HomeMy WebLinkAboutPermit Building 2005-02-11Building/Combination Permit
Status Pending
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2005-00170
ISSUED:
APPLIEDz 0211112005
EXPIRESz 1210112005VALUE: $ 23,200.00
SITEADDRESS: 1075SHELLEYST
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
Springfield TYPE OF WORJ(: Cell Tower - Communication
1703270000902 Tower
TYPE OF USE: Alteration
Collocation of antennas and lOOamp service for Clearwire cell site
Commercial
Owner:
Address:
MCKAY INVESTMENT CO LLC
2350 OAKMONT WAY STE 204
EUGENE OR 97401
lollow
ATTENT
0 through OARContractor Type
Applicant
General
Electrical
NEW
OK
1-001 ot
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Expiration Date Phone
206-4644412
s41-389-4203
s03-780-ss24
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
U
VB
09t24t2007
09t15t2006
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
\
to
HiJmi"il"'mFiHiidiffi:'$BTiorvrttnrncED o!^l:
nr'ri iao DAY PERIoD'
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2005-00170
ISSUED:
APPLIEDz 02lll/2005
EXPIREST 1210112005VALUE: $ 23,200.00
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 23,200.00
Total Value of Project
Amount Paid Date Paid
Value
$23,200.00
$23,200.00
Date Calculated
04t08t2005
Fee Description
Plan Review Commfl nd/Public
+ l0%o Administrative Fee
+ l%o St^te Surcharge
Perm Serv/Fdr 200 amps or less
Total Amount Paid
$69.81
$6.30
$4.41
$63.00
$143.52
2fiu05
61u05
6nt05
6flt05
Receipt Number
1200500000000000183
1200500000000000714
1200500000000000714
1200500000000000714
tr'pes Pqid
Plan Reviews
Fire Department Review 0211512005 03n4t2005 0K GRG
05120t2005 05t20t2005 APP JMP
Plan Review: Addition of antennas
to existing tower. Job
#COM2005-00170. Plans appear to
meet code requirements.
submitted lease agreement for
expansion ofsite.
SDCs added.
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 cosUvalue data.
WI. Received fax from Sean Bell
addressing the 5 structural
comments.
Received final internal reviews.
Initial Review
Planning Review
Public Works Review
Structural Review
Structural Review
Structural Review
Structural Review
Structural Review
02n5t200s
02n5t2005
02n5t200s
02115t2005
03/18/2005
04/08/2005
04n3t200s
0211512005
0511612005
05t20t2005
02t23t2005
03/18/200s
04/08/200s
04fi3t200s
SKG
EMM
SB
JMP
JMP
JMP
JMP
APP
APP
APP
WE
IO
IO
IO
To Request an inspection call the24 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.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Paee 2 of 3
Reorrired fnsnpefinns
ffi
Valuation Descriotion
225 FII,'TH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)iZ6-3689
E LE CTRI CAL P ERMIT AP P LI CATI ON
City JobNumber CO,-tZ-tcOS - C)O I 1 O Date
1.3.
c o NT RACT O R rNST,4Lr-4rr oN a NlYI
Elecrical Contractor
Address
Constr. Confi. Number qS
Expiration Date Q-t s *oQ
of
Owners Name
Address ro O*V'^*1-
city €t t G+N(! Pno""
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Sigrranrre:
sp'rtlrn*Fr€!-D
$ 106.00
s 19.00
s50.00
I $ 63.00
$ 75.00
$125.00
b'Tq
$ s0.00
$ 69.00
$100.00
01T
LEGALDESCRIPTION l7O3 uooo?oL
JOB DESCRIPTION
c\q so iAi ,O*Cl=-l \s1"
Permits are non-transferable and expire if work is
r not started within 180 days of issuance or if work is
Suspended for 180 days.
A. .Nen'Residential - Single or Nfuld-Faurill; per drvelling u1it.
,
Service Included
1000 sq. ft or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
cirv 7- iq$flD Phon"9O3 11o-Sset'
Supervisor License Number +q>l .1
Expiration Date lo ^ o | - "t)D" 7 Installation, Alteration or Relocation
B.
D.
