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HomeMy WebLinkAboutPermit Building 1978-12-21POST THIS PERMIT ON MAIN BUILDING AT SITE .t\ JC'/ bDBESSII CONSTRUCTION PERIVIIT #. LANE COUNTY DEPABTMENT OF ENVIRONMENTAL I'ANAGEI\4ENT, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 TRS: L: I Subdivision: ' ' L, This .,, itlfor the rererenced property is hereby- ------------- Setbacks and otherconditions of approval must be strictly observed. Violation can result in revocation of this permit, citation under prcvisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law. Applicant/Address: 0wner/Address: Contractor/Address: Contractor's OS * Construction approved by this permit: Total Construction Value Telephone: Telephone: Telephone: )nve Fixtures: rport + Plumbin o Water Supply PLANNING DIVISION +r Bedrooms: Zoning: Partitioning + Parcel +* lVlinimum required structural setbacks, from: centerline of road, front: side exterior: ; interior property lines: ;rear property line: Special lnstructions'. . For information call 687-4394, l + Employees *** Parcel Size ; centerline of road, WATER POLLUTION CONTROL DIVISION Site lnspection + lnstallation specif ications: . lineal feet of drainfield required; max. depth of trenches Special lnstructions: gal. min. septic tank capacity; rt pctdt Setbacks nter tor property lines Edge of road right-of-way Building foundation Septic Tank 10' 10' 5', 50' Drainfield=lo- 10' 10' 1 00'Well other water sources CONSTRUCTION PE RIVIITS/INSPECTION DIVISION Type of Construction I nstructions: For information call Group between 8:00 - 9:00 a.m., Fire Zone: Use Classification between 8:00 a.m. and 9:00 a.m.,For plans information call Directions to Site: Date lssued: For i ons (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. a By c55-13 BLDG.PERMIT-WHITE;OFFICECOPY-WHITE;BUILDING-GREEN;PLUMBING-CANARY;SANITATION-GOLDENROD;A&T-PINK 6l!'--i I C lregon Ltior l-J &. -6s rootr <1 tc I, 4a lurl Le1< rent Rsaslnl ( lAt) Center EO ASDI kcetpt # Job Address Torrshlp, f,ange, $uMlvision Appl ication for Structures now on the property : 1fl rcidentirt 17 Comerclnl Affidavit: I, If this application is for an agricu tural bu Idi Lane County Code Chapter ]0 (ng) and for no o{ owner of record tract purchaseri --duly autho who is DEPARTTIENT OF ENVIRONNENTAL I{ANAGEMENT PSB, .I25 EAST 8TH AVENUE EUGENE, OREGON 9740I n9 i' ther Clty Eean*-o /-/ IA*r trrr! t-t ,}y,lt*' hereby certify that this information is true and accurate. 'ffiitcrt{:ot'#r3 ?6a -7?',- &$t$Fd lt*lclt 3Lot / t will be used for purposes allowed by the State Building Code and purpose. I have the following legal interest in the property:Iessee; holder of an exclusive option to purchase; e of this application.4Si gna ture/Address Te l ephone or 7Rb-BbR Date t.{hen 1S ready notify: 7B Applican ll Olllner l7 Contractor [: fi rrall lfi Phone pnone 73 6A3 6&0wner 7-a/ Contrac tor Phone Contractor's 0SR#Plumbing by /fUfr?//L- If Conrnercial: , of storlG,t Residential: I of bcdr.om SI test holes ready # of emp'loyees _I of runltr W,o El e*itti.g, sP # ?1"63' 17 Proposed, SI # 77,.c"n!ij.ti E4 #i'i 't!s t Received W & - U/ ATTR S UPPLY; FROPOSID EXISTI NG Y EAR IN STALLED: Va l uati on Fee 00 Total vatuation: $.r?3O $36, fu Plmb{ng flxturur at $11 @ eacn $9.a-O Seuprlratar conn. at $_ each Subtota l t 4&oa A,//rL & 4% State surcharge P'lans check fee Change of 0ccupancy $ lJb $dA,0O.