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Home My WebLink AboutPermit Building 1997-02-24SPFIi.GFIELE, 225 North Fifth Street Springfield, OR 97477 LocaEion of Proposed work: 157L 18TH ST Assessors Uap #: L703253L COMMERCIAL/INDUSTRIAL PERMIT APPLIEATION CITY OF SPRINGFIELD I COMMIINITY SERVICES DIVISION BUILDING SAFETY o Page 1 rlob Nu.nber: 97L337 Office: InspecEion Line: 726 -37 59 726 - 37 69 Tax Lot #: 07700 Owner: HOLLYSIOOD ENTERTAINM Phone #: 503-570-l-500 Address: 255oo Sw PARKWAY CNTR Cit.y/State/zrp: W]LSONVILLE, OR 97070 Description Of Work: TENANT IMPR/HLLYWD VIDEO NEW Value:0.00 ArchitecL: Name MPA ARCHITECTS Address Phone 6L9 -236 - 059s PLI'MBING - - - No 5 Fee Charge 60.00 50.00 Single Fixture TOTAL PERMIT QUAD AREA: 2CNW -- OFFICE USE -- LAND USE: 5300 ftem COMPLETE LEASE SPACE TOTAL VALUE OF PRO,JECT Square Feet 7 509 $/Square Feet Value 75, 000 . 00 75, 000 . 00 Plan Check Fee 234.65 Rec #: 2'1347 Date: 09/09/97 Rec By: DON MOORE BUTLDfNG Surcharge/admin MECHANICAL Surcharge/admin PLUMBING Surcharge/admin CITY SDC FEES SUBTOTAL PERMITS TOTAL PERI{IT FEES EXCLI'DING ELECTRICAL 3s8.00 28 .64 0.00 0.00 60.00 4.80 4 ,992 .00 5,443 .44 5 ,443 ,44 SPFI,{GFIELD Job Number: 971-337 SPilNGFIEIT', Page 2 REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that al-I inspections are made at the proper time. To request an inspecti-on, calT 726-3769 (recorder), state your City designated job number, job address, type of inspection requesLed and when you will be ready for inspection. Requests recej-ved before 7:00 a.m. wil-1 be made the same working day, requests made after 7:00 a.m will be made the followj-ng work day. Special Inspections: In accordance with Section 305 of the State Specialt.y Code a special inspector shal-I be employed by the owner/Contractor during consLruction of any following "*" work. A copy of the special testing reports shall be furnished t,o Building Safety. In addition to the inspections specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Buildi-ng, City or Development Code ROUGH PLTIMBING - Prior To cover. ROUGH MECHANICAL - Prior to cover. ROUGH GAS - after line is installed and capped if not attached to an appliance ROUGH ELECTRICAL - Prior Lo cover. FRA.IIING - Prior to cover. INSULATION - Floor; prior to decking Wa11/Ceiling; Prior Lo cover DRYWALL - Prior to taping. CEII,ING GRID MECH/SUB: FOI,LO}IING ROUGH MECHA}iIICAt APPROVAL, PRIOR TO COVER PLMB/SUB: FOLLOWING ROUGH PLI'MBING INSPECTION, PRIOR TO COVER CEILING GRID/SUB: FINAI,/SUB FINAL PLTMBING - When all plumbing work is complete. cAS SERVICE - After l-ine is instafled and line has been connected to a minimum of one appliance. Pressure tesL done at this point. FTNAL MECHA.I{ICAL - When afl- mechanical work is complete. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FINAL ELECTRICAL - When all efectrical work is complete. FINAL FIRE - When all Fire Department requirements have been met. been met. FfNAL BUILDING - When all required inspections have been approved and the building is complete. --- ADDITIONAI. COMMENTS --- SEE JOB #971101 FOR SHELL BUILDING PERMITS AND REQUIREMENTS Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date : to /20 / 91 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon j-s true and correcL, 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 wil-l- be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only conLractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are reguested at the proper ti-me, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans wilf remain on the site at all times during construction. Z'zl-?A Signatur Date SPFIi.GFIELE Job Number: 97L337 CITY OF SPI?INGFTEI.O, Page 3 --- VAI.IDATION --- Receipt Number: Date Paid: Amount Received: Received By: ?a??? ? -2q'\4u2^ :- i,tollowing prolect ._cning, and does not approval. ?-25 FTFTE STREET SPRINGFIELD, OREGON 97477 INSPECf,I0N REOUESTz 726-3 OFFICE: 726-3759 :. LOCATION OP INSTAII.,ATION ly, DEScRIPTIoN I.7 O '1,5 3 | o JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.,ATTON ONI,Y Electrical Contrac tol tlhoryils4 t ,b;Utfut Address I I t Phone sor License Number Z as submltted has tho following requiro ep€citic land ueo EI.;ECTRTCAL PERHIT APPLICATION Ci ty Job Nurnber lT t3 3't I.,ETE FEE SCMDULE BELOV Nev Residential-Single or Hulti-Family per dvelling unit Service Included: I tems Cos t s 8s.00 SP(ir. :FI{iLO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Hodular.'DvelIing' Sertice or Feeder 3 A AD Sum s 1s.00 $ 40.00 -a. B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to.600 amPs _601 amps to 1000 amps- over 1000 amps/volts - Temporary Services or Feeders Installation, Alteration or Relocation 00 00 00 00 00 00 50 60 100 130 300 40 s s s s s s Supervi Expirat Cons t r ion Date lO l, 201 amps to 400 ampsT Signature of Supervi"ine EIeccrKQ{t^ *rt,0ver 401 to 600 amps Contr. Number It Expiration Date AlLov bl L o Or.rners Name Address 251>o--o Su,, ci tv tUiurr Phone fu g - 4?o- lbt-tr OINER INSTALI.,ATION The installation is being made on proDerty I ovn vhith is not intended ior sale, lease or rent. Onners;Signature: DATE: RECEIPT c 200 amps"or less s 40.00 $ ss.00 $ 80.00 Ovei 600 amps or i000-vollTs see 'tB* aSoG- ranch Circui ts on or Extension Per Pane1NAI tera t i one Circuit $ 35.00 Each Additional Circuit or vith-Service or Feeder Permit $ 2.00 E. Hiscellaneous (Service'/feeder not included) -Each installation Pump or irrigation _Sign/0utIine Lighting_ Limited Energy/Res Limited Energy/Comm -f- SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 1, s 40.00 s 40.00 $ 20.00 s 36.00 5 RECEIVED BY ( J1 city {t Al l*nJ ' ,t. '1 '(' Merno 5OO NORTHEAST GRAND AVE PORTLAND, OR972322736 rIL 503 797-t7oo Contractor's Business License ) MORRISON &ASSOCIATES1115 sE MORRTSON PORTLAND OR 97274 License number 5119 Expiration date AUG 01, lggg 