HomeMy WebLinkAboutPermit Building 2000-4-14
, .
SPRINGFIELD
225 North Fifth Street
Springfield, OR 97477
,
I Job# 00-00029-01 I
Page 1 of 2
TRANS#:01-0001253
DATE:APR 14 2000
AMT RECD:2 $ 476.30
CHANGE:
CASHIER: 004
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of SpringfIeld
Community ServIces DIvIsion
BUlldmg Safety
Job Number 00-00029-01
OffIce 726-3759
InspectIon Lme 726-3769
Location Of Proposed SIte 1701 Centennial Blvd Spr
Assessors Map# 17032534
Lot Block Addition
Tax Lot # 04502
SubdivIsion
Owner
BPOE #2145
1701 Centennial Blvd
Springfield, OR 97477
Value $100,000
Address
Phone Number 541-484-8341
CIty/State/ZIp
New
Scope Of Work Communication (Cell) Tower
Alrtouch Tower
Contractor Type Contractor RegIstratIon # ExpiratIon Date Phone
- 19'1>'1299('
General Gonu FI"'SC~~:~Clr:r:l~lInl~S Inc 102687 ~OJ 833 8088-
~?n 1,1 Bth H\I'G 3t;, u urn, VVA ~ljut,Z
Designer Douglas Cottel 540-686-9796
331 C West 13th Avenue, Eugene, OR
97401
Electrical Conlr TOMCO ELECTRIC INC 33844 4/30/2001 541-389-5424
850 NE 1ST STREET, BEND" OR 97708
OffIce Use
Quad Area Land Use # Of BUlldmgs
# Of Units ZOning Code Occupancy Group
Constr Type Bedrooms Heat Source
Water Heater Range Sq Footage
To request an inspection call the 24 hour recording al726-3769 All inspections requested before 7 00
a m Will be made the same working day, inspections requested after 7 00 a m Will be made the follOWing
working day
Footmg
Foundation
Structural Concrete
PIling, Drilled
Plers/Calsslons
Bolts mstalled m
concrete
HIgh Strength Boltmg
Fmal SIte Plan
Fmal BUlldmg
ReqUIred InspectIons
I BUlldmg
. After trenches are excavated
- After forms are erected but prior to concrete placement
-In excess of 2500 pSI To be done dUring construcllon by a State Certified Inspector PrOVide r
- To be done dUring construction by State Certified SpeCial Inspector employed by owner/conlra(
- To be done by a State Certified Special Inspector PrOVide inspection test reports to City BUlldlr
- To be done dUring construction by a Stale Certified Special Inspector PrOVide inspection resul
-After all reqUIrements have been met for MInimum Development Standards or from the Develoi
- When all required inspections have been approved and the bUilding IS complete
I Job# 00-00029-01 I
Page 1 of 3
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
CIty Of Sprmgfleld
Commumty Services DIvIsIon
BUlldmg Safety
Job Number 00-00029-01
225 North Fifth Street
Springfield, OR 97477
Office 726-3759
InspectIon Lme 726-3769
Location Of Proposed SIte 1701 Centennial Blvd Spr
Assessors Map# 17032534
Lot Block AddItIon
Tax Lot # 04502
SubdIvIsIon
Owner
BPOE #2145
1701 Centennial Blvd
Phone Number 541-484-8341
Address
Scope Of Work Communication (Cell) Tower
Alrtouch Tower
Clty/State/Zlp
New
Springfield, OR 97477
Value $100,000
Contractor Type
General Contr
Contractor Registration #
NEW HORIZON COMM, INC 136818
63025 OB RILEY RD , SUITE 8, BEND,
OR 97701
Douglas Cottel
331 C West 13th Avenue, Eugene, OR
97401
TOMCO ELECTRIC INC 33844
850 NE 1 ST STREET, BEND" OR 97708
Expiration Date
9/24/2001
Phone
541-389-4203
Designer
540-686-9796
Electrical Contr
4/30/2001
541-389-5424
Quad Area
# Of Umts
Constr Type
Water Heater
OffIce Use
Land Use
Zonmg Code
Bedrooms
Range
# Of BUlldmgs
Occupancy Group
Heat Source
Sq Footage
