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Home My WebLink AboutPermit Building 2003-6-10 . .~:CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00406 ISSUED: 06/10/2003 APPLIED: OS/23/2003 EXPIRES: 12/10/2003 VALUE: $ 97,602.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 956 W Olympic St ASSESSOR'S PARCEL NO.: 1703273102101 Springfield TYPE OF WORK: Single Family Residenee TYPE OF USE: PROJECT DESCRIPTION: SFR - same as 964 W Olympic COM2003-00405 Residential Owner: MIKE GANSEN Address: 362 HWY 99N STE 2 EUGENE OR 97402 Phone Number: 541-463-1000 I CONTRACTOR INFORMATION . Contractor License MIKE GANSEN CONSTRUCTION COM PAN 92159 LYNNS ELECTRIC 102316 COMFORT FLOW ~. rOll \.0 460 MIKE GANSEN ,~ .O~\\i\ib=> \ U\\\\l\! CHAPIN. El'TERP~~};;~'IN€go~ cAin\\. 81994 . . ." ; cI\~S ~OO?~"1~1;'BU1LDiNG',INFORMA TlON I ~UI\V'" . U\\G:...f\\\.. 'o$\'\.\\':U\I' ..\'(\~..\.\,,-- \.\ . r'lJ \\.) . .r t"'\\ ....,." # of Buildings: ,'\u,'\'V~, '/.11111'1 ., r"D# ofStories:r,O\.u I Lot Size: Primary Occupaney GrOuP:\'i:)-I1\'~"3\1~~~ \\'I,,\!ue~;.~f~~trUctu'}~ . 14.00 Sq Ft 1st Floor: Secondary Occupancy, ~rour - ,\l}-H" ,". ( n(\lJ,l,Type;.:>,( ,t!.~~t: Forced AIr Eleet Sq Ft 2nd Floor: Primary Construetion Type'rl',";., ,;YN' n~,. ;;",,_~aterType: Electric Sq Ft Basement: Secondary Construetion T.ype:: . .,..r''''' \ ..," Range Type: Electric Sq Ft Garage/Carport # of Bedrooms: l 3 Energy Path: Path I Sq Ft Othe~~ . . . Im~~?'.iq~...~~faee Area: I DEVELOPMENT INFORMATION I ~~ '\(~~~~~~ ~~ S ~~ ~~~QU1RED PARKING Overlay Dist: ~'. 'O~~~~~ '\~~~<;)~ Total: 2 # Street Tr~'\ia:~~'\., '$~\:j \'0 ~"1 Handicapped: Paved Drj\'e'RQ,IQ'I:: o.\\..~v " <;)~ 0..\\,,\\, Compact: ,\~~:S' ~" x.V ~\,mS % of Lot cov~~"g'f:~~~\~ ~ 35.00 ,,<;)~ \'0<;) 1'S,':l I PUBLIC IMPROVEMENTS' Expiration Date 06/1412003 10/14/2003 06/27/2003 Contractor Type General Eleetrieal Mechanical Owner Plumbing 05/06/2004 Phone 541-463-1000 541-726-7895 541-726-0100 541-463-1000 541-485-1146 4,964 1,193 439 SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: 18.00 5.00 16.00 Rearyard Setback: Solar Setbacks: 10.00 5.00 Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved No Sidewalk Type: DownspoutslDrains: Curhside 5' Curh and Gutter Notes: Paee I of4 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00406 ISSUED: 06/10/2003 APPLIED: OS/23/2003 EXPIRES: 12/10/2003 VALUE: $ 97,602.00 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 Tvpe of Construetion V Wood Frame Garaee $ Per Sq Ft $74.60 $19.60 SQuare Footaee 1,193.00 439.00 Value $88,997.80 $8,604.40 $97,602.20 Date Calculated OS/23/2003 05123/2003 Total Value of Project UPp< P1ilL1 Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $100.00 5/23/03 1200200000000001318 -Mechanicaltssuance Fee- $10.00 6/10/03 1200200000000001487 + 10% Administrative Fee $100.09 6/10/03 1200200000000001487 + 70.10 State Surcharge $70.06 6/10/03 1200200000000001487 2 Baths One or Two Family $254.00 6/10/03 1200200000000001487 Addressing Assignment $8.00 6/10/03 1200200000000001487 Building Permit $557.85 6/1 0/03 1200200000000001487 Curbcut Permit $75.00 6/10/03 1200200000000001487 Dryer Vent $6.00 6/1 0/03 1200200000000001487 Exhaust Hoods $9.00 6/10/03 1200200000000001487 Furnace - up to 100,000 btu $12.00 6/10/03 1200200000000001487 Gas Outlets 1-4 $4.00 6/10/03 1200200000000001487 Minimum/Adjustment Mechanical $2.00 6/10/03 1200200000000001487 Plan Review - Planning $59.00 6/10/03 1200200000000001487 PW Mult Disc - 2nd Permit $-30.00 6/10/03 1200200000000001487 Residence Wiring 1000 Sq Ft $106.00 6/10/03 1200200000000001487 Residenee Wiring Ea Addtl 500 $38.00 6/1 0/03 1200200000000001487 Sanitary Sewer - Improvement $319.01 6/10/03 1200200000000001487 Sanitary Sewer - Reimhursement $419.71 6/10/03 1200200000000001487 SDC MWMC Administration $10.00 6/10/03 1200200000000001487 SDC MWMC Improvement $34.83 6/1 0/03 1200200000000001487 SDC MWMC Reimbursement $332.86 6/1 0/03 1200200000000001487 SDC Sanitary/Storm Admin $77.09 6/10/03 1200200000000001487 SDC Transpo Admin $51.06 6/10/03 1200200000000001487 SDC Transpo Improvement $709.81 6/10/03 1200200000000001487 SDC Transpo Reimbursement $160.87 6/10/03 1200200000000001487 Sidewalk Permit $75.00 6/10/03 1200200000000001487 Storm Drainage Impervious Area $575.84 6/10/03 1200200000000001487 Vent Fan $12.00 6/10/03 1200200000000001487 Willamalane Single Family $1,000.00 6/10/03 1200200000000001487 Total Amount Paid $5,159.08 I Plan Reviews I Initial Review OS/28/2003 OS/28/2003 APP LLH Paee 2 of 4 . . CITY OF SPRIN\.>t<IJ!.LD Building/Combination Permit PERMIT NO: COM2003-00406 ISSUED: 06/10/2003 APPLIED: OS/23/2003 EXPIRES: 12/10/2003 VALUE: $ 97,602.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line Plan nine Review Public Works Review Struetural Review OS/28/2003 OS/28/2003 OS/28/2003 06/03/2003 06/04/2003 06/1012003 APP APP APP AJD DJW TCM 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. Ueouirerunsnections I I Sidewalk - Curbside: After forms are erected but prior to placement of conerete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenehes are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to tloor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to eover. 11 Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Undertloor Plumbing: Prior to insulation or decking. 15 Undertloor Drain: Prior to cover or placement of concrete. 16 Rough Plumbing: Prior to cover and including required testing. 17 Water Line: Prior to filling treneh and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling treneh. 20 Final Plumbing: When all plumbing work is complete. 21 Undertloor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and eapped if not attached to an appliance. 23 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 24 Rough Mechanical: Prior to Cover 25 Final Gas: When all gas work is complete. 26 Final Mechanieal: When all mechanical work is complete. 27 Rough Electric: Prior to Cover 28 Electric Service: Approval required prior to utility company energizing serviee. 29 Final Electric: When all electrieal work is complete. Paee 3 of 4 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00406 ISSUED: 06/10/2003 APPLIED: OS/23/2003 EXPIRES: 12/10/2003 VALUE: $ 97,602.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correet, 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 will 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. r ........__ - ~..:;;;~~~~ ~ ~, Owner or Contractors Signat ta. - / ZJ ~ CL '<-;, Date Paee 4 of 4 I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003.00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 C0M2003-00406 COM2003-00406 COM2003-00406 COM2003-00406 ~i Wiit. .