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HomeMy WebLinkAboutPermit Demolition 2000-5-4 " ,I Job# 00-00645-01 I Page 1 of 2 TRANS#:01-0001498 DATE:MAY 04 2000 AMT RECD:2 $ 19,80 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD? OREGON 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 City/State/Zip: Eugene, OR 97401 Demolish Value: $0 Address: Scope Of Work: Miscellaneous Demlish house and any accessory - one bath in unit Contractor Type General Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Registration # Expiration Date Phone Bravado Excavation & Construction* 105329 3/27/00 541-746-5554 Po Box 827, Pleasanb";lill",qR=9'lM:5.'il~'t:~JO"'O"~ei j'O' ,o:a"I~;;~o;;;'j , .... !tcv,~!+IJI\l'\+!I!~' '-ItJ ueawnu _ Cltluqaao'8ff'.~ltHU'9l0N) 'Jews::> 84l6U!IIBO "q ~aln,l 8 ' Ice se ~ ~ 4~ +u ~O!UUO U!Blqo "ew nOA '0600 t(rc.al1g:U~~O ~6noj4l 0 WO-WO-G'9S !:IV'O J,# Of Buildings: 'i~'Zonihgje6ae!} aso4J. '18lueO UO!lBO!J!lOI9ccupancy Group: \"B~aroo~sD 9tH i\q paldoPB S91nJ MOIIOl Heat Source: " '. Yii"'\t: :;onJ'nO' ",' .....,. ""R", - Range?' ,..,.i'",'::, ,'. ',",f: l:~.!f":I! "I=f,U\"/Sq. Footage: Demolition To request an inspection call the 24 hour recording at 726-3769.'AII 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 wo~ngday. ' ~ N~f1G~_~ed Inspections . _ BuildinQ , I T r-'cHIVIII SHALL EXPIRE IFTHE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Building 05/04/2000 1498 Value/Quantity Fee Amount Demolition $18.00 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 ca'rd is located at the front of the property during e demolition process. ' ~j;~ . ( . Signature .' Fee State Surcharge For Building Permit Building Administrative Fee Total Building Grand Total ., .' /I~5Ich... 1- Job# 00-00645-01 I Paid On Receipt# Building 05/04/2000 1498 05/04/2000 1498 J Page 2 of 2 ValuelQuantiw\ Fee Amount $1.26 $.54 $19.80 $19.80 <) Iv /00 Da{el