HomeMy WebLinkAboutPermit Building 2007-8-17
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00705
ISSUED: 08/17/2007
APPLIED: 05/16/2007
EXPIRES: 02/1712008
VALUE: $ 530,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 722 SA ST
ASSESSOR'S PARCEL NO,: 1703354208400
Springfield
TYPE OF WORK: Store
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Remodel and addition.
Owner: HA YDAI INVESTMENTS LLC
Address: PO BOX 1484
SPRINGFIELD OR 97477
Phone Number: 541-746-4251
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Engineer
Mechanical
Plumbing
Contractor
DORMAN CONSTRUCTION
JB ELECTRIC
KEA TlNG ENGINEERING
INNOVATIVE AIR INC
THOMAS E WHITE
License
68801
104929
Expiration Date
08/31/2010
03/14/2008
161742
86252
10/11/2008
09/25/2007
Phone
541-984-0012
541-687-5770
541-242-0613
541-746-1040
541- 726-9778
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
22.75
Electric
, Electric
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,390
VB
Path 1
n/a
213
I DEVELOPMENT INFORMA nON,
NOTICE:
Frontyard Setback: THIS PERMIT SHAll txPIRtOfe_IWmRK
Side 1 Setback: AUTHORIZED UNDER THIS PSlU~tS~qd:
Side 2 Setback: COMMENCED OR IS ABANDOOQfOii Rqd:
Rearyard Setback: ANY 180 DAY PERIOD. % of Lot Coverage:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS'
mettnOtt~.~fIU.
tiIow ......~~~1JIIIIr
Notitlcatlon Center. ".. .............
In OAR 86MOMIKO.......OM.....
IDIO. -....,....,1..".....,
......... ~......-
....far..~---
....
Notes:
Pa2e 1 of 5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00705
ISSUED: 08/17/2007
APPLIED: 05/16/2007
EXPIRES: 02/17/2008
VALUE: $ 530,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
530,000.00
Value
Date Calculated
Description
Total Value of Project
$530,000.00
$530,000,00
08/10/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lnd/Public $790.17 5/16/07 2200700000000000759
Plan Review Fire & Life Safety $486.26 5/16/07 2200700000000000759
-Mechanical Issuance Fee- $10,00 8/17/07 1200700000000001060
+ 10% Administrative Fee $297,82 8/17/07 1200700000000001060
+ 5% Technology Fee $4,25 8/17/07 1200700000000001060
+ 5% Technology Fee $116,96 8/17/07 1200700000000001060
+ 8% State Surcharge $187.13 8/17/07 1200700000000001060
Building Permit $1,963.15 8/17/07 1200700000000001060
Curbcut Permit $85.00 8/17/07 1200700000000001060
Fire SF Fee - Non-Residential $639,00 8/17/07 1200700000000001060
Fixture $i96.00 8/17/07 1200700000000001060
Miscellaneous Mechanical $45.00 8/1 7/07 1200700000000001060
Miscellaneous Plumbing $45.00 8/17/07 1200700000000001060
Plan Review Comm/lnd/Public $485.88 8/17/07 1200700000000001060
Plan Review Fire & Life Safety $299,00 8/17/07 1200700000000001060
Sanitary Sewer - 1st 50 Feet $45,00 8/17/07 1200700000000001060
Sanitary Sewer - Improvement $14.85 8/17/07 1200700000000001060
Sanitary Sewer - Reimbursement $19,52 8/17/07 1200700000000001060
SDC Sanitary/Storm Admin $1.72 8/17/07 1200700000000001060
SDC Transpo Admin $97.92 8/17/07 1200700000000001060
SDC Transpo Improvement $1,596.49 8/17/07 1200700000000001060
SDC Transpo Reimbursement $361.90 8/17/07 1200700000000001060
Storm Sewer - Ist 50 Feet $45,00 8/17/07 1200700000000001060
Total Amount Paid $7,833.02
I Plan Reviews I
Fire Department Review OS/22/2007 06/21/2007 OK GRG See attached document for Fire
Department Plans Review
comments.
Initial Review 05/17/2007 05/17/2007 APP LLH
Paee 2 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan Review Comments
Plan Review Comments
Plan Review Comments
Plan nine Review
Plannine Review
Plannine Review
Public Works Review
Revised Plan Review - Pia
Structural Review
Structural Review
SUB Review
SUB Review
07/10/2007
07/12/2007
OS/22/2007
07/10/2007
07/26/2007
08/10/2007
05/18/2007
06/15/2007
OS/22/2007
07/13/2007
07/26/2007
08/07/2007
07/12/2007
07/26/2007
08/10/2007
06/04/2007
06/15/2007
06/04/2007
10
10
10
WE
WE
APP
APP
APP
WE
APP
WE
JMP
JMP
JMP
EMM
JHJ
EMM
JMP
JMP
JF
JF
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00705
ISSUED: 08/17/2007
APPLIED: 05/16/2007
EXPIRES: 02/17/2008
VALUE: $ 530,000.00
Chris Scott from Steve Keating's
office called to say they misplaced
the June 4, 2007 structural
comments. He asked me to fax him
another copy so that they can work
on their response next week and I
did.
