The URL can be used to link to this page

Home My WebLink AboutPermit Building 2007-05-30Status 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: COM2007-00418ISSUED: 0513012007 APPLIEDz 0312112007EXPIRES: 11/3012007VALUE: $ 840,000.00 SITE ADDRESS: 470 S 2ND ST Springfield TYPE OF WORK: Commercial Miscellaneous ASSESSOR'S PARCEL NO.: 1703353301000 TYPE OF USE: Alteration Industrial PROJECT DESCRIPTION: Removal and replacement of Formaldehyde Tank Farm. Owner: Address: Contractor Type General Electrical Engineer HEXION SPECIALTY CHEMICALS 470 S 2ND STREET SPRJNGFIELD OR 97477 PhoneNumber: 541-744-3224 risl ++) Contractor ADVANCED MECHANICAL INC CHRISTENSON ELECTRIC INC JHI ENGEINEERING License 148196 458 Expiration Date 06t29t2007 05/01/2009 Phone 541-466-3939 541-688-6121 503-223-7799 # 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: U VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Buildilqgl 1f;f," n/a Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant ORK ri prnutr Is NoT REQUIRED PARKING Overlay Dist: # Street Trees Rqd: COMME O DAY PERIOD Handicapped: Total: UNDER IH NCED OR IS ABA B Paved Drive Rqd: oh of Lot Coverage: Sidewalk Type: Downspouts/Drains: Compact: PUBLIC IMPROVEMENTS Notes: Page 1 of4 in OAR 952-0 0090. You mi calling the ce lrulLLrLi\u li\lltJt(lYlA I l(rl\ | Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00418ISSUED: 0513012007APPLIEDz 0312112007EXPIRES: 11/3012007VALUE: S 840,000.00 Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount s1.00 840,000.00 Total Value of Project Amount Paid Date Paid Value $840,000.00 $840,000.00 Date Calculated 03t2u2007 Fee Description Plan Review Comm/Ind/Public + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit FLS Safety Systems Review Plan Review Fire & Life Safety + l0%o Administrative Fee + 57o Technology Fee + 8olo State Surcharge Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm Serv/Fdr 200 amps or less Temp Power 200 amps or less Total Amount Paid $1,930.92 $297.07 $148.53 $237.6s $2,970.65 $325.00 $1,188.26 $73.60 $36.80 $s8.88 $1s0.00 $45.00 $441.00 sr00.00 $8,003.36 4t9t07 5t30t07 5t30t07 5t30t07 st30/07 5130t07 5t30t07 6t6t07 6t6/07 6t6t07 6t6t07 6t6t07 6t6t07 6t6t07 Receipt Number 2200700000000000507 1200700000000000644 1200700000000000644 r200700000000000644 1200700000000000644 1200700000000000644 1200700000000000644 2200700000000000917 2200700000000000917 2200700000000000917 2200700000000000917 2200700000000000917 22007000000000009r7 2200700000000000917 Plan Reviews Fire Department Review 0411012007 WE Fire Department Review 0512912007 05/29t2007 0K GRG Initial Review 04/09t2007 04t09t2007 APP LLH IO JMP Waiting on American Petroleum Institute (API) 650 standards or exerpts. See attached document for Fire Department Plans Review comments. Plan review fee receipted in at Finance Department. Plans had been in our office waiting for fee to arrive. I transferred the payment today. Okay to process plan review WI. Received structural responses from Greg Wilberger. PIan Review Comments 04t27t2007 Paee 2 of 4 Valuation Descrintion lees ratd 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: COM2007-00418ISSUED: 0513012007 APPLIEDT 0312112007EXPIRES: 11/3012007VALUE: $ 840,000.00 Plannine Review Public Works Review Structural Review Structural