HomeMy WebLinkAboutPermit Building 1980-05-16Ita ,g
Job Address
Appl ication for
Structures now on the property
N
DEPARTMENT OF ENVlRONMENTAL I'IANAGEMENT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
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7
Date
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_, hereby certify that this information is true and accurate
rty:
rchase;
p1 i c,ati o
Affidavi t: I
If this ap
trfi,T'.tffi*i,ffiEfiifl.l_plication is for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter l0 (zoning) and for no other purpose. I have the following 1ega1 interest in the prope
owner of record tract purchaser;I essee;holder of an exclusive o ption to pu--X--du ly authori ort , who is lnowTEZg'eabl e S
S i gna ture/Addres s
When permit ready notify
Ourner
N tca /_l Wner /]/ Contractor [r
(zip)
lfl nail /-/ phoneq
pn*o 7/7- 73 9Z
rr
Te1 ephone 0r
Con Phone
Contractor's OSR#Plumbing by
DO NOT WRITE BELOI,I THIS LINE n
If Commerciai
Residential:
: .'#:!:!:E'l!::.,.*@,llt:6$l:
, ' , ':: ::::::::::::::::::.::::::::::::::::::::::::::::!:::::;:::l::I
--
i#iiiirffi:::::biliffi :i
# of employees .#:.r6#.iuti+t
:$s.S,1;:i 47 Existins, BP
{
SI test holes ready l/ Proposed, SI #
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r+ii.,..if+.iit:ti*.i ffi*#i
#ijit,f:::..$iiffisii: ift$Ui Fee
-L
Tota'l Valuation: $$
at $
at, $
each
each
rea r
$
$
4% State surcharge
Plans check fee
Change of 0ccupancy
Parcel #
Subtota l
TOTAL
Pa lZe
$
Recei ved
Water Supply
Proposed _
Year Instal led
Existing
$
$
$
t
PERMIT PROCESSING
Minimum setbacks
Part. #t r Sl ,#.
Comments
To be typed on permit
CP&I Type
To be,typed on permit
By
Grou p Fire Zone Use Classification
Da te
By Da te
Phone
/_/ srF]
,-,,K-8146
For plans informati (a i nspec
Di recti ons sl
Pl ans to CP& I
UPC
set(s)
set( s )
te
Requ ired
! Planning
/-/ Publ ic l,Jorks -/
ll Elevatio " /!"6
/_ / Address
/-/ Facil i ty Permi t
/_/ tnvtronmental Heal th
FoR INFoRMATI0N about progress of your application call
c74-L7L
Hold Slip
to PCC Comp 1
4E'
eted'6
Date to
PCC
Permit Control Center 687-HELP $87-4357)
Va'luati on
\_/lane countY
HOLID SLIP 6l!r-'-APPLICATION #
N ame
Address
7 p
The above appf ication is being he1 for the following reasons:
Division
S'ignature Date
Te1 ephone
This application will be held until If the jnformation 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 p'lace as of the date of cancellation.
ENVIRONMENT,AL MANAGEM ENT DEPARTMENT
125 EAST 8TH AVENUE / EUGENE, OBEGON 97401form C74-139
/*'
wrt*, '., DEPARTI,IENT OF ENV I RONI4ENTAL I1ANAGEI'1ENT
r, ; PSB, 125 EAST BTH AVENUE '-,/'\-,' EUGENE, oREGON 97401 Appl ication #
Job Address -r/ I .7 Assigne'd. NumbersCi ty
Township, Range, Section, Tax Lot t1 t14 7+ +/* /qGO
Subdivision
Appl ication
S tructures
Lot I Bl ock I
for
t,now on the property
Te1 ephone or
When permi t s ready notify:I icant /_/ Owner /l Contractor !y:
Owner z1
Date ,..
