HomeMy WebLinkAboutPermit Mechanical 1975-7-2
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SUPPLEMENTN8. 0011 7
OWNER Gr20'U..L
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l- address
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address
CONTRACTOR
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BUILDING PERMIT LC-1403 -70
~~ao ~ ?5\-.
phone
~~. It~e5-471'
phone
PROPERTY ADDRESS
2500
La..u..r~ ~"')
ReVlsed(
[~dltlon
[]correctlon
~1? 2f1C)Vc. Bldg. GDO
-b- t':rVYJO "r Waste
<.:p p.A-J- '10.111 L, Plumb.
\ Plan R.
<X P::U"2f\,A Ll.AIf't 0"-.1 "f%s U r . .-2~
~ ~ove.. G~, TOTAL (0.:#; amt.paid: amt. due:..Ir>.::J.t-
)~ Slgnature of APPliC~ t!)~ tJ,~~- _Date
~J11 Fee Recelved BY~~AateJ--~7i [~sh []check
.J/ {)AA~ LAN,E C~UNTY D~~Rh~EN10F Emt MENTAL MANAGEMENT ,
fJ"~~~- ~~dM~~".. _,...".
C74-119A_~_/J ....L LJ .,~,- .f.,~-~~_.--.c.(..l'--
~ ~rl-'-~~ 'VI..."n ~,k~4-~..Jl"
(BUlldlng Valuation)
5.pvn~ '
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/':; CANCE~tA3.lJN/REFUND AUTH2ZATION Pemnt #/,Y':?..3-7j'
Name (please pnnt) R~ ~~~ .
Address~3P'1? ~";---t' _~ ~*~~--- ~ 4",--~
Appl1cant K) Owner () S9:gtractQr ( ) ~ ~
Reason for cancell1ng perm1t ..~~~~~~~~, ~ ~/~) p'/~.-&/J,~
~~ 1;: ~ J'", {J D-14 t-I,,~~ 7-/o-~
sr-.-e ~ ~ .'. ,,~J1~ ~ .
Slgnature Date ~/cif-79
/.
Fees pa1d for waste d1sposal systems (slte 1nspect1ons and/or appl1cat1ons to 1nstall the
septic tank and dra1nf1eld) are ordlnarily nonrefundable. Some refund may be made on the
bU1ld1ng and plumb1ng port1ons accord1ng to the amount of the perm1t processed.
(OFFICE USE ONLY)
CONSTRUCTION PERMITS & INSPECTIONS
Author1zat1on for poss1ble refund:
c::::::;> %
Build1ng perm1t fee
% Mob1le home fee
Plumb1ng permlt fee
Plan check fee
State surcharge fee
TOTAL AMOUNT
$
$
~ q,;t#,f(
A'~
f-/4-7(
Date
-
WATER POLLUTION CONTROL
Author1zat1on for poss1ble refund:
% Sept1c d1sposal system $
% Slte 1nspect1on fee $
TOTAL AMOUNT $
Date
.
.
, Sl gnature
TO DEPARTMENT OF FINANCE
BU1ld1ng perm1t refund $
State surcharge refund $
Sept1c d1Sp. syst. refund $
Slte 1nspect1on refund $
TOTAL TO BE REFUNDED $
PLEASE MAKE CHECK PAYABLE TO:
Name
Address
Slgnature
24-08-24/Acct 46960/Prog 021 Rece1pt #
24-08-24/Acct 46960/Prog 021 Rece1pt #
24-08-25/Acct 42l33/Prog 01' Rece1pt #
24-08-25/Acct 42l34/Prog 012 Rece1pt #
Date
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE/PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
C74-179
, '
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~~,Idne county
..~
APPLI CATION #
SLIP
~UPi?(., :t:t t 17
J.L.. 14~..?j
J
BOLD
~~ ~~t'jr;'L_
'2/?)tl) \ ~rtj.. ~..
..(~.Akzu;;.Ht:t ~ Ov' . ~ ~""II).7J
" , Zl If Code
Name
Address
The above appl1cat1on 1S be1n held by the Perm1t Process1ng 5ect1on for the follow1ng
reasons
+--1 ~1i:V' (~ jZ:ti!f~i-V~~ J U{ ~/vL~t:{v
~ I U . 4~
?f" \ HOLD St...IP DA!T\:o 1-10- .15 J (:::lZ
,~-to-7,9
....
