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Home My WebLink AboutPermit Building 1980-10-3 (3) ,\(1,( I' \\ 1\\ L Y " '.~ .. . . l:l,:~'f 7.~L ;1i..,~'jY :l.: ;:,it' ~;!..:!L)I.;0 l'.:r SXT~ l;~ .:(~T.:~CT!'r: :'>.:;':IT " LC .;~j.~'I-;."\ J->.:~ . '~'j :::::.:;:..:: 1.--:;' I)~~~t(;--:r..t< ~'lI [:1':'. i)\"::-'O'1 : 7!.~'1 i"err.\, ~, , .~!. , 'L:S, TL: --T/-' ':- j ~'J :;.j:2 ::i~...:r/L;I:;H: 'Ii '1J'> C~I.j~T.:~L.T!L<: .'\WT\ ','/1 ,: "Y T'~I:~ :\~.~. .IT: ~~cir;J0r1 ii:_I~:itiui1 ~.:it:; l;~t~i-- f~~} ~;'. -Ft. C~rti:~ic.-;.r;,~ ~}~- t,f..C,:I;,J~./. t'Qlu~tiJll: ;.;1- ,7V:. l.~'L.;rrI(.),';~ ,'if-' /~.,:: ::~t~,:-\L: '.-t:.~-: luc.n;.il~;; ;Jf li:1~~) 'j;:: ":'~l" 1"' "'~' :1rt,ll"'l'~lnf' - 1('\1~"'!""'" f'l~ ("':,"''''i.-' {"r!r \,..-." ,.~. '..' ...,.. I.. ""ll 'h.~.~.\J'; t') ..:.J'_; v'" ...'"to, r'(;:.iJ.; ";f i: Jr';' of I-:.r:l: U.s2~; ~t:!c1t:!::~~. ~r ~T ~~r..~~ It ~~J~;tLn. '\. .Tl"'~r lj';;);;~" fi1;: '-:,"1;" L ~ViCl::'~C",2 :-,f ;"~.11i:~:lctia~li;:" l"L;'i~'rl' :,{.:ri ,;.:_: if irij: It;'';:~ Jri:;~ . . i.ll; 1 t s':';r ..il.lJr:J SLt,l.. ~f.:ks: ~;i..'\: i;--~L~2r'itJl' i~ro;"':!.I"';,'11ir;r::}, fru' C:..:i'c:~r li~!f' \}'\"':' rJ.l[:, fr'cl't, (-, f.Y~:~ 1~, f~:.'t~ !';:Jr !_:l'J);'~~rt~J lint.:;) f-~'" f!~ -'t:o. ~, ' 1 .... '.-. - ;';':....L 1 iLL: ,i'r'JL ;X~::.; :"~''.":': r:~:-:'L,tl: lJct,~,~r 3:. 1~-".~' "Y: ~':'i:S L.t:~'litr/r>)11ei;t! iJlls ,::/~_:~r\,l 'IW~'j f'.. ,;I.~~:::l!::::S T~! SIT!":: "l' '#, I ~ .i\.'l"~;! ;~r:-:J ~d. ::~J~~' jlld ""I" \',i.1. "'("> ',J ~-:':;r("/ :'(". L '::.u 'J,I ,.....,... ,'f_,,',. TRS, TT Plot PYan Subdivision Lot Block ,OU"-'S.., p- I ( <.A-"'01~" -- 03 ;b::-TI""; -' ,,,,- JA:x, "-aT -- 0Lf 102-- 7j/aJ~~~~ Job Location Permit II Permit n Permit II 1\ I 1</, f)/p/-y;r{~C.FC" /.~.? --T,~ " I " ;,3s- ':."74-'~7~p:J-'-'~ __ _ _'__'h_ .-t"' ',\ -. .:i: "" \\~ '" ~' .' " .:.. f_.'....... .,('>. n~ ',,' '" ~. ~:,.... -:t:> 'G:'. ":"'- '.";:' -,;, )- " ~', " Vicinity Map ,:74-150 \ " N (-<- (Address) ~ ~ For For For r::::EAr;.t 1;(;'-.:0 F{ (2-D, Permit II Permit II Permit ,II '7-,(~ c, t_- "-'€: ! For For For -1 , "'I7//F' c.,! r:....IJ . /35 7'v-::"A/')'h 'A.'r, =-/ ,=/1 L-'~ ----'-'-r--'------..--- /.::c;::CL~/;~'C....I/~_~_:.=;..~-_,.~_~ ,_.__.__. __._______._.________ . .- '--.' k''''1/p8CW .to4--rE):;L O/S71;>Jc.r, C1'1S:77/J.G~e 6'b:wccA,. .-.rC>c>/?7 LN J} fJ Ad , -.J-J i _, +-- -::?-4'/: -~--i 1 _ -', ' , \ : ~.~.. :i,P,+~ l \ , \ \ \ \ \ \ , \ r-"-\.-r~ ',.-'10., ..; I 'Jl- '\' i 3~ ' r-- -r-'-'.-' -7----- '--I' I ' -r ' I ' , ' , , ' I . ) I I I ('I "- I I ',. ; J ~ \1' ~~! (I , , C\\''!'\ i \! i i I J t i I I ! ; J I " I I'" ! -i1 ! '\/W )1"" ,'" I : ~I , ....zo ->.. Ij ~ ,.\ .,1' ~ . 1 r' \~: ~ ') \'; -\ . '/ s:;.-:J/" -;:> :' ._._------~.~ - ~.,~,jl,il,S,~,ll,d,,;~,j,",1e,L,s~~,;~iilt~~~~.TIr: ~.o~/J ,I",("),,!.P,j~I FlJbt:::JVE: 'S~illi.'l!:i:; ^~illnl ".', ' "ll,',',t,',Q,',',c,','.,t,." L\L:.A}~A" !lilt!, Appl ication for ,Arr\fT1IiN f.Ri=r'/:)t'7)fYlJ I<:tnf+ Structures now on the property HO(~ ~ ' -< I-W'JD ijj'7"'"sl!lllius1iA\fV ;'~'ei\';;'il !vi il!l!Ifj}jmtJinl I n (Cliiiilijii8liY' .AmI!!L~~_"".wll:tllR"._"',,' .q' ", . _ =,~__,L_i Affidavit: I.