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Home My WebLink AboutPermit Building 2005-4-19 .. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00174 ISSUED: 04/19/2005 APPLIED: 02/14/2005 EXPIRES: 10/19/2005 VALUE: $ 13,057.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54t-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: Alteration Commercial PROJECT DESCRIPTION: Antenna collocation. Owner: Address: WARREN WIMBERLY M 14855 SE 82ND DR CLACKAMAS OR 97015 , .*' ,N.\J' ,,\ I, GONTRACTOR INFORMATION I '::<.- ~ ~' 0>'" Contractor~-<<:: ~'<..~,~'V '< P ACIFIC,TELECOM:SERVICES ., v",,'\.' ;::..v WIRELESS:ALLIANCE INC .........' ~,'{.' r-.v . ,<':'~EWEI<ECTJU<; CO 387 ,-0 ~::;'S ~'''''~.;\-x.'''<..'\) 'V~~~". I BUILDING INFORMATI(Jl'i'I')~~~~~,. ,0 .,}:s &.~'0 ~ r&" ~o;:. ""e..... s:P t\ # of Units: ,,~ ,),:: 'tJ'0 'V # of Stories: ~ ,<li O,<li ~e 0:J'0'); e",,"Cot Size: Primary Occupancy Gr9u~, '\ U Height of Stru~.tUreS'e ,s.e"" O'?''<:- e'~ o<Sq,t:t 1st Floor: Secondary Occupancy Gi'!lup: Type of H~et'p o'Q" F>e" ff ~ ~ }.,e~'<C' v~t 2nd Floor: Primary Construction Type VB Water Iype:R.....<li ,\,<:-0 ;,0". e"" e.....<li o~~ Sq Ft Basement: Secondary Construction Type: Ra~~Ty,~r: ~e" ,~~ vO~~ e~~" ~~~Sq Ft Garage/Carport # of Bedrooms: ~~rl!X<J>~tl!'i' 5:)~ ~<:- ~o~ ~~;Ii Sq Ft Other: ~prJi\liled Bliillllng>'I e" ,..,,0<:- nlj>'); Occupant Load: l- ,,0"'" ,..~v ~n~'V ^~ ^~ .p:-!),..f;X '\,. .... loA- ~.. ~~~ . J -- I DEVELO.PMENT-;1N.RORMA'[ION I ii-, I .~ ~~O:J~'~<:-~ q",o'q,~e' ove~ay~~'Q C; # Street lWes Rqd: Paved Drive Rqd: % of Lot Coverage: Contractor Type Applicant General Electrical License Expiration Date t46700 01/10/2007 02114/2007 Phone 206-464-4412 503-582-9938 503-255-4074 REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pal!elof3 .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description Plan Review CommlIndJPublic + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 100/0 Administrative Fee + 7% State Surcharge Building Permit Plan Review CommlIndlPublic Plan Review Minor - Planning SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Total Amount Paid Fire Department Review 02/15/2005 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00174 ISSUED: 04/19/2005 APPLIED: 02/14/2005 EXPIRES: 10/19/2005 VALUE: $ 13,057.00 I Valualtion Descriotioo I , " $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 13,057.00 Total Value of Project 1? pp<, PiiILI Amount Paid Date Paid $69.8t $4.90 $3.43 $43.00 $6.00 $13.86 $9.70 $138.60 $20.28 $59.00 $0.21 $3.45 $0.78 2/14/05 3128/05 3/28/05 3128/05 3/28/05 4/19/05 4/19/05 4/19/05 4/19/05 4/t9/05 4/19/05 4/19/05 4/19/05 $373.Q2 I Plan Reviews I 03/14/2005 OK GRG Initial Review 02/15/2005 02/15/2005 APP SKG Plannine: Review 02/15/2005 02/15/2005 APP EMM Public Works Review 02/15/2005 02/25/2005 APP SB Structural Review 02/15/2005 02/24/2005 WE JMP Structural Review 03/18/2005 03/18/2005 10 JMP Structural Review 04/08/2005 04/0812005 10 JMP Structural Review 04/13/2005 04/13/2005 APP JMP Paee 2 of3 Value Date Calculated $13,057.00 $13,057.00 04/08/2005 Receipt Number 2200500000000000165 1200500000000000379 1200500000000000379 1200500000000000379 1200500000000000379 2200500000000000445 2200500000000000445 2200500000000000445 2200500000000000445 2200500000000000445 2200500000000000445 2200500000000000445 2200500000000000445 Plan Review: Addition of antennas to existing tower. Job #COM2005-00174. Plans appear to meet code requirements. SDCs added ($4.44) See 5 structural comments faxed to Sean Bell. WE. Received response from Curtis Holloway to Item 2 of comments. WE. Sean Bell emailed contractor and cost/value data. Received fax from Sean Bell addressing the 5 structural comments. -7j7";'"~. ' ~'T ' ~., ~i . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00174 ISSUED: 04/19/2005 APPLIED: 02/14/2005 EXPIRES: 10/19/2005 VALUE: $ 13,057.00 , 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. Uenuirfr\~ Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. 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 he 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 he made ofany 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 he 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 construction. iR ~EAJT ,?A-<.{'Flc.. T€U=CO"\, 4-- I 't -0 S- Date Paee 3 of3 . ATTACHMENT A . CITY RING FIELD SYSTEMS DEVELOPMENT CHARG KSHEET JOURNAL OR JOB NUMBER: C0M2005-00174 NAME OR COMPANY: Clearwin: #2 LOCATION: 2656 OLYMPIC ST MAP & TAX LOT NUMBER: 17 03 25 41 00102 DEVELOPMENT TYPE: Cell Tower addition NEW DEVELOPED AREA (S.F.): EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): 1 STORMnR~ 18 ITE: 170 . :;l t . ITE: 8~t' . - m LOT SIZE (S.F.): e-- j8 oot5 x s 0.310 PER SF TOTAL STORM DRAINAGE SOC:' $0.00 1070 IMPERVlOUS SQ. FT. ~NITARY SF.WF.R-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) o x $ 24.04 PER DFU $0,00 1091 o x $ 18.28 PER DFU $0.00 11m TOTAL WCAL WASTEWATER SDC:' $ l $ ~RANSPORT~ BLOO AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.018 x 2.5 x $ 18.30 PER TRIP x 0.95 NTF 1$ 0.781 B. IMPROVEMENT COST: 0.018 x 2.5 x $ 80.72 PER TRIP x 0.95 NTF 1$ 3.451 EXISTING A. REIMBURSEMENT COST: 0.000 x 0 x S 18.30 PER TRIP x 0 NTF 1$ B. IMPROVEMENT COST: 0.000 x 0 x S 80.72 PER TRIP x 0 NTF 1$ TOTAL TRANSPORTATION REIMBURSEMENT SOC:' $ TOTAL TRANSPORTATION IMPROVEMENT SOC:' $ TRANSPORTATION SDq $ 4.231 $ 0,78 1093 3.45 1094 4.23 4 '\ANIT.<\RY SEWER _ MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.000 x $46.88 PER FEU 1$ B. IMPROVEMENT COST: NUMBER OF FEU's 0,000 x $494.46 PER FEU 1$ EXlSTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.000 'x $0.00 PER FEU 1$ B. IMPROVEMENT COST: NUMBER OF FEU's 0.000 x $0,00 PER FEU 1$ MWMC CREDIT IF APPLICABLE (SEE REVERSE) I $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADMINISTRATIVE FEE: $ TOTAL MWMC SDC:' $ 1 $ 1054 1054 1055 1056 SUBTOTAL (ADD ITEMS 1.2.3, & 4) , $ 4.231 5 ADMINISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) s 4.23 x 5% S 0.21 TOTAL TRANSPORTATION ADMINISTRATION FEE:' $ TOTAL SEWER ADMINISTRATION FEE:' $ 0.21 1078 0.00 1079 steveVI- w. -g.eClu~yt:j "BClrv..e5 ~~~~8~.J\;.-,2656 olympic St.xJs 212512005 DATE TOTAL SDC CIIARGES , $ 4.44 1 JULY 2004 225 Fifth Street Springfield, Oregon 97477 . 541-726-3759 Phone . .P,~AJ.N,..Q,..!"~' _....... , UA..' .Ii ! ....ity of Springfield Official Receipt Wevelopment Services Department Public Works Department Job/Journal Number COM2005-00 174 COM2005-00174 COM2005-00174 COM2005-00174 COM2005-00174 COM2005-00174 COM2005-00 174 COM2005-00 174 Payments: Type of Payment Check " 4/19/2005 RECEIPT #: 2200500000000000445 Date: 04/19/2005 Description SDC Transpo Reimbursement SDC Transpo Improvement SDC Transpo Admin Plan Review CommJIndJPublic Building Permit + 7% State Surcharge + 10% Administrative Fee Plan Review Minor - Planning Paid By BRADLEY W SMITH Item Total: Check Number Authorization Received By Batch Number Number How Received jmp 8773 In Person Payment Total: Page 1 of I 9:25:59AM Amount Due 0.78 3.45 0,21 20,28 138,60 9,70 13.86 59.00 $245.88 Amount Paid $245.88 $245.88 .