HomeMy WebLinkAboutPermit Fire 2014-08-12SPRINGFIELD -
225 Fifth St
CITY OF SPRINGFIELD
Springfleld,OR 97477
Phone: 541-726-3753
OREGON Building / Commercial Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01570
w .spnngfield-ergov
parmitcenter@spnngfield-or.gov
PROJECT STATUS: Issued ISSUED: 0811212014
EXPIRES: 02107/2015
STATUS DATE: 08/12/2014 APPLIED: 07/2212014
SITE ADDRESS: 1100 Q ST, Springfield, OR 97477
SCOPE:
ASSESOR'S PARCEL NO: 1703261403808 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: Fire Sprinklers Q street apartments
OWNER: WIECHERT BRUCE & JOANNE
Phone Number:
ADDRESS: 3073 SKYVIEW LN
EUGENE OR 97405
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
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 Slate 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.
7y
Date
ATTENTION: Oregon law requires you tO
OT ICF: follow rules adopted by the Oregon Utility
-I IIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules aro set forth
\IlTI10RIZED UNDER THIS PERMIT IS NOT In OAR 952-00j-0010 o090. Yh OAR 052-001-
ou may obtain copies of the rules by
;OivIMENCED OR IS ABANDONED FORcalling the center, (Note: the telephone
IY ISO DAY PERIOD. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 8/12/2014 2:33:57PM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
225FdtSt
TRANSACTION RECEIPT Spdngfield,OR97477
'OREGO541-726-3753
N
811-SPR2014-01570
m"v.spdngfield-or.gov 1100 Q ST permitcenler@spdngfield-ocgov
RECEIPT NO: 2014001748
RECORD NO: 811-SPR2014-01570
DATE: 08/12/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE '
Admin fee (10% of applicable fees)
224-00000-426605 1098
105.00
Percent of fire system bid/contract value (3%)
100-00000-424002 9116
1,050.00
Check WESTERN STATES FIRE PROTECTR
44837 CO
TOTAL DUE: 1,155.00
(AMOUNT PAID
1,155.00