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Home My WebLink AboutPermit Building 2003-6-10 (2) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line -. . CITY OF :srKll'lut<u'LD' Building/Combination Permit PERMIT NO: COM2003-00405 ISSUED: 06/10/2003 APPLIED: OS/23/2003 EXPIRES: 12/10/2003 VALUE: $ 97,602.00 SITE ADDRESS: 964 W Olympic St ASSESSOR'S PARCEL NO.: 1703273102101 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: SFR TYPE OF USE: New Residential Owner: MIKE GANSEN Address: 362 HWY 99N STE 2 EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor License MIKE GANSEN CONSTRUCTION COMPAN 92159 LYNNS ELECTRIC 102316 COMFORT FLOW 460 MIKE GANSEN CHAPIN ENTERPRISES INC 81994 BUILDING INFORMATION I Contractor Type General Electrical Mechanical Owner Plnmbing # of Bnildings: Primary Occupancy Group: Secondary Oeenpancy Group: Primary Construction Type Secondary Constrnetion Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A \"ailable: Special Instruction: Notes: 1 R-3 U-l VN 27.00 16.00 5.00 10.00 5.00 Phone Number: 541-463-1000 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 3 ~.0' .'" # of Stories: ,.",1",bit Size: "~IV \'"_ Height of Structure ,,'! \v1'4.00.ll1\ SqFtlst Floor: \ ,...... ,l 1\ ,,"' ,'~. - - , Type of Heat: ,,,'.Forced:Alr'.qa,s~\" ~qFf2nd Floor: Water Type:,.') )\30\)':1..,. ,"G.' as,.,,~' Sq Ft'Basement: 'p- 0\ \C'....... ,.~". ,,\"~ RangeType: ,~l' " -" Electric' '~,-Sq Ft.Garage/Carport '\\' \\...... \L'," ..'Y\' '), .:\..,- -'\ En~[gy\Pat~:.i"" "0"\\' \, ,I'atli} ,,\CSq nqtber: \0\ . \J,..I.\O~.)r'J\\ ,P\.Jw"(~ '\\ (. ,;\.'i'.\~-'. ~Impervious Surface Area: .. \1 .\.\\\ . ~"'" . ~\' '\"\ ~ \\'1' ., 439 4,694 1,193 I DEVELOPMENTlNEORMATION'I."."'~' vV~'''\\\'\\'. r",'\\\ '. - "'v'.,-" (. .\',r\ \- \c;\ \ OverIa~,Dist;' C(\I"I ' # Street Trees Rqd: Paved Drive Rqd: I REQUIRED PARKING Total: 2 Handicapped: Compact: % of Lot Coverage: Yes 33.00 -\'r: \lJO~~ I PUBLIC IMPROVEMENTS I ~~?\~~ \r~~\, \S ~\J' ~\"''''' S\\~\-\. ~~<ir~~ ~ ~O\\ Fully Improved ~Q S ?~~W\\ ~~'{)t~:~!>-~~~ No \\\~ \\O~\lt.O ~~spoiitslDralns: \I.~\ ~~~C~\) ?~~\O\). COWl ~\} \)~ \I.~'l '\ Curbside 5' Curb and Gutter Paee I of4 . . CITY OF SPRINtJt<lJ!.LD . Building/Combination Permit PERMIT NO: COM2003-00405 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 V~lh atlon Descriotion I I II .1. Description Dwellines Garaee Tvpe of Construction 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 05123/2003 OS/23/2003 Total VaIne of Project Fpp< P~hl J Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $362.60 5/23/03 1200200000000001317 + 10% Administrative Fee $100.49 6/10/03 1200200000000001488 + 7% State Snreharge $70.34 6/1 0/03 1200200000000001488 2 Baths One or Two Family $254.00 6/10/03 1200200000000001488 Addressing Assignment $8.00 6/10/03 1200200000000001488 Appliance Not Listed $9.00 6/10/03 1200200000000001488 Building Permit $557.85 6/10/03 1200200000000001488 Curbcut Permit $75.00 6/10/03 1200200000000001488 Dryer Vent $6.00 6/10/03 1200200000000001488 Furnace - up to 100,000 btu $12.00 6/10/03 1200200000000001488 Gas Outlets 1-4 $4.00 6/10/03 1200200000000001488 Plan Review - Planning $59.00 6/10/03 1200200000000001488 PW MnU Disc - 2nd Permit $-30.00 6/10/03 1200200000000001488 Residence Wiring 1000 Sq Ft $106.00 6/1 0/03 1200200000000001488 Residence Wiring Ea Addtl 500 $38.00 6/10/03 1200200000000001488 Sanitary Sewer - Improvement $319.01 6/10/03 1200200000000001488 Sanitary Sewer - Reimbursement $419.71 6/10/03 1200200000000001488 SDC MWMC Administration $10.00 6/10/03 1200200000000001488 SDC