HomeMy WebLinkAboutPermit Building 1980-02-15JOB ,IDDRESS
TRS, TL:
This permit for the referenced property is hereby aPproved' Setbacks and other conditions of approvat must be strictly obserued. Violation can
re6ult in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
POST THIS PERMIT ON MAIN BUILDING AT SITE
2755 V1lla !Iay, Spfd, Oregon CONSTRUCTION pERMIT + LC-295-80
L7-O3-23.3.3 ll 2O2 Subdivision. znd add to McKenzle Manor, Lot 6, Block 8
Applicant/AddressDavid G. oarer same as above
Owner/Address: same
Contractor/Addresd:
Contractor's OS + /
Construction approved by this permit
Water Supply: Ralnbow
Telephone: 746-29891926-6o67r'rt
Telephone: :*'
Telephone: I
Total Construction Value: $7332'00
Additlon of settlng rm G 208 sq ft;
Structures now on propertys houge.
+r Bedrooms; rla +r Plumbing Fixtures na + Employees:na
PLANNING DIVISION Zoning: RA Partitioning + na Parcel *
Minimum required structural setbacks, from: centerline of road, front:
side exterior: na ; interior property lines: 5r ;rear property line:
Special lnstructions: na
For information call 687.4394,Carol
na Parcel Size
4p8enterline of road,15' PUE
96r x L20r
WATER POLLUTION
CONTROL DIVISION
Site lnspection +r na lnstallation specifications: na gal. min. septic tank capacity;
na lineal feet of drainfield required; max. depth of trenches: na
Special lnstructions: Malntain all setbacks between SDS and construction. Do not
Septic Tank
drlve over draLnfield. If systen is damaged, a perml-t to
repalr must be obtalned.
10'
10'
5',
50'
Setbacks
nter ror property lines
r le of road right-of-way
Building foundation
Wells, other water sources
Drainf ield--lo--
10'
10'
100'For information call na between 8:00 - 9:00 a.m., Corllss
CONSTRUCTION
PE RMITS/INSPECTION
DIVISION
Type of Construction: 5-N
lnstructions; See reverse
Groupside of R-3 Fire Zone: 3Use Classificationpermlt for requl.red called lnspectlons.
STD/ADD
For plans information call 687-3767 between 8:00 a.m. and g:00 a.m.,Jim Lamb
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
Directions to Site: East on llarLow Rd., J.ef t onto l'tranor, rl.ght onto Al-Len, l-ef t on ViLla I^Iay, 6th house from
NAGEMENT BY: Hans Ettlfn/lkv
,C5'13 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 \
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en
I
#DEPARTIIENT OF ENVIRONMENTAL I,IANAGEMENT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
-_\_Job Address L/JS Vl N 6ft8-D
:S'trH$;lt::
Appl ication for *5rgL
Structures now on the property Ha ws€
rfi,r$ffi$d#.ri$#sjirr6fii$ffip".'?tff.t.. Aai*ee$id$,fifi{,ii , igffif,{irritii l_-l ii$#u.;f*,ritit:ii: ,,iffiltifsil:
6- A+fie
tt
Affi davi t: I ,
If this appiic
Lane County
------:!:1ownrduly authorized
Si gnature/Address
ation is for an agr cu tura building it will be use
Code Chapter l0 (zoning) and for no other prr rpose. I
er of record;ontract purchaser;'I essee;
hereby certify that this information is true and accurate.
d for purposes allowed by the State Building Code and
have the following 1ega1 interest in the propertyr
holder of an exclusive option to purc
is [nowiEigeable of this appl ication.
hase;
q>v)
[,lhen
Owner
Con trac tor
)r-r L-L C-**tr,rrc,
Te ephone ) 41 L-Z9 *or q L6* C oG)Date 2-
D*.: rD
i fv:6-& Appt icant frf 0wner 17 Contractor !y: /_/ nailpermit is ready not
l;i LL*P u
Ef phone
Pnone 276 29t9
Phone(ziP)
Contractor's OSR#Plumbing by
If Commercial
Residential:
SI test holes ready
ifiEfi'i.i
fiHdfi
:i..i:.:::.: : :r::: :l::: :::i ::i::::::.:: j:
$S$t:liI.FE!'1flI!.
# of employees _,*i :,i6f ,r,rlthr*t*r,;-
::: :::!:::::::::::::'::11111111111,-
,$S$.i.:',. A7E*isting, BP #
17 Proposed, SI #
.$g.ri..ilE.t,i::,i:Ufj.' ,:iUftflt:,.#.,.,.nf.,.'i$.ltts.,, ,,fq.tlr,Fee
$
Total Va.l uation: $$
$- each $-
$ each $
Su btotal
at
at
Received by
l,later Supply
Proposed _
Year Instal led
4% State surcharge
Plans check fee
Change of 0ccupancy
$
$
$
$Exi sti ng
TOTAL $6T@
PERMIT PROCESSING Zone A Part. #
Minimum setbacks t , front
Parcel #,^ry 7
; rear
Si ze
!-, side int
Comments
To be typed on permi t
CP& I Type
To be typed on permit
By Da e-z.no
Grou Fire Zone Use Classification
By Date
PhoneFor plans information call (area inspector),p,tions to site
u stro
r t {cP&\
Efrc
/-/ Planning
l/ Puolic works
f7 Elevation l/ n/a
/_ / Address
/-/ Facility Permit
/l Environmental Health
r oUEa @op,- CO.,=r:o€-
"yLw-
$zo.o*l y G**0 CoLor..
: Permit Control Center 687-HELP (687-4357)
Pl ans Da te
Requ i red
Ho)d S)ip_to PCC -
Da te Date to
PCC
t
FOR INFORIIATI0N about progress of your application call
c74-L7L
Val uati on
CP&I set(s)HPC set{s}
lLt,i/
Job Address
Township, Range, Section, Tax Lot
DEPARTI]ENT OF ENV i RON14Ei.]TAL IlANAGEI"lENT
PSB, I25 EAST BTH AVENUE
EUGEiiT, OREGON 9740I
City
Appl icati
Assi
#
*
Subdivision Block
Appl ication for
Structures now on the property 14o ut <E
Proposed use of property: /J Residential /-/ Commercial /_/ Industrial 7 7 euut ic
Affidavit: I, --==_----
-,herebycertifythatthisinformationistrueandaccurate
If Lhis application is for an agricultural bujlding it will be used for purposes allowed by the State Building Code and
10 (zoning) and for no other purpose. I have the following lega1 interest in theLane County Code Chapter
!..r- owner of record;
__ duly authori zed
con trac t purchaser;I essee;holder of an exclusive o ption
property:
to purchase;
/_/ phone
Phone
Phone
to the r IS ilow I ed gea b 1 e o f-th i s a pp I i ca t i on .
S i gna tu relAdd res s
Te
When permit is ready notify:
Owner
Contrac tor
phone Da te
a/ Appl icant /_/ Ovtner /7 Contractor !y: /-/ nail
leipf
Contractor's 0SR#
If Commercial: # of stories
Residential: ; of bedrooms
5I test holes ready
Code
# of employees _ # of
SDS:
units
isting, BP #
! Proposed, SI #
Un it
Cos t
Plumbing by
Fee
Sq. Ft. or
# of Sites
Fee
Val uati on
{t
I ota I Va I uatl 0n: b
Plumbing fixtures at
Sewer/water conn. at
$_each $
each $q/-/ Cash
/-/ Cnec| #-
Received by_Subtota l
TOTAL
Parcel Si
5 ; rear
$
$
(
l^later Supply
Proposed _
Year Instal led
PERI,4IT PROCESSING Zone
Minimum setbacks:t , fron
4% State surcharge
Plans check fee
Change of Occupancy
Parcel #
$Existing
$
Part. #ze
t, si 'i nt
Comments
To be typed on permit
By Da te
I"IATER POLLUTION CONTROL
Instal I ation specifications gal. tank;ft. of drainfield;, max. depth of trenches:
To be typed on permit
Te1 ephone By Da te
te
Compl eted
Date to
PCC
UI tions to site
/_ / srF1 Pl ans
r_7.ceu
ti/_#c
/7 Planning
/-/ Public Works
, Elevation /-/ n/a
/7 Address
/-/ Faci lity Permit
! Env'ironmental Health
CP&l set(s)
i.iPC
-
set (s )
Da te
Requ i red
Hold Slip
to PCC
Permit Control Center 687-HELp (687 -4357 )
)4e,t ae, Eao C^e'r*-lo€-,
(
'$rro**l v Gt
FOR INF0RI1ATI0N about progress of your application call
or /:t
Descri pt i on
5
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$
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