HomeMy WebLinkAboutPermit Building 1979-03-28POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS:4076 North st, Sprlngfleld, oR CONSTRUCTTON pEBMtT # L}-ttt-tg
TRS, TL: 18-0246-ll-00 1L 70O Subdivision:
This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of Lane County'r lnfraction Ordinance, and/or other remedies allowed by law.
ApplicanvAddress: n1ley Taylor, 644 B 18th, Eugene, 0R 97401 Tetephone: 343-9720
9wTr/Adqr-eT! Ualvia Beye!, 4076 North Street, Sprtagfleld, OR 97441 Telephone: 74t8255uontractor/Address: Peter s Taylor, 644 E 18thr Eugene, on. 97401 * Telephone: 343-9720uontractor,s os + 20861 Total construction value: $600.00
Construction roved by this permit:FLsher Stove ULll 737
Structure now on property: resldence.
Water supp lv na + Bedrooms:+ Plumbing Fixtures: na + Employees: nan,
PLANNING DlvlsloN Zoning: na Partitioning + na parcel +r
Minimum required structural setbacks, from: centerline of road, front:
side exterior: na ; interior property lines: n4 jrear property line:
Special lnstructions:
na Parcel Size:
; centerline of road,
na
na
na
For information call 687-4394,T)annel aa Ma{ oc
WATER POLLUTION
CONTROL DIVISION
Site lnspection + na lnstallation specif ications:
na lineal feet of drainfield required; max. depth of trenches:
Special lnstructions:
na
na
gal. min. septic tank capacity;
Setbacks
Interlor property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic TankT0-
10'
5',
50'
Drainfield---10-
10'
10'
100'For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PE RMITS/INSPECTION
DIVISION
Type of Construction: 5N Group: m Fire Zone: 3 Use Classification: SIfD/STVlnstructions: Wood stove shaLl be lnstaIled exactly ln accordance with ICBo and the manu-facturerrs instalLation i-nstructions which are enclosed. NOTE: Read the installatLonlnstructlons carefully BEFORE instal]-lng the stove. CaLl EIan inspectlon after theunlt has been LnstalLed.
For plans information call 6gl-3161 between 8:00 a.m. and 9:00 a.m.,Jim LambFor inspections (see back of this oerm it)call 687-4065 between 8:00 a.m. and 5:00 p.m.
D i rections to site:03-28-7 9
Date lssued:
c55-1 3
DEPABTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
lane county
BY: Hans Ettlin/Ljf \
€n\
rl*erlpt rf
Job Address )
Tormrhip,Lot o
SuMivision
Appl ication for
Structures noh, on the property
['fropo*a usc of pro$crty kcldcnttrl /_-/ Cmerslal
Affidavi t: I,
DEPARTI{ENT OF ENVIRONI.IENTAL I4ANAGEMENT
PSB, 'I25 EAST 8TH AVENUE
EUGENE, OREGON 9740I
Ctty
Lot
4l
B loctt
-
&7s 7
/_/ lnarstrlrt Z_l rulttt
hereby certify that this information is true and accurate.
