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HomeMy WebLinkAboutPermit Building 1977-3-2 ,.r Q "'~0i ,~~s. TI J j- 3. :;; if dj'tT 0 '( JOB LOCATION \ 2Jt,-~ '(?rhV}~ ~ PE}M_y~,/'): ~ -,~1' D. , , {../ ~ ~- } 7 Acreage or Lot Si7P Partitioning # Contractor's O,S, # ' ~ '1_ ') J e::; . l APPtIC~NT'S N~ME AND A~DRESS cN-ClPI f)/JA~ LJ ,~ OWNER'S NAME AND ADDRESS 717-Y1; A J""': ~ ./-IdA /')-11.1 A1h-A._ . CONTRACTOB'S NAME AND ADDRES~ . -,.. --- ;r-,. Mail permit (0 ( ) Applicant ( ) Own~i ( ) Contractor, ( l.,).P-refer to pick up. . .TRUCTURES NOW ON THE PROPERl't !h) !/,h":"il-, THIS PERMIT IS FOR. t2.d.....,f~ "i",f ~)#./h/J'Aj2 , t - - (/. WATER SUPPLY !/j,lJJl! SEWAGE DISPOSAl J?..//~ S.1. # THIS PROPERTY I: ~ITHIN ONE MILEtF THE CITY OF PLUM~NG BY .. \" ':.' I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: owner of record; contract purchaser; potential~b)uyer; , realtor or agent. I further certify that (if r.lOt tA0,owner) I am authorized to act for the owner of ;} n record, and that said owner is aware and ap'proves of this action, I hereby agree to comply wi~h aWap')'licaele Codes,relating to this permit. Fee Paid $ $:'1 s 9 1> Signature ItJ IW~"~ , Date -;;. -'"2.<i{ -77 , if , 1-"" ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ( ) SPECIAL PMT. AREA. MIN. ELEVATION: ' /,_' I ~ ) SANITATIO~ (" BUILDING /', )~ * f7-1~'fIA,:!J Minimum Septic Tank Capacity (Gallons) _<A..I T'y~e of Cpnstruction T'? Group ~-5 Fire ~~~e1v .' Drainfield Required - Lin'eal Feet' ~ -/ A -r::- Use Classification J Maxi mum Depth I C~~~~ - ~~ - : Comments: ~ ~ C ',c_ ';f , -%' '~ ,~ d0J 10 ( /f~v4~,J~ , '\ '~ ~I \ 2:1 LANE eOUNTY PERMIT /J ( ) Completed Subdivision ~/L-c..') /;/1 /,,~; ! Lot 4 Block I ' .,~ ?l?:2IJ, A~~A_d-r:2 , Phonp .7f/;-j~3- i / , Phonp /;9t; .. Ch/ry ,.~ , Phonp i (owner, etc.) when ready. '~ ~f. ., 1, '''", _ ,/ 7/ Ca II ~,.2....3 {.f t. ;;r . ,- 3, # BEDROOMS 3# PLUMBING CONNECTIONS , ,}~ .:' '~ \ .~ ."., . ~~ " " f' 1: ,~ ., . :" . ,;; , , . '. '_~E ~ :~ ~ t 1'; e I " ~ <; :}. ;;'; ~ ;;; '. " " /: ItA, ./ /1 LfJ ' 11 I .~} .~ '.1 " . , 4.-/:,,:, -2 By: ~(~".,.-- Date: _~~;), '" '71/ By: UJ/:),..;,~.4 ~ (4trt~Date: ,3 ~ 1.. - // PLANNING REQUIREMENTS SATISFIED, By: Vh)/'J1f7:::: t/ Da'te: c;?-;J.I-7/!/ Date Issued: lONs.: ~rrt~1'J At: f'$ETBACKS: FRONT <;f5 / SIDE FACING STREET (FROM CIL) 'INT. SIDE YARD S'REAR ~ <?(FROM P/U' ~~g "(.7 g;r' /~r U-!..,,/~ -" LANE COUNTY DEPARTI,/rENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 ~ ;. ) .~. ..~ '_:~ ':'( ':! ~ .( :~ '. PHONE: 687-4394 ;' C55-13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PE.RMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE ,.,I. .. ; j' . , ^ ... .;.' f '.,r.V' / \, 0 , " ....;iiifR~, T I .' 0 .. . o/{' , ..J:2' "2 AW-) . 1,..." ..1' ~ - } . -,-,- -7'~'-" J 7-3 i? } '1-i!.? '. JOB LOCATION ~)l/?, ..~;' ;0 .' .r .,..,~ : PERMIT # ~ i--!'" . , . . , " .-} ,./ / I ''0 ., LANE COUNTY PERMIT Acreage or Lot Sizp Contractor's O.S, '# . ;.