HomeMy WebLinkAboutPermit Sewer Connection Record 1982-9-21
"R'ESlrfNTlAL'~
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 9?4??
BuiZding Division
?26-3?53
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Job Location:
104 ~ <::\ \N"C\J.' ^
\ \ l""'i2?A A(L
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Taz Lot # 4.L\CYJ
A8GB8GOr3 Map 1/
Subdivision:
Rcae-:.:)t il
p., Qi2.. 4-
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Ad~eS3; \~ \CJ ~ \\ t~t . Pr~e: \34i-~~ \fl
City:~"\t'\~~a\)~ (~ Zip: qvj"-\f')tl
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Addi ticn
Remodel.
,',,'ob-i.l.e Homo
Date of Appl.icaticn
(.'ontl'acto:rs
Genera! K3 ~}..:;\\'\C'\ I I '"
Plumbing
Describe rl1ork:
Address
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Siqr.ed:
Date:
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Lise. i,
Exvires
Phon~
i Elsctrica Z.
I Mechm:iao!
I. Construction. Lender
It is the 'l'8spon.aibit.ity of ehs pemri.t holder to see that at! inapecnons are r.tade at :he pro,?er tVn€, that 2Cch ;;ddr8S8 is l'sadab:e
Jr-om ehs street. and that th8 permit aard is l..xated at the front of eh8 ?TOPerty.
.Bu.i'!.di~ rn1Jicio~ approt:ed Flan shc.ZZ remain on tr.. Building Sit:; at aU times.
pr?OCEDUP.E FOR INSPECTION REJ'UEST:CAlL 726-3769 {recorder} state your City designa.ted job ~ber~ job adCrC88, type of ir.::;pec-;icn
I'aquestcd ar.d w,l;.m you IJin be ready for ir.apcction, Contracwrs 01' Cl..me:-s 7IC."I'le end ~hor.e rtur.rbcr. Requests received befere 7 :00 c:=:;
:..'iZZ l;~ made th~ sam9 dcy, I'9quests made aft~ 7:00 am lJiZl. be made th.e nat :JOrkin.; day.
Reaui'I"t<?d rnS'Opcticns
O SITE INSPEC:ION: To be nnde after
e.::::cavati.?n:, but prior tc set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
NECHA:1ICAL: To be mads beiol's any
lIX1rlc is Jovered.
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FOOTING ~ FOUNDATIOll: To be made
after trenches are excavated and
forms are erected. out prior to
pourir.g ccncret.z.
UNDSRGROU.~'D PLlMBING.~W.1TEIt
DRAINAGE: To be rrc.::.e~to fil-
l.i.r.g trenches.
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WlDERFWOR PLm..'BI:1G & MECHANICA.L:
To be made prier to ins~az.z.ation of
1100r insuLation or decking.
POST AND BEAM: To be rr.adc prior to
install.ation of {Zoor inst.:lation or
d.eclci~.
ROUGR':JLU!:8nlG. Er.ECTRICAL ,~ MECH-
ANICAL: No work is to be covered
untiL these inspectior.s hav~ beer.
made and approved. .
FI3EPLACE: Prior to p1.acn.r.g facing
materiaLs and before fro:rring inspec-'
tior..
PRA.'-fINC: Must be requested alter
approval. of rough pZwr.birt.g~ eLectri-
cal. & mecMni.::aL. AU roOfing
bracing & chimn..:ys. et.::. ,",...lst be
. corrroLetad. ;'10 ;,;ark is to be con-
. cec.-Lfld until. this insoecticn has
. been made and approved.
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Your City Desigr.ated Job Number Is:
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lNSV~A~~UN/VAPOR BARRIER INS?~CTION:
To be made after aLL insul..:::.tum cr.d
raqw~red vapor barriers az'e in place
but before any lath, gypsum board or
wZL covering is cppUed, and hefot's
any ir..sulacion is conceaZed.
~2Jf\\ q
I DS:.!OLITION OR ;'.!OV!; 3UILDIt'iGS
~ Sanita:r;j se'~er ~crpped =t p~op~rt-i Zir.a
-'S .... .... d....-... ~'l'1 . ...:.... -;
---1 ep..t..:: ",anK ;r"""y~ "".....;:. "e~ :.,"'....n: ~~e..
I Pinal. - flhen abcve i:e.":'Js are cc:...r:;letec
~ ar~ when demol~tior. is complete or st~~~-
t'..aoe moved and premi3es cleaned up.
I Mobile Hcr::es
:::J Blocking and S~t-~p
:::J PLwr.hiT'.g connecti.cn.s sC'.Jer c:nd Water
:::J Elect7M;caL Connection - BLockina~ set-u~
and. pLumbing connections rl'r...st t~ appr::n;€d
before rsque8t~ng eZec;l'icat inspec-=io~
:=J Accessol",,' Bui l..d.~ng
---, FiT'.al - Ilft<Jr ?,')rcr.es~ skirting, dec.~~
~ etc. are compte;~d.
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All. project conditions~ ouch as the installation of street trees. co,~Zacivn of the
required landscc:pir..g, ~tc., ..Trust be satisfied before the BUILDINC FINAL can be raquest:Jd.
o FIliAL PLUMBIilG
o FINAL MECHANICAL
o FINAL ELECTRICAL
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......INAL BUILDING: The FinaL Building Inspection must be requested r:.lter the PinaL ?Zwncing
ElectricaL, and Mechar.iccL Inspeatiarw hcwa 081211. made and approved.
DRYWALL INSPECTION: To be r.ru1e
after aU drywZl is in plac-e~
but prior to any taping.
O MASONRY: Steel locatian~ bond
beams. grouting or verticals in
accordance with V.B.C. Section
2415.
D WOODSTOVE: After instaLlation is
acmplet~a.
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CURB & APP.rtCACH AFROrl: Afte:- forms
are erected bu.t prior to pouring
~7Wre te.
SIV:;'..IALX & DRPlE"/'AY: For aLl. con-
crete paving within street right-
of-wc.y, to be made altar aU exca-
vat:ing cC71fPLete & for'r.1 work & zub-
base material. in pZa::e.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSI3['E~ ADJUS'I'tfE,"lT TO BE !.:ADE ,IT !fO COST TO CITY I P~qe of 2
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?ENCE: Whet: compL~te -- Provid.e
gates or movabLe secticns through
P.U.E.
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I Zone:
I JOB NO, M\~\q
Lot Sq. Ft;;.
~ of lot Caverag&
.il of Stories
Total Height
Topography
IIToN
I ,~kIin
I
I Cc::race
! CanOl't
I
I Accessor"
I SQ.FTG
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IS.D,C.
TOTAL VALUo
ItlC/.U~)
1.5=
Bui l.dir.g Permi t
State Surcharge
Total Cha.-:-gsa
lITE,\{
I..r:'i--t"'.a>es
I Residential (1 bath)
I Sani ta:l'y Sewer i:r\ -r
I it'ater
I
PZW1lbing Perrr:i t
State Surcr.aI'f!e
Total Chc.raes
lITEM
j Res. Sa.
fto.
N61.JIErtend Cireui ts
Temporary Seruice
Ets:!tricat
S~te Sur:!ha:rae
Tatal Charces
1 ITSU
I E'urr.ace ETU' S
I Exhaust Hood
I Vent Fan
I 'Jaodsto,e
Perrrri.t Iasuanca
Medumica l permi t
State SUrcharae
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Permit
Ilia"
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SOLAR .ESS
Occuoanctl Cl'OUi7:
LOT TYPE
Interior
Corner
Panhandle
CUt-de-sac
x
Vatue
NO.
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/(\00 I
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IfU,OOI
.40 I
/ (J .4:() I '
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Foo
CHARGo
NO.,
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Foo
CHAFlGE
FSE
CHARCE
1'l"lt"1l CJ.art'U~8
-- EllCROACHlofENT --
Se~~~~ D3P03it
Storage
Maint~e
Permit
Totat Charaes
Page 2
REQ,-
.
Beaz.ooms:
II Enurau Sources
I Heat
I I ilater" Hp..atl''l''
I I Ranqe
I I Firer; lace
I I Wood.:;tove
II
TU'Ofl
L-COC~
l' - .
T:;'rJe/Cor.st:
I Lot Faces -
Setbacks
I P.L, I House I Caraqe
Worth
lEast I I
South I I
IWe.t I
I Access.
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Fees
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Building Value & Permit
This permU i3 granted on the erp'l"8SS condition that the sa"id. ~onBtl'Uction
shall, in all r"6spects, confo'l'm to the Ordinance ::.dopted by the City of
Sprir.qfield, inc!uding ,;he :oning Crdil".anas, re:r~lc.;ir.g the CCnBtl'"...:ccicn
and use of buildings, and m~y b~ suspended or revoked at cr.y time upon vic-
ia.;ion of any pr"::JVisior:s of said Ordi'!".ances.
,
IPlan Check Fee:
I Date Paid:
IReodpt N:
IS~ed:
Plumbing Permit
No person ehaU construct, instal!., aLter or change any new or e--isting
ptumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid ptumber's license, except tr~t a person may do
ptur.:bing work to properp~ which is owned, laased Or" operated by the appli-
aant.
Electrical Permi t
Where State LaLJ requires troat the electrical work be done by an Eleotrical
Contractor, the eLectrical portion of ;his pemt shall roOt be valid until
the label. has been signed by the Electrical ~ontractor.
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Mechanical Permit
PlA::m Examtnel'
uao;e
I HAVE CAREFULLY EXA!.fIN~D the completed application for permit, and do
hereby certify that alL i~fo~tion hereon is true ard correct, and I
JA.uoth61' certify that any ar.d all. wor"k perfo~ed shall be do:-:e in aa~or-
aancB '!Jlith the Ordinances of the City of Springfield, and th;: La:.;s of tha
.. State of Oregon pz,rt.::.ining to thB WOl'.l( c.esCT"';bcd herein, end that NO OCCU-
PANCY wilZ be 17I:lde of any struCt"'.u'8 witr.out ?arnr;saio:1. of the 3uiZding 0-;-
vision. I further certi!~ that o:1.ly contra~tors ar~ ~t~yees Wr~ arB in
aompZiance with ORS 701.055 will. OB used. on this projsct
I Curbou"
I sideualk
I Pert::e
I !!.ectPica Z Labe t
I MobiZe Homs
ID(\ f'\ /::)0 II If''' ,., I \ /-,rJ y/ fl
~no.(\ J::i.an {J~..J /()()'O()I./~~/v;C~
I TOTAL ANOUIIT ~Uo:, / / (). 4()
Date
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e'
CITY OF SPRINGFIELD .
t
IMPROVEMENT AGREEMENT AND APPLICATION FOR SEWER HOOKUP
We, the undersi gned property owners, request permi'ssion to connect the foll owing
described property to the sanitary sewer owned and maintained by the City of Springfield.
We therefore agree to pay a charge of .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. 1702344204400
Receipt No. ~qt")~
Property Description:
Address: 6484 Main Street. Sorinafield. OR
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Beginning at a point being South 64.02 feet and North 8g0 44' West 77.22 feet from the
Northwest corner of the T.J. Manyard Donation Land Claim No. 44, in Township 17 South,
Range 2 West of the Willamette Meridian; said point being onothe Northerly margin of
McKenzie Highway; thence along the Northerly margin N8rth 89 44' West 70.60 feet; thence
leaving said margin North 85.00 feet; thence South 89 44' East 70.60 feet; thence South
85.00 feet to the Point of Beginning, in Lane County, Oregon.
+ 6000 Square Feet = $1,018.73
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
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 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 agree-
ment and with all other appl icablelaws of the State of Oregon, Lane County, and the City,
the said Applicant shall be entitled to connect the existing residence to the public sewer
sys terns.
'My commission Expires:
For Finance Department
Trunk Sewer xxx
cis ED 120
Rr:V ?lRl
The covenants herein contained shall run with the land herein described, 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 described
This agreement shall be recorded in the Lane County Deed Records.
WHEREFORE, the parties have set their hand and seal thisJl?'~y o~",~~'0~,',~, 1915t
CITY OF SPRINGFIELD APPLICANT ' / \~"" '".,,>
~o. (L.A I ~ .-6'/f.. ,. :?/ ')1 f'J ...,
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By,' ...Jlt I _ ' , . L,.--U" d/'...b_ _....1, ! .:,...,...;--" -.",
, Director of Public Works "L/",'d\..l"/~'I'~",':':'
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STATE OF OREGON) " ( '-; '..'..":1' ,
) "'..,/ . I "
55. IIJ'lfll"I'.'"
COUNTY OF LANE )
On this d\ 6tday of~n il'-:L, 19f22... there personally appeared before me and signed the
above document~ ~ ~
\ ^-~ It ('{\('vJ ~_
NOTARY PUBLIC \\ "
~- \\n-?Jo
Information:
Lateral Sewer
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