HomeMy WebLinkAboutPermit Building 2019-09-20web Addr€ss: www.springfi eld_or.9ov
Building Permit
Commercial Structural
Permit Number: 811-19-OO2103-STR
IVR Number: 811063944833
City of Springfield
Development and Public works
225 Fifth Street
Springfield, OR 97477
*1-726-3753
Email Address: permitcenter@sprhgfleld-or.9ov
SPRINGFIELO
'b
Permit Issued: September 20, 2019
TYPE OF WORK
Category of Construction: Commercial TyPe of Work: Tenant Improvement
Submitted Job Value: $419,000.00
Description of work: Tl (old fedex space to military recruitment office)
JOB SITE INFORMATION
worksite Address
810 BELTLINE RD
Springfield, OR 9?477
Parcel
1703153000900
Owner:
Address:
SYCAN B CORP
840 BELTLINE RD STE 202
SPRINGFIELD, OR 97477
l'ICENSED PROFESSIONAL IN FORT,IATION
Business Name
DORMAN CONSTRUCTION INC -
Primary
License
CCB
License Number
68801
PENDING II{SPECTIONS
Inspection
1999 Final Building
8999 Final Fire
1250 Framing
1540 Gypsum Board/Lath/Drywall
1600 Ceiling Grid
In3pectlon Group
Struct Com
Fire
Struct Com
Struct Com
Struct Com
Inspection Status
Pendang
Pending
Pending
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work. Contact
the issuinq jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www. building permits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811063944833
Schedule using the Oregon ePermittinq Inspection App, search "epermitting" in the app store
permits expire if work is not started withln l80 Days of issuance or lf work ls suspend€d tor l80 Oays or long€r depen.llng on
the issuing ag€ncy's Policy.
AI provisions of taws and ordinances eoveming thls typ€ of work wlll be comPlied urlth whether speclflcd hereln or not.
Granting of a p€rmit does not presume to glvc authority to vlolate or cancel the Provlslons of any other statc or local law
r€gulatlng construction or the performance of constructlon.
ATTEITION: Oregon taw requtres you to follow rules adopted by the Oregon Utillty flotltlcatlon Center. Those rules are set
lorth in oAR 952-OO1-Oolo tftrough OAR 952-OO1-OO9O. You may obtaln coples ol the rul€s by calllng the center .t (5O3)
232-t987,
A persons or enttttes performing work under thls permit are r€qulrcd to be llcens€d unlcss exemPted by ORS 7o1.o1o
(Structural/ilechanical), ORS 479.540 (Electrlcal), and ORS 693.01O-O2O (Plumblng).
printed on: 9/20/19 page I ot 2 c:\myReports/reports//podlc-ton/01 STANDARD
O REGON
i-t-r.
