The URL can be used to link to this page

Home My WebLink AboutPermit Building 1978-4-21 ...~, " .,' \ , ., , &:t i I 0-0 TL :> 1027 DIXIE DRIVE SPRIl,,,,,J.lll) ~<>u1 \\~ \ ~B JI. .....:,. ... ...". _< \,... TRS, TI 18-o2-05,~,4 JOB LOCATION - SOOlli l!avJ. b"J.' 'lU 0~~.t{.t(l) ~T U1.'II \.U1UrJ:!.n. X\JJ .J..~L.. S'.l'!-tta'J.l' '10 THI: RIGli'.i: 7t:h HOOSE ON I.EBT SIDE OF &..1.=;;:....:: LANE COUNTY PERMIT NA .( ) Completed Subdivision Lot Iff 22ND 1\IJD ~7r "'''''''j'''' ESTATES -' '- " Acreage or Lot Si70 Contractor's O.S. # Partitioning # Bloc~ / , . ,tI,PPLi'CANT'S NAME AND-ADDRESc:: OWNER'S NAME AND ADDRESC:: .. CONTRACTOR'S NAME AND ADDRI=C::C: Mail permit to (X) Applicant ( ) Owner J.\U1Il""'= J NEJ:B(l'l , \ 1027 DIXIE DRIVE ;,!:'tu.l,^", l..l!d.4.I Vl\l:.UVl~ . 746-0398 SAME UW.tN:i t'UU.Lb ':>0':> 1"- ) Contractor. ( ) Prefer to pick up. EXL:>J..ll'i\> HOUSE SHED \1.t\i:)J:'.t:.l'\ L'UJ Phonp - .--- -.---- Phonp~ urL\.L.l,'i\.Z"~ '-A~'oI Phonp (owner, etc.) when ready. Call GARAGE STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS~FOR PER-lIT FOR SWIMMING POOL , '," =J:U1~.u.ill WATER DIST WATER SUPPLY . SEWAGE DISPOSAl S.1. #. THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF e!!pringfield . PLUMBING BY a'lENS ~, I hereby certify that the above statements are true and accurate. and that I have the following legal interest in the propert~.~Xowher of record; contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to acn(';r the own~r of record, and that said owner is aware and approves of this action. I hereby agree to cO':)Ji'ly with all applicable Codes relating to this permit. F-ee Paid $ 0~ ~ /Signature Un.&_ ~ 7Z-~ Dato \-i.. \~ \ \ f\A ~ 'll'1.EW ADDRESS ( ) FACIUT-Y PERMIT TO .!RANSPORTATION DEPT. (/ () SPECIAL PMT. AREA: MIN. ELEVATION:.. -.: . SANITATION BUILDING '- :;.,r'j. Minimum Septic Tank Capacity (Gallons) Type of Construction n .,.,JAV Drainfield Required, Lineal Feet Use Classification . '" ( Maximum Depth I. Comments: G:: e.. Com:nents: /luvwL- C.... ~~ ~ ~v cro- ", :;~~~~, d::!!ii -~ .0- ~5f.z- - .- ~t4'~ fv ~.' ~~~r--~-.27-C;? -~y;(J{~ I~ ~ate: ~-29--7; ~LANN!NG.8.EQUIREME:NTS SATISFIED. By:~ ~y >- _ --I....f.' Date:~~ \~ ,"' "\~~ Date Issued:~?g,\)r.'., ~ONE:~ ~SETBACKS: FRONT \4~IDE FACING STREET (FROM ell) INT. SIDE YARD~ REAfil::R (FROM P/-r.) LANE COUNT; DEP~RTMENT OF ENVIRONMENTAL MAN~GEMENT, 12~ EAST 8TH AVE., EUGENE~OREGON 97401 P~'~NE:'~7!4'394,J Group .Fire Zone ~. , " , C55-13' POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE \ , TRS, TI JOB LOCATION LANE COUNTY PERMIT Acreage or Lot Si7~ Contractor's O.S. # Partitioning # ) Completed Subdivision. Lor Block APPLICANT'S NAME AND ADDRE~C: OWNER'S NAME AND ADDRES~ . CONTRACTOR'S NAME AND ADDRI'C:C: Mail permit to ( ) Applicant ( ) Owner ) Contractor. ( ) Prefer to pick up. Call Phon~ Phon~ Phon~ lowner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FOR # BEDROOMS '* PLUMBI NG CONNECTIONS WATER SUPPLY SEWAGE DISPOSAl S.1. # 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 oroperty' owner 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 approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $ ) NEW ADDRESS . SANITATION Signature ) FACILITY PERMIT TO TRANSPORTATION DEPT. Date ) SPECIAL PMT. AREA. MIN. ELEVATION: Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction I Ise Classification Group Fire Zone Comments: Comments: By: Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: SETBACKS: FRONT By: Date: Date: Date Issued: SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM PILI LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687 4394 C55.13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION GOLDENROD; OF FleE:. COpy WHlTl -- . '. ~.. SITE INSPECTION . ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION APPROVEO.c=; D'SAPPROVEO L-/ DATE REMARKS FRAMING INSPECTION ApPROVEO / / DISAPPROVEO Cl DATE REMARKS LATH OR SHEETROCK INSPECTION REMARK 5 ApPROVEO L-I DISAPPROVEO 1--1 DATE FINAL I NSPECTI ON ApPROVED Cl f~_: -' -....... DISAPPROVED Cl DATE REMARK 5 '-1-.y' ?_Z<.f_79 CERTIFICATE OF OCCUPANCY .L ,.. --:-_~' ~ /- 14.~ , REMA'RK 5 READY TO ISSUE ~ NOT READY TO ISSUE I / DATE INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR ~ .~ e...:..'" ~/1-D ../J INSPECTOR TRS, 1: '-~ - Plot Subdivision Lot . . C74-150 PUan Block Vicinity Map Job Location (Address) iD;). 7 J) ;x"~ Permit n \ \ d. \ '''''f\ For ~) . Permit n For Permit n For J).e . Permit n Permit n Permit n \,j~ C' - 'N .("- ~-'> " ~-:~~ . ,\ . ~ ~ -+1 ~_.. S 4- ~-r- D ~. C) ~i '( ~' q: ~('f2,:~l~~:e.ld For For For ., , n&. .- - =---- " <:::::'l .J .--..,.---+- ~ <> l o 'I - - - --- --'- -- - '~~'l~:~.k:n~~ ~__u '.__..._ ~ '. o-Q~) ~ \.~~,,~. .. 2 J-L ^- I . ." ~ ....,.... h .. <f:. 'PC19!, ~~~?~ --' -~t~_.<- p~.\':\o-- .,-_._~'~ h f~i . .cC-4-"~ :.>;~_.-':\.} ". ,.;:" .".... L-.,. 'I ~~. _,' -1- '. ....... _-." \ _1In ~_... HOLlSe.... o ..' ~ ,. J)e. Permit fJ Permit fJ Permit fJ s::, ('fl.: A)~ s;.,' €. Id For For For Job Location (Address) ;D;;>' 7 J) ;~"e~ Permit fJ \, d.. \ '~F\ For ~ Permit fJ For Permit fJ For n&. IRS, n ~ r ._ Plan Plot: Subdivision .~~-"> ~ N\.<'.O.. _ u Lot Block . A . ~ lbC \I,j ~ C) , t q: -J; I::::.l ~ 84...hT o b '" .l . .- j ~ ';0 , , ) l ~:ilt::" tt'~,.:~ - .- - '0 o , 1'''+:0 ~ . i> , s:>' "'" '"' -I.1J ~ ,'/ \>-~ : ~~ N' ~ '- r-. "- + C") .- 'J / Vicinity Map HO'J.se- C74-150 .J " .. \\d\r-,\~ '~RS,TI- IX'-;:)- S .j IQ;;;l'"3 Job Location 10.:27 .(),'1\1'@./ ne. Sfe~'\~~/e/~{)t Written Directions S. L/.~ -?I<i 5-+ __:h JO-s~e. 12.& - Le,P-I- ",,1 J{1S.,~12 Pd. 1 sJ- Sf. h ,.f.'a.h+. '7 __~ ) BUI'ld',ng Perm,'t - ( ) S'tINFFO~bMIAtTSIOtNdSHf EEST t' T k N b /f . - , t4:jl~ ,e eas, "y u y or ep ,c an. ul11.,er_o s~es d.. " Acreage or Lot SizD ./ /. d ~t holes will be re<l(ly ~'\ '/ & I'V ~ G ~ ,'. partitioni~ () Completed S"QsI.i~,iSi<;m.\f\,\-\- \.. '~"'V)P~ 'e:.a V ,Lot" Blocy, ( ) .Pending: , ~ ~ -: apPLICANTS NAME AND ADDRESS &v/"-'. TJ) . 0_ n~; ~ Phone'74,{,-/)S 7? OWNER'S NAME AND ADDRESS, if differe~ from applican'& PhonD CONTRACTOR'S NAME AND ADDRESSJl'J'/L8.a:'~J i?~ - ,~'d7? lkr.....u e-L. ~d...#..I Phone '?~P7'-/VcP Mail permit or results of site feasibility ~tudy te;> ( ) Applicant ( ) Owner ( ) Cont'1act r. ';;Ibl (.0 Prefer to pick up. Call afro 1..