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Home My WebLink AboutPermit Building 1978-05-24kl'RS,lI L JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Sirg- - -, ,. Partitioning Contractor's O.S. # APPLICANT'S NAME AND ADDRE qs CONTBACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call ) Completed Subdivision Lot B lock OWNER'S NAME AND ADDRESS- Phone Phone Phone STRUCTURES NOW ON THE PROPERTY (owner, etc.) when ready .r.,."-!,/-/'- # BEDROOIVIS-# PLUMB I NG CO NNECT IONSTHIS PERMIT IS FOR WATER SUPPLY-- SEWAGE DISPOSAL- S.I. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUIVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the {ollowing legal interest in lhe property: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (i{ not the owner) I am authorized to act lor the owner ol record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes,relaling to this permit. a,/{/ )Fee Paid $Si gnatu re Date ( }NEWADDSESS ! FACILITY PERIV] IT TO TRANSPORTATION DEPT.- () SPECIAL PIV]T. AREA. MIN.ELEVATION sANrrAfloN BUTLDTNG tA$,E (0lijiiY sPEflAl. FE$fnlT f.i?:[.A lVlinimum Septic Tank Capacity (Gallons)Type of Construction rou p F ire Zone Drainfield Required - Lineal Feet Use Classification Maximum Depth Comments\ co,.nrents, By //r L1 t4-{4-e'a Date <rl By Date: PLANNING REOUIREMENTS SATISFIED. B Date ZONE: - , , SETBACKS: FRONT SIDE FACING STREET (FROM C/L) lNT. SIDE YARD REAR (FROM 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-WHrrE; BUTLDTNG-GREEN; pLUMBTNG-cANARy; sANrrATroN-coLDENRoo; oFFrcEcopy-wHrrE PHONE:687-4394 Date lpsued: I }TAP , T. L.-I3oo TO: LA!{E COUNTY PWNING CONSTRUCTION PERMITS & INSPECTIOT OTHER FROII: SURVEYORS OFFICE . FLOOD PLAIN HAi{AGEMENT DEPARII,EI{T 0F PUBLIC LANDS PH0NE: 687-4195 sr&ttcT: SUBDIVISION 14.44 -1BUILDI NG PERHIT I{UI{8ER OTHER $lRECOTfiENDATION: THE ABOVE SUBJECT IS IN A SPECIAL PERI.IIT AREA. THT ABOVE SUBJECT IS INCLUDED II{ THE H.U.D. $NI,'I{BERED I'AI' ZONES. REItARKS xaru . f uoora p".ua-ra--f tex tqD t-r6-f t l-l t-\ AZ.A-P r\ DATE b-24-14 BY Gmc ,l/ TRS, T ,Acreage /.iontract JOB LO ro Partitioni ng LANE COUNTY PERMIT ) Completed Subdivision PE MIT # Blo ck or Lot Si or's O.S Lot APPLICANT'S NAME AND ADDR OWNER'S NAME AND ADDRESS CIME PhONE- CONTFACTOR'S NAME AND ADDRE Phone- Ir4ail permitto ( )Applicant ( )Owner ( )Co N Prefer to pick up. Call (owner, etc.) when readytractor. STRUCTURES NOW ON THE PROPERTY Esff " :'i'd't {/a*{il Phone6r-?-/*-/ S-tTHIS PERMIT IS FO E OOMS-+ P LUIVIB I NG CO NN ECT IOrDCTSTN\G SDSU/ATER SUPPLY SEWAGE DISPOSA S.l. # INSTALLM. COPY TH IS PROPERTY IS WITHIN ONE MILE OF THE CITY OF NA . PLUMBING I hereby certily 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 buver; - realtor or agent. I Iurther certify that {if not the owner} I am authorized to act for the owner ol record. and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this NA Fee Paid $zza__44 /36 7, L Sisnature Date I NEW ADDRESS () FACILITY PERTVIIT TO TRANSPORTATION DEPT.