HomeMy WebLinkAboutPermit Building 1979-1-2
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/ JOB ADDRESS:2472 Domas Drive
POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT #
4000-78
TRS, TL: 17-03-23-44-11 116 Subdivision: Northwood Estates, Lot 17, Block 4
This permit for the referenced property is hereby approved. Setbacks ani 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 #
DavlO
Barry
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97477
Telephone:
Telephone:
Telephone:
726-0694
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r. McGuire, 2472 Domas Drive, Springfield, Oregon
Burtz, 2472 Dumas Drive, Springfield, Oregon 97477
Total Construction Value: $500.00
.nstruction approved by this permit:
Water Supply:
n..
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
*tbacks
terior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
CONSTRUCTION
PE RMITS/INSPECTION
DIVISION
Directions to Site:
Date Issued:
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1-2-79
C55-13
na
Zoning: Partitioning # na Parcel # ,na
Minimum required structural setbacks, from: centerline of road, front: .
side exterior: na ; interior property lines: na ;rear property line: na
Special I nstructions: Interior only.
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For information call 687-4394, R. ?ger Hollis
Site Inspection # na Installation specifications:
na lineal feet of drainfield required; max. depth of trenches:
Special Instructions: na
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Septic Tank
- 10' -
10'
5'
50'
Wood stove
Structures
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Franklin-ICBO II 3185
now on property: house.
# Bedrooms:
# Plumbing Fixtures:
# Employees:
11<1
na
Parcel Size:
; centerli ne of road,
na
na
na
gal. min. septic tank capacity;
Drainfield
10'
10'
10'
100'
For information call na
between 8:00 - 9:00 a.m.'11a
Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification: SFD/STOVE
Instructions: Permit for wood stove installation only. Wood stove installation shall be
installed exactly in accordance with ICBO and the mfg's. installation instructions.
READ the installation ins true .tions carefully BEFORE installing the stove. Call
for inspectio~ after the unit has been installed
For plans informatIOn call 68]-3767 between 8:00 a.m. ana 9:00 a.m., .Ii L b
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and b:elo p~.
na
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE. EUGENE. OREGON 97401
By: Hans Ettlin/ly
~ne county
ca
\
(I~ 1~1
) jl'eeeiPt ,
~&JOb Address 2 tj 72 n v /YlI1S nil? CItY.
Lit> nJTownshtp, Ran~e, Section Tax Lot -..2.3. '1'// J/'
IJ' ~r.5ubdtvision L;. _ . ~ Lot . .17 Block
1 Application for "t!.)lJOD .!;rovt;
7'\1 Structures now on the property
t'f'OllOsed use of property: f2( Residential CI CoIII11ercla1 CI Industrlll CI Publ1c
Affidavit: I, .1)AIJlD R. t1C C. VI'U~ , hereby certify that this information is true and accurate.
(please prtnt)
[f this application ts 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. 1 have the following legal interest in the property:
owner of record~ contract purchaser; lessee; holder of an exclusive option to purchase.
I---'" duly aut~d to act/9orA~nJ.r._~ is knowledgeable of th;~plication.
slgnature/Addres~~ fK.c.r/'~ .2. '172 'tI~ ~. (zip~7"';)7
Telephone 7).(,- ()(,~ 'f or )).{'-I3:J..o Date 1:J.-2(~/R
When permlnis ready notify: I-I Applicant I8(CMner.n. CI Contrac;,or ~: ~ mail CI phone
"CMner Q~ dI.-<A.A~ :2.'17?-- ~.,o 1tld1- (,io) '? 71iZJ Phone
Contractor t1 <" ) .I.~_ (zip) Phone
Contractor's OSRI - P1 umbi ng by i
. DEPARTMENT OF ENVIRONMENTAL t1ANAGEMENT .
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401 .
L 4/V& (' U#7)'
//
~>>~~~~
"$$igned ~"
[f Commercial: I of stories
Residential: , of bedroOMS
SI test holes ready
DO NOT WRITE BELOW THIS LINE
I of employees , of units
50s: I~I Existing, BP ,
I~I Proposed. SI I
-\
Fee
~
Descriotion
Sq. Ft. or
, of Sites
~it
Cost
Valuation
0&0
Fee
sSi~.
