HomeMy WebLinkAboutPermit Building 1979-05-17. POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS:2417 Ranch DrLv6, Spltngfleld, Ot68on CONSTRUCTION pERtV T # LC-808_79
LANE COUNTY DEPARTME}IT.OF ENVIBONMENTAL MANAGEI'ENT, 125 EAST 8TH AVENUE, EUGENE- OREGON 97401
TRs, TL: 17-03-24.4.3 # sffi suHivision: tri aa to 8.a6h ra.tl.r. i.t,,g,.rf"of e
This permit for the relerenced property is hereby--a8pro!l6d.- Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation oJ this permit, citation under provisions ot Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS +
3sf,I'filryauTllt?i'#fitnt8ll+"1"s;lr*ll1.f3l.6l&l"rru9ar7spfa, oregon s7477
same aa applLcant
584 Total Construction Value: g34001.00
Telephone:
Telephone:
Telephone:
7 26-057 9 I 7 47 -3Zl T t tcrc
II
1 Construction approved by this permit: FantLy room add @ 612 eq f t; and stairs @ 80 sq f t.
Structurea no!, on property: resl.dence and garage
Suppl-ement 23 for enlargement of SDS
Water Supply: citY +rBedrooms: 3 +PlumbingFixtures: 3 *Employees:na
PLANNING DlVISION Zoning: Agt-RA setbackePartitioning +r na Parcel +
Minimum required structural setbacks, from: centerline of road, front: 45
side exterior: rur ; interior property lines: 5r ;rear property line: 5t
Special lnstructions: na
For information call 687-4394, Roger Hol1ls
na Parcel Size:
; centerline of road,
B5t x L30.2t
WATER POLLUTION
CONTROL DIVISION
Site lnspection # na lnstallation specif ications: nana lineal feet of drainfield required; max. depth of trenches: na
Septic Tank Drainfield
gal. min. septic tank capacity;
Special lnstructions:InstaL} an additlonal 50r of drainline to the exlsting SDS"-----T;aln1ines ls to run parallel wlth the east properry llne of
baek yard. Keep drainllnea 10r apart, stay 10r from property lineawlth dralnfleld" Do not drlve over exlstlng drainllnes.
Setbacks
, ii-e r i o r p rope rty I i n es
Edge of road right-of-way
Building foundation
wells, other water sources
10'
10'
s',
50'
---1t--
10'
10'
100'
CONSTRUCTION
PE RM ITS/INSPECTION
DIVISION
For information call -3 between 8:00 - 9:00 a.m
Type of Construction: 5-N Group: R-3 Fire Zone: 3
lnstructions: as
Jin Lamb
I 5:00 p.m.
Use Classification: SED/ADD
For plans information call 697-3167 between 8:00 a.m. and 9:00 a.m.,
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and
Directions to Site: Dotm 19th street, sprLnSfLeld to R.nch liarket aDd turn rLght et Rauch Market, left on Ranch 7f. Drlve, (brLcL, gr€eo house)
Date rssued: ,r-rrlri'"' \"".' sreeo hou.e) By: r.T. Moffr./ly \ (lI
C5613 ELDG.P€RMIT-WHITEjOFFICECOPY-WHITE;BUILOING-GFEEN;PLUMaING CANAFYj SANITATION - GOLDENFOOi A & T - PrN\
-
s.B.c. sEc. an(d) ExPlRAtloN
Ewrv ermit hfld(h, thdtBrrildlrEoflict.t uaahr rh€ pcovl.loi3llf..rhe Cods sl5ll e,(pire by limitarion and bscome.null and void .if tb6 brilding ofwork
.TJ,i[i ;;;f';hil'i.;;i};;;; ffN; rii: iiw r'.r' t"a"t".t ruch permii, or ir the buirdins or wo,k authorized bv such permit is susFnded or
;il;il i;,;;il "r r'zo a"vs at
"nv
ti#aii*ii. i,Lii'ijJ..""""a. gelds such'work .in be reommenced a new Delmit sharr be rirn obt.in€d to do
so, and the lee th€refor shall be onehar rhe amo;;;"q'i..al.' i """ p.''it tor ruchwort, prtviiiitr no'chsnsas have be€n made orwillbs made inths orisinal
pri",-i ""i ,p*ir.i"lti.". r"i ,r;h work; and provided, ruither, that ruch ausp€n.ion or abandonment has not oxEeded one Y€ar.
s.B.c. SECI 302).1 SUSPEI{$Onl OR RE\OCATION' i,*- r,rati oi;ri.iiiv. in ";itins.
