HomeMy WebLinkAboutPermit Building 2003-1-14
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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 SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-0I407
ISSUED: 01/14/2003
APPLIED: 12/24/2002
EXPIRES: 07/14/2003
VALUE: $ 97,190.00
SITE ADDRESS: 933 W Olympic St
ASSESSOR'S PARCEL NO.: 1703273102200
Springfield TYPE OF
Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: SFR - same as COM2002-01405 898 W. Olympic St
Owner: MIKE GANSEN
Address: 362 HWY 99N STE 2 EUGENE OR 97402
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
I CONTRACTOR INFORMATION'
Coo~ct~ llim~
MIKE GANSEN CONSTRUCTION COMPANW2159
LYNNS ELECTRIC 102316
COMFORT FLOW 460
MIKE GANSEN
CHAPIN ENTERPRISES lNe 81994
BUILDING INFORMA nON I
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
~~
,C';.~'"
~DEVELOPMENT INFORMATION'
SETBACKS ~ "~' <<.\)'
Front yard Setback: ~4!' q,4f #' Overlay Dist:
Side I Setback: <S' .j? ~r:::s # Street Trees
Side 2 Setback: ~ 9:-" ~.:t Paved Drive Rqd:
~.~ ~
Rearyard Setback: ~ Cf, ~ ~ ~. % of Lot Coverage: ATTENTION:Oregon law requires you to
Solar Setbacks:A~;#.<"<::;> ~ ~<.,<f' follow rules adopted by the Oreaon Utllltv
Subdivision ~icik~-<i~{. ~ ' IPUBLlC IMPROVEMiriiS.patlOn lienter. 1 nOse rUles are set ferth
",,<:-~~~ >::,'V . . IR952-001-Q010throughOAR952-OO1-
Street ~ \::)~::l-.. ~ Fullv Improved 0090. Yotf'm!1'}'l!!/st1if.Pebplas of the rUtq;uWside 5'
Storm Sewer Availa~ie~ Yes calling lW.QiltlM.%nlfmthe telfGli'fband Gutter
Special Instruction: 'No occupancy until infrastructure approved an'di/i'&eplar.the Oregon Utility Notification
Center Is 1-800-332-2344).
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
JFrimary Construction Type
Secondary Construction
# of Bedrooms:
Notes:
I
R-3
V-I
VN
VN
3
I
15.00
Wall Heat
Electric
Electric
,nent Path
I 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
05/06/2004
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport:
Sq Ft Other:
Impervious Surface Area:
4,512
1,193
418
REQUIRED PARKING
Total:
Handicapped:
Compact:
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01407
ISSUED: 01/1412003
APPLIED: 12/24/2002
EXPIRES: 07/1412003
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 Vatuation Descriotion ,
Description
Dwellines
Garaee
Type of Construction
V Wood Frame
Garaee
$ 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
12124/2002
12124/2002
Total Value of Project
/.,e5 Paid I
Fee Description Amount Paid Date Receipt Number
Plan Review Same As $100.00 12/24/02 1200200000000000458
-Mechanical Issuance Fee- $10.00 1/14/03 1200200000000000547
+ 10% Administrative Fee $99.49 1114/03 1200200000000000547
+ 7% State Surcharge $69.64 1114/03 1200200000000000547
2 Baths One or Two Family $254.00 1114/03 1200200000000000547
Addressing Assignment $8.00 1114/03 1200200000000000547
Annexed 1979 or Before $-73.80 1114/03 1200200000000000547
Building Permit $557.85 1114/03 1200200000000000547
Curbcut Permit $75.00 1114/03 1200200000000000547
Dryer Vent $6.00 1114/03 1200200000000000547
Exhaust Hoods $9.00 1114/03 1200200000000000547
Furnace - up to 100,000 btu $12.00 1114/03 1200200000000000547
PW Mult Disc - 2nd Permit $-30.00 1/14/03 1200200000000000547
Residence Wiring 1000 Sq Ft $106.00 1/14/03 1200200000000000547
Residence Wiring Ea Addtl 500 $38.00 1114/03 1200200000000000547
Sanitary Sewer - Improvement $335.80 1114/03 1200200000000000547
Sanitary Sewer - Reimbursement $441.80 1114/03 1200200000000000547
SDC MWMC Administration $10.00 1114/03 1200200000000000547
SDC MWMC Improvement $34.83 1114/03 1200200000000000547
SDC MWMC Reimbursement $332.86 1114/03 1200200000000000547
SDC Sanitary/Storm Admin $79.38 1114/03 1200200000000000547
SDC Transpo Admin $49.36 1114/03 1200200000000000547
SDC Transpo Improvement $709.81 1114/03 1200200000000000547
SDC Transpo Reimbursement $160.87 1114/03 1200200000000000547
Sidewalk Permit $75.00 1114/03 1200200000000000547
Storm Drainage Impervious Area $622.66 1114/03 1200200000000000547
Vent Fan $12.00 1/14/03 1200200000000000547
WiIlamalane Single Family $1,000.00 1/14/03 1200200000000000547
Total Amount $5,105.55
I Plan Reviews I
Initial Review
Plannine Review
12126/2002
12127/2002
12127/2002
0111412003
APP LLH
APP AJD
2 of 3
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01407
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
Public Works Review
12127/2002 01/1012003 APP DPE Hold until an adequate deposit has
been made with Public Works. No
occupancy until subdivision
accepted.