- () SPECIAL PMT. AREA. MIN. E 4-, permit. ts ,1"./Z>, SANITATION BUrLD'*ltAg;g^ {*i1j.:r'f $:iii}rt} Fi I ype OT UOnstruCtlon -LrrOuP Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth !rr.f tre A'Zone Use Classif ication Comments Comments: By: 3 v) (g -l@ -9--J t-clN)a c-J .z()ie) 6 rr1aao Date E UIREMENTS SATISFIED. B ts Date teP (FROM P/L) LANE COUNTY DEPABTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERNi IT ON MAIN BUILDING AT SITE C55-1 3 BLoG.pERMtr-wHtrE; BUtLDtNG-GREEN; pLUMBTNG-cANARy; sANrrATloN-coLDENRoD; oFFrcEcopy.-wHlrE Date: SETBACKS: FRONT SIDE FACING STREET (F ROM L) INT. SIDE YARD REA PHONE: 687 4394 ( t- I { * 20.7t f \ so, I t ^.\ { /2 \ b h , 7g'0 s PLOT PL,IN \ RESEARCH INFORMATION rILL OUT AND LEAVE AT FRONT DESK. AIL INFORUATION BELOW IS NEEDED TO ASSIJRE GORRECT COPIES. I,IE WII,L CALL YOU W}MN COPIES ARE READY TO PICK UP. GHARGES WII'L BE AS FOLLOWS: xERoX CopIES, NORMAL RESEARCH: .25+ PER COPY. EXTENSrVE RESEARCH: $4.00 PER HOUR PLUS .258 PER COPY. 6otu, fiuue: TYPE OF INFORMATION REQUIRED: SITE INSPECTION # YEAR PERFORMED * surl,nrNc PERMTT # YEAR ISSUED t/ OTHER (DESCRItsE) TI},IE: (tpttoNer (,.8 t-7o+ NAME OF APPLICANT NAME OF APPLICANT LOCajrtg'.-_ + e oJ S. D.3 *pnopnnrr ADDRESS: +ToI,INSHrP, RANGE, sECTroN, TA( SUBDIVISION, LOT AND BLOCK: BqA -6{ Fe"^^noLt, D.*t/r"s W4; {ftofzsffi& -PLEASE C}IECK HERE IF YOU DESIRE A PRICE QUOTE FOR PERFORMING THE ABOVE RESEARCH BEFORE THE I,IORK IS DONE. DEPARTMENT OF ENVIRON}'ENTAL I,IANAGEMENT Permlt Processing Section 687-4394 c74-L54 \ RE@ND OF INDffIDIIAT SETU@ DISPOSAI SYSIEM SETttt (See lnatnrctlonc) : Date "7- /- Renarks: a\ ..t ")/ "t: tC,.c Lr I=?3-,- - c'7,^"-t EGEIV E (tt1 '-',' Bt Jus- 8 $6s HEALIH DEPT' LANE COUNTY E $'NE M DTDICATE NOR?HERLI Signature notfl -fwrctlon eattsfactortli', and ls therefore approved I r I I I I I hte 6 o I,AND U 4\ I / F l{I -1 -1 n \ 0 C, I I * I 20.7t tI \ b h tu PLOT PL'{N \ 0o, I t ^r\ z I \ otb I t tb f t-Ut{tER SIiALL!Er)f lllNl}.lLrtlCi^DE&SPEAEfORTRUssgANSASNOTEOBEtchl (Douglrtllrnll bc tubnt(utca yhcc Hcm.ll, It tp.ct[.d.) No, I HEM.FIT l.to. 2 H&t-P:n coNsr. Har-ni Dlis. r!:". sTR, mlrc nQ SEL. STR. Ir'1t6_ Fta DNS. No. I rx.}t 16. FI t No. I rnrrc- FtR DNS. No. 2 DOr.t6. nR tlo. 2 DOL'G. fl[ colrsT, IX)UG.FIi sEt- s7t. 1il]rl-nB altcB-, .t7-'- ?Ar--grr 'irir-8rt .lH r -1":{li t -?t',) Yri rr,-11\25t -8"2it -7"24t -4"2'!t -6'l:l:t'-10"li2,-5" "lzt -i'l :l I t -"'l 30r -?"TCP CllOS,D 'rr -l lf r:1i 2!t -2t'25t -7'l ?ot -2'l3ri | - ll'r 33'-1 l"3:|r-1'l 2Ilr - I 0'r 24t -2"32' -6 "2r:-l dt's iqn2r-{ Star:Jard (irade l{en-Fir, 2x3 No. 2 Ilern-F'ir or as troted oni:B t{t},1BERS 3.2" or 4. primB qu!lily galvanized sheet steet (20 gauQc unless olhersise noted).8nd shsll be Dlaced so lhat centorlines coincido wilh lolnt centgrlines unl,rss olheruiSo noted. aro olRONEL BARBGsIP OIGI S I:]D:CATE SITE OF PLATE IN INCIIES. tt icated the5000 Pletes shdll be bolh lacs ol lrus3 sE€ r.c.8.o.-'1Fo' 6asic 469 I,OADING DIACITAM LL+DL/Iloof = 32 pat DL/Ceiiing = 10 PsI 15/o increase in nllorvable unlt 6tresaes used for 6hort duratlon loading. HEM.FIR TO 3g'-9" SP.$,CED 2'-0'r o.c. 550' t c b ,ln 35r-0'' Clear ) DOUG-FIN 5?6' I t. A1l, brrctrg. tenF)!ri, anC pcrn:ncnt. to rcslrt lrtcrrl forca to bc dsigtrcC rrd prcridcd by olhcn. 