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
.
. CITY OF SPRll~~NEL1J .
Building/Combination Permit
PERMIT NO: COM2002-01409
ISSUED: 01114/2003
APPLIED: 12/24/2002
EXPIRFS: 07/17/2003
VALUE: $ 97,190.00
SITE ADDRESS: 942 W Olympic St
ASSESSOR'S PARCEL NO,: 1703273102202
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
Contractor License Expiration Date
MIKE GANSEN CONSTRVCTlON COMPANW2159 <0 ~()'i'~ 06/14/2003
LYNNS ELECTRIC l.o~\. ~()'\ 10/14/2003
COMFORT FLOW ~i-\>\'iI~Ilt.'i'\SI\'\ \~'i' 06/27/2003
MIKE GANSEN "{ t'.~. S\\t-\.\. ,\\\S Y ~"=-'V r
CHAPIN ENTERP~~~.~N~~~._\\~~"=-~ l'\>,\$~ 05/06/2004
I 'BHmDING.INFORM,,\moN I
f "" 'i 'V"l
r- NI~~"- t-i ...
'VC'~~~~:
t-Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Stree t
Storm Sewer Available:
Special Instruction:
18,00
8.00
7,00
39.00
5.00
Pbone Number: 541-463-1000
Phone Number: 541-463-1000
I CONTRACTOR INFORMATION I
Phone
541-463-1000
541-726-7895
541-726-0100
541-463-1000
541-485-1146
I
R-3
V-I
VN
VN
3
I Lot Size:
15.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Electric Sq Ft Basement:
Electric Sq Ft Garage/Carport
Path I ~q)Ft Other:
~\eS 'lO'l~pervious Surface Area:
_1'\\\ ^\S\f.._"f'\~
I DEVELOPMENT INFORl\Wl'iON~\e~e se2:~O\-
~~'!!e6\>{ \~\eS ~?-og~ ~eS ~EQUlRED PARKING
.,\0 60~\! -<'<;\ose ~O ~e\~ e
Ove~I!'Y\D{~W3' "1o.el. \ \'<;\\O~~ S 0\ \! e~Y<<O~' 7;~$al: 2
#rSlrel!t 'f:}lees:,e\\ f;:)0'\0 co~\e Xle 11~\! .~\c~\Randicapped:
pav~\DJ:~~qit~' :o\i>>\\ ~o\e':\y.e~O\~ Compact:
NO\\\VOo,<;j '3.'l0 \ I.l \)\\\ . ~#"
%, of<Ylt c;iu'$~2~e\\\e 'e9,O\\ r2~~OO
\\\ 90,. \'<;\~ e 0\ f:lO.b'"
OfJ ^\\\~ ,,,t\'\\ '.e ,\-'2>
~ '-~' ..~.
IPVBLIC IMP~(?VEMENTSI
5,555
1,193
418
Fully Improved Sidewalk Type: Curbside 5'
Yes DownspoutslDrains Curb and Gutter
No occupancy or connection to infrstructure until subdivision approved and accepted.
Notes:
I of 4
.
