HomeMy WebLinkAboutPermit Building 1980-05-22.,l ]t A- t{DEPARTIIENT OF ENVIRONI4ENTAL I'IANAGEI"lENT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
Job Address J537 /Y. // e st
ED
Appl ication for
Structures now on the proPertY
/x , i$ffirle,{,iltii /_-/:iir[#iri$t$+*{iii , ii$iiti,.l:ili'li1ii
hereby certify that this information is true and accurate
used for purposI have the fol
es allowed by the State Building Code and
I essee;ho
owing legal interest in the property:
,lder of an exclusive option to purchase;
Affi dav i
If this app 'I icat ion i s f or an agr cu tu ra lding it wi'l I be
Lane County Code ChaPter 10 (zoning) and for no other purpose
er of record;own
-j-dul
y authori act
Si gnature/Address
contract purchaser;
the owner,0 ts knowT-ed gea b1 e o f-T6-i s a ppl i ca t i on
Te1 ephone or S*raa-
When permit is ready notifY: lX Applicant 17 0wner 17 Contractor !y: /-/ nail
&vner z1
Con trac tor z1
Contractor's 0SR#,2f // 5 Plumbins bY
Date q - 2/-ta
/-/ phone
Pnone ?.21*836Q
[./
IS LINE
If Commercial
Residential:
:#i,:i#flXiifiil#xii:?
,ss$,ii, /r,/'Existing, BP #
/_/ Proposed, SI #
$E$E ll:sti: : 0,,
:mrt.:l.tgt f ,l:t..u*.:
,#.,.,ro.f ..,.$:l.t+rgr:.:
iUnit.:
]:sd}ui Fee
.ifi ilffi nirs:i,iiif .l,s'tur,*e..:i ilFlrf#$:.tttr:rr:$un$,it,:
$
$
$
$--)
-,
at
at
Su btota I
TOT
,,,
Da te
each $
each $
rea r
/-/
Received by
l,later Supply
Proposed _
Year Instal I ed
PERI.4IT PROCESSING
Mi n imum
To be typed on permit
CP&I Type,
4% State surcharge
Plans check fee
$
$
$
Part. #Parcel #_t ,f't, side int
By
Gro Fire Zone Use Classification e-
To be typed on permit
Date 5-<-87)
Pnone dR 7 -?7 Al
By
For plans information cal l (area inspector)
Directions to site a ry ra
,#Plans to Da te
Requ i red
/7 Planning
/-/ Publ ic Works
! E)evation
/_ / Address
/-/ Facil i ty Permi t
/-7 Environmental Health
FOR INFORIIATI0N about progress of your application call
c74-L7L
CP&l set(s )
t{PC
-
set(s)
Hold Slipto PCC
Da te
Compl eted
Date to
rLL
permit Control Center 687_HELp rc87_4357)
Phone Zk6 *t/O 7
SI test holes
Total Va,l uati on:
Valuation
Exist'ing _
,r{
{NE COUNTY, OREGON
DEPT. OF ENVIRONMENTAL MAN, .:MENT
CclHEIECTIclN NGITICE
2{37 N, I d
CONSTRUCTION PERMITS
A INSPECTION DIV.
.{- / Z*8oJOB ADDRESS DATE
TO
NO
BLDG. PERMIT
?/z /'
,a)o-
*
Qlr
/(t/2
/(
css 73 HE-tNstPEcrtoNFlEoulFlED
Phone erE,T-Ao/ei5 FoFr aPPElovAL IN SPECTOR
LANE COUNTY, OREGON
.DEPT. OF ENVIRONMENTAL MAN,
JOB ADDRESS
:MENT
CGIFIFIECTIGIN NCITICE
CONSTRUCTION PERMITS
A INSPECTION DIV.
e*DATE
TO
NOTE
BLDG. PERMIT
I
2-#
c c
//n
55-7 3 FIE.TNSPEGTION FTEOL.IIFIEEI
r,
Phone Eif3.7-4clEl5 FoFl APPFIoVAL INSPECTOR
I
, / POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS: 2537 North 16th' Spfd, Oregoa CONSTRUCTTON pERMtT +
TRS, TL: 17-03-24.3.4 # LzL Subdivision; Delrose, 2nd add, Lat. 2 BLock 6
LC-lO60-80
This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed,
result in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/oi other remedies allowed by law.
