HomeMy WebLinkAboutPermit Building 1979-4-26
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POST THIS PERMIT ON MAIN BUILDING AT SITE
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. ,JOB ADDRESS:222l Daphne Street, Springfield, Oregon
TRS, TL: 17-03-24-43 , 101
CONSTRUCTION PERMIT #
LC-1093-79
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:
Owner/Address:
Contractor/Address:
Contractor's OS #
Telephone:
Telephone:
Telephone:
John Hascall, P.O~ Box 10043 Eugene, Oregon *****
Mrs. Susann Bell, 2221 Daphne, Springfield, Oregon 97477,
Dayco General Contractor
18800 Total Construction Value: $350.00
,nstruction approved by this permit:,
Water Supply: nA
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
746-7245
689-4567
Moving an existing door to new location.,
Structures now on property: house.
# Bedrooms:
# Plumbing Fixtures:
# Employees:
na
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Parcel Size:
; centerline of road,
Zoning: na Partitioning # na Parcel # na
Minimum required structural setbacks, from: centerline of road, front: na
side exterior: na ; interior property lines: na ;rear property line: na
Special Instructions: Project will not effect existing setbacks.
na
For information call 687-4394, Donna Lee Meigs
gal. min. septic tank capacity;
Site Inspection # na Installation specifications: na
na lineal feet of drainfield required; max. depth of trenches: na
Speciallnstructions:none
Setbacks Septic Tank
Irior property lines 10'
, e of road right-of-way 10'
uilding foundation 5'
Wells, other water sources 50'
CONST R UCTI ON
PE RMITS/I NSPECTION
DIVISION
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:
Instructions: See notes on plans, call for inspections as noted on reverse.
sm/REMODEL
For plans 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,
Located off of Hayden Bridge Road to North 21st to Daphne Road.
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By: JSS/ly
bne county
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Directions to Site:
Dat';! Issued:
04-26-79
C55-13
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.PARHiENT OF ENVIRONI4ENTAL t1ANAGEMENT
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 9740l
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Job}ddf~ss .2::)':1 I DAPI-I.~,: <;t-. (llJm S.;;:J.hN~rINb
lIii~I~~~~;~lj~il!tt~ll~~gi;~s~ I 7 - n"l -;? iJ - ~:3 ~ ~~~] :ili11C~\
~~~li~;~'>\vr ~O(:.). ..... ~ c... "'--~~Q't ~~"~c-~,~
Structures now on the property ~ FJ X:.. ~ ~ (' ... \..) ~ ~
lii,"",m$el!;\ij$'llt'W'&f"iltt&11 X;, I~Will!Wtfiffl n 'lllll\tllei'ClMt' /_ / ':1..,"".0... $..JlfIlnt
""'r!P.Q,_~..!:L,_.:.:."',P.....JL.,......_,..... ~~~=~~," _ ~......--.--. ..'.. "'".....<~ l>i ~._.._.._"'w
Affidavit: I, .../11/./., I!AseA{.{
HHllll.$MlIllllitJ .
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 purchaseri lessee; holder of an exclusive option to purchase;
duly authorized,to~ct fO~ ;he owne~~who is knowledgeable ot this application.
Signature/Address ~~,;t:./t<-ttA~...e/' P.O. F!/lY IO{).,<. ''-'.0.1 f .IF..) (jl?~_ {zi'!l97(1'Y0
c:;7 Telephone i:J2"'- - oCt-L.'l or "'" Oate ..;,,'- :?a....:?'{
When pennit is ready notify: C/ Applicant () Owner (jjt Contractor-::J!>Y: C/ mail C@ PhO~~
Owner 'n1R6, S Ll5 A >oj 1\' Bd_~ ,:1.:l:l1 DA of! N F (zio)2;7<T7? Phone T ~~ -'7;)l/.5"
Contractor -12tl.yr.o 6.Ltli.~~L CDN.-hu\c.+,,/Z. ~ (zio) Phone (,<.:1 - ij~/'. ;>
Contractor's OS~ 11<51:1'>:"--) Plumbing b~
DO NOT WRITE BELOW THIS LINE
# of employees filWtFWlJtsd
t~/ht):.~\"'''-::::-
i?~j!l C/ Existing, BP #
/~/ Proposed, 51 #
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o IPilbftW*
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, hereby certify that this information is true and accurate.
