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Home My WebLink AboutPermit Building 2006-8-31 -r;:'..7 ~ -.... . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00778 ISSUED: 08/31/2006 APPLIED: 06/23/2006 EXPIRES: 04/04/2007 VALUE: $ 40,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2325 Olympic St ASSESSOR'S PARCEL NO.: 1703254101100 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: New Commercial PROJECT DESCRIPTION: Tenant in fill - Go-Wireless Owner: OLYMPIC STREET PROPERTIES Address: PO BOX 26125 EUGENE OR 97402 Phone Numher: 541-726-1751 I '-VI' I "ACTOR INFORMATION I Contractor Type General Electrical Low Voltage Electrical Mechanical Plumhing Contractor ILO CONSTRUCTION C & SELECTRIC MARTINVEST,INC. BEYMER HEATING & SHEET METAL CO DICK BAILEY PLUMBING CO License 82355 3849 40591 4483 107255 Expiration Date 05/01/2008 09/01/2008 09/28/2007 11/14/2006 06/29/2008 Phone 541-521-0114 541-741-2236 541-928-4544 541-688-5004 541-344-6996 L BUILDING INFORMATION, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,045 VB n/a 27 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Sethack: Side 1 Sethack: Side 2 Set hack: Rearyard Sethack: Solar Set hacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: -.-rEN1IUN:uregon law rf~(jpU2J~~~OVEMENTS I. A. , d pted by thE - TdOyrl'r. Street Improvf61l\91$:rulll;'3 a 0 Th se rules are set tom swewalk Type: .,. "Hon Center. 0 OAR 952-001 THIS PI'RUjT <- Storm SewertW'wrllitill!: 2_001_0010tt\rough rules b' AUT Db"'ti.pou,St()bli~XP/RE IF THE WO Speciallnstril,cful~R 95 obtaIn copies 01 the h' HORIZED UNDER THIS PER RK 0090. '{au may r (Note: the tele.p. o~e COMMENCED MIT IS NOT Notes: calling the cen~r~gon Utility Notification ANY 180 DAY pOER IS ABANDONED FOR number lor the. . 800-332-2344). RIGD. centerlS ,- Paee I of 4 -iii:~ . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description + 10% Administrative Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Plan Review Comm/Ind/Puhlic -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Fire SF Fee - Non-Residential Fixture Furnace - up to 100,000 htu Gas Outlets 1-4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumhing Plan Review Fire & Life Safety Vent Fan + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00778 ISSUED: 08/3112006 APPLIED: 06123/2006 EXPIRES: 04/04/2007 VALUE: $ 40,000,00 I Valuation DescriDtion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 40,000.00 Value Date Calculated $40,000.00 $40,000.00 07/31/2006 Total Value of Project FpP~. ~ Amount Paid Date Paid Receipt Numher $6.30 $5.04 $63.00 $202.90 $10.00 $50.67 $32.17 $312.15 $104.50 $42.00 $12.00 $4.00 $23.00 $3.00 $124.86 $6.00 $4.50 $2.25 $3.60 $45.00 1200600000000000949 1200600000000000949 1200600000000000949 1200600000000001167 t200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 2200600000000001389 2200600000000001389 2200600000000001389 2200600000000001389 6/23/06 6/23/06 6/23/06 7/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 10/4/06 10/4/06 10/4/06 10/4/06 $1,056.94 I Plan Reviews I Fire Department Review 08/0212006 08/30/2006 OK GRG See attached Fire Department Comments. mf Initial Review 08/01/2006 08/0112006 APP LLH Plan Review Comments 08/14/2006 10 JMP WI. Received special inspection forms. Plan nine Review 08/0212006 08/0212006 APP EMM Temporary Occupancy good thru 8/6/06 Puhlic Works Review 08/02/2006 