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Home My WebLink AboutPermit Building 2006-5-26 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00417 ISSUED: OS/26/2006 APPLIED: 04/07/2006 EXPIRES: 11/26/2006 VALUE: $ 1,585,100.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2800 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration PROJECT DESCRIPTION: Tenant infill- Ashley Furniture in Old Emporium space Commercial ,,-r"'rr-"ITII"'\I\I. rI",^",...n ''='lAl rAnllirp~ vnu to Owner: Address: GATEWA Y MALL PARTNERS ioll~"; rules adopted by the Oregon Utility 110 N WACKER DR BSC 3-04 ATTN PROPTAX-ADMINn Center. Those rules are set forth CHICAGO IL 60606 ;~-OAR952-001-0010 through OAR 952-001- UU'::1U. YUU lllay ,UUlQIII vvt-';........ .....~ ::..... . _~:: I:.} I CONTRACTORrlNF0RMAHONLI (Note: the telephone numoer lOr '"" u,.,gon Utility Notification Cfl.!;icense '800Expitafio'n Date 47432 04/11/2007 91668 07/20/2007 117195 09/29/2006 1505 05/t9/2010 157734 11/17/2007 Contractor CD REDDING CONSTRUCTION INC MORROW MEADOWS CORP SECURECOM INC SALEM HEATING & SHEET METAL INC RA YMIE JASON HOYT Phone 503-581-0048 503-399-7609 541-988-3585 503-581-1536 541-689-4235 Contractor Type General Electrical Low V oUage Electrical Mechanical Plumbing BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: M # of Stories: .. , _ Lot Size: l . .. Height ofStructu~e -. Sq Ft 1st Floor: Type of Heat: "J ,'"'ERMIT SHAll EXfS!I Ft 2nd F:.loor: , . I GR 'f,r I~ IH~ w"RK Water Type:, 1,,') IlED UNDER THI~qJtJ.~~e,,:~nt:~ Range Type: lJl'v,MENCEO OR IS ABAM,~t.g~rbgeJtDarPort Energy Path:">I'r' 180 OAY PERI Sq FtlOihf.:;R Sprinkled Building: n/alJO, Occupant Load: 208 liB I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: ' % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: Page 1 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description Plan Review CommllndlPublic + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus + 10% Administrative Fee + 8% State Surcharge Low Voltage - Commercial Indus -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Fixtu re Minimum/Adjustment Mechanical. Miscellaneous Plumbing Plan Review CommllndlPublic Plan Review Fire & Life Safety Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addt1100' SDC Sanitary/Storm Admin Vent Fan Water Line - 1st 50 Feet Water Line - Each Addtl 100' Total Amount Paid Fire Department Review 04/1212006 Initial Review 04/12/2006 . .CITY OF ;,rtuI\j\JI'IELD . Building/Combination Permit PERMIT NO: COM2006-00417 ISSUED: OS/26/2006' APPLIED: 04/07/2006 EXPIRES: 11/26/2006 VALUE: $ 1,585,100.00 I Valuation Descrintion J $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 1,585,100.00 . Value Date Calculated $1,585,100.00 $1,585,100.00 OS/23/2006 Total Value of Project FpP~, P"liry Amount Paid Date Paid Receipt Number 1200600000000000429 2200600000000000574 2200600000000000574 2200600000000000574 2200600000000000574 2200600000000000574 2200600000000000629 2200600000000000629 2200600000000000629 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 3200600000000000277 $1,417.59 $43.90 $35.12 $43.00 $306.00 $90.00 $13.50 $10.80 $135.00 $10.00 $579.92 $463.93 $5,395.15 $168.00 $33.00 $45.00 $2,089.26 $2,158.06 $45.00 $38.13 $50.15 $28.00 $4.41 $12.00 $45.00 $28.00 4/7/06 5/9/06 5/9/06 5/9/06 5/9/06 5/9/06 5/19/06 5/19/06 5/19/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 5/26/06 $13,287.92 I Plan Reviews I 05/11/2006 GRG See attached document for