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Home My WebLink AboutPermit Building 2004-09-24Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01133ISSUED: 0912412004APPLIED: 09/1312004EXPIRES: 03/3012005VALUE: $ 9,900.00 SITE ADDRESS: 2454 10TH ST Springfield TYPE OF WORK: Restaurant ASSESSOR'SPARCELNO.: 1703261200100 TYPE OF USE: Alteration PROJECT DESCRIPTION: Temporary occupancy issued 100104 for 3Odays per TCM. Remodel to change to pizza parlor, WILKINSON WILLIAM H TE \S N0 34725 Owner: Address: AIR & MAINTENANCE LL Expiration Date 10fi712004 05t04t2006 0311512007 03/30/2005 Commercial Phone 541-726-7747 541-688-8996 541-344-6002 541-343-5748 t0s Contractor Type General Electrical Mechanical Plumbing TONY KOTH FM SHEET METAL INC BQP PLUMBING INC License 12s733 s9748 897r0 134320 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 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: Paved Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: B YN USI Sq Ft d t$ Sidewalk Type: Downspouts/Drains: PARIflNG # oh of Lot w $c b PUBLIC IMPROVEMENTS Notes: Page I of4 B UrLDrI\ !i lI\ trlJl(lvrr!!!!|!J thc ITY F F'IELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676F2x 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01133ISSUED: 0912412004APPLIED: 09/1312004 EXPIRES: 03/3012005VALUE: $ 9,900.00 Description Estimate Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + lOoh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Exhaust Hoods Fixture Minimum/Adj ustment Mechanical Penalty Fee - BWOP Building Penalty Fee - BWOP Electrical Penalty Fee - BWOP Mechanical Penalty Fee - BWOP Plumbing Plan Review Comm/Ind/Public Planning Final Occy Inspection SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Yent Fan SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Temporary Occy Comm/Industrial Total Amount Paid Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 9,900.00 Total Value of Project Amount Paid Date Paid Value $9,900.00 $9,900.00 Date Calculated 0912312004 $s9.67 $10.00 $s9.48 $20.82 $43.00 $18.00 $107.40 $9.00 $84.00 $30.00 $107.40 $6r.00 $4s.00 $84.00 $10.r4 $143.00 $10.00 $1,641.44 $214.91 $194.59 $1,651.13 $374.28 $6.00 $193.11 $25.28 $22.83 $194.25 $44.03 $10.74 9n3t04 9124t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9124t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9124t04 9t24t04 t0nt04 10fit04 t0nt04 r0nt04 10fit04 t0nt04 Receipt Number 2200400000000001156 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 220040000000000r208 2200400000000001208 220040000000000r208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 1200400000000001419 1200400000000001419 1200400000000001419 1200400000000001419 1200400000000001419 1200400000000001419 $5,474.50 Plan Reviews 09t24t2004 0K GRG See attached document for fire department plan review comments. Fire Department Review 0911412004 Paee2 of 4 Valuation Descriotion I -tl ees -raro l Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01133ISSUED: 0912412004APPLIEDz 0911312004EXPIRES: 03/3012005VALUE: $ 9,900.00 Initial Review Planning Review Public Works Review Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review SUB Review 09n4t2004 09n4t2004 09n4t2004 09fi4t2004 09t23t2004 09t24t2004 09t24t2004 09n4t2004 09n4t2004 09n7t2004 09t24t2004 09t20t2004 09t23t2004 09t24t2004 09t24t2004 09n7t2004 WE APP APP APP SKG EMM SB JMP JMP JMP JMP See attached LUCS for required site improvements to be done before occupancy. Owner required to sign. Fence at property line, trash enclosure, street trees and catch basin filter. Called Craig and sent an email summarizing outstanding items. Received faxed information on plumbing and mechanical. Asked Tony to apply for the electrical permit. Still waiting for Craig's agreement on accessibility. Craig told TCM and JMP that accessibility issues will be addressed. Received electrical application and SDCs. Waiting for Fire's approval to issue. JMP emailed Craig Miller reminding him that we are still waiting to receive the energy code forms. 