPFIRE COLLABORATIVE ARCHITECT ORE & DESIGN www.campfire Iab.cam #campfirelab April 26, 2023 Kelly Notary City of Springfield Development & Public Works Springfield, OR 97477 FLOODPLAIN DEVELOPMENT PERMIT APPLICATION: CONTENTS: A. NARRATIVE • Project Summary • Substantial Improvement Calculation • SDC 3.3.430 compliance B. ATTACHMENTS ATT -1: Copy of Deed ATT -2: Flood Elevation Certificate 2570 201h Street, Springfield Map/TL: #17-03-24-42-02743 C. DRAWING SET (3) Copies of the plot plan and proposed construction drawings NARRATIVE: Project Summary: -1- The existing home at 2570 20th Street is a single -level ranch built in 1970, comprised of 3 bedrooms and 1 bath, and an attached 2 car garage. The existing conditioned floor area is 1 127 s.f. with an additional unconditioned 607 s.f. for the garage. The home constructed of wood framed walls, roof, and floor over a vented crawlspace. Heating/cooling is provided through a ductless mini -split system. Utilities include electrical and water only -there is no gas or sewer service to the site. Property is located within the Springfield UGB, but is not annexed, and wastewater is treated on-site through septic tank and drainfield. The proposed work includes an expansion of the conditioned floor area through a small (268 s.f.) addition to the front of the house, shifting two of the bedrooms in order to create a Campfire Collaborative: Architecture & Design, PC 341 Main Street, Springfield, OR 97477 541.914.0334 11 0 4FIT TLE INSURANCE Issued by Lawyers Title Insurance Corporation LandAmerica Lawyers ritta Insurance Corporation is a member of the Lan Yors Title LandAmericafamflyofnuainsurance underwriters THE inia PERS TITLE INSURANCE COR TJONe a the Amount c01 orporation, herein stalled n Schedle Company,, SUBJECT TO THE EXCLUSIONS PROM COVERAGE. THE EXCEPTIONS FROM COVERAGE CONTAINED IN SCHEDULE a AND exce CONDITIONS AND STIPULATIONS, LAW insures, as of Date Of ?he Inshown in sured byre son Of: A' against loss sustained or incurred by 7, Title to the estate or interest described in Schedule A being vested other than as stated therein; 2. Any defect in or lien or encumbrance on the title, 3. Unmarketability of the title, 4. Lack of a right of access to and from the land I rises incurred in defense of the title, as insured. but only to the extent provided in The Company will also pay the costs, attorneys' fees and expe i the Conditions and Stipulations. used its eTate name and shereunto affixed by WITNESS WHEREOF, ERS°�°eSANCEORPRA=N has ca ny its duty authorized officers, the policy ma countersigned by an authozed officer or agent of iheCompa LAWYERS TITLE INSURANCE CORPORATIOb rIpsURAHr %%, Attest: �/' G•/' Secretaryjr i r � Ti � � •i � i tlrlll` C`�"`y_ EXCLUSIONS FROM COVERAGE ge of this policy and the Company will not pay loss or damage, casts, atiorneys' The fallowing matters are expressly excluded from the overa fees or expenses which arise by reason of: (a) Any law, ordinance or gaverrm8nzal regulation (including but not limited to building and Zoning laws Ordinances' harr, dimensions rastmljng, regulating, prohibiting or relating to fit the =vpanCy, use, or enjoyment of the sand: ( } location of any Improvement naw or hereafter erected on the land; (Ili) a separation in ownership or a change in the dimensions or area ❑1 Ins land r any parcel at wh[ch the [and is or was a part; or (Iv) env[ronmental protection, or the effect of any violation Of these laws. Ordinances or governmental regulations, except to the extent that a motile of the enforcement thereat or a notice at a defec4 lien or encumbrance resulting from a violation or alleged violation affecting the land has been recorded to the public fecords at Date of Policy. (bj Any governmental police power not excluded by (a) above, except to the extent that a notice of the exarcise thereof or a notice ❑ a defect. Ilan or encumbrance resulting from a violation or alleged violation affecting the land has been retarded in the public records at Date of Policy. Rights of em�nenI domain unless notice of the exerclse Thereof has been recorded in the public records at Date of Policy, but not excluding j frim coverage any taking which has occurred prior Io Dale of Policy which would be binding on the rights of a purchaser for value without (! knowledge. 