Fire Department Plans Review comments. OK 04/1212006 APP SKG Pae:e 2 of5 . .CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2006-00417 225 Fifth Street, Springfield, OR ISSUED: OS/26/2006 541-726-3753 Phone APPLIED: 04/07/2006 541-726-3676 Fax EXPIRES: I 1/26/2006 541-726-3769 Inspection Line VALUE: $ 1,585,100.00 Plan Review Comments OS/23/2006 10 JMP See attached documents for 12 structural comments, 13 fire comments, and special inspection forms faxed to Lonny Deffenbaugh. Plan nine Review 04/12/2006 05/17/2006 APP EMM Approved for Interior Only and facade. Parking Lot improvements to be submitted by seperate permit and approved only after Minor Site Plan Review. Public Works Review 04/1212006 05/17/2006 APP SB See revised plan review. Revised Plan Review - Fir 05/08/2006 05111/2006 OK GRG Revised Plans Review: Ashley's Furniture tenant infill in former Emporium anchor store-addition of mechanical plans from Salem Heating and Sheet Metal, Inc. Job #COM2006-00417. Occupancy Classification: M. Construction Type: II-B Sprinklered. Approximately 54,714 sq. ft. Occupant Load: approximately 1,312. Mechanical plans sheets indicate HV AC systems exceeding 2000 cfm requiring smoke detection per 2004 Oregon Mechanical Specialty Code Section 606. Smoke detection shall be monitored by the fire alarm system. All other fire department comments from the original plans submittal still applies. Refer to the first set of plans review comments dated 5/11106. Revised Plan Review - Pia 05/08/2006 05/17/2006 APP EMM Interior and facade improvements only. Loading ramp and parking changes to be submitted seperately and approved after Minor Site Plan Review. Revised Plan Review - Pu 05/08/2006 05/17/2006 APP SB SDCs added for two new fixtures. All others paid on 90-0127. Revised Plan Review - Str 05/08/2006 OS/2212006 WE JMP Called Lonny Deffenbaugh to request Special Inspection Forms. Revised Plan Review - SU 05/08/2006 OS/25/2006 APP JF Structural Review 04/1212006 04/20/2006 WE RWC Received 4/14/2006. Sent Review Letter 4/20/06 Structural Review 05122/2006 OS/2212006 OK RWC Paee 3 of5 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00417 ISSUED: OS/26/2006 APPLIED: ,04/07/2006 EXPIRES: 11/26/2006 VALUE: $ 1,585,100.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review OS/25/2006 OS/25/2006 APP JMP Structural Review 04/28/2006 04/28/2006 10 JMP Received special inspection forms, mechanical contractor data, and energy code forms from Bill McCall. Received final internal approval. Per discussion with Dave Puent, the agreement with Gateway Mall must be reviewed as to whether the tenant qualifies as an anchor store. JMP left a voice mail for Lonny Deffenbaugh requesting the BE and HV AC energy code forms. Lighting passes review. SUB Review 04/14/2006 05/01/2006 WE JF 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. Reonired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. Ceiling Grid: After drywall approval but prior to cover. Special Inspection: Weld Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Final Bnilding: After all required inspections have been requested and approved and the building is complete. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including reqnired testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be requested and approved prior to requesting any occupancy approval. Fire Department Access. Inspection to assure access is available to site for construction project. This inspection is required prior to any combustible construction. Final Fire Department. After all requirements of the Fire Department have been met. Pal!e 4 of5 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00417 ISSUED: OS/26/2006 .APPLIED: 04/07/2006 EXPIRES: 11/26/2006 VALUE: $ 1,585,100.