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HomeMy WebLinkAboutPermit Demolition 2000-10-13 ....- -----~. -, I Job# 00-00645-01 I Page {of2 TRANS#:01-0003471 DATE=OCT 13 2000 AMT RECD:2 $ 16,50 CHANGE: CASHIER:061 '~ .. SPRINGFIELD ~- _l1Z!J':j;/J'lh'(~J'I=rd RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00645-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 380 Q St Spr Assessors Map#: 17032624 lot: Block: Addition: Tax lot #: 01900 Subdivision: Owner: Arlie & Company 722 Country Club Road Phone Number: 541~344-5500 Address: Scope Of Work: Miscellaneous City/State/Zip: Demolish Eugene, OR 97401 Value: $0 Demlish house and any accessory.. one bath in unit Contractor Type General Contr Contractor Bravado Excavation & Construction* Po Box 827, Pleasant Hill, OR 97455 Registration # 105329 Expiration Date 3/27/00 Phone 541-746-5554 Office Use land Use: # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: Heat Source: Range: NOTI~i.:Footage: THIS PERMIT SHALL EXPIRE IFTHE WUHK To request an inspection call the 24 hour recording at 726-3769. All inspections r~~estrcf, REfff!~1;Qo..pERMITISNOT a.m. will be made the same working day, inspections requested after 7:00 a..M)~,~~7Jfa~felllliet"fcMfvJii1g working day. COMMENCED OR IS ABANDONED FOR 1 I ^"IV ion nliv pl=RI()n Quad Area: # Of Units: Constr. Type: Water Heater: Required Inspections Building Demolition Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access.? D -Area (Sq. Feet) Main: I Plumbing I -After septic tank has been pumped and filled. Pleas~.~r~vi~~ the..!nspy~!9.r::}y,i9~l[~P~ipt and vel I ')1I0~; rule~ a.doPted by the Oregon Utility otification Centel. Those rules are set forth . I OAR 952-001-001 o through OAR 952,001- J090. You may obtain copies of the rules by # Of Stories: eeH'eigi1V(fe~'tr~r. (Note:.t~etel~~ho~e C t U 't nU"m"V~I'~nrthElUf.1~t9(10fl Utility NotificatIon, urren m s: r~op-o:;,egr 1s"~-BnO-332-2344). Census Code: Does ,not apply Ce t Septic Tank Pumped Accessory: 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 agreeto 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 propert uring the demolition process. ~ t ~1fA. Fee Job# 00-00645-01 Paid On Receipt# Building 05/04/2000 1498 05/04/2000 1498 05/04/2000 1498 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 Plumbing 10/13/2000 3471 10/13/2000 3471 10/13/2000 3471 10/13/2000 3471 Signatu/re I " Page 2 of 2 Value/Quantity Fee Amount I 1 $18.00 $1.26 $.54 $19.80 $.00 $15.00 $1.05 $.45 $16.50 $36.30 10 -\S..<lO Date ")