HomeMy WebLinkAboutPermit Building 2005-9-28
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01094
ISSUED: 09/28/2005
APPLIED: 08/12/2005
EXPIRES: 03/28/2006
VALUE: $ 25,000.00
Status: Issued
225 Fiftb 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 Cell Tower - Communication
Tower
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Antenna colocation - VolceStream
- Owner:
Address:
Contractor Type
Electrical
HOWARD KEVIN
14855 SE 82ND DR
CLACKAMAS OR 97015
~OUU\\,l~.. J ~l'l~ftf 1 tit ~~[,;-:,:
1HIS Pl=fllleJ>lllRA.~O)t ..lNIl9RMA T.I(l)Nj I
U1HOl\lfUJ UI~C...f. tl ,. I ONE.O FUK
contractot~M,ME E\'iNCEO 01\ IS II.Bfo.NO License
K T ELEC~7~ MV PERIOO. 145488
, I BUILDING INFORMATIONI
Expiration Date
06/30/2006
Phone
5413890660
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# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
U
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees ,\\\lll') o:~dicapped:
P edD' Rd' SIlo \111 t:M>.. .
av nve q. O'a-\ '~\IO \llr"pact.
% of Lot Coverage::z;'l.~~-a otalO II e~ e~\ t . .r;;:/oOO
.,,,:~ f-\\~\\~:n~ 'l~~n ,,~\ll ~~~ 'O'<l0~~1
jPUBLIC IMPR(')vi:MENT~'s~\Oo~ ~;\.O\)'~~;-\lO\\'\J~~~O\
Street g- I a'-'" ~t(lO~1l; '* 'l~~ c.1l\(ll ~'<l
Fullv Improved ,,0, SIl\(lc;,o '0':10 a\(ll ~!,4.e a~~1\Y~~O\~~~ Curbside 5'
Storm Sewer Available: Yes _\OO-Z as al~ '0 0 eQoW~!lllutliJD'rainS Curb and Gutter
Special Instruction: ~),lO\ \ \lota1 :oalll'~\
,,\\~\\(\ '0111\(1
Notes: Encroachment permit required if excavating in PUE not ailli~J'to permit fee; No SDC fee's work it within existing
storage unit #132
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multipUer
Square Footage
or Bid Amount
Value
Date Calculated
I of 3
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01094
ISSUED: 09/28/2005
APPLIED: 08/12/2005
EXPIRES: 03/28/2006
VALUE: $ 25,000.00
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Status: Issued
225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
25,000.00
Total Value of Project
Fe4'~ P3idJ
Fee Description
Plan Review CommlIndJPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
$145.86
$22.44
$15.71
$224.40
8/23/05
9/28/05
9/28/05
9/28/05
Total Amount
$408.41
I Plan Reviews I
Fire Department Review
08/15/2005
09/0112005
OK GRG
Initial Review
Plan nine Review
Public Works Review
08/15/2005
08/15/2005
08/15/2005
08/15/2005
08/16/2005
08/18/2005
APP SKG
APP EMM
APP CAS
Structural Review
08/15/2005
08/23/2005
WE JMP
Structural Review
09/0112005
09/01/2005
10 JMP
Structural Review
09123/2005
09/23/2005
APP JMP
SUB Review
SUB Review
09121/2005
08123/2005
09/21/2005
08/26/2005
APP JF
WE JF
$25,000.00
$25,000.00
08/12/2005
Receipt Number
220050000000000114t
1200500000000001419
1200500000000001419
1200500000000001419
Plan Review: Addition of antennas
to existing tower. Job
#COM2005-01094. Plans appear to
meet code requirements.
No SDC fee's proposed work to
existing storage unit #132:
encroachment permit required If
excavated in PUE 8/18/2005 CAS
See attached documents with 6
structural comments faxed to Kelley
Swenson.
WE. Called Kelley Swenson to ask
when they will be responding. She
said next week.
Received response to structural
comments.
JMP requested energy code forms
and worksheets in the structural
comments.
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.
I Reouired I nsoectionsj
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
2 of 3
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. CITY OF SPRINGFIELD
Building/Combination Permit'
PERMIT NO: COM2005-01094
ISSUED: 09/28/2005
APPLIED: 08/12/2005
EXPIRES: 03/28/2006
VALUE: $ 25,000.00
Status:
Issued
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work Is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work Is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
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 wiD be made of any structure wIthout permission of the Community 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 th~ ~;r.:it card is located at the front of the property, and the approved set of plans wiD remain on the site
;::: ti711;;)~01L q -c?P ~O~
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Ownevor C tractors Signature Date
3 of 3
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~ ATTACHMENT A
CITY GFIELD SYSTEMS DEVEWPMENT CHARGE ~HEET
CXJ~005-o1094
JOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
MAP & TAX LOT NUMBER:
DEVEWPMENT TYPE:
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S,F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
Voi-,~"",- Wireless
2656 Olympic St
1703254100102
Antenna colocation for cell tower
ITE:
ITE:
LOT SIZE (S.F.):
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1 STORM DRAINAGE
No Dew impervioUJ-Dtilizing storage nit" 131
IMPERVIOUS SQ. FT.
