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Home My WebLink AboutPermit Building 2006-10-10Status 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: COM2006-01171ISSUED: 10110/2006 APPLIEDz 0911212006 EXPIRES: 09/0512007VALUE: $ 299,101.00 SITE ADDRESS: 150 S 9th St ASSESSOR'S PARCEL NO.: 1703354209000 PROJECT DESCRIPTION: Construct new Quick Lube building Springfield TYPE OF WORK: Automotive TYPE OF USE: New Phone Number: 541-747-3374 License Expiration Date Owner: Address: Contractor Type Architect General Electrical Mechanical Plumbing # 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: LITHIA REAL ESTATE,INC 360 E JACKSON ST MEDFORD OR 97501 46071 12772 INquriif;,t8ou i0 07nu2008 05t22t2007 09t23t2008 0311112007 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Occupant Load: Commercial Phone 541-772-s203 s4l-726-8081 541-747-2213 541-753-4328 54t-688-1444 2,325 25 Curbside 5' Curb and Gutter Contractor DOUGLAS SNIDER, ARCHITECT, PC JOHN HYLAND CONSTRUCTION INC ALERT ELECTRIC INC MAINES TWIN {otificati .j s-l rr OAR 952' Cr o 01 of the rrlles tl 16.50 Electric 2-2344';Electric Path I nla You i;rg t VB luef tt'lt' Cettt Fullv Improved Yes Energy Path: Sprinkled Building: N0TlBFi.r"" oi,t, THts ffiSlAUGiiAuraXPlRE lF THE woRK AUTH 0RtEtE{$+KR:THl S PERMIT lS NOT C O M IVf€NOES OR'ffiUABAN D O NED FO R REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: Page 1 of4 tt of Stories: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line FS Buildin g/C ombin ation Permit PERMIT NO: COM2006-0ll7lISSUED: 10/10/2006APPLIEDz 09112/2006 EXPIRES: 09/0512007VALUE: S 299,101.00 Valuafion Descrintion Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 299,101.00 Total Value of Project Amount Paid Date Paid Value $299,101.00 $299,101.00 Date Calculated 10t02t2006 Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Addressing Assignment Building Permit Fire SF Fee - Non-Residential Fixture Furnace - Unit Heater Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Plan Review Comm/Ind/Public Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Vent Fan + l|Yo Administrative Fee + 5olo Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less $783.84 $10.00 sl7s.42 $76.08 $121.73 $31.00 $1,215.65 $232.50 $182.00 $60.00 $12.00 s4.00 $12.00 $6.33 $94.00 $123.64 $10.00 $798.41 $76.08 $27.62 $44.75 $287.ss $6s.19 $36.00 $14.70 $7.35 $11.76 $84.00 $63.00 9n2t06 10/10/06 10/10/06 10/10/06 t0n0t06 10/10/06 t0n0/06 r0/10/06 10/10/06 t0n0t06 r0/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 r0/r0/06 t0n0t06 10/10/06 10/10i06 t0n0t06 10/10/06 10/10/06 3t9t07 3t9t07 3t9t07 3t9t07 3t9t07 Receipt Number r200600000000001400 220060000000000r418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 22006000000000014r8 2200600000000001418 2200600000000001418 2200600000000001418 220060000000000r418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 1200700000000000260 1200700000000000260 1200700000000000260 1200700000000000260 1200700000000000260 Fees Pnid Total Amount Paid $4,666.60 Pase 2 of 4 Plan Reviews 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: COM2006-0117 IISSUED: 1011012006APPLIED: 0911212006 EXPIRES: 09/0512007VALUE: $ 299,101.00 Fire Department Review 0911412006 10t06t2006 0K GRG Initial Review Plan Review Comments 09n3t2006 APP Plan Review Comments 10t0212006 IO JMP APP09n412006 09n412006 10/09/2006 09n312006 09n312006 09t2812006 09fi8,t2006 09t29t2006 t0t0912006 09t2112006 LLH JMP EMM CJS JMP JMP IO See attached document for Fire Department Plans Review comments. Planning Review Public Works Review Structural Review Structural Review APP APP WE SUB Review 0911412006 0912212006 APP JF To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Electric Service: Approval required prior to utility company energizing service. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Renrrired Insnections Paee 3 of4 WE. Called Douglas Snider about the site work. He said it is all included on the previous project which is under review with Tom Rogers and still has some structural issues to be resolved with Jok Ang. WI. Received responses to structural comments from Douglas Snider. To be built per approved Site Plan Review drc2006-00026 LDAP LDP2006-00174 per B. Curtiss for redevelopment of Lithia Toyota property; see COM2006-00868 for more info 09t27106 cJS Added SDC's 09/29106 CJS Received final internal aPProval. See attached documents for 7 structural comments faxed to Douglas S. Snider. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line OF Building/Combination Permit PERMIT NO: COM2006-01171ISSUED: 1011012006APPLIEDz 0911212006 EXPIRES: 09/0512007VALUE: $ 299,101.00 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. 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. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: [n excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/I'{ailing: 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. 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. 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 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. Owner or Contractors Signature Pase 4 oI 4 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci- of Springfield Official Receipt f,r ;lopment Services Department Public Works Department RECEIPT #: 1200700000000000260 Date: 0310912007 1:54:34PM Job/Journal Number coM2006-01171 coM2006-01171 coM2006-01l7l coM2006-01171 coM2006-01l7l Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 57o Technology Fee + 8% State Surcharge + ljYo Administrative Fee Amount Due 63.00 84.00 7.35 11.76 14.70 Item Total:$180.81 Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check ALERT ELECTRIC INC djb 4129 In Person Payment Total: $ 180.81 -simr cReceinfl Page I of I 31912007 CITY OF 225 FIFIE STREET . SPRINGFIEI,D, Ox.yT4Tl o PH:(il1)72G374n o FAX: (541)72fiffi9 E LECT RICAL P E RM IT AP P LICA ''?': ' "'l_-r't'L tarr*otr=aflf',${'j 0h, City JobNnmber COo+tZoO 5- 1 LOCATION OF INSTALLATIO N / so 5 7t^ *l- LEGAL DESCRIPTION l? 033 SLI Z o ?ooo JOB DESCRIPTION *nZ E -zn1TIONoil1 I 3. COMPLETEFEESCHEDULEBELOW A- Nerv Rcsidential - Single or Multi-Famill'' per drvelling unit. 5f2vc utoE Q*,.\s-lnLt Permitr ere non-trrnrfereble and explre if work ir not ctarted wtthln 180 deyr of irruance or lf work ir Surpended for lfl) dayr. Electrical Contractor rllert Electric Inc Address 7970 I'J. 28th Street City Sprinqfleld Phone (541) 747-22 Service Included 1000 sq. ft. orless Each additional 500 sq. ft. or portion thereof Each Manttract'd Home or Modular Dwelling Servic€ or Feeder 200 Amps or less 201 Amps to 40O Amps 401 Amps to 60O Amps 6Ol Amps to 1000 Amps $ 63.00 b3 $106.00 $ 19.00 2. OoNTRACTORINSTALTATTONONLY B. Scn'ices or Feeders - Installation, Alterations or Relocation: $50.00 3 43.00 $ 3.00 IF THE a $ 75.00 $125.00 $163.00 Srryeryisor Liceirse Number 2 435 Expiration Data I0 / 0L / 2007 constr. coffi. Mmber L27 7 2 Expiration Date 0)12212001 Signature of Sryervising Electician 13 Over 1000 Amps/Volts $375.00 Reconnect Only __+_ 150 00 C. Te4poral-"r' Seilites or Feedcrsi.:. ,. ' Inrtrlhthq Altenthn or Rehceffor' ?00 Arops or less " , ' '^ ' $'50.00 ' 201 