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Home My WebLink AboutPermit Building 1977-06-09\?out\\ S{-TRS, TL \\- l/lauildingPermit Job Location \G\c> INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- (owner, etc.) Acreage or Lot Size 6o,a ,/ fo.7-( ) Would like to meet on site. Call Test holes wi be ready Partitioning #( ) Completed( ) Pending Subdivision APPLICANT'S NAIVIE AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicant's CONTRACTOR'S NAN/IE AND ADDRESS Vail permit or resultsof site feasibility studyto ("/) Applicant (4 Owner ( ) Contractor( ) Prefer to pick up. Call ( owner, etc. ) when ready. STRUCTURES NOW ON THE PROPERT PROPOSED USE (this permit)\\\-\ WATER SUPPLY -(n), ,z.J ib" ne 7R-46/r'S ne ne existing or pro WE ll, etc. lf public, name of system) Pho Pho Pho SEWAGE DISPOSAL (exisring or proposed septic tank, etc.) S.t PLUMBING B Address () PROPERTY IS WITHIN ONE MILE OF CITY *******oFFtcE usE oNLy BELOW THtS LtNE************* ' ) New Address Necessary -oN E ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) ( ) Special Permit Area. lVlinimum Elevation lnterior Side Yard Rear - (FROI\N PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem Your assistance will be appreciated. By Permit Processing Section Response By D E PA RTIVI E N T O F E N V I R O N IVI E NTA L IVIANAG E tVI E NT Permit Processing Section 125 East Bth Avenue 687-4394c55-12 Division -Y ) 4 _t \ a s t$ =f,' (r, N \' N N \ 'Il, a-1s1 I \N \$u( I I I l \qt \{ ?. e-- ,s .or Ob,*l "O Iz6'og I oo ct.€ c\ h$. oo\qo \., ( ( I I I ( I I l \t-,a9<}.:to(r. q ,t\\<)lZ, q tPl El , r{ G{ \rl h =uItrf: Ilb "; {i,1 t c 9(),! i lN3 /-tntfi atrgnd -l qt Lt\ Era s L -J !-- U -.1a5\ $ \$ 4,r .o\\ \\l o tf\q ,9 '_ F l.lo({O{zsoi, (., L (.r YJo'< <.r f, lt)? r-( :_{ t?t rq /n7,,o+,-t,l tC N .' IJ ,I- rl s. U rq. \ \ \ \ -t td t- F \9 + i t3 6( -'11 PERTVIIT # L-TRS, T Acreage or Lot Size Contractor's O.S. # JOB LOCATIO Partition ing lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth LANE COUNTY PERMIT ) Completed Subdivision Lot- Block- APPLICANT'S NAME AND ADDRE CONTRACTOR'S NAME AND ADDRE lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready OWNER'S NAME AND ADDRESS \AJATER SUPPLY SEWAGE DISPOSA Phone Phone Phone s.t. # STRUCTURES NOW ON THE PROPERTY- THlsPERMlTlsFoR#BEDRooML#PLUMBlNGcoNNEcTloNL THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUIVlBlNGBY I hereby ceftify that the above statements are true and accurate, and that I have the following lFgal interest in the property: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (if not the owner) I am authotized to act for the owner o{ record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid S-Signatu re Date NEWADDRESS O FACILITY PERI\4IT TO TRANSPORTATION DEPT.- l SPECIA L PMT. AR EA. IV]IN. ELEVATION SANITATION BUILDING Type of Construction roup Fire Zone Use Classification Comments Comments By: Oate: By: Date: PLANN ING REOUI REIVIENTS SATISFI ED. B Date:Date lssued: LANE COUNTY DEPARTIVIENT OF ENVIRONN/ENTAL IVIANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.pERMtT-wHrrE; BUtLDTNG-GREEN; pLUMBtNG-GANARy; sANtrATroN-coLDENRoD; oFFrcEcoprr-wHrrE PHONE:687-4394 / ZONE SETBACKS: FRONT SIDE FACING STREET ROIVI INT. SIDE YARD REAR FROM P/L) S I TE I NSPECTI ON AppnovEo /12/ D tsnppnovro Rrurnx s Da re I Nspecron FOUNDATION INSP APPROvED REua nx s T ION DrsAPPRoveD Drr e I Hsprcron