If Corrmercial :'.itll.'flliS...wr.........'....1...6... '~'
.. L~<k..W~~':@~~:fffi~
Residential: df&biij\~l
SI test holes ready
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Valuation
Fee
c'
(~..... L "~Cl ~ F. x'.....-\.....'.....r_
,~.,~ "\d..c.'l ~L.....) --.)
\.-...,c-"c...c............' ~
$
-::!f-1)~ $
$
$' ,
0"->
~~
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Total Valuation: $
"~1!1~'.:: :
Subtota 1
each
each
$
$
$
$ ~
$
$
$
$c::!...,sO
Water Supply
Proposed _
Year Installed
Existing _
4% State surcharge
Plans check fee
Change of Occupancy
TOTAL
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PERMIT PROCESSING Zone ~'\j~ Part. # Parcel # Parcel Size \t"\"I-J X '-\ S_
Minimum setbacks: ct.. fr;'t ; <t. side ~ into ; rear
corrments0""'c-e"-~ ~,I:...\. CmC'.-A, ~. .c-J.... ex,~.ll:"~
To be typed on pennif 'S:-....... ~ ""C').~ <::... 'J . r- ,
. I /] By ~"YV'( -----. Date ~_-< \..) ''-\ 't
CP&I Type 5-A/ _ Group Ie::. - -< Fire Zone -S Use Classification <:; r f) / J2'p/JI,p./)E<:-.
To be typed on Pegnit ..5e.P ~"a 0'-v7 ~ / c"iJa /-)'-^'-'" :.....;,:../;1/~ il :"A _ .
~ ...-v1..:::rT 1/ "-:'1 ~~ 1:). ' {...
For plans information call (area in1pector)
~ctions \to site ~uCJ~ €, d....
'\~t-- A..., s:. '\-(6., ~
~~~SIFO -'-41ans to: CP&I set(s)
WPC ===== set{s)
1_ CP&I
C/ WPC
C/ Planning
C/ Public Works
~/ Elevation ltj n/a
C/ Address Y\
C/ Facil ity Permit
nvironmental Health
By 9 '7.":7 Oate <::f:.- 2.4..-?9
>K;'-j:a.~ Phone ;) 1(/)'7 '
~ _ 1 ~.L\ .-'L,,",_~
~~ (to ...-~C'.t...l) '-='~T"
':> ",,~,~. :::Y\.,,~ ~<',
...- ;.
Date
Required
Hold Slip
to PCC
Date
Completed
Oa te to
PCC
~~ ~nL ~d
FOR INFOR~~TION about progress of your application call:
C74-171
Permit Control Center
687-HELP (687-4357)
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LANE COUNTY DEPT ENV MGT RECEIPT ~ 109379
APPLICANT DAYCO GENERAL C. DATE 042079 TAXLOT 1703244031010
SUBDIVISION lOT BlK
-NElrIiCD'G-T'i'F'E----USCR-No-BDf'<I'fs--o-e -NO-UNITS -001-NO -stoRIES- _un NO--BlDGS - 00-1----
,~. CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS
~ SP REMODEL EXIST
. 'BP- --WAL:CAREA----
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~ SP LC 109379 REPR
'PC----NO:-F I XTURES'--
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PCK
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:2
-350 --- - ~----~-- -
-NO-:-CONNECTORS-:-- -
MECHANICAL FEE
STATE SURCHARGE
P--PL:AN-CHECK- FEE -
350
4:-0-0--EACH- =---
5.00
4
PLAN
0.20
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