~ I <<? Partitioning # ( ) Completed , / ; , Subdivision !{, J. Lot '. " ; ,J,; B locI< / 1";- f~~ .f " , ! / APPLICANT'S NAME AND ADDRESS 4l:ll( . ' , OWNER'S NAME AND ADDRESSJ/,E ,I,'" CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner ( p .. " _STRUCTURES NOW ON THE PRO:,ERTY .J! ,/,. .:; ;'::.,;- ('} 'i o ',', < ,.', J THIS PERMIT IS FOR .;,1. /!' /( ,/ r,' ,,/;.{' f4/f'F .r';'<' "J " ~ -('. .... j , f/ . . ' ,~" d', '.' r""-' . ~ .! ! ~ ," ~..- ,~h', t/ I' "/ ; - - . .' " ~. . I (/r,.:. ' Phonp <,< ",," /,v .:::--: ~. ,'7. ,'" ... ..:.'.;:.~" . Phonp ".". f' ~ ... 'i I Phonp (owner, etc.) when ready. l. . . , J .... ..f ,~ :. '. ...... ~ "'/,,- , "- ,; i'~~ .. i- .... t ,'.... /:.1 ,...;, ..-I .,.,".-'.r' \". , . ....~ /' .~~~ , , . '..f ' , ,_ .1 ) Contractor. (i-).Prefer to pick up. Call "",'::<;:.::1., ~~-' r.l/., ,;!, t) ,.~ /. o' # BEDROOMS _./# PLUMBING CONNECTIONS . ~."-';'-' WATER SUPPLY I~ '. /I,ff r ! .,~\ SEWAGE DISPOSA' 'I ,~ I - - '" # '_"'~'.' :I ,. ...... S.I. # TH IS PROPERTY IS WITH I NONE MILE OF THE CITY OF / PLUMBING BY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: owner of record;' contract purchaser; potential buyer; realtor or agent. I further certify that (if .Inot 1helowner) I am authorized to actfor the owner of record, and th~t ,~id owner is aware and approves of this action. I hereby agree to comply '7~th an ap.~lic~~le Code( relating to this permit. Fee Paid $ ,;; '~/....: ! ~9tC J Signature ri(4.A /'I....J~ Date -2. r "/. ' '7? ,( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. () SPECIAL PMT. AREA. MIN. ELEVATION: . .r -;.".." ...._. ; Minimum Septic Tank Capacity (Gallons) Drainfield Required" Lineal Feet Maximum Depth BUILDING ~'_. ,I _I"F'--"- . ,.-(... Type of Construction , l'. -';' J. ,.4,' -;r; I )se Classification Group ..~ Fire Zone SANITATIObt- e -'~. ~~. ~.~- Comments: Comments: .....7".- ,. ... . ...' "-l,,:"''lG.,:,../ ) ,:c~,1/ .....," ,:" f ~.r-:--~....... ..~" ~<~ .r,....,....4~\..o.~ ,,-- ~ , . J; ... . ,,*._.,.':,-::j~~ . ::..~.' , ' , : f'.~ .' ,-"--'.L>~.~-. .. . . ~.' ~ ,.'j. ..... . . .. A.' ..... .c.-" :..J~.'''''''' --"-~~""-"-~'.1....""'" .. By: ....~. . ..,,~-::.. ..-:-" _. ;'~~ Date:..Ji - ,.., -- ~~ ~""-;' By: ',. .'#_ ~ ...... .', . /._....~] t~ _ ..~!~' ;.' Date: ...- ;: .~ -1'1 ~ ~PLANNING REQUIREMENTS SATISFIED. By: ~..>t':) I ',:I. Date: t";"~:;J" 7-.'7 Date Issued: :f::-(./- 7 '/ ZONE: ~~' ,,,~/.::. {''SETBACKS: FRONT .'7...F1/ SIDE FACING STREET (FROM CIL) .INT. SIDE YARD.5-; REAR ~ ;(FROM Pill' .~,..~ ~. .~. .. '.. . .r .,. \. u. . ;- ..:lr:.....:..~ ' '. LANE COONTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE,:.;El:JGENE, OREGON 97401 " PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG, PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE \ ~~-R~~) '\17 S 'tL ~"3oo "'~~ e~~~~-r "C--~\ Job Location ';2.. -1-(~ ~ ' CeIG~ 3;;3-77 c?