HomeMy WebLinkAboutPermit Building 1977-3-7
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JOB LOCATION
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PERMIT# t..\~.::l~---\l
Springfield Oregon ~7~03'
LANE COUNTY PERMIT
Acreage or Lot Si?O
Contractor's O.S. #
Partitioning # .
) Completed
Subdivision
Lot ,-s-
tlco8ow Groen F9tatea
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Block
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APPLICANT'S NAME AND ADDRESC:
OWNER'S NAME AND ADDRI=C:C:
CONTRACTOR'S NAME AND ADDRESS
Mail permit to ( );) Applicant ( ) Owner
Lane Co~otruction Co 315 Oorris St
8m':o
Ball!:>
) Contractor. (Z ) Prefer to pick up. Call 63B-503G
Phonp
Phonp
Phonp
(owner, etc.) when ready.
6313-5836
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STRUCTURES NOW ON THE PROPERTY
.' ~~Pition of_200a~ ftronto G~ra9c/ P~oily
THIS PERMIT IS FOR . -
~.~~ _~4~~~UY rur~~un ex ~urage
City of SPringfield
~ellinCJ
Garflge
Roo!!}
# BEDROOMS
Exis~lD('f
# PLUMBING CONNECTION~
WATER SUPPLY,
SEWAGE DISPOSAl
S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
Sppin~f1cld
. PLUMBING BY
.1 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 t~at said o,,:!.ner is aware and approv,es of this action. I hereby agree to comply with.al~ ap~cable(codes relating to this permi~ /
Fee Paid $ ~Jt-- '.-.......... "", \.'-..~ Signature \I,'-<.L/'N~ Da'o .:q/~//77'
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) NEW ADDRESS ( ) FACILITY PERMITTO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION:
e:omments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Type of Construction
Ilse Classification
"'roup
Fire Zone
SANITATION
Comments:
'By: "::-~ Date: ?j' ;- / By:////;Y/ X if Date: --</;:,/''r1
PLANNING REQUIREMENTS SATISFIED. By\'-,.,. . Date:'':'',,','' ,\\ '"' Date Issued:' '-::;'/.. /:-;r)
ZONE: """ t.",. SETBACKS: FRONT ~, SIDE FACING STREET (FROM C/L)' INT~SIDE YARD: REAR t./, (FR'OM'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; PL~M81NG - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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Job Location
(0 38' DOIJ-fJ.e:A-
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~oo c::,
INFORMATION SHEET
( v) Building Permit
) Site Feasibility Study for Septic Tank.
( ) Would like to meet on site. Call
T-est holes will be ready
Subd~eQ~ \
Number of sites
(owner, etc.)
Acreage or Lot Si zo
Partitioning #
( ~, OD-","" --ca,V:ot ~ Bloc~ /
) Completed
( ) Pending
APPLICANT'S NAME AND ADDRESS Lwc: &tz;Sr~<VTtd).) CO,
OWNER'S NAME AND ADDRESS, if different from applicant's
CONTRACTOR'S NAME AND ADDRESS J..JT-NC. t!LJ.vS-'C,en.J'71ov d,.,. oArS J)oe.e.l~ S:T
Mail permit or results of site feasibility study. to ( ) Applicant ( ) Owner (I---fCOntractor.
( ) Prefer to pick up. Call b y-fr-Sij 3 ~ (owner: etc.) when ready.
8/5.])0IZ.I2.IS ST
Phone~-Sc5!3'b
Phonp
Phone.?,f' P--.);l>"3" f..
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PROPOSED USE (this permit)
WA TER SUPPLY C\ ' ....~
STRUCTURES NOW ON THE PROPERTY
a..-Jl~ ~<:.)
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;2, '"-- ./l.
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/ ~:: ~~- ~-~~. \, ~~ ,~
'oc.u. Cf_ E:..-<>-"",~~ G-o,,,,-~ ~~
(existing or proposed well, etc. If public, naml of ~ystem)
~
G-o _c> ~
/
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SEWAGE DISPOSAl
(existing or proposed septic tank, etc.) S.1. #
PLUMBING BY
Address
) PROPERTY ISWITHIN ONE MILE OF CITY (
)
******************************************* OFFICE USE ONLY BELOW THIS LINE *******************************************
( ) New Address Necessary.
eZONf
) Facility Permit Ne'cessary
SETBACKS: Front Side Facing Street
(FROM CENTERLINE OF ROAOI
) Special Permit Area.
Minimum Elevation:
I nterior Side Yard Rear
(FROM PROPERTY LINESI
To: Plannillg/Building Inspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated.
By_
Permit Processing Section
Response'
C55.12
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394
Division
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PERMIT #
Tf.S, Tl_
JOB LOCATION
LANE COUNTY PERMIT
Acreage or Lot Si?O
Contractor's O.S. #
Partitioning *'
) Completed
Subdivision
Lot
Block
APPLICANT'S NAME AND ADDRE~C:
OWNER'S NAME AND ADDREC:C:
CONTRACTOR'S NAME AND ADDR"C:C:
Mail permit to ( ) Applicant ( ) Owner
) Contractor. ( ) Prefer to pick up. Call
Phono
Phono
Phono
(owner, etc.) when ready.
STRUCTURES NOW ON THE PROPERTY
. THIS PERMIT IS FOR
WATER SUPPLY
*' BEDROOMC:
# PLUMBING CONNECTIONS-
SEWAGE DISPOSAL
S.I. #
THIS PROPERTY IS WITHIN ONE 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 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.
BUILDING
Date
) SPECIAL PMT. AREA. MIN. ELEVATION:
.omments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required, Lineal Feet
Maximum Depth
Type of Construction
11se Classification
Group
Fire Zone
Comments:
By: Date:
PLANNING REQUIREMENTS SATISFIED. By:
ZONE: SETBACKS: FRONT
By:
Date:
Date:
Date Issued:
SIDE FACING STREET
(FROM C/U INT. SIDE YARD
REAR
(F ROM P/U
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT S'TE
PHONE: 6874394
r
CS5.'3
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING CANARY; SANITATION - GOLDENROD, OFFIC~ COPY WHITE
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SITE INSPECTION
ApPROVED
,
~ DISAPPROVED
# A1~ j;;.-:,
Cl OATE ') - ~9 -71NSPECTOR
9A~
REMARKS
fOUNOATION INSPECTION
ApPROVED I
I DI SAPPROVEO L-I DATE
REMARKS ,{) K- h /J~
I
'j - 2-<7- 77
fRAMING IN~~~N
ApPROVED DISAPPROVED
Cl Dml ()~ ~ 7 ?
REMARKS
LATH OR SHEETROCK INSPECTION
/'
ApPROVED L...LI DI SAPPROVEO /
I
DATE-I-/~"f-77
REMARKS
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INSPECTOR
~~
INSPECTOR~~~
INSPECTOR~
,
fINAL I NSP::~ I~ 2{- 71
APPROVED, DISAPPROVED Cl DATE~:~NSPECTOR ~rt
REMARKSf:'(' ~ - h~~f,..-n-JL. 1_.._7/-7 "1 9tA~
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CERTifiCATE Of OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
REMARKS
INSPECTOR