HomeMy WebLinkAboutPermit Miscellaneous 2009-4-2
CITYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00142
ISSUED: 04/02/2009
APPLIED: 01/30/2009
EXPIRES: 10/02/2009
VALUE: $ 10,000.00
Status
Issued
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: Addition Commercial
PROJECT DESCRIPTION: Antenna Co-locate
Owner:
Address:
T MOBILE
621 SW ALDER STREET #300
PORTLAND OR 97205
I ,CONTRACTOR INFORMATION I
Contractor Type
General
License
120253
C!lntractor
HPS CONSTRUCTION INC
# of Units:
Prim..-y Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I, BUILDING I~FORMATlON I
# of Stories: s 'Iou \0 '
V Height of StJ:uqtlJn\lil~on lj\i\I\~h
'CJiPV''' Ole" \ \0"
.TYe~~_-;il~:\\'Ie ale se OO~.
,,\\~\\\\OlWa'l!~1I'Y. ~ose lu~tJ>.?- g"'~~es '0'1
r \0'IJ tu,eIWg.g!2q:y ''\1\101.19 0\ \\'Ie ( one
\o\\ica\IO~~~()i\,~,l~:cO?ie\e \ele?\'I a\IOo
':'0 ~J>.?- gOS-w;mklfd~'\.il!1in~:\\'1 \\o\I\I~,/a
,~ "(\\1 \'\ _.....\R~. ...... \1\\ \ ~., A\.
r>"'" \'fr ~- __n..~ ",,"' ~
l-bR~ED,)tM'EN'I',INlJ1Ii)RNiAtION .
,". I 1
\\u(\lV" ceOW\ ,-
Overlay Dist:
# Sireet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC 1MPRO~EMENTS I
Street Improvements:
Storm Sewer A vaHable:
Special.lnstruction:
Phone Number: 503-241-0279
Expiration Date
02/11/2010
Phone
503-357-4217
Lot Size:
Sq Ft 1st Floor:
Sq' Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
. R\<.
Downspouts/~W'-:'i\-\E WO
NOi\Ct: \'J\li S\-\~t\.. E'f...? I'ER\'J\li IS ~Oi
i\-\IS I'E~lEO UNOER i\-l~~OO~tO fOR
~~i~~~NCtO O~ IS ~B .
",,1.: O)l.~ nJ.\'l
IValuation Descrio~ lBO, .
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Constrnctiim
Page I of 3
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
Fee Description
Plan Review Comm/lnd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Fire & Life Safety
Plan Review Minor - Planning
Total Amount Paid
Public Works Review
Structural Review
01/30/2009
01/3012009
Initial Review
01/3012009
Planning Review
01/30/2009
Fire Department Review
01/3012009
Plannine: Review.
04/0212009
$1.00
10,000.00
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00142
ISSUED: 04/0212009
APPLIED: 01/30/2009
EXPIRES: ] 010212009
VALUE: $ ]0,000.00
$10,000.00
$10,000.00
01/30/2009
Total Value of Project
Fpp. P'WLJ
Amount Paid
Date Paid
Receipt Number
2200900000000000115
1200900000000000234
1200900000000000234
1200900000000000234
1200900000000000234
1200900000000000234
Plans Review: Addition of antennas
for T-Mobile to existing Sprint
tower. Job #COM2009-00142. Plans
appear to meet code requirements.
Bird issues resolved okay to issue
permit.
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.
$88.40
$16.32
$12.75
$136.00
$54.40
$119.00
1/30/09 .
412109
4/2/09
4/2109
412/09
412/09
Final Building: After all required inspections have been requested a~d approved and the building is complete.
Final Electric: When all electrical work is complete.
$426.87
Plan Reviews ,I
APP CTM
01/30/2009 APP LLH
02/02/2009 APP EMM
02/20/2009 APP GRG
04/0212009
APP TAJ
I. Rpflllirf''Vnsnections I
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00142
ISSUED: 04/02/2009
APPLIED: 01/30/2009
EXPIRES: 10/02/2009
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther 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 structnre without permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I fnrther agree to ensnre that all reqnired 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
. ti'2?:oLA- 4 _ Z - DGJ
Owner or Contractors Signature
Date
Page 3 of 3
225 Fifth Street
S~ringffeld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00142
COM2009-00 142
COM2009-00 142
COM2009-00142
COM2009-00 142
Payments:
Type of Payment
CreClitCard
cReceiotl
RECEIPT #:
1200900000000000234
Date: 04/02/2009
Description
PIal) Review Minor - Planning
Building Penn it
Plan Review Fire & Life Safety
+ 5% Technology Fee
+ 12% State Surcharge
Pa id By
CHRIS SORENSEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
635168 In Person
Payment Total:
Page I of I
IO:34:24AM
Amount Due
119.00
136,00
54.40
12.75
16,32
$338.47
Amount Paid
$338.47
$338.47
4/2/2009