HomeMy WebLinkAboutPermit Building 2003-1-14
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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: 969 W Olympic St
ASSESSOR'S PARCEL NO.: 1703273102101
PROJECT DESCRIPTION: SFR
.
CITY 0.. ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2002-01406
ISSUED: 01114/2003
APPLIED: 12/24/2002
EXPIRES: 07/14/2003
VALUE: $ 97,602.00
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
Owner: MIKE GANSEN
Address: 362 HWY 99N STE 2 EUGENE OR 97402
Contractor Type
General
Electrical
Mechanical
Owner
Plumhing
I CONTRACTOR INFORMATION I
Contractor License
MIKE GANSEN CONSTRUCTION COMPANW2159
LYNNS ELECTRIC 102316
COMFORT FLOW 460
MIKE GANSEN
CHAPIN ENTERPRISES INC 81994
BUILDING INFORMATION'
I DEVELOPMENT INFORMATION I
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Storm ~~~~~~~ ~ '{Y;
Special In~Ef!~~ <;::,~~
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Notes: "~
Yes
% of Lot Coverage: ATTENTI~.'bregon law reqUires you to
follow rules adopted by the Oregon Utility
IPUBLIC IMPROVEMENliJIIlcatlon (,;emer. I nose rules are semmn
I>AR 952-001-0010 through OAR 952-001-
0090. YV!lqW!!.~P.~.:1 copies of the rulos by
callirm\t1/iSP1lflt8n>~IIlt-e: the telaphone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
I
R-3
U-l
VN
VN
3
SETBACKS
Frootyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
I
14.00
Wan Heat
Electric
Electric
Path 1
Overlay Dist:
# Street Trees
Paved Drive Rqd:
I of 3
Residential
Phone Number: 541-463-1000
Phone Number: 541-463-1000
Expiration Date
06/14/2003
10/1412003
06/27/2003
Phone
541-463-1000
541-726-7895
541-726-0100
541-463-1000
54 I -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:
1m pervious Surface Area:
5,154
1,193
439
REQUIRED PARKING
1
Total:
Handicapped:
Compact:
.
.
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: COM2002-01406
ISSUED: 01114/2003
APPLIED: 12/24/2002
EXPIRES: 07/14/2003
VALUE: $ 97,602.00
I Valuation Descrintion I
Desc ription
Dwellinl!s
Garal!e
Type of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
$74.60
$19.60
Square Footal!e
1,193.00
439.00
Value
$88,997.80
$8,604.40
$97,602.20
Date Calculated
12/24/2002
12/24/2002
Total Value of Project
I Fees Paid I
Fee Description Amount Paid Date Receipt Number
Plan Review Residential $362.60 12/24/02 1200200000000000458
-Mechanical Issuance Fee- $10.00 1/14/03 1200200000000000546
+ 10% Administrative Fee $100.09 1/14/03 1200200000000000546
+ 7% State Surcharge $70.06 1/14/03 1200200000000000546
2 Baths One or Two Family $254.00 1/14/03 1200200000000000546
Addressing Assignment $8.00 1/14/03 1200200000000000546
Annexed 1979 or Before $-73.80 1/14/03 1200200000000000546
Building Permit $557.85 1/14/03 1200200000000000546
Dryer Vent $6.00 1/14/03 1200200000000000546
Exhaust Hoods $9.00 1/14/03 1200200000000000546
Furnace - up to 100,000 btu $12.00 1/14/03 1200200000000000546
Plan Review - Planning $55.00 1/14/03 1200200000000000546
Residence Wiring 1000 Sq Ft $ I 06.00 1/14/03 1200200000000000546
Residence Wiring Ea Addtl 500 $38.00 1/14/03 1200200000000000546
Sanitary Sewer - Improvement $319.01 1/14/03 1200200000000000546
Sanitary Sewer - Reimbursement $419.71 1/14/03 1200200000000000546
SDC MWMC Administration $10.00 1/14/03 1200200000000000546
SDC MWMC Improvement $34.83 1/14/03 1200200000000000546
SDC MWMC Reimbursement $332.86 1/14/03 1200200000000000546
SDC SanitarylStorm Admin $76.95 1/14/03 1200200000000000546
SDC Transpo Admin $49.48 1/14/03 1200200000000000546
SDC Transpo Improvement $709.81 1/14/03 1200200000000000546
SDC Transpo Reimbursement $ I 60.87 1/14/03 1200200000000000546
Sidewalk Permit $75.00 1/14/03 1200200000000000546
Storm Drainage Impervious Area $615.25 1/14/03 1200200000000000546
Vent Fan $18.00 1/14/03 1200200000000000546
Willamalane Single Family $1,000.00 1/14/03 1200200000000000546
Total Amount $5,336.57
I Plan Reviews I
Initial Review
Planninl! Review
Public Works Review
12/26/2002
12/27/2002
1212712002
12/27/2002
01/02/2003
01/09/2003
APP LLH
APP AJD
APP DPE
Shared driveway and "Tee" turn
around.
2 of 3
.
.
CITY OF SrKll....\Jl'1~LD
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2002-01406
ISSUED: 01/14/2003
APPLIED: 12/24/2002
EXPIRES: 07/14/2003
VALVE: $ 97,602.00
Structural Review
12/27/2002
01/14/2003
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 Reouired Tnsnections I
1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Ufer Electrical Ground: Instan ground rod at footing and can for inspection in conjunction with footing andlor
foundation inspection.
3 Footing: After trenches are excavated.
4 Foundation: After forms are erected but prior to concrete placement.
5 Post and Beam: Prior to Ooor insulation or decking.
6 Floor Insulation: Prior to decking.
7 Shear Wan Nailing: Before covering sheathing with finish materials.
8 Framing Inspection: Prior to cover and after an rough in inspections have been approved.
9 Wall Insulation: Prior to cover.
10 Ceiling Insulation: Prior to cover.
11 Drywan: Prior to taping.
12 Final Building: After an required inspections have been requested and approved and the building is complete.
13 UnderOoor Plumbing: Prior to insulation or decking.
14 UnderOoor Drain: Prior to cover or placement of concrete.
15 Rough Plumbing: Prior to cover and including required testing.
16 Water Line: Prior to filling trench and including required testing.
17 Sanitary Sewer Line: Prior to filling trench and including required testing.
18 Storm Sewer Line: Prior to filling trench.
19 Final Plumbing: When an plumbing work is complete.
20 UnderOoor Mechanical. Prior to insulation or decking and including required testing.
21 Rough Mechanical: Prior to Cover
22 Final Mechanical: When an mechanical work is complete.
23 Rough Electric: Prior to Cover
24 Electric Service: Approval required prior to utility company energizing service.
25 Final Electric: When an electrical work is complete.
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certil)' 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 the State of Oregon permining 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 certil)' that only contractors and employees who are in compliance with ORS 701.005 wiD be
used on this project.
I further agree to ensure that an 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. .-
Cr~::':- -- -:f6.::YJ ') 1--/c.jLP3
o~~~..Is Signature - p' ~ Date
3 of 3
-~.~
Ittir ._.~-
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
JohlJournal Number
COM2002-0 1406
COM2002-0 1406
COM2002-01406
COM2002-01406
COM2002-0 1406
COM2002-01406
COM2002-01406
COM2002-01406
COM2002-01406
COM2002-0 1406
COM2002-0 1406
COM2002-0 1406
COM2002-0 1406
COM2002-01406
COM2002-0 1406
1/14/2003
2:32:32P~ :
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000546
Date: 01114/2003
..
Amount Paid
8.00
1,000.00
106.00
38,00
55,00
75,00
615.25
419.71 .
319.01
160.87
709.81
332.86
34.83
(73,80)
10,00
Description
Addressing Assigrunent
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Plan Review - Planning
Sidewalk Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
Annexed 1979 or Before
SDC MWMC Administration
Page 1 of2
cReceipt.rpt
~:r:iiI
~_..~-
.-;:
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
COM2002-0 1406
COM2002-01406
COM2002-01406
COM2002-0 1406
COM2002-01406
COM2002-0 1406
COM2002-01406
COM2002-01406
COM2002-01406
COM2002-0 1406
COM2002-0 1406
Payments:
TWe of Payment
Check
Paid By
Receipt #: 1200200000000000546
Date: 01114/2003
SDC Sanitary/Storm Admin
SDC Transpo Admin
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 htu
Vent Fan
Exhaust Hoods
Dryer Vent
+ 7% State Surcharge
+ 10% Administrative Fee
-Mechanical Issuance Fee-
Received By
Cbeck Number Confinn No
GANSEN CONSTR
djb
Page 2 of2
111412003
2:32:32PrvJ ~
City of Springfield
Development Services Department
Public Works Department
Official Receipt
76,95
..
