HomeMy WebLinkAboutPermit Plumbing 1978-4-17
TRS, TI
JOB LOCATION
LANE COUNTY PERMIT
Acreage or Lot Si7~
Contractor's O.S. #
Partition i ng #
) Completed Subdivision
Lot
Bloc~
APPLICANT'S NAME AND ADDRFC:C:
OWNER'S NAME AND ADDRES~
CONTRACTOR'S NAME AND ADDRES~
Mail permit to ( ) Applicant ( ) Owner
) Contractor. ( ) Prefer to pick up. Call
Phon~
Phonp
Phone
. (owner, etc.) when ready.
STRUCTURES NOW ON THE PROPERTY
-THIS PERMIT IS FOR
# BEDROOMS_# PLUMBING CONNECTIONS-
WATER SUPPLY
THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF
SEWAGE DISPOSAl
S.1. #
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
SANIT ATION
Signature Da'~
) FACILITY PERMIT TO TRANSPORTATION DEPT ( ) SPECIAL PMT. AREA. MIN. ELEVATION:
BUi'DING LANE COD ~ "L'~' AO-A
~ 1~ 11 u. ~~.... rL1L..L.T .ru:.
Type of Construction r,roup .Fire Zone
I Jse Classification
. Comments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
Comments:
~ Date:
PLANNING REQUIREMENTS SATISFIED. By:
ZONE: SETBACKS: FRONT
By: Date:
Date: Date Issued:-O--"6 -7 g
SIDE FACING STREET (FROM CILl INT. SIDE YARD REAR (FROM PILl
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
18-03-02.2 T.L 2603
GefS'f ~~
JOB LOCATION.
PERMIT # 1.061-78
121 DORRIS :::>'.I:'"""c,"' SPRTh"",.u:;ill l.1t<ckM.
aJT scu:m 2nd TO OORRIS 'IU"RN RIGHT HARBOR DRIVE F'CJLI.CW ro
121 OORRIS i:>TrtC.l:i.L
"
,
.'
155 X 300
LANE COUNTY PERMIT
NA
NA
Acreage or Lot Si7~
Contractor's O.S. #
Partitioning #
) Completed Subdivision
LOL
Block
APPLICANT'S NAME AND ADD Rr:c:c:
OWNER'S NAME AND ADDRFC:C:
CONTRACTOR'S NAME AND ADDRFC:~
Mail permit to ( ) Applicant ( ) Owner
RANDOLPH A. ALIEN 575 saJTH A ST=T SPRINSFIEID ~\j Phon~
W1J..wJ\M. n; GtXJl'l.ili 1.'<1. lJU!<ltib b'l'l<cd:.T i:>d,J.L~.u:.uJ UK<.l.u.'1 Phon~
ENEfuIID TRAILER SALES 575 SOOTH A STREEI' SPR.INGi!'IEID Phon~
( ) Contractor 1< ) Prefer to pick up. Call 747-4.008 (owner, etc.) when ready.
. EMERIUD
EXISTING PUHP HOOSE MOBIIE HeME
747-4008
STRUCTURES NOW ON THE PROPERTY
eTHIS PERMIT IS FOR REPLI\CEMENT MOBILE HCME~
SINGIE WIDE
# BEDROOMS~# PLUMBING CONNECTION~
.comments:
EXISTING WELL EXIi:>TJ.LIlU SDS
WATER SUPPLY SEWAGE DISPOSAl S.1. #
THIS PROPERTY IS WITHIN ONE MI LE OF THE Y OF SPRINGFIEID ~l PLUMBING BY EMEAAID TRAILER
I hereby certify that the above statements are true ~ccurate. and that I have the following legal interest in the property: _owner of record;
contract purchaser; _ potential buyer. X'A(6illtor or agent. I further~"'e;:; that (if not the owner) I am authorized to act for the owner of
record, and ~hat sai~:I}~,ner is aware and approves 0 " action. I hereby agree to m y wi~ al~ap~licable S,o~ej relating to this ~ermit. .
~"';,,>\ \. -- S;,""",, ~ O-(J.JIJJ--- O",'~ \ \'-\ \ "A
_ ~W ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT.' () S~CIAL PMT. AREA. ~IN. ELEVATION: ~ ~ -'le-
SA TATION . . " BUILDING LANE COUNTY SPE0I:1L
MInimum SeptIc Tank CapacIty (Gallons) Type of ConstructIon r.roup
Drai~field Required. Lineal Feet ~~'2.n212(2 I Jse Classification
MaXimum Depth ~~ J<"~ Comments:
~ <<t
~ -?,o -tf ~
N .,if' c.