4 l6n rrruirct lrtstrl bracing rt mlximuil 3"0" o. c. lo9' ro!1 rnl 12''0'lottoo c}lord unlst oth.rlltc rpcclf,ed. !. lf &odDmut Lrtctrl &rclng rr rlroxo*. R-AxB 2xB TCR-4x4.5 2x4 TC R-3.2x4.5 Span to 28t-0'l 42r.i a e 2 ) 0# I a d b Off Panel Polnt Splice 2x6 TC R-4x4.5 2x4 TC R-2.4x4.5 N FORCE DIACRAM rr Spl.ice R-5.6x6 R-4 x4. 5 No Sollce R-1 ,6x.3 36r - 8" 2x8 TC 2x4 TC 1' R-3.2x6 R-2.4xG R-2.4x4.5 l14" H.-4. 8x6 c-{!.{BER To 3/8'r R-3.2x9 - 36r-8tl R-2.4x9 - 32t ^1'l R-2.4x?.5 - 27'-4" R-2.4x6 - 22,-!'l R-3.2x?.5 - 30r-8rr R-2.4x9 - 35t-4'r R-2.4x?.5 - 29t -7'l R-2.4xd - 23r-10'r R -2. {x4. 5 R-2.4x3.0 36r -9" 26,-0'l 36r -9" 3 6, -8'l 2 gr -0" !dn 7H.*---+'r/ e# 1 !14" L/31 Symmetrical about Centerllne Frlc No: Dale; Ret.: T-36-4-4214 t2lil74 '" n-S-15-1 0es.8y: RONEI.SYSTEM IJ .>F- 3) ck.A fi[ffir coMpF.r{Y i t t t?l:, 1"RS, T Acreage or Lot Size Contractor's O.S. # JOB LOCATIO Partitioning LANE COUNTY PERMIT ) Completed Subdivision Lot Bloc k APPLICANT'S NAME AND ADDR trqq Phone- OWNE.R'S NAME AND ADDR FSS Ph CONTRACTOR'S NAME AND ADDR Phone- tutrail pelmitto ( )Applicant ( )Owner ( )Contractor. (')Pre{ertopickup. Call-(owner, etc.) when ready S'T'RUCTURES NOW ON THE PROPERTY TH|S PERNI|T ts FoR * geoiOOiIS-+ PLUMBTNG cONNEcTtONs- \A/ATER SUPPLY SEWAGE DISPOSAL S.l. # TH rs pBopERTy rs wrrHrN oNE MrLE oF THE crry oF-. PLUt/tB tNG ev- /A-#lr, fl14 I hereby certify that the above slatements are true and accurate. and that I have the following legal interest in the properly: -owder ol record; -contract purchaser; - potential buyer; - realtor or agent. I lurther certify that (if not the owner) I am authorized to act for the owner of rccord, and that said owner is aware and approves ol this action. I hereby agree to mmply with all applicable Codes relating to this permit. Fee Paid $Signature Date ( }NEWADDRESS FACILITY PERM IT TO TRANSPORTATION DEPT.- | SPECIAL PMT. AR EA. MIN.ELEVATION:- sANrrArroN BUTLDTNG [3,\i-g r,'i],il'i $ilI{lfl,l. PFF'' Type of Construction roup Fire Zone Comments By: Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date Comments: By: Date PLANNING REOUIREMENTS SATISFIED. By Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FRON/I C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG. pERMtr - wHtrE; BUILDtNG - GREEN; pLUMBtNG - CANARY; sANtrATtoN - GoLDENRoD; oFFlcE copy - wHtrE PHONE:687-4394 ( trec ) ,lt o3t7B FLOOR PLUMB ING GROUNDT^/ORK Apeaovro E RettaRxs ,^rr6-G7?PIDrsappnoveoI Hspecron GAS P lP I NG GROUND^/ORK Ap pnov r o REr,tanx s D DrsrppRovro D Darr I ruseecron ROUGH PLUMBING Appnoveo M DrsappRovro RExanxs D ,or,-7- /J.tt frbNSPECTOR ROUGH GAS Ae pnov e o Rexrnx s PIPING Dr seppnoveo Drr r FINAL PLUMBING Apenoveo @ Drsrppnoveo Rr lt lnx s oo,r-/ /-/-.78 trI Nspecron FINAL GAS PIPING Appnov e o Rexanx s Drsrppnovro Date I ruspEcron CERTIFICATE OF OCCUPANCY Rerov ro lssue Rrltanxs Nor Reaov ro lssue I NspEcron . D Dore_lnsee cron_ e .i. RS, T L JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Si Partitioning #) Completed Subdivision Lot- Block-Contractor's O.S. # APPLICANT'S NAME AND ADDR FSS Phone Phone Phone OWNER'S NAME AND ADDRE CONTRACTOR'S NAME AND ADDRE qq Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY i'THlSPEBMlTlSFoRrrBEDRooMLt'PLUMBlNGcoNNEcTloNL \AJATER SUPPLY SEWAGE DISPOSAL s.t. # TH IS PROPERTY tS WITHIN ONE M ILE OF THE CITY OF-. PLUMB iNG BY ---__- I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner of re@rd; -contract-purchaser; - potential buyer; - realtor or agent. I Iurther certiry that (if not the owner) I am authoriz€d to act for the owner oI 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 $Signature Date ( )NEWADDRESS ()FAC|LITYPERMtTTOTRANSPORTAT|ONDEPT.