08/07/2006 APP SB NO SDCs (all prepaid, or credited) Structural Review 08/01/2006 08/07/2006 WE JMP See attached documents for 12 structural comments faxed to Richard Aiello. Paee 2 of 4 . . CITY OF ~rKINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2006-00778 ISSUED: 08/3112006 APPLIED: 06/2312006 EXPIRES: 04/04/2007 VALUE: $ 40,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Structural Review SUB Review SUB Review 08/31/2006 08/30/2006 08/0212006 08/31/2006 08/30/2006 08/25/2006 APP APP WE JMP JF JF Received final internal approvals. Contractor contacted to hring lighting into compliance. 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. I R'pnnirpri In~nprtin~ Electric Service: Approval required prior to utility company energizing service. Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Wall Insulation: Prior to cover. Firewall: Located and constructed according to plans. Ceiling Grid: After drywall approval hut prior to cover. Final Fire Department. After all requirements of the Fire Department have heen met. Final Building: After all required inspections have heen requested and approved and the huilding is complete. 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 heen requested and approved. Rough Plumhing: Prior to cover and including required testing. Final Plumhing: When all plumhing 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. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Ceiling Grid: Interior Lighting Low Voltage: Prior to cover. Paee 3 of 4 -::;.= ~ ~. .. ' . . CITY OF SPRINl..r H.LD Building/Combination Permit PERMIT NO: COM2006-00778 ISSUED: 08/31/2006 APPLIED: 06/23/2006 EXPIRES: 04/04/2007 VALUE: $ 40,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all . information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he 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 he used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 4 of 4 GeRlN. ..~ - I Wit: . . . e- CITY VI< ~ndNGFIELD Building/Combination Permit PERMIT NO: COM2006-00778 ISSUED: 08/3112006 APPLIED: 06/23/2006 EXPIRES: 02128/2007 VALUE: $ 40,000,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2325 Olympic St ASSESSOR'S PARCEL NO.: 1703254101100 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: New Commercial PROJECT DESCRIPTION: Tenant infill- Go-Wireless '(""8<:-<:88-00B- ~ S! J81U8:) UO'12:"::jC'i'1 (.ll'11fl l1oA:1I~ ~lll ""'I' ''''1"1.,....... Owner: OLYMPIC STREET PROPERTIES 8~O:,:lo,q 8t:) :8jON) 'J8)U80 8415UItP.hone Numher: 541-726-1751 Address: PO BOX 26125 ~q S8;nJ Dlillo sOldo:J U!Blqo ^BW no}, '0600 EUGENE OR 97402 - ~CC-G~31:1VO 45noJ41 0 ~OO- ~OO-<:S3l:1\fO U! '11"" ~.....,... ...... ,....... ~_.._. _ __ I":..,,, .,~--:_._' _ --~--;.L ..:--t.....vJ uUHl,,;v:~!~UN Contractor Type General Electrical i\1echanical Plumbing Contractor ILO CONSTRUCTION C & SELECTRIC BEYMER HEATING & SHEET METAL CO DICK BAILEY PLUMBING CO I CONTRACTOR'INFORMATION'I,/nJ MOllol , . -- ..,-, -WV"U ',~ullN311\f License Expiration Date 82355 05/01/2008 3849 09/01/2008 4483 11/14/2006 107255 06/29/2008 Phone 541-521-0114 541-741-2236 541-688-5004 541-344-6996 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,045 VB n/a 27 Frontyard Sethack: Side I Sethack: Side 2 Setback: Rearyard Sethack: Solar Sethacks: I DEVELOP'J\1ENT INFORMATION I ..