Applicant/Address: John Haeeall, 343 W. Anchor, Eugeae, Oregon 97404
Owner/Address: Douglas Russell
Contractor/Address: Dream Bullders Congt.
Contractor's oS +* 2gLL5 Total Construction Value: $ L0r032.00
ffH:ill:: ff1"*"i,ffi::ff,'nlill*m 'torase G 380 sq ft;
Violation can
Telephone: 688-8220
Teleohone: 726-8360
Telephone: 686-1109
Water Su
PLANNING DIVISION
+ Bedrooms: X 3 + Plumbing Fixtures: 2 + Empl na
Zoning: Ast Partitioning +r na Parcel + na parcel Size: 70 x 10L.26
Minimum required structural setbacks, from: centerline of road, front: 59' ; centerline of road,
side exterior: na ; interior property lines: 5r ;rear property line: 7r Pt E
Special lnstructions: Double fee.
For information call 687-4394, Candi
WATER POLLUTION
CONTROL DIVISION
Site lnspection + na lnstallation specifications: na gal. min. septic tank capacity;na lineal feet of drainfield required; max. depth of trenches: na
Septic Tank DrainfieldSetbacks
lnteiior property lines
7e of road right-of-way
*ailding foundation
Wells, other water sources
Icr-
10'
5',
50'
-10--
10'
10'
100'
Special lnstructions: Interior remodel only. No net Lncrease ln the number of bedrooms.
have a total of three. Refund fees on certifLcate of adequancy.
No Cert. of adeq. requlred.
-€-a2-3aFor informa tion call 687-3960between 8:00 - g:00 a.m r(8rh iederhold
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification Bed rm and storage.
lnstructions: See reverse sLde of permit for required called inspectlons,
For plans information call
For inspections (see back of th
687-3767between 8:00 a.m. and 9:00
is permit) call 687-4065 between 8:00
a.ffi., Jfun Lamb
a.m. and 5:00 p.m.
Directions to Site
Date lssued:
c55-1 3
lane countyNorth 19th to Yoland, to north 16th right on 16th
05-07-80
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
6l!'
-
By: T.T. Morrls/lkY
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HOTID SI.IP
lane countY
APPLICATION #
Name
Addres s
Zi p Code
The above application is being held for the following
Division
Si gnature Date
Te1 ephone
This application will be held until If the information required
above has not been furnished by that date your app'lication will be cancelled.
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.
ENVIRONMENTAL MANAGEMENT DEPARTMENT
I25 EAST 8TH AVENUE / EUGENE, OREGON 9740I
S
form C74-139
lane countyHOtD SLEP eAPPLICATION #
LOCATION
NAME
ADDRESS
The Lane County Water Pol'lution Control Division cannot proceed with
processing your application because:
l. EI Incomp'lete application (items deficient).
l-l naaress and/or d'irect'ions to app'lication site.
f] ProRosed number of bedrooms in dwel'ling.
[-] Approvable plot plan (see attachment).
l-] Hotlfication of date test holes will be ready.
Verification of exjsting system required (memorandum
explaining this procedure attached).
Two test holes (2'X4'X5' deep) required for expansion
or repair of existing sewage disposal system in the
area of the proposed drainfields.
?
,,
4 tl Other:
DATE
OFFICE HOURS PHONE
If the necessary corrections are not made within . days, the
application will be denied.
IATER P0LLUTI0N C0NTB0L DrV]Sl0N /I25 EAST 8th AVEIIUE / PUBLIC SERVICE BUILDING
ENV IRONI4ENIAL MANAGEMENT DEPARIMENI./ EUGENE, oREGoN 97401 bu/-4uor
,}
Job Address
Township, Range, Section, Tax Lot
Subdivision Dz/ Pacr *tND Ar\i\t *tttJ
Appl ication for
Structures now on the proPertY
Proposed use of properly: / /
Te1 ephone
permit is readY notifY: R
Affidavit: l,
ease pr n
If this app lication is for an a cul tural bu lding it wi1
Lane County Code Chapter 10 (zoning) and for no other purp
owner of record;contract purchaser;
Xa,'ly authori act the owner, who is kno-wl edgeaul e
Si gnature/Add
hd
DEPARTI1ENT OF ENVIRONI4ENTAL IlANAGEMENT
PSB, I25 EAST BTH AVENUE
EUGENt, OREG()N 9740I
Ci ty
ot
dential /_/ Commercial
'I be used for purposes
ose. I have the follow
I essee
or Sntrre-
oc
/ / Industrjal /_/ Public
hereby cert'ify that this information is true and accurate
al lowed by the State Building Code and
I
I
Assi gned I'k:mbers
ing legal interest in the property
; holder of an exclusive option to purchase;
of-ThlT appt ication.
