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Home My WebLink AboutPermit Building 1980-5-12 ~< TRS, TL: 17-03-27.3.3 /I 5400 Subdivision: \ Menlo Park, Lot 1 Block 6 This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed. result in revocation of this permit, citation under provisions of Lane County'S Infraction Ordinance, and/or other remedies allowed by law, /' JOB 4\DDRESS: .. / POST THIS P.ERMIT ON MAIN BUILDING AT SITE 1010 Cottonwood, Eugene, Oregon Le-l066-80 CONSTRUCTION PERMIT # Violation can Applicant/Address: M. P. Fortier, 2595 Tyler, Eugene, Oregon 97405 Owner/Address: Bob Ayers Contractor/Address: same as applicant Contractor's OS # 4706 Total Construction Value: $7402.00 Telephone: Telephone: Telephone: 687-9655 I I Construction approved by this permit: Water Supply: Addition of family room to existing dwelling @ 210 sq ft; Structures now on property: house. Public # Employees: na _LANNING DIVISION WATER POLLUTION CONTROL DIVISION Setbacks Interior property lines Edge of road right-of-way Building foundation Wells, other water sources 1t0NSTRUCTION PERMITS/INSPECTION DIVISION Directions to Site: Date Issued: C55-13 :.::,.. # Bedrooms: na # Plumbing Fixtures: na Zoning: AGT Partitioning # na Parcel # na Parcel Size: 100 x 78 Minimum required structural setbacks, from: centerline of road, front: 50'; centerline of road, side exterior: na ; interior property lines: 5' ;rear property line: 6' PUE Special Instructions: Addition is to rear portion of existing structure. For information call 687-4394, Carol Site Inspection # no recordlnstallation specifications: na gal. min. septic tank capacity; na lineal feet of drainfield required; max. depth of trenches: na Special Instructions: Maintain setbacks between SDS and construction. Do not drive or park over driiufie1d. Septic Tank 10' 10' 5' 50' Drainfield 10' 10' 10' 100' For information call na between 8:00 - 9:00 a.m., eor1iss Kosty Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification: Instructions: See reverse side of permit for required called inspections. Family room add / For pl9ns information call 687-3767 between 8:00 a.m. and 9:00 a.m., Jim, Lamb For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. bne county Over bridge on Centennial, down Cottonwood on right, bluish color 05-12-80 T.T. Morris/ll~y I DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 By: e . " \ . \0 1\ . . I", , I" ~"", ('~ "I" I'" r" ("'1'''''1' ,-.", JL ~ (" , / n ", t r, l' ,," ') 11 ") 1:" n ') ::.1\ \l. I 1_ ,'1..1::. I ::. .. .. ,r l.j C> c)'::t t.:J .J!-t I:. \j ~'ll......) <:' (~. :: T') T) I~' ') 1:, () t, "" , "I ,:~ I:,' " '1' I:'! 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" ,':1 'l ..(., 0' r.\ I~> ":l ':l (,) ,',) 0\..0\.,....... .... ,-:1111:;1' ..... _. I" F'L.(.:lN CHECK FEE, I::; I" u: '" \'.ll., F,'f'l" .... , 46 . 