09tzu2004 09t2u2004 WE WI WI APP WE JMP JF JF09t2u200409t2il2004APP 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. 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. 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. 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. Renrrired Insnpefions Pase 3 of4 Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01133ISSUED: 0912412004APPLIED: 09/1312004EXPIRES: 03/3012005YALUE: $ 9,900.00 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 Springlield 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 wilt 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. ,/:la a;;sffi@ Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone eity of Springlield Official Receipt .velopment Services Department Public Works Department RECEIPT#: 1200400000000001419 Date: 1010112004 e:4e:31AM Job/Journal Number coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 Description SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC Transpo Admin Temporary Occy Comm/Industrial Amount Due 44.03 194.25 2s.28 193.1 I 22.83 10.74 Item Total:$490.24 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MMW INC djb 010130 In Person Payment Total: $490.24m 101U2004 Page I of I Tfllof,3D f+ Arr,rt i%^ L; I orr.r^. {3 \-l t-i'rt /v1*-- V_S o€s {e;elO D i, ,-,\6rx t f.- i S +-+1"+Wa-r a'&Y1 L ott^?l *4,n ot* )"r<"|_^-,J,'4 )f€taC4 C e,/atrlc L 1,.* Crr+r e-yt L-r1 Zoo {dfC *^ v-?l )Q n-1 / S'l-o ^J^.J< h Lar 3-onrl 4/r+,4r t *-oo,-*., JJ..6./C l^ fio"A 1)41. o)a{t h ovr rL +h lr L ';t J o 4t .. /u, q /4 At/ n t ck / tn 3 C- cl /. O1c_c q-n ,.-i Cr. an?6a62. S i n Lt-,+ /2-)1,,nS t rt-. (rar il'l ,11v K/- f( 11 Jr^4 ,? C sz4 t Zcto /i Dao^.^ t '"1 .l I \ Y *i+A ov +- 7 '7 /--,*/ l^t tg 1"r-/ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line FS Building/Combination Permit PERMIT NO: COM2004-01133ISSUED: 0912412004APPLIED: 09/1312004EXPIRES: 0312412005VALUE: $ 9,900.00 SITE ADDRESS: 2454 10TH ST ASSESSOR'S PARCEL NO.: 1703261200100 PROJECT DESCRIPTION: Remodel to change to ptzza parlor. Springfield TYPE OF WORK: TYPE OF USE: Restaurant Alteration Commercial Phone 541-726-7747 s41-688-8996 541-344-6002 541-343-5748 Owner: WILKINSON WILLIAM H TE Address: 34725 DEVONSHIRE DR EUGENE OR 97405 Contractor Tvpe General Electrical Mechanical Plumbing Contractor License PROPERTY REPAIR & MAINTENANCE LL 125733 TONY KOTH 59748 FM SHEET METAL INC 89710 BQP PLUMBING INC 134320 Expiration Date 10fi7t2004 ost04t2006 03n5t2007 03/30/2005 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: B \t Structure of Heat: Type: Range Type: Energy Path: Sprinkled Building: Overlay Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: 10 Ft Garage/Carport Other: Load: {so Total: Handicapped: Compact: N PARI(ING # o Sidewalk Type: Downspouts/Drains: Notes: Pase I of3 Secondary # of Bedrooms:rt o 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: COM2004-01133ISSUED: 0912412004APPLIED: 09/1312004 EXPIRESz 0312412005VALUE: $ 9,900.00 Description Estimate Tvpe of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 9,900.00 Total Value of Project Amount Paid Date Paid Value $9,900.00 $9,900.00 Date Calculated 09t23t2004 Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0oh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Exhaust Hoods Fixture Minimum/Adj ustment Mechanical Penalty Fee - BWOP Building Penalty Fee - BWOP Electrical Penalty Fee - BWOP Mechanical Penalty Fee - BWOP Plumbing PIan Review Comm/Ind/Public Planning Final Occy Inspection SDC MWMC Administration SDC MWMC Improvement SDC II{WMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Vent Fan Total Amount Paid $s9.67 $10.00 $s9.48 $20.82 $43.00 $18.00 $107.40 $9.00 $84.00 $30.00 $107.40 $61.00 $4s.00 $84.00 $10.14 $r43.00 $10.00 $1,64t.44 $214.9r $194.59 $1,651.13 s374.28 $6.00 9n3t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9124t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9124t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24tl4 Receipt Number 2200400000000001r56 