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Home My WebLink AboutPermit Building 2011-6-1 CITY OF SPRINGFIELD SP~I\;E~~ .~0~ --,,,....... OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-00664 IVR Number: 811106767822 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permltcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06101/2011 04/21/2011 06/01/2011 SITE ADDRESS: 215 W CST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352312300 EXPIRES: VALUE: 11/27/2011 $150,000.00 SCOPE: Interior WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Mechanical, Lighting and Suspended Ceiling Phone Number: OWNER: ADDRESS: WILLAMALANE PARK & REC DIST 250 S 32ND ST SPRINGFIELD OR 97478 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: No o Construction Type Occupancy Type Occupancy Comments Type VB A-3 18,932 s.t. # of Bedrooms: Sprinkled Building: Yes Fire Alarms: Yes Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential SpeCialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Fl Carport: Sq Ft Other: 0 Occupancy Load: 802 2008 2010 2010 2011 2010 Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retainingl'(V~lIn CE' "", "Ig~~~~ ~%~ii :~R:i~;~E,:~~~ ANY 180 DAY PER;~tBANDONED FOR Site Information ~ . ~.7'.j '-1111 'U~J- 0 follow rul . regon law r ' NOtilic t' es adopted b t eqUlres you to Dlb OAR ~~2~:ioenter, Tho;e ~~I~regon Utility tllU90. You 1-0010 throu h s are setforth lra/ling th:~y ~btain COPi~s o~~R 952-001. IiI1rnber for th~nO.er, (Note; the tel:prhUles by C regon Un one enter is-1-800_33 Ilty Notification . 2-2344). Springfield Building Permit 6/1/2011 9:59:27AM Page 1 of6 sp~~;..:... FIEL~ L~~ ~OREGON www.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00664 IVR Number: 811106767822 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 06/01/2011 ISSUED: APPLIED: 06/01/2011 04/21/2011 EXPIRES: VALUE: 11/27/2011 $150,000.00 SITE ADDRESS: 215 W CST, Springfield, OR 97477 ASSESOR.S PARCEL NO: 1703352312300 SCOPE: Interior WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Mechanical, Lighting and Suspended Ceiling DEVELOPMENT INFORMATION ~ Overlay Cist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Bid Tvoe of Construction NA Unit Amount Unit Tvee 150,000.00 Bid Unit Cost 1.00 Value 150,000.00 150,000.00 Springfield Bullding Permit 6/112011 9:59:27AM Page 2 of 6 SP:I~;~ ~~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00664 IVR Number: 811106767822 225 Fifth St 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 06/01/2011 ISSUED: APPLIED: 06/01/2011 04/21/2011 EXPIRES: VALUE: 11/27/2011 $150,000.00 SITE ADDRESS: 215 W CST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352312300 SCOPE: Inlerior WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Mechanical, lighting and Suspended Ceiling FEES PAID I Descriotion Structural Plan Review Fee Commercial Ba~a..~c~~~~~r:"lUm Plumbing Permit Fees ~d_",in fee (10~_ ".f applicab!e fees) ~~_nnin_~~ino~~~vjew - ~ity __~____. Deferred Submittal ~._-_. ----- - ---.--.....-----.- - State of Ore!;!~~ S~rcharge (12% of applicable fees) Technolo9Y fee (5% of permit total) Solar water heating system Fire, Life, Safety Plan Review Building Permit Fee Mechanical Permit fee (based on value of work) Total Amount Paid Amount Paid $592.96 $39.00 $11.40 $119.00 $114.00 $299.16 $130.35 $19.00 $364.90 $912.25 $1,522.75 $4,124.77 Date Paid ReciD. # 04/21/2011 2011000780 06/01/2011 2011001377 06/01/2011 2011001377 06/01/2011 2011001377 06/0112011 2011001377 -...