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Home My WebLink AboutPermit Building 2004-12-1 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/0112004 APPLIED: 08/30/2004 EXPIRES: 06/01/2005 VALUE: $ 375,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 333 Q St ASSESSOR'S PARCEL NO.: 1703263102106 Springfield TYPE OF WORK: Automotive TYPE OF USE: New Commercial PROJECT DESCRIPTION: Wayne's Garage Owner: DEFOE MAJOR & KARLA K Address: 93370 HWY 99 S JUNCTION CITY OR 97448 Phone Number: 541-689-9700 I CONTRACTOR INFORMATION I Contractor Type General Engineer Contractor RONALD MAJOR DEFOE KEATING ENGINEERING I BUILDING INFORMATION I License 39352 Expiration Date 10/14/2005 Phone 541-689-9700 541-726-9995 # of Units: *-- Primary Occupancy Group: S-3 ~\::;<<!- ~ Secondary Occupancy Group: ..:'^~ S ~\J Primary Construction Type ~ -t::-. '\ R-- Secondary Construction Type: ~~ k,'<:-~ '!\) \10 # of Bedrooms: <<f ~ '< '(0~<<; 'v ..:.X\ ....~ _.j...,~<9-. " o..~-" ~. -t::-. J '0~'Vv ~ '('~ ~,~'\'~<:<..~'<:-~\,~~,~ \J~~~\J~' ~ 'I.\S (\~ ~v _\'< Frontyard~etb~~k:~~ ~~ Side 1 Setbac~ \J~' 'O\:) Side 2 Setback~ ~ Rearyard Setbac~:' Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 29.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,720 Street Improvements: Storm Sewer Available: Special Instruction: n/a ,0 I DEVELOPMENTINFORMA~~;t~~,. ~,. 0 ~~ r,)\; . ~0cx. ~0C$ 0 ~e;//(;$ '0"\ Overlay Dist: \."b-~ ~0 0 f.:> ~ ~ C!J~ .s.0~ 0 # Street Tre~~ ~ €I ~.s.e O~ .;s-0 ~ ~o~. o~ Paved D~~ V-.OC;; .\.~ 0' ,.,\e~..,r~ ,~ 0 ,\". OV f.:> ,"v ',~"" % ~(~t~~~!lg~~ o~l..;s-e ~o~ . -<'\<v~ (.s.e~ 0e~...sJ~~~<:- ~~o,"e,'\~'"\r;}'~ I PUiklC]JYi~~~i~'I~O\ ~~~~ 0.... X' 10- v ~~ ~ O~ 4.0 ~e ~e. f.:> " Sidewalk Type: '~ ~OJ0' ~\..f\'C?> 'o~ ~e~" ~ vi}. ~0~ 0e~ ~~ ~ REQUIRED PARKING Total: Handicapped: Compact: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per SqFt or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/0112004 APPLIED: 08/30/2004 EXPIRES: 06/0112005 VALUE: $ 375,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Pavin2 Use Bid Amount Use Bid Amount $1.00 $1.00 301,000.00 74,000.00 $301,000.00 $74,000.00 $375,000.00 10/20/2004 10/20/2004 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlInd/Public $895.80 8/27/04 2200400000000001107 + 10% Administrative Fee $212.62 12/1/04 2200400000000001465 + 7% State Surcharge $116.33 12/1/04 2200400000000001465 Addressing Assignment $31.00 12/1/04 2200400000000001465 Backtlow Device $28.00 12/1/04 2200400000000001465 Building Permit $1,218.90 12/1/04 2200400000000001465 Fixture $196.00 12/1/04 2200400000000001465 Paving $464.25 12/1/04 2200400000000001465 Plan Review CommlInd/Public $52.81 12/1/04 2200400000000001465 Plan Review Fire & Life Safety $583.76 12/1/04 2200400000000001465 Refund - MWMC Improvement $-9,968.36 