-. ....... REQUIRED PARKING THIS PERMIT SHALL E Overlay Dist: XPIRE IF THE WORK'fotal: ... r J H' J"II<:n ""'JER T #,.Street l'rees.Rqd: HIS PERMIT IS NOTHandicapped: I {J^!'~ '''''10-",\ ... Paved"Di'iveIRqd:R IS ABANDONED FOR Compact: ~/D~~f Ilo(G.9~,~r~g!':1I0D, I PUBLIC IMPROVEMENTS I , . Street Improvements: Storm Sewer Availahle: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description + 10% Administrative Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Plan Review Comm/lnd/Puhlic -Mechnnicallssuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Fire SF Fee - Non-Residential Fixture Furnace - up to 100,000 htu Gas Outlets 1-4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumhing Plan Review Fire & Life Safety Vent Fan Total Amount Paid . .CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00778 ISSUED: 08/3112006 APPLIED: 06/2312006 EXPIRES: 02/28/2007 VALUE: $ 40,000.00 I Valuation Descrintion I $ Per Sq FI or multiplier $1.00 Square Footage or Bid Amount 40,000.00 Total Value of Project Fpp< Pl1lI.I Amount Paid Date Paid $6.30 $5.04 $63.00 $202.90 $10.00 $50,67 $32.17 $312.15 $104.50 $42.00 $12.00 $4.00 $23.00 $3.00 $124.86 $6.00 6/23/06 6/23/06 6/23/06 7/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 8/31/06 $1,001.59 I Plan Reviews I Fire Department Review 08/02/2006 08/30/2006 OK GRG Initial Review 08/01/2006 08/01/2006 APP LLH Plan Review Comments 08/14/2006 10 JMP Plan nine Review 08/0212006 08/02/2006 APP EMM Puhlic Works Review 08/0212006 08/07/2006 APP SB Structural Review 08/0 I /2006 08/07/2006 WE JMP Structural Review 08/31/2006 08/31/2006 APP JMP SUB Review 08/30/2006 08/30/2006 APP JF SUB Review 08/02/2006 08/25/2006 WE JF Paee 2 of 3 Value Date Calculated $40,000.00 $40,000.00 07/31/2006 Receipt Numher 1200600000000000949 1200600000000000949 1200600000000000949 1200600000000001167 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 1200600000000001363 See attached Fire Department Comments. mf WI. Received special inspection forms. Temporary Occupancy good thru 8/6/06 NO SDCs <all prepaid, or credited) See attached documents for 12 structural comments faxed to Richard Aiello. Received final internal approvals. Contractor contacted to hring lighting into compliance. . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00778 ISSUED: 08/31/2006 APPLIED: 06/23/2006 EXPIRES: 02128/2007 VALUE: $ 40,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. I RpoIJirpd InsoPdionsJ Electric Service: Approval required prior to utility company energizing service. Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Wall Insulation: Prior to cover. Firewall: Located and constructed according to plans. Ceiling Grid: After drywall approval hut prior to cover. Final Fire Department. After all requirements of the Fire Department have heen met. Final Building: After all required inspections have heen requested and approved and the huilding is complete. 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 heen requested and approved. Rough Plumhing: Prior to cover and including required testing. Final Plumhing: When all plumhing 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. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Ceiling Grid: Interior Lighting By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he 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 readahle 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. /7..At-. oK a./~ 3- j'1 - "",' Owner or Contractors Signature Date Paee 3 of3 City of Springfield Comm\JJ1ity Services DivLo;ion 225 Fifth Slreet Springfield, OR 1)7471 Telephone: (541) 726-3759 Fax: (541) 726-3689 C", M 2.0:.0 c: - 0 (J 7 7 9 Building Permit ~ C... ~/.IG'"L4r7 J Project Title '2..:) z...r- O~ Y"""JJ/<" Projec~ Alidress Spe.iallnspectioo and T..ting 7/'/ (U olt'e ./ rr f~ ""."t To ."lfrPlicants of projects requiring special inSJ1el.1im1 or tt.'S1ing as per Section 1704 l)fth~ Oregon Slmctnrw Specialty Code. ptem:e review tbI= informution below. Whtn you have l1nisbed. acknoYfledge llfl UlJderstanding oflhe information by signing below, and rcnlm lhts ronn to the C,ty. B'~F'ORE If. PF..R.MIT CAN HE ISSUED: "ere OWl1Cr [lrO\yncr's rt:p~tntive. on tncidviccorthc re5pon~blc Project Hngme.:r or ArcI1ilea;:t, shan complete, si&n. and suhmit to the City tor l"e\.l;':w and approva'this form rornplacd un bo.... the front and back. Tilf; owner and General Contractor, v,lic, L ;-l('pl~_ablc. .5hDllnlso acknowledge the followint l.:onllition.1. applicable to SpcciallJl.spection anNor Testq. I. ConImctur ~ res.pon.sible for pmper nolificaliufl for the Inspo..-1ion or Testing of itenu listed. 2. Testi"lllabo.....ry....1I "*" appropriate.,."pIes;nJ l1:uuport jh<m .,llIcir Iabur.tlll)' for proper evoJu81ion or l&:!ting. . COpK..'io of alllaboraloJ)' reports aDd in:'ipcctUlnS arc to be !.ent to the Gity~)' the Te3tin,g Agclle)'. J. Special ~nsJl'tclioll Agency i9 to sut.nil nwnc!: and qualifit:a.IXms ofon.site Special I~tors 10 tDieCity for apprm;a1. 4. Special lnspr.:aO'r softaI] provide ilUpec:!jon repot1s to the:: buitding offici:)) of aU inspetlion a<:tivitics. j. Conlr.>:lor is responsible to review tile City .~. _ . _j plans fur addition.1 inspection or lewng requiremenls tlull may be noted DEVORE A CIlRTIIIICA TE 011 OCCUPANCY WILL BIl ISSUl!P: Tile Speeioll",!,<ction Agency ,hall wbmit to the BtJilding Olliei.1 . 510temeat Ihat all itt:111S requiring inspedioo htlve m:eA fulfilled and reporled and were to the ba.tofthe ;n.spcdo:r.!I knC\ll~. in conformance with the approved plans., s.pecirdioM and applicablewortmanship P'()\I;s.ions. nose ih:m:!l rwt tl:skd and/or inspected shan be: noted in th.c "dlem!:l1t. The tqXlr1 i" to be .snbmitted to the City prior to a reque51 for linal ia:..-.....:....~ ACKNOWLEDGEMENTS a/""'J;<-J'C_ ;;.., tLC- Own<-r ~ (Printed) I . ?5crl ~~S Engineer or Architect Firm (printcdj ~F -S~}h Testing LabOratory Name (l>rinted) f. s. -r ---- ~/- /d" _/?4;...-~Lt..D C"_rrA4.d"llJ~ a;/"e .; Blure ( Gen. Conlractor Firm Name (Printed) _ V'~ O"'L.~ _ ~o: ,- ~--~$~nc:~:2- ( Testing LahOmtDty Rep. Signature Building Official Name (Prilltcd) "" /7.,4 "OL- a:..d General Contractor Signature ~r_.:~cncy Rep Si~~ ~ ~ J~ Buikiing OIl,e':'fSignature '. '" CD "- '" CD "- '" '" '" '" '" b) ..... "' " OJ '" .~ n H -< < lfl '11 " ;u H Z .~ t:l " I> fil '" '" SPECIAL INSPY.CTJO.'l Ai'lD n:sTING SCHEDULE I Rdntorc:ed Concrr1e. Gunile. OroullW'lll Madar. : ConaC'k: I (iwlire ('lC01tt Mortar I I i .I~- I I I I r ----I I -. I I Prccl2stJJ're.sb\::sscd Conc~~~-- Piles Pmt-Tens Pre--T~ I 1 I 1 I I I i r I ----, i I -1-... .._, I 1- - . ----.--1 1 I 1 I I I stolOKE CONTROl.: __ Leakage testing Conlml V<:rifK'''dlion RooPING: __Insulntiun inst.LIlatianlR.VDlue' .Test .5tripsfse.owns AfiP-rl:l!lllc Test orMi~ ~i~ll Reinforcina Test Mix IJ..