HomeMy WebLinkAboutPermit Miscellaneous 2011-1-14 SPRINGFIELD • •225 Fitt'
ifth St SCANNED
t , -°- CITY OF SPRINGFIELD Springfield,OR 97477 •iii
A 0 OREGON Phone: 541-726-3753
Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00092
www.springfielo-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 01/14/2014 EXPIRES: 07/13/2014
STATUS DATE: 01/14/2014 APPLIED: 01/14/2014
SITE ADDRESS: TtRANKLIN BLVD,Eugene,OR 97403 SCOPE: Tanks
ASSESOR'S PARCEL NO: 1703343300700 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Tank removal
OWNER: CBS OUTDOOR INC • Phone Number:
•
ADDRESS: PO BOX 404
BROADWAY NJ 08808
• CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor STATON COMPANIES GCB 3371 03/21/2014 541-726-9422
INSPECTIONS REQUIRED
Inspections
8480 Tanks(install/remove)
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.
•
Owner or Contractor Signature Date
wires you to
ATTENTION'. Oregon la the Oregon Utility R
follow rules adopted by \\*:�4)
Center. Those ruh SAP g52f001 S
Notification 01.0010
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Springfield Building Permit 1/14/2014 9:26:52AM Page 1 o11
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SPRINGFIELD • •I'IY OF SPRINGFIELD
225 Fifth St
-' `O OREGON TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-S P R2014-00092
www.springtield-or.gov FRANKLIN BLVD permitcenter@springfield-or.gov
RECEIPT NO: 2014000081 RECORD NO: 811-5PR2014-00092 DATE:01/14/2014
[DESCRIPTION - -- - . . '- - . . - - : .•;._AC000NTCODE/TRANS 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 54.45
•
Percent of fire system bid/contract value(3%) 100-00000-424002 9116 65.55
TOTAL DUE: 132.00
LPAYMENT TYPE i--. -PAYOR•. easweR:ccnRPEN7eR _-`COMMENTS_ . .. .. .. . . .A M O U N T PAID , ` -
Credit Card STATON COMPANIES 132.00
014833
• TOTAL PAID: 132.00
•
• • FD-088
CITY OF SPRINGFIELD, OREGON sconGF, ;\
Department of Fire & Life Safet
adevfilk Fire Marshal's Office 21 FIFTH STREET
SAFE SPRINGFIELD,IELD, OR 97477
(541)726-3737
FAX(541)726-2297
CONSTRUCTION PERMIT APPLICATION
Cit Job Number Date
Choose 1 Choose 1
r
❑ Commercial/Industrial ❑ Addition/Alteration/Replacement ❑ Demolition
❑ Multi Family ❑ New Construction ❑ Tanks
❑ 1 & 2 Family Dwelling ❑ Tenant Improvement ❑ Other
3//f
Job Address: $&t'7 nrs_v- 2. \;, kv A.
Bldg. No: Suite No:
Assessor's Map and Tax Lot Numbers: ( ( - 03 - 3 ''\ - 336OJo0 A
Project Name: 3067 Er•-••-\4`:.. kv a.. U v.c s r J e D Stb•ra4 c �..J \Ro.wave. .
Description of Work/locations on premises/special conditions:
TANK INSTALLATION/REMOVAL Removal Installation ❑
Manifolded Yes ❑ Secondary Containment Yes ❑ DieselM Gasoline ❑ LP-Gas ❑
Tank ID Construction Material S tt
Contractor Information
Contractor Name: Sko_Ce„ Cow. p
Address: ?O 8ok -i CV;
City, State, Zip: S ; .4 c.-&A t p s-
°I 1 'ICC
Phone: Si-� 2b - a y aa.
Contact Person: t_C s
•
Phone: S'11- 'WA - 19 st eta
Job/Contract Value: $ bS bd (City will not accept application without iob value.j
L Property Owner Information
Property Owner Name: C ; $y • f in---ZtjfteKci
Mailing Address: z - c r;f tL s-t4-..±
City, State Zip: S r-t "C:a.-0-4„t &ft 91141-1 Phone SM\- 134.- to 3a
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