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Home My WebLink AboutPermit Building 1984-08-16(olo fllpct*- ?t, FOR OPFICE USE ONLY6h\' __ - L Coun Authoriz ron for,AppIJ.ca Permit # Two Copies of Plans Three Copies of Plot Plans Mech,/Ptumbing CheckL ist, .1 Legal fnterest DocunenrJ*--- Plan Check Info Sheet f IIAVE CAREFULLI Exlr{INED THE COI'IPLETED APPLICATION FOR PERMIT, and do hereby certify that all infomation hereon is true and correct, and thai I nn\/e c 1e f oLlowing leqi1l- i-nterest in the propert, ,$6n.t of record; ! contract purchaser; ! authorized agent with evidence of authority attached .' ,:::rr,rer certify that ary and all work perfomed/shalfbe done in accordance with the ordinances of Lane Cowty and the Laws of the State .)f orcaor:prrrtai.ling to the wor^ described herein, and that No OccUPANcY wilL be made of any structure wi.thout the pemission of the Buitding Division. f fu.- :!w:;siir i,/r l**'u 23 .d4 o S.'BD J.TIOII t BLOCKLOTlPAP.CEL Z PROPOSED USE OF PROPERTY I ndus tr ia1 PubIic Ef*"" Commerci-a1 i dentia I VALUE TELEPHONE Proposed Existing c,l ther ,j.)rtify that registrition uith the Builder's Board is in full and effect as lequired rs no-iC he:eon, md that only subcontractors who with ORS 70I CHECI( D NAME 701.055, that j.f exempt the basis for exempLrJr, 1 be used on thj.s Droject. I HAVE READ &nD I i LL3INfI-q/zoNrr.rc Uinimum Setbacks: :zaa€Partition * -c", rid.- STGNATURE Parcel # interior Parcel Size -1]I,J IHIS SLCTION CAREFULLY. YOUR A ORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS:lr3 cL ,O*rr*r"r-rfe4-?4 '1 ;.l.rr,ooopr.,ArN 6, fron ii_ r.ineal Feet of Drainfield *<-e.{ rear Date: Date: Floodplain Fee subsurface Fees Builoing Eee -L)c" Da rn f iood hazard "...r Xro [_lv"", SEI: ATTACHED SHEET X,nn . Ar:!N, .i ;rst-al.'l.ation Sp:.cif icai:ions: s. r. ll B. P. #Installation Record Issued? fl v.= ! *" Maxj.mum Depth of Trenches 7-6 ;,4 Tank i 4 i i I { COIITIENTS:_ N Use a coliIlEI',t'ts i,.)TAL VALUATION $CONSTRUCTION AUTHORIZED BY THIS PERMIT Fixed Unit Fee/ PERMIT APPROVED BY BUILDING OFF Ft $ $ ) ) a $ $ r3 A,**pW Plans Check Fee state Surcharge DEQ Surcharge TOTAL FEE c< IGNEE (per ORS 456 DATF LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANASEMENT DIVIS]ON, 687.4061, 125 EAST 8TH AVENUE, EUGENE, OREGO|.J 97401 SEE REVERSE T.'OR INSPECTION INFORMATION ,-)a b-l c tt*-zs I ,1 YZZ-73% l j \ -- Se-L I -1 LO\<)\t-)(Pctc- ?t, 6D - L Count Authoriz 10n fon FOR OFFICE USE ONLY Applica Permit S Two Copies of plans Three Copies of plot plans t"1ech,/PIunbing Checklis t Legal fnterest Document,, Ief"" Check Info Sheet I IIAVE CAREFULLI EXAr'ttNED TltE CO1PLETED APPLICATION fOR PERMIT, and do hereby certify that at1 infomation hereon is true and correct, .nd that I have cre following 1e9al- interest in the "::?:fi:lktr of record; fJcontract purchaser;!authorizea agent vith evj.dence of authori ty attached' i:Jt-.)er certify that rny ad