The URL can be used to link to this page

Home My WebLink AboutPermit Sewer Connection Record 1981-7-15 INSPECTION liNE 726-3769 . CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT I ENERGY SOURCES: Job Address %.~I?- H-QI ~} 5r. SPR. 1(D'2~c) 3/ Legal Description 1000 , Ow,., ~/J~/3/e-r BG"LL Add,.,,7ClSO-MA/AJ 8- $J7.e/AJ,r.,..P/BLL') Pho,741.6-/St/x Construction lender Address DESIGN TEAM Phone (name) (address) Primorv Structural Eler;trical M",,,"'onicol CONTRACTORS (name) (address) {;..n...,,1 PlumbinQ JJtJme 'otI./ It! e t2.. Electrical Mechanical PLUMBING NO. FEE CHARGE NO. Residence of . INFORMATION LINE 726-3753 Heat Water Heater RanQe Volu. of \'" I Sq. Ftg. Main Sq. Ftg. Access. Sq. Ftg. Other _New_Add_Alter_Rep. _Fence_Demo_Chonge/ Use _Other Building Permit Info: Describe Work (Le.. Build Single Family Residence With Attached Garaqe) Re~~;.es. L/l-reRAL 7?J ~s:E:'(I'/~;;;>" p;P/,{;c;. (lies. no.) (expires) (phone no.) '* p~ (lies. no.) (expires) (ohone no.) ELECTRICAL MECHANICAL FEE CHARGE NO.' FEE furnace/burner to lTU's Appliance vent separate Stationary evop. cooler Vent fan with single duct Vent system aport from heating or A.C. Mechanical exhaust hood and duct Each single fixture Relocated building (new fix. additional) S.F. Residence (I both) '9' ft. New circuits, alterations or extensions SERVICES Temporary Construction Duplex (I bath) each Additional bath Amps. Water service Sewer Storm Sewer FEEDERS Amps. TOTAL CHARGES ;(/0 kc TOTAL CHARGES Wood stove/heater Heat Pump Air handler to 10.000 CFM Air handler over 10,000 CfM ISSUANCE OF PERMIT TOTAL CHARGES \) f" .~ '\) "'- ~ CHARGE WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical Contrador, the electrical portion of this permit shall not be valid until a label has been siBned by an Electrical Contrador and attached to the eledrical panel. I HAVE CAREfULLY EXAMINED the completed application for permit, 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 lows of the State of Oregon pertaining to the work described herin, and that NO OCCUPANCY will b. made of any structure without the permission of the Building Oivision. I further certIfy that my registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted heron, and that only subcontractors and employees who ore in compliance with ORS 701.055 will be used on this project. Basil for Builder's Board exemption" NAME (pleole print) ~A. ~ R I i!'7 1 L~ E l.-L fOR OffiCE USE ONLY x ''-clue Valve Value Zone fire Zone Flood Plain Type/Consf Bedroom' c:,tori~. 'nits nccy Load I"\ccy Group BUILDING PERMIT Charges and Surcharge I Plan Ck. Comm/lnd 65%/BldR Per Fee Plan Ck. Res 30%/B/dg Per fee PLUMBING PERMIT Charges and Surcharges fence Demo ELECTRICAL PERMIT CharBes and SurcharBe. Sidewalk A/C Pavina MECHANICAL PERMIT Charge. and Surcharges Curb Cut SIGNATURE -1Jo rdU'';'' .J. ):l,dQ... DATE .o.'J~ Jj~JJ.JI. Sq. ftg. Main Sq. FtB. Access Sq. Ftg. Other x x TOTAL VALUATION Sy.tem. Development Charae (1.5%) Total Comb. Permit TOTAL COMBINA liON APPlICA TION/PER~CAP) I. Applicant ta furnish A. Jab Address B. Legal Descriptian 1. example-tax lat 100, Lane Caunty Map Reference 17 03 43 2. example-Lat 1. Black 3, 2nd Additian ta Springfield Estates C. Name, etc. of owner and construction lender D. Energy Sources , 1. example-heat/electrical ceiling/ar farced air gas 2. example-water heater/electrical/or solar E. Square footage or valuation, etc. . . '. . 1. example-1250 sq. foot hause, 500 sq. foot garage 2. example-if new project, check new-if addition, check odd, etc. F. Building permit information: 1. example-construct single family house with an attached garage 2. example-remodel existing garage into family room 3. example.convert single family residence into restaurant (change af use) G. Value af wark as defined in Sectian 303 (a) of the Structural Specialty Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. II. Abbreviated Plumbing, Mechanical & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbrevi- ated schedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES III. Applicant ta sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a typewritten copy and return it to the applicant at the time the actual permit is issued for his signature. IV. Fees and Charges Plan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additional Project