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HomeMy WebLinkAboutPermit Building 2006-6-6 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line * . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00447 ISSUED: 06/06/2006 APPLIED: 04/13/2006 EXPIRES: 12/06/2006 VALUE: $ 1,488,206.00 SITE ADDRESS: 5000 Main St ASSESSOR'S PARCEL NO.: 1702333203900 Springfield TYPE OF WORK: Bank TYPE OF USE: New Commercial PROJECT DESCRIPTION: New branch office, ,\-. ,~, _,~'V ,,"'" NORTHWEST COMMUNITY CREDIT'UNION PO BOX 70225 ,,,,,<:-~,\ 'I:? ~ EUGENE OR 97401 ,f:y~..'0.f:0.'<.'0 ,0' x,;<~~ ~~2~~TRACTOR INFORMATION I _-:;.,~ ~<:i:- ':Iv" Contractor Type .:~O!!tr~tot:';)..~ ~~. License Expiration Date Architect ,~'ROBERTSON1SHERWOOD/ARCHITECTS 0,),-010."\ General ~;, ~M~~;Kt~ZIE3:;OMMERCIAL CONTRACTOR45~~?-,~ ')\,:i"" _07/21/2007 Electrical ",'0 ,~CRfIF;~Dc ELECTRIC 3~8.7~~',')" .;.' .~~'\~J/2 1/2007 Mechanical '0COMFORT FLOW ~\ \<'460:'- .,\'" ,\;1',0",'06/27/2007 Plumbing TWiN RIVERS PLUMBING INC ~",'7.'...~h.~95\,,-<;'-~\'<,'113IIJI2007 BUILDING INFORMATION.';', 0" '.: .':..,:Y' -<.,O~ ~ 1;(f) '0\' \J \"....\..1. ,- -,<~' .\', '\. . # of'Stones:.,S'=' :j' .' v, ,'Y .. I' 'Lot SIZe: !\."'.I' ,)' \" .. \J .,>\ '_ . ," (.J \.",e!g,~t"of.~t~'J5tu~"-F ,. ~^c23~~9;v Sq Ft 1st Floor: Trpe o!Hea.t: ,'\" ", " ,_ 'J,Gas Sq Ft 2nd Floor: Water :ry"e~v' ,,',,' '- ," Gas Sq Ft Basement: ,..... (.. -..... ,,\ ,',-, .'-;) RangeType: ' " 'J' " ' Sq Ft Garage/Carport " r.' '.' " .J Energy"P~!h: ,:.. (J""v Path I Sq Ft Other: Sprinkled Building: n/a Occupant Load: ,.. Owner: Address: Phone Number: 541-747-4231 Phone 54 I -342-8077 541-343-7143 541-686-8612 541-726-0100 541-688-1444 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B 5,178 VB 840 139 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I of6 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Pavine Tvpe of Construction Estimate Use Bid Amount Fee Description Plan Review CommlInd/Public Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 100/0 Administrative Fee + 8% State Surcharge Addressing Assignment Air Handling Unit Up to 10,000 Appliance Not Listed Backflow Device Building Permit Curbcut - Additional Driveway Curbcut Permit Curbcut Repair Curbcut Repair Curbcut Repair Encroacbment Permit Fire Fee - Non-Residential Fixture Furnace - more than 100,000 Furnace - up to 100,000 btu Gas Ontlets 1-4 Paving Plan Review Comm/IndlPublic Plan Review Fire & Life Safety Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtl 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00447 ISSUED: 06/06/2006 APPLIED: 04/13/2006 EXPIRES: 12/06/2006 VALUE: $ 1,488,206.00 I Valuation Descriotion J $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 1,237,636,00 250,570.00 Value Date Calculated $1,237,636.00 $250,570.00 $1,488,206.00 OS/26/2006 OS/26/2006 Total Value of Project J{pp~, ~ Amount Paid $2,691.42 $1,656.26 $10,00 $666.46 $408.65 $31.00 $16.00 $36.00 $28.00 $4,264. I 5 $40.00 $80.00 $10.00 $10.00 $10.00 $130,00 $500.00 $294.00 $15.00 $24.00 $4.00 $1,056.40 $6 I 0.52 $375.70 $45.00 $533.85 $702.06 $70.00 $10.00 $ I ,854.23 $175.78 $410.80 $3,542.3 I $56,262.92 $12,755.35 Date Paid Receipt Number 2200600000000000465 2200600000000000465 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 4/13/06 4/13/06 6/6/06 6/6106 6/6106 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6106 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 Paee 2 of6 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each AddtIIOO' Vent Fan Water Line - 1st 50 Feet Water Line - Each Addtl 100' Total Amount Paid $96,409.80 Fire Department Review 04117/2006 Initial Review LDAP Review 04117/2006 05/04/2006 LDAP Review Plan Review Comments 06/01/2006 Plan nine: Review Public Works Review 04/17/2006 04117/2006 Public Works Review 06/01/2006 Revised Plan Review - Fir 05/04/2006 Revised Plan Review - Pia Revised Plan Review - Pu 05/04/2006 05/04/2006 Revised Plan Review - Str Revised Plan Review - SU 05/04/2006 05/04/2006 $6,767.94 $45.00 $140.00 $12.00 $45.00 $70.00 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 I Plan Reviews I 05/31/2006 04/17/2006 05/04/2006 06/01/2006 OS/26/2006 04/24/2006 05/04/2006 06/01/2006 05/31/2006 05/II/2006 05/30/2006 05/12/2006 06/05/2006 OK GRG APP SKG 10 VRJ APP VRJ 10 JMP APP EMM WI SB APP SB OK GRG APP EMM APP SB 10 JMP APP DH Paee 3 of6 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00447 ISSUED: 06/06/2006 APPLIED: 04/13/2006 EXPIRES: 12/06/2006 VALUE: $ 1,488,206.00 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 2200600000000000750 See attached document for Fire Department Plans Review comments. LDAP plans submitted 5-3-2006 and are under review. LDAP issued 6-1-2006. WE. Received response from John Bramwell. Left a voice mail for him to inform him that the special inspection forms must be completed before permit issuance. Sarah Summers Planner LDAP submitted. LDAP required to be issned before this permit. SDCs added. Curbcuts added, curbcut c1osures(3) added, Encroachment fee added, Encroachment permit application required before working in City ROW or within Public Utility Easement. ODOT Facility permit reuqired. LDAP LDP2006-00068 ISSUED. Encroachment permit application required prior to work in right-of-way or within Public Utility Easements Addendum I. Revised Plans Review: Credit Union branch, Site work modifications. Job #COM2004-00447. Plans appear to meet fire code requirements. Addendum I. Addendnm I. Nothing changed affecting PW. No new SDCs. Addendum I. Addendum I. . .CITY OF ~rKlr~'-'NJ'.LD Building/Combination Permit PERMIT NO: COM2006-00447 ISSUED: 06/06/2006 APPLIED: 04/1312006 EXPIRES: 12106/2006 VALUE: $ 1,488,206.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 05/0212006 05/1212006 WE JMP See attached documents for 14 structural comments faxed to Carl R. Sherwood. Strnctural Review 06/05/2006 06/05/2006 APP JMP Received final internal approval and completed special inspection forms. SUB Review 04/17/2006 06/05/2006 APP DH 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. ~l~tilnlnCi"'J Erosion/Grading Inspection: Prior to gronnd disturbance and after erosion measures are installed, Curbcut - Close & Repair: After forms are erected but prior to placement of coocrete. . Final Paving: After paving is complete. Underslab Plumbing: Prior to filling the trench and including required testing, Underfloor Plumbing: Prior to insulation or decking. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. SUB Insulation Vapor Barrier: To he called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved, SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Paee 4 of6 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2006-00447 ISSUED: 06/06/2006 APPLIED: 04/13/2006 EXPIRES: 12/06/2006 VALUE: $ 1,488,206,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete, Curbcut - Second: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to settiug forms. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. . Footing: After trenches are excavated. 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. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Iusulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Masonry: 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 of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof SbeathinglNailing: Before covering sbeatbing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Boilding Inspector. Final Fire Department. After all requiremeuts of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Paee 5 of6 . Status' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-37691nspection Line . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00447 ISSUED: 06/06/2006 APPLIED: 04/13/2006 EXPIRES: 12/06/2006 VALUE: $ 1,488,206.00 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. /!X;1/tTI'/W(.,-; /U~,...,.,./\..." ?tV ~ 4 Owner or Contractors Signature ~L Paee 6 of6 t?y06j06 Date 0 .. .... .. .. "- .. .. f " .. - .. .. - ;l "- ~ " .. .. .. ... .. ... , ~..PAINGFIELD , , (;j!YcfS~iDlr~j CuJ:lanWty S<JV~t5 Divisi." US Ydlb Sfra:l Spnn&fiekl, DR rnm T clq>haJe: (ill 1) 126-3759 1'ax: (541) JU.~6U Cor-A. "Z.oOb - CO dr o."l --~ ~-S-Ob B-oiWiog 1.noU Dile_ N b.) Co~t'l\l r-ll 't~ C.~E.tl.l \. chlc !leL I'IlIjocL TlIlo 5000 M.. 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TCBI Mix De!liR:DS* RcJnfor?wt Placement Insert PIZlc-emc:n1 Concrete BatclWnf! Conr:n:Ie Plac:cmc:nt I11stallEl.oon m~DeCriDn Cos. Snrool.. Piek-uo SamDlcs Comoression T est3 I'IREPROO\llNG: Plaa:mtJrt inspectjon Demity teslS ThicJmeSJ tests Inspect balching ADDIT~NAL INSRUcnONS, 07HER TEST, & INSPECTIO;'!S: GllADING, E.'(CAVATION, AND nLL AccepllUtCe le.15 · PSF EslabliJtt final pe Fin 'pl8l:cm<nt inspeclion/conlinuous Soil Deosily STRUCTURAL STEEUWELDING: Sample ODd I.... (list specific members belOlV) Shop IllllIeriol ideoliOcalion (milllZrt) '!>l IVeldiosp<<:lion _Shop Afi.ld Ulrn..ooK: inspecli.D. _SI1op -"ield Hi&h Strenglh Bolling_Shop _Field A32S N X A490 -1'1 -X ~ MeI8l deck welding inspcc1ion - Reinforcing Slcc:1 weldiDg jaspection Rei.forcing sleel mill certifica., Mdnl st\ld \VeJding inspec;LjOQ _ Concrete ,nsert welding inJpcetion Mommt resisting sl<:cll'nnn.es STR1JCI11RAL WOOD: Shear....O ...1lng impedioD SIlcar ",,0 BnOhars Inspection of.Olu-hun filt>. . TIC psi InspeclioD of."""'joisl fub. Sample aod l\OSI comp.DCOlS fabrication welding of mel ~ssories c '" .. 111 en ..... "- .... ... '" .... ..... "- '" .. '" '" '" '" .... .... ... !':' .. 111 .... ... ~ .... en ... '" ~ '" .. w ,... - _F _F '" o '" '" ~ '" C) 0 ... z ~ ;;; ,0 [ll " ~ ~ g ~~ MASONRV Special ins""cIion slr.....lJSI:d> fm fg PreliminaJy acceptance tt:Sl;s (lWlSOmy units.. '"r0Ll1 pri.sms) SlJbseqU<ll' tests [mortar, groul, field wall prisms) Placcmtnt inspection or\lni~, and reinforcemcot Masonry, monar, grout, and reinforcing steel certificntu Form completcdby~flfIJ ~MIYfJ.L D.te~" .PROVIDE STRENGTH REQUJ RED BV ARCHITECT OR ENGINEER OR COllTRACT DOCUMENT LOCATION 01' VALUES " t> fi1~ .. '" .. '" en ATTACIlMENT A CITY OF SPRlNGFIEW SYSTEMS DEVEWPMENT CHARGE WORKSIlEET JOURNAL OR JOB NUMBER C0M2OO6-0044 7 NAME OR COMPANY: NW Communitv Credit Uoioo LOCATION: 5000 Main St MAP & TAX WT NUMBER: 17 0.. 3332 03900 DEVEWPMENT TYPE: Driv_ Thru Bank NEW DEVEWPED AREA (S.F.): EXISTING DEVEWPED AREA (S.F.): TOTAL IMPERVlOUS SURFACE (S.F.): STORM DRAINAGE IMPERVlOUS SQ, FT. . . 5.000 s.f. (15.200) s.f imperv 31.132 lTE: ITE: WT SIZE (S.F.): 912 210 56.990 20.932 x $ 0.323 PER SF TOTAL STORM DRAINAGE SDC:I .,:' .;:.:; :a .;::. ,"" "- 80, .!l ~ IE u uS, ';'-8 o,:5,~ ,tU ~ 8 $6,767.94 $6,767.94 N78 3 TRANSPORTATION BLDG AREA TGSF x TRJP RATE x COST PER ADT x NEW TRJP FACTOR NEW A. REIMBURSEMENT COST: 5.00 x 246.49 B. IMPROVEMENT COST: 5,00 x 246.49 EXISTING P. REIMBURSEMENT COST: -1.00 x 9.57 B. IMPROVEMENT COST: -1.00 x 9.57 ;LS1-NTTARY ~FWER.r.t'IT A. REIMBURSEMENT COST: NUMBER OF DWs B. IMPROVEMENT COST: NUMBER OF DWs (SEE REVERSE SIDE) 28 28 x $ 25.07 PER DFU x $ 19.07 PER DFU $ 44,14 TOTAL LOCAL W ASTEW A TER SDq $1.235.91 I x $ 19.09 PER TRJP 0.55 NTF x 0.55 NTF $12,938.01 1 $57,068.63 1 $ 84.19 PER TRJP x x x 5 19.09 PER TRJP NTF x NTF ($182.66)1 ($805.71)1 x $ 84.19 PER TRJP 5 103.28 x 4 SANITARY SEWER - MWMC NEW: p. REIMBURSEMENT COST: NUMBER OF FEU's 5.00 B. IMPROVEMENT COST: NUMBER OF FEU's 5,00 EXISTING: P. REIMBURSEMENT COST: NUMBER OF FEU's -1.00 B. IMPROVEMENT COST: NUMBER OF FEU's -1.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDq $ 2,040.01 SUBTOTAL (ADD ITEMS 1.2.3,&4) $79,062.141 5 ADMINISTRATIVE FEES' BASE CllARGE (SUBTOTAL ABOVE) $ 79,062.14 _ x 5% , $3,953.11 TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SEWER ADMINISTRATION FEE: 5 s;,.... P? ~ e..- SDC COORDINATOR TOTAL SDC CHARGES C0M2006-00447, NW CCU. 5000 Main Stxls 5/412006 DATE 50.00 1054 $175.78 1186 $1,854.23 1187 $10.00 ,1-189 52,040.01 ~ 3.542.31 H75 410.80 i190 583,015.24 1 JULY 2004 . . DRAINAGE FIXTURE UN! ," (DFU) CALCULA TION TABLE NUMBER OF NEW FIX11JRES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NW Communitv Credit Union FIXTURE TYPE BA TIlTUB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASElOlUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO W ASHlETC. LAUNDRY TUB CLOTIIES W ASIlERJMOP SINK CLOTIIES WASIlER - 3 OR MORE (EA) MOBILE 1l0ME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRlOERA TORIW A TER ST A TIONIETC. RECEPTOR FOR COMMERCIAL SINKI DISIlW ASIlERIETC. SIlOWER, SINGLE STALL SHOWER. GANO (NUMBER OF !lEADS) SINK; COMMERCIAL, RESIDENTIAL KJTCIIEN SINK: COMMERCIAL BAR SINK: WASil BASINIDOUBLE LAVATORY SINK: SINOLE LAVATORYIRESIDENTIALBAR URINAL, STALUWALL TOILET. PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MtSCELLANEOUS: NUMBER OF EDU'S' FIX11JRES NEW OW I UNIT EQUIVALENT 3 1 3 3 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 3 I o 4 4 TOTAL DRAINAGE FIXTURE UNITS- 'EDU (Equivalcot Dwclling Unit) is a discharge equivalcot to asinl\le family ,~g (20 DFU) set at 167 oaIIons per day - . ... CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR ANNEXED RATEPERSI.OOO ASSESSED VALUE S5.29 S5.19 ,S5.12 $4.98 s4.8q( $4.63" $4.40 " $4.07, S3.67 ,S3.22, $1.73, $1.2f, Sl.80 1979 or before 1980 1981 1982 1983 t984 1985 1986 1987 1988 1989 1990 1991 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) C0M2006-00447, NW CCU, 5000 Main 5t.xls YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATEPERSI,OOO ASSESSED VALUE ,-.. SI.45 " S1.25, :', SI.09 , ;:'SO.92", SO.72 SO.48. -' ;SO.2~ , SO.09 ~ "..SO.05, , ,~:,~ ,SO.OO , : SO.OO SO.OO' "'..,", x x CREDIT TOTAL DRAINAGE FIXTURE UNITS -3 I o o o o 3 o o o 3 o o o o o 3 o 24 -3 o o o 28 SO.OO SO.OO SO.OO 1 JULY 2004 2.25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ~of Springfield Official Receipt _Iopment Services Department Public Works Department JoblJournal Number COM2006-00447 COM2006-00447 COM2006.00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 cOM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 , COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 COM2006-00447 Payments: Type of Payment Check cReceintl RECEIPT #: 2200600000000000750 Date: 06/06/2006 Description Fire Fee - Non-Residential Addressing Assignment Curbcut Permit Curbcut - Additional Driveway Curbcut Repair Curbcut Repair Curbcut Repair Encroachment Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDc Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet Waterline - Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Backflow Device Paving Building Permit Plan Review Commllnd/Public Plan Review Fire & Life Safety Furnace - up to 100,000 btu Furnace - more than 100,000 Vent Fan Gas Outlets 1-4 -Mechanical Issuance Fee- Air Handling Unit Up to 10,000 Appliance Not Listed + 8% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received NORTHWEST COMMUNITY jmp 1323 112 In Person CREDIT UNION Payment Total: Page I ofl 2:23:23PM Amount Due 500.00 31.00 80.00 40.00 10.00 10.00 10.00 130.00 6,767.94 702.06 533.85 12,755.35 56,262.92 175.78 1,854.23 10,00 410.80 3,542.31 294.00 45.00 70.00 45.00 70.00 45.00 140.00 28.00 1,056.40 4,264.15 610.52 375.70 24.00 15.00 12.00 4.00 10.00 16.00 36.00 408.65 666.46 $92,062:12 Amount Paid $92,062.12 $92,062.12 6/6/2006