HomeMy WebLinkAboutPermit Building 2018-12-14SPRINGII€LD
tt
0REGOrl
Web Address: www.springfield-or-gov
Building Permit
Commercial Structural
Permit Number: 81 1-18-002314-STR
IVR Number: 81'1061464320
Email Address: permitcenter@springfield-or.qov
Permit lssued: December 14, 2018
Category of Construction: Commercial Type ot Work: New
Submitted Job Value: $86,000.00
Description of Work: New AT&T collocation on existing tower together with a diesel generator
JOB SITE INFORMATION
Worksite address
2037 LAURA ST
Springfield, OR 97477
Parcel
170327'1002200
Owner:
Address:
JOHN H HYLAND
SURVIVOR'S TRUST
PO BOX 7867
SPRINGFIELD, OR 97475
LICENSED PROFESSIONAL I FORMATION
Business name
VELOCITEL LLC - Primary
License
CCB
License number
218854
Phone
484-804-4500
PENDING INSPECTIONS
lnspection
1999 Final Building
lnspection group
Struct Com
lnspection statua
Pending
SCHEDULING INSPECTIONS
Varaous inspections are minimally required on each project and often dependent on the scope ol work. Contact the issuing
jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspeclions at www.buildingpermits.oregon.gov
Schedule by phone call l-888-299-2821 use IVR number: 811061464320
Schedule using the Oregon ePermitting lnspection App, search "epermitting'in the app store
Permits must be posted in clear view on the worksite. Permits expire it work as not started within 180 Days oI issuance or af work is
suspended for 180 Oays or longer depending on the issuing agency,3 poticy.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of
a permit does not paesume to giv€ authority to violate or cancel the provisions of any other state or local law regulating construction
or the pedormance of construction,
ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Or€gon Utility Notification Center.
Those rul6s are s€t forth in OAR 952-001-0010 through OAR 952-001-oO9O. You may obtain copies ot the rules by calling the Center at
(877) 668{001 or diat8r.l.
All persons or entities P€rforming work under this permit are roquir6d to be licensed unless exempted by ORS 7O1.O1O
(Structu.allMechanical), ORS 479.540 (Electrical), and ORS 693.010-O2O (ptumbing).
Prinred on: 12h4l1E page 1 ol z std_EurldrngPermt_pr
City of Springfield
Oevelopment and Public works
225 Fifth Street
Sprinqfeld, OR 97477
541-7 26-37 53
TYPE OF WORK
Permit Number: 811 -18-0023'14-STR Page 2 o'12
Fee Description
Technology Fee
Plan Review - Minor, City
SDC: Improvement Cost - Storm Drainage
SDC: Reimbursement Cost - Storm Drainage
Structural building permit fee
Structural plan review fee
State of Oregon Surcharge - Bldg (l2o/a of applicable fees)
1
83.1
57 .62
Quantity Fee Amount
$77.72
$ 137.00
$83.10
$s?.62
$859.02
$s s8.36
$103.08
$1,87s.90Total Fees:
Pnnied on 12114/18 Page 2 ot 2 std_EuildingPelmitjr
PERMIT FEES
SPRINGfIELD
6
0fl€G0N
www.springf ield-or. gov
Worksite address: 2037 LAURA ST, Springfield, OR 97477
Parcel: 17032710O22OO
Transaction Receipt
8,t l -18-002314-STR
Receipt Number: 468867
Receipt Date:'12l14l18
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-7 26-37 53
permitcenter@springfi eld-or. 90v
City of Springfield
Fees Paid
Transaction date
12t't4t1A
12t14t18
12t14118
Units
1.00 Ea
'r.00 Ea
100 Ea
Account code
224-00000425602-1030
224-00000425602-1030
82 1 -00000-21 5004-0000
Fee amount
$859.02
$s58.36
$103.08
Paid amount
$859 02
$31.86
$ 103 08
12t14t14
12t14t'18
12t14t18
'12t14t18
1 00-00000-425002- 1 039
1 00-00000-425605-0000
6 1 7-00000-448029-8800
617-00000448028-8800
$137.00
$77.72
$57.62
$83 10
$137.00
$77 .72
$57.62
$83.10
DeECription
Struclural building permit fee
Structural plan review fee
State of Oregon Surcharge - Bldg (12olo of
applicable fees)
Plan Review - Minor, City
Technology Fee
SDC Reimbursement Cost - Storm Drainage
SDC: lmprovement Cosl - Storm Drainage
Payment Method: Check number: 6588 Payer Velocitel Payment Amount:$1,349 40
Cashier: Katrina Anderson Receipt Total:$1,349.40
Printed 12114l18 1.03 pm F lN-Transact on Rece pt pr
1.00 Ea
1.00 Automatic
57.62 Amount
83.10 Amount
CrrY oF SPRTNGFTELD, oREcoN
Structural Permit Application
K.*.,{22s Fifth Stree(. Springfield, OR 97477. PH(54 I )726-375I . FAX(541)726-3689
This permit is issued under OAR 918-460-0030. Permits expire if work is not started rrithin 180 days of issua
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final land-use approval.