Pea... ~/.JlJ'..,t,Gt7ffi.-O ~~"4~~
I
F'1&;(f'AA rr tv ILL Bi.'E ~~~'a:(...-I", ~
D1V1S1on
c.;<. ""I "1 " l
51 gnat,ure Da te'~ "".' ..' 1
'_.-' ~ _J
')
e. 9(1\
~~ll
......, D1V1S1on
Sl gnature Date
Th1~ appl1cat1on w1ll be held unt1l 9- 10-;0 If the 1nformatlOn
requ1red above has not been furn1shed by that date your appl1cat1on w1ll be cancelled.
Fees pa1d for waste d1sposal system~ (slte 1nspect1ons and/or appl1cat1ons to 1nstall
the sept1c tank and dra1nf1eld) are nonrefundabJe Some refund may be made on the
bU1ld1ng and plumb1ng port1on of your appl1cat1on 1f cancellat10n lS necessary
'J
In the event a Planmng or some other long-term problem eX1sts over Wh1Ch you have
no control we w1ll hold the perm1t unt1l the problem lS resolved and we rece1ve word
from you as to whether to proceed w1th perm1t lssuance or process a cancellatlOn
,.
PERMIT PROCESSING SECTION - 687-4394
~
C74-139
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IGJne county
BOLD ~~\~
APPLICATION # ~.t~ IL t4Q-P-7..f
~~~ j~ WAA~?_~~.~__
..z~4' 1--P1.JlZA <t:;.~'
",~-Pf2i;.. j~1 r?1.,,0 ~ ,'17477
- ,,- - I Zl P Code
Name
Address
.'
"
t
The above appl1cat1on lS be1ng held by the Perm1t Process1ng Sect10n for the follow1ng
reasons
t-- -rR-r;/ t/'tfl?~ a..11l-f~ ~~ IU.rl./le~/ e?f11Je~ MA01Jf~T~- / I#~
l I.. I CA 'i ~
~, U.L.-D l---1&~~..4~ r&'=1t-- ',. r 1t.{Jtt~J'!:- , t'1:Y~.(),;:;,
111~ ~~ I~ ~ A'ffi'n1~o ~ /.t_ I?t\ oe U,~, kL./1?OII-.tl IL?
-n-~~~ t~Uft\~l#~i2- ~ ~Gl!~~, CA,JlJl1 ~ Af.11t~D.';J~~, ~~"
t.~~. .fte~<$t: PC>tI~~ D1v1s1on
j /1(;? -'(0 \A/PAl \'(oU WI4"-;,;H Sl gnature
.. 1'"0 ~
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,
"
Date
\ i
....
D1V1S1on
eIP~r\
r
-g, L, Ml,~/ #uu
f
Date {-IO-?!J
Sl gnature
Th1S appl1cat1on w1ll be held unt1l 7-25"~'78 If the 1nformat1on
requlred above has not been furn1shed by that date your appl1cat1on w1ll be cancelled
Fees pa1d for waste d1sposal systems (slte 1nspect1ons and/or apol1cat1ons to 1nstall
the sept1c tank and dra1nf1eld) are nonrefundable Some refund may be made on the
bU1ld1ng and plumb1ng port1on of your appl1cat1on 1f cancellat10n 1S necessary.
In the event a Plann1ng or some other long-term problem eX1sts over Wh1Ch you have
no control we w1ll hold the perm1t unt1l the problem lS resolved and we rece1ve word
from you as to whether to proceed wl-th perm1t 1ssuance or process a cancellat10n
PERMIT PROCESSING SECTION - 687-4394
C74-139
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I ANF CnUN JY DEP r FI",J\! rlCt i RI:CE IF-'l 1\:'41'..")3-19 DA rt: 07037<;>
f~r'!-'L 1 (" MJ I rllllit II. 1-IAAli:Sf-'l.f- f\ liDDF\ 2300 LAIJra'l ,n, SF'F\lNf3r- J t\ D UI\,
1 L f,: 1 ((),~;~7 f OOl}'iOO SUl:!)J 1 V I UT HLI--
NH~ fll.DG nf-'l- Sf LISE- 1\ NO BDld'l~ 00 NO UNllS 001 NO srOFULS NO BLDG,\' 001
I ;\lDF (WI'l NO AC nON DI SCfdf-'T reiN Sf~ r T UN I r COST \Nltl UA nON F EI:. 1);;Y \;
Ill"'
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BF
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RP Lr 149J19 WS
r't NfL 1.1Xlur~ES
l''lLCH
S'IJR
F'CK
~ II ~
1-' I ONF[F\
NO ~ c.llNNlCTOh:S'
M[CH(~N T CAL FE!:
STA fE SIjI\CI-I{~RC.E:-
F'LAt-! r:111: Cl< rCt
/')('10
6~OO 'j
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I.) . 2 ~ t~l<
4 00 [P.CH
4iu
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lAKEN liY CAD
Wl-'C
PLAN
E:.L EV ADl)I~ Fl.'
COM! 'U 1 ED f{Y
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SUPPLEMENTNlB 0 r A 1 7
OWNER (J0)tLL
BUILDING PERMIT LC-1403 -70
CONTRACTOR
vt b.~ Q~0 CUz._
~ address
~l\A....cc... l \ Ort.J?tLL
address
d~OD ~~,
" " phone
~~. "1635-47lt
. phone
LaurOJ ~'") c,~w-v.d.,
) Prlor ( )
ReVlsed(
[~dl tlOn
[]correctlon
[~t. due
[]refund
PROPERTY ADDRESS
2300
(BUlldlng Valuatlon)
lJ..:.tpo ~dVc.. Bldg G.OO
..d- r:,fV-{)O ,,/, Wa s te
<.:P ~LLJ - vO-LuL, Pl umb.
J Plan R.
of ~'2ff,A LLIVf 10 1'%sur .:l1:-
~ ~ ov e G~, TOTAL y.;#,L amt. pai d amt. due.1('.::J}-
Slgnature of APPllcaX f!)i/I-4W 1~~ Date
Fee RecelVed By Ct).rDLA~a;e_7-~~) [~sh []check ~4 LJ
LANE COUNTY DEPARTMENT OF ENv MENTAL MANAGEMENT t7~ ,A(T'
O~~_ ~. -A-~..Lf)~q/
C74-1l9 \f. ~ ,-(/~r:/__
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POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS 2300 Laura Street, Springfield, Oregon
CONSTRUCTION PERMIT #
LC-1493-79
TRS, TL 17-03-27.1 IJ 4900
SubdivIsion
na
This permit for the referenced property IS hereby approved. Setbacks and other conditions of approval must be stnctly observed Violation can
result In revocation of this permit, citation under provIsions of Lane County's I nfractlon Ordinance, and/or other remedies allowed by law
Applicant/Add ress
Owner/ Address
Contractor/Address
Contractor's OS #
D. F. Baird, Jr, 2300 Oakmont Way, Eugene, Oregon 97401
Ordell J. Haarsager, 2300 Laura Street, Springfield, Oregon 97477
Ordell Construction, 2300 Oakmont Way, Eugene, Oregon 97401
/ Total Construction Value $9032.00
Telephone
Telephone
Telephone
485-4711
/
485-4711****
ConstructIon approved by this permit
tater Supply
Public
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
Setbacks
I ntenor property lines
~dge of road nght-of-way
; '''iJlldlng foundation
~ells, other water sources
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Directions to Site
Date Issued
05-31-79
C55,13
Family room and storage @ 356 sq ft; and patio cover @ 132 sq ft;
Structures now on property: residence,
# Bedrooms
# Plumbmg Fixtures
# Employees
ua
&1a
na
Zoning RA Partltlonmg # na Parcel # Parcel Size
MInimum required structural setbacks, from centerlme of road, front 4511., centerline of road, 101 x 248
side extenor 45'*, Intenor property lines 5' ,rear property line 5'
Special Instructions * Front setback is: 45' Laura and side setback is: 45' Lindale
For mformatlon call 687-4394, Susan Keller
Site Inspection # na Installation speCifications na
na lineal feet of dramfleld required, max depth of trenches na
Special Instructions Keep new addition 10' from drainfield area and a minimum
ot j" trom the septic tank. Reserve a replacement area for the
drainfield. Do not drive over drainfield during construction.
gal mm septic tank capacity,
Septic Tank
10'
10'
5'
50'
Dramfleld
10'
10'
10'
100'
For mformatlon call
687-3962between 8 00 - 9 00 am, Greg Gray, R.S.
Type of Construction 5-N Group R-3 Fire Zone
Instructions ::iee reverse for required inspections.
