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Home My WebLink AboutPermit Miscellaneous 2004-6-17 . CITY (JI< :srKlNlinJi;LU Building/Combination Permit PERMIT NO: COM2004-00523 ISSUED: 06/17/2004 APPLIED: 05/05/2004 EXPIRES: 1211712004 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 - Communication Tower Alteration Commercial TYPE OF USE: PROJECT DESCRIPTION: Replace existing 90' Tower with 120' Tower Owner: HOWAN INC Address: 2783 RlVERW ALK LP EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Applicant Architect General Electrical Contractor AFL TELECOMMUNICATIONS GAZLEY PLOWMAN ARCHITECTS CLINTON STACEV COX MONTI ELECTRIC INC. License 135862 ._\IOU~~m6 , I BU.~('; 1NiGRMl\;:i~1 ~ ' I II .~. . ~"" 9.1"-- """. ~W:\eS gS2-v,", ~,,~~ "ll...o~~ O~ t\l\e~ 'o'f ~~ r~ljrB ~o(\e ~.Q1)\ :!~!\"e\e\e? a,.\\Oll 1I\U""~~ e\\'{~.~i\'I\'IO\\\\C ~ t\9eeR:~~~\ ,,34A)- ~t\9 \C)t'OlEMH! :?>2'" ~ ~~ ed Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENTlNFORMATlON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Pbone Number: 541-683-9001 Expiration Date Phone 503-490-2286 503-274-7800 06/28/2005 503-681-8384 05/17/2005 503-253-5921 n/a 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: ,,/""Il I PUBLIC IMPIW"'~~ENTS l :-It-.\.\. {YJl\~{ \f ~~ \S ~O\ 1\\\S I'~~i~~ \l~O~~4~g; fO~ ,,\f\\\O~~C~O O~ \D~poutsmrains: CO\'ll\'ll~ n,,'{ I'~~\O\}. "ti'{ '\ ~O " Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 013 . CITY OF !srKlNGFIELD Building/Combination Permit PERMIT NO: COM2004-00523 ISSUED: 06/17/2004 APPLIED: 05/05/2004 EXPIRES: 1211712004 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 , Description $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 83,415.00 1,000.00 Tvpe of Construction Estimate Pavine Estimate Use Bid Amount Total Value of Project Fppo. tiiILI Fee Description Plan Review CommlIndlPnblic + 10% Administrative Fee + 7% State Surcharge Building Permit Paving Plan Review CommllndiPublic Planning Final Occy Inspection Amount Paid Date Paid $240.92 $54.83 $35.23 $503.25 $45.00 $88.73 $143.00 5111/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 Total Amnunt Paid $1,110.96 I Plan Reviews , Initial Review Plannine Review 05/05/2004 05/05/2004 05/05/2004 05120/2004 OK RJB APP TAJ Public Works Review 05/05/2004 OS/25/2004 APP SB Structural Review 05/05/2004 05/10/2004 WE JMP Structural Review 06/14/2004 06/14/2004 APP JMP Value Date Calculated $83,415.00 $1,000.00 $84,415.00 06/14/2004 06/14/2004 Receipt Number 2200400000000000508 2200400000000000793 2200400000000000793 2200400000000000793 2200400000000000793 2200400000000000793 2200400000000000793 Meets WTS siting requirements of SDC section 32.130 (2)&(3). No new impervious surface. No System Development Charges. SWBB See attached fax to David Lyman with 4 issues. Received requested information. To Request an inspection call the 24 hour recording l!t 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. Up.nllire~n~np.{'tion~ I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlnr foundation inspection. Foundation: After forms are erected but prior to concrete placement. Final Building: After ail 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 2 013 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF ~rKll'Ojl.J<1j<,LU Building/Combination Permit PERMIT NO: COM2004-00523 ISSUED: 06/17/2004 APPLIED: 05/05/2004 EXPIRES: 1211712004 VALUE: $ 84,415.00 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 c!,rrect, 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 structure without permission of the Commnnity Services Division, Building Safety. I further 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 dnring construction. (~ Owner or Contraclors Signature Paee 3 of3 ,0? k/ Date / f . "'~'RIN'!F1"!-'>__ _._ ... ~. . -,-. 1 --- 225 Fifth ~treet Spri!,gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00523 COM2004-00523 COM2004-00523 COM2004-00523 COM2004-00523 COM2004-00523 Payments: Type of Paymeut Check 6/17/2004 RECEIPT #: ,ay of Springfield Official Receipt .elopment Services Department Public Works Department 2200400000000000793 Date: 06/17/2004 Description Planning Final Occy Inspection Paving Building Permit Plan Review CommlJndiPublic + 7% State Surcharge + 10% Administrative Fee Paid By CLINTON S COX Received By djb Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 2121 In Person Payment Total: 8:08:20AM Amount Due 143.00 45.00 503.25 88.73 35.23 54.83 $870.04 Amonnt Paid $870.04 $870.04 " . ----_. - ------------ --------- .