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting 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 I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield a!,d tbe 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 '-";&7t1l. , ,,--a.{;---(k ~ Owner or Contractors Signature Date Paee 5 of5 -. '.: Cil}' of Springfield Commulli!)' Services. Division 225 Finn Street Springfield. OR 97477 Telephone: (541) 726-)75~ Fox: (541) 726-36R~ CDM.U:Ob'oo~\.1 S-'l.S-Ob Building Pemlit:f ~'Dl:'I~~'"t Onte ~uet{\\:u ~ Pmjcct Title '2..8s::> ~"""'t'~ u".f,.."'( ~~-C- Pwjccl J\ddrcss Spedalln:-lpectioll amI Tcsliol-: To applicanl'l(lrproicc.:l~ n::qtlirin,g spc{;;ill in'il",'clion ur 1~S1jll~ 114 per Section 17040' the Orcg.(ln Slnlclmnl Srcl:iulty coot:. .tll.:osc revtew tile inh"mution helow. Whlen )'OU Imve fini$lted, m:knowkdg..: un un\k:r.a:ll1dingofl!lo infotllluliun by signing. bdo~". .mu rctum thu {"nn to dll: Cily. IIKliORE,\ pl':RMrr CA:"l BE ISSUED: -nlc iI\\'rurnr (1wncr'~ rrpl<:scnl!tCivt:. UII Ihi: a(hke urlhe rcspomlblc: J"ro~cl Engineer or Architect, ~J13J1 complete, Si,gll. ilnd submilto th~ City lor rcvic"" and approvallhis Conn complldco on bolh the (ronl_and b:tk. The m\/I~r and GellCfal Ctmlr..1L:trJr. where appliL:<,ble. sh;.lI also acknowltd,g~ tho.:: roJluwing cooditiom ilpplk;i1bk tu Sp.;dallnspl..'l;lhm cllUJ/or Tcstillg. 1. Contr.u:tur is respol1sible flU proper floli.ic.\lion far the In~pcetiun or Testing or items listed. . 2. Testing laboml(lry stmll tnb~ approprinlft swnplc, Md tmn:lport th.em to their 100bomtory rur IJl1lpcr c:vlllulltlUlI Of lesting_ COf1it:~ ofaJllnborutory reporls und inspt::cliINL'i iue 10 bestnt 10 lhe City b)' the Testing ^g;~l1cy. C' '. (:7 . '\- ~~.\\-Q"-<:- ..-'_U ~~. , J. Spcci~1 Inspection Agency i.~ to submil mll1lCS' nnd qmJilkations o{on-ske Speciall.n!lptct~ 1'0 the Cit}' lOr approvcl. ... SpcciuJ 1l1.'lpccltlf" 511..,U flltwidc inspecti()fl reJXlrls to Ihe building official of:J1l inspeclion nCli,,'iliG. 5. Contrncfor is <<:sponsihlc 10 re"iew ll'!c City uPPlUvtXIlllans for udtlition<J;l inspcclion (If ~lIjl1g rl.'tluil'\."f1ICllIS Iilnt may be noted. BEFORE A (;ERTIFtCATE OJl OCCUPANCY WILL DK ISSUKl>: -I"he Sp.:ci.,llnipec.tion Agenc,' ~II SUb01lltu the Uuildirq: OOidal n !liJ.tcmentthal all ilem.1 r..."quiring. insp<<tion have b<<n tullillC(( ~HI rcpurh:d and wen; 10 the lle.'il uflhe inspt:<:Ulr'S knowledge, in conlormWKC with the approved pluns. spccititatiom ond ~JlPlicablc workman,hip pm\o'biullI. Tho.re items: nut lested and/or iIupecred shall be norcd in the slnlcm.cnt '11M: rcpor1 i510 be .mbmined to Ihr Cit)' prior to a request lilr Iimd impeclinJU. r ame (Pn red) O#V~ fJf,/~rI~ Engincc;r Qr Arctfitcct Firm c:rrr~ fJ,A. T c:sl~ng Lllboralory N~:une (Printed) \ CS+.k ~ --~)~syrdclor Firm me (P. riuted) ~~tP~~ltr.~~ Sig...t"r. __.. ~nutQ...9 ~"_"" :,_,.~i.~ge\y N~(I"inl~....:.1 Lr . :ocr Rep Sign. <.\ ~k0r - A.1C;" '- L' \ ' !-" BUIldmg OOlcial Name (prinh:d) BUltdil1B Omcial Signature to U1 , '" w , '" to to '" to CD W Ul .... '" . '" w '" .... '" 8 ~ < Iii Ul 'U ;0 - li To . m r '" I> Ii1 to Ul SI'~:CI^I, INSPECTION AN!) TESTING SCHt:1l ULE /' __ / l .