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Home My WebLink AboutPermit Building 1998-10-26sPllrNGFrELD COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD ilob Number: COMMI'NITY SERVICES DIVISION BUILDING SAFETY office: Inspection Line: Page 1 98L2L7 726 -37 59 726 -31 69 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 1655 LSTH ST Assessors Map #: 17032531-Tax Lot #: 0'7700 CITY OF OwneT: MCKAY INVESTMENTS Address:. 2350 OAKMONT WAY phone #: city/state/zip: EUGENE, oREGON 97401- Description Of work: TENANT INFILL/,fASPERS DEL REMODEL Val-ue:0.00 Name 1KG Address Phone Architect General-: Plumbing: Mechanical Electrical Contractor DAN LANSING 0094s00 VOS PLUMBTNG OO418O5 PO BOX 2189 EUGENE OR 974020000 HARVEY & PR]CE OOOOOTT PO BOX 1910 EUGENE OR 974400000 BUILDERS ELECTR OOO4295 195 MADISON ST EUGENE OR 974025030 Const. ContracEor #Expires 1-1-/22/e8 04/04/ee Lo/31,/e8 L2/1,0/eB Phone 933-1,779 485-0551 7 46 -a521 485 - 0922 PLI,ITTBING - - - No 10 Fee Charge 100.00 100.00 Single Fixture TOTAL PERMIT No Furnace/burner & venL < Vent Fan/Single Duct GAS L]NE Permit Issuance TOTAL PERMIT - - - MECIIANICAL Fee 1000, 000 BTUS NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHOHIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR Af,iY'l:.' -.,:,\' Pi*liiDl) Charge 2 7 6 2 10 50 00 00 00 25.50 QUAD AREA: 2CNW -- OFFTCE USE LAND USE: 5300 Item TENANT INFILL Square Feet. x $/Square Feet Val-ue 30, 000.00 TOTAL VALUE OF PROJECT ,lllENItON:Oregon taw requires you toroilow rutes adoDted by the Oregon UtilityNotiftcation Ce nter. Th oie ru re sire' sIi'io rtnI-9ll es2-001-0oro tnrousn oAn-eEb"or _ 0090,.Jo1.may obtain-copies of ttre rufes Oycalting the center. (Not'e: tne tefepnoiinumbeilor the Oregon Utitity Notiiir;i; uenter is 1 -800-g91-2844). 30, 000 . 00 SPR!NGFIELD .fob Number: 9Bl2l'7 CffT OF SPruNGFIELD, Page 2 Plan Check Fee:a25.45 pec #: 31595 Date: 09/29/9e Rec By BUTLDING Surcharge/Admi-n MECHANICAL Surcharge/Admin PLUMBING Surcharge/admin ELECTRICAL PERMIT SDC SUBTOTAL PERMITS TOTAL PERMIT FEES EXCLI'DING ELECTRICAL 193.00 L5 .44 25 .50 1, .25 100.00 8.00 77.76 1,3,764.72 1,4 ,l-85 .57 L4 , L85 .67 REQUIRED TNSPECTTONS It is the responsibility of the permit hol-der to see that all inspections are made at the proper time. To requesL an inspection, catl 726-3769(recorder), state your City designated job number, job address, type ofinspection requested and when you will- be ready for inspection. Requests received before 7:00 a.m. will be made the same working day, requesLs made after 7:00 a.m wil-I be made the following work day. Special Inspections: fn accordance with Section 305 of the State Specialty Code a special inspector shall be employed by the owner/contractor during construction of any following "*" work. A copy of the special testing reports shal1 be furnished to Building Safety. fn addition to the inspections specified, the Building Official may make orrequire other inspections of any construction work to ensure compliance withthe Building, Clty or Development Code. ITNDERGROITND PLITMBING - Prior to fill-ing trench. ROUGH PIJI,MBING - Prior Io cover. ROUGH MECHAI{ICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. RoucH GAs - after line is install-ed and capped if not attached to an appliance GAS SERvreE - After l-ine is installed and line has been connected to a minimum of one appliance. pressure test done at this point. FRilMING - Prior to cover. rNSUL-V.B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING TNSPECT DRYWALL - Prior to taping. CEILING GRID FINAL PLITMBING - When all plumbing work is complete. FINAL MECHANfCAL - When all mechanical work is complete. FINAIJ ELECTRICAL - When al-l electrical_ work is complete. FrNAL FrRE - when all Fire Department requlrement.s have been met. been met. FTNATJ BUTLDTNG - when all required inspections have been approved and the bullding is complete. --- ADDITIONAL COMMENTS Plans Reviewed By: TOM MARX Bullding Site Reviewed By: LfSA HOppER Date: L0/23/9B CITY OF SPR!NGFIELD Job Number: 98L2L'7 Page 3 By signature, I state and agree, that f have carefully exami-ned the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and al-I work performed shall be done in accordance with the Ordj-nances of the City of Springfield, and the Laws of the State of Oregon pertaining t.o 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 701.055 will be used on this project. I further agree to ensure that all required i-nspections are requested at the proper time, that project address is readable from the street, that the p ermit card is located at the front. of the property, and the approved set of pI wil-l- remain he site at all times during construction /o'-Za ?e J ture Date --- VALIDATION --- Receipt Number: Date Paid: Amount Received Received By o? / r0l rf{7 /o/ hc/Et/ S.,-..NGFIELO w, ,.r\ CitY Job *',-O"' @ 78t'O PERHIT APPLICATION Cos t $ 8s.00 o 1 LOCATION OF INSTALLATION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALT-ATION ONLY Electrical Con tracrcr f?u)Z? /I,s)V.^ {tru.,), Address - 274 Ci ty pnone 69')- 7S oZ Supe rvi -sor License Number tl2 & e7- 3. COHPI,BTE FEE SCEEDTILE BELOII A Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems Sum 1000 sq.ft. or less Eaeh additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Service or Feeder $ 1s.00 s 40.00 B Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amPs -_ 401- amps to 600 amps - 601 amps to 1000 amps- Over 1000 amps/voIts Reconnect 0n1y NOEeffiprary Services or Feeders THrs pEFt#Isfth ion, Alteration or Re loca t i on LL $ 40.00 COM s ss.00 $ 80.00 0ver s see rrg, uffi Branch Circuits Nev, Alteration or Exterrsion Per Panel one Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/Out1ine Lighting_ Limited Energy/Res DESCRIPTION 2- JOB DESCRIPTION 376fiIhor'tzsd 0 00 7< s s0.00 s 60.00 s100. 00 s130.00 s300.00s 40.00 Expiration Date o-,/ -72 Constr Contr. Numbe tt ./C,("2 oL Expiration Date ,*? f ?7 A Signa ture ising Electrician D Ovners Name Address /Vo tv4 .rut77 zz a- Ci ty (./Phone Cr'(j--'??15- OVNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, Iease or rent. Ovners Signature: DATE: SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 5 s40 s40 $20 S36 36. .00 .00 .00 .00 db re o lo 1 RECEIYED 7 r 1 T;?A 0 ) 225 FTFTB STR.EET SPRINGFIEI-D, OREGON 9 INSPECTION REQUEST: OFFICE: 726-3759 1.OF IN LEGAL DESCRTPTIONllrt2>-q3/ JOB DESCRIPTION Permits are .non-transferabLe and expireif vork is not started vithin 1B0 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALTATION ONLY ELectrical Contractor Address f Q$ A/CcltSOv^\ ci ty Etrc{ ey-\f Phone 4Z='Cq ZZ U Supervisor License Number 29:O -S Expiraiion Date o- constr contr. u,rmber 42 Etr.c+r ic rnril"i3i]::t::;. A1 terat ions 200 amps or less 1201 amps to 400 amps 401 amps to 600 amps -60L amps to 1000 amps- Over 1000 amps/voIts - Reconnect 0n1y S' YGFTELD t hereo f Manuf'd Home. or r Dvelling Serv r Feeder B. Services or Feeders or Feeder Permit /l $ Miscellaneous (Service/feeder -Each ins tallation Pump or irrigation S Sign/Out1ine Lighting- $Limited Energy/Res - SLimited Energy/Comm $ SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL CATION Cos t Sum 85. 00 s 1s.00 $ 40.00 s 50.00 s 60.00 s100.00 $130.00 s300.00 s 40.00 ql' , pn : C. Temporary Services or Feeders f,Utf SHn[tEkplf*gpmg yfl@ggration or Relocation Expir:ation Date Signature,of Su pe rv1s].ng EIe ctrician ;l uNuEmTH$B68e1m$Nor onfi€bpnlmg6ffi:ili: -PFWi€r 600 amps or 1000-llofTs 40. 00 5s.00 80.00 e rBn aEoiE- 2.00 Tzoct not included) 40.00 40. 