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Job# 01-00399-01
Page 1 of 4
225 North Fifth Street
Springfield, OR 97477
THAr~s#; 01..-0006066
DATE:JUL 05 2001
AMT RECD:2 $ 26492.72
CHANGE:
CASHIER~003
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00399-01
Office: 726-3759
Inspection' Line: 726-3769
Location Of Proposed Site: 3957 Hayden Bridge Rd Spr
Assessors Map#: 17021900
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 03300
Subdivision:
EWEB
500 East 4th Ave
Phone Number: 541-484-2411
City/State/Zip:
Eugene, OR 97440-2148
Value: $5,812,595
Scope Of Work: Tank(s)
EWEB Reservoir-Pumping Station
Construct new reservoir and associated site improvements for EWEB
Contractor Type
General Contr
Engineer
Engineer
Engineer
New
Contractor
Slayden Construction, Inc.
500 Willamette Avenue, Stayton, OR
97383
OBEC Consulting Engineers
. 920 Country Club Road #1 OOB, ,Eugene,
OR 97401
Peter Slocum
c/o 920 Country Club Road #100,
Eugene, OR 97401
Gary Rayor
c/o 920 Country Club Road #100,
Eugene, OR 97401
. Registration #
45621
Expiration Date
6/20/2004
Phone
503-769-1969
541-683-6090
541-683-6090
541-683-6090
Quad Area: 3PNW
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use: Electric/Power Companie # Of Buildings:
Zoning Code: PLOS Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections 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
working day.
Site
Footing
Foundation
Slab
Framing
Required Inspections
I Building I
- To be made after excavation but prior to setting forms.
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- To be made after all inslab building service equipment, conduit piping, and other equipment iter
- Prior to cover.
Zoning: PLOS
FloodPlain? D Wetlands? D
Journal numbers
1: 2000-06-0124 2:
Comments:
'i.
Structural Masonry
Structural Welds
Structural Concrete
Bolts installed in
concrete
High Strength Bolting
Final Fire
Final Site Plan
Final Building
Underground Electrical
Verify Ground Rod
Rough Electrical
Electrical Service
Final Electrical
Rough Plumbing
Sanitary Sewer Line
Storm Sewer Line
Backflow Device
Final Plumbing
Rough Mechanical
Final Mechanical
Rough Grading
Final Paving
I Job# 01-00399-01 I
Page 2 of 4
Required Inspections
I Building I
- To be done during construction by a State Certified Special Inspector. Provide results to City B
- To be done during construction by State Certified Special Inspector. Provide inspection test re~
-In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide r
- To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildir
- To be done during construction by a State Certified Special Inspector. Provide inspection resul
- When all Fire Department requirements have been met.
-After all requirements have been met for Minimum Development Standards or from the Develo~
- When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
- Prior to cover.
-Must be approved to obtain permanent power.
- When all electrical work is complete.
Plumbing
- Prior to cover.
- Prior to filling trench.
-Prior to filling trench.
-After device is installed but before backfilling trench.
- When all plumbing work is complete.
Mechanical
- Prior to cover.
- When all mechanical work is complete.
. I Permits w/o Srchg I
-After gravel is in place but prior to placing concete.
-After paving is complete.