To request an inspection call the 24 hour recording at 726-3769 All inspections requested before 7 00
a m Will be made the same working day, inspections requested after 7 00 a m Will be made the follOWing
working day
Footmg
FoundatIOn
Structural Concrete
Pllmg, Drilled
Plers/Calsslons
Bolts mstalled 10
concrete
High Strength Boltmg
Fmal SIte Plan
ReqUIred Inspections
I BUlldm~
. After trenches are excavated
.After forms are erected but prior to concrete placement
-In excess of 2500 pSI To be done dUring construction by a Stale Certified Inspector PrOVide r
- To be done dUring construction by State Certified Special Inspector employed by owner/contrac
- To be done by a Slale Certified Special Inspector ProVide inspection test reports to City BUlldlr
- To be done dUring construction by a Stale Certified Special Inspector ProVide inspection resul
-After all requirements have been mel for MInimum Development Standards or from the Develo>
I Job# 00-00029-01 I
ReqUIred InspectIons
Electrical
Page 2 of 2
Underground Electrical
Rough Electrical
Final Electrical
- Pnor to cover
- Pnor to cover
-When all electncal work IS complete
ConstructIon Types
Occupancy Groups
# Of BUIldings
# Of Bedrooms
HandIcap Access? D
rArea (Sq Feet)
Main Accessory
# Of Stories
Current Unrts
Census Code Does not apply
Height (feet)
Proposed Unrts
Total
Fee
PaId On Recelpt#
I Plan Check
01/10/2000 201
Value/QuantIty
I
Fee Amount
Commercial Plan Check
Total Plan Check
100,000
$281 45
$281 45
BUlldlDg Permit
State Surcharge For BUlldlDg Permit
BUlldlDg AdmlDlstratlve Fee
Total BuIlding
BUlldln!!
04/14/2000 0001253
04/14/2000 0001253
04/14/2000 0001253
100,000
$433 00
$3031
$1299
$476 30
Permanent 200 Amps or Less
State Surcharge For Electncal Permit
Electnc Admlmslratlve Fee
Total Electrical
Electrical
04/14/2000 0001253
04/14/2000 0001253
04/14/2000 0001253
1
$50 00
$350
$150
$55 00
SDC AdmlDlstratlve Fee
Total System Development
Grand Total
System Development
04/14/2000 0001253
$ 00
$ 00
$81275
Plan Check Type
Imtlal Revlew-C/I/P
Englneenng-C/I/P
PlannlDg-C/I/P
Structural.CII/P
Fire Marshal-C/I/P
Checked By
Bob Barnhart
Ken Vogeney
Date Completed
01/25/2000
03/17/2000
AI Gerard
01/28/2000
By slgnalure, I state and agree that I have carefully examlDed Ihe compleled application and do
hereby certify Ihat alllDformatlon herelD 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 Spnngfleld and the Laws of
the State of Oregon I further stale that only contractors and employees who are ID compliance with
ORS 701 055 Will be used on this project I further agree to ensure that all required IDspectlons are
requested at the proper lime, that the project address IS readable from the streel, that the permit card
IS localed al the front of the property, and the approved set of plans Will remain on Ihe site at all limes
dunng construction
r-::;~ -~ -=--~:4~-' ~/""""-
*~~-~~ ...- ~ ..~~~-/---
- . ~~.. ..... ~ ~ ~~. -~
~ .......,,--'"
>
,
r'
r,
SPRINGFIELD
"70 ' <] - 0 I
(70 . 0'- "'"n,e farrOWing project as submitted has the following
luning and does not reqUIre specifIc land use
,,~proval
ZOntng (' ~
225 FIFTH STREET De'," '-f-u -00 \
SPRINGFIELD, OREGON 97477 . ~
INSPECTION REQUEST: ""72t;'-"'3'7Ili!1nature
OFFICE: 726-3759
1. LOCATION OF INSTALLATIQtlj
/7t?/ Un7en/?/QL L>/I/D
LEGAL DESCRIPTION
/7.6 ':3'2 <5"'-;;;- <-/ cP ~~:?
