HomeMy WebLinkAboutPermit Plumbing 2003-9-15 (2)
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.
. CITY OF SPRINut<mLD
Building/Combination Permit
PERMIT NO: COM2003-00897
ISSUED: 09/15/2003
APPLIED: 09/15/2003
EXPIRES: 03/15/2004
VALUE:
.-
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3521 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703343200200
Eugene
TYPE OF WORK: Plumbing Only
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Connect to sanitary sewer
Owner: MOE SIG & KAY TR
Address: PO BOX 847 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Buildings: # of Stories: Lot Sizc:
Primary Occupancy Group: Height of Structure Sq Ft 1 st Floor:
Secondary Occupancy Group: ~ Type of Heat: Sq Ft 2nd Floor:
Primary Construction Type ~ ~ Water Type: Sq Ft Basement:
Secondary Construction Type: l.~ ~ Range Type: ~ Sq Ft Garage/Carport
~'>..'" c- ~ .,-
. # of Bedrooms: ~ - ~".. 9::- Energy Path: ",,0 ~Sq.Ft Other:
~ ~ <<,'5 0'" >;-..::5 Q,lii'ipervious Surface Area:
_<L. .0' .('\ ..,s .n c.; ,..,J ~
$'~ q,~~v I DEVELOPMENT INFORMA Tl0N~I': ~~<(- q)J ...~VJ 0"'~C'l'"
SETBACKS ,,~ ~ ,q,.' ~~ ~0 O"f ;S0 iftmQUIRED PARKING
~~~ >;-~~~~~~
Front yard Setback: if !;:)'<; ~ "f . Overlay Dist: ..0& 0'<:> 0",0 O~~ 0",00,0 r!f$, Total:
Side I Setbac~. _~ ~~ i(:' ~ # Street Trees ~qd: ~0 ,,'<:' .s:- o(f .'S'.~ ~r/Handicapped:
Side2SetbJl...QS'~d?5:>'5q,~ Paved DriveR!Id:oO 0.... .....\;).>;-v ,;y0~~ ~ Compact:
~~q,~~~ ~~~~~~>;-~
Rearyar"!i tf!Jl~ ~ ~~ % ofLot<2!lv~~ag~'Z1 >::>" (# 0.... ~ ~'"
Solar Setli ~.~ ~ !:- ~~ . 0<::- ~ #> ~O~0 9:J\5
~ ....~... )". b.. ...... _..::$...~ .ro.:....0 ",,'
. \,)-.;f I PUBLIC IMPROyE~i~TS If ({:0~{'>
'" v ". .,,--,~ '"
. >;- 2>" ~ 0' d'Sidewalk Type:
"\;)Ci c,'Ii i?
","
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notcs:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pal1e 1 on
'. .
Status
Issued
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00897
ISSUED: 09/15/2003
APPLIED: 09/15/2003
EXPIRES: 03/15/2004
VALUE:
'.
..
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
I F~~s Pairl I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1 st 50 Feet
Amount Paid
Date Paid
Receipt Number
$4.50
$3.15
$45.00
9/15/03 .
9/15/03
9/15/03
2200200000000001523
2200200000000001523
2200200000000001523
Total Amount Paid
$52.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~uirerl Insnedions I
1 Sanitary Sewer Line: Prior to filling trench and including required testing.
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 sball be done In accordance witb
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described hcrcin, 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 701.005 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, t~ permit card is located at the front of the property, and the approved set of plans will remain on the site at all
tim~~~trw1- . 9~)s--OY
Owner or Contractors Signature
Date
Pal1e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2003-00897
COM2003-00897
COM2003-00897
Payments:
Type of Payment
Check
............~ ~!';.~l.'
lit"..................
," 1
_... .._"_-'_.) . J
Receipt #: 2200200000000001523
Description
Sanitary Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MOE PROPERTIES
Received By
jmp
Check Number
Batch Number Authorization Number
8258
City of Springfield Official Receipt
Development Services Departmenf
Public Works Department
Date: 09/15/2003
2:08:49PM
Amount Paid
45.00
3.15
4.50
$52.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$52.65
$52.65
.
.
.