Phone
541-984-0012
Permit Numberr 811-19-OO2103-SrR Page 2 of 2
Fee Description
Technology Fee
Address assignment - each new or change requested externally, per each
SDC: Total Sewer Administration Fee
SDC: Reimbursement Cost - Local Wastewater
SDC: lmprovement Cost - Local Wastewater
Structural building permit fee
Structural plan review fee
State of Oregon Surcharge - Bldg (12olo of applicable fees)
1
330.84
4433
2L43.74
Quantity Fee Amount
$226.94
$54.00
$330.84
$4,433.00
$2,143.74
$2,718.04
$r,7 66.73
$325.16
$12,039.45Total Fees:
c:\myRepo.ts/Eports//productio.y'01 STANoaRD
PERMIT FEES
SPRINGFIETD
,b
OREGON
www.springfi eld-or. gov
Worksite address: 810 BELTLINE RD, Springfield, OR97477
Parcel:'1703153000900
Development and Public Works
225 Fifth Street
Springfield, OR 97477
s41-726-3753
permitcenter@sprin gf ield-or.gov
Transaction Receipt
811-{9-002103-STR
Receipt Numbori 472467
Receipt Date: 9/20/19
City of Springfield
Fees Paid
9t20t19
9t20t19
Transaction date
9t20t19
Units
1.00 Ea
Description
Struclural building permit fee
Address assignment - each new or change
requested externally, per each
Technology Fee
Account code
22 4 -OOOOO - 425602 - 1 030
1 .00
L00
1.00
4,433.00
2,183.74
330.84
Ea
Ea
Automatic
Amount
Amount
Amounl
82'1-00000-215004-0000
Fee amount
$2,718.04
$326.'16
$s4.00
Paid amount
$2,718.04
$326.16
$54.00
9t20t19
9t20t19
9120t19
9t20t19
SDC: Reimbursement Cost - Local
Wastewater
SDC: lmprovement Cost - Local Wastewater
SDC: Total Sewer Administration Fee
1 00-00000-425605-0000
61 1 -00000-448024-8800
$226.94
$4,433.00
$226.94
$4,433.00
$2,183.7 4
$330.84
$2,183.74
$330.84
Payment Method: Check numbe.: 27361 Payer: SYCAN B CORP Payment Amount:$10.272.72
Cashier: Katrina Anderson Receipt Total:$10,272.72
Printed: 9/20119 9:55 am Fl N_TransactionReceipt_pr
[r -r-
I
State ofOregon Surcharge - Bldg ('12% of
applacable fees)
61 1-00000448025-8800
71 9-00000-426604-8800
22 4 -OO OOO - 425602 -0000
l,
Structural Permit Application
H.**{125 Fifth srreef. sprinsfietd, OR 97477. pH(541)726-3153. FAx(s4.1)126-3689
This permit is issued und er oAR 918-460-0030. Permits expire ifwork is not started within lg0 days ofissuance or lf work is
suspended for I80 days,
VJ-
DEPARTMENT USE ONLY
eemt"o.: rfr-ff\O3
Date: l tr \t1
LOCAL GOVERNITENT APPROVAL FEE SCHEDULE
This projcct has final land-use approval,
Dal€
u"
Date (^ oQ
Si
l. Valurtiou information
Constlxction lype
Occupancy
Zoning approval verified: I yes ! No
(a) Job d€scription: -
Property is within flood plain: ! Ycs E No Squa.e feet 5
CATEGORY OF CONSTRUCT|o
n Govemment Other informationlC0mmercial
JOE SITE INFORMATION AND Type of lleatiLOCATIO
Job sit. address Energf P.th:
zP (i
fl no
t"4qSubdivislon
Ci
(b) Foundation-only pefmit?fl yes
E new Ealteratioh
84O Beltllne Road Sulte 202
Sprlqrield, OR 97477
Pattl Lundeen, Agent for Owner
541,284.(812. FAX 5 47.7 46,25lW
plundeen@sycan.com
Refer encc
I
$
$
s
-:c -
I authorizing this applicationor
(b) Investigative lbe (equal to 12^))
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a throu h 2d):
0(t
Total valustioni
3. Phu reylcw fee!
2.8 fee$
Name
Addre
Ci
E-mai
Building
Sign hc
PFOPERW OU' ER
Sycan B Corp
(c) Reinspection ($ per hour)
(number ofhours x fee per hour)
$
$
D This installarion is being ,DaG on residential or famr property owred by
me or a memb.r ofmy itnmediat€ famity, and is cxcmpt from liccnsing
rcquirements under ORS 701.010.
(b) Fire snd ,ife safety (65% x pcrmit fec l2a l):
(a) Plan review (55% x permir fee [2a]):
(c) Subtot{l of fces sbove (3a and 3b):s
CONTRACTOR II{STALLATION 4. Miscellaneous fec6
(a) Seismic fee. l% (.01 x permit fee [2"])$+j5 5 (b) Tech fee, 5% (.05 x permit fee[2a]+pR fee [3c])Address:a $
City:tC JOTAL fe€s end surchargcs (2e+3c+4a+b):Atz-7ZIPState
Fax.9l
s
Phone:51
e ir,t?