48 '~. I"'{ '"'' I "]')]" I'" ::. ,.. :".. \} (.'I....or' '\ ('" (" '" I"" r" ",. I'" T' "" ' ..'..J 1'1 ," .,,, c:. ! C ,) J:3 Y [1'"'(''' I'" ",1 .... I'" ~', .. i' EN\/H lOT f.1L. ,.. 1 .' j ..' ""1" , I ...1 I.. \," 'I' I::'('l ..: I:' 'I' .,}" "I L" "f' A, 1< I::' N 'I:{ V '-" .;;" T) . ...1. .\. t .....J..! A. I" I" I:, ~:"j(' I ...1;.. . .' ..., '''1' t) ( 0\ {t.) S2 . S4 -r,-t ,j 11 ~. S8 - I .. 60 ~. 64 -. . . ," ,,,' .' J J 'J .. ., " (,) t.\ ~ , :l: (-) it .. ~ CIf ,; .. , ,: z . < ~ '" 0 u ~ , I ~ \ 12.' ~ ~ w 11. ~ < 10 ~ < 91~' ~ 8. : -m 7 e ~ z 6 ~ ~ S.;; .. 4 3 . o '" ~ o ~ II :"Il ~~JJ e DEPARn1ENT OF ENVIRONr~ENTAL t1AN~NT PSB, 125 EAST 8TH AVENUE EUGENE, OREGON 97401 !' Job Addms 11110 {'I~~ '!!#lfIL!"-'l: ~ 111i.I~iii~i;iilr,'~!~1::~~!!~\;J~ I ~ ~ ::;"::t.~::l~ 1 - O:~tQ;~::1 ';~L Application for tJ!IW~ ~ t111h"IJ.vY'Iq, Structures now on the property ~e.. 11 ' ::I.!I4.W#~~f31itl:irni~titI:: /'l /::I.tt~:~~iii.j:::: /-/ K;!;';i;l)j\j:t\\: / / tt~ij~:~tMI;lt !S1, p. Fe~~Z'<! /t :(lil.ii!l!i~t::pr:dt~:1: If this application is for an agricultural building it will be used for purposes allowed by the State Building Code and Lane County Code Chapter 10 (zoning) and for no other purpose, I have the following legal interest in the property: owner of record; contract purchaser; lessee; holder of an exclusive option to purchase; duly authorized to act for ~owner. who is knowledgeable of this applic~~ion, Signature/Address ~,R d?~ 2~7.5 ....,;z,,/.4 ~ (zip)'~ vZ))' - ,- - Telephone t P 7 PI'StJt' or I Date~.Y.. z...cl /.t:J- () When permit is ready notify: /-/ Applicant /-/ Owner ~ Contractor ~: / / mail /1(/ phone C n I.J( __ '~l ,._~ Owner ',::) l) D ..-+ V F ,c.. - (zip) Phone u.~~~~-. ~~- Contractor &1.,P, F~A-r/r<. (zip)f;J~~r PhOne~~.,1:...~S-~ Contractor's OSR# ' H 7" -r; Plumbing by ::Mj"":'::":J:l"HiiF{SriIJH '''',' "''''''''''rsGl''''~:'''''~''''''''''''''''''',''',','' """'''1'''''''''''' ""'''(so ' r."'''''' " '" "" .... L.Le- - ", . :::8.!:~~:i"::::N.~@R;';;::;t:; / / J&~~H:~::::i Affidavit: I, , hereby certify that this information is true and accurate, . """""""""~:':"':':':"':':':':':"'~:':':':',:,:" If Commerc 1 a 1 :",J~::~I::::~I~:J~~: Res i den t i a 1: ::I:::;.;t:~~;:;:~;.:::;~:: SI test holes ready DO NOT WRITE BELOW THIS LINE # of employees :iWit\iiUiiL ,:~ii~:::r;i?Existing, BP # Un f<.r~ / / Proposed, SI # ;:giI tmli :Rt"":""""""f""~W:':':':':':: _S:C:r,dl,l>'~:On., ilil~I:~i~lli! - ;:!16l\t:: \511:: Valuation Fee , " $ ') !\J1IYnJ L.y(tr;RiR 10 ~() '-" --.;. -'" ~::~:::::::~:::::::::::: - ""OM""""""""""'~"""""W"'" l O~:o ,', .. ""'", '"",,' Rec~'~'~;~:; ,(' -6A) , .. Total Va,luation: $ /1~ f""..'t!"".."