HomeMy WebLinkAboutPermit Miscellaneous 2011-6-9
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CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00986
IVR Number: 811159093481
www.cLspringfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
06/09/2011
12/28/2010
Issued
06/09/2011
EXPIRES:
VALUE:
12/05/2011
$5,000.00
SITE ADDRESS: 5310 FRANKLIN BLVD, Eugene, OR 97403-2464
ASSES OR'S PARCEL NO: 1803034000300
SCOPE: Cell Tower - Communication Tower
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Replace 6 of 12 antennas with New Antennas, and Permit Emergency Generator.
Phone Number:
OWNER:
ADDRESS:
MACAULEY EDWARD L
76563 MARTIN CREEK RD
COTTAGE GROVE OR 97424
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lic Type
lie No
Lie Exp
Phone
# of Units:
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
Occupancy Type
Occupancy
Comments
U
Cellular Antennas
added to existing
Tower
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lot Size:
Sq Ftlst Floor:
Sq Fl2nd Floor:
Sq Ft Basement:
Sq Fl Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
2008
2010
2010
Site Information
I
Engineered Fill:.
Filr'Volume:
Flood Hazard Area:
Land Hazal~TION: Oregon law requires yout,o
Retaining Lis adopted by the Oregon Utility
Soils Rep 0 i :aMI\&w Center. Those rules are set forth
. In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
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Springfield Building Permit
6/9/2011 11:18:59AM
Page 1 of 4
SP.j~\N;::i)
~~
~OREGON
CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00986
IVR Number: 811159093481
perm itcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/09/2011
ISSUED:
APPLIED:
06/09/2011
12/28/2010
EXPIRES:
VALUE:
12/05/2011
$5,000.00
SITE ADDRESS: 5310 FRANKLIN BLVD, Eugene, OR 97403-2464
ASSESOR'S PARCEL NO: 1803034000300
SCOPE: Cell Tower. Communication Tower
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Replace 6 of 12 antennas with New Antennas, and Permit Emergency Generator.
DEVELOPMENT INFORMATION ~
Fronlyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Bid
Tvee of Construction
NA
Unit Amount Unit Tvee
5,000.00 Bid
Unit Cost
1.00
Value
5,000.00
5,000.00
FEES PAID
~
Descriotion
Planning ~ Minor Review - City
Plan Review Adjustment - Commerci,:1 _
5% Technology Fee
Plan Review Adjustment ~ Commercial ,~
EI~~~~llnspe~~or Which No Fee is ~pecifically Indi
~_~~i~_~ermit Fee __,____.____~_._____
TechnoloJ!~ fee i5% of per"'.il.!.,,!aL-
~tate.-9LOregon Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$119.00
$51.05
$5.95
$5.66
$58.00
$87.25
------ -----~---
$1010
---------~---,
$24.24
$361.25
Date Paid
12/28/2010
12/28/2010
12/28/2010
06/09/2011
06/09/2011
06/09/2011
06/09/2011
06/09/2011
ReciDt #
2010001161
2010001161
2010001161
2011001507
-~-
2011001507
-----
2011001507
------
2011001507
2011001507
Springfield Building Permit
6/9/2011 11:18:59AM
Page 2 of 4
SPRIN.G...__.fIEL~
~iLI .
SiJ liJiJ
"';'OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00986
IVR Number: 811159093481
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/09/2011
ISSUED:
APPLIED:
06/09/2011
12/28/2010
EXPIRES:
VALUE:
12/05/2011
$5,000.00
SITE ADDRESS: 5310 FRANKLIN BLVD, Eugene, OR 97403-2464
ASSESOR'S PARCEL NO: 1803034000300
SCOPE: Cell Tower - Communication Tower
WORK INVOLVED: Alleralion
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Replace 6 of 12 antennas with New Antennas, and Permit Emergency Generator.
Plan Review
~
DeDartment Received Due Date Com Dieted Result
Planning Review 12/29/2010 12/29/2010 12/29/2010 Approved
c.omments: Forwarded to Engineering on 12/29/10.
Reviewe r
Liz Miller
Initial Review
12/29/2010 12/29/2010 12/29/2010
Approved
David Bowlsby
Fire Review 12/29/2010 12/29/2010 01/03/2011 Approved Gilbert Gordon
Comments: Plans Review: Replacement of 6 of 12 antennas on existing cell tower. Job #SPR2010-00986. Occupancy Classification:
U. Plans reviewed under the 2010 Springfield Fire Code and 2010 Oregon Structural Specialty Code.
Apply for an operational permit for Flammable and Combustible Liquids meeting the requirements of 201 0 Springfield Fire
Code 105.6.16. Contact Linda Delange (541-726-2296) for an application for the operational permit. The operational
permit shall be in place prior to final approval.
[': ~~te~: :,c.,~:~~: ~~;1:iz:2:,?~~O ",:~~~9~2o-~;, :1~0~;::1..:~:if!~tlft: !:~ ~rK~p"~~~;i~~~~l?::~;"'Z >~\:~'~~l
Structural Review
12/29/2010 12/29/2010 01/04/2011
Approved
Kip Kaufman
INSPECTIONS REQUIRED
': "David ~owlsby
i.r," .
