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HomeMy WebLinkAboutPermit Final 2014-08-14SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 C v�� Phone: 541-726-3753 Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01762 w apringfield-or.gov permitcenter@springfield-orgov, PROJECT STATUS: Issued ISSUED: 08/14/2014 EXPIRES: 02/09/2015 STATUS DATE: 08/14/2014 APPLIED: 08/13/2014 SITE ADDRESS: 3333 RIVERBEND DR, Springfield, OR 97477 SCOPE: Hospital ASSESOR'S PARCEL NO: 1703220004102 TYPE OF STRUCTURE: Commercial -PROJECTDESCRIPPTION: Fresprinklers—Tenant-improvemenlfor-MRI-uniLintoshelLspac OWNER: PEACEHEALTH Phone Number: ADDRESS: 1115 SE 164TH AVE VANCOUVER WA 98683 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor GREENBERRY CONSTRUCTION LLC CCB 166612 09/26/2015 541-752-0381 ._ ._. _.- HARVEY & PRICE CO (CLE) Electrilechical G 20-156CLE 07/01/2017 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 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 Safely. 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 NOTICE: T Ii IS PERMIT SHALL EXPIRE IF THE WORT( AUTHORIZED UNDER THIS PERMIT IS NOT GOLrMENCED OR IS ABANDONED FOR hlvlY 180 DAY PERIOD. Date ATI ENTION: Oregon I� t�� requires you to follow rule, 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 8/14/2014 10:49:42AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD -� - - - klxi�, TRANSACTION RECEIPT 225 Fifth St Spnng(eId,OR97477 ' OREGON 541-726-3753 3 811-SPR2014-01762 v .spnngfleld-oc9ov 3333 RIVERBEND DR permitcentef@springheld-or.gov RECEIPT NO: 2014001767 RECORD NO: 811-SPR2014-01762 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 ,� rt TOTAL DUE: 66.00 'PAYMENTTYPE (PAYOR CASHIER:RHOLMAN `COMMENTS AMOUNT PAID Check HARVEY & PRICE CO 66.00 035911