HomeMy WebLinkAboutPermit Building 2005-9-12
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
~ 541-726-3676 Fax
, 541-726-3769 Inspection Line
'*
. CITY OF SPKlf~tjt<IELD
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 09/12/2005
APPLIED: 08/10/2005
EXPIRES: 03/12/2006
VALUE: $ 285,000.00
,
SITE ADDRESS: 3766 Kathryn Avenue
ASSESSOR'S PARCEL NO.: 1702304306600
Springfield TYPE OF
Warehouse
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Industrial warehouse
'l
,
- Owner:
Address: '
TED WEST
PO BOX A
VIDA OR 97488
Phone Number: 541-521-2780
Contractor Type
General
; Electrical
,
; Mechanical
Plumbing
I CONTRACTOR INFORMATION I' \0
~ou
nuileS \.)\.\\\'1
Contractor (\ 10.~Lfj~eJ(\ Expiration Date
CASCADE VIEW cONSTRH\CJ\\Q&li'N~ '0'1 \I1S~~J.~0.le set \~~04/16/2007
JB ELECTRIC f'.~~~ eS 0.oo?\e \nosI16li9~~[>.1'\. 952- S 19~1l4/2008
MARSHALLS INc 'o"o'/'lI~I(\ce(\\el. .o\nl'25790o! \ne lule(\d2/23/2005
\ .' 0.\\0 ..(lQ' les ?~o
SURRETIS ..\n~\\\C ~dl_OO \ .~;" co? .~o \ele . ..,,,(\
I omii5JNg OOIokmT18NI~i\'I ~o\\"-
UJ-' . geM. O(~~- '2>2_2'2>44).
a~~~:\ne is \_~oo-'2> 1
Rfl~l:r~ce(\\el 25.00
Type of Heat: Electric
Water Type: Electric
Range Type:
Energy Path:
Sprinkled
Phone
541-896-3081
541-687-5770
541-747-7445
741-3553
: #ofUnlts:
, PrImary Occupancy Group:
. Secondary Occupancy
,- P'rimary Construction Type
. Secondary Construction
# of Bedrooms:
4
Fl
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,260
lIB
Path 1
nla
'DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:,}
t. \NO\'l!'
\\'It. II' ,\\ S ~O'
_~,C'~. ",' I t.'f..1' _cQM\' \
IPUBLlC IMPRv~,-':'l~~l"'SI\I~ ~~\)t.\'I \\i~~DG~t\) \,Uf\
, d\)\\,~t ~" Ie. I\..\)
p.\j\" \.,c,t.\)SldeWalk Type:
OW\\\~t'~ , ol'?-\\)\)'
C, . \)Cl \) P.'iDoWnspoutslDrains
p.W< '
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
" Street
" Storm Sewer Available:
- Special Instruction:
Notes:
1 of 5
Status: Issued
" 225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Pavlne
Type of Construction
Estimate
Use Bid Amount
"
. Fee Description
Plan Review commllndJPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
BackOow Device
Building Permit
. Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Paving
Plan Review commllndJPublic
Plan Review Fire & Life Safely
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
SDc MWMc Administration
SDc MWMc Improvement
SDc MWMc Reimbursement
SDc SanitarylStorm Admin
SDc Transpo Admin
SDc Transpo Improvement
SDc Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addti 100'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Total Amount
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 09/1212005
APPLIED: 08/10/2005
EXPIRES: 03/12/2006
VALUE: $ 285,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
220,000.00
65,000.00
Value
Date Calculated
08/29/2005
08/29/2005
$220,000.00
$65,000.00
$285,000.00
Total Value of Project
FPI'o tiWU
Amount Paid
$684.55
$421.26
$10.00
5200.38
$110.23
$14.00
$955.65
$322.00
$36.00
$4.00
$429.15
$73.94
$45.50
$45.00
$648.25
$852.51
$14.00
510.00
$890.03
$84.38
$432.06
$68.26
$1,003.45
$227.49
$6,290.39
$45.00
$56.00
$24.00
$45.00
$14.00
$14,056.48
Date Paid
Receipt Number
8/10/05
8/10/05
9/12/05
9/12/05
9112/05
9112/05
9/12/05
9/12/05
9/12/05
9/12105
9/12105
9112/05
9112/05
9/12/05
9/12/05
9/12105
9/12/05
9/12/05
9/12105
9/12105
9/12/05
9/12105
9/12/05
9/12/05
9/12105
9/12/05
9/12105
9/12/05
9/12/05
9/12/05
2200500000000001074
2200500000000001074
1200500Q00000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
2 of 5
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. CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM200S-01089
ISSUED: 09/12/2005
APPLIED: 08/10/2005
EXPIRES: 03/12/2006
VALUE: $ 285,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Plan Reviews ,
Fire Department Review 08/12/2005 09/07/2005 OK GRG See attached document for Fire
Department Plans Review
comments.
