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HomeMy WebLinkAboutPermit Miscellaneous 2013-6-12 SPRINGFIELD 225 Fifth St ` CITY OF SPRINGFIELD Springfield,OR 97477 .(\t Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01143 www.springfield-or.gov permitcenter @springfield-or.gay PROJECT STATUS: Issued ISSUED: 06/12/2013 EXPIRES: 12/08/2013 STATUS DATE: 06/12/2013 APPLIED: 06/03/2013 SITE ADDRESS: 4095 MAIN ST,Springfield,OR 97478 SCOPE: ASSESOR'S PARCEL NO: 1702314104500 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Install UL300 Compliant WetChem suppression system OWNER: MILES INVESTMENTS LLC Phone Number: ADDRESS: 2175 HWY 101 N FLORENCE OR 97439 r CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Fire Contractor HARVEY&PRICE CO CCB 77 10/31/2014 541-746-1621 INSPECTIONS REQUIRED Inspections 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._ C z /7 Owner or Contractor Signature ate ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility • Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by NOTICE: calling the center. (Note: the teleph:::1'. THIS PERMIT SHALL EXPIRE IF THE WORK number Center is Oregon r4 Notification !2MHORNC D UNDER THIS PERMIT IS ABANDONED FOR - ran PAY PERIOD. Springfield Building Permit 6/12/2013 1:42:16PM Page 1 of 1 • SPRINGFIELD- CITY OF SPRINGFIELD hit I .oiw ' 225 Fifth St \11 OREGON TRANSACTION RECEIPT 225 Fifth St 97477 541-726-3753 • 811-SPR2013-01143 www.springfield-or.gav 4095 MAIN ST permitcenter©springfield-or.gov RECEIPT NO: 2013001215 RECORD NO:811-SPR2013-01143 DATE:06/12/2013 IDESCRIPTION ACCOUNT:CODEITRANS'CODE ,<' _,.,AMOUNT DUE_,i Admin fee(10%of applicable fees) 224-00000-426605 1098 12.00 Balance of$120.00 Minimum Fire Fee 100-00000-424002 9116 48.00 Percent of fire system bid/contract value(3%) 100-00000-424002 9116 72.00 TOTAL DUE: 132.00 E. LPAYMENT TYPE .PAYOF2 cnstifeR:dLARSOy ;w;.`' .' <'COMMENTS -" .�;;;_,, '‘"'.': ;- AMOUNT PAID -;: . - Credit Card HARVEY& PRICE CO 132.00 512154 TOTAL PAID: 132.00