12/1/04 2200400000000001465 Refund - MWMC Improvement $-945.00 12/1/04 2200400000000001465 Refund - San Sewer SDC Reimb $-144.26 12/1/04 2200400000000001465 Refund - Sanitary Admin $-220.09 12/1/04 2200400000000001465 Refund - Sanitary SDC Improv $-109.66 12/1/04 2200400000000001465 Refund - SDC Storm $-2,351.66 12/1/04 2200400000000001465 Refund - Trans Improv SDC $-16,521.04 12/1/04 2200400000000001465 Refund - Trans Reimburse SDC $-3,745.00 12/1/04 2200400000000001465 Refund - Transportation Admin $-1,469.16 12/1/04 2200400000000001465 Sanitary Sewer - 1st 50 Feet $45.00 12/1/04 2200400000000001465 Sanitary Sewer - Improvement $584.86 12/1/04 2200400000000001465 Sanitary Sewer - Reimbursement $769.40 12/1/04 2200400000000001465 Sanitary Sewer Each Addtll00' $14.00 12/1/04 2200400000000001465 SDC MWMC Administration $10.00 12/1/04 2200400000000001465 SDC MWMC Improvement $11,297.47 12/1/04 2200400000000001465 SDC MWMC Reimbursement $1,071.00 12/1/04 2200400000000001465 SDC Sanitary/Storm Admin $423.23 12/1/04 2200400000000001465 SDC Transpo Admin $1,753.22 12/1/04 2200400000000001465 SDC Transpo Improvement $20,456.02 12/1/04 2200400000000001465 SDC Transpo Reimbursement $4,636.98 12/1/04 2200400000000001465 Storm Drainage Impervious Area $4,703.32 12/1/04 2200400000000001465 Storm Sewer - 1st 50 Feet $45.00 12/1/04 2200400000000001465 Storm Sewer Each Addtll00' $56.00 12/1/04 2200400000000001465 Water Line -1st 50 Feet $45.00 12/1/04 2200400000000001465 Water Line - Each AddtI 100' $14.00 12/1/04 2200400000000001465 Total Amount Paid $14,249.74 Pa2e 2 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review Fire Department Review Initial Review Planninl! Review Planninl! Review Public Works Review Public Works Review Public Works Review Structural Review Structural Review Structural Review Structural Review 09/20/2004 09/07/2004 08/30/2004 . 09/20/2004 09/07/2004 09/07/2004 12/01/2004 09/20/2004 10/29/2004 11/03/2004 09/20/2004 10/20/2004 I Plan Reviews I 09/23/2004 OK 09/23/2004 OK 08/30/2004 11/04/2004 12/01/2004 10/14/2004 10/29/2004 11/03/2004 09/20/2004 10/20/2004 APP APP WE 10 APP 10 APP WE WE Pal!e 3 of 5 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/0112004 APPLIED: 08/30/2004 EXPIRES: 06/0112005 VALUE: $ 375,000.00 GRG GRG LLH EMM SB SB JMP JMP JMP JMP Site plan. Water Supply: OK. Access: OK. Fire apparatus access shall support an 80,000 lb. imposed load per Springfield Uniform Fire Code 902.2.2.2. See attached document for fire department plan review comments. Site plan. Sarah Summers planner. All conditions of DWP review have not been met. OK to issue building permit but no occupancy until conditions met. Waiting for final site plan and development agreement - Sarah Summers planner Revised SDCs as follows: 50% reduction in Storm Drainage for Qualifying