\) P<-J) INFORMATION SHEET ~Uilding Permit ~L l L"3 90 ~''iOO ( ) Compll;lted ( ) Pending APPLICANT'S NAME AND ADDRESS ~ Dh..I~c OWNER'S NAME AND ADDRESS, if different from applicant's CONTRACTOR'S NAME AND ADDRESS S~, tJ~ _Mail permit or results of site feasibility study to )><t.Applicant ( ) Owner ( (><LPreferto pick up, Call ,"5i-'"l..~4c::.:'?" ,(owner,etc.) when ready, Acreage or Lot Si7<> Partitioning # ) Site Feasibility Study for Septic Tank. ) Would like to meet on site, Call Test holes will be ready Subdivision R..~ ~~ ( ( Number of sites (owner, etc,) TL S 3GC 3 Block 3 Lot ~r' Co "'S~ 1-t. \ ~ c: u ";'l4cnU'\ U JJ I.. UG)0:::. L fr.; SrPhonp '31-2... "'3f~ 3 Phonp '"72-4> a--=-.W Phonp ) Contractor. STRUCTURES NOW ON THE PROPERTY PROPOSED USE (this permit) "5 F- R.. WATER SUPPLY <.=:: ~Lc;'"'ho.fl.. \ "5 F-R-_ ':~' (existing or proposed well, etc, If public, name of system) SEWAGE DISPOSA' ~u-;;:'h~ 4~'-<.... ~ t\I\'- PLUMBING BY M-es '?LUI-<6~ ( ) PROPERTY IS WITHIN ONE MILE OF CITY ( (existing or proposed septic tank, etc,) S.I.:It ',' ~t' ok Address. 8f':;" ) ******* ** ** ***************** ** ************* 0 FF ICE USE ON L Y BE LOW TH IS LI N E ***** ** ****** ** * *** ** ** ** ** **** **** ** ** **** tic I NJddCeressary ( ) Facility Permit Ne\:essary ONE (} 17 SETBACKS: Front . Side Facing Street UtL1€. / _/l,..&7.fJ::t h-a (lRA'>..J (FROM CENTERLINE OF ROAD) To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. ( ) Special Permit Area. Minimum Elevation: Interior Side Yard Rear (FROM PROPERTY LINES) By Permit Processing Section Response: C55-12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 l1ivision ., I' TRS, u.. ...,,,....1' R~UJ 'TitS Rs?oo -,;. <- 'Plat Plan Subdivision 1C-~ H.k:- T Lot ..3 Block L. - e Vicinity Map C74-150 \ Job Location (Address) 24~ S 'COXZ-~~ Permit ,,;;;:f' ;S--i'l For /.i' ~/ ~5 f1:.f) p'ermi,t II Permit II . For" ,..- ,pertn:1t II Permi t II For' Permit II '. / s.(~t ~, 'D (L~..~ ' 'F"L~ I " ~'51:_ _'~ (I,' \ ~VI;~ I~ I &.... I ..,~ Tkt..)~ I \ , \l f , ~~~ .si"lf ~ r 'Z.O ' f' "T ~ 10 , J", ,- t.)~ ....: ,... . tIr oo\..~,.j r T .i'" ll.- 2-1- ",-c..O ~~<(-h~ t~~' -~ 4~(( ty~~ ~~ ~ ~ \ ~ ~ r N C!jQ l _ ~S- ~O"~ \)~ S<P(Zc: D For For For ,,' I 110 //6 ~ :----::; <', e e ':<' .. - f '. , SITE INSPECTION " I 0'" "'5- /'-I-J.7INSPECTO'~/ - /, ApPROVED /X/ DISAPPROVED.j REMARKS , . FOUNDATION INSPECTION / ApPROVED / f/ / DISAPPROVED / / REMARKS /)~ -k LJ_12..t -' / DATE _1=-/4 -71 INSPECTOR ~~ "'?-//J --7"? 9t~J__ FRAMING INSPECTION Ap",o"o /./( 0'5'"",0"0 I I D"E S /0 -77 'NSPECTO' ~L REMARKS LATH OR SHEETROCK INSPECTION -/ ApPROVED / ~/ DISAPPROVED / / DATE ~;-- / ?.., "7 'J REMARKS FINAL INSPECTION ./' ApPROVED, / /;A DISAPPROVED / REMARK S / DATE t, - /s-?? INSPECTOR QrP '" - CERTIFICATE OF OCCUPANCY ~ READY TO ISSUE / / NOT READY TO ISSUE / / , DATE INSPECTOR REMARKS ,...., 'I.~ t-" -' r I \". s,i ,/I ...)":'; .1// ,~({;J/-~ ~It ILfl ':., -, ~t7> -.;..TRS TI - c. , - ~.- r~ - .- - . .-. -C"'r~' _' '- ___. _Y- ~ .. _ ~ __~ __v .,~'.._____~._.~_'~"".''''''' "__ - . . 4....;..... .- - ,_ I (\. ' , I .,' , /'1- 3 i ~ J'13"~~ 0 JOB LOCATION ~t/ts (? 