HomeMy WebLinkAboutPermit Building 1976-7-22
17-{)3-27.1
TlJ.30'O
22.55 LAtlUST
SPRDWFIELD
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PERMIT # ~';",.",'"
TRS, TI
JOB LOCATION
LANE COUNTY PERMIT
\I'
Acreage or Lot Si7P
Contractor's O.S. #
Partitioning #
, T
) Completed
Subdivision
Lot Block
SPll:NGFIID..U OllJtOO~ 91471
746-55139
, LW~, ~J::E;P!!
2255 LAt1U S~ft
APPLICANT'S NAME AND ADDRESS
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESS
Mail permit to ( ) Applicant ( ) Owner
~lli
Phonp
Phonp
- Phonp
(owner, etc.) when ready,
,STRUCTURES NOW ON THE PROPERTY
C~ll:'lt ,$IDnm: OO~Y:
) Contractor. ) Prefer to pick up. Call
EXIStING llOO'S~
vALUE $1000
-
WATER SUPPLY
THIS PROPERTY IS WITHIN ONE MILE OFTHE CITY OF
~l~
# BEDROOMS
BA
# PLUMBING CONNECTiONs
THIS PERMIT IS FOR
SEWAGE DISPOSAl
liA
S.I.,#
PLUMBING BY
at\.
I hereby certify that the above statements are true and accurate, and that I have the following legal i'nterest in the property: }~, owner of r~'cord;
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 owneJ is aware and ,approves of this action. I hereby agree to comply with all applicable.codes relating to this p~rmit.
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Fee Paid $;
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',,- "" ';,.,,:: " " Signature
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) FACILITY PERMIT TO TRANSPORTATION DEPT.
, ......
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DatI"
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) NEW ADDRESS (
SANITATION
) SPECIAL PMT, AREA. MIN. ELEVATION:
._-..
_., -.
\, '
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Type of Construction
I Jse Classificati'on
Group
Fire Zone
Comments:
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By: Date: " By: " j' '. ." (:J;.' Date:
PLANNING REQUIREMENTS SATISFIED. By:" 'i: Date:'\ \"" '; ': V \, Date Issued:~,
ZONE: \. ''\ '....... _ SETBACKS: FRONT SIDE FACING STREET (FROM CILl INT. SID'E YARD REAR
". . .. . .....~.. .... ~. " ;'"\" \. -... ..........
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT,-l25 EAST 8TH AVE., EUGENE, OREGON 97401
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(FROM Pill \
PHONE: 687-4394
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POST THIS PERMIT ON MAIN BUILDING AT SITE
\
C55,13
BLDG, PERMH - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE
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/7- ,~ - .;:17, / - /367 a Job Location
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INFORMATION SHEET
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97'//'7
Written Directions
75
(t.-113uilding Permit
) Site Feasibility Study for Septic Tank. Number of sites
Acreage or Lot Size
Partitioning #
Test holes will be ready
) COniPle~ted ' .' SU~biViSiO
} Pending, ' , ' '
APPLICANT'S NAME AND ADDRESS' .,:..+,U. '-.JJ1 ~ _
OWNER'S NAME AND ADDRESS,if different f~o~ applican{-s, II dd_~.s- ~./LA-4~
.~ .. . . -.
CONTRACTOR'S NAME AND ADDRESS
Mail permit or results of site feasibility study to
( ) Prefer to pick up. Call
Lot
Blocl<
.~,'(ttv~
'lip ,- pr
Phone '7d~-src%'
Ph6ne.'7~h -:- r.rb;i
Phone '
~
) Applicant ( ) Owner (
(owner, etc) when ready.-
) Contractor. '
Contractors O. S,. #
WATER SUPPLY,
STRUCTURES NOW ONTHE PROPERTY '~~--e..--
PROPOSED USE (this permit) ~' '- (l~.L/l./
/Y# ~
IYfJ
* Bedrocin.c; 3
SEWAGE DISPOSAL
(e'xisting or p'roposed well, etc. If public, narhe of system)
(existing or proposed septic tank, etc.) S,I.:;=
PLUMBING BY
Address
( ) PROPERTY ISWITHIN ONE MILE OF CITY (
********';'*'**************'**'***************:*'* OFFICE USE ONLY BELOW THIS LINE **********~******,******************** ******
) New Address Necessary
ZONF
) Facility Permit Necessary
) Special Permit Area.
