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Home My WebLink AboutPermit Building 2006-6-1 Status Issued 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 . eu it' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01492 ISSUED: 06/01/2006 APPLIED: 10/21/2005 EXPIRES: 12/01/2006 VALUE: $ 35,000,00 * Springfield TYPE OF WORK: Cell Tower - Communication Tower TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: 100' Monopole for a cell tower, Owner: Address: JOHN OSBURN 36423 NADEAU ACRES RD SPRINGFIELD OR 97478 Contractor Type Electrical Contractor K T ELECTRIC INC. # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction ^TTt'::~ITI/'""\I\l. f"'\~.........~~ I......., ___..:___. .___ ,_ '-' ,- - 1--' -- follow rules adopted by the Oreg(Phi!p~i~umber: Notification Center, Those rules are set forth in OAR 952-001-0010 through OAR 952-001- uu:::rv. TUU J IldY UUldH I l;U~It::S UI me rUles oy I CONTRi\:€;fOWINFORMAiI'I0N 11e telephone numoer lor me uregon UlIIlIY Notification Center is 1I5ii:elise~-23<1E,xpiration Date 145488 06/30/2006 541-741-1551 Phone 5413890660 BUILDING INFORMATION I U # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMEN:r,INF.ORMATlON I THIS PERMIT SHALL EXPIRE IF THE ~lbW~IRED PARKING OverlaYAWw.ORIZED UNDER THIS PERMIT IJq~.u:r # Street,J:rM~{~W1;ED OR IS ABANDONED FCff~ndicapped: Paved D1IY$ ~~~:nAY PERIOD Compact: % of Lot Coverage: ' I PUBLIC 1l\-lrKut'EMENTS I Sidewalk Type: DownspoutslDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Perm ServlFdr 200 amps or less SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Total Amount Paid . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-01492 ISSUED: 06/0112006 APPLIED: 10/2112005 EXPIRES: 12/0112006 VALUE: $ 35,000,00 $1.00 35,000,00 Total Value of Project li'pp~, P.iIiLI 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 10/21105 6/1106 6/1106 6/1106 6/1106 6/1106 6/1106 6/1106 6/1106 6/1106 6/1106 $841.56 Plan Reviews , Fire Department Review 10/25/2005 10/28/2005 OK GRG Initial Review 10/24/2005 10/24/2005 APP LLH Plan nine Review 10/25/2005 APP EMM Public Works Review 10/25/2005 12/19/2005 APP SB Structural Review Structural Review 10/24/2005 10/27/2005 JMP WE 12/05/2005 12107/2005 10 JMP Paee 2 of4 $35,000,00 $35,000,00 10/21/2005 Receipt Number 3200500000000000613 2200600000000000704 2200600000000000704 2200600000000000704 2200600000000000704 2200600000000000704 2200600000000000704 2200600000000000704 2200600000000000704 2200600000000000704 2200600000000000704 Plan Review, COM2005-01492, 100' Monopole for a cellular tower, Plans appear to meet code requirements Development Agreement Signed < 50 c,y of cut/fill 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, 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 calcnlations, . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01492 ISSUED: 06/01/2006 APPLIED: 10/21/2005 EXPIRES: 12/01/2006 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 12/13/2005 12/23/2005 10 JMP Structural Review 12127/2005 12127/2005 10 JMP Structural Review 12128/2005 12128/2005 10 JMP Structural Review 01/23/2006 01/23/2006 10 JMP Structural Review 02101/2006 02101/2006 10 JMP Structural Review 05/0212006 05/0212006 APP JMP SUB Review 10/31/2005 11/07/2005 APP DH 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 be mailed, Also requested the missing special inspection forms, ' WE, Kelley Swenson said the calculatious had to be revised but are coming in the mail, She said the special inspection forms will be completed and delivered, WE. Received and reviewed 4 drawings and 26 page calculation set, Still waiting for completed special inspection forms. 