HomeMy WebLinkAboutPermit Demolition 2000-9-20
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I Job# 00-01412-01 I
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Page 1 of 2
TRANS#:01-0003271
DATE: SEP 20 2000
AMT RECD:2 $ 36.30
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01412-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1790 Henderson Ave Spr
Assessors Map#: 18030320
Lot: Block: Addition:
Owner:
Art Corliss
28399 Royal Ave
Address:
Scope Of Work: Miscellaneous
Demolish house
Contractor Type
General Contr
Tax Lot#: 03000
Subdivision:
Phone Number:
City/State/Zip: Eugene, OR 97402
Demolish Value: $0
Contractor
Staton Companies
Po Box 7515, Eugene, OR 97401-0020
Phone
541-726-9422
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Registration #
3371
Expiration Date
3/21/2002
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All in~pgCiibl)f.i-equested before 7:00
a.m. will be made the same working day. inspections requested after 7.:00~fh~ill.b!SI'lAlde.:!tte~oIIoYiingE WORK
working day. I MI t: IVII I ,.... " .-. .
AUTHORIZED UNDER THIS PERMIT IS NOT
Required Inspections COMMENCcU Uti I::> f\O""uu,,;:~ ;-;:;-;
Building hNY 180 DAY PERIOD.
Demolition
Sanitary Sewer Cap
I Plumbing I
-Capped within five feet of the property line and capped with an approved material as required b
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
~TTENTIOI\I:Uregon law requires yo~ ~"
follow rules adopted by the Oregon Uti lit}
'\Iotification Center. Those rules are set fon
# Of Stories: .n <!:I.e.lgliti{fe1ftj~0010throughOAR 952-001
. O......~~u-.".....,htaincopiesoftherules b)
Current Unats: 0 "''''I'osei:l'unats: (N t . th telephone
calling the center. 0 e. e
Census Code: Does not apply f th 0 egon Utility Notificatlor
1'1Ii nbar or e r
I, r-~",.~' i: ,.'.:l"~)~'111".?'M."'\
Total: _
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Fee
Demolition
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Miscellaneous Plumbing
Plumbing Administrative Fee
Total Plumbing
Grand Total
Job# 00-01412-01
Paid On Receipl#
[' Building
09/20/2000 3271
09/20/2000 3271
09/20/2000 3271
Plumbing
09/20/2000 3271
09/20/2000 3271
09/20/2000 3271
09/20/2000 3271
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Page 2 of2
Value/Quantity Fee Amount
I
1
$18.00
$1.26
$.54
$19.80
$15.00
$1.05
$.00
$.45
$16.50
$36.30
By signature. I state and agree. that I have carefully examined the completed application and do
hereby certify that all information herein 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 of Oregon pertaining to the work described herein. I also agree to call for the required
inspections as noted above (726-3769) at the appropriate limes. I also state that I was provided with
Lane Regional Air Pollutions phone number and asbestos removal information. I further agree that
the PfYj' ddress will be readable from the street, and the permit card is located at the front of the
property du ng the demolition process.
,nfrJ: l1~p-:"
Signkture
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Date