Review SUB Review SUB Review 04n0t2007 04t30t2007 APP EMM Allowed by building permit only per Sarah Summers. Similiar to a proposal discuseed in DIM ZON2004-00017. Applicant to verify street side setback. Is fence property line? Attached SDC Worksheet. No New SDC's. (JHJ) See attached documents for 7 structural comments faxed to Michael J. Smith. Received final internal approval. No energy code issues or inspections, JMP left a voice message on Michael J. Smith's cell phone requesting the energy code forms and information. 04n0t2007 04t0912007 05t29t2007 05t04t2007 04n0t2007 04t30t2007 04n2t2007 05t29/2007 05t04t2007 04n6/2007 APP WE APP APP WE JHJ JMP JMP JF JF To Request an inspection call the24 hour recording at 726-3769, All inspections 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. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. 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 Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Temporary Electric: Approval required prior to Utility Company energizing pole. Final Electric: When all electrical work is complete. Reouired Insnections Paee 3 of4 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: COM2007-00418ISSUED: 0s13012007APPLIED: 0312112007EXPIRES: 11/3012007VALUE: $ 840,000.00 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. Owner or Contractors Signature Date Prse 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Crav of Springfield Official Receipt , elopment Services Department Public Works Department RECEIPT#: 2200700000000000917 Date: 0610612007 t2:14:2ePM Job/Journal Number coM2007-00418 coM2007-00418 coM2007-00418 coM2007-00418 coM2007-00418 coM2007-00418 coM2007-00418 Description Temp Power 200 amps or less Perm Serv,/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus + 57o Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 100.00 441 .00 150.00 45.00 36.80 58.88 73.60 Item Total:$905.28 Payments: Type of Payment Paid By rc Received By Batch Number ffi Number How Received Amount Paid CreditCard MIKE HUGHES CHRISTENSON ELECTRIC ddk 006028 In Person Payment Total: $905.28 s90s.28 cReceint I Page I of I 616/2007 6!lh Qr*''l o>a(6K b Date INITIALS DATE 3?r FIELI' : {ft, zoN 225FIFTHSTREET r SPRINGFIELD,OR97477 r PH:(541)72G3753 oFAX: (54t)726-3689 E LECT RI CAL P E RM IT AP P LI CA SOURCE frlru,rtn 'ffiltt r rCity Job Number 1 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor @ Address -W S.DAutW /W City Et{Ext€Phone td66-L/21 Supervisor License Number -{ U ) 1 5 L,\ LEGAL DESCzuPTION: l1O3 35 = 3 O \Nor Rcsidential - Single or i\lulti-Falnill'per dn'elling unil. /-lex ION S?N)Atry olEl[tcAL JOB DESCRIPTION: (oE uL^LD U+Oe ra xl ( Fnxt't E-lfi-tIz tc at- UPGRADE 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 200 Amps or,lgss_ 201 Arnps to 400 Amps 401 Anips to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only $50.00 ,n.,,8* tdt3'oo cjiun"n utifrP'oo rte*ie-set flr4f,'oo h e,iE-!r,2-0lF&00 3 o{ thc rttie$339.00 , :',--lr+e.ijj.Lr,4d0'00 $106.00 $ 19.00 C D. ++t? / oQ.