HomeMy WebLinkAboutPermit Miscellaneous 2008-10-14
CITY OF SPRINGFIELD
Building/Combination Permit
Status
In Review
PERMIT NO: COM2008-01533
ISSUED:
APPLIED:
EXPIRES:
VALUE:
10/14/2008
04/1512009
$ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2656 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254100102
Springfield TYPE OF WORK; Cell Tower - Communication
Tower
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Antenna co-locate
Owner:, WARREN WIMBERLY M
Address: 14855 SE 82ND DR
CLACKAMAS OR 97015
Owner; - HOWARD KEVIN
Address; 14855 SE 82ND DR
CLACKAMAS OR 97015
Contractor Type
Electrical
I CONTRACTOR I~FORMATlON I
Contractor License
OREGON ELECTRIC CONSTRUCTION INC 203
Expiration Date
07/01/2010
Phone
503-535-2652
BUILl1m~ INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# of Stories;
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size;
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
'Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupaut Load:
,nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Street Improffl!J'l'ItE:
Storm SewerTfflBI~RMIT SHA __
Speciallnstr)l.'!JIpRDRIZED UND II EXPIRE IF THE WORK
. COMM ER THIS PERMIT IS NOT
Notes: ANY 1 ENCED OR IS ABANDONED FOR
80 DAY PERIOD,
Overlay Dist: Total:
# Street Trees Rqd: . Handicap,fed;
Paved Drive Rc(if:TENT10N: Oregon law requlc8~p~'ci:
% of Lot CovdEl/!!ew rules adopted by the Oregon u,:ltty
Notification Center. Those rules are set fortn
In nA~ Q<;?-nnl-00l0 throuoh OAE 962-}:)1-
I PUBLIC IMPROVl'iMtiNi.~ may obtain caples 01 me r:"8~ "y
'_.. - _...,e center. (Note: the telspno' ,'3
number for th5id'ew!!lkrItype:y !'io\Jric~~,~n
CenterJs 1-800-332-2;)44).
. vownspouts/Drams:
Frontyard Setback:
Side 1 Setback:
. Side 2 Setback:
Rearya,'d Setback:
Solar Setbacks:
Paee 1 of 3
,~ db
'\;~ ~
~-
~
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2008-01533
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Status
In Review
I Valuation Descriotion' ,
Description
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
20,000.00
Tvpe 'of Construction
Estimate
Estimate
Total Value of Project
!..Fpp<c pqW
Fee Description
Plan Review Comm/IndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$137.46
$84.59
$12.30
$14.76
$6.15
$50.00
$73.00
10/14/08
10/14/08
10/15/08
10/15/08
10/15/08
10/15/08
10/15/08
Total Amount Paid
$378.26
I Plan Reviews I
Fire Department Review 10/1512008
Plannin2 Review 10/15/2008
Public Works Review 10/15/2008
Structural Review 10/15/2008
Initial Review 10/1512008 .10/15/2008 APP LLH
10/14/2008
04/15/2009 -
$ 20,000.00
Value
Date Calculated
$20,000.00
$20,000.00
10/14/2008
Receipt Number
2200800000000001504
2200800000000001504
2200800000000001509
2200800000000001509
2200800000000001509
2200800000000001509
2200800000000001509
To Request an inspection call the 24 hour recording at 726-3769. 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
work day. . .
]?pnllirprl In'',npf'tio~
Rough Electric; Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service; Approval required prior to utility company energizing service.
Pa2e 2 of3
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Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01533
ISSUED:
APPLIED:
EXPIRES:
VALUE:
10/14/2008
04/15/2009
~ 20,000.00
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, aud 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.
