HomeMy WebLinkAboutPermit Building 1980-4-3
JOB' ADDRESS: 575 Game Farm Road, Eugene, Oregon
POST THIS PERMIT ON MAIN BUILDING AT SITE
Subdivision:
CONSTRUCTION PERMIT #
LC-76l-80
TRS, TL:
17-03-22 (J 1200
na
This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of Lane County's I nfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address: Frederick H. Belz, same as above
Owner/Address: same
Contractor/ Address:/
Contractor's OS # / Total Construction Value: /
Construction approved by this permit:
~. ~
~ater Supply:
Telephone: 726-6630**
Telephone: same
Telephone: /
Repair existing septic system.
Structures now on property: house, barn and garage.
PLANNING DIVISION
well. existing
# Bedrooms: 3
# Plumbing Fixtures:
na
# Employees: na
WATER POLLUTION
CONTROL DIVISION
Setbacks
Interior property lines
Ae of road right-of-way
""'Iding foundation
Wells, other water sources
CONSTRUCTION
PE RMITS/I NSPECTION
DIVISION
Directions to Site:
Site Inspection # 32-70 Installation specifications: 1000
375 lineal feet of drainfield required; max. depth of trenches: 24 inches
Special Instructions: Properly abandon old tank by filling it in. Lines installed 10'
from property line, 8' from building foundation and 8' between center of lines.
Maintain 50' setback between drainlines and well. Install as much drainline as car
fit in on south side of house. Possible layout of system is attached. Install as
much drainline as can be fit maintaining setbacks (375 lineal ft of drainline is
recoDDDended.)
For information call 687-3956 between 8:00 - 9:00 a.m.,
Zoning: Agt Partitioning # M-1-75 Parcel #
Minimum required structural setbacks, from: centerline of road, front:
side exterior: na ; interior property lines: na ;rear property line:
Special Instructions: Partition approved.
For information call 687-4394,
Carol
1 Parcel Size: 2
na; centerline of road,
na
acres
Septic Tank
10---
10'
5'
50'
Drainfield
10'
10'
10'
100'
Anyal::-
nature'
thaareaapprO'.' ~
field or reDlac~.
void thls aPpro,_;
gal. min. septic tank capacity;
Colleen Allison
naUse Classification:
na
Type of Construction: na
Instructions: none
Group:
na
Fire Zone:
For plans information call na between 8:00 a.m. and 9:00 a.m., na
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE. EUGENE, OREGON 97401
By:
Date Issued:
04-03-80
Hayden Bridge to Game Farm Rd., north to property tank on south side of residence.
Colleen Allison/lky
/'
bne county
.
C55-13
I
..
.
5.
6
.
.
.
..!.
.
i.
10
-.
.
11
..!!.
.
16
-.
~I
~.
.
, ,
.
"
-.
.
2!.
2!..
.
IS
-. l.ANE COUNTY DEPT ENV MGT RECEIPT j~ 761130
-i~ , API"LICANT BELZ, FI~EDFI~ICI< ADDF, ~>7~5 GAMEFARM ROAD,
o "TL. 1703220001200 SUBDIV
1!.. NF.:v) BLDG TYPE USE R NO BDRMS 0:5
CODE APPL NO ACTION DESCRIPTION
" BP
-. BP
36 BP
BP
~. BP
Bf"
IM1T <n2880
EUGENE, OREGON
LOT E'L1<'
NO UNITS 001 NO STORIES NO BLDGS 001 .
SQ FT UNIT COST VALUATION FEE DAYS
.
.
.
..
-. PI..
" MECH
~. SUR
PCI<
SJlS
..
.
..
NO. nXTURES:
NO. CONNECTORS:
MECHANICAL. FEE
ST A TE SUf~CHARGE
fO'L.AN CHECI< FEE
~'>. 00 EACH ....
r.~
.
4%
0%
L.C 76180 SDSR
~,5 . 00
.
o
(.)
.~
o
o
.:
E..
SIFO CPI
11 TAI<EN BY RL.H
-.
