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Home My WebLink AboutPermit Electrical 2006-3-1 .' ~~~~~~. 225...... 1... STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 .61' ,- · . ,,0 . \'f'\\~ c~ \ ELECTRl~ fERlt:J.II APPliCATION "s Sv'O ,. s9" CityJobNumberW --wJ72 Date 'ellfD4 Od.. ..- :;'!Ef:o~~fO ~ ~'~'",._L'. )~-~.'" _. ~.--..--.. '.'~.'.'. ..-..,.., '1 3." ..'.. ..~~..:.-.;<..,-<>\ " ,- ,i=--"-'. "Q't- """'i~ .....~. '/'. ..~~..A!~Zil ,fE". A.l~~~\~~'J;i;r' '~:,:~' '!~~'F.bllli~.d'~itnl~~ '!..'0<O\ """. - .....-..... "- Service Included [>.V JOJ!,DESCRIPTION . 1000 sq, ft. or less ~l.l n. ~_ I Each additional 500 sq, ft, or ~1'I\<'1/\A.;r;- d.X \~uJJ J)m~rtionthereof .......__.,($JI9,OO .. ,~ lU Permits are non-transfera Ie and expire if work is Each Manufact'd Home or ", ". ,["lll Ui:llly not started within 180 days of Is sua Dee or irwork is Modular Dwelling Service or .J,J rl'~"s il~8 ':tS5fO'.O& Suspended ror 180 days. Feeder ,:, .:C t'l:lJU~)II'H\ll",,~-OOl- 2. 1::;:",':'{~~~~c.1VR,..:':!NS't.. :i&i"\~77a, W,'o,.' '.~.:y] B. f:se&kesQ;F~~~J'~irti ;~~lteJ.iitioQ8~r]fd~.tlon:' I ~ j [,........ .".. ," ,. .9!'." ,.r '.",0. . ,... ..' 200 Aninllnl. .(' , lelr tha OrcCjon Utility Notl'$,c;ation ps or ess '1 8 0 ~..- M... 63,00 20IAmPst04do~~~IS - Ll -wnvnj'$75,OO 40 I Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50,00 CITY OF' 'RI\.C.FIFI.I),ORr(;()N , . 1. ~i~Q~(Q.~:{lV~~,::i~~~~ \ '?: \ \ ~ 0 a.J2) f121(.w'--\ LEGAL DESCRIPTION J \...,()~ ~" ~~ n~uD \ Electrical Contractor m Electric. Inc. Address 4685 Isabelle Street City EURene Phone 687-5770 Supervisor License Number 2708-S Expiration Date 10/1/07 Constr. Contr. Number 37587C Expiration Date 7/1/06 (CCB 104929 3/14/08) SV~~E~ . OwnerSN~0. ~cY..\\-~ ~r1j), Ad~.a.~ \2>\101\ - clh.. w\ ~\,y, &-. Phone ~-f'-.- OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 7U-3769 $106.00 t',............ C. i'-'t~PlIf;rfi.le~'::l)r:FetiI~..>:i,";:'~ ~::""",' .,r".;"". '1 """ d:HMIT SFiAL Insl^IVJk'.Qf~lie:ryt!9I!B!:kJo~ill,i; IF THE WORK 200 '~rs'l1r.~ED OR IS A~~'~[ERMIT $S;~Qjlr 201 )S~Q~R/OD. U/VtU Ftlifl900 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above, D. fB~iidi c;l~~~'::i':;;:'</., ",,' .<.. ", New Alteration or Extension Per Panel I One Circuit I Each Additional Circuit or with Service or I' ceder Permit ", ... ',c J ,,".:..:J LX,oV - J ;Jj cJ 7 $ 43.00 $ 3,00 E. ~. _::.Iii.; '.' "'P~Ji:'.:lfi.~~aiit-1~;;o;.iiejj).,:EJK,hj,t~~liinatlii~~ ..,...-"'-!...~_\,."',.. y,...... .,...".. ....... ", ...., ..,'I Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges f. ..,'. ,. ...,. -.. ...' - j~ .<\, 4. "'"'l "'n OFAlIOVB' .' r,e,\ ,." ;.:' U'-' ~.'JI1OO.. , ., . "..'" ..'" '.' .1.... ".c.,JI'"'''~'' ".': .,'. ", _" I,~..>"~ ,," ~"',.-"._, ..... "":'._, ~ ,I.)' . 1:>- ((J '40 lit '-15.5:2 8 'iI% State Surcharge t'l M-IO%AdministrativeFee TOTAL 225 Fifth Street , '.Springfield, Oregon 97477 w 541-726-3759 Phone . ~. .City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2006-00 173 COM2006-00 173 COM2006-00 173 COM2006-00 173 RECEIPT #: 2200600000000000253 Date: 03/0112006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Check Cash , Job/Journal Number COM2006-00 173 COM2006-00 173 COM2006-00 173 COM2006-00 173 Payments: Type of Payment e'heck G~sh , ~l; .) ;. :f J :~. :t 11; '.. :i 3/1/2006 1'(. JB ELECTRIC JB ELECTRIC njm 016794 In Person In Person Payment Total: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By JB ELECTRIC JB ELECTRIC Item Total: Check Number Authorization Batch Number Number How Received Received By njm 016794 In Person In Person Payment Total: Paj1.e I of I 8:50:54AM Amount Due 43.00 I 21.00 . 