[/ nail /_7 phone
Phone
Phone
Contractor's 0SR#Plumbing by
If Commercial: # of stories
Residential: ; of bedrooms
SI test holes ready
Fee
# of emp'loyees
Sq. Ft. or
# of Sites
units
Existing, BP #
/_/ Proposed, SI #
Unit
Cost
#of
SDS:
Descrjption Valuation Fee
$
Total Valuation:
Plumbing fixtures at
Sewer/water conn, at
4% State surcharge
Plans check fee
Change of Occupancy
$$
/;7 Cash
/i/ cnec* #
$
$
Subtotal
TOTAL
each
each
$
$
Rece i ved
Water Supply
Proposed _
Year Instal led
Exi sting _
b
$
$
$
$
PERMIT PROCESSING
Minimum setbacks:
Comments
To be typed on permit
Part. #Parcel #--Pa rc el Size
"irt rea r*.**
Da te
ft. of drainfield; max. depth of trenc-hes
t , sl
WATER POLLUTION CONTROL
Instal lation speci f ications gal. tank;
To be typed on permit
Da teTe'l e
Di recti ons si
.'t
/ / s1F0
r-t cttt
/ t vtPc
Pl ans to
/7 P]anning
/_/ Pullic l.Jorks
! Etevation Qf ilta
/l Address
/-/ Faci 1 i ty Permi t
// Environmental HeaIth
CP&I
l^JPC
set(s)
set(s)
te
Requ i red
Hold Slip
to PCC Compl eted
Date to
PCC
FOR INF0RI.IATI0N about progress of your appiication call Permit Control Center 687-HELP G87-4357)
ln
Proposed use of property: /-/ Residenlial l7 Commercial
Affi davi t: I ,
ea se
If this appl ication is for an tural ding i
o ther
t will be used for purposes allowed by
li
the State Bui lding Code and
nterest in the property:purpose.I have the fo1 Iowing Iega
la Industrial /-/ Public
hereby certify that this information is true and accurate.
holder of an exc l us i ve opti on to purchase;Lane County Code ChaPter
owner of record;----I.-du1y authori zed
t0 (zon i ng ) and for no
lessee;
knowledgeable o
contract purchaser;
to act for the gqner, who is f this appl ication.
S i gn a tu relAdd res s
Contractor (zip)
Code
'ft (
h
Y
By,
By
a7TRS, TL
PI
Subdivis
Lot
Job Location (Add
Pernit il For
Permit /lIanPermit
For
O.z
ExtSr,
llous c
Permlt
PermLt
Permit
/o'
For
For For
)
Block
3.d'
TtN K\
0O
J,
c74- 150
Vlclnlty Map N
,
cnR PoRT I
V
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POST THIS PERMIT ON MAIN BUILDING AT SITE 4zI
J'i] NDDRESS:
TRS, TL:
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS +
CONSTRUCTION PE RIVI lT +r
Subdivision:
This permit for the referenced property is hereby , , Setbacks and other conditions oI approval must be strictly observed. Violation can
result in revocation of this permit, citalion under provisions of Lane County's lnlraction Ordinance. and/or other remedies ailowed by law.
pfdr'Orcgon 97 Telephone:
Telephone:
Telephone:
7-73t$?.
Total Construction Value:
Construction approved by this permit:
t
)
Water Srppty, ..,,-
\}rnf I
3En tyi
* Employees:BI
PLANNING DIVISION
"t-' ,. ,; ..| ...'l"Zoning: Partitioning +t Parcel +r
lVlinimum required structural setbacks, from: centerline of road, front:
side exterior: ; interior property lines: , ;rear property line:
Special lnstructions: .
For information call 687-4394,
Parcel Size
; centerline of road,
WATER POLLUTION
CONTROL DIVISION
Site lnspection +* lnstallation specif ications:
lineal feet of drainfield required; max. depth of trenches
gal. min. septic tank capacity;
Special lnstructions lr rave oI
Setbacks
nterior P roperty lines
ge of road right-of-way
Bu'ilding foundation
Wells, other water sources
10'
10'
5',
50'
Drainf ield--lo-
10'
10'
1 00'For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Construction
lnstructions
Fire Zone:Use Classification
e revere* rl'de
Group:r
For plans information call between B:00 a.m. and 9:00 a.m.,
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m
Directions to Site
Date lssued:
c55-1 3
yden Brldge, Left at Y,Schoo1 m srasr of 23 aCId Ik hne county
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
{n 11By:
+ Bedrooms: + Plumbing Fixtures:
Septic Tank
SITE INSPICTION