Z1
4Da te - 2q-,a
Appl icant /-/ Owner /-/ Contractor !y: /-/ mail /-/ pnoneWhen I
Owner
Con trac tor
Con tractor
If Comrnercial:
Res i denti al :
#ofs
#of
SI test holes ready
un'its
isting, BP #
l7 Proposed, SI #
Phone ?21-836a
Phone ZPI*,//O?
Valuation
's osR# 2?// 0* Plumbins bv
#of
SDS:
nffioP,Sq. Ft. or
# of Sites
Unit
CostDescri pti oJt
S'y''/c--'a Total Vaiuation: $
Plumbing fixtures at $
Sewer/water conn, at $
ebch $
each $/-/ Cash1/
ffcnecx Subtota l $
$
$
Received by
Water Supply
Proposed
Year Installed
4ii State surcharge
Plans check fee
Exi sti ng
TOT
PERMIT PROCESSING
Minimum se
To be typed on permit
Part. #Parcel #--Parcel Siz
Da te
t t, side int rea r
By
WATER POLLUTION CONTROL
Insta l Iation speci fications gal.k of drainfieldt max. d of trenches
f
be typed on t
Tel ephone
Directions to site I la
t_t syo
[4 cry,t
lZfwPc
/_/ Planning
t_t PuOlic Works
Pl ans to CP& I
l"]PC
Da te
Requ i red
Hold Slip
to PCC
Da te
Courpl eted
Date to
PCC
il^t^, Elevation
/l Address
/-/ Faci 1 i ty Permi t
// Environmental Health
FoR INF0RiI,CTI0N about progress of your appl ication ca l I Permit Control Center 687-HELP G87-4357)
ilUI
I\ra (
, of errpl Lrl/ees
-
/rart*,
Fee
Code Fee
t4t/
(/.e//*,
,f,JL
$_-- _
5=_---
.4 t\
Corments//
set(s)
--
set(s)
Permi t #
Name (please print)
Address
Applicant() 0wner()
Reason for cancelling Permit
Contractor ( )
Si gnature Date
Fees paid for waste disposal systems (si!e inspections_and/or applications to install the
sept'ib tant< and drainfield) are ordinarily nonrefundable. Some refund may be made on the
UuitAing and plumbing portions according to the amount of the permit processed.
(oFFrcE usE 0NLY)
CONST RUCTION PERMITS & INSPECTIONS
Authorization for possible refund:Building permit fee
MobiIe home fee
Plumbing permit fee
Plan check fee
State surcharge fee
TOTAL AMOUNT
Date
/o $
$
$
$
$
ol
t0
lo
lo
%
$
Si gnature
WATER POLLUTION CONTROL
Authorization for possible refund:. .". % Septic disposal system
% Site inspection fee
TOTAL AMOUNT
Date
$
$
$
Si gnature
TO: DEPARTMENT OF FINANCE
Bu'ilding permit refund $
Septic disp. syst. refund $
Site inspection refund
TOTAL TO BE REFUNDED
$
PLEASE MAKE CHECK PAYABLE TO:
24-08-24 /Acct 4696A /Prog 021
24-08-25/Acct 42] 33/Prog 0'l I
24-08-251 Acct 42134/Prog 012
Recei p r#
fr,Recei p t#
Recei pt I
Name
Address
Si gnature
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE/PUBLIC SERVICE BUILDING
I25 EAST 8TH AVENUE, EUGENE, OREGON 97401
c74-L79
."
-,ANCELLATION/REFUND
AUTHORIZATI'-
{.,1
:)
$
1rryq
Date
LE I
, CAN LA
Co
FUND AUTHORI N Permi t
Name (p
Address
Appl i ca
Reason
lease pri r)
Owner ( )
r cancelling perm'it
nt ctor (
Signature Date *5;
Fees paid for waste disposal systems (site inspections and/or applications to install theseptic tank and drainfield) are ordinari'ly nonrefundable. Some'refund may t. *uae-on if.r.building and p'lumbing port'ions according to the amount of the permit proc"essed.
