HomeMy WebLinkAboutPermit Building 1979-10-24uqb (see)POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS CONSTRUCTI ON PE RlVllT +
TRS. TL: Subdivision:' 11-or-24,+2, /4P
This permit for the relerenced property is hereby Setbacks and other conditions of approval must be strictly observed
result in rcvocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Violation can
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS +
Construction a by this permit
Total Construction Value:
Telephone:
Telephone:
Telephone:
+ Bedrooms:Water SuPPIY:
PLANNING DIVISION
+ Plumbin Fixtu res:+ Employees
Zoning: Partitioning + Parcel +
tVlinimum required structural setbacks, from: centerline of road, front:
Parcel Size
; centerline of road,
S0 x l"td
side exterior:
Special lnstru ctions
; interior property lines: ;rear property line:
For information call 687-4394,
WATER POLLUTION
CONTROL DIVISION
Site lnspection +*
lineal feet of drainfi
. lnstallation specifications:
eld required; max. depth of trenches
Df gal. min. septic tank capacity;
Special lnstructions Premt &ra{rrft*Ld fm dmgg &nrf"ug ffirtrEat{oilrr
Setbacks
I n t-e r i o r p rop e rty I i n es
,Edgc of road right-of-way
€uilding founchtion
Wells, other water sources
Septic Tank Drainf ield10----T0'-
10'
5',
50'
10'
10'
1 00'For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PERMITS/INSPECTION
Dlvlslohl
Type of Construction:0t Group:Fire Zone 3lnstructionsSGc rrtrxr a pLmr rs&etrillsg {sllad *,r*ep*eulmn
Use Classif ication:*ec FssS
For plans information call
For inspections (see back of
between 8:00 a.m. and 9:00 a.m.,
this permit) call 687-4065 between B:00 a.m. and 5:00 p.m.
Directions to Site
Date lssued:
c55-1 3
Yolands;
10*24-?0
Prscqd Bo I"9tS tpf,d" rtre*.sht ih6d to Isl.dnn Lcft
By:
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
lane county6l!'
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S I TE INSPECTION
Appnov r D
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FOUNDATION I NSPECTION
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FRAMING INSPECTION
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LATH OR SHEITROCK INSPECTION
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SU PPLEMENT f orm /4C74- 185r'
TRS,
Subd
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SUPI-TLMENT N0.ot
*O
APPLICATION NO.
Job Addre ss ,?
Not'ify :
/l 0wNE
/J c0NTRACT0R/Appl icant
by: /-/ natl /:/ phone
4-4
res
a rCS S
pho ne
p one
BUILDING VALUATION
( Rev'i sed ) ( Prior )
Descr j ption correc ti on
add'i ti on
Bl dq.was[e
-=,-4
Pl umb.
4% sur.
Plan R.
Mech.
0ther
,fr amt. due
refund
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TOTAL:
rA id
Appl icant' s Sj gnature
&-x Cash
Check #
Received bY
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due
By Da te
/-/ cPer
By Date
INV I RONMTNTAL MANAGEHENT DEPARTI4ENT
ArHtNlsiRAltvt Dt\/lstoN I 125 IAST 8TH AVEHUT / EUGENE, OREGOiI 97401 / (503)687-4394 0R I-B00-452-6379
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POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB AEDRESS:2755 [orth 20th Spf,d' Ore CONSTRUCTTON pERMtT # Le3U5-79
TRS, TL: U-03-24 f 4300 Subdivision: ha edd to Phfl.yss P.rk, Lot 2 Blocl 14
This permit for the referenced property is hereby .pprqv.d. Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this petmit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedie6 a owed by law.
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS +
Lawrence K. Bright, 3834 Main Spfd, ore
Lenny Martln, 2756 N. 20th Spfd
Caskade Poole, 3834 maln Spfd
2L479 Total Construction Value: I
Construction approved by this permit: pool
Water Supply na
Telephone
Telephone
Telephone
747-7245*t t t
I
747-7245
Structures notr on property! house and SDS
+t Bedrooms: na + Plumbing Fixtures: na * Empl oyees: na
PLANNING DIVISION Zoning: Agt (RA) Partitioning + na parcel +
Minimum required structural setbacks, from: centerline of road, front:
side exterior: na ; interior property lines: 5t ;rear property line:
Special lnstructions:na
rra
451
5r
For information call 687-4394,Donnalee Meigs
WATER POLLUTION
CONTROL DIVISION
Site lnspection + ns lnstallation specif ications: na
'a
lineal feet of drainfield required; max. depth of trenches: na
gal. min. septic tank capacity;
Special lnstructions: Protect dralnfleld from damage during construction.