Initial Review 08/11/2005 08/1 1/2005 APP LLH
LDAP Review 08/22/2005 08/22/2005 APP VRJ LDAP permit is at the front counter
and ready to issue. $1470.00 due at
issuance. Applicant has been
contacted.
LDAP Review 08/1112005 08/1112005 10 VRJ Applicant submitted LDAP plans
8/10/05.
Plan nine Review 08/12/2005 APP Needs final site plan submittal and
Development Agreement. Site Plan
Review DRc2005-00053
Public Works Review 08/12/2005 08/26/2005 APP SB Checked by E. Walter; SDcs added.
LDAP issued. No Encroachment
proposed. Submit Encroachment
Permit application if work is
proposed in City Right-of-way or
within Public Utility Easements.
- Structural Review 08/11/2005 08/19/2005 WE JMP See attached documents for 9
structural comments faxed to Rene
Fabricant.
Structural Review 08/29/2005 08/2912005 10 JMP WE. Received response to
structural comments. Called Ted
and asked for items 3, 7, and 9 to be
completed.
Structural Review 09/01/2005 09/01/2005 10 JMP WI. Received additional
information from Ted West. Faxed
the energy code forms to David
Harris.
Structural Review 09/07/2005 09/07/2005 APP JMP Received final internal approval.
SUB Review 08/29/2005 09/06/2005 APP DH JMP forwarded revised drawings
and mechanical design and energy
code forms.
SUB Review 08/12/2005 08/2212005 WE DH See attached documents for JMP's
structural comments faxed to Rene
Fabricant on 8/1912005 requesting
the energy code forms and
worksheets.
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.
3 of 5
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.
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
PERMITNO: COM200S-0l089
ISSUED: 09/12/2005
APPLIED: 08/10/2005
EXPIRES: 03/12/2006
VALUE: $ 285,000.00
I.Rf'(IlI~
Site Inspection: To be made after excavation but prior to setting forms.
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Gas: After line Is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
SUB Mechanical: Following City Rough Mechanical Inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation Inspection.
Footing: After trenches are excavated.
Slab: To be made after alllnslab building service equipment, conduit piping and other equipment Items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
Masonry:
Bolts Installed in Concrete: To be done by a State Certilied Special Inspector. Provide inspection test reports to
City Building Inspector.
High Strength Bolting: To be done during construction by a State certilied Special Inspector. Provide inspection
results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
4 of 5
.
. CITY OF SPRINGFIELD
Building/Combination Permit'
PERMIT NO: COM2005-01089
ISSUED: 09/12/2005
APPLIED: 08/10/2005
EXPIRES: 03/12/2006
VALUE: $ 285,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to
City Building Inspector.
Final Fire Department. After all requirements of the Fire Department bave been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
Underslab Plumbing: Prior to filling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to bacldlll.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon Is true and correct, and 1 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 wID 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 tbe permit card ..located at the front of the property, and the approved set of plans wiD remain on the site
at all times during constructiolL
4'-eVcY~----'
~wn:y Contractors Signature
1-/2....-0$""-
Date
5 of 5
225 Fifth Street
, Springfield, Oregon 97477
; 541-726-3759 Phone
1
.
.~
~
l.