'/
JOB DESCRIP.LION
#(/?/"Y~,//; ~/L /~
Perm1ts are non-transferable and exp1re
1f ~ork 15 not started ~lth1n 180 days
of 1ssuance 01 1f ~ork 1S suspended for
180 days
2. CONTRACTOR INSTALLATION ONLY B.
40
00
$ .00
CHANGE:
CASHIER:059
ELECTRICAL PERMIT APPLICATION
Clty Job Number~~::2.q,e>/
3. COMPLETE FEE SCHEDULE BELaY
A. Ne~ Res1dent1al-S1ngle or
Mult1-Fam1ly per d~ell1ng umt
Serv1ce Included.
Items Cost Sum
1000 sq ft or less $ 85 00
Each add1tlonal 500
sq. ft or port1on
thereof $ 15 00
Each Manuf'd Home or
Modular D~ell1ng
Serv1ce or Feeder $ 40 00
Electnca1 Contractor '~I'-lto ~J IIut..
SerV1ces or Feeders
Installat1on, Alterat10ns
or Reloca t 10n
Address Vo Do't-. t3mrlCE' 200 amps or less'
THm'~ R 201 amps to 400 amps
PhonE!' . ~r1'~~/RE/F~~to 600 amps
AU IZEDI..JNDERTHISPE.llQ.1..,Sln.!Pk to 1000 amps
Supervl ~nr L1cense Numi;m.....~J'.t}-:::r _, '1j'{f~r:;1'601i amps/volts
vu,v~or.lvMBANDONII1~fflIilect Only
ExpnatlOn Date /tl'e?/~t!!>Yjl80DAYPERIOD_
Constr Contr Number, JJf!-11-
Expnat10n Date 4:Jo--o /
/
$ 50 00
$ 60 00
$100.00
$130 00
$300 00
$ 40 00
.50 00
C1 ty.Jifu.l'f\
,
C.
Temporary Serv1ces or Feeders
Installat1on, Alterat10n or Relocat1on
s/2::;:)eifn:;22:an
"
O~ners Name$ P'O, C )'1/ ,.R1-1~
200 amps 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55 00
$ 80.00
see "BlI
a !lOVe
volts
D.
Branch CIrcUIts
Ovners Slgnature:
Ne~, AlteratIon or Extens10n Per Panel
Address/76/ c;.j1t~VlVlIv4L I3L\JD'" " ''''',cyulfe:;yoUI,
f~ L ' ";~ II< rulb~ aOne!(Cllrpn:tOreg,on Ut,lit '
C1 ty.sW,I\ll) A81 'D. Phon'Pt/f1 Z,4-- V'J1-ICrlflOr, CeEachT Ac:lg:!- t)!9!)~/P set to~'
) - V",., ~52-lJOl Cl\r<;UlrbLig~1 O'Af~1Jj5~~vT.ce
OIINER INSTALLATION vd9CJ, YOu mal' (o_raE'e,3'sl,..EJ&s brlil'lfr1Jles ~ $ 2 00
Caldng InE: cemer (N!lte the lelf>nh y
The Installatlon IS beIng made on ""'TIber EJlh!1LsS~M'L'1r.,?,USI G;e9~ljlce/feeder not 1ncluded)
property I o~n WhICh IS not 1ntended r _, -Each ,1nsta:lJi!l.~~'OW'On
. '11.1\
for sale, lease or rent Pump or 1rr1gatlon $ 40 00
Slgn/Outl1ne L1ghtlng $ 40.00
L1mlted Energy/Res $ 20 00
Llml ted Energy /Comm $ 36 00
5. SUBTOTAL OF ABOVE -50 00
7% State Surcharge .1,5-0
3% AdmInIStrat1ve Fee ; 50
TOTAL ~;:;: {) 0
$ 35 00
---------------------------------------
DATE.
lllit;J>.lI'1' 11:
RECEIVED BY: