HomeMy WebLinkAboutPermit Building 1980-07-22POST THIS PERMIT ON MAIN BUILDING AT SITE
JOts ADDBESS: 1433 Yolanda, Springfield, oregon CONSTRUoTIoN PERMIT # LC-1464-80
TRS, TL; 17-03-24.3.3 TLN 4000 Subdivision: lst Add. to Swank EstatesLot-l2 B l k-5
This permit lor the referenced property is hereby Approved Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provis'ions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address: Merle [.l. Babi, 84554 Lorane HwV. ,_.Eugene, Oregon 97405
ewner/Address: J.R. Minix, 1433 Yolanda, Springfield, 0regon 97477
f:o'ntractor/Address: Same aS appliCant
Ct:,ntractor's OS + I 9835 Total Construction Value: $1 6 ,505. 00
Co nstruction by this perrnit
Telephone:
Telephone:
Telephone:
485-4572
726-5394
same
lter SuPPIY:Pub'l i c
2nd Level Addition (02+ sq. ft. ) & Uncovered Deck (33 sq. ft. )
Structures now on property: SFD
+r Bedrooms: 4 +* Plumbing Fixtures: 4 +r Employees: na
p NNING DIVISION Zoning: AGT Partitioning +t na Parcel +t
Minimum required structural setbacks, from: centerline of road, front: 20'
side exterior: na ; interior property lines: I5r ;rear property line: 20'
Speciallnstructions: na
For information call 687-4394,roI
Site lnspection + na lnstallation specif ications: na
na lineal feet of drainfieid required; max. Cepth of trr:nches: na
na Parcel Size: 90 ,xl 10,
terline of road,
l*"*^r-
WATER POLLUTION
CONTROL DIVISION
gal" rnin. septic tank capacity;
_lprylqLl$tt!!!;g1,'rr Maintain all set backs. Do not drive or park over drainfield.
Connect to existing SDS.
Sutbacks
tn terlor property lincs
f,:iiqe of road right-of-waY
ilcling foundation
,rls, riher Water S(il.iiCeS
q,.I
Septic Tank
10'
qt
50'
Drainfield
-fR'-*
ILJ
{ 1.r
1 00'
.,t.iSTRUCTlON
,t rr iVt t tS/t NSPE CT r r) N
lr ',.lSlOi\
. ". r 687-4061 :' r, . :
T,i tr,e of Constructiort: 5-N '-iiir.i.t: R-3 F re :jr nc
lr:slructicr:s: See notes on attached plans.
Frr plans information call 687-4065 betweeri d..lil a.nr. unil
Corl i ss
3 . :,i: ('lr..,i ,:;tiorr; SFD/AdditiOn
For inspections (see back 687-4065 betweeri
9.00 a.in., Roger MacGuckin
8:00 a.nr. and 5:00 p.m.
lane county
Directions to Site:
Date lssued:
c$$ 13
Corner of l4th Place and Yolanda.6l!'
-
DEPARTMENT,OF ENViIIONMENTAI- MANAGEMENT
COURTHOUIiE / PUBLIC SERVICE BUIt.DING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
7 -22-80 Bti: Roger McGuckin/RLH
\,
LA ,.. COUNTY, OREGON
(.DEF I" OF ENVIRONMENTAL MAN/rMt
CGIFIFIECTIGIN NGITICE
CONSTRUCTION PERMITS
A INSPECTION DIV.
JOB ADDRESS
TO
NO
j DATE
BLDG. PERIVIT
tC2
c55-73 HE-tN=,PEcrloN ,.EoutFlE.,
Phone EiElT-4c,65 FoFl aPPFlovAL QuzL *IN SPECTOR
/r
idANE COUNTY, OREGON )
DEPT, OF ENVIRONMENTAL MANAGEMETV.
i coFlFlEcrlclN NorlcE
I
JOB ADDRESS
TO
NO
l/It
(-ONSTEUCTION PERMITS
' )TNSPECTIoN Dtv.