961 lSmdw t:l STATE OF OREGON C REGISTRATION ONSTHU CTION CONTRACTORS BOARDtc-r This certifies that the oerson ded bY named hereon law as a CERTIFICATE Reoistration"Number: [ 0:ffs Expires: I Of /22/00 registe red as Provt I I I Spec NON- Contr/AII Structures EXEMPT Indi viduat eter t i*+*:*:Ei*:;;ffi et-rt-r I SIGNATURE OF POCKET CARD IDETACH AND CARBY WITH YOU STATE OF OREGON Registered as: No' [ 63715 I srr*. contr/ArI Structures I NbN-nxnuPt I individual Expires 1 ot/zz/oo Imii:**nii:Hn--oooo CONf:TBUCTION CONTRACTOBS BOARD Bond [ $5,000 lnsurance I uanrroRD cAsuALTY rNs co t louuNQD3l-87w EmPloYer Accounts: oN EILE Itt t t o) LL UI Rev WC IRS I ) 5?T FIELO a hd reo PERHTT City Job Nuober 3- COH?LETE EEE SCEEDUI^E BEL0',1 A ZZ5 FIfrE SIRE8T SPRI}IGFIEI', OREGON 97477 I}ISPECTI0N REQLESI; 726-376e 0FPTCE: 725-3759 JOB DESCRIPTION &t.tr4lttnr-xt t^r- Fte, Stgx,S 4- Nt3l,r\t ?ermits are. non-transferabLe and expireil vcrk is not started vithin 180 diysof issuance or if vork is suspended for 180 days. 2. COHIRACTOR THSTALL1TION ON-I.Y Electrical Contractor Address ciry{Jity4u4LtrZP pncrn Nev Residentlal-Slngle orHulti-Fanily per dvelling unit. Service fncluded: I terns 1000 sq.fr. or less Each additional 500 sq- ftorporti.on thereof Eaclr t{,anuf 'ri i{one. or Hodular.'DvelIing' Service.or Feeder ces or Feederstion, Alterations'ql cat lon: Cos t s 85.00 I l.s.oc $ 4b.OO .00 .00 .00 .00 WP) WD 6r) Z-te 'oc) l5.u o Sum E e Supervisor License Number 55'7 SIG Expiration Date o tr Contr. Nunber ration Dale of Electrician Ovners Address Ci ty OIIIIER .INS?ALIJTION Services or Feedersion, Alteration or ReLocation less s 40.00 400'aaps s 55.00 600 atrPs 1oo0-I6IIts $ 80.00 see n8n affior q. Branch Circuits Ner, .LS.teraticn cr Extension Per Paie1 one circuit ,3 S 35.00 -yEAEaeh Addi tionalCircuit or vith'service t Ior Feeder Perqic S 2.OA E. iliscellaneous (Service/feeder not included) anPs etrqs ct 5. ,,SUBTOTAL OF 52 State Sur or lessto 400 aups -to- 6OO amps - to 1000 anps- anps/volts -Only : s 50.00s 60.00' s100.00 s130.O0 s300.00 s 40.00 2 2 0 The installation is belng made on property I ovn vhilh is not intendedIor sale, lease or ren!, orrnerilsigra ture: -Each installation Pump or irrigation S ignlOu t I ine-Li gh t i "gE-Limited EnergylRes s/o S40 $20 $ 36, DATE ABOVE charge PT eck f,lzrqq e lnlllals RECEIVED B V otaao ;';.. . IOCATI0N 0P INSIALI^ATIOH 7 / .! ?rh Srue* . LSGAL DESCRISTOI{{. - z,?s3l g:lzoo ._-_ ipprud. Pf{! ll .l3-1"-1tr--- CITY OF OFEGO'V SPR. FIELE! D EVELO P M ENT S E R W C ES DE PA RTM E NT 225 FIFTH STREET SPRINGFIELD, OB 97477 (541 ) 726-3753 FAX(541) 726-368e April20, 1998 Jeff Belnap Ordell Construction 360 Shelley Street Springfield, Oregon 97 477 RE; Allowable Signage in the Community Commercial Sign District Dear Jeft This letter is written as confirmation of the Springfield Sign Code in relation to allowable signage in a Community Commercial District (CC). The