HomeMy WebLinkAboutPermit Building 1979-1-31
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JOB ADDRESS: 383 Game
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POST THIS PERM~ ON MAIN BUILDING AT SITE
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Farm Road, Eugene, Oregon
CONSTRUCTION PERMIT #
TMH-39-79
TRS, TL: 17-03-22-4-1 II 4801
Subdivision: na
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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 Infraction Ordinance, and/or other remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS #
Donald Hartwick 383 Game Farm Road, Eugene, Oregon
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I Total Construction Value: I
Telephone:
Telephone:
Telephone:
746-8925
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Construction approved by this permit:
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Water Supply: na
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
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 Instructions: na
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For information call 687-4394, Roger Hollis
Rene,.,a1 of
Structures
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nffi-67-78.
now on property: dwelling and mobile home.
# Bedrooms: na
# Plumbing Fixtures:
# Employees:
na
na
na
na
na
Parcel Size:
; center! i ne of road,
na
gal. min. septic tank capacity;
Site Inspection # na Installation specifications: na
na lineal feet of drainfield required; max. depth of trenches: na
Special Instructions: If SDS should show any sign of failure, a repair
permit is to be applied for through this office.
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Setbacks Septic Tank
4rior property lines 10'
e of road right-of-way 10'
uilding foundation 5'
Wells, other water sources 50'
CONST R UCTI ON
PERMITS/INSPECTION
DIVISION
Directions to Site:
Date Issued:
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01-31-79
,
C55-13
Type of Constrll.QtiQn: eali!!
I nstructions: Rene,., eact: year.
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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.
na
Drainfield
10'
10'
10'
100'
For information call
687-3962between 8:00 - 9:00 a.m" Gre~ Gray, R.S.
Group:
Fire Zone:
Use Classification:
I1H/Dwelling
R-3
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DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
8y:
John E. Bossily
bne county
ca
~BrJk
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Receipt' , :J _
1/1,~ (t.t+
~ DEPARTMENT OF ENVIRONMENTAL r\ANAGEMENT~
PSB, 125 EAST 8TH AVENUE ~
EUGENE, OREGON 97401
Job Address _~ g~~/ ~~ ,/f?~ City ~~
Township, Range, Sectlo~, Tax Lot / 7-t:l3 -...<.;;z , -Y. J #:-.L/ ~/7 /
Subdivision ~..[l ~ lot Block
Appl ication for "h-H'/h~ ~r 7/?;? #
Structures now on the property
[PropoSed use of property: it/ Residential C/ CoIm1erclal
Affidavit: I, Do ""1 ,}) -rJq~JU/r(,A<
. (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:
owner of record; contract purchaser; lessee; holder of an exclusive option to purchase;
duly authorized ~t ~o~~w~er~ho~s ~Ied,ab~e~ this application,
Signature/Address t/.-<G.1' 7/,(",.../ /~.L # , (zio1
--o'elePho~{ . /' -, / 0; Oate /,/9/79
When permit is ready notify: /~/ Applicant /~/ Owner C/ Contractor ~: C/ malii' ~I phone
Owner (zlol Phone
Contractor (ziol Phone
Contractor's OSR' Plumbing by
,
.
.1~~t7~'
Ass Igned 1UlI4"
C/lndustr1a1
o Publlt
1 hereby certify that this information is true and accurate.
=
If Commercial: I of stories
Residential: 'of bedrooms
SI test holes ready
00 NOT WRITE BELOW THIS LINE
, of employees , of units
SOS: I~I Existing, BP ,
/~/ Proposed, SI ,
Fee
~ DescrlDtlDn
'~~ ~ /////7"
/
Sq. Ft. Dr
I of Sites
unit
m1
Valuation
Fee
,:;:;r i::!!:.
S /V,
s
S
$
S
each $
each $
$
$
$
$
$/...1.
