HomeMy WebLinkAboutPermit Final 2014-08-14SPRINGFIELD
225 Fifth St
CITY OF SPRINGFIELD
Springfield,OR 97477
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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
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TRANSACTION RECEIPT
225 Fifth St
Spnng(eId,OR97477
' OREGON
541-726-3753
3
811-SPR2014-01762
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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
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TOTAL DUE: 66.00
'PAYMENTTYPE (PAYOR CASHIER:RHOLMAN `COMMENTS AMOUNT PAID
Check HARVEY & PRICE CO 66.00
035911