HomeMy WebLinkAboutPermit Building 2006-6-14
.
Status
Issued
*
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01492
ISSUED: 06/14/2006
APPLIED: 10/21/2005
EXPIRES: 12/14/2006
VALUE: $ 35,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3950 KATHRYN AVE
ASSESSOR'S PARCEL NO,: 1702300002101
Springfield
TYPE OF WORK: Cell Tower - Communication
Tower
TYPE OF USE: Addition Commercial
PROJECT DESCRIPTION: 100' Monopole for a cell tower,
Owner: JOHN OSBURN
Address: 36423 NADEAU ACRES RD
SPRINGFIELD OR 97478
,
,
Phone Number: 541-741-1551
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I CONT~OR INFORMATION I
&,.... ~\)'
Contractor ~ '\~ ~,:~ License
K T ELECTRIC I~e:~~ \\:)~ 145488
AMERIGAS P.{tP~t\St;~~TS & SERVICE 1107155
. s~~'-~~'\-~i~I1~LDING INFdRMATlON I
~((,' #' '\:)~<:j {o ~
#ofUnits=\ ~~ ~<(i. ~<\> 'r::::,~ ~<\>' #ofSto~ies: 0 Lot Size:
Primary Occupanc1Z~~~ ';:)~\; <;.;'<.,<\> ~'<.,<(i. Hei,~ti?'of Structure 0'> ~~"" K' Sq Ft 1st Floor:
Secondary occupancY'Gr~~p:~'<.,~ ~~ Type of Heat: ,~eo,~ o\)~ ,o~ ~': Sq Ft 2nd Floor:
Primary Construction l'YP"~~ ,<or::::, 'VB Water Type: ed' e~O~ o,e'X\:J\:J '0"" Sq Ft Basement:
Secondary Construction Tyjie:.\. Range Type: ~ ~ O~ 'li>e q,<:i ,eo' Sq Ft Garage/Carport
~- ,'I} e eo' S(- ,>' e
# of Bedrooms: "Energy P,Vi: j'S' ~ O'?' e ~ 0'0, ,~q Ft Other:
Sprinkteii>ll.!iildi,!g~ rf o,"S'ntif. c;I~POccupant Load:
o xe ",,,,0 "v c.. ....to ~',\~ '
Contractor Type
Electrical
Mechanical
Expiration Date
06/30/2006
11/03/2008
Phone
5413890660
541-746-6531
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
-. ,"T 'V
I DEVEI:;<,?PMENJ.))INRORMATION\l~'
,\'V' \,>'~ v~ ,,'V~ ~'i>" ~~ -..)" :~:J
~ ~ 'o~ ,,\:J 0'0 \, o~ ",":;'1;
,~O,2,yerJ.~Y:~l~t: ~~e ,'0<:$ IJ<Y
-"O~# StreetSrees.Rgd'? ,,513
'\.~ ::-,y.- _~\ I ..'<:'-'" ~.~.~
,^Faved Drlve"l.qd:,\
". 0I'v . <'-" ,"-' ~v
%lof Eot <?overage:
t,} (;V ~. v-
" (:'
'0
I PUBLIC IMPROVEI"'"" I" I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee 1 of4
-it.