LLc
rE.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
1000 Volts see "B" above.
New Alteration or Extension Per Panel
One Ctcuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
Pump or irrigation $ s0.00
Sign/Outline Lighting $ s0.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
ay
Ll tt/
loh Stzte Surcharge
l0% Administrative Fee
TOTAL
(r)o
73Inspection Request: 726-37 69
Shared Drive(T:YBuilding Forms/Electrical Permit Application I {3'doc
'?l
Miscellaneous (Service/feeder not included) -Each Installa tion
(n t< B<olt^n o3
t
Over 600
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00170
ISSUED:
APPLIEDz 0211112005
EXPIRESz 1210112005VALUE: $ 23,200.00
Final Building: After all required inspections have been requested and approved and the building is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, I state 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 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.
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
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.
Owner or Contractors Signature Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
4ity of Springfield Oflicial Receipt
rvelopment Services Department
Public Works Department
RECEIPT #: 1200500000000000714 Date: 0610112005 3:33:12PM
Job/Journal Number
coM2005-00170
coM2005-00170
coM200s-00170
Description
+ 1Yo State Surcharge
+ l0% Administrative Fee
Perm Serv/Fdr 200 amps or less
Amount Due
4.41
6.30
63.00
Item Total:
Payments:
Type ofPayment Paid By
uhecLNumber Autnorization
Received By Batch Number Number How Received Amount Paid
Check oKBROTHERSELECTRTCAL djb 1511 In Person $73.71
Payment Totat:
-Sffi
I
61y2005 Page I of I
-m?r
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Buildin g/Combination Permit
PERMIT NO: COM2005-00170ISSUED: 0610112005
APPLIED z 0211112005
EXPIRESz 1210112005VALUE: $ 23,200.00
SITE ADDRESS: 1075 SHELLEY ST Springfield TYPE OF WORI(: Cell Tower - Communication
ASSESSOR'S PARCEL NO.: 1703270000902 Tower
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Collocation of antennas and 100amp service for Clearwire cell site
n- Owner:
Address:
MCKAY INVESTMENT CO LLC
2350 OAKMONT WAY STE 204
EUGENE OR 97407
follow rules adopted bY the Oregon UtilitY
Notification Center. Those rules are set forth
AR9 2-001-
ES v
Contractor Tvpe
Applicant
General
Electrical
Contractor License
PACIFIC TELECOM SERVICES
NEW HOR]ZON COMMUNICATIONS INC 136818
OK BROTHERS ELECTRICAL CONSTRUCT49562
Expiration Date
09t24t2007
09n5t2006
Phone
2064644412
541-389-4203
s03-780-5524
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improyements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
U
VB
nla
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Paee I of3
-!
ies of the rt
DUll,Lrll\tr ll\I(JITUYIAIlt l\ |
tII
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00170ISSUED: 0610112005
APPLIEDT 0211112005
EXPIRESz 1210112005VALUE: $ 23,200.00
Fee Description
Plan Review Comm/Ind/Public
+ l0o Administrative Fee
+ l0Yo Administrative Fee
+ 7o/o State Surcharge
+ 7Vo State Surcharge
Building Permit
Perm Serv/Fdr 200 amps or less
Plan Review Comm/Ind/Public
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Total Amount Paid
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$r.00 23,200.00
Total Value of Project
Amount Paid Date Paid
Value
$23,200.00
$23,200.00
Date Calculated
04t08t200s
$69.81
$6.30
$21.66
$4.41
$15.16
$216.60
$63.00
$70.98
$0.21
$3.4s
$0.78
$472.36
2nu05
6nt05
61u05
6nt05
6nt0s
6t1t05
6t1t05
6flt05
6nt05
6nt05
6nt05
Receipt Number
1200s00000000000183
1200s00000000000714
2200500000000000701
1200s00000000000714
2200500000000000701
2200500000000000701
1200500000000000714
2200s00000000000701
2200500000000000701
2200s00000000000701
2200s00000000000701
Fees Paid
Plan Reviews
Fire Department Review 0211512005 0311412005 OK GRG Plan Review: Addition of antennas
to existing tower. Job
#COM2005-00170. Plans appear to
meet code requirements.
submitted lease agreement for
expansion of site.
SDCs added.
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 cosUvalue data.
WI. Received fax from Sean Bell
addressing the 5 structural
comments.
Received final internal reviews.
