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Home My WebLink AboutPermit Building 2011-1-19 CITY OF SPRINGFIELD Building l Commercial Permit PERMIT NO: 811-SPR2010-00711 IVR Number: 811174285018 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 01/19/2011 11/15/2010 Issued 01/19/2011 ISSUED: APPLIED: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitce nter@ci.springfield.or.us EXPIRES: VALUE: 07/18/2011 $400,000.00 SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002400 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Remodel existing Taco Bell. General contractor required to complete deferred submitttal form. OWNER: ADDRESS: WEBER PROPERTIES LIMITED PRTSHP PO BOX 23408 EUGENE OR 97402 Phone Number: CONTRACTOR INFORMATION I Contractor Type General Contractor Contractor Name ALAN S ROMBACH & WlLlIAM ROMBACH Lie Type CCB Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: . 0 AT Occupancy Load: 72 TENT/ON' Electrical Specialty Code Edition:toilow r' I . Oreoon law . N . - ,J es ado t' requires Springfield Fire Code Edition: . otltication C P ed by the Or you to 'n OA 'enter Th egon Unt Mechanical Specialty Code Edition: R 95:20)01 0010 ose rules are I / Y Municipal I Development Code: UUC90,J' You ma~ ~btainthrough OAR 9~j:otoorlth a IIlg th cOPies at th - Plumbing Specialty Code Editio~jUmbe t e center. (Note' th e rUles by r or the 0 . e tele h Residential Specialty Code Edition: Cent . reg on Utility N . Pone er /s 1-800 3 otltlCati Structural Specialty Code Edition: 2010 - 32-2344). On I Site Information . ~ # of Units: BUILDING INFORMATION I 1 24.5 o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Construction Type Occupancy Type Type VB A2 Assembly Intended for FoodlDrink Existing 2,230 s.f. building Occupancy Comments # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Lic No 148057 Lic Exp 06/11/2011 Phone 541-617.2888 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: NOT/CE' THIS PERMIT S . AUTHORIZED U~~}l EXPIRE IF THE WORK COMMENCED OR IS R THIS PERMIT IS NOT ANY 180 DAY PERIOtBANDONED FOR Springfield Building Permit 1/19/2011 11:55:37AM Page 1 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00711 IVR Number: 811174285018 225 Fifth 8t Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 01/19/2011 11/15/2010 EXPIRES: VALUE: 07/18/2011 $400,000.00 01/19/2011 SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002400 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial' PROJECT DESCRIPTION: Remodel existing Taco Bell. General contractor required to complete deferred submitttal form. Frontyard Setback:. Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMA nON I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: . REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Description Bid Tvpe of Construction NA Unit Amount Unit Tvpe 400,000.00 Bid Unit Cost 1.00 Value 400,000.00 400,000.00 Springfield Building Permit 1/19/2011 11:55;37AM Page 2 of6 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00711 IVR Number: 811174285018 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 01/19/2011 11/15/2010 Issued 01/19/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us EXPIRES: VALUE: 07/18/2011 $400,000.00 SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002400 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Remodel existing Taco Bell. General contractor required to complete deferred submitttal form. ~ FEES PAID Description Structural Plan Review Fee Commercial Bal~~"~. of ~~~.um Plumbing Permit_~!