(0 FFICE UST UN Y)L
CONSTRUCTION PERMITS & INSPECTIONS
Authorization for possible refund:Bu'i I d,i ng permi t fee
Nobi\tb home fee
Plumbing permit fee
Plan check fee
State surcharge fee
TOTAL AMOUNT
Date
c/
o/
$
tI
$
$
cI
$
ol
Signature
WATER POLLUTION CONTROL
a
Authori zation for possi bl e refund:cr)a/
/o
/o
Septic disposal system
Site inspection fee
'(o- -=$
$
$
Signature
TOTAL AMOUNT
Date
TO: DEPARTMENT OF FINANCE
Bu j I d'i ng permi t refund
Septic disp. syst. refund
Site jnspection refund
T>OTAL TO BT REFUNDED
24-08-24/Acct 46950/Prog 021
24-08-25/Acct 42.l 33/Prog 01 1
24-08-25 /Acct 42.l 34/ Pi'og 012
Receifi # 77ffi'
Recejpt # 77f fg
Receipt #
_4a
$
$
$
$
6y-
PLEASE MAKI C PAYABLE TO
Name
Add res s
S i gnature Da te
DEPARTMENT OF ENVIRONMENTAL MANAGIMENT
COURTHOUSE/PUBLIC SERViCE BUILDING
I25 EAST BTH AVENUT, EUGTNE, ORIGOT'{ 97401
c7 4 -L79
4
rt-
JOB ADDRESS
POST THIS PERMIT ON MA!N BUILDING AT SITE
CONSTRUCTION PERIVIIT +
Subdivision:5 TRS, TL
I
This permit Ior 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 oI Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address
Contractor's OS +
rosali" 3{3 lil trenon 974e&Telephone:
Telephone:
Telephone:
Total Construction Value
C.enstruction approved by this permit:I--
Water Supply Fr +r Bedrooms: H + Plumbing Fixtures + Employees
PLANNING DIVISION Zoning: Partitioning +r
lVlinimum required structural setbacks, from:
side exterior: ; interior property lines
Special lnstructions: ,
a Parcel # fti
centerline of road, front: 5{}
5' ;rear property line: 7r
Parcel Size
; centerline of road,
For information call 687-4394,
WATER POLLUTION
CONTROL DIVISION
Site lnspection + fls, lnstallation specif ications: ttjil
il{r lineal feet of drainfield required; max. depth of trenches: ns
Special lnstructions: fnterLr:r rmodel only.
gal. min. septic tank capacity;
llll hatt a totsl of thrra.
I UAt taCranaa
Rafund fmc oa
Setbacks- prior property lines
:'ge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
1o'
5',
50'
Drainf ield--lo-
10'
10'
1 00'
b Cct, ef *deq, requJ.rcd"
For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Construction: Group:
I nstructions:
Fire Zone: 3 Use Classification
requ{.re'9 calleil lnt,*eet{r.:rt*,
For plans information call 6S/-:i7c7 between 8:00 a.m. and 9:00 a.m., .lii-!,,i i-;r'rt
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
torager
brah 19th to lslsrd, ta srtrth 16th rfsllt oo L6t&lane ccunty
Directions to Site
Date lssued:
c55-1 3
-(T.?" Hot.rloll;lr7 6l!'
-7
DEPABTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By
S I TE INSPICTION
A,ppaovrD
Reunnx s
DrsappRovEo Dare I r.rs pE c ron
ful#D o^rr.{-/Z-9O
FOUNDAT I
Rru
RAM I NG
Rruanx s
t0N
Drsrppnoveo
TroN 7+ t(-)o ^AA*-
DrsappRoveo D Drr E
*rc
I Nspecron
I xsercron
LATH OR SHEITROCK INSPECTION
AppRovro D Drsappnove o F7
Rruanxs
Dar r I xspecron
F I NAL I NSPECT ION
Appnov ro
Rruanx s
DrsrppRoveo LUL I NspecronDare
?4
.A)14-/cERlFtcArE/%w 4,124 1., 1e
Reaov ro lssuE D Nor Reaov ro lssur D
Rrlrlnx s
/
--
h
NI
$
H
POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS: CONSTRUCTTON pERt\ItT +
TRS, TL:
This permit for the referenced property is hereby
result in revocation of this permit, citation under
Subdivision:
Setbacks alrd other conditions of approval must be strictly observed. Violation canprovisions of Lane County's lnfraction Ordinance, andlor other remedies allowed by law.