Initial Review
Planning Review
Public Works Review
Structural Review
Structural Review
Structural Review
Structural Review
021151200s
02nst200s
02nst2005
02nst2005
03/18/2005
04/08/2005
04n3t200s
02n5t2005
05/16/200s
0st201200s
02t231200s
03/18/2005
04/08/2005
04n312005
SKG
EMM
SB
JMP
JMP
JMP
JMP
APP
APP
APP
WE
IO
IO
IO
0st20t2005 APP JMPStructural Review 0st20t2005
Paee2 of3
Valuation Descrintion I
Description
Estimate
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00170ISSUED: 06/01/2005APPLIEDz 0211112005EXPIRESz 1210112005VALUE: $ 23,200.00
To Request an inspection call the24 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.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Final Building: After all required inspections have been requested and approved and the building is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, I state 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 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.
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
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*ffi:ffir,Ji^
d G/,/os-
Owner or Contractors Signature o^le
Paee 3 of3
t
t(eourreo lnsDecuons I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
tFBtHGtlSl-o City of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 2200s00000000000701 Date: 0610112005 3:35:16PM
J,,b/Journal Number
coM200s-00170
coM2005-00170
Description
Plan Review Comm/Ind/Public
Buildine Permit
Amount Due
70.98
216.60
DEVELOPMENT TYPE:Cell tower addition #5
NEw DEVETOPED ARtrA (S.F.): 18
E>(STING DEVEI-OPED AREA (S.F,):
TOTAL IMPERVIOUS SURFACE (S.F.):
r. STORMDRAINAGE
IMPERVIOUS SQ.FT. O
2. SANTTARY SEWER-CITY
A. REIMBURSEMENTCOST:
NUMBEROFDFLIS
B. IMPROVEMENTCOST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
4. SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENTCOST:
NUMBEROFFEI,I"S
B. IMPROVEMENTCOST:
NUMBEROFFELTS
DilSTING:
A REIMBURSEMENT COST:
NLMBEROFFELIS
B. IMPROVEMENTCOST:
NUMBEROFFEU's
0.000
0.000
0.000
MWMC CREDIT tr APPLICABLE (SEE REVERSE)
x $ 24.04 PERDFU
x $ 18.28 PERDFU
TOTAL LOCAL SAN.SEWER SDC:
ITE:
roT SZE (S.F.):
TOTAT STORM DRAINAGE SDC:
$
ITE
x $ 0.310 PER SF
0
0
$
3. TRANSPORTATION
BLDC AREA TGSFx TRIP RATE xCOST PER ADT XNEW TRIP FACTOR
NEW
A REIMBI.'RSEMENT COST:
0.018 x 2.5 * @PERTRIP x
B. IMPROVEMENTCOST:
0.018 x L x $80.72PERTRIP x
E)ilSTING
A REIMBURSEMENT COST:
0.000 x 0 x $18.30PERTRIP x
B. IMPROVEMENT COST:
0-000 x 0
0.9s NTF
NTF
$o.78
0.95 $3.45
NTF $
x $ 80.72 PERTRIP x ___g_ NTF $
TOTAL TRANSPORTATION REIMBURSEMENT
TOTAL TRANSPORTATION IMPROVEMENT
TRANSPORTATION
0.000 $46.88 PERFEU
0
x
$4.23
$
$494.46 PERFEU
$O.OO PERFEU
$O.OO PERFEU
INDUSTRIAL STRENGTTI INCREASE
TOTAL MWMC REIMBL]RSEMENT
TOTALMWMC IMPROVEMENT
MWMC ADMIMSTRATTVE
TOTALMWMC SDC
$4.23SUBTOTAL (ADD ITEMS I, 2, 3, & 4)
4.23 x
x
x
x
5. ADMIMSTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
SLev ew W. Bea vdr g Ba rwes s/20/2005
5%
TOTAL TRANSPORTATION ADMIMSTRATION
TOTAI SEWER ADMINISTRATION
$:$
$
$
$
$
$
0.78$
$3.45
$
$
$
$
$ 0.21 I'lAifr
4.4
d&fir6&QBHNtT9&wrnr+u, 1 075 sherey st.*ts DAE
TOTAL SDC CtrARGES
0.21
1 JULY 2OM
ATTACHMENTA
crry oI'ttrt'TNGFIELD sysrEMS DEvEtopMENT CHARGE $r^'KSFIEET
NAMEORCOMPANY: CLEARWIRU SPRINT
[.oC.ATIoN: 1075 Shelley St
MAP&TAXIOTNUMBER: 170327 00 00902