*'p.,'d of.*okq { iirmir ir$od undF p.o'dsions.bj ihE.6tli ;hploqr t\ nerrirr; i; iss'red in erdlr or on the basis or
inorrect intirrnation suo'oti€d, or in violation otany ordinance or regulation oi any of the p.ovisionsot thrs Lt,de. . , -., ,. . ,
s.B.c. sEc. m4{dl REouIRED lI{SPECTIONS (CALLED INSPECTIOI{SI
The Buitding officiat, upon notification from th6 permit holder or hi! 4enr,. shall make thc lollowing insPections (allow 1 to 3 working daYs). and shall either
*r",",-ri*'plrrfl.^ ir ite mnstrucrion as pomfrci:a or noiiry rh6 rrmii,hoHrr or his €gEnt whar€in thE.rms tails to complv with this cod€''iiiio-ulij6Aiici-r'i r-lsi'icrroirr: ro ue ririlJairer renptris iep eictvar4, lorns ereded, and sieel reinn;reeme:al 5' in pr'ce lifrequted) AND BEFoRE ANY
CONCRETE IS POURED.' ' '
{2} FRAME tNSpECnoN, i. * r*a" .fter ," ,*t, all franins, fire block ing and brates_are in place and all roush plu mbing, ro!,gh electr ical and fkeplace,
;htil"y,;,rd *m;;;;;;p-il. riolnoHi siAil BE covEBED uNrrL rHts INspEfiloN HAs BEEN MAEE AND aP-
pAOVeo. rherewiI be;Jpprovarfor cover untilthe plumbins and electricalinspections hav€ b€€n made and approved.
to LAIH AND/oR v{ALLBoaRo {sHEETRriaai iiisiiicnor'I, r; b" ."ds att;r att tathing and/or walltoard, inr,rior and extaior, is in Place: but belor€
anv plrter i3applild or the wallboard iointtard fasten€rs are t'!ed ard finish€d
(41 FINAL INSP€CTION: ro de m*e atii tgd tuildins is compkt€ AND PEFORE occUPANcY
OTHER tNSPECT|OI{S: tn addirion to ttE catled intFciio s spscified abov€. the Building Official may mak€ot require anv olher rnsp€ction! of anv construc_
tion work to ascerrain comptian.E with the Fovitio;5;iihis C;e and othsr lawswhich are;nforcsd bv the biviiion of Construclion Permic and lr'spections'
BLOCK WALL |[{SPECT|ON: To be msde sfig, reinlorcing is in ptace, b'rt hdqE rny:soirt is poured. Thk ir6Pedion is rsquned for each bond b€am pour'
Th.r€ will b€ no 6pp.oval until ths Plumbing ard €lectrical insFcrions h3v€ been made and approved'
F|REpLACE tt{SPECTtOil: To b. made after rhe damp.r i. install€d, bur b€for€ thc chimnsY construction isrrraned.
iroBtLE IIrME tilspEcTtoNs: An insDeqron k r€quiiird-qftsr th€ mqbile holrE is connecied to an spproved s€wfi or septic svstem for: s€tback requirern€nts,
bldiiiqi, f@tirE connection; rieddJ*h, il(inihg, ani, dlanEirE connectidi! l
' '.j:i' :i' '. ' '' ' ryiLi. boib AT.Hllmtu flS{.
yo, tn.y ,rrie yo.,i r"q,,or f., i;ape"ti.* b"i;" i,oo u.-. -i s,oo p.r. ilon-aiirtriu--g'h r.iaav at tt'e Departmsnt ot Environm€ntal Man.gEment, Public
s*ri* d"iiJi"g, 125 dt eth A,,..,1, Erg"n" 6iaii, oi".risgz-aoss. o;ttving ..-i."y "it
t th" ro tbwins: F lor€nce, 997-3461 ; oakridqE, 782-2258; cottasa
Grov€, 942.4493...: ,,, . |,-:rrr zutLDlila pLRr tr riiJsr-et posreo lilo eppRovED pui S iluiTsE c{ tHE JoB srfE arALLTIMEs ot R|NG REGULAR woRKlls HouR&
'- TVATER FOLLT.ITION @NTROL -
oAR CHAFTER 34O Divkion 7 S"b6urra6 and Altsrrlatiw sewasc oispo.sl sliMiv ion standafds lor subsurlace and alternativ€ selYage and Nonwata-carried
w.rte Di.co6al.
