HomeMy WebLinkAboutPermit Building 1980-07-17hre county
LANE COUNTI B UI LDING PER MIT
POST THIS PTRMiT ON I,IAIN BUILDING AT SITE
CONSIRUCTION PIRMIT # LC 177i-80
JOB ADDRESS: 1859 Ramb'ling Drive, Springfield, 0regon
T$S, TL: 17-03-25.2.1, i700
SUBDIVISi0N: Rambling Acres, Iot 4, block 1
CONSTRUCTION APPROVED BY THIS PERMIT: Residential addition - 425 square feet;
uncovered deck - 156 square feet. l^lood stove.
CONDITI0I\S 0F APPROVAL: Probe to locate the existing drainfield lines. Keepqll parts of the foundation a minimum of 10 feet from the existing sewagedi sposal system.
I'linimum structural setbacks: frqn center line of road, front,45 feet;side interior property lines,5 feet; rear property line,6 reet; p.u.E.
PERMITTTE: R. Allen Courtney
6l!r-\IZ
'ETBA'KS
AND 0THER^ggprirg^,i Jr li$gy^l ryirii lrlrlrlr.oJrrRvED. vr.LATr,NcAN RESULT IN REVoCATI0N oF iHii-pERMIr,-ciiiiror'r.-uruoin Fnoviiior,rs 0F LANE c'uNTy,sINFRAcTI0N0RDINANce,_nr'ioion,ijiHEnREMEDIESALL0WEDBYLAW.NS0FLANEC0UNT.
WHEN READY FOR INSPECTI0N (see attached) caH 687_4065. Have the fo.llowinginformation ready, permit'iJiul.., iru-iaj..irl"typ.-of.inspection, when it willbe ready'; YouF nime and ptrone nJrri.r,-uni-iiv"ip..iut directions to site.OTHER QUESTIONS? Calt 687_4394.
DATI ISSUED: Ju)y 17, 1980
DIRTCTI0NS T0 SITE: 105 to Mohawk ex
tJP 28305- 5E-Z
BY : t?eel /Ca nd i Ha rt/7464Cft'77y
it - left - first on left on 19th.
T-NVIITOIJMEN IAL MANA(IIMEN] DEPARTMENT125 EAST 8I}i AVFNUF / EUGENE, OREGON 974Oi
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TRS, TL Job Location (Add res
Permlt /l
PermLt
Permi tlt
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For Pernlt /l
Permlt
Permlt
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Townshi p, Range, Secti
Subdivision
Tax Lol
Appl ication for
Structures now on the
Proposed use of property:Residentia'l /_/
Affi dav i t
(please prinif
agricultural buiI
EPARTI1ENT OF ENV I RONI4ENTAL IIANAGEI"IENT
PSB, I25 EAST 8TH AVENUE
EUGENE, OREGON 9i401
Lot
rcial /_/al // PuUtic
., hereby certify that this information is true and accurate.
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If this application is for a will be used for purposes allowed by the State Building Code and
Code Chapter I0 zoning) and for no purpose. I have the following 1egal interest in the prope rty:
rchase;er of record ; contract purchaser;
to act for the owner, who is
I essee holder of an exclusive option to pu
n ding it
o therLane CountvX ow"n,
Assigned Numbers
Appi ication f
du 1y authorized Inowl ed-gea ble I icat n.
S i gna tu relAdd res s
l,lhen
Owner
t ready noti
Contractor
Contractor's 0SR#
If Conrnercial: # of stories
Residential. i of bedrooms
SI test holes ready
Da te
/ 0wner /_/ Contractor !y: /-/ mail
ing by
# of employees
---
# of units
SDS sting, BP #
Sq. Ft. or
,U Proposed, SI #
Unit
Te1 ep
Ap I Can phone
Phone
Phone
-{a eS valuation Fee
,}
I
$
U Plumbing fixtures at
Sewer/water conn. at
47,i State surcharge
Plans check fee
Change of 0ccupancy
Total Val uation $
$
$each $
each $/-/ Cash
/_/ CnecU
Rece i ved /Su btota I
TOTAL
$
$
$Water Supply
Proposed
--=-Year Instal I ed
Exi sti ng _s
$
PERMIT PROCESSING
Minimum setbacks:
Comments
To be typed on permit
Part. #Parcel #I Size
t, front t, side i nt.rear
DaBy
HATER POLLUTION CONTROL
Instal lation spec ifications :
be
ga1. tank;ft. of drainfi ld; max
t
+to siDJns te
Te
set
-
set/_
ffytr
Er'wpc
l7 Planning
r-1 Public I.Jorks
/7 Elevation
'7 Address
Pl ans to
Facility'Permit
\nmental Heal th
Hold Slip
to PCC
-*
CP&I
l,JPC
S
s
Da te
Requ i red
Da te
Compl eted
Date to
PCC
I
/_ t nta
Y
0N about progress of your application call Permit Control Center 687-HELP $87-4357)
,,/ l.l
Ci tvJob Address
or'
(zip)
Descri ot i on
Fee
qegc
$
hes
By Da te
lane countY
HOLID StIP 6lIt---APPLICATION #Lc- I11 I-to
Name
Addres s
p
The above application is being held for the following reasons:
EAN PEUIE-\IJ c-Ot{Pc-E\E-
S,+rl.wxnoqo
Division C-P{T
Si gnature 4.Adam-r Date 1- (-8O
Te1 ephone f
This application will be held until CtrpEX if the information re qu i red
I ed.above has not been furn'ished by that daG-you-i application will be cancel
Building fees paid for permits cancelled under these circumstances wjll be prorated
according to the work that has taken place as of the date of cancellation.
