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Home My WebLink AboutPermit Building 2004-07-30Buitding/C ombination Permit coM2004-00551 0?/30/2004 0s110/2004 06/22l2005 $ 189,000.00 Status lssued 225 Fifth Street, SPringfield' OR 541-126-3153 Phone 541-726-3676Fax 541-7 26-37 69 InsPection Line SITEADDRESS: T160SHELLEYST ASSESSORTS PARCEL NO.: 1703270000902 PROJECT DESCRIPTION: PERNIT NO: SSUED: APPLIED: EXPIRES: VALUE: Springfield TYPE OF WORK: Manufacturing TYPE OF USE: Alteration Industrial slope floor to trench drains, pit, and coolers. Plumbing and new fixtures. change of ,." fro* distribution warehouse to Food Manufacturing. BWOP electrical per DG and TM.071504 Owner: MCKAY INVESTMENT CO LLC Address: 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Contractor Type Architect General Electrical Mechanical Plumbing Contractor $*STle f,:License Expiration Date 10/08/2007 03114t2008 0612712005 1il07t2004 vARvIrsIorIs ARISHEmtrIX-Bp,gq EXP| rt E i F TH E lVil h K MCINTYRE COD($ImIIHTIOEIINPTI] TIirS PEfl,,riI 1S i,rrIT JB ELECTRIC C U tui i;i E I',i U tD 0H lS A UAN {mtf FUIcoMFoRr FLoffi 7 l iJU DAy pEHlgD. TUCKERPLUMBING CO 109801 Phone 541-343-1795 541-687-2841 541-687-s770 54r-726-0100 s41-343-8008 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: @90.Vott Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: B F-1 VN nla REQUIRED PAR]ilNG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INF'ORMATION Notes: Page I of5 F I'UTLUTNU INrUI(rvrArrun I Status Issued 225Fitth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00551ISSUED: 0713012004 APPLIED: 05/1012004EXPIRES: 0612212005VALUE: $ 189,000.00 Valuation Descrintion Description Estimate Estimate Tvpe of Construction Estimate Estimate $ Per Sq Ft or multiplier $r.00 $1.00 Square Footage or Bid Amount 175,000.00 14,000.00 Value $175,000.00 $14,000.00 $189,000.00 Date Calculated 05t25t2004 07t22t2004 Fee Description Plan Review Commflnd/pubtic -Mechanical Issuance Fee- + l0Vo Administrative Fee + 7Yo State Surcharge Building Permit Fixture Miscellaneous Mechanical PIan Review Comm/Ind/public Planning Final Occy Inspection Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin + l0Vo Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Ea Add Penalty Fee - BWOp Electrical Perm Serv/Fdr 601 to 999 amps PIan Review Comm/Ind/public -Mechanical Issuance Fee- + l0yo Administrative Fee + 7Vo State Surcharge Building Permit Fixture Furnace - more than 100,000 Minimum/Adjustment Mechanical Minimum/Adjustment plumbin g Penalty Fee - BWOp Building Penalty Fee - BWOp ptumbing Plan Review Fire & Life Safety Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Temporary Occupancy -Mechanical Issuance Fee- Amount Paid Total Value of Project Date Paid Receipt Number 2200400000000000506 22004000000000006s1 2200400000000000651 22004000000000006s1 2200400000000000651 220040000000000065r 2200400000000000651 2200400000000000651 2200400000000000651 2200400000000000651 22004000000000006s1 220040000000000065r 2200400000000000935 2200400000000000935 2200400000000000935 220040000000000093s 220040000000000093s 2200400000000000965 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 r20040000000000r373 I200400000000001779 $388.80 $r0.00 $96.64 $67.6s $809.40 $112.00 $4s.00 $137.31 $r43.00 $378.62 $498.08 $43.84 $47.60 $33.32 $150.00 $476.00 $326.00 $90.09 $r0.00 s41.22 $16.00 $138.60 $r4.00 $r5.00 $24.00 $31.00 $r38.60 $4s.00 $ss.44 $17.21 $22.64 $2.39 $6.00 $94.80 $r0.00 5lt0/04 5t25t04 5t25t04 5t2st04 5t2st04 5t25t04 5/25/04 5t25t04 5125t04 5t25t04 st25t04 st25t04 7ns/04 7n5t04 7n5t04 7n5t04 7n5t04 7t22/04 7t30t04 7t30t04 7t30t04 7t30t04 7t30t04 7t30/04 7/30t04 7t30t04 7t30t04 7t30t04 7t30t04 7t30t04 7t30t04 7t30t04 7t30t04 9t2u04 12t22t04 Paee 2 of 5 I r:L l Fees Patd I + lUoh Administrative Fee + 7%o State Surcharge Gas Outlets l-4 Minimum/Adj ustment Mechanical Status Issued 225 Fifth Street, Springfield, OR 54f-726-3753 phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line 12t22t04 12t22t04 12t22t04 12t22t04 Total Amount paid $4,587.90 Fire Department Review 07121t2004 07t2U2004 oK GRG Fire Department Review 07126/2004 O7/2gt2004 OK GRG Buildin g/C ombination P ermit PERMIT NO: COM2004-00551 ISSUED: 07/30/2004 APPLIED: 05/10/2004 EXPTRES| 06t22/2005VALUE: $ 189,000.00 1200400000000001779 1200400000000001779 1200400000000001779 1200400000000001779 $4.s0 $3.1s $4.00 $4r.00 Initial Review Initial Review Planning Review 07t23t2004 05t7u2004 05/72t2004 07t23t2004 05nt/2004 05n8/2004 APP SKGOK RJBAPP EMM PIan Review: Addition of 52 sprinkler heads to existing system for 6 new coolers. Job #COM2004-0055 t. Contractor: Omlid and Swinney. Designer: Mikel ennant. plans appear to meet coderequirements. PIan review: office remodel. Job #COM2004-00SSf . Occupancy classification: B/F_l/S_1. Construction type: V_N (Sprinklered). Area of Remodel_Bportion only: approximatety 1320 sq. ft. Fire extinguishers shown on SheetAf . WiU verify on inspection. Ifless than 20 sprinkler heads arerelocated, provide submittal showing relocation of sprinkler heads-and ensure system maintains compliance with NFpA 13 requirements. Remodel office area Public Works Review 0sfi2/2004 0s/20t2004 APP sB 07t28t2004 07t28t2004 APP sB See attached Land Use Compatability Statement for requirements to be completed beforeoccupancy (bike rack and maintenance of parking area). Change of use generates no new SDCs other than Sanitary Sewerfixtures. Revised SDCs for one new fixture($42.24). SWBB Plan Reviews Public Works Review Pase 3 of5 \t}J Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00551ISSUED: 0713012004APPLIED: 05/1012004 EXPIRESz 0612212005VALUE: $ 189,000.00 Structural Review Structural Review Structural Review Structural Review Structural Review Structural Reyiew Structural Review SUB Review SUB Review 07t29t2004 07t29t2004 IO JMP 07130t2004 07t30t2004 0K JMP 05nU2004 05fi2t2004 WE JMP Received a call from Sheldon Rubin stating a value for the office remodel lower than the estimate at intake. He said to call BiIl Mclntyre for written verification. Left message with Marilyn for either BiIl or Justin to fax the value. She said they are both out until tomorrow. Sheldon Rubin called and said to figure the fees on the 914,000 value turned in by the architect. 5/12 See attached fax sent to Richard Barbis requesting missing information. 5/14 Received 4 sets of 3 plans each from Imperial Manufacturing for the indoor cooler and 17 pages ofstructural calculations from Miller Consulting Engineers. JMP requested mechanical information from Dick Wike/Comfort Flow and plumbing information from Eric Tucker/Tucker Plumbing. 5/18 see attached faxes from JMP to Bill Mclntyre and Richard Barbis with requests for missing information. Mechanical additions. Remodel office area. Received 7 12612004. Called Justin Rotherham to request a fax or written confirmation of the value of the work for the office revisions. Received valuation from Justin and Special Inspection form from Julie Hodges. Received Sheet Al Floor plan that was dropped offat front counter. Called Rex Prater at Varvitsiotis to request building permit application with valuation of the project and the energy code forms. He said he would supply these shortly. Office remodel. Added mechanical 07116t2004 07t23t2004 07t26t2004 07n6t2004 07t26t2004 07127t2004 07t27t2004 07t27t2004 APP APP OK JMP JMPWE 05t25t2004 05t25t2004 APP JMP 07t20t2004 07t20t2004 WE JMP JF JF ToRequest an inspection cail the24 hour recording at 726-3769.will be made the same working day, inspections requested after 7 day. All inspection requested before 7:00 a.m. :00 a.m. will be made the following work Paee 4 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Buitding/Combination Permit PERMIT NO: COM2004-00551ISSUED: 0713012004APPLIED: 05/1012004EXPIRES: 0612212005VALUE: $ 189,000.00 Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Floor Insulation: Prior to decking. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Framing Inspection: Prior to cover and after all rough in inspections have been approved. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. 1Z -LL-oq Owner or Signature Date Page 5 of 5 L Keourreo lnsDectrons 225 Fifth Street Springlield, Oregon 97477 541-726-3759 Phone ^!ty of Springfield Official Receipt -velopment Services Department Public Works Department RECEIPT#: 1200400000000001779 Date: 1212212004 1:03:29PM Job/Journal Number coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00ssl Description + 7Yo State Surcharge + l0o/o Adminishative Fee Gas Outlets l-4 -Mechanical Issuance Fee- Minimum/Adjustment Mechanical Amount Due 3.15 4.50 4.00 10.00 41.00 Item Total:$62.6s Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check ASSOCIATED HEATING djb 12407 In Person Payment Total: $62.6s -$6-t-6-f t2/22t2004 Page I of I STIMI) Cify of 225 Fifth Street, Springlield, OR 97477 541-726-3759 Phone 541-726-3676F2x September 20,2005 MCKAY INVESTMENT CO LLC 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Job Number: Location: coM2004-00551 1160 S}IELLEY ST Project Slope floor to hench drains, pit, and coolers. Plumbing and new fixtures. Change of use from distribution warehouse to Food Manufacturing. BWOP electrical per DG and TM.071504 Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 1160 SHELLEY ST which is set to expire on lOll9l2005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely, Lisa Hopper Building Safety Supervisor rF Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00551ISSUED: 0713012004APPLIED: 05/1012004EXPIRES: 01/3012005VALUE: $ 189,000.00 SITE ADDRESS: 1160 SHELLEY ST Springfield TYPE OF WORK: Manufacturing ASSESSOR'S PARCEL NO.: 1703270000902 TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Slope floor to trench drains, pit, and coolers. Plumbing and new fixtures. Change of use from distribution warehouse to Food Manufacturing. BWOP electrical per DG and TM.071504 Owner: MCKAy IN1"yESTMENT CO LLC Address: 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Contractor Type Architect General Electrical Mechanical Plumbing License Expiration Date 3550 104929 460 109801 10t08t2007 03n4t2008 06t27t200s 11t0712004 Phone 541-343-1795 54t-687-2841 541-687-5770 541-726-0100 541-343-8008 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: B F-1 vN nla PARKING $sl r rrt Sidewalk Type: Downspouts/Drains: Notes: Pase 1 of5 I L} It U lllrl I\ \, rI\ r Ultru,q,!f!21L.1 # o/. Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00551ISSUED: 0713012004APPLIED: 05/1012004EXPIRES: 01/3012005VALUE: $ 189,000.00 Tvpe of Construction Estimate Estimate $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 175,000.00 14,000.00 Value $175,000.00 $14,000.00 $189,000.00 Date Calculated 0st25t2004 07t22t2004 Fee Description PIan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0o/o Administrative Fee + loh State Surcharge Building Permit Fixture Miscellaneous Mechanical Plan Review Comm/Ind/Public Planning Final Occy Inspection Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin + 10o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical Perm Serv/Fdr 601 to 999 amps Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l$Yo Administrative Fee + 1Vo State Surcharge Building Permit Fixture Furnace - more than 100,000 Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Penalty Fee - BWOP Building Penalty Fee - BWOP Plumbing Plan Review Fire & Life Safety Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Amount Paid Total Value of Project Date Paid Receipt Number 2200400000000000s06 2200400000000000651 2200400000000000651 2200400000000000651 2200400000000000651 22004000000000006s1 22004000000000006sr 22004000000000006s1 2200400000000000651 2200400000000000651 2200400000000000651 2200400000000000651 220040000000000093s 2200400000000000935 2200400000000000935 220040000000000093s 2200400000000000935 220040000000000096s 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 2200400000000000992 $388.80 $10.00 $96.64 $67.6s $809.40 $112.00 $4s.00 $137.31 $143.00 $378.62 $498.08 $43.84 $47.60 $33.32 $150.00 $476.00 $326.00 $90.09 $10.00 $41.22 $16.00 $138.60 $14.00 $15.00 $24.00 $31.00 $138.60 $45.00 $ss.44 $17.21 $22.64 $2.39 $6.00 5fiot04 5t25t04 st25t04 5t25t04 5t25t04 5t25t04 st2st04 st2st04 5t25t04 st25t04 5t25t04 st25t04 7n5t04 7tr5t04 7lt5t04 7n5t04 7n5t04 7t22t04 7t30t04 7t30t04 7130104 7t30t04 7t30t04 7t30104 7t30to4 7t30t04 7t30t04 7t30t04 7t30t04 7130t04 7t30t04 7t30t04 7t30t04 Fees Paid Total Amount Paid $4,430.45 Valuation Descrintion I Description Estimate Estimate Paee 2 of 5 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2004-00551ISSUED: 0713012004APPLIED: 05/1012004EXPIRES: 01/3012005VALUE: $ 189,000.00 Plan Reviews Fire Department Review 0712112004 07t2U2004 OK GRG Fire Department Review 0712612004 07t29t2004 OK GRG 0sn2t2004 05t2012004 APP SB Plan Review: Addition of 52 sprinkler heads to existing system for 6 new coolers. Job #COM2004-0055 1. Contractor: Omlid and Swinney. Designer: Mike Tennant. Plans appear to meet code requirements. Plan review: office remodel. Job #COM2004-00551. Occupancy classification: B/F-1/S-1. Construction type: V-N (Sprinklered). Area of Remodel-B portion only: approximately 1320 sq. ft. Fire extinguishers shown on Sheet A1. Will verify on inspection. Ifless than 20 sprinkler heads are relocated, provide submittal showing relocation of sprinkler heads and ensure system maintains compliance with NFPA 13 requirements. Remodel office area See attached Land Use Compatability Statement for requirements to be completed before occupancy (bike rack and maintenance of parking area). Change of use generates no new SDCs other than Sanitary Sewer fixtures. Revised SDCs for one new fixture ($42.24). SWBB Received a call from Sheldon Rubin stating a value for the office remodel Iower than the estimate at intake. He said to call Bill Mclntyre for written verification. Left message with Marilyn for either BilI or Justin to fax the value. She said they are both out until tomorrow. Sheldon Rubin called and said to Iigure the fees on the $14,000 value turned in by the architect. Initial Review Initial Review Planning Review Public Works Review Public Works Review Structural Review 07123t2004 05fiU2004 05fi2t2004 07t28t2004 07t29t2004 07t23t2004 05nu2004 05n8t2004 07t28t2004 0712912004 SKG RJB EMM SB JMP APP OK APP APP IO 07t30t2004 0K JMPStructural Review 07t30t2004 Page 3 of5 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: COM2004-00551ISSUED: 0713012004APPLIED: 05/1012004EXPIRES: 01/3012005VALUE: $ 189,000.00 Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review SUB Review 05nu2004 0sn2t2004 wE JMP 5/12 See attached fax sent to Richard Barbis requesting missing information. 5/14 Received 4 sets of 3 plans each from Imperial Manufacturing for the indoor cooler and 17 pages ofstructural calculations from Miller Consulting Engineers. JMP requested mechanical information from Dick Wike/Comfort Flow and plumbing information from Eric Tucker/Tucker Plumbing. 5/18 see attached faxes from JMP to Bill Mclntyre and Richard Barbis with requests for missing information. Mechanical additions. Remodel office area. Received 7 12612004. Called Justin Rotherham to request a fax or written confirmation of the value of the work for the office revisions. Received valuation from Justin and Special Inspection form from Julie Hodges. Received Sheet A1 Floor PIan that was dropped off at front counter. Called Rex Prater at Varvitsiotis to request building permit application with valuation of the project and the energy code forms. He said he would supply these shortly. Office remodel. Added mechanical 05t25t2004 05t25t2004 APP JMP 07t20t2004 07t20t2004 WE JMP 07n612004 07t23t2004 07t26t2004 07n612004 07t26/2004 07t27t2004 07t2712004 0712712004 OK WE APP APP JMP JMP JF 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. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Floor Insulation: Prior to decking. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Paee 4 of 5 Keourred lnsnectrons I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00551ISSUED: 0713012004APPLIED: 05/1012004EXPIRES: 01/3012005VALUE: $ 189,000.00 Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Framing Inspection: Prior to cover and after all rough in inspections have been approved. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 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. ,-' r, ; j ./ -1ol y'-., .i-->. Z S, t- (/ Owner or Contractors Signature Date Page 5 of 5 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Clty of Springfield Official Receipt 'elopment Services Department Public Works Department RECEIPT #: 2200400000000000992 Date: 0713012004 1:36:18PM Job/Journal Number coM2004-00551 coM2004-005s1 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00s51 coM2004-00ssl coM2004-00ssl coM2004-005s1 coM2004-00551 coM2004-00551 Description Fixture Minimum/Adjustment Plumbing Penalty Fee - BWOP Plumbing Furnace - more than 100,000 Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Fire & Life Safety Building Permit Penalty Fee - BWOP Building + lYo State Surcharge + l0% Adminishative Fee Amount Due 14.00 31.00 45.00 15.00 6.00 24.00 10.00 22.64 17.21 2.39 55.M 138.60 138.60 16.00 41.22 Item Total:$s77.10 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MCINTYRE CONSTR djb 8l l3 In Person $577.10 Payment Total: ---TffiiT- 713012004 Page I of I ailmtllD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-37 69 OFFICE: 726-3759 I. LOCATION OF INSTALLATION 1160 Shelley Street LEGAL DESCRIPTIONlaOS_Z2eg Oo ?o Z JOB DESCRIPTION Tenant lmprovements/lnfill/Remodel Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is zuspended for 180 days. 2, CONTRACTOR INSTALLAfiON ONLY Electrical Contractor JB ELECTRIC. INC. ccB Constr Contr. Number Expiration Date Signature Owners Name: Address OR Phone ELECTRICAL PERIVTIT City Job Number COMZAo 3. COMPLETE FEE SCHEDULE A. New Residential-Single or Muhi-Family per dwelling unit. Service Included: Items 1000 sq. ft.. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Ilwelling Service or Feeder B. Services orFeeders Installation, Alterations or Relocation: Cost $106.00 $19.00 $ $50.00 $ 200 IF fiE WOBK rs Not--$63.00 $75.00 $125.00 $163.00 $375.00 $50.00 $50.00 $6e.00 $100.00 r0B --.amps/volts C. Temporary Services or Fepders 200 amps or less 201 amps to 400 arnps 0ver 401 to 600 amps Over 6@ arnps or 1000 volts ee€ B above . ^.*rb 1 Only $ $ City OWNER INSTALLATION The installation is being made on property I own which is not intended for salg lease or rent. Owners Signature: E. 5. SUBTOTALOFABOVE mhxxtx 7%o Slxte Surcharge l0% Administrative Fee dS.rdilbU not included) t4s.oo $ $43.00 $ - $3.00 $ 150.00 $s0.00 $ $s0.00 $ - $2s.00 $ 416.00 33.32 47.60 D -Each installation Pump or irrigation Limited Energy/Res Limited fnergylcomm , $ $ JB Job nrf TOTAL $ $45.00 $ 556.92 Address City Euoene. OR 97402 Supervisor License Number Expiration Date 10t1to4 S I 180 $- $--3.- -5-?t6':oo- $--5- fr txlttt, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line FIELD Building/C ombination Permit PERMIT NO: COM2004-00551ISSUED: 0512512004 APPLIED: 05/1012004EXPIRES: 01/1512005VALUE: $ 175,000.00 DEVELOPMENT SITE ADDRESS: 1160 SHELLEY ST Springfield TYPE OF WORK: Manufacturing ASSESSOR'SPARCELNO.: 1703270000902 TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Slope floor to trench drains, pit, and coolers. Plumbing and new fixtures. Change of use from distribution warehouse to Food Manufacturing. BWOP electrical per DG and TM.071504 Owner: MCKAy INVESTMENT CO LLC Address: 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Contractor Type Architect General Electrical Mechanical # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Contractor VARVITSIOTIS ARCHITECTURE PC MCINTYRE CONSTRUCTION INC JB ELECTRIC COMFORT FLOW TUCKERPLUMBING Stories: of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: License Expiration Date 3550 t04929 460 109801 10t08t2007 03n412008 06t2712005 1U07t2004 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Ft Other: Load: Phone 541-343-179s s4t-687-2841 541-687-5770 541-726-0100 541-343-8008 PARI(NG nla Sidewalk Type: Downspouts/Drains: CONTRACTOR INFORMATION Notes: Page I of4 bIT{ $\\ \:1\t Total: Compact: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Buitding/C