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Home My WebLink AboutPermit Building 2006-04-19Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: ISSUED: APPLIED: EXPIRES: VALUE: 09t28t2005 1011912006 $ 150,000.00 325 SITE ADDRESS: 1565 MOHAWK BLVD ASSESSOR'S PARCEL NO.; 1703253106800 PROJECT DESCRIPTI Springfield TYPE OF WORK: Restaurant TYPE OF USE: Alteration Mohawk Reimage Owner: Address: Contractor Tvpe Architect General Electrical Mechanical Contractor F'REIHEIT & HO LEMAR & SON MCDONALDS CORP 036-0023 2073 OLYMPIC ST STE 211 SPRINGFIELD OR 97477 Commercial Phone Number: 425-827-9700 License Expiration Date$u INC INC EUGENE ADV # of Units: Primary Occupancy G Secondary Occupancy Primary Construction Type . Secondary Construction Type: # of Bedrooms: Fronfyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImproYements: Storm Sewer Available: Special Instruction: INC & COOLING LLC JACKSON # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: 04t28t2006 03/17t2007 0t/18t2007 a8/24t2008 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other; Occupant Load: Phone 425-827-2100 541-747-0568 541-344-3561 541-334-4328 541-683-7535 3224r 90200 162838 131109 \) A2 VB 493 54nla REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Pase 1 of 7 (\ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01325ISSUED: 0411912006 APPLIEDT 0912812005 EXPIREST 1011912006VALUE: $ 150,000.00 Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 150,000.00 Total Value of Project Amount Paid Date Paid Value $15o,ooo.o0 $150,000.00 Date Calculated 12t061200s Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0o Administrative Fee + l0oh Administrative Fee + 77o State Surcharge + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Plan Review Comm/Ind/Public Plan Review Fire & Life Safety PIan Review/Comnlnd,Pub Hourly Plan Review/Com,Ind,Pub Hourly 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 Storm Drainage Impervious Area Vent Fan + l0oh Administrative Fee + 8%o State Surcharge Storm Sewer - lst 50 Feet -Mechanical Issuance Fee- + l0"h Administrative Fee + 87o State Surcharge Boiler/Comp Up To 100,000 btu Minimu m/Adj ustment Mechanical Receipt Number 1200500000000001418 l 2006000000000003 I 6 1200600000000000316 1200600000000000316 1200600000000000316 r2006000000000003r6 l 200600000000000316 12006000000000003r6 1200600000000000316 r200600000000000316 1200600000000000316 1200600000000000316 I 2006000000000003 I 6 1200600000000000316 1200600000000000316 1200600000000000316 r200600000000000316 12006000000000003r6 r200600000000000316 I 2006000000000003 I 6 1200600000000000316 1200600000000000316 1200600000000000316 l 2006000000000003 I 6 l 2006000000000003 I 6 12006000000000003r6 r200600000000000316 2200600000000000469 2200600000000000469 2200600000000000469 2200600000000000483 2200600000000000483 2200600000000000483 2200600000000000483 2200600000000000483 $278.9s $10.00 $7.00 $81.82 s57.27 $s.60 $43.00 $27.00 $728.15 $28.00 $39.00 $17.00 $194.3s s291.26 $e0.00 $90.00 $228.79 $300.88 $10.00 $3,683.24 $422.35 $37.28 $828.43 $10,296.01 s2,334,21 $38.80 $6.00 $4.50 $3.60 $45.00 $10.00 $4.50 $3.60 $24.00 $21.00 9t28105 3t20t06 3t20t06 3/20t06 3t20106 3t20/06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20106 3t20t06 3t20t06 3t20t06 3t20106 3t20t06 3t20t06 3t20t06 3t20106 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20106 3t20t06 4n7106 4t17106 4n7106 4n9t06 4n9t06 4/t9t06 4n9t06 4n9t06 ees Pqirl Paee 2 of 7 hh Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01325ISSUED: 0411912006APPLIEDz 09128/2005 EXPIREST 1011912006VALUE: $ 150,000.00 Total Amount Paid $20,290.59 Plan Reviews Fire Department Review 09/30/2005 0l/03/2006 OK GRG McDonalds Mohawk Reimage/Remodel. COM2005-01325. Construction type V-B. Total Sq footage 4,482.44. New Sq footage 493.44. Provide/maintain fire extinguishers with a minimum rating of 2-A:10-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (2004 Springfield Fire Code 906). Post OL for assembly occpancy. OL 54 per Building Dept Provide means of egress illumination meeting requirements of 2004 OSSC 1006. Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" if key locking hardware is employed (2004 OSSC 1008.1.8.3, exception 2.2). mfechtel/ggordon Placed a call to contractor on l0/3/05 regarding planning review process. Sent letter to owner and contractor on l0/4/05 regarding need for submittal of MDS application. Approved by Andy Limbird l/30/06. See revised plan review. Initial Review Planning Review 09/29t2005 09/30/2005 09t29t2005 02t0u2006 APP APP LLH EMM 02t02t2006 wE sBPublic Works Review 09/30/200s Paee 3 of 7 3 ffi.r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01325ISSUED: 0411912006APPLIED: 0912812005EXPIRES: 1011912006VALUE: $ 150,000.00 Revised Plan Review - Fir 0112712006 03t08/2006 OK GRG Revised Plan Review - Fir 0211712006 03/08/2006 OK GRG Plans Review: Addition and remodel, 4th and 5th revisions. Job #COM2005-01325. Occupancy Classification: A-2. Construction Type: V-B. Existing square footage: 3989 sq. ft. Total sq. footage after additions: 4483 sq. ft. Address number location shown on Plan Sheet A3, Detail4. Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (2004 Oregon Structural Specialfy Code 501.2 and 2004 Springfield Fire Code 505.1). Previous plans review comments dated on l2l2l05 still apply. Plans Review: Addition and remodel, 4th and 5th revisions. Job #COM2005-01325. Occupancy Classificatio n; A-2, Construction Type: Y-B. Existing square footage: 3989 sq. ft. Total sq. footage after additions: 4483 sq. ft. Address number location shown on Plan Sheet A3, Detail 4. Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (2004 Oregon Structural Specialty Code 501.2 and 2004 Springfield Fire Code 505.1). Previous plans review comments dated on l2l2l05 still apply. SDCs added for new imperviousn new fixtures, transportation and MWMC for new addition. NO LDAP required. No new building square footage shown, no additional plumbing fixtures, no new impervious. No additional SDCs. Revised Plan Review - Pla Revised Plan Review - Pla Revised Plan Review - Pu 02n7t2006 0u27t2006 0u27t2006 02t2y2005 02t0u2006 02t02t2006 EMM EMM SB APP APP APP APP SBRevised Plan Review - Pu 0211712006 02t27t2006 Paee 4 of 7 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line CITY F Building/Combination Permit PERMIT NO: COM2005-01325ISSUED: 0411912006 APPLIEDT 09128/2005 EXPIREST 1011912006VALUE: $ 150,000.00 Revised Plan Review - Str Revised Plan Review - Str Revised Plan Review - SU Revised Plan Review - SU Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review SUB Review lu28t2005 t2t0612005 t2n5t200s 09t29t2005 12n5t2005 IO WE. Received revised 20 sheet drawing sets. Received 20 sheet revised plan set with energy code forms and 18 page structural calculation package. 02n7t2006 0u27t2006 0u27t2006 02n712006 02n8t2006 03/08/2006 02t09t2006 02n7t2006 0u27t2006 02n0t2006 03/08/2006 02n8t2006 03/08/2006 02t09t2006 IO WE APP APP IO JMP JMP JMP JMP JMP JF JF JMP APP IO IO 10/05/2005 WE 1U01/200s 11/01/200s Io JMP tt/07t2005 tu07t200s Io JF 09/30/200s 10n7t2005 WE JF To Request an inspection call the24 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Rennired Insnections Paee 5 of 7 JMP JMP WI. Received plumbing contractor data and updated records. Received final internal reviews. WE. Received faxed signature page ofthe special inspection form from Marlene Boehm. WE. Received response from Leroy Boehm. Called Maria Garcini--she is still working on the BE and HVAC energy code forms. Called Marlene Boehm--she will get the special inspection forms to us for the heavy duty suspended ceiling. She will also call with the plumbing and mechanical contractors when they are selected. WE. Received partially completed special inspection forms, See attached documents for ll structural comments faxed to Lawrence Ho. WE. Received partial response from Maria Garcini of Freiheit & Ho. Still waiting on Items 1, 8, 9, 10, and 11. Left a voice mail message with Lemar & Son requesting the balanct of the information. JMP called and talked to Lawrence Ho to request the HVAC and BE forms. See JMP's item #7 on the attached documents for the 10/05/2005 request for energy code forms. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01325ISSUED: 0411912006 APPLIEDz 0912812005 EXPIRES: 10/1912006VALUE: $ 150,000.00 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. Shear 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. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/l{ailing: Before covering sheathing with finish material. 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. 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. 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 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 Ceiling Grid: Interior Lighting Pase 6 of7 il "T Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01325ISSUED: 0411912006 APPLIEDz 0912812005 EXPIRES: 10/1912006VALUE: $ 150,000.00 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. t-tl '4 Owner or Contractors Signature Date PaseT of7 XT -1 225 Fifth Street Springfield, Oregon 97 477 341-726-3759 Phone Cia, of Springfield Official Receipt f, ,lopment Services Department Public Works Department RECEIPT #: 2200600000000000483 Date: 0411912006 lI:2E:26AM Job/Journal Number coM2005-01325 coM2005-01325 coM200s-01325 coM2005-01325 coM2005-01325 Description Boiler/Comp Up To 100,000 btu M inimum/Adjustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + l0o Administrative Fee Amount Due 24.00 21.00 10.00 3.60 4.50 $63.10Item