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Home My WebLink AboutPermit Building 2005-09-15 (2)D Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 2637 69 Inspe ction Line Building/Co mbination Permit PERMIT NO: COM2005-00976ISSUED: 0911512005APPLIED: 0712612005E)PIRES: 05/0112006VALUE: $ 750,000.00 SITE ADDRESS: 555 Shelley St ASSESSOR'S PARCEL NO.: 1703271008700 PROJECT DESCRIPTION: Tenantinfill. Springfield TYPE OF TYPEOF USE: Tenant Infill Alteration Commercial Phone 541-338-7696 541-683-3607 541-485-0922 s41-342-1835 541-746-1621 541-746-1621 - Owner: Address: CTJRTI S RESTAT]RANT EQUIPMENT 1162 GATEWAYLOOP SPRINGFIELD OR 97477 PhoneNumber: 541-746-7480 Expiration DateContractor Type Architect General Electrical Landscape Mechanical Plumbing Contractor BERRYARCHITECTS LEE BUILDERS REXIUS FOREST esa ac-00 0U16t2006 12n0t2007 10t3u2006 10t3u2006AR9 #of Uni6:' Primary Occupancy Group: Secondary Occupancy Ptimary Construction Type Secondary Construction # of Bedrooms: Frontlard Setback: Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacla: Street Storm Sewer Available: Special Instruction: HARVEY & HARVEY &Yo u rnaY #of Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled M VB 10t3u2006 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Overlay Dist: # Street Trees -,rr Paved orive nS9$ oh ofLotCover$\b hu\ Sidewalk Type: DownspoutVDrains DEVELOPMENT INFORMATION Notes: I of 5 L(J1\ I l(AL r UK rNr( r:Is_wtr\ _1 _$r1U F PRIN Status: Issued 225 Fifth Street, Springfield, OR 541:72G3753 Phone 541-7263676Fax 541:7 26.37 69 Inspection Line Buildin g/Co mbination Permit PERMIT NO: COM2005-00976ISSUED: 0911512005APPLEDz 0712612005E)GIRES: 05/0112006VALUE: $ 750,000.00 DescriDtion Estimate Paving Type of Construction Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bful Amount 650,000.00 100,000.00 Value $650,000.00 $100,000.00 $750,000.00 Date Calculated 09t02t200s 09t02t2005 Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety -Mechanical Issuance Fee- + lOoh Administrative Fee + 7%o State Surcharge Building Permit Fixture Furnace - Unit Heater Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Paving SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Vent Fan + l0o/o Administrative Fee + lOoh Administrative Fee + 7o/o State Surcharge + 77o State Surcharge Backllow Device Low Voltage - Commercial Indus Minimum/Adj ustment Plumbing Total Amount Amount Paid Total Value of Project Date Paid Receipt f[nmber 2200500000000000988 2200500000000000988 2200500000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200s00000000001270 2200500000000001270 2200s00000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200500000000001270 1200500000000001696 1200500000000001696 1200500000000001696 1200500000000001696 1200500000000001696 1200500000000001696 1200500000000001696 $1,740.80 $1,071.26 $10.00 $320.08 $184.46 $2,353.15 $140.00 $36.00 $84.00 $4.00 $6.00 $s6s.6s $10.00 $2,378.61 $225.49 $413.94 s4,617.82 $1,046.90 $12.00 $4.50 $4.50 $3.1s $3.15 $r4.00 $45.00 $31.00 7t26t05 7t26t0s 9fistoi 9fi5t05 9n5t05 9ns.t05 9ltsl05 9n't05 9n5t0s 9/r5/0s 9n5t05 9/15/05 9/15/05 9/15/05 9ns,t05 9fi't05 9/15/05 9n5t05 9/15/05 11/8/0s 11/8/05 1U8/05 1U8l05 11/8/05 11/8/0s 11/8/05 $15J25.46 Plan Fire Department Review 0712912005 08/11/2005 OK GRG APP 2 of 5 See attached document for Fire Department