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HomeMy WebLinkAboutPermit Fire 2014-08-14SPRINGFIELD 225 Fifth St w CITY OF SPRINGFIELD Springfield,OR97477 f vj� Phone: 541-726-3753 OR6eoN Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01723 mn v.springfield-or.gov Permitcenler@springfield-ocgov PROJECT STATUS: Issued ISSUED: 08/14/2014 EXPIRES: 02/09/2015 STATUS DATE: 08/1412014 APPLIED: 08/08/2014 I SITE ADDRESS: 3333 RIVERBEND DR, Springfield, OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703220004102 TYPE OF STRUCTURE: -PROJE43-T-0ESCRIPTION PeaeeheaIt"amma-Knife-Project--relocate-oxlsting-heads OWNER: PEACEHEALTH Phone Number: ADDRESS: 1116 SE 164TH AVE VANCOUVER WA 98683 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone Fire Contractor HARVEY & PRICE CO CCB 77 10/31/2014 541-746-1621 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. Owner or Contractor Signature !W') PERMIT SHALL EXPIRE IF THE WORI< UI ItORIZED UNDER THIS PERMIT IS NOT `NCED OR IS ABANDONED FOR '! RAY PERIOD. 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 number for the Oregon Utility Notification Center is 1-800-332.2344). Springfield Building Permit 8/1412014 10:45:56AM Page i of 1 SPRINGFIA CITY OF SPRINGFIELD LN 225 FRIh St TRANSACTION RECEIPT Sp ng(eId,OR97477 1, 'OREGON 541-726-3753 811 -SP R2014-01723 mm.sptlngfield-ocgov 3333 RIVERBEND DR permitcenter@springfield-or.gov RECEIPT NO: 2014001765 RECORD NO: 811-SPR2014.01723 DATE: 08/14/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Admin fee (10% of applicable fees) 224-00000-426605 1098 6.00 Hourly Plan Review Fee (Less than 20 heads) 100-00000-424002 9120 60.00 TOTAL DUE: 66.00 'PAYMENTTYPE PAYOR CASHIER:RHOLMAN COMMENTS AMOUNT PAID Check HARVEY & PRICE CO 66.00 035911