Information: PLANS REVIEWED BY: name_ signaturo .ERMIT VALIDATION Permit Cler~ ..Jate . '-. ~ CITY OF SPRINGFIELD APPLlcATION AND AGREEMENT FOR TRUNK LI NE SEWER HOOKUP Application is hereby made by the undersigned property owner for permission to connect to the following described property to a trunk line sewer owned and . maintained by the City of Springfield, and I. agree to pay such a hookup charge of $3.40 per front of',the property for the first 150 feet in depth to be served by such trunk I ine sewer in lieu of an assessment against the described property. An additional $0.02 per square' foot will be charged for any additional property beyond the first 150 feet. Property Description: Address: 7050 Main Street if .'1 (A portion of Tax Lot 1500, '17 (0235) tract of land conveyed to Harriet I. Reel 45, Instrument No. 39185, Lane /./\~-iil~~.D /1...').;,. ~"I" /( '" ,>/. ......:..../1 , ".. ..'" '/1')\ [1..(' /.~<;..:' .' \ \~,\ I :", .~} / .,' OJ ~~"\ r, ). ?I ):_ "~\.'f':"r}' ~.. ~ G;),l?t:~:t:;~~:>;':~ '. /,>1 ,\1 1,'./ /1,/ /', [. -\\\ ./ , ) 1:.0 \ .' ($3.40 per front foot) $ ?n4. nn '. ..,' ~ The east 60 feet of the South 150 feet of the . Bell by deed dated June 19, 1954, recorded on County Deed Records in Lane County, Oregon. Sewer hookup charge: This agreement has been computed as being' one-half (t) of the equivalent cost of an eight (8) inch lateral san; tary sewer at the rate qf.:$3.40 per abutting front foot and doe~ not include the cost of a house connection to said trunk sewer; sewer user charges, plumbing. permits or other such costs to be assumed by the pro- perty owner. CITY OF'SPRINGFIELD. OREGON UBy....L:..L ~, n/l/-r{,o- - ! - 7 . te: /5' '(vA' 7/ PROPERTY OWNERS: Guy L. Bell Harriet Bell /-1 fl (I fl,; ,1' ,4. e, N. STATE OF OREGON ) ) ss County of Lane ) BE IT REMEMBEREO, That on the undersigned, a Notary appeared the within names this;6 day of Pub I i c !-n and. for I-/c,rr/e / Xl th~ sa ~ Courty .l. .De II , 19 71, before me, and State, personally known to me to be the identical individual__ described in and who executed the within instrument and acknowledged to me that executed the 6ame freely and voluntari Iy. WITNESS my hand and seal this day and year last above written. I, /.J. ;', /i;;';~ ~) .?I:l. 1: . Notary Pub VI c .~ 2 ,197.3 ~y Commission Expires ~ , ~. , o 0 ,', ,.1. . . CITY OF SPRINGFIELD APPLt"CATION AND AGREEMENT FOR TRUNK LINE SEWER HOOKUP Application is hereby made by the undersigned property owner for permission to connect. to the following described property to a t~unk,llne sewer owned and . maintaIned by the CIty of SprIngfield, and I. agree to pay such a hookup charge of $3.40 per front of",the property for the fi rst 150 feet I ri depth to be served by such trunk line sewer in lieu of an assessment against the described property.. An additional $0.02 per.square' foot will be charged for any additional property beyond the first 150 feet. Property Description: Address: 7050 Main Street The east 60 feet of the South 150 feet. of the tract of land conveyed to Harriet I. . Bell by deed dated June 19, 1954, recorded on' Reel 45.. Instrument No. 39185; Lane County Deed Records in Lane County, Qregon..' :l'j~ (A portion of Tax Lot 1500, '17 % 35) Sewer hookup charge: ($3.40 per front foot) ,S ?M, nn This agreement has been computed as being' one-half (t) of the equivalent cost . of an eight (8) inch I atera I sani tary sewer at the rate qf.: $3.40 per abutt I n9 front . foot and does not include the cost. of a house connection to said trunk sewer., sewer user charges, plumbing, permits or other such costs to be assumed by the pro- perty owner. ,. ./' CI'rY 'OFSPRINGFIELD. OREGON B"'~.L ~/l~ a-- '/7'._~ - , , ba"te: PROPERTY OWNERS: Guy L. Bell Harriet Bell tJ...n n /l; .-':....:.L..B t/Jl. STATE OF OREGON ) ) ss County of Lane ) BE IT REMEMBERED, That on the undersigned, a Notary appeared the within names this)5 day of Public ~ and.for /-Ie,:,- r J(! I ' ..51~ the said Coupty I Be (I , 19 7', before me, and State, personally' known to me to be the identical individual described in and who executed the within instrument and ackn~ledged to me that executed the 6ame freely and voluntari Iy. WITNESS my hand and seal this day and year last above written. . 'I \' '. I . .\" ~<i~ ~'JIc7-~hoe/' Notary Pub Iii c ~ 2- ,197-E ~y Commission Expires '.'