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Home My WebLink AboutPermit Electrical 2003-07-08Building/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: COM2003-00049ISSUED: 0710812003APPLIED: 01/2812003EXPIRES: 01/0812004VALUE: $ 18,000.00 SITE ADDRESS: 888 S 28th St ASSESSOR'SPARCELNO.: 1803010000201 PROJECT DESCRIPTION: East side pump station Owner: SpRINGFIELD UTILITY BOARD Address: 223 A ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Storage Building TYPE OF USE: New Commercial PhoneNumber: 541-746-8451 Phone 54t-747-8460 541-746-8451 Contractor Type Electrical Owner Contractor OLSSON INDUSTRIAL ELECTRIC SPRINGFIELD UTILITY BOARI) # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 16 1.00 800s-2 VN REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Pase 1 of4 RE lF TFir_.'1\,r(.rliK 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 PERMIT NO: COM2003-00049ISSUED: 07/08/2003APPLIED: 0112812003 EXPIRES: 01/0812004VALUE: $ 18,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 18,000.00 Total Value of Project Amount Paid Date Paid Value $18,000.00 $18,000.00 Date Calculated 0u28t2003 Fee Description PIan Review Comm/Ind/Public + l0Yo Administrative Fee + 77o State Surcharge Building Permit Fixture SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - lst 50 Feet + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical + l0Yo Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 401 to 600 amps + l0oh Administrative Fee + 77o State Surcharge + l0o/o Administrative Fee + 7oh State Surcharge Backllow Device Miscellaneous Plumbing Receipt Number 1200200000000000622 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 r200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000943 1200200000000000943 1200200000000000943 1200200000000000943 1200200000000001237 1200200000000001237 r200200000000001237 1200200000000001237 1200200000000001237 1200200000000001259 1200200000000001259 2200200000000001192 2200200000000001192 2200200000000001192 2200200000000001192 $1r037 $16.98 $11.89 $r69.80 $14.00 $1.94 $3.13 $s0.99 $1r.56 $38.78 $45.00 $4.50 $3.15 $43.00 $2.00 $22.10 $1s.47 $33.00 $63.00 $125.00 $5.90 $4.r3 $4.s0 $3.15 $14.00 $31.00 u28t03 4t3t03 4t3t03 4t3103 4t3t03 4t3t03 413t03 4t3t03 4t3t03 4t3t03 4t3t03 4t4t03 4t4t03 4t4t03 4t4103 5^9t03 sfigt03 5n9t03 5n9t03 5/19/03 5t20t03 5t20t03 7t8t03 7t8t03 7t8t03 7t8t03 f,'ees Paid Total Amount Paid $848.34 Paee2 of 4 Plan Reviews Valuation Descrintion I Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Flx 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00049ISSUED: 0710812003APPLIED: 01/2812003EXPIRES: 01/0812004VALUE: $ 18,000.00 Fire Department Review 01/30/2003 0u3u2003 OK GRG Initial Review Planning Review Public Works Review Public Works Review Public Works Review Revised Plan Review - Pu Structural Review Structural Review SUB Review 01/30/2003 01/30/2003 wE PJO 0u3u2003 0u3u2003 WE PJO Plan Review: Job #COM2003-00049. Shed for water pump station. Prefabricated metal building; Type II-N; U-l occupancy; 800 sq. ft. Provide 2-A:10-B:C rated fire extinguisher Post address numbers visible and legible from the street Final Development Agreement signed by SUB on 3/25103. Talked to Cerotsky about need for drywell. Faxed him info. Need information for sump and disposal. Conference with Cerotsky to go oyer plans. He will submit plans for interior sump and O&M for that sump. He will submit info for building removed. Delivered special inspection forms to Bart McKee at the counter for him to have completed and return to us. 0y29t2003 01/30/2003 01/31/2003 01/30/2003 0u30/2003 03t3u2003 0u30t2003 01/30/2003 03t25t2003 03t25t2003 03n4t2003 03t3u2003 03n7t2003 LLH EMM PJO JMP APP APP APP WE APP APP JF JMP 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. I ,| 3 4 5 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. Roofing: Prior to installing any roof covering. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Paee 3 of4 Rpnrrired Incneefinns 6 7 8 9 10 ll FIELD Building/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: COM2003-00049ISSUED: 0710812003APPLIEDz 0112812003EXPIRES: 01/0812004VALUE: $ 18,000.00 12 Final Electric: When all electrical work is complete. 13 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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. Owner or Contractors Signature Date Pase 4 of 4 L 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #; 2200200000000001192 Date: 0708/2003 e:s2:{eAM coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 Backflow Device Miscellaneous Plumbing + 7o/o State Surcharge + l0%o Administrative Fee 14.00 31.00 3.15 4.50 Item Total:$s2.65 Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check SPRINGFIELD UTILITY BOARD NJM 660 In Person Payment Total: $s2.65 $s2.6s ) 225 FIF|H STREET . SPRINGFIELD,OR 97477 o PH:(541)726-3753 o FAX: (541)726-13689 Cifv Job Number Com) t< --aoof? Job Assessors zb s"b$?- 03 o/ oaao ac /Tax Lot -1i-i \Jr prrl '{-).r.)L\) () I ;ar{ tE{f\l.J.{ntsra{ #,r 1+r{,fi11l-{ $-.,t() Al-La Owner IE D J-.{g Address 7'o \-5,, I}L prrore 14L ^6V5i Stafe Ort_zip 1>q>> NOTICE: tsACKFLOW PER&IIT lS $52"65 (inelx<ies f,'ermit Fee, Stafe Surcharge & Administrative Fee) C o n trc clot' I n fbrm ati o* Contractor Sur> A City a (-'1l*tn\r/r 1-{.l-) (.1F{(} C) $-'tAl..t'{ fA\-/ l-,{\.,1-iVF-l () CS,af\lJi City S tqte zip Construction Contractors Registration # Expires By signing this permit/application, I agree to call for an inspection once the backflow prevention devise has been installed and is visible for inspection(726-3769). I also state that all information on this pennit/application is correct. a,03 For Office Use .4 Date of Checked for Delinquencies s" Checked for Historical Status Shared Ddve (T:)/Building Foms/Backfl ow Preventionl-03.doc T nnaf.inn L\, OF SPRIN LD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line PERMIT NO: COM2003-00049ISSUED: 0410412003APPLIED: 0112812003 EXPIRESz llll9l2003VALUE: $ 18,000.00 SITE ADDRESS: 888 S 28th St ASSESSOR'S PARCELNO.: 1803010000201 PROJECT DESCRIPTION: East side pump station OWNET: SPRINGFIELD UTILITY BOARD Address: 223 A ST SPRINGFIELD OR 97477 Springfield TYPE OF WORJ(: Storage Building TYPE OF USE: New Commercial Contractor Tvpe Electrical Owner Contractor OLSSON INDUSTRIAL ELECTRIC SPRINGFIELD UTILITY BOARD License 63473 Expiration Date 0y26t2005 Phone 54t-747-8460 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: # ofStories: s-2 Height of Structure VN Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: \80 16 Lot Size: 1.00 Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 800 '(l r0s Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact:$$ Rearyard Setback: Solar Setbacks:N Street Improvements: Storm Sewer Available: Special Instruction: Notes: Square FootageDescription Type of Construction $ Per Sq Ft Page I of4 Value Date Calculated I I ,,Ut \t Valuation Description I F 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: COM2003-00049ISSUED: 0410412003APPLIEDz 0112812003EXPIRES: llll9l2003VALUE: $ 18,000.00 Bid Amount Use Bid Amount Fee Description PIan Review Comm/Ind/Public + l0o/o Administrative Fee + 7o/o State Surcharge Building Permit Fixture SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - lst 50 Feet + l0Yo Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical + l0oh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 401 to 600 amps + l0oh Administrative Fee + 7o/o State Surcharge Total Amount Paid $1.00 18,000.00 Total Yalue of Project Date Paid $18,000.00 $18,000.00 0U2812003 Amount Paid Receipt Number 1200200000000000622 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 r200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000943 1200200000000000943 1200200000000000943 1200200000000000943 r200200000000001237 r200200000000001237 r200200000000001237 1200200000000001237 1200200000000001237 12002000000000012s9 12002000000000012s9 $110.37 $16.98 $r r.89 $169.80 $14.00 $1.94 $3.13 $s0.99 $r 1.56 $38.78 $4s.00 $4.s0 $3.1s $43.00 $2.00 $22.10 $15.47 $33.00 $63.00 $12s.00 $s.90 $4.13 U28t03 4t3t03 4t3t03 4t3/03 4t3t03 4t3t03 413t03 4t3t03 4t3t03 4t3t03 4t3t03 4t4t03 4t4t03 4t4t03 4t4/03 5n9t03 5n9103 sn9t03 5n9t03 sn9t03 st20t03 st20t03 $79s.69 ['ees Paid Plan Reviews Fire Department Review 01/30/2003 0U3u2003 OK GRG Plan Review: Job #COM2003-00049. Shed for water pump station. Prefabricated metal building; Type II-N; U-l occupancy; 800 sq. ft. Provide 2-A:10-B:C rated fire extinguisher Post address numbers visible and Iegible from the street Final Development Agreement signed by SUB on3125103. Initial Review Planning Review 0u29t2003 01/30/2003 0u30t2003 03t25t2003 APP APP LLH EMM Paee 2 of 4 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: COM2003-00049ISSUED: 0410412003 APPLIEDz 0112812003 EXPIRESz llll9l2003VALUE: $ 18,000.00 Public Works Review Public Works Review Public Works Review Revised Plan Review - Pu Structural Review Structural Review SUB Review 01/30/2003 0u30/2003 wE PJO 0u3u2003 01/3U2003 WE PJO Talked to Cerotsky about need for drywell. Faxed him info. Need information for sump and disposal. Conference with Cerotsky to go over plans. He will submit plans for interior sump and O&M for that sump. He will submit info for building removed. Delivered special inspection forms to Bart McKee at the counter for him to have completed and return to us. 0U3u2003 0u30/2003 01/30/2003 03t3u2003 01/30/2003 0312st2003 03n4t2003 03/31/2003 03n712003 APP WE APP APP PJO JMP 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. I , 3 4 5 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. Roofing: Prior to installing any roof covering. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 6 7 8 9 10 11 t2 Paee 3 of4 L Reouired Insnections I 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: COM2003-00049ISSUED: 0410412003 APPLIEDz 0112812003 EXPIRESz llll9l2003VALUE: $ 18,000.00 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 construction. Owner or Contractors Signature Date Paee 4 of 4 T 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt # : 12002000000000 01259 Date: 0512012003 coM2003-00049 coM2003-00049 + 7o/o State Surcharge + lUYo Administrative Fee 4.13 s.90 Item Total:$10.03 CreditCard KEN CEROTSKY djb 000073 097285 In Person Payment Total: 10.03 $10.03 5120/2003 l0:56:20AM Page I of I cRcccipt.rpt *FFt+tl*t-.|*Lg sPI.-_ -GFIELE, DEV ELO P MENT S ERVI CES DE PARTM ENT }l4.ay 13,2003 Springfi eld Utility Board 223 A Street Springfield, Oregon 97477 Dear Sirs: On April 2,2003 our office issued permits for the construction of a storage building to you to be located at 888 S. 28th Street, Springfield, Oregon. While calculating the fees for that permit, the plan reviewer neglected to include the complete lo/o State Surcharge of$a.ljandthe l0%CityAdministrativeFeeof$5.g0,leavingabalancedueof $10.03 for this project. I am enclosing a copy of the permit that was issued and a copy of the original receipt for your reference. Please pay the amount due prior to requesting your final inspections for this project. I have enclosed a prestamped envelope for your convenience if you wish to make payment by mail, or you are welcome to make payment in person at our office. Our office hours are 8:00 a.m. - noon and from 1:00 p.m. - 3:00 p.m. Monday through Friday. I sincerely apologize for any inconvenience this may cause you' If you have any questions, please feel free to contact either David Bowlsby at736-1029, or myself at726-3790. Sincerely, Lisa Hopper Building Safety Supervisor cc:Kaye Wilson Encl h,225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-s689 vwwv. ci. s p ri n gf i eld. o r. u s 5r0 r,il .03 Gn.nnPO e 225 Fifth Street Springlield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 12002000000000 01259 Date: 0512012003 coM2003-00049 coM2003-00049 + 7%o State Surcharge + llYo Administrative Fee 4.13 5.90 Item Total:s10.03 Payment Total:$10.03 st2U2003 8:24:29ANl Page I of I cReceipt.rpt ITEffiffi* KEN CEROTSKY 000073 097285 1 ) 225 FIFTII STREET o SPRINGFIELD, OR97477 . PH:(541)72G3753 . FAX: (5Ei)72C3689 E LE CTRT CAL P E RMIT AP P I.I CATT O N City Job Number (p*tZcc j <ru]1 Date 1. BBB S. 28th St. A. has ,^,,owino Proiec! ?9.eouire Included JOB DESCRIPTION less 500 sq. ft. or East Side Permib are non-fransferable Manufact'd Home or LEGALDESCRIPTION 180301000020I if $106.00 $ 19.00 $s0.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ s0.00 $ s0.00 $ 69.00 $100.00 $ 43.00 $ 3.00 63.OO 125.O0 33.00 50.o0 50.00 25.00 not started within 180 days of Suspended for 180 days. 1 ElecticalContractor Olsson Industrial Electric Addrcss P.O. Box 7O4L3 City Eugene, OR Phone 747-8460 Superrrisor License Number 3334S Expiration Datc 10-1-04 Constr. Contr. Number 63473 Expiration Date r-26-05 Signature of Electrician OwnersName Address Z?-3 SF City SP Phone OWNER INSTALLATION The installation is being made on property I own which is uot intended for sale, lease orrenl Owners Signature: Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000Amps Over 1000 Recoirnect Alteration or Relocation or less Amps to400Amps 401 Amps to 600Amps Over 600 or 1000 Volts see "B" above. rs B. D. E. I 1 c. New Alteration or Extension Per Panel One Circuit EachAdditionalcircuitorwi& -- Service or Feeder Permit rr 45.00 .* Surcharges 22t.