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 tbe forms, WI. Received faxed special inspection forms from Kenny McManaway, Received verbal approval from Linda Pauly, 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. ~tinn'l Site Inspection: To be made after excavation but prior to setting forms, Erosion/Gradiug 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 foundation inspection. Foundation: After forms are erected but prior to concrete placement, Final Building: After all required inspections have been requested and approved and the building is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Electric Service: Approval required prior to utility company energizing service. P~ee 3 of 4 . . \....11 t' UJ< ~rKll~t..J< l.t.LU Status Issued Building/Combination Permit PERMIT NO: COM2005-01492 ISSUED: 06/01/2006 APPLIED: 10/21/2005 EXPIRES: 12/01/2006 VALUE: $ 35,000,00 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signatnre, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and [ 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 without permission of the Community Services Division, Building Safety, 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project. 1 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, ~ -1(","* / L._..6? ~er or Contractors Signature ,{ - /-t:)6' Date Paee 4 of 4 S.FIELD . ZON JI Z ~~ INITIALS IJ,~ ''f;~" ~';.;.', DATE la-=-n/ - D~ '''~'' ~, "- SOURCE/11Af' t-/-Ob 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (OMz,ocs1'"- OI4.'7L Date <, '. _.".':, r--.'. .'.'_ n>"~_:~ '~,.: .,. ''':.. ..,::,>'~., ,_ ,r. ':";~:.{"" i:"'~'1i: .,,,-..o~ " '. " .....;r-....'7_..::.::~~,~_,~~_...._.;>'\tr!~ .-....:OO'~~'i..".". ~~:.,1'-: ":';. -:;\ ~..~-::.:;t."'r';."',,,,,; 1, "LOCATIQNC/FIN$T441JON,;,';),{"", 3. 'rC,C/MP'I,;E'{EXEIJ SqfED.ugBEI;O,~;~"',;d;,,(';~"~.r;:i'f::ir,'- 31 ~"~ ~~'ii:; ,,,.;;;", ~;j~"'-''''''SP~N~~d~.~~'-''''' >",,,,,,,:,",,"",,-,~,_.._., '.,.."'",~,..dC'..,_,... \C_~, ~ :~..IJ'; ~~;,"i:>,~{'.~' ""~"~:c.,?,,~,,,,o;:,~""-"'t.~"'ft~"':>~;\-,'~.r.; ~~'.~~:::!"_r< ~ LEGAL DESCRIPTION A, &:~e~,~;,~I?;;~JiaJt.JI,~!I.':c ?~i,~~~~~t~,T,!~Le:,;;ll)EII!~~I;\\'~J.~.ii 17 0 2.. :3'''6~ 02../0 I JOB DESCRIPTION""" <' ..J-....I t. N6V ~ lA....,p ~0I.\JlU- -,of -",,\ "'- &lAu'I)Mt'\+, a~ 1.: C{(W.-H 6r &>.",.tIllW/I.+- ~ '6><'KK'< fln-' /-f6o L Co.(' Perm,ts are non-transferable and expire if,work is not started within 180 days of issuance or if work is Suspended for 180 days, : 1 ; ,~?O;-:l ~~.\."""i';.., "':'~r\U-,:. '-:"""~!.41 ;;r.,'~c,;,,;;:;":j '''''::';,:,'';;:'.~,;:-,,~S' ,CONTRACTOR'INSTALIiATION ONLY,~ 2. 't\ ;9"'~,...'i~;.x::::~.:o:-;: S:'1.."'".1,1.;..\!"..IwJ({;.'."'~<<,.~"4.r-~.~~:;;';' o;,;..v.. :':. 'J:..'~i,/::J Electrical Contractor I("''r l::lLL~I~ :rrl(", Address p, 0 ' /300{.. 7J~ City 06v D Phone5.QJ -4<;'i~ '7CJ4r Supervisor License Number 47~ 4- 5 Expiration Date /0-01 - 01 Service Included 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof $106,00 $ 19,00 E.ch-Manufacfd Home or , . f '/:1'.1":,., M.9.