71.015{7)Apcrmitiiarcdpursuanttodl..erul65hallb€€tf.crive'oraperiodolon€y€arfromrhedateofissuahca
71-017 (tl Upon compteiing the .onstrustion for which a pcrmit ha. been ilar€d the p€rmit holder shall notify ths OePartm€nt The-DepartEcnt shall inspec
rtu constiuai;n to dei*mi irn comptie wiitr t iri= fit i.* ir ttri.ai,i.lon. lf ituloh.inrction do.6 comply withsuch rule5, ths o€!6nm.nt 3hallilsue
a c.rrificate of eti.fectory comptstion io rho permii hold6r. lf rt* con*uction do6 mt comply with $ich tules, ihe D6p6rtmem shsllnotilY the permit holder
;J.1.1 ..di&;.f""t";icor|iprtion uerodisuirB rtri ce.titi"rt". ruit,r.c to meet ths nquiremenG for s.tisfactory completion wilhin a r€alonabl€ time con-
stitutes.a violatiqn 9f ORS 454.605 to 454.745 and this rqle'("
(
T A
{"
NEPARTI1ENT OF ENVIRONI4ENTAL NANAGEMENT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
Job Address
Appl ication for
Structures now on the property
/4ffi*fiflffiffi,{i /-/
Affidavi t: I ,
If this application is for an ag cu ldi
Lane County Code Chapter 10 (zoning) and for no o
ng
th
LC
:iql ii
l_-l 1i* siiitf$s.t:iir./_
hereby certify that this information is true and accurate.
'it will be used for purposes allowed by the State Building Code and
er purpose. I have the following legal interest in the property:
.)
i*iur
r
^ - or.rner of record; contract purchaser; lessee; holder of an exclusive option to purchase;---F-Outy authorize{. tolct-Tor the.owneq, who is knowT-edgeable of-This-application,ffi;;;.;,;- ip; --'r- t 1.,5 " 0;;" i;:"i"e^, rr,.t o-io",t :01 f!71
7v7 -3277
it is ready noti /-7 Appl icant / / Utner /!,l4ontractor !X
z1
Contractor's osRl. Sfq Plumbing by
When
Owner
Contrac tor
** ,i- 7-7
/_/ nail l!{phone
Phone
Phone 7z C -o >-V
If Commercial
Residential:
SI test holes ready
r:iFgQ,
tod€fid$lri:li**un:
:$' ;,:,ftiriiii .: t#rtit,:#:::lg-fi::i$r!fgg;:: .f;{$,
DO NOT WRITE BELOW THIS LINE
: i#-ifi#ii:ft i*t i------z-- # or employees
-
i#i#,#;|i&fit*.iir--
iil:iibtii:i:ffiiffii 17= *ll$liriir z_r Existins, Bp # /Z2^ff:17ry/
/_/ Proposed, SI #
Ys.1-cslr-e!.Fee
2
E'.
Total Va'l uati on : $$
$;{=-.each i,-< =$ each $
I u btcta 1
at
at/5e7
ved
lJater Supply
Proposed _
Year Installed
€M a€23/^ tc>4 t?a a.
-
1 State surqh6pgs
ans check fee
Change of 0ccupancy
$
$
(
$ti ng
TOTAL $e 37, /6
PERMIT PR0CESSING 7o
Minimum setbacks: t,
Comments
To be typed on permit
'r #Parcel Size'; int _€:_i rear--1f-/-
Bv oate __
CP& I up" 5N eroup-k ?-Fire
To be typed on permi t:
(:Sil,,.';lIr,tri ,Ft>
By Da te
PhoneFor plans information call (area inspector)
*Directions to site 4,
L / ilro Pl ans to:
,il rra,ff ,,rc
/7 PIanning
/-/ Publ ic Works
/ I Elevation ffitu
,/-/ Add res s
i-/ lacility Permil
/_/ t-nvtronmental Hea'l th
Cl)&l / set
r^lPC _]1_ r"t Da t,e Hold Sl ip
ta PCC tlcrrpl eterJ
'.:rt -,(,oat€ to
PCr
FOR INFORI'IATI0N about progress of your application call
C74-L7L
Permi t Conl,rol Cenlt- 687-HELp (687-4357)
Dkerl( ht^ tti/s'*
Pz,r/ ,
s
jtl PARTI1ENT OF ENVIRONI4ENTAL I{ANAGEMENT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 97401
Job Address w/r Ci ty
Appl icati.on #
Assigned Numbers
property:
to purchase;
Township, Range, Section, Tax Lot
Subdivision
Affidavit: I,
If this applic
AA^}
Lot Bl ock
Appl ication for
Structures now on the property
Proposed use of property: /,.7 Residential 17 Commercial 17 Industrial // Puutic
hereby certify that this information is true and accurate
pl ea se
ation is for an agricultu ral bu tdi ng
the
it vrill be used for purposes allowed by the State Buildir purpose. I have the following I egal interest in the
ng Code and
Lane County Code Chapter 10 (zoning) and for no o
owner of record;con trac t pu rcha ser ;I es see holder of an exclusive o ptionduly authorized to act or the owner, who is knowGage able of this application.
