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Home My WebLink AboutPermit Building 2003-7-29 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . ClTY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00504 ISSUED: 07/29/2003 APPLIED: 06/16/2003 EXPIRES: 0112912004 VALUE: $ 43,000.00 SITE ADDRESS: 2155 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254201200 Springfield TYPE OF WORK: Tenant Inlill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Quiznos Restaurant Owner: POLEN DEVELOPMENT LLC Address: 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor SUB DUDES INC DBA QUIZNOS MCINTYRE CONSTRUCTION INC 3550 JB ELECTRIC 104~\0 COMFORT FLOW 'tJ (aI:\UI'460 \.I\\\i\'1 TUCKER PLUMBING C9,.l'I{aQO\'\ Ie. ''''''' O((I'O!lF01A\ \0(\ 1'0\\ c, ~ijuiLDlNG~tNFORM..4:TioN:.a5'2:~.lV \. '\OVJ ,-' ce\'\\"" ",(O\.l\,\'" ,"'e (U\eS 10' \iO\'\ ~"'10\I'. Sol ". one . ,\iliCa. ~~~ !itorl~!; cO\>,6 \a\a\>\'I. n Lot S",e: At300p...f', 95'lHeight-Of'StPuctur.!". \\'Ia "'o\i\iCa.\IO Sq Ft :1st Floor: \n ",0".",\,..-,'.. \\"V' '\\" ,.. . 090. 10-~\~~l\:,C!frmat:. on \.1\\,., 0.0.). Sq Ft.:nd Floor: VNJ ca.\\in9 ~~1,\~,!iy'jje!)9 0.'3'32.2'3 Sq Ft lIasement: u~beR!'~~~J:Y.l!o!:.eo Sq Ft Garage/Carport n Energy Path: Sq Ft Other: Impen'ious Surface Area: Contractor Type Applicant General Electrical Mechanical Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-579-4222 I CONTRACTOR INFORMATION I License Expiration Date Phone 541-337-3281 541-687-2841 541-687-5770 541-726-0100 541-343-8008 10/08/2003 03/] 4/2004 06/27/2005 11/07/2004 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: f 1\1c V.JOHl\ M.I)"nr.E.'. 'l~~' c't/PIRc 1- W. ,,;\i I PUBLI~iMBRO\iE~Ni$'IR 1\1\S ?t~EO'fOR (1.\.1\ h~E;CcO OR IS (1.~~PW~lk Type: ~~~ 180 0(1.'( \lcRIOO'DownspoutslDraIIls: Page 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Estimate Use Bid Amount Estimate Fee Description Plan Review CommlIndlPublic Plan Review Fire & Life Safety -Mechanical Issuance Fe..... + 10% Administrative Fee + 70/0 State Surcharge Backflow Device Building Permit Exhaust Hoods Fixture Furnace - more than 100,000 Gas Outlets 1-4 Planning Final Occy Inspection Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Reimbursement SDC MWMC Reimbursement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Improvement SDC Transpo Improvement SDC Transpo Improvement SDC Transpo Reimbursement SDC Transpo Reimbursement Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less . I Valuation Descriotion I $ Per Sq' Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 40,000.00 3,000.00 Total Value of Project ~ Fpp< ~ Amount Paid $202.90 $124.86 $10.00 $58.57 $41.00 $14.00 $329.70 $9.00 $196.00 $15.00 $4.00 $118.00 $671.60 $883.60 $10.00 $-9.95 $-3.88 $199.16 $-95.10 $-37.09 $3,349.15 $96.53 $808.06 $-2,262.37 $-136.30 $-30.89 $10,750.06 $-512.75 $2,436.41 $18.00 $24.60 $17.22 $120.00 $126.00 Date Paid 6/16/03 6/16/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 , 7/29/03 7/29/03 7/29/03 8/14/03 8/14/03 8/14/03 8/14/03 Page 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 'COM2003-00504 ISSUED: 07/29/2003 APPLIED: 06/16/2003 EXPIRES: 0112912004 VALUE: $ 43,000.00 Value Date Calculated $40,000.00 $3,000.00 $43,000.00 06/16/2003 07/24/2003 Receipt Number 1200200000000001557 12~0200000000001557 1200200000000001857 1200200000000001857 12110200000000001857 1200200000000001857 12110200000000001857 12110200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 12011200000000001857 12011200000000001857 12011200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200,200000000001857 