*. K [_ /SCte Expiration Date a Constr.Confi.Number h f V U Expiration Date I Signature Name Owners Signature Address c{?c, 5 2 {J> City Sot-0.1 iliDl"uJzz'b,*orirrigation Installation, Alteration or Relocation 200 Amps or less Z $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 or 1000 Volts see "B" above. xeg bXPfidt"rr fHl- friun ER THi,$ PIB14tpffi.flh $*BANBUiD $fhho0[ $ s0.00 Si grr/Outline Li ghting $ s0.00 Limited Energy/Residential $ 25.00 LimitedEnergy/Commercial I $45.00 '15'd ee. 11 2- @, \.). --2/ 80t'l^. seffi{of gQp{Sp,fpPFrI tI OWNER INMAIUTIOX The installation is being made on properfy I own which is not intended for sale, lease or rent.Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 8% State Surcharge 10% Administrative Fee 50% Technology Fee *S aos.sInspection Request: 72G37 69 4. TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 8-06.doc 3. COMPLETEFEE 41O S- Jr.,o St S"fLD. & flt1"7 ONLY .: B. Services or Feeders - lnstallation. Alterations or Relocation:, ' '.,: 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: COM2007-00418ISSUED: 0513012007APPLIEDz 0312112007EXPIRES: 11/3012007VALUE: $ 840,000.00 SITE ADDRESS: 470 S 2ND ST Springfield TYPE OF WORK: Commercial Miscellaneous ASSESSOR'S PARCEL NO.: 1703353301000 TYPE OF USE: Alteration Industrial PROJECT DESCRIPTION: Removal and replacement of Formaldehyde Tank Farm. Owner: Address: Contractor Type General Electrical Engineer HEXION SPECIALTY CHEMICALS 470 S 2ND STREET SPRINGFIELD OR 97477 Contractor ADVANCED MECHANICAL CHRISTENSON ELECTRIC IN0 tiAf( tollow PhoneNumber: 541-744-3224 Phone 541-466-3939 541-688-6121 # 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: JHI ENGEINEERING 0090 # ofStories: Height of Structure: Type of Heat: Water Type: Path: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: IHE Hft s03-223-7799 REQUIRED PARKING Total: Handicapped: Compact: U VB i, 180 ntOverftrj # Street Paved Drive Rqd: oh of Lot Coverage: 'lt l,$floi Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Pase I of3 Those through (Note: the lulas I . , 6.tn_ Floor: /s Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00418ISSUED: 0513012007APPLIED: 0312112007EXPIRES: 11/3012007VALUE: $ 840,000.00 Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 840,000.00 Total Value of Project Amount Paid Date Paid Value $840,000.00 $840,000.00 Date Calculated 03tzu2007 Fee Description Plan Review Comm/Ind/Public + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit FLS Safety Systems Review Plan Review Fire & Life Safety Total Amount Paid $1,930.92 $297.07 $148.s3 $237.6s $2,970.65 $325.00 $1,188.26 $7,098.08 4t9t07 5t30t07 st30t07 st30t07 5t30t07 5t30t07 st30t07 Receipt Number 2200700000000000507 1200700000000000644 1200700000000000644 1200700000000000644 1200700000000000644 1200700000000000644 1200700000000000644 Fees Paid Plan Reviews Fire Department Review 0411012007 WE Fire Department Review 0512912007 05t29t2007 OK GRG Initial Review 04t09t2007 04t09t2007 APP LLH 05t29t2007 APP Paee 2 of3 Waiting on American Petroleum Institute (API) 650 standards or exerpts. See attached document for Fire Department Plans Review comments. Plan review fee receipted in at Finance Department. Plans had been in our office waiting for fee to arrive. I transferred the payment today. Okay to process plan review. WI. Received structural responses from Greg Wilberger. Allowed by building permit only per Sarah Summers. Similiar to a proposal discuseed in DIM ZON2004-00017. Applicant to verify street side setback. Is fence property