The URL can be used to link to this page

Home My WebLink AboutPermit Building 2006-11-3 -~~!!'IJ",~~~,-"i'i",,", UA..! .-, ) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726~3769Inspection Line SITE ADDRESS: 3169 Gateway St ASSESSOR'S PARCEL NO.: 1703222003100 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01251 ISSUED: 11/03/2006 APPLIED: 09/29/2006 EXPIRES: 05/03/2007 VALUE: $ 46,000,00 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant infill - All State Insurance Contractor NAGAO PACIFIC ARCHITECTURAL P.C. COLBERG COMMERCIAL INC 91666 07/11/2007 BIG C ELECTRIC LLC 156428 07/25/2007 COMFORT FLOW 1<460~ >-$'/[I 06127/2007 RA YMIE JASON HOYT Ii) ,f57;734" ",,'/Ok 11/17/2007 BUILDING INFORMAJ'ICiN'.;OI);; ~Q'~Vr$,qo <.~~. rOft 12'00 &1)1& :OI&~.'?/~ # of Stories: I)ftlJ}. 11).9/, ~~ I-a ~l,ot S~zei It- r$" Height of Structure ~$I'", ~6 a r:y 06 1:\SH"Fj.lsPFIOOi:li; Type of Heat: C. 01'1~ (91)16 i'~/i)StpFtltid'FI~o.t./'.$';..o Water Type: $1)1", (9 O~ ~ "-A. Sq.F.I~Bas~ment?1) I. '(;"0 .....I'i '6: {lv.c ,,'.... .. lJ.. ...,,, Vi','. Ra,nge Type: ;SO l. ;go S.q, Ft!GaragelCarp'ort'l'l. " ,.. ".b '/} ... v,.. '9 <..:.'1 ~ '.Y Energy Path: Vrl,. (Sq 'Et,Other: ~., '0", .t. ~ - it. -u'iJ u.,~ - rn _ "f:;I ~ '''a -II ,Sp'rinkl<d Building: nla 15'.Occup.ant,Load: V, 4/, "t) .I." 4.~' ,,~;.. 'V''''......'O/L .~~ . .. -,. . --v. -"1. -'1. ""J I DEV,ELOPlI<lI'Jl" .NFORMATlON I ~ l:'~~. 6 II F'> ','ily ""'-';'.<(0' ')11. REQUIRED PARKING I 'vC 1'.<(' "~9/v,eft.;iy' Pi~!;.c:: ( f': # St'ree{lIreeS<Rg<Jf~.l'> ,v...... 'I' '0; .re:- Paved,,,&ve,l,lad: YS A ~ l; % of Lot~ve::irtv. {('..s>4f, 1Yf' V4t/' 'II'I Jt,-Ol' <'j) r,CO IY(_ I PUBLIC IMPROVEMENTS I ro-? ,yO/, Owner: BENTON PROPERTIES L TD Address: 980 WILLAMETTE ST EUGENE OR 97401 Contractor Type Architect General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I CONTRACTOR INFORMATION I License Expiration Date Phone 541-687-9600 541-344-4242 541-744-8946 541-726-0100 541-689-4235 B 881 VB 9 Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Fully Improved Yes Notes: Curbside 5' Curb and Gutter Paee I of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Constrnction Estimate Estimate Fee Description Plan Review CommlInd/Public -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge + 8% State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Building Permit Fire SF Fee - Non-Residential Fixture Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Perm Serv/Fdr 200 amps or less Plan Review Fire & Life Safety Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Total Amount Paid . I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 46,000.00 Total Value of Project ~~p~, ~ Amount Paid Date Paid $225.71 $10.00 $9.30 $53.64 $4.65 $22.41 $7.44 $35.86 $30.00 $31.00 $347.25 $88.10 $56.00 $24.00 $15.00 $63.00 $138.90 $197.90 $260.30 $22.91 $6.00 9/29/06 11/3/06 1113/06 1113/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 1113/06 11/3/06 1113/06 $1,649.37 I Plan Reviews I Paee 2 of5 6:ITY OF ~rK11'\i\.d<IJ<..LU Building/Combination Permit PERMIT NO: COM2006-0125I ISSUED: 11103/2006 APPLIED: 09/29/2006 EXPIRES: 05/03/2007 VALUE: $ 46,000,00 Value Date Calculated $46,000.00 $46,000.00 09/29/2006 Receipt Number 2200600000000001364 1200600000000001605 3200600000000000568 1200600000000001605 3200600000000000568 1200600000000001605 3200600000000000568 1200600000000001605 3200600000000000568 1200600000000001605 1200600000000001605 1200600000000001605 1200600000000001605 1200600000000001605 1200600000000001605 3200600000000000568 1200600000000001605 1200600000000001605 1200600000000001605 1200600000000001605 1200600000000001605 . -=ITY OF SPRINGFIELD Building/Combination PeniIit Status Issued PERMIT NO: COM2006-01251 225 Fifth Street, Springfield, OR ISSUED: 1lI03/2006 541-726-3753 Phone APPLIED: 09/29/2006 541-726-3676 Fax EXPIRES: 05/03/2007 541-726-3769 Inspection Line VALUE: $ 46,000.00 Fire Department Review 10/0912006 11/0212006 OK GRG Plans Review: Tenant lnfill for insurance office. Job #COM2006-01251. Occupancy Classification: B. Constrnction Type: V-B. 881 sq. ft. Occupant Load: 9. Provide address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (2004 Oregon Structural Specialty Code 50 I.2 aud 2004 Springfield Fire Code 505.1). Provide fire extinguishers with a minimum rating of2-A:10-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished noor (2004 Springfield Fire Code 906). Ahove the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" if key locking hardware is employed (2004 OSSC 1008.1.8.3, exception 2.2). Initial Review 10/03/2006 10/03/2006 APP LLH Fire Fee and Addressing fee apply - first time lease space Plan Review Comments 10/25/2006 10 JMP WE. Received partial response to structural comments. Faxed energy code forms to Jack Foster. See attached document for cover for special inspection forms faxed to Ray Aliperti. Plan Review Comments 10/26/2006 10 JMP WI. Received Special Inspection forms from Ray Aliperti of PSI. Plannine Review 10/0912006 10/10/2006 APP EMM Paee 3 of 5 -IitItGrl~~~~' .-"..,' . . ,', H . ._, - . a:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01251 ISSUED: 11/03/2006 APPLIED: 09/29/2006 EXPIRES: 05/03/2007 VALUE: $ 46,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Pnblic Works Review 10/09/2006 10/16/2006 APP CJS called architect (Nagao Pacific) for information on previous tenant type of business and demo'd DFU's; arcbitect will call back with in'ro. 10/13/06 CJS Builder called back: new space with 1st tenant so no SDC credit for previous DFU's. 10/13/06 CJS Structural Review 10/0312006 10/ll/2006 WE JMP Added SDC's for new DFU's. 10/16/06 CJS Received 10/9/2006. See attached documents for 8 structural comments faxed to Ken Nagao. Received final internal approval. Structural Review SUB Review SUB Review 11/03/2006 10/30/2006 10/09/2006 11/03/2006 10/30/2006 10/16/2006 APP APP WE JMP JF JF JMP called Ken Nagao to request the energy code forms and he said , that he will direct the subcontracton to provide those forms. 