HomeMy WebLinkAboutPermit Building 2003-6-10
. CITY OF SPRINliNJ<.LD
Building/Combination Permit
PERMIT NO: COM2003-00405
ISSUED: 06/1012003
APPLIED: OS/23/2003
EXPIRES: 01115/2004
VALUE: $ 97,602.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 964 W Olympic St
ASSESSOR'S PARCEL NO.: 1703273102101
Springfield TYPE OF WORK: Single Family Residence
BUILDING INFORMATIONI3HALL EXPIRE IF THE WORK
# ofStories~UTHORIZED UNDEij THI~JlsB:MIT IS NOT
Height ofsft.{;\M,"Af-NCED O~4.lio~BA!i41ENSilRi6h1:
Type of Hea'tNY 18iM\!e\l J\iiRliilSl. Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:.
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path I Sq Ft Other:
Impervious Surface Area:
TYPE OF USE:
PROJECT DESCRIPTION: SFR
Owner: MIKE GANSEN .
Address: ~~'n:.'W( R.9NUiElgorFJUGEN'Ij:ulilR> ?'OOl10
;~:t,.. ._11: ::-:'~._..... ....:. +ho nr.a~nn lltilihl
Notilication Center. Those rulerl:l:b&1!~TOR INFORMATION'
in OAR 952-001-0010 through O.
Contrac1a~er.YISW me(!;8Gi~~i(froies 01 the rules t License
General caliing the CMi'KE.c!\!N~#.'cdN'AAWl~fhoN COMPAN 92159
Electrical number lor tttm"S'EiE(:lfID'~olMca\lon 102316
Mechanical Centru~'RT:j,1?oWl44). 460
Plnmhing CHAPIN ENTERPRISES INC ..__.__ 81994
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Prlmnry Construction Type
Seeondnry Construction Type:
# of Bedrooms:
I
R-3
U-I
VN
3
SETBACKS
I DEVELOPMENT INFORMATION'
Front)'nrd Setback:
Side I Setback:
Side 2 Setback:
Renr)'nrd Setback:
Solar Setbacks:
27.00
16.00
5.00
10.00
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speeinllnstruetion:
FullV Improved
No
Noles:
Paee 1 of 4
New
Residential
Phone Number: 541-463-1000
Expiration Date
06/14/2005
10/14/2003
06/27/2005
05/06/2004
Phone
541-463-1000
541-726-7895
541-726-0100
541-485-1146
4,694
1,193
439
I
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
33.00
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
Curb and Gutter
,
Status
Issued
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descl'illlion
Tvpe of Construction
V Wood Frame
Gara!!e
Dwl'llin!!s
GUI':ll!C
Fcc Dt.'scription
Pia n Redell' Residential
+ 1 Ol:.{. Administrative Fee
+ 7'Y., State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Cnrbcut Permit
Dryer Vent
Furnacc - np to 100,000 btu
Cas Oullets 1-4
Plan Rt,,'jcw - Planning
I'W ~ lull Disc - 2nd Permit
Rcsidenee Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Sanilarv Sewer - Improvement
Sanilary Sewer - Reimbursement
SDC ,\lWMC Administration
SDC ~IWMC Improvement
SDC ~IWMC Reimbursement
SDC Sa;lilary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sicll>\Y:lII, Permit
Storm Drainage Impervious Area
Vt.'1l1 Fall
Will:lll1arane Single Family
+ 1011., Administrative Fee
+ 7% Slate Surcharge
Tt.'l1lp p.,wcr 200 amps or less
Total Amount Paid
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$74.60
$19.60
Square Footage
or Bid Amount
1,193.00
439.00
Total Value of Project
Fppo, Pl\i4J
Amount Paid
$362.60
$100.49
$70.34
$254.00
$8.00
$9.00
$557.85
$75.00
$6.00
$12.00
$4.00
$59.00
5-30.00
$106.00
$38.00
$319.01
$419.71
$10.00
$34.83
$332.86
$77.09
$51.06
$709.81
$160.87
$75.00
$575.84
$18.00
$1,000.00
$5.00
$3.50
$50.00
$5,474.86
Date Paid
5/23/03
6/1 0/03
6/1 0/03
6/1 0/03
6/10/03
6/10/03
6/10/03
6/1 0/03
6/1 0/03
6/1 0/03
6/10/03
6/10/03
6/10/03
6/10/03
6/1 0/03
6/1 0/03
6/10/03
6/10/03
6/10/03
6/10/03
6/1 0/03
6/10/03
6/10/03
6/10/03
6/10/03
6/10/03
6/10/03
6/1 0/03
7/17/03
7/17/03
7/17/03
Pa!!e 2 of 4
. \...11 l' OF ~rK1NGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00405
ISSUED: 06/10/2003
APPLIED: OS/23/2003
EXPIRES: 01115/2004
VALUE: $ 97,602.00
VaIne
Date Calculated
$88,997.80
$8,604.40
$97,602.20
OS/23/2003
OS/2312003
Receipt Number
1200200000000001317
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
12Q0200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001488
1200200000000001782
1200200000000001782
1200200000000001782
.
