HomeMy WebLinkAboutPermit Building 1979-11-15POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB p.DDRESS: 625 Pheaeant Blvd, Eugene, Orcaon coNsTBUcTtoN pEBMtT+ LC-3382-79
TRs, TL: l7'or'22.1,3 # l\oo subdivisionF6me Bird village' Lot 9' Elock I
This permit for the referenced property is hereby apProved. Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation ot this permit, citation under provisions ot Lane County's lnfraction Ordinance, and/or other remedies allowed by law,
Telephone: 747-8850*tt*
Telephone:
Telephone:
Construction approved by this permit Bathroom addition @ 72 sq ft;
Structures now on property: residence
Water Supply: c i ty of Eugene + Bedrooms: na + Plumbing Fixtures: 5 , + Employees: na
Applicant/Address: Ted. E. Kl yn 210 Seward Spfd, Oregon 97477
Owner/Address: Wi I bur B. Boyd
Contractor/Address: same as appl icant
Contractor's OS + 26455 Total Construction Value: $2538.00
PLANNING DIVISION Zoning: AGT Partitioning * na Parcel +
Minimum required structural setbacks, from: centerline of road, front:
side exterior: na ; interior property lines: l5' ;rear property line:
Special lnstructions: na
na Parcel Size
50t ; centerline of road,
201
na
For information call 687-4394, Carol
WATER POLLUTION
CONTROL DIVISION
Site lnspection + na lnstallation specifications: na gal. min. septic tank capacity;
na lineal feet of drainfield required; max. depth of trenches: na
Special lnstructions: Maintain setbacks I$tX between SDS and al I construction
Septic Tank
10'
10'
5',
50'
Setbacks
nter ior property lines
re of road right-of-way
u,rlding foundation
Wells, other water sources
Drainfield--lo--
t0'
10'
1 00'For information call 687'3953 between 8:00 - 9:00 a.m., Ruth Bryant
CONSTRUCTION
PE RMITS/INSPECTION
DIVISION
Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification: SFD
lnstructions: See notes on plans and see reverse side of permit for required called inspections.
For plans information call 687-3161 between 8:00 a.m. and 9:00 a.m., Jim Lamb
For inspections see back of this permi t) call 687-4065 between 8:00 a.m. and 5:00 p.m.
lane countyDirections to Site
Date lssued:
css-1 3
yel low house on right side of Pheasant Blvd,
ll-t5-79 6llr-
-
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By: T'T Morris/lkY
\.
rl1 $
LANE. NOUNTY DEF''T ENV },tGT RECEIPT :$ 33ii2?9 DATE T{O$??'
llg ffl-'F I...ICANT KL.Yi"l, TED fiDDR 2{ O SEIJARD, SF FD ' 97477":rt..+ 1 703??1 30{ 400 suBDMAttE ErIFtt} VILLAGE LoT I BLH
NF.I,I }|LDG TYPE USE R NO EDRI'IS OO NO UNITS OOT NO S1ORIES NO BLD6S OO{
NCIDH ftrF:.F.[- NS ACTION DESCRIPTION
..{11, HATI'IRH ADI)
SQ F T UNIT *I]ST VALUAI'ICIN F'EE DAYS?'2 35.35 :53S
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NO. FIXIURES:3 NO. CONi{ECTCIR,S :
I.IECHANIC6t FEE:
STATE SURCHARGE
F'LAN CHECK F EE:
.tIFU CF'I
-IAKEN TJf IAD
tdtir: PLAN ELEV ADDft T. F,
COHF.LETED BY
' .t l-l
NVI{
IOTAL F.EEXT
t:r38
S.00 EACH !r
4;{,
5SH
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t 5.00
I .56
19^50
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DEPARTIlENT OF ENVIRONI4ENTAL MANAGEMENT-,_
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
Job Address u t4 i:|ffifii|sfiEiiiiiffiH#$ii
t:t:tiii#l:t:
'#*:UU,|l,1
-/
Application for
Structures now on the property ,Q
iifrffiffi$ rilliu;r:lififiii,efigpsh#iiri. Efffiill{#li#$ iii l--l it0 rffirtrrrii /--l iilltdu*rtni$Ii:r:i /_/ iftifiiriilui:i
Affi dav i t r, feJ E, Ka*r,^rr , hereby certi fy that this information is true and accurate
ftr-"1:HF-fsxiffi,If this appiication is for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter l0 (zoning)and for no other prrrpose. I have the following legal interest in the property
/€wner of record;y' duly authorized
ct purchaser;
th er,o is knowT-edgeable o
I essee;ho 'lder of an exclusive option to purchase;
I ication.