-( )SPECTALPI\4T. AREA. lvllN. ELEVATION: - sANrrAloN BUILDING [A,r* tij.ir f SPEOAI. Xi.:i,,; L,.,..- q Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date: - rYPe or constt'lli?X..,* GrouP Comments By: Fire Zone Comments By:Date PLANN ING REOUIREMENTS SATISFIED. Bv:Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROI\N C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TVIANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERVIIT ON MAIN BUILDING AT SITE C55-13 BLDG. PERMIT - WHITE; BUILDING _ GREEN; PLUMBING - CANARY; SANITATIoN - GOLOENROD; OFFICE COPY - WHITE PHONE: 687 4394 t S ITE INSPECTION Appcov E o Rruanx s -t- a d Drsrppnove D D Dor, -4.-.51 73 | ruspecroR FOUNDATION INSPE t0N AppRov E o /";*z(*ar^i:7 tz-7/Dr sappnovEo Dr sappnoveo I rspectoe I xspecron Dlre -7,eg* FRAMING INSPECTION Appnovro Reuenx s oorr-7'-G:d 2^,/.s/*-rz, LATH OR SHEETROCK INSPECTION APPRovEo Rrlt a nx s I Nspecron FINAL INSPECTIO APPRovEo Reuanx s Drsappnove o D oorr4/l)L-Tf I xspecron -2- CERTIFICATE OF OCCUPANCY Rerov ro I ssuE Retqrnx s D Nor Re roy ro lssue D Dore_lxseecron_ -\ %.2 d Drsappnove o Fa Dorr-7- z/.-Jg TRS, TL Acreage or Lot S Contractor's O.S. Comments: JOB,LO 10 LANE COUNTY PERMIT Partitionin![fl{1G.=( ) Completed Subdivision X PE tT# Block & Phone- (owner, etc.) when ready # PLUMBING CONNECTIO Lot upf 1 7u{'t (la*zj phoneArr-/-,/APPLICANT'S NAME AND ADDR OWNER'S NAME AND AODRESS EUm Phon CONTFACTOR'S NAME AND ADDR THIS PERMIT IS FO , \IJATER SUPPLY SEWAGE DISPOSAL THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF NA . PLUIVIBING I hereby certify that the above statements are true and accurate, and that I have the -contract purchaser; - potential buyer; .- realtor or agent. I further certify record, and that said owner is aware and approves of this action. I hereby agree to comply Mail permitto ( )Applicant ( )Owner ( )Co tractor Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY Fee Paid $/36 7. * Signature s.t. #NA INSTALLM. COPY following legal interest in the oroperty: _owner of record; that (if not the owner) I am authorized to act for the owner of with all applicable Codes relating to this '{ ,/-^',,/4/{<//-( # BEDROOIVIS-- DCIST[}u3 SDS Date permit. -s /rs-,/;Y () NEW ADDRESS { ) FACILITY PERMIT TO TRANSPORTATION DEPT. SANITATION ( ) spECrAL prvrr. AREA. N/rN. Ea.m 'ill ?,1$ tiF-qfi i;oi ri !. i - ;'t" r,I Tf,iITMinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth A'Zone' c",","""* Use classification P Date By Date UIREMENTS SATISFIED. B d (FROM P/L) LANE COUNTY DEPAR TMENT OF ENVIRONMENTAL IVANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERIvIIT ON MAtN BUILDING AT SITE ALDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANtt-ATtON -- GOLDENROD; OFFICE COpy - WHITE Date SETBACKS: FRONT SIDE FACING STBEET (F ROM L) INT. SIDE YARD REA c55-1 3 ,/ue 4 { 6 & ^c>) -C)G..