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Home My WebLink AboutPermit Building 2003-1-14 Status: Issued 225 Fifth Street, Springfiekl, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '. .: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2002-01408 ISSUED: 0111412003 APPLIED: 12/2412002 EXPIRES: 07/1412003 VALUE: $ 97,190.00 SITE ADDRESS: 891 W Olympic St ASSESSOR'S PARCEL NO.: 1703273102200 Springfield TYPE OF Single Family Residence TYPEOF USE: PROJECT DESCRIPTION: SFR - same as COM2002-01405 898 W. Olympic St Owner: MIKE GANSEN Address: 362 HWY 99N STE 2 EUGENE OR 97402 ~<::>~~j.DEVELOPMENT INFORMATION' ~r.,~ <,"'ll(;OlI'~ Overlay Vist: ~ ,.\.<~ Side I Setback: ~ ~~~Jl9 # Street Trees I Side 2 Setback: -;$"I.!=-:l<<" ~;OO Paved Drive Rqd: Ves <<) ~ _-$:5 Rearyard Sethack: ;:;- 0..'" <>.~IO.OO % of Lot Coverage: 35.00 Solar Sethacks: c'$-"f- c-...~~_~ 30.00 AT I ENTION:Oregon law reqUires you to L -oJ _~"V '-:J ~. f^II^"''''111n.ro~rl''nt.onl.",thonr.artnn Iltlll.u SUbdiVisio~cJ;foi~i'ce~d <:'S $"'" IPUBLlC IMPROMl!lMEN'lTSI Center. Tho'se rules are set forth Str t ~ <:/,'<; if'&::\<<" Inv~\n"o~-001~~10~~~Oh.OAR952-o01- ee ~ ",.:t? ~.:f5_~ <::)"?' Fully Improved 0090. You may oDt~'M copYB~'of the rulos by Curbside 5' Storm Sewe~'A"'l.ila",~ Yes call1ngtheC(P.\l~~ll:rm~g/alt'!1ephon~urb and Gutter SpeCiallnstruc~~' No occupancy until infrastructure comPIa\,,~ !'5f~P.lSceregon Utility Notification "f- Centarls 1-800-332-2344). Notes: Contractor Type General Electrical Mechanical Owner Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy JFrimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Front yard Setback: I CONTRACTOR INFORMATION I Contractor License MIKE GANSEN CONSTRUCTION COMPAN)92159 LYNNS ELECTRIC 102316 COMFORT FLOW 460 MIKE GANSEN CHAPIN ENTERPRISES INC 81994 BUILDING INFORMATION I 1 R-3 U-l VN VN 3 # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: 1 15.00 Wall Heat Electric Electric Path 1 1 of 3 New Residential Phone Number: 541-463-1000 Phone Number: 541-463-1000 Expiration Date 06/14/2003 10/14/2003 06/27/2003 Phone 541-463-1000 541-726-7895 541-726-0100 541-463-1000 541-485-1146 05/0612004 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 4,545 1,193 418 REQUIRED PARKING Total: 2 Handicapped: Compact: 1IIt-1I!Jl!, ~L,,..!t"!~ " " ~ t \ -,,~, . . . CITY OF SPRIJ"tJ~1ELD . Building/Combination Permit PERMIT NO: COM2002-01408 ISSUED: 01/14/2003 APPLIED: 12/24/2002 EXPIRES: 07/14/2003 VALUE: $ 97,190.00 Status: Issued 225 Fifth Street, Springfiekl, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Dwellin2s Gara2e Type of Construction V Wood Frame Gara2e $ Per Sq Ft $74.60 $19.60 Square Foota2e 1,193.00 418.00 Value $88,997.80 $8,192.80 $97,190.60 Date Calculated 12/24/2002 12/2412002 Total Value of Project I Fees Paid I Fee Description Amount Paid Date Receipt Number Plan Review Same As $100.00 12/24/02 1200200000000000458 -Mechanical Issuance Fe.... $10.00 1/14/03 1200200000000000548 + to% Administrative Fee $99.49 1/14/03 1200200000000000548 + 7% State Surcharge $69.64 1/14/03 1200200000000000548 2 Baths One or Two Family $254.00 l/14/03 1200200000000000548 Addressing Assignment $8.00 1/14/03 1200200000000000548 Annexed 1979 or Before $-73.80 1/14/03 1200200000000000548 Building Permit $557.85 1/14/03 1200200000000000548 Curbcut Permit $75.00 1/14/03 1200200000000000548 Dryer Vent $6.00 1/14/03 1200200000000000548 Exhaust Hoods $9.00 1/14/03 1200200000000000548 Furnace - up to 100,000 btu $12.00 1/14/03 1200200000000000548 Plan Review - Planning $59.00 1/14/03 1200200000000000548 PW Mull Disc - 2nd Permit $-30.00 1/14/03 1200200000000000548 Residence Wiring 1000 Sq Ft $106.00 1/14/03 1200200000000000548 Residence Wiring Ea AddU 500 $38.00 1/14/03 1200200000000000548 Sanitary Sewer - Improvement $335.80 1/14/03 1200200000000000548 Sanitary Sewer - Reimbursement $441.80 1/14/03 1200200000000000548 SDC MWMC Administration $10.00 1/14/03 1200200000000000548 SDC MWMC Improvement $34.83 1/14/03 1200200000000000548 SDC MWMC Reimbursement $332.86 1/14/03 1200200000000000548 SDC Sanitary/Storm Admin $79.38 1/14/03 1200200000000000548 SDC Transpo Admin $49.36 1/14/03 1200200000000000548 SDC Transpo Improvement $709.81 1/14/03 1200200000000000548 SDC Transpo Reimbursement $160.87 1/14/03 1200200000000000548 Sidewalk Permit $75.00 1/14/03 1200200000000000548 Storm Drainage Impervious Area $622.66 1/14/03 1200200000000000548 Vent Fan $12.00 1/14/03 1200200000000000548 WilIamalane Single Family $1,000.00 1/14/03 1200200000000000548 Total Amount $5,164.55 I Plan Reviews , Initial Review Plannin2 Review 12/26/2002 12/27/2002 12/27/2002 01/14/2003 APP LLH APP AID 2 of 3 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2002-01408 ISSUED: 01/14/2003 APPLIED: 12/24/2002 EXPIRES: 07/14/2003 VALUE: $ 97,190.00 Status: Issued 225 Fifth Street, Springfiekl, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 12/27/2002 01/10/2003 APP DPE Hold until adequate deposite has been made with Public Works. No occupancy until subdivision accepted. 12/2712002 01/14/2003 APP RJB Structural Review 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. 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. By signature, I state and agree, that I have carefuUy 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 ofany structure without permission of the Community Services Division, Buikling 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 tim~~~.! construction. /. q, ~ .:..J<... ~ J --_ 0 r...Ycr~'2' ~ / - /4-0 =<.., - - ~ Owner or Contractors Signature Date 3 of 3 ~~.f~ Wi-= ',. ....-..-.-.-...--.. - 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .ne Items: Job/Journal Number COM2002-0 1408 C0M2002-0 1408 COM2002-01408 COM2002-0 1408 COM2002-0 1408 COM2002-0 1408 COM2002-0 1408 . COM2002-0 1408 COM2002-0 1408 COM2002-01408 COM2002-01408 COM2002-01408 COM2002-0 1408 COM2002-01408 COM2002-0 1408 1/1412003 2:33:22PM City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000548 Date: 01/14/2003 Description Amount Paid Addressing Assignment 8.00 Willamalane Single Family 1,000.00 106.00 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 38.00 Plan Review - Planning 59.00 Sidewalk Permit 75.00 Curbcut Permit 75.00 PW Mull Disc - 2nd Permit (30.00) 622.66 441.80 335.80 Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement 160.87 SDC Transpo Improvement SDC MWMC Reimbursement 709.81 332.86 SDC MWMC Improvement 34.83 Page I on cReceipt.rpt ~. ~~~- 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . COM2002-0 1408 COM2002-0 1408 COM2002-01408 COM2002-0 1408 COM2002-0 1408 COM2002-0 1408 COM2002-0 1408 COM2002-0 1408 . COM2002-01408 COM2002-01408 COM2002-0 1408 COM2002-0 1408 COM2002-0 1408 Receipt #: 1200200000000000548 Date: 01114/2003 Annexed 1979 or Before SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Page 2 of3 1/14/2003 2:33:22PM City of Springfield Development Services Department Public Works Department Official Receipt (73.80) 10.00 79.38 49.36 557.85 254.00 12.00 12.00 9.00 6.00 10.00 69.64 99.49 Line Item Total: $5,064.55 cReceiplrpt -~biiI, ",1 1&:, ,-! '.. J , ,~F '.. ~'"'-'<'..",''' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .yments: Type of Payment Check . Receipt #: 1200200000000000548 Date: 01114/2003 Paid By Roeeived By Check Number Confirm No GANSEN CONSTR djb Page3 of3 1/14/2003 2:33:22PM City of Springfield Development Services Department Public Works Department Official Receipt ~ How Received Amount Paid In Person 5,064.55 $5.064.55 Pavment Total: cReceipt.rpt .~ ~ " <I . t LEGAL D,E~~oND ;2.[J) .' \I1');z,~-\~\ L -- 'Ho\\ Items Cost 1000 sq.ft. or less' Each 'additional 500 sq. ft or portion ,thereof ' Each Manufd Home or Modular Dwelling Service or Feeder -\-$106.00 ,001 , 4$ 19.00, TOTAL , ,-,,~ \\p~..ld5 ' ..FCB - Find A Licensee - Re_ j- .-'" . o' ~';"'>f!~' 0", .... ..'. . ~<;1'\. '(. ., 'l"~' -' ')~\' " ...:. ". \ ~~ 0 '. ,:~ll~~l ~ >'JJ~~~': . lH~~ SEARCH BY: . LICENSE NUMBER , TELEPHONE NUMBER -NAME SEARCH BUILDING CODES DIVISION FOR PLUMBING & ELECTRICAL CONTRACTORS . Page lof2 Find A Licensee Other Contact Us Links About the CCB Programs Consumers Contractors Laws What's Const New Find A Licensee - Results Click HERE for a printer friendly version LICENSE 102316 NUMBER: NAME: L YNNS ELECTRIC CO ADDRESS: PO BOX A FALL CREEK OR 97438 WORK PHONE 5417267895 ENTITY TYPE: Corporation NUMBER: LICENSE STATUS: Active EXPIRATION 10/14/2003 DATE: DATE FIRST 10/14/1994 LICENSED: CONTRACTORS BOND COMPANY: BONDING & INS CO BOND AMOUNT: $ 10000 BOND EFFECTIVE 10/14/2003 TO: VIEW BOND VIEW CLAIMS HISTORY HISTORY VIEW , VIEW ASSOCIATED SPECIALIZED NAMES TRAINING ASSOCIATED LICENSES VIEW BUILDING CODES DIVISION LICENSE DETAILS STATUS CHANGED DATE: LICENSE Specialty CATEGORY: Contractor/All Non-Exempt (Has EMPLOYER Employees - Must STATUS: Have Workers' Comp Coverage) INSURANCE AMERICAN COMPANY: STATES INS INSURANCE $ 1000000 AMOUNT: INSURANCE EFFECTIVE TO: 6/19/2003 VIEW INSURANCE HISTORY VIEW SIC CODES OTHER CCB LICENSES [ Home] [ Up ] Send mall to Web Administrator with questions or comments about this web.site Or~IF"'Ona,e Ct .