APpRov E o
Rrurnxs
DrsappRoveo D ,o',rfu--8o tNseecroa -1Q1QJ -___e
frrt<
TOUNDATION INSPECTION
AppRoveo D DTsAPPRovE o f-7 Darr I ruspecron
Rr ulnr s /"<
FR,qM i NG I NSPECT I
Appnov e o
Rr uanx s
Drsrppnoveo D ,*, d?-?-d I NS Pr croR
LATH OR SHEETROCK INSPECTION
AppRovro D DrsappRovr o F7 DrrE_I rs pe cton
Re xanx s
r I I.IAL I NSPECT ION
Ap pRov e o
Rruanxs
D t slppnoveo -p-21/I xsprcroRDarE
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
Rruanx s
D Nor Re aov ro lssue D Dore_lrseecron-
d
Job Location (AddresS)- &i-7TRS, TL
Permit l1
Permit ll
For Permlt
Pernlt il
Permlt tt-
For
Plclt [3 Ian For For
Permit /l For For
Subdivision
Lot Block
II
t,i
i
I
z
ExtSr,
ffous a
d2<)\)
61q PoRY
Ttx 7<
3A a
(_-./o'
;
P 30'
c74- 150
Viclnlty Map $r
),
v
POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS: 2787 North 23rd.' Spfd, OregoTr CONSTRUCTTON pERMtT + Lc-1185-Bo
TRS, TL:Lt-03-24.4.L ll 1900 Subdivision. filgrove' L'ot 1, Block 1
This permit for 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 provisions o, Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address: Dan Long, 549 North 9th, Spfd, Oregon 97477
Owner/Address: James Callahan
Contractor/Address: I
Contractor's OS + I Total Construction Value:$1791.00
Telephone: 746-4L94
Teleohone: 7 47-7342
Telephone: I
Construction approved by this rmit Carport over exlstlng concrete slab G 375 sq ft;
Structures noril on proPerty: single fanily dwelling.
Water Supply:
PLANNING DIVISION Zoning Agt
+r Bedrooms: na +* Plumbi Fixtures: na n Employees: na
Partitioning +r na Parcel # na Parcel Size: 118 x LO?8
uctural setbacks, from: centerline of road, front: 50r ; centerline of road,
interior property lines6t* ;rear property line: 5f
zt Front setback Ls 50r from 23, side is 50r Hayden Bridge Rd east and interLor
Minimum required str
side exterior: 50tlt ;
Special lnstructions:
is 6r PIIE.
For information call 687-4394, Candl
WATER POLLUTION
CONTROL DIVISION
Site lnspection + na lnstallation specif ications: na gal. min. septic tank capacity;
na lineal feet of drainfield required; max. depth of trenchest na
Special lnstructions: Do not drive or park over dralnflel-d.
Septic Tank
10'
10'
5',
50'
Setbacks--grior property lines
* -{e of road right-of-way
Building foundation
Wells, other water sources
Drainfield
-T0--
10'
10'
1 00'For information call na between 8:00 - 9:00 a.m., Corllss Kosty
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Construction: 5-N Group: M-l Fire Zone: 3 Use Classification:
lnstructions: See reverse slde of permit for required cal1ed inspectlons.
Carport
3767
For plans information call 687-EI between 8:00 a.m. and 9:00 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: Hayden BrLdge, left at Yolanda School on corner of 23 and Hayden BrLdge Rd. '
By: Ilans O. Ettlln/lkyDate lssued: 05-19-80 DE'ARTMENT oF ENVTR.NMENTAL MANAGEMENTcss13 ?ir'ffSr"r9rttl'ty-ttf 3,HIl.".l3HLt3Sor*,
6l!'
-,
citv A
hne county
L
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1
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5--
5
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I
20 --
LANE COUNTY DEFT ENV I'IGT RECEIPT * ttBs8o DATE O5O?80
APPLICANT LONG, DAN ADDR ?7A7 N. 23RD, SPRINGFIELD, OR
TL+ I?03244{OI9OO SUBDIV FILGROVE LT}T I FLK I
NEI'I BLDG TYPE ACC U.SE R NO BDRHS OO NO UNITS OOt NO STORIE.S NO BLDGS OOI
CODE APPL NO ACTION DESCRIFTION SQ FT UNIT C$.ST VALUATION FEE DA) -BF CARP0RT 3?5 4.?5 t78t
BP
EP
trP
BF
BPBF LC t{8580 NEWR {781 t8.00 5
FL NO. FIXTURES: NO. CONNECTORS: 5.00 EACH '=},IECH }.IECHANICAL FEE
SUR STATE SURCHARGE AiC O.??
PCK F'LAN CHECK FEE sOU 9. OO O
o
o
0
;?o
I
SI FI} CF I
TAKEN BY CH
ELEV ADDR FP
CCI},IF,LETED BY
ENVH
I.OTAL FEEX*
:
6
I
'-I
60
el :Itd:
62
=
o,
64
tlFC PLAN ?7,7? fif
I
6
5
4
3