Infiltration system. Removed 6 fixture units due to plan change. Revised Transportation SDCs due to Trip study submitted. Reduced MWMC because of error in computer spreadsheet. Reduced associated administrative fees appropriately. Site plan. SDCs added. LDAP required before issuance of permit. Received information that there will be one water heater. Left message for Keating-still missing Special Inspection forms, dates for defered submittals, and contractor information. Received the Special Inspection Forms from Ray Aliperti. Site plan review. Still waiting on items previously requested. Received partial response to 9/14/2004 request. Still waiting on balance of information-special inspection forms and contractor information. JMP faxed building envelope forms to Jack Foster. CITY OF SPRINGFIELD. Building/Combination Permit Status 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2004-01084 ISSUED: 12/0112004 APPLIED: 08/30/2004 EXPIRES: 06/01/2005 VALUE: $ 375,000.00 Issued Structural Review 10/22/2004 10/22/2004 WE JMP Structural Review 08/30/2004 09/09/2004 WE JMP SUB Review 09/13/2004 WE JF 09/07/2004 SUB Review 10/18/2004 10/22/2004 WE JF SUB Review 10/29/2004 APP JF 10/29/2004 Sent Steve Keating an em ail forwarding plumbing requirements and listing outstanding items. Received 9/7/2004. See attached fax to Steve Keating requesting special inspection forms and missing information. See attached structural comments faxed to Steve Keating on 9/14/2004. JMP called Chris at Keating's office to request the energy code forms. Received building envelope forms only. Lighting and HV AC will be deferred submittals. 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. Erosion/Grading Inspection: After all erosion measures are in place. 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. 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. Drywall: Prior to taping. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Ceiling Grid: After drywall approval but prior to cover. 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. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pal!e 4 of 5 . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/0112004 APPLIED: 08/30/2004 EXPIRES: 06/0112005 VALUE: $ 375,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting 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 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. '@.~ature / t7e- Y ~ I (f) L/ Date Pae:e 5 of5 - Cily afSprlngiield . Corn=nun~f:1 S('Aj.:~-e.~ D.i"!c.:~n '225 -f'mh'S~et '1 :Spril'i&fidd~ 'Olt?:1477 :' .. .- ;;~ . relephol1e~ (: ;..1J) 176.3 75~ , . ~--::'-' Fax: (541't 726-J689 ; : ..~ . -?pccial Inspection And Testing: . ' . _ . .'