HomeMy WebLinkAboutPermit Plumbing 1979-06-20,. POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDBESS: 81ol Tlru.to! CONSTBUCTION PERMIT # 1o-l,.2g7-79
TRS, TL: 17-02 36 I 205 Subdivision: 16
This permit for the referenced property is hereby rppmvrd. Setbacks and other conditions of approval must b€ strictly observed. Violation can
resuli in revocation of this permit, citation undei provisions oi Gne County's lnfraction Ordinance, and/or other remedies allowed by law.
Telephone:
Telephone:
Telephone:
Construction approved by this permit: SFD: Matn @ 3944 eq ft3 2nd @ 1892 sq ft; garage G 925 sq ft; and Lnstall SDS
stnrcturea now on ProPerty: none
+ Bedrooms:
Applicant/Address: Lsnce M{LlerOwner/Address: Dlverslfled Propertles, Inco r)ntractor/Address: same aa owner
uontractor's OS + 885 Total Construction Value: $1801094.00
747-886L
747-886L
I
Water Su wel-1 + Plumbing Fixtures +Em ees
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
I
Zoning: GR-10 Partitioning + na Parcel +
lVlinimum required structural setbacks, from: centerline of road, front:
side exterior: na ; interior property lines: 15r;rear property line:
Special lnstructions: na
For information call 687-4394,
Site lnspection + 79-247 lnstallation specif ications: 1500
350 lineal feet of drainfield required; max' depth of trenchesi 24tt
20r
Parcel Size:
ne pf
gal. min tank capacity;
20
Special lnstructions: Install an equal distributlon system in the approved area
described on SI-79-247. Keep dralnfleld on high ground, out of swale.
Keep well 100i away fro'n dralnfleld areao Resenre a replacement area for dralnflelSetbacks
lnGiior property lines
)ge of road right-of-way
Building foundation
10'
10'100' For information call
Septic Tank
-T0'--10'
5',
50'
Drainfield--16',-
Wel other water sources between 8:00 - 9:00 a.m.,
Fire Zone: 3 Use Classification: SFD/cARAGEType of Construction: 5-N GrouP: R-3
lnstructions; See reverse for inepectlons"
For p lans information call 687-3767 between 8:00 a.m. and 9:00 a.m.,
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
JLB
5:00
tamb
p.m.For inspecti ons (see back of this rmit)call 687-4065 between 8:00 a.m. and
Go east on Thurston Road, approxo t nl1e past Thurston E1€m. School on right side of road
acrosa fron 8056 Thuraton road Bv
06-20-79 DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
lane county
Directions to Site
Date lssued:
c55-1 3
Roger L. McGuckLalLY 6l!r---
hne cor-rrty
COMPLETE THIS SECTION. iNCOI,IPLETE FO
INFORMATtrL^.] SHEET d._r ffi
RMS WILL BE REJECTED! li;;
I
PROPERTY OI,{IIER
MAILING ADDRESS MA ILI NG ADDRESS
CITY . ^ STATE ZIP CODI STATt:IIP CODEC ITY
BUSINESS TELEPHONE #HOI,IE TELEPHOT'IE #
2 PROPERTY ADDRESS
( IF DIFFERENT FRO
3 rvtAp & PAFIcEL NTJlvlBEFI (from tax maps in Departrnent of Assessmerrt and 'Taxatio
or frcm tax statement)UIRED INFORMATION)
RP ZON I NG
TTINSHTF MME SEeilON TAX LOT(S) 0R PTRC.EI-T i,rl'ii I':G
m[mETtr FriiEE sEer-ToN ffi ZON I NG
TOTAL CONTIGUOUS PROPERTY IN SAI,IE OWNERSHIP:
4 SUBDIVISI0N ( if appl icable)
5 REQUEST (state exactly what you plan to do)
BJ
rL2 3 ACRTS
LOT BLOCK
ZONE /LAND USE:
nnTr.ut'tlL.
** FOR !I4II !!! oi'tlY **
TII4E IN:.- OUI:
NUI,IBER
DATI
-
I l,>tr, f o+A Alrt- l-trnrrtr
L
r n rrrr ifllildfrFMrf,r-t.
I lI l/ I (. , ,)t\j
nn nrrnl co, /tni.7
-gffi HOEE_TTIEFFONtrT__
\
6 DIRFCT1ONS TO SITE:
*tI,,Lre-
6l,ot
Job Address
Appl ication for I
Structures now on the Property
If this app
t.s.itSH*S.!,!.fl iE+n*ililication is for an agricultural building i
Lane County Code Chapter l0 (zoning) and for no other
of record;contract purchaser;
DEPAR" IT OF ENVIRONHENTAL I,IANAGEMENT
*JB, I25 EAST 8TH AVENUE
EUGENE, OREGON 9740I
iisilffii.Gup:-ru,,r)*
t
/-r s,,ffi Ht,1! ;xji /-7 t*#ffi$..$,fi$,,lriit r-rii*il$ilr.fffi
, hereby certify that this information is true and accurate
t will be used for purposes allowed by the State Building Code and
' purpose. I have the following legal interest in the property:'lessee; holder of an exclusive option to purchase;
lnowTElgeable of-TnII appl icat ion.