@ 7%oState Surcharge t5.47 10% Administrative Fee 22.LO 258-57TOTALInspection Request 726'3769 4. Shared Drive(t:)/Building FornrVElectrical permit fuplication l43.doc 3. Station Zoning s t? LD Building/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: COM2003-00049ISSUED: 0410412003 APPLIEDz 0112812003 EXPIRESz llll9l2003VALUE: $ 18,000.00 SITE ADDRESS: 888 S 28th St ASSESSOR'SPARCELNO.: 1803010000201 PROJECT DESCRIPTION: East side pump station Owner: SpRINGFIELD UTILITY BOARI) Address: 223 A ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Storage Building TYPE OF USE: New Commercial Contractor Type Electrical Owner Contractor OLSSON INDUSTRIAL ELECTRIC SPRINGFIELD UTILITY BOARD License 63473 Expiration Date 0u26t2005 Phone 541-747-8460 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: of Structure Heat: Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: 16 1.00 Sidewalk Type: Downspouts/Drains: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: s-2 vN 800 ( Street Improvements: Storm Sewer Available: Special Instruction: Notes: REQUIRED PARKING Total: Handicapped: Compact: Square FootageDescription Type of Construction $ Per Sq Ft Pase I of3 Value Date Calculated I SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I'UILIING rNl Ur(]yrA I rUNJ $ *$*-ffi ,(\ $' {\\- $$' Valuation Description I Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line OF Building/Combination Permit PERMIT NO: COM2003-00049ISSUED: 0410412003APPLIED: 0112812003 EXPIRESz llll9l2003VALUE: $ 18,000.00 Bid Amount Use Bid Amount Fee Description Plan Review Comm/Ind/Public + l0o/o Administrative Fee + 77o State Surcharge Building Permit Fixture SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - lst 50 Feet + l0oh Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical + l0o/o Administrative Fee + 7o/o Stzte Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 401 to 600 amps Total Amount Paid $1.00 18,000.00 Total Value of Project Date Paid Receipt Number r200200000000000622 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000943 1200200000000000943 1200200000000000943 1200200000000000943 1200200000000001237 1200200000000001237 1200200000000001237 1200200000000001237 1200200000000001237 $18,000.00 $18,000.00 0u28t2003 Amount Paid $110.37 $16.98 $11.89 $169.80 $14.00 $1.94 $3.13 $s0.99 $11.56 $38.78 $4s.00 $4.s0 $3.1s $43.00 $2.00 $22.10 $15.47 $33.00 $63.00 $12s.00 u28t03 4t3t03 413t03 4t3t03 4t3t03 413t03 4t3t03 413103 4t3t03 4t3t03 4t3t03 4t4103 4t4t03 414t03 4t4t03 5t19l03 5/19/03 sn9t03 5n9103 5n9t03 $785.66 tr'ees Pa Plan Reviews Fire Department Review 01/30/2003 0113112003 OK GRG 01/30/2003 wE PJO Plan Review: Job #COM2003-00049. Shed for water pump station. Prefabricated metal building; Type II-N; U-l occupancy; 800 sq. ft. Provide 2-A:10-B:C rated fire extinguisher Post address numbers visible and legible from the street Final Development Agreement signed by SUB on 3/25/03. Talked to Cerotsky about need for drywell. Faxed him info. Need information for sump and disposal. Initial Review Planning Review 0u29t2003 01/30/2003 01/30/2003 03tzst2003 LLH EMM APP APP Public Works Review 0u30/2003 Paee 2 of3 FIELD 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: COM2003-00049ISSUED: 0410412003 APPLIEDT 0112812003 EXPIRESz llll9l2003VALUE: $ 18,000.00 Public Works Review Public Works Review Revised Plan Review - Pu Structural Review Structural Review SUB Review 0u3u2003 0u3u2003 wE PJO Conference with Cerotsky to go over plans. He will submit plans for interior sump and O&M for that sump. He will submit info for building removed. Delivered special inspection forms to Bart McKee at the counter for him to have completed and return to us. 0u3u2003 01/30/2003 01/30/2003 03/31/2003 01/30/2003 03t2512003 03n412003 03t3u2003 03fi712003 APP WE PJO JMP JMPAPP APP 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. I 2 3 4 5 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. Roofing: Prior to installing any roof covering. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Finat 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 Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 6 7 8 9 10 11 t2 Reouired Insnect 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. Owner or Contractors Signature Pase 3 of3 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Development Services Department Public Works Department Official Receipt Receipt #: 12002000000000 01237 Date: 0511912003 coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 Perm Serv/Fdr 200 amps or less Perm ServiTdr 401 to 600 amps Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0o/o Administrative Fee 63.00 125.00 33.00 15.47 22.10 Item