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Home My WebLink AboutPermit Building 2007-5-11 ,CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00366 ISSUED: 05/11/2007 APPLIED: 03/13/2007 EXPIRES: 11/11/2007 VALUE: $ 2,144,514.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6 W Q St ASSESSOR'S PARCEL NO.: 1703271003300 Springfield TYPE OF WORK: Retail TYPE OF USE: New PROJECT DESCRIPTION: Walgreen Retail Store Commercial Phone Number: 801-596-7711 Contractor License Expiration Date JOHN HYLAND CONSTRUCTION INC 46071 07/11/2008 ARC LINE ASSOCIA T~1TENTION'O CHRISTENSON ELEcklitll\fN~8 ado rego'1t~w requires yo9~81/2009 MICHAEL GRIFFIN,'JotUlcatJon Cent Pte,"td, Q15dllllJOregon UIIh.,W/2008 TWIN RIVERS PLUIUUAR rs~...()O'f../\~~,t' hq~f/~Ies are seAiMl1/2008 . .~' I . ,~l{'!H " UAR 95" . B IMJ'I <<>>D'. '-00 of nu center. (Note: t~:: the rUles ~. , 'WQ~~t(i}fjf~e Oregon UtW ~~h~SlZe: Height of Stl'UC~u&r1o_~" 'tY2~@OlfICa$M)~t 1st Floor: Type of Heat: FOtc'c!6xa'bijs Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: S~Mled Building: n/a Occupant Load: U 111'1=. I DEVEL&'m_~ORMATION I ' Aur~ORIZED ~nALL EXPIRE IF REQUIRED PARKING 0QMl;e~n UNDER THIS P THE WOR!total: AtA8frr "efS-RQli:/S ABAND ERMIT IS NO~andicapped: Paved rf~~'R~RIOD ONED FOR Compact: % of Lot Coverage: . Owner: SKYVIEW LLC Address: 515 W PICKETT CIR 400 SALT LAKE CITY UT 84115 I CONTRACTOR INFORMATION I Contractor Type General Designer Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: M lIB Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa2e 1 of 5 Phone 541-726-8081 630-271-7600 541-688-6121 541-942-8339 541-688-1444 14,820 294 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 1,680,375.00 464,139.00 Estimate Pavin~ Tvpe of Construction Estimate Use Bid Amount Total Value of Project ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00366 ISSUED: 05/11/2007 APPLIED: 03/13/2007 EXPIRES: 11/11/2007 VALUE: $ 2,144,514.00 Value Date Calculated $1,680,375.00 $464,139.00 $2,144,514.00 05/09/2007 05/09/2007 Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $3,445.59 3/13/07 1200700000000000265 -Mechanical Issuance Fee- $10.00 5/11/07 1200700000000000560 + 10% Administrative Fee $969.08 5/11/07 1200700000000000560 + 5% Tecbnology Fee $410.44 5/11/07 1200700000000000560 + 8% State Surcbarge $516.55 5/11/07 1200700000000000560 Addressing Assignment $31.00 5/11/07 1200700000000000560 Building Permit $5,703.90 5/11/07 1200700000000000560 Fire SF Fee - Non-Residential $1,482.00 5/11/07 1200700000000000560 Fixture $350.00 5/11/07 1200700000000000560 Furnace - more tban 100,000 $75.00 5/11/07 1200700000000000560 Gas Outlets 1-4 $4.00 5/11/07 1200700000000000560 Gas Outlets 4+ $3.00 5/11/07 1200700000000000560 Paving $1,751.90 5/11/07 1200700000000000560 Plan Review Comm/Ind/Public $1,242.14 5/11/07 1200700000000000560 Plan Review Fire & Life Safety $764.40 5/11/07 1200700000000000560 Plan Review Fire & Life Safety $2,120.36 5/11/07 1200700000000000560 Sanitary Sewer - 1st 50 Feet $45.00 5/11/07 1200700000000000560 Sanitary Sewer - Improvement $514.54 5/11/07 1200700000000000560 Sanitary Sewer - Reimbursement $676.78 5/11/07 1200700000000000560 Sanitary Sewer Eacb Addtll00' $70.00 5/11/07 1200700000000000560 SDC MWMC Administration $10.00 5/11/07 1200700000000000560 SDC MWMC Improvement $13,406.58 5/11/07 1200700000000000560 SDC MWMC Reimbursement $1,278.13 5/11/07 1200700000000000560 SDC Sanitary/Storm Admin $796.60 5/11/07 1200700000000000560 SDC Transpo Admin $5,709.28 5/11/07 1200700000000000560 SDC Transpo Improvement $82,572.25 5/11/07 1200700000000000560 SDC Transpo Reimbursement $18,717.89 5/11/07 1200700000000000560 Storm Drainage Impervious Area $12,941.38 5/11/07 1200700000000000560 Storm Sewer - 1st 50 Feet $45.00 5/11/07 1200700000000000560 Storm Sewer Each Addtll00' $56.00 5/11/07 1200700000000000560 Vent Fan $18.00 5/11/07 1200700000000000560 Water Line - 1st 50 Feet $45.00 5/11/07 1200700000000000560 Water Line - Each Addtl 100' $42.00 5/11/07 1200700000000000560 Total Amount Paid $155,823.79 Pa~e 2 of5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00366 ISSUED: 05/11/2007 APPLIED: 03/1312007 EXPIRES: 11/11/2007 VALUE: $ 2,144,514.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I Fire Department Review 03/15/2007 04/19/2007 OK GRG Initial Review 03/13/2007 03/13/2007 APP LLH Planninl!: Review 04/25/2007 04/25/2007 APP EMM Public Works Review 03/15/2007 03/16/2007 APP JHJ Structural Review 05/09/2007 05/09/2007 APP JMP Structural Review 03/13/2007 03/15/2007 10 LLH Structural Review 03/15/2007 05/08/2007 WE JMP SUB Review 03/15/2007 03/23/2007 JF WE SUB Review 04/23/2007 APP JF 04/23/2007 See attached document for Fire Department Plans Review comments. Attached SDC Worksheet. (JHJ) Received from David Shaw the faxed responses to the structural comments. Fed Ex'd to Tom Rogers Engineering for review. Received package from Lisa/Tom Rogers on 5/8/2007. Called David Shaw for missing information. See attached documents for 5 structural comments faxed to David Shaw. JMP left a voice mail for Todd Russell requesting the missing energy code forms and worksheets. To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. willbe made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 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 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. 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. Foundation: After forms are erected but prior to concrete placement. Pal!:e 3 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007~00366 ISSUED: 05/11/2007 APPLIED: 03/13/2007 EXPIRES: 11/11/2007 VALUE: $ 2,144,514.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/N ailing: Before covering sheathing with finish material. High Strength Bolting: To be done during construction by a State Certified Special 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. Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide 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. 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. 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 Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal!e 4 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00366 ISSUED: 05/11/2007 APPLIED: 03/13/2007 EXPIRES: 11/11/2007 VALUE: $ 2,144,514.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~- ~~ ~.....