DATE
BLDG. PERIVIT
t ('
a{"
c55-73 FIE-INSPECTIclN FIEBTJIFIED Q^fuFhone E/E,7-4o,655 FCIFI APPFIoVAL INSPECTOR v
lane countYHOLD SLIP
ryw€aefi7yt
This application will be held until If the information required
above has not been furnished by that-IaTffi application will be cancell'ed.
Building fees paid for permits cancelled under these circumstances will be prorated
according to the work that has taken place as of the date of cancellation.
APPLICATION #4
Name
Addres s
p
The above appl i cati on i s bei ng hel d for the fol 'l owj ng reasons :
Wavw A.U E)4 'iL AL( url17{< C#ffiE /r.ra*) ltq
fl& A.FflL\ A"xtt"fig, 4 6tA,76a l,vAit- /5 fuffr;fttl
w *r74 f2,"7/3,q* i,@ffttnt
frivt&r z\,ir)' kV:Y. E*ff1-$ *1r*+' /ltr*,&
\
lUEd t'-'#* /5 %r^//N ,4d4?t;*t*c fu.,trt-# {***
@arJ
2tt)7t fui / t lr k{cz,cft,lLf/hf,l4ry
EVfin$ %?rwrx ?,//AL P4 Ff E'* fl* 75,{*/, f#,*.f)'
7#, i'f/'>l'{*::tf
**.*-/ 4e"*;& llta 4.*f ffi qzqg .#ry /' { crrru&wy'wx
D'ivision
sig nature Date
Te1 ephone
L
ENVIRONMENTAL MANAGEM ENT DEPARTMENT
I25 EAST 8TH AVENUE / EUGENE, OREGON 9740I
form C74-139
X
.rr\ /da\UU lane county
HOLID SLIP
APPLICATION #
t
Name
Addres s
p
The above application is g held for the following reasons:
1 11/
Division
Si gnature Date
Te1 ephone
This application will be held until If the information required
above has not been furni shed by that date your application will be cancelled.
Building fees pa'id for permits cancelled under these circumstances will be prorated
according to the work that has taken place as of the date of cancellation.
ENVIHONMENTAL MANAGEMENT DEPARTMENT
125 EAST 8TH AVENUE / EUGENE, OREGON 97401form C74-139
ffi
I
e*\DEPARTI1EN] OF ENVIRONI4ENTAL
PSB, I25 EAST BTH AV
EUGENT, OREGON 9740I
-33Job Address
Township, Range, S ec on, Tax Lot
Subdivision
Appl ication for
Structures now on the property
Proposed use of property: /-'/
Affidavit:
If this appl
Lane County
owne--T-auty
S i gna tu re/Add res s
Ci ty
o o
t t{* te Brock S
Date t -a -Bo
Appl i ca t
Ass i gned
Resjdential /] Commercial l7 Industrial /-/ ?ub1ic
I, \v\e( \e \I), =t:,a'b' . , hereby certify that this information is true and accurate- (please print)
ication is for an agricultural building it will be used for purposes allowed by the State Building Code and
Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
r of record; contract purchaser; lessee; holder of an exclusive option to purchase;
authorized to act for the owner, who is knowledgeable of this application.