Total: Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard CDA ENTERPRISES jmp 6t327 1 In Person $63.10 Payment totat: -56IiT- cReceint I Page I of I 41t912006 mm*D Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01325ISSUED: 0312012006APPLIEDz 0912812005EXPIRES: l0/1012006VALUE: $ 150,000.00 SITE ADDRESS: 1565 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253106800 PROJECT DESCRIPTION: McDonalds : Restaurant Alteration Commercial PhoneNumber: 425-827-9700 License Expiration DateContractor FREIHEIT & HO ARCHITECTS INC LEMAR & SON CONSTRUCTION INC EUGENE ELECTRIC SERVICE INC ADVANCED HEATING & COOLING LLC STEVEN DOUGLAS JACKSON to\\ow Owner: Address: MCDONALDS CORP 2073 OLYMPIC ST STE 217 SPRINGFIELD OR 97477 Contractor Type Architect General Electrical Mechanical Plumbing 32241 90200 162838 r31r09 04t28t2006 03n7t2007 0u18t2007 08t24t2008 Phone 425-827-2100 s4t-747-0568 541-344-3561 541-334-4328 s4r-683-7535 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: A2 VB n/a REQUIRED PARKING Total: Handicapped: Notes: Pase I of7 s: I, U ILL,rN U r r\ r Ut(1v!,q_!_!!-rNl 493 54 \t \$ L,LVt LurlYll:,t\ I ri\rr-rr(rYrA r rLri\ | \s0 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line F PRIN Building/Combination Permit PERMIT NO: COM2005-0I325ISSUED: 0312012006APPLIED: 0912812005EXPIRES: 10/1012006VALUE: $ 150,000.00 Description Estimate Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0oh Administrative Fee + l0oh Administrative Fee + 77o State Surcharge + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Plan Review Commflnd/Public Plan Review Fire & Life Safety PIan Review/Com,Ind,Pub Hourly Plan Review/Com,Ind,Pub Hourly 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 Storm Drainage Impervious Area Yent Fan + l0oh Administrative Fee + 8olo State Surcharge Storm Sewer - lst 50 Feet Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 150,000.00 Total Value of Project Amount Paid Date Paid Value $150,000.00 $150,000.00 Date Calculated 12t06t2005 $278.9s $r0.00 $7.00 $81.82 ss7.27 $s.60 $43.00 $27.00 $728.1s $28.00 $39.00 $17.00 $194.35 $291.26 $90.00 $90.00 $228.79 $300.88 $10.00 $3,683.24 $422.35 $37.28 $828.43 $10,296.01 $2,334.21 $38.80 $6.00 $4.s0 $3.60 $45.00 9t28t0s 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20/06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 4n7106 4n7106 4n7t06 Receipt Number 1200500000000001418 r200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 12006000000000003r6 I 200600000000000316 r200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 12006000000000003r6 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 2200600000000000469 2200600000000000469 2200600000000000469 rees Paid Total Amount Paid s20,227.49 Paee 2 oI 7 Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-01325ISSUED: 0312012006 APPLIEDz 0912812005EXPIRES: 10/1012006VALUE: $ 150,000.00 Plan Reviews Fire Department Review 09/30/2005 0l/03/2006 OK GRG McDonalds Mohawk Reimage/Remodel. COM2005-01325. Construction type V-B. Total Sq footage 4,482.44. New Sq footage 493,44, Provide/maintain fi re extinguishers with a minimum rating of 2-A:10-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (2004 Springfield Fire Code 906). Post OL for assembly occpancy. OL 54 per Building Dept Provide means of egress illumination meeting requirements of 2004 OSSC 1006. Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" if key locking hardware is employed (2004 OSSC 1008.1.8.3, exception 2.2). mfechteUggordon Placed a call to contractor on l0/3/05 regarding planning review process. Sent letter to owner and contractor on l0/4/05 regarding need for submittal of MDS application. Approved by Andy Limbird l/30/06. See revised plan review. Initial Review Planning Review Public Works Review 09t29t200s 09/30/2005 09t29t2005 02t0u2006 LLH EMM APP APP 09/30/2005 02t02t2006 wE sB Paee 3 of 7 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01325ISSUED: 0312012006 APPLIEDz 0912812005EXPIRES: l0/1012006VALUE: $ 150,000.00 Revised Plan Review - Fir 0112712006 03/08/2006 OK GRG Revised Plan Review - Fir 0211712006 03/08/2006 0K GRG Plans Review: Addition and remodel, 4th and 5th revisions. Job #COM2005-01325. Occupancy Classification: A-2. Construction Type: V-B. Existing square footage: 3989 sq. ft. Total sq. footage after additions: 4483 sq. ft. Address number location shown on Plan Sheet A3, Detail4. Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (2004 Oregon Structural Specialty Code 501.2 and 2004 Springfield Fire Code 505.1). Previous plans review comments dated on l2l2l05 still apply. Plans Review: Addition and remodel, 4th and Sth revisions. Job #COM2005-0f 325. Occupancy Classification: A-2. Construction Type: V-8. Existing square footage: 3989 sq. ft. Total sq. footage after additions: 4483 sq. ft. Address number location shown on Plan Sheet A3, Detail4. Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (2004 Oregon Structural Specialfy Code 501.2 and 2004 Springfield Fire Code 505.1). Previous plans review comments dated on l2l2l05 still aPPlY. SDCs added for new impervious, new fixtures, transportation and MWMC for new addition. NO LDAP required. No new building square footage shown, no additional Plumbing fixtures, no new imPervious. No additional SDCs. Revised Plan Review - Pla Revised Plan Review - Pla Revised Plan Review - Pu 02n7/2006 0u2712006 0u27t2006 02tzil2005 02t0U2006 02t02t2006 APP APP APP EMM EMM SB APP SBRevised Plan Review - Pu 0211712006 02t27t2006 Pase 4 of 7 L Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line PERMIT NO: COM2005-01325ISSUED: 0312012006APPLIED: 09128/2005EXPIRES: 10/1012006VALUE: $ 150,000.00 Revised Plan Review - Str Revised Plan Review - Str Revised Plan Review - SU Revised Plan Review - SU Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review SUB Review 1y28t2005 12t06t2005 Io JMP IO JMP WE. Received revised 20 sheet drawing sets. Received 20 sheet revised plan set with energy code forms and 18 page structural calculation package. WI. Received plumbing contractor data and updated records. Received final internal reviews. WE. Received faxed signature page ofthe special inspection form from Marlene Boehm. WE. Received response from Leroy Boehm. Called Maria Garcini--she is still working on the BE and HVAC energy code forms. Called Marlene Boehm--she will get the special inspection forms to us for the heavy duty suspended ceiling. She will also call with the plumbing and mechanical contractors when they are selected. WE. Received partially completed special inspection forms. See attached documents for ll structural comments faxed to Lawrence Ho. WE. Received partial response from Maria Garcini of Freiheit & Ho. Still waiting on Items 1, 8, 9, 10, and 11. Left a voice mail message with Lemar & Son requesting the balance of the information. JMP called and talked to Lawrence Ho to request the HVAC and BE forms. See JMP's item #7 on the attached documents for the 10/05/2005 request for energy code forms. 02n7t2006 0U21t2006 0u27t2006 02n7t2006 02n8/2006 03/08/2006 02t09t2006 12n5t2005 09/29t2005 02n7t2006 0U2712006 02n0t2006 03/08/2006 02n8t2006 03/08/2006 02t09t2006 t2nst2005 l0/05/2005 IO WE APP APP IO APP IO JMP JMP JMP JMP JF JF JMP WE JMP I 1/01/2005 1u0u2005 Io JMP ty07t200s 1u0712005 Io JF 09/30/2005 t0n7/2005 WE JF 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Reouired Insnections Page 5 of 7 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-01325ISSUED: 0312012006APPLIED: 0912812005EXPIRES: l0/1012006VALUE: $ 150,000.00 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. SIab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Shear 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 coYer. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Drywall: Prior to taping. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/l'{ailing: Before covering sheathing with finish material. 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 [nspector. 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. 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 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 Ceiling Grid: Interior Lighting Paee 6 of7 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-0I325ISSUED: 0312012006APPLIED: 0912812005 EXPIRES: 10/1012006VALUE: $ 150,000.00 By signature, I state and agree, that I have carefulty 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 Safefy. 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. 1- tz,o 6 Owner or Contractors Signature Date Pag,e 7 of 7 225 Fifth Street Spriugfield, Oregon 97 477 541-726-3759 Phone CiF' of Springfield Official Receipt L ;lopment Services Department Public Works Department RECEIPT #: 2200600000000000469 Date: 0411712006 9:03:0lAM Job/Journal Number coM2005-01325 coM2005-01325 coM2005-01325 Description Storm Sewer - lst 50 Feet + 8% State Surcharge + l0%o Administrative Fee Amount Due 45.00 3.60 4.50 Item Total:$s3.10 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard LEROY BOEHM djb I 17100 In Person Payment Total: ss3. l 0 -$sl-id- cReceint I Page I of 1 4il712006 $llttar'ltlF [|,.Gl Status: Issued 225 Fifth Street, Springfield, OR 541:7264753 Phone 541-726-3676Frx 541:7 26-37 69 Inspe ction Line CITY OF S Buildin g/Co mbin ation Permit PERMITNO: COM2005-01325ISSUED: 0312012006 APPLIEDT 0912812005E)PIRES: 0912012006VALUE: $ 150,000.00 SITE ADDRESS: 1565 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253106800 PROJECT DESCRIPTION: McDonalds MohawkReimage Springfield TYPE OF TYPE OF USE: Restaurant Alteration Commercial Phone 425-827-2100 541-747-0568 