If this application is for a
Lane County Code Chapter ]0
agrn
(
cul tura
9) and
1 building it will be used for purposes allowed by the State Building Code and
for no other purpose. I have the following legal interest in the property:
mai ICon trac
Plumbing by
n
owner of record--duly authori zed
con tract pu rcha ser;ES see ho der of n xc us ve to pu rchas e
ca t 0n
opti on
dr
a e
to
Tel
fy;
own o e S
lj,z1Si gna ture/Address
llhen permi t /_J Applicant /:/Ornerqr? G
# of employees
or
noti /-/ phone
Phone 7y64"{tphqne 3,13 _q7>O
Ovner
Contractor
Contractor's OSR#
SI test holes ready
41
I of unltr,-SIE: /_/ Existing, BP #
/_7 Proposed, SI #
frt
Codq Oercriptlon
Sq. Ft. or <I of Sltrs tett Val uati on .o(5
$
Total Va'luati on
/-l eacH' r-- f--,t i-ffir, 3 \\r:,
Pt{mbtng flxtures at $_
Smr/ratgr eEflr. at $_
Rece i ved An-''n Subtotal
TOTAL
each
each
'uv,n,lilI S UPPLY;
f':'; -,i,,slD EXISTING
Y i:AR IN STALLED:
4% State surcharge
Plans check fee
Change of 0ccupancy
B $
PERMIT PROCESSING
Minimum setbacks:
Corments
e Part. #
.1Parcel#
-Parcelsize-
; int.t fron t , side
To be typed on permit
CP& I
To be typed on permit
By Da
Gro Fire Zone Use Classification
0ate
Phone
CP&I
Date
Requi red
nola sup
to PCC
Date
Compl eted9'fu
Date to
PCC
By
For plans informa{
Directions to site
SIFO Plans to
/ |,JPc
/7 Planning
/-/ PuOlic tJorks
, Elevation ll nla
l-7 Address
/-/ facirlity Permit
/7 Environmental Hea'l th
on 'll rea. i nspector)
CP&I _ set(s)
llPC _ set(s )7 -Z€
c74-L7l
A*rtgmd
t(
,
If Conrnercial: , of storlGs ,/
Residential: I of bGdi.offi -7
rear
slf'2
%t Name
Appl icatlon ll 1 i t-19 for
WORK SHEDf,
Construction Permlts & Inspectlon
Type of Construction
Group
Fire Zone
Use Classification
TO BF TYPED ON PFRII,'TT? \ LJ6/)r).<T.)VT II l<T'1, t LTtnnr <.t,t t*t r - BQ.t {<4*t-l-r-f\
Da t,e
7 4-L64
Signature
L c(r. (?4tlz? r '!r1r{ lk b r t.QT)
?ees e-Ca ll
R
E R-'
--rLDlNG PERMIT O MOBITE HOME USE
UP
a/pucaroru
PERMTT #
IANE COUNTY
PERMIT TYPE - BUILDING MOBTLE HOME IOSC REG.#3q-7
PROPERTY OWNER
CONTRACTOR
?:-r ITING ESS
MAILING ADDRESS
rl
PHONa.7 -36"4
PHONE
04/
PROPERTY LOCATION _ INCLUDE POST OFFICE
r?
PROPERTY LEGAL DESCRIPTION
tOT_BLOCK-SUBDIV.
TWP RANGEIt
f1 ac/
B"-er
TAx Lor #
Ce,CI
CODE
-o
DESCRIBE ING
c
METES&BOUNDSEYES
ATTACHED NO
6L'l',\)o
llo^a.
ON PROPERTY IF ANY
e-
OR
APPTICANT
NAME
AND
MAII.ING
ADDRESS
?.ca fur4., /EGAL ACq,ESS TO PROPERTY - ROADortA Sir< a;T
PROPERTY SIZE-WIDTH DEPTH
,1 t+7/
PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BUITT THIS PERMIT TYPE CONSTRUCTION
2O
FT BEDROOMS VATUATIONSQtht
SEWAGE DISPOSAT
PUBr_rC tr SEPTIC TANK OTHER
FEES WATER SUPPTY
PTUMBING FEES
----.-
-
FIXTURES
cAsH D
CHECK
PLUMBING INSTALTED BY
OWNER OTHER E NAME
PLANS FURNISHED
PERMIT
FICATIONS
FT OR SQUARE FEET
BTDG.
WASTE DIS.
PTUMBING
PLAN REVIEW
PARK TRLR.
FACILITY PERMIT
NOYESNO
OFTUR
YES
DATE
DATE
3
il,-
NECTION FEE
PUBTIC WATER
CONNECTION FEE
COUNTY BUITDING & SANITATI
DRAIN FIETD REQUIRED
I.IN. FT. TRENCH
TOTAL
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
f e :
TYPE OF STRUCTURE Jd occuP:Y/ZONE REAR YARD PUBTIC UTII. EASEMENT
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION
FRONT -{ stDE tNT. S-
N ul
DOIE BTDG. INSPle PLANNING
SIDE EXT REAR
*3- 7'
Dole
irections to Find Property: -
COPY I - OFFICE
COPY 2 - JOURNAT
COPY 3 _ AUDIT
Form # css- l2
Connect to Exisling Sewoge System f or New System Req. n
f
/
LANE COUNTy
BUILDING I_I
BUITDING PERMIT
MHE
OR MOBIIE HOME USE PERMIT
PERMIT NO.