Si gnature/Addre
When permit is
I
Te1 ephone or Da te
/ Appl /-/ffContractor !y: /-/ na|1 ffptrnoti fy
ts.0wner ti
Con trac tor e
Contractor's 0SR#zb.( s s
z1
z1 7
L, vl ?
I c/7-t5o
Phone
Phone
Plumbing by V *.r/t
DO NOT h]RiTE BELOW THIS LINE
If Commercial
Residential:
# of employees l#riir.Sf :.::l[nif t*X
SI test holes ready
,$fis'iii'i di-trti.s, Bp +
l7 Proposed, SI #
ffin.i:
NiO{l€IBE$$.liI:EEli-f-lt.
:si:iit.if,t.i.iiU*:.: imt:t:l,#.iH,fiii.$t.t$r,ii: iffi$t.i Fee
$
Total Va,luation: $$2-o
4% State surcharge
Plans check fee
Chanqe of 0ccupancy
at
at
$ 7O.O "acn $
$each $
Su btota I $
$
$
/_/
Received by
I,later Supply
Proposed _
Year I ns ta I 'l ed
lo
Exi +kideTOTAL
PERI,4IT PROCESS I NG zone AGT-
Min imum setbacks:L, front 5Cr/
Part. #Parcel #_Parcel Size,t, siae 'int.rear
Comments
To be typed on permit
By Da te
CP& I Zon.
To be typed on permit
Use Cl ca ti on
By Da te
Da te
Compl eted
e -?)6-lFor plans information call (area inspector)
DJ ons site
/*u stro Pl ans to CP& I
WPC
set( s )
set'(s
Da te
___ 3qqur5g__
Hold Slip
to PCC
Date to
PCC
&I
C
/7 Planning
/-/ Public Works
/-/ Elevation
17 Address
/-/ Facility Permit
17 Environmental Heal th
nfi/^
permit Control Center 687-HELP (687-4357)
f trt tl-t,
Valuation
$
FOR INFORI{ATI0N about progress of your application call:
c74-L7l
L)
Appl ication #
Assigned Numbers
d
I
Proposed use of property: /_'/ Residential / / Comnercial 17 Industrial /-/ Public
Affidav.it:I',herebycertifythatthisinformationistrueandaccurate.
If this application is for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter l0 (zoning) and for no other purpose. I have the following lega) interest in the property
Ci ty
or
/_/
l{l-FSSr-
Plumbing by
i
vlf,'D
Lot
-1fr
0wn
dul
z1
z1
for
er of record;con trac t purchaser;I es see lder of an exclus.ive option to purchase;;hoof this apply authorized to acT-Tor tne , who is knowTe?geab1 e i cat ion.
S i gn a tu relAdd res s
Structures now on the property
Da te
Con trac tor
Owner
Te1 ephone
Township, Range, Section, Tax Lot
Job Address
DEPARTIlENT OF ENVIRON14E|.]TAL I'lANAGEI'1EI,iT
PSB, 'I 25 EAST BTH AVENUE
EUGEIit, OREGON 9740I
/7 Contractor !y: /-/ nail /-/ pho
Phone
Phone
81 ock _Subdivision
Appl ication
When permit is ready notify: /J Appl icant
Contractor's 0SR#
# of employees
Total Valuation $
$
$
Plumbing fixtures at
Su btotal
Existing
Fee
Code Valuation Fee
$
$
q
$
$
$
$T
TOTAL +
Descri pti on
Sewer/water conn. at
SI test holes ready ! Proposed, SI #
f units
isting, BP #
If Cornmercial: # of stories
Residential: # of bedrooms
Sq. Ft. $br
# of Sites
eac h
each/-/ casn
/4klheck
Rece i ved 4% State surcharge
Plans check fee
Change of OccupancyProposed _
Year Instal led
l^later Supply
#o
SDS
PERMIT PROCESSING
Minimum setbacks:
Zone Part. #Parcel #Parcel S i ze
t, front ;
-
, s ide i nt.rea r
To be typed on permit
By Da te [.-
WATER POLLUTION CONTROL
Instal lation speci fications :tank;ft. o 1d; max de of trenches
To be typed permi t
Directions to site
/_t FO
Te1 ephone
Plans to: CP&l set(s)
l,iPC
-
set(s)
By
Da te
Requ i red
Hold Slip
to PCC
Da te
Compl eted
Date to
PCC
/-/ CP&I
/*/ t4PC
/-/ Pl anni n9
/-/ Public 1,,/orks
, Elevation
/7 Address
/-/ Faci 1 i ty Permi t
// Environmental HeaIth
FOR INFORI1ATI0N about progress of your appiication call Permit Control Center 687-HELP (687-4357)
/,1 n/a
t-?