~~ ?-d~in fe:.J1_~~.",?f applicable fees) . _"'___"'_"~,___.__,_".,__ ~~~_anjcal Permit fee (based on va~.e of work) Fire, Life"Safety Plan Revi':~__~"~H""_~ Deferred Submittal State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Water heater Sink/basin/lavatory Planning - Minor Review - City Building Permit Fee Amount Paid $1,254.34 $1.00 $11.40 $205.75 $771.90 $114.00 $263.22 $115.38 ~------- $38.00 $19.00 $119.00 $1,929.75 $4,842.74 Date Paid 11/15/2010 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 ReciDt # 2010000823 2011000121 2011000121 ._-,----- - 2011000121 2011000121 _.-------_.~ 2011000121 2011000121 --201 1600i21 2011000121 2011000121 2011000121 2011000121 Total Amount Paid Springfield Building Permit 1/19/2011 11:55:37AM Page 3of6 <.'"1< ~- ,'i ",-" 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.OLuS CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00711 IVR Number: 811174285018 permitcenter@cLspringfield.OLuS PROJECT STATUS: STATUS DATE: Issued 01/19/2011 ISSUED: APPLIED: 01/19/2011 11/15/2010 EXPIRES: VALUE: 07/18/2011 $400,000.00 SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035 ASSES OR'S PARCEL NO: 1703222002400 PROJECT DESCRIPTION: SCOPE: Restaurant WORK INVOLVED: Remodel TYpE OF STRUCTURE: Commercial Remodel existing Taco Bell. General contractor required to complete deferred submitttal form. Plan Review I Department Initial Review Received Due Date 1111712010 1111712010 Completed 1111712010 Result Approved Reviewer David Bowlsby Planning Review 11/17/2010 11/17/2010 11/18/2010 Approved Comments: Received from building 11/17/10. Routed to Engineering on 11/18/10 F.UbliC:.WorkS.Rr. 'v'iew.~< :l,;r. '0,' 1.1/,18/20'10. J:&t1./23/201 Oi~.,:1)12-21201 O.':-#~= 'Approved: ;.;~~::-~~?t;' l ~:' :" ,:,t.TMcEachern ;.^_ :.' ')~.__!-:"~"_. :,f- .:i: 1t. ~ '.. ";-:,:, J " ,_'~- ,";:,,;'j ":-Y/'':\-+ ,,:"',,5L"_~':"" ,]~M<:.-""i-e'~',~~~::"<:;z;;0f'~. _,~":, :"?jf",,,ij--.!i->~}~,,;':.;."..J 1: ""'r:; >;:''i''"..,..~ );~:S,'iY'''' '~, . f' ~~"*',;.i' ,'", ..' ,~',A" . <,,) ;,:,~omments:,?'_~Nj:rt~:u'res,6(~9Y~f,,~/9o.~t. no,~~~}!i~~~~_:L~~~'~~ses~,~,8~~ ~;;.;~I~,~. '. .~. '-.\'1\ -.':~.~ ;~*:;ii?i: '. ~ .: :'r,:~:c~,,~<__;.~:~ Energy Code Review 11/22/2010 11/17/2010 11/22/2010 Approved Jack Foster Comments: Interior Igt only. No Bldg. Envelope or HVAC changes. ~~~..~2~f'~r~~~~~:id:~~~:~;2~lrJF:if~IB~p~~~~Q~t&1i~~,3~~~g~~~~~~ -- ,-' i'~'::'fi!h..4,Y ~. ,'- ~ ,~" ;.""", '. . ,'~ """"=i;",~":', "'''''' " ,- ~ _-, " Structural Review 11/17/2010 11/17/2010 11/24/2010 Add'l Info Required Kip Kaufman Kip Kaufman Structural Review 11/17/2010 11/17/2010 12/13/2010 Approved Comments: General Contractor is required to complete deferred submittal form. Springfield Building Permit 1/19/2011 11:55:37AM Page 4 of 6 ~S~.~\NGFIELD . ......rtJ!; ." A. ," . .,~ ,. }." ",.~...,...." OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00711 IVR Number: 811174285018 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/19/2011 ISSUED: APPLIED: 01/19/2011 11/15/2010 EXPIRES: VALUE: 07/18/2011 $400,000.00 SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035 ASSES OR'S PARCEL NO: 1703222002400 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Remodel existing Taco Bell. General contractor required to complete deferred submitttal form. INSPECTIONS REQUIRED ~ Inspections 9009 SUB Ceiling Grid 9012 SUB Final 1059 Final Paving 1110 Footing 1120 Foundation SUB Ceiling Grid: Interior Lighting SUB Final: After all required energy inspections have been requested and approved. Final Paving: After paving is complete, Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 1150 Slab/Flatwork Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after aJJ rough in inspections have been approved. Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Ceiling Grid: After drywall approval but prior to cover. Roof Sheathing Roofing: Prior to installing any roof covering. 1260 Framing 1540 Gypsum Board/Lath/Drywall 1600 Ceiling Grid 1630 Roof Sheathing 1620 Roofing 1800 Emergency Egress lighting 1996 Final Inspection - Planning 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 2120 Water Heater 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover 2995 Final Gas 2300 Rough Mechanical 2999 Final Mechanical 4500 Rough Electrical 4999 Final Electrical Final Electric: When all electrical work is complete. 8999 Final Fire Springfield Building Permit 1/19/2011 11:55:37AM Page 5 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00711 IVR Number: 811174285018 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci.springfield.or,us PROJECT STATUS: STATUS DATE: Issued 01/19/2011 ISSUED: APPLIED: 01/19/2011 11/15/2010 EXPIRES: VALUE: 07/18/2011 $400,000.00 SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002400 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Remodel existing Taco Bell. General contractor required to complete deferred submitttal form. 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 or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of tile 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 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 during construction. ct:1?;tJ! ft'~ Ower or Contractor Signature i)/'0 ! dJ) I ( Dale Springfield Building Permit 1/19/2011 11:55:37AM Page 6 016 Structural Permit Application I @UW@ljl~(Qg4lilCj@l!) 225 Fifth Street. Springfield, OR 97~77. PH(541 )726-3753 . FAX(541)726-3689 DEPARTMENT USE ONLY I f~ SPIL?-ot0-007// v.JU1 Penn It no.: Date: / - ~ This permit is issued under OAR 918-460-0030. Permits expire if work is not started Within 180 days of issu~nce or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVI\L This project has fmalland-use approval. Signature: Date: TIlis project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential I 0 Government I ~mmercial JOB SITE INFORMATION AND LOCATION Job site address: ?>'l-'tc &>1\U1:lN ~ qr. City: I State: e'~ I ZIP:414-11 Subdivision: I Lot no.: o14-tJo Reference: 17{} J 2'2. 'l 01 Taxlo\: ".., w... PROPERTY OWNER Name: or!.. ~"=t1\2:f;> \..f Address: \"0 0/)'f. '2-'" o'b City: ~~ State: till zIP414-01. Phone: 1i~.~1. \lo~ Fax: 11<1:\- -;AA-. "1Ik'2. E-mail: Mu1ebeY'~l.Ilebe-r-rwbe.tVt. wlV\ Thic iR~l...db.LIl i61?1Jmg ....d.. VII ........:d......lial~. LII11_IIU.......Il) v.......d b} ...wI' or II mpnI"'vr Qf~3' ;........ndiOI.... f.....:l}. aREI is .';.,lc.UJlI fjBlR liDl~"";"6 . "~'1..;..~w~nt.. "Mer OUI;;: 7(11 lUJ). .L.... Sign here:(J~rJ n -' rh I. . 'rl--"-..:::;(p..;J.. ~ CONTR4cTOR INI T)lILLATION 1119. /' ( Business name: Address: City: Phone: E-mail: . CCB license no.: I State: I Fax: ,ZIP: - \ I Print name: Signalure: Name Electrical Plumbing Mecbanical SUB-CONTRACTOR INFORMATION"'\ V.v. ceo License Number Phone J'l!.umber ~ '\ , ro(fr~ O~<< .