PROPERT OWNER MAITING ADDRESS
lrle I rJ Box
PHONE
ld, o
CONTRACTOR MAIL ADDRESS PHONE
PROPERTY LOCATION - INCTUDE POST OFFICE
PROPERTY IEGAI DESCRIPTION _ METES, BOUNDS
RANGE SECTION TAX LOT NO,CODE CENSUS TRACT
o2
l{elvln J. Be
EXISIING STRUCTURES ON PROPERTYAPPL.
NAME
&
MAITING
ADDRESS
LEGAT ACCESS TO PROPERTY
i i i.i
PROPERTY SIZE-FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System ! New System !
STRUCTUREg; TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sq. FT # BDRMS VALUATIoN
SEWAGE DISPOSAI.
PUBUC ! SEPITC TANK !oTHER!
PI-UMBING INSTATLED BY
OWNER D OTHER: NAME
BUII.DING
WASTE DISPOSAT
PTUMBING
PTAN REVIEW
PARK TRAITER
s ll.ri0 r EES WATER SUPPI.Y
PUBUC tr N OTHER
TOTAT I
co UNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT.
oart of ncw coRitouct lon oyGr Sew.oe I sposal Sytt6m.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
.l
BI-DG. SETBACKS
F RONI
IT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CI.ASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
tcl ^l Boss I Harbauo )ok lr-8-7lr
BTDG, PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UMBING _ CANARY
BUITOING _ GREEN
SANITATION _ GOTDENROD
Coll 687-4065 to schedule oll required inspections. Alt consrruc-
tion sholl comply with Uniform Building Code, D.E.Q. sfondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulotions covering
plumbing. All buildings require o certificote of -occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT THts pERMtT oN MAIN BrDG. AT S!TE)
IANE COUNTY, DEPT. OF ENYIRONMENTAT MANAGEMENT
COURIHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 97,{OIroau # C55-13
BU I LD ING S ITE EVALUAT ION rs. /c,4
/SF i/APPL I CANT:Nmt Rev€r
r_ -.R_02_s
Ct .r TRACT
rAx Lor 7 qD
) _.0uilding Permit Appl ication No.
) Site lnspection
) Pre-Permit lnvestigation
ADDRES S
(
PHONE
DATE
L/iNE COUNTY PLANNING DEPARTHE NT NOT NO YES
app I icab le
I . Zon i ng 0rd i nance Comp I i ance -Tl-( ) (
NA/! E DITE
)
)
)
2
')
4
5
(Zone ,M )
Subd iv is ion ord inance ffi n--ce
Requ i red Access
(
()
()
()
()
()
Bu ilding Site (Area, I/idth,
Frontage, Setback)
0ther (see comments)
{2 2{ s-.qr->/
COI{IIIENTS:
EUILDING INSPECTION SECTI ON
6. Plans Submitted
7. Soil Stability (footings)
B. Flood Pl a in
9. 0ther (see Conments)
NOT NO
IE6'l icaute--TT-( )
{
YES
r{
()()(
NAT"IE
() ()
-2)(
fr
(r
CO}lHENTS:
SAN ITAT ION SECT l0N NOT NO YES DATEcable *, , NA,E
/tt J-ffl{l z01e blu<-10. Sewage Disposal
I l. Usable Area
12. Water Supp ly
13. 0ther (see Conrnents)
COHHENTS
() ()
(
)
)
(()
()
)
))
TO APPL I CANT
you
9.1s7 E
r Building Permit / Site tnspection
Can be approved.
Cannot be approved at this time ar
Quest ions and further infornrat ion
COUNTY PLANNING DEPA
throuqh 3 contact the
s indicated on iten, N0.above.on itenrs I through I coi'TJct Tf,e-Lane-RTHENT "Qu est ions and further infornrat ion on t.G;6Cou!rty 8u i ld inq o:rci San irat ion D iv is ion:l------r r you can re-.,o I ve t lre p rob lenrs rnd f,
)
)
)
Will tre hetd in this otTTf"-rir:Catcd.I s be i ng retu rned -
Your buildinq pernrit .:ppIiration fee is be ing returned under separate cur'€r
LANT COTIN'IY I't /\NN ING DEPARTHENTll{'.5i,xtlr Avr,rrrue Iast, Eugerre, 0regon g7q0 Il'lttrNE 3lr2. tl1 I,Xt. 2jl
IANI COUNI.Y I]I,ILDING 6 S/\NITATION DIVISIoNl3t Sixth Avgrrtrr: Easf , Errqerr,,, 0reqon 9740 I
,'lloNl : 142-t1tt tXT. 4rt
\
,/
()
DATE
IANE COUNI .