(.1 \ Bcrc:TRS, T lifitten Directions ( ) Building Permit Acreage or Lot Size Partitioning #- ( )Completed( ) Pending APPLICANT'S NAME AND ADDRESS Job Location Oll 2r. INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites Test holes will be ready 3 00 Subdivision Lot - Bloc c Zd(/ r 0./Phone Phone Phone OWN ER'S NAME AND ADDRESS, if different from a pplicant's <. CONTRACTOR'S NAME AND ADDRESS ilailpermit or results of site feasibility study to ( ) Applicant ( ) Owner ( y'lPrefertopick up. Call z 6t4tn -{ (owner,etc.)when ready ) Contractor Contractors O. S. *oooo zd 806 STRUCTURES NOW ON THE PROPE PROPOSED USE (this permit) WATER SUPPLY 2cl r existing or proposed well, etc. lf public, name of systeml SEWAGE DISPOSAL (existing or proposed septic t.nk, etc.) S.l. #- PLUMBING BY Address () PROPERTY IS WITHIN ONE MILE OF CITY ( r'+.li.r oFFlcE usE oNLY BELOW THIS LINE ,**r*rI$**** , ) New Address Necessary ZON F ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAO} ( ) Special Permit Area. Minimum Elevation lnterior Side Yard Rear - (FROM PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processi ng Section 125 East 8th Avenue 687-4394c55-'t 2 D ivision { Els]rrrYnc JOB ADDRESS: Applicant/Address: Uarner Beuttenmuller, same as above Owner/Address: same Contractor/Address: Contractor's OS + Total Construction Value: Construction approved by this permit POST THIS PERMIT ON MAIN BUILDING AT SITE L078 Longridge' Drlve, Spfd, Oregon CONSTRUCTION pERMIT *r L8-02-06.4.L # 72OO Subdivision: LC-3668-79 TelePhone: 7 46-47 59 Telephone: Telephone: Violation can 1RS, tu This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed, result in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, andlor other remedies allowed by law. woodstove, Fisher insert Structures now on property: house Water Supply:na # Bedrooms: na + Plumbing Fixtures na + Employees: PLANNING DIVISION Zoning: na Partitioning +r na Parcel +r na Minimum required structural setbacks, from: centerline of road, front: na side exterior: as ; interior property lines: n4rear property line: na Special lnstructionsi none For information call 687-4394,Candi Parcel Size ; centerline of road, WATER POLLUTION CONTROL DIVISION Site lnspection + na lnstallation specif ications: na na lineal feet of drainfield required; max. depth of trenches:na Special lnstructions: none Septic Tank 10' 10' 5', 50' gal. min. septic tank capacity; Setbacks nteraor property lines i Jge of road right-of-way Building foundation Wells, other water sources Drainf ield--lo-- 10' 10' 100'For information call na between 8:00 - 9:00 a.m., CONSTRUCTION PE RMITS/INSPECTION DIVISION Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification: SBD/Stove lnstructionsl^loodstove lnstallation shall be lnstalLed exactly in accordance with ICtso and the mfgrs instal-latlon instructions whlch are enclosed. NOTE: Read the installation instructi.ons carefully before installlng the stove. Call for an inspection after the unit has been installed. For plans information call 767 