WE. Received incomplete responses
from Chris Scott. Called Chris and
requested the special inspection
forms to be completed, the
contractor data, the utility plans,
and the revised valuation.
WE, Chris delivered a utility plan.
The other 3 items are still
outstanding.
needs Final Plot Plan and
Development Agreement
Development Agreement Signed.
Building Permit to be revised adding
additional windows per conditions 01
the MDS review.
Needs MDS application submittal.
Called owner on 5/24/07. Tara and
Liz had previously talked to owner
regarding MDS review and MUC
standards,
Attached SDC Worksheet, (JHJ)
See correction notes on landscaping
plan,
Received contractor data and
valuation from Bob Buss, Received
Special Inspection Forms from Steve
Keating,
Received 5/22/2007. See attached
documents for 12 structural
comments faxed to Steve Keating,
Shell only.
See JMP's attached structural
comment #7 for the requested
energy code forms and information,
To Request an inspection ~all the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
UeouiredJnsoections I
Paee 3 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00705
ISSUED: 08/17/2007
APPLIED: 05/16/2007
EXPIRES: 02/17/2008
VALUE: $ 530,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ufer Electrical Ground: InstaU ground rod at footing and can for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated,
Slab: To be made after aU inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Shear WaU Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after aU rough in inspections have been approved,
WaU Insulation: Prior to cover,
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering,
Roof Sheathing
Masonry:
Bolts InstaUed in Concrete: To be done by a State Certified Special Inspector, Provide inspection test reports to
City Building Inspector.
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement.
Final Fire Department. After aU 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 Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When aU electrical work is complete,
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved,
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Pal!e 4 of 5
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-00705
ISSUED: 08/17/2007
APPLIED: 05/16/2007
EXPIRES: 02/17/2008
VALUE: $ 530,000.00
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 con tructin~ /
/(II~~J'~. ~/~/o l
Owner 0 ontractors Signature Date
Page 5 of 5
1SI
Q)
.....
...
CSI
......
r-,)
(SJ
~
....
...
CSI
A
Q)
UI
A
~
.....
A
Q'l
.....
...
,/jI
w
Jl
,....
....
c:
,.. ,
t... c.....
c: . E..
I ........
-
toA C:--
...a.
....'
N .<=>
o r~
9 ..-'
-~
- t..
~ '''-.n
.. '""'"
.. E
...
:It
::I ...
r- 0;:>
x '0
... ';;10
.,. -;0;::
. .;,;..
ct .=
.... I~
d,.~~,
.. u:>
m "......
:s x>
ft ~.
... --I
:;J ___
. 0
. 'i'2
l .......
i "7
'0
CD
.."..
I
~
<::>
-.
,,-,,"
U1.UI
...
--
NI
. ~
'1 N ...
it
-lID
..-
~
~
cc>
"'-3
.Ao
=""
.-;;
. ...
'" .'
N
.
Cit ,... . (1')" 7.J1t)1.- 00(.0'1 9-l4.o"1
III '1I,...oma ~PeiaiI. . C.
~ t!llnld LI=- I, l . I .' '" A _ ~I
r-iI GIlf'M'TI ~~Nl'9urr '- ~Ic-..,
.. Il)'72&oi7S9 1"' '" ' S .1\.. _cd1itkt -
-- l"i:l 7.JJ..3tD L.- L.., ~~-1'
ftejIllIMIIeR
- .
cW.~-""
'I.~1 ....._.~......pI' t7Olat..Qqta......,..,..,0Mta a.........~Waw. ..,......
iIiIW..... 1~1~...tfllt......".............._...._..6tGl. " I,
"","JI.I com..... ~........... .... ...... "...............o(tI>>~......w-. AiaI6ct......................"
OIJItr..............IllIm...............IiDIl....... . . ' . .
. , '
n.__GciIIII1~ ..~.w...........~~.....ta9pleht........,."....
1. QdJI8II!i~..,..,..~~......."ftIa...
1 7...w.lllJlI1u1I.... ..........~............fD Wr Wlanlal.YIJrJ"llllll.........~. ,
. 'CCltiM.r.II'-f.......U.,IIII....-..'o........a, .,..~.
3. 8JliU........ illOlIlImII--~"''' SfcillII.,...,....ar IwllppllRl .
4 .,.ndllBf~"''''fIlI'i*'''''RIpCIdI,,-'''''''tf'''~101ItiIia .