------ ------ 06/01/2011 2011001377 06/01/2011 2011001377 06/01/2011 2011001377 06/01/2011 2011001377 06/01/2011 2011001377 06/01/2011 2011001377 \ , Springfield Building Permit 6/1/2011 9:59:27AM Page 3 of6 SPRIN.GFI E. L~ .~- -; t JtJi ,'^","~ OREGON CITY OF SPRINGFIELD Building I Commercial Permit www.cl.springfield.or.us PERMIT NO: 811-SPR2011-00664 IVR Number: 811106767822 225 Fifth St . Springfield, OR 97477 Phone: .541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/01/2011 ISSUED: APPLIED: 06/01/2011 04/21/2011 EXPIRES: VALUE: 11/27/2011 $150,000.00 SITE ADDRESS: 215 W CST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352312300 SCOPE: Interior WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Mechanical, lighting and Suspended Ceiling Plan Review Deoartment Application Acceptance Received 04/21/2011 Due Date 04/21/2011 ComDleted 04/21/2011 Result Application \Accepted in]fi;J'~eview-:'- ~ Reviewer Kip Kaufman ~ .,- J' .:::_,..,. 4 04/21129'n~- '-o~~2fi.~,g~1;~ :'~.~4/:'1/20fi ,.:" ',~~. ~_~~r6ve.~:._~;:~_;:: ;'- -~?';~=F:~ifK~Yf"J~~,_~:,tr~i: '..0.' ," '. ~' '''''''-_" ;;" I';i:,.c ,--.-...----- Planning Review 04/21/2011 04/21/2011 04f28/2011 Information Only Liz MlIIer Comments: Working on issue of new equipment enclosure shown within the 50' riparian setback for the Island Park Slough. StruCtural Review h' , '04/21/201) 04/21!201}' 05/Q3/201.1. ,l\dd~ !nfo l3e<i~ired -, .:Kip Kaufman. . . ',p,.";'/ -..,- " '. ,.~, . f , , ~. C~ " r _ .~ h ~ . '"\>'-_'" ~"', "i ii .;..-. .;.:' -. ." ,. !~ _ ... ;:;" Structural Review 04/21/2011 04/21/2011 05/04/2011 Add'llnfo Required rE~';rgy C~di,-R~~r~'w" --c~ 04/21/ZO:;C;- 04/2.112011~'0s/05i20i1 ~~,---' ~-~ -----_._-~-~~.' .:'~~~: Structural Review 04/21/2011 04/21/2011 05/05/2011 Comments: Received documents for Addendum 1, 2 and 3. . ~'r;" Kip Kaufman l-'{.': ~---;r:-;:,"';- . :.-,-"" Approved: ,:'-. .,~ Jack Foster . --, -"-----'----1 :.: ',I , Public Works'.Review. . . .04/21/20fl 04/21/2011 05/06/2011 "- ""APproved. ,_. ":_;Corriment~. -'~No'new:SD'C'~'>~~' " ~,~'-~~. , -,.",,;. . ".: . - . -'. "',' ~- "tt Structural Review 04/21/2011 0412112011 05/10/2011 Add'l Info Required Kip Kaufman Comments: Received Addendums 1,2 and 3, slip-sheeted new documents and routed all new documents to Fire and S.U.B. Performed site visit with Fire and noted lack of code compliant exit signs and means of egress lighting. There has not been any response from the architect to the 151 review letter. ~U~',~evi;\..c~ :..- .,,"'.:._ ': :'~'-04/21/~9'Hi"04(f1!20,1.1:.,"9.5/1il/4,Rt~,T' -Ap~~gy.ed', > ..:'9J)mmen(s: ,_ .S~~:atta~hed", docu~ent'f~(fit~,Q.epartm~pI:f,)~ns Rev(e~ C?mmenJs;"~\ /..._- -- -_._-~_....~ -~- ~ -.. "'-._....... ._-~_._"_. Planning Review 04/21/2011 04/21/2011 05/25/2011 Approved Liz Miller Comments: Received information on condenser and airhandler noise and planting plan for 100' along the Island Park Slough. See _ _ __ _~.., _ _~~~~e or attached ..d~~~;..n~Jor:..:~!~rT~on _reg~r.~ng_ r~p~~!1....~;t~~_r:~4~~P~~~________ _ _ ___ _~~___''-~___~.__ IEleclncal Review -04/21/20:.1 04/21/2011' .05/26/201; Not ReqUired KIP.Kaufman '. I. > - . :.% - -""".',' . > . -. , . - - ~ "-.' '-. Structural Review 04/21/2011 04/21/2011 OS/26/2011 Approved Kip Kaufman Information Only Kip Kaufman M Greene --..----./ I +, , ) ""'. :",,-,,','" -" ;'-"-;, ,>"",- ."),Giloen Gordon ',': ~ . "-.