HomeMy WebLinkAboutPermit Demolition 2000-3-14
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Job# OO-OOililHJ1
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MAR 14 2000/12:06 PM/$ 0,54
ACCT#:100-00000-426605
T#:01-0000922/LUE HUNTINGTON
JOBII:00-00396-01
SPRINGFIBLD
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CITY OF SPRINGFIELD, OREGON .
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00396-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3490 Marcola Rd Spr
Assessors Map#: 17023000
Lot: Block: Addition:
Tax Lot #: 00902
Subdivision:
Owner:
Edwin Huntington
90790 Hill Road
Phone Number: 541-747-1364
City/State/Zip: Springfield, OR 97478
Demolish Value: $0
Address:
Scope Of Work: Miscellaneous
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 call the 24 hour recording at 726-3769, 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,
Demolition
Required Inspections
I Building I
-After demolition is complete and all debris is removed from the site,
I I'lumbing I
-Capped within five feet of the property line and capped with an approved material as required b
Sanitary Sewer Cap
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt# Value/Quantity
I Building I
03/14/2000 1
03/14/2000
Fee Amount
Demolition
State Surcharge For Building Permit
$18,00
$1.26
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Fee
Job# 00-00396-01
Paid On Receipt#
I Building
03/14/2000
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Page 2 of 2
Value/Quantity Fee Amount
Building Administrative Fee
Total Building
$,54
$19.80
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Grand 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
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
p~qpe -<luring the demolition process,
() c 'AL/ ~it../fi'?~"" /~ 0 .:3/</ /00
./' Sig ature d ;- Date
Plumbing
03/14/2000
03/14/2000
03/14/2000
1
$15,00
$1,05
$.45
$16.50
$36.30
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DEPARTMENT OF FIRE & LIFE SAFETY
OPERATIONS
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.3737
FAX (503) 726.2297
Area Code changes to (541)
November 1995
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INSTRUCTIONS TO PROPERTY OWNERS (TRAINING BURNS)
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) ~,." The Owner will:
'Ii' I, Complete the two (2) authorization forms (FD-158) - provide: date, property address,
,,-':" tax lot number, signature of Owner(s), address of Owner, and phone number of Owner.
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Retain one copy ofthe authorization and return the other to the Department of Fire and
Life Safety.
2. Complete the insurance "Notice of Cancellation or Nomenewal" form, Retain one copy
and return the other to Springfield Department of Fire and Life Safety,
3. Secure the demolition permit (there is no charge when the Department of Fire and Life
Safety accepts the building(s) for training purposes), but the permit requires the Owner's
signature, so please sign and date the permit. The City of Springfield does require a
septic/sewer permit and inspection fee to be obtained by the property Owner. Please
contact the Springfield Development Services at 726-3753 for both permits, and submit a
copy of each to the Department of Fire & Life Safety.
Have the following disconnected:
Water
Electrical power and meter removed
Natural gas meters removed and line of supply capped at street
Telephone lines removed from building
Cable TV lines removed from building
Remove:
All closed vessel containers (water heaters, fuel tanks, etc.)
All asbestos containing materials, as indicated by the inspecting firm (a list of inspection
and abatement firms is enclosed),
Thank you,
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Springfield Fire and Lifi
TRAINING DIVISION
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