Sigrature:Date
This project has DEQ approval.
Signatue:Dale
CATEGORY OF CONSTRUCTION
I Residential E Govemment K Commercial
JOB SITE INFORMATION AND LOCATION
City: Springfield State: OR ZtP:97477
Subdivision Lot no
7 ay16;..'17 0327'IOO220O
PROPERTY OWNER
Name: John H Hyland Survivo/s Trust
Address: PO Box 7867
city: SPringfield srate: OR ztp: 97475
I)hone Fax
ti-mail
Building Owner or Ovyner's agent authorizing this application
Sigd here:
E This installation is being made on residential or farm property owned by
me or a member ofmy immediale family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name: Velocitel. LLC
Addressr 4004 Kruse Way Place #220
City: Lake Oswego Staret OR zIP: 97035
I'hone:971-303 1568
Ii,mailr Nerlund@velocitel.com
Natalie Erlund _4-7\
Signature
SU IN N
CCB License #Phone Nrrnrbcr
Electrical
Phmbing
Mechanic!l
or if work is
DEPARTMENT USE ONLY
tB,-fiflPermit no
l
Date t,
FEE SCHEDULE
1. Valuation information
(a) Job description: New AT&T collocation on existing tower
Occupancy U, S-2
Construction q?e: llB
Square feet 0
Cost per square foot: N/A
other information: New ground equipment shelter also
Type ofHeal:
Energy Path:
I new lalteration X addition
(b) Fouodation-only permit? E Yes E No
Total valuation:$ $86,000
2. Building fees
(a) Permit fee (use valuation table)S
(b) lnvestigative fee (equal to [2a])$
(c) Reinspection ($ per hour)
(number ofhours x fee per hour)\
(d) Llnter l2oZ surcharge (.12 x [2a+2b+2c])$
(e) Subtotal of f€es above (2a through 2d):S
3. Plan reyiew fees
(a) Plan review (65% x permit fee [2a])$
(b) Fire and life safety (550/" x permit fee [2a])S
(c) Subtotal of fees above (3a and 3b):S
,1. Miscellaneous fees
(a) Seismic fee, l% (.01 x permil fee [2a1)S
(b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c])S
TOTAL fees ard surcharges (2e+3c+4a+b):S
Last edited 5-5-2017 BJones
Zoning approval verified: ! Yes E No
Property is within flood plain: !Yes !No
Job site address: 2037 Laura Street
Reference:
F:Lxi
CCB license no.: 218854
Print name:
I
Structural Permit Application
Hd*{225 Fifth Sreer . Springfield, OR 97477 r PH(541)726-1753 . FAX(541)726-3689
This permit is issued under OAR 918-460-0030. Permits expire if work is oot started lrithir 180 days of issua ce or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final Iand-use approval
Signature:Dale
This project has DEQ approval
Siglature:Date
Zoning approval verified: ! Yes E No
Property is within flood plain: ! Yes n No
CATEGORY OF CONSTRUCTION
E Residential n Govemment E Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 2037 Laura Street
City: Springfield State: OR ZIP:97477
Subdivision Lot no
Reference 1ut1oy. 170327100220Q
PROPERTY OWNER
Namei John H Hyland Survivor's Trust
Address: PO Box 7867
city: SPringfield Skte: OR zp:97475
