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HomeMy WebLinkAboutPermit Building 2007-7-20 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00790 ISSUED: 07120/2007 APPLIED: 06/01/2007 EXPIRES: 01/2012008 VALUE: $ 380,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5810 MAIN ST ASSESSOR'S PARCEL NO.: 1702334102300 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Remodel and addition to existing structure Owner: AMIGOS III LLC Address: 32929 ROBERTS CRT COBURG OR 97408 Phone Number: 541-726-8795 I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Mechanical Plumbing Contractor RON THIENES CASCADE VIEW CONSTRUCTION INC JB ELECTRIC COMMERCIAL AIR INC TWIN RIVERS PLUMBING INC License Expiration Date 155174 104929 110075 17695 04/16/2009 03/14/2008 12/18/2007 03/11/2008 Phone 541-726-8795 541-912-1412 541-687-5770 541-461-4821 541-688-1444 BUILDING INFORMATION' # of Units: # of Stories: 1 Lot Size: Primary Occupancy Group: M Height of Structure: 19.50 Sq Ft 1st Floor: 1,705 Secondary Occupancy Group: Type of Heat: Electric Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport # of Bedrooms: Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION. REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: ~ma~t.O-:==,. .. feuiiiii-.-;Je.-..... . foHow ruIeI ad .:..:.:..: -. - - ~-=.: NTS Notification Center. I Street Improvements: tn OAR esa.G01.oo10through OAR 152..001. Storm Sewer Available: 1080. Youmayobtalftcoplesoflherufe8br Special Instruction: calling 1he center. (Note: the telephone .... ..th. OregOn UIII~IO" Notes: Center II t.fJOO.l3l Sidewalk Type: N9JJt'~~uts/Drains: ORK THIS PERMIT SHALL EXPIRE IF THE W AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e 1 of 6 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Pavin2 Estimate Use Bid Amount Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Backflow Device Boiler/Comp Up To 100,000 btu Building Permit Fire SF Fee - Non-Residential Fixture Furnace - up to 100,000 btu Miscellaneous Plumbing Paving Plan Review Fire & Life Safety Sanitary Sewer - 1st 50 Feet Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Vent Fan Water Line - 1st 50 Feet Water Line - Each Addtll00' Total Amount Paid I Valuation Description I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 299,149.00 80,851.00 Total Value of Project ~ Amount Paid Date Paid $959.17 $10.00 $236.17 $109.56 $135.97 $14.00 $12.00 $1,215.65 $170.50 $196.00 $36.00 $45.00 $491.55 $590.26 $45.00 $45.00 $14.00 $18.00 $45.00 $14.00 6/1/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 7/20/07 $4,402.83 I Plan Reviews I Pa!!:e 2 of 6 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00790 ISSUED: 07/20/2007 APPLIED: 06/01/2007 EXPIRES: 01120/2008 VALUE: $ 380,000.00 Value Date Calculated $299,149.00 $80,851.00 $380,000.00 07/03/2007 07/03/2007 Receipt Number 1200700000000000670 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 1200700000000000948 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00790 225 Fifth Street, Springfield, OR ISSUED: 07120/2007 541-726-3753 Phone APPLIED: 06/01/2007 541-726-3676 Fax EXPIRES: 01/20/2008 541-726-3769 Inspection Line VALUE: $ 380,000.00 Fire Department Review 06/04/2007 07/02/2007 OK GRG Plans Review: Remodel car wash to three tenant space commercial building. Job #COM2007-00790. Occupancy Classification: M. Construction Type: V-B. Existing structure: 2,439 sq. ft.; addition: 