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HomeMy WebLinkAboutPermit Building 2000-1-13 ~- " . . 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 ~~ 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 ? L. ....... . 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 . 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. ~~~/' Signatu;;U- -. :.. J 0 /-/3 -00 Date