A,
E-mailr
CCB Licerise no
Print name
Signaturo
6V DL
LNq
ak- vo rr-- \Ar-ta-r'z s - -f L-J
7
5
Name CCB Licens€ #Phon€ Numb€t
P6 tXt3
{+a*5za
Jcil -ll,t-37'
5co t|qAo\,r/l-7zlb-b
Fro.rrical
J S €t cd".'c-
Plumbing
R.Y\ t- \^J
I-ast edited 5-5-2017 EJones
Ctty r-rp Spnt:,tcrtr.Lo. oRECon-
l/h'.
This proiecl has DEQ approval.
Cost pcr square foot:(/w-'
E Residential
\ir,., - "-,4
State: (\,P -! addition
Lot no.:
$ 4/q.&y
(a) Permit fee (use valuation tab,c):
5
Taxlot:
]P:
Phonc
Busincss narnc:
, rvt . C'-n-P\a^^i-*
31115
Electrical Permit A lication
,25 nnn $'t r. s9rrogfi.td, oR 97a7, I FII(5a r )r26r75J. r^x(sa07r6.36{t
Signarure ofsignioB
L{il
Ttlt pcrmlt It lttucd u[dcr OAR tlE\n]9-0agl. PGrnltr rre lonlrailfcnbh- Pcrmlts rtph lf verk h not rtrrhd wlrhir lto
dr}t of h.Illlc. or if worl t[ $rpcrded for I t0 dryt.
OiILYDEPU8E
,.,.u""., \?ooa lo3-E
Dn* q\r^\tq
LOCAL,Ti
Zoning approvel verifi ed?DNo req lbi o
E Rcsidcntial 0 Government
Re.lde[lhl, p{r urit, r.rdc. liclrdrdl
ial
I.000 sq. R. or lcsts (4)$r01,m $
Job sitc rddrcss:ru E .i .ddltioool J00 sq. 0. or pfiion
trlcaEof t !5.00
ci Linircd .oa&/ (2)t a3.00
Referencer e^*.(TaxloL Elalt mdoufechfed homa or modulai
dwclling $rvicc o! f.rdcr (2 )s a6.00 s
S.rvL.. or fc.dots: irrlarla ti1,!t, all.relion, rek czahrl
?m &nps or lcss (2)3 i0e.00 I
201 (o 400 aslP3 (2)$12f.00 $
Namel Syrlr I Corp
&[O Ba[hs fo.d g/ltc 2O2
Sprlnlrl€|4 oR 9747
Patt lundacn, AFnt for Ownet
s41.284,061e FAX 5't1.r46.2590
plundern@:vqr,sont
401 to 600 imF5 (2)12tS00 s
Addrcss:601 ro 1,000 unp5 (2)s
Ovcr I .000 am$ or yolts (2)185.00 s
Phonc:R.conncct only (2)$ 8a00 s
E-mailr T.I|Iror.iy rawic.r or f.all.I,tr irrtoll{tion- dhcration. rc}o!'otion
This inslrllatioo is b€ing made ofl rr$idcntial or &Im pmparty
owncd by mc or a rncmb€r ofrry immedi8tc fEmily. nris
property is oot intended for sale. exchEngc, lcasc, or rcnt. OAR
479.540( l) ard 479.560(l).
