HomeMy WebLinkAboutPermit Mechanical 1980-4-10
POST THIS PERMIT ON MAIN BUILDING AT SITE
3538 Game Farm Road, Spfd, Orego
.JOB ADDRESS:
TRS, TL:
17-03-15 U 2704
CONSTRUCTION PERMIT #
LC-83l-80
Subdivision:
na
This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of Lane County's Infraction Ordinance, and/or other remedies allowed by law.
Applicant/Address: Steven M Mann,
Owner/ Address: Donald Albred
Contractor/Address: Steven Halverson
Contractor's OS # iA./()~S.;2..
Construction approved by this permit:
ttater Supply: na
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
Setbacks
Interior property lines
.e of road right-of-way
. Iding foundation
Wells, other water sources
CONST R UCTI ON
PERMITS/INSPECTION
DIVISION
Directions to Site:
570 West 6th Ave., Junction City, Oregon
Telephone:
Telephone:
Telephone:
998-3577**
/
Total Construction Value: /
Fisher, Baby Bear wood stove installation.
Structuree now on property: dwelling, (3344-79)
# Bedrooms: na
# Plumbing Fixtures:
na
# Employees: na
Zoning: RA Partitioning # na Parcel1\.a
Minimum required structural setbacks, from: centerline of road, front: na
side exterior: na ; interior property lines: na ;rear property line: na
Special Instructions: none
Parcel Size: na
; centerli ne of road,
For information call 687-4394,
RDger/CM>
Site Inspection # na I nstallation specifications: na
na lineal feet of drainfield required; max. depth of trenches:na
Special I nstructions: none
Septic Tank
10'
10'
5'
50'
gal. min. septic tank capacity;
Drainfield
10'
10'
10'
100'
For information call
na
between 8:00 - 9:00 a.m',na
Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification: SFD/Woodstove
Instructions: Woodstove installation shall be installed exactly in accordance with lCBO and the mfg's
installation instructions.
For plans information ca11687-3767 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.
/
Date Issued:
04-10-80
Beltline to Game Farm Rd., left on Game Farm on left hand side.
By: Hans O. Ettlin/lky
bne county
.
C55-13
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILOING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
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o 83180 DATE 040380 l!U
6TH ST., ,JUNC. CITY, 97488.'
LOT BLI<
00 NO UNITS 001 NO ~TORIES NO BLDGS 001 '
3Q FT UNIT COST VALUATION FEE DA'.'
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L .<\NF r:OUNTY DEI-' r ENV MG T HECEI::'T
. - (lI"PLICANT HAL\lF.RS'O~!, ,nEVEf~ AD DR 570 W.
"n'~ 170:", ,}(')002',C'l SIJI~D!V
NEW HLDG lYPE U~~ R NO BDRMS
. - ,'DuE APr'L NO ACTIOrJ j\F';'C'RIF'YION
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FISHF~ GRANDttA FR.
:,0, CONNECTOR,,:
MECHANICAL t'"EE
STA-fE SlIF(CHARGE
PLMJ CqECK FEE
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COMPLETED BY
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LANE COUNTY DEPT ENV MGT RECEIPT I
APPLICANT HALVERSON, STEVEN ADDR 570W. 6TH
TLO 1703150002704 SUBDIV
NEW BLDG TYPE USE R NO BDRMS 00 NO UNITS 001
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT
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LC 83180 WS
NO. FIXTURES:
CPI
f'Y CAD
WPC
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FISHER GRANDMA DR.
NO. CONNECTORS:
MECHANICAL FEE
STATE SLlRCHARGE
PLAN CHECI< FEE
F'lJ,N
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COMPLETED BY
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83180 DATE 040380
ST., JUNC. CITY, 97488
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NO STORIES NO BLDGS 001
COST VALUATION FEE DAY'
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EACH ~-
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DEPARHIENT OF ENVIRONI~ENTAL 11ANAGEMENT.
. PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
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Job Address 35 "j 'B (;A IVL c.. h LIu.... ~,IP!l~Y! ~.p I='" ?
1""""'1' .'....""..'.W.'..t,f,,<F,,'... L ., 1--- ""'"'" I =- ;t!- -?-7 ~-.J ,
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lPrliilil$iill;;iisiflil!'f~'ifr''':' Ir/' .ldiiiltfil' I I illOililletflbl1 I I 'Im.~m I I miibHl!"
Affidavit: I,"~~e. 10 "'lYr:~)v 0:::1'\ ~_'~A.I , ~e;':~;' certify tha: th~:";~~:rmation is true and accurate.
tlHlla$ILPl'Jnt l.
I~thiS pplication is for an agricultural building it will be used for purposes allowed by the State Building Code and
L nty Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
/owner of record; ontract purchaser; lessee; holder of an exclusive option to purchase;
~' duly authorized to ac the oW~/.1w~y!<.n~wledgeable of this~PPlica ' .ra /1
Signature/Address '/A-J-///I ~"c ~ 7(") . . /'?~l Aue,
I. - - - - - . -.. -
Telep~one {jjg~-~ or _ ~ate
is ready notify: Appl icant U OWner I~tractor !li'.: LI mail
(zio)
(zip)
When permi
Owner
Contractor
Contractor's OSR#
.l.dOl,~
r . Plumbing by
'-
Phone
Phone
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If Corrrnercial: iJ!'Q'f'$tIiH~;
'~,,;:'.,~r\'.:\:::',~T. .<._.,,:V
Residential: ~':.p(tt%bi-di_j
SI test holes ready
DO NOT WRITE BELOW THIS LINE
# of employees r1fi~9~~~~h
$l!$.;.t LI Existing, BP #
I~I Proposed, SI #
tf~f~1 ". _."'" "'h""':'
C~lliIstdOtliiil'
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Valuation
Fee
TOTAL
$
$
$
$
$
each $
each $
$
$
$
~cd2
n '~fi$li;'''#F ~/) /, /
l}~::} ~.I/~
Water Supply 'f"
Proposed Ex i s t i ng
Year Installed
Total Valuation: $
!1*1_liiiStlXW'ml at $
l.f~\!l~f1I~l?~t~Jl at $
Subtota 1
4% State surcharge
Plans check fee
Change of Occupancy
:
PERMIT PROCESSING
Zone ~ A-
It, front
Part. #
Parcel #
Parcel Size
into rear
Minimum setbacks:
It, side
Corrrnents
To be typed on penmit
CP&l Type gv
To be typed on permit
WOOOSTCVE INSTALlA TION SHALL BE
INSTALLED EXAC1LY IN ACCORDANCE
WITH I.C.B.O. AND THE llANUFACTU;C;:R'S
INSTALLA nON INSmUCnONS.
Group
~.3
Fire Zone
3.
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By I~ r(('l~
Use "tJjlsification f!i,.lp
Date4-3- /<l )
$-T7/ , -=--
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informat;o.n caZiarea inspector)~
tions to Si~e tl;H~p ,
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CI SIFO Plan to: CP&1 set(s)
WPC set1s)
~CP&]
LI WPC
CI Planning
CI Public Works
I~I Elevation I~I n/a
CI Address
CI Facil ity Permit
~/ Environmental Health
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By ~ C,/. ~Date "1- 7-~
7f~A-- ~rJhone -1Il ~
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Hold Slip Date Date to
to PCC C4P~'d PCC
FOR INFOR~~TION about progress of your application call:
C74-171
Permit Control Center
687-HELP (687-4357)