HomeMy WebLinkAboutPermit Building 1980-07-17hre cuinty
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, ,0NSTRUCTI0N PTRMIT # LC 1805-80
JOB ADDRESS: 1561 Mallard Avenue, Eugene, 0regon
TRS, TL: 17-03-22,1.3, 14100
SUBDIVISI0N: First addition - Game Bird Vi11age, lot 13, block 13
C0NSTRUCTION APPR0VtD BY THIS PERMIT: Garage/workshop - 680 square feet
CONDITIONS 0F APPR0VAL: Private use only.
Do not drive over the existing sewage disposal system at any time. Keepall structures a minimum of 10 feet from the existing dra'infield.
Minimum structural setbacks: fncrn center line of road, front, 45 feet;
side interjor property 1ines,5 feet; rear property 1ine,6 feet. p.U.E.
PTRMITTEE: Li sa l,/oods
DATI ISSUED: July 17, 1980
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BY: /Candi Hart
l^IP 28305-5E.2
*************** ******
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 LAt^l.
WHEN READY FOR INSPECTION (see attached) call 687-4065. Have the followinginformation ready: Permit number, job address, type of inspection, when i[ willbe ready, your name and phone number, and any spelial direclions to site.
OTHER QUESTIONS? Call 687-4394.
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LANE COUNI.Y SEF,T [:NV HGT Ii:ETEIF,T + 1Sssfl}s DATE O?03.3erlf"'t''L.rf,ANT tJ{lr:}Ds, LIsA,/t;Lr:rs,f ,qDDft t&{0 trj" sTl-t AvH" EUIENH, {JR].L* { 703??1314100 SUBT'IV FIRS"I' ASI} GAHE BIRD VILL.AGE I.T]T 13 BLI( 13NEIJ rtLDG TYFH f,AR usE n Nn BIRHs 0s N0 uNrls os1 Hn ifrnttrEs Nn sLDGs,c)$1CCIDt: AF,F'L NO ACTION T}F:SCftIT..'TION SQ FT UNIT TNST VALUATION FEE DAY.Bl-' {;ARAGE 6r}0 s . Et:t 601 rl
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Appl ication for
Structures now on the
Proposed use of property:/ / Resjdentia l
Affidavit: I,*/ "o
0wne
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auty
r of record;
au thori ac the owner
con trac t pu
S i gna tu relAddres s
t,Jhen
Owner
Contrac tor
DEPARTIlENT OF ENV i RON14Ei.ITAL
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
Ci ty
Block
/_/Commerc i /-/ Industri /-/ Public
,he reby certify that this information is true and accurate.
Job Address
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Lot
re
I ication is for an agricul tural
ilil-If this app building it will be used for rposes allowed by the State Building Code andpu
theLane County Code Chapter '10 (zoning) and for no other purpose. I have folIowing iegal in the property:
option to purchase;rchaser; lessee; ho
, who is knowledgeable of this appl
5td
'l der of an
ication
i nteres t
excl us i ve
z1
Te1 ephone or
t is ready notify /_/ App /-/ }wner
T
/11/4ontractori can
Contractor's 0sR# /O tl'l;..Plumbing by
te
/'/ mail
2-
/_/ pr,,rne
Prron: _
I'horre _
, Tax Lot
Assigned Numbers
If Commercial
Residential:
# of stories
: of bedrooms _
# of employees ----- # of
SDS:
units
Existing, BP
/_J Proposed, SI #
Unit
Cost
SI test holes ready
orSq. Ft.
#ofSiFee
Code ti Val uation Fee
$
Total Valuation: $
Plumbing fixtures at $
Sewer/water conn. at $
each $_
each $--
$
/-/ c?*
ffin"rx Subtota l $
$
$
Recei ved
l.later Supply
Proposed _
Year Instal Ied
47,1 State surcharge
Plans check fee
Change of 0ccupancy $Existing _
TOTAL
PERMIT PROCESSING
Minimum setbacks:
Part. #Parcel #Parce l Si
t t,side rea
Commen ts
To be typed on permit
By Da te
WATER POLLUTION CONTROL
Instal lation specif ications
To
gal . tank;ft. of infiel d max. depth of tren
Da te
permi t
Te1 ephone By
Directions to site
/ / ,6tF0
(r y{t
Ef" wPc
/7 Planning
/_/ PuOl ic Works
Pl ans to: CP&i
I^JPC
set(s)
set(s)
Da te
Requi red
Hold Slip
to PCC
Da te
Compl eted
Date to
PCC
l-/ n/a! Elevation
/-/ Address
/_/ Fac:.lit-v Permit
/_/ Znutronmental Heal th
Permit Control Center 687-HELP $87-4357)FOR INF0RI1ATI0N about progress of your application call
Appl icati on #
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DEPARTIIENT OF ENVIRONMENTAL NANAGEI1ENT
PSB, I25 EAST 8TH AVENUE
EUGENE, OREGON 9740I
Job Address
Appl i ca ti on for
Structures now on the rty
ifi fsffi $td.iiilt0uririffi :.r'iffi $,,fii.i.i
.-/i.e \^Jo,*{s
,fro ,).)fJz
lt-
rchaser; lessee
, who is knowledgeable
:Strititi.l(r:
/_/ iffiHiti:lit;ri:i:
holder of an exclusive option to purchase;
/://_/
of-TEIs appl ication.
