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HomeMy WebLinkAboutPermit Demolition 2000-5-4 " I Job# 00-00644-01 Page 1 of 2 TRANS#:01-0001499 DATE:MAY 04 2000 AMT RECD:2 $ 19.80 CHANGE: CASHIER:059 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00644-01 225 North Fifth Street Springfield,OR97477 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: Address: Arlie & Company 722 Country Club Road Phone Number: 541-344-5500 City/State/Zip: Eugene, OR 97401 Demolish Value:. $0 Scope Of Work: Miscellaneous . Demolish house and accesory - one bath in unit Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Registration # Expiration Date Phone . \. " Y \.~~4' :--. '. . Bravado Excavation & Constructior:i~e:J"I'OI1.o53291"" ,'0"'0:;" ;,; i 3/21/00 541-746-5554 .t.f '.' '+"'H e.J - Po Box 827, Pleasant Hill, OR 9;~5's14daleld4'1';al~'N) 'Je? e41JOJ~eqwnu " ~Aln. ..::>, n _ , fUe~ AI f1 n, ",,__ .' 'ty,~ ';";:lIUU~ Ule' A ", .';I/~" Office"l1S€ ,.. - - . . +qo flew no). '06 . . ;)nesa~v~:~r~Oj4lO~OO.LOQ-;GBIH"_?O . land Use: iI'lln uofj 10... <:.>8041. 'jelua"''#{P~ BUlldmgs: Zoning Cod'e'n;l "~I~.JP ~41 Aq Paldope ~g,~638MRgyJGroup: , , '" '1,,~: .Mo: ,,~C;- I "' MOl/OJ Bedrooms: .' ,"~ 1,...'rl\!,....Iii.e~t~?Wce: Range: Sq. 'Footage: Contractor Type General Contr Demolition 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.. ). NO rice. Req 'WR~ .lnlWections .~~~M/f-SHAtf EX .t1~ffl~iJ UNO r ' P/RE/FTHE WORK . COMMENCED OR I%R THIS PERMIT IS NOT ANY 180 DAY PER/O;8ANOONEO FOR' . Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: . Handicap Acces~? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Heig~t (feet): Proposed Units:' Total: Fee Paid On Receipt# Building 05/04/2000,_ 1499 Value/Quantity Fee Amount Demolition 1 $18.00' .~ . Job# 00-00644-01 Fee Paid On Receipt# I . Building 05/04/2000 1499 05/04/2000 1499 State Surcharge For Building Permit Building Administrative Fee Total Building Grand Total Page 2 of 2 . Value/Quantity Fee Amount $1.26 $.54 $19.80 $19.80 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 ~ jemolitio rocess. ;YAJPwJ:t/If' V A(5tA...! Signature (' /V/oO . I t . Date