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. , "'~rwirp'" Tnsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Ceiling Grid: After drywall approval but prior to cover. Final Fire Department. After all requirements of tbe Fire Department bave been met. Final Building: After all required inspections bave been requested and approved and the building is complete. Rougb Plumbing: Prior to cover and including required testing. Final Plnmbing: When all plumbing work is complete. 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. 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 Rough Electric: Prior to Cover Paee 4 of5 . _ITY OF SPRIN&l'lJ'..LD Building/Combination Permit PERMIT NO: COM2006-01251 ISSUED: 11/03/2006 APPLIED: 09/29/2006 EXPIRES: 05/03/2007 VALUE: $ 46,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed hereiu, and that NO OCCUPANCY will he 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 he 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 rmit carrf is located at the front of the property, and the approved set of plans will remain on the site at all times during ~u~V , I (_ 3 -0 ~ .. m"'.'~ f'~\ Date Paee 5 of5 . , . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER C0M2006-0 1251 NAME OR COMPANY: All State 1nsunmce LOCATION: ., 3169 Gateway Sl MAP & TAX LOT NUMBER: 1703222003100 DEVELOPMENT TYPE: ., 1nsunmce office in new ~""" in ~ shoppin! =tec (SHOP,CNTR. <50TGSF) NEW DEVELOPED AREA (SF): 753,96 Trans ITE: 821, NEW DEVELOPED AREA (S,F,): 753,96 MWMC lTE: 715 EXISTING DEVELOPED AREA (S,F,): 753,96 lTE: 821 TOTAL IMPERVIOUS SURFACE (S,F,): LOT SIZE (S,F,): 1 STORM DRAINAGE storm water fees paid under COM2004-01238 for sbopping cnter IMPERVIOUS SQ, IT, x 5 0.336 PER SF TOTAL STORM DRAINAGE SDC:I 2 SANITARY"'~(see=side) A. REIMBURSEMENT COST: NUMBEROFDFU's 10 B, IMPROVEMENT COST: NUMBER OF DWs 10 Dew DFUls ~ 1st tenant x 5 26,03 PER DFU x 5 19,79 PER DFU TOTAL LOCAL WASTEWATER SDC:I I 5458.20 I '. ~"'.t-~(, -~ -,~ > , I 'l/\~;~r~>:,;j ~:-:~;~U ',,' ,-8",:,:'''' I"~ ." t'~;.;-:j5_~~: ";:~:8: -,- i. '. 50,00 i ,:':" 'C".,"), 50,00 I,J,~i78E [,-'--<<1"'1 ''- ':~i ., '''i-; $160.30 I j'183- ,.1.