~ City of Springfield Development Services Department. Public Works Department Official Receipt, Receipt #: 1200200000000001487 Description Addressing Assigrunent Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Plan Review - Planning Sidewalk Permit Curbcut Permit PW Mult Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Exhaust Hoods Dryer Vent Gas Outlets 1-4 Minimum! Adjustment Mecbanical -Mechanical Issuance Fee- Vent Fan + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Check GANSEN CONSTR 6/1 012003 1:59:33PM Received By djb Date: 06/10/2003 Amount Paid Item Tola.: 8.00 1,000.00 106,00 38,00 59,00 75,00 75,00 (30,00) 575.84 419,71 319.01 160,87 709,81 332,86 34,83 10,00 77.09 51.06 557,85 254.00 12.00 9,00 6.00 4.00 2.00 10.00 12.00 70.06 100.09 $5,059.08 <':heck Number <.;onfirm No Amount PBid 5,059,08 $5,059.08 How Received In Person Payment Total: Page I of! . . cReceipLrpt _~o;~~ o"~~ . FAX: (541)726_3~~0~~0c~ l":Ir:,v~\...0 y ",'3' \00: ~O\0 ~O\. ~~~ 0~ ,.l"\-t"^~o 3, I COMPLEl'.#~CH~~L9W l-U \u- ".... ./ /' ~vQ /' ~r.>.,:~,0 A. I New Residential- ~.(gie ~iulti-Famil)' per dwelling nnit. I ;:;'" ,.t'" "v Service Included ,..->" tf) 1000 sq, ft. or less \ $106.00 J Olo . Each additional 500 sq, ft, or '.2 0 Cf) portion thereof ? _ $ 19.00 0 r-.. , , ,:. CITY OF S.lc1<lNGFIELD, OREGON ,.. 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 ELECTRICAL PERMIT APPLICATION City Job Number ~~ m3.Cif\{)(o Date 1. I LOCATION OF INSTALI,;4170N LE~A~~S~P;ll~\~ ~ttJ l '10?lln~l ()'l..$) ( JOB DESCRU;TWN IL.o3 z.. ~ l~~' ~ ~~ non-tra~nd expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. I CONTRACTORINSTALLA170NONLl:-1 Electrical Contractor I YNN'S ~I ~r.T81(' PO BOX A 726-7895 FALL CREEK OR 97438 Address City Phone Supervisor License Number ;) 3S t; - < <\ Expiration Date /0 ~ 0/- Constr, Contr. Number /0';;" 3/ '" Expiration Date / /} ~ '3 / Signature of Supervising Electrician 7ffAf0M p ~ - 1/ Owners ~e bCtfiSet\ (\n\clk . Address 5t 0.'2. 1~1.J.) ( \. aa to ~ L City f~Vl L PhoO 4lo~ \(YO OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 B,I Serviees or Feeders - Installation, Alterations or Relocation: 200 Amps or less "4~o.\l.. 20 I Amps to 400 Amps ~t. \f \~'t. ~ ~,(\"i ~.Amps to ~<\..C\.Alif?s~~t.\\\lI\ \ '3':: ~01 t~~I~\~~C"t.$ t ' \~~ ~'/!!ll'O \?{'\'Ool8lfll l>o'0iR~\!~*'O ",\Q~. co\tlWi ~ \)t>..i ~~\'h\~porary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 63,00 $ 75,00 $125,00 $163.00 $375,00 $ 50.00 $ 50.00 $ 69,00 $100,00 ",., Over 600 Amps or 1000 Volts s.ee~~B\'rabov.e, I " D. BI.anch Cil'cuit~., ,. I"~ ,\ . .\,),\"..... :- r. b'IJ \\''''' ~. ,..n ~:'.1.' r' ' New'A1teration10r Extensiori Ped~anel?_I.J;) . {' ,'e" .....-" ,\1D"" . -) \", , " '- \o\\Ori<: Circuit, ,,,\e., ""011"\' '...., \\(\5$-43.00 .. ~q\..I~ ''''In'',, '. No'~)~a~~:~q~!H~p,aI:Cir.~~lt.~Q\'Y,iJh, ~'.. I ~O\\nne , ServlcO'or Feeder,Penmt ' ,\\l~ ,(';\ '-i~r~'OO \;1"'" "^\lnP~" ,\"'('1\0., 'Ir'!\\"'''' _" v" ,lH"\ \"3 ""hl' ~~~'I MIscellaneous (Service1r~eder not included) -Each Installation I f\U;,,\J~i.~.~l"It.....," 'l~ '\ _'"I' Pump or ungallon Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 SUBTOTALOFABOVE 7% State Surcharge 10% Administrative Fee TOTAL \-\4 .00 lO.O~ l4 4(') Ilo~ ShBred Drive(T:)lBuilding FonnslEtectricat Pennit AppliCalioo J-ll3.doc CITY OF !INGFIElD SYSTEMS DEVElOPMEAoRKSHEET , JOURNAL OR JOB NUMBER: COM2003,00406 NAME OR COMPANY: Gansen Construction LOCATION: 956 W. OI~ml'ic TAX LOT NUMBER: 17032731TL02101 DEVELOPMENT TYPE: NEW DWELLING UNITS BUILDING SIZE (SF) 0 LOT SIZE (SF): 1. STORM DRAINAGE DlRECf RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. ,I COST PER S,F, I I CHARGE I I 2042.00 I $0.282 I = $575.B4 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS I IMPERVIOUS S.F, J ,I COST PER S.F. I, I DISCOUNT RATE I I DISCOUNT I 0.00 1 I $0.282 I I 50% = I $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC $575.84 I 2" SANITARY SEWER - CITY 4694 ri u i:>:: ~ tI) a "-l i:>:: $575.84 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I ' I COST PER DFU I 19 I $22,09 = $419.71 1091 B.IMPROVEMENTCOST: I NUMBER OF DFU's I , COST PER DFU I 19 $16.79 = $319.01 ,1092 ITEM 2 TOTAL. CITY SANITARY SEWER SDC = , $738.72 I . 3" TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE I , I NUMBER IOF UNITS' ' I COST PER TRIP , I NEW TRIP FACTORI 9.57 I I $16,81 I 1.00 I = $160.87 11093 B.IMPROVEMENTCOST: I I ADT TRIP RATE I , I NUMBER ,OF UNITS I ' I COST PER TRIP , I NEW TRIP FACTOR I 9.57 I $74.17 I 1.00 I = $709.81 11094 ITEM 3 TOTAL - TRANSPORT AnON SDC = , $870.68 I 4" SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I ' ICOST PER FEU I I I $332,86 = $332.86 1054 B.IMPROVEMENTCOST: INUMBER OF FEU's I , ICOST PER FEU I I I $34.83 = $34.83 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) = $0.00 1054 MWMC ADMINISTRATIVE FEE = $10.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $377.69 J SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , $2,562.93 --.J '" ADMINISTRATIVE FEE: -l ISUBTOTAL I , I ADM, FEE RATE 1= I CHARGE I $2.562.93 I 5% $128,15 TOTAL SANITARY ADMINISTRATION FEE: 77.09 11079 TOTAL TRANSPORTATION ADMINISTRATIOI'>I FEE: $51.06 ..J 1078 D. Wright 6/4/2003 TOTAL SDC CHARGES = $2,691.08 I PREPARED BY DATE I, . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW RXTURES x UNIT EQUIVALENT = DRAINAGE RXTURE UNITS (NOTE: RlR REMODELS. CALCULATE ONLY THE NET ADDITIONAL RXTURES) NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD EOUlV ALENT BATHTUB 1 0 3 IDRINKING FOUNTAIN 0 0 1 = I FLOOR DRAIN 0 0 3 = I INTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC. 0 0 3 = I INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETe. 0 0 6 = ILAUNDRY TUB 0 0 2 = ICLOTHESW ASHER 1 MOP SINK 1 0 3 = ICLOTHESW ASHER, 3 OR MORE (EA) 0 0 6 = IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = IRECEPTOR FOR REFRIG 1 WATER STATION 1 ETC, 0 0 1 = IRECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETe.1 0 0 3 = ISHOWER. SINGLE STALL 1 0 2 = ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = ISINK: COMMERCIAL BAR 0 0 2 = ISINK: WASH BASINIDOUBLE LAV ATORY 0 0 2 = ISINK: SINGLE LA V A TORY IRESIDENTIAL BAR 2 0 1 = I URINAL. STALL/WALL 0 0 5 = ITOILET. PUBLIC INSTALLATION 0 0 6 = ITOILET. PRIVATE INSTALLATION 2 0 3 = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS .EDU (EQuivalent DwellinJ;!. Unit) is a dischar~ eQuivalent to a sinwe family dwelline: unit (20 OAJ's) set al 167 Rllllons per day DRAINAGE FIXTURE UNITS 3 o o o o o 3 o o o o 2 o 3 o o 2 o o 6 o 19 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TEI$I ,000 I ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 BERlRE 1979 $4.92 I (Enter I for Yes. 2 for No) 1979 $4.92 I IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0 1980 $4.83 I (Enler I for Yes. 2 for No) 1981 $4.71 I BASE YEAR 1979 1982 $4.64 I 1983 $4.47 I CREDIT FOR LAND (IF APPLICABLE) 1984 $4.30 I VALUE 1 1000 CREDIT RATE 1985 $4.09 I $0,00 x $4.92 = , $0.00 1986 $3.78 I \987 $3.41 I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $2.98 I VALUE 11000 CREDIT RATE 1989 $2.52 I $0,00 x $4,92 = 0 1990 $2,06 I 1991 $1.64 I 1992 $1.45 I TOTAL MWMC CREDIT = $0.00 1993 $1.31 I 1994 $1.13 I 1995 $0.97 I 1996 $0.82 I 1997 $0.63 I 1998 $0.41 I 1999 $0,22 I 2000 $0.04 I