s4t-344-3561 541-3344328 541-683-7535 Owner: Address: Contractor Tvpe Architect General Electrical Mechanical Plumbing MCDONALDS CORP 036-0023 2073 OLYMPIC ST STE 211 SPRINGFIELD OR 97477 Phone NOTICE: THIS PER MIl SHAL'L EXPIRE 32241 90200 162838 131109 TFTttffiqf'z,-e,oo ; ERMIT IS NU I R IHIS P RIS RIOD License Expiration DateContractor FREIHEIT & HO ARCHITECTS INC LEMAR & SON CONSTRUCTION INC EUGENE ELECTRIC SERVICE INC ADVAIICED HEATING & COOLING LLC STEVEN DOUGLAS JACKSON 04t28t2006 03n7t2007 0u18t2007 08t2412008 DE\rELOPMENT BUILDING INF'ORMATION Frontyard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm SewerAvailable: Special Insfruction: # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Sq Ft Other: nla Occupant Load: L2 VB 493 54 Oregon Utill I1-800-332 REQUIRED PARIilNG Total: Handicapped: Compact: Sidewalk Type: Downstrrcuts/I)rains PUBLIC IMPROVEMENTS Notes: lofT #of Unib: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction , # of Bedrooms: Status: Issued 225Ilfth Street, Springfield, OR 541:12G3753 Phone 541-726-3676F2x 541:7 26-37 69 Inspe ction Line Buildin g/Co mbination Permit PERMIT NO: COM2005-01325ISSUED: 0312012006APPLED: 0912812005E)PIRESz 0912012006VALUE: $ 150,000.00 Description Estimate Fee Description Plan Review Commflnd/Public -Mechanical Issuance Fee- + l0o/o Administrative Fee + l0Yo Administrative Fee ,, *1oh State Surcharge' + 8oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Plan RevieilComrlndrPub Hourly Plan ReviedCom,Ind,Pub Hourly Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC NTWMC Reimbursement SDC Sanitary/Storm Admin' SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Type of Construction Estimate $PerSqFt SquareFootage or muftipher or Bftl Amount $1.00 150,000.00 Total Value of Project Amount Paid Date Paid Value $150,000.00 $150,000.00 Date Calculated 12t06t200s $278.95 $10.00 $7.00 $81.82 $s7.27 $s.60 $43.00 $27.00 $728.15 $28.00 $39.00 $17.00 $194.3s $291.26 $90.00 $90.00 $228.79 $300.88 $10.00 $3,683.24 $422.35 $37.28 $828.43 $10,296.01 $2,334.21 $38.80 $6.00 9t28t05 3t20t06 3t20t06 3t20t06 3t20t06 3t20106 3t20t06 3t20t06 3t20106 3t20t06 3t20t06 3t20t06 3t20t06 3t20106 3t20t06 3t20106 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20t06 3t20to6 3t20106 3t20t06 3t20t06 Receipt Number 1200500000000001418 r200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 12006000000000003r6 1200600000000000316 r200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 1200600000000000316 Total Amount s20,174.39 2oI 7 Plan Reviews Valuation Description I Fees rato I CITY OF Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:1 26-37 69 I nspe ction Line PERMIT NO: COM2005-01325ISSUED: 0312012006 APPLIED z 0912812005E)GIRESz 0912012006VALUE: $ 150,000.00 Fire Department Review 09/30/2005 0u03t2006 OK GRG McDonalds Mohawk Reimage/RemodeI. COM2005-01325. Construction type V-B. Total Sq footage 4,482.44. New Sq footage 493.44. Provide/maintain fire extinguishers with a minimum rating of 2-A:10-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (2004 Springfietd Fire Code 906). Post OL for assembly occpancy. OL 54 per Building Dept Above the main exit door, provide sign stating "THIS DOORMUST REMAIN UNLOCKED DURING BUSINESS HOURS" if key locking hardware is employed (2004 OSSC 1008.1.8.3, exception 2.2). mfechteUggordon Placed a call to contractor on 10/3/05 regarding planning review process. Sent letter to owner and contractor on 10/4/05 regarding need for submittal of MDS application. Approved by Andy Limbird U30/06. See revised plan review. , Initial Review Planning Review 09t29t200s 09/30/2005 09t29t2005 02t0u2006 LLH EMM APP APP Public Works Review 091301200s 0210212006 wE SB 3of7 -T Provide means of egress illumination meeting requirements of 2004 OSSC 1006. OF SPRIN Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 2637 69 I nspe ction Line PERMIT NO: COM2005-01325ISSUED: 0312012006APPLEDz 09128/2005E)?IRESz 0912012006VALUE: $ 150,000.00 Revised Plan Review - Fire 0112712006 03/08/2006 OK GRG Revised Plan Review - Fire 0211712006 03/08/2006 OK GRG Plans Review: Addition and remodel,4th and 5th revisions. Job #COM2005-01325. Occupancy Classifi cation: A-2. Construction Type: V-8. Existing squsre footage: 3989 sq. ft. Total sq. footage after additions: 4483 sq. ft. Address number location shown on PIan Sheet A3, Detail4. Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (2004 Oregon Structural Specialty Code 501.2 and 2004 Springfield Fire Code 505.1). Previous plans review comments dated on l2l2l05 still apply. Plans Review: Addition and remodel,4th and 5th revisions. Job #COM2005-01325. Occupancy Classilication: A-2. Construction Type: V-B. Existing square footage: 3989 sq. ft. Total sq. footage after additions:4483 sq. ft. Address number location shown on Plan Sheet A3, Detail4. Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (2004 Oregon Structural Specialty Code 501.2 and 2004 Springfield Fire Code 505.1). Previous plans review comments dated on l2l2l0S still appty. SDCs added for new impervious, new fixtures, transportation and MWMC for new addition. NO LDAP required. No new building square footage shown, no additional plumbing Iixtures, no new impervious. No additional SDCs. Revised PIan Review - Plar Revised Plan Review - Plar Revised Plan Review - Pub 02/17t2006 0u27t2006 0u27t2006 02t2u2005 02t0u2006 02t02t2006 EMM EMM SB APP APP APP APP SBRevised Plan Review - Pub 0211712006 02t27t2006 4of7 I Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-7263676Fax 541 :7 2647 69 Inspection Line Y F SPRIN Building/Co mbination Permit PERMITNO: COM2005-01325ISSUED: 0312012006 APPLIEDz 0912812005E)0IRESt 0912012006VALUE: $ 150,000.00 Revised PIan Review - Stru Revised Plan Review - Stru Revised Plan Review - SUI Revised Plan Review - SUI'" Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review SUB Review 02n7t2006 0y27t2006 0U27t2006 02n7t2006 02n8t2006 03/08/2006 02t09t2006 12n5t2005 09t29t2005 02n7t2006 0u2712006 02n012006 03/08/2006 02n8t2006 03/08/2006 02t09t2006 12n5t2005 10/0s/2005 LU0u2005 11/01/2005 IO JMP 1U0712005 tu07t200s Io JF 09/30/2005 10n7t2005 wE JF WE. Received revised 20 sheet drawing sets. Received 20 sheet revised plan set with energy code forms and 18 page structural calculation package. WI. Received plumbing contractor data and updated records. Received final internal reviews. WE. Received faxed signature page of the special inspection form from Marlene Boehm. WE. Received response from Leroy Boehm. Called Maria Garcini-she is still working on the BE and HVAC energy code forms. Called Marlene Boehm-she will get the special inspection forms to us for the heavy duty suspended ceiling. She will also call with the plumbing and mechanical contractors when they are selected. WE. Received partially completed special inspection forms. See attached documents for 1l structural comments faxed to Lawrence Ho. WE. Received partial response from Maria Garcini of Freiheit & Ho. Still waiting on Items 1, 8, 9, 10, and 11. Left a voice mail message with Lemar & Son requesting the balanct of the information. JMP called and talked to Lawrence Ho to request the HVAC and BE forms. See JMP's item #7 on the attached documents for the f 0/05/2005 request for energy code forms. IO WE APP APP IO IO WE JMP JMP JMP JMP JMP JMP JMP JF JF JMP APP IO IOLU281200512t06t200s To Request an inspection call the24 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 \ilork day. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Reou 5of7 \r:Iiq F SPRING Buildin g/Combin ation Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541 :l 26-37 69 I ns pection Line PERMIT NO: COM2005-01325ISSUED: 0312012006 APPLIED z 0912812005E)PIRES: 0912012006VALUE: $ 150,000.00 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. Shear 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. Ceiting Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Drywall: Prior to taping. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certilied Inspector. Provide results to City Buiding Inspector Roof Sheathing/l{ailing: Before covering sheathing with finish material. 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. Final Fire Department. After all requirements of the Fire Department have been met. Finat 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 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 enerry inspections have been requested and approved. SUB Ceiling Grid: Interior Lighting 6oI 7 Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541 :7 26-37 69 I nspe ction Line Buildin g/Co mbination Permit PERMITNO: COM2005-01325ISSUED: 0312012006APPLIEDz 0912812005E)PIRESz 0912012006VALUE: $ 150,000.00 By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all informdion 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 SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI\CY will be made of any sffucture 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 that the permit card is located at the front of the property, and the approved set of plans will remain on the site at during /{) z', /A)70 )ab Owner or Contractors Signature Date 7 oI 7 Cc r i i t ; i,l li i) i .li , ,lr,)ir*rj,:ir.orl r 'ij Aiiij d;til' 225FIFTH STREBT r SPRINGFIELD, OR97477 t PII:(541)726-3753 rFAX: (541y1fr-3689 l.)t,iicT'lll ,l'LJlltlI'I AI)l)],1 Zonin tri fil winq d use I City Job LEGAL DESCRIPTION T'lOAt25 s i. Date Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof 201 Amps to 400 Amps Over 1000 Amps/Volts Reconnect Only One Circuit Each Additional Circuit or with Service or Feeder Permit 3.: reed (,i)ll;, !'t.i.'i :. l i,i: !i('l ! i.t ; t.',,t i,l.:.