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Review CommllndlPublic
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Building Permit
Perm ServlFdr 200 amps or less
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
LP Gas Tank & Piping
Minimuml Adjustment Mechanical
Total Amount Paid
Fire Department Review
10/25/2005
Initial Review
Planoine: Review
Public Works Review
10/24/2005
10/25/2005
10/25/2005
Structural Review
10/24/2005
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01492
ISSUED: 06/14/2006
APPLIED: 10/21/2005
EXPIRES: 12/14/2006
VALUE: $ 35,000.00
I Valuation Deseriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
35,000,00
Total Value of Project
F'pp<, PIilLI
Amount Paid
Date Paid
$183,89
$47,79
$38.23
$6,00
$282,90
$189,00
$4,04
$0,42
$6,90
$1.56
, $80.83
$10,00
$4,50
$3,60
$12,00
$33,00
10/21/05
611/06
6/1/06
6/1/06
611106
6/1/06
6/1/06
6/1/06
6/1/06
6/1/06
6/1/06
6/14/06
6/14/06
6/14/06
6/14/06
6/14/06
$904,66
I Plan Reviews I
10/28/2005 OK GRG
10/24/2005 APP LLH
APP EMM
12119/2005 APP SB
10/27/2005
WE
JMP
Paee 2 of4
Value
Date Calculated
$35,000,00
$35,000,00
10/2112005
Receipt Number
3200500000000000613
2200600000000000704
2200600000000000704
2200600000000000704
2200600000000000704
2200600000000000704
2200600000000000704
2200600000000000704
2200600000000000704
2200600000000000704
2200600000000000704
2200600000000000838
2200600000000000838
2200600000000000838
2200600000000000838
2200600000000000838
Plan Review, COM2005-01492, 100'
Monopole for a cellular tower, Plans
appear to meet code requirements
Development Agreement Signed
< 50 c,y of cutlfill proposed, No
LDAP Required, Encroachment
Permit application required for
connection to power pole in PUE,
SDCs added for new impervious,
See attached documents for 7
structural comments faxed to Don
Cushing and emailed to Kelley
Swensen.
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01492
ISSUED: 06/14/2006
APPLIED: 10/21/2005
EXPIRES: 12/14/2006
VALUE: $ 35,000,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review 12/05/2005 12/07/2005 10 JMP WE, Received response from Kenny
McManaway, Faxed energy code
forms to David Harris, Left voice
mail for Kenny reminding him that
we are still waiting for Item
#3--structural calculations,
Structural Review 12113/2005 12/23/2005 10 JMP WE, Received email from Kelley
Swenson with drawings and
calculations, Emailed her to let her
know that we have not received the
sets that were to he mailed, Alsu
requested the missing special
inspection forms,
Structural Review 12/27/2005 12/27/2005 10 JMP WE, Kelley Swenson said the
calculations had to be revised but
are coming in the mail, She said the
special inspection forms will be
completed and delivered.
Structural Review 12/28/2005 12/28/2005 10 JMP WE, Received and reviewed 4
drawings and 26 page calculation
set, Still waiting for completed
special inspection forms,
Structural Review 01/23/2006 01/23/2006 10 JMP WE. Received incomplete special
inspection forms faxed by Kenny
McManaway, JMP called Kenny
and Don Cushing, They said they
will obtain the general contractor
information and signature and
resubmit the forms.
Structural Review 02/01/2006 02/01/2006 10 JMP WI, Received faxed special
inspection forms from Kenny
McManaway,
Structural Review 05/02/2006 05/02/2006 APP JMP Received verbal approval from
Linda Pauly,
SUB Review 10/31/2005 11/07/2005 APP DH No energy code issues or inspections,
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 following work
day,
I I?pnllil~,a.Jnsnections I
Site Inspection: To be made after excavation but prior to setting forms,
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed,
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
fouudation inspection,
Foundation: After forms are erected but prior to concrete placement.
Paee30f4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-0I492
ISSUED: 06/14/2006
APPLIED: 10/21/2005
EXPIRES: 12/14/2006
VALUE: $ 35,000,00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all required inspections have been requested and approved and the bnilding is complete,
Rougb Electric: Prior to Cover
Final Electric: Wben all electrical work is complete,
Electric Service: Approval required prior to utility company energizing service,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance,
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete,
By signature, I state and agree, that I have carefnlly 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 of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withoufpermission 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
~at the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
CJ;~_~ b-JCI-o(,
~ or Contractors Signature Date
Pal!e 4 of 4
225 Fifth Street
.
Springfield, Oregon 97477
541-726-3759 Phone
...
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Sill. of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2005-01492
COM2005-01492
COM2005-0 1492
COM2005-0 1492
COM2005-01492
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200600000000000838
Date: 06/14/2006
Description
LP Gas Tank & Piping
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
K,T, ELECTRIC, lNC,
Item Total:
t..:heck Number Authorization
Received By Batch Number Number How Received
jmp
4351
In Person
Payment Total:
Page 1 of 1
1:29:2]PM
Amount Due
12,00
33,00
10,00
3,60
4.50
$63,]0
Amount Paid
$63,10
$63,10
6/1412006