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Permit Building 2014-4-15
SPRINGFIELD - 225 Fifth St GFIELD - CITY OF SPRINGFIELD springfield,oR97477 Ci� Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00607 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/15/2014 EXPIRES: - 10/12/2014 STATUS DATE: 04/15/2014 APPLIED: 03/24/2014 SITE ADDRESS: 631 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Restaurant ASSESOR'S PARCEL NO: 1703274305805 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Hook Up Fire Suppression in factory pre-piped type I hood OWNER: CENTENNIAL SHOPPING CNTR LLC Phone Number: . ADDRESS: 7831 SE STARK ST STE 103 PORTLAND OR 97215 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone GUARDIAN FIRE PROTECTION INC CCB 100355 06/23/2014 541-926-4920 L 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 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. - (.5—__ /Y ,Owner or Contractor Signature Date , • NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK 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- 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), • Springfield Building Permit 4/15/2014 1:00:33PM Page 1 of 1 • -SPRINGFIELD CI"IY OF SPRINGFIELD 4: .tw,. 225 Fifth St OREGON TRANSACTION RECEIPT Springfield,OR97477 . 541-726-3753 811-SPR2014-00607 www.springfield-or.gov 631 W CENTENNIAL BLVD pennitcenter©springfield-or.gov RECEIPT NO: 2014000816 RECORD NO: 811-SPR2014-00607 DATE:04/15/2014 (DESCRIPTION. " _ `� ACCOUNT CODE/TRANS CODE=-.- _-_AMOUNTDUE...Jt Admin fee(10% of applicable fees) 224-00000-426605 1098 12.00 Percent of fire system bid/contract value 100-00000-424002 9116 120.00 TOTAL DUE: 132.00 LPAYMENT TYPE_,,,;PAYOR CASHIER:JLARSON _ COMMENTS • - -- AMOUNT PAID - *. .-• Credit Card GUARDIAN FIRE PROTECTION INC v y 132.00 175288 TOTAL PAID: 132.00 • •