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Home My WebLink AboutPermit Building 2005-4-14 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00213 ISSUED: 04/14/2005 APPLIED: 02/22/2005 EXPIRES: 10/14/2005 VALUE: $ 815,322.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2425 HARVEST LN ASSESSOR'S PARCEL NO.: 1703243300200 Springfield TYPE OF WORK: Church TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Addition and remodel. Owner: NORTHWOOD CHRISTIAN CHURCH Address: 2425 HARVEST LN SPRINGFIELD OR 97477 Phone Number: 541-746-2790 I CONTRACTOR INFORMATION I Contractor ,00'<'-*-'" License ARBOR SOUTH ARCHlTECTlJRE ....... -. ,-- JOHN HYLAND CONSTRUCTION INC 46071 .. " ." '-"" CHRISTENSON EDEC:rRlC'INC 458 COMFORT FLOW'q~'~~ ' 460 DAVID SCQrl:I:~1Wff 144871 . s0i';Y.-'<'-'0i: BUILDING INFORMATION I ,0 ~ ~.# ~~&:-~$:)~' ~o~~ ~, # of Units: ~~ f<.,~ -:!P ~ <0 iff # of Stories: . ~'U'? ~.;s},::;"o ~t<<!.ll.Size: Primary Occupancy,&ou~ ,,<$j _,<1A,3X Height,tr Structure r:f' n0'20~50(.x ~~t 1st Floor: , '\. \.V ."..... ~ " . ei ~v " 9.),) ~lf. ...., Secondary OccupancY'Group:~<';; '\> E Type'of Heat: ~ <:, 0 n'? '1~s ~SgJFt 2,nd Floor: Primary Construction TY~~\J~ ,CO\J VB Water Type: ~,'Ij '$''U ,,&lecTriss-'U oi,~q ~%asement: Secondary Construction Type:~ Range Type: ~ ,:<:;J~ 0'U EllfCtrii ,q;. Sq,'Ft Garage/Carport ~... ~rz; tQv 0 0" ~lJ') e ,s..,' # of Bedrooms: Energy PathO i!f ~'<::' ~ Path>!' ~ "ll!J)l(t Other: . ." Sprinkled.lliiilC!fug;,' ,~'" vO'riJa"':.ff ,Occupant Load: ..t~ .. lcr "..........~ :..S' ..;.:::..v ........, O~V . " DEVELOPMEN:i>i~FORMA.f[i(')N:I?~I)'':>- 'l" s;o' 'I>' flv (:'V v"" v ,,'0 ,0 ,~(J?;- Oj:o:> '" ~'U '{O Overl!r))&' -1-0 "$' ,& '" ~t/;- # Stre~~'I"~~fRq~?> t/;- cl' Paved DriYe'Rq'll:~ '" % of Lot Coverage: Expiration Date Contractor Type Architect General Electrical Mechanical Plumbing 07/11/2008 07/14/2006 06/27/2005 06/27/2006 Phone 344-3332 541-726-8081 541-688-6121 541-726-0100 541-896-0145 7,433 REQUIRED PARKING Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of5 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00213 ISSUED: 04/14/2005 APPLIED: 02/22/2005 EXPIRES: 10/14/2005 VALUE: $ 815,322.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 815,322.00 Value Date Calculated Description Estimate Tvpe of Construction Total Value of Project $815,322.00 $815,322.00 03/30/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlInd/Public $1,320.41 2122/05 3200500000000000068 Plan Review Fire & Life Safety $812.56 2122/05 3200500000000000068 -Mechanical Issuance Fee- $10.00 4/14/05 1200500000000000448 + 10% Administrative Fee $413.97 4/14/05 1200500000000000448 + 7% State Snrcbarge $289.78 4/14/05 1200500000000000448 Add, Alter, Extend C1rc Ea Add $219.00 4/14/05 1200500000000000448 Air Handling Unit Up to 10,000 $8.00 4/14/05 1200500000000000448 BoilerlComp 3-15 HP $44.00 4/14/05 1200500000000000448 Building Permit $2,892.65 4/14/05 1200500000000000448 Exhaust Hoods $18.00 