HomeMy WebLinkAboutPermit Building 2005-4-19
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I CONl'RA€TORINFORMATION I
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Contractor _,9--x, ~<{-..~\. ,<'V~
PACIFIC TELECOM'SERVICES
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WIRELE1i~,:t\LJ;;IA1~tCE INC
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~~. # '0~'V f.:>~ I
c(,'l ~<<' x-'V 'V<(-. ~'V
# ofUnils: ~.... S ~ ~~ <,v'V \i.x-<<'
Primary OccupancY'G%up~ ...x-~" ,,~U
S 'G" ."" ""
econdary Occupancy 'ro\lp: ,'0'"
Primary Construction Tyjll,~ VB
Secondary Construction TY'~e:
# of Bedrooms:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2300 HENDERSON AVE
ASSESSOR'S PARCEL NO,: 1803031300500
PROJECT DESCRIPTION: Antenna collocation.
Owner: PETERSON MACHINERY CO
,Address: 955 MARINA BLVD
SAN LEANDRO CA 94577
Contractor Type
Applicant
General
Frontyard Setback:
Side I Setback:
Side 2 Selback:
Rearyard Setback:
Solar Setbacks:
Street Improvemenls:
Storm Sewer Available:
Special Instruction:
Notes:
. CITY OF SPRIN\Jl'lJ!.,LD
Building/Combination Permit
PERMIT NO: cOM2005-00173
ISSUED: 04/19/2005
APPLIED: 02/14/2005
EXPIRES: 10/19/2005
VALUE: $ 11,714.00
Eugene
TYPE OF WORK: Cell Tower - Communication
Tower
TYPE OF USE: Alteration Commercial
License
Expiration Date
Phone
206-464-4412
503-582-9938
146700
01110/2007
BUILDING INFORMATION 1,0 ;:\
:'\v #~
# of Stories: ~'?,"" 0<:0-0 <?",O <;::,,<>" Lot Size:
Height of Structu~'>:O\'?,Q) ~'?, co b'l: ~,;<i-\Sq Ft 1st Floor:
Type of Heat:,~~ <?, '0"" 'Ii' oJ?:' OJ \~'?, ~~lI.. Ft 2nd Floor:
Water TYP6t 'Q:'\ 'S' \~ '&- 0 ~-:s-'O frO ~'Ft Basement:
Range f~e:'OO ~O""'?, ^vQ) fO 0 ,~'?, ~& Sq Ft Garage/Carport
'P ~" ",'v ~v ''0 '0 _,0
Energy, ath:, 'S' oQ~ ,'S' ,l, ,- l>;\' Sq Ft Other:
Sp'onklfd'~lli1d9'~:<,,<;_,0,'O..,,iitan<:P' Occupant Load:
.~'" ;:...e rfll .~ ...~ \~ V n;V
I DEVELOPMENif-INIlORMNHON-1
,- .~,- -oJ ,. v- ..... ,,"-
~o~ oJ?:' -4,Ov -:s-'O -:s-'O ,{>
()Y~lay'Dis't: ,0'" ~'O\
""', ('\.J ~" ~. .,,'
# Sttee\J're~f-K@:
Paved DI'!V~ Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Sidewalk Type:
Downspouts/Drains:
Page I 00
. CITY OF M'Kll~GFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00173
ISSUED: 04/19/2005
APPLIED: 02114/2005
EXPIRES: 10/19/2005
VALUE: $ 11,714.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I VallJation Descrintion I
Description
Estimate
Tvpe of Construction
,Estimate
$ Per Sq Ft
or multiplier
$1,00
Square Footage
or Bid Amount
11,714.00
Total Value of Project
If pp< PIili\J
Fee Description
Plan Review Comm/IndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review Comm/IndlPublic
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Amount Paid
Date Paid
$69.81
$12.30
$8.61
$123.00
$10.14
$0.21
$3,45
$0.78
2/14/05
4/19/05
4/19/05
4/19/05
4/19/05
4/19/05
4/19/05
4/19/05
Total Amount Paid
$228.30
I Plan Reviews I
Fire Department Review
02/15/2005
03/14/2005
OK
GRG
Initial Review 02/1512005 02/15/2005 APP SKG
Planning Review 02/15/2005 04/11/2005 APP EMM
Public Works Review 02/15/2005 04/13/2005 APP sa
Structural Review 02/15/2005 02/23/2005 WE JMP
Structural Review 03/18/2005 03/18/2005 10 JMP
Structural Review 04/08/2005 04/08/2005 10 JMP
Structural Review 04/13/2005 04/13/2005 10 JMP
Structural Review 04/14/2005 04/14/2005 APP JMP
Value
Date Calculated
$11,714.00
$11,714,00
04/08/2005
Receipt Number
2200500000000000164
2200500000000000444
2200500000000000444
2200500000000000444
2200500000000000444
2200500000000000444
2200500000000000444
2200500000000000444
Plan Review: Addition of antennas
to existing tower. Job
#COM2005-00173. Plans appear to
meet code requirements.
Wrong parcel # originally listed. On
other side of street. Added under
parcel and changed on plan,
SDCs added. No new impervious
surface.
See attached 5 structural comments
faxed to Sean Bell.
WE. Received response from Curtis
Holloway to Item 2 of comments.