~g:rc[!ate.:re~(orMi:-c: L>c~~~__ RcinfDr.4"m.!: Tcsl ~J.!~esip.n.Wcj~hm01Sler CCf1,. 'li?t"n!TJrcinll J1L"SC~01..:nl -... ---I i "'ConlinU01JS !lalch Plantln'ipcrt. I __ ____ / _ ~recll't3;c:jru!. ~~~-'-~--+--'~"-'--(_._...__I'___._ / / -- ~1;1~~~l~~~~~UpJDcli\'\;rnli__.__' . 1.. ,_ 7' _._ Comore3sion T<cst' (JreCintIPn:.:Ihcu~d Con:;r~IC: / ~k5 _.. . Pu~.Ten!l pre-TeLl' Clnd~~_ - _._____ _ ____..___. _ -!,-c~rcl!alcTc.sts .__._ __ / R.:infordnucsl:l_. -/ I TCflc.loflTcsl --- I Mix Lksifm:*' - 1-- nk-inlorcint!. PJaccmcnl ----- ----7 I IlfI~rt Illm~c:menl ~._._ ___... 1____1 CoocrelcRn,tchinl! I I Concrete Plncem..:nl I.. ____-----..J I Jll'>tallation fn.s[]cctioll ~ --- -- -I I (;3.!1 Scmpl~J ;( I I j'ic/c.l1ll Samn!e, / l I 1 COOlfJfC5.'li<m i:cst" r'i{l:inl~;rccd Con<;relc. OunilC, Groul find Mormr: I Cum:(clc F Ow.;l~= =_-(jro~~~..._ .\AortiiT-- j ---I I SMOKE CONTROL, _ tenlwge t~~ting COltln.1 Verifil;nliun FIRKPROOFING; _11at:cmcnt insr.edian Den"lily l~ Thickness tests Insp!d batching ROOFING: __Jnsl1lntillc ilb1nllnlionlR-Vnluc. _Tet \lcipslliCI1JnS GIL\.uING, ~;XeAVATlON,'\Nll FILL '- f\cccptancc h:.'\ts', _PSF "ti'!flabHSh Iinnl g.fillh: , laccmcnl inspcctionlcnnlinul1U3 Suil cnsil)' STR IJCTURA L STEEUWEI.OING: Slm1Jllc and It.$t (fist.:spt..ocilic mcmb~rs b(:!Qw) Shop lnillCria! itk."1lIitiCi'tioo (mill \--crt) '" Weld in~pccti(m j_Shop -i_fteld liltra.~(Jnic inspccliun __Shnl' _Fil:ld High Slrcfl(;lh Ilolling_Shol} _':jcltl An; _N _x 01490 N X Met..lded \...ddin& inspcdion - Reinlorcing Slocl ~elding insptclion f{cinlor~il1g ~ecl mill cenilicate Melal'Olud wcl~ljn~ inspection Concrete Lrm.'11 wcltling inspcctiol1 Moment Nsi:tLing ,ited franu...:s I' _F S UCTURAL WOO\): ~'h.ellr w.lll nailing in~pedi01l Shear weU anch0r3 spcclwnofG!u-larn fab. -__11C psi In ClicJn oftru:ssjoisl fab. Sllmp nd tcJt compont.'hls FDbriculi "c1din.u Ilf ..Icel u,,"'Ccssorics ONRY Spccinl irupe...1.il'lf1s1rc.s~S lZ:U:dt..__fm fg 'rcJiminary acccpluncc le.sU (mnsonl)' units, \\'all prisms} Su uenllcslS fmortur. grOOl, rsckJ wall pri~mlS) Placcmc .nsp~clion of units. and reinforcement MD.'lonry, m roul. aod n::inforcing sterl (c:rlitkat!:S AIlDITION,\I. INSR~CTlONS, 01l1.:1{ n:1>1', & I:'olS?V.CTlONS; =-ALl ~'*Z.t;,,- a..'/P.h Ahk_ J)&-- :...Me- ~ " b r u.:iL6d t;!N wd!.I "y Fann Complclcdb); Pa~ML IlOIO .x~~~f >'/../,.",. I{ 1.. f.~ I CZ e ['AI -/~ $'If fI- rM*" -. {MH /).,..,4:"" , '!'ROVIIJE STRF.NGTII Rl::QUIRKD IJV A RCIIIT!:CT OR F.NGINKEROR CONTRACT DOCUMENT I.OCATION OF VALUF.q co U1 ~ ..., '" ~ ..., co co u> co <Xl W '" .... ..., '" . w '" .... '" ('J ~ :;! 'il ~ ~ ~ 10 r '" . " ~ fa .... co p.ago 3 of'll . oil-lroo comprossod air. Tho TItan HD screw anchor shall be installOO into tho hole to tho requlrod ombedment uaing a socket wrench or powerod Impact wrench. 4.1.1 Anc:hOlll Installed In Fully Grouted CMU Masonry Walls: Anchors InstallOO In tho face offully grouted CMU wall construction shall be limited to tho face sheD of the CMU untt (center web end grouted cores) and tho horizontel morlared bed joints, as indiceted by the shadOO areas In Figure 3. Anchors installed in a T -joInt tho mortarod head joint or the end webs of a CMU untt. as Indtcatad In tho non-shadOO ereas in Figure 3, are outside the scope of this report. For anchors Inslalled in tho top of fully grouted concrete ...,..'", , walls (CMU grouted cores and CMU webs), anchor location shall comply with the minimum edge and end dis1ances noted In Tables llA and llB and shown In Figure 4. Anchors InslallOO In the mortarod head join1are outside the scope of this report 4.2 InstaUa1Ion with Special lnapectlon (When Required): Continuous special Inspection shall be provided when requlrod by the tables in this evaluation report. Special in~.w"':_.. under the IBC and IRC shaD ... '. '''' 10 IBC Section 1704; under the UBC. speclall.