Setbacks
fiterior property lines
lge of road right-of-way
ouilding foundation
Wells, other water sources
Septic Tank_--1o'-
10'
s',
Drainfield
-T0--
10'
10'
100'
AnY alteration ol tha
natural conditions in
lhe area aPProved lorthe drain-
field or replacement area will
50 For information call 6g7-395gbetween 8:00 - 9:00 a.m., John void this approval.Crulckshinkrrs
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Construction: na Group: M Fire Zone: 3 Use Classif ication:Res Pool
lnstructions:See notes on plans regarding calIed inspectlons.
For plans information call 687-3767 between 8:00 a.m. and 9:00 a.m., Jln Laub
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
DirectionstoSite: Proceed ton 19th spfd, straight ahead to Yolanda, left turrr on n 20th, accross froi
Date lssued: Iolanda, house is on left side of 20th Bv:Lo-zh-ts SEIXTIIB',tI?F,fJLYfSH,=,|'JI'TMANAGEMENT rss/lt<vC5$13 125 EAST 8TH AVENUE, EUGENE, OREGON 97401
Parcel Size: 80 x 156
; centerline of road,
county
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DEPARTIlENT OF ENVIRONI4ENTAL I'IANAGEMENT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
rh
Addre s s
Appl ication for
Structures now on the Property
Affidavit: I
If this appli cation is for an agr cu ra ilding it wi
Lane County Code Chapter 10 (zoning) and for no other purpose. I
.#-* :911;5:p;
L-l ittffiii$i*#f$3ili /-/ if..$-$.*',r,#l,l
hereby certify that this information is true and accurate
d for purposes allowed by the State Building Code and
have the following legal interest in the propertyr
Xi *'uuii..,l*lii /:/
I be use
phonen trac
owner of record;ontract purchaser;I essee;holder of an exclusive option to purchase;
,< ou
Si gnature/
Tel ephone
l.lhen permi is ready noti : /-/ Applica1l
Owner
Con trac tor
Contractor's 0SR#
If Commercial
Residential:
SI test holes ready
ly authori
Add res s
or the own eo f-TEls app i cati
or Date
/-/ na.Owner !x
Plumbing by
# of employees
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/_/ Ex isti ng, BP #
l/ Proposed, SI #
Phone
Va l uati on
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,sg|triit+,i.i.iUn.,. ffi*$i..t,.i{fiit,ltsg.,. .$q$$,,Fee
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Total Va,l uat'ion
.,tl;ffi t'ogi;$f $u$*g..
ii$.,f *:rl.Brifi ElIi:':,ugtl#lili:
each $-
each $
at
at
$
$
$t_/
/_/
Received by
Su btota l $
$
$
4% State surcharge
Pians check fee
Change of Occupancy
Water Supply
Proposed _
Year Instal led
Existing _
TOTAL
PERMIT PROCESSING rt. #
Minimum setbacks fron t t, side 'i nt.rea r
Conrnents
q_
To be typed on permit
cP&l lype **Grou p
To be typed on permit
By
Fire Zone Use Classification
By Da te
Ph
teZ Date to
PCC
For p'lans information ll (area i spec tor )
Di rec ions to si
Pl ans to CP&I _ set(s )
I,JPC _ set(s)
tt-al Or\/_/ sI Requ i red PCC
/_ / Pl ann ing
/-/ Public Works
, Elevation /-/ n/a
/l Address
/_/ Fac;1 i ty Permi t
/ / Environmental Health
FoR INF0RIIATI0N about progress of your application call
c74-L7l
I eted
CP
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Da te
permit control center 687_HELP (687-4357)
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RTI1INT OF ENV I RONI4Ei.]TAL I1ANAGEI'lENT
PSB, 125 EAST BTH AVENUE
EUGEl'iE, OREGON 9740I t #
Assigned Numbers
rh
Job Address
Subdivision
Appl ication for
Structures now on the property
Proposed use of property:/_/Residential /_7 Commercial
Affidavi t: I ,
ease
cu l tural bu ld ing it
otherzoning) and for no
contract purchaser;
t .J7,. Bl ock
f7Industrial //Public
hereby certify that this information is true and accurate.
b ty
If this application is for an
Lane County Code ChaPter l0 (
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;
Con trac tor
t the owne
Tel ephone
is ready notify: /7 Applican,t / 0wner
e of-This applicati
?
0r Da te
!x / mailWhen permit
Owner
Contractor's 0SR#
If Corrnercial: # of stories
Residential: # of bedrooms
SI test holes ready
Descri pti on
z1
P1 umbing by
# of employees # of units
SDS: /:/
Sq. Ft. or
# of Sites
Existing, BP #
17 Proposed, SI #
Unit
Cost
Phone
Valuation
{(L I
Fee
Fee
Code
I
$
Total Valuation: $
Plumbing fixtures at $
Sewer/water conn. at $
4% State surcharge
Plans check fee
Change of Occupancy
eac h s
/_/ Casn
/_/Check #
Recei ved
each $
Subtota l $
$
$Water Supply
Proposed _
Year lnstal I ed
Existing _
TOTAL
PERI'IIT PROCESSING
Minimum setbacks
rt. #Parcel #It, front , s ide i nt.rear
Comments
To be typed on permit
I"IATER POLLUTION CONTROL
Instal lation specifications :
By Da te
-
l. tank;f t-.of eld;depth of
To be on permi
el ephone By
Directions to site
/-/ srF0 Pl ans to
/-/ CP&l
/-l -y{t'c
/7 Planning
/_/ PuOlic i.lorks
/ / Elevation /-/ n/a
/7 Address
1-/ Faci l ity Permit
/l Environmental Health
set
SE L Requi red
te Da te
Courp'l eted
Date to
PCC
CP&I
I^JPC
p
S PCC
/of Lq-r--r
FOR INFORlliqTI0N about progress of your appl ication call Permit Control Center 687-HELP (687-4357)
Townshi p, Range, Secti on , Tax Lot
S i gn a tu relAdd res s
Contractor (ziP)
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POST THIS PERMIT ON MAIN BUILDING AT SITE
JO.9>d'R ESS:2756 Iorth 2oth Spfd, orG CONSTRUCTTON pERMtT* LC-3I95-79
TBS, TL: 1J-€i}.4{.'#4iloe 17-03-?*..1,2 n ? 4u*1u66n: 2oat sdd ro phrryas parL, Lor 2 arock 14
This F'ermit lor the relerenced property is hereby aPPlovad. setbacks and other conditions of approval must be stricdy observed. violation canresult in revocation of this permit, citation under provisions ot Lane county's lnfraction ordinance, and/oi other remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address
Contractor's OS +
Constructio n approved by this permit
)
Water Supply
Lanrence K. Brlght, 3834 Maln Spfd, Ore
Lenny l,larria, 2755 N. 20th Spfd
Caskade Poola, 3834 uatn Spfd2L479 Total Construction Value: I
Telephone
Telephone
Telephone
747-7245*).r.*
I
747-724s
Pool
Structures now oo property: house and SDS
na n Bedrooms: na + Plumbing Fixtures: na na+r Employees:
PLANNING DIVISION Zoning:Ast (RA)Partitioning * na Parcel +r na
Minimum required structural setbacks, from: centerline of road, front: h5r
side exteri Or: na ; interior property lines: 5t ;rear property line: 5r
Special lnstructions 114
Parcel Size:
; centerline of road,
80 r 156
WATER POLLUTION
CONTROL DIVISION
For information call 687-4394 , Donnalee Me
Site lnspection +r n6 lnstallation specif ications: nana lineal feet of drainfield required; max. depth of trenches: na
Septic Tank
10'
10'
5',
50'
gal. min. septic tank capacity;
Special lnstructiorrs: protect drainfleld frou damage during conatruction.
''l ter
Jge
Setbacks
ror
of
property lines
road right-of-way
Drainf ield--T0--
10'
10'
100'
Any alterat'on ol lha
natural conditions in
the area agproved lorlhe dr:;n-
field or repla€ment area willBuilding foundation
Wells, other water sources For information call 6g7-395g between 8:00 - g:00 a.m void this acoroval.John Cruickehirnhrre
CONSTRUCTION
PE RMITS/INSPECTION
DIVISION
Type of Const
lnstructions:
ruction: na Group: lt Fire Zone: 3See ootes on plane regardiug called lnapectloos.Use Classification Res Pool
For plans information ca U 687-3767 between 8:00 a.m. and g:00 a.m., Jtrn Lanb
For inspections (see back of this permit) call 687-4065 between B:00 a.m. and 5:00 p.m.
Directions to Site
Date lssued:
: Proceed toa 19th cpfd, etralght ahead to Yolauda, left turn on n 20th, accroes frod
Yolanda, bouse la on left elde of 20th Bv.Lo-24-7s 33'..ffiil17F,fJil$H,?SJttMANAGEME*
-' Jssllky
l'E F qT NTH AVFNIItr FIIGFNF TTPFGON O74O1
c(E- I ?
