HomeMy WebLinkAboutPermit Building 1978-12-21POST THIS PERMIT ON MAIN BUILDING AT SITE
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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
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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
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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
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(
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