['(' .. .,., ~~~ ~ Owner or Contractors Signature ~ ~-\.l"c)\ Date Pa2e 5 of 5 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007 -00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007 -00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 COM2007-00366 Payments: Type of Payment Check Check cReceintl RECEIPT #: 1200700000000000560 Description Plan Review Fire & Life Safety Addressing Assignment Fire SF Fee - Non-Residential 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 Admin SDC Transpo Admin Building Permit Paving Plan Review Comm/IndlPublic Plan Review Fire & Life Safety Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet Water Line - Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Furnace - more than 100,000 Vent Fan Gas Outlets 1-4 Gas Outlets 4+ -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Cwf Springfield Official Receipt nWIopment Services Department Public Works Department Date: 05/11/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By JOHN HYLAND CONST INC SKYVIEW LLC djb djb Page 1 of2 1000126 203 In Person In Person Payment Total: 9:24:04AM Amount Due 2,120.36 31.00 1,482.00 12,941.38 676.78 514,54 18,717.89 82,572.25 1,278.13 13,406.58 10.00 796.60 5,709.28 5,703.90 1,751.90 1,242.14 764.40 350.00 45.00 70.00 45.00 42.00 45.00 56.00 75.00 18.00 4.00 3,00 10.00 410.44 516.55 969.08 $152,378.20 Amount Paid $11,927.45 $140,450.75 $152,378.20 5/1112007 o .... " CO) o ll. City of Springfield Community S~ Division 22S Fifth Street , SprinafieJd, OR 974n Tdepflone: (54J) 726-3759 Fa: (541) 12lS-3fi89' -.W YVt :J.t;rJ 7 - ,{)03 b tP BuildLaa Permllll L.J J4..l.C\'^t'" e vt<;_ ' t..J Projed TItle ((:> \At Q S'\~E.e:r ProJect AddnlBll S'~'? -dJ7 Dam Bpectallupeellou ud TeltiDfJ TCI~ofplOJIlds,.,\;,: :",speclolIIllpNtionOlteJllRBllllPUSalon 1104Clf'u..OreJOl.'l8ltllCbnl SpocWtyCudo. PI_ .. L. .. in.;\" ,..:onbdlM. Whenyoulw;r. ~ ~tlIlll~D8oJ'U.ln\" ,,,nIOllby s1JPbJc 1IeJow.1IIUI..-m thI. Gum 10 lIlo City. ,,'" "'" luuJ.w:.... i\.-::r.i.i~", II. CM(UlSSIIDi'11)jiOWM lX;,,~:;;' :,,=~.~tlye;01i ihCiiiiV.iCiiOfiliit iUiHiDiibIePiO.l8cil'e~..A~shl.iI~lOtO.' si~. '~.ittOQi,i,' ct:r for mi. 8IIlf l.~.,I.' ".JihiI fbml .. "."JJled OIIbo1h tltefrohlM4 IIIIIlk. ' Tho 04YMl' IIld Ocn81111 Co ' " . , .,'. r, ~GppJIClIlbl, sball allO --Iedee lbct tbIIowlas ClOnditiOll5 Bpplicab~ to $jleCtallnspcdloo and/or'tlielinB- I. CoIItIacIDt I.a tlI\lIpoMlbla ftlr ~., ". ... aotlIIcldloJl for tbc tnspcdI(IIl 0tT'TuthIi of -.Iisced. 2. TestJas I.r, , "".' .WltHe IIf'pnlIJlIiale II8nIpIcs IUld lnI!lsplDl tbND to LIIdr lsbol8llDy for., . ,I. . . ~(l(' teRin& · Copb of all r.!. . . '.. 'LlI)" "'"'*.. in!lpe(lJbw ...10 beaeullo 1110 Cby b.-Ill. T.u. AfDrncy. ;I. Sp-=- ~ ^SIlllC)' 310 SdIlmlt lWl\elI ancI quBHlbtion. or ",--sill SpoeW [nspadons to !tie City for IlIlpJOVll1, 4. 9po(lIllI1nlpolllOr all provide In!(lecf.bl1 ~ 10 Ib WIdIns oftilllal of iIO {.~.. .~iJOA acd.vltle&. ~. C. ,;", ...", ....". ."".:ble.Hev'iewlheClly"......',..,;,J_ ~~l1n~oICodlnlrell'C. ..,,;lhllilllllil'klKllOd, .,___----RIOP ~(:;p.~Tl.Q1OCC'UPI\.NCY !fIL!-.!!t~VEDt ~!.~~ 1ns,.....:..,~,!haII Rlbmit to t~~~~.~il ~crn tt.lufl iteml ftlQldriDr&.._ ..' ,,,_, 'M '" llI$~ have hfIo AilllWllII.d ~ nit w_ 10 tile 8mt 0111I8 inspectlU" _WJIl. in ClOlI,~ ;, ",; DO wiflI.lh ..,p - 1"" ..Ie,., l. lIJ cullpplicabJq, ..'