('1> mJ-- . (owner. etc.) when ready. (I \ Contractors O. s. # STRUCTURES NOW ON THE PROPERTv lJA-01;.L'XG) SR.oLi ~~C~t1; I, _ PROPOSED USE (this permit) 'S.t I 't(~. p.tmf .J f!f::~'\"'l. - ~ rrv-rn-= WATER SUPPLY~ (0 )~-t-o .r-Q-x-{-. (wJl~~ osed well, etc. If public. name of system) V \ ./ SEWAGE DISPOSA' f.V-[7, -I-uY>O ~,D. -;;.. PLUMBING BY n" UIV\ <:;) "~xisting or proposed septic tank. etc.) S.I.;: Address . ( ) PROPERTY IS WITHIN ONE MILE OF CITY ( 5Df.cl. ...........* *. .......... .....*.... *... ..................-........* . *...*... *... **......... * OFFICE USE ONLY BELOW THIS LIN E **... ** **......* it.... **...... _.........., ***... **........... *-ll-*..................... ( ) New Address Necessary ZON~ ) Facility Permit Necessary SETBACKS: Front . Side Facing Street (FROM CENTERliNE OF ROAD) ) Special Permit Area. Minimum Elevation: Interior Side Yard Rear (FROM PROPERTY L1NESI To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section ResponS'" C55,12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 Ilivision . , "\ TRS \ '!'" ",'" ~.-:/ Plot Subdivision Lot Job Location (Address) ;Dd 7 J);'t-..e, J).e. ~rE. :^\~:.-C:€.lcI rJ fh._ Permit U \ \ d.. \ '''l.P-. For ~.) Permit U For Plan Permit U For Permit U For Permit U For Permit U For Block l~/5, . N C74-1S0 Vicinity Map II- ..... 'r ~-"> ff""'^"~ - I::::>f.. ,0 ~ '" \ - ,-- - -:- - C~\2~n~--7 <~ ~ :2.~i-b 'PcrJ/ .- . .:. f',,+:o f'i ~ ~ : ~)'/ 1-"'\ Hou..s e... t. ~ TRS, TI JOB LOCATION_ LANE COUNTY PERMIT Acreage or Lot Silo Contractor's O.S. # Partitioning # ) Completed Subdivision Lo' Bloc" APPLICANT'S NAME AND ADDRFc:c: OWNER'S NAME AND ADDRESC: CONTRACTOR'S NAME AND ADDRESC: . Mail permit to ( ) Applicant ( ) Owner ) Contractor. ( ) Prefer to pick up. Call Phono Phono Phon a (owner. etc.) when ready. STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FOR # BEDROOMS_# PLUMBING CONNECTIONS_ WATER SUPPLY SEWAGE DISPOSAl S.1. # 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 the owner) I am authorized to act 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 ~ ) NEW ADDRESS . SANITATION Signaturp ) FACILITY PERMIT TO TRANSPORTATION DEPT. BUILDING Data ) SPECIAL PMT. AREA. MIN. ELEVATION: Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth Type of Construction Use Classification Group Fire Zone Comments: Comments: By: Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: SETBACKS: FRONT By: Date: Date: Date Issued: SIDE FACING STREET (FROM CIL) INT. SIDE YARD REAR (F ROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 6874394 C55.13 POST THIS PERMIT ON MAIN BUILDING AT SITE . BLDG. PERMIT - WHITE; BUILDING - GREEN: PLUMBING - CANARY: SANITATION GOLOENHQO; OFFICI;. COPY WHITE 'r;~ . . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS '.' GAS PIPING GROUNDWORK ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS ROUGH PLUMB I NG ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS FI NAL PLUMB I NG ApPROVED ~ DISAPPROVED REMARKS /?In...od ~.Lo i:::{:" - <J ~ DATE INSPECTOR ~~rW. ~/../L~ '/~ U 0 . ~~f&/ <<- 7-R'~ /~/I FINAL GAS PIPING ApPROVED ~ DISAPPROVED / / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE ;---? DATE INSPECTOR REMARKS