~
-
/g'
h /-
r/Cash ,L7C
L)/ch~k I 71//0 /
Received by ~~) a
WATER S Upp(y' / '
PROPOSED EXISTING
YEAR INSTAllED:
Total Valuation: $
Plumbing fixtures at $
Sewer/water conn. at $
Subtotal
4% State surcharge
Plans check fee
Change of Occupancy
e.-
TOTAL
=
PERMlT_~~~~S!N.!L. Zone
Minimum setbacks: 1.. front
Part. #
Parcel #
Parcel Size
into rear
't, side
Conments
To be typed on permit
CP&I Type--"L~
To be typed on permit
Group R"
Fire Zone
By Date
~ Use Classification M /.I /'0
,
For plans i nfonna t i on ca 11 (a rea i nspec tor)
Directions to site
~~J., -~
1/- ~\" \,NI.\~
Date /-2-'/-7'1
Phone ~1- ~'11LL-
o SIFO
i)( CP&I
/X WPC
C/ Planning
CI Public Works
CI Elevation CI n/a
CI Address
CI FaCility Permit
CI Environmental Health
Plans to: CP&I set(s)
WPC ===== set(s)
Date
Required
/-,2, /
/-~y}
Hold Slip
to PCC
Oate
Completed
Date to
PCC
C74-171
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/, I I l ,> ~~.' '~EPARTtlENT OF ENVIRONr~ENTAL 11ANAGEMENf.
\} f\..}'J ~ ilJO PSB, 12S EAST BTH AVENUE 1~.
- Receipt # \l "/ J-" EUGENE, OREGON 97401 '~ -
Job Address 31j"3,~~~1' h:!r.r .~~ City d.-......A?~
Township, Range, Section, Tax Lot ./ 7-/j.~ - -2.::J, ~ / ,r&. ~.1(1 /
Subdivision If/Ad _ Lot Block
Application for -:4-fN~A't':L ,T/?,7~
Structures now on the property. /
Proposed use of property: fl.t Residential I~/ COlT1T1erc;al
Affidavit: 1. 7'--. ~ C'I '7 l () tl:/?,(Jf/r-C ~
"'"'-'..... (pl a e 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:
owner of record; contract purchaser; lessee; holder of an exclusive option ~o purchase;
duly authorized j9_,ct for the ow~er~who.is knowledgeab~e~ this application,
Signature/Address \~/ '-;7/f~f / 4c~) rf/ (ZiD)
.-.....ifeleP;;o~( - ./ "r/ 'or Date //."'1/7<1
When permit is ready notify: () Appl icant CI Owner CI Contractor Qy: C/ maiV tl phone
Owner (ZiD) Phone
Contractor (ZiD) Phone
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<\
Application 4-
~9- 71>"
Assigned Numbers
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CI Industrial
C/ Public
. hereby certify that this information is true and accurate.
Contractor's OSR#
Plumbing by
o
00 NOT WRITE BELOW THIS LINE
If Commercial: # of stories
Residential: # of bedrooms
51 test holes ready
# of employees
# of units
SOS: I~I Existing, BP #
/~I Proposed, SI #
-
,,,
Fee
Code
Description
Sq, Ft. or
# of Sites
Unit
Cost
......... ,
Valuation
Fee "
$ //?, e
$
$
$
/---:/ A, I /
k'p-'//./b?f r / /?7 /7 ? /'- ;/ >r
PERMIT PROCESSING
Zone
Ii. , front
Total Valuation:, $ $
Plumbing fixtures at $ ~f': each $
Sewer/water conn. at $ each $
Subtotal $
4% State surcharge $
Plans check fee $
Change of Occupancy $
TOTAL $ //),
, -
Part. # Parcel # Pa rce 1 Size
Ii. , side into rear
'.,
/-1 Cash
IV'Check # M7t:f',
?'ceived by ~H ) 9"./
/'/--'p
~
Minimum setbacks:
Comments
To be typed on permit
By
Date
WATER POLLUTION CONTROL
) Installation specifications:
/ To be typed on permit
. '~- f~I~' -<< /?_,~/>--
I _ ././ ,/' /
'\"_ . ~-A_j.
~..
gal. tank;
, d s;.f)S.',
/7pl__..:I- ~
,
ft, of drainfield; max, depth of
...d~...j "t} d.n.,. )
AiI./0' ';~.--...j
trenches:
.,.
t'?'. ~/'U J
f' {;/~/---
Telephone
By
".4- ~_
-,7
Date 7-1 j-:;?if
Directions to site
o SIFO
(%t CP& I
1ft! WPC
CI Planning
/~/ Publ ic Works
/~/ Elevation I~I n/a
el Address
/~/ Fac i 1 ity Permit
~/ Environmental Health
Plans to:
CP&I set(s)
WPC ===== set(s)
Date
Required
1-.:< /
-'/-~/?)
