HomeMy WebLinkAboutPermit Building 2001-02-28CTTY OF SPRINGFTE LD, OREGON
Job# 01-00180-01
RES!DENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
Addition:
SPFINGFIELD Page 1 of 2
225 North Fifth Street
Springfield, OR974T7
Location Of Proposed Site: T4S 00023rd St
Assessors Map#: 17033611
Lot: Block:
Owner: Loyce Peters
Address: 745 23rd
Scope Of Work: Single Family Residence
spr
Phone Number:
City/State/Zip:
Demolish
Job Number: 01 -001 80-01
Office:726-9759
lnspection Line: 726-376g
Tax Lot#: 14800
Subdivision:
Springfield, OR9747t
Value: $0
Contractor Type
GeneralContr
Contractor
S Greg Payne
535 River Loop #1, Eugene, OR 97404
Registration # Expiration Date Phone
541-688-7038
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording a1726-3769. 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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Demolition
State Surbharge For Building Permit
Building Administrative Fee
Total Building
02t2812001
0212812001
02t2812001
4577
4577
4577
1 $18.00
$1.26
$.54
$19.80
Grand Total $19.80
Job# 01-00180-01 Page2 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 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
prope uring the demolition
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gnature Date