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Home My WebLink AboutPermit Electrical 2004-9-16 _,'" Sep' 07 04 07.4Sa Clint-on Cox S03-749-2429 p.1 115 FInH stREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA-X: (541)~ . i&,& ELECTRICAL PERMIT APPUCAnON J . "'VI, CityJObN~Jn1 )1JR.,4 -()O).1,S DaI. ~:J~ Olo"'>&O' . . . ..' -., ... ... ,.... ... ~ . ~~~~~~r~~~ 3. O)MP~'FEESCHEDUU~ \~A-L DESCRI4Il. 00 \O~ A. ~: ::::tW -'sm:tc or Mult>-Family JOB~~N' 1000 sq. ft. or less \ Eacl1l1dditionnl 500 sq. II. or """" ~ r. ~ L\ (' ~(\ ~ r ,\~ ponion 1hercof $ 19.00 P.rmJl$ are no...lransf....b1. and .xpirt Ifwot1t is M~~~_~~~J~~~orregon law reqUi~Ou to nolslllrtcd within 180 dap or I..oa_ or if......" b F-~I~I".,~. Y~~~IIt:' duopted tw th" nre ,.001'1,'1; * Suspended for 180 days. ~N f tll ,: ; :o~ ;~at!~r1,r;;entp.r. .Those rules ,are set forth': 1. C:ONl'~ci:.~R.INST~O~01!LY B..'~. ,"'",:1F'~~~~~IL<:JBI';~~8'i"_IiO~: \ 0;;"\ \ _ 0090. You may oblain r:J1e~.~f'leStb\t~:> Elcclrical Con~lOr 'vY\ nn. -b \... ~c..\C... 200 l\mJ>tefl'~ the center. ( '.' . o~- 201 AmtllUII~~e GregOR U:;lily tiUII Add...... Y_Q,~ :u4~ 4OIAmpsI0600~rlsl.80CE:':ft; .ij8 601 Ampa 10 1000 Amps S ~.OO Citypovd\l\""r\ Pbonc('<O....)~"O -clo-riLo- 1000AmpsNohs $m.oo Reeonn<>cI Only $ 50.00 " " Supcrvi_ Lic=c: Numbc< <..j S9 I S Expiration Dale 101/ 104 c. 'T~po~~~qF.~~':'. ..... COIlSll'. Conb'. Numbc< -' <.. ~<. 7 F.spiration 0'"0 c:;;;- 11,10$ - ol~<:" lO/'/d-l Installation..A1ta'1\tion or Relocation I1vllut:. ~: ::i{~Cllo~;1F SHALL ~:r~-r.{ If ~ v, unl\ 401 A~I"'ll;O'd'&IiP UNDER I n,,, t-t~r&~ I~U I D.ov:,,1t~~~r.IWJ!NED FOH .' . "", '-. . .. " . .-'- , SilJll:llute ofSuperv;.ing Ekdrieilln ~ \ " ...: \ New A-Ilnation or EXlbSioD Per PaJlCl ~\....1k\Y"( ~\... One Circuit $43.00 -----:) Ea.:h Additional Cin:ait or".j11l . I Owners N..... Weun 'I5Y10 Servic. or Fccda Permit "1 S 3.00 AddlUll 4~ 9 Lf /YY1A~.s 7I!.'ll:'is<dWItollS(Servicetfecdco' ~ot iDeludedl-EiIdl'IDStIl1aUon City ~V I \Z.~ PboDe Pump or inigation SigDIOulline Lib'llling LimilCd EDcrgyIRcsidcnb:l1 Limited Eftugy/CouunerciaI S 50.00 $ 50.00 S 2$.00 S 45.00 OWNER INSTALLATION Th. io.<taIbtioo ;,. being mad. on .' .. _ ,) I 0_ which is nol inlCtldcd for ""e. lease or I'CIIt. MiIliJnlllD E1_ P.rmill. ". ...: JIl Fee is $4$.00 + Sarcb:arges Owner.< Sign:nar.: 4..[;"lJ~~.<nA1.0FABOVE', .. 7%StI~Sun:haric 10% Adnli1liscr.atMl Foe _o~ I~- ~t~ Inol'<<llon Req_t: 716-3169 TOTA-L 87.70 _ Drio<(nIB..Idi~ _ricoJ PtnaiI Apptic>buo J <>J.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00523 ISSUED: 09/08/2004 APPLIED: 05/05/2004 EXPIRES: 03/08/2005 VALUE: $ 84,415.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4684 MAIN ST ASSESSOR'S PARCEL NO.: 1702324200103 Springfield TYPE OF WORK: Cell Tower - Commnnication Tower Alteration Commercial TYPE OF USE: PROJECT DESCRIPTION: Replace existing 90' Tower :with 120'tTower eo\ nrpS VU\.' '-' _" ,..,.-.("\1\\. nrp'oon laW r _-':..: I \~ \\~v t\lll-'" ..o'"''jlt1v'V....>;.;, In Owner: HOWAN IN,Cl\oW rules adopl8 -r~:,c" rules are set 10i( Address: 2783 RIVERWALK,LI10 \EUGENE1 OR' 97t"01AR 952-00\- . N()\\I''''U''~ '0' !'\lOU\! ' ~ _.........t"'lnn1-00\ '\ i"-l-.......,\pc;.bV In un" ~ - obtain CO\JIl;;;;:).... .",. _ -':""".....OA 0090. '{ou :a~ente,l (1(!)N{ffii\'€ron:IlS.F.Ql1MATION I calling t h Oregon U."'