HomeMy WebLinkAboutPermit Building 1979-6-4
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POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS' 26 Hayden Bridge Way, Springfield, Oregon
CONSTRUCTION PERMIT #
LC-1424-79
TRS, TL: 17-03-22-4.4 /I 4601
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 I nfraction Ordinance, and/or other remedies allowed by law.
Applicant/ Address:
Owner/ Address,
Contractor/ Address:
Contractor's OS #
Richard N. Brown, 26 Hayden Bridge Road, Springfield, Oregon 97477 ****
same as applicant
1
1 Total Construction Value: 1
Telephone:
Telephone'
Telephone:
746-5871
1
1
r:onstruction approved by this permit:
Water Supply,
Public
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
Setbacks
erior property lines
....ge of road right-of-way
Building foundation
Wells, other water sources
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Directions to Site:
Ag building @ 10' x 40", hay and 1 horse.
Structures now on property: house and carport.
# Bedrooms:
na # Plumbing Fixtures:
# Employees,
na
na
Zoning: RA Partitioning # na Parcel # na
Minimum required structural setbacks, from: centerline of road, front: **
side extenor' na ; interior property lines: 5' ;rear property line: 5'
Special Instructions ** Front setback is rear ~ of property.
Parcel Size
; centerline of road,
3/4 acre
For Information call 687-4394, Susan Keller
Site Inspection # na Installation specifications: na gal. min. septic tank capacity,
na lineal feet of dralnfleld required; max. depth of trenches. na
Special Instructions: Reserve a replacement area for the existing drainfield.
Do not drive over drainfie1d.
Septic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
For information call
687-3962between 8:00 - 9:00 a.m., Greg Gray. R.S.
Type of Construction: Ag Group: M-3 Fire Zone 3 Use Classification: Ag
Instructions: NOTE: J!uumJATION INSPECTION Call for a foundation inspection to verify location of
proposed strucure on the site. Location of the structure shall comply with setbacks as
noted on permit. This structure may be used for agricultural purposes only, a change
of use will require a new building permit.
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.
the
on Harlow 1 block
bne county
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~ Issued:
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East end of Beltline, right on Game Farm Road, up to harlow Road, left
left hand side, White and green 2- story home. By: JSS/lky
06-04-79 DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
_ _.125 EAST 8TH AVENUE, EUGENE, OREGON 97401
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DEPARHlENT OF ENVIRONHEiHAL r1MAGE:~ErH'
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
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AppllcatlOn for '~.P,.;!.~A
..
Structures now on the property
-~
Proposed use of property ~I Resldentlal
Lot
'f'APd ;:WI) NJII o;/!f' AAJit'f(2
, f
&.) fX~ I
Block
APP11catlo~~ff ~
tc' -- / '-I:t-V-~r. i
();:1~ " As s 1 gned Numbers
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Job Address .,t~ #c1v4(l~1 flt't.dt12_ U.....1'v
Townsh1p, Range, Sectlon, Tax Lot ~! "7 ,,\' f) '.L ~ M
Subd1v1slon
C1ty
0-
f /l /P / tY (j /7"" / cI'
CI Commerclal
CI Industrlal
~I PubllC
Affldavlt. I, Jtu:.tJ~l>d !llI..//",JIJro...A/ , hereby certlfy that thlS lnformatlOn 1S true and accurate
(prease pnnt)
If th1S appllcatlOn lS for an agrlcultural bUlldlng It 1'1111 be used for purposes"allowed by the State BU1ldlng Code and
Lane County Code Chapter 10 (zon1ng) and for no other purpose I have the followlng 'legal lnterest 1n the property.
V owner of record, contract purchaser, lessee, holder of an e'xclusl've optlon to purchase,
duly authorlzed to act for the owner, who lS knowledgeable of thlS appllcatlon
Slgnature/Address ~RA:", L? /};, A~--"......... )l..<< 1k"Jl.r"~J\.>""/ A~" Vl/L!-? ~A~~~{/ (zlpl tJ.'7477
. , . .. .. "- - . . . .. tY v v "tV' c-o::" .
Telephone ?g.<.4:-.t";r"J/ or Date .4"'-';1.)- '79
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When penTIlt 1S ready notlfy I:!'I Appllcant ~I Owner CI Contractor Qy. f;!'J,mall ~I phone
Owner R'iPn...,pd,/J/",!?P>J'JJMJUl.I (ZlP) Phone '~~""5"J~'1
Contractor (ZlP) Phone
Contractor's OSR#
Plumblng by
DO NOT WRITE BELOW THIS LINE
If Commerclal # of storles
Resldentlal: p of bedrooms
SI test holes ready
# of employees
# of Unlts
SDS. ~~Exlstlng, BP #
I~I Proposed, SI #
Fee
Code
DeSCrlptlOn
Sq Ft, or
# of Sltes
Unlt
Coc;t
ValuatlOn
Fee
rl Cash
/i;.r1hec k # .., E / t1, '7
Recelved b~./~ /
~~A~~
Total ValuatlOn' $
Plumblng flxtures at $
Sewer/water conn, at $
i I V
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each
each
$
$/ d, pC)
$
$
$
$
$
$
$
$
$
$10, 0-0
u~ I J::3/~LL'J I /17)( '-I/J
4, t1'.~'
-J-hiu g..,..: / ~
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Subtota 1
Water Supply
Proposed
Year Installed
EX1Stlng
4% State surcharge
Plans check fee
Change of Occupancy
..\'q,
,
... ;
, I
'-'1.\
, TOTAL
').,t
Zone R A- Pa rt. #
11. ,.Jront~...-;;1A../ f'z 0-;;(
%A7AJ./J.A fA:., (/
Comments :' t1' . '
To be typed on permltg/24h'iJ~../ ~ ft' /cn./Y4'A 1l..__....y~....I u7f ~/YIUt4t.
'I.A..L- 6V I ~"'7~./ /6-,/U-"L /I ,9;~h/1A./ ..R ../ By AAI~.....tJl.-.-tA"" Da k' L~- ,;;J. I -7 '1
WATER POLLUTION t&NTROL ? . .
M1nlmum setbacks
11., s lde
, lnt,
Parce]~'1ze ~/f' flCJ
S/~ v' , rear ..5"'""
PERMIT PROCESSING
Parcel #
Installatlon speclflcatlons
To"be
L~, ./.,R)
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D1rectlons to slte Cfl\";;,....,.-
\<n
... " I
Plans to CP&I
WPC
\ L\ rO'itA
gal tank, ft. of Jira1nfleld, max. depth of trenches
permlt PoA!U.,v-L.- ~ .4p~8<.~~~ L. ~ ~
~-'~ :~J)-"i;;J;.,l~"1 ., '0-- r .,;;-,/ ,,,-,,e::
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Telephone By 'M~ _ I Da;.e... s;..)..i. 7 r
7.AJ Y) Or ~ he......- L I "l E: ., '~-c rk1 00 (";AAA e
( j 1-:/ r10 I,....rA~C/.) (2.-:;: L5-,P-( 6)1\ \
set(s( ,
set(s)
t;:t
CI SIFO
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~rCP&I
IJ;.I""~C
CI Plann1ng
CI Publ1C Works
CI Elevat10n
Date
Requlred
Hold Sllp
to pec
~,aL.00 \ "
'te . Da te to
Completed PCC
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CI Address
CI Fac 111 ty Perm1 t
I~I Env1ronmental Health
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<~Ole"'Y ne~?'-
FOR INFOm~TgON about progress of your appl1cat10n call
W)A'(~t '-4 G~?-~,.J
2-.
Perm1t Control Center
687,HELP (687-4357)
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Name ~
Application It l~dJ/- 79
'p~
for
WORK SHEET
Construction Permits & Inspection
IX 0 Type of Construction
M- ~ Group
23 Fire Zone
/X~ Use Classification
jJ(){6: b;;f{~u~k 0Q?~ O~ 1'lX8 ftQf fl/A.fJ -1'Orflt6 0UIL17lrllq
-t:td~-S'P(~(:1(),R'~ (1lZ~~~.J 1/eRMI1 (./o?~.
..DLBF 'T'YPED ON PErolIT: Un1~: ~t/(O~LJJJ.j01u11QJ)- ~
jY vOUJJ2k11QJJ U\)c~?G01(O^) /f0 v@t}Ll,O(/MiQrd ot1Jk~
.1ZRaf(?~~V ,~{'Rl)C1U1? t ()N "fjd1~_/) \16.. vOuk1/O^) o~ 1Jdt' ,5{'R()(1U R t
~kl'klLL, voMjI-1S \!J1ilX ~~W12;ru16 .kfJ tJ(Y(fjV 0,,-1 ?G RM ),1: -ilt/6
,j-lR I)C{QRr?M.k~ 11~ U'J~rJ fo1L_~u()L1l2jiJ(v '90<<170")66
O~) l/~, [x rAt tr tJ G) 6 D)/ uh 8 l~)\ IA/ t\~Q\) \iZ(: ,A Jj 0 W
B\}\L,17I~\(1 'VttZ~ \1.
Date ~- -~/- 2!l
74-164
d~/
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~Zure
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/~ddre;s J;.& /f,A'IdulI Bp.e-~..L LV.1'{
/OWI'l'!iMP; R~ng~t StlCtiC-Ot Tax l.ot !!;. "J '2.. LJ '-!
$ubdivHHm
DEPARTt1ENT OF ENVIRONr~ENTAL r1ANAGE:~ENT
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
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City )~.f' .l-MQ .n-e/ d"
----r ' . #'
Appl iC<lt-l-ol'l #
tC -- / lf2,t.t-.l'1
f?)It~ I{ ASS-l'ljl'led Nt..m;"",.s.
AppllcatlOn for <iYO'cl.f~ .<?Jed ,;,.,. /I..l't r
Structures now on the property
flNfpO$ad: U$~ o-f prope-rty~ /l'f Re-sidentja.1
Affldavlt I, /(1c.l~Jtq:.. Nr-BJtowl<(
(plei1;se: print.)