between 8:00 a.m. and 9:00 a.m.,Jim lamb687-3 this peFor inspections (see back of rmit) call 687-4065 between 8:00 a.m. and 5:00 p.m. lane countyDirections to Site Date lssued: cs$13 P Out L05 to 42-south to Jasper Rd, turn right to 39, turn left and left on lst street L2=28-7g Bv: Hans Ett,lin/lky DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97101 G W(,u Name \iS WORK SHEET Construction Permlts & Inspectlon Type of Construction Group Fire Zone Use Classlfication /6Da te ZD Signature Application ll@ for w TO RF ',rypFn oN pF.Rl,rrr: \rJO.\F.STO)/r U\ISTAL[,4Tt^^l -<.WA, I Rg lI{.Y/LLLFD F-Ar{l Y r\r.t. 4//r'R:n (1.tr -\ol(t* lcRo 4Nrr{*r MAt)r.rf {trR.lzR(s rNl.-/fAL L,y'{ toN! lNs( R\rr {tou\ uJ H \a{ A Rf r- Nlc\ osO D. L c1'- p 4tt F, r )Hr r{ 7 4-L64 (fa<B (-e r.\ tt\\ s,{A t L?T) {6'+u -- DEPARTI'iENT OF ENVIRONI4ENTAL I'IANAGEMENT PSB, I25 EAST 8TH AVENUE EUGENE, OREGON 9740I F,J e h .ielffi Sf€d, or€-" firIrE8'K,l b-. & rx*i}lidgrtt*$ii r_ri$tffitffi:#ii /_7.i$ ir#..,#:fJi,tl:lll, i$*til*ffil ef 77e,qtf <lUr.tJtf,6 hereby certify that this information is true and accurate Job Address Con trac tor r If this application is for an a EFIEfrffitr,..lfr-,frIagricul tura l bu i l di ng it will be used for purposes allowed by the State Building Code and Lane County Code Chapter 10 (zoning) and for no other prrrp ose. I have the following legal interest in the prope holder of an exclusive option to pu App) ication for Structures now on the property t:f ffi H*:::::E$&.:.r6#:.,.:Sf,srPrrtII Affi davi t r t,1 ,J "l r ti owner of record; ---duly authorized to ac Si gnature/Address When permit is ready noti Orlner tract purchaser; own who is 'le of this application see; rty: rchase iles Enowl e-dgeab z'l Te1 ephone or te ,/XlApp1 i cant Owne r f7 Contractor !y: /-/ nail z1 (zio) phone Phone Phone f -o Contractor's 0SR# If Conrnercial Residentia] : Plumbing by SI test holes ready # of employees ifiifi..jil#,.f,,tr:i:r-- .$ili+ 2 Existing, BP # /]/ Proposed, SI # :ii.i.:::r:.:,,rBQ,, g$r-ffi$riilisf;$$iili: :$ur,.i:#tiiiii!Fl, .ffitti*,:itfl.st:tE$ ,,ffiti Va l uati on Fee $ Tota'l Va.l uati on $ $ $ at at each $ each $/_t /_/ iiisilf fi :irii:liiiiiriri' .r.fillPBftl.:.i#Subtota l Received by 4% State surcharge Plans check fee Change of 0ccupancy l,Jater Supply Proposed _ Year Instal led Existing _ TOTAL sr{/rC $ PERMIT PROCESSING Zone Minimum setbacks Part. #Parcel #Parcel Sizet, front L, side int rear Conments To be typed on perm'it Da teBy CP& I Type. To be typed on permit Grou Fire Zone I Use Class ification By r plans information call (a i ns pec tor ions to site PI ans to Da te/-/ 'IFO - ;D"K CP&I set( s )I"IPC set(s) Hol ip to PCC Date to PCCRequ i red /-/ :i'Pc /7 Planning /-/ Public tJorks /7 Elevation /_/ n/a /7 Address /-/ Facil ity Permit / / Environmental Health FOR INFORIIATI0N about progress of your application call c74-L7L Wfr Date Phone Permit Control Center 687-HELP G87-4357) 7?'4" '-'t '7 r't $ (t %nucounty November 8, .1979 :Bi 1 1 King King ,Bears Inc. 4213 l4ain Street Springfield, 0regon 97477 ,,1 Dear .ttlr. Ki ng :. Fisher Stove Fireplace Insert: Yours trul Y, .rt tn ..rponse to your request. You are hereby