HomeMy WebLinkAboutPermit Mechanical 1980-3-4
POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS: 2598 Harvest Lane, Spfd, Oregon
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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
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Directions to Site: Off Hayden Bridge Rd., across from Paige Elementary.
Date Issued:
03-04-80
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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
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.
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
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SIFO CPI
TAKEN BY CH
WPC
PLAN
ELEV ADDR
COMPLETED BY
FP
ENVH
TOTAL FEE**
15.60
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~ ~ \ n ". .0EPARTriENT OF ENVIRONI1ENTAL IIANAGEMENT .
/tI~ PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
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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
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lltHwiI.illtiu1\liJ'ClR1
^,..............,"'.-:w:;'" .
Contractor's OSR#
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Plumbing by
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~: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 #
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Valuation
Fee
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.'. .......'.'.'.'.'........'.." 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
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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
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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)
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