. CITY OF SPRINtJl'l~LD'
Building/Combination Permit
PERMIT NO: COM2003-00405
ISSUED: 06/10/2003
APPLIED: 05/23/2003
EXPIRES: 01115/2004
VALUE: $ 97,602.00
Stalus
Issued
225 Fif! h Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Re"iew
Plallllin2 Review
PlIhlir \Vorks Review
Slrlll'tllnll Review
OS/27/2003
OS/28/2003
OS/28/2003
OS/28/2003
I Plan Reviews I
OS/28/2003 APP
06/0212003 APP
06/04/2003 APP
06/09/2003 APP
LLH
AID
DJW
TCM
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will he made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
IRp~
Sidewalk - Curbside: After forms are erected bnt prior to placement of concrete.
2 ClIrbent- Standard: After forms are erected but prior to placement of concrete.
3 Cfcr Electrical Ground: Install ground rod at footing and call for inspection in conjunctIon with footing and/or
fuundation inspection.
4 Footing: After trenches are exea\'Hted.
5 Foundation: After forms are erected bnt prior to concrete placement.
6 Post and Beam: Prior to 1100r insnIation 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.
I II Wall InsnIation: Prior to cover.
II Ceiling Insulation: Prior to cover.
I 2 I) r)'wall: Prior to taping.
13 Fi,ml Bnilding: After all required inspections have been requested and approved and the building is complete.
14 II nderl100r Plumbing: Prior to insulation or decking.
15 IInderl100r Drain: Prior to cover or placement of concrete.
16 Rongh Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
211 Final Plumbing: When all plumbing work is complete.
21 lJnderl100r Mechanical. Prior to insulation or decking and including required testing.
22 RlIlIgh Gas: After line Is Installed and reqnired testing and capped if not attached to an appliance.
2.1 Cas Service: After line is installed and line has been connected to a minimum of one appliance Including required
lesting. Presure test done at this point.
24 I(nngh Mechanical: Prior to Cover
25 Final Gas: When all gas work is complete.
26 Final Mechanical: When all mechanical work is complete.
27 I(ongh Electric: Prior to Cover
28 Electric Service: Approval required prior to utility company energizing service.
29 Final Electric: When all electrical work is complete.
Pace 3 of 4
By ,igllalure, I state and agree, that I have carefully examined the completed application and do herehy certify that all
illrllrlllation hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
thl' Ordillances of the City of Springfield and the Laws of the State of Oregon pertaining to the work deserlhed herein, and
that ;\(J OCCUPANCY will be made of any strneture without permission of the Community Services Division, Building Safety.
I rllrlher certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fllrlher agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
sln'l'I, lhalthe permit card Is located at the front of the property, and the approved set of plans will remain on the site at all
.!Jll11'S d II ring construction.
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Status
Issued
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
.A
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Paee 4 of 4
. CITY OF SrKll'luFIELD
Building/Combination Permit
PERMIT NO: COM2003-00405
ISSUED: 06/10/2003
APPLIED: OS/23/2003
EXPIRES: 0111512004
VALUE: $ 97,602.00
Date
7~/ 7--0 S
~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Joul'"lIall\umber
C0M2003-00405
C0M2003-00405
C0M2003-00405
Payments:
Type of Payment
Check
.
.
........ NO~no ~.
j&-
IlL: ~ -
Heedpt #: ] 211020000000000 17112
Descr-iption
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
TRACI L MDUMLAP
Received By
dim
Check Number
Batch Number Authorization Number
1383
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: U7/] 7/2U03
1:12:56PM
Amount Paid
Item Total:
50.00
350
5.00
$58.50
How Received
In Person
Payment Total:
Amount Paid
$5850
$58.50