If thlS appllcatlon lS for an agrlcultural bUlldlng lt wlll be used for purposes allowed by the State BUlldlng Code and
Lane_ C~nty Code Cnapter 10 (zonlng) and for no other purpose. I have the followlng legal lnterest ln the property.
~ owne~ of record, contract purchaser, lessee, holder of an excluslve optlon to purchase;
duly authorlzed to a~t for the owner, who lS knowledgeable of thlS appllcatlon. , _
Slgnature/Address -I?~.P /;;; /J.,4~~A .~'Y~~ .tf~.L~ ~+d (ZlP) tJf7'-177
Telephone '7'tb-~<F7J or _ Date 1)-".21- 79
When perffilt lS ready notify. /~APpll'c;nt - C/ Owner C/ 'Contractor Qy: /~ mall C/ phon~
Owner RJeJuz,..ti. Alrl?/l~J..LNJ (ZlP) Phone ?y{; - 5' F7/
Contractor (ZlP) Phone
Lot
h 1'>1- g e .
'I ~o / Bltltk
C/ Ci.i~,.\j.., .::1al
C/ IMustt'ia1
C/ llQbi it'
, hereby certlfy that thlS lnformatlon lS true and accurate.
Contractor's OSR#
Plumblng by
If Commercla]' I of s~~i~. .
Resldentlal' H of bed\~
SI test holes ready
DO NOT WRITE BELOW THIS LINE
# of employees iI of untts
SDS; ~xlstlng, BP #
I~I Proposed, SI #
. Fee
COd-e
Oescdpttnn
Sq. tt. OJ'
# of Sitts
Unit
.cost
ValuatlOn
Fee
TOTAL
$
$/(.1, t70
$
$
$
each $
each $
$
$
'$
$
$/0. t:H:?
~I r~, /1J)('-IfJ
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C7
rl C,sh
i~~k #. ",.3/~?
~celved bY~~~
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Total Valuatlon. $
Pl~in, fi~ture$ at $
$eWer/water ~on~. at $
Subtotal
Water Supply
Proposed
Year Ins ta 11 ed
EXlstlng
4% State surcharge
Plans check fee
Change of Occupancy
zone'p A- Part. # Parcel # Parcel SlZf:! o/f' 1/-"
~' ront~ 'l"z iJ;(' , 'i., slde , lnt...s-~ ;' rear- ...s-.;'
\.. L- l/
. :%1~/?A_...!'''''' ,_
Comments t;
To be typed on/ermlt 81M.MJ" ./ #-tL1l-1-l~...-e--~~/(.J ~ ~~/J?'Ut.4I-
~ 6t? *~ ,~Ih<~A'...?BY AU~ Dat~ ,S--;;l/-7q
CP&I Type r" Group Flre Zone Use Classlflcatlon
To be typed on permlt
PERMIT PROCESSING
Mlnlmum setbacks
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A .
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By ~ ~ -~ "'/1 Date :;--~f-?'7
-For plans lnformatlon call (area lnspector) 0 r /' /f ,Phone () ~ I
Dl ):.ect lOns to s 1 te ~I\~ z.v n 01- ,~~"""-.t.--I lId E:) ~r, ! A-""l (, 60 GAAA.. e.
\-~AA_ Rp; U10 no l-1'~o/ ,I (20. '~p..f 0)1\\ ~l-00 \
I-/SIFO Plans to CP&I set(s( . Date Hold Sllp '~te - ~ Date to
- WPC set(s) Requlred to PCC Completed PCC
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CI Pl ann] ng
CI Pub11C Works
I~I E1evatlon ~n/a
C/ Address
I~I FaClllty Permlt
Z--/ Envlronmental Health
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FOR INFORt-1ATIO about progress of your, appllcatlOn- call
C74-171
-lJJ(t('l~ '--4
Gv.z-r~J Z
Permlt Control Center
687,HELP (687~4357)
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APPLICANT BROWN, R[CHARD N
SUBDIVISION
NEW BLDG TYPE NR USE R NO DDRMS 00 NO UNITS
CODE APPL NO ACTION DESCRIPTION SQ fT
E{P
BP
SF'
I~P
SF'
BF'
DATE 05217t:1
142479
lAtLOr 1703224404601
LOT BLl<
001 NO STORIES NO BLDGS 001
UNIT COST VALUATION FE~ DAYS
1
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PL NO. r-- LX'Y URES ' NO. CONNE.CTOf~S . 4.00 Er~CH ".
MECH tiECHAN1CfltL FfE:
SUI~: ~T{~ n:: SURCHAr~G[ 4%
PCK f"L(=tN CHECK FEE 0%
EtP LC 14247Y A(;'l 14 X I}O
SIFO
CPL
WPC
PLAN ELEV ADDR FP
COMf~LE'TED HY
ENVH
rcn AL FEE*~
0
10.00 0
0
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0
(;) I?
0 1'1
10
10.00 Cl<
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TRS, 'XL.
Plat
Plan
Subdivision
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~74-150
Job Location
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