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Home My WebLink AboutPermit Building 2001-11-21SPFINGFIELD Job# 01-01085-01 COMMERCIAL PERMIT City Of Springfietd Community Services Division Buitding Safety Page 1 of3 Job Number: 01 -01 085-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00206 Subdivision: h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 921 S 00028th St Spr Assessors Map#: 18030100 Lot: Block: Addition crTY oF SPRINGFIELD, OREGO^ Owner: Kenneth Mayfield Address: 5183 Forsythia St Scope Of Work: Communication (Cell) Tower Phone Number: City/State/Zip: New 541-687-2233 Springfield, OR 97478 Value: $195,795 Gontractor Type Architect General Contr Contractor David Evans & Associates 2828 SW Corbett Avenue, Portland, OR 97201 Blacksand Communications lnc 200 Fulbright Pl, Kelso, WA 98626-8834 Registration # Expiration Date Phone 503-223-6663 360-575-1677 Quad Area: # Of Units: Constr. Type: Water Heater: 3ISC Office Use - # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection callthe 24 hour recording a1726-3769. 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. Zoning: Hl FloodPlain? [ Wetlands? [ Journal numbers 1: 2; Comments: Planner: Urban Growth Boundary?[ G Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Source Locn Material: Overlay District:Land Use: Flood Plain FEMA: 1 48331 "i'' ' N:Oc rles adol 711612003 on ie Land Use: Zoning Code: Hl Bedrooms: Range: -\ .l ffi&!'u the.--r Center rU50 lUlBs o tl 3: Job# 01 -01 085-01 Page 2 of 3 Gonstruction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory: # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Commercial Plan Check Fire & Life Safety Plan Review Tota! Plan Check 10t03t2001 1112112001 68BB 7315 195,795 195,795 $570.47 $351.06 $921.53 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 11t21t2001 11t2112001 11t21t2001 7315 731 5 7315 195,795 $877.65 $61.44 $70.21 $1,009.30 Encroachment Permit - Commercial Total Public Works Public Works 11t21t2001 7315 1 $85.00 $85.00 lmpervious Surface Area - Storm SDC Administrative Fee Total System Development System Development 1112112001 11121t2001 7315 7315 270 $73.71 $3.69 $77.40 Planning 11t21t2001 7315 1Planning Plan Review Total Planning $50.00 $s0.00 Photocopy Fees Total DeposiUCopies/Mis DeposiUCopies/Mis 11121t2001 7315 12 $3.50 $3.50 Grand Total Plan Check Type lnitial Review-C/l/P Engineering-C/l/P Planning-C/l/P Structural-C/l/P Structural-C/l/P Checked By Lisa Hopper Pam Ownby Liz Miller Tom Rogers Tom Rogers Date Completed 1010412001 1111312001 1112012001 1011512001 10t24t2001 $2,146.73 Comment Met with Davidson. He will provide engineer's statement. Planning review determination requested 11105/01 - dlm Faxed plan review comments to Alpha Omega Communications 1 0/1 6/01 Special inspection needed for placement of reinforcing steel and anchor bolts and concrete. Fire Marshal-ClllP AlGerard 10t08t2001 Job# 01-01085-01 Page 3 of 3 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are req uested at the proper time, that the project address is readable from the street, that the permit card is located at the front , and the approved set of plans will remain on the site at all times during 2l Nav zou I Signature Date Eulldln Safet Flrst SFHINGFIELE 225 5.n SrREEr, SPRINGFIELD, 0R 97477 FAX(541 )726-3676 November 27,2m1 Alpha Omega Communications 845 Shelley Street Springfield, OR.97477 Re: Cell tower atg2l S. 28m Street, Springfield - Permit # 0l-01085-01 The permit that was issued for the subject tower was did not show the required inspections on the permit. Enclosed is a reprinted copy of the permit with the required inspections indicated at the bottom of the first page. Please advise the contractor and the owner, as appropriate, and assure