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HomeMy WebLinkAboutPermit Sewer Connection Record 1992-8-21 \~ ,.. RESIDENTIAL PERMIT APPLICATION Inspection,;' 726.3769 Olf,ce: 726.3759 LOT: SPRINGFIELD BLOCK' er Q!1fOfl) JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 kLQ:r TAX LOT: (C Y )~( ) ~ SUBDIVISION' - OWNEU1~ (' -' \\\( tlrE I~r\)oaL PHONE:-r4(n-~~~1 ;:":"'''~~ ~\n, f\'~~~~(() -0 '" DESCRIBE WORK ~ c;D1\DQ f'r -+0 , iJO d; d H U NEW REMODEL ADDITION CONTRACTOR'S NAME GENERA' ' NwY\OV, PLUMBING' MECHANICAl' ELECTRICA' ' QUAD AREA: " OF BLDGS: OCCY GROUP: ,__ . OF STORIES: WATER HEATER: ,DEMOLISH OTHER ADDRESS CONST, CONTRACTOR # EXPIRES PHONE REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. , o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/Ceiling Insulntion - Prior to Gover. o Drywall - Prior to taping. o Wood Stove - After lm;tallatlon. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. - OFFICE USE - LAND USE: ~ # OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGi=' ~--' ~ '" : , FLOOD PLAIN' ZONING CODE: . OF BDRMS:__ SECONDARY HEAT: SOUARE FOOTAGE: To request an InspectIon, you must call 726.3769. ThIs is a 24 hour recording. All Inspections requested before 7:00 a.m. will be ". mmlc the same working day, inspoctlons requested after 7:00 a.m. will be made the following work day. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Eleclrlcall Mechanical - Prior to cover. o Footing - Atter trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concl'Ote placement. o Underground Plumbing - Prior to filling trench. o Undertloor Plumbing/ Mechanical - Prior 10 Insulation or dcckinn. o Post and Beam - Prior to flOOf Insulation or d<:cldng. o Floor Insulation - Prior to decl<lng. ~ Sanitary Sewer - Prior to filling 7\trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to tilling trench. o Rough Plumbing - Prior to cover. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work is complet.e. o Final Electrical - When all electrical work is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Sel.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, sel.up, and plumbing inspections have been approved and the home is connected to the servIce panel. "} , ~ . "j , o Final - After all required inspections are approved and porches, sldrting, decl<s, and venting have been Installed, Lot faces Lot Type. Lot sq, Itg. Interior Lot coverage Corner Topography Total height Panhandle Cui-de-sac BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, Main Garage Carport Total Value Building Perrnit Fcc Stale Surcharge Total Fec (A) Setbacks PL, HSE GAR ACC N 2-___ W '. . THE PROPOSED WORK IN 'tHE' · HISTORICAL DiSTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. -~---- Ae'pROVED' VALUE (B) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N' FT.<350 ' Sanitary Sewer Water FT, FT, Storm Sewer Mobile Horne Plumbing Permit. State Surcharge Total Chargo (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Perm it (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut '" It Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE rJ () .00 '7().W __.3~50 '13/;:;;0 _r7l.~.!'D 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 ttle Ordinance adopted by the City 01 Springlleld, 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. Plan CIlecl< Fcc: ____~__. Date Paid: Receipt Nu/Tlbec_______ Rec(~ived By: Plans Hcviewed Ov Date Systems Developmenl Charge is due on .:111 undeveloped properties within tile City limits Wllich are being improved. ADDITIONAL COMMENTS By signalure, I state and agree, that I have carefully examined the completed applicalion and do hereby cerlify that all information hereon is true and correct, and llurther cerlily that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the worl< described herein, and that NO OCCUPANCY will .be made of any structure without pcrrni~;sion of the Building Safety Division. I further certify Itlat only contractors and cmployees who are in compliance Witll ORS 701.055 will be used on 1Ilis project. I further agree to ensure that all required inspections arc requested at the proper time, that eacll address is readable from the street, that the permit card is located at the front of the property, and the iJpprovcd set of plans will remain on the site al all times during construction. Signature ~ ~ ~ 1/:>.,.1J..- Date VALIDATION: P<~C:; RECEIPT NUMBER 0-11 'I . ) DATE PAID j~ AI L: ,~ t7t AMOUNT RE~ ~~( Olqr~-=t RECEIVED B ~), :) 'LJ ..;, , '. . .JOB NO. ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE '." WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ~ AD J ti['(\ ~ S LOCATION: fl4f)l9,~C\ i {\. \F)\P 0 ot DEVELOPMENT TYPE: \(Q~r\ff\n(1 L BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S \ \ (See Reverse) 3. TRANSPORTATION LOT SIZE SQ. Ft. X $0.192 PER SQ. FT, c ---- ') --- X $39.78 PER PFU C:4:l'~ ,~ ----------- NO OF UNITS X TRIP RATE X COST PER TRIP X X $401.05 X $401. 05 X $401.05 c ) ------ $ $ X X SUBTOTAL (ADD ITEMS 1,2, & 3) $ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ..... --- TOTAL-CITY SDC $ 5. SANITARY SEWER-MWMC NO. OF PFU'S x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) '4< ~~ ':S"Vl rJj f1 t>/m ~ Kip Burdick SDC Coordinator I $ TOTAL-MWMC SDC~~ ..... --- TOTAL SDC $ ~R.f)? . . FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT Bathtub................................... ............ ...... ...... ..... ...... Drinking Fountain. ........ ..................................,... ....., Floor Drain...,....................,...........,.............,......., 0..., Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /Clotheswasher......,..,.... ......... ............ Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator JWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall..,..,....,.,....,..,.".,.,..,..,......"..",.. Shower, Gang.,.,.....................,..,.......,.,..,.."..........., Sink, Bar, CommerciaL..,.,....,..,..,.,.......,......,..,....", Urinal, StaIlJWall.,.........,.........,..,.......,.,.........,...,...." Wash Basin/Lavatory, Single"..."......,............"...", Water Closet, Public Installation..........................,.. Water Closet, Private................,.....,.......,..,......",.... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 TOTAL FIXTURE UNITS . FIXTURE UNITS Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. I I Year Annexed Rate per $1,000 Assessed Value Year Annexed $2.83 2.76 2.71 2.60 2.46 2,33 1985 1986 1987 1988 1989 1990 1991 1979 or before 1980 1,981 1982 1983 1984 Credit for Parcel or Land Ollly If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL.... ....., ........... ......, ......... ................. 0.4 CommerciaL................................................... 0.9 Ind ustrial.... ........ ............. ................,.. ......., ....... 0.45 GovernmentaL.....,....................................,...... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $2.16 1.90 1.60 0,25 0,87 0.50 0.16 , " . . . CITY OF SPRINGFIELD I 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. We therefore agree to pay a charge of $0.17 per square foot of the benefiting property for the first 150 feet of depth as a deposit against future assessments for sanitary sewer. Tax Lot No. 17 02 35 42 00202 Receipt No. bgOS Property Description: Address 7406 Main Street Beginning at a point on the North margin of McKenzie Highway being North 3010.92 feet and East 862.62 feet from the Southwest corner of the J. Looney Donation Land Claim No. 85 in Township IB South, Range 2 West of the Willamette Meridian; thence North 150 feet; thence North 78'22' East 125.0 feet; thence South 150 feet to the North margin of Mckenzie Highway; thence along said North margin South 78'22' West 125.0 feet to the Point of Beginning in Springfield, Lane County, Oregon. 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 the property owner. The applicant agrees to waive all right to remonstrate against an improvement project for sanitary 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 Applicant to bear inequitably or unfairly upon said property of Applicant. NOW THEREFORE, the City agrees that if Applicant complies with the terms of this agreement and with all other applicable laws of the State of Oregon, Lane County, and the City, the said Appl icant shall be entitled 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 described. This agreement shall be recorded in the Lane County Deed Records. WHEREFORE, the parties have set their hand and seal this 21st-day of O..Jd..ft...ll""" , 19jb CITY OF SPRINGFIELD By APPLICANT ~ JJu,J fr;~ Director of Public Works STATE OF OREGON) ) SS COUNTY OF LANE ) On thi s -'b r- day of before me and signed the ~ above 6bcument. , 19'12, there personally appeared .' "-0" . OFFICIAL SEAL ' : , JAMESH.DOUGlAS ,~ NOTARY PUBlIC-oREGON COMMISSION NO, 001882 MY COMMISSION EXPIRES SEPT. 29. 1995 , dd4<<~q( /2di Notary Public for Oregon ~ ~ My Commission expires q-;JCI-"f::i Finar.ce Department Information: Trunk Sewer 18,365sf * $0.17/sf = Lateral Sewer $3.122.05 \CITY OF SPRINGFIELD - PUBLIC WORKS DEPT - 225 FIFTH STREET - SPRINGFIELD, OREGON \. '.~ . . COVENANT Sprinofield Memorial Garden. Inc. . being the record owner{s) of all of the following described property located in the City of Springfield, the City's Urban Service Area, in the County of Lane, State of Oregon: Beginning at a point on the North margin of Mckenzie Highway being North 3010.92 feet and East 862.62 feet from the Southwest corner of the J. Looney Donation Land Claim No. 85 in Township 18 South, Range 2 West of the Willamette Meridian; thence North 400.33 feet; thence East 195.89 feet; thence South 360.00 feet to the North margin of Mckenzie Highway; thence along said North margin South 78022'00" West 200.00 feet to the Point of Beginning, in Lane County, Oregon; EXCEPT: That portion platted in BEANEL ACRES, as platted and recorded in File 73, Slide 362, Lane County Oregon Plat Records, in Lane County, Oregon. In consideration for the issuance of a Building Permit by the City of Springfield which allows the owners 'to construct a sanitary sewer, the record owner{ s) do hereby make the fo H owi ng covenant (for the good and safety of the public, in compliance with the Springfield Development Code and the building regulations of the City of Springfield), covering the above described real property, specifying that this covenant shall constitute a limitation to run with the land and shall be binding on all persons claiming under them, and that the covenants shall be for the benefit of present and future owner(s) of said real property. Be it hereafter known and agreed that the parcel of land described above which includes two parcels, must hereafter be sold together without separation of parcels or portions thereof as a single unit of land until appropriate private sanitary sewer easements have been established across the land. IN WITNESS WHEREOF, the this ;.?kt- day of undersigned have a.u't I' <:.T caused this instrument to be executed , 1~ /n&d< hM Owner AlfiE' hll-c/( Owner On, this .2(~T day of ~ , 19-'lf:c personally appeared before me, a Notary Publ ie, the wi-thin named aA'if J1.to,L-- 'yj/I,~_ ...... lit (J cJ /( E and acknowledged the foregoing to be their voluntary act and deed. WITNESS my hand and seal this day and year last~itten abOV~~~ ~ '4d:tuCJft.?-I. . No ry Publ ic for 0 My Commission Expires: q-J2f-C(5 . OFFICIAfSEAL . JAMESH:IlOUGW ",~" NOTARY PUBLlC.OREGON , COMMISSION NO. 007882 MY COMMISSION EXPIRES SEPT, 29, 1995