Total:$2s8.s7 Prymelts: Check djb 2s8.57OLSSON INDUSTRIAL ELECTRIC In Person Payment Total:$2s8.s7 slt912003 l0:48:21AM Page I of I cReccipt.rpt 225 F"IFTH STREET . SPRINGFIELD, OR97477 c E LECTRI CAL P E RM IT AP P LI CATI O N City Job Number 77t7u17;<i IOL>LI"i Date I LO CAT' I O N O F I N S'LALIA?'ION 888 S. 28th Street LEGAL DESCRIPTION I 8030100 00201 JOB DESCzuPTION Underground conduits Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. , City Springfield phone 747-84@ Electrician FAX: (541)726-3689 I neroilowlng pro;ecf as submitted has the tollowingzoning and does not require specific land use PH:(54t\726-3753 r t/'03 3 approval Zoning Pt{ Authonzed Signature A. Nerv Residertial - Single or Multi-Family per dwelting unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 106.00 $ 19.00 $s0.00 CONTRACTAR INSIALI-AIfON ONIY B. Serr,ices or Feeders - Installation, Alterations or Relocation: Electrical Contractor Olsson Industrial Electric $ 63.00 $ 7s.00 $125.00 $ 163.00 $37s.00 $ 50.00 Address 1919 Laura Street Supervisor License Number 3334-s C. Temporary Serviees or Feetlers Expiration Date 10-r{4 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00Constr. Contr. Number 63473 L-2ffi5 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit 1 $ 43.00 43.00 Signature of Each Additional Circrrit or with Service or Feeder Permit t9.oo Owners Name Springfield Address / L )E. -- /)<ciry )t,/-r\OAR OWNER The installation 45.00 is not intended Minimum Owners Signafure: 7%o State Surcharge 7t )- l0% Administrative Fee 4.30 '1 \o TOTAL 50.31 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only /.1^ Inspection Request: 726-3769 rent. I own which 4. Shared Driv{T:)/Building Forms/Electrical Permit Application I -03.doc 5z CITY OF OREGON Installation Ll \'4?-OO Expiration Date 6f 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: COM2003-00049ISSUED: 0410412003 APPLIEDz 0112812003 EXPIRESz 1010412003VALUE: $ 18,000.00 SITE ADDRESS: 888 S 28th St ASSESSOR'SPARCELNO.: 1803010000201 PROJECT DESCRIPTION: East side pump station Owner: SpRINGFIELD UTILITY BOARD Address: 223 A ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: New Commercial Contractor Type Electrical Owner Contractor OLSSON INDUSTRIAL ELECTRIC SPRINGFIELD UTILITY BOARD License 63473 Expiration Date 0u26t2005 Phone 541-747-8460 # of Buildings: Primary Occupancy Group: Secondary Occupancy GrouP: Primary Construction TyPe Secondary Construction TYPe: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: OAB rulot U) the l6 r.00 800s-2 VN \t Solar Setbacks:rtoN Notes: Description Type of Construction $ Per Sq Ft Square Footage 0 Page I of3 Value Date Calculated IJ U r LD lN G !I\ llJ!!1Y1,{_IgJ taw DIIYELUPMIIN I INTI(JT(IVTATTUN I Valuation Description I gPNINCFIEJ.II 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: COM2003-00049ISSUED: 0410412003 APPLIEDz 0112812003 EXPIRESz 1010412003VALUE: $ 18,000.00 Bid Amount Use Bid Amount Fee Description Plan Review Comm/Ind/Public + l0Yo Administrative Fee + loh State Surcharge Building Permit Fixture SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - lst 50 Feet + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid $r.00 18,000.00 Total Value of Project Date Pai Receipt Number 1200200000000000622 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000943 1200200000000000943 1200200000000000943 1200200000000000943 $18,000.00 $18,000.00 0u28t2003 Amount Paid $110.37 $r6.98 $11.89 $r69.80 $14.00 $1.94 $3.13 $s0.99 $11.56 $38.78 $45.00 $4.s0 $.rs $43.00 $2.00 u28t03 4t3t03 4t3t03 4t3t03 4t3t03 4t3103 4t3t03 4t3t03 4t3t03 4t3t03 4t3t03 4t4t03 4t4t03 4t4t03 4t4t03 $527.09 f,'ees Paid Plan Fire Department Review 01/30/2003 01/31/2003 OK GRG 01/30/2003 01/30/2003 wE PJO 01/31/2003 0U3u2003 WE PJO 03t25t2003 APP Paee 2 of3 PIan Review: Job #COM2003-00049. Shed for water pump station. Prefabricated metal building; Type II-N; U-l occupancy; 800 sq. ft. Provide 2-A:10-B:C rated fire extinguisher Post address numbers visible and legible from the street Final Development Agreement signed by SUB on 3/25103. Talked to Cerotsky about need for drywell. Faxed him info. Need information for sump and disposal. Conference with Cerotsky to go over plans. He will submit plans for interior sump and O&M for that sump. He will submit info for building removed. Initial Review Plannins Review Public Works Review Public Works Review 0u29t2003 01/30/2003 01/30/2003 03125t2003 LLH EMM APP APP Public Works Review 0u3u2003 PJO 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: COM2003-00049ISSUED: 0410412003 APPLIEDz 0112812003 EXPIRESz 1010412003VALUE: $ 18,000.00 Revised Plan Review - Pu Structural Review Structural Review SUB Review 01/30/2003 01/30/2003 03t3u2003 01/30/2003 03t3u2003 03n7t2003 0311412003 wE JMP Delivered special inspection forms to Bart McKee at the counter for him to have completed and return to us. APP APP JMP JF To Request an inspection call the24 hour recording at 726-3769, Att inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 3 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 4 Roofing: Prior to installing any roof covering. 