HomeMy WebLinkAboutPermit Building 2003-1-14
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
CITY OF SPRINGFIJ!.LU .
Building/Combination Permit
PERMIT NO: COM2002-0140S
ISSUED: 01/14/2003
APPLIED: 12/24/2002
EXPIRES: 07/14/2003
VALUE: $ 97,190.00
SITE ADDRESS: 898 W Olympic St
ASSESSOR'S PARCEL NO.: 1703273102202
PROJECT DESCRIPTION: SFR
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
Owner: MIKE GANSEN
Address: 362 HWY 99N STE 2 EUGENE OR 97402
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
I CONTRACTOR INFORMATION'
Contractor License
MIKE GANSEN CONSTRUCTION COMPANW2159
LYNNS ELECTRIC 102316
COMFORT FLOW 460
MIKE GANSEN
CHAPIN ENTERPRISES INC 81994
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
JTrimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
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
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
I DEVELOPMENT INFORMATION I
05/06/2004
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport:
Sq Ft Other:
Impervious Surface Area:
6,236
1,193
418
REQUIRED PARKING
Front yard Setback: 18.00 ~ Overlay Dist: Total:
Side I Setback: 5.0~~<(I !S'- # Street Trees I Handicapped:
Side 2 Setback: ~'\ -{:l ~ Paved Drive Rqd: Yes Compact:
Rearyard Setback: ~~ ~~~ ~~~ % of Lot Coverag'?\TTENTION::@IQjQOnlawreqUlresyouto
Solar Setbacks: <t~~c., ~~~~ follow rules adopt~ by the ~regon Utlli!~ _
Subdivision N~t Acce~';~~~ '" ,~~:J . IPUBLIC IMPROVEM.t~~.~~2.001:O(i10th;~9hOAR-95~~O;I-
Street SJ~' #' ~~~ -{:l ~~. 0090 You S1~tdi1yp€:pies of the rutos by
..J::1,~~ f<,<(I ,,\~~ ~~ ~(;j Fullv Improved ill the canter. INnte; the tell!lphOnSurbside 5'
Stor~es~~~~ ~<f:: Yes ca ng 'DO~ns.p.outsIDil1f NotliQyj~dH'd Gutter
SpeCiallll'~~~~ ~~o connection to infrastructure or occupanc9't1\lln'l&t'drJls~b/~ftlWq~ k~ ~.qfPifcl~
~ :#" ~~ Center is 1~OiJ- ;!~~I.
Notes: ~~ 'Ii:
I of 4
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-1IIit~":~~ ~.
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. CITY OF SPRINGFIJ!.LU .
Building/Combination Permit
PERMIT NO: COM2002-0140S
ISSUED: 01/14/2003
APPLIED: 12/24/2002
EXPIRES: 07/14/2003
VALUE: $ 97,190.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Dwellines
Garaee
Type of Construction
V Wood Frame
Gara~e
$ Per Sq Ft
$74.60
$19.60
Square Footaee
1,193.00
418.00
Value
$88,997.80
$8,192.80
$97,190.60
Date Calculated
12/24/2002
12/24/2002
Total Value of Project
I Fees Paid I
Fee Description Amount Paid Date Receipt Number
Plan Review Residential $362.60 12124/02 1200200000000000458
-Mechanical Issuance Fee- $10.00 1/14/03 1200200000000000545
+ 10% Administrative Fee $99.09 1/14/03 1200200000000000545
+ 7% State Surcharge $69.36 1/14/03 1200200000000000545
2 Baths One or Two Family $254.00 1/14/03 1200200000000000545
Addressing Assignment $8.00 1/14/03 1200200000000000545
Annexed 1979 or Before $-65.98 1/14/03 1200200000000000545
Building Permit $557.85 1/14/03 1200200000000000545
Curbcut Permit $75.00 1/14/03 1200200000000000545
Dryer Vent $6.00 1/14/03 1200200000000000545
Exhaust Hoods $9.00 1/14/03 1200200000000000545
Furnace - up to 100,000 btu $8.00 1/14/03 1200200000000000545
Plan Review - Planning $55.00 1/14/03 1200200000000000545
PW Mull Disc - 2nd Permit $-30.00 1/14/03 1200200000000000545
Residence Wiring 1000 Sq Ft $106.00 1/14/03 1200200000000000545
Residence Wiring Ea Addtl 500 $38.00 1/14/03 1200200000000000545
Sanitary Sewer - Improvement $335.80 1/14/03 1200200000000000545
Sanitary Sewer - Reimbursement $441.80 1/14/03 1200200000000000545
SDC MWMC Administration $10.00 1/14/03 1200200000000000545
SDC MWMC Improvement $34.83 1/14/03 1200200000000000545
SDC MWMC Reimbursement $332.86 1/14/03 1200200000000000545
SDC Sanitary/Storm Admin $79.36 1/14/03 1200200000000000545
SDC Transpo Admin $49.52 1/14/03 1200200000000000545
SDC Transpo Improvement $709.81 1/14/03 1200200000000000545