FRAMING INSPECTION AppRoveo Revlnxs DrslppRoveo Drr e I Nspecron LATH OR SHT PECT I ON Drsappnoveo V Dar eAp pRov e o Ret"trRxs ItrspEctoR FINAL INSPECTION oo,,/o- x{- {y',*,",,,Appnov E o Reuanx s DtsAPPRovEo CERTIFICATE OF OCCUPANCY Rraov ro lssuE ReuaRx s D D Nor Reaov ro lssur D Dare lltseecton- s738a7 TRS, TL JOB LOCATION Acreage or Lot Size Contractor's O.S. # Partitioning APPLICANT'S NAME AND ADDR FSS CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call OWNER'S NAME AND ADDRESS LANE COUNTY PERMIT ) Completed Subdivision Lot- Blo ck Phone Phone Phone (owner, etc.) when ready # B ED ROOIVIS--# P LUIVIB I NG CO N NECT IO NS SEWAGE DISPOSAL s.t. # STRUfiURES NOW ON THE PROPERTY i rHts PERMtT ts FoR \AJATER SUPPLY Fee Paid $- FACILITY PERMIT TO TRANSPORTATION DEPT.- () SPECIAL PIVIT. AREA. MIIN. ELEVATIONI - ( ) NEW ADDRESS ( ) SANITATION i cmments Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Type of Construction c"rr,*"., Use classification roup ire Zone t Date:Date:B Date Date lssuedPLANNING REOUIREMENTS SATISFIED. B ZONE SETBACKS: FRONT slDE FACTNG STREET (FROM C/L)INT. SIDE YARD REAR LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O"1 POST THIS PERMIT ON MAIN BU!LDING AT SITE CsS-r3 BLOG. pERMtT - WHTTE; BUtLDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE (FROM P/L) PHONE:687-4394 By: SITE INSPECTION APpRov E o Rruanx s Drsrppnoveo DarE I Nseecton FOUNDATION INSPECTION AppRovto Rr uanx s D DrsappRoveo V Drrr I rspecron FRAMI NG Appnov r o Rruanx s I NSPECT I ON I xsetcloR LATH OR SHEETROCK INSPECTION Ap pnov e o RrManx s / / DrsappRovEo f/Darr I xspecton FINAL INSPTCTION Ap pnov e o Revanx s DrsrepRoveo Darr -2 I xsprcron CERTIFICATE OF OCCUPANCY Reeov ro lssuE Remanx s D Nor Reaoy ro lssuE D Dare I Hspecron / 1 DrsappnovEo D Dorr_ t o 0o JOB LOCATIO Partition ing LANE COUNTY PERMIT TRS, ] Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot Block- 9 APPLICANT'S NAME AND ADDRE OWNER'S NAME AND ADDRESS CONTFACTOR'S NAME AND ADDRESS THIS PERMIT IS FOR \I/ATER SUPPLY , Phone Phone Phone # BEDROOMS-# PLUMBING CONNECTIONS l\4ail permit ro ( )Applicant ( ) Owner ( ) Contractor. ( ) Prefer to pickup. Call- (owner, dc.) when ready. STRUCTURES NOW Oru TgT PROPTRTV ,, , , SEWAGE DISPOSAL S.I. # THIS PROPERTY ISWITHIN ONE I\4ILE OF THE CITY OF .PLUMBINGBY-.-_-_- I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (if not the owner) I am authorized to act tor the owner oI record, and that said owner is aware and approves ot this action. I hereby agree to coqply with all applicable Codes relating to this permit. Fee Paid $-Signature Date () NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT ( ) SPECIAL PtVlT. AREA. lvllN. ELEVATION:-- SANITATION BU ILDING Minimum Septic Tank Capacity (Gallons)Type of Construction -Group -FireZone Drainfield Required - Lineal Feet Use Classification Maximum Depth Comments: Comments: Date By Date PLANNING REOUIREtVIENTS SATISFIED. By Date Date lssued ZON E SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG.pERMTT-wHtrE; BUtLDtNG-GREEN; pLUMBTNG-GANARy; sANtrATroN-GoLDENRoD; oFFtcEcoPY-wHtrE PHONE:687-4394 \ a, By: TRS, TL / 7:-Q3. zz Job Location 3rfr'a2 /G 7o rZ*acnzo 5,EuaE4/E- Wtitten Directions ( 4Building Permit INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- Acreage or Lot Size Test holes will be ready Partitioning #- ( )Completed( ) Pending Subdivision 4t+>*r' 4t A O y'rz-z- a - Lot zJ g1s6 v t4 APPLICANT'S NAME AND ADDRESS / tI 4 It -al r7clr aaUphsns721'Zt*t OWNER'S NAME AND ADDRESS, if different from applicant's Phone PhoneiONTRACTOR'S NAME AND ADDRESS rlail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor.( ) Prefer to pick up. Call ( owner, etc. ) when ready Contractors O. S. # STRUCTURES NOW ON THE PROPERT .DhJE aata./4 PROPOSED USE (this permit) WATER SUPPLY PLUMBING BY () PROPERTY IS WITHIN ONE MILE OF CITY ( ) (existing or proposed well, etc. lf public, name of system) Address SEWAGE DISPOSAL 1,/.2. (existing or proposed septic tank, etc.I S.t r.+*'r* oFFtcE usE oNLY BELOW THIS LtNE rl ***:**,*, ) New Address Necessary ZONE- ( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) lnterior Side Yard Rear - (FROM PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor This applicant appears to have a problem wit Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT OF ENVI RONMENTAL MANAGEMENT Permit Processing Section 125 East Bth Avenue 687-4394c55-12 D ivision 4t, I <-2 trt <r tz-zrlc:a/ #Pprsrc',r* A/- a. PERMTT * \3 O\-l 7 TRS, TL JOB LOCATIO LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot- Block-Acreage or Lot Size Contractor's O.S. + APPLICANT'S NAt\4E AND ADDRE SS Phone Phone Phone OWNER'S NAIV1E AND ADDRESS CONTRACTOR'S NAME AND ADDRE ss Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready. STBUCTURES NOW ON THE PBOPEBTY- THIS PERMIT IS FOR- # BEDROOML# PLUI\4BING CONNECTIONS-- THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY WATER SUPPLY SEWAGE DISPOSA s.t. # ave the following legal interest in the property: -owner of record; certify that (if not the owner) I am authorized to act for the owner of comply with all applicable Codes relating to this permit. I hereby certify that the above statements are true and accurate, and that I h -contract purchaser; - potential buyer; - realtor or agent. I further record, and that said owner is aware and ap.proves of this action. I hereby agree to Fee Paid $- #708/ signature () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT.( ) SPECIAL PIVIT. AREA. lvllN. ELEVATION: - SANITATION BUILDING Type of Construction -Group -Fire Zone U se Classification Comments Comments: Date By:Date Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth PLANNING REOUI REIVIENTS SATISFIED. By Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.pERMtT-wHtrE; BUtLDtNG-GREEN; PLUMBtNG-GANARy; sANtrATtoN-GoLDENRoD; oFFtcEcop\/-wHtrE PHONE:687-4394 Date - By: INSTALLATION INSTRUCTIONS MODELS 701 B (KING) AND 7O2B (OUEEN) WARNING: THIS FIREPLACE STOVE lS A HEAT PRODUCING APPLIANCE AND MAY CAUSE SEVERE BURNS IF TOUCHED. KEEP CHILDREN AWAY!I READ INSTRUCTIONS CAREFULLY BEFORE STARTING. INSTALLATTON MUST COMPLY WITH ALL LOCAL AND NAT!ONAL CODES. lPositionfireplaceberngurenottomove.closertocombustibles' ffi;;ir;il''uy tri-miiimum cleara:ces. l,lake ste that back of ,inii'ii piia-rrei'win uacri ,itt. check that no ovefiead coss member il'ur;;;ili;i wiii ui cr:t Reposition fi1ptqq if necesury, being caret t not to-move closer &at minimun allotrable clearance' 2lnstatlBinchdrimneythruceilrngandrcofdirectlya|ovefirep]tce and accessories as per chimney nalufacfuters instlucncns' uelote ;;i.il-i;lr;ialled, use a "piu:nb bo' to assure 'fiat chimney is ;i;#ii auove iireptice. A uL tisted, factory buitt, residentiat type chimaey must be used. 3 Fireglace must be set