permit is ready noti
Te1 ephone
fy, !_/ ao
qxs -WGrr or
t,Jhen
Owner
plicant /_/ Owner [/ Contractor !y: /-/ nail f/ phone
Phone -1ab- 53qqol
Con trac to r
Contractor's 0SR#
If Commercial:
Residential: #
S
Fee
Code
# of stories
of bedrooms 3 +f- t
# of empl o.ree s units
isting, BP #
/ / Proposed, SI #
Unit
Cost
Phone t{85-r{51L
t"*/ -Gb
Valuation Fee
PIumbing by
#of
SDS:
I test holes ready
Description
so
Total Val uation:
Plumbing fixtures at
Sewer/water conn. at
$
$$
$
each
each $/-/ Casn
/_/ Check #
Received by 4% State surcharge
Plans check fee
Change of 0ccupancy
Su btotal
TOTAL
$
$
$
$
Water Supply
Proposed
--Year Instal led
i sting
$
PERMIT PROCESS]NG ZONCAGf Part. #
Minimum setbacks t,'fu,t, side
Comments
Parcel #Parcel Sizeint. 15/ ;rear
To be typed on permit
By
WATER POLLUTION CONTROL
Instal lation specifications :gal. tank;ft. of drainfield; max. de of trenches
To be typed on permit
Te1 ep
Da te
Requ i red
Hoi ip
to PCC
Da te
Da te
Conrpl eted
Date to
PCC
By
Di recti ons to s i te
/ / sIF)
r/lceutil*,
/7 Planning
/-/ Publ ic Works
17 Elevation
l-l Address
Plans to CP& I
!,]PC
set
set
S
S
,fr,^
/_l Faci|l itt' Permit
/-/ Enuironmental Heal lh
'!
F0R INF0RI'1ATi0N about pro gress of your appl icatjon cal l
{
permit Control Center 687-HELp (687-4351)
d
9.**.\AJ. (> Q..S.r
\r:
*1,
i rA".IA
r:
Sq. Ft. or
# of Sites
7.rl r'
t $
4-
oate G-Z-A\
Job Address
Appl ication for
DEPARTI]ENT OF ENV I RONI4ENTAL I,IP
PSB, 'l25 EAST BTH AVENT.
EUGENE, OREGON 9740I
irsi!.t#ii-33
^ EME NT
O o
* lZ,*tnn:k:,
o
Structures now on the property
E//_//-7!l[i#{i{,#f,i'fiI..tjiit r-ri#n$illiffi
, hereby certify that this information is true and accurateAffidavit: I, $,eSfg \\) tsab.
If this appl icati
Lane County Code
owner of
--V-dul v auth+
Si gnature/Address
ffion is for an agricultural building it will be used for purposes allowed by the State Building Code and
Chapter l0 (zoning) and for no other purpose. I have the following legal interest in the property:record', contract purchaser; fessee; holder of an exclusive option to purchase;
orized t-o act for the owner, who is Rnowielgeable of-TrrIs application.
Te1 ephone L\A€ -t{5-1} or Date
When permit is ready notify /-/ Appl icant /-/ }wner &Contractor !y: /-/ nail
Gvner z1 \@t
Contrac tor
Contractor's 0SR#Plumbing by
&/ phon"
enone 1a,b- 539u1
pnone t85- H$"l"L
-O3. A
DTNOT-ilRTTE_BEIOFTMS I]NE
If Commerciai
Residential:
SI test holes ready
;!;$rel
fioilt .ffii{fr$:p*i*$rr:.
: :#:l:::0f::::::$Sig|li!:I:€i:ll:::
l:#iifi*nii:iiffiffi:i 3 +t)
# of emll
ba-4
r{tjl:l:ii#r:l:ifiiii$t$:l:il -:i:i:i:i:i:i:i:::i:i:!.!:!: - /-
,i$S$:l::::. /'?rExi sti ng , BP #bga-Qb
17 Proposed, sI #
oyees
:guir:::,:::Et,t!.!.!.ii$::. t,illn:i:ti,*:::::qfr,,,,,$,iffig:.. i${Sti Va'l uati on Fee
Tota 1 Va,l ua ti on : $$