IIll::too ,J'.., 7"
.... {-1~':i"}.. "'19 ~
~ .f>,~' '<)i't--", Ei5
~ -v~ t'Ob; <'<::) ~
~ ~If'}'/)- ~
$0 <' 9 S ~\i.'t"
By: Date: By:
~ \
PLANNING REOUIREMENTS SATISFIED. By: _ A . Date: \-\ \ \'-\ \ ~F\ Date Issued: .-
ZONE: R...A:- ... SE~BACKS: FRONT ~ ()I SID ACING ?TREET _ JFROM C/L) INT. SlpE YARD5' REAR,5' (FROM Pill
LANE COUNTY DEPARTMENT .0F~/IRo\J'MENfA~ GEMENT, 125 EAST BTH AVE.. EUGENE, OREGON 97401 PHONE: 687-4394
1W b~~ :;:::1sY.f~ MkPOST THIS PE IT ON MAIN BUILDING AT SITE
~.lP5D" ~~~~6T-WHITE' BUILDING-GRE:', PLUMB'NG-CANARY; SANITATION-GOLDENROD, DFFICECQPY-WHlTE
NA
. ~"""bo.c.He:.P
,,=>e,~
Date:
,
. .....,-...,. ':~.'. - _...: ,
.'
..
.,:",.
T
>
:
J
.
,
.
N
<
tN, Geol"3e
"Prof' .l"03
t ;), 6 OS"
l f. #..,k. V ~5C.!'<>'~ ~'_
" j 'L->,;; "'," .,~
if If/ \ r~{,,;.,.., """'"_>"p ~ ,
I~ I ',).,.. fIJ-: ~ b
W@..~ ,"'" l > 1 ~
c ill>~ ~.' , '. , ~. h
I' .~'~ "'~. .,,~__ ~ ~
" I~~ : Oljl~ '.. il>' Of!" nl! c.v"15
--
~--------~.
~ cs~.~~~...,. ~'. ",
~
I
,
'~'.,
"
S c.o. le
I
/" ""00
.'
.~ '+;~-~..
;; v~ :;. ;'-;;<;;, , _'._~".
"('.4,J;:t: "'-;'''':*4 "2"'~>'''<>:''b''''
' . ."-. ~r . . ~ .~~; ~,...<,,~__
' ;;"':7~;.'f}"" :. ;;-l'."'~ " . " . ;.\;;L. ,>:,,,;},,,"~-.,,,'f"""~- _ _.
'~.'. ~'4~~..'.., _......_'-~_..-:: :.~.L:~_ .~~~:.-,...:-.~.;_.,._~ . ',,' ':.':~ ~'.' ':.~ _.,,:._.,;.-:;~
.".~ -
......:.. ',\:'
- -<':"--
- --- ,
. .
'" :.0..
-- T ~ ...
.- -....
.~
.
.I'
,
TRS, TI
JOB LOCATION
LANE COUNTY PERMIT
Acreage or Lot Si7~
Contractor's O.S. #
Partitioning #
) Completed
Subdivision
Lot
Bloc~
APPLICANT'S NAME AND ADDREC:C:
OWNER'S NAME AND ADDRES~
CONTRACTOR'S NAME AND ADDRES~
Mail permit to ( ) Applicant ( ) Owner
) Contractor. ( ) Prefer to pick up. Call
Phon~
Phon~
Phonp
(owner, etc,) when ready,
STRUCTURES NOW ON THE PROPERTY
eTHIS PERMIT IS FOR
# BEDROOMS
"PLUMBING CONNECTIONS
WATER SUPPLY
SEWAGE DISPOSAl
S,I. "
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
PLUMB ING 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 thc owncr 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 pcrmit.
Fee Paid S
I NEW ADDRESS
SANITATION
Signature
Oav'
) FACILITY PERMIT TO TRANSPORTATION DEPT, () SPECIAL PMT. AREA, MIN, ELEVATION'
BUILDIN<tANE COUNT; .....ti.A
Type of Construction Group Fire Zonc
Use Classification
. Comments;
Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
Comments:
By: Date;
PLANNING REQUIREMENTS SATISFIED. By:
ZONE: SETBACKS; FRONT
~y:
Date:
Date;
Da te I ssucd:
SIDE FACING STREET
(FROM C/U INT. SIDE YARD
REAR
IF ROM P/U
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
PHONE. 6874394
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55.'3
BLDG. PERMIT WHITE: BUILDING GREEN: PLUMBING CANARY; SANITATION GOLDENROD: OFFICE. COPY WHIH
. ,~
.
<<. ,.