..",.... $ ::/ 18IMII:: $ Subtota 1 $ $ each $ each $ $ $ $ ~fdJ:lA Water Supply P, t Proposed Year Installed Pxt. "t () () Existing 'v 4% State surcharge Plans check fee Change of Occupancy TOTAL PERMIT PROCESSING Minimum setbacks: Zone AC, T 1., front - ~' 1.. side ; int. Pa rce 1 F)I , . Q/ size-'DOX 70_ ; rea r (f? I::::!LL6" (5 Part, # r-IY ,It) tLOfl/I' ~ ') 1> l)~j~.uY(J n_ Parcel # , Comments a.ctc1..LtL..o: ) To be typed on permit - .- ~ 4 ~~ Use Classification ftrJn/f ~ ~rL- CP&I Type I=)/J .-- To be typed on permit - Group ~~ Fire Zone ~ For plans information call (area Directions to site~' 2R:' ~~. (. I ':> I-I SIFO Plans. CP&I, - WPC tt:1-1'P&I 0pc 1-/ Planning /-1 Publ ic Works () Elevation /0/a CI Address I~I Facility Permit 1-/ Environmental Health By r if~~ Date , Phone Qjy\ ;, 1 QJ tc=br _ 1111 (11 .. J ~ ~ --5' -KlJ P.J7-31~L , llu.A- Date Required Hold Slip to PCC Date Comp 1 eted , Da te to . PCC /" /' f-~I;" " . Y"r Jr'/:'A . ~ ','\ ,--- FOR INFOR~~TION about progress of your application call: C74-171 Permit Control Center 687-HELP (687-4357) ~ . ~...., ", ~.. . ~ ....... .........-; ~ '-T'~ "';.'~ :'. . . I ~. C' 0\\ .f rO'1 DEPARniEN~' OF ENVIRONr~ENTAL nAN_NT PSB; 125 EAST 8TH AVENUE ' ' " EUGENE, OREGON 9'7401 'i. ~. , I ..f I"'" rv ";pr~-' I ,r;;> Job Address fJ v ( /V'-t".;.r.:..., H ..tPt"l1-(.i Ci ty (-/A~A'f C'~,_.-"-~, Townst:!.i,p'. Range," Section, Tax Lot I :7.. (,,' ~ ,- 2 ?,~ (~).?" c)" "'J :/'l:'::() . . . . .' I,' ~,~ '/./' . ,'" J.; 7" . / / Subd lV.1S 1 on' M-I...~:~~i't.!.",~n." ,,'/<:~ :..'J(,,' /,,!-;, 7' .1"1''''!...",,~.=-.. Lot. ' Block (= Appl ic~'tion for .~ ,I.~",:"i'?"t: <i:7~~/~}.,~t~"\ ..J.(') d,(J)f' I ( .VYH;'" Structures now" on the property /.t:(~....,.....~:,~ If v Proposed use of property: 1f:1 Residential CI Commercial CI Industrial LI Public Affidavit: I, /II, I,: f" () /.f' )''','''",''' /" , hereby certify that this information is true and accurate, (please print) If this application is for an agricultural building it will be used for purposes allowed by the State Building Code and Lane County Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property: owner of record; contract purchaser; lessee; holder of an exclusive option to purchase; . duly authoriz~.d~.t,o .~ct})or ::~.;...~wn'7~_ w~o is knowl,:~;~e~,~.:e o,f., thi~apPli~ti~n;, . Slgnature/Address .>;)J;// -I 7' t"?tA.I;"",' t. ,d. c", '7..~J..../.A. (~, A ...o"'-...,:;t,_,#.....,.~,_. Telephone I:~;; '7 C;tf:' ')",'" or /' Date When permit is ready notify: I~I Applicant I-I Owner ~ Contractor ~: I~I mail Owner f?;; D h A \/ r ~: t:;' (zip) ....(,? p, F'b /'1 7'1 r.<: (zi p) ?;.' ~;.. Ci'i>" Phone L: ':iJ' :7 "/i ?'~ ,:;i ':.~~> Contractor's OSR# .r;.; ?l} , Plumbing by ! ; ! I , I , c, ," ",'.," · 'I . ' oi',It .,.,..' ~;''l" " ~ . ~ ,~,;'~:~':1 .,~ .~~. ': Appl icationV \.C - l('{p/;,-" 30 Assigned Numbers I .. ,-' ....~ ~../. ....~o' .' - " . . ,,,"" ,/;1 ." ,f. t '-~", ,"'.u.... (zip) 'j'!;, '..', " ,r',,; ,l / ,.... 