HomeMy WebLinkAboutPermit Building 1979-4-2
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POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT #
l5l9-78/Supplement 59
JOB ADDRESS: 450 Game Farm Road, fJ 2 Eugene, Oregon
TRS, TL: 17-03-22-1-3 fJ 2500
Subdivision: na
approved.
This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed, Violation can
result in reyocation of this permit, citation under provisions of Lane County's Infraction Ordinance, andlor other remedies allowed by law,
Applicantl Address:
Owner/Address:
Contractorl Address:
Contractor's OS #
Stphen E. Rice, P.O. Box 35, Alvadore,
Immanuesl Babtist Church 450 Game Farm
same as applicant
I. Total Construction Value:
Oregon 97409****
Road, fJ 2 Eugene, Oregon
Telephone:
Telephone:
Telephone:
689-1218
1
1
Construction approved by this permit:
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Water Supply:
na
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
1
Additional fee's required for plan checking.
Structures now on property: church.
# Bedrooms:
# Plumbing Fixtures:
'la--
# Employees:
D'"
""
Zoning: na Partitioning # na Parcel #
Minimum required structural setbacks, from: centerline of road, front:
side exterior: na ; interior property lines: na ;rear property line:
Special I nstructions: none
na
na
na
Parcel Size:
; centerline of road,
na
For information call 687-4394, Carol
gal. min, septic tank capacity;
Site Inspection # na I nstallation specifications:
na lineal feet of drainfield required; max. depth of trenches:
Special Instructions: none
Setbacks Septic Tank
ferior property lines 10'
ge of road right-of-way 10'
uilding foundation 5'
Wells, other water sources 50'
CONSTRUCTION
PE RM ITSIINSPECTION
DIVISION
Directions to Site:
Date Issued:
04-02-79
C55-13
na
na
Drainfield
10'
10'
10'
100'
na
between 8:00 - 9:00 a,m., 'W
For information call
Type of Construction: V-I Hr. Group: AZ.l
Instructions: Supplement to revise floor from
Drawer fJ 8.
Fire Zone: 3
slab on grade
Use Classification:
to post and beam.
Church
For plans information call 687-3767 between 8:00 a.m, and 9:00 a,m" Jim Lamb
For inspections (see back of this permit) call 687-4065 between 8:00 a,m, and 5:00 p.m,
none
DEPARTMENT OF ENYIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERYICE BUILDING
125 EAST 8TH AYENUE, EUGENE, OREGON 974n1
By:
bne county
_A--
Dave White/ly
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SUPPLEMENT NO, 1)(10 a ~j 81 BUILDING PERMIT' 510 -7~
':J f\ L _ _ rl
OWNER. ~nn I a. 'l'\ L u.L I /\ClOt...L ~,,;. t VVLUllCJ;,- 7'2 to - 78 ,~
'--' '. address phone
CONTRACTOR. <jtrll-f V\ f(:Cf't. (b1\~. PO.I:;::Ox.35,r1h{(jti('.JTt:'J~81-IZI'6.
. address phone
(;11,1\1 L 3CJ.JH,)\.; l?cJ, ~Ll St-t\..O...
)
PROPERTY ADDRESS -4&::)0
,/
(Building Valuation)
ReYised( X
["']~dd it ion
[]correction
) Prior (
./
[~]amt, due
[]refund
e/!r\lt1l tIC \\GW
I. .I Ct.\-. ," I '.iJ' IL, .
'. fL.? 1
I
-'
,..., r 1
Bldg,
Waste
Plumb, /
Plan R. "'l().~Co It
H' (1 (1 l ~lr do ~%sur. \V
. ,'Js . TOTAL P)().~(..., amt,paid..f-r amt. due ......11 .x(,
./ Signature of Appl icant -r.-::h7E.;ttJ....... ~ 'i:d.-"J
. _ v,'- , .
