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Home My WebLink AboutPermit Building 2014-4-28 SPRINGFIELD ' 225 Fifth St .,141 CITY OF SPRINGFIELD Springfield,OR 97477 t Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00757 www.springfield-ocgov permitcenteraspringfield-or.gov PROJECT STATUS: Issued ISSUED: 04/28/2014 EXPIRES: 10/25/2014 STATUS DATE: 04/28/2014 APPLIED: 04/09/2014 SITE ADDRESS: 3022 GATEWAY LOOP,Springfield,OR 97477 SCOPE: Cell Tower-Communication Tower ASSESOR'S PARCEL NO: 1703222003500 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Cell site-modification of an existing telecommunication facility and proposed replacement of three antennas with ancillary equipment and cabling OWNER: FOOD INDUSTRIES CREDIT UNION Phone Number: ADDRESS: PO BOX 7245 SPRINGFIELD OR 97475 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor SABRE COMMUNICATIONS CORPORATION CCB . 181675 06/06/2014 712-259-6690 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. )ICi4 iy6k-- 1 - Z g— /4i Owner or Co tractor 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 AUTHORIZED UNDER THIS PERMIT IS NOT 0090.8 You 2may obta�throe s ofthe952-001- u-0 1- COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800332.2344). Springfield Building Permit 4/28/2014 11:12:34AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD L t +oa 225 Fifth St =A `o EGON TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-S P R2014-00757 wwwspringfield-or.gov 3022 GATEWAY LOOP permitcenter@springfield-or.gov RECEIPT NO: 2014000936 RECORD NO:811-SPR2014-00757 DATE:04/28/2014 DESCRIPTIONS �, _t,_„_ACCOUNT_CODE/TRANS_CODE AMOUNT 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 030835 CORPORATION TOTAL PAID: 430.06 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spongfield,OR 97477 - OREGON 541-726-3753 811-SPR2014-00757 www spnngfield-or gov 3022 GATEWAY LOOP permitcenter@spnngfield-or gov RECEIPT NO: 2014000762 RECORD NO: 811-SPR2014-00757 DATE:04/09/2014 fifitidAiOlioir: TT- t ACCOUNT dbugitRAN§CODE '"77°APAeititei: Structural Plan Review Fee Commercial 224-00000-425602 1060 172.82 TOTAL DUE: 172.82 :pAYMENT TYPE'• PAYOR CASHIGh:DBOWLGI3i 7: COMMENTS. AMOUNT PAID Check crown castle usa Inc 172.82 889834 TOTAL PAID: 172.82 • • • Structural Permit Application DEPARTMENT USE ONLY S *ININOPILLO C � r ,' tea no.: 5/V-0 O 75 7 225 Fifth Street•Springfield,OR 97477♦P11(541)726-3753•FAX(541)72266-3689 l ce c �. I 1a-3-XC (. I Date: (/ l� ��/ This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days o iss6ance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature: Date: FEE SCHLE This project has DEQ approval. 1.Valuation information 1,0/ 006 Signature: Date: ,A,`/ (a)Job description: Zoning approval verified: ❑Yes o Arr g Occupancy 04j mil 4,o fEh Property is within flood plain: ❑Yes ❑No Cdnstruction type: CATEGORY OF CONSTRUCTIOON/� Square feet: ❑Residential I ❑Government I 2'Commercial Cost per square fool: JOB SITE INFORMATION AND LOCATION Other information: Job site address: 30 22- 4 kl4� OOP City: ocoetvC State: (J2 I ZIP: 57,79 7 TYPe of Heat: Subdivision: Lot no.: Energy. Path: h Reference: Taxlot:e34®0 ❑new aheration ❑addition �/ 'f-�tAI E/ZPRePBRTY OWNER (b)Foundation-only permit? ❑Yes L�(No �r — ngDL / bi. Total valuation: $7 Name: C� LW /I r/ 2. Building fees Address: g 13 2- ire-MI AVE A/C' Aq2.03-1...t C City: 2eD i&4 State: Q2 ZIP: (a)Pennil fee(use valuation table): $ Phone:' 5-0 3 '--ft -olio Far: - - (b)Investigative fee(equal to[2a]): $ ,,I 1 /^� (c)Reinspection($ per hour): E-mail: 6Q.r]Q ra_e WQI eA,(Qhl ITh4O -@ (number of hours x fee per hour) $ This installation is being made on residential or farm property owned by (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $'3 f g.0- me or a member of my immediate family,and is exempt from licensin requirements under IRS 11.010. / (e)Subtotal of fees above(2a through 2d): S L -�� CrOW ti e.a 'v' 3. Plan review fees Sign here] a' ■ COM ,4111116r-CONTRACTOR INSTALLATION (a)Plan review(65%x permit fee[2a]): $ Business name: fip)D , (b)Fire and life safety(40%x permit fee[2a]): S • (c)Subtotal of fees above(3a and 3b): S Address: 4.Miscellaneous fees -4 ( 3 2'f City: State: I ZIP: (a)Seismic fee, 1%(.01 x permit fee 12a]): Phone: - - Fax: - - E-mail: TOTAL fees and surcharges(2e+3c+4a): Se.T CCB license no.: Print name: Signature: SUB-CONTRACTOR INFORMATION Name CCB License Number Phone Number Electrical Plumbing Mechanical %/f-uO/2 • IUf1� RCN- CotU •;f•2-f?-c 1D2 &)ctou iuefhsn s a.cs-c 7, a cum)