Use ClaSSification
SFD/ADDITION
3
,
For plans information call 687-3767 between 800 a m and 9 OOia m , Jim Lamb
For Inspections (see back of this permit) call 687-4065 between 8 00 a m and 5 00 p m
lane county
1-
Harlow road, right, corner of Lindale and Laura, yellow house.
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE. OREGON 97401
By
Roger L. McGuckin/ly
Job Address
C1ty Sp,Q IAlG F /~-U)
td A qt")()
Lot Block
A...J,...I + J A"'> +" i>" <. ."rIl "r I' ~1fJ"'lI'Y"\ I ) ~ 1( MIV'\
the property K:J..",,;j -,r~ ?<"'",:-t- .4'...:/,tJ -
_ / r'''' J -_" - -- '-' I '"
Proposed use of property IL'I Res1dent1al LI Commerc1al CI Industnal LI Publ1C
o
.
DEPARH,ENT OF ENVIROrljl~EI~JTAL r1ANAGEI'1Ern"
PSB, 125 EAST 8TH AVENUE l)
EUGENE, OREGON 97401 /
Appl1catlOn #
Le -/'1:;3 -'(1:':1
ASS1gned Numbers ~
f '
Townsh1p, Range,
Subd1v1s1on
Appl1catlOn for
Structures now on
Sect1on, Tax Lot
(au!>). 'Sf
I, - r ,"'2. . ..,,~ t-&.~
- v', - .
, .
-""D C. K# I R. f\ J~
-( please -pn'nt)
If th1S appl1cat1on 1S for an agr1cultural bU1ld1ng lt vllll be used for purposes allowed by the State BUlldlng Code and
Lane County Code Chapter 10 (zon1ng) and for no other purpose I have the followlng legal lnterest In the property
owner of record, _ contract purchaser, lessee, holder of an excluslve optlon to purchase,
,~ duly authorlzed to a~; l~he owner, whtl~}nOWledgeable of thlS apPllcatl~n
Slgnature/Address )J:.JV~ //. ~ -?~_v-) /"2.1;[.,--..;<;1" ithL-l 5;fCf'1~. (ZlP) 97do J
,...;fo~l~honeV'"'~;:.;;;..rJ1l' ;r-- - - _n -Datel ";_'ti.a~1c;
_ -",. Y_1 _ ,/ _
When permlt lS ready notlfy I_I Appl1cant I_I Owner ~Contrac~or Qy I_I mall
Owner rJuLII / UIl.ar><./JA.d? ?'VY, /~""A C..J <::n..t/J (zlP)n-t4.-J1
......... - - f I ... - - "
Contractor /"J_..J~J\ r-.-.r.<..J. ('"Pl. 7~........., /l",/4.4n.."......J. ""'II (zlP)Cl-rA./J!
-- - - - - .........- - - '" j..,..
Contractor's OSR# Plumb1ng by / /l"'//:'r-n DJu ,/,,, "
-, - -. - I
Affldavlt
I,
, hereby cert1fy that thlS lnformatlon lS true and accurate
9.....phone
Phone
?'7./Jr ,
Phone 4. ,,;:-.. 47//
/Ai- I/'..... -I tv~IF ,J1..t(
.. ! (
DO NOT WRITE BELOW THIS LINE
If Commerclal
Resldent1al
# of stones
= of bedrooms
SI test holes ready
# of employees
"--
# of Unl ts
SDS ~/~Exlstlng, BP #
;-,
I~I Proposed, SI #
Fee
Code 11 DescrlPtlon
::J-/1/h11 J 1'.1 J /J~""'" J a ~
/;~-.:., d P - j- .... . .-
, PA~,,-'Y r> i1I......, f) A ~
. --...--..;:.."'" ~- v---......,
Sq Ft or
# of Sltes
.:::? <;""" ~
F-
Unlt
Coot
Valuatlon
Fee
C/ Cash
I~eh'ec k #
Re c e lVed by <:::/ '" AI ..A1.-.--.. .J
~ --- ~ -
t
Water Supply ~./.J l.f.l' J ./
Proposed Ex~stTr;g
Year Installed
Subtotal
$
$
$
$
$
each $
each $
$
$
$
$
$ 51//, /? ~
~ - '-'
1~::1 J
'"
.... >,.,
Total Valuatlon $
Plumblng flxtures at $
Sewer/water conn at $
4% State surcharge
Pl ans check fee
Change of Occupancy
....
