HomeMy WebLinkAboutPermit Miscellaneous 2010-7-1
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"~' t 1
'!I\,:';J"?l :1.:
,-' ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00128
ISSUED: 07/01/2010
APPLIED: 01/29/2010
EXPIRES: 01/01/2011
VALUE: $ 10,000.00
Status
Issued
"'~"
SITE ADDRESS: 4684 MAIN ST
ASSESSOR'S PARCEL NO.: 1702324200103
Springfield
TYPE OF WORK: Cell Tower - Communication
Tower
AlIeration
Commercial
PROJECT DESCRIPTION:
TYPE OF USE:
Replacement of cell antennas on existing tower
Owner:
Address:
HOW AN INC
2783 RIVERW ALK LOOP
EUGENE OR 97401
~,~.;. :
I CONTRACTOR INFORMA TION I
Contractor Type
Con tractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# of St;;ii~s: .
'UJigti'i '~f.Structure
Type of Heat:
..Water Type:
Range Type:
Energy Path:
---Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
. ATTENTION: Oregon law reqUl1
F~ontyard Setbackl'ollow ruleo adopted by the Or n t t: . .
Side 1 Setback: NotificatlonCenter. ThoS91U1.es. ~~e. e. s.Rqd:
Side 2 Setback: In OAR 952-001-0010 through o~A" . Rqd:
Rearyard Setbackoo90. You may obtaln copies oftnll' II yerage:
Solar Setbacks: . calling the canter. (Note:. '.'ie telephone. '
REQUIRED PARKING
Total:
Handicapped:
Compact:
CElntetla 1-890
IMPROVEMENTS
Street Improvements:
Storm Sewer Available:
Special Instruction:
.'.,
Sidewalk Type:
Downspouts/Drains:
,'.,..
Notes:
..'.' ')";' ~.,
'Ji'filt;"
~~:yt hi' .I, f)
.' .
. .'_:)'~~.:~>l~.~W.,:i~~';(g1j;~,(\:):"" ':",'
Description
Type of Constrnction
..nT
,. .. .... , .. . lLEX .;:
I Valu'ation Description I THISH~~~~6 ~~~ER THIS PERMIT IS NO~A:'
AUT ABANDONED FOR '''';,,
$ Per Sq Ft Square FoQialieJMENCED OR IS". -;:\;'!'.'
or mulliplier or Bid Amp/!!l1180 DAY ({fIOOD.D.ateCalculated
.
Paee 1 of 2
,~ '
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00128
ISSUED: 07/01/2010
APPLIED: 01/29/2010
EXPIRES: 01/01/2011
VALUE: $ 10,000.00
~ ~{ ';U! :~\,
\'~l'oiaINalue of Project
-~..... -,.
I ,o,F ees Paid I
Fee Description
Plan Review CommfIndlPublic
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid ' Date Paid Receipt Number
$88.40 1/29/10 2201000000000000089
$16.32 7/1/10 2201000000000000780
$6.80 7/1/10 2201000000000000780
$136.00 7/1/10 2201000000000000780
Total Amount Paid
Initial Review
Plannin!! Review
Structural Review
02/01/2010
02/01/2010
02/01/2010
$247.52
1,., Plan Reviews ~
02/01/2010
02/01/2010
02/01/2010
APP
APP
APP
LLH
EMM
CJC
As submitted
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insl!,ectI!,n,s, requested after 7:00 a.m. will be made the following
work day. "";.", ,>' :','"
;~;.::.~. . i)J;.';-~..~
. I R~~~ired:i~sDections I
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
.],;"r, <.'
By signature, I state and agree, that I have caref~'IYi"xamined 'the completed application and do hereby certify that all
information hereon is trne 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 structure withllut 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 nsed on this project.
I further agree to ensure that all reqnired 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. , .
,'+W~L . y,.i~:~f~~j, r:-.
';l'~~. ,.,',' "
........".....'
t.,.l). t,
cif":":f'
Pa!!e 2 of 2
1~/-/()
Date
225 Finh Street
Springfield, Oregon 97477
541-726-3759 Phone
-n:O::iij. ...
WiL. .
....-..-.---... ---~,. ". .
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #: 2201000000000000780 Date: 07/01/2010 ]0:45:5]AM
Job/Journal Number Description , Amount Due
. .~
..,.... .-.
COM2010-00128 Building Permit J:'-' 136.00
COM20 1 0-00 128 + 12% State Surcharge 16.32
COM2010-00128 + 5% Technology Fee 6.80
Item Total: $]59.12
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
CreditCard MICHAEL D CARR djb 04547d In Person $159.12
Payment Total: $]59.]2
.~!
'.,;
.~Z
\.;~ .~
~>
cReceiotl'
Page I of I
7/1/2010