12127/2002 01/1412003 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.
I 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 Footing: After trenches are excavated.
4 Foundation: After forms are erected but prior to concrete placement.
5 Post and Beam: Prior to Ooor insulation or decking.
6 Floor Insulation: Prior to decking.
7 Shear Wall Nailing: Before covering sheathing with finish materials.
8 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
9 Wall Insulation: Prior to cover.
10 Ceiling Insuiation: Prior to cover.
II Drywall: Prior to taping.
12 Final Building: After all required inspections have been requested and approved and the building is complete.
13 UnderOoor Plumbing: Prior to insulation or decking.
14 Rough Plumbing: Prior to cover and includiug required testing.
15 Water Line: Prior to filling trench and including required testing.
16 Sanitary Sewer Line: Prior to filling trench and including required testing.
17 Storm Sewer Line: Prior to filling trench.
18 Final Plumbing: When all plumbing work is complete.
19 UnderOoor Mechanical. Prior to insulation or decking and including required testing.
20 Rough Mechanical: Prior to Cover
21 Final Mechanical: When all mechanical work is complete.
22 Rough Electric: Prior to Cover
23 Final Electric: When all electrical work is complete.
24 Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefuUy examined !be 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 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 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
at all times ~in~nstruction.
,~'~ . 1-/c.f-0.3
Owner or Contractors Signature
Date
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
eOM2002-0 1407
e0M2002-0 1407
eOM2002-0 1407
eOM2002-01407
eOM2002-0 1407
eOM2002-0 1407
COM2002-0 1407
eOM2002-01407
eOM2002-0 1407
eOM2002-01407
eOM2002-0 1407
COM2002-01407
COM2002-0 1407
C0M2002-01407
e0M2002-0 1407
1/14r2003
2:32:59PM ;
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000547
Date: 01114/2003
.
Amount Paid
8.00
1,000.00
106.00
38.00
75.00
75.00
(30.00)
622.66 .
441.80
335.80
160.87
709.81
332.86
34.83
(73.80)
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addt1 500
Sidewalk Permit
Curbcut Permit
PW Mult Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDe Transpo Reimbursement
SDe Transpo Improvement
SDC MWMC Reimbursement
SDe MWMe Improvement
Annexed 1979 or Before
Page I of2
cReceipt.rpt
~:'M
Wi:~~-
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
eOM2002-01407
eOM2002-0 1407
COM2002-0 1407
COM2002-01407
eOM2002-01407
COM2002-0 1407
COM2002-0 1407
eOM2002-0 1407
eOM2002-0 1407
COM2002-0 1407
COM2002-0 1407
COM2002-0 1407
Payments:
T)l'e orPayment
eheck
Paid By
Receipt #: 1200200000000000547
Date: 01114/2003
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
+ 7% State Surcharge
+ 10% Administrative Fee
-Mechanical Issuance Fee-
Received By
Check Number ConfinuNo
GANSEN eONSTR
djb
Page 2 of2
1/14/2003
2:32:59PM .
City of Springfield
Development Services Department
Public Works Department
Official Receipt
10.00
79.38
49.36
557.85
254.00
12.00
12.00
9.00
6.00
69.64
99.49
10.00
Line Item Total:
$5,005.55
How Received
Amount Paid
In Person
5,005.55
$5,005.55
Pavment Total:
.
.
cReceiptrpt
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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
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.~ State of Oregon liability Statement
http://ccbed.ccb.state.or.us/New _ Web/asp/new _search _results.asp
12/27/2002
'" ..
