HomeMy WebLinkAboutPermit Demolition 2000-5-4
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Job# 00.00643-01
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Page 1 of 2
TRANS#:01-obo1500
DATE:MAY 04 2000
AMT RECD:2 $ 19.80
CHANGE:
'CASHIER:059
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00643-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 384 Q St Spr
Assessors Map#: 17032624
Lot: Block: Addition:
Tax Lot #: 02000
Subdivision:
Owner:
Arlie & Company
, 722 CountriClub Road
Phone Number: 541-344-5500
City/State/Zip:' Eugene, OR 97401
Demolish 'Value: $0
Address:
Scope Of Work: Miscellaneous
Demolition of house and accesory
Contractor Type
General Contr
Contractor
Registration #
105329
Expiration Date,
3/27/00
Phone
Bravado Excavation & Construction*
Po Box 827, Pleasant Hi,II,.OR 97455
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..: 81+- 0::;, '1'11'0 I/;"~" "':, V"".. - .
auo~~;/~'\J om'~tW~JO-~"';~"..J '
Quad Area: ' '\q SatnLarid:8~~~8JON) .J8lUe;1 JO} J8qU.mu # Of Buildings:
# Of Units: ~ LOO-CS~6hjn~,t6~~? u!elQo AewSl./n16U!IIeo
l..!JoJ' - \:P~vIfVJ41 0). '06 Occupancy Group:
Constr. Type: '- laSB'e'amolil1s'", OLOO-LOO-Cf'6 00 Heat.Source:
. '\l!f!ln 1J.c:t6., :~.::J. >;1"':'04.1. '/9Jua ::: tHtQ L: .
Water Heater. "! no.{ ~~~~~.e41 Aq P81dnnr> ~_~oueO!J!lOj\l Sq. Footage.
, "-, '''1.'0', !:."\R" :.: -"111.1 MOlloI
, , '~I!"'\.." _ 4
, To request an iilspection call the 24 hour recording at 726-3769/'AII~itTsl'>rp9tions 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. '
541-746-5554
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
Nor/cel;
THIS PERMITSH
AUTHORIZED UN~~~ EXPIAE IFTHt= WORK'
JOMMENCED OR IS A:HIS PERMIT IS NOT
NY 180 DA Y PE JJ.NDONED FOR
, ' # Of~~{ies: Height (feet):
Current Units: ' Proposed Units:
Census Code: Does not apply
Required Inspections
Building
Demolition
Accessory:
Total:
Fee
Paid On Receipt#
Building
05/04/2000 1500
Value/Quantity
Fee Amount
Demolition
1
$18,00
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Job# 00-00643-01
Page 2 of 2
Fee
, Paid On Receipt#
Building
05/04/2000 1500 .
05/04/2000 1500
Value/Quantity
Fee Amount
State Surcharge For Building Permit
Building Administrative Fee
Total Building
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
~;;:;;;;~::~-:;r..f . . . ,>/y/oO
Signature P;; Date e
$1.26
$.54
$19.80
$19.80
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