~ State of Oregon Liability Statement http://ccbed.ccb.state.or.uslNew_Web/asp/new _search _results.asp 12/27/2002 '. . CITY OF S!NGFIELD SYSTEMS DEVELOPMEAoRKSHEET JOURNAL OR JOB NUMBER: COM2002-0 1418 NAME OR COMPANY: Mike Gansen Construction LOCATION: 891 W. Oh:mpic SI TAX LOT NUMBER: 17-03-27-31-02200 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 1611 LOT SIZE (SF): I. STORM DRAINAGE 4545 r- I~ [0 [0 [~ [LLl i- [/) a LLl IX DIRECT RUNOFF TO CITY STORM SYSTEM !IMPERVIOUS S.F. ,I COST PER S.F. I I CHARGE I 2208.00 I SO.282 = $622.66 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IIMPERVIOUSS.F. I ,! COST PER S.F. I' I DlSCOUNTRATE I I DISCOUNT 0.00 I I $0.282 50% = I $0.00 ITEM I TOTAL - STORM DRAINAGE SDC '$622.66 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I ,I COST PER DFU 20 I $22.09 B. IMPROVEMENT COST: I NUMBER OF DFU's I, COST PER DFU 20 I $16.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $622.66 1070 $441.80 11091 $335.80 1092 $777.60 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I ' I NUMBER OF UNITS I I 9.57 I I I B. IMPROVEMENT COST: I ADT TRIP RATE j , I NUMBER OF UNITS I I 9.57 I I ITEM 3 TOTAL - TRANSPORTATION SDC , I COST PER TRIP I $16.81 , I COST PER TRIP I $74.17 = , $870.68 , I NEW TRIP F ACTORI I 1.00 I $160.87 I 1093 , INEWTRIPFACTORI I 1.00 I $709.81 1094 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: !NUMBER OF FEU's I ' ICOST PER FEU I I I $332.86 B. IMPROVEMENT COST: INUMBER OF FEU's J ' leaST PER FEU I I I I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) I MWMC ADMINISTRATIVE FEE I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , r SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , 5. ADMINISTRATIVE FEE: ISUBTOTAL I , I ADM. FEE RATE I~ I S2.574.83 I I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: [St- T~ 1/10/2003 I PREPARED BY DATE = $332.86 I 1054 I = $34.83 1055 ($73.80) 1054 $10.00 I 1056 I I $303,89 $2,574.83 CHARGE S128,74 TOTAL SDC CHARGES 79.38 1]079 $49.36 , ] 078 =, $2,703.57 I ~- . / . . ", , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETG. 0 0 3 = 0 IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETG. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER 1 MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EAt 0 0 6 = 0 IMOBILE HOME PARK TRAP.c1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REF RIG 1 WATER STATION 1 ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK 1 DISHWASHER / ETG. 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER. GANG (NUMBER OF HEADSl 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 IS INK: SINGLE LA V A TORYIRESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 J .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a simde family dwellin~ unil (20 DFU's) set al 167 ~allons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE CREDIT RA TE/$ I ,000 I u. YEAR ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? -- BEFORE 1979 $4.92 (Enter I for Yes, 2 for No) 1979 S4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 1980 $4.83 (Enter I for Yes, 2 for No) 1981 S4.77 BASE YEAR 1979 1982 54.64 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE) 1984 54.30 VALUE 1 1000 CREDIT RATE 1985 $4.09 $15.00 x S4.92 = , $73.80 1986 S3.78 I 1987 53.41 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) 1988 52.98 VALUE / 1000 CREDIT RATE I 1989 $2.52 $0.00 x $4.92 0 I 1990 $2.06 I 1991 $1.64 I 1992 SI.45 TOTAL MWMC CREDIT = $73.80 I 1993 SI.31 ]994 $1. 13 I 1995 $0.97 II 1996 $0.82 I 1997 $0.63 I 1998 $0.41 I 1999 $0.22 I 2000 SO.04