CITY OF _INGFIELD SYSTEMS DEVELOPMEAoRKSHEET
r JOURNAL OR JOB NUMBER: COM2002-01407
NAME OR COMPANY: Mike Gansen ConstructIon
LOCATION: 933 W. OIY!"pic St
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
-'1
[~
[0
[0
[~
[tlJ
,f--
1m
a
tlJ
0::
4512
j!
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. 1 I CHARGE
I 2208.00 I $0.282 = I $622.66 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. 1 x I COST PER S.F. 1 x I DISCOUNT RATE I I DISCOUNT
I 0.00 I $0.282 I 50% I = I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC '$622.66
2. SANITARY SEWER - CITY
$622.66
1070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's j x I COST PER DFU
I 20 I $22.09 $441.80 [ 1091
B. IMPROVEMENT COST: I
I NUMBER OF DFU's j x COST PER DFU
I 20 $16.79 $335.80 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 5777.60 I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I ' J NUMBER OF UNITS I , J COST PER TRIP x INEWTRIPFACTORI ,.
I 9.57 I I I I I $16.81 I 1.00 5160.87 1'1093
B. IMPROVEMENT COST: I
I ADT TRIP RATE I , I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I I I I $74.17 I 1.00 $709.81 [ 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = I $870.68 I
4. SANITARY SEWER - MWMC I
A. REIMBURSEMENT COST:
INUMBER OF FEU's I , ICOST PER FEU
I I I I $332.86 = $332.86 [ 1054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
I I I $34.83 = $34.83 .11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) (573.80) I 1054
MWMC ADMINISTRATIVE FEE $10.00 I 1056
I
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = , 5303.89
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $2,574.83
5. ADMINISTRATIVE FEE:
ISUBTOTAL I x I ADM. FEE RATE 1= CHARGE
I $2.574.83 I 5% $128.74
TOTAL SANITARY ADMINISTRATION FEE: 79.38 r079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $49.36 11078
5:1- ~ 1/10/2003 TOTAL SDC CHARGES =! $2,703.57
PREPARED BY DATE
'" .
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.
.
DRAINAGE FIX!'URE UNIT (DFU) CALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT '" DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD EQUIVALENT
BATHTUB 2 0 3 =
DRINKING FOUNTAIN 0 0 1 =
FLOOR DRAIN 0 0 3 =
INTERCEPTORS FOR GREASE / OIL / SOLIDS I ETC. 0 0 3 =
INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 =
LAUNDRY TUB 0 0 2 =
CLOTHESW ASHER I MOP SINK 1 0 3 =
CLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 =
MOBILE HOME PARK TRAP.! I PER TRAILER) 0 0 12 =
RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 =
RECEPTOR FOR COM. SINK / DISHWASHER I ETC. 0 0 3 =
SHOWER. SINGLE STALL 0 0 2 =
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 =
SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 =
SINK: COMMERCIAL BAR 0 0 2 =
SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 =
SINK: SINGLE LA VATORY/RESIDENTIAL BAR 2 0 1 =
URINAL. STALL I WALL 0 0 5 =
TOILET, PUBLIC INSTALLATION 0 0 6 =
TOILET. PRIVATE INSTALLATION 2 0 3 =
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
.EDU (EQuivalent DwellinJ!: Unit) is a dischar~c eQuivalent 10 a sin~le family dwellin~ unit (20 DFU's) set at 167 ~allon$ ocr day
DRA~
FIXTURE
UNITS
6
o
o
o
o
o
3
o
o
o
o
o
o
3
o
o
2
o
o
6
o
20 I
-~
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IL YEAR CREDIT RA TE/S I ,000 l
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT!
I BEFORE 1979 $4.92 (Enter I for Yes, 2 for No) I
I 1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT! 0
I 1980 $4.S3 (Enter I for Yes, 2 for No) I
I 1981 $4.77 BASE YEAR 1979
I 1982 $4.64
I 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.30 V AWE / 1000 CREDIT RATE
I 1985 $4.09 $15.00 x S4.92 = , $73.80
I 1986 $3.78
1987 53.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 S2.98 VALUE /1000 CREDIT RATE
1989 $2.52 $0.00 x $4.92 0
1990 $2.06
1991 $1.64
1992 SI.45 TOTAL MWMC CREDIT = $73.80
1993 SI.31
1994 $1. 13
1995 $0.97
1996 $0.82
1997 $0.63
t998 $0.41
1999 SO.22
2000 $0.04