J. ~D~..IIll-_cu,....-pu-~~...........,.......
... A ~.w4W411 oraaDAlI'CYWlLLilBlIIRD ".1pIIiIIl,..,..A8=J..mblldI1DIbtHllildiltaldll......lbiII.iIclU~.
__...1IIalIIIIl1lba4~_....TIM....iiIIDIIll .......lD....................J1D. rCLu4aPiad.....~'
...... ................,.................: .'Jt.nplItbtot ,-tleilllllliD..a,,u.eo........tbrfqd~,. "
".~' ",.
I ..' . ' .. .
~~. -~~~.. .~~
~:~~ _. sr-~~~~ '~~..:?
NwR~ ~ I ~..omalui..tftI8d), lhiJdllrBotIdaISfiIIiwi
. ~
,
,.
. ~
C\/
,
Q..
'It
....
CD
o
C\/
'It
C\/
....
'It
II)
lAD
C
.....
L'
1Il
1Il
C
.....
lAD
C
UJ
lAD
_ C
.....
..."
III
1Il
~
z:
a:
'It
C\/
..
o
....
r-
o
o
(\J
o
....
lAD
:J
a:
....
lL.
~
Reinforced Cohcrele. Gunite. Grout and Mortar;
Concn=te Ounite Grout MOI1aI'
v
....
CD
o
C\J
v
C\J
....
V
It)
M .( ~~
~ 3~
~ ~i'
~~, ,III:~
~~ I 1)
Claddinl!
Prel:astIPre-stre8Ied Conorete:
Plies ' Po&t- Tens Pre- Tens
boO
[:
iDo".~
ii t- !'.~ e
c Oou.;..:.r.
E
o
c...>
" ,., ,.',,~ ~
C .' . _.
''''-'l
....
l..
QJ
QJ
[:
....
boO
[:
lLJ
boO
[:
....
...,
III
QJ
~
SMOKE CONTROL:
LcakB&e lesring
Control Verificatkln
ROOFING:
Insullltlorl installaionIR. Value.
Test strips/seams
1:
CI:
v
C\J
o
....
,SPECIAL INSPECTION AND TESTING SLhJi!,VUU:
I
I ~ate Test of Mix Oesltti
Rl:inforc:lna Test
Mix Desim-Wci(lunaster Cert..
Rein1orc~ Placement
Contmnous BBII:b P11I1111nsllCt't.
J~t PlacinJ:
Cast Samolcs
Samples (jiJc~verc:d}
Co....... ~...,.lon Tcst.
. GRADING. EXCAVATION. A~.
' "JI. _ AcceptllllCt'llests *
. ... Estllbllsh final gra&::
Pill placement inspa:tionlcontinllOus
Soil Derlsity
,,..~
STIlUCTURAI. STEE1.JWELDING~
SumplllllJ1d I.e9t (lisupecitic ......",..t.J'S below)
Shop matr..riBI idelltifiliation (mill X-
V" Weld inspection. ;< Shop Field
~ Ultrasonic In"I''''~';Dn Shop Field
High Strength Boltinj! Shop Field
A32S _N _X _F
A490 N _X _F
Ml:tal deck welding inspection
Reinfordng Steel welding i.upeetion
Reinforcing steel mill certiticate
Metal stud welding inspection
Concrete insert welding inspection
Moment resistin& steel frames
~Tests
Rei..fw. ..:Ili Tests
Tendon Telll
Mix DesiillS.
Reintorcinl! P1acemenl
1~r1 Placement
Com:rele Batcl1inv.
Concrefle PI~~...< ,nt
illa1anation lnspectlon '
Cast Samules
PIck-DO S8lm)Jes
COIIlllresslon Tests
STRUCI'URAL WOOD:
.,/ Sh\:8! walllllllliRl i~on
'" .... Sheer wall anchors
Insj1CC\ion ofOlu-lam fab. · 'JIC psi
(na....w.;~" of1russ joist fat>.
Salllple and test compohenlS
Fabrication welding of steel act.essories
FIREPROOFING:
Plt\CCIttent inspection
Density teIIllI
Thidmells tests
Inspo;t bluthing
MASONRY
~ Special inspection stI~ t1sed.~rm ~rg
~. Preliminary ~tam:e k:sClr. (mllSOl1ry units, wall prisms)
Subsequenl tests (mortar. arout. field wall prlsnls)
~ Placement :...........lion of units. and reinforcement
~ MpOllry.11l0tlal\ grout, and reinf'oreil\8 sleel certiflclIt.cI
ADDmONAL lNSRUcrJONS. OTHER TEST, 81. JNSPECTION~
Form Completed by'
"'~
Date ~ f'
t"-
o
o
C\J
o
....
.PROVIDE STRENGTH REQUIRED BY ARCHlTECl' OR ENGINEER OR '-VI I J MeT DOCUMENT LOCATION OF VALUES
boO
:J
CI:
0
0
"
~
co
......
g
Ool
;:J
.....