Jilb/Journal Number
COM2005-0 I 089
,\ COM2005-01089
, ! COM2005-0 1089
~. COM2005-0 I 089
, '
, COM2005-0 1089
. COM2005-0 1089
GOM2005-0 I 089
.;~
COM2005-0 1089
COM2005-0 I 089
COM2005-0 I 089
COM2005-0 I 089
C COM2005-01089
I COM2005-01089
[ COM2005-01089
~ COM2005-01089
~GOM2005-01089
, dOM2005-01089
COM2005-0 1089 .
~ COM2005-01089
t'~OM2005-0 I 089
i CbM2005-01089
, CtlM2005-0 1089
, COM2005-0 1089
CbM2005-0 1089
CbM2005-0 I 089
COM2005-0 I 089
COM2005-0 I 089
COM2005-0 I 089
I
!
, Payments:
~ Type of Payment
Il Check
~ c;neck
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9/1212005
RECEIPT #:
1200500000000001337
Description
Furnace - up to 100,000 btu
Vent Fan
Gas Outlets 1-4
-Mechanical Issuance Fee-
Fixture
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Backflow Device
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
Paving
Building Permit
Plan Review CommllndlPublic
Plan Review Fire & Life Safely
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
EMERALD EXCHANGE CO
MCKENZIE VALLEY PUMP
LneCK NumDer
Recel ved By Batch Number
djb 5488
djb 8521
I of 2
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
Date: 09/12/2005
Item Total:
Authonzatlon
Number How Received
In Person
In Person
Payment Total:
1 :20:56PM
Amoont Due
36,00
24.00
4.00 !
10.00 :
322.00
45.00
14.00
45.00
14.00
45,00
56,00
14.00
6,290.39
852,51
648.25
227.49
1,003.45
84.38
890.Q3 ,
10.00 ~,
432,06 .
68.26
429.15
955.65
73.94
45.50
110.23
200.38
$12,950.67
Amount Paid
$8,146.72
$4,803.95
$12,950.67
~
; RECEIPT. .ate: 09/12/2005
" 1200500000000001337 1:20:56PM
Job/Journal Number Description Amount Due
COM2005-0 1089 Furnace - up to 100,000 btu 36.00
COM2005-0 I 089 Vent Fan 24.00
COM2005-0 1089 Gas Outlets 1-4 4.00
COM2005-0 I 089 -Mechanical Issuance Fee- 10.00
COM2005-0 1089 Fixture 322.00
,COM2005-0 1089 Sanitary Sewer - 1st 50 Feet 45.00
"
COM2005-0 1089 Sanitary Sewer Each Addtl 100' 14,00
,
COM2005-0 1089 Water Line - 1st 50 Feet 45.00
COM2005-0 1089 Water Line - Each AddtllOO' 14.00
COM2005-0 I 089 Storm Sewer - 1st 50 Feet 45.00 .
^ Q)M2005-0 1089 Storm Sewer Each AddU 100' 56.00
COM2005-0 I 089 Backflow Device 14.00
CpM2005-0 1089 Storm Drainage Impervious Area 6,290.39
(u)M2005-01089 Sanitary Sewer - Reimbursement 852.51
ir
COM2005-0 I 089 Sanitary Sewer - Improvement 648.25
C:OM2005-01089 SDC Transpo Reimbursement 227.49
COM2005-0 I 089 SDC Transpo Improvement 1.003.45
COM2005-0 I 089 SDC MWMC Reimbursement 84.38
: COM2005-01089 SDC MWMC Improvement 890.03
COM2005-0 I 089 SDC MWMC Administration 10.00
COM2005-01089 SDC SanitarylStorm Admin 432.06
COM2005-01089 SDC Transpo Admin 68.26
dOM2005-01089 Paving 429.15
cibM2005-01089 Building Permit 955.65
COM2005-0 1089 Plan Review CommlInd/Public 73,94
COM2005-0 1089 Plan Review Fire & Life Safety 45.50
COM2005-0 1089 + 7% State Surcharge 110.23 .