S i gna ture,/Add res s
Te1 ephone or Da te
When permit is ready notify: /] Applicant /_/ Owner 17 Contractor !y: /-/ nail /-/ phone
0wner z1 Phone
Phone
z1
Con trac tor z1
Contractor's 0SR#Plumbing by
i DO NOT WRITE BELOt,i THIS LINE
If Commercial: # of stories # of employees _ # of units
Residential: # of bedrooms SDS: , Existing, BP #
l/ Proposed, SI #SI test holes Feady
Fee
Code *Sq. Ft. or
# of SitesDescri pti on Fee
$
$
Total Val uation:
Plumbing fixtures at
Sewer/water conn, at
4% State surcharge
Plans check fee
Change of 0ccupancy
$$
$each $
each $/-/ casn
/-/ Check #
Received by
Water Supply
$
Proposed
--Year Instal led
Exi sting _
Subtotal
TOTAL
$
$
$
$
$
PERMIT PROCESSING Zone
Minimum setbacks, t , front
Part. #Parcei #Parcel Si ze
t, side int rea r
Comments
To be typed on permit
By Da te
ft. of drainfield; rnax. depth of trenches
I^IATER POLLUTION CONTROL
Instal lation specifications ga1. tank;
To be typed on permit
Te1 ephone By
Directions to site
/ / sIF1 Pl ans to Da te
Requ i red
Hcld Slip
to PCC
ila t-e
Comp I eted
CP&I
WPC
set
set
s
S
Date to
PCC
/_/
/*/
/_/
/_/
/_/
CP&I
I"lPC
Planning
Publ ic Works
/l Elevation /-/ n/a
/_/ Address
/-/ Faci I ity Perm j t
Environmental Health
FOR iNFORI,!\TI0N about progress of your application cal1 Permit Control Center 687-HELP (687-4357)
nl,v ,{-
Un it
/^nc +Vai uati on
lane county
HOLD SI.IP
APPLTcATToN # LC fof-l 7
6l!'r-
Name
Address
7p
The Lane County Water Pollution Control Div'ision cannot proceed
with processing your application because:
l. Incomplete appl ication ( items deficient).
Address and/or directions to application site.
Proposed Number of bedrooms in dwelling.
Approvable p'lot plan (see attachment).
Notjfication of date test holes will be ready.
2. Verification of existing system required (memorandum
explaining this procedure attached).
3. Two test holes (2'X4' X5'deep) requ'ired for expansion
or repair of existing sev',age disposal system 'in the
area of the proposed drainfields.
4. other, /- Ailtu&*# ,rb"* )7T-
1''174 - 181
WATER POLLUTION CONTROL DIVISION / ENVIRONMENIAL MANAGEMENTtzs EAsr Bth AVENUE / puarrc sERVrcE BUTLDTNG / EueeNE, .REGoN e740r"'tBll[8[l
r-c
Appl icatl-on #
Assigned Numbers
:
permit is ready notify: /_/ Applicant /-/ Owner /7 Contractor
E
Ci ty
tot ? Bl ock 7'
ea se
.#fi,
!"'
AEPA
)
m )
c
n
Comme rc
ngi
ther
kn'owlE?geab
?1
or
v
al
cation is for an agricul tural bu ldi t vrill be used for purposes allowed b.y the State Buildi nq Code and
Lane County Code Chapter l0 (zoning) and for no o I have the following 1ega1 inr.erest in the ppu rpos e .roperty:
con trac t purchaser;les see;holder of an exclusive option to purchase;to ac[-To'r the own er, who is 1e of tfris application.
?/ 77z1
Te1 ephone
hereby certify that th.is infornration is true and accurate.
Job Address
Tovrnshi p, Range, Secti on , Tax Lot
Subdivision
Appl ication for
Structures now on the property
17 Industrial
Contractor's 0SR#P1 umbing by
itJite
RTIlENT OF EIIViRONi4Ei,JTAL IIANAGEI"]ENT
PSB, I25 TAST BTH AVENUE
EUGENE, OREGON 9740]
Affidavit: I
If this appl i
Proposed use of property: /l Resjdential /-/ Pub
l^lhen
Owner
& phone
Phane 7f 7- q6/6!y: /-/ nail
Date q-? - 77
If Commercial: # of stories
Residential: # of bedrooms
SI test holes
# of employees _ # of units
SDS: /_/ Exi sti n9 , AP #
/_/ Proposed, SI #rea
Fee
Code Descri oti ont-
Sq. Ft. or
# of Sites
Unit
Cos t Val uati on Fee
l3
Total Valuation: $$
+ Plumbing fixtures ai 5_ ._.__ each $-
/-/ casn
/_/ Cnect
Rece i ved
/€a7 Sewer/water conn. at $each $
k#Subtotal tsy'.
lliater Supply
Propos ed
+/a
PI
State surcharge
ans check fee
Change of Occupancy
Year Instal led TOTAL
PERIVIIT PROCESSING
Minimum setbacks:
Z .5 Parce I I Parcel Sig'CL,t t, i{0. tt'1.&; rear /-_7_
Comments
To be typed on permit
By Da te
WATER POLLUT]ON CONTROL
Instal lation speci fications gal . tank;ft. of drain ield; max of trenches:
To be
Te1 ephone By
{Di rections to si te
/ t SlrO ptans to
/. / cP&I
/_-/ vPC
17 Planning
CP&I
l,JPC
S
S
Da te
Requi red
Ho S1i p Da te Da te toto PCC Compl eted PCC
/-/ Public Works
/ / Llevatton
-/_/ Address
/_/ n/a
/-/ Faci 1 i ty Permi t
/- / Env i ronmen ta I Hea I th
FOR INFORi.1ATION about progress of your application ca)1: Permit Control Ce'rrter' 687-HELP (687'4357)
Da te
I I //
+1lil le J
/,
of record;
au thori zed
0wne r=-1u1y
S i gna tu relAdd res s
'12 L -3) -i
ru
Con trac tor
$
Exi sti ng
--
(
(
Part, #
0n t
Job Address
owner of record;----V-a,ly authorized.act
I Signature/Address
Te1 ephone
tJhen pe
0wner
rmit is ready noti U Appti.
Con trac
Contractor's 0SR#
.QEPARTIIENT OF ENVIRONI4ENTAL I,IANAGEMENT
PSB, I25 EAST BTH AVENUE
fUGENE, OREGON 9740I
3)fia-r-u-
be used for purposee. I have the fol l
contrac t purchaser;'I es see ;hoof this applwho is tnow-T-edgeaUl e
lilif,#ii:$lii&ki 2-
grP"PA-
oL5
ir $ir+ffiii|l
Appl ication for
Structures now on the rty
l#,m"me#iru#ri.i$f,iiprqppnt$rXri /f,B*r;t'f,#a t :lir.l /_/:l*ilS'1i:l:e:::::
Arridavit: I, (-hr.tf I I 1fX5fiAI _, hereby certify that this information is true and accurate.
If this application is for an
-,(fiil:EEsTEfrfr.fr*-f
agricultural building it will s allowed by the State Building Code and
Lane County Code Chapter l0 (zoning) and for no other purpos owing 1ega1 interest in the property:'lder of an exclusive option to purchase;
ication.
?1
or
/'t I '4
Da te
t--t Contractor !y: f/ nail //ohone
z1 Phonc
Phone
nt /_/ Owner
Plumbing by
DO NOT WRITE BELOW IHIS LINL
If Comrnerc'ial
Residential:
i i#iiiu#iii$#r##i-
.#i.:.ro#i:rriirtiliiil*imi:i
# of emp'loyees _*; g;;$$if-t*:f,
i$$.$jliii /_/ Existins, BP #
/] ProPosed, SI #SI test holes ready
:r::::::
,tee
sodp Se$Br*:FftUE.:
, iiiir,tiiliiur: im,!t:
#j:i:f,f::i:i$.l.t{E r ,i,$S$ti Val uat i on Fee
$
o23
Tota l Va,] uati on: $
$at
at $
Subtota l
TOTAL
each
each $_Cr
Recei ved
Water Supply
4% State surcharge
.Plans check fee
Change of 0ccupancy
Proposed _
Year Instal led
Exi sti ng _
PERMIT PR0CESSING Zone Part. #Parcel #_-- Parcel Siz
'intMinimum setbacks , front t, side rea r
Cornments
To be typed on permit
By Da te
Group Fire Zone Use Cl assificationCP& I
By Da te
PhoneFor plans information call (area insPector)
Directions to site
/_/ srF0 Pl ans to
r-/ CP&l
/-/ l,i'Pc
/7 Planning
/-/ Public Works
, Elevation /-/ nla
/]/ Address
/-/ Facil ity Permit
! Environmental Health
FOR INF0RI'IATI0N about progress of your application call
c74-17L
Hold Slip
to PCC
Da te
Comp l eted
CP&I
I,IPC
set
set
Da te
Requ i red
Date to
PCC
(
$
$-.--
$ b"o()
To be typed on permit
Permit Control center 687-HELP G87-435'
lane county
APPLTcATToN * [-c KoK -7?
Name
Address
Zip Code
The above application is being held by the Permit Processing sect'ion for the followingreasons :
HOtD SLIP
{/c ulnaflt*L
W ?o t/,13 ,{oT MPE,
Division:
Si gnature:
Division:
Si gnature:
f,T, rn ,^r" y'/fl/z/
This^application will be held until _ If the informatjonrequiredabovehasnotbeenfurn.ishedcaiionwillbecancelled.
Fees paid for waste dispos,al-systems (site_ inspecti"oni unbTor-.pplicatjons to installthe-septic tank and drainfield) are nonrefundable. Sone retunJ',nuy be made on thebuilding and plumbing portion of your application if .un..ilution -is necessary.
In the event a Planni!9 or sorne other.long-term problem exists over which you haveno control we will hold the permit untit lrre oroblem is iri;i;"; and we receive wordfrom you as to whether to prb-eeo-witri perrit-irr,un.. or process a cancellatjon.
Date
c74-t39
PERMIT PROCESSING SECTION - 687-4394
f
lane county
HOTID SLIP GAPPLICATION #
Name
Address
Zip Code
The Lane County Water Pollution Control Divjsion cannot proceed
with processing your application because:
l. Incomp'lete appl ication ( items deficient).
Address and/or directions to app'lication site.
Proposed Number of bedrooms in dwel1ing.
Approvable plot plan (see attachment).
Notification of date test holes will be ready.
Verification of existing system required (memorandum
exp'laining th'is procedure attached).
Two test holes (2'X4'X5'deep) requ'ired for expansion
or repair of existing sewage disposal system in the
area of the proposed dra'inf iel ds.
4 Other:
2
3
fr
M74 - 181
WATER P0LLUTi0N C0NTR0L DIVISION ^/. ENViRoNI'4ENTAL I,TANAGEMENT DEpARTMENT125 EAST Bth AVENUE / -- p[eLrc SEnvicE BUILDING / EUGENE, oREGoN 97401 687-406r
-
nt
oNs.
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CONCRETE
1. PROVINE f I
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AS EXCAVATI9I]-PI96'TESSES, COI,JDITIONS I"IAY DEVELOP REQUIRINGCHANGES.IN,?IiE rIEVArrOIr,Or. TOOTINGS" SUCH CIJANGES S}IALI., Br}.IADE ONLY AS DIRECTED BY TIJE AIiC}.IITECT.
PSI CONCRETE.c
ALL coNcRETE SHALL BE RETNFoRCED, uNLEss spEcrpicAl,I.y MARKED
(
a POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDBESS: CONSTRUCTION PEBMIT #
LANE COUNTY DEPAFTI\4ENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401
TRS, TL: SuHivision:
This permit for the refurerrced property is hereby- Sotbacks and other conditions ol approrral mult be strictly oblend' Violation can
reiult in rgrocation of thk p€rmit citation under provisions of lrne Countyt lnfrrtion Ordinance, and/or other romedic. allolr€d by law
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS *
Construetion approved by this permit:
Total Construction Value:
Telephone:
Telephone:
Telephone:
Water Supply:+ Bedrooms:* Plumbing Fixtures:+ Employees:
PLANNING DIVISION Zoning: Partitioning +r Parcel n
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 +r lnstallation specifications:
lineal feet of drainfield required; max. depth of trenches
Special Instructions:
gal. min. septic tank capacity;
( ietbacks Septic Tank Drainfield--10--
10'
10'
100'
r property lines -tT,'-
10'
5',
50'
Edge of road right-of-way
Building foundation
Wells, other water sources For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PE RMITS/INSPECTION
DIVISION
Type of Construction:
lnstructions:
Fire Zone:
between 8:00 a.m. and 9:00 a.m.,
Use Classification:Group
For plans information call
For inspections see back of this permit)ll 687-4065 between 8:0O a.m. and 5:00 p.m.