~
I2l
..
rob
GO
":tl
iIO
100I
en
....
....
....
I\)
m
c.>
&
GO
10
o
....
~
o
'"
~
....
:z
n
..,
-
ttJ
G
IS
c:t
o
~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-00705
NAME OR COMPANY: Wynants Health Food
LOCATION: 722 S. A St.
MAP & TAX LOT NUMBER: 17 03 35 42 08400
DEVELOPMENT TYPE: Change in use (auto shop to specialty retail store)
NEW DEVELOPED AREA (S.F.): 6,388.00 new: 2]65sf + 530 sf
EXISTING DEVELOPED AREA (S.F.): 3,693.00
TOTAL IMPERVIOUS SURFACE (S.F.):
]. STORM DRAINAGg
]MPERVIOUS SQ. FT.
Downtown Development 75% Discount Area
ITE:
ITE:
LOT SIZE (S.F.):
8]4
942
x
*No New Impervious Area
$ 0.336 PER SF
TOTAL STORM DRAINAGE SDC:I
2. SA_NITARY SFWF,R-CrTY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's 3
B. IMPROVEMENT COST:
NUMBER OF DFU's 3
x $ 26.03 PER DFU
,
!
34.37 I
x $ ]9.79 PER DFU
TOTAL LOCAL WASTEWATER SDC:! $
Downtown Development 75% Discount Area
3. TRANSPORTATION
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW:
A. REIMBURSEMENT COST:
6.39 x 44.32
B. IMPROVEMENT COST:
6.39 x 44.32
EXISTING:
A. REIMBURSEMENT COST:
-3.69 x 41.9
B. IMPROVEMENT COST:
-3.69 x 41.9
0.75
NTF
$4,206.40 1
$]8,556.]4 1
x
$ ]9.8] PER TRIP
x
x
$ 87.39 PER TRIP
x
0.75
NIF
NTF
($2,75880)1
x
$ ]9.8] PER TRIP
x
0.9
x
$ 87.39 PER TRIP x 0.9 NIF ($]2,]70.20)1
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:I $],958.39 I
25%=
25%=
$361.90
$ ],596.49
Downtown Development 75% Discount Area
4. SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 6.39
B. IMPROVEMENT COST:
NUMBER OF FEU's 6.39
x $26.17 PER FEU $]67.]71
x $274.72 PER FEU $],754.9] 1
x $]57.05 PER FEU ($579.99)1
x $],648.32 PER FEU ($6,087.25)1
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -3,69
B. IMPROVEMENT COST:
NUMBER OF FEU's -3.69
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) 1$
I
],992.75 I
5. ADMIN]STRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
$ 1,992.75 x 5% , $99.64
TOTAL SEWER ADMIN]STRA TION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
7/12/2007 TOTAL SDC CHARGES'
DATE
Jesse Jones
Civil Engineer, EIT
$0.00
($412.8])
($4,332.33)
$0.00
($4,745.15)
$2,092.39
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)
Change in use (auto shop to specialty retail store)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO WASHlETC.
LAUNDRY TUB
CLOTHES W ASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAJLER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE LA V A TORY
SINK: SINGLE LAVATORYIRESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDD'S*
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
1
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
6
o
o
o
o
o
-3
o
TOTAL DRAINAGE FIXTURE UNITS = I 3
2
2 2
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 .
. i. -l ~
~$4.~,..:,
, .,;~4,;8,q\
" ""'$4.637;
. $4.40
$4.07,,'; .
$3.67,
$3.22 h
.~;2,.,7X
$2.25
o"$i~o' 'i
YEAR
ANNEXED
1992
1993
1994.";
.1995': ~
1996,',
1997
1998
1999
2000
2001
2002
2003
2004
CREDIT FOR PARCEL OR "LAND ONLY IF APPLICABI.,E
IMPROVEMENT (IF AFTER ANNEXATION DATE)
,IV
RATE PER $1,000
ASSESSED VALUE
$1.45
$1.25
',oj,'" ,. $L09
'. .,1 'I $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
22-5 Fifth St~eet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007 -00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
Payments:
Type of Payment
CreditCard
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000001060
Date: 08/17/2007
Description
Fire SF Fee - Non-Residential
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Building Permit
Fixture
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Miscellaneous Plumbing
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Curbcut Permit
+ 5% Technology Fee
Paid By
JOAN HAYDN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 017437 In Person
Payment Total:
Page 1 of 1
12:05:50PM
Amount Due
639.00
19.52
14.85
361.90
1,596.49
1.72
97.92
485.88
299.00
1,963.15
196.00
45.00
45.00
45.00
45.00
10.00
116.96
187.13
297.82
85.00
4.25
$6,556.59
Amount Paid
$6,556.59
$6,556,59
8/17/2007