"
COM2005-0 1089 + 10% Administrative Fee 200.38
" Item Total: $12,950.67
11
Payments: LneCK t'tumoer AuUlonzatlOD
T1;ie of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check EMERALD EXCHANGE CO djb 5488 In Person $8,146.72
Check MCKENZIE V ALLEY PUMP djb 8521 In Person $4,803.95
Payment Total: $12,950.67
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9/12/2005
2 of 2
I'
SPRINGFIELD'
City of Sprlngflold
Ccm:::unif)' Sol:r..t~ Olv!:ivi'
225 Fifth Stre.. '
Springfield, OR 974n
'Tc!cphooc: (541) 726-3159
Fmc: (541) n6-36S9
Spf'raal ~nspectloD And Testing
"-oN\ 'Z.<Oo S-'- 0 \Oe~.
. Building Pcrmilll ,
e -z.~~oS'
Date
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v.! e....~
lK~U"'1:~~'-- ~\L.t:>(l-I.~
proJcct Til:;)
~ibCo
l<.fI."t"\:\i:.'lH A.~E.t-\ ll'L
Project Address
'.
. . .'
....~'",,"11c":" '>f'prot",., """"::'!"', ';f-"di'~ ;"'~"-~~1 ",' 1<""rr", '-; !'o: ~,<h1 ~7(}t5 cf:b;~ "z":;; S;rCtr,Ii''': Sl',;.:,ialt;r Cilh P~f,air. rede'.;",lI," illr"rmot!on b.~.)w~
When yo';" .
h,," ~.,*,~. ~th,~'vt~'!:IO ,,~ "",Iets!"~dh~ ~r(", :nfo:r.1:,tbn 1;:/ ~i:;~i"~ 1l):c',,~', mill i'etum lh~ ~orm 10 Ill" City. . .' :
, .
l'vy,'11C?, ,\ r-~,,"Ml'l" r,:,\~' 'W r~~!Jio'" T~: '''1''or ":':'~;;-'" -'r;'''"'''~!'":",, ",'\~:; d",:o., ~,~"h:. ";,,lfSiUc j1;.;)j.;,:, S:l.);;';":' Lr A~'c\i,c;~i, ,,~i:: :,ompli:tt,
sign, and sUbmit
~~l ~r. Catv ~(!r ie~~r~~r "_'V~ ':.;-. r..-M~W.'!.~ t~lj, f(;~ '.~mllf~t~~~ on both ~he front 8nd back.
. .
""'0 t'h__ .~d 0""",:", ('M~<t"', w~:~. ~~~!i,,~t,. ,~bl' ~'rr .~,*C."'''l!'~~" '"" fdhl,t'L"fi; ,'~" ";1',,:;, 'r",lrr"11~6 sa iiF",;.id !lJj~!k)a on,dlot Testing.'
C~:'Tt~~o.;-+ t[ .!""'..JPCi:iii:hI: 't~1 p~~q; G~tfri.tH&.n' rar I~f) f:;~':fcn' or TCSl!ng. of. items Jlstc;d....
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It. ~tl.:C'Ir.I. ~r:.":p:';~:r.:' .;h::-,U f~r~wfcil'!' ht:1!It.~r.:IJlr .:'!:! Gr~~ il) U:r. b~iidl&l~ ofEk~!i of all imp'ection actMtics.
~. !:"f;~fJ'7.N(),..l!, t'":~r.C',~r.~4~ ~t !'.r.:~tT,' t~t (:~? :"~;pr~1:~d ~r.n-:: !"t'=- ~~"'!t;c;-;~.~ ~:'l:;:?:':,~fiO,! ur:r:ili1,3: GlpJrer..:lems that may be no led. .
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...d~~ l.P.'1~ ~,\..,t..!.1 It::!:" 1\..._ ~.l-., !...'.;.......... ,." r-:..... ,'., ..,' '. ~.., ..~.....,...'~. ..fl... .",'.l.<,.; :;1:1.r.r:t",r-. .;~:'h.',~" r~;i., ;,4-!/b". ,"
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r" ,[":.....,.. ...,.,., be "...,!l/.... .m" ..f'~rh~ '." ..'., !~ t!;r. "",', "ft', . "''1',.-r.,.- , ,--r.^,r1.r.".~, ", ,..,,~rc.,~'[~_ ,,,.'i ..." ",.f'i.,.d~ \1,'-"', "....~i:j..a~,
.'..d appli<_lIJe workmmsh.
