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HomeMy WebLinkAboutPermit Fire 2014-2-21 SPRINGFIELD'- - 225 Fifth St ' CITY OF SPRINGFIELD Springfield,OR 97477 one: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00251 www.springfield-or.gov permitcenter©springtield-or.gov PROJECT STATUS: Issued ISSUED: 02/21/2014 EXPIRES: 08/20/2014 STATUS DATE: 02/21/2014 APPLIED: 02/07/2014 • SITE ADDRESS: 346 MAIN ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703353107200 TYPE OF STRUCTURE: • • PROJECT DESCRIPTION: Additional tank for UL300 system • OWNER: SPFLD LODGE#70 IOOF Phone Number: • ADDRESS: 342 MAIN ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name - Lic Type Lic No Lic Exp Phone Fire Contractor UMPQUA VALLEY FIRE SERVICES INC CCB 179319 11/16/2015 541-229-0911 • INSPECTIONS REQUIRED Inspections 8330 Hood Suppression 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 tha . fired inspections are requested at the proper time,that each address is readable from the street,that the permit _ t is locate' at the front of the property, and the approved set of plans will remain on the site at all times during cons n. of. r N._ 212t H`'/ Owner or Contractor Signature Date 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 calling the center. (Note: the telephone NOTICE: number for the Oregon Utility Notification THIS PERMIT SHALL EXPIRE IF THE WORK Center is 1-600-332-2344). AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 2/21/2014 12:12:06PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD - 225 Fifth St kiar4"C\ TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-S P R2014-00251 www.springfield-or gov 346 MAIN ST permitcenter@springfield-or.gov RECEIPT NO: 2014000378 RECORD NO:811-SPR2014-00251 DATE:02/21/2014 [DESCRIPTION_^ ___ _ .::'_ ACCOUNT CODE/TRANS CODE_____._._...AMOUNT DUE:„,; Admin fee(10% of applicable fees) 224-00000-426605 1098 12.00 Balance of$120.00 Minimum Fire Fee 100-00000-424002 9116 75.00 Percent of fire system bid/contract value(3%) 100-00000-424002 9116 45.00 - __ ._ - ._ . _ _ _-. - _ _ _ - - - ._ - ._ - TOTAL DUE: 132.00 ;_ PAYMENT TYPE_ ___PAYOR CASNIER:'JLARSON. • `-.COMMENTS _ __ AMOUNT PAID: . j Check UMPQUA VALLEY FIRE SERVICES It _ 132.00 19479 . TOTAL PAID: 132.00 • • • •