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HomeMy WebLinkAboutPermit Building 2007-6-6 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00307 ISSUED: 06/06/2007 APPLIED: 02/28/2007 EXPIRES: 12/06/2007 VALUE: $ 2,667,000.00 Iss u ed 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone. 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3320 Gateway St ASSESSOR'S PARCEL NO.: 1703222001700 Springfield TYPE OF WORK: Retail TYPE OF USE: New Commercial Owner: Address: PROJECT DESCRIPTION: Sbell for two lease spaces .\(\~~ NEWGATELLC ,\~'v'S~'V' 840 BEL TLINE RD STE 2~2~'<- \<;; c.~{:.. '\ ~~ SPRINGFIELD OR 9741,.7.'\ 9,'<-\' <'V \ . \ \,.: .,Co. ~....\'T. . ~'('- \" ~v' ~,\\rv\~~'\ \~'V'<-~ ~~~~ I CONTRACTOR INFORMATION I ~ ,''!} \"L,<-'V ^ (0'\- ~'V' ,0 Contractor Ty;pe ~\f~!'>m!,a~tflt~ Licen~e~,,'I Expiration Date General ~'0'\ ~~EG~\I.'ACIFIC CO . 631()8\0~ \0<0-'0" 01/16/2008 Electrical ~~~ l'\~W-\v A Y ELECTRIC INC \e5~~8? e c,e''J;<.J<.J ",q6/27/2007 Mecbanical ~~oJMICHAEL GRIFFIN ,'?>~ 450189\ ~ C?:,"" ",ec' 01/23/2008 Plumbing RA YMIE JASON HOYT ~o.O~ ",'I >>:!577J;!>'?'.",e \V",0<c-'hf17/2007 BUILDlNG\INFO~M'}Ti0Nlp O'e \,0-'O~,cr ., ,- 'O-~ 'U" \l' 0" . 'S' ~O , (..~ ,e"" >:-" Rl" G ",e' .",,,, b.~' ~lko,f !\Wries:e ,.\j ",<iP0 \~O . ,0' h~ Lot Size: ~ ~.....<\......{\ X) "^ v ..... v Helgnl\ofStructure: e\' ",' 0" 3~;OO Sq Ft 1st Floor: "n_ . ("V "')V ~,,~, r.>~.') ,;'v:l Type'of,Heat:<;> c.eFo!Jed,Air Gas Sq Ft 2nd Floor: \., ~'( ......~ 0 e ,;u Wat~r Type: 'S' >IS' .~ . . Sq Ft Basement: Ril%f'Ty;p.eR> e\\O\ ~e\ . Sq Ft Garage/Carport Energy'Pat!,:? (;e Patb I Sq Ft Other: Sprinkle~Building: nla Occupant Load: Pbone Number: 541-284-0624 Phone 503-238-3772 541-686-2365 541-942-8339 541-689-4235 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Conslruction Type: # of Bedrooms: B M IIIB 42,075 1,201 , DEVELOPMENT INFORMATION I Frontyard Setback: Side I Selback: 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: DownspoutslOrains: Notes: Paee I of 5 Status Issued 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Pavine Tvpe of Construction Estimate Use Bid Amount Fee Description Plan Review Comm/lnd/Public SDC Transpo Reimbursement -Mechanical Issuance Fe..... + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Addressing Assignment Backflow Device Boiler/Comm 15-30 HP Boiler/Comm Over 50 HP Building Permit Fire SF Fee - Non-Residential' Fixture Gas Outlets 1-4 Gas Outlets 4+ Miscellaneous Plumbing Paving Plan Review Comm/lndlPublic Plan Review Fire & Life Safety Plan Review Fire & Life Safety Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Sewage Ejector Pump Storm Sewer - 1st 50 Feet Storm Sewer Each AddtllOO' . Water Line - 1st 50 Feel Water Line - Each AddtllOO' Tolal Amount Paid Fire Department Review . .CITY OF ~rKmt."u'L1J Building/Combination Permit PERMIT NO: COM2007-00307 ISSUED: 06/06/2007 APPLIED: 02/2812007 EXPIRES: 12106/2007 VALUE: $ 2,667,000.00 I Valuation Descriution I $ Per Sq Ft or multiplier $1.00 $1.00 Amount Paid $3,325.17 $10,000.00 $10.00 $1,499.46 $539.35 $761.81 $31.00 $42.00 $150.00 $600.00 $7,884.65 $4,207.50 $322.00 $4.00 $9.00 $180.00 $1,264.40 $2,465.29 $1,517.10 $2,046.26 $45.00 $14.00 $14.00 $45.00 $112.00 $45.00 $56.00 $37,189.99 03/02/2007 Square Footage or Bid Amount 2,352,000.00 315,000.00 05/31/2007 05/3112007 Value Date Calculated Total Value of Project $2,352,000.00 $315,000.00 $2,667,000.00 Fpp<. PiiiJ Date Paid Receipt Number 2200700000000000277 1200700000000000668 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 1200700000000000710 2/28/07 6/1107 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 I Piau Reviews I 0510212007 OK GRG See attached documenl for Fire Departmeut Plaus Review comments. Paee 2 of5 . .CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00307' 225 Fiftb Street, Springfield,.oR ISSUED: 06/06/2007 541-726-3753 Pbone APPLIED: 02/28/2007 541-726-3676 Fax EXPIRES: 12/06/2007 541-726-3769 Inspection Line VALUE: $ 2,667,000.00 Initial Review 03/0112007 03/0112007 APP LLH Plan Review Comments 03/29/2007 10 JMP Called and left a voice message for Wbitney at Sycan B requesting a completed signature page for tbe special inspection forms. Plan Review Comments 04/0412007 10 JMP WE. Received tbe special inspectiou forms (comment #6) from Wbitney. Still waitiug on a response to tbe otber 9 comments. . Plan Review Comments 05/15/2007 10 JMP WE. Received incomplete responses 10 structural comments. Still waiting on items 7 and 8 (contractors and valuation). Plan nine Review 03/0212007 03/08/2007 APP EMM To be built per approved Minor Site Plan Modification. Public Works Review 03/0212007 03/26/2007 APP JHJ Attacbed SDC Worksbeet. (JHJ) Structural Review 05/3112007 05/3112007 APP JMP Received contractor and valuation information from Whitney Boss. Structural Review 03/0112007 03/23/2007 WE JMP Received witb 7 otber large projects plus a large backlog. See attacbed documents for 10 structural comments faxed to Jack Kriz. SUB Review 04/1912007 05/15/2007 APP JF Forwarded energy code forms to Jack Foster from Wbitney T. Landes, CP. SUB Review 03/0212007 03/23/2007 WE JF See attacbed documents for Item #4 on JMP's structural comments requesting tbe energy code forms and information. To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. . L..iliaMirprlln'1rl~tilnln(J Site Inspection: To be made after excavation but prior to setting forms. ErosionlGrading Inspection: Prior to gronnd disturbance and after erosion measures are installed. Rougb Mecbanical: Prior to Cover Final Gas: Wben all gas work is complete. Final Mecbanical: Wben all mecbanical work is complete. Rougb Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: Wben all electrical work is complete. Paee 3 of 5 . .CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00307 ISSUED: 06/06/2007 APPLIED: 02/28/2007 EXPIRES: 12/06/2007 VALUE: $ 2,667,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Bolts Installed in Concrete: To he done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 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. Ufer Electrical Ground: Install ground rod at footing and call for inspeclion in conjunction with footing andlor foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior 10 cover and after. all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Slructural Concrete: In excess of 2500 psi. To be done during conslruction by a State Certified Inspector. Provide results to City Buiding Inspector Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspeclor. High Strength Bolting: To be done during construction by a State Certified 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. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections h'ave 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. Rough Plumbing: Prior to cover and including required testing. Waler Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Backtlow Device: Prior to covering and provide a copy of the tesl report on site at the time of inspection. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Paee 4 of5 . Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line .CITY OF SPRIN\JI1lJ<.LlJ Building/Combination Permit PERMIT NO: COM2007-00307 ISSUED: 06/06/2007 APPLIED: 02/28/2007 EXPIRES: 12/06/2007 VALUE: $ 2,667,000.00 By signature, I state and agree, that I bave carefully examined tbe completed application and do hereby certify tbat all information bereon is true and correct, and I furtber certify that any and all work performed sball be done in accordance with tbe Ordinances of the City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein, and tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify tbal only contractors and employees wbo are in compliance with ORS 701.005 will be used on tbis project. I furtber 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 times during construction. ~~/~- -- L, Owner or Contractors Slgnat.tr:; Paee 5 of5 (.,. ../otv tJ"/ Date '" o 0.: I<) ..-< o ..-< I'- o o '" o I<) L OJ :E .. 00 If) .... 00 ..-< 00 . I<) '" , I<) 0 , .~ If) X OJ LL u ...... LL ...... u. CI: CL CI . 19 W :E :,: . ". "';.' ',.h "." , ,,., : '~.> . .. : .....".'.....-. .... ,,' ., '> . . -'. ..... ..~ '. . , . " " '. ...-. .:-.. . ';'.. '....: T .' '~1- ..... . ".-. . ..... " ,~:.. . ~. ,".... . . , ;.,. ~"i-' -;:4' . '.:. . . "'",;. '. ....",. ~~". '.. . .:.....,... . O' .O......~...'.,. ..... .^"__ ", " ',i'."._ "'...~\.....~ ". . ""'~==~............_......""..._-_.... --'<'''''-.... --~ lWIiIIIl.... ...' .... .,.otlb........lr~~_lIIIUIlIiI_..~..."". 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" ~." .. -.", ,"' .. .~ .: .....-'." . ;:,:".,' ~~;.~:;:.~~;:~~ . ~- ::~~~'..-:.'_~<\.;i;:~~~';~i~,::, ";:": .: i~ ....,...' . ~'-'" :';::.': ", .~:~, . .' ;~". " ; "':-.' :.~. . '.. f!~" Cot.. ..~ Cot:;. e ~:&'i ! ....... N ~f~; ~:: O.':ii '0, 10. !'!N ,.....~ ;:!g :~(':r .. ~:I.;I"~; J!;;.I ':. "...... ! ~ . ". lilt: i~ u: ~ . . ~til! .. . . "".f'5C .. "';:".~ i; ..t. ," ..... ,. ",-. t' . tf:: ~o .....,. .. 20 ~: ... . . ,",.f> >>':~ .,..-,1 . z m n ... 1> -< ill os" '" .., o o ~. I Reinforced Concret~ (innite, GroUt and Mortar: Con[;f"Clc I Gtlnire ! Grout Moriar I I I ,. . . : -I f: -~ 1 1 I Preca~n/Pro--s.treSscd Concrete: PH.. posr'Tees.! Pre-Tens ~ I c;, f' I CIDddine: ... '" o <.> '" Z '" <.> ,.. '" -I l 0 co ., '" <> ... .... -< ... ., ~ .... 0 co 0 .... 0 0 '" "- '" 0 "- .., 0" , SMOKE CONTROL: Leakage tesf tog. Coirtml Verification ROOFING: Insttlntion h\stallnlioiI/R.-Vaiuc'" :Test st:Tipsfs~s SPEcIAL iNSPECTioN AND TEStiNG S",.wwut-E " I. ~~teTcst of Mix Des~ri ReinforctnJ!: Test . I Mix DeSij:ii- WeiS!:hmas;ter Cert.. ReinfDrcine Placement I C{]ntilllious Batch Plant lnsoect fo:soect Placim~ Cast Samples S E1..d1 DIes (mck.uD/DeJi vcred) Com Di"es!i:ion Tesf.. I . ~". i A~~ateTests I R.dllforcine;,Tcsh: I T.cndor. Test ; Mix Designs" ~. Reinfor'Cilut Placement _ fnsert Placemen( Concrete Batching: . ~ Concref.ePI:1l".em-c:i1t IlnstallationJnSnectiOTl . CsstSilmolcs I Ph::!c':'uo Samnles I Cornnressjon Tests.. 1.- FrltEP1l00VlNG: . Pl~cemtnt inspection bemi:y tcst;J 'thicl~nes.!. tests lnspeet blitching ,,', 1 I GRADING, EXCAVA'I10N. AND F1LJ.. ~ Acceptance tests ... PSF ',; '~I -, BstabJlshfinnlgTBde , {, --4-- Fill pla.cement inspeciion/comimitHls 1 6 Soli Density , STRUCTURA.LsmiILi\vEJ..DjNG: Sample. and resr(listspecific mernbe.n;; bell>w) Shop in:ntciinl identification (inHl cert) Weld Inspection -1S.-Shop ~Pleld UJtrasonic irlspectioll _Sbop _Fie.rd Higli Strength Bet'ill~Sbop -x"-Pleld A3Z5 ~N _x . A490 _N _x Metal deck Welwng inspeclton Reinforcrng Steel welding inspe:c.llotl Reinfon:ingsteel mill ceJtlficate Metal stud Welding inspection Concrete mse.1: Welding inspectiml Moment res:is:ring.steel.frameS ,* I ".1.. t" ,r:, 'p c- .-t- p I STRUCnIRAL WOOD: I ",",. r Sheonvali nailing lnspeclion J '. ~ Shear wall aochors J ' ~ Inspection ofGIu-lam. fab. .. )'iC psj J .~," , Inspection OftroSSjOlSl fab. 1 ....., Sample rn:Id test components P F'al.lricEltion weiding of steel acce~l,)rir:s ,~'.!..' .:,:,;::." -" _F " '.. . .. ADDJTWNAL tNsimCTIONS, OTHER TIi:ST, & INSPECTioNS: .11 :.:.,... Ferm t:omptet.d by, ~~$ 'fet.Ji..l\r D.,. 2../ q,P"l c..:.T&AJ-h....vW'(", .1"..-l"\"7i!-lnt?i'b k~~ <;~A' ~.I,:O... rm.. WiIi'~O~\M, 1P~,,~..ct\tW> 6<tlr.7 iMV _wtXn-.w, ~nn~t1W?'\'if-41M.l:.\..J~'re"..m,~ ~.Lli~.Atl ~ c;.l,,_o 4JV?W~ ~ \:vQI~ OI.! nk4 ~, ,"::' . " 'PRoviDE STRENGTH REQUIRED BY ARCHITil.cr OR ENGINEER OR CONTRACT DOCUMENT LOCATION OFVALl1ES . . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER C0M2007-00307 NAME OR COMPANY: New_ate LLC (Shell BuUdin_) LOCATION: 3320 Gatewa~ St MAP & TAX WTNUMBER; 1703222001700 DEVEWPMENT TYPE: New_ate LLC (Shell BuUdin.!!! NEW DEVEWPED AREA (S.F.): 42.070.00 EXISTING DEVEWPED AREA (S.F.). TOTAL IMPERVIOUS SURFACE (S.F.): Reference COM200~0858 lTE: lTE: WT SIZE (S.F.): Referenee COM2006-00858 822 1 STORM T1RATNACiF IMPERVIOUS SQ. Fr. x No New Impen'ious Area S 0.336 PER SF TOTAL STORM DRAINAGE SDC:I Will Submit With Tenant lotill Referenee COM2006-00858 x 5 26.03 PER DFU 2. SANITARY SEWRR-CITY (seerever.;e side) A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's o x 5 19.79 PER DFU TOTAL LOCAL WASTEWATER SDC:, 5 o Credit 89920.46-641.48=89278.98 remaining l TRANSPORTA110~ BLOG AREA TGSF x TRIP RATE x COST PER ADTx NEW TRIP FACTOR NEW: A REIMBURSEMENT COST: 42.07 x 67.91 B. IMPROVEMENT COST: 42.07 x 67.91 EXISTING: A REIMBURSEMENT COST: 0.00 x 0 B. IMPROVEMENT COST: 0.00 x 0.45 NTF 525,468.49 \ x S 19.81 PER TRIP .x x 5 87.39 PER TRIP x 0.45 NTF SI 12,351.92 ~ x S 19.81 PER TRIP x NTF SO.OO I o o 5 87.39 PER TRIP x 0 NTF 50.00 I TOTAL TRANSPORTATION REIMBURSEMENT SOC:I TOTAL TRANSPORTATION IMPROVEMENT SOC: TOTAL TRANSPORTATION SDC:I S 137,820.411 x 4 SANTTARY SEWER _ MWMr. NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 42.07 x S52.46 PER FEU S2,206.99 1 B. IMPROVEMENT COST: NUMBER OF FEU's 42.07 x S550.38 PER FEU S23,154.49 1 EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.00 x #N/A PER FEU 50.001 B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 x #N/A PER FEU SO.OO 1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINlSTRA 1lVE FEE: TOTALMWMCSDC:, S 25,371.481 SUBTOTAL (ADD ITEMS 1.2.3. & 4) 1 S163.191.89 , 5 AOMTNISTRA.TIVE FEES- BASE CHARGE (SUBTOTAL ABOVE) 5 163.191.89 x 5% , 58,159.59 TOTAL SEWER ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 5 Jesse Jones Civil Engineer, EIT 3/26/2007 DATE TOTAL SDC CHARGES >> '2 80 >> 5u.,u J=', o~~&5 1-0,__' ~ ....'