ENVIRONMENTAL MANAGEMENT DEPARTMENT
I25 EAST 8TH AVENUE / EUGENE, OREGON 97401
form C74-139
Job Address
Appl ication for
Structures now on the ProPer
/_/
Affidavit: I
If this app lication is for an agr cu ra building will be
Lane CountvX owi
Code Chapter 10 (zoning) and for no other purpose
er of record;ontract purchaser;
DEPARTI1ENT OF ENVlRONMENTAL I'IANAGEMENT
- PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 9740I
used for purpos
I have the fol'lessee;
t_l. [i.lffi
hereby certify that this information is true and accurate.
es allowed by the State Building Code and
lowing 1ega1 interest in the
ho lder of aq exclusive oPtion
L*bp
property:
to purchase;
duly au thor to
S i gna ture/Addres s
When
1
0vrner
Con trac tor
Contractor's 0SR#
the r, who is InowTe-age ab o pp1 i cat 0n
z1
Te1 eph Da te
t ready noti Ap rca / 0wner /-7 Contractor !Y: l-/ nail
z1
z1
P ing by
phone
Phone
Phone
If Commercial
Residential:
',#....dtt...ett*trj*ti:i-,t*llot..,. * ,1
# of employees
SI test holes ready
sting, BP #
17 Proposed, SI #
e5 Va l uati on Fee
Total Va.luation $
$
$
dL
at
each $
each $t_/
Received by
Water Supply
Proposed _
Year Instal led
Existing _
4% State surcharge
Plans check fee
Change of 0ccupancy
Su btota I
TOTAL
$
$
$
$
$
PERMIT PROCESSING ne
Minimum setbacks
7ot Part. #Parcel #_I Size
; int, front-t, side t rear
Comments
To be typed on permit
cP&I Typu 5-N Group ?--3 Fire Zone 3
By Da
Classification
To be typed on permit
Date
Requ i red
Hold Slip
to PCC
Da te
Da te
Compl eted
Date to
PCC
By
For plans information il('ln r)
lo,ns te
Pl ans to set
setS
l,jPC S
-
,6r
[/l[,pc
/J Planning
/-/ Puotic works //_/ Elevation /fl n/a
/7 Address
/-/ Facl1i ty Permi t
/_/ Envtronmenta l Heal th
FOR INF0RI'lATI0N about progress of your application call
C74-L7L
Y
Permit Control Center 687-HELP (687-4357)
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COI{STRUCTICiJ PTRI,{IT , LC I77I-80
J0B AlllRESS: 1859 *asblln6 Drlve, Sprlngfleld, 0regon
TF,S, TL: 17-03-?5.e.1, l70t]
SUBDIYISISFi: fianrbl inn Acres, I ot d, block I
CCIISTRUCTIO}i ePm0YEI, t Y THI$ PERi'iIT: Resldentlal addltton - {eS Equere feet;uncovered drck - 156 square fert. r{ootl gtove.
c''iiillTlsHs sr APPR0VALI Probe to lacate tha erlrtlng dralnfleld llnes. l(eepal I parts of the foundetlon a ulnlmura oi lo-reet rrui rhe exliting sc|ragedi sposal rysteil.
Hint:ru*r structurel setbacks: frur center llne of road, front, 4s fect;slde lnterlor property llnear s feet; "urr p,ioperty ltne, a iiet; p.u.E,
PtRfiITT[[: R. Allen Courtrey
K* /71,6,no,,DATI ISSUIS; .]uly 17, lg80 By: leln *cglClndl fiart
Dl9tcrlct{s Tf'SITE; 105 to i{ohauk exrt - left - frrnt on left on l3th.
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TRd,,Job LocaElon (Addr
Perrnit ll
Permlt il
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Permlt
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For
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Lot Block
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INSPICT ION RtCOIID
Approved Di saPProved Date inspector r-'
C)a)
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l. Sjte InsPect'ion
2. Foundatjon InsPect'ion
3. Frarning InsPection
4 . La th or Shee troc k i ns Pec ti on
5. F'inal InsPectiorr
oO O ol2
6. - #db Fl oor , Pl umbi ng Grcundnork
7 . Gas Pi Pi ng Groutidvot"k
B. Rouglr P)Lrinbing
9. Rough Gas P i Pi ng
.l0. Final Plunibing
ll. Final Gas PiPing
'!ii ,/f-a-&pl
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F.enrarks:
,144 e-
12. Certj ii cate of 0ccuPancY:
rearly to issucl; ------not ready; -- -----.rj'ttt''i
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