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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!' - ) L , SITE INSPECTION AppRovrDDDrsappRovEoDDare Rrurnx s I NseEcron ^ TOUNDATION I NSPECTION Appnoveo RruaRx s Drsrppnove o F-7 I Hsprcron rRAMI NG AppRovro Rrulnx I NSPECT I ON 22-gAdDr slppnovEo Drr NSPECTOR LATH OR SHEETROCK Ar pnov e o Reuaexs 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 Reuanx s D Nor Reaov ro lssuE D Dare I rsprcron 2dD F ,.,. ,;;6lo,'t '-, ' I i r'" i! ., ,/ // /, t I Plrattr>r fiLur: i u }ti i' ,/ '' LT (n/ I --r - + Se Pr rc TRrlK.: :t-. .i +l- : ;r t rf,. 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