granted interim approval of thefireplace insert in accordance with Section 502 of the State MbthanjcalSpecialty Code based on the following conditions. i.' -t The installations must be accomp'l'ished according tb the pref iminary owner's manual and purchaser's must be supplied with a copy of that manual. ntt clearances to combustible materials, hearth extensr'ons, etc. must be ggmp]ied with in accordance with that manual, plans and test reports. Shou'ld the: final Underwriter's Laboratory listing require any addit'ionalclearances or insta1lation requirements, any prior installations must be modified to c6mp'ly with final l'isting requirements. This interim dpproval is granted only until January l, .l980. €.A-r--. J0HN E. B0SS, DirectorCP&IDivision cc Rcnald B. Clark, 81dg. 0fficial City of Spring Michae'l J. Nol City of Eugene fieldte, Superintendant of BIdg. Inspection JEB: bs CONSTRUCTIONPtBMITSAINSPECIIONDIVISION ti\ivlit(rrll\,4t\J tril fylAlJ,t(]Nlrtt Ili,,./',irl\..r^ COUFIIFIOUSE PUBLICSERVICEBUILDING / I2lEASTBIHAVt-t.Jtll iir,,LNt,.i)Hl(j()t, 1r,.1r,! l.r.i\lt il;r,r,.,.i)rt!, n" 4v POST THIS PERMIT ON MAIN BUILDING AT SITE JOB ADDRESS: , CONSTRUCTTON pERMtT +r TRS, TL: Subdivision: This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed, result in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law. f Violation can Applicant/Address: Owner/Address: Contractor/Address: Contractor's OS + Construction approved by this permit Total Construction Value: Telephone: . Telephone: Telephone: EI Water Su PLANNING DIVISION Zoning: Partitioning + lVlinimum required structural setbacks, from + Bedrooms:+ Plumbing Fixtures + Employees Parcel + centerline of road, front: ;rear property line: Parcel Size: ; centerline of road, EA se $aside exterior: Special lnstruitibns: ; interior property lines: For information call 687-4394, WATER POLLUTION CONTROL DIVISION Site lnspection + lnstallation specif ications: lineal feet of drainfield required; max. depth of trenches: Special lnstructions: Septic Tank lo' 10' 5', 50' gal. min. septic tank capacity; Setbacks +rTeiior property I ines Jge of road right-of-way Building foundation Wells, other water sources Drainf ield-lT- 10' 10' 1 00'For information call between 8:00 - 9:00 a.m., CONSTRUCTION PERMITS/INSPECTION DIVISION Type of Construction: Group: Fire Zone: Use Classification: lnstructions: For plans information call : between 8:00 a.m. and 9:00 o.ffi., , . .For inspections (see back of this'pOimit) call 687-4065 between 8:00 a.m. a'nd'5j00'p.m. * cfgrr eetefElly Directions to Site: Date lssued: c55-1 3 42-fouth to Jerf f DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 lane countyil!'-l- o$ ISfi atrBe By: \ SITE INSPECTION Appnovrof-.]DrsappRovrr[]Dare Rrxanx s I NS PE croR FOUNDATION INSPECTION Appnov eo Rr lranx s D Drsapenove o l-7 Dare I rsptctoe FRAMI NG Appnov r o Rr uanx s i NSPECT I ON Dr sappnovro Dar e I lsercroR LATH OR SHEETROCK Ap pnov r o ReurRx s I NSPTCT I ON Dr snppRoveo Dar e I Hspecton rINAL INSPECTION APPRov Eo DrsappRovEo fJ oo,,*/.:-8-fu *a,{-I xsptcron REMARK 5 CERTIFICATE OF OCCUPAN Reaov ro lssuE Rruanx s Nor Rrnov ro lssur DarE I rspecron E{ , D