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HomeMy WebLinkAboutPermit Plumbing 2009-12-1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01714 ISSUED: 12/01/2009 APPLIED: 12/01/2009 EXPIRES: 06/01/2010 VALUE: SITE ADDRESS: 3220 RALEIGHWOOD AVE ASSESSOR'S PARCEL NO.: 1703221318400 Springtield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Replace tub with shower TYPE OF USE: Remodel Residen tial Owner: CUSHMAN SUZANNE & MARK A Address: PO BOX 1514 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor License DA VID ZARZYCKI GENERAL CONTRACTIIl05626 CARLOS GILBERT MACIAS & RAQUEL T0110117 I BUILDING INFORMAT/qMt " \e'l4 {ew.... . '01\ U\i\If# "'N'\'IO~: ~~~d'm'\:ne Ote~e set \01\\\ ~IO leS e~~I!~ftllr~9S'2...oo1. toll~'l4 :~Ol\ale e1 ~~t%.9h ~~ the {ules bY wn\ IC 1l5'2. . ~ples 0 teleQhO~e \{I OP-li,o(ou m~ ~ t'JIc!.e" .\!,e Notinca\\OI\ 001l0'1\1\9 \1'18 ~\l &~:U\\\\~4), cal~e{ ~O{~~~'1<{~~~g n/a I\\l '1",n".' I DEVELOPMENT INFORMA TION I Contractor Type General Plumbing # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expiration Date 04/26/2011 01/03/20 I 0 Phone 54 I -688-0243 541-607-8740 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: REQUIRED PARKING . Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I." . . - Sid'~"t"'iw.9~~ t-\Ol\Ct: ~ S't\~\.l €I-?~~\ft)~ins: 1\'11S I't\'l~tO \.\~D't.~ :~~~t)O~t.t) fO "-\\1\'10\'1 fU 0\\ IS t' COW\W\t~C ({ I''t.?-IOD. ,,-\'\'1 ~\)() Uf\ Paee 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01714 ISSUED: 12/01/2009 APPLIED: 12/0112009 EXPIRES: 06/01/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 54 I -726-3769 Inspection Line I V ~Iuati~,n Descrivtion 1 DescriPtion Type of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fe~~ P!lid.l ' Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Number $6,96 12/1/09 1200900000000001287 $2,90 12/1/09 1200900000000001287 $19.00 12/1/09 1200900000000001287 $39.00 12/1/09 1200900000000001287 , Total Amount Paid $67.86 I Plan Reviews I 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 work day. I Re/llJired Insnections I , , Rongh Plumbing: Prior to cover and including required testing. Shower Pan. Prior, to covering and including required testing. Final Plumbing: When all plumbing work is complete. By signature, I state and agree, that 1 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 Law, 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 contraetors and employees who are in compliance with ORS 701.005 will be nsed on this project. [ 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 or'the property, and the approved set of plans will remain on the site at all times during construction. 0N.A () 'X n.~ (J Owner or c~ract~rs- Sig:1ure I'Z-I/ (DC} Date I ( ( Page 2 of2 225 Fifth Street SprihgfiCld: Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01714 COM2009-0 1714 COM2009-0 1714 COM2009-01714 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: ....,.,.~.I,H,",. 9",FJ"",,!LO"""',ij""'..,'," ..' "'"".,,~'.,' t""" ". ".4t~ . -----' City of Springfield Official Receipt Development Services Department Public Works Department ]200900000000001287 Date: 12/01/2009 Description Fixture Minimum/Adjustment Plumbing + 5% Tec,hnology Fee + 12% State Surcharge Paid By CRAIG ONEILL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 02428c In Person Payment Total: Page 1 of I 11 :04:42AM Amount Due 19.00 39.00 2.90 6.96 $67.86 . Amount Paid $67,86 $67.86 1211 /2009 .." . ii~p After recording return to: Travi~.!. Svdow. Attomev at Law 2295 Cobum Road. Suite 202, Eugene, OR 97401 Dl'vlslon 0' Chle'. Depu\., Cl.rk 2nn9.nel~12 Lan. County D..d. and Records UU UU ~ 1111111/11111 11111111111111 n 111111111111111 ,$52,00 '111208S2"~0061S12002'028 . 