& PhoneAppl i cant
owner--Fnuiy au thor i
S i gna tu relAddres s
act
Tel
z1
or Da te
tJhen permit is ready notifY
Owner
Con tractor
Contractor's OSR#
If Conrnercial
Residential:
SI test holes
/_/ Wner 17 Contractor ry-mai l
z1
Ox z1 Phone
Plumbing by
# of employees
7/ Existing
/d/Proposed
:j r::::...
,,h,fQ,:.\(
:ffiiiifit'iiiu.: ,':tffit
',#:1$fii::Silrtg$:. ,'$0*t,,
6
/_t
Received by
Water Supply b}..r*
Va l uati on
t
Tota'l Valuati on : $,JA,
-.ct-
at
at
$
$
eac h
each
$
$
Su btota'l
TOTAL
$
4% State surcharge
Pians check fee
Change of 0ccupancy
$
$
Exi\q\*t *;Z $Proposed _
Year Insta'l led $
PERMIT PROCESSING
Minimum setbacks
Parcel #
t,front , side int rea r
Comments
To be typed on permit
CP&I Type
To be typed on permit
Group
By Da te
By Date
PhoneFor plans information call (area inspector)
-; Directions to si te
Pl ans to : CP& I
I,IPC
Da te
ul
Date to
PCC#
/7 Planning
FoR INF0RI'IATI0N about progress of your application call
c74-t7l
Hold Slipto PCC
Da f.-e
llompl eted
/_/ euOlic Works
/-/ Elc;*nl-ion
t6oo""r,5//8.n/a
/-/)aci I i ty Permi t
/rt*iron*ental Health
Permit control center 687-HELP (687-4357)
c-r/
Fee
set(s)
set(s)
f,fr^w DEpA' ,ENT 0F ENV I RONI4Ei.tTAL tu\NAGEiIENT
..--,PSB, I25 EAST BTH AVENUE
TUGEIiE, OREGON 9740I Appl ication #
Assigned NumbersJob Address
Township, Range, Section,
Subdivision
Structures now on the property
Proposed use of property: // Residential ! Commercial
Affidavit: I,
p1 ease ri nt
/_7 Industrial /_/ Public
hereby certify that this information is true and accurate
t vrill be used for purposes allowed by the State Bui'lding Code and
purpose. I have the fol.lowing 1ega1 interest in the property:
l essee; hol der of an excl us i ve opti on to purchase;
knowledgeable of this application.
(zip)
City
Tax Lot
Lot 81 ock
--Appl ication fo.
If this appl ication is for an agricultural building i
Lane County Code Chapter l0 (zoning) and for no other
owner of record; contract purchaser;---du1y authori zed to -dct-Tor the owner, who i s
Si gnature/Address
Owner
Telephone _ or
When permit is ready notify: /-7 Applicant /-/ Owner /-/ Contractor !y: /-/ nail l7 phone
Da te
z1 Phone
PhoneContractor (ziP)
Contractor's OSR# Plumbing bY
DO NOT WRITE BE LOW THIS LINE
If Commercial: # of stories
Residential: # of bedrooms
SI test holes ready
# of employees ---- # of units
SDS: / / Existing, BP #
/_/ Proposed, Si #
Fee
Code Descri pti on
Sq. Ft. or
# of Sitg:Valuation
$
$
$
$
Total Val uati on :
P1 umbing fixtures at
Sewer/water conn. at
each $---
each $__
$
$
$
/-l Cash
/_/ Check #
Received by
$
Water Supply
4ii State surcharge
Plans check fee
Change of 0ccupancy
Su btotal
TOTAL
$
$
$
$Proposed
--Year Instal I ed
Existing _
PERMIT PROCESSING Zone
Minimum setbacks
Part. #Parcel #Parcel Si ze
t , front t, side ; int rea r
Comments
To be typed on permit
By _,.Da te
I^IATER POLLUTION CONTROL
Instal I ation speci fications 6t t. tank; 3SOJ*,To be typed on rmi t
Te1 ephone By
Directions to site
. of drainfielci; max deplh of trenches
Da te
_ Dr.-" to: cP&l// srF] nr-t
1-/ CP&I
/-/ lyiPc
// Planning
/-/ Publjc !^lorks
//Eievation //n/a-/_ / Address
l-l Facilit1'Permit
/ / Enu i ronmen ta I Hea I th
set(s)
set(s)
Da te
Requ i red
Hcld Slip
to P0C
D.l te
Cotrp leted
Da t,e to
PCC
FOR INF0Ri!ATI0N about progress of your appiication call Permit Control Cente" 687-HELP G87-4357)
Unit
Cost Fee
)
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EP LC l?,?779 NEtdR
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47.SUR
pcK
NCI. C0Nl{E[T{1f{$: 3
},ISCHANIfAL FTE
STATS SUEf,HAfTSE,
PLAH CHSCK F'HE
SDSI
t t10094
4 ^ O0 EAfit'l *
50x
ENVH
TOTAL FEgfiT
40s.30
96.SS
to.oo
20.58
!$?. xl5
33.0S
SIFO CFI tdFC PLAN
1 Bl ?.31t ct(
1
SLEV ADDR
COHPLE'TED 8Y
FP
LANE COUNTY DEPT TNV T{GT RECEIPT * t f?,,t,??