WPC
Pl.I~N
El.EV ADDI~ FP
COMPl.ETED flY
ENVH
TOTAl... FEElH-
-
,
2~>. 00 CI< .
.~
.
12 . ii
". ;
10 ~
, ~
'. "
c -l;
o
.
6 .
,.~
.
. 0
3 ~
.
"
.l!..
"
-.
..
..!!..
..
-.
1)1
.
DEPARHIENT OF ENVIRONI~ElnAL I1ANAGEMENT.
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
t.f!;~E~!fo
ob Address $7> &A-/'1e FD/2/-t Rd. t~]3lj~/'y-'.=-A)~"A;' 11\tii4ilf&;:Nufubll'Bl
f.!ttlWnilijj:hjl!~Ii"';iiisRtJiiil :,:nlld€~t' /") -0 "< - 2- Z ,~ ~ ~ /.;? /?rJ
1~~~~lil'l~ilwr:'ILM",*""""""'" . itil.t1l1liliiM
Application for ,<::;~e-r-J('" ----:~k' R€P~/ R
Structures now on the property j,;n ~J,.C;F : L!Jf9..eAJ -<"A:R46;f::"
ri\~j~_u$1!j.qfnih;;;~,~;;,1 0 [oeMdl!l\ti;B tl fcatt.1Wfi 0 itlii!Y~ttiAUl 0 l~H~.0
Affidavit:!, ~~~ ~~6~h~ ~~, hereby certify that this information is true and accurate.
If this application ;s for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane Coun~ode Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
~wner of record; contract purchaser; lessee; holder of an exclusive option to purchase;
duly au70, ';.:?::L c.', f~:~~20dle of this application. t:U~
Signature/Addreis,..-_,./..-7~ ' .""7~C/!bt':f~ ;::;;'-:!fI~ (zio\ 9'7~1
. . Telephone ~ Oate - ~LJ
When pennit is ready notify: CI Applicant I~ner ~ CI Contractor i!Y: CI mail I~
Owner p::'l2cD~/cK M. R~J..:c::.. (zip) Phone 7'....2~hL:~O
Contractor (zio) Phone
Contractor's OSR# Plumbing by
=
If COlTVTlerc i a 1: it;;9r?~&ft~s; _
Residential: riji&ftkd\ooluL-;'-,
>;;".j."v.':;".^."",;,;"".~,v"'"
SI test holes ready
DO NOT WRITE BELOW
# of employees
IHIS LINE
;jllfTiliil.~W (r.s-7-7/J
~1l$~{'i5' Existing, SP 32 -70
I~I Proposed, SI #
fl/rtl\tl
;td$t\
Valuation
Fee
'."'~J C"-:;-i't" ...1
",e ..'."',...~.c:":.:...' ,~,,' ,!Jr,
~~/ 4;3~ ~~/~ Z~/
~ i//;;;;'L )(7/--'/ -- / --
'- /J
I-I ""~'.""''',f/; l7 ;if
iliii~';J';'S$ . o~
I~I iqlt~lt /' )
Received b ~"J _ \
Water Supply ~~~~
Proposed -Existing ~
Year Installed
Total Valuation: $
f=~~I,111IC:j:: :
each
each
$
$
$
$
$
$
$
$
$
$
$ .