4/14/05 1200500000000000448 Fixture $616.00 4/14/05 1200500000000000448 , Furnace - more than 100,000 $15.00 4/14/05 1200500000000000448 Furnace - up to 100,000 btu $84.00 4/14/05 1200500000000000448 Gas Outlets 1-4 $4.00 4/14/05 1200500000000000448 Gas Outlets 4+ $4.00 4/14/05 1200500000000000448 Perm ServlFdr 200 amps or less $63.00 4/14/05 1200500000000000448 Perm ServlFdr 201 to 400 amps $75.00 4/14/05 1200500000000000448 Plan Review CommfInd/Puhlic $559.81 4/14/05 1200500000000000448 Plan Review Fire & Life Safety $344.50 4/14/05 1200500000000000448 SDC SanitarylStorm Admin $156.76 4/14/05 1200500000000000448 SDC Transpo Admin $380.99 4/14/05 1200500000000000448 SDC Transpo Improvement $6,211.78 4/14/05 1200500000000000448 SDC Transpo Reimbursement $1,408.09 4/14/05 . 1200500000000000448 Storm Drainage Impervious Area $3,135.03 4/14/05 1200500000000000448 Storm Sewer - 1st 50 Feet $45.00 4/14/05 1200500000000000448 Storm Sewer Each Addt11 00' $28.00 4/14/05 1200500000000000448 Vent Fan $24.00 4/14/05 1200500000000000448 Total Amount Paid $19,183.33 I Plan Reviews I Fire Department Review 02124/2005 03/0212005 OK GRG See attached document for Fire Department Plans Review comments. Initial Review 02/24/2005 02/24/2005 APP SKG Paee 2 of5 . . CITY VI' ~rK1I'ilj1'l~LD Status Issued Building/Combination Permit PERMIT NO: COM2005-00213 ISSUED: 04/14/2005 APPLIED: 02/22/2005 EXPIRES: 10/14/2005 VALUE: $ 815,322.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan nine Review 02/24/2005 02/27/2005 APP EMM To be constructed as per approved Discretionary Use Site Plan Requirements and review ZON2003-00039 - Ashley Deforest Planner Public Works Review 02/24/2005 03/09/2005 APP SB SDCs added for Storm and Trans only. LDAP already Issued on this site. Site Improvements on COM2004-001395. Not connecting to sanitary sewer. ALL ROOF DRAINS MUST PIPE DIRECTLY TO STORMW A TER SYSTEM OR DRYWELL. No splashblocks. Structural Review 02/24/2005 03/03/2005 WE JMP See attached 12 structural comment, faxed to Brad Werneth. Structural Review 03/10/2005 03/10/2005 10 JMP WE. Brad Werneth delivered structural response. Item 6 needs to be corrected for the current code. They will be bidding shortly and will provide cost/value data after contracts are signed. Structural Review 03/30/2005 03/30/2005 APP JMP Received updated mechanical unit hold down calculations and updated cost/value. SUB Review 03/1112005 03/1112005 'APP JF SUB Review 02/25/2005 03/07/2005 WE JF JMP called Brad Werneth to requeSl BE (Chapter 3) energy code forms. HV AC and Lighting pass. 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. Site Inspection: To be made after excavation but prior to setting forms. ErosionlGrading Inspection: After all erosion measures are in place. Final Electric: When all electrical 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 Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Electric Service: Approval required prior to utility company energizing service. Paee30f5 . . LIl l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00213 ISSUED: 04/1412005 APPLIED: 02/22/2005 EXPIRES: 10/14/2005 VALUE: $ 815,322.