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Home My WebLink AboutPermit Building 2001-11-09s'iIRINGFIELD Job# 01-01079-01 INDUSTRIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of2 Job Number: 01 -01 079-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00902 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1075 Shelley St Spr AssessorsMap#: 17032700 Lot:00902 Block: Addition: crrY oF SPRiNGFiELD, OREGO^ Owner: McKay lnvestments Address: 2350 Oakmont Way #204 Scope Of Work: Communication (Cell) Tower New tower installation Phone Number: City/State/Zip: New 541-485-4711 Eugene, OR 97401 Value: $198,340 Contractor Type GeneralContr Contractor Aurora Construction 5782 S Anderson, Aurora, OR 97002 Expiration Date Phone 1111512002 503-91 3-91 41 I Registration # 146452 rg\'lL\t tr No1 Office U Land Use: Zoning Code: Bedrooms: Range: S€-,q C,1 R1s\ c.? Quad Area: # Of Units: Constr. Type: Water Heater: l INW Towers & Transmitters #of Buildings: LMI Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Zoning: LMI FloodPtain? ! Wetlands? ! Journal numbers 1: Comments: 2: Planner: Sam Gollah Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White Overlay District: # of Street Trees: Land Use: Towers & Transmitters Pave Driveway? V Glenwood Area? ! Additional Requirements: Required Attachments: Source Locn: Material: n Flood Plain FEMA:1133 0f 2975 - c.t\P roB 3: lone ca$. Job# 01-01079-01 # Of Stories: Height (feet): Gurrent Units: Proposed Units Census Code: Does not apply Total Page 2 of 2 Construction Types Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check lndustrial Plan Review Fire & Life Safety Plan Review Total Plan Check 1010212001 1110912001 6876 7215 198,340 198,340 $576.81 $354.96 $931.77 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 11t0912001 11t09t2001 11t0912001 7215 7215 7215 198,340 $887.40 $62.12 $70.99 $1,020.51 Public Works 11t09t2001 7215 1Encroachment Permit Total Public Works $8s.00 $85.00 Planning 11t09t2001 7215 1Planning Plan Review Total Planning $50.00 $s0.00 Grand Total Plan Check Type lnitial Review-C/l/P Engineering-C/l/P Planning-C/l/P Structural-C/l/P Checked By Lisa Hopper Pam Ownby Sam Gollah Tom Rogers Date Completed 10t0512001 1013112001 11t06t2001 1011512001 $2,087.28 Comment Planning review determination requested 11/05/01 - dlm faxed plan review notes to Alpha Omega Communications 10/16 Special inspection is needed for placement of reinforcing steel and anchor bolts and concrete. Structural-C/l/P Tom Rogers 1012412001 Fire Marshal-ClllP Al Gerard 1010812001 Plan review of installation of cell tower 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 requested at the proper time, that project. I further agree to ensure that all required inspections are the project address is readable from the street, that the permit card rty, and the approved set of plans will remain on the site at all times tl is at the front of the p Date A8/8I/?A6L 18:21 5417361365 ALPHA OMEGA CRlCxe f SITE CANDIDATE INFORMATION S'r€ET loSrdlott: Comptete rll tpp{crblc €nties on Otls lorm !r c.dr Cb vblt d. lnfmnation corrtrined on llrl. lorm Clall b. oontld{rcd CONFIOENTAL and chqll not ba di.d6ed or us.d. rlcrpt in lccoldsncr xilh sptrixur writio Eorlcm.ntr. PAGE 02 A. GENERAL INFORMATION Site Name: McKav lrwsslmgnt#2 Site lD/ Number Street (911) .d.ICE il 'C fro, County:IANE