SDC Transpo Reimbursement $160.87 1/14/03 1200200000000000545
Sidewalk Permit $75.00 1/14/03 1200200000000000545
Storm Drainage Impervious Area $617.58 1/14/03 1200200000000000545
Vent Fan $12.00 1/14/03 1200200000000000545
Willamalane Single Family $1,000.00 1/14/03 1200200000000000545
Total Amount $5,421.35
I Plan Reviews I
Initial Review
Plan nine Review
12126/2002
12/27/2002
12/27/2002
01/0212003
APP LLH
APP AID
2 of 4
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CITY OF SPRINGFIELD I
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2002-0140S
ISSUED: 01114/2003
APPLIED: 12/24/2002
EXPIRES: 07/14/2003
VALUE: $ 97,190.00
Public Works Review
12/27/2002
01103/2003
APP DPE
N occupancy until subdivision
accepted
Structural Review
12/27/2002
01114/2003
APP RJB
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.
I Reouired Insnections ,
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.
3 Erosion/Grading Inspection: After all erosion measures are in place.
4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
5 Footing: After trenches are excavated.
6 Foundation: After forms are erected but prior to concrete placement.
7 Post and Beam: Prior to Door insulation or decking.
8 Floor Insulation: Prior to decking.
9 Shear Wall Nailing: Before covering sheathing with finish materials.
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
11 Wall Insulation: Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
15 Final Building: After all required inspections have been requested and approved and the building is complete.
16 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
17 UnderDoor Plumbing: Prior to insulation or decking.
18 Rough Plumbing: Prior to cover and including required testing.
19 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
21 Final Plumbing: When all plumbing work is complete.
22 UnderDoor Mechanical. Prior to insulation or decking and including required testing.
23 Rough Mechanical: Prior to Cover
24 Final Mechanical: When all mechanical work is complete.
25 Temporary Electric: Approval required prior to Utility Company energizing pole.
26 Rough Electric: Prior to Cover
27 Final Electric: When all electrical work is complete.
3 of 4
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
CITY OF SPRING FIELD
Building/Combination Permit
PERMIT NO: COM2002-0140S
ISSUED: 01/14/2003
APPLIED: 12/2412002
EXPIRES: 07/14/2003
VALUE: $ 97,190.00
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certity 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 OCCUP ANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certity that only contractors and employees who are in compliance with ORS 701.005 wiD 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
~.:::~s dU~in~UCtion~ ~ ~
- Owner o-;C~rs Signature r
4 of 4
/-/~ =?
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2002-0 1405
COM2002-O 1405
COM2002-01405
COM2002-0 1405
COM2002-0 1405
COM2002-01405
COM2002-01405
COM2002-0 1405
COM2002-0 1405
COM2002-0 1405
COM2002-0 1405
COM2002-01405
COM2002-0 1405
COM2002-0 1405
COM2002-01405
1/14/2003
2:32:0IPM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000545
Date: 01114/2003
.
Amount Paid
8.00
1,000.00
38.00
106.00
55.00
75.00
75.00
(30.00) .
617.58
441.80
335.80
160.87
709.81
332.86
34.83
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring Ea Addtl 500
Residence Wiring 1000 Sq Ft
Plan Review - Planning
Sidewalk Pennit
Curbcut Pennit
PW Mult Disc - 2nd Pennit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
Page I 00
cReceipt.rpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
COM2002-0 1405
COM2002-0 1405
COM2002-01405
COM2002-0 1405
COM2002-0 1405
COM2002-0 1405
COM2002-0 1405
COM2002-0 1405
COM2002-0 1405
COM2002-0 1405
COM2002-0 1405
COM2002-0 1405
COM2002-0 1405
Annexed 1979 or Before
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
-Mechanical Issuance Fee-
.
1/14/2003
2:32:01P~.