MWMC Improvement $34.83 6/10/03 1200200000000001488 SDC MWMC Reimbursement $332.86 6/10/03 1200200000000001488 SDC Sanitary/Storm Admin $77.09 6/1 0/03 1200200000000001488 SDC Transpo Admin $51.06 6/10/03 1200200000000001488 SDC Transpo Improvement $709.81 6/10/03 1200200000000001488 SDC Transpo Reimbursement $160.87 6/10/03 1200200000000001488 Sidewalk Permit $75.00 6/10/03 1200200000000001488 Storm Drainage Impervions Area $575.84 6/10/03 1200200000000001488 Vent Fan $18.00 6/10/03 1200200000000001488 WillamaIane Single Family $1,000.00 6/10/03 1200200000000001488 Total-Amount Paid $5,416.36 I Plan Reviews I Initial Review Plannine Review Public Works Review OS/27/2003 OS/28/2003 OS/28/2003 OS/28/2003 06/02/2003 06/04/2003 APP LLH APP AID APP DJW Paee 2 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00405 ISSUED: 06/10/2003 APPLIED: OS/23/2003 EXPIRES: 12/1012003 VALUE: $ 97,602.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S41-726-3769 Inspection Line StrncturaI Review 05/28/2003 06/0912003 APP 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. I Sidewalk - Curbside: After forms are erected bnt prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Gronnd: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to floor 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 rongh in inspections have been approved. 10 Wall Insulation: Prior to cover. II 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 Underfloor Plumbing: Prior to insulation or decking. 15 Underfloor Drain: Prior to cover or placement of concrete. 16 Rough Plumbing: Prior to cover and including reqnired testing. 17 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including reqnired testing. 19 Storm Sewer Line: Prior to filling trench. 20 Final Plumbing: When all plumbing work is complete. 21 Underfloor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 Gas Service: After line is installed and line has been connected to a minimnm 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 Mechanical: When all mechanical work is complete. 27 Rough Electric: Prior to Cover 28 Electric Service: Approval required prior to utility company energizing service. 29 Final Electric: When all electrical work is complete. Paee 3 of 4 . . CITY OF ~rKll~ut<mLD Building/Combination Permit Status Issued PERMIT NO: COM2003-00405 ISSUED: 06/10/2003 APPLIED: 05123/2003 EXPIRES: 12/10/2003 VALUE: $ 97,602.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection 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 correct, and I further certify that any and all work performed shall be done in accordance with tbe 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, Bnilding 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 tbat all required inspections are requested at the proper time, that eaeb address is readable from the street, tbatthe 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 !b -//J - O.~ ~ ( ~ ---""- ---- < Date Pal!e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department' Public Works Department Official Receipt- Receipt #: 1200200000000001488 Date: 06/10/2003 Job/Journal Number Description Addressing Assignment Willarnalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Plan Review - Planning Sidewalk Permit Curbeut 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 Vent Fan Dryer Vent Gas Outlets 1-4 Appliance Not Listed + 7% State Surcharge + 10% Administrative Fee Amount Paid COM2003-00405 COM2003-00405 C0M2003-00405 C0M2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 COM2003-00405 8.00 1,000.00 106.00 38.00 59.00 