Directions to Site:
Date lssued:By:
BLDG.PERMIT-WHITE;OFFICECOPY-WHITE;BUILDING-GREEN;PLUMBING-CANARY;SANITATION-GOLDENROD;A&T-PINKc55-1 3
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SLAB FLOOR
PLUMB ING GROUNN^/ORK
Ap phov E o
RrMaRxs
Dr sappnovro I NSPEcToR
GAS P lP I NG GROUNU^/ORK
Ap pRov r o
ReMaRx s
D DrsrppRovm D Dar e I xspecron
ROUGH PLUMBING
Appnoveo ru DrsappRovro D oorr S-&6-J6
Rrxanrs
SPECTOR
ROUGH GAS PIPING
Apenoveo D Drsappnovro D
ReuaRx s
Dare I rusrccton
FI NAL PLUMBI NG
D r sappnoveo t-/ /or-7 ?,*r"..ro^ fPlAPPRovED
Reuanx s
M Darr
FINAL GAS PIPING
APPRovEo D DrsAPPRovEo D
Rrurnx s
Dare I Ns pe cron
CERTIFICATE OF OCCUPANCY
Rerov ro lssue
ReManx s
D Nor Rraov ro tssuE D Dare I NsPEcroR
D Dore-
POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB AODRESS: CONSTRUCTION PERI4IT #
LANE COUNTY DEPARTI\4ENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401
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, and/or other remedies allowed by law
Telephone:
Telephone:
Telephone:
Total Construction Value
+r Bedrooms + Plumbing Fixtures:+r EmployeesWater Supply:
PLANNING DIVISION Zoning: , Partitioning +* Parcel +
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 DIV]SION
Site lnspection + lnstallation specif ications:
lineal feet of drainfield required; max. depth of trenches
Special lnstructions:
gal. min. septic tank capacity;
^etbacks
.riteiior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5',
50'
Drainfield---1Tr-
10'
10'
100'For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PERMITS/lNSPECTION
DIVISION
Type of Construction:
lnstructions:
Group:Fire Zone Use Classification:
For plans information call between 8:00 a.m. and 9:00 a.m.,
For inspections (see back of this permit) 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-GOLDENBOD;A&T-PINK
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1
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/rS EXCAVATION PROGRESSES, gO!?rTrONS HAy DtrVELop.REr_ ^tRINGSIIIGI:- L*, Tf iu elrvArioI' i-;;;'i;iI.'"'iu.Ir cHANGES sHaLL ee}-IADE ONLY:AS DIRECTED NYYIIT ARCIIITECT.
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.ICRETE
PROVIDE f'PSI CONCRETE....,
ALL CONCRETE SHALL BE RETNFORCED, UNLESS SPECTFTCALLY I"IARI(ED,
CONCRETE FORMS, MTXTNG, PLACI}]G, AI.ID CURING SHALLACI I'TANUAL OF CONCRETE PRACT]CE,5 EDITION AND
9O fPttgni te r"ilo
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LANE COUNTY DEPABTMENT OF ENVIRONI\4ENTAL MANAGEMENT, 125 EAST 8TH AVENUE, EUGENE, OREGON S7401
TRS, TL. 17-O:F26.4.3 SuMivision: 1.t .dd c. tDcL llrt t. Lt 9, Aloel, 2
POST THIS PERMIT ON MAIN BUILDING AT SITE
3ffir*hF*ylmP**ffiusll;,s'rtt*lllffi 'fiHl&'t${rr*d' n otcsoc e7 rn 7
Total Construction Value:
e
?