1lI02/2009 03: 46: 03 pn RPR-EStlT Cnl=2 Sln=& CASHIER 07 tl"'ff~ P' ^np~1 ".00 $1'.00 $I..., $1'.00 "'.00 ril..e:, ~~.; "( GRANT OF EASEMENT AND MAINTENANCE AGREEMENT . For value received, receipt of which is hereby aCknowledged, GAIL BONESS and ROBERT N. FASSETT,. Grantors, hereby grant, transfer and convey to REBECCA LAMARCHE, Grantee, a perpetual nonexclusive easement to use a strip of land 2.00 feet in width described as follows: BegiIming at the Southeast comer of Lot 6, Block 10, EMERALD HEIGHTS ADDITION TO,SPRINGFIELD; as platted and recorded in Book 4, Page 14, Lane County Oregon Plat Records, in Lane County, ciregon;.run thence South 89. 58' West 61.72 feet; run thence North 10.56' West 2 feet; run thence North 89. 58' East 61.72 feet; run thence. South 10. 56' East 2 feet to the place of beginning in Lane County,:Oregon. ~. 1. This easement is not personal or in gross but is to be appurtenant to each and every Portion of the following described property owned by the Grantee: Beginning, at the Southwest comer of Lot 6, Block 10, EMERALD HEIGHTS ADDITION TO SPRINGFIELD; as platted and recorded in Book 4, Page 14, 'Lane County Oregon Plat Records, in Lane County, Oregon; thence North 260 29' West 82..65 feet; thence North 890 58' East 105.25 feet; thence South 10056' East 76.38 feet to the South line of Lot 6; thence South 890 58' West 85.0 feet to the Point ofBeginnlng, in Lane County, Oregon. '. 2. This easement is granted oVer and 'across property owned by Grantors in Lane County"as described as follows: , Beginning at the Southeast comer of Lot 6, Block 10, EMERALD HEIGHTS ADDITION to Springfield, as platted and recorded in Book 4, Page 14, Lane County Oregon Plat Records; run thence South 89. 58' West 61.72 'feet; run thence North 10.56' West 76.38 feet; run thence North 89. 58' East 61.72 feet; run thence South 10.56' East 76;38 feet to the place of beginning, in Lane County, Oregon. 3. This grant is made upon the following tenns: : , . 3.'1 Grantee is granted the right to uSe the 2.00 foot easement for the pUrpose of connecting a subsurface sewer line to the City of Springfield's sewer system. 3,2 Grantee and Grantee's agents shall at all times have access to the easement for pUrposes of maintaining and repairing the sewer line. 3.3 Grantee shall be responsible for keeping the sewer line in good maintenance " , and 'repair, except for instances where the sewer line in damaged by the negligence of the Grantors. Under such circumstances, Grantors shall be responsible for repairing the sewer line. 3.4 If Grantee accesses the easement for installation, maintenance or re~air of the sewer line then Grantee shall be-responsible for returning the surface area of the easement to as go~d of condition as it wasyrior to such installation, maintenance Of repair work. 3.5 This grant shall run with the land and shall be binding on and shall inure to the benefit of the Grantors and Grantees, their heirs, SUccessors or assigns. ..:. .' ~" IN WITNESS THEREOF, we have executed this Grant of Easement and Maintenance Agrcement on this 30th day of October, 2009. Gail Boness, GRANTOR to ~ /J -fin@ Robert N. Fassett, GRANTOR G~~ STATE OF OREGON) . ) ss. County of Lane ) The foregoing instrument was acknowledged before me this 30th day of October, 2009, by Gail Boness. ac I . OFFICIAL SEAL GABRIELLE E THOMPSON \.) NOTARY PUBUC - OREGON . - COMMISSION NO. 441627 MY COMMISSION EXPIRES AUGUST 4,2013 I. OFFICIAL SEAL "~,.,..) ~l::~~B~b~~~~~g~ . COMMISSION NO 441627 MY.COMMISSION E?<PIRESAUGUST 4,2013 , STATE OF OREGON) ) ss. County of Lane ) . The foregoing instrument was acknowledged before me this th day 'of October, 2009, by Ro"'rt N FM~tt . OkM. \, N~y.PUbliC forOregqn ;. M ~)!nmiSSiOn EXPireV~ 4.,10/3 GRANT OF EASEMENT AND MAINTENANCE' AGREEMENT' 2