....&~.....dlip -provk1ons.. ~ ItaaMt telllOdlllllllor L....:./.1ihB1l bo lIdId In lbc~ The", ,,,I "to buulBnilledfO the City pria7b8l'f>1J1JGlt for ftnaHMpllCtioas. u :z: '" ~~~ er Name (P.rbded) ~N~~~ BrIgineer elf AichkDcc firm (Prlabld) ~..,~,.'" .., . .. "'. .' . .' . .,' ." ....... Te,stlng t.aboratoJ)' Name (Pi'lnccd) -..:.. lO o .. o .... '."- '. .. --.- '.' . . ..;.:.:!....--.._~ ....\...::.. . . :._-.~' r- o o N I en o I >- ..: E flr'l ~c..JtA..V'> ~L, ~[l'~ .pB::d-~C9 ~ .., III .J( :1Il '(\1 :;a. !l,Y" 'II: lJ1 ~ tt ~ l!8 lJ1 ~ I ; 4 l~ :~ !If CSt 1--.1 J~ I. . tZ , Q .,." t.l:I ," ~ " ..... o ..... "- oo:l' o ll.. SPECIAL INSPECTION AND TESTING SCHEDULE Reinforced Concrete, Gunite, Grout and Mortar: Concrete Ounite Grout Mortar j )(..1 j I I I J ,P~c....~.;:. Piles Post. Tens Pre- Tens =t *': ~ u ::x:: OJ SMOKE CONTROL: ~LeakagC testing ~ Control Verification ROOFING: ' ~. Insulation. installationlR-Value" ll'''II; Teststripslseams '" "" , I Awuell;ate Test of Mix Desil!;ll I Reinforoinfl! Test I Mix Desil!;ll-Weilthmaster Celt. .'-' ' RemforcillSl Placement Continuous Batch Plant Insoecl I~ Placinlt Casl Same1ej", Samples (Plcku1llDeliven:d) , . ComDressiDn Test"' CladdinA AJ!.l"'~_"';' Tests Reinforclna Tests Tendoo Test Mix Desbtns* ReinS.. .:i..~ Placement Insert Placement' Concrete Bah:blnl!t Concrete Placement Installation Insueetion Cast Samoles Pick-UD Samoles ComDression Tests I FIREPROOFING: ~\t, ~\ Placement in$....w;:~.. Density tests Thickness tests InsPect batching ['- o o ..... ADDmONAL INSRUCfIONS,OTHER TEST, & INSPECTIONS: ['- o o C"l I en o I >< 0:( :IE: GRADING, EXCAVATION, AND FILL Acceptance te.stlI. PSP Establish imal grade Fill plKement Inspectionfoontinuous Soil Density STRUCTURAL STEELlWELDJNG: S8mplo and test: (list specific members below) Shop material identification (mm cert) Weld inspection ShOP~Fjeld Ultrasonic inspection Shop Field "HighStrength,Bolting"", "Shop'" "}~'1eld A32S N' X A490 --N -X Metal deck. welding inspection - Reinforcing Steel welding i....y...vlion Reiftforeing steel mill oertificate Metal stud welding inspection Concrete insert welding inspeccion Moment rosisting steel frames ~ ';.;;.X.. ')( x _F _F ~~. STRUCl'URAL WOOD: Shear wall nailing inspection Shear wall anchors Inspection of GILl-lam. tab. * Inspection of truss joist fab. Sample and test co...~.....1lIs Fabrication welding of steel accessories TIC' psi -MMON~-------'-----------"- .......-..-.----.....--.--... Special inspection stresses used. f'ro f'g .' PreUmlnary acceptance tests (masolU'y units. wallpriSlUs) -X_' Subsequent tests (mortar, grout, field wall prisms) ~ Placement inspection of units, and reinfurcement , '" Masonry, mortar, grout; and reinfotclogste.::l c~lifioates Form Completed hy' Date "PROVIDE STRENGTH REQUffilID BY ARCHlTli:er OR ENGlNEER OR CONTRACT DOCUMENT I.OCA TION OF V AUJES ..5ku~kV1'~( Ivt6{Jedr'C) 1/l.5 !;, '.