}vIA12v I IV ~ llq;;- .iRDIIVI\J .l!J!l~sj'kPnl!1:t, . If this application is 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: ~. .owner of record; contract purchaser; lessee; holder of an exclusive option to purchase; duly auth?~ act for tIle-Jwner, Whan' knowledgeab~f this ap~lication. Signatute/Address //(aJ?p,-z-,/ ~t&L-- 'd71//1/ (ZiD\Q740j . " Tele hon'e74'7,I,4 7_ or7U7.N,~2 Date q.4,K"tJ When permit is ready notify: Appl icant )8[ Owner II Contractor Owner ) - - Contractor Contractor's OSR# ~E . q-~ - OEPARTl'iENT OF ENVIRONI1ENTAL t1ANAGEMENTe PSB, 125 EAST BTH AVENUE EUGENE, OREGON 97401 /~ o tJ.!il!\\itff!111t o l'ffilIilltwl 1 hereby certify that this information is true and accurate. (ZiD) 1740/ (ZiD) Phone Phonc747, /052- Plumbing by = DO NOT WRITE BELOW THIS LINE ;':)::r;-_:.,::::_:,::u::::-':::::::;:'-;,;,::::' -':-' ':':7'.wT'~~~'y,~~"v7: ~:s~:::~:;~1:rtl~~~3!ttf~ /./~~~7..24 ~'ii~~~i;:Xisting, BP # 1JA Pororri. SI test holes ready C/ Proposed. SI # I Descrlotiriril !1!'~)'lll, 111 Valuation 1~iil COIle 1:>ai 11. r1rlYY\ flir11, ( DV f'XQ 1::k. ~~ - ( ) ,?trr\ rp ll..)$ :jlS!kL - - '- $"53) ~ ,~ Total Valuation: $ iellllltil1l''FIJifuiiisl at $ 1.?l~I,~Bl~~I!1 at $ Subtotal g I~ilrl Received by 4% State surcharge ~::~:s:~PP1Y ~ IJY\~~ ~ ~ ~~:::ec:;c~':::"""J Year Installed Fee $ $ $ $ $ each $ each $ $ $ ~,1)~:fI~ PERMIT PROCESSING Minimum setbacks: zon.///{; / 1\., fro0l , v-:(') into Parcel Size . t'f ~ 1:>/ ; rear '_ _ I Date 01&18 :5PL7 /~.(?, v yLl / . ('t", LJ~'_ By ,?(/V V Pa rt. # ; 1., side Parcel # Corrments To be typed on permit _ J CP&I Type ')jV To be typed on permit By (t (l ffl)j' > E.~5 Group Fire Zone - Use Classification For plans information call (area inspector) ~irections to site -A.}OILTl-i El-J/') nF I i\GA-T.=IAIA,,! Aol=A Plans to: CP&I set(s) WPC == set(s) Date Phone .f:.4.mE:.....PAQ,tM R..n, '"to r>=;o,Q.I\\O/UO Date Required Hold Slip to PCC Oyo Idyr.1 ifwpc CI Planning ~I Public Works f:1 Elevation Date Comp 1 e ted /Y;;;: C/ Address ~/ Facil ity Permit I~I Environmental Health C74-171 _ I r I CJ) / '0'/ r~ I / r::~bl( DC) Da te to PCC \ '" " . . INSPECTION RECORD Approved Disapproved Date Inspector r- 0 ~ ~. n Site Inspection <:-2-2---?/ ". 1. --l ~ ' - rl!..J 0 C~ 5-2'2-..f I :z 2. Foundation Inspection 3, Framing Inspection cD f:-- ?~//'-81 "JurE \ ^- tj'-1-5-g/ if 4. Lath or Sheetrock Inspection /pIL ~ ..- "-5. Final Inspection ~ fp - q-~" .,~ 6. Slab Floor, Plumbing Groundwork 7. Gas Piping Groundwork 8. Rough Plumbing - - .- 9. Rough Gas Piping 10. Final Plumbing 11. Final Gas Piping Remarks: C /" /1-' , 1- It.~ g/ 1/ d ~~ /.,..fl.Ar~--<, -./CJb , IT 7- 2/-=-3/ ..,I]--<<1<f-.P.& r -: Ok, _ 67 /-~.-:..- / I.'~ ~~ "0 ITI ;0 3: - --l "" 12, Certificate of Occupancy: _ ready to issue; _ not ready; date; inspector.