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Home My WebLink AboutPermit Building 2003-9-5 . U Ii' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 09/05/2003 APPLIED: 02/14/2003 EXPIRES: 03/05/2004 VALUE: $ 3,663,106.80 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1007 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300400 TYPE OF WORK: Medical Office TYPE OF USE: PROJECT DESCRIPTION: Medical Office Building, DRC #2002-11-0359 Owner: WILLAMETTE MEDICAL CENTER LLC Address: 975 OAK ST # 780 EUGENE OR 97401 I CONTRACTOR INFORMATION I New Commercial Contractor Type Contractor License Expiration Date Phone Architect AFFOLTER WEST & JONES 541-342-6511 General MElLI CONSTRUCTION CO 63771 02112/2004 541-485-1417 Electrical CHRISTENSON ELECTRIC INC 458 05/01/2007 541-688-6121 Mechanical COMFORT FLOW 460 06/27/2005 541-726-0 I 00 Plumbing ROBINSON PLUMBING INC 107124 07/13/2005 541-345-6909 BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 3 B Height of Structure 43.00 1-1.2 Type of Heat: TeS 'lOll \0 VNSpr 'OT~~!~rc~y~:~Il~gon U\iliW , ......"'1'11101'1, Range.;nypepr e set lort p;.,.to' dor,''''u -, I sar , 1\01N Tules a Energy~IMh': e R 952.00 \ \0 . cen\eT," g\'l O~ t ,,'nli\iea\Ion ~r'" _()O~O\\'IrOIl_ _ ^' Ihe rules in O~I-\ ;0,1: DiMEBopMiN;r~IN"v"'I"ATioN"1 0090.. . \\'Ie ee' HU" , Utility r.v..... calling OTegon 344). ber loT \\1E'Overlay,niji:2-2 nil'" ,e "V ~'Y' Cen\er#Btreet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: SETBACKS Front yard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Lot Size: Sq Ft 1st Floor: 7,972 Sq Ft 2nd Floor: 9,090 Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 9,090 Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIT SHALLt!b:-Rb9PDlfisTMli.1MORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of9 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Estimate Foundation Onlv Pavine Sprinkler Svs Use Bid Amount Estimate Use Bid Amount Use Bid Amount Sprinkler Svstem Fee Description Plan Review Comm/lnd/Public Plan Review Fire & Life Safety + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge Fixture Foundation Permit Paving Planning Final Occy Inspection Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addlll00' Water Line - 1st 50 Feet Water Line - Each Addlll00' Refund - Admin Fee + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Low Voltage - Commercial Indus Perm ServlFdr 200 amps or less Perm ServlFdr 201 to 400 amps Perm Serv/Fdr 401 to 600 amps Perm Serv/Fdr 601 to 999 amps SDC Sanitary/Storm Admin Storm Drainage Impervious Area Plan Revicw Fire & Life Safety Plan Review CommlIndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 7% State Surcharge . I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 $1.00 $2.60 Square Footage or Bid Amount 1,121,000.00 2,100,000.00 235,130.00 159,675.00 18,193.00 Total Value of Project ]?PPO P'>W Amount Paid $3,941.93 $2,425.80 $76.07 $214.13 $96.65 $112.00 $1,007.65 $760.65 $118.00 $45.00 $28.00 $45.00 $70.00 $45.00 $28.00 $-76.07 $591.76 $414.23 $546.00 $3,883.60 $45.00 $630.00 $525.00 $125.00 $163.00 $637.60 $12,752.04 $143.58 $5,737.34 $3,387.09 $5.60 $3,92 Date Paid 2/14/03 2/1 4/03 4/21/03 4/21/03 4/21/03 4/21103 4/21103 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/22/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 6/30/03 7/9/03 7/9/03 7/16/03 7/16/03 Paee 2 of9 . LlJ i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 09/05/2003 APPLIED: 02/14/2003 EXPIRES: 03/0512004 VALUE: $ 3,663,106.80 Value Date Calculatcd $1,121,000.00 $2,100,000.00 $235,130.00 $159,675.00 $47,301.80 $3,663,106.80 08/12/2003 08/06/2003 04/18/2003 04/18/2003 06/3012003 Receipt Number 1200200000000000702 1200200000000000702 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 VOUCHER # 61288 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 1200200000000001678 1200200000000001734 1200200000000001734 1200200000000001771 1200200000000001771 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Addressing Assignment Storm Sewer Each Addtll 00' Water Line - Each Addtll00' -Mechanical Issuance Fec- + 10% Administrative Fee + 7% State Surcharge Appliance Not Listed Backl10w Device Building Permit Exhaust Hoods Fixtu re Fixtu re Furnace - more than 100,000 Gas Outlets 1-4 Gas Outlets 4+ Not Covered Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Vent Fan Total Amount Paid . $8.00 $42.00 $14.00 $10.00 $918.37 $642.86 $18.00 $42.00 $7,065.65 $9.00 $84.00 $1,512.00 $45.00 $4.00 $2.00 $360.00 $4,751.57 $6,251.47 $10.00 $361.78 $3,457.91 $1,403.50 $608.03 $20,705.18 $4,692.65 $42.00 7/16/03 7/16/03 7/16/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 $91,589.54 I Plan Reviews I Paee 3 of9 . CITY OF ~rK11'\jt.FIELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 09/05/2003 APPLIED: 02/14/2003 EXPIRES: 03/05/2004 VALUE: $ 3,663,106.80 1200200000000001771 1200200000000001771 1200200000000001771 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review . 0212112003 03/18/2003 OK Paee40f9 . CITY OF SPRIr'l\JJ<1J!.LD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 09/05/2003 APPLIED: 02/1412003 EXPIRES: 03/05/2004 VALUE: $ 3,663,106.80 GRG COM2003-00086. Plan Review: Medical Office Building; Type V-N Sprinklered; Band 1-1.3 Occupancy. Shell plan only. Submit sprinkler plans to Springfield Fire Marshal's Office for review and approval Submit fire alarm plans to Springfield Fire Marshal's Office for review and approval An emergency generator shall be installed and tested in accordance with NFPA 110. Testing documentation shall conform to NFP A 11 0 and be provided to the Springfield Fire Marshal's Office for approval prior to occupancy. Duration of power supply shall be not less than 90 minutes (OSSC 308.9) Provide special inspection certification and testing documentation to Springfield Fire Marshal's Office from an Oregon-registered electrical engineer verifying egress lighting meeting the 1 footcandle requirement along paths of egress per 1998 Oregon Structural Specialty Code Section 1003.2.9. Test shall be completed prior to final occupancy. Submit infiIl plans for review and approval by Springfield Fire Marshal's Office and Springfield Building Official Submit electrical plans for review and approval by the Springfield Fire. Marshal's Office and Springfield Building Official Entry road shall be widened to 24 foot two way with no parking on either side as stated in the Site Plan Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review . 04/30/2003 05/07/2003 OK Paee 5 of9 . Lll r OF ~YKlj~u1<lJj,LD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 09/05/2003 APPLIED: 02/14/2003 EXPIRES: 03/05/2004 VALUE: $ 3,663,]06.80 Review dated February 26, 2003 (Journal #DRC2002-11359-Finding #12) GRG Provide address numbers plainly visible and legible from the street or road fronting the property (OSSC 502 and Springfield Uniform Fire Code 901.4.4) 6 revised drawings. COM2003-00086. Revised Plan Review: Medical Office Building; Type V -N Sprinklered; Band 1-1.3 Occupancy. Shell plan only. Plans show correction of cntry road. Road widened as directcd in Site Plan Review (February 26, 2003) an(l Fire Plan Review (March 18, 2003) to 24 feet. All other plan review comments mentioned earlier (March 18 and April 16, 2003) still apply. . . CITY 01< ~rK1I~GFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00086 225 Fifth Street, Springfield, OR ISSUED: 09/05/2003 541-726-3753 Phone APPLIED: 02/14/2003 541-726-3676 Fax EXPIRES: 03/05/2004 541-726-3769 Inspection Line VALUE: $ 3,663,106.80 Fire Department Review 07/10/2003 07/31/2003 OK GRG Plan Review: Infill plans for B/I-1.3 medical center. Construction Type V-No Job #COM2003-00086. Plans show location of fire extinguisher to be within 75 feet travel distance on each floor. Fire extinguishers shall be a minimum rated 2-A: 10-B:C. WiII verify on inspection. Obtain Knox Box application from City of Springfield Deputy Fire Marshal Gilbert R. Gordon (541-726-2293). Install Knox box on right side of main entrance at 8 feet above finished floor. Owner/occupant shan supply a grand ma~ter key to be put in Knox Box. Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" (OSSC 1003.3.1.8, exception 1). Paths of egress data providcd in lighting calculations book. WiII stilI need report verifying measuremcnts as noted in Plan Review dated 3-18-03. Initial Review 02/21/2003 APP RJB Initial Review 04/0312003 04/0312003 APP LLH Only two sets submitted, both given to pearson Initial Review 07/10/2003 07/10/2003 APP LLH Medical Gas Plan Review 08/0412003 08/0412003 WE SKG Resubmittal of engineered plans, specifications, and calculations. Planning Review 02121/2003 04/21/2003 APP EMM Sarah Summers Planner. Final Site Plan Submitted. Development Agreement Signed. Call Sarah for final inspection 726-4611 Plannine Review 07/1012003 07/1112003 APP EMM Public Works Review 04/18/2003 04/18/2003 APP PJO APPROVAL IS FOR FOUNDATION ONLY Public Works Review 04/18/2003 05/05/2003 WE PJO Sent Memo requesting plumbing plans for 2nd and 3rd floors. Public Works Review 05/05/2003 05/09/2003 APP PJO SHELL APPROVAL ONLY Public Works Review 05/09/2003 TO PJO Reassigned to Steve Barnes Paee 6 of9 Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 09/05/2003 APPLIED: 02/14/2003 EXPIRES: 03/0512004 VALUE: $ 3,663,106.80 '_f!~~'~_.~~ iiiI~' .-- ~ 1IIr---.., ~ ' '" t ; .. ,~ ., .!I' -"-_._.."_....,,'~ . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 07/10/2003 08/0712003 APP SB Structural Review 02/21/2003 03/27/2003 WE JMP Structural Review 04/03/2003 04/18/2003 APP JMP Structural Review 04/30/2003 05/10/2003 APP JMP Structural Review 07/1012003 08/01/2003 WE JMP Structural Review 08/06/2003 08/0612003 APP TCM' Structural Review 08/07/2003 08/07/2003 WE JMP SUB Review 02121/2003 05/01/2003 APP JF SUB Review 07/10/2003 08/07/2003 POK JF . Lu r OF SPRIrllul'l.l!,LD I 7/30/03 - Ken Vogeney routed plans to Steve Barnes to review. Document attached with 20 listed issues was faxed to architect today. 6 revised drawings. See attached document faxed to Linn West requesting medical gas documents. Still need SUB approval, engr. stamped medical gas plans. On 8/7/2003 jmp left a voice mail for Gary MeiIi requesting dollar values of site work, paving, shell, tenant infill, and grand total for the project. J mp also left a voice mail for Linn West asking for an explanation of revisions made to the the final site plan that was submitted to Sarah Summers. Left followup messages for both on 8/14/2003. Per conversation with John Pearson, architect plans to build shell only at this time. Building envelope, hvac and lighting specs to be determined later. Code forms to be received when specs become available. City to issue permits for building shell only. Energy code forms to be provided as building occupied. See email. Fails lighting energy code compliance. Contractor will rework lighting to comply with code. 