>, ':;}:;::~-~ $197.90 '\l.J.84" 1;",- 'j 5458.20, ., 3 TRANSPORT A nON transportation fees paid under COM~12J8 for shopping center BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW: A. REIMBURSEMENT COST: 0,75 x 86,56 B. IMPROVEMENT COST: 0,75 x 86,56 EXISTING: A. REIMBURSEMEl>IT COST -0,75 x 86,56 B, IMPROVEMENT COST: -0,75 x 86,56 x 5 19,81 PER TRIP 0.35 NIT x 0.35 NIT 5452.50 1 51,996,161 5 87.39 PER TRIP x x x 5 87.39 5 19,81 PER TRIP x 0.35 (5452.50)1 x NIT' PER TRIP x 0.35 NIT' (S1,996.16~ TOTAL TRANSPORTATION REIMBURSEMEl>IT SOC:I TOTAL TRANSPORTATIONIMPROVEMENT SOC:l TOTAL TRANSPORTATION SDC:, 5 I 4 SANITARY _~PW1='.R - MWMC new space in existing sbopping center - 1st tenant NEW: MWMC fees paid for sbopping center under COM2004-01238 A. REIMBURSEMENT COST: NUMBER OF FEU's 0,75 B. IMPROVEMENT COST: NUMBER OF FEU's 0,75 EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's -0,75 B, IMPROVEMENT COST: NUMBER OF FEU's -0,75 MWMC CREDIT IF APPLICABLE (SEE REVERSE) x 552.35 PER FEU 539.471 x 5549,44 PER FEU 5414.251 x 552,46 PER FEU (539.55)1 x $550.38 PER FEU (5414,96)1 TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: Difference between sbopping center & insurance office TOTAL MWMC'SDC:I S SUBTOTAL (ADD ITEMS 1,2,3, & 4) I 5 ADMlNlSTRA TIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) 5 I 5458.20 I 458.20 x 5% I $22,91 TOTAL TRANSPORTATION ADMINISTRATION FEE: 5 TOTAL SEWERADMlNlSTRATION FEE: 5 Carol Stineman Eng, Tech. III TOTAL SDC CHARGES 10116/2006 DATE " 50,00 $0,00 $0,00 I",' I;' $0.00 ; ~i~-?4:: (50,08)dij,~6 i (50.71) :iU81! $0,00 '1IT89,j ''1 (50,79) , ----;--;:-:1 ~.:'.'_.~ :~"'~:w_' ,{,] .. . ! .;J')'751 22,9IJJl9.0.i 5481.lJ . . . DRAINAGE FIXTURE UNIT (DFIJ) CALCULA nON TABLE -",' NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) Insurance office in new mace in existing sbopomJZ; centO" (SHOP.CNTR. <50TGSF) FIXTURE TYPE BA TH11JB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASFJOllJSOLIDSIETC, INTERCEPTORS FOR SANDIAlITO W ASHlETC, LAUNDRY TUB 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 SINK! DISHW ASHERlETC, SHOWER, SINGLE STAll SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LA V A TORY SINK: SINGLE LA V A TORY /RESIDENTIAL BAR URINAL, ST AWW All TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S. FIXTURES UNIT NEW OLD EQUlV ALENT '3 I 3 3 6 2 3 6 12 1 3 2 2 3 2 2 1 5 6 3 " , DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o 2 2 o o 6 o o TOTAL DRAINAGE FIXTURE UNITS = I 10 .EDU (EQuivalent DwelliDl~ Unit) is a dis~e CQuivalent to a sinlde family dwelling (20 DFU) set at 167 gallons per day CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AITER ANNEXATION DATE IN TABLE, CALCULATECREDlTS SEPARATELY YEAR ANNEXED 1979 OT hefem 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER SI,OOO ASSESSED VALUE .' S5.29, S5,19 " ',S?,'12 ,$4,98 ,,$4,80 ' :1"$4,,6.3' ,:, $4,4~, ',' $4,07' :S3.67 " '$3'22 ,$2.73 ;.$2.25 . "S1.80' CREDIT FOR P ARCa OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFfER ANNEXATION DATE) YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATE PER SI,OOO ASSESSED VALUE ',.. ...-,.....