Loading...
HomeMy WebLinkAboutPermit Miscellaneous 2013-6-20 • SPRINGFIELD 225 Fifth St iA _.: - - <,.....: : CITY OF SPRINGFIELD Springfield,OR97477 Phone:541-726-3753 �OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 ,Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-01127 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/20/2013 EXPIRES: 12/16/2013 STATUS DATE: 06/20/2013 APPLIED: 05/31/2013 SITE ADDRESS: 960 16TH ST,Springfield,OR 97477 SCOPE: , ASSESOR'S PARCEL NO: 1703362204603 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Heart Associates-Fire alarm system OWNER: MCKENZIE MEDICAL LLC Phone Number: ADDRESS: 541 WILLAMETTE ST STE 109 • EUGENE OR 97401 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Fire Contractor INTEGRATED ELECTRONIC SYSTEMS INC CCB 165599 07/13/2013 541-485-4456 L. 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 front of the property, and the approved set of plans will remain on the site at all times during construction. Ai , (4` / 5 / �•� ! Owner or Contra .r 4 ignat - Date ATTENTION: Oregon law requires you to . • follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: WORK in OAR 952 001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE 0090. You may obtain copies of the rules by calling the center. (Note: the teleph:•no AUTHORIZED C MMENC D OR ISRABHAINS ED F RNO number for the Oregon Utility Notification Center is 1-800-332-2344). ANY 180 DAY PERIOD.- Springfield Building Permit 6/20/2013 10:49:45AM Page 1 of 1 • SPRINGFiELD CITY OF SPRINGFIELD e11 a 225 Fifth St TRANSACTION RECEIPT Springfeld,OR97477 OREGON 541-726-3753 811-SPR2013-01127 wvnvspringfield-or.gov 960 16TH ST permitcenter©springfeldor.gov RECEIPT NO: 2013001277 RECORD NO:811-SPR2013.01127 DATE:06/20/2013 DESCRIPTION .t%nli s a s'fl 1Mi . h .&i -'ACCOUNTECODEITRANS CODE `.f .-,r --AMOUNT _3 Admin fee(10%of applicable fees) 224-00000-426605 1098 40.50 Percent of fire system bid/contract value(3%) 100-00000-424002 9116 405.00 TOTAL DUE: 445.50 r_P.AYMENTeTYPE r,.-,.'; PAYOR !_ ' °1,:Nt COMMENTS L =:`:_AMOUNTIP P : Check INTEGRATED ELECTRONIC SYSTEN 445.50 9615 INC TOTAL PAID: 445.50