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Permit Fire 2014-3-3
SPRINGFIELD • 225 Fifth St t CITY OF SPRINGFIELD Springfield,OR 97477 r ''-`o OREGON Phone: 541-726-3753 Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00201 www.springfield-or.gov permitcenter @springfieId-or.gov PROJECT STATUS: Issued ISSUED: 03/03/2014 EXPIRES: 08/30/2014 STATUS DATE: 03/03/2014 APPLIED: 01/31/2014 SITE ADDRESS: 2525 OLYMPIC ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703254308000 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sprinkler system modification OWNER: PACIFIC COAST OPTIONS LLC Phone Number: ADDRESS: PO BOX 2611 EUGENE OR 97402 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 OMLID 8 SWINNEY FIRE PROTECTION&SECURITY INC (CLE)Electrical CI 24-475CLE 07101/2014 541-741-1775 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. / /II, .1 , �ra�/ y Owner orf ontractor gnat e Date NOTICE: ATTENTION: Oregon law requires you t0 THIS PERMIT SHALL EXPIRE 1F THE WDRK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit - 3/3/2014 2:04:59PM Page 1 of 1 'SPRINGFIELD i CITY OF SPRINGFIELD it r I d as.- 225 Fifth St `�,�;; TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-00201 www.springfield-or.gov 2525 OLYMPIC ST permitcenter©springfield-or.gov RECEIPT NO: 2014000468 RECORD NO: 811-SPR2014-00201 DATE:03/03/2014 [DESCRIPTION - " _, :_AC000NT_CODE/TRANS CODE -r ' AMOUNT DUE 1 Admin fee(10%of applicable fees) 224-00000-426605 1098 .� 90.00 Percent of fire system bid/contract value(3%) 100-00000-424002 9116 900.00 TOTAL DUE: 990.00 G_PAYMENTLTYPEyPAYOR CASHIER:CCARPENTER COMMENTS,_ . _ AMOUNT PAID . . ' Check OMLID&SWINNEY FIRE PROTECTI( 990.00 44795 SECURITY INC TOTAL PAID: 990.00