[ further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
[ further agree to ensure that all required inspections are requested at the proper time, that eacb address is readable from the
street, that the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 3 of 3
Date
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:J.A.DEVINE@ISG-GROUP.COM
Receipt # EC540007
IO/15/200810:55:36AM
~
.8 '
Check on st:ltus of permit
By Phone: (541)726-3753 or EmaiI: permitcenter@ci..pringfield.or.us
c
.".;:"~::~-;T'(PE;PF-\JVO=RK~_- ~;;:\~~=~."~~_~ '" -':~ -':
D Addition/alteration/replacement
. '-~"'. ,-,
1- F,EES_CH~DUlI~' .-' ",'
I Description l Qty. J Ea. I Totnl
~R-cside"liij:ll SI~GLE~ORnlulti-family d\\:eIling ullii:'lnclu"des -~
:atiltC~,~.!f'g~~agc";~_, ,;:,.::":,~:,_:~ =. .~~:- ",,;'-" ;?../.
--, ;"SF
I [K] New construction
~. -:bCATEGORY:OFCONSTRUCTf6t.f ""~:: .~"'"
- ,'., .'.;~.. -, ,_ .,_"--to, "_=-' - ..~-" .,.....'.. ;.. ..
D 1 or 2 family dwelling 0 Multi-family [Xl Commercial I Industrial
."... .,
.~. r:_~"
_."'^,....,
r._,~: ~ _:_~~..r l : jJp~.~_!TE~N.FO~~~rl,Q~€NJ)~,,~~g~Iio_~~_l~;
IJobno.: [1683 IJobaddress: 2656 OLYMPICST
ICity/StlltelZll): SPRINGFIELD, OR 97477-3488
I Suite/bldg.lapc.no.:
I Project name: SAI. EG02 MOHAWK
Cross street/directions to job site:
1,000 sq. ft. or less
1 Ea. addl 500 sq. f1. or ponion
1;~i!Ji,~tc~l~nci~~~f4':
I-Limited energy, residential
(with "bove SQ, n.)
I-Limited energy, multifamily
residential (with above SQ. ft.)
I-Limited energy, commercia-]
(with above SQ. ft.)
1 . Stand-alone limited energy,
residential
1 - Stund:'alone limited cnergy,
multi-familv
- Stand-alone limited energy,
commercial
j
-,..".
'. ~.
".
I Subdivision;
ITax map/parcel no.:
!Lot no.:
1703254100102
.'~i5~scl~h~TIQN:o!_WORK).<,:::,_: :......,
NEW SITE BUILD - CELL TOWER
~;-
I"'
"
'....c ..~ '{~".:',r:" -~~1'" f;- ~Y:SYrE_~ONTA9f .,
! Name: CHENO HOLGUIN
IPhone: (503) 849-3291
[mail:
j FlU: (503) 247-0108
,JiiffcoNfRA.CIQ~" :
1 EI. lie. no.: 26-95C I cco lie. no.: 203
I Business Name: OREGON ELECTRIC CONSTRUCTION INC
I Contact: JENNIFER DEVINE
Address: 10lOSE 11TH AVE
I City/State/ZIP: PORTLAND OR 972] 4.2507
II'hone: (503)5466062
I [mail: J.A.DEVINE@ISG-GROUP.COM
I Metro lie. no.:
I Supervising electrician's lie. no.: 4549S
I Supervising electrician's llllme: RICHARD THOMAS MCELLIOTT
1.'llX: (503)2470108
ICity lie. 110.:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with Instructions on how to schedule your inspection.
.SI .;fi'
EtE<:IRICAL P,-~RMIT. FEES
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job .site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
8...P.,__!'H~.'.P..~.~~~ '!~'..'~_'~:.'..I. .....:.'.
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Job/Journal Number
COM2008-0 1533
COM2008-0 1533
COM2008-01533
COM2008-01533
COM2008-0 1533
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200800000000001509
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/15/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page I of I
ONLINE OREGON Online
ELECT
CONST
Payment Total:
12:48;26PM
Amount Due
73.00
50,00
6,15
14,76
12.30
$156.21
Amount Paid
$156.21
$156.21
10/15/2008