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HomeMy WebLinkAboutPermit Plumbing 1980-07-16>, 1-1 Job Address ( Appl icatio DEPARTI1ENT OF ENVIRONMENTAL I,IANAGEMENT PSB, I25 EAST BTH AVENUE EUGENE, OREGON 9740I r ( ::6rirt*ri iftfiiii$iK:i5xl te Building Code andin the property: owner of record; contract purchaser; 'lessee; holder of an exclusive option to purchase;-."2* auty authorized to act for lhe owner, who ii InowleageaU-te 6t-Tnis app1.ication. ffit*"Tnadress {1,\^ ' . -:i: \'f.',- -k" .j ," [.,i,.,.,\,,r-,' f,,:t \ '' t-t Er.';* (zip)'j -;r-1 ri':rffiTe1 ephone Hhen permit is ready notify: /l Applicant /-/ Ovtner lfl Contractors*n.. fr+.'i'' t t:it,he. -!x (zip) ma -]'/-/Al Pnone Phonc iLi I 'r, Contrac tor Contractor's 0SR# z1 Phonel(P1 umbing by If Commercial Residential: : :f:::t:Ej1D::::t:gt$l!:I:Ss::l .. . . . . :: : j:.:.::r::iil_i:i:l:::::::::::: ::::: :::::l:::_:.1: : - ,,:#,;,',ufr,,,t,h*dlf4gq6. - :#i::1,fr:ll.:,iutlit.:tti::: --,ii,i,i,i,:,i:,it.:,lti'-' --"' jr-- :$fi$:i:::,: /fixisting, BP #/s)7-rc# of employees SI test holes ready ! Proposed, SI # iffit*1iri:fiil*#ri:: . r.;t..:.f,U,i,,;:;u#.. :#,i!:i[-fi:':i$l.tti:,: ,,'llrti$: ..$$,[Si Feel' Total Valuation: $$ at $ at$ each each $ $ /:/ Rece i ved Water Supply Propos ed Year Instal led Existing _ Subtota l TOTAL -7 $ 4% State surcharge Plans check fee Change of 0ccupancy $ $ $ PERMIT PROCESSING Zone Mi n imum t, f"on Part. #Parcel # Use Classification int. r i Parcel Size L, side Da te Requ i red rea r Comments To be typed on permit Group To be it For s information Di si te /_/ srF1 rdu /-/ l['Pc 17 Planning /-/ Public Works Pl ans to ! Elevation /-/ n/a , Address /-/ Facility Permit /-/ Environmental Heal th FOR lNF0RI1ATI0N about progress of your application call c74-L7t Da te Compl eted By Type ped Da te -one CP&1 l,JPC set 1d Slip to PCC Date to PCC Da te (a nspector By permit Control Center 687-HELP gB7-4351) Affidavit: I, Struc tu res now on the property t-7,iiluslt.it*ts.iii; t:,fiuuilr:t'$iiii hereby certify that this information is true and accurate. /_/ 't 1 Va l uati on I Fire ZoneCP& I N CO}{STRUCTIOH PER}4IT # LC 1S23-BO JilB ADDfiESS: 1835 Yenta, Springfield, 0regon TRS. TL: l7-03-2t1.3.4, 3S0 SUEUIYISI0I{: Yolanda Park, slrth addlfion, lot 10, block 3 COi{STEl.rCTI0li AppR0UE0 BY TitiS PtRl"iIT: Plumblng connectlon - lilterlornot beyond exlrting foundatlon. cOr{sITI0Hs 0F APPRgyA{: AII plumbing shall cunply rlth the stat€plumblng code. Call fcr Rough and Plumbing lnsiiition ueiore-any coygr-uP. PERttITT[t: Bernard petersen 0ATE ISSUEDr July 16, lg80 Byr .lohn goss/crndl Hrrt OIREcrI0Hs T0 SITE: Frohrrk erlt off north lgth to rontr. i7 l. Sjte InsPectiort 2. Foundat i cn InsPection 3. F ranti ng i nsPec ti on 4. Lath or Sheetrock lnsPect'ion 5. f irral Inspcction INSPECTION RICORO ' ' Apprr.rved D'isapprovcd Daltl lnspcctor '!l Z:ltF 7:-&& C: 6. 7. B. 9. l rl ll. Sl ab Fl oor, Pl umbi ng Groundwork Gas Piping Groundwork Rough Pl irrnbi ng Rough Ges Pl Pi ng Final Piuiilbing F'inal Ges PiPinel ta *Z F.enrarks: 12. Certj fi cate of OccuPancY: ready to'issue; ---"not ready; ---,,-,--,---tjate; --*------.------- in:pector' ny' LANE COUNT { B UI LDING PER MIT P()ST TIIIS PERMIT Oi'.I 1;AIIi BUII-DII{C AI sITI CONSTRUCTION PERMIT # LC 1823-80 JOB ADDRESS: 1825 yenta, Springfteld,0regon ,:,r TRS, TL: 17-03-24,3.4, 360 SUBDIVISI0N: Yolanda park, sixth addition, Iot 10, block 3 CoNSTRUCTI0N APPR0VED BY THIS PERMIT: Plumbing connection - interiornot beyond ex'isti ng foundation. CONDITI0NS 0F APPRgynL-, Ail ptumbing shail conply with the statep]umbing code. call for Rough ano piumbing inspeltion before any cover-uP. PERMITTEE: Bernard petersen DATE ISSUED: Ju'ly 16, 1gB0 BU:,!,.Anu:rr,,,)JCandi Uait DIRECTIONS T0 sIrE: Mohawk exit off north 19th to yenta. tJP 28305- 5E- 2 ************* ** ****** 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 INFRACTI0N oRDINANCE, AND/oR oTHER REMEDIES ALLoWED By LAt^l. WHEN READY FOR INSPECTI0N (see attached) call 687-4065. Have the fo'llowing information ready: Permit number, job address, type of inspection, when it will be ready, your name and phone number, and any special directions to site. OTHER QUESTIONS? Call 587-4394. hre cclnty6ltr- - T-NVIHONMEN IAt. MANA(;EMEN] DIPARTMENT I25 EASI BIIi AVENUF / EUGENE, OBEGON 97401 TRS, TL Job Location Permlt /l Permit 1f Permit tf For Permlt /l Permlt #- PermLt #- ForPlGrt Irlan For For For For Subdivision IrOt Block ( I .l ^I I 1,. 6- , 1!t"'<xy-fi It(1 ll J c7 4-t50 Vlclnl.ty Map lf,l ). I+3 I II I )