$~~-
Subtotal
4% State surcharge
Plans check fee
Change of Occupancy
TOTAL
=
PERMIT PROCESSING Zone/./~./ Part. #$-/-7~parcel # / Parcel Size-P-~R__/
Minimum setbacks: ll. f~~ont# ; ~. side ~ into ; rear
/::::7 A./ ~ /> 4 ./ L?//, /' .#
COlTVTlents ff ~~/,d ~ _.,U~~ ~"'~4!:':/ ~~~ ~ ..r6JH~/...rHi.~ '~
To be typed on .(ermit / ./......- / / --- ~2 A>-- _
(kO tTl.Y1 +0 /:?;..r~ . Oate,-7J -~"7{ ~
CP&I Type Group Fire Zon ~~ific;tion~ - .;:..-
To be typed on pennit \
-- ~-
By
Oate
Phone
)lJll R 77+ 7.ll
4>hP~rr
For plans infonnation call (area inspector)
Directions to site !/fl'r'OEiJ I3RJ.....,~~
~l '" -a,n :<;J\\.L""U .<. .1..t2r:-
CI SIFO Plans to: CP&I set(s)
WPC ===== set{s)
--n. ,.::; Rf'I ~ I=AI? M &I
"'F .0 ~ II) r;:-Al r ;=-
Date Hold Slip
Required to PCC
Date
Completed
Da te to
PCC
/ -I CP&I
/J1' WPC
o Planning
CI Public Works
CI Elevation CI n/a
el Address
CI Fac il ity Pennit
CI Env; ronmenta 1 Health
FOR INFOP~~TION about progress of your application call:
C74-171
Permit Control Center
687.HELP (687.4357)
I 1),' ,l ~ OEPARTnENT OF EIIVIROi~i~EiITAL 11ANAGEI'lEln.,
. PSB, 125 EAST 8TH AVENUE
EUGEIIE, OREGON 97401 -'
/f ,ob Address ,5"75"" 6".AH € r-1J../2H RL City ~u:..~AJ~ tl'pG',
Y Townshi p, Range, See t ion, Tax Lot / '7 - 0 ?' - Z- z .#ffJJtii/r..tt / ..::? ~ i
Subdivision lot Slock I
Application for ,'.2;-;:::'--P-r-I('"' -r-.lJ_Alk' R;;".PA-/R ..,../,:.t'.j
Structures now on the property ---"'=i" " <:;~. : ,B~RAJ r-:; A-:L'A.r, r-
Proposed use of property: CI Residential () Coomercial CI Industrial
,.
,
! {!-7tf-~4>O
Assigned Numbers
CI Public
Affidavit: I, PRE OF{f' 1..C..Jr' .I;:l, Rr;-;..Z., hereby certify that this information is true and accurate,
(please print)
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:
~wner of record; contract purchaser; lessee; holder of an exclusive option to purchase;
duly au~.~:e aEt fer-t'~owner:)lhO~~dgeable of this application,. ~U6t=,A.JE:-
Signature/Addre~~"":<____./ -'"'~~ ,//'~LJ a..C?' -r7., /,;:.4Mr;::- f::i1~ tel (zip) 9'7~ I
- 'Tele'p~one .. ~ .../"~ . ~ate - ..,::::;?d'--~L5
When pennit is ready notify: LI Appl icant IvrJwner LI Contractor I!.:L: LI mail I~
Owner ~REDG"'"k?lrJ< kI. RC-J..7. Izip) Phone 7'2?-sC,0.P
Contractor (zip) Phone
Contractor's OSR#
Plumbing by
=
DO NOT WRITE BELOW THIS LINE
If Commercial: # of stories ----.
Residential: # of bedrooms .--;1.....