Amps'to IOO Arips , t 69.00 Over 600;frirfiS'o 1000 Votts sce'B- above. D. Branch Circuits New Altention or Ertearlon PcrPrnel.bozt*"/tk*-/One Circuit 6 Each Additiooal Circuit q with ?aLrlln,v W( *Tt+w service -tfffircr*" Addr€ss 36l) E ?k-tcS"nr w \rliOTK- $[f$l$tion Oumere Name PE. ORIZED UNDER T City W//Lfqt\ nprcfu7 -33Ztt OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovmers Signature Pump or CED PERtes-$ 50.00 Limitod $ 2s.00 Limitd Energy/Commercial $ 45.00 Mtnlnum Elcctric Pcrult Inrpectbn Foc lr 345.00 * Surchergel 4. SUBTOTAI,OFABOVE lt41 - llTe8% State Srncharge l07o Administrative Fee ,F"{XJntl fct ilii ts ABAND 0ffi&F0n $ ,t{ ?rvInrpection Rcquert 725n37 69 Sharcd Po11;1 6ppliction l46.doc INGFIELD, OREGON I 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: COM2006-0117 IISSUED: 1011012006 APPLIED: 0911212006 EXPIRESz 0411012007VALUE: $ 299,101.00 G SITE ADDRESS: 150 S 9th St ASSESSOR'SPARCELNO.: 1703354209000 PROJECT DESCRIPTION: Construct new Quick Lube building Springfield TYPE OF WORK: Automotive TYPE OF USE: New Commercial umber: 541-747-3374Owner: Address: LITHIA REAL ESTATE,INC 360 E JACKSON ST MEDFORD OR 97501 Jt, *>' {s'" Contractor Type Architect General Electrical Mechanical Plumbing # 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: Contractor DOUGLAS SNIDER, ARCHITE JOHN HYLAND CONSTR ALERT ELECTRIC INC MAINES CUSTOM TWIN RIVERS PLUMBING s Date Phone 541-772-5203 541-726-8081 541-747-2213 541-753-4328 1/2008 05t22t2007 09t23t2008 031ru2007 541 1444 \.,J s-1 Fullv Improved Yes # 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 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 2,325 ,< Curbside 5' Curb and Gutter I 16.50 Electric Electric Lot Size: SqFtl Sq t$$ It VB g$ Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Page I of4 a .C.\i 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: COM2006-0lt7tISSUED: 1011012006APPLIED: 0911212006 EXPIRES: 0411012007VALUE: $ 299,101.00 Valuation f)escrinfion Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 299,101.00 Total Value of Project Amount Paid Date Paid Value $299,101.00 $299,101.00 Date Calculated 10t02t2006 Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Addressing Assignment Building Permit Fire SF Fee - Non-Residential Fixture Furnace - Unit Heater Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Plan Review Comm/Ind/Public Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitaryiStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Vent Fan Total Amount Paid Receipt Number 1200600000000001400 220060000000000141 8 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 220060000000000141 8 2200600000000001418 2200600000000001418 2200600000000001418 2200600000000001418 220060000000000r41 8 220060000000000141 8 2200600000000001418 2200600000000001418 2200600000000001418 22006000000000014r 8 22006000000000014r8 2200600000000001418 22006000000000014r8 2200600000000001418 2200600000000001418 $783.84 $10.00 $175.42 s76.08 $121.73 $31.00 $1,215.65 $232.50 $182.00 $60.00 $12.00 $4.00 $12.00 $6.33 $94.00 $123.64 $10.00 $798.41 $76.08 $27.62 $44.75 $287.55 $65.19 $36.00 9n2t06 l0/10/06 t0n0t06 10/10/06 I 0/10/06 t0/10/06 10/10/06 l0/10/06 l 0/l 0/06 I 0/10/06 l0il0/06 10/10/06 l0/10/06 l0/10/06 l0/10/06 t0n0t06 l0/10/06 l0/10/06 t0n0t06 I 0/10/06 l0/10/06 t0/10t06 10/10/06 l0/10/06 $4,485.79 Fees Paid Plan Reviews Fire Department Review 09/14/2006 10t06t2006 OK GRG APP LLH See attached document for Fire Department Plans Review comments. Initial Review 09n3t2006 09113t2006 Paee 2 oI 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 