Community Commercial and Major Retail Commercial D;:trict allows the following signage: (l) Single Businesses: Each business shall be permitted a maximum number of 3 wall signs totaling 350 square feet for all faces. (2) Free Standing, Roof and Projecting Signs. In addition to wall signs permitted above, one sign from this group shall bc permittcd for each development arca. Thc total area permittcd for a frec standing sign, roof orprojectingsignshall be l00squarefeetforonefaceor200square feetfor2ormore facesata maximum of 20 feet above grade. (3) Second Story Businesses. One wall sign per business shall be permitted with a maximum sign display arca of I 2 square feet. Section (2) above that spccifies the allowable signage for freestanding signs refers to a "development arce". A dcvelopmcnt arca as dcfined in the Springfield Sign Code is "The area of a commercial, industrial or rcsidcntial dcvelopment that is contained within a single tax lot." Thc propcrty commonly known as 167 I l Sth Street is located on a singlc tax lot which is shared by other L'usinesses. Because this business shares the one common tax lot, the dcvelopment area is allowed one freestanding sign. Under the current Sign Code, a permit for an additional freestanding sign could not be issued for this development area. Ifyou have any questions, please feel free to phone me at726-3790. Siq5:erely, Lisa Hopper Building Safety Coordinator t1e SPFITNGFIEL() 0ate G 1. LOCATION OF Phone_Lk15_zo fuue.rrisor License Number j?'7)5 Expiration Date Constr Contr. Nu b., I 04 4>1 ?Expiration Date j lL- Signa Electrician l')1 too ON Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONIRACTOR INSTALI.ATTON ONLT Electrical Contractor Address +L+ Gity s Name ,ddress itv W. [r,""rrtt1taro,Phone OITNER INSTALINTTON re installation is being made on'operty f ovn vhich is not intended,r sale, Iease or rent. neri+signature: fE: WORK PERI{IT APPLTCATTON City Job Nun a",Q1 t IIETE FEE SCEEDT'I;E BELOY Nev Residential-Single or Hulti-FamilY Per dvelling unit' Service Included.Items Cost 1000 sq.ft. or less Each additional 500 bq. ft or Portion thereof Each Hanuf'd Home. or Hodular.'Dve1ling' Service or Feeder $ 8s.00 $ 1s.00 s 40.00 B- Services or Feeders Installation, Alterations TnC. or Relocation: $ 50.00 s 60.00 $100.00 $130.00 s300.00 s 40.00 200 amps or less 201 amps to 400 amps -401 amps to.600 amps _601 amps to 1000 amps Over 1000 amps/volts - Reconnect Only IJGATU> .4. Dr. E. Sum Eve C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or less $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - g 80.000ver 600 amps or 1000-v6,I-ts see nB[ a D. (o, p- Branch Circuits Nev, Alteration or Extension per panel one circuit J- $ 3s.oo iEach AdditionalCircuit or vith Serviceor Feeder permi t _(ab $ 2.oo ISE- Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign,/Ou tline Ligh ting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOIAL $ 40.00 $ 40.00 s 20.00 s 36.00 )ET\TED 5 225 FIFTE SIts.EET PERMIT SPRTNGFTEI^D, INSPECTION OFFICE: 726-3759 33a ( N SIGN PERMIT APPLICATION sPalHc FteLo 225 Frl:h Srroer Springlieta. OA 97417 SIT3 EOORESS: ASSESSONS OWNER: ,A 'nspection Line: 726.3769 0lfiee:726.3753 PHONE: (b) Tvpe - Sq. Frc. (d) Tyoe _ Sq. Fto JO8 r"',VaEA C- CITV:t*),LSotsv l/p:STATE:OR ZI?:70 o EUSINESS NAM;, FIfil,.I oESCBIPTTON OF pROpCSEO STGNTS): (orease ch.ck anc comprere alr agrrorr,rra inro166311661 JC *'0.' - Freesrancin' - projecring - Boof --=- !.,rarque. _ Singl6 636s _ Ooubte Focc B;l{board - olher Squarc Focrage:50, Vert;cal 0imcnsion ol sign or enclosure:q3' .Male.ial Sign is constructed ol: Lisr ALL gxi5ling signaia !nd attach ! phorogrrph of ecch sign: Tolar Hcishr abovo Grade: 4Or-O "* Horizontal Wdrh ot sign or enctosure: 35 ' :J fi L:f .I"fl f;:lil,,.'., / g L l, /t,,T:l:.;i,ln:i, :i:"S,#;:;,*.*,,|".0,Jli[l,._ WB7,s _ . (al fype j (cl Tyoe CO NTRACTOA^NSTALLER; AOORESS: CITY: CITY BUSINESS Sign Disr?icr Zoniig: Srqo Perrnit Fe:: sEOUISEO INSPECTIONS: 5,t e G-6iTade p,io, to sigo glacement I luithcr aeree to the gerrn;l card is ol the sign(si. MBER: _ Footing prior to plaaemcnt of concretc Sq. Ftg. Sq. Ft9. REGISTRATION NUMEEN: '/7 0 7 Land Usa: Codc Secrion: Agproved 8y: y' orrrrn^"n, alter fastenars are ioslalled/prior to covet /uo",n,,, (e{ 6t6-?Exa 6-o-?8 AIE: Final ccmplglign 61 3;96 installation PHONS: CONSTAUCTION CONT8ACTORScc6* 77a3o E(PI8ES: OFFICE USE .5' prior to anargizing rleclrical installaCon Bv sigoature. I siate snd aorea, thrt I have carelully examined lhe cornplctcd epplication and do hereby cettify that all intormaljon hereinis l{ue'End cotrect. rnd Lurlhcr cert;fy that any rnd all work geilormed snatt ue oone in ,ccordance ir;tn rnL brai*n"., ot the ciry ofsqtingfieto"and !h' Laws ol rh' stai6 ol oregon penaining to lho work described hercin. I tur(l.er cen;Fy.that only ccn!raciors ardemploiees rrha are in compliroce wilh OAS ?Ol,O55 wiil be used on this project. Addhional Comments and/o, Conditions: ensutc (hat all rgqu;,,6 iospccrions are raquested at the 9toge(time, that proiecr addr8ss is rc!dabte lrcm the street, thailocatcd at lhe fronr of lhc , and lhe approved set o(plans 'ilill re,,nain on tl.€ site at all times durin, thc SiO 6o tur3 Valida aioo:Amounr Seceived:5n 1. Qa Date Paid: \ Ouad Beceipr Nu,nber; 288 6-d Received By: 3- la-7 ( ins tallalicn s-g ztr, _?7O/S p /,4t, - SIGN PERMIT APPLICATION 225 F,t:h Srrcet S2ring liero. OA 97 471 SITi AOORESS: ASS€SSOFS OiIJNEA: AOOn ctrY 8USIN:S S NA.!I:, FIAT,I ffi ip€crio^ Linc: 7ZO.37Ag Offica:726.3759 JO8 NUMA \\N' PHON€: STATE:OR )Sz o-/6 oo ZI?:o o 'AX LOI O€SCBtATiON 0F pROpCSEO StGN(Sl: (gteasa ch.ct anC comrt.re a[ a22rorr1.,a intor63q1s61 JC "r",, - F.eesllncin0 - proiecring _ Bool -- M.rque! -- Singlq [369 _ Oouhte Foce Billboard _ Other Squarc Focraoe: U, - p VerriCal Oimcnsion 6! 5ign 6r enclosure: Y ' . Oimensicn lrom g16 j6 tc borrorn ol Sign Enclosure: lvlalerial Sign is construc(.C o[: List ALL cxisting signai: snd atl6ch a photograph ol orch tion: I g I b ",,i';:l:','i,lf^ll'il#,*f ;Tr-.0u).'or OF SIGNI 8,f 87 e- # Tor.l Hcight abovc Grade:6" Horiu o^lal Wdrh ot sign o, lnctosure: VALUE lb) Type _ sq. Ftc. ldl rvoe ....-._--- sq. Fta. . lal Type j (c) Tvgq CO NTsACTOR^NSTALLER: AOORESS: CITY: Sq. Fts. Sq. Frg. NS REGISTf,ATION IJU}J8E8: s e,(93\ 616,-?gle ZIP;I 70/s- CON STRUCTION CONTAACTOc.c6* 7?d3o E(PIBES: CITY EUSINESS LICENS NUMBSR;70 -3o -I OFFICE USE $ign 0isr?icr: Zoaiag: Us e: Code Aggroved 8y: s OATE: RECUIREO INSPECTIONS: -_ si(e to !e rnade p/ior to,siga gl36gm6n1 I lui(ncr ag..a lo the gerrn;l card is o, the sign(si. _ Focting grior !o plaarm.nt ol concret: / Alcachment aller laslcners ar! installed/prior to cover Y Eicatricrt pricr to cncrgi:ing clectlicrl instoltaCon l/ p',n^r GEiiirion or s;sn initalla tion Bv ti3a3(ute' I rlale rid ao/c', thrt I havc carslully examinec $e complcied epplicalion and do her:by cer!;ly that alt inlorma:ion hercinis truo'r4d cottccl, .dd I lurihc/ ccrlifr tha: aiy .nd all work gulotmed rtratt ie aone in rccordance ir;rn tl" orcjiinaa, ot thc ciry olsqringfietd. nnd th. L.ws ol th. sr.rc ol oregon penainia! to rh6 wo.k dcscribed tcrcin. I ruclg c.niif .irf o-Ji'"-,r".,or, ."6emgioyecs rrM rre in compriEncc wirh of,S 70r,o55 wiir bc used on thi3 Froiect. AdCilional CommCo(S a^d/ar Co^d;a;Ons; cnsurc (hat all rsquils6 iospcciions are r3qu.sled a! lhc aroper time, lhal proiect addrsss iS rcldable lrcm the s(reei, thailoca(ad ai th€ lrcnt ot rhe , and lhc apgroved set ol phns v/i[ rcmain on t Si0 ^! iurc ValiC a iico;Amoun( ffeceived:Dare Paid: naccipt l.iimbc/:7-8K h o Beceived By: Fl siie ar ail limes durin, the instaltlica Alall )ot- SiCn Perrnit Fc:: /,), /4 , - SIGN PERMIT APPLI/..TION 2 25 F,t ih Srrcei Springliera. OR 97 q)7 SITE ADORESS: ASSE SSORS oYrN!fi: AUUdiS CITY: BUSINISS NAME, FIA,II ETC. SPAI}J<i F'ELO JOB Inspecrion Line: 726.3769 Orfice:726.3759 PHONE:\52 o- WA SIATE:OR ZI?:9zo )o LOT; DESCRIaTION OF PROPOSEO StGN(Sl: fgtease ch:ck and ccmpiere all a9prorr,.r. intorrnartc^i JC ur.,, - Freestancin' _ projecring _ Rcof t,taroue: -. Singlg psgg _ Doubtg F36s gillboard _ Othe. Srluare FoctaCe:F ) 5'-6" Ver(icai 0imcns;on ol sign o. e^closure: Oimcnsicn f rom GraCa !c bo(orn ol Sign Enclosure: Total Heighr abovs Grade; Horizonral Widrh of sign or enclosure: ?/) I l,-6 4 ff :I:""j ['I;',:i:"#,#;:i,-.*,,]jo,5bt7ee--ft- VALUE Or StGNr. - Material Sign is construet.d o[: List ALL exisring signai: and auoch r photograph of ecch sign: (al Type (cl Ty96 Sq. Fts. Sg. Ftg. lb) Type-_ Sg. Frs. ldl -fyAe - Sq. FrC. CONTNACTOR/lNSTALLER: ADDRESS: CITY: CITY EUSINESS NUMBER: Sign Disr?iit: Zonihg Srqo Permit Fet FiOUISgO INSPECTIONS: - Sire to bg rnr:Ce prior SEGISTRATION NUi.,IBER: 7 0/37 Land Us2: Code Aggtoved By: OFFTCE USE (-'- _ Attachment alter lasteners ara installed/prior to cover EXPIRES: Elecvical p.ior to anrrgiling clec?rieal installation (s{ 616-?sxa ZlPi 9zo o-8 OATE cornpletion Ol sign installa tion CONSTAUCTION CONTR^CTONSc.c6* 71e3o _ Footing prjor to plaaerncnt L/ Final to.sign. gl3gg6g6t of concretc Aidltiooal Commen(s and/or Condit;ons I luitncr aeree to the permit card is of rhe sign(sl. gY 5igo3(ure, I siar. snd a0,ee, that I have carslglly examined rhe complcicd application and do hersly certily lhat all inlormation herlinis lIUe'rnd coilect, aad I lur!hc/ ce.rify tha! any 3nd all wor,*gulormed shall be done in tccordance *;tn tn" OrOinances ol thc City ofSprin'gfietd, Bnd lhe Laws of rhc Sta!6 of Oregon penaininq to rh€ work described herein. lturrf.cr cen;if.rnu-t o-Ji-"*,r"",or, a"Oemgloiees vrM are in complilncc wirh OBS 701.055 wiil be used on this proiect. ensurc that all rgqrJlra6 inspcctions are reguasted at the proper t;me, that gtoject aCdrass is ,codable lrcm the srieet, thailoca(ed at the lronr o{ rhe , and the approved set o( pbns v/iil remain on !1.€ site ar all t;mes durin€ the instaltalie6 Amoun( Received:o Dato Paid: Ouad Valida rioo: Beceipt li'Jrnber:zsYb 7 Eeceived By: 2-tQ-1 @ 69, 2</ 3-.31s crS ._ a/a',/ - n^*L'? @.9 _. JOB N0. 7Z-z[ ^/-</ AIACHMENT A - 7l/,:. /r.,o,fei>r_fS> CITY OF SPRiNGFIELD SYSTEMS DEVELOP#I,IT CHARGF WORKSHEET €e-e a-/Ea ii 41 /n r-'btf7' L/ i "% oo1 1. NAME OR COMPANY LOCATION /6 7 t /,1,../9 45p DEVELOPMENT rL e *4^G,/r-i //r 2ect .f' BUILDiNG SIZI OT SIZ 1. STORM DRAINAGI^7;iez,o/ Oor/ - A./o, I*7?at1 II,lPERV iOUS St FT a 2. SANIIARY E'ilER-CIT'1 No. oF PFU's & 1J (See Reverse Side) TRANSPORTATION x $0.225 PER SQ. FT 5 Q ,/o ,L.b tEr..eloe Frr*n y'r,br ,r^4 Gao reu:',-as-) X 546. 86 PER PFIJ - ---''/i'-- b t-;; s i l,?grg u. rL s s4 $ r.75r' -$ /3,, Nq QF UNITS X TRIP RATE X COSI PER TRIPt)frxt'Z;; r r-o*sd sqt z qg Lre"l,'tl7 Pu*'>^ "i b;;,'6;it T^rTrr',0 o'n',* onu @rreae) cJ 4. SANITARY SEWER-MhJMC N0. 0F FEU'S _X pER FEU + $10 t'li^lMC/ADl,1 FEt $'* l"lt^lMc CREDIT IF APPLICABLE (SEE REVERSE) TOTAL -MI^JMC SIIC SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FETS BASE CHARGE (SUBIOIAL ABOVE) X .05 rdi nator TorAL suc s ug.2 __L/ , Date /i' i __-______> - I // FIXTURE UNIT CALCUI ATION TABLE: Number or Ne,ry Fi> (NOTE: For remodels, calculate.c._ ihe NET additional fixtures) NUMBER OF FIXTUBE TYPE NEW FIXTURES Bathtub...... Drinking Fountain..... Floor Drain................... lnterceptors For GreaseiOillSolids/Etc................. lnterceplors For Sand/Auto WashiEtc.................. Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More......... Mobiie Home Park Trap (1 Per Traiier) Receptor For Refrigerator/Water StationiEtc........ Receptor For Commercial Sink/DishwasheriEtc.. Shower, Single Stall... Shorver, Gang.. Sinx: 9ar, Commerciai, Residerrtial Ki1cnen............ Urinai, Stail/Wa11................... Wasn Basin/Lavatory, Single. Toiiei, Public installation... Toilei , Private Miscellaneous: Pnbr l);z' - te /?F t/ ? fia,a /,/L/)/?''/e 73 :s X Unit Equivalent = Fixture Uirits UNIT EOUIVALENT FIXTURE UNITS 2 1 2 3 6 2 b b 1 J 2 i /Head 2 2 .I b 4 '42 t 4 UrrnaJ5/ 0r,*r,lq L/a,rl., TOTAL FiXTURE UNITS Based on assessed value. lf improvements occurred after annexation date in rable,CREDIT CALCULATION TABLE caicuiate crecjits separates. Year Annexed Rate per $1,000 Assessed Value Rate per'$1,OOO Assessed Value 1979 or before 1 9EO 1 981 'r982 10e2- 1 984 1 0atr 1 986 $3.97 3.89 noa 3.70 3.55 220 3.20 2.91 '1987 1 988 1 989 1 00n 1 001 1 992 1 004 1 994 't oo; 1 996 )2.30 2.17 1.73 i.5 I 0.92 o.74 0.61 0.45 o.31 o.17 Crecjit for Parcel or Land Only If Applicable lmprovement (if after annexation date) (Rate X Assessed Vaiue) x $__ X$ (Rate X Assessed Value) CREDIT TOTAL s RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential...:............. Commerical lndustrial Governmental... 0.4 0.9 05 o.5 lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT I \L/ -:- ...'..........: a Year Annexed CITY OF SPFINGFIEL OBEGO'V A4/ 2S / g8 11 : 55 tlS Or 726 36Eg SPFD DEY. SER @ ool SPFSl.GFIELO 225 $yn SI.REBT approtat' sBIl{cEtELD, OREGOB 97417 IIISPECIIOII RBOUBST: oPEIGB: 726-3759 1 II,CATTOI{ OP DtsrAdHlfiP Th€lollorrlng prolect a s'bmfiBd lraul!? ilf; ii'd, Jiii'o6u"' nrx reqrlrc rycdia'.ars uca EIACIEICAL City Job Nuaber we ,n (W wtqtxtt wz SCEEDI'I.E BEI'U ITCAL JOB IIESICEIPrION (g -ntt s.'s+ 180 days. 2. @INR,ACTOR ITSTAIJJEON OHLT Erectrical contrac tor Address ?,o.Frv 1.3, cttyCZsyrutts;ls&?horr/jjJ)3;!z-!!iz supervisor Lleense Nuuber 3Fl ^SIF Expiratlon oate, lO -l -cfl - Cons tr contr. Nutrber 7 so Bcpl'ra tloa llate 22-v& Suiervkfag Electrl clasB^- Ovners Address ct Phone ocngR INStAIlautolI The lnstallattoir ts' beirig uade on pioperty f ocn vhlch ls not lntended for sale, Iease or rent- 0rners Sigpatur,e: . l'. :...: :' r. Nev Resldentlal-Slngle or llultl:Fanlly per drelllng unit- Servlce Includedt Items Cost A. Sun: 1000 sq. add ft. or lessitional 5O0 or Portlon $ 85.00 $ 15.00 $ 40.00 sq. ft thereof Bach lianuf'd Bome or Hodular Duelllng Servlee or Feeder B Services or Peeders Installation, Alterations or Reloqation: 200 anps or less 201 aups to 40O alrPs J 401 aups to 600 auPs -_601 anps to 10O0 aEPs 0ver 1000 anps/vo1ts _ Reconneet Only $:o $60 s100 $130 $300 $40 $ 40.00 $ 40.00 $ 2O.o0 $ 36.00 00 00 00 @ 00 00 t C. Teruporary Servlees or'Peeders Installatlonr Alteratlon or Reloeation 200 amps or les-s $ 40.00 iver 600 arops or lb00Efts see 'Bi aE6F D-. Branch Clrcults Nev, Alteratlon of Extension Per Panel one clrcult $ 35.00 gach aaattional' Clrcult or sith Service . or Feeder ,Pgrnlt $ 2.00 E. lltscel}aneous ($errlce/feeder not lncluded) -E8ch Installatlon Punp or lrrigation Stsi/ou t I rnJ Lt gtr t t dEg^ t,lnited Enetgy/Bes -.._ 5. surrumr" oP- lBovB' 5Z'stite Sutclrirge IOIIL oO '7,{b DAIZ:-ta - +iob Adrnjrn $tf,-q,59,