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HomeMy WebLinkAboutPermit Mechanical 1980-3-4 POST THIS PERMIT ON MAIN BUILDING AT SITE JOB ADDRESS: 2598 Harvest Lane, Spfd, Oregon - TFjS, TL: CONSTRUCTION PERMIT # LC-443-80 17-03-23.4.4 D 300 na Subdivision: 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: Edward L. Griswold, same as above. Owner/Address: same Contractor/Address:! Contractor's OS # / Total Construction Value: / enstruction approved by this permit:. Water Supply: na PLANNING DIVISION Telephone: 726-5332** Telephone: same Telephone: / Vigilant woodstove. Structures now on property: house # Bedrooms: na # Plumbing Fixtures: na # Employees: na Zoning: na Partitioning # na Parcel Q;9. Minimum required structural setbacks, from: centerline of road, front: na side exterior: nanpinterior property lines: na ;rear properwaline:na Special I nstructions: none Parcel Size: na ; centerl i ne of road, For information call 687-4394, WATER POLLUTION CONTROL DIVISION na Candi Site Inspection # na Installation specifications: lineal feet of drainfield required; max. depth of trenches: Special I nstructions: none na Setbacks Septic Tank _erior property lines . 10' ~ge of road right-of-way 10' Building foundation 5' Wells, other water sources 50' CONSTRUCTION PE RMITS/I NSPECTION DIVISION na gal. min. septic tank capacity; Drainfield 10' 10' 10' 100' For information call na between 8:00 - 9:00 aml., Type of Construction: 5-N Group: R-3 Fire Zone: 3 Instructions: Woodstove installation shall be installed mfg's installation instructions. Use Classification: woodstove exactly in accordance with lCBO and the 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. / DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 By:Hans Ettlin/lky ~ne county - Directions to Site: Off Hayden Bridge Rd., across from Paige Elementary. Date Issued: 03-04-80 ~ ... C55-1 3 \ - ...... 1 -;. 3 . . ~. ..- . .. D. 10 -. 11 ". 16 -. II ... n -. " ". " -. . . j. . . . . . . . "I~' , . ". LANE COUNTY APPLICANT GRISWOLD, EDWARD TLO 1703234400300 SUBDIV ". NEW BL.DG TYPE USE R NO BDRMS CODE APPL. NO ACTION DESCRIPTION 36 BP Elf' .!!. BP BP ~. BP BP .~ BP LC 44380 WS .j 'PL. NO. FIXTURES: ... MECH SUR ~. PCK DEPT ENV MGT RECEIPT I 44380 L. ADDR 2598 HARVEST LANE. DATE 022680 SPFLD, OR LOT BLK 00 NO UNITS 001 NO STORIES NO BL.DGS 001 SQ FT UNIT COST VALUATION FEE DA4 ,. . . WS VIGILANT NO. CONNECTOI~S: MECHANICAL FEE ST A TE SUF~CHARGE PLAN CHECK FEE 15.00 . 5 5.00 EACH .- . 4% 0% 0.60 " -. SIFO CPI TAKEN BY CH WPC PLAN ELEV ADDR COMPLETED BY FP ENVH TOTAL FEE** 15.60 o .i o o .. o : .~ o CK , E 12 ~ ~ :: ::.; .~ t;!II!_t 7 " 6 ~ .. ~ . o .. so. 54 II .!!. .. ~ 60 ". .. -. ~ 3 ~ . . t ~ ~ \ n ". .0EPARTriENT OF ENVIRONI1ENTAL IIANAGEMENT . /tI~ PSB, 125 EAST 8TH AVENUE EUGENE, OREGON 97401 ~~~q~~1 Structures now on the property ~~ --- [!Ij\~jfrl!lLij}gJ9,'fi;il\tjjpJ~t.tt!j ~jlJHfift.i\l 0 [~~l\l@lWjlA1J 0 [flll!@.ttffJ!!j~ 0 lffilM[\~B Affidavit: I, ~~(JJftnr~ ~l~.t1~JtO~(J:) . hereby certify that this information is true and accurate. If this application is for an agricultural building it will be used for purposes allowed by the State BUilding Code and Lane ~nty Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property: ~ Qwner of record; contract purchaser; lessee; holder of an exclusive option to purchase; . duly authorized to act for t~e ner, who ;~ )rowledgeable of this application. ~ ~ Signature/Address ...;YJ.~ (j ~la-eJl, ~~9g ,A./r>/u~tzit&.Q, ~ (Zio~Y ? 7 -----C T ephone f- -,,~? _ or Date, ~/.J.~~ When permit is ready notifft/jI( Appl ic~t C! Owner C/ Contractor ~: C/ mail ~ phone Owner fd..uJr1.nL<LF~ ,)~ (ziol-22n7 Phone 2lllt;-s-:3'?2.. Contractor /r (zi D) Phone II II ~~~l!~ lltHwiI.illtiu1\liJ'ClR1 ^,..............,"'.-:w:;'" . Contractor's OSR# / Plumbing by - ---r ~:s~~:::~:~~l\lit"IIII~~i SI test holes ready 00 NOT WRITE BELUW THIS LINE # of employees ~F&fiijnlttj ~Q1'i~'~5 Existing. BP # /~/ Proposed. SI # //~ , ;ij~; C~ 'D8icHiltiiiii' "\ '~1~~~~ III Valuation Fee /~-/ r:::::!@I!' .'. .......'.'.'.'.'........'.." 1fJA-J /- j~~lI",,1 ~, ~ceived by ~ Total Valuation: $ 11I11!,illllll:~ : Subtotal $ $ $ /<: c?(') $ $ each $ each $ $ $ $ $ .VO iv~~ ') . ~ !,~d/~/ Existing 4% State surcharge Plans check fee Change of Occupancy Water Supply Proposed Year Installed ~d TOTAL $ ~ <:::: r; 0 F ? I PERMIT PROCESSING Zone // d <t. f;:?n't- - Part. # Parcel # Minimum setbacks: ct. side into Parcel Size ~~ --\. - ~ ; rear COlTlI1ents To be typed on permit CP&1 To be Type h7J type~ ~n _permit Group Je-~ -.oS /J BY~_~ Use Classification ,- Fire Zone Oate $/::>-( (' tv (/ <;rnf ,.//' /? /) By ~~ ~ Oate 2~ Z-'1.-LP ?r plans information C~ll ar':} j<1spector) ..,. _ LA-fIiIJI?, Phone lrlf:2,'"7 -3'7~ ~r ionS1iOSiteM. <7~./~ /~Pf-./ /7d-#./'~~~~ a:.v1 ~ :..~-- -yr' - /' / SIFO Y Plan~ to: CP&I _ set(s) J Oate Hold Slip Date Date to - WPC set (s ) Requ i red to PCC Comp 1 e.}'Jl! PCC OmI Z-~ C/ WPC C/ Planning C/ Public Works C/ Elevation C/ nla CI Address C/ Facility Permit ~I Environmental Health WOOIlSTCVE INSTALLA TION SHALL BS INSTALLSC EXACll.Y IN ACCOiUlAl'CE WITH I.C.B.O. AND irE YANUFACT~RIS mSTALLA TION mS11ltx:TIONS. FOR INFOR~~TION about progress of your application call: C74-171 Permit Control Center 6Bl-HELP (687-4357) r.