200 lmFr or lcrs (2)x 16"00
201 to 4U) rmps (2)t fi8,00 s
40I b 6m lmpr (2)tl7200 $
s Orr.r 6(x) emAr or I ,m0 !'olti 6cc s.rvicls or Hdt r.ctiol lbovc
BrEoch dnultsr,sw a/t!t/rion, ertensio p.r panel
Business llamc c-- d*<-n. f.a for bidrlch circuits wilh pur$.s! ofi srn ice or fc.d.r fea:
e,urcrs;3..1751 E. E l,.brrr E-Esdr br&ch circuil $ ?.42 s
City: 6444;-Stste: DrQ*ZIP:b. Fec for bnndr circlir withollt pll]lh.rr ofa scni.c or faadar Ga:
Phoic:Fax Firfl brrnc.h circuir (2)$ t6.00 $
Eedr rdditional brdrdr circoit 42 S 7.,12 s
CCB liccnre no.: / Oq 91q BCD licenic no.:.2 Mb..lhEoa! f!a!! Jarvlta orlade| not itclud.d
si lsor's licansc no.:7a-E.ch ponp or inigetion cir.h (A $ ia-oo $
Prin( namc of Elch Eign or outlhe ljgh(ng (2)s 99.00 $
Sign.l cir.uir or ! limikrlcncryy FnGl,
ion, or at.nrion (2)$
Erclr rddlatonrl lnrpcaalont (t)lgr.00 $
(A) Enr.. Nbro&l ot$oE tc6
(Mtnlmrm P.ro{a Fac l9r-m}5
(B) Enrlr l2% surcho,sc (.12 r [Al)5
(C) TcchnoloSy Fcc (5% of [A])s
TOTAL feca aod gurchsBq (A &rowh D):s
Lrrt ediled 7/l/2018 BJoner
CITY ()}' SPRI NGF I EI-I). ORI](;ON
IVAL Ii, FEE SG}IED
s
st,l'2K ae47,ft7 |
DI
-?
TOR
E-mail:
s 9t.00
tt rr-
II
Plumbing Permit Application
This permit is issued under OAR 91&780-0060. Permits are issucd only to the peruon or contractor doing thc work. permits
expire ifwork is not started within 180 days ofissuance or ifrvork is suspendei for lg0 days.
225 Finh Sred . Springf cld. oR 97477 . PH(541)726-1753 . F AX(s4l )?26-1689
DEPARTMENT USE ONLY
-@atcg-Permit no
\q
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
Zoning approval verifi ed?fl yes nuo Oescription Total
costSaritation approval verified? f] yes ENo New residential
CATEGORY OF CONSTRUCTION I bcthroom/l kitcheD (ircfuderj frur
100 feet o1 watet./iewer lues, hrise! Residential ! Govemmeut ! Commercial underJl,.00 s
JOB SITE INFO ON AND LOCATION )
Job site address qe-s521.00 $
ciry:o State ZIP 3 badrooms/l kitchen
Reference:
Each additional barhroorn (over J)132.00Taxlot.:Each additional kitchcn (over l)
DESCRIPTION OF WORK
1.12.00
ResidentiEl fire nklers nclud€s rcview)
0 to 2,000 square feet 1t02.00 S
2.001 to 3,600 square f€et s163.00 s
PROPERry OWNER 3,601 to 7,200 square feer $243.00 s
Sycan B Corp
t4O Beltline Rd Ste 202
sprncrield, OR 97477
Patti Lundeen, Agent tor Owner
5 47 -2*0612. F a\ 5 47-7 46-2590
plundeen@sy.an.com
7.201 square fect and .00
Ad&ess Manufectured or re-Irb circle otre
Conn ections to bu din d 102.00CityZIPcoInmercial, industrial, and d1vellings oth€r than one- or
Phone trrv o-
E-mail Mirumum fec
This installarion is being made on residenrial or farm property
owned by me or a member of my rmmediate farnily. and is
exempt from licensing requireminrs under OAR 9'j3-695-0020
Signature:
Each fixtlre 5.00
Miscellaneous fees
I00' storm. sewer. waler line 106.00
Each fixturq appunanance, and PrP'ng 5.00 s
CONTRACTOR INSTALLATION Stolm water rctcn tiorrdetention facili ry $106.00 s
Busines Right-Way Plumbing & Backflow Service, lnc
PO sox7os26
Springfield, OR 97475
5414U-3787. Fax: 541-7 46-72@
rwp Iu m bine@ wild blu e.net
CCB: 213077 P81813
on systems/Backflow
P 'p lrlg or oatvate storrn
Address the first l0 feet
Ciry Specialty fixtures
Reinspcction (no. ofhrs. x fee per hr.)
Special rcqucstcd lrlspections (no of
E-mail:hrs x fee lrr.)
CCB II Each additional in$pedion: (t )
Plumbing lrcense no Nledlcel gas
825.00 $
s25.00 s
t25.00 s
1102.00 $
02.00
102.00 s
Minimum fee s
Print name r EDtcr value of installatior and equipme S _.
Enter fce bascd on insrallarion and equipmcnt value S
Signature DEPARTMENT USE
(A) Enter subtoral ofabove fees
(Minlmum Permit F.e $102.00)
s
(B) lnvesdgadve fee (equal ro [A])s
(C) Effer 12%(.12 x [A+B])s
(D) Technology Fee (5% oflAl)
TOTAL fees and surcharges (A th h D):s
Last €dited ?/l/2019 bjones
Da,e: q[rr I
rX3@
Name:
5
Phooe:
s
h*I E,
[-I6,.ro
Flor"oo l
I
s
t-
E-
t"
lsr-l5
L-
s
Mechanical Permit A lication KT225 Filth Srft€r . Sprirgfield, oR 9747? . pH(5a r)726-l7il . r^X(i4t)?26-1689 I)a!e q tt
Thl! permit is issued urdcr OAR 9lt-440-0050. Permits crpire if work ls not sa.raed withln t80 drys of issuance or if work ir
susperded for lt0 days,
CATEGORY OF CONSTRUCTION
E Residcntial E Government Commercial
JOA S.]TE INF ATION AND
Job site address .\e R
City a (State: O ztP,'l'14?7
Reference Taxlot
DESCRIPTION OF WORK
PROPERTY OWNER
Name Sycan B Corp
840 Beltllne Road Sulte 202
Sprlndleld, OB 97477
Patti lunde€n, Atent for Owner
541.284.0612. FAX 541.745.2590
plundeen@sycan.com
Address
City
Phone
S ignature
CONTRACTOR INSIALLATIOT{
$ealxru,.'ABusiness name: -JC_C,'t-'61er*nlJ
Address:ll'l-Q t^atvr(! u YZ3-b
ciry zIP:'l-1.f"8
Phone tp-7ota{Fax -5rtb
\-L Z
CCB license no o
Signaturc
DEPARTi'ENT USE ONLY
Permirno.lQ -@2lO3 - (ll
FEE SCHEDULE
Rasidentlrl aty Co.t
ea.
Tord
coat
First AoDliancc $99.00 $
Furnrce/burier i.cluding ducts sod vents
Up to l00k BTUftr $22.00 $
szs.oo I s
Hcaters/stoves/venls
Unit heater $
s52.00 $
${8.00 5
Wood/pellct/gas stove/tlue
Evaporated cooler
Vcnt fan \rith orlg duct/applience $r3.00 s
Hood with exhaust and ducl s18.00 $
Gas pipinp
One to four outlets $8.48 $
Additional outlets (each)$5.30
Air-handlir[ units, itlcludirI ducti
uP ro 10,000 cFM $
Ovcr 10,000 CFM $
Cumoressor/absorolion system/heat DumD
Up to 3 hp/I00k BTU $22.00 $
Up to l5 hp/500k BTU $i40,00
$s9.00 sup ro ro hP/I,000 BTIJ
Up to 50 hp/1,750 BTU s76_00 $
Over 50 hp/|,750 BTU sr28.00 $
Incinerators
Comm6rclal
Enter total valuation ofmechanical systam
and insmllalion costs S -.]gJ O€) O
Enter fee ba6cd on valualion ofmechanical systcm, etc t;
Itenutliscellaneous fae8 Con
CL
Tortlsrt
Reinspection $9S.00 $
Spccially rcquested inspecriohs (per $99.00 $
Regulated equ ipmcnt (unclasscd)s
Erch sddition.l inipcctlon: (l)$99.00 t
(A) Enter sublotal ofabove fees (or enter set
minimum fcc of S 9g!4)$
(B) lnvestigative fee $
$
$
(C) Enter 12% surcharge (.12 x [A+Bl)
(E) Tecinology Fee (5% of IAJ)
(D) Seismic fec, l'Z 0l x [A])
$
TOTAL fees end surcharges (A through E)l $
llst cditld 7/lD0l8 bjoncs
Crrv or SpRlucrrc,LD, OREGoN
Over | 00k BTUAT.