~~lar Dwe!JP.1'e;..5ervice or $50 00 ^FeedefV rU/e,~ aN regon fa", ' -"/C"'[j' "O"t f, .. r in OWh~",PJJ'Ce'oi~~,.~q:bf".rl:.'ff.fjglJile "',',,-. '~}".~i:"':1.\,"1,$'-,z-r,.;-,\F~n;:::')'} l\oa~~ryisg(j'or,F;~d.e9fu~ 'f.1!itil,ll4!:\ion. ~i,~."tmlS'9~',R~19cat!,!n:>;1 "t/:"w.r~,' U1~(Jtj't- OSef(/f: .,iSiYOnUt. ,...,,-~""'"~, "'"'"'~~""'-" c,'" au lIJav. ... Olhro es ar~ llily nu2001$"'l/~ 'if I~slain Co Ugh OAR'a,... el for!l}63.00 / ~"1. 00 lJrkf!(rirrJSII?,e41'j{jrAI(lrJ'bt~es Of If>- o2-00~ 75,00 401 Am.11~tl6i1r5~IlS,JI:lthe le/p-:,"'es bv$I25,OO IS 1-1J Illy ^' ~"una 601 Amps to I00t1~"'_2 .vOti(in....,, $163.00 "3"'11 -"ul/ Over 1000 AmpslVolts ''T'f/. $375,00 Reconnect Only $ 50,00 !"13.<"?{:"'flr';'~.'!?F':r.::',f,;~;{!'r:':r'\l,.:: ~~'1t, .."'i.....~":;:'r~"':-'.: ~.:-~":l;fk:, "'t ,'- ';,;"_~r('" C. ti'T emporarv _'Services' or,F eeders:.,;:': ...;,:-,;:::- ./1:, i,'~1i~~~')J;;y~i:y~,,\:', 'V.?'::,i.I~",~ Eai:.>.~::r;_I.:a;;...'~'r-:-~~~"';;'J<..:..:.~o:~~..~;~~,,~i;.;;.":::'__,,'~J";,.. _:_-^.............(~-~~~ Installation, Alteration or Relocation Constr, Contr, Number 1 4-$ +caro Expiration Datej?-'?' 0 - DR 1Iru/L~iSing E:"cian 200 Amps or less $ 50,00 UiJli1i1u~ 201 Amps to 400 Amps $ 69.00 THIS PfR '40 I Amps t.o 600 Amps $100,00 ~~~:':ORIl~lL~~~~;~i9!!~,Y;~ ~e;:l;~~~~'r::;.-~,. '. ANY ~~~%o;:~:~~"'>>ir~;a~'e;"'~-~"~"" '~pacuit ~ ro,. r $ 43,00 . Each AddItional Circuit or with L Service or Feeder Permit $ 3,00 Owners Name ~l ~p,..r N Address 3/" 4 ') ,1 i\)t40~ (,< tW...I<' I((), City <0'l'N'1 {'tL.lL Phone ("4/-7<1/ ~ 15r( OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signarure: Inspection Request: 726-3769 :j "1 (, ,() 0 ;'X::;;:_~~",rC7.~:'".s,: ,":,l'~.:"';':~';'::':.;..-:-::,,'~~."""7 ~":"~T,7.',~.~.. ~i:>: ....'r~-":"'.... ~-~~., E, .~Miscellalle9us,(Service/feedernot included) ~Each Insiallatiiin'; ,.;..:;.1J;~.,:."'" '. ',-" ,,- ".>- "'"'_r,...:...:.ll.'......,....;2.;:,._'~t.=.'-_..::.L;l,.,;,._'1...d:;'-,~.;~.<J Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50,00 $ 25,00 $ 45,00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges ,,~, N'~""""'" . '," "-f'~~______;t'''',r''~:,''/-'''w",,'~,''' "."'""\"'r,' 4 t sliBfoiAi'OFABOVir"';~'~'iir .{,~~ ,;:" . ~'.-l:;'iI~" ~._:_~.:.:J._~~it~~':_:..!L_l :..Z:::'~0.:i!~':~'!:"~':-.i 8% State Surcharge 10% Administrative Fee /'J~, DO IS'" (,0 }9, ,'51) 2"0.10 TOTAL Shared Drive(T:)/Building FonnslElectrical Pennit Application 1-06.doc IIl'Jrlii ~f~j!,~~,l~"'I'I;;'" " ,;""""',, " ,', ";;"',","',,,,,',, ;"','",' ", ,,' " , " , ", , " '," 'i/:?,;,';;' , ,"'",:,":':, " ' 'j'if,: '"f:':::i",""'t;f!:f.{;'r'j ?.;x C,:-;"i'X':' , "'''i ,: ":-.-.'i;';';!:',',' ",,<::(, ',' , '", ',i!," ii,"i;:i""':-","};,Y8Y/;,e{', //, , , ,:.:"., " '- /' ',; ',> .:!y; ~'" ">:V/\;,c;-;: , ",' /L,;,'",: ,,' " , ' ''':-/,::>',: ,'; " "(;'.c' 'ji,ijJg " """ !iC....,', ;>", ,:+ ";;,,,",",' ',i',;,',' '</'ii>)i:;'i:j;'li";\~ ;-,'." ,",', iP' 'i,&/,i '!;: ',"', '" ',:'" ',""'T' 'i';, ',,,' -. " ',' ;/,):: ',,;0;': ' "',;, i:,:;,"V".:-,::, '::'\i."';;',,) , ',,:', ',' :i ", ,:. 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", "X.'(,r ;'/i';'>':' ::::JW?%f";,iI.;; i', ; ),;;'/,(' ',,,,,,}:,',y '::,;' , :"J',;:,;',;,,' " ,,:;: ':::;:.