Minimum ,Elevation:
SETBAGKS: . Front
Side 'Facing Street
(FROM CENTERLINE OF ROAD)
Interior Side Yard "Rear
,(FROM PROPERTY tiNES)
To: Planning/Building Inspector/Sanitarian/Surveyor.
This applicant appears to hav"e 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 '.
nivision
TRS"TI
JOB LOCATION
2255 LAURAST SPRINGFIELIi
OREGON
....~....... i 1'- ,-~'~'
PERMIT # ,~.-)~~'-0' ~ ' ':
17-03-27.1 TL1300
LANE COUNTY PERMIT
l:.
, ,
Acreage Qr Lot Si7P
Contractor's O.S.# ,
Partitioning #,
,( ) Completed
Subdivision
Lot Blocl<
SPRINGFIELD OREGON 97477
74,6-5509
~:,
APPLiCANT'S NAME AND ADDRESS
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESS
Mail permit to ( ) Applicant ( ) Owner
LEON KEEFE 2255 LAD~ STREET
SJll'1E
) Contractor.
) Prefer to pick up. Call
Phonp
Phonp'
Phonp
(owner, etc.) when ready.
- .;
;\-
STRUCTURES NOW ON THE PROPERTY
'CEDAR SIDING ONLY:
EXISTING HOUSE
VALUE $2000
f
WATER SUPPLY
THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
NA
SEWAGE DISPOSAl
t-1A
# BEDROOMS
N'A
# PLUMBING CONNECTIONS
r.',.
THIS PERMIT IS FOR
'1.
S.1. #,
. PLUMBING BY
NA
,:-'-
I hereby certify that the above statements are true and accurate, and that I have the following legal i nterest.jn the property: ,')l);., owne~ ~of 'record;
'contract purchaser; potential buyer; realtor or agent. I further certify that (if not the 'owner) I am authorized to act for tbebwner of
record, and that said ,own,er is aware and approves of this action. I hereby agree to comply with all applicab.le C0,des-~lating, to th,is permit.
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Fee Paid $ c.::.:J~.......) ~'-, (~ , ~<<'c:~~ '~'-:':::~ .~,,; Signature ,/ / ,1./,-",1 4''<-~t'>nv ~~ c/-;'f~ Datp \ ~, ~.;;~~ \. 1\ \
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TR'~SPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION:
. J...',
.';;::
SANITATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Type of Construction
Use Classificatiqn
Group
Fire Zone
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Comments:
""l . ~ A I} () 1./
q:::-r~ ~:f~~~~;~ erv-f-r a.J2(J
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Comments:
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By: Date~~'" (-=-----,.~ By: 9t'~~ S" ~-,;:i-;1''tl2..e.f/ Date: }- 2- z.--7~
PLANNING REQUIREMENTS SATISFIED. BY\1::"-~'-""{'1'-~'~_'~"^-_A /pate: '\ \ ~\ \ ~l--J\' Date Issued: ~ \ "...,'\\ \ '\ ....\\\ "
ZCiKJ'E:--"'{--.......a.... _~ETBA<;;KS: FRONT _ SIDE fACING STREET~ (FROM C!L) INT. SIDE YARD REAR '\ "lFROMP!L) \ ..