!,,,,,,t!.il>r:~. ,f)<""llle'1l5!1.<11 ;:;,;'0<1 r,~lfI<l/'ilr.lpte!~dl~i'II;,~ ~::!M h ~he 1:I~e:mcnt. Thn "'i'''''i Ii !,ih. .<ll>""ttol! ro ih. City 1'';0,.02 request for lir.a1 insp;c:tlo~.
" '. "
Ted2 :r Gv.eS+ .
ACKNOWLEDGMENTS
...:.,r:;;;;[')~
Owner Name rPri!lal'd!
--
, 'P.CL;tI'~IlIt'.M\lr "KillnJtw F~
o Engin_ or Architect Irm (I'tiBled.).' .
P, 5. I I, ,. J Dc..
~est";g Ll>bornIOey'M......Jl'rinlod),
~~~'
Owner SignatUre
'E... c.q 'P.... 'CCF_
' , .
Engineer or.AidUlecl Slgnaeu", .
~~~Slg~"
,;.
CA&-ttJE l/iew, CoPS/.
Gen. COolnlclOr Finn Name (Primed)
//~
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~~. A~eaeY~i8n:./ ....
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"~Offi.i21 SIgl!ature. .,'
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BuildJngoffi~ial Name'(Prinled)
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SPli:CIAL INSPECTION AND TESTING S~uLX
Reinfo.-.:e,j C
Coner"",
~
: r I i~":i~~;:;:;"'~COlt'-":j
II L [t I C<mlinuo~s Balch PI"'I fusDt.,t. I
L..___L , ---1_ . 1"'1'Oct Ph!o~_ , '
I-.---,-L '. I !._____.1-?8tS..,,~~ ,. __=:
~---=-.-t_~-.~___L____ -_l____u. ..~_. I Sau':i,!e-; t ~l~rcJ;:/OeIivered)
I ____~_._ ~ : _ I I COflmrearion T~t&
j .Precawl'~-str=od Concrete: __u,_
". l.:'-~;.... '1 n ~~:"':"""'!":-:-;- .~, .. '"----;---;:;. ..I!.r. .
~ . J1-~., -.__~'.(~_I .lrite-JeJ18 J. ~I.au:l,tltlr: ! "'''.' 1
1______. : "-'-j__~ ~~~::;~~. --l
J '!'.. TeliduuTest .i
--------:-- !. r'. j' Mi.'tDcsi~.~ 'i
_L I I Rciatim:i,U! Pl~CClnenl- --1
. L.. r I I' '. IlooOi1 Pl.'Ollic"l _.:........_~
I . ! . I 'j Concreto B.tcll~' . I
~--_...J__._.--1- --....:._----1. Con~rcte ?]~~t_:__..__._;..__"J
~~L---."-.--._h_._ ._._....:.,_ r ins~~~,~)!~f:~t~_.~_ _u._._i
L ..L I I C...!,S~,~. .. ",--i
. -- I.. I --.,- I Pir.~~,!!!,.P1S'__..., ..._n._.!
t--... "-"-l==/---:j-=--=~__J C<l'DPf",,2i<!~_~:S ---,=~~~=::3
C:Wlite
Grout and M<>rtar.
Grout Mortar
A Ie 'eslot'MixDeo:il!l1
RoiDfon:in~ Test
f.1\10fi.F, Cf}i~TIlGL:
FIRI!:PKUOl'lNG.
Le~ te;ti1J&
_. ConfIcl Veriftcafion
.___Placcmmt imf--e.c-~ioU"'.
n..D.>ity lest>
Thickness Ie"'.
Insprct bald1;"z
RoonNG:
. .... ___...T1!;."!''dbtiml in~iOOtR-Vah1c.
t . lest strips/seam:.