\,:';'::5, }:~/\~~:).:.-;;::ij:-:.:.;i:.;>:::'. <"h/;,:::.\..,:; . '~:' ,.., ." . '..' ~ ,:..:. :.1.:'.:': .":- _.' " , ." . '. _'. ..... ..... '. "__ Reinforced Concrcie, Gunile, Grout and Mortar: Concrete I Gunite Grollt Morl.n )( /<.. I flrccasIJl'rc.strcsscu Concrete: Piles f'ost.Tcns Prc:rens Cl;uldill~ SMOIm CONTIlOL: I.eakage testing Control Verilic:\lion ItOOIlING: Insulation inslallation/lt-Vallle. Test strips/seams SPF:CIAL INSPECTION ANI> TF:STING SCHlWULI( Ali~reeale Test ofl\'1ix Dcsig,1l Reinforcing, Test Mix Desig,n.\Vci~hmasler eerl,. Reinforcing, Placement Continuolls Dnlch Plant IriS(lCCI. Inspect 11lacinJ:t C.st Smn~les $.IIII,le, (Pickup/Delivered) COI11Jlrcssion Tcst. GIl^UING, EXCAVATION,ANII FILL Acceptancc tesls . I'SF Establish finnl grade Fill plilCCI11Cllt jn~pcL'li(JnJcOl1lillUous Soil Densily STRlICTUltAL STEEI./WELlIING: _ Sample nnd test (lisl specific Illembcrs below) Shof1l1llllcrial identilication (mill cert) Weld illspeclinn _Shop _riehl Ullrnsonil.:: inspection _ShOll __Field Ili~h 5Irell~t1,Il"lIill~_Shul) -LFielJ ^325 ____N ____X A-190 __N ____X Melal \Jcck welding inspcclion Hcillforcing Slee! welding inspection Reinforcing sleclmill certificate Met;:,1 stud welding inspeclion Concrete insert welding inspection Moment resisting sled fmmes ---r- ____ F F AgJ,trcg,ntc Tests Rcinfllrcill~. Tests Tendun Tesl lvlix DcsiJ!l1s. Reinforcing Pl;:lCCIl1Cnt Inserl Placement ~~~crctc nilldlill~ <:tlllcrclc 1)I;u;clllcnl Inst.lIlutiun IUSIJcctiulI Cast Sal11Jllcs Pick-un Sam~lcs COI11Urcssion'resls STIUlCTUItAL IVOOI!: Shenr willi nailing insllCCliol1 Shear willi anchors In'peclion ofGlu-lnm fab, . TIC psi InSl)Cctiun ofhussjuist 1:1b. Sample 311l1lest components Fabricalion welding of steel ;:lccessorics FIIUCI'ltQOIIING: Placement illSpCl.:lioll Den,i1)'leSls Tllickness tests ,Inspect bil(ching M^SONIlV Special inspecliol1 stresses used. f'm Pg Preliminary acceptance tests (masonry units, wnll prisms) Subsequent tests (morlar. grout, liell! willi prisms) PlilcclIlcnl inspection of units, and rc.inforcemcnt M,lsonry, I1lOrlm, grout, m"J reinforcing steel r.:crliJit.:alcs '\\l/ur~I~NAL INSIW~T10~S. O'~'IIEn 'I:E5.T, ~ IN~I'ECTIONt *' /-">"M 1'",<:1- ;D r;:;,,,,,,-\/>,,h.Y' ~, " \ . IW')I'1{) - {)n/f' " Fu"n Completed by' t.:'w. '! Y'1 ( V'I", n" >"1 Dale i!:to / 0(, '1'ltOl'IIlE STltENGTII n((QlJllum IIV AItClIlTECr on ENGlNIOCIt OIt CONTItACT IJOClI~IENT LOC,\TION OF V'\LIIE~ (., aJ :J to) ~ o Ol o to) N o "ll . U1 .~ Ol N o I N .,J .,J ~ "ll to) ... ~ WiL. ~ of Springfield Official Receipt _elopment Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 54'1-726-3759 Phone Job/Journal Number COM2005-01492 COM2005-01492 COM2005-0 1492 COM2005-01492 COM2005-0 1492 COM2005-01492 COM2005-01492 COM2005-0 1492 COM2005-01492 COM2005-01492 Payments: Type of Payment Check cReceintl RECEIPT #: 2200600000000000704 Date: 06/0112006 Description Building Permit Storm Drainage Impervious Area SDC Transpo Reimbursement SDC Transpo Improvement SDC Transpo Admin SDC Sanitary/Storm Admin Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid'By KT ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 4346 In Person Payment Total: Page I of I 9:43:05AM Amount Due 282,90 80,83 1.56 6,90 0.42 4,04 189,00 6,00 38,23 47.79 $657.67 Amount Paid $657,67 $657,67 6/1/2006