s22.00
E-mail:
This installation is being made on property owned by me or a
member of my immediatc family, and is cxempt fronr licensing
rcquirements under ORS 701.010.
SDomestic incincrator s25.00
state: Otz-
U-nrail:
s18,00
Print nanre:
fsraoo ts-r
ls I
I---l $15.00
I25.00
SPRINGFIELD
225 FIFTE STREET . SPRINGFIELD, OR 91471 ' PH:(541)126-37 53 ' FAX: (s47)72G3689
ADDITIOi{AL ADDRESS REQU EsT
Property Owner:
Mailing Address:
h
City:
Perso
State:
norAg ency requ esting ch e if other than owner:
Phone number w you can be
contacted between l:00Pm and 5:00Pm:
Address of ProPe ou are requesting to have an additional address assigned:
Assessor Map #:o3.It 30 Tax Lot #
Please explain specifically why you feel the location needs an additional address
assigned:
t\Proposed Address:
-)Property Owners 5i Date: Qgna
Fee:
Reference Number:
Planning Approval:
Planning Review By:
Received By:
*@ Receipt#:
Tax Lot #:
Denial:
lf denied, please explain:
Approved:
lf approved, new address is:
Date:
Denied:
Date:
It+{{-
Reviewed By:
CN
SharEd DrivccD:/Building Forms/Additiooal Addr.ss Request t 1{2 doc
_e
--
ziP,9 J:(37
OFRCE UsE
Date Received:
Amount Paid:
SPRINGFIELD
b
OREGON
www.springfield-or.gov
Worksite address: 800 BELTLINE RD, Springfield, OR 97477
Parceli 1703153000900
Transaction Receipt
811-19-002{ 03-sTR
Receipt Number: 472370
Receipt Date:9r11r19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@springf ield-or. gov
Fees Paid
Transaction date
9t11t'19
units
1.00 Ea
Description
Structural plan review fee
Account code
224 -O OOO O - 42 5602 - 1 030
Paid amount
$1,766.73
Fee amount
$'1.766.73
Payer: DORMAN CONSTRUCTION INC Payment Amount:$1,766.73
Receipt Total:$1,766.73
Printed: 9/11/19 2:52 pm FIN_TransactionR€ceipt_pr
t h-r.,1
Payment Method: Credit card authorization:
001530
Cashaer: Katrina Anderson
City of Springfield
Development Services Department
225 Fifth Street
Springfield, oR 97477
sFtll{ott:LD
Planning Division Information Sheet for Building Permits
Commercial/Industrial/ l.lulti-Famlly R€sidential
The Planning Division requires the following information for all building permit submittals on
properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrlal,
including new construction. expansions, and changes of use.
New construction, expansions, and changes of use to any building, parking, or development area in
these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100)
or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review
ApDlicant l{amei t )"'"rr'o",. Lo aSL:c-r-t-,V:' o n ptrone: 5{/ I -?flr/-czrt\
Company:r"rr54 I -?t'too\
ASSESSOR'S IrrAP IIO: | 1o3 t53ogco te
Addressr 3o3 tj)o 17./77
t5^-1?,i i"TAX LOT NO s
4,,
\q?4?-1Address:P 1
Description of thc proposed work to be completed u_nder thls-puilCing pemlt:
4:l:.:"',f#,"r:a?'of":2?i)3.,iff k'",1i',.)2";t2'?agfta.a*.
t+;ltn7u,tx iled /,yian1 .t Zt.i,tr/ - fieT)e2 {;.u :/)/a n{c. Ettltur< ,tnlcr JtA
Has thls development proposal been revlewed by the Planning Divlsion
through an .ppllc.tlon process (1.e, MDS or Srte Plan Rcview)?
If yes, Case #:
If no, iB this a changG in usa? E ves E no
Prior A roved Use:Pro osed Use:
Does the use n€cessitate the us€ of any chemicals or substances that are hazardous or
on site?Yes l{ouir€ Material Saf to beand Data sheets MSDS
Zonin TOfzl Overl s
Thc proposed proJect requlres submittal and approval ofthe following Planning application
prlor to bulldlng prrmlt approval:
D oWp Overlay District Dcvclopmcnt E Statement LettGr Regarding DwP Excmption
E uos I ttOS Land UsG Compatibillty Statement
Site Plan Review Other:
Reviewed Date3
Required Project Information (Applicant; comptete this section)
Required Property Information (City Intake Staff: complete this section)
NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building
Permit, Police or other permit approvals or inspections are not Planning approval.
5
Evcs Dro
E ci9EXISTING DEVELOPED AREA {S,F,)
TOTAL IMPERVIOUS SURTACE (S,F,)
MWMC
MWMC
820 ITE
-
IrE
3.00
LOT SIZE S,F,)
820
E20
NEW DEVE
TOTAL STOR]\I DRAINAGf SDC:
S 0.303 PER SF
TOTAL LOCAL WASTEWATER SDC:
(see revcrse side)\\.ER IT\
s0.00
s4,413.00
s0.00
s0.00
I, S
IMPROVEMENT COST
Cost
PERVIOUS SQ, FT
IMPERVIOUS SQ, FT 0.437 PER SF
0.740
$ I7O,5O PER DFU
$
SF= $
$ 83.99 PER DF(J
s 254.49
EW IMPERVTOUS SQ. Fr.
, REIMBURSEMENT COST
IMPROVEMENT COST:
NUMBER OF DFU'S
A. REIMBURSEMENT COST:
NUMBER OF DFU'S
LDG AREA TCSF x TRIP RATE X COST PER ADT X NEW TRJP FACTOR
EW:
. REIMBURSEMENT COST:
2.553 x 125.6 x S 19.86 PER TRIP x
($2,228.89)
($42,355.56)
$ 397.26
0.35 NTF
0.35 NTF
0,35 NTF
TOT-AI TRANSPORTATION SDC:I
srrin
s0.00
mm
TR.\\S
IMPROVEMENT COST
2.55 125.6 S 377,40 PER TRIP
TOTAL TRANSPORTATION REIMBURSEMENT SDC
TOTAL TRANSPORTATION IMPROVEMENT SDC
EXISTING:
A. REIMBURSEMENT COST:
-2.55 x 125.6
B, IMPROVEMENT COST:
-2.55 x 125.6 0.35 NTF
s0.00
6,616.745
s198.29
s2.364.59
REIMBURSEMENT COST:
NUMBER OF FEU'S -2.55
IMPROVEMENT COST.
