HomeMy WebLinkAboutPermit Demolition 2000-05-10J ob#00 -00 681 -01
RESIDENTIAL PERMIT
City Of SPringfield
Gommunity Services Division
Building SafetY
Page 1 of 2
1Pg1rl$$:01-0001610
[ftIErt'lftY 10 t000
ftttT REffi:? $ 16.10
IHANGE:
CASHIER: OO4
SPFINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 627 S 00035th St Spr
AssessorsMap#: 17023143
Lot: Block: Addition:
Job Number: 00-00681-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 03903
Subdivision:
CTTY OF SPRINGFIELD,OREGON
Owner: EARL L. MCELHANY
Address: 975 WILLAGILLEPIE RD
Scope Of Work: Single Family Residence
demolish single family residence
Phone Number:
City/State/Zip:
Demolish
541-484-6693
EUGENE, OR 97401
Value: $O
Contractor Type
GeneralContr
Gontractor
Al Stone Construction lnc
91774 Hwy 99 S, Junction City, OR
97448
Registration #
8961 3
Expiration Date
3/15/00
Phone
541-688-1479
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
office use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
To request an inspection callthe 24hour recording a1726-3769. All inspections requested before 7:00a.m' will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Build
Demolition
Plumbin
Sanitary Sewer Cap -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?
# Of Stories:
Current Units:
Census Code:Does not apply
Height (feet):
Proposed Units;
Main:
(sq.
Accessory..Total:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Z
Job# 00-00681 -01 Page 2 of 2
Fee Paid On ReceiPt#Value/Quantity Fee Amount
Demolition
State Surcharge For Building Permit
Building Administrative Fee
Total Building
05/1 0/2000
05/10/2000
05/10/2000
0001 630
0001630
0001 630
$18.00
$1.26
$.54
$19.80
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Miscellaneous Plumbing
Plumbing Administrative Fee
Total Plumbing
Plum
05/1 0/2000
05/1 0/2000
05/1 0/2000
05/1 0/2000
0001630
0001 630
0001 630
0001 630
15
$.00
$1.05
$15.00
$.45
$16.50
Grand Total
By signature, I state and agree, that I have carefully examined the completed application and do
n6redy 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
ine 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 projelt address will be readable from the street, and the permit card is located at the front of the
$36.30
demol
r4 fiv2 o
Signature Date
1
process.