- . . CITY OF ~L_2rNGFIELD, OREGON . 0
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
CityJobNumberCoN\"Z.Co3-00egl. Date O~-IS -O~
o 1 & 2 Family Dwelling or Accessory 0 Ncw Construction
o Multi-Family 0 Addition/AlterationlReplacemcnt
.1%1 Commercial/Industrial Ii?J Tenant Improvement
Job Addressls:zJ- ' .' ;:- V JlI.lkL~ nl,J
Lot Block Subdivision
Project Name
Dcscription of Work/location on premises/special conditions
[-- ---- .._' .-.
gAPr9perty Owne~ "
Name 4e ~t
Mailing Address PfJ, Ro~ '147
City SD('J,J~J State oR Zip'7711?7
Phone O'7:/i.')/,]1. Fax J4).7SJ~
Owner Representative S:+I' iJ e. motZ. .
Phone 1)6']/')3 Fax::;Jl1.'7-7"d
r.- ._-- - - -, --
o I_Applican~ ___ _
Name SJ;fi10/ 1J ('
Mailing Address
City
Phone
}-.-..- ,-
lJ a;-e'
State Zip
Fax
o l.,irchU~~/Q;~ig';er,lE;;gi~ie~_:_=_-=' -,-
Name (J/A/!Je-r
Address
. State
Zip
City
Contact Person
Phone Fax
o ~~()lit!.uit~~(SJ - =-~_~_-= ~-~
Contrnctor's Name
o
~
Demolition
Other
Bldg No. Suite No.
Tax Mapffax Lot /7- D,<..,I). ,?~. )..170
J,
i1'oJ ,/1 /', ar. ~,.,w~r n
1 &_2 Family Dwelling
SQ Ft X $/SQ Ft
Value
New Dwelling Area
Garage/Carport Area
Other Structure Area
Total Value
LGontlJ]er.cial/I'!.411SI1jal/A~u!ti~Family _.
SQ Ft X $/SQ Ft
= Value
Existing Building Area
New Building Area
5A.1 J ,..., 17< Ji2?
Total Value
I
I
l _______.. _ _ _______
'-'
Existing
New
Occupancy Group(s)
Const. Tvpe(s)
Number of Stories
'- ----.------'-.--
CCB#
Expiration Date Phone #
General
Plumbing () j, J,; Ir/V
Mechanical
Electrical
o ~?:(;mlni.~~al/!ndl!st..ria(Pr..()je:cii '! 0 :'Rcsi','enlial Profe..Cts,- " .~_. - .~. ~ :~= ,-
\ las site fevicw application been submitted? Heat Source: Primary
Z1 Yes 0 No 0 N/A /. . Water Heater Range
fso, Name of Planner (?_V1~,k'!!.VfJ Do you require any of the following for this project?
Journal Number :20a:<- oft. jl1.sIY Over-width or Second Driveway 0 Yes 0 No
Temporary Power 0 Yes 0 No
Notice: All contractors & subcontrnctors are required to be licensed with the Construction Contractors Board of the State of Oregon
under provisions of ORS 70 I and may be required to be licensed in the iurisdiction where work is bein(~ oerfoffi1ed.
I For Q{ficc Use Only . . j
I PLAN CHECK FEE I -rS2.foS I RCPT# r-7.00,-~\snl DATE 16")-\<;-O~ I BY ~l'^...:1('
- I
Secondary
Energy Path
APPLICATION
BUILDING
PERMIT
Shllrcd Drivc(T;)IBuildin!; FonllsfBuilding Pcnnil Appliclltioll IO.02.doc
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P. O. Box 847
Springfield, OR 97477
726-7613
954-0175
Journal Number 2002-08-0253
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CITY OF SPRINGFIELD
IMPROVEMENT AGREEMENT AND APPLICA nON FOR SEWER HOOKUP
We, the undersigned property owners. Si" Moe and Kay Moe. Trustee ofthe Moe Trust under Trust
A\!!,eement Februarv 14. 1974. hereinafter referred to as Applicant(s), request permission to connect the
following described property to the sanitary sewer owned and maintained by the City of Springfield,
hereinafter referred as the City. We therefore agree to pay a charge of$0.35 per square foot of the benefitting
property for the first 150 feet of depth as a deposit against future assessments for sanitary sewer. Area in
excess of the above mentioned 150 feet of depth is charged $0.18 per square'foot.
