HomeMy WebLinkAboutPermit Building 2003-1-14 (2)
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.
CITY OF ~rt<t.NGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01409
ISSUED: 01/14/2003
APPLIED: 12/24/2002
EXPIRES: 07/14/2003
VALUE: $ 97,190.00
SITE ADDRESS: 942 W Olympic St
ASSESSOR'S PARCEL NO.: 1703273102202
Springfield TYPE OF
Single Family Residence
TYPE OF VSE:
PROJECT DESCRIPTION: SFR - same as COM2002-01405 898 W. OIy~pic St
Owner: MIKE GANSEN
Address: 362 HWY 99N STE 2 EVGENE OR 97402
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
MIKE GANSEN CONSTRVCTION COMPANW2159
LYNNS ELECTRIC 102316
COMFORT FLOW 460
MIKE GANSEN
CHAPIN ENTERPRISES INC 81994
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
I
R-3
V-I
VN
VN
3
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
I
15,00
Electric
Electric
Path I
New
Residential
Phone Number: 541-463-1000
Phone Number: 541-463-1000
Expiration Date
06/14/io03
10/14/2003
06/27/2003
Phone
541-463-1000
541-726-7895
541-726-0100
541-463-tOOO
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:
5,555
1,193
418
~
.C'\~-<.
'\-<:-<<- ~EVELOPMENT INFORMATION I
SETBACKS ~~ # <<.<:::J" REQUIRED PARKING
Front yard Setback: ~~I(:li'ii~0> Overlay Dist: Total: 2
Side I Setback: <<J PS,OO> # Street Trees I Handicapped:
Side 2 Setback: x--~';.,~'" ~7:00 Paved Drive Rqd: Yes Compact:
Rearyard Setb~: ~ c.;, ~~ ~ ~ ~.OO % of Lot ~I!ON:Oregon2~!MeqUlres you to
Sobr se:l'~o~~"t~<0 ~<8P 5.00 ~ :~~\~:~!:~~~~~?~!~..~~~h_~.~~e~.~n_~~i!~~"
Subdivision lV..ifiACCI!~t;a. ~~ IPUBLIC IMIll.~t''M.:~l-0010through OAR 952-001-
Street ~~~~\Q;,<:::' uuYU. YOul'naYObts\'a~.n~T~Jhe rules by
" ~ Fullv Imp~oved calling the center, (Note: the telephone Curbside 5'
Storm Sewer Avaiiil'ble: Yes nurnberforlheO~n'1l'\!l9I1WR5ti!!tation Curb and Gutter
Special Instruction: No occupancy or connection to infrstructurtwh'tMf~1!~ti3!IJ'm!!-~~.!!}~nd accepted.
Notes:
I of 3
.
.
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: COM2002-01409
ISSUED: 01114/2003
APPLIED: 12/24/2002
EXPIRES: 07/14/2003
VALUE: $ 97,190.00
I Valuation Descriotion I
Desc ription
Dwellings
Garage
Type of Construction
V Wood Frame
Garage
$ 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
12/24/2002
12/24/2002
Total Value of Project
I Fees Paid I
Fee Description Amount Paid Date Receipt N urn ber
Plan Review Same As $100.00 12/24/02 1200200000000000458
-Mechanical 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 AddU 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
WiIlamalane Single Family $1,000.00 1/14/03 1200200000000000549
Total Amount $5,168.76
I Plan Reviews ,
Initial Review
Planning Review
12/26/2002
12/27/2002
12/27/2002
01/02/2003
APP LLH
APP AID
2 of 3
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2002-01409
ISSUED: 01114/2003
APPLIED: 12/24/2002
EXPIRES: 07/1412003
VALUE: $ 97,190.00
Public Works Review
12127/2002
01/03/2003
APP 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 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.
S Post and Beam: Prior to Door insulation or decking.
6 Floor Insulation: Prior to decking.
7 Shear Wall Nailing: Before covering sheatbing 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.
11 Drywall: Prior to taping.
12 Final Building: After all required inspections have been requested and approved and the building is complete.
13 UnderDoor 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 VnderDoor 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.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certii)' 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 ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described
herein, and that NO OCCVPANCY will be made of any structore without permission of the Community Services Division,
Building Safety, I further certii)' that only contractors and employees who are in compliance witb 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 eacb address is readable from
tbe street, that the permit card is located at the front of the property, and tbe approved set of plans will remain on the site
atal~~_11,8- /-/C/-a3
Ow~er or C';;;"acto;' Signature ~ Date
3 of 3
-~:;.
Wtr"~..
_...........',-,..c_n..'..
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
'ine Items:
Job/Journal Number
C0M2002-0 1409
COM2002-01409
COM2002-0 1409
COM2002-01409
COM2002-0 1409
COM2002-0 1409
COM2002-0 1409
. COM2002-0 1409
COM2002-01409
COM2002-0 1409
COM2002-0 1409
COM2002-01409
COM2002-01409
COM2002-0 1409
COM2002-0 1409
0
1/14/2003
2:33:57PM
City of Springfield
Development Services Department
Public Works Department
om cial Recei pt
Receipt #: 1200200000000000549
Date: 01114/2003
Description
Amount Paid
Addressing Assignment
8,00
Willamalane Single Family
1,000,00
106,00
38,00
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Plan Review - Planning
Sidewalk Permit
55,00
75.00
Curbcut Permit
75,00
PW Mult Disc - 2nd Permit
(30,00)
622,66
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
441.80
Sanitary Sewer - Improvement
335,80
SDC Transpo Reimbursement
160,87
709.81
SDC Transpo Improvement
SDC MWMC Reimbursement
332,86
34,83
SDC MWMC Improvement
Page I of3
cRecdpt.rpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
COM2002-0 1409
COM2002-0 1409
COM2002-0 1409
COM2002-0 1409
COM2002-0 1409
COM2002-0 1409
COM2002-0 1409
.