Overlay District:
# of Street Trees:
Land Use: Electric/Power Companie~
Pave Driveway? D
3:
Planner: Sarah Summers
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
'\,
Job# 01-00399-01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Public Plan Review 04/20/2001 0005008 7,838,517 $8,021.98
Adjusted Public Plan Review 07/05/2001 6066 -1,976 $-1,975.75
Total Plan Check $6,046.23
Building
Building Permit 07/05/2001 6066 4,409,595 $7,198.00
State Surcharge For Building Permit 07/05/2001 6066 $503.86
Building Administrative Fee 07/05/2001 6066 $215.94
Total Building $7,917.80
Electrical
Permanent: 200 Amps or Less 07/05/2001 6066 3 $150.00
Permanent: 201 to 400 Amps 07/05/2001 6066 2 $120.00
Perm: Over 1000 AmpsNolts 07/05/2001 6066 1 $300.00
Branch Circuits With Feeder or Service 07/05/2001 6066 61 $122.00
State Surcharge - Electrical 07/05/2001 6066 $48.44
Administrative Fee - Electrical 07/05/2001 6066 $20.76
Total Electrical $761.20
Plumbing
Minimum Plumbing Permit Fee 07/05/2001 6066 $.00
Number of Fixtures 07/05/2001 6066 2 $20.00
State Surcharge - Plumbiflg 07/05/2001 6066 $121.10
Sanitary Sewer Footage 07/05/2001 6066 1,451 $250.00
Storm Sewer Footage 07/05/2001 6066 9,518 $1,450.00
Backflow Prevention Device 07/05/2001 6066 1 $10.00
Administrative Fee - Plumbing 07/05/2001 6066 $51.90
Total Plumbing $1,903.00
Mechanical
Minimum Mechanical Permit 07/05/2001 6066 $.00
Administrative Fee - Mechanical 07/05/2001 6066 $.81
Less than 100,000 BTU 07/05/2001 6066 3 $18.00
Vent Fan to One Duct 07/05/2001 6066 3 $9.00
Mechanical Issuance 07/05/2001 6066 $10.00
State Surcharge - Mechanical 07/05/2001 6066 $1.89
Total Mechanical $39.70
System Development
Impervious Surface Area - Storm 07/05/2001 6066 60,000 $8,130.00
Sanitary Sewer 07/05/2001 6066 57 $920.55
MWMC Administrative Fee 07/05/2001 6066 1 $10.00
Sanitary Sewer SDC Reimbursement 07/05/2001 6066 57 $1,211.25
SDC Administrative Fee 07/05/2001 6066 $721.87
Property Annexed 1979 or Before 07/05/2001 6066 195 $-922.34
Utilities - MWMC 07/05/2001 6066 57 $5,087.94
Total System Development $15,159.27
Permits w/o Srchg
Paving 07/05/2001 6066 1,403,000 $2,687.50
Total Permits w/o Srchg $2,687.50
Grand Total $34,514.70
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Plan Check Type
Checked By
Job# 01-00399-01 I
Date Completed
Page 4 of 4
Comment
Initial Review-C/I/P
Engineering-C/I/P
Planning-C/I/P
Structural-C/I/P
Fire Marshal-C/I/P
Lisa Hopper
04/20/2001
Sarah Summers
06/28/2001
06/28/2001
06/28/2001
Development Agreement signed 2-18~01.
Lome Pleger
AI Gerard
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used 'on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans will remain on the site at all times
duriZJ':(( tJd 7/sirf)
Signature Date
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City ofSpringfictd
CQa~:;~u:.;~7 5.:n..~:~1t Di \P~;:~iL
~ ~E<ereYtJ~ I ~A{/J;/>t77JJ(}
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225 Fiith Street
Springfi~ld, OR 91477
Telephone: (S4l) 726.3759
Fall: (54 \) 726.36&9
Spcclnl Inspection And Testing
3 C; S-7 ffi1r.{aJ 4-M2-A
Projecl Address
To applitants of projeclS requiring special inip~cti(1n Of le.stil1 g as per Sectio n 1701.5 Df the Ofi!gon S~ructural Spec; ally Co c1e, Plea ie rev iew .tne i rlforrna~j on below,
\Vh.c n you
h;ave finished, ackno\vledgc an undemanding onh~ inrormalion by 5igning be\ow, and return Ibis fonn to lbe City.
BE-FOR E A PERMIT CAN BE rssu ED~ The owner or owners representative, on the advice Q r theresponsibl c Project Engineer or Arc"h itect, shall completc, sign, and submil
10 the City for uview and approval In is ronn completed on botb \be front Md bacle.
The Own!f and Genern! ContractDr. wberl: applicable, shall also acknowledge the following conditions applicable to Special Inspection and/or Testing,
I. Con!racfor is responsible fer proper 1\Dtif'ie1lion ror the Inspe(lion or Tcsling of items listed.
1. Testillg labornlory 5hnlllllke appropriate SlImptes il'ld transport [hem [0 !heir laboratory for proper evaluation or te51ing.
· Copl~ orall laboratory n:ports and inspcttiooJi ar~ to be sent 10 Ihe Cily by the TesCing Agency-
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3. Spccialln.5pc~lia.. Ag~ncy is CO submil namu and qualifi.ca~lons of on-sHe Spe-cial Insp.eclors to the Chy for approval.
4" SpeciallnJp E!cto r $hall provide inspec(ion rC(lQns to the building orIicia 1 of all inspection activities.
S. Contrnctor \1 re.sj)Onsible lo review the City approved plans for additi,mal inspection or tesling requiremerlts tbal may be r.ored.
BEfORE A CERTW)CATEOf OCCUPANCY WILL BE JSSUED; The SpeciaUnspec(\on Agency shan submi[[o lheBuilding omcial! sla~emenllhataU hems requiring
inspcclion have b"n fulfill~ and reported and were to the be~( onbe in&peC[Dr'S knowledge, jn confonnanct wilh!he approved plans, speeificBttons and applicable workmanship
provisions. ThO!!ie. ilems lIot tested and/or inspel:!t.d snaU be noted h the 5tiltemeGt. The report is '0 be submitted to tbe City prior 10 a requtst for l';r.al inspections..
ACKNOWLEDGMENTS
EWEr<
OWrlCl' Name {Primed}
013EC
Engineer or Archilct:t Firm (Printed)
"ft(
Tesring l.:ilboralDry Namc {Prlnled}
;P ~/ U J/-?", . Sl.lJ'lllEJI/ C11/l/J7JeaJ1JL1!;'N(..-A~l
~~ Gen, Contraclor Firm Name (Printed) General COntractor SignalUle ,
-I::J/~ - c;BEC ~~ t< ~~ of
IE~gin~CI Signature Speciallmpecti~n Agency Na.me (PriMed) S~ial rnsMgenc.~p Sign. _~
V C!!t! ----. ~ <: ~-~.-/.
, - J "~;t:;~V. \-. ~.)<r-\\~~.~' ~~~." ~
Labora{ory Rtp IgnarlJre BU11dmg OffiCial 'Name (Pnnled) BUI!cmg OffiCial Slgnaru.re
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Oregon Construction Contrac, Board>> License Details
Page 1 of I
"
OREGON CONSTRUCTION CONTRACTORS BOARD
Query Details
Details on Oregon License: 1838
NAME: L H MORRIS ELECTRIC INC
ADDRESS: 483 SHELLEY ST SPRINGFIELD OR 97477-1966
WORK PHONE NUMBER: 541-747-0811
LICENSE STATUS: Active
EXPIRATION DATE: 6/8/2005
DATE FIRST LICENSED: 7/1/1972
ENTITY TYPE: Corporation
LICENSE CATEGORY: Specialty Contractor/All
EMPLOYER STATUS: NON-EXEMPT
, UNITED STATES
BOND COMPANY, FIDELITY & GUARANTY
BOND AMOUNT: $ 10000
BOND EFFECTIVE TO: 6/8/2005
View Bond History
INSURANCE COMPANY' AMERICAN & FOREIGN
'INSCO
INSURANCE AMOUNT: $ 500000
INSURANCE EFFECTIVE 1/1/2002
TO:
View Insurance History
View Claims History
View X-Reference
Licenses
View SIC Codes
View Associated Names
View Buildinq Codes Division License Details
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Last modified: April 1 0,2001
State of Oreaon Liabilitv Statement
http://ccbed.ccb.state.or. us/Bill/regno222.asp
06/281200 I
A TT ACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 01-00399-01
NAME OR COMPANY: EUGENE WATER & ELECTRIC BOARD
LOCATION: WATER FILTRATION PLANT
MAP & TAX LOT NUMBER: 17-02-19-00 03300
DEVELOPMENT TYPE: UTILITY
USE # I
NEW DEVELOPED BUILDING AREA (S.F,):
EXIST DEVELOPED BUILDING AREA (S.F.):
TOTAL DEVELOPED BUILDING AREA (S.F.):
60000
57400
ITE:
ITE:
LOT SIZE (S.F.):
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
x $ 0.271 PER SF
TOTAL STORM DRAINAGE SDC: , $ 16,260.00
60000
2. SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's 57
B. IMPROVEMENT COST:
NUMBER OF DFU's 57
(SEE REVERSE SIDE)
1$
1$
$
$
$
110
x $ 21.25 PER DFU , $ 1,211.25
x $ 16.15 PER DFU , $ 920.55
TOTAL LOCAL W ASTEW A TER SDC: , $ 2,131.80
.
3. TRANSPORTATION
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST:
o x 6.97 x $ 16,12 PERTRIP x
B. IMPROVEMENT COST:
o x 6.97 x $ 65.55 PER TRIP x
0.95
NTF
0.95
NTF
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:
4. SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
$81.69
57.4
PER FEU
x
$6.95
57.4
PER FEU
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
x 0.05
?.-u& j7. ~~ ~
SDC COORDINATOR
TOTAL SDC CHARGES
DATE
I $ 4,689.01
I $ 398,93
I $ (922.34)
$ 4,165.60
$ 10.00
, $ 4,175.60
, $ 22,567.40
'$ 1,128.37
I $ ~, 23,695.771
DECEMBER 2000
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FORGREASE/OIL/SOLIDS/ETe.