COLInrty
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lane countyHOtI} SLIP
APPLICATION #
Name
Address
p
The Lane County Water Pollution Control Division cannot proceed
with processing your application because:
l. Incomplete appf ication ('items deficient).
Address and/or directions to application site.
Proposed Number of bedrooms in dwel'ling.
Approvable plot plan (see attachment).
Notification of date test holes will be ready.
Verificat'ion of existing system required (memorandum
explaining this procedure attached).
Two test holes (2'X4'X5'deep) requ'ired for expansion
or repair of existing sewage disposal systenr in the
area of the proposed drainfields.
0the r :
2
3
4
{
M74 - 181
WATER POLLUTION CONTROL DIVISION / ENVIRONI,4ENTAL I4ANAGEMENT DEPARTMENT125 EAST 8th AVENUE / PUBLIC SERVTCE BUTLDING 7 '
iuerr,rE,-OnEeOn-g7aor"'' 6Bi-406r
lane county
HOE,D SE,TP
APPLICATION #
LOCATION
NAME
ADDRESS
The Lane County Water Pollution Control Division cannot proceed with
processing your appl ication because:
l.Incomplete application (items deficient).
l_l naOress and/or directions to application site.
E-l Proposed number of bedrooms in dwelling.
f]ARprovable plot plan (see attachment):
f--] Nottfication 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.
Other:
2
3
4
S IGNATURE DATE
OFFICE HOURS PHONE
if the necessary corrections are not made w'ithin days, the
application will be denied.
l.lATER P0LLUTi0N C0NTB0L DIVTSToN /.I25
EAST 8th AVENUE I PUBLIC SERVICE BUILDING
ENVIRONMENTAL MANAGEMENT DEP/ EUGENE, oREGoN 97401 6Bir[M,
ZiP UUUt
+!t?- o 3 - zl 4s&Job Locatloa (Add
Pennlt # 3l9S-19 For
fr l crt lan Permlt /l For
Permit For
Subdivision N
Lot 2 Block I 4
14NRKET
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LENGTH OF L'NES ARE:
lot
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SUPPLEMENT NO.
rorm /fC74-185
or7TRS,
Subd
TL a3-e
Job Address
Noti fy:
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APPLICATION NO.7g
/6-4t_
t_t C0NTRACTOR/Appl i cant
by: /-/ nail /j/phone
DslqipU_q!
BUILDING VALUATION(Revised) (Prior)
re p one
p onerCS S
,t correction
addi ti on
Bl dq.
Waste o---O
Pl umb.
4%'sur.
Plan R.
Mech.
0ther
,4 amt. due
refund
---a---*415 t
,x
Rece
/-/ l'i.PC
Cash
Check #
ived by
TOTAL: 4{9 paid
Appl icant's Sig nature
due
a-
t
By te
/ / cP&r
B Date
ENViRONMENTAL MANAGEMENT DEPARTMENT
ADMII,IISTRATIVE DIVISION / 125 EAST 8TH AVENUE / EUGENE, OREGON 9740I / (503)687-4394 OR 'I-800-452-5379
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Job Location (mile post
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!NSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION
When signed by the County Sanitarian, this certificate is evidence as per ORS 454.665 of sat-
isfactory completion of a subsurface sewage disposal system at the above location.
Return this form to: Permit Processing Section, Department of Environmental Management,
Public Service Building, 125 East 8th Avenue, Eugene 974O1 c55-1 1
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Subdivision tot 2 Block _tLYICINITY MAP
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INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION
When signed by the County Sanitarian, this certificate is evidence as per ORS 454.665 of sat-
isfactory completion of a subsurface sewage disposal system at the above location.
Return this form to: Permit Processing Section, Department of Environmental [Vlanagement,
Public Service Building, 125 East 8th Avenue, Eugene 91401
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SUP LEMENT NO.
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Forn !1C74-LB5
Job Address
Noti fy:
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address
7- 7 COrurnnCT0R/Appt i cant phone
addressby: /-/ mail fl phone phone
/-/ ant. due/ / refund
. BUILDING VALUATION(Revised) --'['p.iorl
correction
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ived by
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By Date
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Date
ADMINISTRATIVEDIVISION /, ENVIRONMENTAL MANAGEIT4ENT DEPARTMEI,I}125 EAST BTH AVENUE u - ruCerur','-ijnr[6i,r^iil'bT' z (s03)687-4394 0R I _BO0_4 s2_637s
Descri ption