5 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 6 Final Fire Department. After all requirements of the Fire Department have been met. 7 Final Building: After all required inspections have been requested and approved and the building is complete. 8 Rough Electric: Prior to Cover 9 Final Electric: When all electrical 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 alt 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 Date Paee 3 of3 Keourred lnsDectlons I 41412003 8:47:l9AM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 1200200000000000943 Date: 0410412003 Line ltems: Job/Journal Number Description Amount Paid coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 Add, Alter, Extend Circ Minimum/Adj ustment Electrical + 7% State Surcharge + lUYo Administrative Fee Payments: 43.00 2.00 3. l5 4.50 Line ltem Total:$52.6s Type of Payment Paid By Received By Check Number Conlirm No How Received Amount Paid Check Cash Change OLSSON INDUSTRIAL ELECTRIC OLSSON INDUSTRIAL ELECTRIC OLSSON INDUSTRIAL ELECTRIC djb djb djb In Person In Person In Person 50.31 l 2.35 (0.01) Total: Page I of3 cReccipt.rpt 4/412003 8:47:l9AM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 1200200000000000943 Date: 0410412003 Amount Paid coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 Add, Alter, Extend Circ Minimum/Adj ustment Electrical + 7%o Slate Surcharge + l0o/o Administrative Fee Payments: 43.00 2.00 3. l5 4.50 Line Item Total $52.65 Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check Cash Change OLSSON INDUSTRIAL ELECTRIC OLSSON INDUSTRIAL ELECTRIC OLSSON INDUSTRIAL ELECTRIC djb In Person In Person In Person djb djb 2.35 (0.01) Total:$52.65 50.31 Page 2 of3 cReccipt.rpt Job/Journal Number 4t4t2003 8:47:l9AM City of Springlield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #z 1200200000000000943 Date: 0410412003 Job/Journal Number Description Amount Paid coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 Add, Alter, Extend Circ Minimum/Adj ustrnent Electrical + 7o/o State Surcharge + lUoh Administrative Fee Payments: 43.00 2.00 3. l5 4.50 Line Item Total:$s2.65 Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check Cash Change OLSSON INDUSTRIAL ELECTRIC OLSSON INDUSTRIAL ELECTRIC OLSSON INDUSTRIAL ELECTRIC djb djb djb In Person In Person In Person 2.35 (0.01) Total:$s2.6s 50.31 Page 3 of3 cReceipt.rpt CITY OF OFEGO'V S], .GFIELO DEVELOPMENT SERVICES DEPARTMENT May 13,2003 Springfield Utility Board 223 A Street Springfield, Oregon 97477 Dear Sirs: On April 2,2003 our office issued permits for the construction of a storage building to you to be located at 888 S. 28'h Street, Springfield, Oregon. While calculating the fees ior that permit, the plan reviewer neglected to include the completeTo/o State Surcharge of $4.1j and the l}P/o City Administrative Fee of $5.90, leaving a balance due of $10'03 for this project. I am enclosing a copy of the permit that was issued and a copy of the original receipt for your reference. please pay the amount due prior to requesting your final inspections for this project. I have enclosed a prestamped envelope for your convenience if you wish to make payment by mail, or you are welcome to make payment in person at our office. Our office hours are 8:00 a.m. - noon and from 1:00 p.m. - 3:00 p.m. Monday through Friday. I sincerely apologsze for any inconvenience this may cause you. If you have any questions, please feel free to contact either David Bowlsby at736-1029, or myself at726-3790. Sincerely, Lisa Hopper Building Safety Supervisor Kaye Wilson Encl h,225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-s689 www. ci. sp ri n gf ie ld. o r. u s cc Building/C o mbination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-00049ISSUED: 0410312003 APPLIEDz 0112812003EXPIRES: 10/0312003VALUE: $ 18,000.00 SITE ADDRESS: 888 S 28th St ASSESSOR'S PARCEL NO.: 