HomeMy WebLinkAboutPermit Miscellaneous 2005-4-19
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'*
~ UJ t OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00181
ISSUED: 04/19/2005
APPLIED: 02/15/2005
EXPIRES: 10/19/2005
VALUE: $ 15,600.00
Status
Issued
SITE ADDRESS: 4684 MAIN ST
ASSESSOR'S PARCEL NO.: 1702324200103
Springfield TYPE OF WORK: Cell Tower - Communication
Tower
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Antenna collocation.
Owner: HOWAN INC
Address: 2783 RIVERW ALK LP
EUGENE OR 97401
Contractor Type
Applicant
General
I CONTRACTOR INFORMATION I
Contractor License
PACIFIC TELECOM SERVICES
,'"-
NEW HORIZON COMM~N~CATlONS INC 136818
Expiration Date Phone
206-464-4412
09/2412007 541-389-4203
~ -<;1'BUlbDlNG INFORMATION I
:x." ~" x\;:)"0
# of Units: f?~ <<x,'<' &-'V # of Stories:
Primary Occupancy Gronp: ~~ Y:. ,\\:1::' ~\)\)~ Height of Strnctnre
Secondary occupancY.GrOuP.:,0~'Vx,~ ....~~ Type of Heat:
Primary Constructio'n'Typ~ \)~ ~YB Water Type: \,0
Secondary Constri.1,iio;rtYi>~: '\) '\)~ ~\;:)\). Range Type: ,\O\} .,,~'\
# of Bedrooms":-':\0-'" ~'\)~'~,,~ ~ <<~ Energy Path: ~\~ec, 10 \)~ ,0'0-v::. .
ty..\)"\, ,,~~ '" \)~ Sprinkled Buildji11.,,~eQ.O e c,eiy~)'\)'" "
,,'No' . o...'J ,,,,~ _\J Q.(.. ,..~t _'0'
"~~'\ 1 DEVELOPMENiINFOR~A1JION't'''0~0 10
_\:. - "l,,~ -<'(Iv- ~'" 0" ~eY'<:' ~O
,0'- (:p~ , '^~o. ec' ,e .~\cJ>
_~, 1.>. -\- '" ~" ", ,^e o~
-<.,0- Overla~m,st:,V CO'" .~. ~
~ o-tl '#~~(feftj.~';;~,'J{~~~o,e~~~\'l>~~'
,o~.~\C:P~J;~d'Dri~~!I: >bo~ ,4//
~o''o~''Io ol)!;./Il' ~OV~~q}{l: .'Ip'\)
\~ fJ~ ~ ~~ \C,'"
~C\g ",~Q.. ,0 .,,~
....,~ --'l.'
I PUBLlC_H\1PRoVEMENTS I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
(
'--.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsIDrains:
Notes:
Paee 1 of3
..
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
.
. \...11 l' OF SPK11~unJ<.,LD
Building/Combination Permit
PERMIT NO: COM2005-00181
ISSUED: 04/19/2005
APPLIED: 02/15/2005
EXPIRES: 10/19/2005
VALUE: $ 15,600.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
15,600.00
Estimate
Type of Construction
Fee Description
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review CommlIndlPublic
Plan Review Major - Planning
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Total Amount Paid
Fire Department Review
Tntal Valne of Project
Fpp<, P..~
Amount Paid
Date Paid
$69.81
$15.42
$10.79
$154.20
$30.42
$103.00
$0.21
$3.45
$0.78
2/15/05
4/19/05
4/19/05
4/19/05
4/19/05
4/19/05
4/19/05
4/19/05
4/19/05
$388.08
I Plan Reviews I
02116/2005
03/14/2005
OK
GRG
Initial Review 02/16/2005 02/16/2005 APP SKG
Plan nine: Review 02/16/2005 04/08/2005 APP EMM
Public Works Review 02/16/2005 04/13/2005 APP SB
Structural Review 02116/2005 0212412005 WE JMP
Structural Review 03/18/2005 03/18/2005 10 JMP
Structural Review 04/08/2005 04/08/2005 10 JMP
Structural Review 04/13/2005 04/13/2005 10 JMP
Structural Review 04/1412005 04/14/2005 APP JMP
Paee 2 of3
Valne
Date Calcnlated
$15,600.00
$15,600.00
04/08/2005
Receipt Number
1200500000000000203
2200500000000000446
2200500000000000446
2200500000000000446
2200500000000000446
2200500000000000446
2200500000000000446
2200500000000000446
2200500000000000446
Plan Review: Addition of antennas
to existing tower. Job
#COM2005-00181. Plans appear to
meet code reqnirements.
Submitted cnrrent lease agreement
dated 3/8/05 for expanded lease
area.
SDCs added. No new impervious
surface.
See attached 5 structural comments
faxed to Sean BeD.
WE. Received response from Curt
Holloway to Item 2 of comments.
WI. Sean Bell emailed contractor
and cost/value data.
WI. Received response from Sean
Bell to 5 structural comments.
Received final internal review.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00181
ISSUED: 04/19/2005
APPLIED: 02/15/2005
EXPIRES: 10/19/2005
VALUE: $ 15,600.00
,
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.'