1,707 sq. ft.; total addition and remodel: 4,142 sq. ft. Three retail spaces divided into 1,412 sq. ft., 1,275 sq. ft. and 1,308 sq. ft. Provide or maintain address numbers and suite numbers or letters in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property. Numbers shall be a minimum of 4 inches high (2007 Oregon Structural Specialty Code 501.2 and 2007 Springfield Fire Code 505.1). Provide fire extinguishers with a minimum rating of2-A:I0-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (2007 Springfield Fire Code 906). Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED WHEN BUILDING IS OCCUPIED" if key locking hardware is employed. The sign shall be in letters 1 inch high on a contrasting background (2007 OSSC 1008.1.8.3, exception 2.2). Initial Review 06/01/2007 06/01/2007 APP LLH Initial Review 06/19/2007 06/19/2007 APP LLH Complete Revised Sets Plan Review Comments 07/03/2007 10 JMP WI. Received responses from Ron Thienes. Plannin2 Review 06/04/2007 WE Needs signed Development Agreement. Linda Pauly Planner - DRC2007-00015 Site Plan Review Minor Mod. Public Works Review 06/04/2007 06/05/2007 APP JHJ Attached SDC Worksheet. No New SDC's. (JHJ) Pa2e 3 of6 CITY OF SPRINGFIELD' Building/Combination Permit Status Iss u ed PERMIT NO: COM2007-00790 225 Fifth Street, Springfield, OR ISSUED: 07/20/2007 541-726-3753 Phone APPLIED: 06/01/2007 541-726-3676 Fax EXPIRES: 01120/2008 541-726-3769 Inspection Line VALUE: $ 380,000.00 Revised Plan Review - Fir 06/19/2007 07/14/2007 OK GRG Plans Review: Revised submittal for remodel of car wash to three tenant space commercial building. Job #COM2007-00790. Occupancy Classification: M. Construction Type: V-B. Existing structure: 2,439 sq. ft.; addition: 1,707 sq. ft.; total addition and remodel: 4,142 sq. ft. Three retail spaces divided into 1,412 sq. ft., 1,275 sq. ft. and 1,308 sq. ft. Provide or maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property. Numbers shall be a minimum of 4 inches high (2007 Oregon Structural Specialty Code 501.2 and 2007 Springfield Fire Code 505.1). Provide fire extinguishers with a minimum rating of2-A:10-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (2007 Springfield Fire Code 906). Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED WHEN BUILDING IS OCCUPIED" if key locking hardware is employed. The sign shall be in letters 1 inch high on a contrasting background (2007 OSSC 1008.1.8.3, exception 2.2). Note: These comments replace the original plans review submittal comments dated 7/2/07. Revised Plan Review - Pia 06/19/2007 06/21/2007 APP EMM Development Agreement received 6/21/07. To be constructed per approved Minor Site Plan Review. Revised Plan Review - Pu 06/19/2007 Revised Plan Review - SU 06/19/2007 Structural Review 06/19/2007 06/19/2007 10 JMP Complete revised sets. See attached documents for 9 structural comments faxed to Ron Thienes. Pa2e 4 of6 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-00790 ISSUED: 07120/2007 APPLIED: 06/01/2007 EXPIRES: 01/20/2008 VALUE: $ 380,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 07/19/2007 07/1912007 APP JMP Received final internal approval. Structural Review 06/0112007 06/19/2007 WE JMP Received 6/4/2007. See attached documents for 9 structural comments faxed to Ron Thienes. SUB Review 07/03/2007 07/1812007 APP DH See attached documents for approval memorandum SUB Review 06/04/2007 06/1912007 WE DH See attached documents for Item 5 of JMP's structural comments for requested energy code forms and information. 