that the required inspections are obtained at the correct times during the construction process. Please call 726-3623 if you have any questions. Thank you for your assistance in this matter. Sincerely, 1*%* Donald Moore Construction Representative tF FIELD, OREGAN Page 1 of 2 e'ity Or Springfield DevetoPment Services CommunitY Services Division Building SafetY Job#0 1 -0 1 0 8 5 -0 ,l Location Of Proposed Site: 921 S 00028th St AssessorsMaP#: 18030100 Lot:Block: Owner: Kenneth MaYfield Address: 5183 ForsYthia St Scope Of Work: Communication (Cell) Tower Addition: Phone Number: 541-687-2233 Gity/State/Zip: Springfield,OR97478 New Value: $195'795 Spr Tax Lot#: 00206 Subdivision: Gontractor David Evans & Associates 2828 SW Corbett Avenue, Portland' OR 97201 Blacksand Communications lnc 200 Fulbright Pl, Kelso, WA 98626-8834 K T Electric lnc 62315 Chickadee Ln, Bend, OR 97701-793 Registration # ExPiration Date Phone 503-223-6663Gontractor TYPe Architect GeneralContr ElectricalContr 148331 145488 7t1612003 6130t2002 360-575-1677 541-382-0882 Paid On ReceiPt#Value/QuantitY Fee Amount Plan Check Fee Commercial Plan Check Fire & Life SafetY Plan Review Tota! PIan Check 10/03/2001 1112112001 , 6888 7315 195,795 195,795 $570.47 - $351.06 $921.s3 Building Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 11t21t2001 11t21t2001 11t2112001 7315 731 5 7315 195,795 $877.65 $61.44 $70.21 $1,009.30 Electrical Minimum Electrical Permit Fee Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 12t04t2001 12t04t2001 12t04t2001 12t04t2001 12t0412001 7408 7408 7408 7408 7408 2 3 $.00 $126.00 $9.00 $9.45 $10.80 $15s.25 Public Works 11t21t2001 7315 1 $85.00 $8s.00 lmpervious Surface Area - Storm SDC Administrative Fee Total System Development System Development 11/21/2001 11t2112001 $73.71 $3.69 $77.40 7315 7315 270 Encroachment Permit - Commercial Total Public Works rllowing proiect as submitted has the tollowing zo,rrn!,-anO"O'oei not require specific land use approval CAL PERMT APPLICATION225 FIFTH STREET SPRTNGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3159 9',7417 Authonzed Signature , tN 'Ol Or-c)oys -o / J FEE SCI{EDULE BELOW A. New Residential-Single or Multi-FamilY Per dwelling unit. Service Included: I OF LEGALDEStBo i%73t oozo 6 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf d Home or Modular Dwelling Service'or Feeder{ B. Services or Feeders Installation, Alterations or' Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 ampsto 1000 amps Over 1000 amps/volts Reconnect Only C. Temporary Services or Feeders Installatio& Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "Bt'above 5. SUBTOTALOFABOVE 7% State Surcharge 8% Administrative Fee Items Cost Sum $106.00 $ 19.00 $ so.oo $ 7s.00 $125.00 $163.00 $37s.00 _ $ 50.00 _ -1.-$ 63.00 /zL'oa JOB D Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical btlic Address I Expiration Date Constr Contr. Number Expiration Date Signature of Supenrising ciw&4-YhonepflryiPt? SupervisorLicense Number flfr 4 i fi -gL $s0.00 $69.00 $100.00 Owners Name rth TXrrarrn D. Branch Circuits E. Miscellaneous (Sewice/feeder not included) -Each installation Pump or irrigadon $50.00 Sign/Outline Lighting_ $50.00 Limited Energy/Res $25.00 Limited Bnergy/Comm $45.00 New, Alteration or Extension Per Panel one circuit -L$43.00 !J'o o Each Additional Circuit or with Service -. no or Feeder Permit L$ 3.00 6 - v T_ OWNER The property I or rent. on lJ 1.