$ 3} SS8. 'f6' FEE, SCHEDULE I. Valuation information (n) Job description: Occupancy A'1.. Construction Iype: 1717 ./ '1 II.. a\l.1\~ Square feel: 1.,"1-'70 -<.... I ta:>fo \?ITt-1\eJ Cost per square foot: Other infonna1!on: Type 01 Heat: tllIr. 6::I<b Energy Path: D new \.12tGlteralion (b) Foundation-only permit? Total valuation: f" .. \~;~\ ~;\'h ':.,.'"\ o addition DYes Kj"l'lo I $ 11, 'ti~1~, _~ 2. Building rees (a) Permit fee (use valuation table): (b) Investigative rec (equal to [20]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surchargc (.12 x [2a+21>1-2c]): (e) Subtotal of fees above (28 through 2d): 3. Plan review fees (a) Plan review (65% x penn it fee [2a]): (b) Fire and life safety (40%, pennit fee [20]): (c) Subtolal of fees above (3a and 3b): 4. Miscellaneous fees (a) Seismic fee, 1% (.01 x pennit fee [2a]): $ $ $ $ $ $ Jzs't~L $ $ $ TOTAL fees and surcharges (2e+3c+4a): $ t7~\9JojJ.e:,'7 ~:,~f~ II [beo Vl~l.,lh'( ,(l\~~ OR. .:wt-1o ~~B> or- <q140 \ I. 11M. ~k~.6t111 J~\)J~ &.vJJ c1 fcJ..., ~ .a>Y1. ,~i. . .0. I City of Springfield Community Services Division 225 Fifth Street, Springfield, OR 97477 Telephone: 541-726-3753 Fax: 541-726-3676 Deferred Submittal ~ Aweement Oregon Structural Specialty Code Section 106.3 allows a permit applicant to defer certain submittals if approved by the Building OfficIal. This form is a deferred submittal agreement for the following project Dilt~: lq"'~I1,..\"PrOjec~Name: -rAG" \'>e.\'\' - - . - _ - - - ProJect Address: '!1Z,1.C1-bo!\1"'WJl/-C 4T. Perm.t Number: flU, ~fK '1.011) - 111 Phase: 0 Excavation & Grading . 0 Foundation OnLy ~ompletion o Site Utillties 0 Shell DTenant Improvement Design Professional in Responsible Charge: OilN\9 1'. ..ID~ - License number: 7"-11... Ernail: d3~i4 e awiaf""ifu,t#J.o,",, Pbone:-t741 ..,<\'2.' "'''111 Fax: 'i~: '!,'bE;. "~'j,'!I Address: \ ~~O V kWf::< f.\~i>l1..IIR. I "'2-10 I. ~O&~~. tllt . "1140\ . Guidelines: 1. ADnroval: Each defen:ed submittal shall bear the approval of the design professional in responsibLe charge. Notation shall be included that the deferred submittal documents have been reviewed and have been found to be in general confonnance to the design of the building. 2. List; Page 2 of this form is a list of deferred submittals. The design professional in responsible charge must chec~ which submittals are requested to be deferred and indicate an anticipated submittal date. 3. Fees: Mioimum $100.00 (2 hour) for each deferred submittal. 4. Timelines: Every attempt will be made to provide timely revIews of S~ 1 0 business days per deferred submittal. 5. Work without 8 Permit: Work that is constructed without having been reviewed and approved by both the design .professional in responsible charge and the City of Springfield Building Official is considered as work perfonned without a pennit: Any person or finn performing work prior to approval shall be suhject to the penalties of Section 108.2.1 of the State of Oregon Structural Specialty Code. ACknowledgements: J A )PJ,}ef Wer?2.--1-lt.:> t.Yl'i.\~ Owner Name (printea) 'tb..t--\-I\.~ Yr- e.,'1 cl €-J:, 0+ 6.e....ucJ Pw~r.e...,fID; :Crt!: , General Contractor Finn Name (Printed) Ol>NW f'. JIl~ Design Professional in Responsible Charge(Printed) onsible Charge Signature Building Official Name (printed) Building Official Sigoature '.. S:;:GF:LD~ . . ..~~ _ --~--Defer~~so~bs:~t:~1~~eement . Date:~ 1.