line? Attached SDC Worksheet. No New SDC's. (JHJ) See attached documents for 7 structural comments laxed to Michael J. Smith. Received final internal approval. Plan Review Comments Planning Review Public Works Review Structural Review 04n0t2007 04fi0t2007 04t09t2007 04t27t2007 04t3012007 04t30t2007 04fi2t2007 JMP EMM JHJ JMP IO APP APP WE Structural Review 05t29t2007 JMP Valuation Descrintion Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00418ISSUED: 0513012007APPLIED: 0312112007 EXPIRES: 11/3012007VALUE: $ 840,000.00 SUB Review SUB Review 05t04t2007 04n0t2007 05t04t2007 04n6t2007 APP WE JF JF No energy code issues or inspections, JMP left a voice message on Michael J. Smith's cell phone requesting the energy code forms and information. To Request an inspection call the24 hour recording at 726-3769, All inspections 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. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to Cify Building Inspector. 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. street, that the card is located at the front of 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 Safefy. 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 that all required inspections are requested at the proper time, that each address is readable from the property, and the approved set of plans will remain on the site at all times during co n, 70 Owner or Contractors Signature Paee 3 of3 Date l(equlreq lnsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ch of Springfield Official Receipt L. elopment Services Department Public Works Department RECEIPT #: 1200700000000000644 Date: 0513012007 e:ll:41AM Job/Journal Number coM2007-00418 coM2007-00418 coM2007-00418 coM2007-00418 coM2007-00418 coM2007-00418 Description Plan Review Fire & Life Safety Building Permit + 5% Technology Fee + 8% State Surcharge + l0%o Administrative Fee FLS Safety Systems Review Amount Due r,188.26 2,970.65 I 48.s3 237,65 297.07 325.00 Item Total:$5,167.16 Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check CreditCard HEXION MAUREEN GALBREATH b b dj dj 246512 In Person 017319 In Person Payment Total: $2,280.00 $2,887. l 6 $5,167.16 Job/Journal Number coM2007-00418 coM2007-00418 coM2007-00418 coM2007-00418 coM2007-00418 coM2007-00418 Description Plan Review Fire & Life Safety Building Permit + 5% Technology Fee + 8% State Surcharge + llYo Administrative Fee FLS Safety Systems Review Amount Due r,188.26 2,970.6s 148.53 237.65 297.07 3 25.00 Item Total:$5167i6 Payments: Type ofPayment Paid By Check Number Received By Batch Number AuthoiiZatibn Number How Received Amount Paid Check CreditCard HEXION MAUREEN GALBREATH djb djb 246512 In Person 017319 In Person Payment Total: $2,280.00 $2,887. l 6 $5,167.16 cReceint I Page 1 of I 5/3012007 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET coM2007-00418 Hexion Specialty Chsmicals JOURNAL OR JOB NUMBER NAMEORCOMPANY: LOCATION: MAP & TAX LOT NUMBER: DEVELOPMENT TYPE: 470 S.2nd St. 17 03 35 33 01000 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 5. ADMINISTRATTVE FEES: BASE CHARGE (SI.JBTOTAL ABOVE) Jesse Jones Civil Engineer, EIT No New lmpervious Area $ 0.336 PER SF ITE: ITE: LOr S|ZE (S.F.): TOTAL STORM DRAINAGE SDC: Tank NEW DEVELOPED AREA (S.F.): EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): x $0.00 3. TRANSPORTATION No New Building Square Footegc BLDG AREA TGSF x TRIP RATE X COST PERADTX NEW TRIP FACTOR NEW: A, REIMBURSEMENTCOST: 0.00 x 0 x $ 19.81 PERTRIP x 0 illap-nowpmvrcoST, 0.00 x 0 x $ 87.39 PERTRIP x 0 E)ASTTNG A. REIMBI.]RSEMENT COST: 0.00 x 0 x $ 19.81 PERTRIP x 0 E.