INTERCEPTORS FOR SAND/AUTO WASH/ETe.
LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER ST A TION/ETe.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC:
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LA V A TORY
,SINK: SINGLE LA V ATORY/RESIDENTIAL BAR
URINAL, ST ALL/WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW' OLD
UNIT
EQUIVALENT
3
I
3
J
6
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
7
NUMBER OF EDU'S*
TOTAL DRAINAGE FIXTURE UNITS=
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling '(20 DFU) set at 167 gallons per day
DRAINAGE
FIXTURE
UNITS
,0
o
o
o
o
o
o
o
o
o
o
o
o
3
o
6
6
o
42
o
o
o
o
57
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE,
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULA TI:: CREDITS SEP ARA TEL Y
YEAR RA TE PER $1,000 YEAR RA TE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 or before $ 4.74 1990 $ 1.96
1980 $' 4.65 1991 $ 1.55
1981 $ 4.59 1992 $ i36
1982 $ 4.46 1993 $ , 1.23
1983 $ 4.30 1994 $ 1.05
1984 $ 4.14 1995 $ 0.90
1985 $ 3.93 1996 $ 0.75
1986 $ 3.63, 1997 $ 0.57
1987 $ 3.26 1998 $ 0.35
1988 $ 2.85 1999 $ . 0.15
1989 $ 2.40
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABI $4.74
IMPROVEMENT (IF AFTER ANNEXATION DATE) $0.00
x
x
194.586
0.000
CREDIT TOTAL
------
$922.34
$0.00
$922.34 '
DECEMBER 2000
SPECIAL INSPECTION AND TESTING SCHEDULE
Reinforced Concrete, Gunite, Grout and Morlar:
Concrete Gunite Gmllt I Mortar
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Piles
(Eost- T~s
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A ggre~ate Test of Mix Design
~~inf()~~!;~ ~:.~
MIX D I - gh~slr Cert..
Reinfocing Placement
ContilUloUS Batch Planr Ins.\'
lnspect Placin&
Cast Samples
~:~I~s~r~~~:I~eJ ivered)
GRADING, EXCA V A TION. AND FILL
Acceptance tests · .PSF
~ Establish final grade
:x Fill placement inspection/continuous
Ji Soli Density
I STRUCTURAL'STEEUWELDING:
Sample and [est (I ist specific members below)
Shop material identification (mill cen)
Weld inspection, ~ Shop)( Field
Ultrasonic inspcc[ion Shop Ficld
High strength bolting Shop Field
A325 N X f
A490 N X F
Metal deck welding inspection
Reinforcing Steel welding inspeclion
Reinforcing steel mill certificate
Metal stud welding inspection
Concrete insert welding inspection
Moment resisting steel frames
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I SMOKE CONTROL:
Leakage testing
Control verificatibn
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Tendon Te~t
Mix DesiiQ~"
Reinforcinv Placement
(nsert Placement
Concrete BatchiQi
Concrete Placement
(fiscal/ation Inspe~li11n
Cast Samp'~s
Pick-up Sample!;
Compression Tests
STRUCTURAL WOOD:
LfL Shear wall nailing inspectiOIl
L Shear wall anchors
Inspection ofGlu-lam fab. ., T/C psi
Inspection of truss joisl fab.
Sample and test components
Fabrication welding of sleel ilccessories
X-
ROOFING
Insulation installation/R-value.
Tesl strips/se;Il11S
FlREPROOFfNG:
Placement inspection
Density Tests
Thickness tests
Inspect hatching
MASONRY;
Special inspection stresses used. _fm fg
Preliminary <lCCeptilllce tesrs (masonry units, wafl prisms)
Subsequent lests (mortar, grolll. field wall prisll1S)
..s.- Placement inspection of IIllils, nlld rcinforccmclIl
A- Masonary, mOntH, graUl, und reinforcing steel certificates
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ADDITIONAL INSTRUCTIONS, OTHER TE.ST, & INSPECTIONS:
Form completed bY:~~&-J '~a? DateO? /7'~
C;;~i:..~
"PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUES
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