-l II i for sale, Signature: 1S TOTAL t I ^l t-l W Job# 01-01085-01 Page 1 of 3 Job Number: 01 -01 085-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 00206 Subdivision: SPRINGFIELD COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 921 S 00028th St Spr Assessors Map#: 18030100 Lot: Block: Addition oITY OF SPRINGFIELD, OREGON Owner: Kenneth Mayfield Address: 5183 Forsythia St Scope Of Work: Communication (Cell) Tower Phone Number: City/State/Zip: New 541-687-2233 Springfield, OR 97478 Value: $195,795 Contractor Type Architect GeneralContr Contractor David Evans & Associates 2828 SW Corbett Avenue, Portland, OR 97201 Blacksand Communications lnc 200 Fulbright Pl, Kelso, WA 98626-8834 Registration # Expiration Date 148331 7t16t03 Phone 503-223-6663 360-575-1677 Quad Area: # Of Units: Constr. Type: Water Heater: 3ISC Office Use - Land Use: Zoning Gode: Hl Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspectiohs requested after 7:00 a.m. will be made the following working day. Footing Special Structural Concrete Final Fire FinalSite Plan FinalBuilding Required lnspections Buildins l -After trenches are excavated. -See Plan Review and/or lnspectors Notes, or prior to cover if applicable. -ln excess of 2500 psi. To be done during construction by a State Certified lnspector. Provide r -When all Fire Department requirements have been met. -After all requirements have been met for Minimum Development Standards or from the Develop -When all required inspections have been approved and the building is complete. ATTACHMENT A CITY OF SPRINGF IELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET 01-0I085-0I KENNETH MAYFIELD JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: MAP & TAX LOT NUMBER: DEVELOPMENT TYPE: 92I S.28TH STREET l8-03-0r-00 00206 USE#I I. STORM DRAINAGE IMPERVIOUS SQ. FT 2. SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) COMMLTNICATION CELL TOWER NEW DEVELOPED BUILDING AREA (S.F.): EXIST DEVELOPED BUILDING AREA (S.F.): TOTAL DEVELOPED BUILDING AREA (S.F.): TOTAL STORM DRAINAGE SDC x S 21.37 PER DFU x x $ I9O.2O PER FEU $19.90 PER FEU 110 $77.40 270 0 0 270 x 6.97 x X $ 0.273 PER SF 0 x S 16.24 PER DFU 3. TRANSPORTATION BLDG AREA TGSF X TRIP RATE X COST PER ADT X NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0 x 6.97 x $ 16.26 PER TRIP B. IMPROVEMENTCOST: 0 0 TOTAL LOCAL WASTEWATER SDC: x 0.95 NTF $ 7 I .7 5 PER TRIP x 0.95 NTF TOTAL TRANSPORTATION REIMBURSEMENT SDC TOTAL TRANSPORTATION IMPROVEMENT SDC TOTAL TRANSPORTATION SDC 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU'S R. IMPROVEMENT COST: NUMBER OF FEU's MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) 7.-* /. O**U SDC COORDINATOR TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC: SUBTOTAL (ADD ITEMS 1,2,3, &,4) 0.05 1Ut3l0t 0 0 x 7 $ $ $ $ 73.71 3.69 01.01085-01, KENNETH MAYFIELD, 921 S. 28TH TOTAL SDC CHARGES JULY 2OO1 ITE: ITE: LOT SIZE (S.F.): 1070 l09r 1092 1093 1094 1055 r056 1073 DRAINAGE FIXTURE LINIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS FOR REMODELS. CALCULATE ONLY T}IE NET ADDITIONAL FIXTURES FIXTURES NEW OLD UNIT IVALENT DRAINAGE FIXTURE LiNITSFIXTURE TYPE BATHTUB DRINKING FOTINTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LATINDRY TUB CLOTHES WASHER/MOP SINK CLoTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK:COMMERCIAL BAR SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALL/WALL TOILET, PUBLIC IN STALLATION TOILET, PRIVATE IN STALLATION MISCELLANEOUS: NUMBER OF EDU'S* TOTAL DRAINAGE FIXTURE UNITS: *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY 0 J I -t ) 6 2 J 6 t2 I J 2 2 3 2 2 I 5 6 J 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE 1979 or before 1980 1981 1982 1983 I 984 1985 1986 1987 I 988 1989 s $ $ $ s $ $ $ s $ 4.92 4.83 4.77 4.64 4.47 4.30 4.09 3.78 3.41 2.98 2.s2 I 990 l99l 1992 1993 1994 1995 1996 1997 I 998 t999 2000 s $ $ s $ $ $ $ $ s $ 2.06 1.64 1.45 l.31 l.l3 0.97 0.82 0.63 0.41 0.22 0.04 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x s0.00 $0.00 $0.00CREDIT TOTAL 0 01-01085-01, KENNETH MAYFIELD, 921 S. 28TH JULY 2OO1 _0