-lllpnovrwvrcosr: 0.00 x 0 x $ 87.39 PERTRIP x 0 2. SANITARY SEWER-CITY (see rwerse side) A. REIMBURSEMENTCOST: NUMBER OF DFU's 0 B. IMPROVEMENT COST NUMBER OF DFU's 4. SANITARYSEWER-MWMC NEW: A. REIMBURSEMENT COST: NLIMBER OF FEU's 0.00 B. IMPROVEMENT COST: NUMBEROF FEU's 0.00 E)CSTING: A. REIMBURSEMENTCOST: NUMBER OF FEU's 0.00 B. IMPROVEMENTCOST: NUMBER OF FEU's 0.00 MWMC CREDIT IF APPLICABI-E (SEE REVERSE) No New Fixtures x $ 26.03 PER DFU x $ 19.79 PER DFU TOTAL LOCAL WASTEWATER SDC: NTF NTF $0.00 $0.00 NTF $0.00 NTF TOTAL TRANSPORTATION REIMBURSEMENT SDC TOTAL TRANSPORTATION IMPROVEMENT SDC TOTAL TRANSPORTATION SDC: No New Building Square tr'ootage x #N/A PER FEU $0.00 x #N/A PER FEU $0.00 #N/A PER FEU $0.00 x #N/A PER FEU TOTAL MWMC REIMBURSEMENT TOTALMWMC IMPROVEMENT MWMC ADMINISTRATIVE TOTALMWMC SUBTOTAL (ADD ITEMS 1,2,3, & 4 5% TOTAL SEWER ADMINISTRATION TOTAL TRANSPORTATION ADMINI STRATION 4/3012007 x $0.00 $0.00 $0.00 $0.00 $$0.00 00 $0.00 $0.00 $ $0.00 $0.00 $ $0.00 -@ $ DATE TOTAL SDC CHARGES r 178 0 l 183 1 184 I 173 1094 I 054 I 186 I 187 1189 1175 I 190 NOTE: FORREMODELS.CALCULATE ONLY THE NET ADDITIONAL FIXTURES) Tank TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASE/OII-/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB CLOTHES WASHER/MOP SINK CLoTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER,/ETC. SHOWE& SINGLE STALL sHowE& GANG (NUMBER OF ITEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIALBAR SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR I]RINAL, STALI"/WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S* *EDU (Equivalent FXTURES NEW OLD UNIT TOTAL DRAINAGE FIXTURE I./NITS: DRAINAGE FTXTURE UNITS 3 I 3 3 6 2 3 6 t2 I 3 2 ) 3 2 ') I 5 6 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day 0 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR ANNE)GD CREDIT FOR PARCEL ORLAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,OOO ASSESSED VALUE $r.45 $ l.2s $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 $0.00 $0.00 $0.00 x x $0.00 RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED 1979 I 980 l98l 1982 1983 1984 t98s l 986 1987 1988 l 989 1990 t99l or before $5.29 $s.19 $s.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.2s $ 1.80 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 $0.00 $0.00 CREDIT TOTAL DRAINAGE T'D(TURE UNIT (DFTD CALCUL{TION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTVALENT: DRAINAGE FIXTURE UNITS SPIITI*GFIELE} Special losPeclion and Testing finished, ackno,gledge an "ri"*il#rg ;f tt " lrrrormario,.. by-sigLring be lo;' and rctum this form to Ge Ciry' iiry ft. ,.ri"* and appmval this fcrrm completed on both the front and back' Theowner and ceneral conlractor, rrhcre appticoble, shall also acknorvledge the [o!lorvingcondit'ions applicable to sprci':tt Inspection and/or'l'tsling' I . contractor is responsibte for proper nolifrc<rt[on for the I nspeclioo or 'lesting o f itenrs I isled' T.TestinglaboraroryshalltokenppmpriateiErnplesandtrrnsportthemlothejrlaburatoryforpropclevaluationortcsting. r copics of nll lnboratory reporrs and inspections are to be sent to the CiB by lhc Testing r\gency' 3.spcciatlnspectionAgencyistosubmitnamesarrdqualificationsofon.sitespecial]nspectorstotheCitytbrapproval. 