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. I Rpnl"ln~,nprWmLI 1 Site Inspection: To be made after excavation but prior to setting forms. 2 Erosion/Grading Inspection: After all erosion measures are in place. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 6 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Paee 7 of9 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00086 ISSUED: 09/05/2003 APPLIED: 02/14/2003 EXPIRES: 03/05/2004 VALUE: $ 3,663,106.80 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 7 Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector 8 Foundation:' After forms are erected but prior to concrete placement. 9 Final Building: After all Conditions have been completed as required on Development Agreement. 10 Rough Grading: After gravel is in place but prior to placing concrete. 11 Final Paving: After paving is complete. 12 Underground Plumbing: Prior to filling the trench and including required testing, 13 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 14 Rough Plumbing: Prior to cover and including required testing. 15 Watcr Line: Prior to filling trench and including required testing. 16 Sanitary Sewer Line: Prior to filling trench and including required testing. 17 Storm Sewer Line: Prior to filling trench. 18 Undcrground Electric: Prior to cover 19 Rough Electric: Prior to Cover 20 Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line now test. 21 Fire Department Water Supply. Inspection to assure water supply is available on site for construction. This inspection is required prior to any combustible construction. 22 Roofing: Prior to installing any roof covering. 23 Masonry: . 24 High Strength Bolting: To be done during construction by a State Certificd Special Inspector. Provide inspection rcsults to City Building Inspector. 25 Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. 26 Final Building: After all required inspections have been requested and approved and the building is complete. 27 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 28 Drywall: Prior to taping. 29 Fircwall: Located and constructed according to plans. 30 Ceiling Grid: After drywall approval but prior to cover. 31 Sprayed On Fireproofing: To be done during construction by a State Certified Spccial Inspcctor. Provide test res ports to !=ity Building Inspector. 32 Final Fire Department. Aftcr all requiremcnts of the Fire Department havc been met. 33 Final Building: After all required inspections have been requested and approved and the building is complcte. 34 Rough Grading: After gravcl is in place but prior to placing concrete. 35 Final Paving: After paving is complete. 36 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 37 SUB Final: After all required energy inspections have been requested and approved. 38 Rough Plumbing: Prior to cover and including required testing. 39 Final Plumbing: When all plumbing work is complcte. 40 Backnow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 41 Rough Medical Gas: Prior to cover and including required testing. 42 Final Medical Gas: When all medical gas work is complete and certificate is provided to inspector from verifier. 43 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 44 Gas Service: Aftcr line is installed and line has been connected to a minimum of one appliance including requircd testing. Prcsure test done at this point. 45 Rough Mechanical: Prior to Cover 46 Final Gas: When all gas work is complete. 47 Final Mechanical: When all mechanical work is complete. 48 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 49 Rough Elcctric: Prior to Cover 50 Electric Service: Approval required prior to utility company energizing service. Pa2e 8 of9 . . CITY OF SPRINloNELD . Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 09/05/2003 APPLIED: 02/14/2003 EXPIRES: 03/05/2004 VALUE: $ 3,663,106.80 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 51 Final Electric: When all electrical work is complete. 52 SUB Exterior Lighting 53 SUB Ceiling Grid: Interior Lighting 54 SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. 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 tbe 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 time d inF:n~) '( \' M~IV\ Gwl>\'IloV'-1/..?.-J qlt;;;/0~ J ~ t v or ontractors Signature Date Page 9 of9 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 Payments: Type of Payment Check City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/05/2003 11:06:36AM Amount Paid Receipt #: 1200200000000002069 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement . SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration Fixture Backflow Device .Not Covered Plumbing Furnace - more than 100,000 Vent Fan Exhaust Hoods Gas Outlets 1-4 Appliance Not Listed Gas Outlets 4+ Building Pennit ~Mechanical Issuance Fee- SDC Sanitary/Storm Admin SDC Transpo Admin Fixture + 7% State Surcharge + 10% Administrative Fee Paid By Received By P ACIFIC CONTINENTAL BANK djb Check Number Batch Number Item Total: 6,251.47 4,751.57 4,692,65 20,705,18 3,457.91 361.78 10.00 1,512,00 42.00 360.00 45.00 42,00 9.00 4.00 18.00 2,00 7,065,65 10.00 1,403.50 608.03 84.00 642.86 918.37 $52,996,97 . . Authorization Number How Received In Person Payment Total: Amount Paid $52,996.97 $52,996.97 .....~ [ .~ .. ATTACHMENT A a. CITY O~GFIELD SYSTEMS DEVELOPMENT CHARGE ~SHEET JOURNAL OR JOB NUMBER C0M2003-00086 NAME OR COMPANY: WILLAMETfE MEDICAL CENTER LOCATION: 1007 HARLOW ROAD MAP & TAX LOT NUMBER: 17 03 22 33 00400 DEVELOPMENT TYPE: MEDICAL OFFICES - SHELL ONLY NEW DEVELOPED AREA (S.F.): 9.090.00 EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): 36.130 ITE: lTE: LOT SIZE (S.F.): 720 720 I STORM DRAINAGE PREVIOUSLY PAID IMPERVIOUS SQ. IT. $ 0.282 PER SF x TOTAL STORM DRAINAGE SDq $ 2 SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) e TRANSP01l.TATION BLOO AREA TGSF x TRIP RATE x COST PER ADT x NEW TRW FACTOR NEW A. REIMBURSEMENT COST: 9.09 x 36.13 x $ 16.81 PER TRIP x 0.85 NTF 1$ 4.692,65 I 9.09 x 36.13 x $ 74.t7 PER TRIP x 0.85 NTF 1$ 20.705,18 I EXISTING A. REIMBURSEMENT COST: 0.00 x 36.13 x $ 16.81 PER TRIP x 0,85 NTF 1$ B. IMPROVEMENT COST: 0.00 x 36.13 x $ 74.17 PER TRW x 0.85 NTF 1$ ~ u I u ~ to. ~ a S-- '" 1:1 Cl' re o ~ ~. I TOTAL TRANSPORTATIONREIMBURSEMENTSDC:' $ 4.692,65 TOTAL TRANSPORTATION IMPROVEMENTSDC:' $ 20.705.18 TOTAL TRANSPORTATION SDC:I $ 25.397,831 283 x $ 22.09 PER DFU I $ 6.251.47 283 x $ 16.79 PER DFU I $ 4,751.57 TOTAL LOCAL WASTEWATER SDC:, $ 11,003.04 I SHELL ONLY 4 SANITARYSEWER-~ SHELL ONLY NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 9.09 x $380.41 PER FEU 1$ 3.457.91 I B. IMPROVEMENT COST: NUMBER OF FEU's 9.09 x $39.80 PER FEU 1$ 361,781 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 $380.4t PER FEU 1$ I $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADMINISTRATIVE FEE: $ TOTAL MWMC SDC:' $ 3,829.69 I SUBTOTAL (ADO ITEMS 1,2,3, & 4) '$ 40,230.56 I x $39.80 PER FEU 1$ 5 ADMINISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) $ 40,230.56 x 5% $ 2.011.53 TOTAL TRANSPORTATION ADMINISTRATION FEE:' $ TOTAL SEWER ADMINISTRATION FEE:! $ 3.457.91 361.78 10.00 1.403,50 608.03 . I steve"" w, 1!.~r""e$ 8/512003 C5~~1l<lt.I8<l16<llIOFoNL y). WILLAMETIE MEDICAlt,\lOO7 HARLOW.xls TOTAL SDC CHARGES , $ 42,242.09 I JULY 2001 . - DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES , UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS !NOTE: FOR REMODELS, CALCUlATE ONLY THE NET ADDmONAL FIXTURES) j......... FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOIUSOLIDSIETC. INTERCEPTORS FOR SANDI AUTO W ASHlETC. LAUNDRY TUB CLOTHES W ASHERlMOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (i PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER STA TlONIETC. RECEPTOR FOR COMMERCiAL SINK! DlSHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCiAL, RESIDENTiAL KITCHEN SINK: COMMERCiAL BAR SINK: WASH BASINIDOUBLE LAVATORY SINK: SINGLELAVATORYIRESIDENTiALBAR URINAL, STALUWALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MiSCELLANEOUS: FIXTURES NEW OLD UNIT EOUIV ALENT 3 I 3 3 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 3 2 3 12 2 53 18 18 NUMBER OF EDU'S' TOTAL DRAINAGE FIXTURE UNITS= -EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day DRAINAGE FIXTURE UNITS o 2 9 o o o 36 o o o o 4 o o o 106 18 o 108 o o o o 283 CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR RATE PER $1,000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 orbefoTC $ 4.92 1990 $ 2,06 t980 $ 4.83 1991 $ ,1.64 1981 $ 4.77 1992 $ 1.45 1982 $ 4.64 1993 $ 1.31 1983 $ 4.47 1994 $ 1.13 1984 $ 4.30 1995 $ 0.97 1985 $ 4.09 1996 $ 0.82 1986 $ 3.78 1997 $ 0.63 1987 $ 3.41 1998 $ 0.41 1988 $ 2.98 1999 $ 0,22 1989 $ 2.52 2000 $ 0.04 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE X $0,00 IMPROVEMENT (IF AFTER ANNEXATION DATE) X $0.00 CREDIT TOTAL $0.00 1 COM2003-000B6(SHELL ONLY), WILLAMETTE MEDICAL, 1007 HARLOW.x1s JULY 2001 j , . ' - DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONL Y THE NET ADDmONAL FIXTURES) WILLAMETTE MEDICAL CENTER FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO W ASHlETC. LAUNDRY TUB CLOTHES WASHERlMOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRlGERA TORIW A TER ST A TIONIETC. RECEPTOR FOR COMMERCIAL SlNK/ D1SHWASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIOOUBLE LAVATORY SINK: SINGLE LA V A TORYIRESIDENTIAL BAR URINAL, STALUWALL TOILET. PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 2 3 12 2 53 18 18 NUMBER OF EDU'S. UNIT EOUIV ALENT 3 I 3 3 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 3 TOTAL DRAINAGE FIXTURE UNITS= .EDU (EQuivalent Dwellina Unit) is a dischar~ eQuivalent to a sin~de family dwelliRJ~ (20 DFU) set at 167 wlons per day DRAINAGE FIXTURE UNITS o 2 9 o o o 36 o o o o 4 o o o 106 18 . o 108 o o o o 283 CREDIT CALCULA nON TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR RATE PER $1,000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED A<<"<<"D VALUE 1979 or before $ 4,92 1990 $ 2,06 1980 $ 4.83 1991 $ 1.64 1981 $ 4.77 1992 $ 1.45 1982 $ 4.64 1993 $ 1.31 1983 $ 4.47 1994 $ 1.13 1984 $ 4.30 1995 $ 0,97 1985 $ 4.09 1996 $ 0,82 1986 $ 3,78 1997 $ 0.63 1987 $ 3.41 1998 $ 0.41 1988 $ 2.98 1999 $ 0,22 1989 $ 2.52 2000 $ 0.04 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE x $0.00 IMPROVEMENT (IF AFTER ANNEXA nON DATE) x $0,00 CREDIT TOTAL $0.00 COM2003-00086(SHEll ONLY), WllLAMETTE MEDICAL, 1007 HARlOW.xls JULY 2001