1803010000201 PROJECT DESCRIPTION: East side pump station Owner: SpRINGFIELD UTILITY BOARI) Address: 223 A ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: New Commercial License Expiration Date PhoneContractor Type Owner Contractor SPRINGFIELD UTILITY BOARD # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: $ Per Sq Ft Square Footage $1.00 18,000.00 Total Value of Project Sidewalk Type: Downspouts/Drains Value $18,000.00 $18,000.00 REQUIRED PARKING Total: Handicapped: Compact: Date Calculated 0u28t2003 s-2 VN 800 Description Bid Amount Type of Construction Use Bid Amount L(JI\ IT(AL I Ur TI\IUryJ t'uIrr|-rrl\(, ll\_tr(Jr{.rvrA r r\-,l\ | Valuation Description Building/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: COM2003-00049ISSUED: 0410312003 APPLIEDT 0112812003EXPIRES: 10/0312003VALUE: $ 18,000.00 tr'pps Plid Fee Description Plan Review Comm/Ind/Public + l0%o Administrative Fee + 7Yo State Surcharge Building Permit Fixture SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid Amount Paid $110.37 $16.98 $u.89 $169.80 $14.00 $1.94 $3.13 $50.99 $11.56 $38.78 $4s.00 $474.44 Date Pai u28t03 4t3t03 4t3103 4t3103 413103 4t3t03 4t3t03 4t3t03 4t3t03 4t3t03 4t3103 Receipt Number r200200000000000622 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 1200200000000000936 Plan Reviews Fire Department Review 0l/3012003 0u3U2003 OK GRG Initial Review Plannins Review Public Works Review Public Works Review Public Works Review Revised PIan Review - Pu Structural Review Structural Review SUB Review 0u3012003 01/30/2003 WE PJO 01/31/2003 0u3U2003 WE PJO Plan Review: Job #COM2003-00049. Shed for water pump station. Prefabricated metal building; Type II-N; U-l occupancyl 800 sq. ft. Provide 2-A:10-B:C rated fire extinguisher Post address numbers visible and legible from the street Final Development Agreement signed by SUB on 3/25103. Talked to Cerotsky about need for drywell. Faxed him info. Need information for sump and disposal. Conference with Cerotsky to go over plans. He will submit plans for interior sump and O&M for that sump. He will submit info for building removed. Delivered special inspection forms to Bart McKee at the counter for him to have completed and return to us. 0U29t2003 0u30t2003 0u3u2003 0u30/2003 0U30t2003 03t3u2003 0u30t2003 01/30/2003 03t25t2003 03t25t2003 0311412003 0313u2003 03n7t2003 APP APP APP WE APP APP LLH EMM PJO JMP JMP Paee 2 of3 JF LD Buildin g/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: COM2003-00049ISSUED: 0410312003APPLIEDz 0112812003EXPIRES: 10/0312003VALUE: $ 18,000.00 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. 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 SIab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 3 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 4 Roofing: Prior to installing any roof covering. 5 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 6 Final Fire Department. After all requirements of the Fire Department have been met. 7 Final Building: After all required inspections have been requested and approved and the building is complete. Reouired Insnections 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. Owner or Contractors Signature Date Pase 3 of3 q43 -o3 41312003 8:07:03AM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 1200200000000000936 Date: 0410312003 Line ltems: Job/Journal Number Description Amount Paid coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 coM2003-00049 Storm Drainage Impervious Area SDC Transpo Reimbursement SDC Transpo Improvement SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit + 7o/o Stale Surcharge + lloh Administrative Fee Storm Sewer - lst 50 Feet Fixture Payments: 38.78 11.56 50.99 1.94 3. l3 169.80 I1.89 16.98 45.00 14.00 Line Item Total:$364.07 Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid 000034 364.07CreditCardSUBDJB Page I of I 066t43 In Person Total:$364.07 cRcccipt.rpt I Bbb5,W MINIMUM DEYELOPMENT STANDARDS DEVELOPMENT AGREEMENT This DEVELOPMENT AGREEMENT, hereafter "Agreement", is entered into this day of March,2003 (the "Effective Date") by and between the CITY OF SPRINGFIELD, hereinafter "City", and Springfield Utility Board hereinafter "Applicant/Owner", in accordance with Section 31.010(5), and Section 3.070(3). RECITALS WHEREAS, on the day of March,2003, the City approved the Minimurn Development Standards Application submitted by the Applicant for the purpose of the following: CITY JOURNAL NUMBER DRC2003-00005, Type I Minimum Development Standards