-
NUMBER OF FEU'S -2.55
COMPLIANCE COST:
NUMBER OF FEU'S -2.55
wMC CREDIl IF APPLICABLE (sEE REV-EEE;-
(s19E.29)
2.55
255
2.55
S'I'7.6'7 PER FEU
5926.20 PER FEU
SI3,O4 PER FEU
SANITA
EXISTINC
B
TOTAL N{WNIC SDC:
511.6'7 PER FEU
5926.20 PER FEU
S13.04 PER FEU
RTIMBURSEMENT COST:
NUMBER OF FEU'S
IMPROVEMENT COST:
NUMBER OF FEU'S
COMPLIANCE COST:
NUMBER OF FEU'S
TOTAL MWMC REIMBURSEMENT FEE
TOTAL MWMC IMPROVEMENT FEE
TOTAT MWMC COMPLIANCE FEE
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1. 2. 3, & 4
re
-
rere
CITY OF SPRINGFIfLD SYSTE]IIS DEYELOPMENT CHARGE WORKSHEET
JOIIRNAI- OR JOB NI]MBER
NAME OR COMPAN\':
LOCATION:
MAP & TAX LOT NUMBf,R:
DEVELOPMENT TYPE:
t9-002i03-sTR
SYCAN B CORP
8IO BELTLINE RD
1703153000900
COMMERCIAL
5. ADMINISTRATIVE FEES:
6.6t6.74
STORM DRAINAGE ADMINISTRATION FEE
SEWER ADMINISTRATION FEE
TRANSPORTATION ADMINISTRATION FEE
LOCAL MWMC ADMINISTRATION FEE
5v"s330.84
330.84
0.00
0.00
$ 6,947.58
BASE CHARCE (SUBTOTAL ABOVE) $
9,l71201s
2.553.00
26
26
$2,228.89
$42.155.56
x $ 19.86 PER TRIP x
x $ 377.40 PER TRIP x
s33.29
l-r..ffiil
s2,t E3.74
l-;i-67T s66rt?4
s-t0.00
s0.00
$0.00
$0.00
$0.00
0.00
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUMLENT = DRAINACE FIXTURE UNITS
\I Y THE NFT ADDITIO\AL FIXTURFSI
#REFI
FIXTURES
NEW OLD
UNIT
VALENT
DRAINAGE
FIXTURE
I,,INITSFIXTURE TYPE
BATHTUB
DRJNKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDSi ETC,
INTERCEPTORS FOR SAND/AUTO WASTUETC.
LAI.NDRY TUB
CLOTHES WASHEPJMOP SINK
CIOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP ( I PER TRATLER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINII/ DISHWASHER/ETC
SHOWER. SINCLE STALL
SHOWER, CANG (NUMBER OF HEADS)
SINK: COMMERCIAL. RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR
URINAL, STALUWALL
TOILET. PUBLIC INSTALLATION
TOILET, PRIVATE NSTALLATION
MISCELLANEOUS:
0
3
0
t)
0
0
0
0
0
0
2
0
0
0
0
0
l0
l2
()
0
NUMBER OF EDU'S*
*EDU ly dwelling (20 DFU ) set at I 6? gallons per day
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFIER ANNEXATION DATE IN TABLE, CATCULATE CREDITS SEPARATELY
YEAR
ANNEXED
RATE PER $ I.OOO
ASSESSED VALUE
$1.45
s1.25
$ 1.09
$0.92
s0.72
$0.4E
s0.28
s0.09
$0.05
$0.00
$0.00
$0.00
s0.00
s0.00
t so oo
RATE PER $I.OOO
ASSESSED VAI-T]E
YEAR
ANNEXED
't979
1980
t98|
I S82
1983
1984
1985
t986
r987
1988
1989
t990
t99t
$5.29
$5.19
s5.12
$4.98
$4.E0
$4.63
$4.40
$4.07
$3.67
s3.22
s2.73
s2.25
$1.80
or before 1992
t993
1994
1995
1996
t997
1998
1999
2000
200r
2002
2003
2004
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
CREDIT TOTAL
1
I
3
3
6
3
6
t2
I
3
2
3
2
2
I
5
6
3
0
TOTAL DRATNAGE FTXTURE UNtrs = E