~._"':_.. shall be In accordance with UBC Section 1701. For ::._,:....'w instaDedwith special in.._"::_.., the foDowing Items. as applicable, shall be inspected: fastener type and di..,._.:..,s: __'_w:J type and concrete compressive strength (lor anchors installed In concrete); ..._....,untttype and compliance with ASTM C 90; grout and mortar com, ......: . strengths, and (when required) masonry prism compt'llSSiye __ ...~~.; drill bit size and compliance with ANSI 8212.15-1994: and fastaner embedment spacing. end OOge (and end) ~:.:...._. The special Inspector shalllnsped and verify thai anchor Installation compiles with this avaluation report and Simpson Strong-TIe Company's publlshOO installation Instructions. 5.0 CONDITIONS OF USE The Tllen HD Screw Anchors dasaibed In this report comply with. or are sullable allematlves 10 what is ''', ' .:':.. I In, the codes lislad In Section 1.0 of this report, subjact to the following conditions; 5.1 Anchors are Identified and Installed In accordance with this report and the manufacturer's published Inslallation Instrucllons. 5.2 Anchors InslallOO In normal-weight COl...abo to resist dead. live. wind and aarthquake load applications shall be In s._._.~ with Sectlon 3.2.2. 5.3 Anchors inslaDed into the top or bottom of structurel sand-lightwelght ... ..:. filled matakleck assemblies 10 resist dead. live, wind and earthquake load eppllcatlons shall be In accordance with Section 3.2.3. 5A Anchors Installed In the face or the lop of fully grouted CMU masonry waDs to resist dead. 6ve. wind. and earthquake load applications shall be In Q_....J1l:e with Section 32.4. 5.5 Since an ICC-ES acceptance critllria Iorevalua1ing data to determine the perfonnance of anchors subjected to fatigua or shock loading Is unavailable at this time, the use of lhasa anchors under these conditions is beyond the scope of II1ls report. 5.6 Anchors are not. .,,,.:~.~ for use In conjunction with fl_sllve construction. Exceptions would be: , Anchors resist wind or seismic loading only, . ESR-l056 , For other than wind or seismic loading, special consideration Is given to fire ellpOSUre conditions. 5.7 Since an ICC-ES acceptance critllria lor evaluating the perfonnance of screw anchors In cracked _ ,_.'^' Is unavailable aI this time. the use of anchors is limited to inslaDatIon In uncracl<ed concrete, Cracl<lng occurs when f,> f,due to service loads arde.:....,.....::......... 5.8 Anchors are InsIalIed in substrates In holes prodrilled with carbldlHipped masonry drill bits complying with ANSI 8212.15-1994. and having the same diamater as the nominal diarnetar of the anchor. 5.9 Calculations demonstrating that the appllOO loads are less than the allowable loads dasaibed in this report. shall be submilled to the building ofIlclal. The catculations shall be .' w.......J by a registered design . professional where requirod by the statues of the jurisdiction in which tha project is to be constructed. 5.10 Special Inspection, when requlrod. shall be provided In accordance with Sactlon 4.2, 5.11 Anchors shaD be limited to dry. Interior use, 5.12 The Tllen HD screw anchors are manufacturod by Simpson Strong-TIS Company at a facility in Bramplon. Ontario, Canada, under a quality control > . 