- $ $6^ "TOTAL PERMIT PROCESSING Minimum setbacks t Part. #Parcel #Parcel Size 0 int. {';-armF; rea, front , side. Comments To be typed on permit By Da te CP&I type 5N Arorp Pb Fire Zone 3 Use Ciassification DfO- 1?O. fo be typed on permit By Date PhoneFor plans information Di recti site l] stro Plans to: lx cP&r 4v t.IPc I Planning fl Public I'lorks ilk/:/ Elevation /_/ nla 17 Address /_/ facility Permit 17 Environnental Heal th 1l (area inspector)JI CP&l _ set(s) I.JPC _ set(s) Da te Requ i redt3-/ Hold Sl ip to PCC Date Compl eted t2* c74-L7L , Tax Lot $frcpa*a u5E {f / tlle Block Sq. Ft. orI of SltcE Frr Date to PCC tz-t8IZ19 =-.,-€p E C1 Dor ro*',,,rNT o F ENV I R'NT4ENTAL '4ANAG'MLN IlTlS "P,;,}fr1,'6il,3l*,lX5f"Recei pt # Job Address Township, Range, Section, Tax Lot Subdivision Lot __ Block t) hereby certify that this information is true and accurate. 'it will be used for purposes allowed by the State Building Code and r purpose. I have the following legal interest in the property: essee;ho lder of an exclusive option to purchase; e0 f-TFlI app I ication zi phone citv _=-===-- -- Appl ication r Assigned Numbers Appl ication for Structures now on the property Proposed use of property: /, / Residential /_/ Conrnercial /-/ Industrial /-/ euol;c Affidavit: I, If this application is for a na cul tu pr ral building n Lane County Code Chapte for no othe / owner du 1y of record authori zed purchaser; who is S i g na tu relAdd res s Te1 ephone z4z- 4 Qz-s 0r Date When permit is ready notify: /] Applicant /_/ }wner l-l Contractor !y: /-/ nail 0wner Con trac tor Contractor's 0S R# If Commercial: # of stories Residentiai: # of bedrooms Fee Code z1 Phonc _--- Phone Plumbing by # of emp'loyees _ # of units z1 Sq. Ft. or # of Sites 4% State surcharge Plans check fee Change of Occupancy Existing, BP # Proposed, SI # Unit Cos t Valuation $ $- each $ each Subtota l TOTAL SDS N/_/SI test holes ready /-/ Cash /_/Check # Received by-- Fee fr,lil Total Valuation: Plumbing fixtures at Sewer/water conn. at $ $ $_ $ $_ $_ PERMIT PROCESSING Zone Part. #Parcel #Parcel Size 0o Minimum setbacks Comments t,t, side ; int ; rear To be typed on permit By Da te l^jATER ION CONTROL Instal I ation speci f ications : To be gil*r ft. of infield; max. depth of trenches Te1 ephone Directions to site - // stro Pians to: i.i cpat /:/ l[Pc /-/ Planning /-/ Public l,Jorks ' ! Elevation /_/ nta /_ / Address /_/ Facility Permit / / Environmental Health CP&I _ set(cL t,lPC _ set( Da te Requ i red Hold S1 ip to PCC Da te Compl eted Date to PCC Description $ $ $ $ s typed permi By J,*lr 4 4rz{Name App lication /l for l.p - *O0_ WORK SHEET ConstrucLion Permlts & Inspection {l) B3T 5r0-w Type of Construction Group Fire Zone Use Classification TO RI' TYPITD fiN PI'RMTT c Date 1 t-t6- ?0 7 4-L64 Signature I lane cortnty HOLID sUP 6D!'-- t 6APPLICATION # Name Addres s Zip Code The above app'lication is being held by the Permit Processing Section for the following reasons : Division: Si gnature: Div'ision: Si gnature Date Thjs appfication will be held until If the informationrequiredabovehasnotbeenfurnisrrecationwillbecancelled. Fees paid for waste. disposal_systems (site inspections and/or applicatjons to installthe septic tank and drainfield) are nonrefundable. Some refund'ma.y be made on thebuilding and plumbing portion of your application if cancellat1on it n.C..iu;r.