city/STlZlP:SPRINGFIEU)/OEIg?I?L Zoning Jurisdiction:@ Zoning Classlficetion: Uqht U€dlum lndtrsillel Pr({ed LESLIE A OTWELL Tel:(405) 641-0112 RF Engineen RAYMoND ONGEWE . - Date ot Site Msit: .b0( Driving Dlreciions to willbe fost b63ide buiqino,B. RF Design Red CL Height (Ft, AGL):_ 100' Latltude: Gmund nfnSL fi):415'+/- c. SITE/t-Ar{OOTYNEiSFIIP Company / Ownec . McKav lrlvestments Sec.tors: Lortgitude: W'l?3.02 35-1 -., - Locel Trce/Obstr He'rght Ct):-N(f,-- Contact:I indl MeKav Kar?h /tO'tContactAddrtss:2350 kmontWav- Euoene OR 97 Tel: ,(54r)J95-tl7l1 , FA)C (54r)?14 Land Orner (lf di$erent from Owner) Prop€rty Manager (r difrersnt from Owner Cofiact): Representing: * . McKtvlnvest$ents- D. Sr?E DATA 1. Gmund Sita Master Tsl: - (5a1) 7tf.0502 ... Existing use: oFFlcE.sPAcE & vAcAN[ LOT No. ExistirE Caniers:N/A Overan Property Dimensions (Ft): - .. 17?r[' . - X 510' Equipnent SpaceAvailable (Ft): 10' .. X - 30'lndutles Sogce.forPols Structure Type: E - None (Groerfiekf) tl - SS Twrer O- Guyed Tounr tr - WaterTcnk tr - Monopole tl- Trn$t Tw ProFsed Antenna Support Strudufe Hcight (R, AGL):,o0' Antonna Hebht(s) AvailaHe (Ft,r oo' t ..^--. ?^^h--r^-t-- ?t6-;J^^. lE - Sitc Phdos City Of Springfietd Development Seruices Community Services Division Building Safety Job# 01-01079-01 Page 1 of 2 Location Of Proposed Site: 1075 Shelley St Spr AssessorsMap#: 17032700 Lot:00902 BIock: Addition: Tax Lot#: 00902 Subdivision: Owner: McKay lnvestments Address: 2350 Oakmont Way #204 Scope Of Work: Communication (Cell) Tower New tower installation Phone Number: City/State/Zip: New 5414854711 Eugene, OR 97401 Value: $198,340 Gontractor Type GeneralContr ElectricalContr Contractor Doucette 5782 S Anderson Rd, Aurora, OR 97002 Heil Electric Co 8425 Se Stark St, Portland, OR 97216-1188 Registration # 146452 Expiration Date 11t15t2002 Phone 503-266-8565 503-255-40743872t1412003 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check lndustrial Plan Review Fire & Life Safety Plan Review Total Plan Check 10t02t2001 6876(@f 198,340 198,340 $576.81 $354.96 $931.77 Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Building 11109t2001 11t0912001 11t09t2001 7215 7215 7215 198,340 $887.40 $62.12 $70.99 $1,020.51 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 11t30t2001 11t30t2001 11t30t2001 11t30t2001 11t30t2001 7384 7384 7384 7384 7384 1 2 $.00 $63 00 $6 00 $4.83 $5.52 $79.35 Public Works Encroachment Permit Total Public Works 11t09t2001 7215 $85.00 $85.00 Planni Planning Plan Review Total Planning 1 $50.00 $s0.00 Grand Total 11t0912001 7215 $2,166.63 1 ll/rAtoL FRI 00:24 FAX 541720t68s f lswhg t70 LEGAL JOB DESCRIPTION.. CwcJ<tt fBlt sik- if work i,s ofissuancc 180 days. CITY OF SPRINGFIEI.D as submitted has the folowing @oor ,,:,1|-,: ,j /ir,,.,,':.1,!..ji:i':'.:rliriri. ,::r;ii; l.l,: . 'r,( i I' '.. .'j:. rii:l]. ..i.:' ,,.,'r''f, ooToz Ifiulti-Fuily pcr drvdliag unlt Service lacluded: Itcrns 1000 sq.t. or less Eadr additiomal 500 sq- ft or potion thereof EachManufdHone or ModularDwclling Service or Fceder Cost ,f r05.00 .s 50.00 $ :: Permits are non-uansftrable ald expire wIl}in 180 drp work is srspended for ALLATIONONLY B. ServiccsorFeeders Electrical In-ttall:ttion, Relocadon: 200 anrps or 201alnpsto 401 amps aqps Elcctriciao Ovcr UB' Il. Brench orwrJh E. r 7Vo EYo ,:'ryT# ' (J t ^^uU5 rSL ?? 35 .iiir) Fee is 4. TOTAL ,71,?4