HomeMy WebLinkAboutPermit Building 2002-04-22SPRINGFIELE'
Job# 02-00475-01
RESIDENTIAL PERMIT
Gity Of Springfield
Community Services Division
Building Safety
Page 1 ot 2
Job Number: 02-0047 5-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 03300
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1038 00007th St Spr
AssessorsMap#: 17033512
Lot: Block: Addition:
ctTY oF SPR7NGFIELD, OREGON
Owner: MichaelLand
Address: 1038 7th Street
Scope Of Work: Garage
Phone Number:
City/State/Zip:
Demolish
541-9BB-4309
Springfield, OR 97478
Value: $O
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Gode:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Building
is removed
J '. '.:
A -r
?i
from the site.
r qHALL EXplRtr ltrTUtr \ir^Fr/
, .tr( 1Heioht (feet):
.'Fl,ittLBe\f"aEpn
,, l!vl{bu full
Handicap Access?
Main
Census Code: Does not apply
Total:Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Demolition
State Surcharge For Building Permit
8% Building Administrative Fee
Tota! Building
04t22t2002
04t22t2002
0412212002
8697
8697
8697
$4s.00
$3.1 5
$3.60
$s1.7s
Grand Total $s1.7s
Demolition
(sq.
1
Job# 02-00475-01 Page 2 of 2
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 times. I also state that I was provided with
Lane RegionalAir Pollutions phone number and asbestos removal information. I further agree that
the project address will be readable the street , and the permit card is located at the front of the
property during
S t Ll -A2_ 0 <
Date