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Home My WebLink AboutPermit Building 2004-10-6 (2) . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00814 ISSUED: 10/06/2004 APPLIED: 07/02/2004 EXPIRES: 04/06/2005 VALUE: $ 561,450.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 526 Harlow Rd ASSESSOR'S PARCEL NO.: 1703220002607 Springfield TYPE OF WORK: Retail TYPE OF USE: New Commercial PROJECT DESCRIPTION: New Image Car Wash Owner: ROBERT DIENS Address: 41230 SE 149TH PL NORTH BEND WA 98035 Phone Numher: 425-888-5849 I CONTRACTOR INFORMATION I Contractor f:::J<<:-*- License Expiration Date PACIFIC NORT~~~"mONMENTAL G78140 12/05/2005 SUNSET ELEC C-\NcR- 158859 02/2712006 DEAN M SfiHu '!:.z~ ~\:) 133733 02123/2005 VOS PLI:J.ISf~WG)~&'V 41805 ,0 04/04/2006 sy:-~~~<<:-\..~~~v I BUILDING INFORMATION. 0o.;'O~~~0~ ~~. # ~~ {;:> . ~~ ~o~ ",,0'~ 5:l1;)" # of Units: ~'\" o~~ :\-~'V f:::J<<:- ~\;)'V # of Stories: ~ \'l; O,'l; ~0 ~ s~ Primary Occup'anc~~Gr-!lup: ~~'V :;l., <X<{; B Height of Structure ~ ,'l> ;s.0 ~fJ~~ 'Sq$l ~Sl: Floor: Se~ondary OccuP~D&:-'<:'~-i~:'V~ Type ofHeat: ,0'000'0'\,0 ~ ~ ~ ~~"t~.l\.6><Floor: Primary Constructio!1;:rype;o~ VN Water Type:~.O o~....'l; ",;~p ~o-s .,0",,00.gq ~'ifasemcnt: Secondary Construc~~ype: Range !~oP. <0 'lJ.~ ~,0\' ,I;) ~ <:,o~ i.~,~~<r&\Garage/Carport # of Bedrooms: Ener~~~e (;'l; ,s:J:; ~1P ~o~ -v.;S-~t Other: Spr~~e,si"B~mgl) ,\ 0'0 0\.n71\o~ ~~'('jccupant Load: ",. r'J> _"" ."'1 ,,~ ]">I)_CY I DEVELOPMEf.liE.~roRW. nON et;o~ \ J " I " ,,,. ~ . ~"'J'V ~\O' \:)~ ~~ 0\ 0<:' Overlay Dist: C. ~~'O C; # Street Trees rqd: Paved Drive Rqd: % of Lot Coverage: Contractor Type General Electrical Mechanical Plumbing Phone 503-423-2245 541-915-4883 541-767-0626 541-485-0551 6,973 REQUIRED PARKING Frontyard Sethack: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: ' Storm Sewer A vailahle: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: Pagelof6 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Use Bid Amount Estimate Estimate Pavine Fee Description Plan Review CommlIndlPublic Plan Review Fire & Life Safety .....Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcbarge Addressing Assignment Annexed 1996 Backflow Device Building Permit Fixture Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Paving Plan Review CommlIndlPublic Plan Review Fire & Life Safety Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each AddtI 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm 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 AddtI 100' Total Amount Paid . I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 Square Footage or Bid Amount 298,380.00 120,000.00 143,070.00 Total Value of Project Fpp<. PIilIJ Amount Paid $1,022.55 $629.26 $10.00 $298.11 $159.07 $31.00 $-181.24 $56.00 $ 1 ,602.40 $224.00 $24.00 $9.00 $708.65 $321.10 $197.60 $45.00 $676.36 $889.48 $70.00 $10.00 $1,536.49 $2,256.61 $526.40 $1,325.28 ' $19,493.88 $4,419.45 $7,932.59 $45.00 $84.00 $12.00 $45.00 $56.00 $44,535.04 Date Paid 7/2104 7/2104 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 10/6/04 Paee 2 of6 