1200:100000000001857 1200:!00000000001857 1200200000000001857 1200200000000001857 1200200000000001955 1200100000000001955 1200200000000001955 1200200000000001955 . . CITY OF SPRI~U1<lJ!,L1J Building/Combination Permit PERMIT NO: COM2003-00504 ISSUED: 07/29/2003 APPLIED: 06/16/2003 EXPIRES: 0112912004 VALUE: $ 43,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $17,545.09 I Plan Reviews I Fire Department Review 06/17/2003 07/1 0/2003 OK GRG Plan Uevlew: Tenant Infill: Quizno Sub Sandwich restaurant. Job #COM2003-00504. Main building is Type II-N. B occupancy (less than 50 occupllnts). Non-sprinklered. Occupant Load: 46. 1360 squarc feet. Provide address numbers in contra,;ting color from the background plainly visible and legible from the street or road frontin:g the property (1998 Oregon Structural Specialty Code 502 and 1997 Springfield Uniform Fire Code 901.4.4) Provide 2-A:I0-B:C extinguishers for every 75 feet of travel distance 01 3,000 square feet of area at every floor level (SUFC 1002.1). Exit sign noted in front of doors on p. 3-"ReDected Ceiling Plan." Will verify Ollt Inspection. Initial Review 06/17/2003 06/17/2003 APP LLH Planning Review 06/17/2003 07/0112003 APP EMM Public Works Review 07/01/2003 07/10/2003 APP PJO Structural Review 06/17/2003 07/28/2003 APP DJP SUB Review 06/17/2003 06/2312003 APP JF See Enclosed Land Use Compatibility Statement by Ashlcy Deforest Pass energy code review. 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. ~n~nl~ll"tilw 1 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 2 SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. 3 SUB Ceiling Grid: Interior Lighting 4 SUB Final: After all required energy inspections have been requested and approved. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Ceiling Grid: After drywall approval but prior to cover. Page 3 of4 . . CITY OF SPRI~ul'1J!"L1J Building/Combination Permit PERMIT NO: COM2003-00504 ISSUED: 07/29/2003 APPLIED: 06/16/2003 EXPIRES: 0112912004 VALUE: $ 43,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 7 Final Building: After all required inspections have been requested and approved and the building is complete. 8 Underground Plumbing: Prior to filling the trench and including required testing. 9 Rough Plumbing: Prior to cover and including required testing. 10 BackOow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 11 Final Plumbing: When all plumbing work is complete. 12 Rough Gas: After line is installed and required testing and capped if not attached to an nppliance. 13 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 14 Rough Mechanical: Prior to Cover 15 Final Gas: When all gas work is complete. 16 Final Mechanical: When all mechanical work is complete. 17 Rough Electric: Prior to Cover 18 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shull 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, nnd that NO OCCUPANCY will be made of any structure without permission ofthe Community Scn'iccs Division, Building Safety. I further certify that oniy contrnctors 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 readabie from the street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 4 of4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00S04 COM2003-00S04 COM2003-00S04 COM2003-00S04 Payments: Type or Payment Check Paid By JB ELECTRIC -~''''-'.~'.--.!.''.'''..'!. ~' , > ,.,.,~, ~ ~ , -, "',..,.,_ _>,,_. '_T~/' J Receipt #: 1200200000000001955 Description Perm ServlFdr 200 amps or less Add. Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By djb l.:heck Number Batch Number Authorization Number City of Springfield Official Receipt . Development Services Department . Public Works Department Date: 08/14/2003 10:08:29AM Amount Paid 126.00 120.00 17.22 24.60 $287.82 Item Total: How Received Amount Paid In Person Payment Total: $287.82 $287.82 . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . ClTY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00504 ISSUED: 07/2912003 APPLIED: 06/16/2003 EXPIRES: 0112912004 VALUE: $ 43,000.00 SITE ADDRESS: 2155 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254201200 Springfield TYPE OF WORK: Tenant Inlill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Quiznos Restaurant Owner: POLEN DEVELOPMENT LLC Address: 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor License SUB DUDES INC DBA QUIZNOS o~'\.o MCINTYRE CONSTRUCTlON INC ~~\ \)~~~ ~ 10/118/2003 JB ELECTRIC ~0o.~]~~f9 '00'\.\00 03/:l4/2004 COMFORT FLOW f;\ \'l>~ e 04~1>~0 ~<::J?fJ ",' 06m12005 TUCKER PLUMBING CO ",09,0", '0'1 ~ tJfu)l~.o"i' _ t~,<;j _I>. 11/07/2004 I BUll\m"isGJi~}0R1.fAi1'fbN'" "'~'0~~u~\\o~ ~~' .JlJ:!:..eF~'~r:f:J\\J' cOV'.~0"~O\~\C r ~O~ 'II l!}..,t&oes:...'O'\.~~ ~o'\.e. ~~~ ~,\. Lot Size: A-3 \0 ~,\\C~gbt!l!b.~rr.u~19r.~' O~ 'IS ':?,'l:"t Sq Ft 1st Floor: ~O O\l'~s-.or:1f.l'l!t:~ O~0Q; dy'?i Sq Ft :!nd Floor: VN \~ _a.~ate~i'Ype:..~0 . ",...~ Sq Ft illasement: ()\T~&~~yll~::\\0~\ Sq Ft Garage/Carport ~~ piit\i~ Sq Ft Other: Impervious Surface Area: Contractor Type Applicant General Electrical Mechanical Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-579-4222 I CONTRACTORINFORMATlON I Expiration Date Phone 541-337-3281 541-687-2841 541-687-5770 541-726-0100 541-343-8008 , DEVELOPMENTINFORMATlON I Overlay Dist: ~'t. ~C)\"-~ # Street Trees Rqd: \~'t. ,~'\ ~\ ,c;, ~C) Paved Drive Rqd: \. 't.'f..V\ V't.\"-~ to\"- ~N,~t.Oo.~e~~~'t.\"- \\\\~~\)O~'t.\) ~\J' V't.\"""'" 'U,\W l>-'i)t>I ~~\c;,. o.\lr..'v ~ (\~ ,c;,_" ":'\Ht~ "-'1_2Xi!" I PUBLI~'1l\1li!\y~ <,\.,i,..~;j~ I vJ ,\l)v! \I.~'l Sidewalk Type: DownspoutslDrains: REQUIRED PARKING Total: Handicapped: Compact: Page 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Bid Amount Estimate Use Bid Amount Estimate Fee Description Plan Review CommlIndlPublic Plan Review Fire & Life Safety -Mechanical Issuance Fe.... + 10% Administrative Fee + 7% State Surcharge Backflow Device Building Permit Exhaust Hoods Fixture Furnace - more than 100,000 Gas Outlets 1-4 Planning Final Occy Inspection Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Reimbursement SDC MWMC Reimbursement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Improvement SDC Transpo Improvement SDC Transpo Improvement SDC Transpo Reimbursement SDC Transpo Reimbursement Vent Fan Total Amount Paid . I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 40,000.00 3,000.00 Total Value of Project Fpp< PiilIJ Amount Paid $202.90 $124.86 $10.00 $58.57 $41.00 $14.00 $329.70 $9.00 $196.00 $15.00 $4.00 $118.00 $671.60 $883.60 $10.00 $-9.95 $-3.88 $199.16 $-95.10 $-37.09 $3,349.15 $96.53 $808.06 $-2,262.37 $-136.30 $-30.89 $10,750.06 $-512.75 $2,436.41 $18.00 $17,257.27 Date Paid 6/16/03 6/16/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 7/29/03 Paee 2 of 4 . CITY OF :srKll'lld'lJi.LD Building/Combination Permit PERMIT NO: COM2003-00504 ISSUED: 07/29/2003 APPLIED: 06/16/2003 EXPIRES: 0112912004 VALUE: $ 43,000.00 Value Date Calculated $40,000.00 $3,000.00 $43,000.00 06/16/2003 07/24/2003 Recdpt Number 1200200000000001557 1200200000000001557 1200200000000001857 1200200000000001857 12110200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 