---,
-,
TOTAL
Comments
Zone--;;P 1+
r .
ct., fron~ 'k'&::" I
?Jt!!h~- ::
Pa rt #
Parcel #
ct., slde ~<:~
.....p ./.:,., d __ -/ (/
V r- - ---
, lnt
'"'"
........
Parcel Slze
<,:- ,
/ /) / Y.:::J (J P-
,....."- f'V
, rea r e::::- ~
PERMIT PROCESSING
, Mlnlmum setbacks
"
To be typed on permlt
m
By,..-"AJJA.A--vt ~
..." --
Da te
~-,.:La -7 q
I I
WATER POLLUTION CONTROL
/
Installatlon speclflcatlOns gal tank, (''' _ . ft of dra;~n.fleld, max depth, 0;. ~~e{Jh>es
() To ~e typed on per~lt ,K~ ,"\.ti.L.) ('~' /() ~ &.~ ~
~ (;L. ~ ,0 c:ti ~'~ ~ ~.UUZ. ~, ~~~,CL..- (1~
~ ~--,7IP~ --,~~~b.f:"ReJPy" J.3o ~ ;tJ.A~ ~ ~ ~I (O~
O-~ ~- ...(. +\l (T I
By ..4 ~ Date ~- :f;-29,'b7
(hv-t Inr ('~L A 'l",rt\ /1J , () {~i\l"\,..{
~, . '''-'''' -v~ ~- ..._--~
y;>, ...(' ,K
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Telephone
01 rect lOns to s 1 te vt'/"'lt-1 ~ ..... &,<,".V"U7i
l 11\1! vf'I _ ~ XP-, II\; D "\' \.,;m:;:s~ - )
I_~~' ~ - -~lan;It'~CP&I-~' s';{(~)'~-
J wpe ........=set(s)
...
Date
Requlred
//1 J J
-(; ,'J
0/1
Hold Sllp
to pec
Da te
Completed
Da te to
PCC
- /'
{jj......CP&I
-=- ./
/.J.,/.;,WPC
CI Plannlng
CI Publ1C Works
C/ ElevatlOn rl n/a
,~3/
CI Address
C/ Fac1l1ty Perm1t
....
I~I Envlronmental Health
'" ~
....."".,....
FOR INFORt~T10N about progreJs of your appl1catlon call
Perm1t Control Center
687-HELP (687-4357)
~ ~ DEPARTfIENT OF ENVIRONr~ENTAL r1ANAGEW
( ')1 PSB, 125 EAST 8TH AVENUE
~~ ~ EUGENE, OREGON 97401
LilLi 12 ILl -S 1, C1ty SptllN6 F It!"'lJJ
ltlWl'l'$Mp" fl,oge", SlilCtiocn", Tax l.ot I "7 ~ D"2, - ;2J1l./~.q tL 4. 900
$ub4i \/H.ion t,.{)t alOCK
AppllcatlOn for Add I 'f,tn-, -to Jees,"dJ)/lIlc...I(, ~Lhx t'1IYt .
Structures now on the property / ~f'SrI.R >'1 ce. i <i:rirYe '.#Ii /'1 'f
Pnpa$1'I4 U$~ of Pl1>pe-,.ty ~ 10 Re-~ldeotla.' CI COIM1et"'cial: 'CI Industrial' - () lItlb1 it-
-p, j:'. -g~ J fa f;) _ Jr<_
'IplelilsE! pr'iflt.)
If th1S appllcatlon 1S for an agr1cultural bUl1d1ng lt w1l1 be used for purposes allowed by the State BU11dlng Code and
Lane County Code Chapter 10 (zonlng) and for no other purpose I have the followlng legal lnterest In the property
owner of record, ~ contract purchaser, lessee, holder of an excluslve opt10n to purchase,
.X duly authonzed tojacf( 1'f./"9~er", W",h,~cytWoWledgeable of thlS ,apy11catlOn /
Slgnature/Address I /~ :(Jr..J::;!,A./l.Jrfi ~"'Y::::v.J c;.p..ehcn-d uiut Bu~p_ (Zlp) 9740/
U6l;Phone- 4r?C'.4ilj' or Date/ -:5, ~4 -79
When perffilt lS ready notlfy I-I Appl1cant I-I Owner ~tracyr 121. I-I mall I~one
Owner _t/v-d e tl J. Idi)!! ~$&6€f2 2.W t,"fra 9- <;ptl/. (ZlP) tn477 Phone
Contractor ('),....d.e../1 tl"'l1.1S+_ ~" Z~O(J ~/J'Y1"f ~ (Zlp) h..4-0) Phone 4'i!C;.471/
Contractor's OSR# P1umblng b; .-L~ec.o "PtaH#lh~ 77,c)o c:Jk~ tvtx-lf ILL
/ ( I
Job Address
'2300
AppllcattOI'l '#
Lt! -ltf93-'79
ASSi$ned Numbe"$
Aff1davlt
I,
, hereby cert1fy that thlS lnformat10n 1S true and accurate
If Commercla1
Resldentla1
.ff of $wrie-l
" of be.dt'lXllllS
SI test holes ready
DO NOT WRITE BELOW THIS LINE
# of employees fJ of units
SDS: ~xlstlng, BP #
I~I Proposed, SI #
Fee
COd~1~' Oe$Cript,ton
~tt . / 1--
~ ~./
, P I1h.:.J( C!.A-zL.RA _ ./
Sq. Ft. or
Jf of $itt~
'-.:;>S-~
13~
U'fl i t
Cost
Va1uatlOn
Fee
Subtota 1
$
$
$
$
$
each $
each $
$
$
$
$
$
rl Cash
~~x#
~cel ved by .:s;:.:r~~
~ I
Water Supply ~ .../
Proposed EXlstlng
Year Installed
Total Va1uatlon $
Pl~ing fl~ture$ at $
$eWetJwater conn. at $
4% State surcharge
Plans check fee
Change of Occupancy
PERMIT PROCESSING
zone$ I} ,
~~,ont -$/5 '
c:z}P4~
Part #
TOTAL
~. tl~
iY.;~ ;t;
Parce1~'J~~ 'Parcel Slze
, G., slde ~/ 4D ~ lnt S~
X~~'
&Jo,o~
/a/ .X~<f?
rear -.S"
Mlnlmum setbacks
Comments
CP&I Type~)
To be typed on permlt
Group i20
Fl re Zone :3
ByJ~ Date ~-,;Llf-ZJ
Use C1asslflcatlOn, -::s-pn -ADDrpl;tJ
To be typed on permlt
For plans lnformatlon call (area lnspector)
Dlrectlons to slte _~tlrl (lH I '-.-~<1-, J
~~ .IJ_(tl1.),.;.~ .
I-I SIFO Plans CP&I , :.J.,set(s)
/~ WPC set(s)
IJ.l"WPC
CI Pl annl ng
CI Pub 11C Works
I~I E1evat10n I~I n/a
CI Address
CI Facll1ty Permlt
I~I Env1ronmenta1 Health
By ~.L. M c--~1).~ Date '9'~....-?q
_ _ ..j l; Phone"" ?(J (; 7 -
r?.1.~ ') (,~hnrrl,CXS L.1YIria!~t1 ~
Date
1;;77d
~II
Hold S11p
to PCC
Date
Completed
Da te to
PCC
FOR INFOR~~TION about progress of your appllcatlon call
C74-171
Permlt Control Center
687-HELP (687-4357)
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~>SUPPll;MENT~.&~~ '\10111 1 . .. . . . BUILDING pI;RMIT LC-140;3-7~'~
:f;'~:':OWNER ~,;(Je.o'f:A...L', Yt 'o..p.,(.<" ~~~~, ' ~ 300 ~ '2fl-' . ";.~
~;. CONT~ACTOR.< . ';)A':T~ \(O:~~ ~~.~~5-47U ~;
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;~;!-:~;:';'''::'' "Zl ::'{)W\~j) '::'" ~::tA,N,E. COUNT~ "D,EPARJ0jJ.~MEN~/:~~~E,NV~O~~E~~AL" MANAGEMENT~" ';, ',,' " ': '~' " " '
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POST THIS PERMIT ON MAIN BUILDING AT SITE
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JOB ADpRESS: %300 ~a S~. ~~ie1d. ~
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THS,.TL:,l.'-m....2?'ll'1 , 4900 Subdivision: am
Th is p~rm it for ~he' refer~ncedp~op~rty. is hereby > afPlP.'jj;\'JIv~> . Se~~acksand ~ther co~ditions of approval mus~ b,estrictly :obs~rved, Vi61ation can
result In'revocatlon of thiS, permit, citation under provIsions of Lane County's I nfractlon Ordinance, and/or other remedles'allowed by.law.