AD~mONAL mSRUCTIONS. OTHER 11!sr. & INSPECl'lOi'fS:
GRAD.l/'fG, EXCAVATION.ANP FILL
V . Acceptance lests., ./,SO?!. PSF,
Establish final grade
Fill placement,inspeclionfcontinuous
Soil Densily
STRUCTIJJlAL SrEEIJWELDING:
S:""pk and (0,'1 (lis! specifIc memhors be1<>w)
5"OO!l ,f,1iihTial identification (mill teet) .
-- - _ \~i(!~;f iuspec\~'m _-..Shop __jicl~ .
..,'.. ~."'7'._ ml:t:ilonic iD>t",".on ~ _]ieid .
.. ~ HighStrenz.t1Mo]~gz----:--'. Shop -~jelrl
A,:'5 _Y-.r',' _",1{ _,_1'
A4:lO _.._101 . --.X -F
Melal deck welding inspection
~t~;..~im;in~ Sti?'el weMing' inSpectiorn.
~~.!:1foToing 3tor.hmll i:ertificate . :
MelalS1udwOJding inspCclion' '.
~DJ1crf.b:: inserc '....iJl~.ing In.spection . .'
MomeoJ resisting steel fromes '
,~
I
! S'!'~ucrlJRAL WOOD:
, _-. ___ _ ~>hear wuJI nUml1g i}'"~'iPec\ioB.
! SItear wall.ncl1o...
! =--=~= lnst>ection llf-Glu-lun rab~ . __TIC pSi
I Inspeclinn. OftruAA ,foist fab~
_ _ _ Samp", and lest ''''''lpOneots
--._ __ F;..'n,~;lfi)" welding of steel Br--<<SSI)r1e:i
v:
lV'1ASONRY
......... SJl<"ial ill.lpccti.on stresses llStl!" /500 rm rg'
. Preliminary =p"'nce ll::i1s (masonry anils, wall prisms)
:?l1bso:p,:m tl~gtr. (moctar, grouI3 field wan pri:;rIl.'~)
r"1i!:C~.rn~u~ b.:ifl.e;::ti4:m. of units,. m:td reinforce.Dlcn!
M<iS"oI:t"j, lIX'1rbr. &mutl and reinfo.rciJ1g Sleel certificates
. FomtCompletedby: p'.'~',1' :c;.l>.D.nte~''l.~'IS>S
. . ,*PROVIDE STRKN(ITH RIfQUIRED BY ARCHrfli;CT .oR. ENGINUR OR CONTRACfnOCUMENT LOCATIO,.,. OF V AWES ..'
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AITACHMENT A
CITY OATNGFIELD SYSTEMS DEVELOPMENT CHARGE .SHEET
JOURNAL OR JOB NUMBER C0M2~089
NAME OR COMPANY: ~cKcnzie ValIev Pumps
LOCATION: 3766 KATIlRYN CT
MAP & TAX LOT NUMBER: 17 02 03 43 06600
DEVELOPMENT TYPE: OffiCE & WAREHOUSE for ONE (northernmost) address of FOUR
NEW DEVELOPED AREA (S,F.): 1,800,00 lTE: 110
EXISTING DEVELOPED AREA (S,F,): lTE:
TOTAL IMPERVIOUS SURFACE (S,F,): 19.455 LOT SIZE (ST): 20480
I STORM DRAINAGE
IMPERVIOUS SQ, IT,
19,455
x
2 SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B, IMPROVEMENT COST:
NUMBER OF DFU's '
(SEE REVERSE SIDE)
34
34
:l...IRANSPOR1:AIIQll
=
;~)'+i'<-~?,i~'"
";l.,Q,l" ,'>'''''-
:~'8;r:t~ b',~i,'7;l
'S - :: I ~~
...,O'O'~ ~':~~8
~::}!:I.-
$ 0,323 PER SF
TOTAL STORM DRAINAGE SOC:'
$6,290.39
x $ 25,07 PER DFU
$852,51
x $ 19,07 PER DFU
$ 44,14
TOTAL LoCAL WASTEWATER SDC:' $
$648.25
1,500,75 I $1,500,75
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST:
L80 x 6,97 x S 19,09 PER TRIP x 0,95 NTF $227.491
B. IMPROVEMENT COST:
L80 x 6,97 x S 84.19 PER TRIP x 0,95 NTF $1 ,003.45 ~
EXISTING $ 103,28
A. REIMBURSEMENT COST:
0,00 x 0 x $ 19,09 PER TRIP x 0 NTF $0,00 ~
B. IMPROVEMENT COST:
0,00 x 0 x S 84,19 PER TRJP x 0 NTF $0,00