,
SITE INSPECTION
ApPROVED Cl
DISAPPROVED Cl DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED / / 01 SAPPROV(D c::; DATE
REMARKS
FRAMING INSPECTION
ApPROVED / / DI SAPPROVED Cl DAn
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO L----/ DISAPPROVED r----? DATE
REMARKS
FINAL INSPECTION
ApPROVED ~'SAPPROVED
.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
Cl
DAn i -1- 7 f( INSPECTOR
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ;---? NOT READY TO ISSUE ! / DATE
REMARKS
Av-
INSPECTOR
,.>
-
:
.
.
) 'I
J 4~'" A/8S",?/'k.W",,=..._., __
~ 1ft ~,.t.< j. L ~
if ~~e~~..':tl;'3 5opt'C.li",\:u~ . ~"
!<J J/~;'. I "?~' '5 . '.'
f iSb1 ",~7 '., , #,.
{.r~ 'PV I ''tf t
(,;3 L. G~~~~ ~_ ~ ~_
W !r,'f:~ Oi)ltf. ;,~.-, "
...- I.'!JJ ;I':, . .i'(,' "fOp 1"..l!:,..v"5
~' Ii; , . r . ., .
,,~ 1- H",;:~9_~~~~7t~; ";;~; J~~~~';:.~D"
I .. .' '_,,'
..
--
N
)At. GeOl'"je
t't"OF' ",,,,03 t ;"05"
-.
,
>r~;~'"
v
,
"
.
-.:: - ~
~~
;.'
..\
-
<
~b
\~
~flj
,~
S<:.Q.(e "''''100'
/' .~^ '
,? '-'.
.~~/ .-
"
/~~'
0..,><
.
,".'.
....t
. .~."-
-,~-' .
. - .'-' n.", '- ~.;.' , . '--~1-=.. _.::;. .::~_r<.. ",-'~,""";/.:>;~~:~"--:-'~..~: -:'," .:: _:".... ....... ,_
.
'. .~g;i~;~:f,;:i.
'. "';...",.~~.~-it-
1H_,~~~..;",__,...,~-'";. ,.','<c_I.., _'
-
,""',
" '''~'-<-
, .: ~--<!- ". ~
,
~ .<:~ ..;-0'_
"
.,... .
"
Ml-1 to"I-78>
.
TRS,.Tl
JOB LOCATION
LANE COUNTY PERMIT
Acreage or Lot Si.7~
Contractor's O.S. #
Partitioning #
) Completed
Subdivision
Lot
Bloc~
APPLICANT'S NAME AND ADDRE~C:
OWNER'S NAME AND ADDRES~
CONTRACTOR'S NAME AND ADDRES~
Mail permit to ( ) Applicant ( ) Owner
) Contractor. ( ) Prefer to pick up. Call
Phon~
Phon~
Phone
(owner, etc,) when ready,
STRUCTURES NOW ON THE PROPERTY
eTHIS PERMIT IS FOR
# BEDROOMS __# PLUMBING CONNECTIONS-
WATER SUPPLY
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 S
) NEW ADDRESS
SANITATION
Signature
Dat~
) FACILITY PERMIT TO TRANSPORTATION DEPT. () SPECIAL PMT. AREA. MIN. ELEVATION:
BUILDINGLANE CO J.' .\REA
Type of Construction Group .Fire Zone
I Jse Classification
. Comments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
Comments:
By: Date:
-
PLANNING REQUIREMENTS SATISFIED. By:
ZONE: SETBACKS: FRONT
By:
Date:
Date Issued:
Date:
SIDE FACING STREET
(FROM C/U INT. SIDE YARD
REAR
(FROM PILI
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 GOLDENROD: OFFICE copy WHITE:
.
.
..-,.
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED L::::l DISAPPROVED L::::l DATE
REMARK 5
GAS PIPING GROUNDWORK
ApPROVED L::::l OISAPPROVEO L::::l DATE
REMARKS
ROUGH PLUMB I NG
ApPROVED L::::l DISAPPROVED L::::l DATE
REMARKS
ROUGH GAS PIPING
ApPROVED L::::l DISAPPROVED L::::l DATE
REMARKS
FINAL PLUMBING
ApPROVED
!ZJ
DISAPPROVED L::::l
~.~
REMARKS
13L () (,1< I AI r~
A/() 5/<11' r
OK
FINAL GAS PIPING
DATE to-I
J:;-- /S- 7 R
ApPROVED L::::l DISAPPROVED L::::l DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE L::::l NOT READY TO ISSUE / / DATE
REMARKS
.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
rf?~
INSPECTOR
t?J.
INSPECTOR