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Home My WebLink AboutBuilding Building 2014-09-09NGFIELD 225 Fifth St Vill CITY OF SPRINGFIELD Springfleld,OR97477 ` Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01765 vrcnv.springfield- r.gov permal nter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 09/09/2014 EXPIRES: 03/07/2015 STATUS DATE: 09/09/2014 APPLIED: 08/14/2014 SITE ADDRESS: 333 58TH ST, Springfield, OR 97478 SCOPE: Cell Tower - Communication Tower ASSESOR'S PARCEL NO: 1702343200100 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Modification to existing cell tower OWNER: SPRINGFIELD SCHOOL DISTRICT 19 Phone Number: ADDRESS: 525 MILL ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone 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 stale 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 �. Owner or Contractor Signature Date NOTICE: IT SHALL EXPIRE IF I HE WOBK AUTHORIPERZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DF\Y PERIOD. ! Irl1 IOM'. (Pnr,� ?Vd Cquires you to Oregon Utility r ,,t,l.� Cc Il I. I�r,or e rules ai'e set forth U UU1 OUiO ttuough OAR 952-001- u30. You m<iy obtain copies of the rules by calllllg the center. (Note: the telephone nunii)e1for G11tere Org0l, is 1cBo� 3312 ility 23 4)ificaiion Springfield Building Permit 9/9/2014 11:34:13AM Page 1 of 1 RECEIPT NO: 2014001764 RECORD NO: 811-SPR2014-01765 DATE: 08/14/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Structural Plan Review Fee Commercial 224-00000-425602 1060 172.82 TOTAL DUE: 172.82 PAYMENT TYPE PAYOR CASHIER:DBOWLSBY COMMENTS AMOUNT PAID Checkcrown castle use Inc 172.82 889836 TOTAL PAID: 172.82 CITY OF SPRINGFIHLD vtt-� TRANSACTION RECEIPT 225 Fifth Sl Sp6ngfield,OR97477 ORE40N 811-SPR2014-01765 541-726-3753 w .spnngfield-ocgov 333 58TH ST permitcenter@spnngfield-or.gov RECEIPT NO: 2014001764 RECORD NO: 811-SPR2014-01765 DATE: 08/14/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Structural Plan Review Fee Commercial 224-00000-425602 1060 172.82 TOTAL DUE: 172.82 PAYMENT TYPE PAYOR CASHIER:DBOWLSBY COMMENTS AMOUNT PAID Checkcrown castle use Inc 172.82 889836 TOTAL PAID: 172.82 SPRINGFIELD CITY OF SPRINGFIELD 1 1 = TRANSACTION RECEIPT 225 Fifth St Springfield,OR97477 �j ' OREGON 811-SPR2014.01765 541-726-3753 w .springfield-or.gov 333 58TH ST permitcenter@spdngfield-or.gov RECEIPT NO: 2014001969 RECORD NO: 811-SPR2014.01765 DATE: 09/09/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE Building Permit Fee 224-00000-425602 1002 271.39 Continuing Education 224-00000-425606 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 Structural Plan Review Fee Commercial 224-00000-425602 1060 2.50 32.57 3.58 Technology fee (5% of permit total) 100-00000-425605 2099 13.57 TOTAL DUE: 323.61 PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNTPAID+ Check Crown Castle 323.61 3224 TOTAL PAID: 323.61 Structural Permit Application SPRINGFIELD 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 oaeGON This permit is issued under OAR 918-460-0030. Permits expire if work is not $torted within 1 suspended for 180 days. LOCAL` GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: Yes ❑ No Property is within flood plain: ❑ Yes ❑ No CATEGORY OF. CONSTRUCTION ❑ Residential ❑ Government 1 [2 Commercial JOB SITE INFORMATION AND LOCATION Job site address: 333 58th Streqt City: Snrin fFAIrl State• ZIP: Subdivision: 17023432 1Iotno.:00100 Reference: Taxlot: Agent for PERT*-GWN6R None: Crown Castle I Sandra Walden Address: 941 City: State: ZIP: 98054 Phone: Fax: E-mail: arldm �A 2lden Gentraster@Grewncastle Ge Building Owner or Owner's agent authorizing this application: Sign here; lti� ❑ This inst'altalmri is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Business none: Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCR license no.: Print name: Signature: $ SUBCONTRACTOR INFORMATION Name CCB License H 1 Phone Number Electrical TBD 3. Plan review fees Plumbing Mechanical I DEPARTMENT USE ONLY I Permit Date: or if work i.c FEE SCHEDULE 1. Valuation information (a) Job description: Occupancy unmanned Construction type: Square feet: Cost per square foot: Other information: Type of Henti Energy Palh: ❑ new Raiteration []addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation:1$20000 2. Building fees (a) Permit fee (use valuation table): $ ja J (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (.12 x [2a+2b+2e]): $ 2-- (e) Subtotal of fees above (2a through 2d); S 3. Plan review fees (a) Plan review (66%x permit fee [2a]): $ (b) Fire and life safety (40%x permit fee [2a]): $ (e) Subtotal of fees above (3a and 3b): S 4. Miscellaneous fees ' S (a) Seismic fee, 1%(.O1 x permit fee [2a]): $ (b) Technology fee, 5%(.05 x permit fee[2a]): $— TOTAL fees and surcharges ver yF� � see attached email Scope: Replace 3 antennas, 3 remote radio heads and ancillary equipment. Antennas were removed in 2013 project. Sprint 2.5 Project Sprint is the Applicant. Crown Castle is the Agent for the Applicant and owner of the tower.