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Home My WebLink AboutPermit Building 2005-02-03Status 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: COM2005-00032ISSUED: 0210312005APPLIEDz 0111212005EXPIRES: 08/0312005VALUE: $ 15,000.00 SITE ADDRESS: 693 36TH ST ASSESSOR'S PARCELNO.: 1702311201600 PROJECT DESCRIPTION: Collocation of antennas. Springfield TYPE OF WORK: CelI Tower - Communication Tower TYPE OF USE: Alteration Commercial Owner: Address: Contractor Type General Electrical STAFEKTERRY L 87820 CEDAR FLAT RD SPRINGFIELD OR 97477 Contractor WIRELESS F INC License 145637 INC 203 Expiration Date 07t24t2006 0710u2008 Phone 703-904-7400 503-535-2652OREGON # 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: # of Stories:.1O Lot Size: Height of Structure Sq Ft lst Floor:U VB Type of Heat:gd Ft 2nd Floor: Water Type:Ft Basement: Range Type:Ft Garage/Carport Energy a'tl"Other: Load: 19 REQUIRED PARJ(NG Total: Handicapped: Compact: o//o Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Paee I of3 ,f [L CUN t(rN I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676F2x 541 -1 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00032ISSUED: 0210312005 APPLIEDz 0111212005 EXPIRES: 08/0312005VALUE: $ 15,000.00 Description Estimate Tvpe of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 15,000.00 Total Value of Project Amount Paid Date Paid Value $15,ooo.oo $15,000.00 Date Calculated 0u1212005 Fee Description Plan Review Comm/Ind/Public + l0Yo Administrative Fee + 1oh State Surcharge Building Permit Plan Review Minor - Planning Total Amount Paid $95.16 $14.64 $10.25 $146.40 $59.00 ut2l05 2t3t05 2t3105 2t3t05 2t3l0s Receipt Number 2200500000000000040 1200500000000000139 1200500000000000139 1200s00000000000139 1200s00000000000139 $325.45 tr'ees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review 0u13t2005 01/13/2005 01/13/2005 0U27t2005 0u1312005 0u22t2005 0u2412005 0u27t2005 LLH EMM SB JMP APP APP APP APP 0y13t2005 0u1412005 wE JMP SDCs added Received fax from JeffBorrevik addressing review comments. See attached 6 structural comments faxed to Albert R-H Teng. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Renrrired Insneetions Paee 2 of 3 Valuation Descrintion I Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fa'x 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00032ISSUED: 0210312005 APPLIEDz 0111212005 EXPIRES: 08/0312005VALUE: $ 15,000.00 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 Date Pase 3 of 3 225 Fifth Street - Springfield, Oregon 97477 54L-726-3759 Phone 1-':ty of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 1200500000000000139 Date: 0210312005 10:31:32AM Job/Journal Number coM2005-00032 coM200s-00032 coM2005-00032 coM2005-00032 Description Plan Review Minor - Planning Building Permit + 7%o State Surcharge + l0%o Administrative Fee Amount Due 59.00 146.40 10.25 14.64 Item Total:$230.29 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard CYNTHIAM. RUPPERT #zoZ Jmp 044875 In Person $230.29 Payment totat: -$i368 't/tf z*/ 2/3/200s Page I of 1 *Fltli**-Ft*ei, CITYOT ATIACHMENT A INGFIELD SYSTEMS DEVELOPMENT CHARGE V SHEET JOURNAL OR JOB NUMBER: COM2005-00032 NAMEORCOMPANY:AT&TWireless I,OCATION:693 36th St MAP & TAX LOT NUMBER: 17 0231 12 01600 #VALUE! #VALUE! $ $ $ I #VALUE! #VALUE! DE\IET,OPMENT TYPE: NEW DEVEI,OPED AREA (S.F.): DflSTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SI.JRFACE (S.F.): I, STORM DRAINAGE Addition to Cell tower NONE NONE x $ 0.3 l0 PER SF 0 0 ITE: ITE: LOT SIZE (S.F.): 3. TRANSPORTATION BLDG AREATGSF X TRIP RATE X COST PERADT XNEWTRIP FACTOR NEW A REIMBIIRSEMENTCOST: 0.000x:'-I@PERTRIPx B. IMPROVEMENT COST: 0.000x**@PERTRIPx E)oSTING A. REIMBT'RSEMENT COST: 0.000 * __L x $ 18.30 PERTRIP x B, IMPROVEMENT COST: 0.000 x 0 x $80.72PERTRIP x IMPERVIOUS SQ. FT, 2. SANNARY SEWER-CITY A. REIMBURSEMENTCOST: NUMBER OF DFLIS B. IMPROVEMENTCOST: NI-MBER OF DFU's (SEE REVERSE SIDE) 4. SANTTARY SEWER - MWMC NEW: A REIMBTIRSEMENT COST: NLIMBER OF FELrs B. IMPROVEMENT COST: NUMBER OF FEU's E)flSTING: A. REIMBI'RSEMENT COST: NUMBEROF FEI.,TS B. IMPROVEMENTCOST: NUMBER OF FEU's TOTAL STORM DRAINAGE SDC x $ 24.04 PER DFU x $ 18.28 PERDFU TOTAL LOCAL WASTEWATER SDC:$$ 0.95 NTF #VALUE! 0.95 NTF #VALUE! 0.95 NTF $ 0.95 NTF $ TOTAI TRANSPORTATION REIMBURSEMENT SDC TOTAL TRANSPORTATION IMPROVEMENT SDC TRANSPORTATION SDC:#VALUE!#VALUE! MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMIMSTRATI\E FEES: BASE CHARGE (SLIBTOTAL ABO\E) Stev ew W. Bea v.dr g Ba Y wes ,W,"tBQP,,{&Ytfr 9Duooa.x. 0.000 x 5494.46 PERFEU 0.000 x $O.OO PERFEU 0.000 x $O.OO PER FEU TOTAL MWMC REIMBI.]RSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMIMSTRATT\G FEE: TOTALMWMCSDC SI.]BTOTAL (ADD ITEMS I, 2, 3, & 4)#VALUE! 5%#VALUE! TOTAL TRANSPORTATION ADMIMSTRATION FEE: TOTAL SEWER ADMIMSTRATION FEE : 1/24t2005 0.000 x #VALI.]E! $46.88 PERFEU NONE $ $ $ $ DATE TOTAL SDC CHARGES $ 1 JULY 2OM 1070