ombination Permit PERMIT NO: COM2004-00551ISSUED: 0512512004APPLIED: 05/1012004 EXPIRES: 0l/1512005VALUE: $ 175,000.00 Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 175,000.00 Total Value of Project Amount Paid Date Paid Value $175,000.00 $175,000.00 Date Calculated 0512512004 Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0Yo Administrative Fee + loh State Surcharge Building Permit Fixture Miscellaneous Mechanical Plan Review Commfl nd/Public Planning Final Occy Inspection Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin + l0oh Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical Perm Serv/Fdr 601 to 999 amps Total Amount Paid $388.80 $10.00 $96.64 $67.6s $809.40 $112.00 $4s.00 $137.31 $143.00 $378.62 $498.08 $43.84 $47.60 $33.32 $150.00 $476.00 $326.00 5tr0t04 st25t04 5t25t04 st2st04 5t25104 5t2st04 st2sl04 5t25t04 5t25104 5t2st04 5t25t04 5t25104 7nst04 7nst04 7nst04 7n5t04 7n5104 Receipt Number 2200400000000000s06 2200400000000000651 22004000000000006s1 2200400000000000651 2200400000000000651 2200400000000000651 2200400000000000651 22004000000000006s1 220040000000000065r 2200400000000000651 22004000000000006s1 2200400000000000651 220040000000000093s 220040000000000093s 220040000000000093s 2200400000000000935 220040000000000093s $3,763.26 tr'ees Peid Plan Reviews Initial Review Planning Review Public Works Review 051lu2004 05112t2004 05/lU2004 05fi8t2004 RJB EMM OK APP 05t25t2004 APP JMP See attached Land Use Compatability Statement for requirements to be completed before occupancy (bike rack and maintenance of parking area). Change of use generates no new SDCs other than Sanitary Sewer fixtures. Received valuation from Justin and Special Inspection form from Julie Hodges. Structural Review 05t25t2004 Ptse2 of 4 Valuation Description I 05n2t2004 05t20t2004 APP SB Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00551ISSUED: 0512512004APPLIED: 05/1012004EXPIRES: 01/1512005VALUE: $ 175,000.00 Structural Review 0511u2004 05n2t2004 WE JMP 5/12 See attached fax sent to Richard Barbis requesting missing information. 5/14 Received 4 sets of 3 plans each from Imperial Manufacturing for the indoor cooler and 17 pages ofstructural calculations from Miller Consulting Engineers. JMP requested mechanical information from Dick Wike/Comfort Flow and plumbing information from Eric Tucker/Tucker Plumbing. 5/18 see attached faxes from JMP to BilI Mclntyre and Richard Barbis with requests for missing information. To Request an inspection call the 24 hour recording at 726-3769. 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. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Floor Insulation: Prior to decking. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Page 3 of4 Keourred lnsnecttons I Buitding/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00551ISSUED: 0512512004APPLIED: 05/1012004EXPIRES: 01/1512005VALUE: $ 175,000.00 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY witl 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 T 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone aty of Springlield Official Receipt Jvelopment Services Department Public Works Department RECEIPT #: 2200400000000000935 Date: 0711512004 2:49:32PM Job/Journal Number coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 Description Perm Serv/Fdr 601 to 999 amps Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical + 7Yo State Surcharge + l0o Administrative Fee Amount Due 326.00 1s0.00 476.00 33.32 47.60 Item Total:$1,032.92 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check Check JB ELECTzuC JB ELECTzuC djb djb 14455 1444t In Person In Person Payment Total:$1,032.92 $556.92 $476.00 Job/Journal Number coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 Description Perm ServlFdr 601 to 999 amps Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical + 7Yo State Surcharge + l0o/o Administrative Fee Amount Due 326.00 150.00 476.00 33.32 47.60 Item Total:$1,032.92 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check Check JB ELECTRIC JB ELECTRIC djb djb 14455 14441 In Person In Person Payment Total:$1,032.92 $s56.92 $476.00 7ltst2004 Page I of I IDHTID 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: COM2004-00551ISSUED: 0512512004APPLIED: 05/1012004 EXPIREST 1112512004VALUE: $ 175,000.00 SITE ADDRESS: 1160 SHELLEY ST Springfield TYPE OF WORK: Manufacturing ASSESSOR'S PARCEL NO.: 1703270000902 TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Slope floor to trench drains, pit, and coolers. Plumbing and new fixtures. Change of use from distribution warehouse to Food Manufacturing Owner: MCKAy II1VESTMENT CO LLC Address: 2350 OAKMONT WAY STE 204 EUGENE OR 97401 License Expiration DateContractor Tvpe Architect General Electrical Mechanical Plumbing Contractor VARVITSIOTIS ARCHITECTURE PC MCINTYRE CONSTRUCTION INC JB ELECTRIC COMFORT FLOW TUCKER PLUMBING CO 3550 104929 460 109801 10t08t2007 03fi4t2008 0612712004 1u0712004 Phone s4t-343-179s 541-687-2841 541-687-5770 54t-726-0100 s41-343-8008 CONTRACTORINFOR # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: ( of Structure of Heat: Water Type: Range Type: Energy Path: Sprinkled Paved Yo of {$s Sidewalk Type: Downspouts/Drains: Lot Size: Ft lst Floor: Floor: REQUIRED PARI(NG Total: Handicapped: Compact: # PUBLIC IMPROVEMENTS Notes: Page 1 of4 F tT \o\ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Buitding/Combination Permit PERMIT NO: COM2004-00551ISSUED: 0512512004APPLIED: 05/1012004EXPIRES: 1112512004YALUE: $ 175,000.00 Description Estimate Fee Description PIan Review Commfl nd/Public -Mechanical Issuance Fee- + l0oh Administrative Fee + 7oh State Surcharge Building Permit Fixture Miscellaneous Mechanical Plan Review Commfl nd/Public Planning Final Occy Inspection Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 175,000.00 Total Value of Project Amount Paid Date Paid Value $175,000.00 $175,000.00 Date Calculated 05t25t2004 $388.80 $r0.00 $96.64 $67.6s $809.40 $112.00 $45.00 $137.31 $143.00 $378.62 $498.08 $43.84 $2,730.34 5flot04 stzsl04 5t25t04 5t25t04 5t25t04 st25t04 st25t04 5t2st04 st25t04 5t25t04 5l2sl04 st2st04 Receipt Number 2200400000000000506 2200400000000000651 2200400000000000651 22004000000000006s1 22004000000000006s1 22004000000000006s1 2200400000000000651 2200400000000000651 2200400000000000651 2200400000000000651 2200400000000000651 2200400000000000651 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 05try2004 0511812004 RJB EMM OK APP 05n2t2004 0512012004 APP SB 05t2st2004 05t2512004 APP JMP See attached Land Use Compatability Statement for requirements to be completed before occupancy (bike rack and maintenance of parking area). Change of use generates no new SDCs other than Sanitary Sewer fixtures. Received valuation from Justin and Special Inspection form from Julie Hodges. Pase2 oI 4 T Valuation Descriotion I osmt2004 05n212004 F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00551ISSUED: 0512512004APPLIED: 05/1012004 EXPIRESz 1112512004VALUE: $ 175,000.00 Structural Review 05mt2004 05n212004 WE JMP 5/12 See attached fax sent to Richard Barbis requesting missing information. 5/14 Received 4 sets of 3 plans each from Imperial Manufacturing for the indoor cooler and 17 pages ofstructural calculations from Miller Consulting Engineers. JMP requested mechanical information from Dick Wike/Comfort Flow and plumbing information from Eric Tucker/Tucker Plumbing. 5/18 see attached faxes from JMP to Bill Mclntyre and Richard Barbis with requests for missing information. 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. 1 ) 3 4 5 Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Floor Insulation: Prior to decking. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 6 7 8 9 10 1l t2 Reorrired fnsneef Paee 3 of4 Itli 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: COM2004-00551ISSUED: 0512512004APPLIED: 05/1012004EXPIRESz 1112512004VALUE: $ 175,000.00 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 during construction. E,"M P {'2s -ry Owner or Contractors Signature Date Pase 4 of 4 h CITY O. ATTACHMENTA ^UNGFIELD SYSTEMS DEVELOPMENT CHARGE KSHEET JOURNAL OR JOB NUMBER NAMEORCOMPANY: LOCATION: MAP & TAX t,oT NUMBER: DEVELOPMENT TYPE: coM2004-00551 TOBY'S FAMILY FOODS I 160 SHELLEY ST. t7 03 27 00 00902 FOOD MANUFACTURING NEW DEVELOPED AREA (S.F.): EXSTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURIACE (S.F.): I. STORM DRAINAGE IMPERVIOUS SQ. FT 2. SANITARY SEWER.CITY A. REIMBURSEMENTCOST: NUMBER OF DFU's B. IMPROVEMENTCOST: NUMBER OF DFU'S (sEE REVERSE SrDE) $ 0.290 PER SF 22.64 PER DFU I7.2I PER DFU 0.95 x x $0.00 PER FEU x $0.00 PER FEU ITE: ITE: LOT SIZE (S.F.): NTF NTF 40 0 x TOTAL STORM DRAINAGE SDC 22 $ $ x x x $ 76.01 PER TRIP x x )') TOTAL LOCAL WASTEWATER 3. TRANSPORTATION BLDC AREA TGSF XTRIP RATE X COST PERADfXNEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.000 x 3.82 x $ 17.23 PER TRIP x B. IMPROVEMENTCOST: 0.000 x 3.82 ExISTING A. REIMBURSEMENTCOST: 0.000 x _g B. IMPROVEMENTCOST: 0.000 x 0 TOTAL TRANSPORTATION REIMBURSEMENT TOTAL TRANSPORTATION IMPROVEIVIENT TOTAL TRANSPORTATION SDC $89.89 PER FEU $ $6I.2I PER FEU $ x $ 17.23 PERTRIP x --.1!- NTF $ 76.01 PER TRIP x 0 NTF a $ 4. SANITARY SEWER-MWMC NEW: A. REIMBURSEMENTCOST: NUMBER OF FEU's B. IMPROVEMENTCOST: NIJMBER OF FEU's E)CSTING: A. REIMBI-]RSEMENT COST: NIJMBER OF FEU's B. IMPROVEMENTCOST: NUMBEROF FEU's 0.000 x 0.000 0.000 0.000 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPRO\T,MENT MWMC ADMINISTRATIVE TOTALMWMC suBTorAL (ADD ITEMS 1, 2, 3, &. 4)$ 876.70 876.'t0 x 5% TOTAL TRANSPORTATION ADMINISTRATION TOTAL SEWER ADMINISTRATION 5. ADMINISTRATTVE FEES : BASE CFIARGE (SUBTOTAL ABOVE) Stev ew W. eeavtdrg BaYwes 5/20t2004 $:$43.84 876 $ 498.08 498.08 62 $ $ $ $ $ $ $ 920.54 43.84 I- $ $ $ I $ coffiGmm,nieT0Roods, llsOshelleyst.xls DATE TOTAL SDC CHARGES JULY 2OO1 0.9s op Fr 1070 r091 1092 1091 1094 1054. 105{ 1055 10s6 1078 1079 DRAINAGE FIXTTIRE I]NIT (DFU) CALCULATION TABLE NUMBM OF NEWFDflURES XUNIT EQUTVALENT: DRAINAGE FD(URE T]NTTS (I.{OTE: FOR REMODELS, CALCULATE ONLY THENET ADDITIONAL TOBY'S FAMILY F'OODS DRAINAGE FIXTURE LINITS FIXTI.IRES NEW OLD UNIT FIXTTIRE TYPE BAfiITUB DRINKINGFOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASHiETC. LALINDRY TIIB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWE& SINGLE STALL SHOWE& GANG (NUMBER OF HEADS) SINK: COMMERCTAL, RESIDENTIAL KITCHEN SINK: COMMERCTALBAR SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALUWALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S* ALENT 3 I 3 3 6 2 3 6 t2 I J 2 2 3 2 2 I 5 6 3 3 0 0 9 0 0 0 0 0 0 0 3I 0 0 4 2 2 6 0 0 0 0 0 0 0 0 IEP! @q"i'4gntrytr!!4g isa toa TOTAL DRAINAGE FIXTURE UNITS:22 (20 DFU) set at 167 galloro per day RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT CALCT]LATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY RATE PER $I,OOO ASSESSED VALT]E YEAR CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0.00 x IMPROVEMENT (IF AFTER ANNEXATION DATE) X 1.52 1.38 l.l9 1.03 0.87 0.68 0.46 0.27 0.09 0.04 0.000 $0.00 1979 1980 l98l 1982 1983 1984 r985 r986 1987 r988 1989 1990 t99t or $ 5.04 $ 4.9s $ 4.88 s 4.7s $ 4.58 $ 4.41 $ 4.20 $ 3.88 $ 3.s0 $ 3.07 $ 2.60 $ 2.14 $ 1.71 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 $ $ $ $ $ $ $ $ $ $ $ $ $0.00 $0.00 com2004-00551 , Toby's Foods, 1 1 60 shelley st.xls CREDIT TOTAL JULY 2OO1 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^!ty of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200400000000000651 Date: 0512512004 2:00222PM Job/Journal Number coM2004-00551 coM2004-00551 coM2004-00sst coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 coM2004-00551 Description Planning Final Occy Inspection Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Comm/Ind/Public Building Permit Fixture -Mechanical Issuance Fee- Miscellaneous Mechanical + 7%o State Surcharge + l0% Administrative Fee Amount Due 143.00 498.08 378.62 43.84 137.31 809.40 I12.00 10.00 45.00 67.65 96.64 Item Total:$2,341.54 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard MCINTYRE CONSTRUCTION jmp 000392 025900 In Person Payment Total: s2,341.54 -3ar3a- 5125/2004 Page I of I a&rllq[3.,n I