-------------------------- ':'fY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541)726-3753 ------------ -----------. ----------------- ---------------------- ~._--------------- WELCOME TO OEUELOPMENT SERUICES ANO PUBLIC WORKS ---------------------------------------- ---------------------------------------- REG-RECEIPT:Ol-0009507 C:JUN 11 2002 CASHIER 10:032 3:15 pm A:NOV 132001 ---------------------------------------- --- --- ---- --------------- -..- ---- ---- - --- 1002 BUILDING PERMIT JOBij:Ol-01082-01 1098 (8%) ADMIN FEE JOBij:Ol-010B2-01 1099 STATE SURCHARGE(7%) JOBij:Ol-01082-01 1106 ENCROACHMENT PERMIT 1077 PLAN REVIEW/FIRE & ENCROACHMENT PERMIT 1231 Pl.AN REVml (POD) 01-01OB2-01 TOTAL DUE RECEIVED FROM: ALPHA OMEGA CONSTRUCTION CHECK: TOTAL TENDERED $848.40 $67,87 $59.39 $170.00 $339.36 $50.00 $1,535,02 $1,535.02 CHANGE DUE $0.00 $1,535.02 -----------..------------- -----..------ --- ---------_._---- ----- - ------------------- *Pay Name :ALPHA OMEGA CONSTRUCTION *Mail Addr : *cty /St/Z : *Site Addr :4684 MAIN STREET rHANK VOU!!!!!! ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ----- - --------------------------------- ---,--- --------------------------------- r,; ~ \~, . ---------------------------------------- ---------------------------------------- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541 )726-3753 ---------------------------------------- ---------------------------------------- WELCOME TO DEUELOPMENT SERUICES AND PUBLIC WORKS ---------------------------------------- ---------------------------------------- REG-RECEIPT:Ol-0009491 C:JUN 11 2002 CASHIER ID:061 2:15 pm A:NOV 13 2001 ---------------------------------------- ---------------------------------------- 1002 BUILDING PERMIT -$B48.40 JOB#:01-01082-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007233 **************************************** 1098 (8~) ADMIN FEE -$67.87 JOB#:01-01082-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007233 **************************************** 1099 STATE SURCHARGE(7~) -$59.39 JOB#:01-010B2-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007233 **************************************** 1060 PLAN CHECK/COMM -$339.36 JOB#:01-01082-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007233 **************************************** 1231 PLAN REVIEW (POD) -$50,00 JOB#:01-01082-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007233 **************************************** 1106 ENCROACHMENT PERMIT -$170,00 JOB#:01-01082-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007233 **************************************** TOTAL DUE -$1,535,02 RECEIVED FROM: ALPHA OMEGA COMMUNICATION CHECK: -$1,535.02 TOTAL TENDERED -$1,535,02 CHANGE DUE $0.00 ======================================== ======================================== THANK VOU!!!!!! ======================================== .~__ I , .. . DUPLICATE RECEIPT DUPLICATE RECEIPT ------ -- -- - -------------------------- ---_.- _po. ____________________________ CITY OF SPRINGFIELO 225 FIFTH STREET SPRINGFIELD. OR 97477 (541 )726-3753 ---- -- - - -.. - - -- -------- ------- ----------- ---------------------------------------- WELCOME TO DEVELOPMENT SERVICES AND PUBLIC WORKS ---------------------------------------- ---------------------------------------- REG-RECEIPT:01-0007233 C:JUN 11 2002 CASHIER 10:061 1:34 pm A:NOV 132001 ---- --- ------ ---- - --- -------- ----------.- ---------------------------------------- 1002 BUILDING PERMIT $B48,40 JOB#:01-01082-01 1098 (8%) ADMIN FEE $67.B7 JOB#:01-01082-01 1099 STATE SURCHARGE(7%) $59.39 JOB#:01-01D82-01 C (l~LAN CHECK/COMM ID'11) ~ JOB#:01-01082-01 1231 PLAN REVIEW (POOl $50.00 JDB#:01-01082-01 1106 ENCROACHMENT PERMIT $170.00 JOB#:01-01082-01 TOTAL DUE $1,535.02 RECEIVED FROM: ALPHA OMEGA COMMUNICATION CHECK: $1,535,02 TOTAL TENDERED $1.535.02 CHANGE DUE $0.00 ------------- --- --.-- ----- -- ---- --------- ---------------------------------------- ---------------- -- ----- --- ----- ------- --- ----------.-------- ------- --------------- THANK VDU!!!!!! ------ ..------- ---- ---------------------- ---------------------------------------- DUPLICATE RECEIPT DUPLICATE RECEIPT