at
dL
$-ru-_-v-
$
eac h
each
$
/_t
/_/
iiinilIi$iiiiiii;ili:.:i
jifitieql(rl]l11*
$
Subtota l
TOTAL
$
Received by
ffi
Water Suppiy
Proposed _
Year instal led
L
4% State surcharge
Plans check fee
Change of Occupancy
$
$
$
$
i sti ng
PERMIT PROCESSING ZONC AGf
Minimum setbacks: t, front w Part. #Parcel #Parcel Size
t, side i nt.15/; rear
Comments
To be typed on permit
By Da
CP& I
To be typed on permit
Group Fire Zone Use Classificati
Da te
PhoneFor plans informati call (area inspector)
Directions to site
/- t srco Pl ans to :
,,/crttil,,,
/_/ Planning
/_-/ Public l^/orks ,///Elevation f,n/a
l7 Address
/-/ Faci 1 i ty Permi t
/-/ Environmental Heal th
CP&I _ set(s)l^lPC set( s )
FOR INFORI'IATI0N about progress of your application call
C74.L7L
Hol ip Da te
Compl etedto PCC
Da te
Requ i red
Date to
PCC
++! v Af 0- d,,nd. L
)
permit Control Center 687_HELp (687_4357)
tzipF)t{o,5' 4;-f -tso
4_
POST THIS PERMIT ON MAIN BUILDING AT SITE
'OB ADDRESS: CONSTRUCTION PERMIT #
TRS, TL: Subdivision:
This pe",nit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed, Violation can
result ir. revocation oI this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Applicant/Add ress:
Owner/Address:
Contractor/Address:
Contractor's OS + Total Construction Value:
Telephone:
Telephone:
Telephone:
{s5-{572
7?6*$39{
samG'
Construction approved by this permit:tnd Leyel Mditlffi {63t1 sq" ft.) & lftrcovsrud kk (ff rq. ft.)
Structurqs rlim sn pr$p*rty; SFLr
+ BedroomsWater Supply: Fuhl.in + Plumbing Fixtures:+ Employees:
ILANNING DIVISION
I
Zoning: AGT Partitioning +r pA Parcel + nA Parcel Size: g{irx:lifj'
lVlinimum required structural setbacks, from: centerline of road, front: A0t: ; centerline of road,
side exterior: Ra ; interior property lines: 15t ;rear property line: 2gt i*- i,. .:- . , L...,,..*-,Special lnstructions: na
For information call 687-4394,
WATER POLLUTION
CONTROL DIVISION
Site lnspection + lnstallation specifications:
lineal feet of drainfield requirecJ; max. depth of trenches:
Septic Tank Drainf ield
gal. min. septic tank capacity;
Special lnstruct'rons :
Setbacks
-l
n t e r i o r p ro p e rty I i n es
Edge of road right-of-way
Building foundation
-T0-
10'
10'
100' For information call
10'
10'
5',
50'Well s, other water sources
ISTRUCTION
IVIITS/INSPECTION
Type of Construction: Group:
I nstructions:
between 8:00 - 9:00 a.m.,rI
FireZone: 3 Use Classification: gfg/Erlditdon
,\R
_yt ISION
For plans information call between 8:00 a.m. and g:00 a.m.,
For inspections (see back of this permit) call 687-4065 between B:00 a.m. and 5:00 p.m.
Directions to Site:
Date lssued:
c55-1 3
lane countyCorter of l{th Placa erd YolanCr,
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401 0r*?
7*?r-80 By: Roger t4cGsckinlfiLH 6l!'