-. . ' ,,$1:45, ..... S1.25'. : '"tsi:09. ::SO.92, SO.72 , sq1! S0.28 ,- SO.09 SO.05 " SO.OO SO.OO SO,oo ' x x CREDIT TOTAL SO,OO SO,OO SO,OO ell)' at' SPlIIthrIII c, ' "" ,Ilr s...... D8it1a11 2:1' PlftJiIllRcI S,.lnafMd. <Ii 97m T..L" , , ,.' (S41) 72l5-11S9 'alI: (!<II) 7:H-J689 ( t)~ 1QCX. ~Q1J'" \ IIalldila PcmIIJ j..\\..~ \r&.,,-Q~ ~C:.~ _L<..a. ~ ..a-rulal . -r---r- ~I"q (~. ~"'f':t\ -.::;..~~? , Pr9cllllNma 1Q-7~-d III!. stc_1II I...pnlloll.... To...... 'r. '1'1'11._" .......... ," ...., ;,., 'IlC"IAl r...p<<1lan ..lOUll.. uper !II"'. 11&1 0,.,....110.... S1n..1V1lIl !\AI< iolly C'adcl pt.... nvl....l/I. l.rva"lIlo"lrolow. \lIlIm Y.' baY. 1IJlillIId, odI_........ _"'.,lIllg 01111. i.lhnnI.... ilJ IIplllg III., ...._1II1s RlIIIl ","'CWy. IIVORI A PlRMn CAll BBJlIIIIJIlIl: '1lIo """'. OJ """'.,..nptOmll.fi......'ba_..fl/l. ~. ~l EnPu'" "'...lriD:a.ohoIl.....phlo. ti&/LlIWllUlonJIIDIl>o CIly rilr 1'Cll1C\W .....p(lllJYllIIllI.IiIr....llIJllllllrnl on bod> Iftoo r...nlllld 1JaI. n......' lIlldUrn<dC_.,'OI, "r... OIIIl""lblt. "'"II oI...._I..lh.tlft>wifl!l ,dUo.. .ppIIlC.hl. 11> 9ptdIJ1_1iu. - TOld." I. CInl..,....lImp...iw..l.r_an.~_I... f..."" ,.....di1ID... ~1.1i..... Ilsl<1l 1 Ta,,". IobneDHy "..ll...._opri1ll. ~Ill<' ..d 'lIlMjl1I'" _I.llloirw..~for _G1IoI,_orlnlil1ll- . C'a~i"Gr.II"bllllla7lfC'poiIJ....inqxtl!ml""'li>"" UlIIID'~. m, '" lIIo TelI"aAIOnqr. 3. liJccld lnIJ11d... "'Sloc) io.. .....11........ oa4 'I1I8l1l1mll9n. ......'II.lIpallal....P'C1QI1 10 the CII) lltr IfPM"L 4.. :ip<r:ldr..pedlIolsollprlJ_idol_,I.n rrpsuISlO Ih. iIdIdiIa _r,hllllll ...." ,,,~., ..1I_1du. ~. (.nlnlllJf 1.1apIrnWelD....I... "C:ily.,." ,., ",pl:llllIil.8lllIIio.......,..'..n .,"'.lnallll.., .'.... ,halllllJ."lld. 81IJOJUlAC:IlIDUJc.\1& Ill' OCC1lPANCY wn.L IlIll141lllll1kSpRillIl..pcollcu"'lIInQY 111111...1110 illo 8Iillclhla Olllrfal Q _menl .....1_ ......... 111IjJlII1im.... bcmldli...,.... "''''lI8In..... 11I/l1O_ Gille ..."....... """.dp.ln _lira...... MIIII~.Ip_...pr.., apaIllClli...ulld""" ,'" ",,;, ...r1rmlolllp ~ ",'.", ",,, 1ftonrlloms...I_.._.Mp10l'lil.,IIoo......lAIMIl.......L 1lIDIOport IH01ao~tIlDlflcc:a,ptilrlOlIrcqlIIdlbrllml :, .J:CXNOWLIBCIMDI'JI ;r.~A. ~uLlt Oiln...lfamo~ ~~T).j..,....... . Balincerot I\rd1IlIel iii*'(ii,rnhld) PSI TUlJDIl Llh0J11IIIJ'lIamI ~d) '" .' " '._11"" J t1~nif~~ 1'~",","",,~ &/b<<A. aW'~~JbI(. em.C.~Fl'ID"""(JllsrIIItI) c. .., ~.,. {\ ~ P;>\ \.....u~...u - -' ((~yl! - a"'I"'lnspo:a1_J\il-~Cpr~,~t>-..t.Mi.. ,,\1 " ," ~ ' il \ ~, ')<f I f'_,-, \ "";. ;:, " - Ii_Offield lfual (J'rin~ nu;ldiJla dit'k-WS..- :0 ~ ~m '" \!! .... 'll m lSl '" 1l!\_~...~,~IIIIkfMo,.t:. OIID_ tlI~I" . an. ,,,,.,,,,2' , I'r~'I!plWdC_.' I l'1In' ~T...' P",;T... I I I t:ta!d!n1Z t 8MlIKI CUl'Il'llOL, _~I"'lni ~tV<rillcaJl1n R" ~I,'.~_I.: _....."""'" iDobIJoIall-YIlllIlI" _T....lrI,. , . ".. aPICIAL ~CIION.,rm 'I'IITJKG SClllDUI& .