Tax Lot No. 17-03-34-32-00200
Receipt No.
PROPERTY DESCRIPTION:
. Address
SEE EXHIBIT A
Fee Calculation:
37.502 Sq. Ft. at $0.35 per Sq. Ft.
6.504 Sq. Ft. at $0.18 per Sq. Ft.
=
$13.125.70
$ 1.170.72
$14,296.42
=
Total
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.
IT IS UNDERSTOOD that the Applicant understands that this agreement is enforceable by the
State of Oregon, Lane County or the City. It is further understood that the applicant agrees to sign any
and all waivers, petitions, consents and all other documents necessary to obtain the above said sanitary
sewer improvement under any improvement act or proceeding of the State of Oregon, Lane County or the
City as may be proposed or adopted. 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, ifthe same shall appear to Applicant
to bear inequitably or unfairly upon said property of Applicant. Applicant's acceptance of the non-
remonstrance condition is in consideration for the City's waiver of the requirement 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 related matters orally or in writing.
NOW THEREFORE, the City agrees that if Applicant complies with the terms of this agreement,
Chapter 2, Article 10 of the Springfield Code and Ordinance 5584 along with all other applicable laws 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 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 _ day of
.200_.
(Bar Code Sticker)
RETURN TO:
CITY OF SPRINGFIELD. PUBLIC WORKS DEPT - 225 FIFTH STREET - SPRINGFIELD, OREGON 97477
.~ ,_ l...
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CITY OF SPRINGFIELD
By
City Surveyor
Dennis P. Emst
STATE OF OREGON )
COUNTY OF LANE )
S.S.
Signed and attested before me on
bv Dennis P. Emst- City Surveyor.
200_
Notary Public for Oregon
My Commission Expires
APPLICANT:
(Sig Moe - Trustee)
(Kay Moe, Trustee)
STATE OF OREGON)
COUNTY OF LANE)
) SS
On this _ day of . 200_, the applicants. Sil! Moe and Kav Moe. Trustee ofthe Moe
Trust, personally appeared before me and signed the above document.
Notary Public for Oregon
My Commission expires
Finance Department Information:
Trunk Sewer Lateral Sewer
EXHIBIT "A"
That tract of land described in a deed from Sig Moe, a.k.a. Sigvold B. Moe, a.k.a. Sigvald B. Moe, and
Kay Moe, to Sig Moe and Kay Moe, Trustee of the Moe Trust under Trust Agreement dated February
14, 1974, recorded for public record February 14, 1974 in Reel 690R at Reception No. 74 20123, Lane
County Official Records, Lane County, Oregon, being more completely described as follows:
Beginning at a point on the Southerly line of the Pacific Highway, North 82043' East 415.4 feet from a
point 28.7 feet South of the Northeast corner of the Zara Sweet Donation Land Claim Nol 68, in
Township 17 South, Range 3 West of the Willamette Meridian, and running thence South 161.6 feet,
thence East 248 feet, thence North 193.2 feet to the Southerly line of said Highway, thence South 82043'
West along the Southerly line of said Highway 250 feet to the place of beginning, in said Lane County,
State of Oregon.
RETURN TO:
CITY OF SPRINGFIELD - PUBLIC WORKS DEPT - 225 FIFTH STREET - SPRINGFIELD, OREGON 97477
(
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- AITACHMENT A A
CITY ~RINGFIELD SYSTEMS DEVELOPMENT CHARGEWlKsHEET
JOURNAL OR JOB NUMBER COM2003-00897
NAME OR COMPANY: MOE TRUST
LOCATION: 3521 FRANKLIN BLVD
MAP & TAX LOT NUMBER: 17 03 34 32 00200
DEVELOPMENT TYPE: NEW CAR DEALERSHIP
NEW DEVELOPED AREA (S.F.): 11.227.00
EXISTING DEVELOPED AREA (S.F.): 11.227.00
TOTAL IMPERVIOUS SURFACE (S.F.): 34,914
..