This permit for the referenced property is hereby- Setbacks and other conditions of approval must be strictly observed. Violation can
resuli in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address
Contractor's OS +
I Construction approved by this permit:
Telephone:
Telephone:
Telephone:
72ffi5791r47-3t77** iII
fH,l, rtil rdrl S 6til fi ft3 rnd :trtr € ffi re ft" Eu*Fl,q-.ot t3 fcr Gllclr.st of tD$Strwfficr Er eo proplr'ttt rarldrlll od grnp
Water Supply:+ Bedrooms: # Plumbing Fixtures: + Employees n{t
PLANI\IING DIVISION Zoning: Partitioning + Parcel +t
lVlinimum required structural setbacks, from: centerline of road, front:
side exterior: ; interior property lines: ;rear property line:
Special lnstructions:
Parcel Size: 85t r L30"rr
; centerline of road,
For information call 687-4394,
WATER POLLUTION
CONTROL DIVISION
Site lnspection # na lnstallation specifications: $dl gal. min. septic tank capacity;
frl lineal feet of drainfield required; max. depth of trenches: na
Special lnstructions:lnst^€ll an add*tdrrrs.I stlt of draLs.Llns to ehs {*itfotJ.*g S$ff.lr te tu pnllil rrttL thc cret propcrty Linr of
Septic Tank Drainfield br.k yrrd+ E6p drelnlr,rrr l0t eprrtr rtrl 1Os frm proprtt llsce
rf,t& drrtdi,ald. Do rct drtnr ors Grr.etlag &rlnlbrr.ietbacks
r nteiio-r property I i nes
Edge of road right-of-way
Building foundation
Wells, other water sources
10'
10'
5',
50'
10'
10'
100'
-=-]
For information call between 8:00 - 9:00 a.m.,
l
CONSTRUCTION
PE RMITSIINSPECTION
DIVISION
Type of Construction:
I nstructions:
Group: Fire Zone:Use Classif ication:
For plans in
For inspecti
formation call 68?*3?6? between 8:00 a.m. and 9:00 a.m., Jtn Le*h
ons (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
Directions to Site:
Date lssued: BY:
css-l3 aLDG. PERtulrT - wHtTE; OFFTCE COPY - WHlTEj BUILOING - GREEN; PLUMBING - CANARYj SANITATION _GOLDENBOD)A&T- PINK
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SITE INSPECTION
Ap pnov E o
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D o^r, {-231?rDrsappnoveo N5 PE C TOR
FOUNDATION INSPE toN
Appnov go D ,orrL,-L(,_2f_Dr SAPPRovED I Hspecton
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FRAMING INSPECTI
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FINAL INSPECTI
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CERTIFICATE OF OCCUPANCY
Reaov ro lssue
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D Nor Re aov ro lssue D Dore_lxseecron_
PROGRESSES, -^OI,IDITIONS FTAY DEVELOP REL.tr^ rIINGELEVATIOTI L. FooTIl'JGs. sUCIi CHAN CES SIIALL BERECTED BY T}IE AITC}IITECT.
NC
IDE T 2@Q . pst coNCRE?r.
ALL CONC RETE SHALL BE REINFORCED . UNLESS. SPECIFICALLY }1.\RXED."NOT I REI NFORCED"
CONCRETE ORFlS FlIXING; PLACITJG, AND CURING SHALL CONFOR}I ?oACI I'TANUAL; OF C ONCRETE PRACTICE, I976 EDITION AND SPECIFIC ATIONS.
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FOR SANITARIAN'S USE ON LY: ff SVra., Approved fJ System Disapproved fl Needs Correction
$aor- old. l*rrio ulenre-
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COMMENTS
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T Tank Capacity {rr Y\nufacturer
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o INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY ON
of sat-When signed by the County Sanitarian, this certificate is evidence as per ORS
isfactory completion of a subsurface sewage disposal system at the above location.
Return this form to: Permit Processing Section, Department of Environmental lVlanagement,
Public Service Building, 125 East 8th Avenue, Eugene 974O1
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CORRECTION NOTICE
v
IANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT
co nsrrucrion ffffi[, -"llT:Ii"" Division
This building or struclure does not conform to Lone County building regulotions, ordinonces or codes
os noted below:
M L-Zr-e,ea-) /* * qaae,<-q
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RE.INSPECTION REQUIRED
FOR APPROVAT
lnspector5-7 3
r Building Permit #
ry
SUPP LEMENT NO.3 BUILDING PERMIT LC-?OB --TO
3.4 t'IOI^lNER
CONTRACTOR
PROPERTY ADDRESS
(Building Va'luation)
add t* ror'"rc4-/
t{ame
Rev'ised (
[]addi ti on
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Signature of App I i cant
Fee Received
LANE COUNTY
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