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HomeMy WebLinkAboutPermit Building 1980-8-15 LANE COUNTY BUILDING . -. PERMIT.. -.-,--;l;O:......~' j -----_.~-- .~.t.....:-._.:.:.. ~ _:._ _ _ _..:...____ ~ ~_.'-.._=:.' e. CONSTRUCTION PERMIT H LC 1899-80 .. .-- .-1.-;"._...1_., b~ court.; .. ~ ca' I ..' ;.1 " ...1 II 1'1 r , I I ~ I. \ ,I' ,I . f' .f POST THIS PERMIT ON MAIN BUILDING AT'SITE JOB ADDRESS: 1Q95 Dixie Drive, Springfield, Oregon TRS, TL: 18-02-05.2.4~100 SUBDIVISION: Mount Vernon 'Estates, Lot Eight, Block One CONSTRUCTION APPROVED BY THIS PERMIT: None CONDITIONS OF APPROVAL: PERMIT CANCELED. VOLUNTARY CANCELLATION PER APPLICANT 7/28/80. . ,'I' . ,: ' " , I. , , 'il- I " .PERMITTEE: Richard_Evenson ~ ~/'-.f ~/cVg}: - DATE ISSUED: August 1, 1980 BY: Roger McGuckiri/Candi Hart WP 28305-5E-2 * * * * * * * * * * * * * * * * * * * * * 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. WHEN READY FOR INSPECTION (see attached) call 687-4065. Have the following information ready: Permit number, job address, type of inspection, when it will be ready, your name and phone number, and any special directions to site. ~NVIHO~JMlN'^L M,o.NA(J[MENl DEPARTMENT 125 EAS r HI!-t AVENUE I EUGENE. OREGON 97401 I .. ._/ rr .. . LC- ,. ~N~LLATION/REFU~AUTHO~TION · Permit # /~99-c;f:) Name (please print) /~#...g4-/ ~ _ ..ef~~ _ " Address ~~~y /~~::';./A ,,/~/~ ,,~A""./~fi~~9.7y;j7 App1 icant ]X) Owner () Co tor ( ) / 4 ~ n./.-/ Reason for ca~lling permit ~~~~~ ~~~~~ ~ . e'#,,~~~44--~ ~//'~~ - c/7Y" __~~n /' . ./ .. .; .. Signature Date ~~~~~ Fees paid for waste disposal systems (site inspections and/or applications to install the septic tank and drainfie1d) are ordinarily nonrefundable, Some refund may be made on the building and plumbing portions according to the amount of the permit processed. (DFFICE USE ONLY) CONSTRUCTION PERMITS & INSPECTIONS Authorization for possible refund: /}V; % Building permit fee $ % Mobil e home fee $ % Plumbing permit fee $ % Plan check fee $ % State surcharge fee $ TOTAL AMOUNT $ -0 - Date ..P- /.... -;?!"'.... , Signature~.1 ~~ , , WATER PO~TION CONTROL Authorization for possible refund: Signature % Septic disposal system $ % Site inspection fee $ TOTAL AMOUNT $ Date TO: DEPARTMENT OF FINANCE Building permit refund $ Septic disp. syst. refund $ Site inspection refund $ TOTAL TO BE REFUNDED $ PLEASE MAKE CHECK PAYABLE TO: Name Address Signature 24-08-24/Acct 46960/Prog 021 Receipt # 24-08-25/Acct 42133/Prog 011 Receipt # 24-08-25/ Acct 42134/Pi'og 012 Recei pt # Date DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE/PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 C74-179 ./ ..J.. ~"".. L C- " . . .' ~NCELLATION/REFUND AUTHORIZATION .~ .' Pennit # /cf'19-J::J Name (please print)/~~/~ ;:;:, C~~ _ , Address ';ff~V /m-/'..-/.//./ ./~/y vkd"'../~A,L~~ 9.7)/"7 Applicant (~) Ow~er (~) - Contr.afto~' () - ,. / ,,.;-e~ Reason fo; cancelling permit ,~~/~/r'~~~~ ~ //1~/./7A~/_.-?~f ...~../~ C/77 - - - - - /' . f - - Signature ,- Date ~,-.?