HomeMy WebLinkAboutPermit Building 2007-9-11
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 03/11/2008
VALUE: $ 193,918.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 556 Ethan Ct
ASSESSOR'S PARCEL NO.: 1703221207200
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Breanne Commons lot 14
Owner: MIKE GANSEN CONSTRUCTION COMPANY
Address: 362 HWY 99N STE 2
EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low V oItage Electrical
Mechanical
Plumbing
Contractor License
MIKE GANSEN CONSTRUCTION COMPAN 92159
MAG ELECTRIC INC 149834
SECURETECH INC 156618
COMFORT FLOW 460
CHAPIN ENTERPRISES INC 81994
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
# of Stories: 1
Height of Structure: 20.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: n/a
3
Residential
Phone Number: 541-463-1000
Expiration Date
06/14/2009
12/13/2009
08/08/2007
06/27/2009
05/06/2008
Phone
541-463-1000
541-461-0387
541-521-2837
541-726-0100
541-485-1146
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: .
Occupant Load:
5,153
1,765
449
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
ATTENTION: Oregon Jaw ra Idr .
Frontya~d~~:. 18.00 Overlay Dist: follow ruJes adopted by th 6-1'~v.ou. ~o 2
Side 1 SMt)~~R~!!:: 6.00 # Street Trees~Wjcation Cente~ Th6se r~J rwa~~~W~d:
Side 2 slitlllceIP.ERMIT SHALL EXPtaIDlF THE WcmKed Drive Rfj<OAR 952-001-001oYtffioough ~~_rth
Rearyal)(R~t~fJ4lED UNDER THIS.PERMIT IS I'f(rpf Lot Cov_:, You may obttffl980pies of the rul~~~.
Solar S~~JW~~tENCED OR IS ABArfD'8NED FOR . calhng the center. (Note: the tele h Y
nllmh"'r IGr tt:le Or U. . Pone
?I\J Y IOU UAr ,...tKJUU. I PUBLIC IMPROVEMENTSfnter is 11oo'-sa2:~3~~~"c&tjon
Street Improvements: Sidewalk Type:
Fully Improved
Yes
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: Storm tied to curb & gutter. JLP Express/APP 5/31/07
Page 1 of 4
Status
Issued
225 Fifth Street, SpringfieJd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garae:e
DweUine:s
Garae:e
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each Addt1100'
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% TechnoJogy Fee
I Valuation Description I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,765.00
449.00
Total VaJue of Project
~
Amount Paid
$10.00
$146.49
$84.11
$108.33
$254.00
$31.00
$9.00
$871.15
$80.00
$6.00
$9.00
$110.70
$12.00
$4.00
$198.00
$566.25
$-30.00
$106.00
$57.00
$494.76
$650.66
$10.00
$961.52
$91.61
$143.31
$68.48
$836.32
$189.58
$80.00
$1,001.31
$14.00
$12.00
$2,303.00
$5.00
$2.50
Date Paid
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
6/26/07
6/26/07
Pae:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 03/11/2008
VALUE: $ 193,918.00
Value
Date Calculated
$181,795.00
$12,123.00
$193,918.00
05/31/2007
05/31/2007
Receipt Number
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000822
1200700000000000822
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 03/11/2008
VALUE: $ 193,918.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low V oItage - Residential
Minimum/Adjustment Electrical
$4.00
$50.00
$5.00
$2.50
$4.00
$25.00
$25.00
6/26/07
6/26/07
9/11/07
9/11/07
9/11/07
9/11/07
9/11/07
1200700000000000822
1200700000000000822
3200700000000000614
3200700000000000614
3200700000000000614
3200700000000000614
3200700000000000614
Total Amount Paid
$9,612.58
I Plan Reviews I
Initial Review 05/31/2007 05/31/2007 APP LLH "Express plan"
Planninl! Review 05/31/2007 05/31/2007 APP TAJ Property is at maxium coverage. No
additional covered structures will be
allowed.
Public Works Review 05/31/2007 05/31/2007 APP JLP Storm tied to curb & gutter. JLP
Express/APP 5/31/07
Structural Review 05/31/2007 05/31/2007 APP DLM
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 he made the following
work day.
~eouiredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Vnderfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Pal!e 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 03/1112008
VALUE: $ 193,918.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Low Voltage: Prior to cover.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
inf9rmation 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 701.005 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, 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.
Owner or Contractors Signature
Date
Pae;e 4 of 4
225 Fifth Street
. Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200700000000000614
Date: 09/11/2007
3:15:08PM
Job/Journal Number
CO M2007 -00782
COM2007 -00782
COM2007-00782
COM2007-00782
COM2007-00782
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
CreditCard
. Paid By
RONALD
GERMAN/SECURETECH
Received By
NJM
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
25.00
25.00
2.50
4.00
5.00
$61.50
Amount Paid
085833 In Person
$61.50
Payment Total:
$61.50
cReceint 1
Page 1 of 1
9/11/2007
ZON
INITIALS
DATE
SOURCE
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL/fERM1T APPLICAI1JJJr
City Job Number 0m~1TlJ7 .-,t10~
1.
LEGAL DESCRIPTION:
~~h~l\ ?hone.-4 CAb)~ TV
JOB DESCRIPTION:
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor ~ ~L,re.TecnL-Jc-
Address
~J. &::, Fe('() hi;1 ~r
City <~f~
Phone S;< I -...< 83'7
Supervisor License Number ,:=329 <) LE A
Expiration Date
/6 - O~
Expiration Date
c2..o - 'i 7(; CLE
?()8
Constr. Contr. Number
Signat~pervising Electrician
/G ~./:- ~
Owners Name /)1 uCe/ C$/J.:stJ./YL.-
Address c:g (p; ~ /::::kzJ u{ 9 if ,AJ
'J
City & M~w./ Phone
/()
OWNER I~ST ALLA TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Date 9-;/.-.;;) (J() 7
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$117.00
$ 21.00
B.
. 0 e' hone
.,:i":.:tnE:center. '.. . .
200 AmR~ 0"'~~~e Oregon Utility No.tlfioatiQP70.00
j IUl rlU..:;r aO c; ,
201 Ampsae1400'Asn~00-332-c.~441. $ 83.00
401 Amps to 600 Amps $138.00
601 Amps to 1000 Amps $180.00
Over 1000 Amps/V olts $413.00
Reconnect Only $ 55.00
c.
W1Tr.Cr:: if HE WORK
I~~ffY~~AW"I,eS~p?~l?tJW(<<Ri d6n
2Q\~fPmlfti~UNDER THIS PERMIT IS ~9.;~00
2~btvWJi~~~~"9PP~ ~BANDONED fUtt 76.00
4~~60&~ ~1fI'tiOD. $110.00
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
E.
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residential / ~ $ 28.00 d:?\< ()(J
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
SQ.oV
:2 .50
4. tFO
~C;. au
&;/,~
4.
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Driye(T:)/Building FormslElectrical Permit Application 7-07.doc