COM2002-0 1409
COM2002-0 1409
COM2002-0 1409
COM2002-0 1409
COM2002-0 1409
COM2002-01409
Receipt #: 1200200000000000549
Date: 01/14/2003
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
2:33:58PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
(65,98)
10,00
79,62
49,51
557.85
254,00
12,00
12,00
9,00
6,00
10.00
69,64
99.49
Line Item Total:
$5,068.76
cReceipt.rpt
....~
I&:~-~
__._........"u.......
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
'yments:
TWe ofPaymeot
Check
.
,
Receipt #: 1200200000000000549
Date: 01114/2003
Paid By
Received By
Check Number Confirm No
GANSEN CONSTR
djb
Page3 of 3
111412003
2:33:57PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
How Received
Amount Paid
In Person
5,068,76
$5,068.76
Payment Total:
cReceiptrpt
p- .. '. CITY OF ttlNGFIELD SYSTEMS DEVELOPMEAoRKSHEET
JOURNAL OR JOB NUMBER: COM2002-01409
NAME OR COMPANY: Mike Gansen
LOCATION: 942 W. OIXmoic 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):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
, IMPERVIOUS S.F. x 1 COST PER S,F, ' CHARGE
I 2208.00 1 $0,282 1 = 1 $622,66 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S,F, I x 1 COST PER S,F, 1 x 1 DISCOUNT RATE I 1 DISCOUNT
I 0,00 1 1 SO,282 1 1 50% = 1 $0.00
ITEM I TOTAL - STORM DRAtNAGE SDC
$622,66
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x 1 COST PER DFU
20 I I $22,09
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
20 I $16.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ,
3, TRANSPORTATION
$777.60
A, REIMBURSEMENT COST:
I ADT TRIP RATE I x 1 NUMBER OF UNITS I
~57 1 I I
B. IMPROVEMENT COST:
I ADT TRIP RATE I x 1 NUMBER OF UNITS I
9.57 1 I I
ITEM 3 TOTAL - TRANSPORTATION SDC
x 1 COST PER TRIP x INEW TRIP FACTOR 1
1 $16,81 1 1.00 1
x I COST PER TRIP x 1 NEW TRIP F ACTORI
, $74,17 1 1.00
= , $870,68
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
1 I I $332,86
B. IMPROVEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
I I 1 $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADM/NISTRA TIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< ~ I
I SUBTOTAL (ADD ITEMS 1. 2, 3, & 4) ~ I
i 5, ADMINISTRATIVE FEE:
ISUBTOTAL I x 1 ADM, FEE RATE I~
, $2.582.65 I 1 5% 1
TOTAL SANITARY ADMINISTRATION FEE:
$311.71
$2,582,65
5555
$622,66
$441.80
$335.80
1-
1[2
10
'0
U
'e>:
I~
(/)
a
U.l
e>:
11070
11091
I
11092
I
$160,87 1093
$709,8/ I 1094
J
$332.86 1 1054
I
=
$34,83 1055
($65.98) 1054
$10.00_11056
I
=
CHARGE
$129,13
TOTAL TRANSPORTATION ADMINISTRATION FEE:
[~~
PREPARED BY
79,62
$49,51
1/3/2003
TOTAL SDC CHARGES
1079
11078
I
DATE
=,
$2,711.78
.' . . .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS l
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IiNTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC 0 0 3 = 0
IiNTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC, 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER 1 MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE tEA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIGI WATER STATION iETC 0 0 1 = 0
IRECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LA VATORY/RESIDENTIAL BAR 2 0 1 = 2
IURINAL. STALL IWALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 I
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
.EDU (Equivalent Dwelling Unit) is a discharge equivalent 10 a single family dwelling unit (20 DFU's) sel al 167 J!3l1ons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
Il YEAR CREDIT RA TE/$I ,000 I
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
I BEFORE 1979 '14.92 (Enler I for Yes, 2 for No)
I 1979 S4.92 IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? 0
1980 S4,83 1 (Enter I for Yes. 2 for No)
1981 S4,77 I BASE YEAR 1979
1982 S4,64 I
1983 S4,47 1 CREDIT FOR LAND (IF APPLICABLE)
1984 S4.30 1 VALUE 1 1000 CREDIT RATE
1985 S4,09 $13.41 x $4,92 = , $65.98
1986 $3.78 I
1987 $3.41 I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 12,98 I VALUE 1 1000 CREDIT RATE
1989 12.52 I' $0,00 x $4,92 = , 0
1990 $2,06 I
t991 $1.64 I
1992 $1.45 I TOTAL MWMC CREDIT = $65,98
1993 $1.31 'I
1994 $1.13
1995 $0,97 I
1996 $0,82
1997 $0,63
1998 $0,41
1999 $0,22
2000 $0,04
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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
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12/27/2002