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HomeMy WebLinkAboutPermit Demolition 2000-10-13 ~ ..' I Job# 00-00644-01 I Page 1 of 2 TRANS#:Ol-0003470 DATE:OCT 13 2000 AMT RECD:2 $ .16,50 CHANGE: CASHIER:061 . RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00644-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 360 Q St Spr Assessors Map#: 17032624 lot: . Block: Addition: Tax lot #:, 01800 Subdivision: Owner: Arlie & Company 722 Country Club Road Phone Number: 541~344-5500 City/State/Zip: Eugene, OR 97401 . Demolish Value: $0 Address: Scope Of Work: Miscellaneous , ' Demol.ish house and accesory - o~e bath in unit Contractor Type General Contr .Contractor 'Bravado Excavation & Construction* Po Box 827, Pleasant Hill, OR 97455 Registration # . Expiration Date 105329 3/27/00 Phone 541-746-5554 Office Use # Of Buildings: Occupancy Group: Heat Source: NO"'5lCE:i:lotage: THIS PERMIT SHALL EXPIRE IFTHE WORK' To req~est an inspection call the .24 hour ~ecordi~g at 726-3769. All inspection~J~e:g1JJa~7~PEt~~~f1..7I2~HIS PERMITlS NOT a.m. will be made the same working day, Inspections requested after 7:00 a.m. WIll ge mcrCleJthe fo'ilbWing working day. COMMENCED OR IS ABANDONED FOR ANY 1AO nAY PERIOD, Quad Area: # Of Units: Constr. Type: Water Heater: land Use: Zoning Code: Bedrooms: Range: ~..:<;:..... -Required Inspections . Building Demolition Sanitary Sewer Cap' I Plumbing I - Capped within five feet of the property line and cap.~led'lwjt.~ anap.p.roved mate(ialyas jrequired b A I It::.: \J I ul\I:vreg('o 18w-rsqmres Ol~(> . follow ru!e~ adopted by the Oregon Utility "!oti'ficatlon Cente!. Those rules are set fOfli '[I OAR 952-001-0010 through OAR 952..001"' u090. You may obtain copies of the rules by # Of Stories: Jli:ffi'~R~(f'e%ij,?nter. (Note: the telephone Current Units:~, npma8~twUmQregO(l Utility Notification C C d D tl' Centens 1-800-332-2344). ensus 0 e: oes no ,app y :k ._,~"1tf~l" ~:. . Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: ,.:. Handitap Ac~ess? D -Area (Sq. Feet) Main: Accessory: Total: . "Fee Demolition State Surcharge For Building Permit Building Administrative Fee Total Building . I Job# 00-00644-01 . Paid On Receipt# Building 05i04/2000 1499 05/04/2000 1499 05/04/2000 1499 Page 2 of 2 Value/Quantity Plumbing 10/13/2000 3470 10/13/2000 3470 10/13/2000 3470 10/13/2000 3470 Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Miscellaneous Plumbing Plumbing Administrative Fee Total Plumbing Grand Total By signature, I state and agree, that I have carefully examined the completed application and do her,eby certify that all information herein is true and correct, and I fur:ther 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 al~o 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 duri the emolitio ro ss. Signature I. ; ~ CWw.\y, / Fee Amount 1 $18.00 $1.26 $.54 $19.80 15 $.00 $1.05 $15.00 $.45 $16.50 $36.30 / Q ,/3.. Date