HomeMy WebLinkAboutPermit Building 2013-11-12 SPRINGFIELD -
<t 225 Fifth St
CITY OF SPRINGFIELD Springfeld,OR 97477
,'rte 'x Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
_ Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02191
www.springfieldor.gay permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 11/12/2013 EXPIRES: 05/11/2014
STATUS DATE: 11/12/2013 APPLIED: 09/30/2013
SITE ADDRESS: 1420 S B ST,Springfield,OR 97477 SCOPE:
ASSESOR'S PARCEL NO: 1703360000900 TYPE OF STRUCTURE: •
PROJECT DESCRIPTION: Install fire suppression system.Note no mechanical or electrical upgrade required
OWNER: GENTRACO INC Phone Number:
ADDRESS: 6860 SW WINDING WAY
CORVALLIS OR 97333
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Fire Contractor WESTERN STATES FIRE PROTECTION CO CCB 104570 03/06/2015 303-792-0022
INSPECTIONS REQUIRED
Inspections
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8350 Fire Suppression Systems •
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.
/CO 1 C-3
Owner or Contractor Signature Date
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ATTENTION: Oregon law requires you to •
follow rules adopted by the Oregon Utility PIOTICt
Notification Center. Those rules are set forth
in OAR 952-001-0010 through obtain copies OAR 952-001- AIUTHORIZ ID UNDER THPS'PERMHT 15 ORK
009 ll You may Obtain copies of e the rules by COMMENCED OR IS ABANDONED'EOR
calling the center. (Note: the telephone
number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1-800-332-2344).
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Springfield Building Permit 11/12/201 10:47:43AM Page 1 of 1
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SPRINGFIELD --: CITY OF SPRINGFIELD
TRANSACTION RECEIPT Spnngfield,OR 97477
,,t� 541-726-3753
OREGON I 225 Fikh St
811_SPR2O13-02191
www.springfield-or.gov 1420 S B ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2013002479 RECORD NO: 811-SPR2013-02191 DATE: 11/12/2013
Da `an ,t gar,n :,b`,"'n' ;_ i`' . '.:ACCOUNT CODE/TRANS':CODEl. ,',,isA.4.tH"AMOUNT.DUE:`Ll
Admin fee(10%of applicable fees) 224-00000-426605 1098 49.17
Percent of fire system bid/contract value(3%) 100-00000-424002 9116 491.70
TOTAL DUE: 540.87
CIYPAYAIIEN'fn1YW 'rSP.AY,OR-� casrilengiiso a ,. COMMENTS .h�:I . •. ��?MOUNT�P.AID�,
Check Omlid Swinney 540.87
44761
TOTAL PAID: 540.87
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