900 ~ ...1' '. I , '/~I phone , Phon"'_ ..-, ';O<;-"-"'''''i1,~+",.~.';'' r...P _..,"" .; J 10,,_' .~,_"r ,..). Con trac tor DO NOT WRITE BELOW THIS LINE If Commercial: # of stories Residential: # of bedrooms SI test holes ready # of employees # of units .... 'SDS: IWExisting, BP # I I Proposed, SI # UQ f<.?t' QE.-r) ,) -'" Fee Code Description Sq. Ft. or # of Sites Unit Cost Valuation Fee v- 4% State surcharge Plans check fee Change of Occupancy , $ -Jr) {)N 1\.<9. ~ ,(1 J Q If I J 1/n$1- t9/0 m bJ(J;P,,-~ iJ "-- .- $ $ each $ each $ $ $ $ Subtota 1 nr1r1 ,I j J rnI) A-L . - \. ') Jomll J 0l'5(n"Yl ( ') I) 14- ')( f,t::) ....... . filrl" ~. ", '1"...."".. ...~ . " . I I ).ash , () pi- PI Check # '1 :)() Received J?y. 0.M') . ,- ~ Water Supply PI ~l r:)<;L,LC; Proposed U Existing Year Ins ta 11 ed Total Valuation: $ ~Plumbing fixtures at $ l' Sewer/water conn, at $ .../ ............-. ~:-' ' TOTAL fA ro 7.-;~ . , Minimum setbacks: ; i nt. Parcel Size ~I . 1(]Ox 78'-: ; rear (0 I-.....JUE.: PERMIT PROCESSING Zone Am T , G.., front ~' L !aJt. # ~ Y ; G.., side Parcel # . Comments O(1CV Lu')t'\.J To be typed on permit .",.-<<:.,.b"I' ," (~) if) ,b.QO)LJ fV'.J.UTI1) By o/.,l!~v FiJJLl,r.l(JJ1~ ) . I' ,} I': I , '. Date . WATER POLLUTION CONTROL 2 Installation specifications: ~ gal. tank; ft. of drainfield; max, depth of trenches: .rP,,".,: . To be typed on permit ~~- j_~ _~ ~ \.... - 1, ",_,-:"., --.' ~"''SL ~:V" ... r nr-v-- ~ t/l..L.; __..t . "-"',A , ~ D ~ ~r- _ ~ Q-- ,-.l./l - . ~ _ ,.,f\. ~ O\.J-e A .,.. ~.-~ '; - ""' ~c! , ',-' . /,', (.' I - , , Telephone Byr ("I7'_O~:sr ~. Date\,{' .:l't(~ ' fO)YJ -bt.-. ~l~'Ttj (, ~~ nAf('1"l rl SIFO Plans'le.! ,'CP&1 se s) -Date' HoldSlip Date' Date to - WPC set(s) Required to PCC Completed PCC i0p&1 ,f;t"'W PC I-I Planning /~/ Public Works ~I Elevation I~a C/ Address CI Facility Permit /~/ Environmental Health . FOR INFOR~~TION about progress of your application call: Permit Control Center , h 687~HELP (687-4357) " . . ;1-_~ -. -.-o__l~ H _ ~ ~-:~- -~:'_-" "" ..~::,-::-.:::':->;-~~';' - i~~.~-;fi: :~~, ~,~,:,'~;,(,;-,~,::,~t.?:, r:~.~>': :.:. _-~_ t:::.:~;. '-, ,.,,a-...,- ~~~~ "'--~ J-t;..- t~:~.:.~-:- ~ -r.~: . .~i ~ :." ;~ ~ ,~ . "1..., ~~. :>~t -." .!~' --: "J .~-:. ~. t~-;;;.: ~\-{,; . -......... ' : ;.. r-=. ~":.- ..~/: .' '.J :..... .. ~ " f: '. ,- .-.""~ -4<. ;..-- > ':'0. lo.>. ~ -...... ~~c~~~~ >,.. t~~ ,':" ". ~ .' ~ .1.-, .: \.- ;:.'.' ~:'1~-'... , ~; ". ~.{-;.- :~ p ~ ,-' t,j;~;~'~~~~. '~) T." t'~ ''''0'-'', f ._~. -... -,.. ~ L .. .. ~ :i .;-"~";"'.. , . - I -;:..; "." ~ C. To .,'. " r' ',' f,~{fj;:....... ',,;7' . ~. ..:-; '! ~~\~)::']:' ~~':"'--' , h";)~~',' "_::;:"~ ,'" -~~{~5}':::::~~ ~.~. ..; - ~"'- -. , r;' ,~ r'. .~! : ~ ." . 1." .-. 1-- r' ,. ~ ('.""" f~~'~;~'~.\. ~ ,t. '.~'.-:!' ~ ~ f:' ',:,,-,. 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