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HomeMy WebLinkAboutPermit Demolition 2000-8-14 , . I Job# 00-01251-01 I . Page 1 of2 TRANSU:01-0002909 DATE:AUG 14 2000 AMT RECD:2 $ 36.30 CHANGE: CASHIER:059 .~,/ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01251-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769i! Tax Lot #: 07200 Subdivision: Location Of Proposed Site: 831 Main St Spr Assessors Map#: 17033542 Lot: Block: Addition: Owner: Lithia Dodge 137 S 8th Phone Number: 541-747-3374 Address: City/State/Zip: Springfield, OR Value: $0 Scope Of Work: Miscellaneous Demolish Demolish commercial building(old Dairy Queen) . Contractor Type General Contr Contractor Registration # Expiration Date Staton Company 85386 Highway 99 S. Eugene. OR 97401 Phone 541-726-9422 Office Use Quad Area: Land Use: # Of Buildings: # Of Units: Zoning Code: NOTICE: Occupancy Group: Constr. Type: Bedrooms: THIS PERMIT st;tl!.,a.llto^o/~~.:: IF THE WORK Water Heater: Range: AUTHORI7Fn 1~~r)~~N~~~i>FRMIT 1<:: NnT To request an inspection call the 24 hour recording at 726-3769. AllfrQ~e~ti~IfsFr~q'ti~~fealb^efb?~7!5&,FOR a,m, will be made the same working day, inspections requested after~7{00Iiirm!,wiIFlfe"'m:ade the following working day. Required Inspections Buildinll Demolition Sanitary Sewer Cap I Plumbinll ~TTENTIOI\I:urt:ll0l' ,all\ ""1~1"'~ 101. , -Capped within five feet of the pro~erty lin~~~lW~f'~~\lir~~fl~'kl~rt~~~Wg~{i~~;~!lqUired b ,n OAR 952-o01-Q01 0 through OAR 952-00" 0090. You may obtain copies of the rules bi' calling the center. (Note: the telephone numberfortheOregon Utility Notification Heiftfi1~;:tr _n","" 'l'l?'''dd). Proposed Units: # Of Stories: Current Units: ,J. Census Code: Does not apply Construction Types: , Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: Total: 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 Ihe 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 times. I also state that I was provided with Lane Regional Air Pollutions phone number and asbestos removal information. I further agree that the project address will be readable from the street, and the permit card is located at the front of the property during the demolition process. . ~// d /J ~ ~/~ A'f/ W..-r....,--?-.J Signature . . .r' Fee Demolition State Surcharge For Building Permit Building Administrative Fee Total Building Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Grand Total Job# 00-01251-01 Paid On Receipt# Building 08/14/2000 2909 08/14/2000 2909 08/14/2000 2909 r Plumbing 08/14/2000 2909 08/14/2000 2909 08/14/2000 2909 . Page 2 of2 Value/Quantity Fee Amount 1 1 $18,00 $1,26 $.54 $19.80 $15.00 $1,05 $.45 $16.50 $36.30 8/5/~a3 Date /