to place a water pump station building. WI-IEREAS, in consideration for a Typc I Mininrum Development Standards Application approval, the issuance of a Building Permit, and the issuance of an Occupancy Permit, as specified in llre Springfield Development Code Section 31.090, Applicant/Owner agrees to con.rply with all of the standirds in the Springfield Development Code and the Springfield Municipal Code whicli ntay be applicable to this development project unless modified or excepted by the Minimum Developnrent Siandards Development Agreement, Development Services Director, Planning Comnlission, Building Official or their agents, orihe Fire Marshall, which modifications or exceptions shall be redlced to writing. ) WHEREAS, in consideration for Minimum Development Standards approval, the issuance of a Building permit, and the issuance of an Occupancy Permit, as specified in the Springfield Development Code Section 3 I .010(5), Applicant/Owner agrees to cornply with the following specific conditions imposed by the City as part of th" Minir-,um Development Standards approval: l. All improvements must be constructed/installed or bonded as shown on the Final Plot Plan dated January 23,2003- Z. All conditions specified in the Notice of Decision, dated March 20,2003 must be fulfilled prior to the issuance of a Final Occupancy Pernrit' THEREFoREINCONSIDERATIoNoFTHEFOREGoINGRECITALSWHICHAREEXPRESSLY MADE A PART OF THIS AGREEMENT, CITY AND APPLICANT AGREE AS FOLLOWS: l. FINAL pLoT PLAN. The Applicant has submitted a Final Plot Plan in accordance with Section 3 I .0 I 0(5) of the Springfield Development Code' 2.STANDARDS.TheApplicant/owneragreestofulfillallapplicablestandardsspecifiedinthe Springfield Developmerrt Code und t1,," specific sta"ndards listed in tlre RECITALS prior to the occupancy, unless certain conditions t ur. U"", defened to a later date in accordance with Section ii.oiotsit) una s".iion 31.110 of the springfield Development code. DeveloPment Agreement Journa[ Number DRC2003-00005 Page I of3 3. CONDITIONS. The Applicant/Owller agrees to fulfitt all specific conditions of approvat required by the City listed in the RECITALS prior to occupancy, unless certain conditions have been deferred to a later date in accordance with Section 3 I .010(5Xb) of the Springfield Development Code. 4. MAINTAINING THE USE. The Applicant/Owner agrees to the following: (a) The property shall be maintained in accordance with the provisions of the Springfield Development Code in order to continue the use. (b) Oil/water separator catch basins, if approved by the City, and other drainage systems are required to be checked and cleaned to remove pollutants as needed (at least once a year, usually. in September). AII waste material nrust be disposed of in a lawful manner. The Applicant/Owner must dotument these n'raintenance activities and havc the documents available on site for the City of Springfield to inspect and review. 6. In addition to all other remedies whicli may be provided by law or equity (including but not lirnited to penalties provided by applicable State Law or City Ordinances), Applicant/Owner agrees the City may enforce Applicant/Ownei's responsibilities by withholding Applicant's Final Occupancy permit, and terminaiing any Tenporary -O..upun.y Permit which may have been granted. 7. Any FinalMinimum Development Standards approvalbecomes null and void if construction does not commence within 90 days of the date of the agreement, unless provisiotls have been made as per Article 31.010(5) of the Springfield Development Code' Development Agreement Journal Number DRC2003-00005 Page 2 of3 t I) IN WITNESS WHEREOF, the Owner and City have executed this Agreement as of the date first herein above written. OWNER: o3 3-tt-q Date 44t -e-7fi-- STATE OF County of March before me appeared and , who being sworn did say that they are the President and BY5 Secretary, respectively of the corporation, and that the seal affixed ltereto is instrument was voluntarily signed and sealed in behalf of the corporation by Directors before me. Notary Public jbr My Commission expires CITY BY: Date STATE , County of Lane J 2003 the above named who acknowledged the foregoing instrument to be their voluntary Q t/''t rl c'/ <s c Oregon My Commission a Development Agreement Journal Number DRC2003-00005 Page 3 of3 its seal, and that this authority of its Board of OFFICIALSEAL BRENDA JONES NOTARY PUBLIC OREGON 332473COMMISSIT MY C()MMtSSt0[21,2004 NAN 335646 act. Before me: