HomeMy WebLinkAboutPermit Building 2004-8-10
,
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00622
ISSUED: 08/10/2004
APPLIED: 05/26/2004
EXPIRES: 0211012005
VALUE: $ 8,000.00
SITE ADDRESS 1701 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO 1703253404502
SprlDgfield TYPE OF WORK Cell Tower-
Commumcahon Tower
TYPE OF USE AdditIon Commercial
PROJECT DESCRIPTION Add generator on eXlstmg eonerete slab
Owner ORDER OF ELKS LODGE #2145
Address 1701 CENTENNIAL BLVD SPRINGFIELD OR 97477
Phone Numher 541-484-8341
I. CONTRACTOR INFORMATION I
Contractor Type
Arehlteet
General
Contractor
DOUGLAS COTTEL
WIRELESS FACILITIES INC
Expiration Date Phone
541-686-9796
07/24/2006 703-904-7400
# of Umts # of Stories
PrImary Oeeupancy Group. V-I \)Qjtllght of Strueture
Seeondary Oeeupaney Group S:.. ~ )~~e of Heat
Primary ConstruetJon Type VN ~ '\~ :\ {:> Water Type
Seeondary ConstruetlOn Type. 'i.0\. ~ ~~ \~nge Type
# of Bedrooms \.i3~ S <:?,((; ~\.\;) Energy Path
,,-'v'v '\~ ~0\;j SprlDkIed BUlldlDg
~~'r ,Q.. \):\'
,CV'(..' ~"\ ~'\::,~0\S ~"e.
o.\.f\)~ <:?,\.~ 0.-\-\;) <::)<0 ':;.\;)\;)
"~S \)~ ~\-\;) <<\-~
Front yard Set~~'\Y:: ~\-~ \;)~
SIde 1 Setback ~ ~<::)~ "CO\;)
SIde 2 Setback ~
Rearyard Sethack ~
Solar Setbaeks
Street Improvements
Storm Sewer AvaIlable.
SpecIal InstructIOn
Notes
DescriptIOn
Tvpe of ConstruetIon
License
145637
I BUILDING INFORMATION I
n/a
Lot SIZe.
Sq Ft 1st Floor'
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other.
Occupant Load
I DEVELOPMENT INFORMATION ~\.o 1\:\
~"'\ \:)~~ 0{S' REQUIRED PARKING
~'l; ~ l.."i [;:)":
Overlay Dlst <,0~ ~0o.,O 0 0,0 ~\S '0"\ Total
# Street Trees Rq~'1>-t\ 00 '" ~ ~ ~"5 .s-00, I/) Handleapped.
Paved DrIVe R'k~ ~ 'S' <,.s-</l o'?' ~0 <. ~O<:< 0<:'- Compact
% of Lot C'e5~~ '0 00,0 ~~ r} ~ q;.0~ ,c,~
~ O~ '\~ ~O ,0'" 0~ O~
_:,0 ,-/,,?3:,o<. !(\~....~o,?~_ ~".\~ P'
I PUBLI~PJIDWrMI;;l'l'tS!ll' ~O \:)~ ~'l,,'!)
l '<;>. 'it! n/.: .\ "~\ ~O<:- '!:>":>
,if' ~c,'l> '!l"5v <$''1>' 0<:-~ O\</l .. walk Type
O~ 5(- ~ 'Or:; '0 ,.
~ O'?' -.\,0 Q, 'S' ~ >is' \ ,,,, Downspouts/DralDs
\,<:- [;:)~<::J 'ii$><:< \,0 ~</l
\S c,'l> ~'l; (;</l
f'
~
I ValuatIon DeScrlDtlOn I
$ Per Sq Ft
or multIpher
Square Footage
or BId Amount
Date Calculated
Value
Pa2e I of3
CITY OF ~rK11'iGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00622
ISSUED: 08/10/2004
APPLIED: 05/26/2004
EXPIRES: 02/10/2005
VALUE: $ 8,000.00
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
EstImate
EstImate
$100
8,000 00
Total Value of ProJect
L.Fppo. P~illJ
$8,000.00
$8,000 00
06/09/2004
Fee DescrIptIOn
Plan RevIew Comm/lndlPubhc
+ 10% AdmmlstratIve Fee
Pavmg
Plan RevIew - Plannmg
Plan RevIew Comm/lndlPubhc
Amount Paid Date PaId ReceIpt Numher
$49 53 5126/04 2200400000000000657
$918 8/10/04 2200400000000001029
$91.80 8/10/04 2200400000000001029
$71.00 8/10/04 2200400000000001029
$1014 8/10/04 2200400000000001029
Total Amount PaId
$231 65
I Plan Reviews I
ImtIal RevIew
Planmn2 RevIew
OS/27/2004
06/02/2004
06/0112004
06/07/2004
LLH
EMM
APP
APP
Pubhc Works RevIew
06/02/2004
06/09/2004
SB
APP
Structural RevIew
06/09/2004
06/0912004
JMP
APP
Structural RevIew
06/0112004
JMP
06/0212004
WE
Abuts reSIdentIal zomng dIstrict
Screenmg must be provIded as per
SDC 31 160 Emergency generator
only to be used m the case of power
outage ArchItect has stated the
generator WIll have no more than 30
dba at property hne
NO SDCs Generator on eXlstmg
pad Work m Pubhc UtIhty
Easement would require
Encroachment PermIt
ReceIved emall valuatIon and
promIse of electrical work before
electrIcal work IS done Clarified
that all work IS sIte work m phone
call to Doug Cottel
See attached structural revIew
comments faxed to Douglas Cottel
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
Will be made the same working day, inspections requested after 7:00 a.m. Will be made the followmg work
day.
~e(1l1irerUnsnections ,
FoundatIon After forms are erected hut prior to concrete placement
Rough Gradmg After gravel IS m place but prlur to placlOg concrete
Fmal Pavmg. After pavIDg IS complete
Rough ElectriC Prior to Cover
FlDal ElectriC. When aU electrical work IS complete
Pa2e 2 of3
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00622
ISSUED: 08/10/2004
APPLIED: 05/26/2004
EXPIRES: 02/10/2005
VALUE: $ 8,000.00
By sIgnature, I state and agree, that 1 have carefully exammed the completed apphcatIon and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY WIll be made of any structure WIthout permIssIon of the Commumty ServIces DIVIsIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m comphance WIth ORS 701.005 wIll be used on thIS proJect
I further agree to ensure that all reqUIred mspectlOns 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 remam on the sIte at all
tImes durm cortructIon
( /,
J\."-\..~
Pa2e 3 of3
silO Ic4-
,
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
G~:
~.
\ ~56-:',
nty of SprIngfield Official Receipt
velopment Services Department
Public Works Department
ot (z- 6.J 2-00(0
Job/Journal Number
COM2004-00622
COM2004-00622
COM2004-00622
COM2004-00622
Payments
Type of Payment
Check
8/1012004
.
RECEIPT #:
2200400000000001029
Date: 08/10/2004
2 39 34PM
DeSCriptIOn
Plan RevIew. Plannmg
Plan ReView CommllndlPubhc
Pavmg
+ 10% Admmlstrallve Fee
Amount Due
7100
1014
9180
9 18
$182 12
PaId By
DOUGLAS COTTEL
ARCHITECT
Item Total
Check Number Authorization
ReceIVed By Batch Number Number How Received
Jmp 7727 In Person
$18212
Amount Paid
Payment Total
$182 12
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