Unit
Cost
$
at
(
f.i4rl
Comments
L
lane cou.nty ,
HOTID SLIP
APPLICATION #
il!'
-
Name
Addres s
Zi p Code
The above appl"ication'is being held by the Perm
reasons:
P ction for the following
\\,
r
VDU H AUE, At'Jti
r.1*gfrrr'.15, PUEA*
/\Af,Fldi
UJAr
Di s10n:
na re Date\-t $Lf r.l c,# bg'7-4 )
,t+t-rm ff ?Vo cE
t
I
D'ivision:
Si gnature:l\oPf rS
,] f.l
*
Date
Thi s appf icat jon wil I b hel d unti I
required above has no
Fees pai d for waste d
the septi c tank and d
bui I djng and p1 umbing
. If the information
n furnished by that date your application will be cancelled.
i nf iel
sal SYS
d)
tems (site inspections and/or applications to install
are nonrefundable. Some refund may be made on the
rtion of your appf icatjon if cancelIation is necessary.
$Pen{
In the event a Planning-or some other long-term problem exists over which you have
no control we will hold the permit until the problem is resolved and we receive word
from you as to whether to proceed with permit issuance or process a cancellation.
PERMIT PROCESSING SECTION - 687-4394
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,JOB
ADDRESS:
POST THIS PERMIT ON MAtN BUILDING AT SITE
CONSTRUCTION PERIVIIT +
Subciivision:TRS, TL:
6s5 ttmrgt tld, frgml, Brafm
l?-o1*11.1"t, l*@
This liermit for the referenced property is hereby .tlDrEvad. Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under prbi,isions of Lane County's lnfraction Ordinance, and/or other.emedies allowed by law,
e?hTt
$r538 .00
rq fti
Strecttrg nq{ s prcF.rtyi rucld*e*
Telephone:
Teiephone:
Telephone:
7&X-$SIro***
-i
Water Su
PLANNING DIVISIOhI
+r Bedrooms:+ PIumbi Fixtri *E
Zoning: lfiT Partrtioning + rie Parcel +
lVlinimum idijuired stru('trrral seth.acks, from: centerline of road, frorrt:
side exterior:
Special lnstructiof,!:! r r ;rear ProPertY line
?rt Pa:r.el Size:
50r ; cer:terline o{ 'cad,
e0t; interior property lines:
ft&
For information call 687
WATER POI-I.UTION
CONTROL DIVISION
site lnspection #
lineal feet of draiffirC
nstal lation specif ications
red; max. depth of trenches:Ba gal. min. septic ta:;k caoacity;
SSS oad all runttru€tfo*rtle tatllr cctb.ltrt S'tcCnr*t,i
,{
eld requi
Specia! llnstructions
Setbacks
I nleiior propei'ty I ines
I te of road rigl,t-of-way
' --rlding founCaticn
Wells, other water sources
Septic Tank
10'
10'
5',
50'
Drainf ieid--10'--.