i,; LANE COUNTY DEPI\Ritr)NfITF'EN~~rJ~5;AL ~~N~&~~1~025'EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687,4394
POST THIS PERMIT ON MAIN BUILDING 'AT SITE
C55,13 BLDG,P~H~,IT,-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICE COPY-WHITE
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SHE INSPECTION
ApPROVED /
/
DISAPPROVED .I
REMARKS
POUNDATION'INSPECTION
l DATE
REMARKS
/' DISAPPROVED / '/ DAT~
ApPROVED /
FRAMING I NS,PECTION ,
A~PROVED, /
I DISAPPROVED /
REMARK'S
~-
LATH OR ,SHEETROCK INSPECTION
ApPROVED /
I DISAPPROVED /
REMARK'S,
\
I
/ DATE
! DATE
1 NSPECTOR' '
INSPECTOR
I NSPE,CTOR
INSPECTOR
FINAL I"NSPECTI/,,,
ApPROVED: / <I': / 0 I SAPPROVED ' /' 'j. DATE 1t!J -.J -111 NSP,ECTOR
REMARKS
CERTJflLATE OF OCCUPANCY
RE~DY TO IS~UE ,/
/ NOT READY TO ISSUE /
/ DATE
Rn.\A~KS ,
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INSPECTOR
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kri~~ D(v,ision :,~.e?t;~~~,:->~~,i ;(9c9J~La~I~-}:xtension Service.- State Fo:estry_. "
, ~~, g'i ona 1 Pl ilnn 1 ng\ , .,.~'';:~lt o/::ro .......q.i[~!T rans it Di 5 t t'i c t S ta te Highway Di vi s i on i
W$f')a~ning'ReSear~h~~~~ Reg, Air P,Ol,' ~ut,h. _,__State Environ. Quality
,}onlng Enforcell1ent~' f16~ter Dlstnc:t, ~ :._,__State OepL of LM\ds
'iI""EnvironmentalHealth ,School District____,___,_, State Fish & Game
Fire'District State Geol. & Mineral Indus.
~Boundary Coinrnission State Veterinarian
Port of SiuslawDunes Nat'l Rec. Area
~Plan ,be~t ~ Siuslaw'Nat'l,Forest
LCity of~vtcU-rL ,,' Willarnette Nat'l Forest
EW~B ' ~ " -b Bureau of Land Mgmt.
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N.~;Natural Gas ' Soil ton~ervation Service
Pacific N.W. Bell
.'Pacific' N.W. Power
:Tri-Agency Dog Control
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LCDC'
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So il s Da ta
Flood Management
~}ransportation Planning
)<. Assessment & Taxati;on , -
Parks'Division
Lane Real,Est~te Di~.
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Lane Public Safety
Lane Public Lands
Lane Lega,l' C~unse 1 ,
.,__,Hous i ng & COlnm., _Dev.,
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...:..._..Neighborhood Group:
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Corps of Engi neers
Fed. 'Aviation Authority,
Fed. Communications Cornm,
Other
Other
LANE COUNTY LAND MANAGEMENT DIVISION
125 Eas t 8th Av'enue, Eugene, Oregon 97401
Phone: ' 687-4061
A request for land use action, as described on Data SUJ111i'WfY and attached schematic has been
received by the Planning Division. If signifi~ant impact is evident, please ,send co~ments
to LdFldManagement Division by ~- 3/ ' '. '
, ,
Specific concerns of your agency ,should be addressed in additio~to adverseimp~ct$ on
general livability of the area and its future developl1]ent." "
For additional information, contact ",~~,;~', ., " , '
DATA SUMMARY:, Journal No.l'i!.e- ~....tf9 'Zon'e District~L1Llj -7> f(p
APPlicant__~~~ ____". ___ ", ~ot size"T'"'___: ,_. '~:-,-~,
Property Address~~S-S-, ~,_s.~ " 'MaP:,.l7-a,_.3~~7:L '
PROPOSAL: tJ,o .A'- ."_,, . '-~P;'1j'a----2'2Yl7""Tax )"t.:;c.L~<2-~
~1Yt:~ ~ - ~ ,,-~-gg,~ , -,-------
,I ,_, .~ ~__,~~____.____~_~_,___,___,____, _
COMMENTS (Reverse Side May Be Used): ~ tU~--tL~~@~~ d6.
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,""riOTICE<TO r.m~TG^GEE. LIEI{ ;JJLDEK. VENDOR on ,SELLER: ORS CHAPTER 215 REQUIRES THAT' ,', '.: :ojH
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~I ,IFI:VOU RECEIVE THIS NOTICE. IT ~1lJST pr~m1PTl,Y BE FORWARDED TO THE PURCII^SER." ' "
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Location:
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