Phone Fax
E-mail
Buildirlg OwneI or Omer's agent authorizing this application
Sign here:
E This hstallation is being made on residential or farm property owned by
me or a member ofmy immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name: Velocitel LLC
Address: 4004 Kruse Way Place #220
City: Lake Oswego ZIP: 97035
Phone:971-303 1568 Fax
E-mail: Nerlund@velocitel.com
CCB license no.: 218854
Print name Natalie Erlund -{7\
Signature:
NTRACTO R INFO N
Name CCB License #Phone Number
Electrical
Plumbing
Mechanical
5l)0\ C'^'' crr
DEPARTMENT USE ONLY
Permir no,,i\,-frlr{
Date
FEE SCHEDULE
1, Valuation ilformatiol
(a) Job description: New AT&T collocation on existing tower
Occupancy U, S-2
Constnrction O?e: llB
Square feet 0
Cosr per square foot: N/A
other informarion: New ground equipment shelter also
Typ€ of Heat:
Energy Psth
E new Ealteration I addition
(b) Foundation-only permit? ! Yes X r.Io
Total valuatiod:$ $86,000
2. Building fees
(a) Permit fee (use valuation table)$
(b) tnvestigative fee (equal to [2a])
S
(d) Enter l2% surcharge (.12 x [2a+2b+2cj)$
(e) Subtotal of fees above (2a through 2d):S
3. PIan review fees
(a) Plan review (65% x permit fee [2a])S
(b) Fire and life safety (55% x permit fee [2a]):$
(c) Subtotal of fees above (3a and 3b):
4. Miscellaneous fees
(a) Seismic fee, l% (.01 x permit fee [2a])S
(b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c)s
IOTAL lees and surcharges (2e+3cr4a+b):$
Clrv on SrnmcFrELD. oREGoN
State: OR
ls
(c) Reinspectio! ($ per hour)l
(number ofhours x fee per hour)
$
Last edited 5-5,2017 BJones
SPRIN6FIELO
,h
OR€GON
www.springlleld-or. gov
Worksite address: 2037 LAURA ST, Springfietd, OR 97477
Patcel 1703271002200
Transaction Receipt
Development and Publlc Works
225 Fifth Street
Springfield, OR 97477
541-7 26-37 53
permitcenter@springfi eld-or. gov
City of Springfield
Fees Paid
Taansactlon date
9t28t18
UnitE
1.00 Ea
Descrlption
Structural plan review fee
Account code
224 -OOOOO - 425602- 1 030
Feq amount
$558.36
Paid amount
s526.50
Payment Method: Check number: 3985 Payer: Velocitel, LLC Payment Amount $526.50
Cashier Toste Munrz Recslpt Total:$s26.s0
Printed: 9/28118 1r2S pm Page 1 of 1 FIN_TransaclionReceipU)r
8't 1-'t 8-002314-STR
Receipt Number: 468185
Receipt Date:9/28/18
CI I Y OI] SPRI]{CFIT]LD SYSTE\IS DI]\'ELOP\IEYT ClIARCT] \\ORKSHI]T:T
JOUR\AL OR JOB NTiITBER
NANTf, OR CONIPANY:
LOC..TTION:
NIAP & 'TAX LOT NT]UBERI
DIVELOP}lE\T TYPE:
l8-002314
Velocitel
2037 Laura
Cell TorYer
NEW DE\GLOPED AREA (S,F,)
EXISTING DEVELOPED AREA (S,F,)
MWMC
MWMC
I7O ITE:
-Td
r rE:t70
LO'f SIZE S.FTOTAL IMPERVIOUS SURFACE S,F
t96
196
TOT.\L STOR\I DR,{INAGE SDC:
I. STOR\I D R\I\.\(;E
S
Cost per SF= S
$s7.62
$E3. r 0
x S 0.29,1 PER SI.'
0.424 PER SF
0.71t
NEW IMPERVIOUS SQ. FT.