12011200000000001857 1200200000000001857 12011200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200200000000001857 1200,200000000001857 1200:!00000000001857 1200:WOOOOOOOOO 1857 1200200000000001857 1200200000000001857 12002:00000000001857 1200200000000001857 1200200000000001857 1200200000000001857 . CITY OF ~rKll~\..FIELD Building/Combination Permit PERMIT NO: COM2003-00504 ISSUED: 07/29/2003 APPLIED: 06/16/2003 EXPIRES: 0112912004 VALUE: $ 43,000.00 . Status Issued 225 Fifth Street, Springfieid, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review I Plan Reviews I 07/10/2003 OK GRG 06/17/2003 Initial Review 06/17/2003 06/17/2003 APP LLH Planning Review 06/17/2003 07/0112003 APP EMM Public Works Review 07/0112003 07/1 0/2003 APP PJO Structural Review 06/17/2003 07/28/2003 APP DJP SUB Review 06/17/2003 06/23/2003 APP JF Plan Review: Tenant Infill: Quizno Sub Sandwich restaurant. Job #C01\I2003-00504. Main building is Type III-N. B occupancy (less than 50 occupants). Non-sprinklered. Occupant Load: 46.1360 squore feet. Provide address numbers in contrasting color from the background plainly visible and legible from the street or road fronting the property (1998 Oregon Structural Specialty Code 502 and 1997 SI>rlngfield Uniform Fire Code 901.4.4 ) Provid" 2-A:I0-B:C extinguishers for eve,')' 75 feet of travel distance 01 3,000 square feet of area at every noor level (SUFC 1002.1). Exit sign noted in front of doors on p. 3-"R"nected Ceiling Plan." Will verify on Inspection. See Enclosed Land Use Compatibility Statement by Ashley Deforest' Pass eneICgy code review. 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. IRp~ 1 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 2 SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. 3 SUB Ceiling Grid: Interior Lighting 4 SUB Final: After all required energy inspections have been requested and approved. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Ceiling Grid: After drywall approval but prior to cover. 7 Final Building: After all required inspections have been requested and approved and the building is complete. 8 Underground Plumbing: Prior to filling the trench and including required testing. Page 3 of 4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CI~TY OF ~rK11~ut<I~LD Building/Combination Permit PERMIT NO: COM2003-00504 ISSUED: 07/29/2003 APPLIED: 06/16/2003 EXPIRES: 01/29/2004 VALUE: $ 43,000.00 9 Rough Plumbing: Prior to cover and including required testing. 10 Backl10w Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 11 Final Plumbing: When all plumbing work is complete. 12 Rough Gas: After line Is installed and required testing and capped if not attached to an appliance. 13 Gas Service: After line is installed and line has been connected to a minimum of one app Iiance including required testing. Presure test done at this point. 14 Rough Mechanical: Prior to Cover 15 Final Gas: When all gas work is complete. 16 Final Mechanical: When all mechanical work is complete. 17 Rough Electric: Prior to Cover 18 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will b~ 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 readabie from the street, that the permit card is iocated at the front of the property, and the approved set of plans will remain on the site at all times during cons ction. .~ ~ Own~r Contractors Signature Page 4 of 4 Date ~?~r 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 C0M2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 C0M2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 Payments: Type of Payment CreditCard Check 1IIiit-, i~,"'"~,~"~ "',' i" -=~! ...- --.--- "''',"' Receipt #: 1200200000000001857 Description Planning Final Occy Inspection 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 SDC Transpo Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Improvement Building Permit Fixture Backflow Device Furnace - more than 100,000 Vent Fan Gas Outlets 1-4 -Mechanical Issuance Fee- Exhaust Hoods + 7% State Surcharge + 10% Administrative Fee Received By djb djb Check Number Batch Number Authorization Number Paid By MCINTYRE CONSTR MCINTYRE CONSTR 000131 029446 City of Springfield Official Receipt Development Services Department Public Works Department Date: 07/29/2003 2:45:10PM Amount Paid II 8.00 883.60 671.60 2,436.41 10.750.06 3,349.15 199.16 10.00 96.53 808.06 (30.89) (512.75) (2,262.37) (136.30) (95.10) (37.09) (9.95) (3.88) 329.70 196.00 14.00 15.00 18.00 4.00 10.00 9.00 41.00 . . S8.57 Item Total: $16,929.51 How Received In Person In Person Payment Total: Amount Paid $6,000.00 $10,929.51 $16,929.51 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00504 COM2003-00504 C0M2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 COM2003-00504 Payments: Type or Payment CreditCard Check .j::~~i ~~, Receipt #: 1200200000000001857 Description Planning Final Occy Inspection 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 SDC Transpo Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Improvement Building Permit Fixture Backflow Device Furnace - more than 100,000 Vent Fan Gas Outlets 1-4 -Mechanical Issuance Fee- Exhaust Hoods + 7% State Surcharge + 10% Administrative Fee Paid By MCINTYRE CONSTR MCINTYRE CONSTR Received By djb djb Check Number Batch Number Authorization Number 000131 029446 City of Springfield Official Receipt Development Services Department - Public Works Department' Date: 07/29/2003 2:45:10PM -' Amount Paid 118.00 883.60 671.60 2,436.41 10,750.06 3,349.15 199.16 10.00 96.53 808.06 (30.89) (512.75) (2,262.37) ( 136.30) (95.iO) (37.09) (9.95) (3.88) 329.70 196.00 14.00 15.00 18.00 4.00 10.00 9.00 41.00 . . 50.57 Item Totai: $16,929.51 How Received In Person In Person Payment Total: . Amount Paid $6,000.00 $10,929.51 $16,929.51 . ATTACHMENT A _ CITY ~INGFIELD SYSTEMS DEVELOPMENT CHARGEWJ<,SHEET JOURNAL OR JOB NUMBER COM2003.00504 NAME OR COMPANY, OUIZNOS RESTAURANT LOCATION, 2155 OLYMPIC MAP & TAX LOT NUMBER, 17-03-25-42 1200 DEVELOPMENT TYPE, HIGH TURNOVER RESTAURANT NEW DEVELOPED AREA (S.F), 1,390 EXISTING DEVELOPED AREA (S.F.), 1,000 EXISTING DEVELOPED AREA (S.F} 390 LOT SIZE (SF), ITE, ITE, ITE, 83;~ 81" 150 ~ 0:1 ... ,,~. .2:: \oj ~ C .'a t Ii: c c t''ll OO::&.l CII::: v, 1. STORM ORAINAGF. PREVIOUSLY PAID - SEE 9S.()()43 IMPERVIOUS SQ. Fr. , $ 0.282 PER SF TOTAL STORM DRAINAG" SDq $ 2. SANITARY SEWER-c.ITY A. REIMBURSEMENT COST, NUMBER OF DFU's R IMPROVEMENT COST, NUMBER OF DFU's (SEE REVERSE SIDE) 40 , $ 22.09 PER DFU 40 , $ 16.79 PER DFU 1070 , $ 883.60 109] , $ 671.60 1092 1.555.20 I , TRANSPORT A TION TOTAL LOCAL WASTEWATER SDC:' $ BLDG AREA TGSF, TRIP RATE ,COST PER ADT, NEW TRIP FACTOR NEW A. REIMBURSEMENT COST, 1.39 , 130.34 , $ 16.81 PER TRIP , 0.8 NTF 1$ 2,43<:.41 I R IMPROVEMENT COST, 1.39 , 130.34 , $ 74.17 PER TRIP , 0.8 NTF 1$ 10,750.06 I EXISTING A. REIMBURSEMENT COST, -1.00 , 40.67 , $ 16.81 PER TRIP , 0.75 NTF 1$ (512.75)1 oJ B IMPROVEMENT COST, -1.00 , 40.67 , $ 74.17 PER TRIP , 0.75 NTF 1$ (2.262.37)1 . EXISTING A. REIMBURSEMENT COST, -0.39 , 4.96 , $ 16.81 PER TRIP , 0.95 NTF 1$ (30.89)1 ~ B. IMPROVEMENT COST, -0.39 , 4.96 , $ 74.17 PER TRIP , 0.95 NTF 1$ (136.:30)1 TOTAL TRANSPORTATION REIMBURSEMENT SIJC,' $ 2,405.52 TOTAL TRANSPORTATION IMPROVEMENT SIJC,' $ 10,613.76 TOTAL TRANSPORTATION SDC:, $ 13,019.,:8 I 1093 1094 4. SANITAI~V ~~,W'-3R_ _ MW~ NEW, A. REIMBURSEMENT COST, NUMBER OF FEU's 1.39 , $2,409.46 PER FEU R IMPROVEMENT COST, NUMBER OF FEU's 1.39 , $143.28 PER FEU EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's -1.00 , $95.10 PER FEU B IMPROVEMENT COST: NUMBER OF FEU's -1.00 , $9.95 PER FEU EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's -0.39 , $95.10 PER FEU B IMPROVEMENT COST: NUMBER OF FEU's -0.39 , $9.95 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) 1$ 3.349.15 I 1$ 199.161 1$ (95.101l · 1$ (9.9E:)I I $ (37.09)1 . 1$ (3.8811 $ TOTAL MWMC REIMBURSEMENT FEE, $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC AOMINISTRA TlVE FEE: $ TOTAL MWMC SDC:' $ 3,517.341 r.nmRllilrl~nr.?nn? ...Ie:: 1054 3,312.06 1054 195.28 lOSS 10.00 1056 I II V ?n~ I . . 5. ADMINISTRATIVE FEES: SUBTOTAL (ADD ITEMS 1.2,3, & 4) , $ 18,091.82l BASE CHARGE (SUBTOTAL ABOVE) $ 18,091.82 x 5% $ 904.59 TOT AL TRANSPORTATION ADMINISTRATION FEE:1 $ TOTAL SEWER ADMINISTRATION FEE: $ J>Ql'\<.tlQJ. OWVt.b tl::l SDC COORDINATOR 7/10/2003 TOTAL SDC CHARGES DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT" DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCUL\ TE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOIUSOLlDS/ETC INTERCEPTORS FOR SAND/AUTO W ASH/ETC LAUNDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER ST A TlON/ErC RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL. RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LA V A TORY SINK: SINGLE LA VA TORY/RESIDENTIAL BAR URINAL, ST AL~ ALL TOILET, PUBLIC INST ALLA TlON TOILET, PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S. FIXTURES UNIT NEW OLD EQUIVALENT 3 1 3 3 6 2 3 6 12 3 I 3 2 2 2 3 2 2 2 2 I 2 5 2 6 3 TOTAL DRAINAGE FIXTURE UNITS~ .EDU (Equivalent Dwellin~ Unit) is a dischar.ge equivalent to a single family dwelling (20 ORJ) set at 167 ZlJlons per day 40 808.06 1078 96.53 1 1079 , $ 18,996.41 l DRAINAGE FiXTURE UNITS o o o o o o 3 o o 3 o o o 6 o 4 2 10 12 o o CREDIT CALCULATION TABLE: BASED ON ASSESSED V AWE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 RATE PER $1,000 ASSESSED VALUE $ 4.92 $ 4.83 $ 4.77 $ 4.64 $ 4A7 $ 4.30 $ 4.09 $ 3.78 $ 3AI $ 2.98 $ 2.52 CREDIT FOR PARCEL OR LAND ONLY iF APPLICABLE IMPROVEMENT (IF AFTER ANNEXA TION DATE) ComBuiIdSDC2002.xls YEAR ANNEXED 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 RATE PER $1,000 ASSESSED VALUE $ 2.06 $ 1.64 $ IA5 $ 1.31 $ 1.13 $ 0.97 $ 0.82 $ 0.63 $ OAI $ 0.22 $ 0.04 x X CREDIT TOTAL $0.00 $0.00 $0.00 JULY 2001 , . . . MEMORANDUM Citv of Soringfield DATE: July 30, 2003 TO:' Jolie Smith FROM: Pam Ownbey SUBJECT: SDC Refund, Quiznos It has recently come to our attention that an overpayment was made for SDC's. In keeping with our refund policies, please prepare a refund request to refund the amount shown below. Permit No. COM2003-00504 Amount Paid $ 15,972.23 $16,116.24 Total Refund $ 144.01 The revenue accounts that are adjusted by this refund are as follows Revenue Account No. 435-00000-426604 Revenue Account No. 436-00000-426604 Total: Amount: $147.73 Amount: ($3.72) $144.01 A copy of the receipt showing these amounts is attached for your use. Please have the refund sent to Mcintyre Construction, Inc. at the following address: McIntyre Construction, Inc. P.O. Box 2523 Eugene, OR 97402 Cc: Bldg. Permit File: 2155 Olympic V:\developement revicw\SDC\Refunds\SOC Refunds.doc