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