A, REIMBURSEMENT COST
IMPERVIOUS SQ. FT,
B, IMPROVEMENT COST:
IMPERVIOUS SQ. FI',
2. SANITARY Sf,WER-CITY (see reverse side)
A, REIMBURSEMENT COST:
NUMBER OF DFU'S 0
x $ 81.54 PER DFU
s 2.17.0t
TOTAL LOCAL WASTEWATER SDC:
$ I65,54 PER DFU
B, IMPROVEMENT COST:
NUMBEROF DFU'S
LDG AREA TCSF x TRIP RATE x COST PER ADTX NEW TRIP FACTOR
EW:
. REIMBURSETVTENTCOST:
0.00 x 2.5 x $ 19.28 PER TRIP x $0.00
$0.00
$0.00
s 185.69
0.95 NtT
0,95 NTF
TOTAL TR.lNSPORTATION SDC:s
$0.00
$0.00
R',t rTl
IMPRO\GMENT COST
0.00 2.5x x \
PI]R I IIIP x
0,95 NTF
$ 366,4I PER TRIP
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAI- TRANSPORTAT1ON IMPROVEMENT SDC:
ISTINC:
REIMBT]RSEMENT COST:
0.00 x 2.5 x $ 19.28 PER.|RIP
IMPROVEMENT COST:
0.00 x 2.5 x $ 366.41 0.9i N fF
$0.00
$0.00
14012s
$0.00
$0.00
$0.00
$0.00
$0.00
0.00 $75 36
$912 83000
0.00 $r 3.01
\
Y - t\t\Y
SUBTOTAL (ADD ITEMS I,2, ]&1
XISTING
t o l.\t, \l\\ Itc sDC:
PER FEU
PER FEU
PER FEU
s75.36 PI]R FEtl
$912,83 PERFEU
$13-04 PER FEU
EW:
, REIMBURSEMENT COSTI
NLTMBER OF FEU'S
, IMPRO\'EMENT COST:
NUMBER OF FEU'S
. COMPLIANCE COST|
NUMBER OF FEU'S
REIMBURSEMENT COST:
NUMBER OF FEU'S 0.00
IMPROVEMENT COSa,
-
NUMBER OF FEU'S 0.00
COVPLIANCE COST:
NUMBER OF FEU'S 0.00
CRFDIT lF APPLICABTT lSlr nl'u.r:.s-FJ-
TOTAL MWMC REIMBURSEMENT FEE:
IOTAL MWMC IMPROVEMTNT TtE,
TOrAL MWMC COMPLIANCE FEEj
MWMC ADMINISTRATIVE FEEi
-W
5. AD]UINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)t40.72 x 5o/o
STORM DRAINACE ADMINISTRAIION }EE
SEWER ADMINISTRATION FEE
TRANSPORTATION ADMINISTRATION FEE
LOCAL MWMC ADMINISTRATION FEE
$7.0,+
000
0.00
0.00
111.16s
s
l0/+/2018 TOTAI, SDC (:H-{R(;]]S
1703271002200
0
I go.oo
j --T--so.oo
I so oo
$0.00
| $o.oo
| $o.oo
I 1cl
DRAINAGE FIXTT]RE UNIT (DFTJ) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOIE: FOR REMODE CALCULATE ONLY THE NET ADDITIONAL FIXTL]RES
#REF!
FIXTTJRES
NEW OLD
DRAINACE
FIXTURE
t,NITSFIXTI]RE TYPF:
BATHTUB
DRINKING FOTJNTAIN
FLOOR DRAIN, FLOOR SINK
NTERCEPTORS FOR GREASE/OIUSOLIDS,€TC.
INTERCEPTORS FOR SAND/AUTO WASH,€TC.