. _. ..... _ -; .' ~ - : . -. . .' _ . . L . '. . - :. . . T J ~ Jpltcants of projem requiring speci"llnspecticl or les!ing < . pet Section 1701S of the OregoilS!fl1ttural Spe.:falty ( .Jde. Please r view-the infonnaliorl below. Whlln you h lV, finished, acknowledge an underslilnding orll1, information by signij1g be,low, and f~tum '~i$ fonn to the City. ;,:1 . . . . . .~. . . :. ..', "', . . . . ~:. . - . ~ - :. !:'!. . '- . .:. '! . l - EEFORE A P~RM1T CAN BE ISSUED: tile oy.'i1er or owner-s rCJlff:scntadve,: on tbe ,~,c:e'or'lbc responsible projecl Engineer or f,rehitecr. s~~1l complete, ~ign. and submit Ie, tn : City for review and npprova 1 tlii~ 'form ccmp!~!ed on billb lbe fr~nt: and ~ck.~ ~ . . . ., I! : " L=':. . .' . . . , . .!. The )wllc:r and General Contractor, where applicable, s~ali 1'150 ackn~l~gl::the f~Uowrng condition~ applicable to Sp_er :81 ,Inspe.ctioll and/or Testing. . . .' : -' ;" ". ;.. I;:.' '. =-': ~. : . ~ i . ;.; J l.. :onlrador is res(loo!iblc for proper nollfica1i('1l for the 1~,1ecUoflor reSllog I?fite~s USI~.' .' : !: ' . '2, '. ru~i:~~g~:I~hti;~,~ry~hiil{'~kf~p~i~Pri~t~~~I;Ie;~d'.li~poit'i~+t~tr'~ii'r~bo~a~~rY't~r'p~c~~t~;~fu'~tionVl~1 n'g~'::: I';:' . Copies of aii' laboratory &cporls Bndin:peclIons are to hI: ~ent to ,hi: eily by; tile-Testing Agllncy. . ! J.' ~~~~il;I:I~~.p~e~i:~n:t\g~il~j~.l~.5II~~ilit1~e.,;~~~qualt~c ~~t~n~[:~~~n~~ l,te':sPj~~t~ti~~;,e'~~H~~Ih,~,C:~l)" f~t ap~~~v 'I~.[.:.. i,', ~" . ',' . '. .."..,:'!...,., 4. ' .) pedtd hlSP ~dDr shan provide inspt~lio':1 fCjWr!s Lo Ihe' b.uilding offjeiat or 8 njn:Spectio~ actr~tdas. '. ' . f .~ " . . ; . ":' :,.' , '; !: ., . ;;"!:.;. .. .. : - ! I , ~, i '. 5. ':'QnlradDr is r~spoo5\bh:: 10 review Ihlli C!l7 af JX'ov:~d plait! ror a~diliona' ill$p~lion or ,leJ~ing requirUne'n~ lbat ma. . be nOled~" ; '. . . ~ !.::.":- . '.; ! - .' ! . . ::.. ~ -- -. - . .. . . . ...... .' . '. . B SFlJRB A eRR TIF1CA TllOf OCCU P ANCY WI ~L BE ISSU ~O: The Spc.dal rnspeclfon ~gelley shaU suhmit 10 the II litding Officltll a.slatement lhata 11 items rl:quiring , inspe~tionhlive becnfu{fitred-md,uported aodW~f(:..lo*llbcslc.f~lte:rn3putDr's- ~QWI~&c;' in~t(lIif(Jnrtatl~with the'lIPI r~ved pfans~ :;pecUicatiOfls a'nd applicable workmansb!p i'. t-< .."..provi S~o~~ThDSe.JleminOr te.S~~'dlind!or iO$p~r~'e:tthall r~~[e&b~~ ~f~~rn~ ~~ Fer: i$ ita, r ~u~ilted ~o ~~ Cjt~ . r~far' t,o ~ requ:cstfuf flftt: i.~Spl:Cliom. .. ('" . r : ~ , !~-QJ=~ ~!:, :', , i:' I - ~ ~-\l-:"" ,'. '==-~~'~:'_~- ~~ JJ ;OefO~~J:=:'-:":~': :~-":::"_';""L':'" i 'j 1 re - .~. '',/ i'-' ... ~cn.,C~nata.:tor fiFinNam~ (PrtrJed) ~enlIDlt Contractor'~atuql .! . : 1'.... f; . '''7\1'. ~~-V~~-~- , ~ Sp'.i.lI...."~ ...,,~'" Ij,m" (P,.."d) Sp....i1'lUp. Ag...~ , " C, .~Ei-l.l~\.-~~~ ~~: - ~uUdll1g Offi~j.at 'Nam~'(Pfinted} . .' Building Official Signal:Un; ~ t>.) ".:: .~ ~I .~.~;';~"..'.:. ':'-:"_'.~~_'.~~._:_.,".' '..:;-:!'..',;:"-, .__:~~"__.~:_._.'