. U 1 f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01409
ISSUED: 01/14/2003
APPLIED: 12/24/2002
EXPIRFS: 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
I Valuation Descriotion ,
Description
DweIlines
Garaee
Type of Construction
V Wood Frame
Garaee
$ Per Sq Ft
$74.60
$19.60
Square Footage
1,193.00
418.00
Value
$88,997.80
$8,192.80
$97,190.60
Date Calculated
12/2412002
12/24/2002
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
-Mecbanical Issuance Fee-- $10.00 1/14/03 1200200000000000549
+ 10% Administrative Fee $99.49 1/14/03 1200200000000000549
+ 7% State Surcharge $69.64 1/14/03 1200200000000000549
2 Baths One or Two Family $254.00 1/14/03 1200200000000000549
Addressing Assignment $8.00 1/14/03 1200200000000000549
Annexed 1979 or Before $-65.98 1/14/03 1200200000000000549
Building Permit $557.85 1/14/03 1200200000000000549
Curbcut Permit $75.00 1/14/03 1200200000000000549
Dryer Vent $6.00 1/14/03 1200200000000000549
Exhaust Hoods $9.00 1/14/03 1200200000000000549
Furnace - up to 100,000 btu $12.00 1/14/03 1200200000000000549
Plan Review - Planning $55.00 1/14/03 1200200000000000549
PW Mull Disc - 2nd Permit $-30.00 1/14/03 1200200000000000549
Residence Wiring 1000 Sq Ft $106.00 1/14/03 1200200000000000549
Residence Wiring Ea Addtl 500 $38.00 1/14/03 1200200000000000549
Sanitary Sewer - Improvement $335.80 1/14/03 1200200000000000549
Sanitary Sewer - Reimbursement $441.80 1/14/03 1200200000000000549
SDC MWMC Administration $10.00 1/14/03 1200200000000000549
SDC MWMC Improvement $34.83 1/14/03 1200200000000000549
SDC MWMC Reimbursement $332.86 1/14/03 1200200000000000549
SDC Sanitary/Storm Admin $79.62 1/14/03 1200200000000000549
SDC Transpo Admin $49,51 1/14/03 1200200000000000549
SDC Transpo Improvement $709,81 1/14/03 1200200000000000549
SDC Transpo Reimbursement $160.87 1/14/03 1200200000000000549
Sidewalk Permit $75.00 1/14/03 1200200000000000549
Storm Drainage Impervious Area $622.66 1/14/03 1200200000000000549
Vent Fan $12.00 1/14/03 1200200000000000549
WilIamalane Single Family $1,000,00 1/14/03 1200200000000000549
+ 10% Administrative Fee $5.00 1/21/03 1200200000000000578
+ 7% State Surcharge $3.50 1/21/03 1200200000000000578
Temp Power 200 amps or less $50.00 1/21/03 1200200000000000578
Total Amount $5,227,26
2 of 4
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01409
ISSUED: 01114/2003
APPLIED: 12/24/2002
EXPIRFS: 07/17/2003
VALUE: $ 97,190.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
Public Works Review
12/26/2002
12/2712002
12/27/2002
I Plan Reviews I
12/27/2002 APP
01/02/2003 APP
01/0312003 APP
LLH
AJD
DPE
No occupancy until subdivision
complete and accepted.
Structural Review
12/27/2002
01/14/2003
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 InSDections I
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 floor insulation or decking.
6 Floor Insulation: Prior to decking,
7 Sbear Wall Nailing: Before covering sheathing with finisb 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.
11 Drywall: Prior to taping.
12 Final Building: After all required inspections have been requested and approved and the building is complete.
13 Vnderfloor 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 Underfloor Mechanical. Prior to insulation or decking and including required testing,
19 Rough Mechanical: Prior to Cover
20 Final Mechanical: When all mechanical work is complete.
21 Rough Electric: Prior to Cover
22 Electric Service: Approval required prior to utility company energizing service.
23 Final Electric: When all electrical work is complete,
24 Temporary Electric: Approval required prior to Utility Company energizing pole.
3 of 4
.
. Lilt OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01409
ISSUED: 01/14/2003
APPLIED: 12/24/2002
EXPIRFS: 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
By signature, I state and agree, tbat 1 have C8refuDy examined tbe 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 tbe State of Oregon pertaining to tbe work described
herein, and tbat NO OCCVP ANCY will be made of any structure without permission of tbe Community Services Division,
Building Safety. I further certify tbat only contractors and employees who are in compliance with ORS 701,005 wiD be
used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from
the street, tbat the permit card is located at the front of tbe 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
COM2002-01407
COM2002-0 1407
COM2002-0 1407
COM2002-01409
COM2002-0 1409
COM2002-0 1409
Payments:
T)pe of Payment
Check
Paid By
Description
Receipt #: 1200200000000000578
Date: 0112112003
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
GANSEN CONSTRUCTION
Received By
Check Number Confirm No
djb
Page I of 1
1/21/2003
1:15:IIPM '
City of Springfield .
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
50,00
3.50
5,00
50,00
3.50
5,00
$117,00
.
Amount Paid
117,00
$117.00
How Received
In Person
Payment Total:
cReceipLrpt