TATNDRY TUB
CLOTHES WASHER,/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFzuGERATOR,''\,VATER STATION/ETC,
RECEPTOR FOR COMMERCIAL SINK,/ DISHWASHER,/ETC
SHOWER, SINGLE STALL
SHOWE& GANG {NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAI KITCHEN
SINK: COMMERCLAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINCLE LAVATORY,RESIDENTIAL BAR
URINAI, STALT-/WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S*
UNIT
I VN I-ENT
0
0
0
0
0
0
0
d\rellinB (20 DFU) set at 167 gallons per day
0
0
0
0
0
0
0
0
0
0
0
3
Il
3
6
2
3
6
t2
I
3
2
2
3
2
2
I
5
6
3
CREDIT CALCTJLATION TABLE: BASED ON ASSESSED VALUE
IF ]MPROVEMENTS OCCURRED Af'TER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
$r.45
$1.25
$1.09
$0.92
$0.?2
$0.4E
$0.28
$0.09
$0.05
$0.00
$0.00
$0.00
x
x
$0.00
s0.00
RATE PER $ I.OOO
ASSESSED VAIUE
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
1919
1980
l98l
1982
1983
1984
1985
1986
1987
198E
1989
1990
r99l
$5.29
$5.19
$5.12
$4.98
$4.E0
$4.63
$4.40
$4.07
$3.67
$3.22
s2.73
$2.25
$r.E0
or belore
CREDIT FOR PARCEL OR LAND ONLY IF APPL]CABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
CRLDIT 'TOTAI-| $o.oo
0
0
0
rorAl DRATNACE FrxTuRE UNrrs = E::E
Natalie Erlund
From:
Sent:
To:
subject
BOWLSBY David <dbowlsby@springfleld-or.gov>
Ihu6day, July 12, 2018 3:56 PM
Natalie Erlund
RE: Zoning requirements forAT&T collocation on existing tower - EG82
Categories Waiting
Fees to submit based on $86,000 would be $525.50 due at submittal. This is just the structural plan review fee.
Davld Bowlsby
Building Official I City of Springfield
225 sth Sheet I Sp.lngffeE Or 9742
Phon. 5.a1.726.3753 | tor 541.726.3689
dbowlsbv@sorinqfield-or.oov
Please contact me if any material inthisemail is not accessible to you. Another format may be available. For more information
pleasegoto:@
From: Natalie Erlund Imailto: nerlund@velocitel.com]
Sent: Thursday, luly 12, 2018 3:50 PM
To: BOWLSBY David
Subject: RE: Zoning requirements for AT&T collocation on existing tower - EG82
Good afternoon,
Can you please tell me what fees will be required for th e buildina permit submission for ou r new AT&T collocation on the tower
at 2037 Laura street in Springfield? The estimated valuation is 585,000.
Thank you,
Natalie Erlund
Site Acquisition Specialist
AT&T Turf Pro.iect
Velocitel, lnc.
4004 Kruse Way Pl, Suite 220
La ke Oswego, OR 97035
971,303-1568
503-635-2501 Fax
N Erlu n d @ Velocite l. com
www.velocitel.com
Ivelocilel
The information contained in this message may be privileged and confidential and protected from disclosure. lf the reader of this message is
not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified
that any dissemination, distribution or copyinB of this communication is strictly prohibited. lf you have received this communication in error,
please notify us immediately by replying to the message and deleting it from your computer.
1
From: BOWLSBY David Imailto:dbowlsbV@springfield'or.Rovl
Sent: Monday, February 05,2018 10:13 AM
To: Natalie Erlund <N Erlu nd@velocitel.com>
Subject: RE: Zoning requirements for AT&T collocation on existing tower - EG82
Good morning -
Just submit for a building permit and we will process internally for planning and any other internal approvalthat may be
necessary.
David Bowlsby
Building Official I City of Springfield
225 5th Slre.t I Spdngfleld Ol 97477
Phone 541.726.3753 | Fox 541.726.3689
dbowlsbv@sorinof ield-or.qov
Please contact me if any material inthisemail is not accessible to you. Another format may be available. For more information
please go to: http://www.sorinefield-or sovlaccessibilitv. htm I
From: Natalie Erlund Imailto:NErlund@velocitel.com]
Sent: N'londay, February 05, 2018 9:45 AM
To: BOWLSBY David
Subject: Zoning requirements for AT&T collocation on existing tower - EG82
HiDavid,
We spoke on the phone about AT&T collocating on an existing celltower at 2037 Laura Street in Springfield. Can you please
confirm that no separate zoning will be required - the project will only require a building permit?
Thank you,
Ivelocilel
The information contained in this message may be privileged and confidential and protected from disclosure. lf the reader of this message is
not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified
that any dissemination, distribution or copying of this communication is strictly prohibited. lf you have received this communication in error,
please notify us immediately by replying to the message and deleting it from your computer.
2
Nata lie Erlund
Site Acquisition Specialist
AT&T Turf Project
Velocitel, lnc.
4004 Kruse Way Pl, Suite 220
Lake Oswego, OR 97035
971-303-1568
503-636-2501 Fax
NErlund@Velocitel.com
www. ve locite l.com