HomeMy WebLinkAboutPermit Demolition 2000-10-13
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I Job# 00-00645-01 I
Page {of2
TRANS#:01-0003471
DATE=OCT 13 2000
AMT RECD:2 $ 16,50
CHANGE:
CASHIER:061
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.. SPRINGFIELD
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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
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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
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