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 220040000000000r208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 2200400000000001208 s4,984.26 tr'ees Paid Plan Reviews Fire Department Review Initial Review Planning Review 09n4t2004 09fi4t2004 09n4t2004 09t14t2004 09fi7t2004 APP APP SKG EMM See attached LUCS for required site improvements to be done before occupancy. Owner required to sign. Fence at property line, trash enclosure, street trees and catch basin filter. Page 2 of 3 I Valuation Descrintion 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: COM2004-01133ISSUED: 0912412004 APPLIED: 09/1312004 EXPIRESz 0312412005VALUE: $ 9,900.00 Public Works Review Structural Review Structural Review Structural Review Structural Review SUB Review 09fi4t2004 09t2u2004 09t23t2004 09t24t2004 09n4t2004 09n4t2004 09t24t2004 09t2u2004 09t23t2004 09t24t2004 09t20t2004 09n7t2004 APP WE WE WE JMP JMP JMP JMP JF SB WI WI Received faxed information on plumbing and mechanical. Asked Tony to apply for the electrical permit. Still waiting for Craig's agreement on accessibility. Craig told TCM and JMP that accessibility issues will be addressed. Received electrical application and SDCs. Waiting for Fire's approval to issue. Called Craig and sent an email summarizing outstanding items. JMP emailed Craig Miller reminding him that we are still waiting to receive the energy code forms. SUB Review 09t2u2004 09t2U2004 APP 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. 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. 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. 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. By signaturer l 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 Springlield 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 onty 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. Reou Owner or Signature Page 3 of3 Date tst*$i?r:lt**f{*ilr} 225 FIFTH STREET . SPRINGFIELD, OR97477 o E LECTRI CAL P ERM IT AP P LI CATI O N City JobNumber Cc,N(z^ooQ- o t"tg"3 Date LEGAL DESCRIPTION t-103"Lb \Z oo t oc) JOB DESCRIPTION A.ue c\\rcu \Tg Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 7 Contractor lZl-.&4-k-t L 0-E N'.lt)zq PH:(54t)726-3753 o FAX: (541)726-3689 o1^z-4 ^o4- Ya*:i.l;i 1 3 U)UU Phone bt?-tqq 6 roval Service Inchd&*ized signature 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 Amps 601 Amps to 1000 AmPS Over 1000 Amps/Volts Reconnect Only ,4 106 $s0.00 $ 63.00 s 7s.00 $12s.00 $163.00 $37s.00 $ s0.00 $ s0.00 s 69.00 $100.00 above. $ s0.00 $ s0.00 A. B. Electrical Address Ciry b Supervisor License Number ?58$.6;-$C. Expiration Date to A'& Constr. Contr. Number ,SYre'ry Expiration Datb 'a{,\ Signature of Supervising Electrician D. Owners y3*" b.). LL tA t \, (l)t 90 Address Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 401 Amps to 600 Amps Over 600 M$43.00 4?.cti i8.co o City e U eE\\E- phone 1zb-8a31 OWNERINSTALLATION Limited Energy/Residential The installation is being made on properry I own which Limited Energy/commercial $ 45'00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surch Owners Signature: 7Yo State Surcharge 10% Administrative Fee TOTAL $ 25.00 4. arges 6\.o<, 4.z.1 6. (C) -l ("3f Inspection Request: 726'37 69 Shared Drive(T:)/Building Forms/Elerctrical Pennit Application l -03'doc N L D $ 19.00 \(\ Lighting CITYOF ATTACHMENTA ,JNGFIELD SYSTEMS DEVEI.OPMENT CFIARGE V SHEET JO1IRNAI OR JOB NL]MBER COM2". ,.01I33 NAMEORCOMPANY:TRACKTOWN PZZA LOCATION:2454 IOTH ST MAP & TAXI.oTNUMBER: 17 0326 12 00100 DE\'ELOPMENT TYPE: NEW DEVETOPED AREA (S.F.): EXSTING DEVEI,OPED AREA (S.F.): TOTAL IMPERVIOUS SI.]RFACE (S.F.): I. STORM DRAINAGE IMPERVIOUS SQ. FT 2. SANITARY SEWER-CITY A REIMBI.]RSEMENT COST: NUMBER OF DFLIs B. IMPROVEMENTCOST: NLIMBER OF DFU's (SEE REVERSE SIDE) TAY.EOWPVZA -2 x $ 18.30 PER TRIP $ 80.72 PER TRIPx x x 799.00 799.00 x $ 0.310 PER SF 936 TOTAL STORM DRAINAGE SDC ITE: ITE: ror srzE (s.F.): x $ 24.04 PERDFU t x $ 18.28 PER DFU TOTAL IJOCAL WASTEWATER 3. TRANSPORTATION BLDG AREA TGSF XTRIP RATE X COST PERADTXNEW TRIP FACTOR NEW A. REIMBI.]RSEMENT COST: 0]99 x 151.2 x $ 18'30 PERTRIP x B. IMPROVEMENTCOST: 0.799 x 151.2 x $ 80.72 PER TRIP x 0.5 NTF 0.5 NTF x xINTF $ 1 ,1 05.30 $ (84.64) $ 2,025.41 $ 1,866.35 E)(STING A. REIMBL]RSEMENT COST: -0.799 x 50 B. IMPROVEMENT COST: -0.799 x 50 NTF $ (731.02) $ (3,224.87\ 4. SANITARY SEWER- MWMC NEW: A. REIMB1IRSEMENT COST: NUMBER OF FEU's B. IMPROVEMENTCOST: NUMBER OF FELIs E)flSTING: A REIMBURSEMENTCOST: NUMBER OF FEL-Is B. IMPROVEMENTCOST: NUMBEROF FEtIs 0.799 0.799 -0.799 -0.799 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES : BASE CHARGE (SIIBTOTAL ABOVE) Stev ew W. Bea ud'rg Ba r wes dM0lDOREII.thEOBwn pizza.xls TOTAL TRANSPORTATION REIMBURSEMENT TOTAL TRANSPORTATION IMPROVEMENT TOTAL TRANSPORTATION SDC $428.34 PERFEU $3,735,54 PERFEU $ 342.25 $ 2,98r'..70 x @PERFEU x _I}U_PERFEU $ (127.U) $ (1,343.26) TOTAL MWMC REIMBURSEMENT TOTAL MWMC IMPROVEMENT MWMC ADMINISTRATTVE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3,&4) 3,891.76 x 5o/o 194.59 TOTAL TRANSPORTATION ADMINISTRATION FEE TOTAL SEWER ADMIMSTRATION 9t24D004 =$ 4,876.00) $ 2,025.41 $ 374.28 $ 1 ,651 .13 $ $ 214.91 $ 1,U1.44 10.00$ $ 194.59 1,.1W$: 4,086.35 $ 1,866.35 891.76 $ DATE TOTAL SDC CEARGES 1 JULY 2OO4 DRAINAGE FXTT]RE TINIT (DFI.I) CALCULATION TABLE NUMBER OF NEW FD(TURES X UNTT EQUTVAI-ENT = DRAINAGE FXTLIRE I.TNTTS FOR REMODELS. CArcULATE ONLY TTIE NET ADDMONAL TRACKTOWNPIZZA DRAINAGE FDOURE UMTSFD(TTIRE T\?E BATTITI.]B DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIUSOLIDSIETC. INTERCEPTORS FOR SAND/AI,]'TO WASH,ETC. I-A.UNDRYTUB CIOTHES WASHERA4OP SINK CLOTHES WASFIER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATIONIETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWE& SINGLE STALL SHOWE& GANG (NIIMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIALBAR SINK: WASH BASIN/DOIIBLE L-A.VATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR IIRINAL, STALI/WALL TOILET, PUBLIC INSTALI-ATION TOILET, PRTVATE INS TALI,ATION MISCELLANEOUS: NT'MBER OF EDI.IS* UNIT 0 0 0 0 -2 -6 a TOTAL DRAINAGE FD(TURE I.INITS:a FD(TI.IRES NEW OLD ALENT 0 0 0 0 0 0 3 0 0 J 0 0 0 0 3 1 J 3 6 2 J 6 t2 I 3 2 2 3 2 2 I 5 6 3 3 2 0 0 0 0 0 I 0 I 0 0 *EDU @quivalent Dwelling Unit) is a dischage equivalmt to a single family dwelling (20 DFLI) set at 167 pllom pa day CREDIT CALCTILATION TABLE: BASED ON ASSESSED VALUE IF IMPRO\'EMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCL]LATE CREDITS SEPARATELY RATE PER $I,OOO ASSESSED VALT]E YEAR CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x .45 .25 s0.00 RATE PER $I,OOO ASSESSED VALT]E YEAR ANNE)(ED 1992 1993 t994 1995 1996 t997 1998 1999 2000 2001 2002 2003 2004 1979 1980 1981 1982 1983 1984 1985 1986 1987 I 988 r989 1990 t99t or before $5.29 $5.19 $5 12 $4-98 $4.80 $4.63 $4,40 $4.07 $2.7,3 $2.25 $1.80 $0.00 $0.00 com20M-01133, track town piza.ts CREDIT TOTAL 1 JULY 2OO4 $0.72 $0,48 $0.28 ,$0.09 $0'05 $0.00 $0.00 $3.67 $322 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Gty of Springfield Official Receipt relopment Services Department Public Works Department RECEIPT #: 2200400000000001208 Date: 0912412004 3244:37pM Job/Journal Number coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 coM2004-01133 Description Planning Final Occy Inspection Fixture Penalty Fee - BWOP Plumbing Exhaust Hoods Vent Fan Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Penalty Fee - BWOP Mechanical Building Permit Penalty Fee - BWOP Building Plan Review Comm/Ind/Public SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin SDC MWMC Reimbursement Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical + 7oh State Surcharge + l0% Administrative Fee Amount Due 143.00 84.00 84.00 9.00 6.00 30.00 10.00 45.00 107.40 107.40 10.14 374.28 1,65 l.l3 1,641.44 10.00 194.59 214.91 43.00 18.00 61.00 20.82 59.48 Item Total:$4,924.59 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MMW,INC JMP 0t-0122 In Person $4,924.59 Paymenttotat: .@f- 9/24/2004 Page 1 of I CPBT'{GFIAl.g