x
$ 0.323 PER SF
TOTAL STORM DRAINAGE SDq
$0.00 1070
2 SANITARY SEWER-CITY
No Dew fIXtures
A REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
o
x $ 25.07 PER DFU
o
x $ 19.07 PER DFU
$ 44.14
TOTALWCALWASTEWATERSDC:' $
$0.00 1091
$0.00 1092
$0,00
3 TRANSPORTATION
No Dew trips
BLDG AREA TGSF x TRlP RATE x CXJST PER ADT x NEW TRlP F AcroR
NEW
A REIMBURSEMENT CXJST:
0.00 x 0 x $ 19.09 PER TRlP x 0 NTF $0.00
B. IMPROVEMENT COST:
0.00 x 0 x $ 84.19 PER TRlP x 0 NTF $0,00
EXISTING $ 103.28
A REIMBURSEMENT CXJST:
0.00 x 0 x $ 19.09 PER TRlP x 0 NTF $0.00
B. IMPROVEMENT COST:
0,00 x 0 x $ 84.19 PER TRlP x 0 NTF $0.00
TOTAL TRANSPORTATION REIMBURSEMENT SOC:
TOTAL TRANSPORTATION IMPROVEMENT SOC:
TOTAL TRANSPORTATION SDC:' $
$0.00 ' 1093
$0,00 1094
i
$0,00
4 SANIT MY SEWER - MWMC
NEW:
A REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x $0.00 PER FEU $0.00
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x $0.00 PER FEU $0.00
EXISTING:
A REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x $0.00 PER FEU $0.00
B. IMPROVEMENT CXJST:
NUMBER OF FEU's 0.00 x $0.00 PER FEU $0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:j
$0.00 I
TOTAL MWMC SDC:!
SUBTOTAL (ADD ITEMS 1.2,3.&4)
$0.00
5 ADMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
$
x
5%
TOTAL TRANSPORTATION ADMINISTRATION FEE:'
TOTAL SEWER ADMINISTRA TION FEE:~
$0.00 1054
$0.00 1054
$0.00 1055
$0.00 1086
$0.00 1
~
#DIV/O!
#DIV/O!
l 1078
, 1079
CheYl:jl Slol::l"""'lur
c~stl!\lympic SI, Kevin Howard.x1s
TOTAL SDC CHARGES
, NONE
8/1812005
DATE
1 JULY 2004
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY 1HE NET AJ..JJ..)111UJ~AL FIXTURES)
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FIXTURE TYPE
BATHTI1B
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOJUSOLIDSIETC.
lNTER...cr 'V~ FOR SAND/AUTO WASHJETC.
LAUNDRY TI1B
CLOTIIES WASHERlMOP SINK
CLOTIIES WASHER. 3 OR MORE (EA)
MOBILE HOME PARK TRAP (J PER TRAILER)
RECEPTOR FOR REFRlGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SlNK/ DISHWASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIOOUBLE LA VA TORY
SINK: SINGLE LA VA TOR Y /RESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S'
FIXTURES
NEW OLD
UNIT
EQUN ALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
TOTAL DRAINAGE FIXTURE UNITS=
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a simde family dwellinR (20 OFU) set at 167 Ralloru; per day
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
1979 ...bel"",
1980
1981
1982
1983
1984
1985
]986
1987
1988
1989
1990
1991
RATE PER $1,000
ASSESSED VALUE
"'$5.29",
~ $5.19i
, $5.12.'
'$4.98',
,,$4,80.
i $4.63/
:" $4.40\
. $4,07/
",'$3:67
r$3.2?
"$2,73"
$2.25
$1.80'
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
COM2005-01094, 2656 Olympic St, Kevin Howard.xls
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER $1.000
ASSESSED VALUE
\,
$1:45
$1.25.
$1.09
$0.92"
$0.72'
"::'$0:'48
.' '$0.28
$0.09
$0.05
$0.00
$0.00.
$0.00'
"',:!
x
X
CREDIT TOTAL
$0,00
$0.00
$0.00
1 JULY 2004
225 Fifth Street
Spribgfi~d, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-0 1094
COM2005-0 1 094
COM2005-0 1 094
Payments:
Type of Payment
CreditCard
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9/28/2005
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RECEIPT #:
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SCOTT MATTISON
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~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001419
Date: 09/28/2005
Item Total:
t:beck Number Authorization
Received By Batch Number Number How Received
djb 045439 In Person
Payment Total:
1 of 1
10:29:56AM
Amou nt Due
224.40
15,71
22.44
$262.55
Amount Paid
$262.55 ,
$262.55