Loading...
HomeMy WebLinkAboutPermit Miscellaneous 2013-10-2 I SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 : Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00226 vnvw.springfield-or.gov permitcenter @springfield-orgov PROJECT STATUS: Issued - ISSUED: 10/02/2013 EXPIRES: 03/31/2014 STATUS DATE: 10/02/2013 APPLIED: 02/01/2013 SITE ADDRESS: 2656 OLYMPIC ST,Springfield,OR 97477 SCOPE: Cell Tower-Communication Tower ASSESOR'S PARCEL NO: 1703254100102 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Antenna co locate exchange OWNER: SPRINGFIELD MINI STORAGE LLC . Phone Number: ADDRESS: 14855 SE 82ND DR CLACKAMAS OR 97015 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone • Electrical Contractor SATTEL BROADBAND INC CCB 197492 07/20/2014 520-797-6777 INSPECTIONS REQUIRED Inspections 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. 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. /i / 48/2 Gl3 • ce. Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: in AR a952 Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification Center is 1-800-332.23441. ANY 180 DAY PERIOD. • • Springfield Building Permit 10/2/2013 10:50:20AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD A. � 225 Fifth St ,,.`L. TRANSACTION RECEIPT Spnngfield,OR 97477 OREGON 541-726-3753 811-SPR2013-00226 www.springfieldor.gov 2656 OLYMPIC ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013002190 RECORD NO:811SPR2013-00226 - DATE: 10/02/2013 J,1�.'��I;�;,IIQCo1�d�,'`�� '�;�5�,-,�:1�4(tla at ;a , zl,gCCOUNT,,GODE/TRANS.CODE: a�'�.'�AMOUNT a Building Permit Fee . 224-00000-425602 1002 233.50 Planning-Minor Review-City 100-00000-425002 1231 119.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 28.02 Technology fee(5%of permit total) 100-00000-425605 2099 11.68 TOTAL DUE: 392.20 'PAYMENT¢TYPE PAYOR cnsri a1RwiLSON a.iCOMMENTS AMOUNTPAID Check Sattel Broadband 392.20 1342 TOTAL PAID: 392.20 • • •