HomeMy WebLinkAboutPermit Building 1980-10-3 (2)
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POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT # lC 2537-90
JOB ADDRESS: 135 Deadmond Ferry Rd., Eugene, Oregon 97401
TRS, Tl: 17-03-15~ 4102
SUBDIVISION: N/A
CONSTRUCTION A'PROVED BY THIS PERMIT: Bedroom addition with bath--
360 sq. ft. Certificate of Adequacy. Valuation: $13,716.
CONDITIONS OF APPROVAL: Okay to add addition - location of Septic tank
make location of lines improbabl, in area of proposed addition. No
evidence of malfunctioning of present system. Owner should file for a
repair permit if problems arise.
14inimum structural setbacks: from center line of road, front, 60 feet;
side interior property lines, 15 feet; rear property line, 20 feet.
PERMITTEE: Marvin Brown
OATE ISSUED: October 3, 1980
BY: Hans Ettlin/Colleee Allison/Carol Dyal
DIRECTIONS TO SITE: North end of Game Fram Rd. to Deadmond Ferry Rd.
in Gateway area.
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Subdivision
Lot
Plan
Job Locat ion
Permit 1/
Permit II
Permi t II
Block
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Vicinity Map
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OEPARTliENT OF EI;ViROW1EiITAL I\ANAGEI'IEi~.
PSB, 125 EAST 8TH AVENUE
EUGEIIE, OREGON 97401
Job Address
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D-v, ',I V1' City
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Lot
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Assigned Numbers
Township, Range, Section, Tax lot
Subdivision
Application for A~,..,...,,,,,\ 1f;?p--.nr",^,.J i:;>Ll-M+
Structures now ~n the pr~pe-;:ty I ':'I-;' ~ -;;-- - j < t;,,[)
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Proposed use of property: I~I Residential I / Commercial
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Affidavit: I, l-l,lA.O'i1tJ KDllrt:=" kQr,,,,^}
. (please print) ,
If this application ;s for an agricultural building it will be used for purposes allowed by the State Building Code and
lane County Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
. 'WIt!! owner of record; contract purchaser; lesseej holder of an exclusive option to purchase~
,. duly authorized to act for the_owner, who is knowledgeable of this application.
Signature/Address~~~/~~A;JF ~nJ.1/F1..7
Telephone- 7/.'7' ,{!{.,.::-::. or //.' 7 .If:- =:-:::0 Date ClJ..L, Yo
When pennit is ready notify: /};'Applicant /~(Owner /~/ Contractor
Owner VJ1.1..f:>'~! l I 12 ~':.."'\' ,^ J (zio) ChLJJl I
Contractor (ZiD)
Block
CI Industrial
CI Publ ic
I hereby certify that this information is true and accurate.
(ZiD), l-/":.L/,r., I
Phone 74 7, I ?,..,2..
Phone
Contractor's OSR#
Plumbing by
DO NOT WRITE BELOW THIS LINE
If Corrrnercial: # of stories ~ # of employees \ _ # of units
Residential: # of bedrooms -1f) .!.'A/dcP~~ tfj;;.c. SOS: IS;; Existing, BP # !..JO'f<o~
,-, T
SI test holes ready LI Proposed, SI #
Fee
Code
Description
Sq. Ft. or
# of Sites
Unit
Cost
Valuation
Fee
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Total Valuation: $
Plumbing fixtures at $
$
$
$
$
$
$
each $
each $
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CI Cash
CI Check #
Rece i ved bv
Water SUPPly' WII
Proposed " -
Year Installed
Sewer/water conn. at
4% State surcharge
Y\I ~r i ) i ~ ' tctQ ^-- Plans check fee
'-E ' t' -/" change.of_Occupancy
X1S lng ..2L.-
',10 _
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$
$
$ ,
']?\C\&.a~ $):[,'--
TOTAL) \'~ l
c7 '7/..4-
: rear 1)/-,/
Parcel Size
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Subtota 1
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PERMIT PROCESSING
Minimum setbacks:
zone#/-/'
t. fro-;'(-,\l Cnl
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Part. #
Parcel #
It, side
into
Corrunents
To be typed on permi t
8y n ('ovrif
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Date 0)/0) /5-',',
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WATER POLLUTION CONTROL
Installation specifications: ~~ gal. tank; ft. of.dra~nfield; max. depth of.trenChes:
. To be typed on permit 0. 1(', t. a..4..l /!... &J....,:..~ <..Af'-' - 1oc..a.1<-6'--
n.Q o:.."-r'L ~0G ~ Q.cc~ ~. ~ ~ ,';'" CL'-O..U- ~ -'lil..n{10o,U
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, · Telephone ~?1--:2fl6ic By ('lxtllS<>-' Date q-2...q--Si'O
... ~Directions to S1 te !), Jr ,1,
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C/WPC
/~/ Planning
/::/ Publ ic Works
() Elevation a~
CI Address
() Facility Permit
/~/ Environmental Health
,
Plans to: CP&I set(s)
WPC ===== set(s)
Date
Required
Hold Sl ip
to PCC
Date
Completed
Date to
PCC
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INSPECTION RECORD
Approved Disapproved
Date
Inspector
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1. Site Inspection
2. Foundation Inspection
3. Framing Inspection
4. Lath or Sheetrock Inspection
5. Final Inspection
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6. Slab Floor, Plumbing Groundwork S~.,) :J-,f I
7. Gas Piping Groundwork
8. Rough Plumbing ~ ",- 9::-/ tf>-J>t
9. Rough Gas Piping
10, Final Plumbing L ~- 7-g2, --Pu~
11. Final Gas Piping
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Remarks:
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12. Certificate of ,Occupancy:
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