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Sbear Wall Nailing: Before covering sheathing with finish materials. 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. Firewall: Located and constructed according to plans. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Roof SheathinglNailing: Before covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. Ceiling Grid: After drywall approval but prior to cover. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector. Final Fire Department. After all requirements ofthe Fire Department have been met. Final Building: 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. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Paee40f5 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2005-00213 ISSUED: 04/14/2005 APPLIED: 02/22/2005 EXPIRES: 10/14/2005 VALUE: $ 815,322.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ofany 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 ~In~~nstr:;..l /' u /,. L%~Jf~L-;'k -7}',i/~;- OS- ~er or Contractors Signature Date Paee 5 of5 I \ . CITY OF JPRrNGFIELD. OREGON '., .~sp~i:=~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72~3689 :. _ ELECTRICAL PERMIT APPliCATION 7,/ <1 <'Ol/'O~ .... City Job Number CO~ 'ZooS - &O'2l~ Date a rJ/o Y '.O~/~:I) <1:""1)1) . f J I ~~ Q' 0'..0.....0 . 3. ~@djf~~'~~~ll p ~g-'~~ 01) '- 9v.'~it. ;">tQ__ '" "1'1'0 &ty A. ,l>)'\di~ill~'lma_i'o""'" ", . -"'!Fa~:!';'''''tt~~''' J;l-Il . - . " !!!mlJIP.'L... ''''-' v. .. ... "..~_:F.._ ....19 Q)I): 04; n 0' 0",. " \.. '- ""'6 71)1) ~~ ~~ $50.00 Supervisor License Number Lf 01 ~ .5 s,~~r4l~~~~m:~~~~\~ . \,<,-S'", ~\\) . 10 I, I cJ -, <- ~ ,,\ "'Installation, Alteration or Relocation ~'\l" "" fI Sr.I ,\: "IX; '<-'V "200 Amps or less $ 50.00 Constr. Contr. Number J 6 - III Lf ~~ ,,~S,' {0~ 201 Amps to 400 Amps _ $ 69.00 . I : '~I:. ..\ S\;\),-,,", '~'o~'" 401 Amps to 600 Amps ."v '\~$IOO.OO Expiration Date 11 Jj:/j) ~ '0 ., \S .~ 0 600 A 1000 V I .d:>..~ _'D.\'-" 'o~~ . ;:~ I. 'I ~ I'V \\' '-\V ver mps or 0 ts SI'l"""",..J6y~. ~\ Signa of Sup . ~EI~?n ''''~;:--.\'?'<-~ .D.~cll{~~~~ ~" . 'iIv' ,'\~, ".0- '" "'- o.J ~",- ,.*-, '0'0 v New Alteration or Extenslolfpm\:}ianel' e. \oS o~e. I:' , ' - ,\ '.. e.~ ':> 'U' e.' <<' ~ ~ if' ',n .. ' .~'\ One CITe':'t .,. C?\.,,\e; -<.~oCj c:,C$ _ ,,\ :\~$ ~~OO U ). EachAddll}~j1'9J!:cu~,~rWJt!1~ ~'t4f">'_,,,~ ,II I Q "1 . / , t' I L. S.mce ?J,.$edeJPmili! ,<.::>. cP /'--',' '-$ t~OO oLL-l...- Owners Name lJt'\v;\1ill'J(,J J-lAI (t-IS1'~ "..t,~~~:"::~ -,,1,)<'::> ~~i~O' r. ,:~".1t..1Wa~'''mr.f' Address ;Jlf) <i .J..h111"tIU ~ E. ~-~_...!~~~~.~~Jt*~a",'J!.tWriLS~ -1,,,,, { Y t; .;>.O"'~<(o~ov' e.cr e.v',~v City 1"I'jl1vt Phone '7'1'{ -d 71D Pumpor.gr1;',.\!'o~.~q,~ O\~ \\'" $50.00 SignlOutlin~'I:igtitinte.