HomeMy WebLinkAboutPermit Building 2000-1-13
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I Job# 00-00040-01 I
Page 1 of2
TRANS#:01-0000237
DATE:JAN 13 2000
AMT RECD:1 $ 37.00
CHANGE:$ 0.70
CASHIER: 003
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00040-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1256 W FAIRVIEW Dr Spr
Assessors Map#: 17032731
Lot: Block: Addition:
Tax Lot#: 01102
Subdivision:
Owner: Jill Hoyen9a
Address: 1256 West Fairview Drive
Scope Of Work: Single Family Residence
Phone Number: 541-726-8078
City/State/Zip: Springfield, OR 97477
Demolish Value: $0
Demolish existing SF Dwelling and Detached Garage
Contractor Type
General Contr
Plumbing Contr
Contractor Registration # Expiration Date
Stayton Construction
85386 Highway 99 S, Eugene, OR 97405
Gooden & Harrison
1441 Highway 99 North, Eugene, OR
97402
Phone
5417269422
5416897762
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.
Septic Tank Pumped
I Plumbing I ~...c:::: )
-After septic tank has been pumped and filled. Please provide the inspector with re-c:t and ver
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
Fee
Demolition
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Plumbing Permit Fee
Septic Tank Removal or Fill
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Grand Total
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I Job# 00-00040-01
Page 2 of 2
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt# Value/Quantity
Building I
01/13/2000 237 1
01/13/2000 237
01/13/2000 237
Fee Amount
$18.00
$1.26
$.54
$19.80
Plumbing
01/13/2000 237
01/13/2000 237 1
01/13/2000 237
01/13/2000 237
$.00
$15.00
$1.05
$.45
$16.50
$36.30
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
property during the demolition process.
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Signatu;;U- -. :.. J 0
/-/3 -00
Date