51 test holes ready
# of employees
# of units
SOS: CI
o
(/S7-7/ \
Existing, BP 32 -70 ,~
Proposed, SI #
Fee Sq, Ft. or
Code /~7 Oescriotion # of Sites
i~' /t!. - /., /' ----#. ,?/ -
,(/1//'/.1'4/ /"h./h.-#A. ~/ ~/./h;;Y"/
(/J;;i;,L);?/~-/ --- /-
(, /./
n Cash 11; 8,t-~ /
1-=-1 Check # .,V-:;' /' ~
~cei,edt/?/'I/ /~ \
Water Supply, ;::/".#'
Proposed -Existing ~
Year Installed
Unit
Cost
Valuation
Fee
,.;.h
Total Valuation: $
Plumbing fixtures at $
Sewer/water conn. at $
each
each
$
$
$
$
$
$
$
$
$
$
$
$d? S--
,
Subtotal
4% State surcharge
Pl ans check fee
Change of Occupancy
TOTAL
Zone / /.........// Part. # $-/-7S-parcel #
1., f;:;'nt# ; 1., side
/;:.:7 A,~ ~ -:' - ./ /-? // .../" /
Comments .#/ :./~~"d ...../ _ ^'j;:?H7~~""~4Y"./ ~/?<4./ -:- .~*:.?k'- L--:-j'~___/
To be typed on~rmlt /" '~~~_", <'~, ,// ~ _ _
(/k'o h Uf4 -fa \. ,-~'A"-)~' Dater:?' -C%"X".-:J
WATER POLLUTION CONTROL 1'( .~ c..l:vte-L ,~7 ,}7
Installation specifications: IC)On\~ gal. tank; 37sM~ ft. of drainfie d; max. depth of trenches:
,;}9' 'I . To be typed on permit......~ .rM"l,1tl1difu(~(J1 ~~~ ,"'. ,..-
Af/1IP- IRtrldlh{ /0 I /nml ptc,mr~-~-~,~~ pi fAh>><.-kd,' , "'fA 0/.0-; '/J"'..ij/ Jdwp'~
.I!.U,;/jf ,Q/ /'lrU... /h1"ln"~ ,<iZl /JI/Hif'h- ~.ll<if'9:#f c1Yn~ll .?AlJ( 1-/'1;7/ a.r-/dl/
Ilj ,QJi{C2, rirOlAiu.'" tiP t'J?M ;;/, 1-1.1 I)u .J/JtI~. r;.tf4"M bO{fN '7b.I,r;41-/;! . '4;;'1I/.f.
c!f' ~""') I;'" (ltibf'-.J.tdL phone L-h.3qs'{, By ~I//rnh' Oat. y..z;',Fo :~\
Olrect1ons to site .RR'D~F" -,.-... r-:A-Mr:- I=At2M J2.t JOlJR77+ -= Rp,:!p.ed<r'(
-,-JL1.A\M a,":<; ""'1.a.C- (2.1- ,o~"",I(2E::^,C'p"
Plans to: CP&I setls) Date Hold Sl ip
WPC set(s) Required to PCC
PERMIT PROCESSING
/
Parcel Size-?-~.....-<'"7./
Minimum setbacks:
; into
; rear
':::,
/-1 CP&I
~WPC
CI Planning
/~/ Publ ic Works
Date
Completed
Date to
., PCC
CI SIFO
/~/ Elevation
CI Address
~.ry'~
CI n/a /;1 QS'
~.' ~
G<s ~ . _~ ~
A,~?J~~>%
~ 0/ d~. C<l.r
FOR INFORltATION about progress of your appl ica~~ pe~Control
C
, "
/:/ Fac i 1 ity Permi t
/~I Environmental Health
Center
681-HELP
(687-4357)
e
Gi~ 'FAeJ-\ 'E0~D
r'
'.
~...,;b.
r -
I
,....\0
'i3'.;~.
I
~
::>.
~vAP-l-
::,..
I-.
~
~
\
\~
I
,
J
\
"lC ....
" -
II
:: ~~ I
=- ::. "S \-lQ)
-
,
"-
Ir--
I(
Poust
\
eapAle ~/r
tJ- 7M -80
'.
?
'.
-1
i
,
I~
.,~
~
\-
---
~
~
~
~
~
~
~
~
j
rJJ
.
, .
Job Location (Addres~,S-7~
Permit (J .
Permit (J For
Permit (J For
For
C;:~M F" F'~H
Permit /I
Permit /I
Permit /I
TRS, TT
'Plot
Plan
Subdivision.
Lot
Block
A ...J
;:~ o.J \
\,). f' rr/0.. (/I .J
~ \. ~ ~ q.,
.t~ (r,
. ",.;.0 ~ 1)-:':- --- ~ ~~
~v r!'^ .
~f- 1 \
.--l .Sl
rn
~
-"
.
'---.../::::J
..
""
/"'" .
"
- HIJR~
GI#-1e-
~11 RD .'i.~
~ J-IR~
~/~
Vicinity Map
.
N
C74-150
~ .
o
~
~
1l~
~
~ tol
a CJ
~ I~gl\"
~ . ~/~I
, IlNf)
D12.\llN
r: Iii< J..D
~
/RD.
For
For
For
'....