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000545
Date: 01/14/2003
..
(65.98)
10.00
79.36
49.52
254.00
8.00
12.00
9.00
6.00
557.85
69.36
99.09
.
10.00
Line Item Total:
$5,058.75
Page 2 of3
cReceiptrpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Payments:
Type o(Payment
Check
Receipt #: 1200200000000000545
Date: 01/14/2003
Paid By
Received By
Cbeck Number Confirm No
GANSON CONSTR
djb
Page 3 of3
1/14/2003
2:32:01PM.
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
How Received
Amount Paid
In Person
5,058.75
$5.058.75
Pavment Total:
.
cReccipt.rpt
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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
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Cr~~OnIiM 0
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Slate of Oregon Liability Statement
http://ccbed.ccb.state.or ,us/New _ Web/asp/new _search Jesults.asp
12/27/2002
, . CITY OF _INGFIELD SYSTEMS DEVELOPMEAoRKSHEET
JOURNAL OR JOB NUMBER: COM2002-01405
NAME OR COMPANY: Mike Gansen
LOCATION: 898 W. OIY!"p"ic SI
TAX LOT NUMBER: 17-03-27-31-02202
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 1611 LOT SIZE (SF):
1. STORM DRAINAGE
8236
en
t.l'
Cl
o
U
~
t.IJ
f-
en
5
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I
I 2190.00 I $0.282 I = $617.58
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS.F. I x I COSTPERS.F. I x I DlSCOUNTRATE I I DISCOUNT
I 0.00 I $0.282 50% = I $0.00
ITEM] TOTAL - STORM DRAINAGE SDC '$6]7.58 I
2. SANITARY SEWER - CITY
5617.58
1070
A. REIMBURSEMENT COST:
I NUMBE~~F DFU's I x I COST PER DFU
I $22.09 5441.80 1091
B. IMPROVEMENT COST:
I NUMBE~~F DFU's I x COST PER DFU
$16.79 $335.80 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 5777.60
-
J. TRANSPORTATION
A. REIMBURSEMENT COST,
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
9.57 I I I $16.81 I 1.00 $]60.87 11093
B. IMPROVEMENT COST: I
I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
9.57 I I I i 574.17 I 1.00 $709.81 11094
ITEM 3 TOTAL - TRANSPORTATION SDC = I 5870.68
4. SANITARY SEWER - MWMC I
A. REIMBURSEMENT COST:
INUMBER 7F FEU's I x ICOST PER FEU
I $332.86 = 5332.86 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I 534.83 = $34.83 .I 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) (565.98) I 1054
MWMC ADMINISTRATIVE FEE 510.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDl = , $3]1.71 I I!
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 52,577.57 I ---=1
5. ADMINISTRATIVE FEE:
I SUBTOTAL I x I ADM. FEE RATE I~ CHARGE
I $2,577.57 I I 5% I $128.88
TOTAL SANITARY ADMINISTRATION FEE: 79.36 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $49.52 11078
5:/<<i<.~ 1/3/2003 TOTAL SDC CHARGES = $2,706.45 I
PREPARED BY DATE I
.
. . .
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE J
I FIXTURE TYPE UNIT FIXTURE
NEW OLD EOUIV ALENT UNITS
I BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER. GANG (NUMBER OF HEADS), 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0
SINK: SINGLE LA V A TORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL! WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET. PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20 I
*EDU (Equivalent Dwe]lin~ Unit) is a dischaJ}!:e equivalent to a single family dwelling unit (20 DFU's) set at 167 p;allons~r day J
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$ I .000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
I BEFORE 1979 S4.92 (Enler I for Yes, 2 for No)
I 1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0
I 1980 $4.83 (Enler I for Yes. 2 for No)
I 1981 $4.77 BASE YEAR 1979
I 1982 S4.64
I 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.30 VALUE /1000 CREDIT RATE
I 1985 S4.09 S13.41 x $4.92 ~ , S65.98
I 1986 53.78
I 1987 53.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 S2.98 VALUE /1000 CREDIT RATE
I 1989 $2.52 $0,00 x $4.92 = , 0
I 1990 $2.06
I 1991 $1.64
I 1992 $1.45 TOTAL MWMC CREDIT = $65.98
1993 $1.3 I
I 1994 $1. 13 I
1995 $0.97 I
1996 $0.82 '1
I 1997 SO.63 I
I 1998 SO.41 I
1999 SO.22 I
L 2000 $0.04 I