~ i o ..... "- lCl o ll. J~~-q.1 Dflte SPR8NGfFl'IISLD City of Springfield Community Services Division 225 Fifth Street Springfield, OR 97477 Telepbone: (541) 726-3759 Fax: (541) 726-3689 I'JJM jU;o 7 -oaJ&tj Building Permit # W\o:\-~ -AC.e..;"'.:? , Pl'oject Title b W Q S\~EE-L PrQj~,Ct Address Special Inspection Hnd ,Testing To appl.icants of projectS requiring special inspection or testing IlS per Sec~lon L 704 of the Oregon Structural Specially Code, Please l"llview1he infol1t1111:!Ol)llclow, "''''hen you ha.ve finished, acknowledgell1l understanding of the infonnlllion by sj,gnlng below, il.luJ return this form to the Ci~)', '" ,.. bJli.l''UKE A PERMITCA'NBE 'ISSUED: 'The'OVIllel' oro\Vl'ler's representative" on the advice of the respol15.ible,proJec.t Ellgineer,(Jc Architect, ,~ll1,1I complete"sig:n.and submit to llle Cil}' for review and approval this form completed on both the front and back. " "" '" "'" The own"" and General COlltmctor, where, applicable., shall .1so aCKllOw[edlle the following conditions a:pplicable to Special T nspection lind/Of Testing. I, Contractor is respor;u;ible for proper notification for the In.>-pection or Te~tin!! of itcrrnllisted, 2, Testing laboratory shall take approprill.te samples and trar.sport them to their. labomtory for proper evalWltion or testing. . ('.opics of alllaboraloly reports 800 illspecUons ate to be sent to tl-.L\ City by the TC$t.ing Agency. 3, Specinllnspection I\.geney Ii to liubmit names and qualifications of on-site Speciallnspel.."tors to the City for approval. 4. . Special. Inspector shall provide inspection repOlts to the building official of all inspection activrues. 5, Contractor is respollsible to teview the City approved plans for addition.u illhllec!ioI) or testing requirements that may be noted, u = ~ ..,.._,-,.~~~~~~~~~~t~a~1r~~~~~'i!~~~t~?t~ii~l~;pr~~~rGl~k\~~~ctiij'tuQ~~~%mi~:lt"R~~~i~~~~~Ji~t~~:~~}ft~~~;~~Jtat:Ct.~~l~~~;~~~; provisioll!l. Th()!,'C itemS no! tested lind/or inspected sf\aU be noted. in the slateme,nl. The report is to be submitted to tbe Cit), prior to 110 request for final inspectllln5. I:- o o ..... j}~~~ ACKNOVVLEDGE~mNTS qfY~;;oFFc;! UL ~ Pk.rJr4. [;['111::1 Nam'e (printed) , 'At<~e A~~ Engineer or Architect Firm (Print<ld) _:J;:L........'\\-~Lt4.V\..J ' CA> i-I..64_ Gen. Contractor Firm N!llI1e (Printed) General Coat.~ Signature (<- .:{ 4- &~/~r-IZ-(,u,;,.:P-r:... """"-'S ' ~'::: \ --- <~'I"'~'7.?"~ _ ;:'h"'~~~ Building Official Name (Printed) Building Official Signa'fure I:- o o N I en o , I '>0 ..: :E: , Testing Lahmatory Name (printed) Testing Laboratory Rep. Silplature fi('is T~('6c/l$ .-/ ~ ~, I o o:l I to:> o o -:J ..... VI .. N 11>- c:... l:I: (1 '" o N "- o (,) o """' " Ul o ll. Reinforced Concrete. Gunite, Groul and Murtar; _~~~lYte Gun;te Grout Mortar 'PreCllS1IPre-stTe-sscd ,C';'llcn;tc; Piles I Post-Tens I Pro-Tens CladJit'!r I j I I f-- I --,--- 1-'---" l"~-' I u :z: IJ SMOKE CONTROl.: Leakage testing __,_Colltrol Verifica.tion ROOFING: lil$uhltioll inslllllationlR.-Value" Tt.;Snltijrilseafil~ ' ~ ;.- ...; I o al I N o ,0 -J SPECJ.AL INSPECTION AND TESTING SCHEDULE 1 : A~gre!tateT~t ;;t'Mix Dcs~;; ,_J I) ReinforcillJl; Te$t -----,,, l '. fl,fix Desj~n- Weill;hrl1ilstcr Celt." Reinforcinll: Placement Continuous Batch Plant I~cct:'==~i lnspect PlacinR I Cast SampJes Samoles (Pickup/Delivered) Compression Test" i\.~e~ate Tests Reinfmcina Tests Tendon Test Mix Desi,gn~. Reinforci ng Ph,celtleFlt Insert Placement Concrete Ba1cl1if'lj" Concrete Placement Inslallation InspC(;tiol1 ,Sast Samples _, ,1'ick-lle..~:un2Ies.,"-- COll1Pl'cssioll Tests ~'IRE}>R.OOFING: . Plllcemenl impection __.__ Density t:csts Thid;,l1cSS tests Inspect batching ADDITIONAl. INSRUCTlONS, OTHER TEST, & INSPECTJONS: CD 0 0 """' ~ I:- 0 0 .; 0 ;.. N t'" I ''0 01 0 0 I to) >- ..: :E: I 1 I ,-,-,--"4 i ,..__.i GHADlNG, RXCA VA TION, AND flU, Acceptance tests ,.. Establish final grade Fill placement insp<:clion/continnous Soil Density ~ PSI' ...... 01 t.J ~ STRlJCTUR-'\ L STi',RLJWELDING: Sample and test (list specific members bel()w) Shop lnaterial identiticalioll (miU cert) Weld inspection ___.Snap _,___;f:ield Ultrasonic inspection _Sh.op Field High Stteltglh Bolling Shop Pleld ""AJ25"=,~N ....::,::'"X" A490 N ____X Melal (lL'(;k weldi1;g:-lnspcction Reinfurdng. Sle.el welding jnspeC'lion' Reinforcing steel mill certificate Metal stud weldillg inspection Concrete insert welding impediol1 Moment resisting steel frames c.. t:l:l o r __F STRVCTURAL WOOD: , Shear wal1nu iling inspection Shear wall anchors Inspection of Ohl-lam fab. .' TiC psi Inspecliol\ of trllSS joist fab, SmT1pJe: and test components Fabricati.on weld Lng of steel accessories. MASONRY Spedal inspection stre.~ses used* ____f'm rg Preliminary acceptance tests (masonry unils, wall prisms) Subsequent tests (IllDrtar, grout, field wall prisms) Placement inspection of units, and reinfNCem~Jlt Masol1ry. morW ,grou.t, and reinfordng, steel c,t)j1:ific!ltes fonn Completed by: . Ont;;; '''0 ',I'ROVlDE STRENGTH R~QllllU~D BY .....U( :1i!T!.:C'1' DR !;!'WINJ.:F.R OR CONTRACT DOCtlMH-rf LOC:\TU)N OF" ;\1.\1l!S .5'bcr, J7,t6p~({9V\ o V) " o Co) , ' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER COM2007-00366 NAME OR COMPANY: Skyview-Walgreens Ref COM2007-00368 and -00369 LOCATION: 6WQSt. MAP & TAX LOT NUMBER: 17 03 27 10 03300 DEVELOPMENT TYPE: Walgreens and Impervious for entire Parkway Center NEW DEVELOPED AREA (S,F,): 14,820,00 ITE: 881 EXISTING DEVELOPED AREA (S.F,): 5,290,00 ITE: 110 TOTAL IMPERVIOUS SURFACE (SF): 38,516 LOT SIZE (SF): I, STORM DRAINAGE Total Proposed (82892 sf) - Exisiting (44376 sf) = Net (38]56 sf) IMPERVIOUS SQ. FT, 38,516 x $ 0.336 PER SF TOTAL STORM DRAINAGE SDC:' 2, SANITARY SEWER-CITY (see reverse side) A REIMBURSEMENT COST: NUMBER OF DFU's 26 B, IMPROVEMENT COST: NUMBER OF DFU's 26 x $ 26,03 PER DFU I I 1,191.321 x $ 19,79 PER DFU TOTAL LOCAL WASTEWATER SDC:I $ 3, TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW: A REIMBURSEMENT COST: 14,82 x 88.16 B, IMPROVEMENT COST: 14,82 x 88.16 EXISTING: A REIMBURSEMENT COST: -5,29 x 6,97 B. IMPROVEMENT COST: -5.29 x 6,97 0,75 NTF $19,411.79 1 $85,633.32 1 x $ 19,81 PER TRIP x x $ 87.39 PER TRIP x 0,75 NTF NTF ($69390)1 x $ 19,81 PER TRIP x 0.95 x $ 87.39 PER TRIP x 0,95 NTF ($3,061.07)1 TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPORTATION SDC:I $ 101,290,14 4, SANITARY SEWER - MWMC NEW: A REIMBURSEMENT COST: NUMBER OF FEU's 14,82 x $104,93 PER FEU $1,555,06 1 B. IMPROVEMENT COST: NUMBER OF FEU's 14,82 x $1,100,75 PER FEU $16,313,12 I EXISTING: A REIMBURSEMENT COST: NUMBER OF FEU's -5,29 x $52.3 5 PER FEU ($27693)1 B, IMPROVEMENT COST: NUMBER OF FEU's -5.29 x $549,44 PER FEU ($2,906,54)1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:I $ 14,694,71 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) , $130,117,541 