0UVi ?'dJ "'/ , ~ -~, -,' I ;, PE R M vr"# ryl;:(C / .f ~''/J-A/' Cv" , . ,.... -, I " '-. LANE COUNTY PERMIT ~ 'N r I") I/I'k~ Acreage or Lot Si7'" Partitioning # ( ) Completed Subdivision IC -f."V... _,1_ ' '-;' \ I ' Contractor's O.S, # 5.5 J ~, '~ ,r- . 4' , ; /~. Lot c!}' , Block I _~' " .. -.. I /J II) , ~J,. 30 ?()' 'L_ ". A ,., Gt~l:? APPLICANT'S NAME AND ADDRESS . ~ {., f/}fiA-l ~, , PtA:'u. - (),., (t...-uJ-..I!A..4-(. Cl: PhoneJ 0- .dY-.0~ OWNER'S NAME AND ADDRESS ~pj~#":'-'/Y#A_,''11r ,.trJ"-.&t _ I Phone/d00 ~.rj CONTRACTOR'S NAME AND ADDRESS J ,t7,.:;; -! _ I. ,Phone Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. (L.).Prefer to pick up.' Call ~.:l-3ljt,..::[ (owner, etc.) when ready. .RUCTU RES NOW ON THE PROPERTY. !h ) P'./ h:' !j-. . . THIS PERMIT IS FOR tAL.--,.:f!.~ ~, d~()~ Z2. 3 # BEDROOMS .3# PLUMBING CONNECTIONS ,,(/ , \tV AT E R SUPP L Y. / / )/LL.{l SEWAGE DISPOSAl -P~C I THIS PROPERTY, IS WITHIN ONE MI LE OF THE CITY OF PLUMBING BY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: , owner of record; contract purchaser; potential buyer; realtor or agent. I further certify that (if ",not ttfulowner) I am authorized to actfor the owner of record, and thatLidowner i,S aware and approves of t~is action. I herebY. agree to .~omPIY Jlh_'}p7apP.1icao!e Code~ rela~ing to this perJ1lit; '" _ . ' Fee Paid $ 5 1 ,$ 1 . Slgnatl,Jre ~~ ~f.- Datp ~-:- -Z Ss 77 ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN, ELEVATION:- 5.1. # , '. . , SANIT~TIOAl,-' _ ' .L~{..4/ Minimum Septic Tank Capacity (Gallons) _ Drainfield Required - Lineal Feet ~" ' Maximum Depth Comments: ~ '7.UMJ ...J..Ha:v -.J.-: f~--, ,~~ _~,~fIOf~~ ~~ I ~' U ' BUI LDING , <; III Type of Construction :z..- . . ;or ..4 ...J_ T:;;"', Use Classification " ' Group <1;' - ...... Fire Zone '-, , " -~ ~.- ""..- --- - - - . , Comments: , . . \~ ~ ~-~ ....~.; / 4~ -= " . ,:;. (--.A ..J By: ~. ' ,'-.r- Date:, _~.~ -77 q By:'~ /.:..>'cr-:t-4 /~ \.L~~rPate: 3 -- 2. -7/ PLANNING REQUIREMENTS SATISFIED, By: Lrj2...:}'U L' .. v.' "Date: c:2-;)3-77 v Date Issued: ZON!=,: ~~w3 Ab /SETBACKS: FRONT .<;t) / SIDE FACING STREET (FROM CIL) INT, SIDE YARD~ ' REAR (,..,09(FROM P/L)~ K. rr \Q...JZ.-t. IJU.(!./c...;? -- " LANE COUNTY DEPARTMENT OF ENVIRONM~NTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE C55.13 BLDG, PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE . ....- a " " . e . , . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED / REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED / REMARKS ROUGH PLUMBING ApPROVED ~DISAPPROVED / REMARKS ROUGH GAS PIPING ApPROVED .I / DISAPPROVED / REMARKS FINAL PLUMBING ApPROVED / ~ DISAPPROVED / REMARKS FINAL GAS PIPING ApPROVED / / DISAPPROVED / REMARKS CERTIFICATE OF OCCUPANCY / DATE / DATE e INSPECTOR 'I NSPECTOR . / DATE S -//-) > I NSPECTOR /"'7~ ( / DATE INSPECTOR / DATE / tJ-cio ~t7NSPECTOR / DATE READY TO ISSUE / / NOT READY TO ISSUE / / DATE REMARKS INSPECTOR " f?~ INSPECTOR