10'
10'
1 00'For inic.rrrnation call between 8:00 - 9:00 a.n"r
CONSTRUCT:ON
PERIVIITS/INSPECTION
DIVISION
I yp.e r-,f Cc,rrltr'ucri'.ir i Gr'oup F irr: Zone:
instr .rc tior,s
Llsc tli, rsif ic,l i' ',
For plans information call
For inspections (see back '"qqn irtr$fr,*r 3iiT,ilft88;ft::S3;333 il ;*&r,bfff ,,
Directions to Site:
Date lssued:
c55-1 3
yol Imr trrxrec u r3ght rld* af Fhor*ent llvd,
r r -t5-r9
DEPARTMENT OF ENVIRONMENTAL MANACiEM ENT
COURTHOUSE I PUBLIC SERVICE BUILDII.IG
125 EAST 8TH AVENUE, EUGENE. O
['t
larie ,r )unty
ApplicantlAddress:
Owner/ACCress:
Contractor/A ddress:
Contractor's OS +
Constructiorr approved bY.hi, p -,4:,,k iZry"st i u'' : I ? n r./ a I u e :
-at9a'--t et
I
L
SLAB FLOOR
PLUMBING GROUNU/ORK
I NS PE croRAp phov e o
RrHrnx s
E Dr srppnovEo D oo,r//-#7V.4oft
GAS PIPING GROUND/ORK
APPRov E D
Reuanxs
D DrsrppRoveo D Dar e I Nspecron
ROUGH PLUMEING
APPR.,ED E DrsapeRove o D o^rr/&/y'-fi
Rrxa Rx s
I Nspecron e{
ROUGH GAS
Ap pnov E D
Rr uaRx s
PIPING
Dr srppnovro D DATE I rs pE clon
FINAL PLUMBING
APPRovED E Drsrppnoveo D
Re uenx s
Dett / -tt),NSPEcroR at
FINAL GAS PIPING
Appnoveo D DrsaPPRovEo D
REuaRx s
DaTE lr.rsprcron
CERTIFICATE OF OCCUPANCY
Rraov ro lssue
ReuaRx s
D Nor Rraoy ro lssue D Dore_I xsrrcron
POST THIS PERMIT ON MAIN BUILDING AT SITE
This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions ot Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
JOB.4.DDRESS.
TRS, TL:
Applicant/Add ress:
Owner/Address:
Contractor/Address
Contractor's OS +
Construction approved this rmit:
Water Supply
6f;5 Ffrcarewt &lrd" Eugcna* Oragm
l?-,33*13.1.3 # 14s.0
CONSTRUCTION PERIVIT +
Subdivision i ..
r.f -3,82 -I9
Telephone:
Telephone:
Telephone:
Total Construction Value:
Eathrm addltiar g 7t cq ft;
,'$tnmtares nffir cr Frop$ftft rcsldansc
l.\
PLANNING DIVISION Partitioning +
ructural setbacks, from:
; interior property lines:
# Bedrooms:+ Plumbing Fixtures
,, Parcel +
centerline of road, front:
;rear property line:
n6 Parcel Size:
E0r ;centerline of road,
?$,
+ Employees:
Zoning:
lVlinirnum required st
side exterior:
Special lnstructions:
For information call 687-4394, *
WATER POLLUTION
CONTROL DIVISION
Site lnspection +
lineal feet of drai nfi
. lnstallation specifications: fia gal. min. septic tank capacity;
"rlJ:fliff*ffi[*:t#;H'll';*l[n- ffir ,e*rrcan $n$ ;nnc* ar r *er**rrucr $em
For information call
Setbacks
te or property lines
ge of road right-of-way
rilding foundation
Wells, other water sources
Septic Tank
10'
1D',
5',
50'
Drainfield--10--
10'
10'
1 00'
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Const
I nstructions:
ruction:
between 8:00 - 9:00 a.m.,
Group: Fire Zone: Use Classification:
For plans information call
For inspections (see back of this
1
between B:00 a.m. and 9:00 a.m.,
permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
Directions to Site:
Date lssued:
c55-1 3
yallory ho$sc sll rlght cl& ef Fftoecmt tlrtd,
il -t 5-n By:
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
lane county0!'
-
t
S ITE INSPECTION
AP PRov E o
RrulRxs
DrsrppRoveo o^r, / -4-E t*trrrro* fi*-
FOUNDATION I toN
AppRov eo oort //- /y'- 7? tNSPEcroRDr sappRoveo
Rrul nx s
FR,AM i NG
A ppRov r o
Rruenx s
I NSPECT I ON
Dr slppnoveo
/u,y'z-J4JZ.I xsprcroa
LATH OR SH
AppRov r o
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NSPECT I CN
Dt sappnoveo
f li'lAt. I NSPTCT l0N
APPRov Eo
Reuanx s
DrsAPPRovtD L-7 Dar r ^-7-b CurZNSPECTORT
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
REMA RK S
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l-ANE COUNTY, OREGoN
DEPT. OF ENVIRONMENTAL MAN
JOB ADDRESS
:MENT
CCIFIEIECTICIN NCITTCE
CONSTRUCTION PERMITS
& INSPECTION DIV.
DArE I Z- t4 *7?Lzs P,+-er*NT
TO
NOTE
BLDG. PEBMIT
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c55-73 FIE.INSPECTIclN FIEOIJ!FIEE'
phone EierT-4orei5 FoEl APPFIoVAL INSPECTOR
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