49.48
557.85
254.00
12.00
18.00
9.00
6.00
70,06
100,09
.
10.00
Line Item Total:
$4,973.97
How Received
Amount Paid
In Person
4,973.97
$4,973.97
Pavment Total:
cRecdpupt
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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
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STATUS
CHANGED DATE:
LICENSE Specialty
CATEGORY: ContractO[/AII
Non-Exen;ipl (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
VIEW SIC CODES
OTHER CCB LICENSES
OU~OnLlM .
.. ~ , .r,,,,-,,~.
",'~. . ..........;.,
Slate of Oregon liability Statement
http://ccbed.cc b,state.oLlIs/New _ W eb/asp/oew _search _resul ts,asp
12/2712002
i. "
CITY OFalNGFIELD SYSTEMS DEVELOPM_WORKSHEET
JOURNAL OR JOB NUMBER: COM2002-01406
NAME OR COMPANY: Mike Gansen
LOCATION: 969 w, Oh:mpie St.
TAX LOT NUMBER: 17-03-27-31-02101
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF; 1632 LOT SIZE (SF):
I. STORM DRAINAGE
5154
~
U
0::
UJ
f--
rfl
o
I~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, ,I COST PER S,F, CHARGE I
2181.75 I $0,282 I = I $615,25
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F. ! ,I COST PER S,F, I, I DISCOUNT RATE I I DISCOUNT
0,00 I I $0,282 I 50% = I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC '$615.25 I
2. SANITARY SEWER - CITY
$615.25
1070
-,
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I , I COST PER DFU
I 19 I $22,09 $419.71 1091
B, IMPROVEMENT COST:
I NUMBER OF DFU's I , I COST PER DFU
19 I $16,79 $319.01 1092
ITEM 2 TOTAL - CITY SANITARY SEWERSDC = , $738.72
1. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE I , I NUMBER OF UNITS I , I COST PER TRIP , INEWTRIPFACTORI
I 9,57 I I I $16,81 I 1.00 I $\60,87 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE ! , I NUMBER OF UNITS I , I COST PER TRIP , INEWTRIPFACTORI
, i
I 9,57 I I I $74,17 I 1.00 I $709.8\ ,1094
ITEM 3 TOTAL - TRANSPORTATION SDC = I $870.68 I
4. SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
INUMBER OF FEU's I , ICOST PER FEU
I I I I $332,86 = $332.86 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I , ICOST PER FEU
I I I I $34,83 = $34.83 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($73.80) 1054
MWMC ADMINISTRATIVE FEE = $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , $303.89
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $2,528.54 I
5. ADMINISTRATIVE FEE:
ISUBTOTAL I , I ADM, FEE RATE 1= CHARGE
I $2.528.54 I I 5% I $126.43
TOTAL SANITARY ADMINISTRATION FEE: 76,95 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $49.48 p078
S:t- T~ 1/9/2003 TOTAL SDC CHARGES = $2,654.97
I PREPARED BY DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
BATHTUB 1 0 3 3
IDRINKING FOUNTAIN 0 0 1 = 0
'IFLOOR DRAIN 0 0 3 = 0 I
I INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = 0 I
I INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0 I
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER I MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. 0 0 1 = 0
IRECEPTOR FOR COM, SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0
ISHOWER. SINGLE STALL 1 0 2 = 2
ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LA V ATORYIRESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL 1 WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL nRAINAGE FIXTURE UNITS 19
.EDU (Equivalent Dwellin~ Unit) is a dischar~e equivalent 10 a sin~le family dwelling unit (20 DFU's) set al 167 ~allons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
II YEAR CREDIT RA TE/$ I ,000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
BEFORE 1979 $4.92 (Enter I for Yes, 2 for No)
1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0
1980 $4,83 (Enter I for Yes, 2 for No)
1981 $4.77 BASE YEAR 1979
1982 $4,64
1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 VALUE 1 1000 CREDIT RATE
1985 $4,09 $15,00 x $4,92 = , $73,80
1986 $3.78
1987 53.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
t988 $2,98 V AWE I 1000 CREDIT RATE
1989 $2,52 $0,00 x $4,92 = , 0
1990 $2,06
1991 $1.64
1992 $1.45 TOTAL MWMC CREDIT = $73,80
1993 SUI
1994 $1.13
1995 $0,97
1996 $0,82
1997 $0,63
1998 $0.41
1999 $0,22
2000 $0,04