\ "i i?,'0,e. $ 50,00 Limited Energy~~denti<;j $ 25.00 LimitedEnergy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee Is$4S.00 'I- Surcbarges 4 ~\'1'-''''''''~''~__~~~ A _ ~ . fre~~ell1fi~$_ 't 30 r; ti I. ~fuc.\riII~d ~o~ :tE'. ~='".. - .~'i"_"'''r-._ - "_ ,,'., ' . C~W~ C...(r: ,f-J"",,J riL, Jrd.... LEGALDESCRJPTION Il 03 7.-4 ~-::,~o2DO '7.-4.25 ~Le."'1 J.-v..L-e. JOB DESCRJPTION 1:)G\kLArdJ. :+'\().Jj.~L Permits are DOD-transferable and expire if work Is not started wltbin 180 days of issuance or if work is Suspended for 180 days. 2 ~€E1~ei?a~i~.1ii~i"J@~n:~ . ~-w~lIo.?-...,...~~.r"~~~ Electrical Contractor (h ti s, e-vL:SOyt V, J 11)10 Address ia.11 r- elL f1..L1 'l)\LIV.e.. City ! I_.L It..l\M' ~. Phone ~hGI;)..1 Expiration Date OWNER INST ALLA nON The installation is being made on properiy I own which is not intended for sale, lease orrent . Owners Signature: Inspection Request: 726-3769' ~b DOl'? 09-( Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B. .~=T3r.iFeea"~~ii'a~:Wtm"fif~fR~~~ . .IU!'ttI.,~..~~s.,~","-!!...-..T~ ~~3. '''~~..:<":''.~'''''''''''''''~'1'''''-- . 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only / / $ 63,00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 (03 ~ 7% State Surcharge 10% Administrative Fee 24 "!:>::> ~7 ~ ~ TOTAL Shared Drive(T:)lBuilding FormslElcctric:al Permit Application l.o3.doc:: Com:::u"i~. ;;.;-"!~.' ON!:;',,, 225 Fifth Street Springfield, OR 97477 Telephnne: (541) 726.3759 Fnx: (541) 726.]689 Specilll Inspection And Testing To applicanlS of projects requiring special inspection onestlng as per Section 1701.5 of lito Oregon Structural Specialty Code; Please review.lhe information below. When you have finished, acknOwledge an understanding oflne infonDalion by signing below, and return this form to the City. BEFORE A PERMIT CAN BE ISSUED: The owner or owner's represenlative, on lho advice of lite responsible proJec, Engineer or ArchileC!, shall complete, sign, and submit to the City for review and approval this form compleled on both the front and back. . City of Springfield C,.OM LooS - COL.l-:!:> Building Pennit f# 'O~. 10 - 0 S Date co w .... co w .... to) co co U1 Wot2--yr\v-\o",D c.Hl21h~ vNt.:>~ ~DIi"\t:>t4. :lrn}cct . r.:l~.o 'Z-tt 2--C? ~~t- L.r->-t-1lJ-, 0f"Ii!u4t. FI FJ.-l-P Project Address n~ 0)7'+77 .... w w oj) -.J to) en w en .~ The Owner and General Conlrac'or, where applicable, shall also acknowledge the following conditions applicable to Special Inspection end/or Testing, I. Contrector is responsible for proper notificallon for the Inspection or Testing of items Ils1ed, 2. Testing labornlory shall take appropriate samples and transpon them to tIIe'r iaboralOry for proper evaluation or lesting. . Copics of all' iaboratory reports and inspeclions are to be sent to the City by the Testing Agency. 