-' In the event a Planni!9 or some other'long-term problem exists over which you haveno control we wi'll.hold.the permit until the problem is resolved and we ieteive-wordfrom you as to whether to prbceed witrr permit issuance or process a cancellation. Date c74-L39 PERMIT PROCESSING SECTION - 687-4394 ( uou J) I ./ a .t Ilr i+ -' a f. ll I'irl I rl /{' 7J't "?driDr: ft. ftsr. rcO ./O u. *- l.-lG..ftrl rbdd f-!d . ---f 6:.)!C E}fi:Ea€{fr? ...........'.,.......- ) /-lr-- t_^_ Fr 'a ff T7 / nl /' / ./ ,, / / f -l- !rlra GG!}lrt lcrru Drr'IE ?%lrrierur ,.6-r.f-ET J,. ?...o a L 0 { 1\ l* I I I I t I I -t'ol$l \.1 Igl . ae' ,4 o)' \-\ -J \ i.'--*. /7:-\ , ,'-!t .'l / 't,' { {J F. \j B}"\d, .s'';c. \x "-. ft-'1 *1 fr{ 'ra& -*. .ui;] YY \io j.i* {il. *{}i"l: *d v fl t":,\ l. a. {-'lt""* 0 tti -' -{\-*1 --l e--; \ ;e": ...\r 'r *. ti .cd: ---e Bs k:I r.l -9 \ ! "jr rL E t&i t. J .4 '4ot l. \ .q\o'i sh ".r I ,i ",],, )K a POST THIS PERMIT ON MAIN BUILDING AT SITE JoB ADDRESS, coNSTRUcrloN PERMIT + LANE COUNTY DEPARTMENT OF ENVIRONMENTAL I\4ANAGEI\4ENT, 125 EAST 8TH AVENUE, EUGENE, OREGON 37401 TRS, TL: Subdivision: Setbacks and other conditions of approval must be strictly observed. Violation canThis permit for the referenced property is hereby result in revocation of this permit, citation under Applicant/Address: Owner/Address: Contractor/Address Contractor's OS +r Construction approved by this permit: provisions of Lane County's lnfraction Ordinance, andlor other remedies allowed by law Telephone: Telephone: Telephone: Total Construction Value: + Bedrooms:* EmployeesWater Supply + Plumbing Fixtures PLANNING DIVISION Zoning: Partitioning + Parcel +r Minimum required structural setbacks, from: centerline of road, front: side exterior: ; interior property lines: ;rear property line: Special lnstructions: Parcel Size: ; centerline of road, 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: gal. min. septic tank capacity; Setbacks I ntEiior property I ines Edge of road right-of-way Building foundation Wells, other water sources Septic Tank Drainfield-lo'- 10' 10' 100' 10' 10' 5', 50'For information call between 8:00 - 9:00 a.m., CONSTRUCTION PERMITS/INSPECTION DIVISION Type of Construction: I nstructions: Group Fire Zone Use Classification For plans information call For inspections (see back of this perm between 8:00 a.m. and 9:00 a.m., it) call 687-4065 between 8:00 a.m. and 5:00 p.m. Directions to Site: Date lssued:By c55-1 3 BLDG.PERMIT_WHITE;OFFICECOPY-WHITE;BUILDING.GREEN;PLUMBING_CANARY;SANITATION-GOLDENROD;A&T-PINK 6l\,-- ) ( I SLAB FLOOR PLUMB I NG GROUNDT/ORK AprhovEo Reurnx s D DrsAPPRovEo D Dare I Hs pr cron GAS P lP I NG GROUND^/ORK Ap pnov r o Reltrnx s D DrsAPPRovEo D Dare I Nspecron ROUGH PLUMBING Appnoveo m Rexrnx s D r sapeRoveo oor. .-'* tr-?r d -7F I Hsprcron {f/ ROUGH GAS PIPING APPRovED D DrsAPPRovE, D Reuanx s Drre I Hspecron F I NAL PLUMB I NG Appnoveo D Drsrppnoveo D Rruanx s Dare I Nspecron e FINAL GAS PIPING Appnov e o REul nr s D t srppnoveo Dare I rseecron CERTIFICATE OT OCCUPANCY Rraov ro lssue RruaRx s DareNor Rrrov lo lssur I NsPEcroRD