lnspection Line Building/Combination Permit PERMIT NO: COM2006-0ll7lISSUED: 1011012006 APPLTED| 09n2t2006 EXPIRESz 0411012007VALUE: $ 299,101.00 Plan Review Comments Plan Review Comments Planning Review Public Works Review Structural Review Structural Review SUB Review 09t28t2006 IO JMP 10t02t2006 Io JMP 09n4t2006 09n4t2006 09n8t2006 APP EMM 09t29t2006 APP CJS 09t13t2006 0912y2006 WE JMP WE. Called Douglas Snider about the site work. He said it is all included on the previous project which is under review with Tom Rogers and still has some structural issues to be resolved with Jok Ang. WL Received responses to structural comments from Douglas Snider. To be built per approYed Site Plan Review drc2006-00026 LDAP LDP2006-00174 per B. Curtiss for redevelopment of Lithia Toyota property; see COM2006-00868 for more info 09t27t06 cJS Added SDC's 09/29106 CJS See attached documents for 7 structural comments faxed to Douglas S. Snider. Received final internal approval.10t09t2006 09n4t2006 10t09t2006 09t22t2006 APP APP JMP 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. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting 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. 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. Renrrired Insnpefions Paee 3 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line F PRIN FIELD Building/Combination Permit PERMIT NO: COM2006-01171ISSUED: t0lt0/2006 APPLIEDT 0911212006 EXPIRESz 0411012007VALUE: $ 299,101.00 Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to Cify 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/1.{ailing: 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. 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during co Owner or Signature Pase 4 of 4 Date /o SP]I!NGFIELD City of Springfield Community S ervices Division 225 FifthStreet Springfield, OR97477 Telephone: (541) 726-37 59 Fax (541)726-3689 S C-o sn %oob ' ott-l I to -z-o6 Building Permit #Date Ouick Lube Buildins for L itlric Torzots Project Title 863 Main Street, Springfi eld, Oregon 97477 Project Address €n Specirl I$pectiotr rnd Testitrg To applicants of pmje.ts rcquiring sp€ciat inspcctio[ d t sting as pcr Sc.tion | 704 ofthc Or€on Structural Sp€cialty Codc. Please revicw fc infomatiot b€low. Whcn you havc finishcd, acknowlcdgc an undcrsranding ofth. information b signing bclow, and r.tum this foin io $€ Citv JEFORE A PERMIT CAN BE ISSUED: Thc ouDer or o\r,ner's rcprcs.rtative, on the advicc ofthe r€sponsiblc Proj.ct Enginc.r or Architcct shall @mPlete, sign, and submit to th. City for review and approval this form conpleted on hl thc front md back Thc owner and c.ocral Contra.tor, whcrc applicable, shall .lso a.knowl€dge fte followiDg conditions applicablc to Sp.cial Inspcltion ,ndor T€sting. l. Contracior is rcsponsible for proplr notification for thc Inspccnon or Testing of itcms lisl€d. 2- Tcsting labonto.y shatl t kc appropnatc sampl.s and aaIsport than to th€h laboBiory for prop.r cvaluation or testing. . Copics ofall laboratory rcports and insp..tions arc to b. sent to llle City by thc Tcsting Agency. 3. Spccirl INp€ction Agcncy is to submit n mcs a qualificatiom ofon_sit! Special Insp€ctors to lh. City for approval. 