-
:.-
*C I TE I NSPECT ION
Appao'rEo D DrsappRoveo
RrmnRx s
Dare I NsprctoR
TOUNDATION I NSPTCTION
AppRovED d Drsaepnovro F-T oo-,, VLB$,t I Hspecron
Rruanx s
kn<
rT?AMiNG INSPECTION
AppRoveo
Rrltanx s
d r)rsAppRovr o D oo-,, 9:_,uL- [En,PTCTOR
LATrl 0R SHttT
AP PROV E D
Rr uanx s
,^rr 3'-&8A NS PE C TOR
F I llAL INSPECT l0N
AP PROV E O
RET,TARK s
f_l ,,^,,-L,=7*=8_yDr srppRoveo I NsPEcroR
CERTIFICATE OF OCCUPANCY
Reauv ro lssur I rusprcron
Rruenx s
D Nor Rraov to lssur n Drr e
\---l
n
I NSPECT'I ON
DrsappRovEo F7
I
,\,
POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS:
TRS, TL:
CONSTRUCTION PERtVilT +, :
Telephone:
Telephone:
Telephone:
Subdivision:
setbacks and other conditions of approval must be strictly observed,
ne county's lnfraction ordinance, and/or other rernedies allowed by law.provisions of La
Applicant/r\dd ress:
Owner/Address:
Contractor/Acldress:
Contractor's OS + Total Construr;tion Value:
This permit for the referenced property is hereby
result in revocation of this permit, citation under
ona th is it
Violation can
&d Lcr+I ttddlttffi (6frrt rq" fLJ e umcaro+red ffi (3ll rq. ft.)$tngt*r*s iw sB Fropertyl Strb
Water Su plv
NING DIVISION
+ Bedroorns + Plumbing Fixtures:+ Emp
Zoning: Partitioning + parcel +r
lVlinimum required strr"rctural setbacks, fi'om: centerline of road, front:
side exterior: ; interior property iines: ;rear property line:
Spggia! 1n1r11glols:
Farr-sl $i7ei
; centerline o{ ,oad,
For information call 687-4394,
WATEB POLLUTION
CONTROL DIVISION
Site lnspection + net!& lineal feet of drainfi
. lnstallation specifications:
eld required; max. depth of trenches
gal. rnin. septic tank capacity;
t{r{ata{s ell mt.6ffis. 0o nat, drlve or per* ffycr #olafleld,Geffitct ta rxlrtltrq SDS.
Special lnstructions
Setbacks
'i nteiioi-proPertY I i nes
Edge of road right-of-waY
Building foundation
Septic Tank Drainf ield
10'
10'
5',
--10---
10'
10'
1 00'other water sources 50'
STRUCTION
For information call Lretween B:00 - 9:00 a.m
Fire Zone:Use ClassificatiDn ISrp/&ldf tleCI
Type of Constructi']n:
Instructions:
Grr:up:
- -: R tVr I TS/l NSPE CT I O N
.VISION
For plans information call between B:00 a.m. and g:00 a.m., r :.it) call 687-4065 between 8:00 a.m. and 5:00
**mrcnln
Directions to Site
Date lssued:
c55-',I3
For i ons (see back of this
eorpar of l4tfr PI*ce md Yokn*.
m
lane county
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBTIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401 ffi7-e2*{Hi Hy:
C,h
)
SLAB FLOOR
PLUMBING GROUNO/ORK
Apehoveo ffi DrsappRovro
ReMa Rx s
D oorr-8 2.*.b I rus pr cron
GAS PIPING GROUNO/ORK
D DrsappRoveo D Dare,I Hsprcron,AP PRov E D
Re uanx s
ROUGH PLUMBING
APPRovED E DtsaPeRoveo
Rrua px s
Oorrl -/ ?-Jb lruspe cron
ROUGH GAS PIPING
APr:iot"ED Ll DtsspP*ovro D
RrMrRr s
DrtfE I rus pe cton
F I NAL PLUMBING
[--6 DtsEppnovr r, {.----l Ltr,':c-6 --Zd['NS P E CTOR
)
APPRo,/ e rt
Rt uaRx s
r I NAL GAS
A.P PRov E D
REranx s
P IP ING
Drsqppnovro f-7 Dar r I rusercron
CERTIFICATE OF OCCUPANCY
Rrrov ro lssur
Reltanx s
NOT READY TO ISSUE [:J Dare---.lnsPEcroR-
/
il
POST THIS PERMIT ON MAIN BUILDING AT SITE
lb6 eLloiess, '1433 Yolanda, sprlngfleld, Oregon coNsTBUcTtoN pERMtr* Lc-I465-80
TRS, TL: 17-03-24.3.3 TLN 4000 Subdivision: 'lst Additlon to Slrank Estates, Lot_12 Bl k_5
This permit for the referenced property is hereby Approved Setbacks and other conditions of approval must be strictly oblerved. Violation can
/bsult in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/oi other remedies allowed by law.
Applicant/Address: Merle t^I. Babi, 84554 Lorane Hwy., Eugene, 0regon 97405
Owner/Address: J.R. Minix, same as above
Contractor/Address: same as appl icant
contractor's os +r 19835 Total construction Value: $936.00
Construction approved by this permit:Private Woodworking Shop (for private use.)