Affidavi t: I ,
If this applica
Lane County Cod
, hereby certify that this information is true and accurate.-. ffition is for an agricultural building it will be used for purposes allowed by the State Building Code ande Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property
owne
- t' Auly
r of record;
authori
S i gna ture/Addres s
tlhen pe
0vner
Contractor
Contractor's 0SR#
con trac t pu
act the owner
:rta-z'l
Tel ephone / f '/-q ffl{ or
is ready notify / Appl ca /-/ Avtner n trac tor
Da te
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zi
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'il /*tphone r !'t.tt.,79 ?J{ {{s<-,t
Phone a'f ? - bqi\i ci+-r-)
pnone /! 4^ e R(fr
Plumbing by
If Corunerc ial
Residential:
: .#..,0f..','+t.9til.d*; _
,.#ii,iu.tlrr:u ffii:-
DONOTEm_TEM
# of employees :*:::O#itlrrci i:r
,iu$giii.ii /%i'ft
17 Proposed, SI #SI test holes ready
iittrfii.lsffi i:lhi.ijt:
if.,{fi,U,i Valuation Fee
$
Total Va.luation: $$
at
at
$each
each
$
t_t
Rece i ved
Water Supply
Proposed _
Year Instal led
Existing _
$$
Subtota l
TOTAL
$
4% State surcharge
Plans check fee
Change of Occupancy
$
$
$
PERM]T PROCESSING
Minimum setbacks
Part. #Parcel #Parcel Si
int <t t, side
Comments
To be typed on permit
CP&l Type
To be typed on permit
By Da te
Group.Fire Zone Use Classification
By Da te
PhoneFor plans information cal l (area inspector)
Directions to site
[t Ko prans to
,tw,ilr*
CP& 1
l.JPC
set(s)
set( s )
Date
Requ i red
Hold Slip
to PCC
Da te
Compl eted
Date to
PCC
/7 Planning
/-/ PuOtic Works
/ / Elevation
/J Address
/-/ Facllity Permit
/ / Envaronnental Health
FOR INFORT'IATI0N about progress of your appl ication calI
c74- 17 1
permit Control Center 687-HELp (687-4357)
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POST THIS PERMIT ON MAIN BUILDING AT SITE
, CONSTRUCTION PERMIT # LC 1805-80
JOB ADDRESS: 1561 Mallard Avenue, Eugene, 0regon
TRS, TL: 17-03-22.1.3, 14100
SUBDIVISI0N: First addition - Game Bird Village, lot 13, block 13
C0NSTRUCTION APPR0VED BY THIS PERMIT: Garage/workshop - 680 square feet
C0NDITIONS 0F APPR0VAL: Private use only.
Do not drive over the existing sewage disposal system at any time. Keepall structures a minimum of 10 feet from the existing drainfield.
Minimum structural setbacks: from center line of road, front, 45 feet;
side interior property 1ines,5 feet; rear property'line,6 feet. P.U.E.
PERMITTEE: Li sa Woods
DATE ISSUED: July 17, 1980
/aeec /72cilut/4/
BY: /Candi Hart
t,.lP 28305-58-2
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Vlclntry Map
TRS, TL Job Locatloa (Add
PernLt #For Pernlt #
Permit
PermiE
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Permlt For
For
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I NSPE C] ION RECORD
l. Site InsPectiort
2. Foundation InsPection
3. Irarning InsPection
4. Lath or Sheetrock irtsPection
5. iinal Irtsprection
Approved Di saPProvcd Da te lnspcctor
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F'inal Cas PiPing
F.enrarks
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\2 . Certi f i cate of 0ccuPancY:
ready to 'isstte; *.--o not re'rdy; -- - ------ - -date;inspector
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