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 work day. ~eouire<Unsnections I Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Final 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. 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 Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Exterior Lighting Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with 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 items 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 Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Roof Sheathing Pal!e 5 of 6 r-- CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-00790 ISSUED: 07/20/2007 APPLIED: 06/01/2007 EXPIRES: 01/20/2008 VALUE: $ 380,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. Ceiling Grid: After drywall approval but prior to cover. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Final Fire Department. After all requirements of the Fire Department have been met. Final 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. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing 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 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 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 aU required inspections are requested at the proper time, that each 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 aU tim~ d~L4~ I'-Zo.o1 ownet.n.""." S;gnatn,e ~ .. - Dat, Pa2e 6 of 6 ..~ - f~' ,:~'Cf<.' .... u . 1. Chy ofSprmgfwld Cemmunity SetYw Diviaiflh 22S Y't1ll1 Street Springfiild, OR 91411 TuJephone: (541) 126-315' Fux: (541)126-36&9 CDM.U::Ol-OOl~O l- (0)-0' ~ '" BuiMing PeJmit If DaCe. ~ A)QlTtOt'{, R6..MOt>~L,~ Cof((~. CD t-t \(e~loN ~ Plqjed Tfila ~ S€>to ~~.\N cG,(~E.~T Pnljed A~ - '....'" ~/' ... Cil ()1 '.. ,,) I\) "'- tv Cil c:;) --.j i-" III .. m ... c:;) U1 tJ1 ()1 rl f) ~ 8,e.II__&,,""IoI1o.;UU] Tatinl TQ lWtkaIJqs of pmj K'l$lflJIiq JJ*ieI ;...,....;01'1 flt 1'iI:Sll1I8 IUII1Cf Sedlon l11M I;lfthe Cn:g.oIt smKtilraJ SpecJ~ Code. Plmse ~...I.,""" the in<<. ,.....Iion bctow- .W~n y(JU hIne ~ .dno1YJedge_ unda&l8Dlflng of ItM: mfmnedimJ by ~lq tJdow. WId mum tl1>> rOTllllc ltliI CitY. BD'Olli. A PllrRMtT CAN 13I1SSU!D~ The ......... << ......J .. ... .......nIative. on In Itclvke l:lfdw 1I:Si'11IIlllble Pmjtd ~........ lJI" Ard1itut.libslll mmplelf:, si&n. and mbmit to tile Cilytbr mrJtw and ........ ...;allIQlIvrrn .. ~,....~~d m bllth !he fron' iBlcllmck. The , ,I . .._ and Omen1 O:nrr:u:tnr; \\'Dmt ilPIllitailll:. shall aim ~...{.. .,.,. ,,If:d&l: Ihe ~~CIlndftlllll$ ap ~ to S\'le:i~ ;"...l"....1ioo endiM T~.. J. Conhclora ~ hr ptOl1ernotilliuJicnfur lIu:: lolspeci1on (lJ' lutillgofllemS HsmJ. 1. Te!.tJAa ~ !hlH wrppropril!te ~ antllrlll:dpcrt liIeaI to lbtlr ~ry futr j1IVPC7~or testing. + Copits rtf allliaMJattIy rtp:rb tmd~.....l'''''';ioM En !O be eenl tD lite t'il1 h1 the T~A&mq. ...... N g; Ul ...... tI' tJ1 .p. .... tJ1 W (jl !..O U1 W --.j rl II 'f) B :J .-l :r () rl u of s ~ Gl ~ g'ORl A caR'JJ1CA 1& 0' OCCUPANCY' WlLL BI". ~Dt 'ThcSpe:lnl tMpec.flfJll.A&eKY sImIl sm[t tCJ thc8tlIIdh1:cOffldalIl$lll!:elm:nttlmt 1II1 ~ ~~ ... 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SpuiDlInspa:1or sfndl plll'Ilde: ~illn >..,.".:':"10 1M hifdtnSllJlki;d., aJl I~oa adivities iJ (f) o l> tJ fTl < H fTI :E o o rn -I 3.. 