~ TlIf.'1>lIlo DIll... 1f!"1Ur-. M'tc~"""'J'UC'lt:. 1!tI!!tm1.i!!t..-. [_"'I !f!ol~~1 flIn,_. 1nt(qJJ'tl!i E:ad_pJlfll2 ,:!....iJllti~I.......... 'C'lmI::.:I.~ttm~~ DllAIlUW,IIllCAVAllON._JlLL J\c(.-..... P9l' lrItJllIllh liard ,,_ . filip, "",' ,,,., ,....,..,I'-tla 9D1I1IIrN1l)' , .. lITlOInUM& 1ftIlJ\1IAD1I'f0l ' !II1mJloud 1t'llJbIlIJIOdJIIlllflll''''~} !lIDp 1ftGIori1l1_l!athlo> lmdIl ...0 \told "'_11on _!!Up_field Uhuoonl. laq<<liua _SIlD,_l'laN H1Il/1S.....l\Illl.hln'_Sh.'---"ldI ,,'U _N ~ . .J' MlJIJ --3'1 _Jl _(I Mt.al tIoct \Vel.... 1".1'''.... lll<iftlllltlsa ~ ",.101.. IftIOe&Ii... RciAforcl.."...1 ..Ulalllllo. Well" Wd ",....In.I.......llo. c_ ban ..oldinall\!pccll.. Mom.IlI......1lC<II..""'" L,I;- :. Tnt!. LlnrDRinlil Tbls f~-n.SI l!ilI Jh:jiarll' Ioillbdoe P1Ior._ _1'1_Di' ' ~....~ ~!J._Ill- hoIlIIlIIlGiI.",., ' ,0.; r.-.a Pld...;iiSirnoM Cdll...ila1'r.stI I'IRlre'IlI1lA1. WOOD! , Shlo'lfQII..a ......d... BhnrlUln~ III ,,"" Df Cl/JHaon fall.. · DC "I lD,p.OIID" D'_ JdOIAb. lampl....lalc .''''d .. I.. "I ....riellllaa weldl." .faIAI....... , ,: , JlRBPIIOOIIlWk ,r.rn."l-"I I.'~. Dnity_ 1101".__ ~ ....... 1IolASONaY SfafaL,.... u...*", r", I', P,,,;',, ..""" '..',',,, ..,IIlbc-u'l...... wall pdlnIl) ~. 'I," _l)DarIllr......1ldd VIIIprIIpIl) Prt<..c:d',,~;, ,,:... ofllllJt.lUUI ,",l,.,."",~ I......."............JIIDlblolaa..... Illtllllaln "DDll'I~~L IJIIIRI!PImJI.011lllR TI&'I',,~ IN fICIlGfIlIl _Ce.'l\I/,lo. bl'lt+' ~L't\oN ......J ' ....""OImplcb!d1lJ:~ o.~ ~ 'U 'PlOYIDISTIlIl'C&TB BlQUlRID BY ARaUJBC:T OA:Il'Wll'lpalla .." '" 'CTDOc:lWIIn' LOQTlOII OJ' Y"LIlD ~ . ... '" ... ... ..... '" '" '" ..... ..... '" '" B '" ..... '" .., '" I '" '" ... co i '" ... '" '" '" '" '" '" ... '" ~ l)l '" ..... '" '" ... ~, w ~ 0 " ,~ :!! n n ill ... -i ... -< Iij II) " '" ... . t:l ~ .. '" ~ ~ ~ :0 " ~ " ~ Ai '" w '" w 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .~1If C_rSpringfield Official Receipt '-Iopment Services Department Public Works Department Job/Journal Number COM2006-0 1251 COM2006-0 1251 COM2006-0 1251 COM2006-0125 I COM2006-0125 I COM2006-01251 COM2006-0 125\ COM2006-01251 COM2006-0 1251 COM2006-0 1251 COM2006-0 1251 COM2006-0 1251 COM2006-0 1251 COM2006-0 1251 COM2006-0 1251 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200600000000001605 Date: 11/03/2006 Description Addressing Assignment Fire SF Fee - Non-Residential Fixture Furnace - up to 100,000 btu Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Fire & Life Safety Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By COLBERG COMMERCIAL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 097361 In Person Payment Total: Page I of I 1:47:3IPM Amount Due 31.00 88,10 56,00 24,00 6,00 15.00 10,00 260,30 197,90 22,91 138,90 347,25 22.41 35.86 53,64 $1,309.27 Amount Paid $1,309.27 $1,309.27 1113/2006