-~ Fees paid for waste disposal systems (site inspections and/or applications to install the septic tank and drainfield) are ordinarily nonrefundable. Some refund may be made on the building and plumbing portions according to the amount of the pennit processed, (OFFICE USE ONLY) CONSTRUCTION PERMITS & INSPECTIONS Authorization for possible refund: '/)'0 ~r? % Building permit fee $ % Mobile home fee $ , % Plumbing permit fee $ % Plan check fee $ % State surcharge fee $ TOTAL AMOUNT $ --- 0 - Date .-P - /... - ,Q,'n) , (/ 4 ._CJ /~ Signature _~.u:,. /,~-- .// / , {/ WATER POLLUTION CONTROL Authorization for possible refund: Signature % Septic disposal system $ % Site inspection fee $ TOTAL AMOUNT $ Date TO: DEPARTMENT OF FINANCE Building permit refund $ Septic disp. syst. refund $ Site inspection refund $ TOTAL TO BE REFUNDED $ PLEASE MAKE CHECK PAYABLE TO: Name Address Signature 24-08-24/Acct 46960/Prog 021 Receipt # 24-08-25/Acct 42133/Prog 011 Receipt # 24-08-25/Acct 42134/Pl'og 012 Receipt # Date DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE/PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 C74-179 4541 . . DICTATING INSTRUCTIONS CONSTRUCTION PERMIT # 1 JOB ADDRESS: 2 TRS, TL: 3 SUBDIVISION: 4 CONSTRUCTION APPROVED BY THIS PERMIT: 5 CONDITIONS OF APPROVAL: 6 PERtUTTEE: 7 DATE ISSUED: 8 BY: g WP 28305-5E-2 ************************************************************************************* This is , 24-08-25, Program 011, extension , dictating a building permit lor buildinq permits) on Word Processing Form #28305-5E-2, with 4 copies. These are final copies to be single-spaced. I will need them by morning, afternoon. I will come and pick up. Please call when ready. Just leave message. Note: Please type all numbers in numerical. unless otherwise noted, Variable 1 Variable 2 Variable 3 Variable 4 Variable 5 Variable 6 Variable 7 Variable 8 Variable g Directions to Capital L- Capital C Space I g11 hypen 80 (All caps TMH or MH) ~A 1 ' I 8 hyphen nx- hypen I"JS- period 2. _ periodCC;;;;;;;a space If)o. (If none, just say N/A) If so, give sub name, Lot, Block. SA Go to notes or applicatio~~ iliA Go to notes or applicatio~ ~~~~~ Applicant's Name ~ _;' (Day after dictation date) ~n( Plan Checker/Sanitarian/Permit Processing Clerk (You must ~a "slash" between names, and not all names are necessary., see notes). /2J41, C f/ site, colon End of permit. '--- ~ permit. Start over. NOTES: Variable 5: Variable 6: Text: WPC: (Repeat below if applicable, plus text, if applicable). Subsurface sewage disposal system installation specifications colon gallon tank semi-colon feet of drainfield semi-colon'maximum depth of trenches semi-colon period. Keep drainfield at least 10' from all foundations and . . ~ property lines comma and 100' from all water sources period, Keep septic tank at 1 east 5' from bui 1 ding foundat i on comma 10' from a 11 property 1 i nes comma 50' from all water sources comma and 10' from edge of right-of-way period. Paragraph (written comments) Paragraph Planning: Minimum structural setbacks colon from centerline of semi-colon side interior property lines comma property 1 ine comma semi -co Ion or peri od (si de exteri or of road comma ) period. . road comma front comma semi -co Ion rear comma from centerline Paragraph (written comments) Paragraph Directions to site colon End of permit. NOTES AND SUGGESTIONS: Variable 2: Variable 5: Variable 6: Variable 7: Variable 9: Suggestions: If on a new SFD please look at addressing's copy of new address. If on a septic installation only, there usually is not an address, just a road name. Spell out unusual road names. Spell out SDS (subsurface sewage disposal system) don't abbreviate. Sbmetimes there is not room on the application for the construction and the septic so the clerks write it down by the fees so be sure to look to see if the permit is for septic also. Always hypen and put the square footage of the structure(s). Prepare this before dictation. Sometimes it instructions (not always the regular format) (not always in order). Always say paragraph Spell unusual names. These names will differ due to who is involved. One permit may be all 3 names and one permit may be just 2 names. For septic only put the sanitarian slash clerk, building only put plan checker slash clerk, Spell names if unusual (McGuckin, Cruickshank, Weiderhold, etc.) (a) Speak clearly and say s as in Sam and f as in Frank for those type of letters that sound like other letters. (b) Always say comma or period if there'is one; also parenthesis. (c) If you make an error please see Dictation Instructions sheet (d) BE PREPARED, Hava all applicable notes ready. You do not have to write down everything you are going to say, on sheet just write "see app". Just be sure you have the papers in order to dictate from. varies, and the between such as the septic setback requirements' different texts. 1 I. ..1. . 5. 6 ..1.. 10 -. " ..!!. 16 -. ..!! ..!!.. " -. .. ..!!.. " . 10 T\. ~ ..!!.. " . ..!!. .. LANE COUNTY DEPT ENV MGT RECEIPT 0 189980 DATE 071480 APPLICANT EVENSON, RICHARD A. ADDR 4824 DAISY ST., SPRINGFIELD, OR . TLI 1802052400100 SUBDIV MT. VERNON ESTATES LOT 8 BLK, NEW BLDG TYPE USE X NO BDRMS 00 NO UNITS 001 NO STORIES NO BLDGS 001 CODE AF'PL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAV.~' BF' BF' BF' BF' BP BP BP PL. MECH SUR PCI< , . ..!!.. .. -. -'.!. -'.!.. . .. -. LC 189980 WS NO. FIXTURES: BALZE KING NO, CONNECTOI~S: MECHANICAL FEE STATE SURCHARGE PL.AN CHECK FEE 15.00 e~ ~}. 00 EACH ... ..!!.. 4% 0.60 e. ..!!. e " " .: " " ..!! II 2 OTH ISS 3 TOTAL FEE** 15.60 . I, t. '12" ;; 11e ~ \0 : , ~; cl('--; : F 5.~ " , 0 ..!!.. 58 -.J CIHG: SEQU: TAKEN API" 1 BY CH RA FP SDS SI PCK EST. COMPLETION DATE .. -'.!.. .. -. I , . Mp//A:.O Eve>'J5aJ //"A<) -:T"Y.Y/P, /7R -<W"..N:."7: ,p, n "0/74/77 Zi p Code Name Address The above application is being held for the following reasons: o i~C./~C::;-F.4./e.; ~/~.:: ~ (3& /1J.~Pu 13.0 /J.,) /l'-'2~//t3S {/If/U$5 L-/~/6t:?, -:7J?,tZ.c'/?/t::/u 7 L~Ll FO<..... ;j('eve //./<-PU-I{IOIJ, ffr"//,v& ~~v~ o--<~,':1IC,(.,'J7'//VI r-t T'r. JA ., L -;:::::~ ,A!.7?;L~ /J--~..uJit'J~J, ...1--1 f '" '("f//,tJ!? /~,v'v,/ / (/'- Division 3L//LI.~i.4 / );.1'vIh'?'7?/J{) o f7 ' ' Signature ;(. j. J?/!../~.L'LJW Date 7.-/): !!(' Telep~/-:""G (, 1- ~"'h / This application will be held until /- ,.-.'~tI. If the information required above has not"geen furnishe9,by thaLd~te y~ur,application will be cancelled. / Buildinlfees~id 70r permits cancelled under these circumstanc~s will be oro'rated according to the work that has taken place as of the date qf cancellation._ )1 ENVIRONMENTAL MANAGEMENT OEPARTMENT 125 EAST 8TH AVENUE I EUGENE, OREGON 97401 form C74-139 , fZ M. '1,,/4. . DEPARTliENT OF ENVIRONI1ENTAL t1ANAGEMENT PSB, 125 EAST 8TH AVENUE EUGENE, OREGON 97401 , I [,~,"'.~.'~.'.'.ii.S..A.,..~.:.~....",...~..,.;"...~.,."~~~ 'k'Jo ::>}1,JJ,-.,:o '.. .~.'..9.;L~ ~tf...n..~..'.I f$~lj~!I~I~r~' .' ""'" ":'_/;7~ ~J k-^. iii'illii K :!ljp~k1 1 Appl ication for n Structures now on the property ;:;:~~ / p " 's!ldtuse1lifNe,,7t:U /-/ IReMderit.liiij. n \:(lllllIiji'C1Tfl / / fll\llt . a]1 /_-/ IPiili......lJi:,; \A::~i7;.'7,"1),;.~~'~J 1vi~~~~EI,Jt1-~SO;:)-~ ,~e::;U:.:~if~ that th~s ;~~f:rmation is true and accurate. If this appl 10n is for an agricultural building it will be used for purposes allowed by the State Building Code and Lane ou 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 elusive option to purchase; duly author~to ,a~t for tJJ.e owner, who ;s knowledgeable of ~iy~C~i~ ... (' 0I'7f ~ Signature/Address -.*\'v.1a./l,dl tJ. t-f UUA ~VO ,,:::;-y.lt c-\ (zi~)" rv-" / Telephone or Date When permit is ready notify: /~/ Applicant /~/ Owner z=t Contractor Owner Contractor 'Contractor's OSR# - r"''''l'~ ~~ .5,' I'"M'fi&gr.edniumbefsl H......".~.,.;, ,W>-" ... ... ... _~ (zip) (zip) Phone Phone = .I Plumbing by ;1)~. biscf.lllfloii; ~/,/~/ r~L - A' -~ ,/~ p/. j7 DO NOT WRITE BELOW THIS LINE # of employees jWOt,nIiiltiN ;;.A~"fN"~-""'" f$i!$Jh 0 Existing, BP # /~/ Proposed, 51 # t'u1fll !coltl ~ ,- If Conmercial: [jhlfitWtl'6i Residential: ~lla1J=~1~1w SI test holes ready ~d--- [FfJil caW 1s~rttltt~l~~~ 'I' '<f '''ltt'~'''" r.;;::o -:':>0.1- es~ Valuation Fee PERMIT PROCESSING Parcel # Parcel Size ~ $ $ $ $ each $ each $ $ $ $ $. r6-i't? (') .~bC- ~-/f"':@!l 7 - ".,",pi1..p,." ......, ~ / l.!i'ckV,/?,:,) " Recei~;d by (1M _ Jr?L-- Total Valuation: $ .lIiiJliItl!i:: : Subtota 1 Water Supply Proposed Year Installed Existing _ 4~ State surcharge Plans check fee Change of Occupancy TOTAL = Zone .~A-Part. # It, front 1.. side Conments. d /.h<~ # -.? () ( .,~ To be tyP::-J';:": t- into rear Minimum setbacks: Fire Zone /J BY(~~ Use Classification CP&I / c-/" ~~/I- To be typed on permit ~ /~//.J ~ A7//.//'::;;~J;~~n~. #Y~/?4P!:.IZ'/~/~ , / / G, . # By X-:L-./Ir"':'h~. Date /-?'K-[5t) ctor) _ /1 }'ho')Y t" ' ~a.4-?r-:./ J... .I:I#~..R/' ,=-!'/~y::7~y- -r ,(/ / ~ l . / set(s) Date Hold Slip set(s) Required to pee Type ,W Group K;:::> , .? For plans information c 1 (are i %,o;t);/A',/ y~ ,. ~-/ SIF Plans to: ep&1 - WPC ,- P&I C/ WPC C/ Planning C/ Pub 1 ic Works /~/ Elevation C/ n/a C/ Address C/ Fac il ity Permit ~I Environmental Health Date Completed Da te to pce C74-171 " 'J e 1. Site Inspection . '- 2. Foundation Inspection 3, Framing Inspection 4. Lath or Sheetrock Inspection 5: 'Final Inspection ", 6. Slab Floor, Plumbing Groundwork 7. Gas Piping Groundwork 8. Rough Plumbing 9. Rough Gas Piping 10. Final Plumbing 11. Final Gas Pi pi ng Remarks: 12, Ce~tificate of Occupancy: ' ready to issue; . INSPECTION RECORD Approved. ,Disapproved not ready; date; Date . . Inspector , inspector. . 1 , o c-> '" --l ~ o ;z "0 ..., ;0 3: ~ --l ""