~"__=' ........._ ',I', ~'~':~"...'_: .-._..... .....-...._._:~.~"!--';7'>-:--.". '," '. .' _ .... ....,_._,.::-:-. .d~. .'. -. .. _'.__.__.__:-._ '"'\00. ... ~-.. ".--" .n -. . ...~.. _.- ...-.- Sl~R~NGFJELD' I <,', .... 'i ' , ' . . i . "I" '-'0.:., .~~,~ . , Cch\2.b04;-_i.O tO€>~ Building Penn it 1# . .. t '. ., W~U~7 '~~1 rJ.~~. ~.'t.cQOr,' Dale, ; : .. ?-~.J1- .-'l"'~ _ ~_ en. ;'fi)JcCI .~ ~tle - . ..- i ,'7:?~~:t1~j >, : PrqJecl Addrm... I'. -' . , .' .', 1 ~ ; ! y:.~~ '(;..lL\o.,) Q)Rl....,t. EngillC:er or Architect Firm (Pril1t~) ? '7l Tcs~iilg Laboratory Name (~tin:led) ".' :...... , ...... f-' f-' "- CSl W "- t>.) CSl CSl .I>> t i' " t . ; ~ a If ~ t<> "- o .c:. ~ '~ f-' t>.) o t>.) --.J , : 0> -,. ~ Ul .I>> f-' --.J .I>> en :>, .... -l N aJ ~ 'J:I '.0 al ;>:l ~ "'I ..... ~ '~ '1J (JJ H ....~ :i> -0 Z :rl ~ ..... ~ ~ ! ; ":':'~~:\. ':-:::~_:;~;-_h~~',.\~'r*)-~~.;:~':::?~;:;~=~;~=.E.:?~~:.-. :;;~'X:~~~~':=/' -::~:-~~~.~~?f? ::j~;; ~-:;:'::rJ:~::~~;.~..:~r~';::::i-~]~~~~~::::::f-':'~.~~~:~.':.c~!:..:..~~\:'~;(~i:~~:7:~ ~~:?::~R~7;:-t~;~::S~':~::'~1~:-~~;:~~r::: :~_z~~' ::~ .:. '.~~~~::~~:::.::~. :/i- )~:::~;~~~:~:r~' '{i~~~~\::::':=P~~;';'~~~~~~~~-?'~:',~.~:.:';:'::E:~~:-;::~::-f;;?~r~f:;::~~:~~-~ii?~;~'!f.!;~~,:;: :::;;:-:r.~~.~;;;~~fZt?::7..::-=';~:'~:_;.;/~:!H:::~~:,~'::~ifU~~t?~:g:~~::;:.~R1 - ~, : . ~ ! . , i - - .SP~C~AL IN~.P;E~ON AND T~TING .sCHEI)UL~i . \' _ .~ .R.elntor~ed C8ne:rel~ GIlo nile, (~rB~t llnd Mnrtar:' - I I GRAD JNG. 'E~CA V ATl ON. AND viLr,. ~i - ~e {]uqjle <1lmlL_ :....MQIll.c ,:". 'i- ~ ~...J : A.;ceplance.le.sls. ' ----!. P8P' _ ~,.;- :; - - , , ;~,~. '. ..' :.;:,,:, .. !. ::i~;Q~~:f~s~rMiX:D~ len. J",{ ~ I ::~:~I;~~:~ ~::t:J~~nlc~n!i~Uo\l$, _ ~ _ !:.. - --' -,---- - ~ / ...... -.-:,:,.;......;.;..,:, HMij(.be:sii:l~Wci~iirts(tC'err.;:;}"'1: I J{.;~._---~';riDjellSii~' '15:~t"~:T:?Um~':";j~-~;lr>" ....,. __.,..- RClnfbciniPI:'Je~nt.<1 :.1 '. , , .' ~ -! o' . , _ _ _ _ CJlT1tlllllou~Bql~h ~llInl1nsp i. : l. " :;Tn U( Turt AL STEEL/WE LDlNG:: ; _ _ _. _ lmnecl Placiml n' Sample and. test (Hsl speCific members below) _ -'- _ CilitSampjr..;;" . . . ;~::: Shop ma~eriill idenlification (~lill cert) ,'. _ __ ...... _ S~mpfes (Pickup/l)e/[v~r~ Weld inspeCrlOJ1" .,.. _ i Shop:'.......... J - - -- Cl.Hnpres.o:;iooTfL~t." , -~'i UllnsOllic lnspcclio~l : '~, ; ~hop, ~ "i;.. ""':1 ': l. ',; I'.', :~ HiWt *CfIllolh !lolting; '~1 Shop >wt Pi"e~a3UPrc-sti:'cssed Con :rete: ;'; .' ' 'i . 0 . ; i 0: ,. . .! A325 ;'~ N .' ~.I X . :: -Eiks Post-Tens ' 1I~:'''!'!.~._ ...cli1idil& Ii ! A490 _ N.' -.:. i X _ "'-egRgate Test.; Melal lied( weldIng inapeclillD . Reinftlrein~' Tes~' I ;. _ _ Refnforc.ng Sleel welding blspectton _ _ _ _ Tendon Jest 'J -: _i' Relnforoing slilel n~ ill ~J1i(i~l\le . ~ ~.. ~ .' n ~~~~:;~~~~~'c~~t :';. .. \,~~~, '~:~:~J:f~~~d:~Jli~~::JJ:ri~ ". Insert P1a.cemcnt ".: ! " : MOJne!lE resi~ljnA steel, frames , , Contrele Ba.ft:f1iIlV' I; , " !, ' : " , F ,~,'>(;fI\lW:t~P~f}'. .1. l STRUCTUit.Al.rW()on{": i:'n }' '. "rm~'allati{jn!rtsp~'iliQ'l'.' '; , , "-.