CONSTRUCTION PERMIT ,#
t.O-14~~19
#
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\ ..ater Supply:
'Pinii.'141...
D~ ,r.,~~r:&'UOO ~ ~Y, ~ ~ ~7401,
9I:de11,'J,,,, ~~o 23~i) Leora str_t:. ~1e14.,;>Oregon 974'17
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PamUy ,~,,:, ~nd,: s~aae' it:: 3S6~."fi;', ~i~do:~::';' ;-132\:~"ft;
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t, '. <" ~ .#, Bedhoohl~:> ',' ';. "'# Plumbing 'Fixtures: " " '. '. ~. # Employees:'
Dii:4 _, ,-
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Z~n.ing: RA . ", Partitioning # _. "Pa~cel,! " "".:., P~rcel Size:
Mlnlmumreqlm,ed's.tructural setbacks, from: centerline, of road, front:" 4_' ;centerhne.of r.oad, 101 ,~ 248,
side exterior: 45'. ; interior property lines: sot ;rear property line:S9 '
Special Instructions: a P'l'mlt set'bat:ki83 4.5tr La.~d ~Side setback 3ls: 45~ 'Liudal~
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: Telephone:
Telephone:
, r' Telephone:
48~7U.
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,48~ll~
Applicant/Address: '
Owner/ Address:
Contractor/ Address:
Contractor's OS #
Construction approved by thi~(permit:
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PLANNING DIVISION
Forinformgtion call 687-4394, Susaa Jre11er
Setbacks
I nterior property Ii nes
~dgeof road right-of-way
. ('....'\1i1ding foundation
~ ..ells, other water sources
Se'pticTank' ,
10'
10'
5'
50'
Site Inspection # nalnstallation,specifications: 11& gaJ,!TIin.,septlc tank capac\ty;'
.!\la, lin,eal.'fee~"of drainfield requir~d; ma>s~.depth.oftrench.es:.. ":. ',.' , ,':1."," .,:';," " ',', , , " .', " " " "
, , ' ~. Speciallnstructi,oos:j(eepnew addi~ 1'0' ~dr~-teu~__4iiw.~ '
., of S.'~'~,sepUC:,~" ~ .. 'i'ep~~t,a1:~ fC7l the
Drainfield drainfle14:., ,~aOt drive ~.q~ dra11lfie1,d ,~1~eonstftet1oao,:
10'
10'
10'
100'
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WATER POLLUTION
CONTROL DIVISION
For information call 681-3962 between 8:00 - 9:00 a.m.,QrEm GraV. RoSe..
CONSTRUCTION
PE RM ITS!I NSPECTION
DIVISION
Type of Construction: ,saN ~ Group:"'3 Fire Zone:
,Instructions: SeerweE'se fori~eqdz~ ~tiDne<f}
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Use Crassification:
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For plans information call 687-3767 betvyee.n 8:00 a,m. and 9:00 a.m., J:!m iamb-,
For inspections (see back of this permit) call 687-4066 between 8:00 a.m. and 5:00 p.m, '
bne county
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Directions to Site: llariaw rcw.dil -rightll eoner Cllfl.mdale ,amd ~~ yellOW! housal.t
Date Issued: By: b~ 1.0 M:eGucld.mJly
0.5-31-79 DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
C55-13 J..?5 EAST 8.T,Jj AY,~~,PE...!=UGENE, OREGON 97401
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SITE INSPECTION
ApPROVED / Vj/ DISAPPROVED / / DATE ffi-I!-7YINSPECTOR p~~
REMARKS
FOUNDATION INSPECTION
ApPROVED / 1// DISAPPROVED / / DATE _7-2.-~ INSPECTOR~
REMARKS C/ - ~ - ~ ~k ,/c;... ~ (;.-1/-79 ~<
/
FRAMING INSPECTION
ApPROVED / 11'( DISAPPROVED / / DATE 7-2. -..,,. INSPECTOR ~
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED / / DISAPPROVED / / DATE INSPECTOR
REMARKS-'t)ha-.:i! ~~~ 4!....P';? {~ Ct.4.."..I,/
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FINAL INSPECTI~
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CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE I / DATE
INSPECTOR
REMARKS
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