3. Defects, liens. t*ncumbranreS, adverse claims or other matters: (a) created, suffered, assumed or agreed to by the insured clalnsant; (b)notnot known to the Company, not recorded in the public records at Date of Policy, but known to the insured claimant and not disclosed in writing to the Company by the insured claimant prior to Use date the insured claimant became an insured under this policy. 1 (c) resulting to no loss of damage Io tho insured claimant; (d) attaching or created subsequent to Date of Policy; or (e) resulting in loss of damage which would not have been sustained It the insured claimant had paid value for the estate or interest insured by this 04 - Any 4y. Any claim, which arises out of she Iransaction vesting in the Insured the estate or interest insured by this policy, by reason of the operation of federal bankruptcy, slate insolvency, or similar creditors' rights Iaws, that is based on: (a) Lhe transaction creating the estate or interest insured by this policy being deemed a fraudulent conveyance or fraudulent transfer; or (b) the transaction creating the estate or interest insured by this policy being deemed a preferential transfer except where the prelarental transfer results from the failure: (I) to timely record the instrument of transfer: or (i) al such recordation to impart notice to a purchaser for value or a iudgment or lien creditor. ~NM t PA 10 ALTA Owners Policy (74117/92) Valid only it Schedules A and 8 are attached Form 1190-74A ORIGINAL -m"' paw ... [• = �. ��J-.S�lla Haragpatte r Division Con r Chief Deputy L Lane County Deeds andReeords lll5i66l8l82`Il94l0i6241111111111111111111111III 0410672004 0:1 13 '43 P.lti RAR -DEED Cnt=1 Stn=6 CASHIER 07 $5.00 $11 00 ffi10.00 _- -01arm as -FOR .Ment/micr6filstheception No. ---- .. 9aaosoarig nae Records.of Said County. . . 'fVitness my hand and seal of County affixed. - NAM ' -E -- - - —. ---' — ----" - Tom' By -- _' `--- Doputy. .; PRAaQMAL RE FR MhN?Ar rVWU ROCU T S 114 thfa .—IRA _ day of _April � — 2044_ rqr�___^ by and batwmuHicha aI os�. ?Ciller _ the dui a�Iwinrcd R liked and serf Neil H. Hill&:, a_Ien kn— an� y ng pomonal represeoladva of the eme of Neil Whlter Miller ud 4iif, hereinaffer entad ills Snt'parry, and __Rera C: Maraenetee 817 Sheila 9. �' BFSOA@CCe, us andand S�ilfe hemiaafter called =ho second party; WITNESSB?1{: For villga recolvad and the colmideratlun hereinafter seated, the First party has granted, bargained, said "d conveyed, and by these presanis docs grant, bargain, sell end convoy unto rhe second party and second party's heirs, successor% and assigns all the rarare, right and lntorSA ed she &stare of Lha decoased, whathor scyu[red by operalion of the law or olherwise, in that certain teal Amp- e4y. 011-11. iq ilio cauaty of ...- ate ._ _ . _., Ssato of Osogon, &Wwibod as lonows, w-wlt: s _ fr'-RWIX 27 PRYLLIS PARR, as p3atted and recorded in .Book 50 Page 21, Lane County Plat Ee¢erds, is Lane Couaty,,0reggn. (IF SPACE IM5[JrFK{EHi. QW1?AIE ORRW. =Tler+M r.EVEi.sc[ . TO HAVE AND ID HOLD the same unto the second party, and servnd party's heirs, sacCems-in-interest and assigns fomver. The tone and acfurd co"ideration paid for this transfer, stated in terms of duliars, is 125,000.00 MW 1 11 1 no eon resa between rho aymiwts m, if oat epplkablC, should he delved. Sea ORS 43.030.} !7[ W! TNFSS WHEk8t7F the first party has executed thisrhis i�tl; it Srst tssapy is a corporation, it has caused its name [n be signed and 115 seal, if any, affixed by an afiice'r or ocher p ayi zed lXA0 4o ty}h older Wits hoard of dirtetots. STATE OF ORWON, Grunty of —_ Lane This instrument was acknowledged befart: me on This ifisttvmrnt was aclmowledged before tae on Aril 2-2004 1 Niellolaos W. Miller by .______--------------..-- � Personal 8epresencative of t}se Estate of Neil tit. Misr.; kII0pl1 as Heil Walter Miller U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Shiela & Vern Marsonette A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 2570 20th Street City State ZIP Code Springfield Oregon 97477 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 17-03-24-42-02743 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 44.0736 Long. -122.9951 Horizontal Datum: ❑ NAD 1927 ❑X NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 9 A8. For a building with a crawlspace or enclosure(s): + a) Square footage of crawlspace or enclosure(s) 1085.