Telephone:
Telephone:
Telephone:
Applicant/Address:
Owner/Address:
Contractori Address:
contractor's os + Total construr;tion Value:
Construction approved by this permit:
!
s 1ar0t2"06
tcrrttrs dlttsf taf,gr to bcdnm .t!HU] A lSO rq f;E,&lrtura! wry @ Im$artys bffie i
Water Supply
PLANNING DIVISION Zoning:
Minimum requ ired
side exterior:
Special lnstructio
# Bedrooms:+ Plumbi F ixtu res:#
Partitioning +r Parcel + parcel Size
struc;tural setbacks, f rom: centerline of road, f ront: ; centerline of road,
; interior property lines: ;rear property line:
ns:Doblr foo.
7t x tCL26
For information call 687-4394,
WATER POLLUTION
CONTROL DIVISION
Site lnspection +. lnstallation specifications:
eld required; max. depth of trenches:
9tggLu I I rrstructions :
gal. min. septic tank capacity;
k nlt l,ocrosca ln, eh. $dor oll bldromn.Hr,tl hamG r a:tnl cf tbrrr lrthoa f,rrr on earttftclt. o! tdrgrmcT,
tu, ihrt d .a.q. arqrlsrd,Setbacks SepticTank
fiteiioi-propertylines
-T0--- 'ge of road right-of-way 10'
.itOing foundation S'
Wells, other water sources 50'
Drainf ield--10- -10'
10'
1 00'For inf ormation call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PE RM ITS/INSPECTION
DIVISION
Type of Construction:s-fl Group: Fire Zone: Use Classificatir)n:
I nstructions:gG treTutl. ddn of, ?Grd.t, for rqulrad caX"lccl tucpccrirm"
For plans information call
For inspections (see back of this permit)
between 8:00 a.m. and 9:00 a.m.
call 687-4065 between 8:00 a.m.and 5:00 p.m.
Directions to Site:
Date lssued:
c55-1 3
hne countyEerth 19th ro lolrrd, to 6rth 16th rtgst a* l6th
flS-.{}?-!O
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDiNG
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
UY:m!'
-
SLAB FLOOR
PLUMB ING GROUNO./ORK
Ap phov r o D Drsrppnove o .D Dare I Nsprcron
ReMaRx s
GAS P lP ING GROUND^/ORK
Ap pnov r o DrsAPPRovEo Dare I uspecron
Reuanx s
ROUGH PLUMBING
Appeovro mDrsappRove D D oor.-f1/fzbi
Rrul rrx s
NSPECTOR ,?A
ROIJGH GAS PIPING
Ap p;roy r D
RrMaRr s
D Drsrppnovro D DatE I Nsprcron
F I NAL PLUMB i NG
--J
APPRo /r o t7 Dr sepenove , [- --
-l
RiulR:rs 4,
o^,1_.-!frL PLlivspe croR
u-q
FINAL GAS PIPING
Appnoveo
Rgulnx s
D r srppRovro DAT E I NsPEcroR
CERTIFICATT OF OCCUPANCY
Rrlov ro lssur
Reuanx s
Nor Reaov ro lssue Dare I Hsprcron
D
n
I.-
lone county
{DATE Jo-f/
NAME:
ADDRESS:6
z?<-p* 7z qzz
PERMIT #
MAP:
is to inform you of the finar inspection that is requiredI aw.
State Buildinfinish gradin
Bui I di nn W"Plumb'ins W
:
Mechan i ca I
Please call the Lane county Building & sanitation Division (687-4065)within 10 days to arrange tor the final inspeition.
!q!.q. B0SS, Buildins OfficiatBuilding & Sanitation Division
"'nod il*-'-r4 *4r bTurz.-
8/2,, J*7
gC
ga
ode^Sectig! !05(e)-6 Finar Inspect'ion: To be made afternd the building completed and ieady io. oi.rpun.V.
State Plumbing code.lqgtion 318(h) covering and Using: No plumbing ordrainage system, building sewer, p.ivate s6we. dirposal system or partthereof shall be coveredl conceil;d or pri-into use until jt has beentested, inspected and accepted as prescribed in this code.
state Mechanical code section 305(a): when a 'installation of a mechani-cal system is complete a final inspection shall be made. Mechinical sys-tem regulated by th'is code shall not be connected to ih..n.rEv"rr.rsupply untit authorized by the Bu.itding 0iii;i;i.
Our records indicate that the followjng final inspection at the abovementioned structure needs to be made aid tn. ,i.r.ture approved for0ccupa ncy.
RE
This letter
under State
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Vc: