HomeMy WebLinkAboutPermit Building 2005-6-27 (2)
.
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
. CITYOFSPRu'lu1'tELD
Building/Combination Permit
PERMIT NO:COM2005-00356
ISSUED: 06/27/2005
APPLIED: 03/30/2005
EXPIRES: 12/27/2005
VALUE: $ 652,190.00
SITE ADDRESS: 3294 MAIN ST
ASSESSOR'S PARCEL NO.: 1702313104600
Springfield TYPE OF
Warehouse
TYPE OF USE: Addition
PROJECT DESCRIPTION: New storage building with service canopy. Includes addition to locker room.
Commercial
. Owner:
Address:
Contractor Type
General
Engineer
Mechanicai
Plumbing
LES SCHWAB TIRE CENTERS OF OREGON
PO BOX 667 :;:;<<:-'" ~
PRINEVILLE OR 97754 ":<.,.~ -<:,-:;:;
...0\ .c..
~ ',-" " c,<(-.
<J.~~ fSl'CONTRACTOR INFORMATION I
\..~ f.J <x :;:;".
Con$a~t.!'!':0o.~'V Licenseo Expiration Date
<{.. LES'SCI;IW AD'TIRE CENTERS OF OR INC 61280 OV ~$'-'\ ~ 11119/2005
:\~V~~DB,ENGINEERING ~'l>e, ~ -v~ ,o~ "
~,~'" 'XX; i<IfA~~Y~&PIuCE CO r/;.,)l 'l>0;0~ "o'l>' a;d" -01,0/31/2006
~,<~S",.s:sIl.AR~Y & PRICE CO 'h~~ 'J,f>~ e.~'l>o."!>'6 .'>.ec, ,~"'3112006
'r~:;:;~ ,<ov:, , , BUIT>DING INFo~<i--IONi,o';~e ~~~<:J'~o"
~.... I.V' ~\l-",~v o"~' "00 ,eJ. ~(j
# of St..ri~~O~ ~\. '\) ~ o~,e. ~\""O t!;ot Size: .
. ,~,~- . ()' ~'V ,,", c; ~., ..".' ~
H~lil 01;'" cJZ- s:l" it ~o 22~3 :V Sq Ft 1st Floor:
, ~!:ttIfMeati;)'\)" (f>" ,. ~ o~ ".r:,r:,'lJ Sq Ft 2nd Floor:
VB ~QrJ:YI1,@l: ~'I>4, 'l>~eO,'l>~c8><::i Sq Ft Basement:
R~~ !yp~.)v ~'l> c; ~'l> .~" Sq Ft Garage/Carport
EdeiB,,~t1j:,O; ,0' ~rQ' Sq Ft Other:
Sprib~~ ~'l>' ve<:' nla Occupant Load:
.<<:'
,..
I DEVELOPMENTlNFORMATION I
Phone Number: 541-416-5206
Phone
541-447-4136
541-317-2939
541-746-1621
541-746-1621
# of Units:
Primary Occupancy Group:
Secondary Occupancy
, Yrimary Construction Type
Secondary Construction
# of Bedrooms:
Si
5,640
2,080
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Totai:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains
Notes:
1 of 6
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Carport
Estimate
Estimate
Estimate
Use Bid Amount
Carport
Estimate
Estimate
Estimate
Pavlnl!
Fee Description
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
BackOow Device
Building Permll
Encroachment Permit
Fixture
Furnace - Unit Heater
Furnace - up to 100,000 btu
Gas Outlets 1-4
Paving
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
.