5.12 6.40 $75,52 Amount Paid $74.88 $0.64 $75.52 Amount Due 43.00 21.00 5.12 6.40 $75.52 Amount Paid $74.88 $0.64 575.52 - t----e '. I:: . CITY OF SPRINGFIELD ; Status Issued Building/Combination Permit PERMIT NO: COM2006-00173 ISSUED: 02/28/2006 APPLIED: 02/10/2006 EXPIRES: 08/28/2006 VALUE: $ 39,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ., 541-726-3769 Inspection Line Owner: Address: PAN PACIFIC RETAIL PROP INC PO BOX 131071 CARLS BAD CA 92013 Springfield TYf,EOOF ,WORK:rTenainf<lnfill. \,0 . TENTIU,,' ,..., '" ,uo. ., . AT -I. ,.. ~_j.,,:t;'1 h\, tl\8 O:C,;Jll l),::,ty fO"OW n.'fYPE OF USE:se IAlterationcllurth Commercial T. t' A '..1" il"'I-f"'onIPr II\U ,,'w'" 0 1 enant lmprovemen .or meflcan: ,am y' nsura~ct1 0 througl1 OAtl 9~2. 0 . in OAR 952-001 0 , ... ___';"0 nf "'~ rules by OO\JU,.lUU ,,,uy ~i~~ Note: ti1e\elephone calling the che 0 ~g(on Utility NO\lfication number for t e r ) Center is 1_800-332-2344 , , . SITE ADDRESS: 1811 PIONEER P ARKW A YEAST ASSESSOR'S PARCEL NO.: 1703262302401 PROJECT DESCRIPTION: I CONTRACTOR INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor License Expiration Date HORIZON RETAIL CONSTRUCTION INC 98581 06/0212006 JB ELECTRIC 'f 104929 03/14/2008 MICHAEL GRIFFIN ,~GYlCE: 150189 0112312007 VOS PLUMBING INC ~~IS/~R~4I~05!ALL F)(PIQ~O~04G~~~T':I' BUILDING INI\ORMATION"JDER THIS PERMIT IS NOT' . !..~W uol IS ABANDONED Fa # ofStori.{WY 180 DAY PERIOD. Lot Size: R Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 262-638-6000 541-687-5770 541-942-8339 541-485-0551 Contractor Type General Electrical t. Mechanical . Plumbing B VB I """"'LOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: , Side 2 Setback: . Rearyard Sethack: Solar Setbacks: Overlay Dist: # Streel Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer A vailahle: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curh and Guller Notes: No SDC fee's existing Lillie Caesar's Pizza to General Office use. No new fixtures 2/23/2006 CAS Page 1 of3 ---e 1 .. , Status Issued 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review CommlIndlPublic -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Fixture Minimum/Adjustment Plumbing Miscellaneous Mechanical + 10% Administrative Fee + 8% Slate Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Circ Ea Add Total Amount Paid Fire Departmenl Review 02/13/2006 Initial Review Planninl! Review Public Works Review 02/13/2006 02/13/2006 02113/2006 Structural Review 02/13/2006 Structural Review 02/23/2006 Structural Review SUB Review . SUB Review 02/24/2006 02/23/2006 02/13/2006 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 39,000.00 Total Value of Project Fpp< PIilLI Amount Paid $199.95 $10.00 $39.63 $31. 70 $306.30 $14.00 $31.00 $45.00 $6.40 $5.12 $43.00 $21.00 $753.10 Date Paid 2/10/06 2/28/06 2/28/06 2/28/06 2/28/06 2/28/06 2/28/06 2/28/06 3/1106 3/1106 3/1106 3/1106 I Plan Reviews , 02/20/2006 02/13/2006 02/13/2005 02/23/2006 02/15/2006 02123/2006 02/24/2006 02/23/2006 02/17/2006 OK GRG APP SKG APP EMM APP CAS WE JMP 10 JMP APP JMP APP JF WE JF Page 2 of3 . CITY OF SPRINGFIELD'" Building/Combination Permi( PERMIT NO: COM2006-00173 ISSUED: 02/28/2006 APPLIED: 02/10/2006 EXPIRES: 08/28/2006 VALUE: $ 39,000.00 Value Datc Calculated $39,000.00 $39,000.00 02/10/2006 . , '. Receipt Number 1200600000000000141 2200600000000000249 2200600000000000249 2200600000000000249 2200600000000000249 2200600000000000249 2200600000000000249 2200600000000000249 2200600000000000253 2200600000000000253 2200600000000000253 2200600000000000253 - . . See attached Fire Department Comments No sdc fee's applied change of use from Pizza Place to General Officc no new fixtures 2/23/2006 CAS See attached documents for 11 structural comments faxed to David W.Ohlemeyer. WI. Received response with energy code forms and revised drawings from Joseph R. Meyer. Received final internal approval. r No energy code Issues or inspections. - See Item 6 In structural comments for request of energy code forms. .. - -it~ . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2006-00173 ISSUED: 02/28/2006 APPLIED: 02/10/2006 EXPIRES: 08/28/2006 VALUE: $ 39,000.00 225 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. ~lJirf'd Uf'~tion~ I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Grid: After drywall approval but prior to cover. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: Afler all required inspections have been requested and approved and the huilding Is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. r By signature, I state and agree, that I have carefully examined the completed application and do herehy certify Ihat all information hereon Is true and correct, and I further certify thai any and all work performed shall he done In accordance with the Ordinances of the City of Springfield and Ihe Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any struclure without permission oflhe Community Services Division, Building Safety. I further certify Ihat 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 tbe front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contraclors Signature Date Page 3 00 . . Ul l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00173 ISSUED: 02/28/2006 APPLIED: 02/10/2006 EXPIRES: 08/28/2006 VALUE: $ 39,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1811 PIONEER PARKWAY EAST ASSESSOR'S PARCEL NO.: 1703262302401 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration PROJECT DESCRIPTION: Tenant Improvement for American Family Insurance Commercial - Owner: Address: PAN PACIFIC RETAIL PROP INC PO BOX 131071 CARLSBAD CA 92013 I\IUIlIil:: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT e:::ri.:i.:fit;a; ~n /oJ "DMI~UUIRU tUH I CONTRACTOR rNFORM'AIJll(l)Jl(TIOD. Contractor Type General Electrical Mechanical Plumbing Contractor License HORIZON RETAIL CONSTRUCTION INC 98581 JB ELECTRIC 104929 MICHAEL GRIFFIN 150189 VOS PLUMBING INC 41805 BUILDING INFORMATION' Expiration Date 06/02/2006 03/14/2008 0112312007 04/04/2006 Phone 262-638-6000 541-687-5770 541-942-8339 541-485-0551 # of Units: Primary Occupancy Group: Secondary Occupancy Group: : Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Lot Size: Height of Structure Sq Ft lst Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy.P]'[h":ITION: Oregon law requ'Sq:F.fiOtber: Spriniil~d"Blilliliiig,dopted tlJ!ahe Or(gccujJiiiitLoad: 'd.....+if:;......,..:......~ ,.....__.__ T'_ _ _ _ .'. ., ~.. VB Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELORMENlI INFORMATION"I ugh OAR 952-001- uu~u, YOU may Obtain copies of the ruh:~pUlRED PARKING Overl.:y1ji~t? the center. (f\!ote: tile IBIHphor.Total: # Stre'eilTrees Rqcl!18 Orero~ U.iI,y [':u!If.C.:l.'Handicapped: Paved Drive Rqd:tcr is 1,Lv0-~u~ ~.:.. .~). Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: .c Special Instruction: Notes: No SDC fee's existing Little Caesar's Pizza to General Office use. No new fixtures 2/23/2006 CAS FullV Improved Yes Sidewalk Type: Downspouts/Drains: Curh and Gutter Pagelof3 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 Plan Review CommlIndlPublic -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Fixture Minimum/Adjustment Plumhing Miscellaneous Mechanical Total Amount Paid . . CITY OF ~rKJ1~,-"1'1J!.,L1J' Building/Combination Permit: PERMIT NO: COM2006-00173 ISSUED: 02/28/2006 APPLIED: 02/10/2006 EXPIRES: 08/2812006 VALUE: $ 39,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 39,000.00 Total Value of Project Fpp< PiW Amount Paid Date Paid $199.95 $tO.OO $39.63 $31.70 $306.30 $14.00 $31.00 $45.00 2/10/06 2/28/06 2/28/06 2/28/06 2/28/06 2/28/06 2/28/06 2/28/06 $677.58 I Plan Reviews I Fire Department Review 02/13/2006 02/20/2006 OK GRG Inilial Review 02/13/2006 02/13/2006 APP SKG Planning Review 02/13/2006 02/13/2005 APP EMM Public Works Review 02/13/2006 02/23/2006 APP CAS Struclural Review 02/13/2006 02/15/2006 WE JMP Structural Review 02/23/2006 02/23/2006 10 JMP Structural Review 02/24/2006 02/24/2006 APP JMP SUB Review 02/23/2006 02123/2006 APP JF SUB Review 02/13/2006 02/17/2006 WE JF Value Date Calculated $39,000.00 $39,000.00 02/10/2006 Receipt Numher 1200600000000000141 2200600000000000249 2200600000000000249 2200600000000000249 2200600000000000249 2200600000000000249 2200600000000000249 2200600000000000249 See attached Fire Departmenl Commenls No sdc fee's applied change of use from Pizza Place to General Office no new fixtures 2/23/2006 CAS See attached documents for 11 structural comments faxed to David W. Ohlemeyer. WI. Received response with energy code forms and revised drawings from Joseph R. Meyer. Received final internal approval. No energy code issues or inspections. See item 6 In structural comments for request of energy code forms. 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. Page 2 00 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00173 ISSUED: 02/28/2006 APPLIED: 02/10/2006 EXPIRES: 08/28/2006 VALUE: $ 39,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I R.p.ouirp.d Tnsnp.rtions I Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Wall Insulation: Prior to cover. Ceiling Grid: After drywall approval but prior to cover. Final Fire Department. After all requirements of the Fire Department have been mel. Final Building: After all required inspections have been requested and approved and the huilding is complete. Rough Mechanical: Prior to Cover Final Mechanical: When an mechanical work Is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By slgnalure, I state and agree, that I have carefully examined the completed appllcalion and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shan he 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 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 Ihls 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. W).~ 2- - 2--J- -!J~ 1/ Owner or Contractors Signature Date Page 3 of3 , . . ATIACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVEWPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER COM2OO6-00 173 NAME OR COMPANY: American Famil~ lnsunmce LOCATION: 1811 PiooeerParkwBvEas! MAP & TAX WT NUMBER: 170326230240 I DEVEWPMENT TYPE: lnsunmce Office NEW DEVEWPED AREA (S,F,): 1.330,00 lTE: 710 EXISTING DEVEWPED AREA (S,F,): 1.330,00 ITE: 933 TOTAL IMPERVIOUS SURFACE (S,F,): WT SIZE (S,F,): -.- - .