HomeMy WebLinkAboutPermit Building 2003-1-14 (2)
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CITY OF SPRINu~lliLD
Building/Combination Permit
PERMIT NO: COM2002-01407
ISSUED: 01114/2003
APPLIED: 12/24/2002
EXPIRES: 07/17/2003
VALUE: $ 97,190.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
New
Residential
Owner: MIKE GANSEN
Address: 362 HWY 99N STE 2 EUGENE OR 97402
Phone Number: 541-463-1000
Phone Number: 541-463-1000
I CONTRACTOR INFORMATION'
Contractor TV1>e
General
Electrical
Mechanical
Owner
Plumbing
Contractor License
MIKE GANSEN CONSTRUCTION COMPAN\92159
LYNNS ELECTRIC 102316
COMFORT FLOW 460
MIKE GANSEN
CHAPIN ENTERPRISES INC 81994
BUILDING INFORMATION I
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
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Vrimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
I
R-3
U-I
VN
VN
3
I
15.00
Wall Heat
Electric
Electric
.nent Path
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
4,512
1,193
418
I DEVELOPMENT INFORMATION'
SETBACKS
REQUIRED PARKING
Total:
Haudicapped:
Compact:
Front yard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Subdivision Not Accepted
IPUBLlC IMPROVEMENTS I
Street
Sidewalk Type:
Fully Improved
Yes Downspouts/Drains
No occupancy until infrastructure approved and accepted.
Curbside 5'
Curb and Gutter
Storm Sewer Available:
Special Instruction:
Notes:
I of 4
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Lit y' OF ~rKl1~GFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2002-01407
ISSUED: 0111412003
APPLIED: 12/2412002
EXPIRES: 07/1712003
VALUE: $ 97,190.00
I Valuation 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
12/24/2002
12/24/2002
Total Value of Project
I Fees Paid'
Fee Description Amount Paid Date Receipt Nwnber
Plan Review Same As $100.00 12124/02 1200200000000000458
-Mechanical Issuance Fee- $10.00 1/14/03 1200200000000000547
+ 10% Administrative Fee $99.49 1/14/03 1200200000000000547
+ 7% State Surcharge $69.64 1114/03 1200200000000000547
2 Baths One or Two Family $254.00 1/14/03 1200200000000000547
Addressing Assignment $8.00 1/14/03 1200200000000000547
Annexed 1979 or Before $-73.80 1/14/03 1200200000000000547
Building Permit $557.85 1/14/03 1200200000000000547
Curbcut Permit $75.00 1114/03 1200200000000000547
Dryer Vent $6.00 1/14/03 1200200000000000547
Exhaust Hoods $9.00 1/14/03 1200200000000000547
Furnace - up to 100,000 btu $12.00 1/14/03 1200200000000000547
PW Mull Disc - 2nd Permit $-30.00 1114/03 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 1/14/03 1200200000000000547
Sanitary Sewer - Reimbursement $441.80 1114/03 1200200000000000547
SDC MWMC Administration $10.00 1/14/03 1200200000000000547
SDC MWMC Improvement $34.83 1/14/03 1200200000000000547
SDC MWMC Reimbursement $332.86 1/14/03 1200200000000000547
SDC SanitarylStorm Admin $79.38 1/14/03 1200200000000000547
SDC Transpo Admin $49.36 1/14/03 1200200000000000547
SDC Transpo Improvement $709.81 1/14/03 1200200000000000547
SDC Transpo Reimbursement $160.87 1114/03 1200200000000000547
Sidewalk Permit $75.00 1114/03 1200200000000000547
Storm Drainage Impervious Area $622.66 1/14/03 1200200000000000547
Vent Fan $12.00 1/14/03 1200200000000000547
Willamalane Single Family $1,000.00 1114/03 1200200000000000547
+ 10% Administrative Fee $5.00 1/21/03 1200200000000000578
+ 7% State Surcharge $3.50 1121/03 1200200000000000578
Temp Power 200 amps or less $50.00 1/21/03 1200200000000000578
Total Amount $5,164.05
2 of 4
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CITY OF SrKmld'lELD
Status:
Issued
Building/Combination Permit
PERMIT NO: COM2002-01407
ISSUED: 01/14/2003
APPLIED: 12/24/2002
EXPIRES: 07/17/2003
VALUE: $ 97,190.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine Review
Public Works Review
12126/2002
12/2712002
12/27/2002
I Plan Reviews I
12/27/2002 APP
0111412003 APP
01110/2003 APP
LLH
AJD
DPE
Hold until an adequate deposit has
been made with Public Works. No
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 Reauired Insnections ,
I Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Curbeut - 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 noor 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 Insulation: 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 Undernoor Plumbing: Prior to insulation or decking.
14 Rough Plumbing: Prior to cover and including 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 Undernoor 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.
25 Temporary Electric: Approval required prior to Utility Company energizing pole.
3 of 4
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CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2002-01407
ISSUED: 0111412003
APPLIED: 12/24/2002
EXPIRES: 07/17/2003
VALUE: $ 97,190.00
By signature, 1 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 OCCUP ANCY 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 during construction.
Owner or Contractors Signature
Date
4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2002-0 1407
eOM2002-0 1407
eOM2002-0 1407
COM2002-0 1409
eOM2002-0 1409
COM2002-0 1409
Payments:
T)1le of Payment
eheck
Paid By
Receipt #: 1200200000000000578
Date: 01/21/2003
Description
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Confirm No
GANSEN CONSTRUCTION
djb
Page 1 ofl
\121/2003
1:15:IIPM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
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Amount Paid
50.00
3.50
5.00
50.00
3.50
5.00
$117.00
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Amount Paid
117.00
$117.00
How Received
In Person
Pavment Total:
cReceipt.rpt