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) $ 130,117.54 x 5% I $6,505,88 TOTAL SEWER ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $ Jesse Jones Civil Engineer, EIT 3/16/2007 DATE TOTAL SDC CHARGES $0,00 $ 1,278,13 $13,406,58 $10,00 $14,69471 I ...., 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) Walgreens and Impervious for entire Parkway Center FIXTURE TYPE BA lliTUB DRINKING FOUNTAIN, EYE WASH FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SANDI AUTO W ASH/ETC. LAUNDRY TUB CLOTHES W ASHERlMOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRlGERA TORIW A TER ST A TION/ETC, RECEPTOR FOR COMMERCIAL SINKJ DISHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LAVATORY SINK: SINGLE LA V A TORY IRESIDENTIAL BAR URINAL, STALUW ALL TOILET, PUBLIC INSTALLATION TOILET, PRlVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S* FIXTURES NEW OLD UNIT EQUIVALENT 3 I 3 3 6 2 3 6 12 1 3 2 2 3 2 2 I 5 6 3 DRAINAGE FIXTURE UNITS o 3 12 o o o 3 o o o o o -2 o o o 2 5 o 3 o TOTAL DRAINAGE FIXTURE UNITS = I 26 3 4 5 3 I 3 2 *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 ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y YEAR ANNEXED 1979 or before 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 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATE PER $1,000 ASSESSED VALUE $1.45 $1.25 $1.09 $0,92 $0,72 $0.48 $0.28 $0,09 $0,05 $0,00 $0,00 $0,00 x x CREDIT TOTAL $0,00 $0,00 $0,00 RECEIPT #. 1200700000000000560 ,te: 05/11/2007 9:24:04AM Job/Journal Number Description Amount Due COM2007-00366 Plan Review Fire & Life Safety 2,120,36 COM2007-00366 Addressing Assignment 31.00 COM2007-00366 Fire SF Fee - Non-Residential 1,482.00 COM2007-00366 Storm Drainage Impervious Area 12,941.38 COM20p7-00366 Sanitary Sewer - Reimbursement 676.78 COM2007-00366 Sanitary Sewer - Improvement 514.54 COM2007-00366 SDC Transpo Reimbursement 18,717.89 COM2007-00366 SDC Transpo Improvement 82,572.25 COM2007-00366 SDC MWMC Reimbursement 1,278.13 COM2007-00366 SDC MWMC Improvement 13,406.58 COM2007-00366 SDC MWMC Administration 10.00 COM2007-00366 SI?C Sanitary/Storm Admin 796'.60 COM2007-00366 SDC Transpo Admin 5,709.28 COM2007-00366 Building Permit 5,703.90 COM2007-00366 Paving 1,751.90 COM2007-00366 Plan Review Comm/Ind/Public 1,242.14 COM2007-00366 Plan Review Fire & Life Safety 764.40 COM2007-00366 Fixture 350,00 COM2007-00366 Sanitary Sewer - 1 st 50 Feet 45.00 COM2007-00366 Sanitary Sewer Each Addtl 100' 70,00 COM2007-00366 Water Line - 1 st 50 Feet 45.00 COM2007-00366 Water Line - Each Addtl 100' 42.00 COM2007~00366 Storm Sewer - 1st 50 Feet 45.00 COM2007-00366 Storm Sewer Each Addtl 100' 56.00 COM2007-00366 Furnace" more than 100,000 75.00 COM2007-00366 Vent Fan 18.00 COM2007-00366 Gas Outlets 1-4 4.00 COM2007-00366 Gas Outlets 4+ 3.00 COM2007-00366 ~Mechanical Issuance Fee~ 10.00 COM2007-00366 + 5% Technology Fee 410.44 COM2007-00366 + 8% State Surcharge 516.55 COM2007-00366 + 10% Administrative Fee 969.08 Item Total: ' $152,378.20 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check JOHN HYLAND CONST INC djb 1000126 In Person . $11,927.45 Check SKYVIEW LL~ djb 203 In Person $140,450.75 Payment Total: $152,378.20 cReceint 1 Page 2 of2 5/11/2007