75.00 75.00 (30.00) 575.84 419.71 319.oJ 160.87 709.81 332.86 34.83 10.00 71.09 51.06 557.85 254.00 12.00 18.00 6.00 4.00 9.00 70.34 100.49 $5,053.76 Item Total: Payments: Type of Payment Check How Received In Person Payment Total: Received Hy djb Check Number L'onfirm No Amount Paid Paid By GANSEN CONSTR 5,053.76 $5,053.76 6/10/2003 Page lofl 2:00:39PM . . cReceipl.rpl . ~ CITY OF ttlNGFIELD SYSTEMS DEVELOPME&ORKSHEET - - I JOURNAL OR JOB NUMBER: COM2003-00405 NAME OR COMPANY: Gansen Construction LOCATION: 964 W. Olympic TAX LOT NUMBER: 17032731 TUl210 I DEVELOPMENT TYPE: NEW DWELLING UNITS I BUILDING SIZE (SF) 0 LOT SIZE (SF): 4694 'j 1. STORM DRAINAGE DlRECf RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. . x I COST PER S.F. I I CHARGE I I 2042.00 $0.282 I = I $575.84 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNTRATE I = : DISCOUNT I 0.00 I $0.282 I 50% $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC I $575.84 ~ , $575.84 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I I 19 I $22.09 I = , $419.71 R IMPROVEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I I 19 I $16.79 I = , $319.01 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $738.72 I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x : NUMBER IOF UNtTS I x I COST PER TRIP I x I NEW TRIP FACfORI I 9.57 I $16.81 I 1.00 = , $160.87 B. IMPROVEMENT COST: I ADTTRIP RATE I x : NUMBER IOF UNITS I x I COST PER TRIP I x INEWTRIPFAcroRI I 9.57 $74.17 I I 1.00 .- , $709.81 ITEM 3 TOTAL - TRANSPORT AnON SDC = , $870.68 t 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I I $332.86 = , $332.86 - RIMPROVEMENTCOST: I INUMBER OF FEU's I x ICOST PER FEU I I 1 I $34.83 = , $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) = , $0.00 I MWMC ADMINISTRATIVE FEE = , $10.00 !I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $377.69 I [ ~ CIl G ~ 1070 l09t t092 1093 1094 1054 1055 1054 1056 SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: I SUBTOTAL I x I ADM. FEE RATE 1= I $2.562.93 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: = I $2,562.93 CHARGE $128.15 i , 77.09 1'1079 ~~1.06 11078 =, $2,691.08 I ~I D. Wright 6/4/2003 TOTAL SDC CHARGES PREPARED BY DATE . . . , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW AXTURES x UNIT EQUIVAlENT = DRAINAGE AXTURE UNITS (NOTE: RlR REMODELS, CALCULATE ONLY THE NET ADDITIONAL AXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS BATHTUB 1 0 3 = 3 -I IDRINKING FOUNTAIN 0 0 1 = 0 I IFLooR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I ILAUNDRY TUB 0 0 2 = 0 I CLOTHESW ASHER / MOP SINK 1 0 3 = 3 I ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC.I 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 SINK: SINGLE LAVAmRYIRESIDENTIAL BAR 2 0 1 = 2 URINAL. STALL / WALL 0 0 5 = 0 ImILET. PUBLIC INSTALLATION 0 0 6 = 0 ImILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 19 *EDU( uivalent Dwellin Unit) is a disch e uivaleot to a single family dwelling unit (20 DRJ's) set al 167 $:311005 per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BERlRE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TFl$t.OOO ASSESSED VALUE $4.92 $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3.78 $3.41 $2.98 $2.52 $2.06 $1.64 $1.45 $1.31 $1.13 $0.97 $0.82 $0.63 $0.41 $0.22 $0.04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter t for Yes. 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes. 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I ttlOO CREDIT RATE $0.00 x $4.92 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $4.92 = o TOTAL MWMC CREDIT = $0.00