(t\'',, I A. .N.lti Itt*i<irr,tir;l - Sir;g:i (r:' \lirlii-l:;tt,iii 1,lr cir',r.'lliryJ ur,i{.3 c@ JOB DESCRIPTION $ r 06.00 $ r9.00 THE WORK $50.00MlttlNg+- 88"'E 9St.."tic ns or Relocat i. n : $ 63.00 $ 75.00 $375.00 $ 50.00 rn &c City Permits are non-transferable and expire if work is not startcd within 180 days of issuance or if work is Suspended for I80 days. , 2- (1,';ii.riIi.z'i()i (ti'; li',iS i,/lL-iAT i():'; {)lvI,':' Eiectrical Contractor Address IXO (\1r.,r,y o.c- 3\ Phone "9t-l- 35tal SupervisorLicenseNumber ??q5 S Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 C. -i ,..ni;;r:r-:::... Si:l'. i:C. rr: I laar r-, Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 Over 600 Ampi or'1000 Volts see "B" above. D. Ii: aricl, ( i:,;uil. New Alteration or Extcnsion Per Panel*J--^''I s+s.oo <&-fl o"Y s:.oo eTelr Owners Addrd L , E. : triisccll:rrtcirus (Scl'r'ictiictc:ci li(r( iticiudrdi*Iaclr Irr'-ia[[i^iiriir Pump or irrigation $ s0.00 OWNER The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 9aoo Sigrr/Outline Lighting $ s0.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Elcctric Permit lnspection Fec is $45.00 * Surcharges YO.F)5'bo1.cj 4. i slriTU']"4t, (.J.t AIlt)liL 8% State Surcharge l0% Administrative Fee TOTALInspection Rcquesl: 726-31 69 Sharcd Drivc(T:)/lluildirrg For:nsililectrical Pcn:ril Application l-06.doc a THIS AUT PERIOD. or less x7 -. DAY Amps Po ot5slra ,.a rip illrItr tr sI EG F f{L Efiniio E6! dIL E{o_=ro=*sN t{ \l)SsN (na ri IUt! i q c { T I i -1-Zoa[ocfsllo0S- trr315 t SPP]iITHtsLlf ElHsrr li@oBaldt reld/rofiarrl-BIlrd,Etmirf crJfi&sfrUBffifrir*ctDfrifrillffll#rrsfrrtrlltgill7l fri*crg+Drar'vlsdEgolrr6E &*Ih+ffiadry s*mr h#;r" pxurrc.rrr#".r#;rsrrHnrb'E rl![B.rnnrcrils, llllhlhr r#rrJrt**tn l*gr rruaryornffa mrc*iltqp* il'tr' d,[dff r *-qE *r. -rcrol,:l i;a# |' r Il II rE-r'td' GtG[|rrnodOGlhrrlr}#}trl}r*rrlfirlciHqro*r*rlHxilryilEdf,ld|trH$ L Gerr8 Lryrltr ltr;qprdhf lihpfrncllfrdhrlll( 1 *ilrCSorql** Srftl*o4lrrdrrrptrrIlDhkEJf lbrFFrrrffi c ldry ..ldrrCrflrtraryqmt*-l-'t:rlrltrrrEcr&r'nlt{|lfrEEf' }.sEtU|tr,dbrr1nrJ!frctrBrn*rrljrtrHlro]or*sstrrt'5mry$rtil3Dra ,Sfi llDhilrlt B}rd' lpf,tngtletd r-(O f'- OJ cz x(f L- =ooo- tnu) t-osl=f'I E. .L*ilI "{\ c]z XGh I} f. ,_ (nroU CoIJ'gd LilEo-l E =lit ngrhrord. .J- =D +to a !+ -t{& o-{ I i 3 { ' {: oc co +oaL +Jaco(J g oa odL rUE 0,J EouIr t ! i ,I IIt C si+ df.g F rcaluififDGraEHtS Sl-.r"..?.SrL^url*' arirl{nGbsl - . Le]rar I So! Gonnt. fnci-ffi W A -c.oG-. =3 {J \{} f,t\ o c N ^r)ry oU ooq o(J Eo L \ itiit f. ococL otoEC II-- \$ \J I 4I 1,, -.-Ea '-.rr Grout )vlortarCuaiteGroutConcrele Aqrresate Test of Ivlix DqEh- Reinforcing Test NIix Desip-CerL' Cast Testl Precast/Pre-stressed Concrete: Pre-Tens CladdingPosl-TensPiles Tests Tendou Test lnsert Ptaceme,nt ConaeteBatching Tests SPECIAL INSPECTION A}[D TESTING SCMDI]LE Ps sul Nss UI P !f N KJ -JN cn UJol! crl o H-{ o-rl alln HZ6)-rl H mTt, FormComPleted ADD ITIOTYAL INSRUCTIONS'OTHER TEST, & DISPECTIONS ; GRADING, EXCAYATION, AI\iD FILL Acceptance tests i PSF Establish frnal grade F ill placernent ilspectioilcontinuous Soil DensirY S TRUCTURAL ST EELAYE L DIN G : Sarnple and test (list speciltc members belorv) A32s -I -x Shear wall uaiiing insPection Shear rvall anchors Inspection of Glu-lam fab. *-TlC psi lnspection of rntss joist fab- Sunple and test comPonenls Fabrication rveldirg of sleel accessories Special inspection sEesses used*--f* -f I Pielirnhary acccptancc tesrs (masonry units, t al I prisms) Subscquent tests (mortar, grout, field w-all prisrs) Placement inspection of units, and reinforcement - lvlasonry, mortar, grout and reinforcing steel certiEcates i\.IASONRY STRUCTURALWOOD: -F -F A49o -N -=xIvletal deck weldirg insPection Reinforcirg Steel welding inspection Reinlbrcing steel sf ll certificale lVletal stud welding iruPection Concre te insert welding inspection r\Ioment resisting steel frames SilIOKECONTROL: -Leakage testing -_ContdVerification FIREPROOFING: -Plactment inspection -DensitY tests -Thickness tesB -lrupect batc,hingROOFING: installatior/R-Valuc' -Test stripilseams 1lDc)m (s -.J *PRoVIDE sTRf,t\tGTH REQI.,IRED By ARCEITECT oR tr,NGI|IEER oR CONTRACT DOCU}IENT LOCATION OE YALIIES Rei.oforced Reinforcinc Placemeut Continuous Batch Plant Inspecl- I-nsoect Placirg T arnule.s (P ickuD/Dcliver ed) Reinforcine Tesrg Ivlix Desius* Rebforcinc Placement Casl Sarrples Pick-up ATTACHMENTA CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKS}IEET JOURNAL OR JOB NUMBER COM2OO5-01325 NAMEORCOMPANY McDonalds LOCATION:1565 Mohawk MAP&TAXLOTNUMBER: 17 0325 3l 06800 DEVELOPMENT TYPE Restaurant NEW DEVELOPED AREA (S.F.): EXSTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): I. STORM DRAINAGE IMPERVIOUS SQ.TT. 493.00 $ 0.323 