BUTLDTNG D
dUIIDING PERMIT OR MOBITE HOME USE PERMIT
PROPERTY OWNER MAITING ADDRESS
aq
PHONE
lpr insf le I
CONTRACTOR MAI[ING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
PROPERTY TEGAI DESCRIPTION -METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
oo2 r7
clvln J. lc
EXISTING STRUCTURES ON PROPERTYAPPL.
NAME
&
MAILING
ADDRESS
LEGAT ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect lo Existing Sewoge Syste m!New System I
STRUCTURES TO BE,BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION
SEWAGE DISPOSAL
PUBr.rC tr SEPTIC TANK tr OTHERE
PTUMBING INSTAIIED BY
OWNER E OTHER: NAME
BUITDING
WASTE DISPOSAL
PIUMBING
PLAN REVIEW
PARK TRAILER
FEES WATER SUPPIY
PUBUC tr N OTHER
TOTAI.
COUNTY BUILDING & SANITATION SPECIFICAIIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIEID REQUIRED
TIN. FT TRENCH WIDTH FT.OR SQ. FT
I P&rt Of r6y conrtSct i, ,Forel Syltt*,
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT
BLDG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
!og
AUTHORIZED SIGNATURE - DATE DATE
BTDG. PERMIT - WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING _ CANARY
BUIIDING - GREEN
SANITATION - GOTDENROD
Coll 687-4065 to schedule oll required inspections. All conslruc-
tion sholl comply with Uniform Building Code, D.E.Q. stondqrds
IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT THrs PERMTT oN r{l[r11 BrDG. AT SITE)
TANE COUNW, DEPT. OF ENVIRONMENTAT MANAGEITENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 97,IOIronm # cs5- l3
I
---
-
I
SITE TNSPECTION
Appnovro D Dtsappnoveo D
RruaRx s
Dar r I ruspeclon
FOUNDATION I NSP
APPRovEo
REMlnx s
DTsAPPRovE o Fa Dar E "Zo.?'I Nspecr
FRAMING INSPECTION
APPRovEo
Rr ueRx s
E Drsrppnovc, D ao,,Lf.20A{rNSpEc
LATH OR SHEETROCK INSPECTION
D DrsAPPRovEo Fa Drre l nspectonAp pnov r o
RruaRxs
FINAL INSPECTI
Ap pRov r o
Reuanx s
DrslpeRoveo Dar E -3-I Nspecron
CERTIFICATE OF OCCUPANCY
REaov ro lssuE D Nor Rraov ro lssur D Dore-lNSpEcroR-
RruaRx s
L{ Jq-7 3 -w Y v 07 b3
d
I
7//
*'
. POST THIS PERMIT ON MAIN BUILDING AT SITE
,bg Roonrss: coNSTRUcloN PERMIT *
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.
PP
Violation can
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS +
Construction approved by this permit:
Total Construction Value
Telephone:
Telephone:
Telephone:
Water Supply + Bedrooms + Plumbing Fixtures:+ Employees:
PLANNING DIVISION 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,
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;
Setbacks
Intffi-r property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5',
50'
Drainf ield
-10'-
10'
10'
1 00'For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PE RM tTS/INSPECTION
DIVISION
Type of Construction
lnstructions:
Group:Fire Zone:Use Classif ication:
For plans information call between 8:00 a.m. and 9:00 a.m.,
For inspections (see back of this pbrmit) call 687-4065 between 8:00 a.m. and 5:00
lane countyDirections to Site
Date lssued:
cs5-13
6l!'
-
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By:
m.
SITE INSPECTION
Ap pRov E o
RrunRxs
Dr sapenovEo Dare I Nspecron
FOUNDATION INSPECTION
Appnoveo D DrsAPPRovEo
Rruanx s
Dar r I NsPEcroR
FRAMING INSPECTION
A PPRov E o
Re lranx s
D/ Drsrppnoveo D Dar e I NSPEcToR
LATH OR SHEETROCK I NSPECT I ON
Dr sAPPRovEo Dar e I NSPEcToRAp enov e o
Rrx lnx s
FINAL INSPECTION
APPRov Eo
Ret't s
/-, ,.DtsAPPRovEo
77
Dar e
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I rspecro
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The right way to say "Best way"
is to say-UN|ON PACIFIC RAILROAD
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