Fee Receiyed By {\(Il()l _ Date 3-2Z.n[]cash
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
<=;'('" '\1..,
Date 3-22-70
~lt:heck ..:It
C74-119
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. DEPARHiENT OF ENVIRONI~EIITAL I1ANAGEMENT eD%L0
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 9740l ~8
Job Address 450 6AM-'C.-- ~AI2.M. IZo <t 2 rCI~w Y..Ll.k.r "-'~,
"""'...., ' . .......,.. w",.,.,. ~'.v.->: ,.",.,,,,,,wv.,..wm~' >>~"..-.,
'Ir'"""'f'1""~""dS'''1!I,'''!t'''k't' 17 03 ZZ I 3 ~'" 00 '
i~llli.lfl,gl!Tilh"~,,:g!'~n;R,; - - .. :.;;> :ijjjjl1W-==
Application for
Structures now on the property
Igr~ij}.itdj~!i1!~!mial~~lt\iYJl CI l!tli}J#ll\I!f~ij LI i~.1IkJ!U
Affidavit: I, 5--j-#.P(,~Rft'$~~:~ t?
If this application is for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
, owner of record; contract purchaser; lessee; holder of an exclusive option to purchase;
~ duly authorized to act for the owner, who is knowledgeable of this application.
Signature/Address ':::>T toll e- ~ I..) ~ P.O , -0':> Q.tV/! OiC..
Telephone '1-1~1CZ{ 7; -7'81 - Date
ready notify: I~I Applicant 1- I~I mail
f8t!'tililwIliimJi~l\1,
~.
, hereby certify
A.A flIDBlft.'.W
.;-"" ~~".w'w""'~
that this information
is true and accurate.
When permit is
Owner
Contrac or --- -
Contractorts OSR# t...J..
I-I phone 4
Pho"",;c .., dio - --/'1, ,
Phone
Plumbing by
~,A.
DO NOT WRITE BELOW THIS LINE
# of employees ~ f~t~;ttt~n,jjM.
i$~'j2 0 Existing, BP #
I~I Proposed, 51 #
....,,,,H'w" " i,IIZl.',i!
il~~~~~llllj ii$~
~:s~~:::::~~1j,Jt1l~1l~~1rl
51 test holes ready
IaI~::~
c6llii
'08'scHpttonJ
Valuation
Fee
TOTAL
$
$
$
$
each $
each $
$ ,
$
$50,'1>(",
$
$ ~.u:'
o i~l\flill
M1m\~cki'*~ 12-
_ "'-"'~"'M"~"~"'''''''-----1......--
Received by ~
Total Valuation: $
Elllm'llli:~ :
Subtotal
Existing
4% State surcharge
Plans check fee
Change of Occupancy
Water Supply
Proposed
Year Installed
PERMIT PROCESSING
Zone
ll, front
Pa rt. #
Parcel #
Parcel Size
; into rear
Minimum setbacks:
ll, side
~
Conments AlP ~ . e?'*
To be typed on permit
l '5 Ic:I -'7 1)
(;ny (lfl1~ ~~lm~ (:t::~um.
By ( Date 3-ZZ-=!9
Fire Zone 3 Use Classification c.H1}&>r.~
CP&I Type~GroupA2,1
To be typed on permit
'S"Wf 1=:1A~ m REVI-::.E" ~. ~f1 '6tAP, 0/.,] Gtf2AN<i. T'O R:l$\"~
'P~'II>e,
Date ;:(Z3'179
Phone 37&7
For plans information call (area inspector)
.J
By 'DtiJ
LA~
Directions to site
CI SIFO Plans to: CP&I set(s) Date Hold Slip Date Da te to
'~CP&I WPC set(s) Required to PCC Completed PCC
'3/;) OJ
L 7 WPC
0 Planning
0 Pub'ic Works
C/ Elevation 0 n/a
CI Address
1:1 Facil ity Permit
0 Environmental Health
J(o
FOR INFOR~~TION about Permit Control Center 687-HELP (687-4357)
C74-171