/l (r... .con1llft"ctb~e~ Is 1_800-332-2$44). License AFL TEL'iiCOMMUNICATlONS GAZLEY PLOWMAN ARCHITECTS CLINTON STACEY COX MONTI ELECTRIC INC. Phone Number: 541-683-9001 Contractor Type Applicant Architect General Electrical Expiration Date 135862 135326 06/28/2005 05/17/2005 Phone 503-490-2286 503-274-7800 503-681-8384 503-253-5921 VN , BUlLDlNGJlNFORMATlON t EXPIRE IF THE WORK 1 HI~ t't~IV\l1 ..., ,n~ I IS NOT # ofSW~lffiORIZED UNDER THIS PE\itt;\llize. Height~~WIt~~,@ OR IS ABANDmS~q,t~Floor: Type ljf e"/'ilO DAY PERIOD. Sq Ft 2nd Floor: Water'T pe: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: U-2 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downsponts/Drains: Notes: Paeelof3 .. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00523 ISSUED: 09/08/2004 APPLIED: 05/05/2004 EXPIRES: 03/08/2005 VALUE: $ 84,415.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Estimate Pavine Estimate Use Bid Amonnt $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 83,415.00 1,000.00 Value Date Calculated Description Type of Construction Total Value of Project $83,415.00 $1,000.00 $84,415.00 06/14/2004 06/14/2004 Fpp< PIilIJ Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 7% State Surcharge Building Permit Paving Plan Review CommlIndlPublic Planning Final Occy Inspection Amonnt Paid Date Paid $240.92 $54.83 $35.23 $503.25 $45.00 $88.73 $143.00 5/11104 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 Receipt Number 2200400000000000508 2200400000000000793 2200400000000000793 2200400000000000793 2200400000000000793 2200400000000000793 2200400000000000793 Total Amount Paid $1,110.96 I Plan Reviews , Initial Review 05/05/2004 05/05/2004 OK RJB Plannine Review 05/05/2004 OS/20/2004 APP TAJ Meets WTS siting requirements of SDC section 32.130 (2)&(3). Public Works Review 05/05/2004 OS/25/2004 APP SB No new impervious surface. No System Development Charges. SWBB Structural Review 05/05/2004 05/1 0/2004 WE JMP See attached fax to David Lyman with 4 issues. Structural Review 06/14/2004 06/14/2004 APP JMP Received requested information. To Request an inspection call the 24 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. IRp~ Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of3 . . LIl r OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00523 ISSUED: 09/08/2004 APPLIED: 05/05/2004 EXPIRES: 03/08/2005 VALUE: $ 84,415.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ofany structure without permission of the Community Services Division, BuildingBafety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 fnrther agree to ensnre 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 dnring construction. , q ~O~ O~~;:t;:~ Date Paee30f3 . .~ ~.~:-! ~~.j .ty of Springfield Official Receipt Wevelopment Services Department Public Works Department 215,Fiftll Street &priniheld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00523 COM2004-00523 COM2004-00523 COM2004-00523 Payments: Type of Payment Check 9/812004 RECEIPT #: 2200400000000001135 Date: 09/08/2004 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By MONTI ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received NJM 6696 In Person Payment Total: Page I of I 2:05:58PM Amount Due 63.00 12.00 5.25 7.50 $87.75 Amount Paid $87.75 $87.75