all work done in accordance with the Ordinances of lane Couty and the Inss of the State of Oregonfartaj.ring to the worh described helein, dd that NO OCCUpANCY uill !re nade of &y structure without the pemission of the Bui ldj.ng Division. t fur-ther .:ertify that registration witi the Builder,s Board is in fulL and effect as required 701.O55, that if exenpt the basis for exenpriis nai:eC he:eon, ed that only subcontractols vho ance with ORS 7Ol 1 be used on this project. I HAVE READ ANDCHEC} D NAT.{E --;---* i i:t d1l ll I I 1 iAL ,T.HIS SE,CTION CAREFULLY. YoUR A I ple,xnrnc,zzoNrNG ' :E-"5-E Minimum setbacks: cL, fro,.t ,On*rrrr"r-S.A (4- IZATION HAS BEEN BASED ON THE FOLLO!'ING CONDITIONS: Partition t+ -- Parcel * - parcel Size b3 I 1s -L>'f r. Corfi r interior_rear : :l i I ! .1 ! LOODPF i fica coli\ENTs I.t : In f]ood hazard area? B. P- l*---;"2" Lineal Feet - ?ank of Drainfield X*nYes, sEE ATTACHED 'HEE?. y"# 7j rnstarration Recold rssued? fl v.= fl w" uaximrm Depth of Trenches Date : Use l,ate: f,unn',,o"o*' ,r'J..\stal.lation s. r. ll c;Ls onsti NAP a CO}t.lENTS: I 'TAI, V}T,UAIION $ Des CONSTRUC:-^\ AUTHORIZ:D 3Y THIS PERMI:. Fixed Fee/ Floodplain FeeUnitSubsurface Eees Brrilding Eee F+$ s ( s $ s $ Aq*@ P1 ans Check Fee state surcharge DEQ Surcharge TOTAL FEE ss PERMIT APPROVED BY BUILDING OFF (per DATE LANE COUNTY DEPARTMENT OF PUBLTC WOHKS [-AND MANA3EMENT DtVtSlON, 6874061, ,! c 14_25 , 125 EASTSTH AVENUE, EUGENE, OREGOI.I97401 SEE REVERSE FOR INSPECTION INFORMATION l-r',i::Sii:p / f RAi.SE as OF .4?</5,\'1S rf applicaL,Ie)IOli LC?/PniicEL BLOCK PP.OPOSED USE OF PROPERTY EtReside-ntiar l-l commercial f ndus tria 1 VALUE TELEPHO}iE Proposed Ex j-sting ( Se,L PubLic lt 'C--J LO\C)\U\fctc- ?t, 1 L Count Authorlz ron fort FOR OFFTCE USE ONLY Applicatio Permit f Two Copies of plans Three Copies of plot plans Mech/Plunbing Checklist Legal Interest Document. PIan Check Info Sheet I ttAVE CAREFULLT EXAMINED THE CO.TPLETED APPLICATION FOR PERMIT, and do here by certify that all infomation hereon is true and correct , and that Inlve t'1e folliling legal. interest in the agent wi.th evidence of authority attached' f::rl-::er certify rhat any ild all vork Couty and the Laws of the State of OregonIErtaj..ring to the wort{ descrj,bed herein, ild that NO OCCIJPANCY will tc made of any structure without the pemission of the Building Division. f fur-ther ,:ertify that registr.tion uith the Builderrs Boa rd is in fuII and effect as required 7Ol-.055, that if exempt the basis for exenpti or,is nofeC he;:sgp, and that only aubcontractors Ioyees uho with ORS 70I b€ used on this project. I IiAVE FEAD A1'IDCHECT D ,::::*lmfr of record; Icontract purchaser; Iauthorizeddone in accordance with the Ordineces of Lane ) i,ttt'tll 7 r, I i :AD THIS SECTION CAREFULLY. YOUR ZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS: Parcel * - Parcel Siz€ rear Da Yes, SEll ATTACHED SHEET-te: I Plar'*WrtlC/ZONING : :ffiE Partition * -Mini&un Setbacks: "",f ron i:cL, =id.