>siJ!n-Wei'l/un""'" Cerl.. Rcin14Jfl;ifil':' Ma<<mcnt ContinllOu.~ Batch PllDlt lnsoect. _ ~ct Placing Ca'it Samples ___ J~~oJes (}lh:~LJIlI1?c:Iivcred) ~omlJl~~iol1 Tes.. i I 1 _I Cb~i", ~ ~.:c...__ 1\0 oale Te~ts - --- Rcinf~~~M. Te:;js .-- T endun T csl ~ixDr::5~.gI1S. Rcinforcill.!!. Placement [rncrt Placc!!1.c:nl___ Concrelle Rarchlne. Concrelo PJa:em<nl In!Ja~laIi{)n Insuection C.... SamDIo, Pick-up SaJIllllc C_........~:...l TCSls I'JRKPROOFING: P'lacemUll inspection Density tests Thick~ss. tc:sts [n.;;pa:.I batching ADDITIONAl.. JNSRUCTJONS, OTHER TPST, &. INSPEcnONS: 7- -3.o~ c qlL Jj),~__ GRADING. EXCAVATION. AND niL ^'<<ptan<e Icsl, . PSf ESIllbli.>h fll10l grade Fin placement inspectimvl.:ontinoous SoiJDemity I I i I;TRUCTUllAL STEEl1WELDING: Sample am! t<>lllist sp<<ifIc rno:mbm bel",,) Shop material identification (mill Q:11) \Veld inspecliun _ShoJ1__Fielrl Ultrasonic inspedion __Shop ._Field High Slrr::nglb BoIlmg_Sh(lp _Field A325 _N _X ^4~0 _N _X Metal deck 'A'dding inspection Reintofi:ing Steel welding jn~tion Reinforcing. steel miU certit1cm\: Mctal stud welding inspectiOll Concrcle inS-erl welding in~pediOfl Moment resbting Sfeel fi'amci _f f STRUCTURAL WOOD: Shear wall nailing inspe-clion Sh~ar ,,,alJ andx:JB IIlSflectron ofGlu~Jaa'J fob." TIC ps:i IllSJlCttionoftru"'joisl fill>, SllIDple and Ie>! COIIlJllIIlel1I' Fabrication welding or stc<c1 ocC'e:nories MASONRY Spo:cln1jmpect~nJtr~ust:J"_Pm fg PreJimil1al}" acaptaocc: t~ {m<lSOOT)' unit~, Willi proms) SU~UeI11 teSiti \mOnUl. gn..... neW \"all !-Jfj~m5) Plocement ins~tion of units" and reirtlorccmcnl MiJSUJ1ry, mortiIT, grout, and rcillforci~ u..-:eJ certilH:at~s FormCompldtdby. R~ ~ Dale t;/.,/D ~ -;- / 'I'ROVIOF. STHJ.:NGTII REQUIRED BY AKelllTEer OR I1NGINEER OR CONl'RACI' OOCUMI!N'I' LOCAT[O,'l OF V ALUI!S .;- Oil ID ~ '" ID ~ tv '" OS> '" '" OJ ~ '_0 " '0 '" .~ I") H ~ < ~ <JJ ." ;lJ H Z .~ ''l r t:1 ." " Ii1 Oil " . - ATIACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVEWPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER COM2006-00778 NAME OR COMPANY: GO WIRELESS LOCATION: 2325 OLYMPIC ST MAP & TAX LOT NUMBER; 17 03 25 41 01100 DEVELOPMENT TYPE: SHOPPING ~'''' 'cO< > I 0.000 S.F. NEW DEVEWPED AREA (S.F.): 1.120.00 EXISTING DEVEWPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): I STORM DRAINAGE Paid with COMlOOS-00571 IMPERVIOUS SQ. fT. x $ 0.323 PER SF OIYlllllic Stn:eI SbonoinR Cent<< ITE: ITE: LOT SIZE (S.F.): 821 TOTAL STORM DRAINAGE SDC:I 2 SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) Paid with COMl~0571 o x $ 25.07 PER DFU o x $ 19.07 PER DFU $ 44.14 TOTAL LOCAL WASTEWATER SDC:I $0.00 I $0.00 3 TRANSPORTATION Paid witb COMlOOS-OOS7t BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP F AcroR NEW A. REIMBURSEMENT COST: 1.12 x 86.56 B. IMPROVEMENT COST: 1.12 x 86.56 EXISTING A. REIMBURSEMENT COST: 0.00 x 0 B. IMPROVEMENT COST: 0.00 x 0 x $ 19.09 PER TRIP x 0.35 NTF $647.65 , $2,856.73 , x S 84.19 PER TRIP x 0.35 NTF x $ 19.09 PER TRIP x o NTF $0.00 ~ $0.00 , x $ 84.19 PER TRIP $ 103.28 x o NTF 4SANlTARY SEWER. ~ NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's TOTAL TRANSPORTATION REIMBURSEMENT SOC:1 TOTAL TRANSPORTATION IMPROVEMENT SOC: TOTAL TRANSPORTATION SD9 $ I Paid with C0M200S-00571 $52.46 PER FEU $58.76 , S616.43 , 1.12 x 1.12 $550.38 PER FEU x EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.00 B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 PER FEU $0.00 I x $0.00 PER FEU $0.00 I x TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTALMWMCSDC:, $ SUBTOTAL (ADD ITEMS 1,2,3. & 4) $0.00 I >. ~ 8;5 .