..,., '~-8 4)0 l:GU 50.00 50.00 1178 SO.OO 1183 SO.OO 1184 50.00 ~ S25.468.49 1173 SII2.351.92 1094 S137.820.41 ~ : 50.00 1054 S2,206.99 1186 S23.154.49 1187 510.00 1189 S25,371.48 ~, . . ' 50.00 1175 8.159.59 1190 SI7I,:15l.48, . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONL Y THE NET ADDITIONAL FIXTURES) NewJ<llle LLC (SheU Buildio~) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN. FLOOR SINK INTERCEPTORS FOR GREASE/OIUSOLlDSIETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB CWTHES WASHERlMOP SINK CWTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER ST A TlONIETC. RECEPTOR FOR COMMERCIAL SINK! DlSHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LAVATORY SINK: SINGLE LAVATORYIRESIDENTIAL BAR URINAL. ST ALUWALL TOILET. PUBLIC INSTALLATION TOILET. PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S' FIXTURES UNIT NEW OW EOUIV ALENT 3 I 3 3 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 3 DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o o o o o o o '0 TOTAL DRAINAGE FIXTURE UNITS ~ I 0 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set 81167 gallons per day CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AITER ANNEXATION DATE IN TABLE. CALCULATE CREDITS SEP ARA TEL Y YEAR ANNEXED ] 979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER 51.000 ASSESSED VALUE 55.29 55.19 55.12 $4.98 $4.80 $4.63 $4.40 $4.07 53.67 5322 52.73 52.25 Sl.80 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AITER ANNEXATION DATE) YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATE PER 51.000 ASSESSED VALUE 51.45 51.25 51.09 50.92 50.72 50.48 50.28 50.09 50.05 50.00 50.00 50.00 x x CREDIT TOTAL 50.00 50.00 50.00 2;:5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ..~~ C~f Springfield Official Receipt .opment Services Department Public Works Department Job/Journal Number COM2007-00307 COM2007-00307 COM2007-00307 COM2007,00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007,00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 COM2007-00307 Payments: Type of Payment Check cReceint I RECEIPT #: 1200700000000000710 Date: 06/06/2007 Description Plan Review Fire & Life Safety Addressing Assignment Fire SF Fee - Non-Residential Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet Water Line - Each Addtll 00' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Sewage Ejector Pump Backflow Device Miscellaneous Plumbing Paving Building Permit Plan Review CommllndlPublic Plan Review Fire & Life Safety Boiler/Comm 15-30 HP Boiler/Comm Over 50 HP Gas Outlets 1,4 Gas Outlets 4+ -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee J Paid By NEWGATE, LLC Item Total: l:heck Number Authorization Received By Batch Number Number How Received jmp 5369 In Person Payment Total: Page I of I 11:35:12AM Amount Due 2,046.26 31.00 4,207.50 322.00 45.00 14.00 45.00 56.00 45.00 112.00 14.00 42.00 180.00 1.264.40 7,884.65 2,465.29 1.517.10 150.00 600.00 4.00 9.00 10.00 539.35 761.81 1,499.46 $23,864.82 Amount Paid $23,864.82 $23,864.82 616/2007