. CITY OF SPR.li~\.JNELD
Building/Combination Permit
,PERMIT NO: COM2005-00356
ISSUED: 06/27/2005
APPLIED: 03/30/2005
EXPIRES: 12/27/2005
VALUE: $ 652,190.00
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
$18.00
$1.00
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
2,080.00
32,000.00
161,250.00
71 ,500.00
350,000.00
Value
Date Calculated
$37,440.00
$32,000.00
$161,250.00
$71,500.00
$350,000.00
$652,190.00
03/30/2005
05/05/2005
05/0512005
06/2112005
05/05/2005
Total Value of Project
!..Fpp< PiWLI
Amount Paid
$1,371.11
$843.76
$10.00
$333.46
$136.95
$14.00
$1,225.40
$130.00
$308.00
, $36.00
$12.00
$4.00
$1,378.15
$164.78
$101.40
$45.00
$365.54
$480.87
$14.00
$10.00
$1,236.16
$117.19
$848.19
$150.43
$2,285.26
$518.02
$14,959.36
$45.00
$182.00
$12.00
$45.00
$14.00
Date Paid
3130/05
3/30/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6127/05
6127/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6127/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
6/27/05
2 of 6
Receipt Number
2200500000000000359
2200500000000000359
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
2200500000000000829
. . CITY OF SPRINGFIELD'
Building/Combination Permit
Status: Issued PERMIT NO: COM2005-00356
225 Fifth Street, Springfield, OR ISSUED: 06/27/2005
541-726-3753 Phone APPLIED: 03/30/2005
541-726-3676 Fax EXPIRES: 12/27/2005
541-726-3769 Inspection Line VALUE: $ 652,190.00
Total Amount $27,397.03
I Plan Reviews I
Fire Department Review 03/31/2005 04/13/2005 OK GRG See attached document for Fire
; Department Plans Review
Comments.
Initial Review 03/31/2005 03/31/2005 APP SKG
Planninl! Review 03/31/2005 06/22/2005 APP EMM Development Agreement received.
Site to be built as per approved
Final Slle Pian DRC2004-00033
Public Works Review 03/31/2005 04/19/2005 APP SB LDAP APPROVED for issue.
DON'T ISSUE PERMIT UNTIL
LDAP IS ISSUED. Final Site plan
must show connection of covered
Dumpster area to Sanitary Sewer.
Encroachment Permit application
required for connection to Public
utilities within Public Utility
Easements or for work In the
right-of-way. Fee Included. SDCs
added.
Structural Review 04/28/2005 04/28/2005 10 JMP WE. Received notice from Greg
Robertson that he Is responding
directly to David Harris on Item 2.
David said he will contact Greg
directly concerning deficiencies.
Accepted Item 3 but only received I
copy. Called Greg for a second
copy. Still waiting for all other
items.
Structural Review 05/05/2005 05/05/2005 10 JMP WE. Received response letter
addressing many comments. Called
Cody Conlee and he said he will get
the plumbing and mechanical
contractor data soon. Also received
more drawing revisions and
calculations from Greg Robertson.
Structural Review OS/26/2005 OS/26/2005 10 JMP WE. Received mechanical
Information.
Structural Review 06/21/2005 06/21/2005 10 JMP WE. Received mechanical and
plumbing contractor data and value
of racking system. Still waiting for
racking system drawings and
planning approval. See attached
document faxed to Greg McDonald
giving fees and status update.
3 of 6
. Cu )' VJ< SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00356
ISSUED: 06/27/2005
APPLIED: 03/30/2005
EXPIRES: 12/27/2005
VALUE: $ 652,190.00
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
06/23/2005
06/23/2005
APP JMP
Structural Review
06/22/2005
10 JMP
06/22/2005
Structural Review
03/31/2005
04/1112005
WE JMP
SUB Review
04/04/2005
04/1112005
WE DH
SUB Review
05/05/2005
05/05/2005
APP DH
Received final internal approval.
Electrical contractor and permit to
be supplied before doing any
electrical work.
WI. Received 6 pages of structural
calcuiatlons and 2 drawings from
Rack Design and Engineering for
the storage shelving. Still need
approval from planning.
Received 4/4/2005. See attached 9
structural comments faxed to LenniE
Brant.
JMP called and left a message for
Greg Robertson at R & W
Engineering requesting missing
energy code forms and corrections.
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.
~uirefl Insnertions ,
Site Inspection: To be made after excavation but prior to setting forms.
Ufer Electrical Ground: Install ground rod at footing and call for inspection In conjunction wllh footing and/or
foundation inspection.
Footing: After trenches are excavated.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment Ilems are in
place but prior to concrete.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough In inspections have been approved.
Wall Insuiation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
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 SheathinglNalling: Before covering sheathing with finish material.
4 of 6
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00356
ISSUED: 06/27/2005
APPLIED: 03/30/2005
EXPIRES: 12/27/2005
VALUE: $ 652,190.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ceiling Grid: After drywall approval but prior to cover.
High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide Inspection
results to City Building Inspector.
Final Fire Department. After all requirements of the Fire Department have been met.
Finai Building: After all required inspections have been requested and approved and the building Is complete.
Rough Grading: After gravel Is In place but prior to placing concrete.
Final Paving: After paving is complete.
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.
Backl10w Device: Prior to covering and provide a copy of the test report on slle at the time of inspection.
Rough Gas: After line Is Installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Finai Gas: When all gas work is complete.
Final Mechanical: When all mechanical work Is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy Inspections have been requested and approved.
SUB 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
5 of 6
.
.
CITY OF SPKll'lut<IELD .
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00356
ISSUED: 06/27/2005
APPLIED: 03/30/2005
EXPIRES: 12/27/2005
VALUE: $ 652,190.00
By signature, I slate 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 wiD 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, tha e permit card is located at th..s front of the property, and the approved set of plans wiD remain on the site
at all times p"';~,' constructip# / er' /'
/{/~ ~ ~~1..tJ!.
Own.(.or-Cont~:ctors Signature Date
6 of 6
City of Springfield
Community Services Division
225 Fifth Street
Springfield, OR 97477
Telephone: (541) 726-3759
Fax: (541) 726-3689
COl--J\ L.o05- OO~Sb OS-OS-oS
Building Permit # ' Date
~...w ~~ .b~(""I~tAVI~A
Projec1Title """""-"'Tv
~ /'I\?1Y1 ~. -
. ' Project Address
Special Inspection and Testing
To applicants of projects requiring special inspection or testing as per Section 1701.5 of the Oregon Structural Specialty Code. Please review the information below. When you have
finished, acknowledge an understanding of the information by signing below, and return this form to the City.
BEFORE A PERMIT CAN BE ISSUED: The owner or owner's representative. on the advice of the responsible Project Engineer or Architect, shall complete, sign, and submit to t.
City for review and approval this form completed on both the front and back.
The owner and General Contractor, where applicable, shall also acknowledge the following conditio!lS applicable to Special Inspection and/or Testing.
1. Contractor is responsible for proper notification for the Inspection or Testing of items listed.
2. Testing laboratory shall take appropriate samples and transport them to their laboratory for proper evaluation or testing,
. Copies of all laboratory reports and inspections are to be sent to the City by the Testing Agency.
4. Special Inspector shall provide inspection reports to the ~uilding official of all inspection activities.
3. Special Inspection Agency is to submit names and qualifications of on-site Special Inspectors to the City for approval.
5. Contractor is responsible to review the City approved plans for additional inspection or testing requirements that may be noted:
BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The Special Inspection Agency shall submit to the Building Official a statement that all items requiring .
inspection have been fulfilled and reported and were to the best of the inspector's knowledge, in conformance with the approved plans, specifications and applicable workmanship
provisions. Those items not tested and/or inspected shall be noted in the statement. The report is to be submitted to the City prior to a request for final inspections.
---
O'Yner Nl\me (prin.wdl_A , r.-
lA- N I'-l , 'Z- (~rz.--r-> \ -
L- (6 "i..-NCD, ~c..i
Engineer or Architect Firm (Printed)
r:a lESn~ (. of :TNsP.
Testing Laboratory Name (Printed)
~
a..... ~
(J.......-.--~
lft~~P6~IC"),~Iz..(O
Gen. Contractor Firm Name (Printed)
~~ i!:JvJN'LL
General Contractor Signature
FEI TE5T'II-IG ...:TI.Is.P.
... Sneciall~ectililTM\"...,.,~me (Printed)
--1 ~"\<;> ~".-
Building Official Name (Printed) -
/h.,~~
~;::J.~)A~n~y :7
Building Official Signature
Reinforced Soncrete. Gunite. Grout ane ~ortar:
Concrete Gunite Grout Mortar
Precast/Pre-stressed Concrete:
Piles Post-Tens Pre-Tens
Cladding
SMOKE CONTROL:
Leakage testing
Control Verification
ROOFING:
Insulation installation/R-Yalue"
Test strips/seams
SPECIAL INSPECTION AND TESTING SCHEDULE
Aggregate Test of Mix Design
Reinforcing Test
Mix Design-Weighmaster Cert."
Reinforcing Placement
Continuous Batch Plantlnspecl.
Insoect Placing
Cast Samples
Samples (Pickup/Delivered)
Comoression Test.
Aggregate Tests
Reinforcing Tests
Tendon Test
Mix Designs.
Reinforcing Placement
Insert Placement
Concrete Batching
Concrete Placement
Installation Inspection
Cast Samples
Pick-up Samples
Compression Tests
FIREPROOFING:
Placement inspection
Density tests
Thickness tests
Inspect batching
AIlOlTIONAL !NSRUCT!ONS, OTHER TEST, & INSPECTIONS:
S", L ~S 4-:_CI:'IOr-..' -?4..a... (':"'LOIU---u'
o
G~9ING, EXCA Y A TION, AND FILL
l' Acceptance tests" It;,() 0 PSF
Establish final grade
V' Fill placement inspection/continuous
''f- Soil Density
STRUCTURAL STEEL/WELDlNG:
Sample and test (list specific members below)
Shop material identification (mill cert)
Weld inspection _Shop _Field
Ultrasonic inspection _Shop _Field
'f High Strength Bolting Shop _Field
A325 )LN _X
A490 _N _X
Metal deck welding inspection
Reinforcing Steel welding inspection
Reinforcing steel mill certificate
Metal stud welding inspection
Concrete insert welding inspection
Moment resisting steel frames
F
F
.
.1
I
STRUCTURAL WOOD:
Shear wall nailing inspection
Shear wall anchors
Inspection ofGlu-Iam fab. " T/C psi
Inspection of truss joist fab.
Sample and test components
Fabrication welding of steel accessories
.
MASONRY
Special inspection stresses used" fm f g
Preliminary acceptance tests (masonry units, wall prisms)
Subsequent tests (mortar, grout, field wall prisms)
Placement inspection of units, and reinforcement
Masonry, mortar, grout, and reinforcing steel certificates
F ~ , d' I.ID C;..V'_ '\ ~[....
orm Lompleie oY. - '0 -i'^-i --, --
~Da...- \
.A fz.. 1_<:.'
Date T, //u-"
.PROYIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCA TlON OF VALUES
~ AITACHMENTA
CITY 0 GFIELD SYSTEMS DEVELOPMENT CHARGE -A:sHEET
JOURNAL OR JOB NUMBER: COM2 5-{)0356 ...
NAME OR COMPANY: LES SCHWAB TIRES
LOCATION: 3294 MAIN ST
MAP & TAX LOT NUMBER: 17023131 04600
DEVELOPMENT TYPE: Additional TIRE AND PARTS WAREHOUSE
NEW DEVELOPED AREA (S,F.): 5000
NEW COVERED AREA (SF): 2000
TOTAL DEVELOPED SURFACE (S,F.):
43.256
lTE:
lTE:
LOT SIZE (S.F.):
150
151
157.705
. ;~ ',~
;~. t", l.:.
i"';;.i';) :~'t:~ "::~:,ri
':1i;'.~:i:c ~:'~]
~~~.OO ~ '~,~~..>~
k/Y,.,{."~
r:-\;~<'!
1 ~TORM DRAINAGE
IMPERVIOUS SQ. FT. 48256
$ 0.310 PER SF
x
~::",'.
l~_.
TOTAL STORM DRAINAGE SDC:1
. "
$14,959.36 ~~~7~
2 SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
20
x
$ 24.04 PER DFU
x
$ 18.28 PERDFU
20
TOTAL WCAL SAN-SEWER SDC:' $
846.41 I $
3 TRANSPORTATION
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST:
5.000 x 4,96 x $ 18.30 PER TRIP x 0.95 NTF 1$ 431.11 I
B. IMPROVEMENT COST:
5.000 x 4.96 x $ 80.72 PER TRIP x 0,95 NTF 1$ 1.901.82 I
EXISTING
A. REIMBURSEMENT COST:
2.000 x 2.5 x $ 18.30 PER TRIP x 0.95 NTF 1$ 86.92 I
B. IMPROVEMENT COST:
2.000 x 2.5 x $ 80,72 PER TRIP x 0,95 NTF 1$ 383.43 I
TOTAL TRANSPORTATION REIMBURSEMENT SDC:' $
TOTAL TRANSPORTATION IMPROVEMENT SDC:' $
TRANSPORTATION SDC:' $ 2,803.28 ~ $
$480.87
$365.54
84.6.41
518.02
2,285.26
2,803.28
4 SANITARY~EWER-~
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 5,000
B. IMPROVEMENT COST:
NUMBER OF FEU's 5.000
1$
117.191
x
$23.44 PER FEU
1$
1.236.161
x
$247.23 PER FEU
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
0.000
x
$14.06 PER FEU
1$
x
$148.34 PER FEU I $ I
INDUSTRJAL STRENG1B INCREASE 1 $
TOTAL MWMC REIMBURSEMENT FEE:1 $
TOTAL MWMC IMPROVEMENT FEE: $
MWMC ADMINlSTRA TlVE FEE:I $
TOTAL MWMC SDC:I $ 1,363.34 \ $
.,.._,~~
~.._ .~_ M
I $ 19.972.39 ~
0,000
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
"
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5 ADMINlSTRA TlVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
$
19,97239 x 5% S 998.62
TOTAL TRANSPORTATION ADMINISTRATION FEE:' $
TOTAL SEWER ADMINISTRATION FEE:' $
stew.... W. B.ea"~ri:J B.arv..tS 412012005
.;:,'r':';~~S>~CHWAB TIRE WAREHOUSE. ~N ST.xls
TOTAL SDC CHARGES
11'7.19
1,236.16
10.00
1,363.34
",
;;;:~; :
109,3
, '
'.1054 '
.'j,nl':'~
r!954'
1055,
(:1056 '
--
,;,:'.,,-,:"""'"
", ..
150.43 1078..
8411.19 ']079.
rs- 20,971.01
c
1 JULY 2004
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVAlENT - DRAJNAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET AuUJ llUl iAL FIXTURES)
LES SCHWAB TIRES
FIXTURE lYrE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASEl0ll1S0LIDSIETC.
INTER\ocr. u~ FOR SAND/AUTO WASHlETC.
LAUNDRY 11JB
CLOTIIES W ASHERlMOP SINK
CLOTIlES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RE""r 'UK FOR REFRlGERATOR/WATER STATIONIETC.
RECEPTOR FOR COMMERCIAL SlNKI DlSHWASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIOOUBLE LAVATORY
SINK: SINGLE LAVATORYIRESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET. PRIVATE INSTALLATION
MISCElLANEOUS:
NUMBER OF EDU'S.
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
I
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
DRAINAGE
FIXTURE
UNITS
o
1
6
3
o
2
o
o
o
o
o
o
o
o
o
o
2
o
6
o
"
1
2
I
2
20
o
o
20
RATE PER SI,OOO
ASSESSED VALUE
- :- ~~; $1.59.'
, ,,'$1.45
,. ;'$1,25')
$1.09
.'.. - '$0",92,
'$0.72,
$0.48
, $0.28,'
$0.09
$0.05
$0.00
$0.00
$0.00
TOTAL DRAINAGE FIXTURE UNITS=
~EDU (Equivalent DwelJinR Unit) is B ~ eouivalcnt to a simde familv dwelli~ (20 OM set 81167 fl.8llons per day
CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE iN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
1979 ",before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER SI.000
ASSESSED VALUE
~ $5.29 ,
$5.19'
$5,12
'$4,98
$4.80
$4.63
$4.40
'$4:07
. $3.6,t'
, $3.22{
$2.73
$2.25
$1.80
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
C0M200S-00356. LES SCHWAB TIRE WAREHOUSE. 3294 MAlN ST.xls
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
x
X
CREDIT TOTAL
SO.OO
SO.OO
SO.OO
1 JULY 2004
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
G~
WiL
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005000356
COM2005-00356
COM2005-00356
COM2005-00356
CbM2005-00356
COM2005-00356
COM2005-00356
CbM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
COM2005-00356
~ayments:
Type of Payment
Check
:1
;i
,
.,
6/27/2005
;,
RECEIPT #:
2200500000000000829
Date: 06/27/2005
Description
Sanitary Sewer - improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
Encroachment Permit
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC Sanitary/Storm Admin
SDC Transpo Admin
Sanitary Sewer Each Addtl 100'
Fixture
Paving
Furnace 0 up to 100,000 btu
Furnace - Unit Heater
Vent Fan
Gas Outlets 1-4
-Mechanical Issuance Fee-
Building Permit
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddU 100'
Backflow Device
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
PaId By
LS CONSTRUCTION CO.
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
jmp 0532757 In Person
Payment Total:
Page I ofl
9:27:58AM
Amount Due
365.54
117.19
1,236,16
10.00
130.00
518.02
2,285.26
848.19
15D.43
14.00
308.00
1,378.i5
12.00
36.00
12.00
4.00
10.00
1,225.40
164.78
101.40
136.95
333.46
45.00
45.00
14.00
45.00
182.00
14.00
14,959.36
480.87
$25,182.16
Amount Paid
$25,182.16
$25,182.16