HomeMy WebLinkAboutPermit Building 1979-06-05a POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS. 879 Tanarack Eugene, Oregon
TRS, TL: L7-O3-27.3"3 * 74OO
CONSTRUCTION PERMIT + w-1547-79
Subdivision; Menlo Park, lst add, Lot 7 Block 5
This permit tor the referenced property is hereby aPPloved. Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of [.ane County's lnfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address
Contractor's OS +
Frank, C. Green, 4355 Elllton Drlve, Eugene, Oregon
Ed Earstman
a@e aa appllcaat2387L Total Construction Value: $8068.00
97402 Telephone: 589-9842***
Telephone: I
Telephone: I
+ Bedrooms: oa + Plumbing Fixtures:na * Employees na
Construction approved by this permit: Changlng garage to famlly rooo G 492 eq ft3
Strtrcturea oou on property! dwelll.ng
rter Supply: ftrbltc
PLANNING DIVISION Zoning: na Partitioning + na Parcel +r Da
Minimum required structural setbacks, from: centerline of road, front: na
side exterior: na ; interior property lines: na ;rear property line: na
Special lnstructions: 1111 not enteod beyoud existlng formdattoa.
For information call 687-4394, I1onnslee
Parcel Size
; centerline of road,
61xL5O:c 120
s
WATER POLLUTION
CONTROL DIVISION
Site lnspection +* na lnstallation specif ications:
Da lineal feet of drainfield required; max. depth of trenches
Special lnstructions: none
na gal. min. septic tank capacity;
nsa
Setbacks
I nterior property lines
Edge of road right-of-way
Rrrilding foundation
llls, other water sources
Septic Tank
10'
10'
5',
50'
Drainf ield--10-
10'
10'
100'For information call 687-3961between 8:00 - 9:00 a.m., tdarsha iltller
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Construction: 5-N Group:
lnstructions. See reverse for requlred
R-3 Fire Zone: 3called lnepectloue.
Use Classification Remodel
For plans information call 687-3767 between 8:00 a.m. and 9:00 a.m., Jll Larb
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
Directions to Site: (hrt centental Loop, croaa I-5 left oa Aoderaon, rlght on cottonrood, left oo Tamaraeko
Date lssued. 06-05-79 Bv: Kara Adans/ly
DEPARTMENT OF ENVIRONMENTAL MANAGEMENTc5s.,3 "r?'ff$o'!rt=l'7l-tff3,ilYl.t=l3HLt3$n *,
lane county6l!'.-
v,,/v DEPARTI'IENT OF ENVIRONI4ENTAL I1ANAGI
PSB, I25 EAST BTH AVENUE
- EUGENE, OREGON 9740I
NT
, iftIulti ii
hereby certify that this information is true and accurate
for purposes allowed by the State Building Code and
Phone
Phone
f,q_/l-rr1
aB
Job Address
Appl ication for
Structures now on the
If this ap/lication is for
Lane County Code ChaPter l0
of record;
i$,ffir+ri:t*ji /-t
:iliI.OAiK:,
orher--Vaay
'
an agr cu tura ding it wi'l I be used
(zoning) and for no other purpose. I ha ve the following legal interest in the property
contract purchaser;holder of an exclusive option to purchase;
authorized to act the owner, who is of this appli 0n.
21
'less.ee
knowl edgeabl e
Te1 ep
ti fy Appl i cant ,/_/ Owner /]/ Contractor !y: /-/ nail
z1
PI ng by
Si gnature/Address
I'lhen p
Owner
Co n trac to r
Contractor's 0SR#
ti ready
d
If Commercial
Residential:
# of employees _#.i:iij,f :lirllilf t$iri j.
:ii:i::::r:r:lr:j:::::l-'1i-'="'--
r,$U$i1i1' 75r Exi sti ns , BP #
/] Proposed, SI #SI test holes ready
::!:,::::::,:i:
,:,f.Ee,i,*il$$$ri:P*i* l![l Valuation Fee
$
$
Total Va,luation $$
$
t
$
$
$
$
at
at
each $_
each $_
s73.?2
t_t
/_t
Received by
Water Supply
- (=rts<,e-rr
-flrj{,LExisting _
4% State surcharge
Plans check fee
Change of 0ccupancyz
Su btotal
TOTAL
Proposed _
Year instal led
PERMIT PROCESSING 7o
Minimum setbacks
Part. #
,front N 4 ; t, siae
Parcel vze 6/ k / <o vzAtParcel #
'int.