Structures now on property: SFD
Water Supply: Publ i c + Bedrooms: na +t Plumbing Fixtures: na + Employees: na
Telephone: 485-4572
Telephone: 726-5394
Telephone: same
)ANNING DIVISION Zoning:AGT Partitioning +na Parcel +
Minimum required structural setbacks, from: centerline of road, front: 50,
side exterior: na ; interior property lines: 5, ;rear property line: S'
Special lnstructions t'lust be on rear half on property.
na Parcel Size: na
; centerline of road,
For information call 687-4394, Carol
WATER POLLUTION
CONTROL DIVISION
Site lnspection # na lnstallation specif ications:na lineal feet of drainfield required; max. depth of trenches:
Speciallnstructions: na
Septic Tank
na
na
gal. min. septic tank capacity;
Setbacks
lnGiior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
-T0--
10'
5',
50'
Drainfield
-T0-
10'
10'
100'For information call 687-4061between 8:00 - 9:00 a.m
Type of Construction: 5N
lnstructions:
For plans information cal
For inspections (see back
Group: Ml Fire Zone: 3 Use Classification: Hobby Shop
1687-4065 between 8:00 a.m. and 9:00
of this permit) call 687-4065 between 8:00
o.ffi.,
a.m. and 5:00 p.m
hne cotrntyDirections to Site
Date lssued:
c5$13
Corner of t+tn Place and Yolanda.
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
7 /1 /80 By Roger McGuckin/gb iltr-.-
,lrusrnucrtoru
PERMITS/INSPECTION
'{lsloN
/3
j
5..,_,
6
E
\--, 'i
TL* t
NELI
CODE
EF,
FF'
tlF
EF.
I.JF'
rJ F'trP t-t: 146580 NEL]R
F.t- F{fi. FIXTLJRE,I:
i"iEH{
st.,F;
l] [:K
N0.
SDS SI
:l
CO}'1F.LET ION DATE
'\---l \-/
CONNET]TOFIS:
I"IE:CHANICAt- FEE
S A F- .SURI]HARGH
F,I...AH CHECI( FHI:
5.00 EACH =
4Y,
ot
IITH I SS
3
TOTAL FEE,(X
93f' I 0.00
0.,1O
{ 0.40 cK
t0
14-
t6
t2
t8
22
24
30
32
34
36
38
40
7
5'
ro !
9r"lr8i. :
tt
I)
F
5a
5.,.. ;
@
4o :
3P
20 ._
26 ._.
28
56
60
t-AHE COU NTY DEF'T ENV I,IGT RHCEIF'T + 1465T10 I}ATE 06O?86
AF.F.I..ICANT BABI, HEftLE ,-l DDE 845:i4 L-0RANb-HtilY " , EtJGENE, CIREf,ilN
?o3?43304000 sutrD IV lS AD} TO SI.JANK E:STATE.t L.0T 1? t{LK q
TII.-DG TYPE ACC USE R NN tsDRHS OO NO IJNITS OOl NO STilHIES N0 ['LD[S 001
AI.,T,L NT} ACl'ION DESCRIF'1'ION SQ FT UI-II]' TOST VAL.UATI uN FEE DAYS
r.'H I VATH t,JilF:H SI-IOF'144 $.50 936
a2_
14
I
46
48
50
CATG AFF. RA F'CK
?SEGU: I
TAKHN EY CAD
FF.
E,ST.
54
62 ._.