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~~e~~~~a_~c~~:~ <~~i-~,,~~iC'~:z'."-'Q.10!~1!2-~.i~_:~.;"~:O'~:~~/~O:_.1'~i~~,o~~?~!~~:~~~tj
t""'-"Y" f-.,'''"':"''" . ,,~l fr:0,X,.'''':'~.L,'':'_,- ",\';;;.2.-t
~
Inspections
1260 Framing
1999 Final Buildin9
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.
Slab: To be made after all inslab building service equipment, conduit piping and
other equipment items are in place but prior to concrete.
1150 Slab/Flatwork
4740 Emergency Generator
8999 Final Fire
Hold Downs Installed
Springfield Building Permit
6f9/2011 11:18:59AM
Page 3 of 4
"
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00986
IVR Number: 811159093481
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/09/2011
ISSUED:
APPLIED:
06/09/2011
12/28/2010
EXPIRES:
VALUE:
12/05/2011
$5,000,00
SITE ADDRESS: 5310 FRANKLIN BLVD, Eugene, OR 97403.2464
ASSES OR'S PARCEL NO: 1803034000300
SCOPE: Cell Tower - Communication Tower
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Replace 6 of 12 antennas with New Antennas, and Permit Emergency Generator.
By signature, 1 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 ~aws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will 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 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,
,
(oct
Date
Springfield Building Permit
6/9/2011 11:18:59AM
Page 4 of 4
,.
Structural Permit Application
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DEPARTMENT USE ONLY
SPIL 'ZO 10 - 0
Penn it no.:
225 Fifth Streett Springfield, OR 97477 . Pl-I(541 )726-3753 . FAX(S41)726-3689
Date: rz-z 8 ./0
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for] KO days.
..----
lOCAL GOVERNMENT APPROVAL
111is project has ruwlland-use approval.
Signature: Date:
lbis project has DEQ approval.
Signature: Date:
Zoning approval verified: DYes DNo
Property is within nood plain: DYes DNo
CATEGORY OF CONSTRUCTION
o Residential I 0 Government I !Q Commercial
JOB SITE INFORMATION AND lOCATION
Job site address: 5310 Franklin Blvd (171.(03
city:EU.G- I State: OR I ZIP. 97477
Subdivision: I Lot no.:
Reference:J803 0 3Y C I Taxlot: 18030340-300"
Applicant fiftdfERYI eO:.'IIER 00300
Name: Verizon Wireless (VAW) llC cia land Services NW
Address: ATTN: Ed Fournier PO Box 302
City: Bend I State: OR I ZIP: 97709
Phone: . _ 541-728-3328 I Fax: - 206-350-1223
E.mail: Ed@LandServicesNWcom
This installation is being made on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
CONTRACTOR INSTAllATION
Business name: to be determined
Address:
City: I State: I ZIP:
Phone: . - I Fax: - -
E~mail:
ceD license no.:
Print name:
Signature:
SUB.CONTRACTOR INFORMATION
Name Cell License Number Phone Number
Electrical
Plumbing
Mechanicnl
FEE SCHEDULE
1. Valuation information
(a) Job description: replace 6 of 12 antennas with new mod I
Occupancy unmanned telecom
Construction type: modular telecom
Square feet: no change
Cost per square foot:
Other information:
Type of Hcat: -
Energy Path: -
Dnew [ZIalteration o addition
(b) Foundation~only pennit'! DVes I1Q No
Total valuation: $ 5000.00
2. Building fees
(8) Permit fee (llse valuation table): $
(b) Investigative fee (equal to [2a]): $
(c) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x (2a+2b-f-2c]): $
(e) Subtotal of fees above (28 through 2d): $
3. Plan review fees -, ..,
(a) Plan review (65% x pennit fee [2a]): $":>0
(b) Fire and life safety (40% x pemlil fee [2a]): $
(c) Subtotal of fees above (3a and 3b): $
4. Miscellaneous fees
(a) Seismic fee, 1% (.01 x pennit fee [2a]): $
TOTAL fees and surcharges (2e+3C+4a): $
s
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ED f()u V fV, 'eJ'( {4.utb ~v, ~t<J IV V
As /}r-:,i?M 1 ~ ikt26N Wt"e..(-r:.SS (VAwj Lee
FCC COMPLIANCE
The FCC has determined through calculations and technical analysis that certain wireless
facilities are highly unlikely to cause human RF exposures in excess of FCC guideline limits. In
particular, cellular and PCS facilities with non-building-mounted antennas greater than 10
meters (about 33 feet) above ground level are considered to have such a low impact on overall
exposure conditions that they are "categorically excluded" (i.e., exempt) from the requirement
for routine environmental assessment regarding RF exposure hazards.
Thus according to FCC rules, the modified Verizon Wireless facility at the EUG GLENWOOD
site, with all antennas well above the 33-foot level, is exempt from further RF safety
environmental assessment because it is presumed to be in compliance with the FCC's RF
exposure rules per Section 1.1307b1 of the FCC rules. Further details on this may be found in the
FCC Document "Local Govemment Official's Guide to Transmitting Antenna RF Emission
Safety", pages 6-8.