Plans Review comments. Initial Review 07t27t2005 07t29t2005 LLH Hees raro I Valuation Descriotion I PRINGFIELD Buitdin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield OR 54l:7264753 Phone 541-726-3676Fax 541:7 26-37 69 I nspection Line PERMIT NO: COM2005-00976ISSUED: 09/1s/2005 APPLIEDT 0712612005E)GIRES: 05/0112006VALUE: $ 750,000.00 Plannins Review Public Works Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review 07t29t2005 08/31/200s APP TAJ 07t29t2005 09n2t2005 APP SB 08fi9t2005 08/19/200s ro JMP 09t02t2005 0910212005 Io JMP 09t06t2005 09t06t2005 ro JMP Have applicant sign LUCS when pick up Building permit. Return original to Tara. No LDAP required, per Billy. Plans show a S-foot easement on Shelley Street frontage, where a 7-foot PUE is required. Applicant must be re-advised that the loading dock appears to be constructed over the 30-INCH storm line and PUE. Any future work required on the line or within the PUE would require the affected portions ofthe building to be removed, at the owners expense, and would not allow these structures to be replaced. SDCs added. WE. Received structural response and left voice mail for Loren with questions about 7 incomplete responses. WE. Received more structural responses. Only ltem 6, the acoustical ceiling is not accepted. Left voice mail for both the manufacturer and for Loren Berry. WI. Talked with Matt Sugarbaker about the suspended ceiling. As soon as PW completes their approval he would like the permit with a defered submittal for the ceiling. Received final internal review. Received ICBO report on suspended ceiling system. Matt Sugarman said he would get the special inspection forms to us for the heavy duty ceiling system as specified in Section 4.6 of the submitted report. See attached documents for 12 structural comments faxed to Loren R. Berry. 09n3t2005 09t29t2005 09n312005 10t07t200s APP WE JMP JMP 07t2912005 08/08/2005 WE JMP 07t29t2005 08/05/2005 APP JF To Request an inspection call the24 hour recording at 7263769. AII 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. 3 of 5 -5 :1I- 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541)7 ELECTRICAL PERMIT APPLICATION City Job Number Con< zoczg- DO ? z 6 1. LOCATION OF INSTALLAT'ION s Single or Nlulti-family per drvelling unit. {ollow ru 3. Arrf c0 u) .$ 7 JOB DESCRIPTION 9n-,,-/\.v-ti-l\G,^,{-., tf.-n LEGAL DESCRIPTION7c3 Z2/o O tZoO 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 $s0.00 $ 63.00 $ 75.00 $ l 25.00 2. corf'1'/r'4cro.R rNST'At'r-4T'roN oNLY Electrical Contractor Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address City Supervisor License Number Expiration Date Constr. Contr. Numbe, 7,?t b t/0 A s 163.00 $37s.00 $ 50.00 $ 43.00 $ 3.00 Expiration Date + C. Tenrporar-v Services or Feeders .: Installation, Atteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. BranchCircuits ' : : : Signature of Supervising Electrician Owners Name L / City N Phone -7[o xut OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit al $ 50.00 $ 50.00 $ 2s.00 $ 45.00 / J^ t{/ vr Limited EnergyiCommercial ---------!- Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. SUBTOTAL OII ABO\'E 7o/o State Surcharge 10% Administrative Fee /f 5'o TOTAL S7T Shared Drive(T:)/Building Forms/Elech'ical Penlit Application l-03'doc \\ Inspection Request: 726-37 69 I $106.00 $ 19.00 A. New Residential - Phone 33 f*?bt' Address -2344]t j;t:j:::.::; . . ': | -;. ZZS nFfH STREET . SPzuNGFIELD, OR 97477 o PH:(541)726-1375ll r FA.