1 RI'rO\. irprl Tn.nection'l
111,lfll. rr
Ufer Electrical Ground: Install ground rod at footing and caUfor inspection in conjunction with footing and/or
foundation inspection.
Final Building: After all reqnired inspections have been requested and approved and the building is complete.
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 strnctnre without permission of the Community Services Division, Building Safety.
I fnrther 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 constructio n () f)
~ ~T2NT t./~/f-OS:-
Owner or Contractlrs Signature p ~I Fl <. T8--E'<.D J1 Date
Paee 3 of3
.
. ATTACHMENT A
CITY 0 _ NGFIELD SYSTEMS DEVELOPMENT CHARGE '.SHEET
JOURNAL OR JOB NUMBER: COM2005-00181 .
NAME OR COMPANY: CLEARWIREI SPRINT
LOCATION: 4584 Main SI
MAP & TAX LOT NUMBER: 17023242 00103
DEVELOPMEl'.'T TYPE: Cell tower addition #4
NEW DE\To.LOpED AREA (S.F.): i8
EXISTING DEVELOPED AREA (SF):
TOTAL IMPERVIOUS SURFACE (SF):
ITE:
ITE:
LOT SIZE (S.F.):
170
.'
':5 t
>~ >.8.~;"
; E i:'~
00--=
STORM DRAiNAGE
IMPERVIOUS SQ. IT. 0
$ 0.310 PER SF
x
TOTAL STORM DRAINAGE SDq
UANTfARY SEWER..cITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
o
x
$ 24.04 PER DFU
x
$ 18.28 PER DFU
o
TOTAL LOCAL SAS-SEWER SDq $
\ $
:J...J:!l,6NSP()RT~
BLOG AREA TGSF x TRIP RATE, COST PER ADT x NEW JRIP FACTOR
NEW
A. REIMBURSEMENT COST:
0.018 x 2.5 x $ 18.30 PER TRIP x 0.95 NTF 1$ 0.78 ,
B. IMPROVEMENT COST:
0.018 x 2.5 x $ 80.72 PER TRIP x 0.95 m'F 1$ 3.451
EXISTING
A. REiMBURSEMENT COST:
0.000 x 0 x $ 18.30 PER TRIP x 0 N1l' 1$
B. iMPROVEMENT COST:
0.000 x 0 x $ 80.72 PER TRIP x 0 NTF 1$
TOTAL TRANSPORTATION REIMBURSEMEl'-"!' SDq $
TOTAL TRANSPORTATION IMPROVEMEi'H SDC:I $
TRASSPORTATIOS SDq $ 4.23 , $
-
4 SANITARY SE\\'ER. MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMEl'-"!' COST:
NUMBER OF FEU's
0.000 x $46.88 PER FEU 1$
0.000 x $494.46 PER FEU 1$
0.000 x $0.00 PER FEU 1$
0.000 X $0.00 PER FEU . IS
I
I
$
$
$
$
, S
4.23~
EXISTING:
A. REiMBURSEMENT COST:
NUMBER OF FEU's
S. IMPROVEMENT COST:
NUMBER OF FEU's
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
INDUSTRIAL STRENGTll INCREASE
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDc'l $
SllBTOT AL (ADD iTEMS 1.2.3. & 4)
1$
~AnMINISTRATlVF ~
BASE CHARGE (SUBTOTAl. ABOVE)
$
4.23 x 5% S 0.21
TOTAl. TRANSPORTATION ADMINISTRATION FEE:I $
TOTAL SEWER ADMINISTRATION FEE:j S
$0.00 1070
$0.00 1091
$0.00 1092
.
.
'.; t
,,~
. 0
:r::-i,)
0.78
3.45
4.23
1093
~ -,,~.
1094
,.:.t.,
.1054
'1054
lOSS
1056
0.21 H178
0.00 1079
steV'~..... v..'. E.tcu.(.drt:j :;arvvtS.
I $
4.44
411312005
TOTALSDCCIIARGES
C\%'2S5!QJ1:\ll~'H~W1RE#4. 4684 Main SUds DATE
1 JULY 2004
. 225 Fifth Street
, Springfield, Oregon 97477
, 541-726-3759 Phone
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-.._,.,....~'.,~ .' ,'-
.J;Lty of Springfield Official Receipt
.velopment.Services Department
Public Works Department
Job/Journal Number
COM2005-00181
COM2005-00 181
COM2005-00181
COM2005-00 181
COM2005-00181
COM2005-00181
COM2005-00181
COM2005-00 181
RECEIPT #:
2200500000000000446
Date: 04/19/2005
Description
Plan Review Major - Planning
Plan Review CommllndlPublic
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC Transpo Admin
Payments:
Type of Payment Paid By
Check BRAD LEV W SMITH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 8773 In Person
Payment Total:
"
:1
~l
4/19/2005
Page I of I
9:30:46AM
Amount Due
103.00
3Q.42
154.20
10.79
15.42
0.78
3.45
0.21
$318.27
Amount PaId
$318.27
$318.27