A web link to this document is: http://wireless.fcc.gov/siting/FCC_LSGAC_RF_Guide.pdf
COMPUANCE WITH LOCAL REGULATIONS
Because the modified Verizon Wireless facility is in compliance with federal rules, it is also in
compliance with local regulations concerning RF exposure. The following is the complete text of
47U. S. C. s332(c)(7)(B)(iv):
"No State or local government or instrumentality thereof may regulate the
placement, construction, or modification of personal wireless service facilities on
the basis of the environmental effects of radio frequency emissions to the extent
that such facilities comply with the Commission's regulations concerning such
emissions."
S<?C 'l~(jH C'..{. g -}4-:S ~C:bf).
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Land
Services
Northwest
City of Springfield
Building Department
225 Fifth Street
Springfield, OR 97477
December 21, 2010
RE: Verizon Wireless - modification to antennas at existing tower site; 5310 Franklin Blvd
Dear Building Department Representative:
On behalf of Verizon Wireless (VAW) LLC, d/b/a Verizon Wireless, I am submitting the following
information to seek Building Permit approval for modifying the antennas at an existing tower site. 6 of
the 12 existing antennas shall be replaced with new models at the same height upon the tower. No
change to the tower, ground equipment, access, parking, or the fenced compound at the base of the
tower shall occur with the proposed antenna replacements
Please find enclosed the following information:
. Building Permit Application
. Intake fee and Planning Review fee totaling $176.00 paid via check
. 4 copies of the construction drawings, wet stamped
. 2 copies of the tower structural calculations, wet-stamped
Feel free to contact me with any questions you may have. Please provide a receipt for the amount
listed above. Thank you for your attention to this matter.
Sincerely,
Land Services Northwest
Consultants 'for Verizon Wireless
Ed Foumier
503-260-0350
Ed@LandServicesNW.com
Land Services Northwest 0 PO Box 302 0 Bend, Oregon 97709
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,
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield, OR 97477
541-726-3753
TRANSACTION RECEIPT
www.ci.springfield.or.us
811-SPR2010-00986
5310 FRANKLIN BLVD
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011001507 RECORD NO: 811-SPR2010-00986 DATE: 06/09/2011
lDESCRIH.tfoN,"c"'cY;,'" 7:;": _,' ,,:~-_~c_ .~'f",fr; !:;; <'-'\ , " ''';/!.CCOUNT~CODE' ," ",' -"'~,- ,,'J!,MOUNT,DUE -
Building Permit Fee 224-00000-425602 87.25
_Ele:tricaI Inspection For Which !:l,~ Fee is Specific~I1y Indicated 224-00000-426102 58.00
Plan Review A<!Justrn.::nt - Commercial 224-00000-425602 5.66
___~tate.~f Oregon Surc~~ge (12% 01 applicable lee.':L_, 821-00000-215004 24.24
Technology fee;-'5%_~fJ>."!:.mit total) 100-00000-425605 10.10
TOTAL DUE: 185.25
'cOMMJ;r-liS~,~,,~7' .?,';'!pf,:~,~ "i:'!'AMOUNTPAID~"': i" 't...::J
185.25
J
Lp";YMENjj'i~E:';_1i.' . MYQRLfASHIER, OSOWLSBY. ",'.8.'" .
Credit Card t 3 construction
319051
TOTAL PAID:
185.25 .
S;~.~INGFIEL~
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,.,. OREGOH
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 974n
541-726-3753
WNW.cLspringfield.or.us
811-SPR2010-00986
5310 FRANKLIN BLVD
permi1cenler@cLspringfieJd.or.us
RECORD NO: 811-SPR2010-00986 DAliE: 12/28/2010
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100-00000-425605 5.95
224-00000-425602 51.05
100-00000-425002 119.00
liOliAL DUE: 176.00
r.::. ,,'.+......,,~,ih.',"'p;;;IH;;H;h, ,-" "" , ",' ':lli>/i""q"'wmffi1li41_J!\m\!!i,~'.tm"<1MfWmBi!!tM8l;tilil",,,,,,\*,,,,,,wN'N"""'~l:IZlWM\ilt!iln.llm1'N~t1.lIlji1m'iJ'I!lif\l.liliJ!1mF.A"'."M-
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~:YMENTq:YPE' ,.'" .,. ,PAY-OR) )L1CASHIER;'DBOWI.!SBY!!1!!!g!E!!E!l!\4t.COMMENJS\ililIWOO~'1!!!!"'ill!''ilil-/.t!:.iJI!]t:tfltW"r"" '"!-,, '" "u ~I~r:";\~ .~;!;JL/;k,,_
Check urban wireless inc planning fee and partial plan review 176.00
1309 ree
RECEIPli NO: 2010001161
LDES.C~IP.ijjIQNIII!1'11111HI;II'IIri'
5% Technology Fee
Plan Review Adjustment - Commercial
Planning - Minor Review - City
liOli AL PAID:
176.00