-- " Sheiifwilllnidli~~-lhspCcllllnt, ' Ca9t Sanrpla!;,. .. Shear willlll1lchors . ' Pick-Ill' $llmp[e.<t . ~ " Inspection ofOlu.lam (Qb.. ., rompression rests ,! , Inspr:r.tion of Jm5:i joist fah. .. ' . , ~ Sample i1nd l:es~ cDmponenfs ;;' FJREPR(}O:FJ.Nq~. " '. " ! ' -"- FabriclItion wel~jnf of,5tecllUic,e5sori~s', . --':,;. n'Place,me.n~ ins~tJQn ! I ! MASONRy:.... ,H'P' Pi, .' . -;, DellshyTc.sts ';': ' ' __,' Sp'e.ctal inspection stresses used" rm " 'rg -;. ThtJikit~ iests " prelIminaT)' iL~cepllln(:l: lcsl5 (masonry uolts. wa I[ prisms) Inspect batebin.!l f Subsequenl rcsl'; (morlar,grout, ticldwall prism5) Placerncn 1 insPI:i;UUll or lIllilS, :nnd rein rorecmcnt , MlISonili'y, mOr1nr .graul. I1rld rein forcing s!ceJ i:Cl'lirIeftle.s J . J 'J~ ,; r,.J(J'J 0 Form comlilctcd by: ~;. ~1"h....}(, Dnla I . , .::.;:;:,.. ~.:.. : .-.-.:...-. '., " , ---~ - -- -r - SMOKE CONTROL;, . . . Leakage'lCSlliig . . ~. .: COnb'ol veIifiCBtltlQ ROOFING lnsolation imtallationlR. "'nllle" Tesl sMpslsfil'lll1s 'ADDITIONAL INSTRUCTIONS, OTHER TEST, & INSPECTIONSl ~ ~ ;;. .. -, . . "PROVIDE STRENGTH RKQlJJRED BY ARCHITECT OR tNGlNUR OR.~,()NTRAcr DOCUMENT LOCATION OF V ALufS '- ,.;'. Field Field Field F F ,TIC psi ....~ :> :>-:1 ::....-1 ..,: Z ,0"0 ',:G'l ....~ " - ~ .~ :;0;:1 :; .C'l 'r-< .r-< .0 "U (J) H "U D G) fT1 IS1 <::I CSl C W ~ ---- ,,--- a ATIACHMENT A CITY G. ~PRlNGFJELD SYSTEMS DEVELOPMENT CHARGl:. .. JRKSHEET JOURNAL-'ORJOS NUMBER: C0M2004-01084 NAME OR COMPANY: WAYNE'S GARAGE LOCATION: 333 Q ST. MAP & TAX LOT NUMBER: 17032631 02106 DEVELOPMENT TYPE: _AUTOMOTIVE GARAGE ---r:iEw DEVELOPED ARbA (S.F.): 6,720.00 EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS sURFACE (S.F.): I ,- lTE: lTE: LOT SIZE (S.F.): 842 50% Reduction for approved infiltration Swale 1. STORM DRAINAGE, IMPERVIOUS SQ. FT. 15,172 $ 0.310 PERSF TOTAL STORM DRAINAGE SDq x 2, SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 26 x $ 24.04 PER DFU 26 x $ 18.28 PER DFU TOTAL LOCAL WASTEWATER SDC:I $ 1,100.341 $ 1,100.34 3. TRANSPORTATION BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 6.720 , x ~i.06 ) x $ 18.30 PER TRIP x 0.9 NTF 1$ 891.98 I B. IMPROVEMENTC ",:" ~ 6.720 x 8.06 x $ 80.72 PER TRIP x 0.9 NTF 1$ 3,934.98 , EXISTING A. REIMBURSEMENT COST: 0.000 x 0 x $ 18.30 PER TRIP x 0.9 NTF 1$ B. IMPROVEMENT COST: 0.000 x 0 x $ 80.72 PER TRIP x 0.9 NTF 1$ TOTAL TRANSPORTATION REIMBURSEMENT SOC:' $ TOTAL TRANSPORTATION IMPROVEMENT SOC: $ TRANSPORTATION SDC:I $ 4,826.961 $ 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 6.720 B. IMPROVEMENT COST: NUMBER OF FEU's 6.720 x S18.75 PER FEU 1$ 1$ 126.00 I 1,329.11 I x $197.78 PER FEU EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's I I $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: . $ MWMC ADMINISTRATIVE FEE: $ TOTALMWMCSDC:! $ 1,465.111 $ --..