4. Sp€cial Insp€€Ior shall providc insp€clion rcports to the building offcial ofall insp€ction aclivitics. j. Contractor is r€sponsiblc to rwicw Ole Cit eprov€n plans for rdditional irspcction or t sting rcquir€ments that may b€ not d BEFORE A CERTIFTCAII OF OCCITPANCY wlLL BE ISSUED: Thc Sp.cirt tnspection Agcncy shall submit to thc Building Omcial a stat mcnt thar all itcms r€quiring provisions. Thosc itdns not tcstcd and/or inspc.lcd shdl b. noted in thc statcmcnt The report is to bc submitt€d to lfic Ci9 prior to a rcqu.st for final inspcctions. ACKNOWLEDGEMENTS Lithia Nlotors Inc.John IIv land Construction, Inc. Owner Name (Printed)Gen. Contractor Firm Name (Printed) PSI Engineer or Architect Firm (Printed) PSI S i Testing Laboratory Name (Printed)Laboratory Rep. Signature OfficialName (Printed) (Printed) Building Official Signature SPECIAL INSPECTION AND TESTING SCHEDULE Reinforced Concrete, Gunite, Grout and Mortar: Concrete Gunite Grout Mortar Aggregate Test of Mix Design Reinforcing Test Mix Design-Weighmaster Cert.* X x Reinforcing Placement Continuous Batch Plant Inspect. Inspect Placing Cast Samples Samples (Pickup/Delivered) x Compression Test*See Str.Specs Precast/Pre-stressed Concrete: Piles Post-Tens Pre-Tens Cladding Aggregate Tests Reinforcing Tests Tendon Test Mix Designs* Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection Cast Samples Pick-up Samples Compression Tests GRADTNG, EXCAVATION, AND FILL Acceptance tests *PSF Establish final grade x Fill placement inspection/continuous Y Soil Density STRUCTURAL STEELNilELDING: Sample and test (list specific members below) Shop material identification (mill cert) Weld inspection _Shop x Field Ultrasonic inspection _Shop _Field High Strength Bolting_Shop FieldA325 _N _X4490 _N _X Metal deck welding inspection Reinforcing Steel welding inspection Reinforcing steel mill certificate Metal stud welding inspection Concrete insert welding inspection Moment resisting steel frames -F F STRUCTURAL WOOD: x Shear wall nailing inspection Shear wall anchors Inspection of Glu-lam fab. + T/C psi Inspection of truss joist fab. Sample and test components Fabrication welding of steel accessories MASONRYx Special inspection stresses used* 1 5 tt Opsi, _rg Preliminary acceptance tests 1maili! units, wutl prisrn.] Subsequent tests (mortar, grout, field wall prisms) x Placement inspection of units, and reinforcement Masonry, mortar, grout, and reinforcing steel certificates SMOKE CONTROL: _Leakage testing Control Verification FIREPROOFING: _Placement inspection _Density tests _Thickness tests _lnspect batchingROOFING: _l nsulation installation/R-Value* _Test strips/seams ADDITIONAL INSRUCTIONS, OTHER TEST, & INSPECTIONS:Form Completed by Dorrrrlas S- *PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUES Snicier Date 9/27 /06 CITY OF SPRJNGF'IELD SYSTEMS DEVELOPMENT CHARGE WORI<SHEET coM2006-01171 Lithia Toyota - Quick Lube Bldg. JOI.JRNAL ORJOB NUMBER NAMEORCOMPANY: LOCATION: MAP & TAX LOT NUMBER: DEVELOPMENT TYPE: 150 S. 9th St. (within Downtown Development Area - DDA) NEW DEVELOPED AREA (S.F.): EXSTING DEVELOPED AREA (S.F.): TOTAL IMPERVTOUS SURFACE (S.F.): 17 03 35 42 09000 LUBE SHOP No new impervious surface - x $ 0.336 PER SF 2,325.00 QuickLube Shop ITE: ITE:2,325.00 New Car Sales LOT SrZE (S.F.): 941 841 $365. l4 $3,832.34 compressor $0.00 t9 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PERADT xNEW TRIP FACTOR NEW: A. REIMBURSEMENTCOST: 2.33 x 40 x $ 19.81 PER TRIP x E. tr\,PROVET,{EI.TT COSE- 2.33 x 40 x $ 87.39 PER TRIP x E)(ISTII\IC A. REIMBURSEMENT COST: -2.33 x 33.34 x $ 19.81 PER TRIP x EFnovpwNrcosri - -2.33 x 33.34 x $ 87.39 PER TRIP x 2. SANITARY SEWER-CITY (see reverse A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's t9 4. SANITARYSEWER-MWMC NEW: A. REIMBI.]RSEMENT COST: NUMBEROFFEU's B. IMPROVEMENTCOST: NUMBEROFFEU'S E)CSTING: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENTCOST: NUMBER OF FEU's 2.33 2.33 -2.33 -2.33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL STORM DRAINAGE Df,'Urs include two drains for TIVAC utrit etrd water x $ 26.03 PER DFU x $ 19.79 PER DFU TOTAL LOCAL WASTEWATER TSVODDA $1,565.98 I. STORM DRAINAGE IMPERVIOUS SQ. FT. 5. ADMINISTRATIVE FEES: BASE CFIARGE (STJBTOTAL ABOVE) 0.85 NTF 0.85 NTT $6,908.1 8 0.85 NTF ($1.30s.24) 0.85 NTF TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: 75Y"DDA Discount TOTAL TRANSPORTATION x $ 157.05 x $ 1,648.32 PER FEU PER FEU x x $26.17 PER FEU PER FEUs274.72 TOTALMWMC x 5Yo .AL TRANSPORTATION TOTAL I\AVMC REIMBL,RSEMENT FEE: TOTAL T\AVMC IMPROVEMENT FEE: N{WMC ADMIN ISTRATIVE FEE : 75Y"DDA Discount suBTorAL (ADD rrEMS r, 2, 3, & 4) $1,M7.36 9t29t2006 TION FEE TOTAL SEWER ADMINISTRATION FEE: $0.00 $494.57 $217.65 352.74 $0.00 $ 10.00 M75$ -Etr IIE@ Eng. Tech. lll DATE TOTAL SDC CHARGES 1054 .11s6 '1t81 1r189 183 tl84 DRAINAGE FD(TURE UNTT @FU) CALCULATION TABLE NUMBER OF NEW FXTURES x UNIT EQUIVALENT: DRAINAGE FIXTURE UNITS (NOTE' FORREMODELS,C QUICK LUBE SHOP DRAINAGE FD(URES NEW OLD UNIT FD(TURE UNITS t2 0 0 FXTURE TYPE BATHTUB DRINKING FOTINTAIN FLOORDRAIN, FLOORSINK INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TIJB CLOTHES WASHERA4OP SINK CI,OTTIES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATIONIETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWER. SINGLE STALL SHOWE& GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTI.AL K]TCHEN SINK: COMMERCIALBAR SINK: WASH BASIN/DOUBLE L-AVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALI-/WALL TOTT FT, PUBLIC INSTALLATION TOILET, PRTVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S* TOTAL DRAINAGE FXTURE UNITS: *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single fanily dwelling (20 DFU) set at 167 gallons per day 3 I 3 3 6 2 J 6 t2 1 3 ) 2 3 2 2 I 5 6 3 0 0 0 0 0 0 0 0 2 0 0 0 3 2 0 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR ANNE)G,D CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,OOO ASSESSED VALUE $r.45 $1.2s $1.09 $0.92 90.72 $0.48 $0.28 $0.09 $0.05 $0.00 $0.00 00 x x $0.00 RATE PER $I,OOO ASSESSED VALI.]E YEAR ANNE)(ED 1979 I 980 198 I 1982 1983 1984 1985 1986 1987 I 988 1989 1990 l99t or before $529 $s.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 s2.25 $1.80 r992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 $0.00 $0.00 CREDITTOTAL 0 fr- re----l 2 I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci^ o{ Springfield Official Receipt L opment Services Department Public Works Department RECEIPT #: 22006000000000014r8 Date: 10/10/2006 1:0e:04PM Job/Journal Number coM2006-01l7l coM2006-01l7l coM2006-01l7l coM2006-01t7l coM2006-01 t 7l coM2006-0t 171 coM2006-01l7l coM2006-0r r7l coM2006-0ll7l coM2006-01 l7l coM2006-01171 coM2006-0117r coM2006-01l7l coM2006-01r7l coM2006-0r 171 coM2006-01 l7 r coM2006-0117t coM2006-01l7l coM2006-0r t7l coM2006-0r l7l coM2006-01l7l coM2006-01l7l coM2006-01171 Description Addressing Assignment Fire SF Fee - Non-Residential Fixture Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Comm/Ind/Public Building Permit Furnace - up to 100,000 btu Furnace - Unit Heater Vent Fan Gas Outlets l-4 Heat Pump -Mechanical Issuance Fee- + 5%o Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Amount Due 31.00 232,50 182,00 123.64 94.00 65.1 9 287.55 76.08 798.41 10.00 27.62 44.75 6.33 1,215.65 12.00 60.00 36.00 4.00 12.00 10.00 76.08 121.73 t7 5.42 Item Total:$3,701.95 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check JOHN HYLAND CONSTR djb r 00683 In Person $3,701.95 Payment total: -53J0TF cReceint I Page I of I 10/10t2006