00 20.00 36.00 '7 L.OO $ S $ SE Ovners Name lL A}L (J Address lbb 5 lU+- citv.a>n*"ahq4 Phone' cl- OIINER TNSTALIATION The instaLlation is being made on property I ovn r-,hich is not intendedfor saIe, lease or rent. Ovners Signature: DATE: tr) RE D. Branch Circui ts Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Addi tional Circuit or vith Service Et 5 RECETVED BY: %ft Residential-Single or ti-Family per dvelling unit. e Incl-uded:6) 7aA'\"% 000 les s I sq.ft or por on 225 FIFTE STREET SPRINGFIELD OREGON 974 INSPECTION REQUESTT 72 oFFICE: 726- 1 SPrtI'\'GFTELO 1000 sq.ft s Each uf'dHa Dve11i Service or Feeder B. Services or Feeders A1 terat ions Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI{TRACf,OR INSTALI.ATION ONLY Electrical Contractor Ra -0-Lite S S Address 101 N. Senec City Errgen", OR Phone 6RB-2 5oo Superv isor License Number 2915 G Expiration Date LO I L I 99 constr contr. Number 007L490 Expiration Date si ture of Supervis Electrician 0vners Address Ci ty Phone OVNER ALLATION The install,ation is being made on property I ovn vhich is not intended for saIe, lease or rent. 0vners Signature: DATE: LOCATIONL6W N. 3759 OF INSTALI,ATION1Bth, Spring fie1d, 0R A Residential-Single or Mu .-Fam velling unit. Serv i I temsq Cos t $ 8s.00 X?s IF THE $4 s s0.00 .00 Sum Nc7- t ion 0000E 00 roB DEScRrPrroN (3f fr:nt{,B sq. ft thereof Each Man Modular Ins tal or Rel 1a 200 201. 401 601 0ver Reconnec C. Temporary Se Installation, A1 tera SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL 200 amps"or less $ 40.00 201 amps to 400 amps - $ 55.00 over 4b1 to 600 amps - $ S0.00 0ver 600 amps or fOOO voTts see "B' a66G- D. Branch Circuits Nev, Alteration or Extension Per Panel gne Circuit S 35.00 Each Addi tional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0u tline Ligh t ing-]- Limited Energy/Res --.: Limi ted Energy/Comm $ $ $ s 40. 40. 20. 36. UJ RBCEIVED B 5 e,..'"/'w6, a$ tlri Number +st btq PERHIT APPLICATION4rtt,, 77 (+ 'rr,-rradfl 3. COI.IPIJTE FEE SCMDULE BELOS 7i,ls SIGN PEIIMIT APPLICATIO 225 Fifth Street Springf ield, OR 97 477 SITE ADDRESS ASSESSORS I\4AP: SPRIItGFIELD OWNER: .Ias Der I s Foo Management JOP'IUMBER TAX LOT: PHoNE: 465-3966 tn'spection Line: 726-3769 Office: 726-3759 ADDRESS: 168,\N. l Brh clrY' Springf ield STATE: OR ZtP: 97 47 7 BUSINESS NAME, FIRIVI ETC Jas erts Deli DESCRIPTION oF PROPOSED stGN(S): (please check and comptete ail X Wuff - Freestanding _ projecting X Single Face Double Face Bit lboard SquareFootage: 4B*rrat+Total Ho Dimension from Grade Electrical xx to bottom of Sign Enclosure L7'(lf yes additional appropri inf ormation) itt _ lVlarquee law I J/ou ta Se,Ihe ml permit is required) lvlaterial Sign is constructed of: Sheet metal Plas tic G1ass. List ALL existing signage d attach a photograph of each sign;,ilri.',,1 j... :-- -. ' 'l: l l-lri!!.,.- 'ir'lll(tj) TYpe.,,:ii r : r ,, ,,. ,.- (a) Type (c) Type CONTRACTOR/INSTALLER: Rav- Sq. Ftg. Sq. Ftg. - .,- !-fi :$L '. -. ),,t /s PHoNE: 688-2500O-Lite Sisn s ADDBESS:101 . Seneca CITY Eugen e STATE: OR CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: OO7L49A EXPIRES ztP: 97 4Oz o?. /1/ 9q CITY BUSINESS LICENSE NUMBER:ES: 06 90 99 OFFICE USE Sign District: Zoning Sign Permit Fee REOUIHED INSPECTIONS: _ Site to be made prior to sign placement 0 Footing prior to placement of concrete Land Use Code Section Approved By: d Area: DATE: I Attachment after fasteners are installed/prior to cover -'/1-"' Electrical prior to energizing electrical installation vnFin"r completion of sign installation By signature' I state and agree, that I have carefr-rllv examined the completed applicaticn and co hereby certif,/ that all information irereinis true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinances of the city ofspringfield, and the Laws of the state of oregon pertaining to the work described herein. I further certify that only contractors andemployees who are in compliance with oRS 701.055 will be used on this proiect. I further agree to ensure that all required inspections the permit card is located at the front of the property are requested at the proper time, that project address is readable from the street, that, and the approved set of plans will remain on the site at all times during the installationof the sig Signature Date t Amount Received Receipt Number: Date PaidValidation 0 3 r?s Received By: cI6 lh Vertiial Dimension of sign or enclosure: 4 t Additional Comments and/or Conditions: , \JL.AI- \ SIGN PERMIT APPLICATION The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer, or if you are hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Registration Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration date of each. lf the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed by either a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in which you are occupyinQ, and you will be performing the electrical installation yourself, you may sign the electrical application. lf there are existing wall and/or freestanding signs, a photograph(s) of each existing sign needs to be attached to the application. The size of each existing sign also needs to be listed on the application. PLANS To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and a plot plan indicating where the proposed sign will be located. lf you are installing a freestanding sign which exceeds 20 feet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After the plan review process is completed, and, if your sign(s) is approved, one set of plans will be returned to you. The approved set of drawings need to be at the site when an inspection is requested for the inspectors reference. INSPECTIONS Depending on your sign(s), you may be required to request one or all of the following inspections during the instaltation of your slgn: Slte To be requested after indicating on the lot where the proposed sign will be located but prior to any work being performed for the installation of the sign. This inspection is required if there is a question on the location of the proposed sign. Footing:To be requested after excavation and the forms are installed, but prior to pouring concrete. lf there will be electrical conduit placed in the footing, it must also be in place prior to requesting thls inspection. Attachment: To be requested when all fasteners are installed but prior to cover. Electrical: To be requested after the electrical connection to the sign is made, but prior to energizing. Final: After all required inspections are conducted and approved and the sign installation is complete. The inspections that are required for your sign installation will be indicated on the application during the plan review process. Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the required intervals of work. To request an inspection, phone 726-3769. This is a24hour recording. On the recording you will need to leave your City Designated Job Number, location of where the sign is being installed, the type of inspection you are requesting, and when you will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same working day, all inspections phoned in after 7:00 a.m. will be made the following work day. lf you have any questions regarding the application, required plans or inspections, please feel free to phone the Building Saf ety Division at 726-3759. City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 b SIGN PEttMIT APPLICATIOI,-. 225 Fifth Street Springf ield, OR 97 477 SITE ADDRESS: ASSESSORS MAP: SP'lINGFIELE, \ JOB VIB TAX LOT: PHoNE: 465-3966 tn'spection Line: 726-376g Office: 726-3759 OWNER: Jas Derrs Food Management ADDRESS: 1 6 N- 1Brh CITY BUSINESS NAIVE, FIRIVI ETC.: Jas er I s Deli STATE: OR ztP: 97 47 7 DESCRIPTION OF PRoPOSED SIGN(S): (please check and complete all appropriate information) X wurr - Freestanding - projecting - Roof _ Marquee X Single Face _ Double Face _ Billboard _ Other r"&lGf,'l&ffiboru Grade:Square Footage: 4B_ca+ Vertiial Dimension of sign or enclosure: 4l Dimension from Grade to bottom of Sign Enclosure L7'(lf yes additional Ho,iJHifi il'fft}i't,;ALL EXPIRE IF TH S Electrical lnstal P.EAN0OTAGffiD @ , OF SIGN: 2t0ffi0 f+r-betsh Material Sign is constructed of : Shee I me ta1 P as tic Glass. List ALL existing signage nd attach a photograph of each sign: (a) Type (c) Type Sq. Ftg Sq. Ftg (b) Type Sq. Ftg. A]'TENT,ON(d) Type CONTRACTOR/INSTALLER: R teS ADDRESS CITY: Eugene CONSTRUCTION CONTRACTORS REGTSTRATTON NUMBER: 007 490 CITY BUSINESS LICENSE NUMBER: 97 01 60 OFFICE USE in OAR 952-oo1 -001 calling the obtain STATE: the Oregon copies of the ru les by 0 EXPIRES: 02 /7 /99 EXPTRES: A6 1390199 Sign District: Zoning Sign Permit Fee REOUIRED INSPECTIONS _ Site to be made prior to sign placement Footing prior to placement of concrete Land Use Code Sectio Approved By: l, ,' Attachment after fasteners are installed/prior to cover -.,l-'/ Electrical prior to energizing electrical installation /rinut completion of sign installation Area DATE: Additional Comments and/or Conditions: By signature' I state and agree, that I have carefullv examined the comp!ete<J application and do hereby certify that all informatiorr hereinis true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinances of the city ofSpringfield' and the Laws of the state of oregon pertaining to the work described herein. I further certify that only contractors andemplovees who are in compliance with oRS 701.oss will be used on this project. I further agree to ensure that all required inspections the permit card is located at the front of the property are requested at the proper time, that project address is readable from the street, that, and the approved set of plans will remain on the site at all times during the installationof the sig Signature Amount Received Receipt Number: Date t \r,q( Date Paid \ Validation: Received By:V '/4/l/4--__ Atl\/'r.if',J SIGN PERMIT APPLICATION The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer, or if you are hiring a contractor, you need to make sure that both the City of Springf ield Business License Number and the Registration Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration date of each. lf the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed by either a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in which you are occupyingj, and you will be performing the electrical installation yourself, you may sign the electrical application. lf there are existing wall and/or freestanding signs, a photograph(sl of each existing sign needs to be attached to the application. The size of each existing sign also needs to be listed on the application. PLANS To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and a plot plan indicating where the proposed sign will be located. lf you are installing a freestanding sign which exceeds 20 feet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect. Atter the plan review process is completed, and, if your sign(s) is approved, one set of plans will be returned to you. The approved set of drawings need to be at the site when an inspection is requested for the inspectors reference. INSPECTIONS Depending on your sign(s), you may be required to request one or all of the following inspections during the installation of your sign: Site:To be requested after indicating on the lot where the proposed sign will be located but prior to any work being performed for the installation of the sign. This inspection is required if there is a question on the location of the proposed sign. Footing To be requested after excavation and the forms are installed, but prior to pouring concrete. lf there will be electrical conduit placed in the footing, it must also be in place prior to requesting this inspection. Attachment: To be requested when all fasteners are installed but prior to cover Electrical: To be requested after the electrical connection to the sign is made, but prior to energizing Final After all required inspections are conducted and approved and the sign installation is complete. The inspections that are required for your sign installation will be indicated on the application during the plan review process. Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the required intervals of work. To request an inspection, phone 726-3769. This is a 24 hour recording. On the recording you will need to leave your City Designated Job Number, location of where the sign is being installed, the type of inspection you are requesting, and when you will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same working day, all inspections phoned in after 7:00 a.m. will be made the lollowing work day. lf you have any questions regarding the application, required plans or inspections, please feel free to phone the Building Sa{ety Division at 726-3759. City of Springtield Building Safety Division 225 Fifth Street Springfield, OR 97477 t JOURNAL ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELO WORKSHEET o*@ 7g/* - f,2, Jro I *?5o8'7r , #97 //o / t^ c.in d * 7z r3.37,24.NAME OR COMPANY LOCATION DEVELOPMENT TYPE Qzt /^ A 5 Tr*"-J )'fu' BUILDING SIZE: cc- 1. STORM DRAINAGE IMPERVIOUS SQ J X 5 X OT SIZ 7/,,tl no^i tetytztl''auS 6:1-747- <e7 x $o . 227 PER sQ. FT TLrL s-* +6 -$/fce $ T:/tu/J,e =/0 _g< 2 \7 FT. 2 . SAN ITARY SEhIER-C ITY NO. OF PFU'S (See Reverse Side) TRANSPORTATI0N - 933 - Frej [.'l 1fua /au'a^-l- X $47.14 PER PFU NO OF UNITS X TRIP RATE X COST PER TRIP erJ a / -3gz xf zoA * y7;./? x-441542 /*t t # 77tot MI^IMC CREDIT IF APPLICABLE (SEE REVERSE) MI,.JMC ADMINISTRATIVE FEE SANITARY SEi^iER-Mi,'iMC r tr t- ./, t>4 A. RETMBURSEMENT Cosr .r-Ttr:"5;;! No. oF FEU '.s L-32f-r p&rR F'{f'*'o" B rl,rPRor,EMExt cost,f"fffi4: r(* No. oF FEU's /.Vb>x :#PERff%- 2o x $475 32 TOTAL-MI^JMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) Uzc- 0 0 4 -# $ / 972- -17- $9 <$87/ .00 ,AO--b + C,/ Z $1 trt/ef 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 k--V'/"4 Date,// s,Dc (,o$di nator^ $ ef{I ATTACH 'A. I^JPD ?,?TOTAL SDC $ 'r- /-Le -L_ /)4 -1 .A FIXTURE UNIT CALCULATION TABLEI ruumber of New Fixtt'es X Unit Equivalent = Fixturerj-.its - (NOTE: For remodels, calculate onl ^ e NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub..... Drinking Fountain.... Floor Drain. lnterceptors For Grease/Oil/Solids/Etc....... lnterceptors For Sand/Auto Wash/Etc..,.... Laundry Tub/Clotheswasher..... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Trailer)...... Receptor For Refrigerator/Water Station/Etc....... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta11.......... Shower. Gan9......... Sink: Bar, Commercial, Residential Kitchen......... Urinal, Stall/Wall... Wash Basin lLavatory, Single.... Toilet, Public lnstallation. Toilet, Private...r,.. Miscellaneous: /ri U iEk-/ ,tJr^, t/jr-s V.,124 0-/@vtz*/4.4Jr .7*-)AL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on ass mprovements occurred after annexation date in table, calculate credits se rates Credit for Parcel or Land Only lf Applicable /,2" x $,2o/Z 2zrz --Ir3--G-- =$87/ t.2 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 b 4 I -R lmprovement (if after annelat ( ** "-'/&-l*J) ion date) (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDIT TOTAL v ed val Year Annexed Rate per $1,OOO Assessed Value67 Year Annexed Rate per $1,OOO Assessed Value 1979 or before 1 980 1 981 1982 1 983 1 984 1 985 1 986 1 987 1 9BB \-*,"- 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 1 997 $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........ Commerical....... lndustrial........... Governmental.... ....0.4 0.9 05 ... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT i J @) 4.18 4.12 3.99 3.83 3.68 3.48 3.1 8 2.82 2.42 B.sur;, REAL pRop A..oilNT suMMARy Lo/09/98 15:41:Lt p.CCr: 20247 L 1998 i--,ESSMENT YEAR COUNTY. ANE INDEX: F MAP EQ 1703253107701 ACCT x YRA X ACCT STAT: REMAP,SADJ -ROP DESCR: 17 03 25 31-07701 NAME ADDR: MCI(AY INVESTMENT COMPANY -EGAL: 92'95 ADJUDICATED VALUE BORR 2350 OAKMONT WAY STE 204 93-95 ADJUDICATED VALUE BOEE EUGENE OR 91 AOL 93_95 ADJUDICATTD VALUE DOR 92DOR 932091 022L95 PROP ADDR: YRIA 98 YRLA 96 PROP CLASS 2OL STAT CLASS 5.28 ACRES CYCLE SAV LAND 813,480 rMPS 61 2 ,'130 TIMBER LAST ACTIVITY 445 4 ZONE B,EAL MARKET (RMV) 813,480 512,130 RES NEIGH 414C0 COM NEIGH 06_21_98 CONTROL GRCUP 2L LEVY CODE 19-OO TAX CERTIEIED: 1900 L2,821.25 1a oa1 ,E,LLlQLL.LJ 12 ,82L .25 L2 , 436 .61 1998 L,485,210 1,486,210 7,486,2L0 ll +t l, 486,210 1998 YEAR TAX: TAX DUE 1998 YEAR: TAX DUE PRIOR YEARS: INTEREST AS OE 1O-09-98 TOTAL BALANCE DUE: OLDEST DELINQUENT YEAR *+" 4 N& rf* {.rfu'///ltl,oJ l,/, Lo 4sv,c:6,4F + /-.v lr-at<- . /.33-- 5_ 20 \ ffi,3 2s /\- lffn )-'Ao/z x {-gQ?5 cs e-J b-J L/"'/r'a aa GROSS: EXMPTS: NET: T-