TOTAL TRANSPORTATION REIMBURSEMENT SOC:
TOTAL TRANSPORTATION IMPROVEMENT SOC:
$227.49
$1,003,45
$1,230,94
TOTAL TRANSPORTATION SDC:' $
1,230.94
~TARY SFWER - ~
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's L80
B. IMPROVEMENT COST:
NUMBER OF FEU's L80
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0,00
B. IMPROVEMENT COST:
NUMBER OF FEU's 0,00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
x $46,88 PER FEU $64,38 \
x $494,46 PER FEU $890,03 l
X $0,00 PER FEU $0,00 ~
x $0,00 PER FEU $0,00 ~
$0.00
TOTAL MWMC REIMBURSEMENT FEE: $84,38
TOTAL MWMC IMPROVEMENT FEE: $890,03
MWMC ADMINISTRATIVE FEE:) $10,00
TOTAL MWMC SDC:I $984.41 I $984.41
..
$10,006.49
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5 ADMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
$
10,006,49 x 5% I S 500.32
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
TOTAL SEWER ADMINISTRATION FEE: $
';,j
i, ,',' ~. - . '<:. "i
1'1070
":...-'7~:..,'.;;
68,26 ,1078
432,06 !i079
$W""" w, 'Eoe.",,;'1j 'Eo..""", 812412005
~!!lIlelP~e valley pumps, 3766 kalhryn,J;lA TE
TOTAL SDC CHARGES
$10,506.81
1 JULY 2004
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT - DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODas. CALCUlATE ONLY THE NET ADDmONAL FIXTURES)
McK~Dzie Valley Pumps
FIXTURE TYPE
BATIlTUB
DRINKING FOUNTAJN
FLOOR DRAIN
INTERCEPTORS FOR GREASEJOIUSOLIDSIETC.
INTERLu ,v<'5 FOR SAND/AUTO W ASHlETC.
LAUNDRY TUB
CWTIlES WASHERlMOP SINK
CWTIlES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TORIW A TER ST A TIONIETC,
RECEPTOR FOR COMMERCIAL SlNKI DlSHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KlTCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE~VATORY
SINK: SINGLELAVATORYIRESIDENTlALBAR
URINAL. STAUJWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDD'S'
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
o 0
o
4
4
TOTAL DRAINAGE FIXTURE UN1TS~
.EDU (Eauivalent Owcllin~ Unit) is a discharJ!e eQuivalent to a single familv dwellinl!: (20 DM set at 167 allons OCT day
DRAINAGE
FIXTURE
UNITS
o
o
3
o
o
o
o
o
o
o
o
o
o
3
o
o
4
o
24
o
o
o
o
34
CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARATEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER $1,000
ASSESSED VALUE
!'~U~\:
:.$5..12':
-'$1.98::.
$4;80'
$4,63'
.. $4,40"
. $4:07.
.'.$3,67,
, $3.22
$2,73'
$2,25.
'$1,80'.
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFfER ANNEXATION DATE)
com2005-01069a,mckenzie valley pumps, 3766 kathryn.xls
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER $1,000
ASSESSED VALUE
'.._ ')'';;+,,:'';' ":",.-U:
,:,.:,: :,$1:45'
, .' $1.25'
, ',:{\~~:~~-
, L' $0,72'
",' $0.48"
; .; l,.: ,'.. '-',~< $0 28~
'.",.:> . .
'<",',':' ~~:~;,
~ $0.00'
'$0,00"
, $0,00
x
X
CREDIT TOTAL
$0,00
$0,00
$0,00
1 JULY 2004