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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 I I "I , ,. , ,. " if ..,0 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. .....:.'. ~'A . ; A' ~ .,~~, " .".....', .-. __..'''...__...._0___... _. 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