Loading...
HomeMy WebLinkAboutPermit Plumbing 2001-4-9 '. -. I Job# 00-00882-01 1 e- Page 1 of 2 CITY OF SPRINGFIEL~ OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00882-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4085 north St Spr Assessors Map#: 18020614 Lot: Block: Addition: Tax Lot #: 06300 Subdivision: Owner: Address: Ms Miewes 4085 north st Phone Number: 541-746-8857 City/State/Zip: springfield, OR 97478 New Value: $0 Scope Of Work: Single Family Residence sanitary sewer installation and septic tank abandonment Contractor Type Plumbing Contr Contractor Registration # Expiration Date Ready Rooter I chapman plumb 88608 ermi bee rd, springfield, OR 97478 Phone 541-744-7991 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Sanitary Sewer Line Septic Tank Pumped Required Inspections r-- Plumbinll -I - Prior to filling trench. -After septic tank has been pumped and filled. Please provide the inspector with receipt and vel Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: :D ::<: -i -i ;;0 t::l ;;0 I'T'l:DD Q-i~ .~ .. # CJ "'-JD.. :D -00 (t') w:::Ol--L :::c I l-lC"':)GJOO 1'T1:t: I--L....o 0 ;:::r:1D-:] 0 ":Z:CON.p. om. oeo O"'-rrlt.....:Joco f",J..OJ-LLoJ . . Job# 00-00882-01 I e Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbinll Minimum Plumbing Permit Fee 04/09/2001 4883 $.00 Septic Tank Removal or Fill 04/09/2001 4883 1 $15.00 State Surcharge - Plumbing 04/09/2001 4883 $3.85 Sanitary Sewer Footage 04/09/2001 4883 100 $40.00 Administrative Fee - Plumbing 04/09/2001 4883 $1.65 Total Plumbing $60.50 Public Works In Lieu of Assessment 04/09/2001 4883 7,830 $2,192.40 Total Public Works $2,192.40 System DeveloDment Sanitary Sewer 04/09/2001 4883 15 $561.00 Residential Sanitary MWMC 04/09/2001 4883 1 $285.91 Residential Improvement MWMC 04/09/2001 4883 1 $24.33 MWMC Administrative Fee 04/09/2001 4883 1 $10.00 SDC Administrative Fee 04/09/2001 4883 $44.06 Total System Development $925.30 Grand Total $3,178.20 By signature, I state and agree, that I have carefully examined the completed application 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 Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ;jJ L,,-1d '<-jiJ? 7rJ O.L~ 0 q. _09 - 0 I Signature Date It .--.. .... . '- ,~, , " CITY OF SrRINGFIELD " ,IMPROVEMENT AGREEMENT AND ArrLICA TION FOR SEWER lIOOKUP L the u~dersigned property owner, Elizabeth Meiwes '" request peniussion to connect the following described property ,to the sanitarY sewer owned and, maintained, by the City of Springfield, " hereinafter refefred as the City. I therefore agree to pay a charge of $0.28 per square foot of the benefitting, ' property for thefust 150 feet.of depth as,a deposit ag~inst future assessments for sanitary sewer. Area in ' , excess of the above mentioned 150 feet of depth is chaJ:ged $0.14'per square foot.' ' , TaX Lot No. ' 18-02.:06-06300 , PROPERTY DESCRIPTIQN: Receipt No. 'lg8_~ ' Address' 4085 North Street The Noriherly' 100 feet of Lot 2 of BlciCk 2 of the H.F. Franklin - Addition as platted an:d recorded peccrnber 10, 1948; in BookJ4. Page 31, Plat Records,ofLane Countj, Oregon. ," ,', Fee Calculation: 7830' Sq. Ft.at $0.28 perSq. Ft. ' Sq. Ftat $0.14 per Sq. Ft. = , Total , , $ 2.191,40 $ $ 2,192.40 Thi~ agree~nt does not"include the,cost ofa house cOOn~tion to 'said City Sewer, sewer user f:;hargeS, conneCtion fees, plumbing perinits or other such costs to be assumed by the property owner. ,I 1 , , , " IT IS UNDERSTOOD that Applicant this agreement is enforceable by the State of Oregon, Lan6, , County or the City. ,It is further, understood lI1at the applicant agrees to sign any and all waiv:ers, ' ' petitions, consents and all o.ther documents neceSsary to obtain the above sa.id simitary sewer 'improvement under any improvement act or proceeding of the State of Oregon, Lane County pr the City as niay be proposed or a.doptiid. The applicant agrees to waive all right to remonstrate against an ' , irnprovemenlproject for sanitary sewer to be duly,initilited by the City Coun,cil, but not the right'lo ' protest ,the amount or manner ofspreading the assessment thereof, if the same shall appear to Applicant to' bear inequitably o.r unfairly upon said property of Applicant. Applicant's acceptance of thi: nori'- 'remonstrance condition is in consideration for'the City's waiver of the requireinent for the immediate construction of the public improvements that the development necessitates. The improvement agreement waives the property Owner's right to file written remonstrance. It does not waive a propertY owners right ~ to speak on the proposed district 'or any relate!! matters,orally or in writing. ' . . . , . " , 'NOW THEREFORE, thi:City agrees that if Applicant complies with the terms of this agreement, , ,Chilpter 2, Article 10 of the Springfield Code and Ordinance 5584 along with all other applicable laws of the State of Oregon, LaDe County, and the City, the sai~ Applicant shall be entitled to connect the ' existing resi4ence to the public sewer systems. ' , , ' , The covenants l1ereincontained shall run with the landherein 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 herem described. This agreement shall be recorded in the Lane County Deed Records. ' . n.;..' '-. " " ' 'WHEREFORE, the p~es h~ve seitheirhand a~d seal'this1: day of 'J..f::1J- J(:_~ 200L , , ' CITY OF SPRINGFIELD ' ',By~'f2-~ , 'City Surveyor- '(j - '-, , Don R. Rogers ' Division 0' Chle', Deputy Clerk lane County Deeds and Records . ~~~l-0mll', $31.00 111111111111111111111111111111111111111111111111 00165653200100213710021027 ' , 04/13/2001 02:21:08 PM RPR-AGRE Cnt=l Stn=7 CASHIER 06 $10:00 $10.00 $11.00 ",' , RETURN TO: , , , , CITY OF SPRINGFIEI..D ~PuBUCWORKS DEPT - 225 FIFfH SJ'REET ~ SPRINGFIEI..D, OREGON' 97477 ' ~ , I " . .L..{,~~ - q-I'-ol , ,;UtAJL .~clcL"4- :j)~~r' : ~~S jfIY oJ-e J) ! -r A.V-p IV J.i. 0 ~'/~~. i/r e I ,#" ..~....- , ..-~. ..," /' .../'" ..-: , . , APPLICANT: . ~!J,A-_/1J, 7Jro:(~ , ' Elizabeth Meiwes STATE OF OREGON) ) SS , " COUNTY OF LANE') ,On this ~ay of ~t?~. 2001; the applicant; personally appeared before me and signed the above document., . . ." , , ~rI--"- - ,._''''"'~' , ' . OFAClALSEAL , " NANCY JMACHADO .' i' NOTARY PU8L1C. OREGON 1 ....., ,...,.. COMMISSION NO. 335646 : MY IlIMMISllOI/ EXPIRES JlINE It lOIII " .J~~-- ":;""~.""'''''''''''''''''''''''''' .............'.. iIC.ol Elizabeth Meiwes ,;J .~tM() N tary P~icfor Ore~ 1 ' My Cornmissi~n expir~')'~ 11, d{)?Y-! , ' Finance Department Infonnation: Trunk Sewer Lateral Sewer , ' \ RETURN TO: CITY OF SPRINGFIELD, - PUBUC WORKS DEPT- 225 FIFTH STREET - SPRINGFIELD, OREGON 97477