HomeMy WebLinkAboutPermit Miscellaneous 2013-5-10 SPRINGFIELD 225 Fifth St
' CITY OF SPRINGFIELD Springfield,OR 97477
F t� Phone: 541-726-3753
'1 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-00719
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/10/2013 EXPIRES: 11/05/2013
STATUS DATE: 05/10/2013 APPLIED: 04/09/2013
SITE ADDRESS: 2770 GATEWAY ST,Springfield,OR 97477 SCOPE:
ASSESOR'S PARCEL NO: 1703220002300 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: Fire Protection System-Buffalo Wild Wings
OWNER: GATEWAY MALL PARTNERS Phone Number:
ADDRESS: 1114 AVENUE OF THE AMERICAS
NEW YORK NY 10036
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Fire Contractor PACIFIC FIRE SYSTEMS LLC CCB 180140 01/17/2014 503-710-6646
INSPECTIONS REQUIRED
Inspections
8675 Overhead Sprinkler Systems
8690 Fire Sprinkler Final
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 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.
Owner or Contractor Signature pate
•
•
ATTENTION: Oregon law requires you to
NOTICE:
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth HIS PERMIT SHALL EXPIRE IF THE WORK
in OAR 952-001-0010 through OAR 952-001- UTHORIZED UNDER THIS PERMIT IS NOT
0090. You may obtain copies of the rules by 1MMENCED OR IS ABANDONED FOR
calling the center. (Note: the telephone 'Y 180 DAY PERIOD.
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 5/10/2013 8:57:06AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
r 4 aka.... 225 Fifth St
11 -,y 6 TRANSACTION RECEIPT Springfield:OR 97477
IL `+,✓ OREGON 541-726-3753
811-SPR2013-00719
www.springfield-or.gov 2770 GATEWAY ST permitcenter@springfield-or.gov
RECEIPT NO: 2013000922 RECORD NO: 811-SPR2013-00719 DATE:05/10/2013
}DESCRIPTION_ ACCOUNTaCODE/TRANS UN
CODE AMOT DUE__;
Admin fee(10%of applicable fees) 224-00000-426605 1098 59.54
Percent of fire system bid/contract value(3%) 100-00000-424002 9116 595.41
TOTAL DUE: 654.95
j-_,PAYMENT TYPE TPAYOR.__CASHIER:JLARSOH .__ __COMMENTS_` AMOUNT PAID S
Credit Card Kent Madera 654.95
544066
TOTAL PAID: 654.95