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HomeMy WebLinkAboutPermit Building 1978-5-3 /.1- j'-/t/- I?C:7-"'.) TRS, Tit /. 7 - O;'t_S / - ') , ~ /9 .rl"--A/ ",~"')1/,-:;1 // ,~.....~...~(.-'" ~, '-- / .: , '(/' " . p'" :.. JOB LOCATION "I . ~ ~ .f,'l' I "'''.;.P/I~ ... /;/ I' ':_ . /,;1' ,- I",';, .,. ~/ I' /..... -j .. (--.;.. '.... :';;-""; LANE COUNTY PERMIT S' IV'1f P --, IvA, ( ) C IdS bd' , , /y /1 Acreage or Lot 1'0 ~ -" artltlonmg # amp ete u IVISlon Contractor'sO,S, # ,:7'/":;"(,/ ,1 /'; , y' V Lor .. "Blac~ ,A<~{..yul fV~.4,,~..-('______ 1"J#7C-"J:-1 /C/; ';;-C:;:?,h'4 ~~?M'~e., c:/7/-Y/',1'f!'" APPLlCANT'SNAMEANDADDREC;C:::>"', ~-"-"'-. n ,_,_.'7' j( u . /,~. /, Phano' OWNER'S NAME AND ADDRESC:: 'A "/;~}..,J ~i1'.~"~"-~, ",.<oJ / ,{,".e" =,'/.<.<" .-:'-. ,-....-//'--'.;'1... Phonp CONTRACTOR'S NAME AND ADDRi=c::c::,-',P//v-I/ I ;".'...,;.,-, --- -- Phono' ,. Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up, Call (owner, etc,) when ready, c~ /. zJl.-.. STRUCTURES NOW O~yHE PROPE~T~~ / . . :;.<.. 1 ' ..,," ' I .' .-O"I'''~~A'~,'' /" .Ad ""-:i/""",,.4 ,'~/... "" THISPERMITISFOR'V~~/' " ....-v-~,Go-V---.;.-/-'..........~/,.-;'~. (/ ;-I /1-- SEWAGE DISPOSAl # BEDROOM"'/'yI'J# PLUMBING CONNECTIONS "'I. /j/ /f- S,I. # ,)/;;)- ,''- ~ WATER SUPPLY THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF '7 ( PLUMBING BY , "I /t/ / i - I hereby certify that the abave statements are true and accurate, and that I have the fallowing legal interest in the property: _awner of record; contract purchaser; _ potential buyer; _ realtor or agent, I further certify that (if not the owner) I am authorized to act for the owner of record, and that said owner is aware and.amJroves of this action, I hereby agree to comply with all ap[llicable Codes relating to. this permit. _ /1 '7/) <<.4"I'//~O . . v ~. \\:'-. I~_L - .~ - -,'-/.,,-- /.......-... _7t.7'- CZt;:J"peY'V( , ., ~ ............... ,r---...o{_' -" Fee Paid ~ ,/ "'-- 6~~ Signaturp ,-. L, Dato ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ( ) SPECIAL PMT, AREA, MIN, ELEVATION: = SANITATION Minimum Septic Tank Capacity (Gallans) Drainfield Required. Lineal Feet Maximum Depth BUILDING Type af Construction r.roup Ilse Classificatian ' Comments: d t7?-<.-A. .~ ...~, 2;:',.... ~ Fire Zone Comments: . By: Date: ,~ PLANNING REQUIREMENTS SATISFIED, By: ,-;;T" '~~' ,'~' ''-.,... ZONE/i/ /1 SETBACKS: FRONT SIDE FACING STREET BY9z/~~~ hi- Date: ,;; ~ :::; :V G . Date Issued: (FROM C/L) INT, SIDE YARD REAR r) I" /" Vu..r;-..... c-_ "l - 751 Date: -" - ,_ (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE PHONE: 687-4394 C55.13 BLDG. PERMIT -WHITE; BUILDING - GREEN: PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY -WHITE \ TRS,TI /.7~ <;-/y -/70 cJ written Directions c:23"1 ~:;~a)~ Job Location c,.OR".....<t .L9........ &...........L'" ~lr2\1 0;- 5&.L.,.Q" U I-E.l.<) INFORMATION SHEET ( 'fJ Building Permit ) Site Feasibility Study for Septic Tank, Number of sites__ Acreage or Lot Size Test holes will be ready Partitioning # ( ) Completed Subdivision Lot , Block ( ) Pending APPLICANT'S NAME ANDADDRESS c.Qr?~ P^I"_l.L-pc... b '-1'1'3 ~ l...r-.t~ Phone'197'&7'Og- OWNER'SNAMEANDADDRESS,ifdiffere~tfro aJ:>plicant's fY)..'J/1r NJ...J.lloLJ) '::2~1 .t.Je...tP""",'-5 ~1P~VI~4'hone' CONTRACTOR'S NAMEAND ADDRESS rr, c.o~'\rlt ,..., ....."'_"R ~, J...D~t'y Phone 9~ ?~711. Mail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor, ( ) Prefer to pick up, Call (owner, etc,) when ready, Contractors O. S. # STRUCTURES NOW ON THE PROPERTY 1>1,., us€.. PROPOSED USE (this permit) b F,", u. W"Q(j..;-' 0 Ir JI RPilrrrmc; WATER SUPPLY (existing or proposed well, etc, If public, name of system) SEWAGE DISPOSAl (existing or proposed septic tank, etc,) S,l.;: PLUMBING BY Address ) PROPERTY IS WITHIN ONE MILE OF CITY ( *******************************************OFFICE USE ONLY BELOW THIS LINE ******......******.********...**.......**............. ( ) New Address Necessary ) Facility Permit Necessary ZONF SETBACKS, Front Side Facing Street (FROM CENTERLINE OF ROADI ) Special Permit Area, Minimum Elevation: . Interior Side Yard Rear (FROM PROPERTY LINES) To, Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section ResponSt" C55.12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687,4394 Division , / " /' ./ Jy~"-6:\.,Ul ';;, r~;? ';'~\ l~~~ r-i\ . \ \~\ C'< 1>' 'l\ , \ ., (~ -'" c' 00> \ -, -<:. \ \ \ ~, y_4"..---- ------ 1 . / /' 1 ;Y .;I 'c'd'~<~> .;:<!("~ ~x~~_ ~.;j.. (r 'f' "__ ___ /t> FtI"ttl\-~.,II''''''''''-- I3c (1", 0'- .-4 '5 KIt, (3I.;;x:.'K, /( 1If1~ bltl't,:. 'p -.J I ~ , - -{I(("-".... oll-r ~'" "C,OI\CI/€1 e. I' SCo..h~ ~=- 1 Plot Pk<<v Q \ Ii IO~ A h... L R..d": '15 J /;)c;q. I ,- "I"" 6~& 'l\"I\"~O '-<. ,:,1<.'( " 1,- 3 _1,1../ r '. l {f.Ci ; ,~'" \.. l..... ":'... . ~ 111s, TI JOB LOCATION LANE COUNTY PERMIT Acreage or Lot Si7~ Contractor's O,S, # Partitioning # ) Completed Subdivision Lot I310c~ APPLICANT'S NAME AND ADDRE~<: OWNER'S NAME AND ADDRES~ CONTRACTOR'S NAME AND ADDRES<: Mail permit to ( ) Applicant ( ) Owner ) Contractor, ( ) Prefer to pick up, Call Phon~ Phon~ Phon~ (owner, etc,) when ready, STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FOR # BEDROOMS # PLUMBING CONNECTIONS . WATER SUPPLY SEWAGE DISPOSAL S,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'" the oroperty' owner of record, contract purchaser; _ potential buyer; _ realtor or agent, I further certify that (if not the owner) I am authOrized to Jct for the owner of record, and that said owner is aware and approves of this action, I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid S ) NEW ADDRESS SANITATION Signature ) FACILITY PERMIT TO TRANSPORTATION DEPT, Ddte ) SPECIAL PMT, AREA, MIN, ELEVATION Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth BUILDING Type of Construction I Jse Classification Group Fire Zone Comments: . Comments: By: Date: PLANNING REQUIREMENTS SATISFIED, Bv: ZONE: SETBACKS: FRONT By: Date: Date: Date Issued: SIDE FACING STREET (FROM CILl INT, SIDE YARD REAR (FROM PILI LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHONE, 6874394 POST THIS PERMIT ON MAIN BUILDING AT SITE C55,13 BLDG. PERMIT - WHITE; BUILDING -GREEN, PLUMBING CANARY; SANITATION GOLDENROD; OFFICI:. copy WHITE . . SITE I NSPECTI ON ApPROVED L::::7 DISAPPROVED L::::7 DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED;----? DISAPPROVEO L::::7 DATE REMARKS ..d)/~., ~".:".d Lh.T /I.:: - . /I ".f....t"-:- /-V ~-2 ..:;;- ',; _ '7? INSPECTOR .~~ /.,~. . .. ~ -"" . '--~ c7 - _h_~.~" FRAMING INSPECTION ApPROVED / / DI SAPPROVED / / DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO ~ DISAPPROVED L----/ DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVED ~ SAPPROVED L::::7 DATE <= f 7- 7f(1 NSPECTOR ~ REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE L::::7 NOT READY TO ISSUE I / DATE INSPECTOR REMARK S . . . \ .".. 't.: r' ~ '~:'I r"\ .~ ~/! ',,' ~... ;".. .. ..~...j ~,}..~ ~:: ,,' ,; -. , I,' .,,~ . ~.. .r' :J '" , "f, fl, ... !.,' " )0~g.. " "":~\<::, ,'....,.,_. . :;(;::;.:j....: ", .:t :~:.<,.,~: ?\~f.:.:~>.. :" . .. ":', ';~:~::~... .: ..i.;~~~~::..;~:~: :.. "')"\' I . 1'1-,' ~ ..' ,:if,:~;;jt.y , " ,'- ..ow...... '~/' )' ~~ " , t ,_, '......,., . "~ ,,, ~l"".'~" >., ., \ l f l' ~ {.' . io .,' o,yJ' '.~ f. .....1 ~ '1; :l ":': , (, ".,':':: ~.;. '.:'. '. ,." ",) .' . '.~ ;[ ~.,< .,' l 't , 'f --' ..:...., . j),~~ ;:.' \;' ',. . , : : ;'::; ~ ': ,.1 ~ . , ,:',,{{/:Y .:};,~~.:/:J;i, " '-':~;:;ir::':'J ,. 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