\: (541)726-3G89 City Job Num o - ocsgzL Job Location Sr-5 Assessors D.3 ZA c 3J- a Tax Lot OY 70o Zip Qz Owner Address City a L BACKFLO\ry PERMIT IS 552.65 (includes Permit Fee, State Surcharge & Administrative Fee) C on tractor I nformatiott J:H":ld:stsill; 'hY,t,j'iln':Jfi?",i Contractor Center ts 1-800 3i t'- frO o City State OL Zip a zuZt"z- Construction Contractors Registration #2^t b Expires f,c+ t b By signing this permit/application, I agree to call for an inspection once the backflow prevention devisi has been instaled and is visible for inspecti on (726-3769). I also state that all information on this permiVapplication is correct. S Date of Application N' 1 H\S P ERMII H\S ANY 1 t0R For Office Nc ,//)-6t2 Checked for Delinqu "n"i", / Checked for Historical Status Shared Drive (T:)/Building Fonrs/Backflow Preventionl-03'dm Pnone -2 ?1r - 23*/ Sf qfe -tEtAqJ r 1r17r(.lr)jL\) () a 1-rlt-f,atL*{(1 ,ts{ {'rl,r q-r((-FF(L{ G) F< () () r p{, ()fi (.li-(c. t+{:1.J(- lr( C) f() ttqAH-{ Bc,-{\+-{Vl-i()r-tL\,| m {or Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-7263676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00976ISSUED: 0911512005APPLIEDz 0712612005E)PIRES: 05/0112006VALUE: $ 750,000.00 Reouired fnsnections SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Footing: After trenches are excavated. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. Ceiling Grid: After drywall approval but prior to cover. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results 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 Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Low Voltage: Prior to cover. 4 of 5 Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541 :7 26-37 69 I nspe ction Line F PRINGFIELD Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-00976ISSUED: 0911512005APPLIEDz 0712612005E)0IRES: 05/0112006VALUE: $ 750,000.00 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 certiff that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiS 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 zo///a7--/.4-t /* Owner or Contractors Signature Date 5 of 5 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ,City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT#: 1200s00000000001696 Date: 1U0g/2005 2:26220PM Job/Journal Number coM2005-00976 coM2005-00976 coM2005-00976 coM2005-00976 coM2005-00976 coM2005-00976 coM2005-00976 Description + 7Yo State Surcharge + l0o/o Administrative Fee Low Voltage - Commercial Indus + 7Yo State Surcharge + l0% Adminishative Fee Backflow Device Minimum/Adjustment Plumbing Amrunt Due 3.1 5 4.50 45.00 3. l5 4.s0 14.00 31.00 Item Total:$105.30 Payments: Tlpe of Payment Paid By Received By CTectrNumEi Batch Number ffi Number How Received Amount Paid CreditCard JERRY DELAPLAIN djb 618082 In Person $105.30 Payment Total:$105.30 uI ,t '( {-. { tt/812005 lofl Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00976ISSUED: 0911512005APPLIED: 0712612005EXPIRES: 03/1512006VALUE: $ 100,000.00 F SITE ADDRESS: 555 Shelley St ASSESSOR'SPARCELNO.: 1703271008700 PROJECTDESCRIPTION: TenantinfiIl. Springfield TYPE OF WORK: Tenant Inlill TYPE OF USE: Alteration Contractor Type Architect General Electrical