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HomeMy WebLinkAboutPermit Building 1977-4-27 ,/ ;i......... \~ :: JRS, TI 1-1-:.~'-Z3", 3~ 2. /! {', .' '~~-'~":--- ~c ~, iOOO PERMIT # ~t:.)5-'7 JOB LOCATION z.e /...48 rnC;t {tOr l:> f'''' v e, St:.-'fcI. " LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.s. # ;PPLICANT'S NAME AND ADDRESS .v1Cict.:)(:...rcL ~r:5Cr')5 OWNER'S NAME AND ADDRESS ~'):~o :1:' .' '-~' CONTRACTOR'S NAME AND ADDRES~ Mail permit to ( ) Applicant ( ) Owner Partitioning # ) Completed Subdivision Lot Block 2. 3W '3 ....1\0 i:') or .-~ t....-ir.... Phon",~{47- 7775 Phon'" Phon'" (owner, etc.) when ready. ) Contractor. ) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTyOU_"€..tLt'I~<::.!' " . ~ t i "-lIS PERMIT IS FOR ~I'U:IOh-,~""y C2".JJ-'\.r;'1'A(~S) , v ,( ,j,' \ i i~/' ,''- . WATER SUPPLY" QUJt r~\JO(~' 'VV'~'d '~ # BEDHOOMS ,# PLUMBING CONNECTIONS SEWAGE 'DI'S'POSA" ,.~.,t:.)r.tG. ,<:0.-,)':)1<..", S I # , ." 'f, '0 I' 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 i,nterest' 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-P;icl il'7,,'2t~-. - H - -~ - ~-$' ('.~7.5f_Z;" ..~ -~- Sig~at~re' .-. -~ -~ - -. -.~.- -- '.-' ~ "-~D~te 4/2017/' ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION: SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction I Ise Classification Group Fire Zone Comments: )mments: (9' ", ' , C' ..",,:. . "',,'- By'. ".J. .L>,,, 0" ,; ._,.-I/r. . j -1 7 4' "-1.:t:~ f, '~'-',j-<f.l~. J1t.14 ;)1<,,;.((......, Date. ",." ", .~ ,-' , ': ,";' .. ,.<'0 J Date: ;~/";;/,"';/ 7J Date Issued: tj -~'''/ :/- :; 7 SIDE FACING STREET (FROM C/U INT. SIDE YARD REAR (FROM,P/L) By: Date: PuANNING REQUIREMENTS SATISFIED. By: , ZONE: /:/it.f' SETBACKS: FRONT LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE PHONE: 687-4394 C55,13 BLDG, PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE ~ '" "S ,^' (~'- ~:R~ .-~-,~~-;=-~~~lRj;?/,,2 ..;.. / (j (j 0 - . I . .../" .- .. .-..,--..------'~l)7 -- (j 3 -../ ~ 3 - :s <../ 7 Job Location. //' .y S}-'-f5?- /221~~,~~_ AL '-' ., ....~ INFORMATION SHEET 93%-77 ~ Building Permit ) Site Feasibility Study for Septic Tank. ) Would like to meet on si,te. Call Acreage or Lot Size Test holes will be ready Partitioning # ( ) Co'mpll;lted ~bdivision L ) Pending r rt/7:) APPLICANT'S NAME AND ADDRESS I ~...v-~r~~ OWNER'S NAME AND ADDRESS, if different from app'licant's, , ""-J CONTRACTOR'S NAME ANDADDRESS ' Mail permit or results of site feasibility study to ., ) Prefer to pickup. Call Number of sites ,(owner, etc.) Lot Block tJ.2ttf! ~ [1,-,~ PhoneJtl7-:?~ Phon? . Phon? . WATER SUPPLY PROPOSED USE (this permit), 11;/." ,~,~. , ;5r/''l itlg'../~$- R..4'N hn~ !AI 14;-T; L 5 ~ f ,TIC- t:Cv /<.. ) Applicant ( ) Owner ( ) Contractor. (owner, etc.) when ready. t-lu ~..JO _ _. " ~-, ............, { , ,,( ~/Y1j'-~~~/b:2- ~~/~ (existing or proposed well, etc. If public, name of system) ," n$J R1tCI.LJ B!;$. NOW q f\J 11-:1,(:,.. P,11,OJ'E.RIY _ SEWAGE DISPOSAl (existing or proposed septic tank, etc.) S.1. # PLUMBING BY Address ) PROPERTY IS WITHIN ONE MILE OF CITY ( ********************************~********** OFFICE USE ONLY BELOW THIS LINE ********************************'*********** ',( ) New Address Necessary 70NI= ( ) Facility Permit Necessary SETBACKS:' Front Side Facing Street (FROM CENTERLINE OF ROAD), ) Special Permit Area. MinirT)u[11 Elevation: I nterior Side Yard Rear (FROM PROPERTY LINES) T o:Planni ng/Bui Iding I nspector"/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 A ven ue . 687-4394 I) ivision c@~, TI 1'1-,3- Z3.3.2. -tlr1OOO PERMIT # Q3'8-"17 JOB LOCATION 2Bi48 mCtnOi D"",ve.5otcL , t' 1,\', " LANE COUNTY PERMIT ~;:r~# Acreage or Lot Si7P Contractor's O.S. # ' Partitioning # ) Completed Subdivision Lot Block' APPt-ICANT'S NAME AND ADDRESS .vt~ ~:5 ZKf..Ig ManorD.., OWNER'S NAME AND ADDRESS _~ ) CONTRACTOR'S NAME AND ADDRE~~ Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY ~-lLt'n...",.. , , ' " U '-HS PER1MIT IS FOR ~O~~ (;5.hlr'"\~.s) , v U U WATER SUPPLY, ~b~ ~~ .-" '''''j/ Phone 747- '7775 ' Phone Phone (?wner, etc.) when ready. "\; ) , ' SEWAGE DISPOSAL~ ~'nk" . S,I. # # BEDROOMS # PLUMBING CONNECTIONS THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF '. Pi!=:'UMBING BY I hereby certify that the above statements are true and accurate, and that I have thefollowih'g legal intere~t in th~ prop,erty: owner of record; , contract purchaser,; potential buyer; realtor or agent. I further certifythat.'tif not the owner) J am authorized to act fgr 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 paiEl'$l7.21 '$ f.o(5~ Signature '..' Date L4/2D177 ) NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA, MIN. ELEVATION: . .~ '. -~ ~ ..or r ;:: <t ."~; ) SANITATION Mi'nimum Septic Tank Capacity (Gallons) Drainfield Required ~ Lineal Feet Maximun: Depth BUILDING Type of Construction Use Classification Group F ire Zone ,,' ~ ;;i;.....,..- . Comments: i'~ 1mments: :_,,~ " : .~~ , " By: (l(~~~i.."L' ~f~ate: 4- ;)../~1/' 'PLANNING REQUIREMENTS SATISFIED. By: _d/~~ f/ Date:t;t:"::""':7-T~7}}f" Y Date Issued: "'/--;:9 9-'77 , ',ZONE: ,IY' # SETBACKS: FRONT SIDE FACING STREET (FROM C!U I NT. SIDE YARD REAR (FROM P!Ll , By: Date,: ..-7 I, , LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST8TH AVE., EUGENE, OREGON 97401 PO,ST THIS PERMIT ON MAIN'BUILDING AT SITE PHONE: 687-4394 . . '.~ ., . '1 , 2 C55,13 " BLDG, PERMIT - WHITE; BUILDING:- GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY ~ WHITE > .. . I "j to t~ 'S ITEINSPECnON ,APPROVED'./ I' DISAPPROVED 1 .I DATE ,REMARKS I I ,I I FOUNDATJONINSPECTION ApPROVED'! 'r 0 I SAPPROVED I I DATE FRArvll NG I:NSI?ECT,ION A~~ROVED 1 I' DI~APPROVED I 'I DATE REMARKS' I I I , I . LATH OR SHEETROCK I NSPECT ION' ApPROVED I 1 DISAPPROVED I I DATE REMARKS I I I' I FINAL INSPECT I ON ApPROVED j I: D1SAPP~OVED 1 1 DAT~ .~,.~ ~,,\,L, \ ? .\t. Yl.. 1. ~ '"'1, i\.L - I, REMAR,KS CERTIFICATE OF.OCCUPANCY INSPECTOR INSPECTOR I'NSPECTOR INSPECTOR INSPECTOR ~ 'RE ADY 'TO ISSUE I I NOT READY'TO ISSUE I 1 DATE REMARKS -~ 1 ... I r I - , I INSPECTOR,