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HomeMy WebLinkAboutPermit Building 2014-5-16 SPRINGFIELD...... 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 l Phone: 541-726-3753 °BED°" Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00979 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/16/2014 EXPIRES: 11/11/2014 STATUS DATE: 05/16/2014 APPLIED: 05/02/2014 SITE ADDRESS: 7305 MAIN ST,Springfield,OR 97478 SCOPE: Cell Tower-Communication Tower ASSESOR'S PARCEL NO: 1702350004100 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Cell Site-reinstall 3 panel antennas,cable and equipment OWNER: SPRINGFIELD CEMETERY ACQUISITION LLC Phone Number: ADDRESS: 1152 OLIVE ST EUGENE OR 97401 CONTRACTOR INFORMATION I Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor NORTH SKY COMMUNICATIONS INC CCB 141171 03/01/2016 360-254-6920 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. Owner or Contractor Signature Date NOTICE: ATTENTION: Oregon law requires you to 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 in OAR 952-001 0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by 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 5/16/2014 1:31:39PM Page 1 of 1 SPRINGFIELD' 225 Fifth St CITY OF SPRINGFIELD�i TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-S P R2014-00979 v.wwspringfield-or.gov 7305 MAIN ST permitcenter @springtield-or.gov RECEIPT NO: 2014000980 RECORD NO:811-SPR2014-00979 DATE:05/02/2014 ;DESCRIPTION,,,_ ., I ACCOUNT,-CODEITRANS CODE - Aiiiour■ifDIJELI E Structural Plan Review Fee Commercial 224-00000-425602 1060 172.82 TOTAL DUE: 172.82 : PAYMENT TYPE PAYOR CASHIER:'DBOWLSBV ` -, COMMENTS ' . . . ': ' - AMOUNT PAID,' ',,,' J Check crown castle usa inc 172.82 889835 TOTAL PAID: 172.82 SPRINGFIELD""-. CITY OF SPRINGFIELD t. - :..i. ` . ,,y 225 Fifth St { TRANSACTION RECEIPT Spdngfleld,OR97477 i °( ea R I 541-726-3753 OREGON 811-SPR2014-00979 www.springfield-or.gov 7305 MAIN ST permitcenter @springfield-or.gov RECEIPT NO: 2014001083 RECORD NO: 811-SPR2014-00979 DATE:05/16/2014 1 FDESCRIPTION ' ACCOUNT•CODEITRANS..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 E.:PAYMENTTYPE 7.;.,., PAYOR, CASHIER:CCARPENTER ' ;COMMENTS - <;= , ;AMOUNT,PAID . . ...:: I Check — -. CROWN CASTLE � � 430.06 3981 TOTAL PAID: 430.06 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON ‘ Permitno.:5/f•QO q7 225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(541)726-3689 oaEGOM -- O l /5(•°V' 0 1310, 0 Date: S/ 2/// This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of i suance 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 informatio, 2.0 f 0 C) 19 CATEGORY OF CONSTRUCTION (a)Job description:Mop'Homo u id cd it EoW�e_ ❑Residential I ❑Government I 0 Commercial Occupancy v-wvc.4 it,�A._ JOB SITE INFORMATION AND LOCATION Construction type: Job site address: -73 o fj U/Q-/N &T •Square feet: City: 'S p 21 N (pF7G/J)State: 0t, ZIP:9 /O Cost per square foot: Subdivision: /7n 1?.S7OO'//00 I Lot no.: 1 Other information:R£-/�j►}(,(�3 Pr}Nr'Z/�-A/fE[Vi[JIts Reference: 1702_3s0 c Taxlot: U` ((/0 0 3 RR.t)'S -Alva (a-v-1 CQJ t$3 t- Type of Heat: PROPERTY OWNER .. i-- p41-ja.-.6- Energy Path: Name:C nnlie RI n 1/a at4 A/ T T ❑new a teration 0 addition Address: (la! 7 /�i{ � (b)Foundation-only permit? ❑Yes ❑No City:_-P,15 p1^4A/ tate: NA I ZIP:��U7 Total valuation: I $:VW() Phone:50 0 3 -7 f)9 7)//A Fax: - - - i 2.Building fees _ E-mail: Gi rihnkQ,r LI)l�/d('11.//)/1vt���`-'(�/-/ _L1-/- G h0 0)hCQy e., Ga (a)Permit fee(use valuation table): $7b5 Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c)Reinspection($ per hour): $ ��� (number of hours x fee per hour) Sign here: :flo PG'li it ",cd. - (d)Enter 12%surcharge(.12 x(2a+26+20): S �/5v ❑This ins • 1•• is being made on residential or farm property owned by (e)Subtotal of fees above(2a through 2d): S me or a mem per of my immediate family,and is exempi from licensing requirements under ORS 701.010. 3.Plan review fees ` CONTRACTOR INSTALLATION (a) Plan review(65%x permit fee[2a]): $ 172 ! Business name: , ji (b)Fire and life safety(40%x permit fee[2a1): $ Address: ���� (c)Subtotal of fees above(3a and 3b): $ 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]): $l 3 e Ss CCB license no.: j;/1Jf/i�I ',mitt i SSC/Y" TOTAL fees and surcharges(2e+3c+4a+4b): S4I, Z-Y Print name: es• 44iL� Signature: SUB-CONTRACTOR INFORMATION N Name CCB License N Phone Number Electrical • 1130 .. /A