-interior .b3 {q Installation Record Issued? [ V." f] H" Maximun Depth of Trenches 6 ,o*rr*r",-S.a (.4- B. P. * Lineal Feet of Drainfield CO}I\IENTS: c\4 P E NAT -E Use Date: Date: a CO}lJ1ENTS: r rTAI. VALUATT^N $^CNSTRUCTION AUTHORTZ:N BY THIS PIViIT Desc r+Pixed Unit Fee/ 7j Ploodplain Pee Subsurface Fees Brrrlding Eee6,/{4ewe P1 ans Check Pee State Surcharge DEQ Surcharge TOTAL FEE ) s c s s s s SS PERI.{IT BY BUILDING r OltS 4 DATT: LANE COUNW DEPARTMENT OF PUBL]C WORKS LAND MANA3EMENT DIVISION, 687.4061, I25 EAST 8TH AVENUE, EUGENE, OREGOI{ 97401 SEE REVERSE FOR INSPECTION INFORMATTON .a4 IAJ,: LOT/sl T oa 1S!LO'l/PA':,.CEL B:.OCK PROPOSED USE O' PROPERTY fifReside-ntiat n lndustrial [-l commerciat n puuric TELEPHONE Proposed Existing c ttr-25 ( -I*)C irJI FLOODPI,AIN:In fLood hazard area? I : Tank (o\c>\t \Pct<- 7 t, FOR OPFTCE USEm\'.-7 Count Authoriz ion fon ONLY Applicatio Permit # Two Copies of plans Three Copies of plot plans Mech/Plumbing Checklisr Legal fnterest Document-, Plan Check Info Sheet I IiAVE CAREFULLT EXN4INED THE CCttpLE?ED APPLICA?ION rOR pERlrIT, and do he reby certify that arr infomation hereon is true and correct, and that rnave cre follwing legat- interest in the propertr,ff*r.t work pe r f ome d/s tra-:.-I-Ue of record; !contract purchaser;!authorized agent with evi.dence of authority at.tached"- f::rt:)er celtify that.ny ad all done in accordance with the Ordinances of lane Couty and the Laws of the State of Oregoni.,ring to the eork described herein. and that NO OCCUPANCY will.be made of ay structure uithout the pemissi on of the BuiLding Division. f fur-t].er .:,?rtify thaL regislration with the Build€r,s Board is in futl and effect as required l;lt::se-rF / a?23 .4 I\.l I$T/PA!..CEL BI.OCK PROPOSED USE OF PROPERTY fiReside-ntia1 n commercial n rndustrial [--l p,,ur:-. VALUE WATER TELEPHONE Proposed Exi s ting is no!:.eC he;:eon. ed thrt. only subcontractors cHECl. D s uho uith ORS 701 IZATION HAS BEEN BASED ON THE TOLLOWING CONDI?IONS I 701,O55, that if exempt the basis for exeepcj.or,b€ used on this project- I HAVE READ AND NAI'IE -:L-'.sEj.-: I EAD tHIS SECTION CAREFULLY, YOUR L PLANNIN 'ZONING:..-ffi-= Mininr:m Setbacks:c", f.on.a CO}!!ENTS: c7.$ Partition fl cL, "id. Parcel Size rear Installation Record Issued? Maximum Depth of Trenches Date: Use b3Parcel * interior 6 Da l_l vu", sElr ATTAcHED sHEET B.P.# f3r' [] vu" flu" LineaL Feet of Drainfield Crle<fr,_t CO}I]IENTS: {..)TAL VALU.1-TON $ccil^-PucTla:: i'rhqoRrzEL ':-- THIS :;:lMIi Da'ue: Floodplain Fee S Subsurface Fees S Brrilding Eee S Pr ans Check Fee $ State Surcharge $ DEQ Surcharge $ TOTAL FEE $S Des Ft Fixed Fee/Unit Cost7 3/.L PERHIT APPROVED BY OFF (per LANE COUNTY DEPARTMENT OF PUBL]C WORKS LAND MANASEMENT DIVISION, 687.4061 125 EAST 8TH AVENUE, EUGENE, OREGOI{97401 SEE REVERSE FOR INSPECTION INFOR},IATION DATE t,: ( L c ttr-zs tr I - ', n