AppLrsANT DIVHftSTTTED pnor'gnrrms DATfl 0$08ll9 TAXLoT t ?S336S$$S?05
SUS$IVISION LOT ELK
Nfll,, FLp6 TyFE sru usE R N0 FDRU$ o? No UNITs oOt Ho srCIRrEs ltlo BLllGs oOt
CODE APFL NO ACTICIN NESSRIPTICIN $& FT I"J}IIT STIST VfrLUA ICIN FEg SAYS
BP sF DI{AIN 3944 32.IS I 3?{ 94
sF ?ND LSVEL {s?2 ?4'SO 4540S
BF GAHAGE 9?5 S'I$ ?4??
BF
BF
\
laneccunty
APPLICATION #
Name
Address
Z'ip Co de
The above application js being held by the Permit Processing Section for the following
reasons:
Div ion:
Si gnat Date
HOLT' SLIP
-/9
Division:
Si gnature I
?
I f the 'i n formati on
Th'is aPP lication wi ll be held until te yo ur app lCa tion will be cance lled.
requ'ired above has not been furn'ishe r!at
Fees Pai d for waste disPosa 1 systems
el d) are
(s'ite i nsP e cti ons and/or aPP I i cati ons to i ns tal 1
the sePt'ic ta nk and drainfi n on re fun dab le. Some refund m a.y be made on the
bu"il di ng and p1 umbi ng Port'ion of You r apPl i cati on if cancellation 'is necessarY.
sts over wh'ich Yo u have
In the even
o control we
t a Planning or
will hold the Pe
some other lon
rm'it unti I
gt-term
he pro
p
,b
roblem ex'i
lem 'is res o1v ed and we rece i ve word
n suance or proce is u can.ellation'
iom you as t
Date
f
C7 t+'L39
o whether to Proce ed with P ermit is
PERMIT PROCESSING SECTION 687-4394
J
dqo
CANCE \TION/REFUND AUTHORIZATION Permit #
Name (please print)
Address
Applicant() 0wner()
Reason for cancelling permit
Contractor ( )
Si gnature Date
Fees paid for waste disposal systems (site inspections and/or applications to install the
septit 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.
( 0FFrcE usE oNLY)
CONS TRUCTION PERMITS & INSPECTIONS
Authorization for possible refund:Building permit fee
Mobile home fee
Plumbing permit fee
Plan check fee
State surcharge fee
TOTAL AMOUNT
o/$
$
$
ol
a/
la
lo
ol
lo
$
$
$4
Si gnature Date
hJATER POLLUTION CONTROL
Authorization for possible refund:Sept'ic di sposal sYstem
Site inspection fee
TOTAL AMOUNT
Date
ol
lo
lo
$
$
$
S'ignature
TO DEPARTMENT OF FINANCE
Bu'i1d'ing permit refund $
State surcharge refund $-
Septic disp. sY st. refund $
S'ite 'inspecti on refund
TOTAL TO BE REFUNDED
$
$
PLEASE MAKE CHECK PAYABLE TO:
Name
24-08-24/Acct 46960/Prog 021
24-08-24/Acct 46960/Prog 02.|
24-08-25/Acct 42133/Prog 0ll
24-08-25/Acct 42134/Prog 012
Receipt #
Receipt #
Recei pt #
Receipt #
Date
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE/PUBLIC SERVICE BUILDING
I 25 EAST 8TH AVENUE, EUGENE, OREGON 9740I
c7 4-l-79
TRS, TI'Job Locatlon (Addr aec\
Subdivision
Lot
r)
) EAar
Block
For
For
For
THURSTON ROAD
Pernlt /l For
Permlt lf For
Permit /l For
6,cA\teue$D
>1
+
eflral$b
NE.lJ.
Pernlt ,iPlcrt Plan Permlt il
Permi tll
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c74-150
Viclnlty Map N
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