~. ~,' . - . . "C$:" .' -T' i:: . ~....-~?~~( Pe-rmit Issuance' lOyl26/201~ . "- OS/26/2011. . 96101/201};.;. :~ " ' ';..-- .)s.sued '~":l Springfield Building Permit 6/1/2011 9:59:27AM ">'~..!f~ l .~~L..[ '.," ' 7 I ___~._.l ~._l'!ancy.~aChad6>; Page 4 of6 SP~~::EL.~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00664 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 WWN.ci.springfield.or.us \ IVR Number: 811106767822 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/01/2011 ISSUED: APPLIED: 06/01/2011 04/21/2011 EXPIRES: VALUE: 11/27/2011 $150,000,00 SITE ADDRESS: 215 W CST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352312300 SCOPE: Inlerior WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Mechanical, Lighting and Suspended Ceiling INSPECTIONS REQUIRED ~ Inspections 1260 Framing 1550 Firewall 1560 Firestop Assemblies 1540 Gypsum Board/LathlDrywall Framing Inspection: Prior to cover and after all rough in inspections have been approved. Firewall: Located and constructed according to plans. 1600 Ceiling Grid 1734 Fire Alanm Rough 1740 Fire Alarm Final 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. 1 BOO Emergency Egress Lighting 1 ggg Final Building Final Building: After all required inspections have been requested and approved and the building is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Final: After all required energy inspections have been requested and approved. 2310 Rough Gas 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3500 Rough Plumbing 3999 Final Plumbing 9007 SUB Mechanical 9009 SUB Ceiling Grid 9012 SUB Final 1996 Final Inspection - Planning Springfield Building Permit 6/1/2011 9:59:27AM Page 5 of6 SP:~;.~~ ~'('~ ,j' ~~~, OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00664 IVR Number: 811106767822 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cl. springfield ,or. us PROJECT STATUS: STATUS DATE: Issued 06/01/2011 ISSUED: APPLIED: 06/01/2011 04/21/2011 EXPIRES: VALUE: 11/27/2011 $150,000.00 SITE ADDRESS: 215 W CST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703352312300 SCOPE: Interior WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Mechanical, Lighting and Suspended Ceiling By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. J further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Springfield Building Permit 6/1/2011 9:59:27AM Page 6 016 Structural Permit Application .. .;,:" ~:'<. ".':' - ~2'$" '>"...:~ ~):- I ',.-=.~il ~~~j.,,~ .;.,_~~';~;.,i,~ "::'~r:."~;'.; -.: ;;;~{~;.r ,;, :',: ~",:qFXPES,l':.B;JN~FlE;[D;:O~R,EqQ~ },i-""t.,g2i':'~1~ ;,. :e9~::~' SPRINGI'"IIU-O ~I I ' ~... ~~-.. 0:<(11 DEPARTMENT USE ONLY g L -51l?..zeJ,l- Pennit no,: b {; -1- Date: ~ 2..1 ~ LL 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, 1--5 Er . ee:e- $ ~ 5i/ZUCTvr I!-I'rL..- . ...... ...~~"'~r ~. S-C0NJ. T:OoRMA;rIQr-I,-~'.)"ut3~;)f."~iJi,! d- 366: &ex!!J M ~Hr1AJ~C Jtz.- CCB License Number Phone Number -P I , ~ - ~~:.. -:-' ,.,..... ,-, ,';,tQCAL '9oYER~MgN'r,:'AP~R0vAt!t;'i:;;L This project has final land-use approval. Signature: Date: This project has DEQ approval.. SigOnature: Date: Zoning approval verified: DYes D No Property is within flood plain: DYes D No ftf{;>~;~~~!i"f{L"C~T.-='9jj~'6{{qi:~,C:6N$T~Uc;fiq'~c~j~~:ji~~~{~t i:-;'ic!' D Residential D Government ommercial $'::;;:;':; ",tifps,'SI,JE' iNfc9RMAT!tlN ;;ANO~LOCA:ri9r-1j;]l;;i;,:~i~f 5' C- S(~ City: -h diJ Reference: Name: C Address: State: at?.