0 "" with inspections by CEL Consulting (AA-639). 6~ ~DENCESUBMnTED 6.1 Data In accordance with the ICC-ES Acceptance Criteria for Predrilled Fasten"'" (Screw Anchors) in Concrete and Masoruy (AC106), dated November 1, 2003, including the following optional tests: 6.1.1 Anchors installed In normal-weight ooncrate: Effects of edge dislance on tension end shear performance (Test Series 4, 5, 6, 7. 13, 14. 15. and 16 of AC106); effects of spacing on tension and shear perfonnance (Test Series 9 and 18 of AC106); oblique load tests (Test Series 19 and 20 of AC106); and seismic perfonnance lasts (Section 4.6 of AC106). 6.1.2 Anchors InstallOO In the top and bottom of ' structural sand-l~ht_"_Q.oand metakleckassemblies: Effects of edge dislance on tension and shear performance (Test Series 4 and 13 of AC1061. and seismic per!onnance lasta (Saction 4,6 of AC106), 6.1.3 Anchors InslallOO In tha face of fully grouted CMU masonrywall construction: Effectsof adgedlstance on tension and shear .~:_.....nce (Test Series 4. 5. 13. and 14 of AC106). end seismic perfonnance lasta (Section 4.6 of AC106). 6.1A Anchors inslalled In the top of fully grouted CMU IIUIlIOnry wall construction with a minimum l'I.~nch (44 mm) edge distance: Effects on tension and shear per!onnance (Test Series 4 and 13 of AC106), and seismic performance tests (Section 4.6 of AC106), 6.2 A quality con1rol manual. 7.0 IDENTIFICATION TIlen HD screw anchor packaging Is marlted with the Simpson Strong- TIe Compeny name; produd name (Tllen HD): anchor d;,......, and length; the name or logo of tho inspection agency (CB. Consulting); and the evaluation report number (ESR-l056), In eddltion. the ,. symbol and anchor length (In inches) is slamped on lI1e head of each saew anchor. , " . . AITACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER C0M2006-004] 7 NAME OR COMPANY: AshI-,'v's FurnilUre LOCATION: 2800 Gateway SI MAP & TAX LOT NUMBER: 17 03 22 00 02300 DEVELOPMENT TYPE: TCIIlIDt lnfiII for furnilUre st= in Galewav Mall NEW DEVELOPED AREA (S.F.): 49.681.00 EXISTING DEVELOPED AREA (S.F.): 58.600.00 TOTAL ]MPERVlOUS SURFACE (S.F.): ] STORM DRAINAGE Paid wilb 90-0127 lTE: ITE: LOT SIZE (S.F.): IMPERVIOUS SQ. FT. x S 0.323 PER SF TOTAL STORM DRAINAGE SDC,~ II ""\ 828 828 .:.;:'''Z~;;~,~~:':-~~t :~~. 1':/,',:8;,0::,' ;~~ ,':,,1;i':1 tj;:f'lE~,~.L:'tCg ",;::''8 ,\,'.~ :O;1;:),;t.I"hl,J: L'~u SO.OO SO.OO i"~C-'."-~- ;;";, ~,', . . " if r~_ " .j' ~L '. ;"Y17if 2 SANITARY SEWER-CITY A REIMBURSEMENT COST: NUMBER OF DFU's B, IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 2 x S 25.07 PER DFU 2 x S ]9.07 PERDFU S 44.]4 TOTALWCAL WASTEWATER SOC:I S88.28 I 0.65 NTF S20,2] 6.82 ~ 0.65 NTF S89,]74.97 ~ 0.65 NTF (S23.846.26)~ 0.65 NTF (S]05.]84.l4)~ 3 TRANSPORTATION Paid with 90--0127 BLOG AREA TGSF x TRlP RATE x COST PER ADT x NEW TRlP FACTOR NEW A REIMBURSEMENT COST: 49.68 x 32.8 B, IMPROVEMENT COST: 49,68 x 32.8 EXISTING A REIMBURSEMENT COST: -58.60 x 32.8 B. IMPROVEMENT COST: -58.60 x 32.8 x S ]9.09 PER TRlP x x S 84.]9 PER TRlP x x S 19.09 PER TRlP x x S 84.]9 PERTRlP S 103.28 x TOTAL TRANSPORTATION REIMBURSEMENT SIX:I TOTAL TRANSPORTATION IMPROVEMENT SIX:! TOTAL TRANSPORTATION SDC:I S Paid with 9~127 4 SANlTARV SPWl'R - ~ NEW: A REIMBURSEMENT COST: NUMBER OF FEU's B, IMPROVEMENT COST: NUMBER OF FEU's 49.68 x $46.98 PER FEU 49.68 x $495.30 PER FEU EXlSTING: A