<>10 Project Name: 11<u> l'Je.t.L.. Project Address: '71:l.o bAn;;>.N),>( "'T. Permit Number: '0\\ ~ "'f'i~:tQIO :-11\ Phase: o Excavation and Grading o Site Utilities Design Professional in Responsible Charge: llama v.tlrch may be defatted include, but are not limited 10 the following: Deferred ltam Date p 1. Acoustlcal ceiling suspension system D 2. AuxUlary power systems l-'" 3. Awnlngs 4t.'?f1"t... tA\-I&~l\::~ IMll . : "L. D 4. Bleachers p 5. Carports D e. Curtain waD s~tem$ p 7. Electrical call system c 8. Emergency call system D 9. Exit IUumination c 10. Are alarm system c 11. F1~sprlnkrer D 12. Fire sloppIng c 13. Glass guardrails c 14. Glazing systems c 15. HVAC system c 16. Intercom system c 17. Irrigation system D 18. Metal guardrails and handrails o Foundation only oShell ~ofnjJletion o Tenant Improvement 9A.\lI\) p. j!)~ Doklrrod 1t9m Date D 19. Plumbing system D 20. Post-tensioned concrete slructural members or panels c 21. Pre-cast concrete structural members or panels p 22. Prefabricated slair units to Include steel, aluminum, or pre-cast concrete D 23. Prefabricated waD panel c 24. Ore-stressed concrete structural members or panels D 25. Raised floor syslems c 26. Shelving systems. and steet sloraae racks 'I c 28. Skylights c 29. Smoke and heat vents D 30. Specialty retalnlng walls c 3t. Stone veneer D 32 Terra cotta veneer c 33. Wooden. steel, or composlt floor or roof trusses D 34. WOII<sofort 0 35: D 35. ~ Minimum $100.00 (2 hr) each for the ~bove listed Deferred Submittals TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2010-00711 3220 GATEWAY ST permitcenter@ci.springfield.or.us RECORD NO: 811-SPR2010-00711 DATE: 01/19/2011 '. ","I5[t'!",'!./ " ' "P.,CCQU NT~C.(jDEi.','f;~:i, ;' ;-l'- "lAMOU NT-5U EF/f : . ;'r~ 224-00000-426605 11.40 224-00000-425603 1.00 224-00000-425602 1,929.75 224-00000-425602 114.00 224-00000-425602 771.90 ---_._--.._-- 224-00000-425604 205.75 --------- 100-00000-425002 11900 '_T~" .'._'w__'.'_m_... _._. _~_~_____.._ 224-00000-425603 19.00 821-00000-215004 263.22 100-00000-425605 115.38 _.~_.._-- 224-00000-425603 38.00 TOTAL DUE: 3,588.40 Ft'"p,~YMj;~L:fyp;!;~~~;liI~Yo~_;0'''-~h\Ci\.stjfERcccARPE''!ER'~''''CQI;ijM~[t$;'f~d-t",i':-Zi"-:Y;:JiAMOONTPAID\;-,;;(~t1:'t. ,~~ Credit Card Michelle Weber $3,588,40 RECEIPT NO: 2011000121 tDE5.CRI~tl()N"y2"~~;J ?0~.A~ " ~:1' '.;Z"'1::':~!1h;;'!li': Admin fee (10% of applicab,le fees) Balance of Minimum Plumbing Permit Fees Building Permit Fee Deferred Submittal _...- ._~ir~~ life, Safety Plan Review __~:hanical Per12:1it fee (based on value of ~~:>rk). _.~~njng - Mino: Review ~ City ~~~basin/lava_tory State of O,,:,goo Surcharge (12% of applicable fees) _Technology fee (5% of permit to~L~~ Water heater 05518C TOTAL PAID: $3,588.40 Si~~N~EL~ .~ A~ OREGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00711 3220 GATEWAY ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permilcenter@cLspringfield.or.us RECEIPT NO: 2010000823 RECORD NO: 81 I-SPR2010-0071 1 DATE: 11/15/2010 f1)ESC RIPTf6NiS: :;""";2C,,"-'j','..l',,;,:,kf;+:;"&;:., : .,:;: ':"''''J'f''i',,,' {C" ~j:::_CQl.JJ":f~(c!QEW',,, ',;," J -;~MQ.@:fbu E'" 'f z~:;~ ,S: d Structural Plan Review Fee Commercial 224-00000-425602 $1,254.34 TOTAL DUE: $1,254,34 k PAYMEN""i\'(j:fE~":;P.AY6R'::,:ltf\SHIER'DBOWLSElY:;;'.C~QMMENTS;'<~,.~_? . : ,:!''':'' .' ':AMOUNT/PAII)',-:_,?' -.- ':<1 Credit Card 215100 WEBER PROPERTIES LIMITED PRTSHP $1,254,34 $1,254.34 ---'