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Permit Miscellaneous 2001-11-7
City Of Springfield Development Services Community Services Division Building Safety . . Page 1 of2 I Job# 01-01064-01 Location Of Proposed Site: 2656 Assessors Map#: 17032541 Lot: Block: Olympic St Spr Addition: Tax Lot #: Subdivision: 00102 Owner: Sprint Spectrum Realty Co Address: 2656 Olympic Ave Scope Of Work: Communication (Cell) Tower Co-locate adding antennas to existing monopole tower, at 90' above grade. Also utilizing existing storage unit on site for new equipment room (unit 134). Phone Number: City/State/Zip: Springfield. OR 97478 Value: $157,000 New Contractor Type General Contr Contractor Mericom Technical Services Inc 20472 Crescent Bay Dr Ste 104, Lake Forest. CA 92630 Registration # Expiration Date 148001 6/22/2003 Phone 800-266-6297 Fee Paid On Receipt# Value/Quantity Fee Amount I' Plan Check ~ Commercial Plan Check 09/28/200L 6844 157,000 $488.09 Fire & Life Safety Plan Review ~~2001~\ 7195 157.000 C$300.3~ Total Plan Check $788.45 Building Building Permit 11/07/2001 7195 157,000 $750.90 State Surcharge For Building Permit 11/07/2001 7195 $52.56 8% Building Administrative Fee 11/07/2001 7195 $60.07 Total Building $863.53 Mechanical Minimum Mechanical Permit 11/07/2001 7195 $39,00 8% Administrative Fee - Mechanical 11/07/2001 7195 $3,60 Vent Fan to One Duct 11/07/2001 7195 1 $6,00 Mechanical Issuance 11/07/2001 7195 $10.00 State Surcharge - Mechanical 11/07/2001 7195 $3,15 Total Mechanical $61.75 Planning Planning Plan Review 11/07/2001 7195 1 $50,00 Total Planning $50.00 Grand Total $1,763.73 Required Inspections Scheduled Inspection Inspector Date Date Result Comments Final Building Final Building 12/28/2001 12/31/2001 I 12/28/2001 12/31/2001 Building I Bob Barnhart Bob Barnhart OK Wrong Inspection Requested ~ . ,~ . ., ~ a o ----------------------------------- ------------------------------------ CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (54' )726-3753 . --- - ---- ---- ------- ---------- - ---- ------- ---------------------------------------- DUPLI'CATE RECEIPT DUPLICATE RECEIPT WELCOME TO DEUELOPMENT SERVICES RHD PUBLIC WORKS ======================================== ---------------------------------------- ---------------------------------------- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, DR 97477 (541 )726-3753 =====~~~~~~~==~~=~~~~~~~~~~=;== SERUICES AND PUBLIC WORKS REG-RECEIPT:Ol-0009505 C:JUN 11 2002 CASHIER ID:032 3:04 pm A:NoV 07 2001 ----------------- - ----------------- ------ --- -- -----.. -- ----. ._- - --- --- -------------- 1002 BUILDING PERfil! $750,90 JOB#:01-01064-01 1096 (BX) ADMIN FEE $60,07 JOB#:Ol-01064-01 1099 STATE SURCHARGE(7X) $52,56 JDB#:01-01D64-01 1006 MECHANICAL PERMIT $45,00 JDB#:01-01064-01 1099 STATE SURCHARGE(7X) $3,15 JOB#:01-01064-01 1098 (8X) ADMIN FEE $3,60 JoB#:01-01064-01 1087 MECHANICAL ISSUANCE $10,00 JOB#:01-01064-01 1231 PLAN REVIEW (POD) $50.00 01-01064-01 1077 PLAN REVIEW/FIRE & $300.36 o 1-0 1064-0 1 TOTAL DUE RECEIVED FROM: ALPHA OMEGA CDNSTRUCTlDN CHECK: $1,275,64 ======================================== REG-RECEIPT:Ol-0007195 C:JUN 11 2002 CASHIER ID:061 1:32 pm A:NOV 07 2001 ~~~;=~~~~~~~~=~~~~~~============:;~~~~~~ JOB":01-01064-01 1098 (8%) ADMIN FEE $60,07 JOB":01-01064-01 1099 STATE SURCHARGE(7X) $52,56 JDB":01-o1064-01 1006 MECHANICAL PERMIT $45,00 JDB#:01-01064-01 1099 STATE SURCHARGE(7X) $3,15 JOB":o1-01064-01 1098 (8X) ADMIN FEE $3.60 JOB":01-01064-01 1087 MECHANICAL ISSUANCE $10,00 JOBU1-01064-01 - tfOOO:PLAN CHECK/CDMM (10'11 ') ~ 'JoBf:Ol-0l064-01 1231 PLAN REVIEW (POD) $50,00 JOB":01-01064-01 $1,275,64 ioTAL TENDERED $1,275,64 --.--------------- CHANGE DUE '$0,00 ~ ===================:===================~ *Pay Name :ALPHA OMEGA CONSTRUCTION *Mail Addr : *Cly/Sl/Z : *Site Addr :2656 OLYMPIC STREET TDTAL DUE $1,275.64 RECEIVED FROM: ALPHA OMEGA COMMUNICATIDN CHECK: $1,275,64 ----------------- TOTAL TENDERED $1,275,64 ----------------- =====================================~== CHANGE DUE $0,00 :::====: : ===========:.::=====:.::==========.=== THANK VOU!!!!!! ======================================== ================.======================== ======================================== THANK VOU!!!!!! ======================================== DUPLICATE RECEIPT DUPLICATE RECEIPT ------================================== CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541 )726-3753 =====~~~=;;~~~==~~=~~~~~~;~~~=;== SERVICES RND PUBLIC WORKS ======================================== REG-RECEIPT:01-0009493 C:JUN 11 2002 CASHIER 10:061 2:16 pm A:NOV 07 2001 1002 BUILDING PERMIT JOB#:01-01064-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007195 **************************************** 1098 (BX) ADMIN FEE -$60,07 JOB#:01-01064-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007195 **************************************** 1099 STATE SURCHARGE(7X) -$52.56 JOB#:01-01064-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007195 **************************************** 1006 MECHANICAL PERMIT -$45,00 JOB#:01-01064-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007195 **************************************** 1099 STATE SURCHARGE(7X) -$3.15 JOB#:01-01064-01 -$750.90 ",..",tU yuw/vuliHNli llEM :01-0007195 **************************************** 1098 (8X) ADMIN FEE -$3.60 JOB#:01-01064-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007195 **************************************** 1087 MECHANICAL ISSUANCE -$10,00 JOB#:01-010B4-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007195 **************************************** lOBO PLAN CHECK/COMM -$300.36 JOB#:01-01064-01 **************************************** RELATED VOID/VOIDING ITEM :01-0007195 **************************************** 1231 PLAN REVIEW (POOl -$50.00 JOB#:Ol-010B4-01 *******' *** ft* **H** ****' ft. *** *** *H*** RELATED VOID/VOlDTNG ITEM :01-0007195 ****************************.*****.***** ======================================== TOTAL DUE -$1.275,64 RECEIVED FROM: ALPHA OMEGA COMMUNICATION CHECK: -$1,275,64 TOTAL TENDERED -$1,275,64 CHANGE DUE $0.00 ======================================== ======================================== THRNK VOU!!!!!! 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