--. I STORM DRAINAGE IMPERVIOUS SQ. FT. x S 0,323 PER SF No new impervious area ZSANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) TOTAL STORM DRAINAGE SDC:! x S 25,07 PER DFU o x S 19,07 PER DFU S 44.14 TOTAL WCAL WASTEWATER SDC:, SO,OO I SO,OO 3 TRANSPORTATION BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A REIMBURSEMENT COST: 1.33 x 11.01 x S 19,09 PER TRIP x 0,9 NTF S251.551 B, IMPROVEMENT COST: 1.33 x 11.01 x S 84,19 PER TRIP x 0,9 NTF SI.109.55I EXISTING A. REIMBURSEMENT COST: -1.33 x 151.2 x S 19,09 PER TRIP x 0,5 NTF (SI.919,15)1 B, IMPROVEMENT COST: -1.33 x 151.2 x S 84,19 PER TRIP x 0.5 NTF (S8.465.23)~ S 103,28 TOTAL TRANSPORTATION REIMBURSEMENT SDq TOTAL TRANSPORTATION IMPROVEMENT SDC:' TOTAL TRANSPORTATION SDC1 S I 4 SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 1.33 x $46,88 PER FEU S62,34 ~ B, IMPROVEMENT COST: NUMBER OF FEu's 1.33 x $494,46 PER FEU S657,63 I EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's -1.33 x S856,69 PER FEU (SI,139,40)' B. IMPROVEMENT COST: NUMBER OF FEU's -1.33 x S7,471.08 PER FEU (S9.936.54), MWMC CREDIT IF APPUCABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:, S SUBTOTAL (ADD ITEMS 1.2,3,&4) _J so,ool 5 ADMIN1STRA TlVE FEES ' BASE CHARGE (SUBTOTAL ABOVE) S x So/, I SO,OO TOTAL TRANSPORTATION ADMINISTRA nON FEE: TOTAL SEWER ADMIN1STRA nON FEE: TOTAL SDC CHARGES t?~ ,. '~':" ~ 212312006 DATE SDC COORDINATOR C0M2006-00173, 1811 Pioneer Parkway, AmericanFamilylns.x1s >. ~ 88 S 'U 113 " 8 " 0 0::3... til.....!!L!:!. SO,OO SO,OO 1178 SO.OO 1183 SO.OO 1184 (SI,667.60) 1173 (S7.355,68) 1094 (S9,023,29) SO.OO 1054 (S I ,077.05) 1186 (S9,278,90) 1187 SO.OO 1189 (SIO,355,95) #DIV 10! #DIV/O! 1175 1190 SO,OO 1 JULY 2004 . . DRAINAGE FIX11JRE UNIT (OFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) American Family Insurance FIXTIJRE TYPE BATHTUB DRINlGNG FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASElOD.JSOLIDS/ETC, INTERCEPTORS FOR SAND/AlITO W ASH/ETC, LAUNDRY TUB CLOTIIES W ASHER/MOP SINK CLOTIIES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RELcr 'v... FOR REFRlGERA TOR/W A TER ST A TIONIETC, RELcr I v... FOR COMMERCIAL SINK/ DlSHW ASHER/ETC, SHOWER, SINGLE STALL SHOWER. GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LA V A TORY /RESIDENTIAL BAR URINAL. STALUWALL TOILET. PUBLIC INSTALLATION TOILET. PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES UNIT NEW OLD EOUIV ALENT 3 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 1 5 6 3 NUMBER OF EDD'S' TOTAL DRAINAGE FIX11JRE UNITS= 'EDU (EouiVll1ent Dwellin. Unit) is a discharae eQUiVll1ent to . single fami1v dweIIin. (20 Dm set at 167 .alIons per day CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE. CALCULATE CREDITS SEP ARA TEL Y 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 RATEPERS1.ooo YEAR RATEPERSl,ooo ANNEXED ASSESSED VALUE -\NNEXED ASSESSED VALUE 1979 or before J, S5,29 1992 1980 S5,19 1993 SI.45 1981 S5,12 .'.' S1.25 1994 1982 $4,98 1995 SLD9 1983 $4.80 1996 SO.92 1984 $4,63 1997 SO.72 1985 $4,40 1998 SO.48 1986 $4,07. 1999 . .So,28 1987 S.3,67 2000 SO.09. 1988 . .S3,22 2001 SO,05. 1989 $1:73 2002 SO,OO 1990 $1:25'. 2003 SO,OO 1991 >. Sl.8O 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 C0M2006-00173, 1811 Pioneer Pal1cway, AmericanFamilylns.xls 1 JULY 2004 225 i<ifth Street ~pringfield. Oregon 97477 541-726-3759 Phone . UinM Wit .. City of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2006-00 173 COM2006-00 173 COM2006-00 173 COM2006-00 173 CpM2006-00 173 COM2006-00 173 COM2006-00 173 Payments: Type of Payment Check :( " . :c :' ':.' ) '( :, -:r " 1f ). " 2/28/2006 RECEIPT #: 2200600000000000249 Date: 02/28/2006 Descrlptlon Miscellaneous Mechanical -Mechanical Issuance I' ee- Building Permit Fixture Minimum/Adjustment Plumbing + 8% State Surcharge + 10% Administrative Fee Paid By HORIZON RETAIL CONSTRUCTION INe Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 117006 In Person Payment Total: Page I of I 10:12:21AM Amount Due 45.00 10.00 306.30 14.00 31.00 31.70 39.63 $477.63 Amount Paid $477.63 $477.63