8pccLallllSpetan Agmq is ~.subml'nnmuMd lfl'8liftGltflll1Sl cli)ttoJite S~ia) ~rs mtfR ~ filr!l.ppro.vaD. -1 r: J 1:: I .fj ~ ii -l r: ~ Cfm~....~ 15 rcspoNibIIt Ie mlew tile Cily ~ pliQ for 1ti'.:7~~... aJ i......._lion Olr Ic:sting reqmn:mtnl31hat rtJ1J1 be nolfll ;1" :; ~ ~ .L ~ - ~ I -l U I r 5 ., i a:l En lJ l> Gl fTl c:;) N --- c:;) N ,t'\ .. ....~. ~,' SPECIAL li'iSPECTION AND TESTING SCHEDULE I R~illf(Jrced :oncrete, Gunile, Groul and Morlar: Cuncrete Guoite . Grout I Mcrtar X GRADING, E.."\CAVATlON, AND FILL Acceptance tests · . PSF Establ ish fj nal grade Fill pLacemcl'll inspection/continuous Soil Density _ ~t!.ate Test of Mix Design . Reinforcin.g Test Mix Desi~n-WeighmRSler Cert,. Reint"orcin~ Placement ~ Continuous Batch Planllnspec.l. I Inspect Placing Cast Sarnutcs Samules {P il: kUP/Deliveredl I Com')ression Tesl* 1 STRUCTURAL STEEL.f\VEL DING: Sample imd test (lislspccilic members bdow) Shcp material identificalion {mill cerl) Weld iflspectlofl 7> Shop Ultrasonic inspection Shop High Strength BDlting ShoJ}_ AJ25 _N .A4i)Q ~N Metal deck. welding inspection Reinforcing Steel welding inspeclinn R;:,j ntorcing $tee I mill certittc ate Metal 5tud welding inspection Concrete insert welding illSpel.:tioll MOffiWl resisting steel trilmes ~ . J'recDwPre-slressed Concrete: Piles J>osl-"rens Pre-Tens Claddinl.' x _X A~~re,;ate T esls Reinfof(:ing Tests Tendon Test Mi:'( Desj~s* Rdntorcin~ Placement I Insert Placement Concrete Batcbing Concrete Placement T nslall atiool nspecl ion Cast Somples Pick-up Samples . Compression Tests I STRUCTURAL WOOD: She3r walll1ailing inspection Shear wall anchors IllspeCtion orGlu-lam fab. .. TIC psi Inspection 0 f truss joist fab. Saml1le nnd lest compOllenls Fabrication welding ofsteelllccessories SMOKE CONTROL: Leakage testing Control Verification FIREPROOFING: Field field Field --,-F _F ROOFING: T mulat 101'1 i nstallaliorYR -Val ue* Test strips/seams Placement inspection . Density tests: Thit::kness teslS Inspect baldling MASONRY Special illspeclion stresses used* r m .fg Preliminary act:eplance tests (maso11l')' 1m;t5, wall prism~} Subsequent tests {mortar, grout, field wall prisms) P I ace ment inspection I) r units; and rein fmcement ~'rasunry. mortar, grout, und reinforcing sl<:eI cerWkales ADDITIONAL JNSRUCTJONS, OTHER TEST, & INSPECTIONS: Form Compleled by: ....PROVlDE STRENGTH REQUIRED BY ARCHlTEC1' OR ENGINEER OR CONTRACT DOCUMENT LOCATION OFV ALVES Dale '-, /" '"'-/ G) en ~ I-' \.D "' I'--J G) G) -..j .1-' W G) I-' -..j I'--J en u..1 en -..j en o H -i -< o " (J) "1J ;U H Z G) " H fTl r o "1J D G) fTl CSI -..J CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER C0M2007-00790 NAME OR COMPANY: Amigos III Car Wash Remodel LOCATION: 5810 Main St. MAP & TAX LOT NUMBER: 17 02 33 41 02300 2800 DEVELOPMENT TYPE: Remodel Car Wash into Specialty Retail NEW DEVELOPED AREA (S.F.): 4,146.00 EXISTING DEVELOPED AREA (S.F.): 2,439.00 5 stalls TOTAL IMPERVIOUS SURFACE (S.F.): I. STORM DRAINAGE IMPERVIOUS SQ. FT. ITE: ITE: LOT SIZE (S.F.): 814 947 No New Impervious Area x $ 0.336 PER SF TOTAL STORM DRAINAGE SDC:1 2. SANITARY SEWER-CITY (see reverse side) A. REIMBURSEMENT COST: NUMBER OF DFU's -16 B. IMPROVEMENT COST: NUMBER OF DFU's -16 x $ 26.03 PER DFU x $ 19.79 PERDFU TOTAL LOCAL W ASTEW A TER SDC:1 $ 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW: A. REIMBURSEMENT COST: 4.15 x 44.32 B. IMPROVEMENT COST: 4.15 x 44.32 EXISTING: A. REIMBURSEMENT COST: -5.00 x 108 B. IMPROVEMENT COST: -5.00 x 108 0.75 NTF $2,730.08 1 $12,043.48 1 x $ 19.81 PER TRIP x x $ 87.39 PER TRIP x 0.75 NTF NTF ($6,953.31)1 x $ 19.81 PER TRIP x 0.65 x $ 87.39 PER TRIP x 0.65 NTF ($30,673.89)1 TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPORTATION SDC:I $ 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 4.15 x $26.17 PER FEU $108.50 1 B. IMPROVEMENT COST: NUMBER OF FEU's 4.15 x $274.72 PER FEU $1,138.991 EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's -2.44 x $261.75 PER FEU ($638.41)1 B. IMPROVEMENT COST: NUMBER OF FEU's -2.44 x $2,747.20 PER FEU ($6,700.42)1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:I $ SUBTOTAL (ADD ITEMS 1,2,3,&4) I $0.00 I 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) $ x ~ , moo TOTAL SEWER ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SDC CHARGES Jesse Jones Civil Engineer, EIT 6/5/2007 DATE $0.00 ($529.91 ) ($5,561.43) $0.00 ($6,091.34) $0.00 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) Remodel Car Wash into Specialty Retail FIXTURES NEW OLD UNIT EQUIVALENT 3 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 1 5 6 3 FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASE/OILlSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB CLOTHES W ASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRlGERA TORIW A TER ST A nON/ETc. 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 LAVATORY SINK: SINGLE LA V A TORY /RESIDENTIAL BAR URINAL, STALL/WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 5 3 3 NUMBER OF EDU'S* DRAINAGE FIXTURE UNITS o o 0" o -30 o o o o o o o o o o o 2. '0 12 o o TOTAL DRAINAGE FIXTURE UNITS =, -16 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXA nON DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y YEAR ANNEXED 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER $1,000 ASSESSED VALUE $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 . $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 . }D.021 .'~. 200): ~", 2004 RATE PER $1,000 ASSESSED VALUE or before I, $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 $0.00 "$0:00 . $0.00 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x CREDIT TOTAL $0.00 $0.00 $0.00 225 Fifth Strt;et Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -00790 COM2007-00790 COM2007-00790 COM2007 -00790 COM2007 -00790 COM2007-00790 COM2007-00790 COM2007-00790 COM2007 -00790 COM2007-00790 COM2007 -00790 COM2007 -00790 COM2007 "00790 COM2007-00790 COM2007-00790 COM2007-00790 COM2007 -00790 COM2007-00790 COM2007-00790 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 07/20/2007 1200700000000000948 Description Fire SF Fee - Non-Residential Plan Review Fire & Life Safety Building Permit Paving Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan -Mechanical Issuance Fee- Fixture Sanitary Sewer - 1 st 50 Feet Water Line - 1st 50 Feet Water Line - Each Addtl 100' Storm Sewer - 1 st 50 Feet Storm Sewer Each Addtl 100' Backflow Device Miscellaneous Plumbing + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RONALD THIENES . Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2419 In Person Payment Total: Page 1 of 1 1 :44:46PM Amount Due 170.50 590.26 1,215.65 491.55 36.00 12.00 18.00 10.00 196.00 45.00 45.00 14.00 45.00 14.00 14.00 45.00 109.56 135.97 236.17 $3,443.66 Amount Paid $3,443.66 $3,443.66 7/20/2007