3. Sp,clllllnspc,tion Agency is to submit names and qualificallons of on-site Special InspectolS to lbe City for approval. () H -< < o " UJ 5, Contractor is mponsible 10 review the City approved plans foraddillonal inspection orteSling n:quiremenlS that may be nOled. ;g H z BEFORE A CERTIFiCATE OF OCCUPANCY WILL BE ISSUED: The SpeclallIupeclion Agency shall submit to tile Building Official a stalemen!lhat all items requiring . 'il inspection have been fulfilled and reported Ind were to the bc.!t of the inspector's knowledge, in conformance with the approved plans, specifications and applicable workmanshjp r;; provisions. Those items not tested and/or inspecled shall be noted b the statement. Tho repon is to be submitted to the City prior tn a request for flr,al Inspections. b 4, SpecIal Inspeclor shall provide Inspection reports 10 the buHding official of all inspection activilles. ACKNOWLEDGMENTS .~\-I."Ii) ,- ~Dl2v1+ Owner Name (printed) ~ ~\.Tl14 A\0H. Engineer or Architecl Firm (Prinled) ~~ HiL.AND /~~tlON Oen, Con!ractor Finn Name (Printed) General Contractor SignaNre '. ~~~V- f"t!? \ ~~~ '1'_"""'''''''"''-''><; ~ V. ~Ii~ ~ Speclallnsplfrrin" "'v'-'v ~ame (Printed) Special Insp. Agency p Sign. ", r- ~~ --:> "- ~. b...,\yP ",", ~,y, ) ~. '- \ '- . Build!ng Official Name'(Printed) Biii1athl!o "".ncfal Signature co en Reinforced Concrete, Gunile, Grout sad Mortar: ~e n,,~ Grout I Mortar I -I i I Precasl/Prl'>-stres.ed Concrete: ......fiJI'!-ct. Pnfl:t...T"'['LIIt ~ 'Pr"-T...efiL Cl:addr~ SPECIAL INSPECTION AND TESTING SCHEDULE AVilTef~Ue Te!r o(M;x Deshm Reinforcin, Te!lt Miv De~ien.We(lhmatr Cert.- Rejnfnctn~ Plaeem~nl r.ontinllous Balch Plant Insp 1 m~ped Placing r.ast Sam pies "am pIes (PickupJDelive...rl\ Compreuiol1 Ted' . GRADING, EXCAVATION. AND FILL Acceptance tests. PSF Establish final grade Fill placement inspection/continuous Soil Density STRUCTURAL STEELlWELDING: Sample and lest (list specific members below) Shop material identification (mill cert) Weld inspection Shop Ultrasonic inspcclion Shop High strength bolting Shop A325 N X A490 N X Metal deck welding Inspection Reinforcing Steel welding inspeclion Reinforcing steel mill cenifiCllle Metal stud welding inspection Concrele Insen welding inspection Moment resisting steel frames Field field Field F F AQ:~re,are Tp.dc "einforr:l"D Tp.ctc!' Tendon Te.ltl M'iy n1':~ !In 11;. Reinrort:11'J1f Placemenr lnsert Plaeement ~n.nc.retll! Ratchi..,,. Conr::rete Placemenl Installatlon Inspecti...n r...t Saf11'ple. Pi('1r_~.~ ~'1m~I"41 Com pres !lion Te!lllt STRUCTURAL WOOD, Shear wall nailing illspeclion Shea r wall anchors Inspection of Giu-Iam fob. · TIC psi InspectIon of truss joisl fab. Sample and lest components Fabricalion welding of steel accessories SMOKE CONTROL: Leakage tesling Control verificalion ROOFING Insulation installationIR-valne' Test strips/seams FIREPROOFING: Placement inspection Density Tesls Thickness lests Inspect botching MASONRY: _ Special inspection stresses used' rm 1'g Prellmlnary acceptance tasls (masonry units, wall prisms) Subsequent tests (monar, grollt, field wall prisms) Placement inspection ofllnilS. nnd reinlbrcemcnl Mosonary, monar, groul, and reinforcing steel certificates ADDITIONAL INSTRUCTIONS, OTHER TEST, & INSPECTIONS: E9C')(\~r.? ANc-HoI2' \t-4t?ir->L-~T\ON Form completed hy: Date--'~ 'PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VA LUES co w "- co w "- tv co co 11l .... W W '" ..... tv '" W '" . ..... '" () H -i -< o ." I{l ;0 H Z .