REIMBURSEMENT COST: NUMBER OF FEU's -58.60 B. IMPROVEMENT COST: NUMBER OF FEU's -58.60 MWMC CREDIT IF APPLICABLE (SEE REVERSE) x $46.98 PER FEU x $495.30. PER FEU S2,333,94 1 S24.607.2] 1 (S2.752.94)1 ($29.024.83)1 TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTALMWMCSDC:I S SUBTOTAL (ADD ITEMS ],2,3,&4) S8828 1 5 ADMINISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) S 88.28 x 5% I $4.41 . TOTAL TRANSPORTATION ADMINISTRATION FEE: S TOTAL SEWER ADMINISTRATION FEE: S St.... IZ1 e....., e..... SIX COORDINATOR TOTAL SOC CHARGES 51] 712006 DATE C0M2006-00417, Ashley's Furniture, 2600 Gateway.xis S50. I 5 .. J.I83' S38.13 II~ !. S88.28 -~ , , ~:- \' (S3.629.43) :j.]:7J (S]6,009.17) :1094 (S]9,638.60) 'G'; ~ ;" 6', :~' " ~ . :.." -.' ""; SO.OO ,:1054. ($4]9.00', ]0]86. , . ',-'I! ($4,4]7,62;': 1:]87.. SO,OO ]0]89 ($4,836.62) ~\~:.~,; ;,o,,,l; l ~~; hZ- ~:~ ,".;.; ,'IUS.. 4.41 :'1190 -. S92.69 1 JULY 2004 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) Ashley's Furniture FIXTURE TYPE BA THTIJB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASElOIlJSOUDSIETC. INTERCEPTORS FOR SAND/AlITa WASHlETC. LAUNDRY TIJB CLOTIlES W ASHERlMOP SINK CLOTIlES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRlGERA TOR/W A TER ST A TlONIETC. RECEPTOR FOR COMMERCIAL S1NKI D1SHW ASHERlETC. SHOWER, SINGLE ST AU.. SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LAVATORY SINK: SINGLE LAVATORYIRESIDENTIAL BAR URINAL, ST ALUW AU.. TOILET, PUBLIC INST AUA TlON TOILET. PRlV ATE INSTAUA TION MISCELLANEOUS: NUMBER OF EDU'S' F1XTIJRES NEW OW UNIT EQUIVALENT 3 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 1 5 6 3 8 6 2 2 8 8 TOTAL DRAINAGE FIXTURE UNITS= 'EDU iEauivaknt Dwcllin. Unit) is a discharJ<e eouiVll1ent to a sin.ole fami1v dwe11in. (20 DM set at 167,..nons per day CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE. CALCULATE CREDITS SEPARA TEL Y YEAR AAJ'ICAev 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER SI.OOO ASSESSED VALUE S5.29 S5.19 S5.i2, $4.98 $4.80 $4.63 .. .. $4.40;' $4.07' r $3."67':: , S3,22: $2.73. $2.25 :, S1.80:' CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXA TlON DATE) C0M2006-00417, Ashley's Furniture, 2800 Gateway.xls YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATE PER SI.000 AS5ESSED VALUE .c" : S1.45: S1,25, S1.09 $0.92- ""," ,. SO.72 . ,,, SO.48' ":<I;~~'~." SO.28'. ~::::::I SO:09:: ".' ,SO.05:' ." 'SO.OO SO.OO ',,' , ,', SO.OO x x CREDIT TOTAL .. . DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o o o 2 o oo o o o 2 SO.OO SO.OO SO.OO 1 JULY 2004 225 Fifth Street .' . Springfield; Oregon 97477 541-726-3759 Phone . ~, ~~ .. ~. <;Ii& of Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 COM2006-00417 Payments: Type of Payment Check cReceintl RECEIPT #: 3200600000000000277 Date: OS/26/2006 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Stonn Admin Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddU 100' Water Line - 1st 50 Feet Water Line - Each AddU 100' Fixture Miscellaneous Plumbing Plan Review Comm/lnd/Public Plan Review Fire & Life Safety Building Pennit Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Paid By BFL INC. Item Total: l:heck Number Authorization Received By Batch Number Number How Received njm 503 In Person Payment Total: Page I of I 9:54:41AM Amount Due 50.15 38.13 4.41 45.00 28,00 45.00 28.00 168,00 45.00 2,089,26 2,158,06 5,395.15 12,00 33.00 10.00 463.93 579,92 $1I,193.U1 Amount Paid $11,193.01 $11,193.01 5/26/2006