HomeMy WebLinkAboutPermit Building 1977-4-27
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PERMIT # ~t:.)5-'7
JOB LOCATION
z.e /...48 rnC;t {tOr l:> f'''' v e, St:.-'fcI.
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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
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Phon",~{47- 7775
Phon'"
Phon'"
(owner, etc.) when ready.
) Contractor.
) Prefer to pick up. Call
STRUCTURES NOW ON THE PROPERTyOU_"€..tLt'I~<::.!'
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"-lIS PERMIT IS FOR ~I'U:IOh-,~""y C2".JJ-'\.r;'1'A(~S)
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. WATER SUPPLY" QUJt r~\JO(~' 'VV'~'d
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# BEDHOOMS ,# PLUMBING CONNECTIONS
SEWAGE 'DI'S'POSA" ,.~.,t:.)r.tG. ,<:0.-,)':)1<..", S I #
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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 - -~ - ~-$' ('.~7.5f_Z;" ..~ -~- Sig~at~re' .-. -~ -~ - -. -.~.- -- '.-' ~ "-~D~te 4/2017/'
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION:
SANITATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Type of Construction
I Ise Classification
Group
Fire Zone
Comments:
)mments:
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By'. ".J. .L>,,, 0" ,; ._,.-I/r. . j -1 7 4'
"-1.:t:~ f, '~'-',j-<f.l~. J1t.14 ;)1<,,;.((......, Date. ",." ", .~ ,-' ,
': ,";' .. ,.<'0 J Date: ;~/";;/,"';/ 7J Date Issued: tj -~'''/ :/- :; 7
SIDE FACING STREET (FROM C/U INT. SIDE YARD REAR (FROM,P/L)
By: Date:
PuANNING REQUIREMENTS SATISFIED. By:
, ZONE: /:/it.f' SETBACKS: FRONT
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE: 687-4394
C55,13
BLDG, PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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Job Location. //' .y S}-'-f5?- /221~~,~~_
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INFORMATION SHEET
93%-77
~ Building Permit
) Site Feasibility Study for Septic Tank.
) Would like to meet on si,te. Call
Acreage or Lot Size Test holes will be ready
Partitioning # ( ) Co'mpll;lted ~bdivision
L ) Pending r rt/7:)
APPLICANT'S NAME AND ADDRESS I ~...v-~r~~
OWNER'S NAME AND ADDRESS, if different from app'licant's, , ""-J
CONTRACTOR'S NAME ANDADDRESS '
Mail permit or results of site feasibility study to
., ) Prefer to pickup. Call
Number of sites
,(owner, etc.)
Lot
Block
tJ.2ttf! ~ [1,-,~ PhoneJtl7-:?~
Phon?
. Phon? .
WATER SUPPLY
PROPOSED USE (this permit), 11;/." ,~,~. , ;5r/''l itlg'../~$-
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
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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
. . '.~
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C55,13 "
BLDG, PERMIT - WHITE; BUILDING:- GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY ~ WHITE
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'S ITEINSPECnON
,APPROVED'./ I' DISAPPROVED 1 .I DATE
,REMARKS
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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'
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. LATH OR SHEETROCK I NSPECT ION'
ApPROVED I
1 DISAPPROVED I
I DATE
REMARKS
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FINAL INSPECT I ON
ApPROVED
j I: D1SAPP~OVED 1 1 DAT~
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REMAR,KS
CERTIFICATE OF.OCCUPANCY
INSPECTOR
INSPECTOR
I'NSPECTOR
INSPECTOR
INSPECTOR
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'RE ADY 'TO ISSUE I I NOT READY'TO ISSUE I 1 DATE
REMARKS -~
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INSPECTOR,