Use Classification
oau *17-7q
rear
Comments
To be typed on permi t
CP& I rype 5 ..N erou p--R:3-Fire Zone
By
To be typed on permit
For plans in
Directions to si
/_/ srFo Pl ans to
Facility Permit
/_/ E i ronmental Heal th
,ft.cear
fi(wec'/ 1 llanning
/-/ Public l,Jorks
, E'l evation /_/ n/a
, Address
Date
Hold Slip
to PCC
Da te
Compl eted
By
il area I ctor)
CP&I _ set(s)
t^lPC _ set(s)
Da te Date to
PCC
I s1^
FOR INF0Rt'lATI0N about progress of your application call
C74.L7L
It?O.ut
permit Control Center 687-HELp (687-4357)
Affidavit: I,
.)
I
LANE COUNTY DEF,T E}.IV H$T RECEIFT * t54?'7? DATE S5I5O7? ...'..]
]:nrrtrcAxT 6REEN, FFTANK ADDR 4gs6 HILInN DFrvE EUGENE oREcCIN :li!
. :r"r"* t ?o3??3s3?46$ SUBDIV L$T ttLH , ::.; :j
:-;NEI,' BLD6 TYFE USE ft NT} BDRflS OO NCI UHITS OOt NO.$TOf{IES NO TTLDCS OO1 ;'. I
],ConE--AFr,r- nn Acrrot't DEscnrprroru se FT uxrr rosr vALUATIoN FEE D*vs- '
RET,ISDEL EXIST
6AHA6E INTfl FAHILY
RU0ll 493 1&..4$806fi
t-c t 54??9 h:EPH
N$. F'IXTURES:
EO6S 4E.OO
NCI.$ONNECTCIES:
I.lE{:I{ANICAL F'EE
ST'A'fE SURtIHAR,;E
F,LAN fiHEf,H F'HE
HLEV ADDft FF'
COI'IPLETfrS SY
-;-
4 ^ 0$ HAC}{ ,r
iiil. u :
"_
. ,f IFo crlr
t'eKEl'l BY IlLl,i
UFT I-'LAN
4N
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ENVH
TOTftL F'HE:i**
r "9:!14.00
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Appl ication {
DEPARTI1ENT 0F ENV I RONI4ENTAL IIANAGEl'rrNT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
TownshiP, Range , Section, Tax
Subd iv i s'ion
Appl ication for
Structures now on the
Proposed use of rty:l-l Residentia'l
Affidavi t: I,
If this aPPl ication is for an agr
p
i
Commerc i a I
t wil1 be used for
/J industria]
herebY certifY
, puutic
that this informa
llowed by the Sta
Assigned Numbers
tion is true and accurate.
te Building Code and
Lot Bl ock
purposes a
the fol lowiLane CountY Code Chapter 10 (zoning ) and for no purpose,I have
thorized to ac the owner, who is rnowTEZgeab
see; ho
1e of-TEil-alp]onf record;contract Pu rchaser.'les
ding i
o ther ng legal interest in the property:
I der of an exclusive option to Purchase;owner o-----du1y au
S i gna tu re/Addres s
Tel e
Hhen t i s readY ti fy
Owner
Con trac tor
Contractor's 0SR#
If Conrnercia'l: # of stories
Residential: # of bedrooms
SI test holes readY
Descri pti on
0wner l7 Contractor !Y: /-/ mail
z1 Phon
Phone
or te
Pl 'ing by
)-
# of employees
-
# of units
SDS: /l Existing, BP #
/-/ Proposed, SI #
Fee
Code
Sq Ft.
si
or
Val uati on Fee
$
$
Total Valuation: $- $
GttE'\
Plumbing fixtures at
-------- Sewer/water conn' at
4% State surcharge
Plans check fee
Change of 0ccuPancY
By
$..--- each
$-..._...--- each
Surbtota l
TOTAL
$Cl casn
L-l Cnecr
Rece i ved
l^la ter Suppl y
Proposed _
Year Instal I ed
ING
Exi sting _
$
($
$_
$---
PERI"lIT #Size
int
Da te
ft. of drainfield; max. depth of trenches:
Mi n imum
To be on permit
I^IATER POLLUTION CONTROL
Instal lation sPeci fications :
, front /vA
To be typed on Permit
;t , Si
ga1. tank
ephone
Directions to s
,(
Lt stro Pl ans to: CP&l =-- set( s )llPC set (s )
r.-/ CP&I
l-/ ti'PC
Itl Planning
t_/ VuOlic llorks
, Elevation /-/ n/a
7l Address
/-/ Faci I i ty Permi t
/-/ Lnvironnental Health
Da te
Requ i red
Hold Slip
to P(]C
te
Comp) eted
Date to
PCC
I
I
\
\t; r\Ct-rr\Ctrr
FOR iNFORIIATION about progress of your appiication call: Permit Control Centen 687-HELP rc87-4357)
ci tv
--
,iob Address
Unit
Cos,t
b
$
By Da te
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POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT +
Subdivision:
I. JOB ADDRESS:
TRS, TL:
This permit for the relerenced property is hereby , S€tbacks and other conditions of approval must be strictly observed
result in revocation o, this permit, citation under provisions of Lane County's lnfraction Ordinance, and/oi other remedies allowed by law.
$,P
Violation can
Applicant/Add ress:
Owner/Address:
Contractor/Address
Contractor's OS +
Construction approved by this permit
"Vater Supply
Total Construction Value
Telephone:
Telephone:
Telephone:
+ Bedrooms + Plumbing Fixtures:+ Employees:
PLANNING DIVISION Zoning: Partitioning +r parcel +
Minimum required structural setbacks, from: centerline of road, front:
side exterior:
Special lnstructions:
; interior property lines:;rear property line:
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
gal. min. septic tank capacity;
Special lnstructions
Setbacks
nterior property lines
Edge of road right-of-way
Building foundation
:lls, other water sources
Septic Tank Drainf ield
10'
10'
5',
50'
-T0,--
10'
10'
100'For information call between 8:00 - 9:00 a
CONSTRUCTION
PERMITS/INSPECTION
DrvrsloN
Type of Construction
lnstructions: Soc rr
Group:Fire Zone:Use Classification
For plans information call between 8:00 a.m. and g:00 a.m.,
For inspections (see back of this permit) call 687-4005 between 8:00 a.m. and 5:00
By
p.m.
lane countyDirections to Site
Date lssued:
[ "uu-,,
6l!'
-
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
w
m.,
SITE INSPECTION
App Rov r o
Rruanxs
D t sappnovEo Dare I HseecroR
FOUNDATION INSPECTION
AppRovro D Drsaepnove o Fl Drre I ruspecton
Re tla nx s -z
FRAMING INSPECT
Ap pnov e o
RE uanx s
Drsappnoveo 7.G-17 I NsPEcroRDrte
(
LATH OR SHEET
Ap peov r o
RExrnx s
I NSPECT I ON
Dr sappnovEo D oa,ful_p?I_I xspEcton
I(
FINAL INSPECTION
AP PRov E o
Reuanx s
CERTIFICATE OF OCCUPANCY
ReaoY To lssuE
Reuanx s
D Nor Rraov ro lssuE D Dore-I NSPEcToR
E/ Dtsrppnoveo D omt f-Za'7? r**r*o^-fu{
erwc^\ --r O11 {yq*"+<k
CORRECTION NOTICE
IANE COUNIY DEPT. OF ENVIRONMENIAT MANAGEMENT
Construclion permits & lnspections Division
EUGENE, OREGON
li:.*lte"or srructure does nor conform to Lone Counry building regulotions, ordinonces or codes
css-73 RE-|NSPECT|ON REQUTRED
FOR APPROVAT I nspector
Building Permit #
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