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HomeMy WebLinkAboutPermit Building 2014-4-4 o SPRINGFIELD- 225 Fifth St a CITY OF SPRINGFIELD Springfield,OR 97477 L AO ' Phone: 541-726-3753 � OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00617 www.springfield-or.gov pe rmitce nter @springtield-or.gov PROJECT STATUS: • Issued ISSUED: 04/04/2014 EXPIRES: 10/01/2014 STATUS DATE: 04/04/2014 • APPLIED: 03/24/2014 SITE ADDRESS: 2300 HENDERSON AVE, Eugene,OR 97403 SCOPE: Cell Tower-Communication Tower ASSESOR'S PARCEL NO: 1803032000600 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Cell site-modification to an existing cell tower OWNER: PETERSON MACHINERY CO Phone Number: ADDRESS: PO BOX 2218 SAN LEANDRO CA 94577 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor SABRE COMMUNICATIONS CORPORATION CCB 181875 •06/06/2014 712-258-6690 L INSPECTIONS REQUIRED Inspections 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. i _.• , ...----_ - 4-il- ZD( Owner or • ontractor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility (NOTICE. Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK . in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by calling the center. (Note: the telephone • COMMENCED OR IS ABANDONED FOR , . number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). • Springfield Building Permit 4/4/2014 11:00:24AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD TRANSACTION RECEIPT 225 Fifth St Springfield,OR 97477 541-726-3753 OREGON 811-SPR2014-00617 www spnngfield-or gov 2300 HENDERSON AVE permitcenter@spnogfield-or gov RECEIPT NO: 2014000631 RECORD NO:811-SPR2014-00617 DATE:03/24/2014 DESCRIPTION : ` ,4, r -' AccititnecdbitTRAS§CODE s 77'Ai4oilit,buE jj. Structural Plan Review Fee Commercial 224-00000-425602 1060 172.82 TOTAL DUE: 172.82 LINSYMEisIT TYPAi. ..-„;%P014 .CASHIER:oliowifiet , -1.) ' COMMENTS %:::::5L, ' ,..L - :,',' A1180UNT.PAip, _ - ... Check crown castle usa inc 172.82 889833 TOTAL PAID: 172.82 . . - . SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-S P R2014-00617 www.springfield-or.gov 2300 HENDERSON AVE permitcenter©springfield-or.gov RECEIPT NO: 2014000733 RECORD NO:811-SPR2014-00617 DATE:04/04/2014 [DESCRIPTION": 'ACCOUNT CODE/TRANS CODE __: _ AMOUNT DUE-_.[ Building Permit Fee 224-00000-425602 1002 265.87 Planning-Minor Review-City 100-00000-425002 1231 119.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 31.90 Technology fee(5%of permit total) 100-00000-425605 2099 13.29 TOTAL DUE: 430.06 PAYMENT TYPE_ __ PAYOR CASHIER:ccARPENTER._ , . ; COMMENTS : AMOUNT PAID Credit Card SABRE COMMUNICATIONS 430.06 070769 CORPORATION TOTAL PAID: 430.06 • • • Structural Permit Application • SPRINGFIELD DEPARTMENT USE ONLY CITY OE SPRINGFIELD, OREGON Permit no.: ,5iq—C O I i 225 Fifth Street•Springfield,OR97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date: -3d y /y This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of sssua ce or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Plumbing This project has final land-use approval. Signature: Date: Mechanical This project has DEQ approval. Signature: Date: Zoning approval verified: ❑Yes ❑No FEE SCHEDULE Property is within flood plain: ❑Yes ❑No 1.Valuation information CATEGORY OF CONSTRUCTION (a)Job description: I/ e• .is e e _ e• - II er ❑Residential ❑Government I 53 Commercial Occupancy unmanned JOB SITE INFORMATION AND LOCATION Construction type:p Job site address:2300 Renders Rd 8 icrJ514/ Square feet: City: Springfield I State:R I ZIP: 97441 Cost per square foot: Subdivision:/801 0370 I Lot no.: 0O600 Other information: Reference:1803031300500 Taxlot: Type of Heat: Tnwer RRORERTY OWNER gTG4lby UM Energy Path: Name: Crown Castle ) Sandra Walden ❑new ['alteration ❑addition Address: modification 8437 154th Ave N RI tilling r,, (b)Foundation-only permit? ❑Yes ❑No City: Redmond State: WA ZIP: 98054 Total valuation: $ 70 000 Phone:5(13-709-0820 Fax: - 2. Building fees E-mail: _ n - - - - - - - - -, - - - - - - - - (a)Permit fee(use valuation table): $�f/ 5 _ Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c)Reinspection($ per hour): O 7 (number of hours x fee per hour) $ Sign here: 3.a./ ���' �` (d)Enter 12%surcharge(.12 x[2a+2b+2c]): s)/ 9 n ❑This insta on is being made on residential or farm property owned by (e)Subtotal of fees above(2a through 2d): S me or a member of my immediate family,and is exempt from licensing requirements under ORS 701.010. 3. Plan review fees - CONTRACTOR INSTALLATION (a) Plan review(65%x permit fee[2a]): $1n Business name: TRD (b)Fire and life safety(40%x permit fee[2a]): $ Address: (c)Subtotal of fees above(3a and 3b): S City: State: I ZIP: 4.Miscellaneous fees Phone: Fax: - - (a)Seismic fee, 1%(.01 x permit fee[2a]): _$ E-mail: (b)Technology fee,5%(.05 x permit fee[2a]): $ I'S Z CCB license no.: TOTAL fees and surcharges(2e+3c+4a+46): S N Print name: see attached email Signature: Scope: Replace 3 antennas, 3 remote radio heads . SUB-CONTRACTOR INFORMATION , and ancillary equipment. Antennas were removed • Name CCB License if Phone Number in 2013 project. Sprint 2.5 Project Electrical TBD /