- - -' - SUBTOTAL (ADD ITEMS 1,2,3,&4) 1$ 9,744.071 0.000 x SO.OO PER FEU 1$ 1$ x SO.OO PER FEU 0.000 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 891.98 3,934.98 4,826.96 126.00 1,329.11 10.00 1,465.11 5 ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) $ 9,744.07 x 5% $ 487.20 TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOT AI.. SEWER ADMINISTRATION FEE: I $ steve V\, w. 'E.eaucl rlj 'E.a rv.-eS 12/1/2004 ~2tr2QlW&tJ;~ed), 333 Q ST, Wayne's garagl?~IE TOTAL SDC CHARGES I I ";:"::;;;; -;;,'-=?lil .~'~ 4I:-_C ~u 284.06 L., 203.141lY79. I ' 10,231.28 , I $ 1 JULY 2004 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1 084 COM2004-0 1 084 COM2004-0 1084' COM2004-0 1 084 COM2004-0 1 084 COM2004-0 1084 COM2004-01084 COM2004-0 1084 COM2004-01084 COM2004-01084 . COM2004-01084 COM2004-0 1084 COM2004-01084 COM2004-0 1 084 COM2004-0 1084 . COM2004-01084 COM2004-0 1084 COM2004-01084 COM2004-0 1 084 COM2004-0 1084 COM2004-0 1 084 COM2004-0 1 084 COM2004-0 1084 COM2004-01084 COM2004-0 1 084 COM2004-0 1 084 COM2004-0 1084 COM2004-0 1084 COM2004-01084 COM2004-0 1084 COM2004-0 1 084 ). ~. COM2004-0 1084 COM2004-0 I 084 COM2004-0 1 084 RECEIPT #: 2200400000000001465 Description. Addressing Assignment Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement "- SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Adniin SDC Transpo Admin Building Permit Paving Plan Review CommlInd/Public Plan Review Fir~ & Life Safety Sanitary Sewer - 1st 50 Feet . Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet . Water Line - Each Addtl 100' Storin Sewer - 1st 50 Feet Stonri Sewer Each Addtl 100' B'ackflow'Device Fixture + 7% State Surcharge + 10% Administnitive Fee Refund -SDC Storin Refund - San Sewer SOC Reimb Refund -.Sanitary SDC Improv Refund - Trans Reimburse SDC , ' Refund - Trans Improv SDC Refu~d ~ MWMC Improvement. Refurid ~ MWMC Iniprovement , , Refund - Transportation' Admin Refun~ - Sanitary Admin ty of Springfield Official Receipt Development Services Department 'Public Works Department Date: 12/01/2004 Item Total: Payments: Type of Payment Paid By Check Number Authorization Received By Batch Number Number How Received Check 12/1/2004 MAJOR DEFOE Jmp ,,". Page 1 of] 5805 In Person Payment Total: j';' lO:24:14AM " Amount Due 31.00 4,703.32 769.40 584.86 4,636,98 20,456.02 1,071.00 11,297.4 7 10.00 . 423.23 . 1,753.22 1,218.90 464.25 52.81 583.76 45,00 14.00 45,00 14.00 45,00 56.00 28,00 196,00 116.33 212.62 (2,351,66) (144.26) (109,66) (3,745.00) (16,521.04) (945,00) (9,968.36) (1,469.16) (220.09) $13,353.94 Amount Paid . $13,353.94 .$13,353.94