WI. Sean Bell emailed contractor
and cost/value data.
WI. Received fax from Sean Bell
addressing structural comments.
Received final internal review.
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.
Page 2 00
.
.
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2005-00173
ISSUED: 04/19/2005
APPLIED: 02/14/2005
EXPIRES: 10/19/2005
VALUE: $ 11,714.00
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, RpolJired Insnection!!J
Ufer Electrical Ground: Install ground rod at footing and call for inspeclion in conjunction with footing andlor
foundation Inspection,
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 shaU be done in accordance with
the Ordinances of Ihe 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.
I further certify that only contractors and eniployees 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 lime, that each address is readable from Ihe
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
t:mes during constructie ~ , AG.ef.,:; r 4 _ /1- D S-
Owner or Contractors ignalure ?Ac.-IF(<.. ~~ Date
Page 3 of3
. AlTACHMENT A .A...
CITY RINGFIELD SYSTEMS DEVELOPMENT CHARG~SHEET
JOURNAL OR JOB NUMBER: COM2005-00173
NAME OR COMPANY: CLEARWIREI SPRINT
LOCATION: 2300 HENDERSON AVE
MAP & TAX LOT NUMBER: 18 03 03 13' 00500
DEVELOPMENT TYPE: Cell lower addition
NEW DEVELOPED AREA (S,F,): 18
EXISTING DEVELOPED AREA (S,F,):
TOTAL IMPER VIOUS SURFACE (S,F,):
ITE:
ITE:
LOT SIZE (S,F,):
170
~ t
.... ,.,
. ,.,.
e--
OO~
LS.:[QQM nRAINACiF
IMPERVIOUS SQ, IT, 0
$ 0.310 PER SF
x
TOTAL STORM DRAINAGE SDq
2 SANITARY SFWF.R-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
o
x
$ 24,04 PER DFU
x
$ 18.28 PER DFU
o
TOTAL WCAL SAN-SEWER SOC:' $
~ $
1 TRANSPf)~TA110N
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP F ACfOR
NEW
A. REIMBURSEMENT COST:
0.QJ8 x 2.5 x $ 18.30 PER TRIP x 0,95 NTF 1$ 0,78 I
B. IMPROVEMENT COST:
0,018 x 2.5 x S 80,72 PER TRIP x 0,95 NTF 1$ 3.45 I
EXISTING
A. REIMBURSEMENT COST:
0,000 x 0 x $ 18.30 PER TRIP x 0 NTF 1$
B. IMPROVEMENT COST:
0,000 x 0 x S 80,72 PER TRIP x 0 NTF 1$
TOTAL TRANSPORTATION REIMBURSEMENT SOC:I $
TOTAL TRANSPORTATION IMPROVEMENT SOC: $
TRANSPORTATION soq $ 4.23 ~ $
$0,00 1070
,
$0,00 1091
$0,00 . i092
0,78 1093
3,45 1094
4,23
4 SANITARY SEWER - MWMC
NEW:
A, REIMBURSEMENT COST:
NUMBER OF FEU's 0,000
B. IMPROVEMENT COST:
NUMBER OF FEU's 0,000
x
$46,88 PER FEU
1$
x
$494,46 PER FEU
1$
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0,000
B. IMPROVEMENT COST:
NUMBER OF FEU's 0,000
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
x
$0,00 PER FEU 1 $
x
$0,00 PER FEU 1 $ 1
INDUSTRIAL STRENGTII INCREASE , $
TOTAL MWMC REIMBURSEMENT FEE:I $
TOTAL MWMC IMPROVEMENT FEE:! $
MWMC ADMINISTRATIVE FEE:I $
TOTAL MWMC SOC:' $
~ $
4,231
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
, $
2.....AOMTN1STRATIVE FEES;
BASE CHARGE (SUBTOTAL ABOVE)
$
4.23 x 5% S 0.21
TOTAL TRANSPORTATION ADMINISTRATION FEE:' $
TOTAL SEWER ADMINISTRATION FEE:' $
0,21 1078
0,00 1079
.
:; Zl
,,~
, . 0
o:u
1054
1054
1055
1056
steve",- W, Be. lot" Ylj B. Y",""S 411312005
Cffi\i2h~~-H~W1RE, 2300 HENDERSON A-RAJl-
, $
TOTAL SOC CHARGES
4.44
,
1 JULY 2004
. 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
8!"~~JNQI'I,ELD,~,",~. ..~~,..._~' 1
it', !
t f
__I'i i
"""'-ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
Job/Journal Number
COM2005-00 173
COM2005-00 173
COM2005-00 173
COM2005-00 173
COM2005-00 173
COM2005-00 173
COM2005-00 173
Payments:
Type or Payment
Check
:'
:'
)
4/19/2005
RECEIPT #:
2200500000000000444
Date: 04/1912005
Description
Plan Review CommlIndlPublic
Building Permil
+ 7% State Surcharge
+ 10% Administrative Fee
SDC Transpo Reimbursemenl
SDC Transpo Improvemenl
SDC Transpo Admin
Paid By
BRADLEY W SMITH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 8773 In Person
Payment Total:
Page I of I
9:20:45AM '
Amount Due
[0,14
123,00
8,61
12,30
0,78
3.45
0,21
$158.49
Amounl Paid
$158.49
$158.49
, '