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HomeMy WebLinkAboutPermit Building 2014-3-28 SPRINGFIELD ... 225 Fifth St• ri-} CITY OF SPRINGFIELD Springfield,0R97477 4 Phone: 541-726-3753 - OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00498 www.springfieid-or.gov permitcenter©springfield-orgov PROJECT STATUS: Issued ISSUED: 03/28/2014 EXPIRES: 09/24/2014 STATUS DATE: 03/28/2014 APPLIED: 03/07/2014 SITE ADDRESS: 36417 BRAND S RD,Springfield,OR 97478 . SCOPE: Cell Tower-Communication Tower ASSESOR'S PARCEL NO: 1802100000900 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Cell antenna upgrade - OWNER: PERSON LEONA M Phone Number: ADDRESS: 2189 STONECREST DR • - EUGENE OR 97401 . CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. - 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. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to • follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth p 10E: in OAR 952-001-0010 through OAR 952-001- • :IS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by ITHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone number for the Oregon Utility Notification )MMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). IY 180 DAY PERIOD. Springfield Building Permit 3/28/2014 8:06:38AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spr1ng9eld,OR 97477 OREGON 541-726-3753 811-SPR2014-00498 wwwspr61699d-or.gov 36417 BRAND S RD permitcenter @spnngrield-or.gov RECEIPT NO: 2014000669 RECORD NO:811-SPR2014-00498 DATE:03/28/2014 [DESCRIPTION ACCOUNT'CODEITRANS.CODE AMOUNT'DUE"'1 Building Permit Fee 224-00000-425602 1002 214.24 Planning-Minor Review-City 100-00000-425002 1231 119.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 25.71 Technology fee(5%of permit total) 100-00000-425605 2099 10.71 TOTAL DUE: 369.66 PAYMENT TYPE ° • PAYOR' CASHIER:ccARPENTER `±, . COMMENTS AMOUNT!PAID„ °`" Check SBA Network Svcs 369.66 2076064 TOTAL PAID: 369.66 • • SPRINGFIELD CITY OF SPRINGFIELD �A 225 Fifth St . . a; TRANSACTION RECEIPT Spdngfield,OR97477 �`"' OREGON 541-726-3753 811-SPR2014-00498 www.springfieldor.gav 36417 BRAND S RD permitcenter@springfield-or.gov RECEIPT NO: 2014000511 r RECORD NO:811-SPR2014-00498 DATE:03/07/2014 DESCRIPTION 711- .aaE_fle4MaT.anEWS� ,1ACCOUNTIGODE/TRANS COD '-;t_,u-„!;z,:AMOUNT DUE - Structural Plan Review Fee Commercial 224-00000-425602 1060 139.26 TOTAL DUE: 139.26 PAYMENTfT=.YP„E PAYOFlacnsweR'osowisev f-: . r. COMMENTS +_: „O yeTAMOUNT'Py AID YQ' ' 451 Check SBA Network Services LLC 139.26 2075121 TOTAL PAID: 139.26 • • • • ■ I • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY J CITY OF SPRINGD ILD D) OREGON � ( & Permit no.: 27c0 078 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726 3689 \OREGON Date: 3/77A This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days o ce or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. 1.Valuation information Signature: Date: �-n Sfa /afion of San fti7✓Ja5 a 8n (a)Job description: This project has DEQ approval. Occupancy / al/, `M excs HA/6__ Date: GL/% lower. Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: ❑Residential ❑Government laCommercial Other information: f JOB SITE INFORMATION AND (LOCATION Type of Heat: /t/JF� Job site address: 3p t-]]R S.'Berme, P A Energy Path: n//I- City: Sr'pcvnCrFiEL r State:O e ZIP: or7Los ❑new ['alteration ❑addition Subdivision: Lot no.: p O 90 0 (b)Foundation-only permit? ❑Yes ❑No Reference: /801/000 Taxlot: i,31,277-09-6400 Total valuation: I $f5;ai0 PROPERTY.OWNER L-.ESSEk. 2. Building fees Name:'SrBfl COVavm—tlV� t c tk-ll6NS C'-,r 0 (a)Permit fee(use valuation table): $2/f�?a Address: /94'7 MO Thorn turn 5 EA.) ,Z.A./ (b)Investigative fee(equal to[24): $ City: MC fY]r n n IA/Q c State:02 I ZIP:97/. j (c)R inspe ti er hours x fee per hour)) $ Phone: 373 9/Y E39'77 Fax: - - (d)Enter 12%surcharge(.12 x[2a+2b+2c): $ 7i'7/ E-mail: Fe /Ct n Se S�S i 4 Ce. COM (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3.Plan review fees 11� (a)Plan review(65%x permit fee[2a]): $ /7/L4 Sign here: ��'"' �� (b)Fire end life safety(40%x permit fee[2a]): $ ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family,and is exempt from licensing 4.Miscellaneous fees requirements under ORS 701.010. ° (a)Seismic fee, I%(.01 x permit fee[2a]): $ CONTRACTOR INSTALLATION (b)Technology fee,5%(.05 x permit fee[2a]): $ /Q 7/ Business name: 'I—a TOTAL fees and surcharges(2e+3c+4a+4b): S3G4 Ste_ Address: oo II City: State: I ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: SUB-CONTRACTOR INFORMATION Name CCB License# Phone Number Electrical Plumbing Mechanical SBA Communications Corporation 470 Davidson Road ',��� Pittsburgh, PA 15239 S B A. T+412.515.0111 F+412.515.0119 sbasite.com 25 March 2014 Chris Carpenter, Plans Examiner Springfield Development and Public Works Department 225 Fifth Street, Springfield, Oregon 97477 Mr. Carpenter: Enclosed please find a check in the amount of$369.66 for final payment on a building permit for SBA Network Services at: 36417 Brand S Road, Springfield, OR 97478 Please let me know if you will be able to mail the Approved Plans and Job Site card to me at the following address: Patrick Evans SBA Network Services 1947 NW Thomsen Lane McMinnville, OR 97128 If you are unable to mail the package, give me a call and I'll give you a FedEx number to use. Thanks again for all your help. • Sincerely, Patrick Evans Property Specialist II