upon a noncombustible-hearth extension' -The- nil-fi iitr.lion must eiieno a minin:um of 15 inches in front of the iffiffi'ffilns ino B inches beyond each side and rear of fireplace. Ti#';;;tfli;ii3'liion-mrlt be rirade of a noncombustible material *rt ii-uiir[.tjle, or asbestcs millbard having a minimum thickness oi 3/8 incn. lnstall hearth extension' A suggestion for installing the hearth, extension' Y.Iith the fireplace iocat;S-oirectrv ueroiv L,re" chimnev draw .an outline of the base on ifi;f6,. "Raibre-i[i rrrepriie. Mark the floor 18 i/8 inches in front ii-n. ui$ and 10'ilg inihes to the rearof the base and-dravr a line oiriiiei to the rear urall at each mark. Mark the floor 13 inches to !rti"lic, ,i'in.-uise-ino oraw a line perpendicutar to the rear wall at each mark. Coverthisrectangularooxwithalayeroflz,Sinchthickasbestos millbard and then a laler of common red bnck. Push all bricks as Itore to each other as possible. Finish by nailing a 1_inch quarter round piece of molding all around the hearfi extenston. lhls tilm als0 acts to retain the bricks. 4 Place fireplace on hearth extension- 5 Slide one section of chimney connector up. into the chimney several- *rh;i Then place anottreisecticn of chimney connector on top.of iii?-outreioi, te fireplace. An g inch, btued steel chimney connector must be used 6 Slide uooer section of chimney connector down onto he lower section- ii'iniii,?v'ffi.itoi. ne upi,er section of chimney.connector should stitl extend up into the chimney a minimum of z 0r J lncnes' 7 CheC,t that all clearances are still within the allowable' n Secure adioinins sections of chimney connector to each other wi$t" il,."dii-rtliiiisi iteet-st'eet metat scr6rvs eeally spaced amund each joint 9 Secure chimney connector h flue outlet of fireplace witr three sell tapping machine screvJS. 1g lf doors are left open during operation, the gark screen must be in p I ace. 11 Your fireplace Is now ready to use. MINTMUM C LEARANCE TO COIJIBUSTIBLES -l u cap Stom coltar Fl ashing Chinney and accessortes Chimney connector Hear$ extension 4r-3/4 I Front _ TYPICAL INS TALI-ATIOTJ I F,ont 47 16 8L SCHRADER STOVES, 4425 Main Street Springfield, OR 97 Front I @ MINIMUIJ1 HEARTH EXTENSION SIZE !L .J,t* *..-/__grO. ,-// {,e '-?tnzrogl-51 y:/ +.r!/ -4,(/ a/?S:too y+ln Fena//a, ,, EI tl 8 a+-5r'a+s. vUY' 7t 2,'- )lyro on {, E* +N.!l t, n5{YV*{|nW*rfa t; " u ln rrl €rq-+J aa' -;' i.+S ;fo l;uC--,lSafJr6 u'.iJd+(l"\ ,iJ;.r_fa:ra,rf,f-l - -- -{ 'J aj-So i{.{-+.J}({ \;r:EJ.F j :, ul + _Fri,rt.; d og S f -S I ,- -- - l/Ji */i'Y+f ln "'tffr,fiV Ffvt)oc'+s $o'{+plc'r " eY "fvo "J) 6t -* -i--- r t ca)' '.i)C-q+ J.e.r'o1r'rur )q +sour- rsrry{ll p (t;,tl;a y it,rtlsitfin| /rr,ou!.+6f s 'J,r,rg Cl;* jr wri, !;* ) 1 I v{ io7t4Y6N;;vr*+Sral- *B gu-1 s "--'- ---"--Lrnw- y+rl,lH o 1+J-ay *"-po)-er*{"cp J v - -*- .Lrv.c'tJ N! wo +.* 8' d -J.L-a---, - \ r_i ( p"l+aeys- x =d\;ra'r.'?Fp?-s-srd " il im-+rrfr- ,lJ? ;sz{>1-roy' rl.r"1 iaruqd l>f?r:rg ) )ltal.0.rv 4-' Lr..,0r5-,r"g '-aoo.JS' JIU aal5-i..-, ,--"-- --, r Ao+5' ;l ,lYft?'*J ,yrrturfi$n' il:n, l,rr01 Fol.s -rY+- ,i,*JirF, :_-:----r- *- - r-sel'?u+;o9 r-rD- f I u*w-!i,3: *7 l' taznrDJual? FafeJ"'4fi)aJ l,) 1.71- ,i ,*m ,fll.r€ S) c' o+3 S-rap?J YrSZob L 6 ,-z aO 2ta laA a./65-EA* f/ a,'jr.to9 eZl t,''llv,tl zry,, Sar>alt Jaf a/l/ -f * ? ,22 c'--"- tl tr '/- *' 2't/'rJ >)9 ,,rva+Ia +rrrul Y +{DaH .:: "( t t, ,.t'zv1 1 a