4. Speciallnspeclorshallprovidelnspectionr€portstolhebuildingolltcialol'atlinspeclionactivities- 5. conira.tor is responsible to rw,ierv the city apprul'ed planr for additional inspectton or tesling rtquitemenr$ that may be trolcd' EEFOREACEnrtFrcATEoFoccupANCy\vlLr'BEISSUEO: ThespeciailnrpecrionAe;ncrslllf.lbrnittotheBuildingclrLcial astatemcntthatnllitemsreqr'riring prrvrsions. Those items no-r;;;;;.1/",. lnspectei rbail be nored in the stgtemenr-;;;6;ii; ,o be srum:ttcoloirttcity prio' tu t' reqrrest lbr linal inspections' ffi, CitY of SPringfield Commu nity Servicer DiYisio n 225 Fiflh Street Springfield, OP.97471 Telephoner {5 4 l) 176-31 59 Fax (541) 726-3689 Cot.(zo-f - co4rte S-Ln -o-1 Building Permit #Date Project Nbs4lr>5AtJ N I Projec! Address DT'l 0) o\] o A n, LT )4 mz 6) m mn H7o f o ul c)(, I N Iu a) I N{ 0) lt) f (9A F l'.f l.'Jss-{ 99 LN t! \J N cTi GJm __J cn C)H{ cl-n (n-ufrHz.q Hmf-(J ACI(NOWLEDGEIVIENTS fd" N Orvne r Nanre (Printed) I Engineer or i\rch Firm (Prin tgJ- ; l.tl( Testing Laboralory Name (hinted)ng S ignature Gen. Contractor Firm Nante i tal -! GIr4 (s crl T (,lI (Printed) B {c'#*r* {b il *t 6. 4EsdilE *nr**.,.*" -. rlr * S?ECIAL L\SPECTION AI\ID TESTE{G SCIIEI}LI-E ADDITIONAL I TEST, & INSPECTIONS:Form CornPleted bY *PROVIDESTRENGTH REQUIRED BY ARC}IITECT OR ENGINEER OR CONTHT\CT DOCU}IEI\TT I-OCATION OT VA LUES o"t. llt.qlc11 DT.I OJ o *J o @ + 0, CrT I csA N] NJ(s G -i 9l (r] NJ __t N] cn OJ Cr]__i crr mz 6) H2 m mn Hz 6) f 11OH -{ o-r1 a1lB H2qur HC]P,t,:t: \l N N 0) I N{ (r) N !Dtr)m 6\l ryrrlffi Oun Grorrl Ivlorlar Des Placernent { Piant ( x x Comoresrion Test+ Pr*Ei.'.t,gr"-srr,:r."0 Conurcre: Pilr s Post-Tens Pre-Tens Cladding Tesls Rein 'Iests Tendon Test Mix n n€e m€DI Placemenl te Ba{chi t Cast Com GRAtrlNG, EXCAYATION, AND FILL AcceptancE lests * PSF Establish final grade - Fill placcmenthrspectionlconlinrrous Soil DensitY ST'ITUCTTJRAL STEEI,/lVELDINC: Sample nnrt test (lisl specific members belorv) Shon material idcntificadon (mill cerl) - Y Weltl inspcction -Shop -X-FicldU'ttrasorric inspection - Shop Field r\325 ---N --XA490 --N -xMetat deck'*'tlding inspection -- Reinlbrcing steel rve'lding inspeution Reint'orcing stecl rn lll ctrti(icnle Metal strtd rvtltlirg insPection Concrete insert rvelrting inspcr:tio t lvlomenl resisting rtecl liarnes STRUCTUR.{L }YOOD: Shea" rvatl nailiog insPection Shear rvatl archors InsPection olGluJam fab' + TiC Psi SnnrPle ald te3t comPonent Fobrlcation rvelding of sleel accealor'ies Specint inspection stresses us€d' il- -- - -. l'* Piel i m inarl: acceptox ce t€sls (mosonry rlni ts,.wal I prism sl Subsr<luent lesBlmortar, groul. tield rtall prisnls) Placernen! inspecttolr ot'units, and rcinlbrcenrent . - hlast-rnry, mortar, grout, and reinforcing steet uertlficales F S}IOKE CONTROL: _Leakage testing Contrsl Verification FIREPROOFING: -Placement insPertion -DensitY terts Ihickness lesls ]l*w.t balchingROOFING: =-Insu lat'ror i nslallatlon/R-Valrre+ =--T€st strips/senms ffi I Re'rnforcins Test nsoect Placing IVlASDNRY