s
s
s
~~.J ;;r/~~
~~ Z(!J!JO ~i?IR..s-
Total Valuation: S S
Plumbing fixtures at S each $
~U ca~ S!Wer/water conn. at $ each $
U thock #. ...-> ./ Subtota 1 $
W ATER Rec~v~d;~'" /JV. 4% State surcharge $ ,~
Plans check fee $
PRn'-"~C'rD EXISTI NG Change of Occupancy $
-, '-i I-'V<r...I C. $ .s; 8r!J
YEt-.R li\lS'U\LLED: TOTAL
- .=
PERMIT PROCESSING Zone /V.9- Part. , Parcel I Parcel Size
Minimum setbacks: li., front 'I.. side into rear
Conrnents
To be typed on permit
CP& I Type f!iJJ
To be typed on permi t
5fff!CT
Group fL. 3
~/l(/-r l:;P/L
,
By ~ Date J~ -.;2';; -7,.r-
Fire Zone.~ Use Classification ~~J''$.721~
.!1!f'~n 5mvtS JJJ~b-AnAv .'M/i-Y SEE Wt'/iZ1<:-
For plans information call (area inspector)
Directions to site~
1 ..:::: /J
By ~ ~ate
'- \\"'/\ l....-Ir.M"D Phone
IZ-?f}-7[>
(431-:31(n~
~O
!Ji! CP&I
o WPC
C/ Planning
CI Public Works
C/ Elevatton I~I n/a
e/ ~ddress
C/ Fact1ity Permit
I~/ Environmental Health
Plans to: CP&I set(s)
WPC ===== set(s)
Date
Required
~/f/7~
Hold Slip
to PCC
Date
Comp 1 eted
Da te to
PCC
n-Z~
C74-171
sf!
'p1
Name . ~ql~i~.
\
Application /1.!fOOO -,1.8
.
'..
l~h.,'PIi,o
.
~ V 1PZJtl6
for
'.
WORK SHEET
Construction Permits & Inspection
~
Type of Construction
IIY~ Group
. ~ Fire Zone
~11?;r~~V~use Classification
,
.
~-
~~
tJ
-
~~~
- . .A./~ J...p~ ~
~ r.C.8.0 tL-.d/ ~
- CH~ # ~.A&1
'A~~ - ~.
lh'te~. &.d ~ ~
~ha ~~,
r
Date IZ~Z9
74-164
T\\\N\ L 11.IAdn I~o~~
! Signature
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JOB ADDRESS:
TRS, TL:
POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT #
Subdivision:
This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly 0.. . t. Violation can
result in revocation of this permit, citation under provisions ot"Lane County's Infraction Ordinance, and/or other remedies allowed by law.
Telephone:
Telephone:
Telephone:
Applicant/Address:
Owner/ Address:
Contractor/Address:
Contractor's OS #
"~WJJ~ct\c;>n apRfoved by t~i; permit:
~~l~r ~VJ)Jlly:
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
A'tbacks
~terior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
CONSTRUCTION
PE RMITS/I NSPECTlON
DIVISION
Directions to Site:
Date Issued:
C55-13
Total Construction Value:
# B~prpp.ms:
# Plum~il7/J Fi?\~}lr~;j;
# EmPloyees:
Zoning: Partitioning # Parcel #
Minimum required structural setbacks, from: centerline of road, front:
side ; interior property lines: ;rear property line:
Sp~pial Instruction~
Parcel Size:
.. line of road,
, _.
For . . '.1 9~1I 6e7-4~~4,
Site Inspection # Installation specifications:
lineal feet of drainfield required; max. depth of trenches:
_ ~~~ip! Instructions:
gal. min. septic tank capacity;
Septic Tank
---,0'---
10'
5'
50'
Drainfield
10'
10'
10'
100'
For iflf9rrTWfion call
bet~~~n 8:00 - 9:00 ~.\m"!
Type of Construction:
11]~J:ructiol]~;
Use Classif ..
Group:
Fire Zone:
I'
For plans information call between 8:00 a.m. and 9:00 a.m.,
For inspections (s~~ back of thi~ permit) call 9B7-4Pfi~ between 8:00 a.m. and 5:00 p.m.
kme county
~
DEPA9IMENT OF , " '.' ~MENTAL MANAGEMENT
COI _ ISE I PUBLIC SERVICE BUILDING
125 EA 'r 8TH AVENUE. EUGENE. OREGON 97401
By:
.
.
SITE INSPECTION
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION I NSPECT ION
APPROVED.c:::; DISAPPROVED.c:::; DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVE:O / / D,SAPPROVEO Cl DATE
INSPECTOR
REMARKS
LATH OH SHEETROCK INSPECTION
ApPROVI:O ~ OISAPPROVEO L--/ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROV:O DISAPPROVED .CJ
RE'J:.K;!:!:!.;'~ 1$rl" -: I
., !- n?J
--1:teJ:2.J,";---- -'-,..-~
t;;I~:;E~F ~~~ .. J1, ~.
READY TO ISSUE / / NOT READY TO ISSUE I / DATE
INSPECTOR
REMARKS