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HomeMy WebLinkAboutPermit Building 2014-4-4 • SPRINGFIELD 225 Fifth St 7A, CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 t6r' • OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00618 www.springfeld-or.gov permitcenter@springfield-ar.gov PROJECT STATUS: Issued ISSUED: 04/04/2014 EXPIRES: 10/01/2014 STATUS DATE: 04/04/2014 APPLIED: 03/24/2014 SITE ADDRESS: 2656 OLYMPIC ST,Springfield,OR 97477 SCOPE: Cell Tower-Communication Tower ASSESOR'S PARCEL NO: 1703254100102 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Cell site-modification to an existing cell tower 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 General Contractor SABRE COMMUNICATIONS CORPORATION GCS 181875 06/06/2014 712-258-6690 INSPECTIONS REQUIRED II 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. • • .c 207 Owner or ontractor Signature • Date • • ATTENTION: Oregon law requires you to NOTICE follow rules adopted by the Oregon Utility • THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth throu AUTHORIZED UNDER .PHIS PERMIT IS NOT 0090.RYou2may obtain c pees of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone. ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800.332-2344). • Springfield Building Permit 4/4/2014 11:06:11AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD i714( ilL77 TRANSACTION RECEIPT • 225 Fifth St Spnngfield,OR 97477 ‘. OREGON 541-726-3753 811-SPR2014-00618 www springfield-or goy 2656 OLYMPIC ST perrnitcenter©spnngfield-or gov RECEIPT NO: 2014000630 RECORD NO: 811-SPR2014-00618 DATE:03/24/2014 rDE-SbRIPT-IoN - AdoblitiT çODErrRANScÔDE AMQUNT DuET-1 Structural Plan Review Fee Commercial 224-00000-425602 1060 172.82 TOTAL DUE: 172.82 jr"RAYMENT TYRE ' L-0466IER:OBOWLSBY' ' COMMENTS „ AMOUNT PAID r Check crown castle usa inc 172.82 889838 TOTAL PAID: 172.82 • SPRINGFIELD'" CITY OF SPRINGFIELD r{e y 225 Fifth St __. TRANSACTION RECEIPT Springfield,OR 97477 C ke;OREGON 541-726-3753 811-SPR2014-00618 www.spdngfieldor.gov 2656 OLYMPIC ST permitcenter@spdngfield-or.gov RECEIPT NO: 2014000734 RECORD NO:811-SPR2014-00618 DATE:04/04/2014 11 .4W'71:aA1o9`F tAdZi �_A,3"Zlae_3llC:_ AiYz;>;,ACCOUNT CODEILRANS CODE .?,:rit-a E AMOUNT-if-WE-7.i; 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 CP.AYMENT-TYPE :Y: PAYOR }'CASHIER:CCARPENTER^ 1'-.':41:COMMENTS .S ., u .;. .r.>:AMOUNT P/Up r- n_ Credit Card SABRE COMMUNICATIONS 430.06 070769 CORPORATION TOTAL PAID: 430.06 • • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY or SPRINGFIELD, OREGON `°w* Permit no.:S/q-QO (6 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 DxEGDN Date: 3Zy iv This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days o�f1sssua 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: Modification to an existing cell tower ❑Residential I ❑Government U Commercial Occupancy U JOB SITE INFORMATION AND LOCATION Construction type Job site address: 2E51vOlympic Ave 2795'/3 17o0S('o$? Square feet: City: Springfield StateoR I ZIP: 97478 Cost per square foot: Subdivision: Lot no.: Other information: Reference:1703254100102 Taxlot: Sepa v Apo el Type of Heat: Tower PROPERTY OWNER boast •S JE' Ene rgy Path: Name: Crown Castle / Sandra Walden Address: ❑new �dlteration ❑addition 8432 154th Ave N Rililding C (b)Foundation-only permit? ❑Yes ❑No City: Redmond State: WA ZIP: 98054 Total valuation: $2n ono Phone:913_709_0890 Fax: 2. Building fees E-mail: - - - - - - - - - - - n - - -- - - - - ' (a) Permit fee(use valuation table): $24S g 7 Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c)Reinspection($ per hour): Sign here: (number of hours x fee per hour) $ (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ � 'I).❑This installs 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]): $ / /z r, Business name: 'Mtn (b)Fire and life safety(40%x permit fee[2a]): S Address: (c)Subtotal of fees above(3a and 3b): S City: State: 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]): $ /si if CCB license no.: TOTAL fees and surcharges(2e+3c+4a+4b): 3 Print name: see attached email Signature: . re-- SUB-CONTRACTORlNFORMATION ree l 3 Name CCB License# Phone Number J ��� Electrical TBD 3 ge 7 4' a s� c� 1f;,. .22 a13 . it