Hold Slip
to PCC
Date
Comp 1 e ted
Da te to
PCC
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a-""'." ...:...;.
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POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT #
- -. ~. ,,-
. .-........-..: -./
JOB ADDRESS:;"':) C:'~ F.I.::l ~.~ '0 C::'c,::::'~o '::;<:,-,:
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TRS, TL: 1,(-'::-22-'_-3. I) (,CJ2
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Subdivision: C'1l
f
This permit for the referenced property is hereby CX:2.N'::~~ 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 Infraction Ordinance, and/or other remedies allowed by law,
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,(S..:::SJ2;}
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:;::-r;.ld :..?:-:-:~'2':. ~Q3 C:::::::1 r.~c~ f'..cc.qv ,[J:.C~o C::;cJ-~;:::'
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS #
I
I
I
Construction approved by this permit:
.\
Water Supply:
t""-"'l
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
Zoning: c::l / f. ( Partitioning # t::l Parcel #
Minimum required structural setbacks, from: centerline of road, front:
side exterior: ~= I i-interior property lines: = ;rear property line:
Special Instructions: un
" .
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For information call 687-4394, f'~..,..,,, T;''1.U.l'n
Total Construction Value:
I
Telephone:
Telephone:
Telephone:
nrr-"'---:l of! ~:':~()1'Qvno
DC'..:c::;'[;:Z':J ~:J C-.l :;:::-':'::;-::~2
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(::::J.<1..~-:'J ~ C):::lZ.~ ~~o
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# Bedrooms:
# Plumbing Fixtures:
# Employees:
I'.:J
t::l
D
t::l
Parcel Size:
; centerl i ne of road,
r.:J
C1
~"
~
Site Inspection # P.::l I nstallation specifications: =
c::l lineal feet of drainfield required; max, depth of trenches: t::l
Special Instructions: E[! C'8 c'::.- 'il':1 L~:7 (',::Xy oll:.>-1 02 !,,,~?--:?Oo Cl 1?c:;~L\i'
,,-~'" i:o W GO 0!p1ll.:::J gOT: C'::.;",,:[;b c~o oiZ2ilCCJo
IV_'_~
f
I
Setbacks Septic Tank
.; I~rior property lines 10'
J e of road right-of-way 10'
". ilding foundation 5'
Wells, other water sources 50'
CONSTRUCTION
PE RMITS/I NSPECTION
DIVISION
Directions to Site:
, Date Issued:
r'~ "~ ....
'-..:...C)..~\.' .C>y ~
C55,13
gal. min. septic tank capacity;
Drainfield
10'
10'
10'
100'
For information call
f"'1'j7~""-.,,between 8:00 - 9:00 a,m" ('Mr.c, (':~, 1;,Qo
Type of Construction: c~--- Group:
Instructions: ~_.....) - 1\~)
l}:;::;;;-J c-~ F=-:.r:.
i~'"'"~-)
Fire Zone:
~
:1
Use Classification:
'CJJ-':,:..~"':"it::;
!
f
For plans information call C!J"l=3"l::7i between 8:00 a,m, and 9:00 a,m" ;;:;1 'i.::::..;)
For inspections (see back of this permit) call 687.4065 between 8:00 a,m, and 5:00 p,m.
:..~
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DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By:
;;~~__--.. ~~ 0 ~ :_:;:.:..~:)~~y
bne county
.~
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,
SITE I NSPECTI ON
.
ApPROVED L:::7 DISAPPROVED L:::7 DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED L---/ DISAPPROVED / / DATE
REMARK 5
FRAMING INSPECTION
ApPROVEO / / DI SAPPROVEO ,/7 DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED I::::::J DISAPPRQVED L-/ DATE
Rou f:{K 5
FINAL INSPECTION
ApPROVED L:::7 DISAPPROVED L:::7 DATE
REMARK 5
/1// // ~ ......~
(/i\ 7-/-/7
f
CERTIFICATE OF OCCUPANCY
/
/...!/ (
'/7"
READY TO ISSUE L:::7 NOT READY TO ISSUE I / DATE
REMARK 5
.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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