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00814 ISSUED: 10/06/2004 APPLIED: 07/02/2004 EXPIRES: 04/06/2005 VALUE: $ 561,450.00 Value Date Calculated $298,380.00 $120,000.00 $143,070.00 $561,450.00 07/0212004 07/02/2004 09/2812004 Receipt Number 2200400000000000892 2200400000000000892 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 2200400000000001249 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review Initial Review Plannine Review Public Works Review . 07/07/2004 07/06/2004 07/0712004 07/07/2004 Plan Reviews I OK 07/06/2004 07/08/2004 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00814 ISSUED: 10/0612004 APPLIED: 07/02/2004 EXPIRES: 04/06/2005 VALUE: $ 561,450.00 GRG Plan Review: new automated car wash and detached retail shell building. Job #COM2004-00814. Occupancy classification: B. Construction type: V-No Car wash: 1590 sq. ft. Retail sbell building: 2000 sq. ft. Provide address numbers In contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (1998 Oregon Structural Specialty Code 502 and 1997 Springfield Uniform Fire Code 901.4.4). Provide fire extinguishers with a minimum rating of2-A:I0-B:C every 75 feet of travel distance. The top of the extlngulsher(s) shall be between 3 and 5 feet above finished floor (Springfield Uniform Fire Code 1002.1). Provide illuminated exit slgnage meeting requirements of OSSC 1003.2.8 Retail shell building: Doors shall be required to swing out as a second exit door If occupant load of proposed future InIilI submittal meets or exceeds OSSC Table 10-A second exit requirements. APP LLH APP EMM 07/09/2004 APP SB Paee 3 of6 To be built as per approved Final Site Plan Review and Development Agreement Encroachment permit application required prior to work In Public Easments or CIty Right-of-Way. SDCs added. . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00814 225 Fifth Street, Springfield, OR ISSUED: 10/06/2004 541-726-3753 Phone APPLIED: 07/02/2004 541-726-3676 Fax EXPIRES: 04/06/2005 541-726-3769 Inspection Line VALUE: $ 561,450.00 Revised Plan Review - Fir 07113/2004 07/15/2004 OK GRG Revised Site Plan Submittal: new automated car wash and detached r retail shell hullding. Job #COM2004-00814. Occupancy classification: B. Construction type: V-No Car wash: 1590 sq. ft. Retail shell building: 2000 sq. ft. Site plan sheet C-3 shows location of new hydrant. A three foot clear space shall be maintained around te circumference of the fire hydrant (Springfield Uniform Fire Code 1001.7.2). Revised Plan Review - Pia 07/1312004 07/14/2004 APP EMM Must be built exactly as per approved Final Site Plan Review and Development Agreement DRC2004-00018. Any modlllcation will require the submittal and approval of a Land Use application - Modification of Site Plan Review. Revised Plan Review - Pu 07/13/2004 07/15/2004 APP SB No changes impacting SDCs or Permits Revised Plan Review - Str 07/13/2004 07/16/2004 OK JMP Site work by Branch Engineering. Revised Plan Review - SU 07/13/2004 07/16/2004 OK JF Site work by Branch Engineering. Structural Review 07/23/2004 07/23/2004 WE JMP Received fax from Andrew Montgomery addressing structural review. Approved 4 additional drawings. Still waiting for energy code forms, special inspection forms, and contractor's bid. Structural Review 08/02/2004 08/0212004 OK JMP Received Special Inspection forms from David Diens. Gave him and Brad Rogers earlier a list of items that we are still waiting to receive. Structural Review 10/04/2004 10/04/2004 APP JMP Received SUB's approval and called Dean Schultz for mechanical equipment entries for Inspections. Structural Review 07/06/2004 07/07/2004 WE JMP See attached fax sent to Andrew Montgomery requesting Special Inspection forms and cost/value verification. See additional fax of structural comments sent on 7/16/2004. Paee40f6 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00814 ISSUED: 10/06/2004 APPLIED: 07/02/2004 EXPIRES: 04/06/2005 VALUE: $ 561,450.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 09/22/2004 09/22/2004 WE JMP Structural Review 09/28/2004 09/28/2004 WE JMP SUB Review SUB Review 10/04/2004 07/07/2004 10/04/2004 07/1612004 APP JF WE JF Received emall and fax from David Diens. Changed general and plumbing contractors, reviewed special inspection forms and building cost estimate. Called David to remind him that we still are waiting for the confirmation on site work cost/value, energy code forms, and mechanical data. David Diens faxed site work estimate. Still waiting for energy code forms and mechanical information. JMP requested HV AC and Lighting forms from Andrew Montgomery. 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 he made the following work day. , RpnnirWJg,",n,prti"ll.l Encroachment: After item(s) have been removed to Inspect condition of public right of way. Site Inspection: To be made after excavation but prior to setting forms. 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. 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. SUB Mechanical: Following City Rough Mechanical Inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Erosion/Grading Inspection: After all erosion measures are In place. 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. Foundation: After forms are erected but prior to concrete placement. 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. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Drywall: Prior to taping. Masonry: 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. Paee 5 of6 . . LlJ f OF ~rK11~ld'1I!,LD Status Issued Building/Combination Permit PERMIT NO: COM2004-00814 ISSUED: 10/06/2004 APPLIED: 07/02/2004 EXPIRES: 04/06/2005 VALUE: $ 561,450.00 225 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 have 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. Underslab Plumbing: Prior to f1lling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to mling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to mling trench. Final Plumbing: When all plumbing work is complete. By signature, I state and agree, that I 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 and the 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 . times during construction. --r-:>r'::~. ".,. }I) / (~/()LJ Date / / Owner or Contractors Signature Pa2e 6 of6 N IL !II . Q. CDM. '"Z..o04:--~oo e, ~l\,. lll'odiIIJ ,.lftlll ~E.