'1
2
Irs,\NT
\,//
DEPARTI]ENT OF ENVI
PSB, I25 EAST
EUGENE,
Job Address Y. u\ard-
Township, Range, Section, Tax Lot -(>B -"\- 33
Subdivision |\)
Appl ication for a
Structures now on the property
Proposed use of property: Et
Affidavit: I,
If this application
Lane County Code Ch,
owner of re,--X-arty author
S i gna tu re,/Addres s
ease pr ntis for an agri cul tural bu lding iapter )0 (zoning) and for no othercord;
'ized to liT-for the owner, who is
Ci ty Assigned Numhrrs
o @
t^Lot Lda Block !) ,
2/7 Industrial r /-/ public
, hereby certify that this informat.ion is true and accurate
\J E
40t Appl icatio'r
x
Residential // Commerc.ial
p
con t ract purchaser;
t will be used for purposes alrowed by the State Buirding code and' purpose. I have the following legal interest in the p16perty:
_l .::eu; - ,, , holder of an exclusive opt.ion to ir"i"nir.;knourledgeable of this appl.ication.
z1 L
Te1 ephone L\TE.r.lr3ra or Da te
When permit is ready notify: // Applicant /-/ }wner E( con tractor !y: /-/ nail
Owner \L\z1 Q-\uta r phone
Con trac to r
Y/ phone
Phone li 3q r{
'1+u
Contractor's 0SR# (o\BB6 Plumbing by tSO.$e
DO NOT WRITE E LOt^j THIS LINE
If Commercial: # of stories
Residential: # of bedrooms
SI test holes ready
lescri pti on
# of employees # of units
SDS Existing, BP #
/_/ Proposed, SI #
Sq. Ft. or
# of Sites
Unit
Cos t Fee
Total Val uation: $
Plumbing fixtures at $
Sewer/water conn. at $
$
/-/ Casn
/-/ Check #
Received by
Water Supply
Pro po s ed
Year Instal led
each $
each $
Su btota I $
Exi sting ,. "
4% State surcharge
Plans check fee
Change of Occupancy
$
$
$__-
$__
.;r IA
TOTAL
PERMIT PR0CESSING Zone
Mi n imum setbacks, t , front
Comments
To be typed on permit
Part. #Parcel #Parcel Size
I^IATER POL ON CONTROL
Insta l lation specif ications
q-, tid.; int hl ; rear
By Da te
ga1. tank;ft. of drainfield; max. depth of trenches
To be typed on permit -.%. . ru$
Tel
Directions to si
/- t Yro Pl ans to:
ffiutrt
l7 Planning
/*/ Public l.lorks
! Elevation /-/ n/a
/7 Address
/-/ Faci l i ty Permi t
/J Environmental Health
CP&I
h,PC
--
set (s
Da te
Requ i red
Da te
Comp'1 eted
Date to
PCCPCto
td slHo ip
C
Da te
I r=-I\
FOR INF0RI,1ATI0N about progress of your application call permit Control Center 687-HELP G87-4357)
.q\o
o q
:\ f2 NA
q r-l
Si'\
Fee
Code Vai uation
vI l
(
,\
ephone
A
By
Rn b',DEPARTIIENT OF ENV I RONI4F '- I,IAI'' ^qYg11
PSB , 'I 25 EAST 8',. ,/ENU.
EUGENE, one ooN-g7qor -'
-7)Job Address
-o3 -
ii[$fii La ,**iirki 5
Appl ication for
Structures now on the property
El /_-/ :,$#,ff&:.*Hli*..$,,i /_7 $H$ffi.#iffiffi /:7 ffis_.$,,i$ffii
Affidavit: l,hereby certify that this information is true and accurate
If this application is for an agr cu tura 1ding it wiII be used for rposes allowed by the State Buildi ng Code andLane County Code Chapter '10 zoning) and for no other purpose. I have
pu
the following legal interest in the propeowne--X-artv r of record;
au thor i zed
Cr
to-aEE-ror
ontrac t
the owner
pu rcha ser;, who is
fr wrm:EE*s8r..n-'
'les
['noilTEigeao
see; holder of an exclusive
1 e of-IfrTiT!-p1 i cation.
option to pu
rty:
rchase;
S i gna ture/Address
Tel ephone
When permit is ready notify.: /] Applicant /-/ &ner
Orlner \q
Da te
E(!y: l-/ na|1Contractor
z1 o\
z1
0r
& Phone
pnone -1^JG- 53R\t
pr,one LtB(_rAG'lECon trac tor
Contractor's OSR# \q I 35 plumbing by
DO I WRITE BELOW THIS LI L
If Commercia'l :
Residential
SI test holes ready
# of employees _i#,i,:#].w#fui>lffi$iii ,r
// Proposed, SI #
#$fiii*$*i$..fiii
,:::::, :, :::::::::.::: l::::: j::::::: j:::.::: j: i j: ::::: j
.. iil.+f$.i.,.r..tt*.: i+ht#ji#::,uf:,::t:f**rir:: i.fg#fiii Va'l uati on Fee
,.[Od.ltuor -q
I ax
$
Total Valuation:
/_t
/:/
Reci
at
at
(each $
each $$
lrJater Supply
Proposed _
Year Instal led
Exi sti ng
TOTAL fuao-
eived
4% State surcharge
Plans check fee
Change of 0ccupancy
$
$
PERMIT PROCESSING
Minimum setbacks:
Cornments
To be typed on permit
CP&l Type
To be typed on permi t
Zone
t, r"*t
Part. #Parcel #
[*id I rea r
8y Da te
Fire Zone Use Classificatio
By Date
PhoneFor plans informa call (area inspector)
Directions to si
/-/ SIFO plans to:
ffia,i?6
/ / Planning
/-/ Public Works
// Elevation /_-/ n/a
, Address
/-/ Faci I i ty Permi t
// Environmental Health
CP&I
WPC set(s)
Da te
Requ i red
Hold SIip
to PCC
Date to
PCC
Da te
Compl eted
permit Control Center 687-HELP (687-4357)
($
jiFx,f ii,ii.,.:ll .ft*r.ri'r
Su bto ta l $_
FOR INF0RMATI0N about progress of your application call:
c74-L7L
)POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTI ON PE RIVIIT +*JOB ADDRESS'i*r. ta, subdivision:
This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS + Total Construction Value:
Construction approved by this permit:
regBin !74CI$
+ Bedrooms:
Telephone:
Telephone:
Telephone:
usg," J
rSu
LANNING DIVISION
+ Plumbing Fixtures:+t Em loyees
Zoning: Partitioning +
lVlinimum required structural setbacks, from: cente
Parcel Size:
; centerline of road,
side exterior:
Special lnstructions
; interior property lines:
Parcel +
rline of road, front:
;rear property line:
'I
.,
For information call 687-4394,
WATER POLLUTION
CONTROL DIVISION
Site lnspection +
lineal feet of drainf
. lnstallation specif ications:
ield required; max. depth of trenches:
gal. min. septic tank capacity;
Special lnstructions
Setbacks
tnGiior property lines
)dge of road right-of-way
Building foundation
Septic Tank
10'
10'
5',
50'
Drainf ield--10-
10'
10'
1 00'lls, other water sources
CONSTRUCTION
PE RIVIITS/INSPECTION
DIVISION
For information call between 8:00 - 9:00 a.m
Fire Zone:Use Classification
between 8:00 a.m. and 9:00 a.m.,
Type of Construction:
lnstructions:
Group: I Hsbby Shttp
For plans information ca il
n
Crrrner sf ]4tir PIace and Yplanda,
this perm it) call 687-4065 between 8:00 a.m. and 5:00 m.For i ons (see back of
lane countyDirections to Site
Date lssued:
c55-1 3
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
711lBa By:6l!'
-
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,
SITE INSPECTION
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Drsrppnove o F-7 I Hsprcron
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I NSPECT I ON 22-gAdDr slppnovEo Drr NSPECTOR
LATH OR SHEETROCK
Ar pnov e o
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I NSPICT I ON
D r sapPnoveo
a
Drr e NSPECTOR
F I l,lAL I NSPECT l0
AP PRov t o
Re tta nr s
Dt srppRoveo L - 7-8-I NsptcronDarr
CERTIFICATE OF OCCUPANCY
REAoY To lssuE
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D Nor Reaov ro lssuE D Dare I rsprcron
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