- Fax: . E-mail: stallation is being made on residential or farm property owned b me or a mem Icensing re ments under ORS 701. Sign here: <:;ON1RAC;IOR INlrrAlLA.'f10N., ".' ,. Business name: :;b~ l'{e.J.o.., ~ '1<e< Address: :;);;.:;, 4J. 2ft.. Av."., C' .-: Ity: Phone: State: OiL E-mail: Fax:SY (- 3 . -"e .lle.-(- Print name: Signature: ;t~t::;~'!.' f?:...!,.~'~: Name Electrical Plumbing Mechanical , . :.j, :" "":('":'FEESCH~Di:iLE"':""-:';,";<; '~i'/~~.al~-~'tio'~)~ f6rm'~ ti~'n'~~t;~~~5~~~,;, /:?~ -, :':;'r.(,~ J ;, ~ ~... ~r',,~;~' (a) Job description: M.G, ccupancy Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new tion (b) Foundation-only permit? Total valuation: D addition DYes :,~2)~.~,ui.J(J ing:tee.sj~~~t,:~'t)~~~~li~';'r;~,~~~~~~.~~~'-~iz,p'r:,-~.. (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (,12 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): $ $ $ $ $ [{~'~:~~~I1n:~v.i~wjt~~s~,~~~~g~E;t~~!~1;\~~t~?f.t~~1:~l~~1~r.~~1;t~~2~~\~;i'j (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal offees above (3a and 3b): $ t:41'Mi~}~jiil!l~9~4s1fe~s~~~~'~;~::'.li{i,+~.P;l~'~.~~'~, "',"-'i,r" ,.~' ,'. (a) Seismic fee, 1% (,01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ .... --i-.,.". City of Springfield Community Services Division 225 fifth Street, Springfield, OR 97477 Telephone: 541-726-3753 Fax: 541-726-3676 - _.. -~ -- Deferred Submittal ~ Al?;reement - .' Oregon Stl'ueluj'al Specialty Code Sectioh 106.3 allows a permit appliCant to defer certain submittals ifapprol'ed by Ihe Building Official. This form is a deferred submittal agreement for the following project: WII.lama/ane Adult ActiVity Center .. Permit Number:#811-SPR2011 '664 o foundati9n Q!1ly n ~OIhpl~tion [} Shell tXI'enanl h!1provcmcnt i)ate: 5.20..1'.1 .Projeet Nam:.: l'..ojeet Address: 215 West C St . Phase: 0 F;x'c?-v<3lioll.& Grading D Site U~lities DcsigllJ>rofcssiuDal in'lhspunsiblc Ch~r:ge: Jack Yoqs~y License'numbe'j 18806 Email.iacky@solarc-ae.net Phone: 541-349-0966 Fax:~.1.3-=-15.3.3__ Address: 223 West 12th Ave, Eugene Or 97401 Guidelines: J. Aoproval: Eaeh.defcrred,submittal shall bear tbe approval of the design professional..in re_spom:ible chnrgc. Notation shall'be inCluded thatthe;deferred submillal documents have been reviewed and have bccll.fol1nd to bdngcneral conformailce to the design of the. building. 2. l,ist: Page 2 of this fOfm is a list of de felTed submittals, The design profcssional.in responsible charge IllUst check ~vhich.submhtals are.reguested,to be'def~rred.alld indicatci ari'8nticipaled,submirtal date. .J. Fees: Minimum $100.00 (2 hour) 1oteach:deferred submittal. 4. Tiinelinc.fi: Every attempt will bc-made:to-Pfovidctimcly reviews ofS~10 bu~incss d~ysper ~cfc~red submittal, 5, 'York wlthoul.a Pcrlllit; Work that isconstruclcd.wjthouthaving bccnrcvicYI'.ed an~ approv~d,b)' botJrthe design-professional.in responsible-charge and the City ofSpdngfiCld'Buitding Official is considcfca .us;workperformed'wilhollt n' pennit. Any person or firm perfonningwork prior to approval.shall be~_subjcct to,the penalties of Section :1.08.2.1 oftht: Slate' of Orcg~ll1,StfucturaJ.Special[y Code.. Ackno,,..lcdgcments: ~.b~ 'AI K~-k--r O\~m:r Name (Printed} TBD '7-.,L1;}W V n e-F OwnerSi,gnahlre . _.TBD GeDer_al Contractor Signature -'~ /) .'1 ,.., / __ _~A~C:i. .L>., .'r..;'-tt)A.......;.~ . D{~~y7Pl.ofessi.onaJ iVspont~_~chargc Signature - ~~ 6--==- __'_ 8uildill~ ofl~Sig;;~turc General Contrac.tor- Firm Name (Printed) -jo~-k l,{O,"--So2.L-l . Design Professional in R sponsiblc::'ChargC(Printed) "t::'.4-v/ ~ 1S,OW L.Sf?~/ Building Offici~I'Name(Printed) I ..._.~ City of Springfield Deferred Submittal Agreement Date: 5.20.11 Project Address: 215 West C 5t o Foundation only ;x(completion /. Phase: G Excavation and Grading o Site Utilities Design Professional in Responsible Charge: Hems which may be deferred include. but'are,not limlted'to the following: Deferred Item Date '. 1. Acoustical cemng suspension syslem D 2. Auxiliary power systems G 3. Awnings 0 4. Bleachers u 5. Carports " 6. Curtain wail,systems " 7. Bectrical ca:"'system D 8. Emergoncy call'system D 9. Exit Illum!nalion D 10. Fire alarm system u 1,1. Fire sprinkler 0 12. Fire,stopping u 13, Glass,guardrails 0 14. Glazing systems 'V 15. HVAC system D ,16. Intercom system ti 1'7. Irrigation system D lB. Metal guardrails and handrailS Project Name: Willamalane Adult Activity Center Permit Number: #811-SPR2011-664 oShell o Tenant Improvement Jack Yousey Deferred Ilem Date ^ c/ 19. Plumbing system 0 20. Post-lensioned concrete struclural members or panels 0 21. Pre-cast concrote slruclural members or panels " 22. Prefabricated stair units to include steel, aluminum, or pre-cast concrete " 23. Prefabricated wall p~nel 0 24. Ore-stressed concrete slruclural members or panels 0 25. RaIsed floor systems 0 26. Shelving systems and sleel storage racks 0 27. Signs 0 2B. Skylights 0 29. Smoke and-heal vents " 30. Specially retaining walls 0 31. Stone veneer 0 32 Terra cotta veneer n 33'. Wooden, sleel. or compos!t floor or roof trusses 0 34. Works of art ~ 35 ~. ~J IL~' ian-.. FW.. D 36. Fees: MinimumS100.00 (2 hr) each for the above listed Deferred Sutlmit1als S~.~:~~~E~ ~,~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfleld,OR 97477 541-726-3753 www.ci.springfield.or.us 811-5PR2011-00664 215 W C 5T permitce nter@~i. springfield.or. us RECEIPT NO: 2011001377 lDE5CRIe.TION -,~ "_ Admin lee (10% of applicable fees) Balance of Minimum Plumbing Permit Fees Building Permit Fee Deferred Submittal Fire, Life, Safety Plan Review Mechanical Permi~fee (based on value of work) . . !:la~~inil ~~~ Re~~ew - City _ ~~~r_ water heating system __2t~~.l~L~reg_on Surcharge (12% of applicable fees) Technology fee (5% 01 permit total) RECORD NO: 811-SPR2011-00664 DATE: 06/01/2011 , . ;,~ACCOUN:(CODE-.,,-AMOUNJ_D.UE 224-00000-426605 11.40 224-00000-425603 39.00 224-00000-425602 912.25 224-00000-425602 114.00 224-00000-425602 364.90 224-00000-425604 1.522.75 100-00000-425002 11900 224-00000-425603 19.00 821-00000-215004 299.16 100-00000-425605 130.35 TOTAL DUE: 3,531.81 ":~'PAy6R ''''CASHIER'NMACH'AOO " ::'Jiic,. 'C6MMENTS,-';~~; 'c, .".. "'AMOUNT PAID:';': WILLAMALANE PARK & REC DIST [. PAYMENT TYPE' - Check 86706 -:i 3,531.81 TOTAL PAID: 3,531.81 SP~~:;:E~~ a\~ T:" OI{EGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00664 . 215 weST CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726~3753 perm itcenter@ci.springfield.or.us RECEIPT NO: 2011000780 [DESCRI~TION.:~~.__ :C.....:.' '~;~. Structural Plan Review Fee Commercial RECORD NO: 811-SPR2011-00664 . ....;~~~"'.:ACCOUNLCODE. ',. 224-00000-425602 TOTAL DUE: 1:.:ze8XIVIENJ..JY~E; ",-,--~Ay'Qi:l Check Solarc 10674 . CASHIER: KKAUFMAN ''';';;-----2CllJ\l1Mr;:NIS .:'.: ck#10674 DATE: 04/21/2011 . :1E~_AMOUNT.D.UE.~__.:.~ 592.96 592.96 AMOUNT PAID .. I ._-----.......~ 592.96 TOTAL PAID: 592.96