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 7 c) Total net area of flood openings in A8.b 899.00 sq in d) Engineered flood openings? ❑ Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage 616-00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 1 c) Total net area of flood openings in A9.b 117.00 sq in d) Engineered flood openings? ❑ Yes 0 No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Lane County 415591 Lane Oregon B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel j 138. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date j 41039C1153 F 06-02-1999 06-02-1999 AE & X5 451.4 I 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: © FIS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source: Bl l Indicate elevation datum used for BFE in Item B9: ❑X NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?❑ Yes X No Designation Date: ❑ CBRS ❑ OPA FEMA Form 066-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 2570 20th Street City State ZIP Code Company NAIC Number Springfield Oregon 97477 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑X Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: ORGN (See Notes) Vertical Datum: NAVD88 (See Notes) Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 450.4 Z feet ❑ meters b) Top of the next higher floor 452.4 0 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 451.6 M feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building ❑ feet ❑ meters X 451.7 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 451.1 ❑X feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 451.5 ❑X feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters N/A structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes Z No ❑ Check here if attachments. Certifier's Name License Number REGISTERED Daniel A. Nelson 84832 PLS PROFESSIONAL fi�4RD SURVEYOR Title Principal Survey Manager Company Name Branch Engineering Inc. - OREGON MAY,12;�2011 Address 310 5th Street DANIEL ADAM NELSON #84832 City State ZIP Code Springfield Oregon 97477 EXPIRES: 12/31/20 Signature Date Telephone Ext. 04-25-2023 (541) 746-0637 Copy al ges of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) The real-time network used for the benchmark is the Oregon Real -Time Geodetic Network. The vertical datum was converted from NAV088 to NGVD29 per NGS vertcon program. Lowest machinery noted in Section C is a water heater on the garage slab (sloped floor). FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 2570 20th Street City State ZIP Code Company NAIC Number Springfield Oregon 97477 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 2570 20th Street City State ZIP Code Company NAIC Number Springfield Oregon 974.77 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: [jfeet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: I G10. Community's design flood elevation: Local Official's Name munity Name Signature Telephone Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.I Policy Number: 2570 20th Street Il Springfield State Orannn ZIP Code I Company NAIC Number 97477 II If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo one Photo One Caption FRONT VIEW- PHOTO TAKEN 4/18/2023 Clear Photo One Photo Two Photo Two Caption REAR VIEW - PHOTO TAKEN 4/18/2023 Clear Photo Two FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2570 20th Street OMB No. 1660-0008 Expiration Date: November 30, 2022 FOR INSURANCE COMPANY USE Policy Number: City State ZIP Code Company NAIC Number Springfield Oregon 97477 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. -Identify all photographs with: date taken; "Front View" and "Rear View'; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. M Photo Three Photo Three Caption LOWEST MACHINERY- PHOTO TAKEN 4/18/2023 Clear Photo Three Photo Four Photo Four Caption TYPICAL VENT - PHOTO TAKEN 4/18/2023 Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6