~ r '=' ~ fil co ..... I . ... ATTACHMENT A CITY ,WRINGFIEW SYSTEMS DEVELOPMENT CHARGE.HEET JOURNAL OR JOB NUMBER: C0M2005-00213 NAME OR COMPANY: Northwood Christian Church LOCATION: 2425 Harvest Lone MAP & TAX LOT NUMBER: 17 03 24 33 00200 DEVELOPMENT TYPE: Church Addition NEW DEVELOPED AREA (S.F.): 8447 EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): :: 560 ..~~ IJI! LOTSIZE(SF): 144.961. ~f~~ Il;~ TOTAL STORM DRAINAGE SDC:' $3,135.03. 10.113 I STORM DRAINAGE IMPERVIOUS SQ. IT.' 10113 $ 0.310 PER SF x 2 SANITARY SEWER-OIT A. REIMBURSEMENT COST: NUMBER OF DFU's 70 B. IMPROVEMENT COST: NUMBER OF DFU's 70 (SEE REVERSE SIDE) NOT CONNECTED TO SANITARY SEWER ;LTRANSPOR'tAIIQJ:; x $ 24.04 PER DFU x $ 18.28 PER DFU TOTALWCALWASTEWATERSDC:' $ BLOG AREA roSF x TRW RATE x COST PER ADT x NEW TRW FACTOR NEW A. REIMBURSEMENT COST: 8.447 x 9.11 x $ 18.30 PER TRW x NTF 1$ 1.408.09 I B. IMPROVEMENT COST: 8.447 x 9.11 x $ 80.72 PER TRW x NTF 1$ 6.211.78 I EXISTING A. REIMBURSEMENT COST: 0.000 x 0 x $ 18.30 PER TRW x 0 NTF 1$ B. IMPROVEMENT COST: 0.000 x 0 x $ 80.72 PER TRW x 0 NTF 1$ TOTAL TRANSPORTATION REIMBURSEMENT SDC:I $ TOTAL TRANSPORTATION IMPROVEMENT SDC:' $ TRANSPORTATION SDC:' $ 7.619.87 ~ $ $1.683.06 $1.279.39 I $ 2.962.45 1.408.09 6.211.78 7.619.87 4 SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 8.447 x $23.44 PER FEU B. IMPROVEMENT COST: NUMBER OF FEU's 8.447 x $247.23 PER FEU EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.000 x $0.00 PER FEU B. IMPROVEMENT COST: NUMBER OF FEU's 0.000 x $0.00 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) I $ . 197.98 I I $ 2.088.36 I I $ I I $ I $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADMINISTRATIVE FEE: $ NOT CONNECTED TO SANITARY SEWER TOTALMWMCSDC:I $ 1$ SUBTOTAL (ADD ITEMS 1,2.3.&4) W 10.754.90 I '5 ADMINISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) $ ]0,754.90 x 5% $ 537.75 TOTAL TRANSPORTATION ADMINISTRATION FEE:' $ TOTAL SEWER ADMINISTRATION FEE:' $ steve.... w. 'Boeauolr!j 'Boarv..es 3/1012005 &'\i\So<ii~:F.'r\l;1il?~ Christian Church. 2425 HanP.~ l].x!s TOTAL SDC CHARGES 197.98 2,088.36 10.00 2,296.34 380.99 156.76 .. I , $ 11,292.65 I 1 JULY 2004 Northwood Christian Church . . DRAINAGE FIXTURE UNIT (OFt!) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIX11JRE UNITS (NOm FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) FIXTIJRE TYPE BA TIITUB DRlNKlNG FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOlUSOLIDSIETC. INTER,,"n v~ FOR SAND/AUTO WASHlETC. LAUNDRY TIJB CLOTHES W ASHERlMOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRlGERA TORIW A TER ST A TlONIETC. RECEPTOR FOR COMMERCIAL SINKJ DISHW ASHERlETG. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK; COMMERCIAL BAR SINK; WASH BASINIOOUBLE LAVATORY SINK; SINGLE LA VA TORYIRESIDENTlAL BAR URINAL, STAUJWALL TOILET, PUBLIC INST All.A TlON TOILET, PRIVATE INST All.A TlON MISCEllANEOUS: NUMBER OF EDU'S. FIXTURES NEW OLD I 3 o o I o 2 0 4 5 0 I 5 0 UNIT EQUIVALENT 3 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 1 5 6 3 TOTAL DRAINAGE FIXTIJRE UNITS~ ,:EDU (EQuivalc:m Dwellins!; Unit) is II disc~ equivalent to II sinJrle family dwellin~ (20 DfU) set at 167 ~Ions per day DRAINAGE FIXTURE UNITS o I 9 o o o 3 o o o 3 o o 6 o 8 5 5 30 o 70 o o 70 CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARATEL Y YEAR ANNEXED 1979 0' before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER $1,000 ASSESSED VALUE . $?,29' ($5.19) ~ ~5.12]! ',$4.9B:; i:,$4:.~9: :',$4:6~, ;;;,~_~4P'.!:. '$4.07': I. .' $3.67.; $3.22 . $2]3 ~ ,$225, :$1.80 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) com2005-00213, northwood Christian Church, 2425 Harvest Ln.x1s YEAR ANNEXED 1992 J993 1994 1995 1996 '1997 1998 1999 2000 2001 2002 2003 2004 x x RATE PER $1,000 ~SESSED V ALUE ;~i;'~~i;:~:c~~~ ",,',,$1.25... ,...."$.1:0~.; $0.92; $0:72> , $0.48. ": $o.iil' ;,.~.~" ;,;~y:! ~~:g~; :'. '1;'; " $0.00 ' ':',,',' '$0.00 ,- 01", -t, - .. " .~ $0.00:: CREDIT TOTAL $0.00 $0.00 $0.00 1 JULY 2004 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00213 COM2005-002l3 COM2005-002l3 COM2005-00213 COM2005-002l3 COM2005-00213 COM2005-00213 COM2005-002 i 3 COM2005-002 i 3 COM2005-002 i 3 COM2005-00213 COM2005-00213 COM2005-002l3 COM2005-002l3 COM2005-002l3 COM2005-00213 COM2005-00213 COM2005-00213 COM2005-00213 COM2005-00213 COM2005-00213 COM2005-00213 COM2005-002l3 COM2005-00213 COM2005-00213 Payments: Type of Payment Check , 4/1412005 . RECEIPT #: Description Storm Sewer - 1 st 50 Feet Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Furnace - more than 100,000 Boiler/Comp 3-15 UP Air Handling Unit Up to 10,000 Vent Fan Exhaust Hoods Gas Outlets 1-4 Gas Outlets 4+ -Mechanical Issuance Fee- Storm Drainage Impervious Area SDC Transpo Reimbursement SDC Transpo Improvement SDC Transpo Admin SDC Sanitary/Storm Admin Fixture Plan Review CommlInd/Public Plan Review Fire & Life Safety Building Permit Perm Serv/Fdr 200 amps or less Perm ServlFdr 20 i to 400 amps Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By NORTHWOOD CHRISTIAN CHURCH ........~QFJ...... , ~.----...'..~.............. , i. ~ ...~ .~,: ,.:i; .Ji.ity of Springfield Official Receipt .evelopment Services Department Public Works Department 1200500000000000448 Date: 04/14/2005 Item Total: l.:heck Number AuthoriZation Received By Batch Number Number How Received jmp 16872 In Person Payment Total: Page I of I 3:04:38PM Amount Due 45.00 28.00 84.00 15.00 44.00 8.00 24.00 18.00 4.00 4.00 10.00 3,135.03 1,408.09 6,211.78 380.99 156.76 616.00 559,81 344.50 2,892.65 63.00 75.00 219.00 289.78 413.97 $17,050.36 Amount Paid $17,050.36 $17,050.36