Mechanical Plumbing Contractor BERRY ARCHITECTS LEE CONSTRUCTION COMPANY BUILDERS ELECTRIC INC HARVEY & PRICE CO CURTIS RESTAURANT EQUIPMENT 1162 GATEWAY LOOP SPRINGFIELD OR 97477 Phone Number: 541-746-7480 License Expiration Date 0u16t2006 12t10t2007 r0t3u2006 10t3u2006 Commercial Phone 541-338-7696 541-683-3607 541485-0922 541-746-162r 541-746-t621 63s79 4296 77 77 CONTRACTOR INFORMATI( HARVEY &PRICE CO # 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: Overlay Dist: # Street Trees Rqd: Paved Drive o/o of Lot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: M VB nla \O REQUIRED PARKING Notes: Pase 1 of4 L}i Owner: Address: \E\ L\\ \he t-[,vt rJurlvlt l\ l rl\rrrruYrAlr\I\ | $\ \e Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00976ISSUED: 0911512005APPLIEDT 0712612005EXPIRES: 03/1512006VALUE: $ 100,000.00 Description Estimate Paving Type of Construction Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 650,000.00 100,000.00 7t26105 7t26t0s 9/15/05 9n5t05 9n5t05 9fis|05 9nst05 9nst05 9n5t05 9n5t05 9/1s/0s 9/1s/0s 9nst0s 9lt5t05 9/15/05 9/1s/0s 9nst05 9ltsl05 9ns,t05 Value $650,000.00 $100,000.00 $750,000.00 Date Calculated 09t02t2005 09t02t200s Amount Paid Total Value of Project Date PaidFee Description Plan Review Commflnd/?ublic Plan Review Fire & Life Safety -Mechanical Issuance Fee- + l0o Administrative Fee + lVo State Surcharge Building Permit Fixture Furnace - Unit Heater Furnace - up to 100,000 btu Gas Outlets 14 Gas Outlets 4+ Paving SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Vent Fan Total Amount Paid $1,740.80 $1,071.26 $10.00 $320.08 $184.46 $2,353.15 $140.00 $36.00 $84.00 $4.00 $6.00 $s6s.65 $10.00 $2,378.61 $225.49 $413.94 $4,617.82 $1,046.90 $12.00 Receipt Number 2200500000000000988 2200500000000000988 2200500000000001270 2200500000000001270 2200s00000000001270 2200500000000001270 2200s00000000001270 2200500000000001270 2200s00000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200500000000001270 2200s00000000001270 2200s0000000000r270 2200500000000001270 2200s00000000001270 2200s00000000001270 $15,220.16 Epps Pqid Plan Reviews Fire Department Review 0712912005 08/11/2005 OK GRG See attached document for Fire Department Plans Review comments. Have applicant sign LUCS when pick up Building permit. Return original to Tara. Initial Review Plannins Review 07t27t2005 07t29t2005 07t291200s 08/31/2005 APP APP LLH TAJ Paee2 of 4 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: COM2005-00976ISSUED: 0911s12005 APPLIEDT 0712612005EXPIRES: 03/1512006VALUE: $ 100,000.00 Public Works Review Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review 07t29t2005 09fi2t2005 APP SB 07t29t2005 08/08/2005 wE JMP 08/19/200s 08/1912005 IO JMP 09t02t2005 09t02t2005 ro JMP 09t06t2005 09t06t200s IO JMP No LDAP required, per Billy. Plans show a S-foot easement on Shelley Street frontage, where a 7-foot PUE is required. Applicant must be re-advised that the loading dock appears to be constructed over the 30-INCH storm line and PUE. Any future work required on the line or within the PUE would require the affected portions of the building to be removed, at the owners expense, and would not allow these structures to be replaced. SDCs added. See attached documents for 12 structural comments faxed to Loren R. Berry. WE. Received structural response and left voice mail for Loren with questions about 7 incomplete responses. WE. Received more structural responses. Only Item 6, the acoustical ceiling is not accepted. Left voice mail for both the manufacturer and for Loren Berry. WI. Talked with Matt Sugarbaker about the suspended ceiling. As soon as PW completes their approval he would like the permit with a defered submittal for the ceiling. Received final internal review.09fi3t2005 07t29t200s 09n3t2005 08/05/2005 APP JMP 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. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Footing: After trenches are excavated. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Rpnrrired fnsnpcf Paee 3 of4 I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00976ISSUED: 0911512005APPLIED: 0712612005EXPIRES: 03/1512006VALUE: $ 100,000.00 Wall Insulation: Prior to cover. Ceiling Insulation: Prior to coyer. Drywall: Prior to taping. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. Ceiling Grid: After drywall approval but prior to cover. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results 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 Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. 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 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 card is front of the property, and the approved set of plans will remain on the site at all times during S,,-t,r tf|- or Contractors Signature Pase 4 of4 Date CITY C ATTACHMENTA UNGFIELD SYSTEMS DE\E,LOPMENT CIIT{ITGE U"':?KSHEET JOI-IRNAIORJOBNUMBER COM2UVJ-00976 NAMEORCOMPANY CURTIS RESTAURANT SIJPPLY LOCATION 555 STIELLEY ST MAP & TAX I-OTNUMBEK 17 03 27 10 O87OO DEVEI,OPMENT TYPE: NEW DEVEIOPED AREA (S.F.): NEW DEVEI,OPED AREA (S.F.): E)CSTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): 1. STORMDRAINAGE Re,model Warehouse for office and showroom and warehouse 9,621 .00 26,629.00 Warehouse 36,250.00 Warehouse New landscaping replaces existing paving. (1,000) x $ 0.323 PER SF $ 25.07 PER DFU ITE:715 ITE:150 150 LoT SZE (S.F.): 75344 TOTAL STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY A REIMBURSEMENTCOST: NUMBEROFDFU's B. IMPROVEMENT COST: NUMBEROF DFU's (SEE R.EVERSE SIDE) 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENTCOST: NUMBEROF FEU'S B. IMPROVEMENTCOST: NUMBER OF FEU's NEW: A. REIMBI.]RSEMENT COST: NUMBEROF FELrs B. IMPROVEMENTCOST: NUMBER OF FELrs EKSTING: A. REIMBURSEMENTCOST: NUMBER OF FELIs B. IMPRO\EMENT COST: NUMBER OF FEI.}'S $ 0 x x x x $ 19.07 PER DFU g 44.14 TOTAL LOCALWASTEWATER 3. TRANSPORTATION BLDG AREATGSFx TRIP RATE x COSTPERADTX NEW TRIP FACTOR NEW A REIMBURSEMENTCOST: 9.62 x 11.57 x $ 19.09 PERTRIP x e. nfPROVEIr,Clff COSE- 9.62 x 11.57 x $ 84.19 PERTRIP x NEW A REIMBURSEMENTCOST: 26.63 x 4.96 E-npnowl,relrr co5il- 26.63 x 4.96 E)oSTII.IG A. REIMBURSEMENTCOST: -36.25 x 4.96 -n npnowN{eNr cosr: -36.25 x 4.96 x $ 19.09 PER TRIP x x $ 84.19 PERTRIP x $ 103.28 x $ 19.09 PER TRIP x x $ 84.19 PER TRIP x 0.95 NTF 0.95 NTF 0.9 NTF 0.9 NTF 0.95 NTF 0.95 NTF $1 ,91 2.1 I $8,434.54 $10,563.93 ($3,260.23) 9.62 26.63 26.63 -36.25 -36.2s MWMC CREDIT tr APPLICABLE (SEE REVERSE) TOTAI TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPORTATION SDC $46.88 PERFEU $450.99 $494.46 PER FEU 523.44 PER FEU $624.12 $247.23 PERFEU $23.44 PER FEU $247.23 PERFEU TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVE,MENT MWMC ADMIMSTRATTVE 9.62 x x x x 4 72$5 $0.00 $225.49 $2,378.61 $10.00 394.94 ,757.22 $849.61 COM2005-00976, Curtis Rest.Sup., 555 Shelley St.xls 0 583.51 TOTALMWMC ST"JBTOTAL (ADD rTEMS l, 2, 3, e 4) 8,278.82 x 5% TOTAL TRANSPORTATION ADMINISTRATION TOTAL SEWER ADMIMSTRATION 9/6/200s TOTAL SDC CHARGES DATE 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)$ .stevew W. eea,,Ldrg Barwes SDC COORDINATOR 3 76sl l\.I o{. t o 4.10 413.94 76 Itr@ I@ COM2005-00976, Curtis Rest.Sup., 555 Shelley St.xls 1 JULY 2OM 278.82 DRAINAGE FXTURE UNIT (DFTI) CALCULATION TABLE NTI\,IBER OF NEWFXTURES x UNIT EQUTVALENT = DRAINAGEFDilURE UMTS (NOTE: FOR REMODELS, CALCULATE ONLY TI{E NET ADDIIIONAL FXTURES) CURTIS RESTAURANT SUPPLY DRAINAGE FD(TT]RE LIMTS FXTURES NEW OLD TINIT I-IXT{.IRE TYPE BATI{TIJB DRTNKING FOI.INTAIN FTOORDRAIN INTERCEPTORS FOR GREASBOIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AI.]'TO WASTYETC. LALTNDRY TUB CLOTHES WASHERA4OP SINK CLOTHES WASHER. 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATIONIETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASTIER/ETC. SHOWER, SINGLE STALL SHOWE& GANG (NTIMBER OF HEADS) SINK: COMMERCIAL, RESIDENTI-AL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASIN/DOLjBLE I"{VATORY SINK: SINGLE I-AVATORY/RESIDENTIAL BAR URINAL, STALUWALL TOILET, PUBLIC INSTALIATION TOILET, PRTVATE INSTAI-I-ATION MSCELT,ANEOUS: NTIMBER OF EDU'S* J 3 3 I 3 3 6 2 3 6 l2 I 3 2 2 J 2 2 1 5 6 3 2 2 6 6 3 0 0 0 0 0 0 0 0 0 0 0 3 0 0 5 5 -l 0 -6 0 0 0 0 TOTAL DRAINAGE FD(TTIRE TINITS: +EDU (Equivalent Dwelling Unit)is a discharqe equivalent to a single family dwelling (20 DFt) set at 167 gallons per day 0 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCI,ILATE CREDITS SEPARATELY YEAR ANNEXED CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,OOO ASSESSED VALTIE $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 $0.00 $0.00 $0.00 x x $0.00 YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE 1979 1 980 1981 1982 1983 1984 I 985 1986 1987 1988 1989 1990 1991 or before $5.29 $5.19 $5.12 $4.9e $4.80 $4.07 $3.67 $3.22 $2.73 $2.25 80 1992 1993 t994 1995 1996 1997 1998 t999 2000 2001 2002 2003 2004 $0.00 $0.00 COM2Oo5-00975, Curtis Rest.Sup., 555 Shelley St.xls CREDIT TOTAL 1 JULY 2OO4 1 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone eity of Springfield Official Receipt revelopment Services Department Public Works Department RECEIPT #: 2200500000000001270 Date: 0911512005 11:48:28AM Job/Journal Number coM2005-00976 coM200s-00976 coM2005-00976 coM2005-00976 coM200s-00976 coM200s-00976 coM200s-00976 coM2005-00976 coM2005-00976 coM2005-00976 coM200s-00976 coM2005-00976 coM200s-00976 coM2005-00976 coM200s-00976 coM200s-00976 coM200s-00976 Description Fixture Furnace - up to 100,000 btu Furnace - Unit Heater Vent Fan Gas Outlets 1-4 Gas Outlets 4+ -Mechanical Issuance Fee- Building Permit Paving + 7Yo State Surcharge + l0% Administrative Fee SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin Amount Due 140.00 84.00 36.00 12.00 4.00 6.00 10.00 2,353.15 565.65 184.46 320.08 1,046.90 4,617.82 22s.49 2,378.61 10.00 413.94 Item Total:$12,408.10 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check,{LEE CONSTRUCTION djb 9853 In Person Payment Total: $ 12,408.10 $12,408.10 t '1 :( :l 9lt5l200s Page I of I *FntroflgLD