~ :l 8 u v ~ ca"g o5~tfi ~u $0.00 $0.00 1178 $0.00 1183 SO.OO 1184 $647.65 1173 $2.856.73 J094 $3.504.37 ~_ $0.00 1054 $58.76 1186 $616.43 1187 $10.00 1189 $685.18 J ~ 5 ADMINISTRATIVE FEES. BASE CHARGE (SUBTOTAL ABOVE) $ x 5% - I $0.00 . TOTAL TRANSPORTATION ADMINISTRATION FEE: TOTAL SEWER ADMINISTRATION FEE: TOTAL SDC CHARGES .s;..... P/. &....l, e..- SOC COORDINATOR sn12006 DATE COM2006-00ne, GO.Wireless, 2325 Qlympic.x1s #DIV 10! 1175 #D/V/O! 1.190 NONE 1 JULY 2004 - . DRAINAGE FIX11JRE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIX11JRE UNITS (NOTE: FOR REMODELS. CALCULA TE ONLY TIlE NET ADDmONAL FIXTURES) SHOPPING CENTER> 10.000 S.F. FIX11JRE TYPE BATHlUB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTER".". ,v"s FOR GREASElOIllSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TIJB CLOTIIES W ASHERlMOP SINK CLOTIIES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRlGERA TOR/W A TER ST A TIONIETC. RECEPTOR FOR COMMERCIAL SlNKI DlSHW ASHERlETC. SHOWER, SINGLE STAll. SHOWER, GANG (NUMBER OF HEADS) SINK.: COMMERCIAL, RESIDENTIAL K.J I \...1 u:.r~ SINK: COMMERCIAL BAR SINK: WASH BASINIOOUBLE LA VA TOR Y SINK: SINGLE LA V A TORY /RESIDENTIAL BAR URINAL, STAUlWAll. TOILET. PUBLIC INSTALlATION TOILET. PRlV ATE INSTALlATION MISCELLANEOUS: FIXTURES UNIT NEW OlD EOUN ALENT 3 I 3 3 6 2 3 6 12 1 3 2 2 3 2 2 1 5 6 3 NUMBER OF EDU'S' TOTAL DRAINAGE FIX11JRE UNITS~ _'EDU (Equivalent Dwellin~ Unit) is a di~e equivalent to a sinJ(le family dwelling (20 DFU) set at 167 gallons per day CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE. CALCULATE CREDITS SEPARATELY - DRAINAGE FIX11JRE UNITS o o o o o o o o o o o o o o o o o o o o o o o o YEAR RATE PER SI,OOO YEAR RATE PER SI.000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 or before S5.29,' 1992 1980 . S5.19, 1993 $1.45 1981 S5.12 1994 S125 1982 ' $4.98 1995 St.09 1983 $4.80. 1996 SO.92 1984 $4.63 1997 SO.72. 1985 ,$4AO 1998 SO.48 1986 ., '$4.07 1999 SO.28 1987 ' S3.67 2000 . SO.09 1988 $3.22 2001 '"" . h SO.05 1989 $1.73 2002 SO.OO 1990 .. $liS 2003 SO.OO 1991 S1.80 2004 SO.OO CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE x SO.OO IMPROVEMENT (IF AFTER ANNEXATION DATE) x SO.OO CREDIT TOTAL SO.OO C0M20~on8, GO-Wireless, 2325 Olympic.xIs 1 JULY 2004 225 Fifth Street Springfieid,.Oregon 97477 541-726-3759 Phone . J:~~:~ Ilk. - Gaof Springfield Official Receipt _elopment Services Department Public Works Department Job/Journal Number COM2006-00778 COM2006-00778 COM2006-00778 cOM2006-00778 cOM2006-00778 COM2006-00778 COM2006-00778 cOM2006-00778 cOM2006-00778 COM2006-00778 COM2006-00778 COM2006-00778 Payments: Type of Payment Check cRcceiotl RECEIPT #: 1200600000000001363 Date: 08/31/2006 Description Fire SF Fee - Non-Residential Plan Review Fire & Life Safety Building Permit Fixture Minimum/Adjustment Plumhing Furnace - up to 100,000 btu Ven! Fan Gas Outlets 1-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Paid By [LO CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number Number How Received djb 6664 In Person Payment Total: Page I of 1 2:55:27PM Amount Due 104.50 124.86 312.15 42.00 3.00 12.00 6.00 4.00 23.00 10.00 32.17 50.67 $724.35 Amount Paid $724.35 $724.35 8/31/2006