PER SF ITE: ITE: LOT SZE (S.F.): TOTAL STORM DRAINAGE 934 120 x $38.80 2. SANITARY SEWER-CITY A. REIMBURSEMENTCOST: NUMBER OF DFU's B. IMPROVEIVIENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) t2 t2 4. SANITARY SEWER - MWMC NEW: A. REIMBI.IRSEMENT COST: NUMBER OF FEU's B. IMPROVEMENTCOST: NUMBER OF FEU's 0.49 0.49 EXISTING: A. REIMBURSEMENTCOST: NUMBER OF FEU's 0.00 B. IMPROVEMENTCOST: NUMBER OF FEU's 0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) x $ 25.07 PERDFU x $ 19.07 PER DFU $ 44.14 TOTAL LOCAL WASTEWATER 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT X NEW TRIP FACTOR NEW A. REIMBURSEMENTCOST: 0.49 x 496.12 x $ 19.09 PER TRIP x B. IMPROVEMENTCOST: 0.49 x 496.12 E)(lSTI.IG A. REIMBURSEMENTCOST: 0.00 x 0 E. rrurpn6iErnmr.rr cosF- 0.00 x 0 x $ 84.19 PER TRIP x x $ 19.09 PER TRIP x $ 84.19 PER TRIP $ 103.28 $0.00 TOTAL MWMC REIMBURSEMENT TOTALMWMC IMPROVEMENT MWMC ADMINISTRATTVE TOTAL MWMC SDC 5o/o 0.5 $2,334.21 0.5 NTF NTF $10,296.01 $0.000x x 0 NTF NTT TOTAL TRANSPORTATION REIMBURSEMENT TOTAL TRANSPORTATION IMPROVEMENT TOTAL TRANSPORTATION x $856.69 PERFEU M22.35 x $7,47I.08 PER FEU $3,683.24 $O.OO PER FEU $0.00 $O.OO PER FEU x x 5. ADMINISTRATTVE FEES: BASE CHARGE (SUBTOTAL ABOVE) .9t-o Z A-.-/./ A.*- SDC COORDINATOR SUBTOTAL (ADD ITEMS 1,2,3,&,4) 17,314.29 2t2t2006 TOTAL TRANSPORTATION ADMINISTRATION TOTAL SEWER ADMINISTRATION $38.80 $3 79 $s29.68 I $10,296.01 .22$12,630.22 $0.00 $422.3s $ l 0.00 1 15.s9$1 1s.59 $865.71 $ 828.43 | 117 $ 37.28 I l1l $ 18,180.00 I@ com2005-01325, mcdonalds, 1555 Mohawk.xls $ DATE TOTAL SDC CHARGES 1 JULY 2OO4 I 178 r 183 l" 'l'11M 1 1?3 lffi4 1054 1186 lt87 I 189 x DRAINAGE FIXTURE I,]NIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT: DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAI, FIXTURES) McDonalds FIXTURES NEW OLD TOTAL DRAINAGE FIXTURE UNITS: DRAINAGE FIXTURE UNITS 0 3 0 0 t2 L]NTT FXTURE TYPE BAT1ITUB DRINKINGFOUNTAIN FLOORDRAIN, FLOOR SINK INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRYTUB CLOTTIES WASHERA4OP SINK cLoTlrES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWE& SINGLE STALL SHOWE& GANG (NUMBER OF HEADS) SINK: COMMERCI-AL, RESIDENTIAL K-ITCHEN SINK: COMMERCLA.L BAR SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALI"/WALL TOILET, PUBLIC INSTAILATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S* *EDU (Eouivalent ALENT 0 0 6 0 3 1 3 3 6 2 3 6 12 I J 2 ) 3 ') 2 1 5 6 3 0 0 n 0 2 0 0 0 0 0 0 Unit) is a discharge equivalent to a sinsle dwelling (20 DFU) set at 167 eallons Der dav CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURREDAFTER ANNEXATION DAII-E IN TABLE, CALCI.JI-ATE CREDITS SEPARATELY YEAR ANNE)(ED CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $I,OOO ASSESSED VALUE $l.4s $l,25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.0s $0.00 $0.00 x x RATE PER $I,OOO ASSESSED VALUE YEAR ANND(ED 1979 1980 1981 1982 l 983 1984 1985 I 986 1987 I 988 1989 1990 1991 or before $5.29 $5.19 $5. l2 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.2s $1.80 1992 1993 1994 t995 1996 1997 1998 1999 2000 2001 2002 2003 2004 $0.00 $0.00 com2005-01325, mcdonalds, 1 565 Mohawk.xls CREDITTOTAL 1 JULY 2OO4 2 I I 0 0 0.00 225 iifth Street . Springfield, Oregon 97 477 5ll-726-3759 Phone oW of Springfield Official Receipt evelopment Services Department Public Works Department Ir RECEIPT#: 1200600000000000316 Date: 0312012006 11:08:54AM Job/Journal Number coM200s-0132s coM2005-01325 coM200s-0132s coM200s-0132s coM200s-0132s coM2005-01325 c"JM2005-0132s coM2005-01325 coM2005-0132s coM2005-01325 coM200s-0132s Cbuzoos-or:zs ccM2005-01325 qQM200s-0132s c,iM2005-01325 coM200s-0132s coM2005-0132s coM2005-0132s coM200s-0132s coM2005-0132s coM200s-0132s coM2005-0132s c'bM200s-0132s c;buzoos-orgzs cbtr,tzoos-o t :zs coM2005-01325 Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Building Permit Fixture Minimum/Adjustment Plumbing Vent Fan Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0Yo Administrative Fee Plan Review/Com,Ind,Pub Hourly Storm Drainage Impervious Area Sanitary Sewer - Reimbursement SDC Transpo Reimbursement SDC Transpo Improvement SDC lvtWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Sanitary Sewer - Improvement Plan RevieilCom,Ind,Pub Hourly Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0% Administrative Fee Amount Due t94.35 291.26 728.15 28.00 17.00 6.00 39.00 10.00 57.27 81.82 90.00 38.80 300.88 2,334.21 10,296.01 422.35 3,683.24 10.00 37.28 828.43 228.79 90.00 43.00 27.00 5.60 7.00 Item Total:$19,895.44 of Paprent Paid By Received By Batch Number Number IIow Received Amount Paid C lreck lt; C:[eck H.O. CORP CONSTRUCTION ACCOUNTING SASS INC. ddk ddk 80055772 10980 In Person In Person Payment Total: $19,812.84 $82.60 $19,895.44 ,l ,J t, ] 1i .t rh 3t20/2006 I of 2 CHN'3TL*