lTE:
ITE:
LOT SIZE (S.F.):
, $ 475.44
'$ 361.41
836.85 I
841
44158
I STORM DRAINAGE
IMPERVIOUS SQ. FT.
x
S 0.290 PER SF
TOTAL STORM DRAINAGE SDq $
2 SANITARY SEWF.R-CITY
A REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
21
x
S 22.64 PER DFU
x
S 17.21 PERDFU
21
TOTAL LOCAL WASTEWATER SDC:, $
3 TRANSPORTATION
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW ,
A REIMBURSEMENT COST:
11.23 x 37.5 x S 17.23 PER TRIP x 0.85 NTF 1$ i'
B. IMPROVEMENT COST:
11.23 x 37.5 x S 76.01 PER TRIP x 0.85 NTF 1$
EXISTING
A REIMBURSEMENT COST:
.11.23 x 0 x S 17.23 PER TRIP x 0 NTF 1$
B. IMPROVEMENT COST:
-11.23 x 0 x S 76.01 PER TRIP x 0 NTF 1$
TOTAL TRANSPORTATION REIMBURSEMENT SIX:1 $
TOTAL TRANSPORTATION IMPROVEMENT SIX: $
TOTAL TRANSPORTATION SDC:, $
4 SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 11.23 x S95.10 PER FEU
B. IMPROVEMENT COST:
NUMBER OF FEU's 11.23 x S9.95 PER FEU
EXISTING:
A REIMBURSEMENT COST:
NUMBER OF FEU's -11.23 x SO.OO PER FEU
B. IMPROVEMENT COST:
NUMBER OF FEU's -11.23 x SO.OO PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
1 $ 1.067.71 I
1 $ 111.71
I $ I
1 $ I
$
TOTAL MWMC REIMBURSEMENT FEE: $
TOTAL MWMC IMPROVEMENT FEE: $
MWMC ADMINISTRATIVE FEE: $
TOTALMWMCSDC:, $ 1,189.421
SUBTOTAL (ADD ITEMS 1,2,3,&4). 1$ 2,026.271
.5- ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
S 2,026.27 x 5% S IOUl
TOTAL TRANSPORTATION ADMINISTRATION FEE:, $
TOTAL SEWER ADMINISTRATION FEE:' $
steve.... w. 1;e.L<vlrtj 1;.r....e$ 9/11/2003
C~~COLLEGE. 307 a 5T.xls DATE
, $
TOTAL SDC CHARGES
1.067.71
111.71
10.00
.
-..
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2,127.58 ~
JULY 2001
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DRAINAGE FIXTURE UNIT (DFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REM:ODELS. CALCULATE ONLY TIlE NET AJJUII1UJ~AL FIXTURES)
MOE TRUST
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLIDSIETC-
INTERCEPTORS FOR SAND/AUTO WASHlETC.
LAUNDRY TUB
CLOTIlES W ASHERlMOP SINK
CLOTIlES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETC-
RECEPTOR FOR COMMERCIAL SINK! DISHWASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE LAVATORY
SINK: SINGLELAVATORYIRESIDENTIALBAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S'
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
1
5
6
3
3 0
3 0
TOTAL DRAINAGE FIXTURE UNITS=
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwellin~ (20 DFU) set at 1671tllllons per day
.
, ,
.
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
3
o
18
o
o
o
o
21
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARATEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
RATE PER $1,000
ASSESSED VALUE
$ 4.92
$ 4.83
$ 4.77
$ 4.64
$ 4.47
$ 4.30
$ 4.09
$ 3.78
$ 3.41
$ 2.98
$ 2.52
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
COM2003-00765. BEAUTY COLLEGE. 307 a ST.xl.
YEAR
ANNEXED
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
RATE PER $1,000
ASSESSED VALUE
$ 2.06
$ 1.64
$ 1.45
$ 1.31
$ 1.13
$ 0.97
$ 0.82
$ 0.63
$ 0.41
$ 0.22
$ 0.04
x
x
CREDIT TOTAL
$0.00
$0.00
$0.00
JULY 2001
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