-u..:> l~A6~ CAR- Wp.,St\ 0<) - "z:z.-c4 co ~ N [' CIl I In !II V r- C'l , I .. ~ .. v ... , In ~ ... Ul DaI. CilyofSprl/llnold C'Dm:tll~jl) ~'-O'fo:!"IOl'!S:rUI ulfl~~S"... . 1f!\tIIfI<1Il,ORt1m TII...~ (I") 11(.)719 P..: (SH) 116-161' fipe~lllln'pllllon AD4 Telling r. .,,1.... "1>'.j""I.~I'J.,..iill..;._ ..ltrI.. U pi' I"d., 1101.1."111 Oto... $lMtllnJ$JlI~.I'YCadI. PI,," nri........lnf.nn"... bt\aw. Wb... YO' h", /!II11h", Idmowl'dlun """,.itdilll oI'lb Io"rmlll....y lllUI. bdaw, I" ,"'m lIlb lINIn to Ih Clry. .UDAI A PUMIYCAH 8E IUUID.'llll..."" 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"Ill. "Ildl.. orOd.I.hIlIllIlliedM ooUlnkl. J. COfllnuaJ il fUP:WlliWoto IIfRWlhlQ,1y.,JlCNl6ptar.1 fct.&sItlQI'lI]"'ptclia.ftDllatalllll\l!rtmtn.UGlllmlybt r.au4. Beroll! II ClRllPICA Tl Of OCCUP"llCV WILL 8B Il'lUED;T\1 Si"I.,I..,..1i1lo> AI"'~....U IlIbmft ,,1l1 e.U~I'1 Oftl:1I1t 1ItMIIOIIIIIIID hi'" ,tq'irin. o"por'i.. h". kill Mr~1od ..d"puocd 1IId....... 0,. btllorl1l.lllIjIltlII(1 bOwWlo.1. ..."""'.... ,",'II lilt .N..... ,II... "odftull6ll1 Iftd 'HI/ubl. wo","..'blp .",vitl... lllal1 8"",,,,,""4 l.dIori1Uporf04 .\.olIloo n0cc4 r. GlUld'!I\11ll. Th. "IOn II 10 hl\lbOltwllG lh ClIl> ,riOf ..a,.,,\ltll lor f.'.tllnt,c"lo... ACKNOWLEDCMENTS ~~ D;'1-\~ O.."lf.....(Priolo4) ~ ('. - Owotf Slp>.... . ~Q fll"notr D,....11........ &Ilft1l\1rt ~lj:nLD ~1tI~~.E\II. ~c::::> ...... lOWl.....,....... "* PNE: ' ~~. aa. Conl,...,.,FI"" N",,! (P';""') . PSI: ~..._n\). Iptcltlllllplc!i..A....~HMo.~1 ~A ~.. -- <:" ~ \{" ~\ \~.\ .~ - . , I!Il ell} Nlm.(pdr.ltdl 8oitd!ill' omCdl ~lJnlfW~ ~CJI ~61~""QJ>}"" TN(. &.ahmlll_f'nnIPri.tilll 1'<;;'[ TI..... UboItfCIIY lIom.(Priut.l) " - e , "' . o ... I o .. o It N ... 'V . . .. C'l IL ~ L lIeJ.ro,cld c.....,.. Gunll~ GrDllt ond M.,ltr: ~ ULKllle . (jrOU\ ~ co - N [' , In .,. C'l I ~ .,. In PrecullPrt-ll,,"ed C.n"d" PIIH IPtUleTenl Pre.Tent. ~ .c: 1/1 III :3 L III U GI ~ III E - S~IDXE CDNT/lOL: 4lbkelCllin& CCt!~.lvcrifi"llon ;) GI z: ROOfiNG ,"".lllion in'18UtlionlR...luo' rCllluip".co",s II. N C'l N o .,. o SPECIAL INSPl!CTION AND TESTING SCHEDULE A.U~UIIl T'lt af Mix Durin Relnrordfl' Trll \41. Oedln--Welrhmllr Cut . D.t.n.fDcla, Pbflmtnl C".-O!llil'\\:nu4 DItch PII~I ''''10 IntpKl PIIl(.j,"~ CIU Slmptu ~.mplu fPh:kupIDrU"lrtdl Con'preuion Teu' GRADING, EXCAVATION, AND PILL .JC" Accepllllu """ I r;; () () PSF l!Itab!iJh flnt1lltda :-V Fill plK.mcnl incptclionlc...inuauc v Soil Ou,ily STRucruRAI.SnEIJWELDINC: Semp:t end 1I11!1iU lptCific Dlom!>.,. below) V Sh.p maltrialld",inCllio, (mill ccn) -.:;:..-- Wold irJptCli.n ...k""'Shop .JC"' Field Ulue1Olli< I.cpoelinn SIIop Flold Hi&h .l'tn&lh bollinl _ Shop Field All! II X F A4tO II - X F Matol dock willinl inaptCllon Relnlolcl'l Stoel welding In.pt<llo. !lelnlorci.. ,'eet mill ccnificole Melol'h:d "eldinS inlpt<lio. ConcrCle in.." w.,dlnal..ptCllon MOrNnt rcnltlnallCtllrlJl\es AlfMflre Tu1c B. 'In(ftftj"r Tt:u, Tr~ T.II l.<i'lluIanJ' RrlPlrotd"f Pllcement '"VA PJu:emfl''I' CGlIotrtlll RAIr.h.lnD ConerlUl PIK!rII!1\1 .,tlIJII.dnnJ"mrultll' CI.IISIrn.p'U Pil::\:.up J:lmp'" r~mpm.~l\ Tnb STI\UcrURAL WOOD: Shell w.lI n.illn; in.poelio. Shell w,lI anchon In,pullan ollllu-llI" lob. . _ TIC ~Ii '..peeli.., of INl\ joillllb. Semplt Ind ltll eompontnlt reritel10n ",eldlns 01 II.el ICcm..i.. P/ll.EPll.OOfIJlGl Plattlll'~II"'P<<IIG:I DellIII)' T UlJ 1'11',bil1llellJ Ir4p'" b.tehl'g MASONRY: L Spec/II in,pecr1oll SUW" ulC~' !!l.J2D.Jm ~r8 L Pre1imln.ry 1Ce.p1'"" Ie". (muonry uniu, ",ll Pli.rro.) .J:::: Sub"~u'nll..I' (morto., glouI, neld wall p,iSlll') .J:::'" Plocemonl inl(l<<I11\l1 ol..~., nlld ..inCbreome,,, ~ M"C1nary. monu, Graul, ami rcinforcinaltCc.l ccnirtulu n -r:---...... , -, . t.ot> of FQftIlCOIIPI:tcd bJ~' ~. \../' Ollt_f~ "ADDITIONAL INSTRUCTIONS, OTH[R TEST." INSPECTIONS: ~ 'PROVIOEURENCTII REQU1R(D BY AIlCHrTEcrOR ENCINEEROR CONTllACTDDCUhlSm LOCATION OI'VALUES N IL 111 (/) c.. I: oJ , 0 'I , 0 .. 8 III o,j 11 . . 11 o l(\ ATfACHMENT A CITY O~GFIELD SYSTEMS DEVELOPMENT CHARGE vASHEET JOURNAL OR JOB NUMBER com2&s14 ===-= NAME OR COMPANY: New Image Car Wash LOCATION: 526 HARLOW RD MAP & TAX LOT NUMBER: 17 03 22 0 I 02607 DEVELOPMENT TYPE: Car Wash NEW DEVELOPED AREA (S.F.): EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): 6,973.00 846 lTE: ITE: LOT SIZE (S.F.): o 15,842 I STORM DRAINAGE IMPERVIOUS SQ. FT. x S 0.310 PER SF 25,589 TOTAL STORM DRAINAGE SOC:' $ :5t I t ~ ti ~ II e"'- iBl~ ,~': j 2 SANITARY SEWER-CITY A REIMBURSEMENT COST: NUMBER OF DFIJ's B. IMPROVEMENT COST: NUMBER OF DFIJ's (SEE REVERSE SIDE) , $ , $ 37 x S 24.04 PER DFU 889.48 I $ 676.36 I $ x S 18.28 PER DFU 37 TOTAL LOCAL WASTEWATER SDC:I $ 1 ,565.84 ~ 3 TRANSPORTATION BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A REIMBURSEMENT COST: 1.000 x 322 x S 18.30 PER TRIP x 0.75 NTF 1$ 4.419.45 I B. IMPROVEMENT COST: 1.000 x 322 x S 80.72 PER TRIP x 0.75 NTF 1$ 19.493.88 1 EXISTING A REIMBURSEMENT COST: 0.000 x 0 x S 18.30 PER TRIP x 0 NTF 1$ B. IMPROVEMENT COST: 0.000 x 0 x S 80.72 PER TRIP x 0 NTF 1$ TOTAL TRANSPORTATION REIMBURSEMENT SOC:' $ TOTAL TRANSPORTATION IMPROVEMENT SOC:' $ $ TOTAL TRANSPORTATION SDC:I $ 23,913.33 ~ 889.48 676.36 4,419.45 19,493.88 23,913.33 4 SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 6.973 x S323.62 PER FEU B. IMPROVEMENT COST: NUMBER OF FEU's 6.973 x S220.35 PER FEU EXISTING: A REIMBURSEMENT COST: NUMBER OF FEU's 0.000 x SO.OO PER FEU B. IMPROVEMENT COST: NUMBER OF FEU's 0.000 x SO.OO PER FEU MWMC CREDIT IF APPUCABLE (SEE REVERSE) 1 $ 2.256.61 I 1 $ 1.536.49 I 1 $ I I $ I $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADM1NlSTRA TlVE FEE: $ TOTAL MWMC SDC:' $ 3,621.86 ~ - SUBTOTAL (ADD ITEMS 1.2.3,&4) '$ 37,033.62 ~ 5 ADMINISTRA TlVE FEES' BASE CHARGE (SUBTOTAL ABOVE) S 37,033.62 x 5% S 1,851.68 TOTAL TRANSPORTATION ADM1NlSTRATlON FEE:' $ TOTAL SEWER ADM1NlSTRA TlON FEE:' $ (181.24) 2:256.61 1,536.49 10.00 . ,~,ul 526.40 1079 '- steveI'\. w. Bea<<.Gl'11 Barv..es 719fl004 c&filjb~g. Car Wash. 526 Harlow Rd.lilr\ TE TOTAL SDC CHARGES 38,885.30 , $ JULY 2001. . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIX1URES x UNIT EQUIVAlENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET AvvJJJVJ~AL FIX11JRES) New Imaee Car Wasb FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTER\..cr 'V~ FOR GREASFJOlllSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO WASHlETC. LAUNDRY TIJB CLOTHES WASHERlMOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRlGERA TORIW A TER ST A TIONIETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERIETC. SHOWER, SINGLE STAlL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIOOUBLE LAVATORY SINK: SINGLE LA V A TORY /RESIDENTIAL BAR URINAL, STALUWAlL TOll..ET, PUBLIC INSTALLATION TOll..ET, PRIVATE INSTALLATION MISCElLANEOUS: FIXTURES UNIT NEW OLD EQUN ALENT 3 o I 4 3 4 3 I 6 2 o 3 6 12 I 3 2 2 3 2 2 I 1 o 5 I 6 3 NUMBER OF EDU'S' DRAINAGE FIXTURE UNITS o o 12 12 6 o o o o o o o o o o o I o 6 o o o o TOTAL DRAINAGE FIXTURE UNITS= ..:nu (Eauivalcnt DwcllinR Unit) is a di~ eauivalcnt to a sim!:le familv dwellin2 (20 OFU) set 81167 RBllons ocr day CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AF1ER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY 37 YEAR RATE PER $1,000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 orbcfore $ 5.04 1992 $ 1.52 1980 $ 4.95 1993 $ 1.38 1981 $ 4.88 1994 $ 1.19 1982 $ 4.75 1995 $ 1.03 1983 $ 4.58 1996 $ 0.92 1984 $ 4.41 1997 $ 0.68 1985 $ 4.20 1998 $ 0.46 1986 $ 3.88 1999 $ 0.27 1987 $ 3.50 2000 $ 0.09 1988 $ 3.07 2001 $ 0.04 1989 $ 2.60 2002 $ 1990 $ 2.14 2003 $ 1991 $ 1.71 2004 $ CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $197.00 X 0.920 $181.24 IMPROVEMENT (IF AF1ER ANNEXATION DATE) x $0.00 CREDIT TOTAL $181.24 com2004-Q0814, New Image Car Wash, 526 Har10w Rd.x1s JULY 2001 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 8P~ ...~ WiL. Job/Journal Numher COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-008l4 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-008l4 COM2004-008l4 COM2004-00814 COM2004-008i4 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 COM2004-00814 Payments: Typt of Payment Check 10/612004 RECEIPT #: ay of Springfield Official Receipt Wvelopment Services Department Public Works Department 2200400000000001249 Date: 10/06/2004 Description Addressing Assignment 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 SanitarylStorm Admin SDC Transpo Admin Annexed 1996 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 Paving Building Permit Plan Review CommllndlPublic Plan Review Fire & Life Safely Furnace - up to 100,000 btu Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fe.... + 7% State Surcharge + 10% Administrative Fee Paid By NEW IMAGE CAR WASH Received By jmp Page i of I Item Total: Check Number Authorization Batch Number Number How Received 1030 In Person Payment Total: I :28:20PM Amount Due 31.00 7,932.59 889.48 676.36 4,419.45 19,493.88 . 2,256.61 1,536.49 10.00 526.40 1,325.28 (181.24) 224.00 45.00 70.00 45.00 56.00 45.00 84.00 56.00 708.65 1,602.40 321.1 0 197.60 24.00 12.00 9.00 10.00 159.07 298.11 $42,883.23 Amount Paid $42,883.23 $42,883,23