HomeMy WebLinkAboutPermit Building 1978-8-2
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JOB LOCATION
?012 Inland Nay, Spn.rgfi.eld,
Acreage or Lot SI!O
Contractor's 0 S #
NA
Partition Ing ""
LANE COUNTY PERMIT
NA
) Completed
SubdiVISion
Lot
5th <:B.:3 FD.bert Qro've
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APPLICANT'S NAME AND ADORE"''''
OWNER'S NAME AND ADDR~"'C:
CONTRACTOR'S NAME AND ADDRESc:
Mall permIt to ( ) ApplIcant ( ) Owner
Allen IaFIb, 5alI12 as above
SM-!E
S1\ME
) Contractor (00) Prefer to pIck up Call 741i-1Jlin
Phono746-1260
Phonp
Phono
(owner, etc ) when ready
STRUCTURES NOW ON THE PROPERTY
Molllil:e Harne
r 'THIS PERMIT IS FOR ('.,aTFlcrR r. <;t-nr1'lCTP
/
# BEDROOMSNA "* PLUMBING CONNECTIONS!'L..
WATER SUpeLY-
Publ1c
SEWAGE DISPOSAL
seob.c
S I #
NA
~ - -.
THIS PROPERTY is WITHIN ONE MILE OF THE CITY OF
NA
PLUMBING BY
NA
I hereby certify that the above statements are true and accurate, and that I have the follOWing legal Interest In thp 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 the owner of
record, and that said owner IS aware and approves of th,s action I hereby agree to comply With all applicable Codes relating to this permit
Fee Paid ~ 53.60 Signature Isl A;Jlen T.-:nnh Datp 7-1n-7R
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT (~) SPECIAL PMT AREA MIN ELEVATION
SANITATiON
BUILDING
Sill Type of Constructlon,/J4 - / Group -3
t:i-t' .A" ~r:t.IISe Classlflcatlo~
Comments tf
~lre Zone
Minimum SeptIc Tank Capacity (Gallons)
Dralnfleld Required Lineal Feet
~
MaXImum Depth -1 _. .I) J
Comments /lib ~ 04- a::tJ S.'rnA_<-:~ to
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PLANNING REQUIREMENTS S'ATISFIED By
ZONE RJ\Ii.'tcl SETBACKS FRONT 45'
By
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DonnaJ.ee V.el.gs
SIDE FACING STREET
Date
Da{e/ 7-10-7If Date Issued ff-:..-~t,<,
(FROM GlU INT SIDE YARD 5' REAR 7; '(FROM P/U-
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE 687-4394
C5513
BLOG PERMIT - WHITE -BUILDING - GREEN PLUMBING - CANARY, SANITATION - GOLDENROD OFFICE COpy - WHITE
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Plot
SubdlV1Slon
Lot
Plan
Block
Vicinity Map
C74-1S0
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Job Location
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PLANNING
PERMIT PROCESSING
OTHER
FROM
FLOOD PLAIN MANAGEMENT
DEPARTMENT OF PUBLIC WORKS
PHONE - 687-4195
SUBJECT
BUILDING PER~1IT NUMBER "2. "'Z "'}OJ -1& PARTITION NUMBER
SUBDIVISION
OTHER
SITE IN FLOOD HAZARD AREA YES ~ NO
DETAILED STUDY ~ APPROXrr~ATE STUDY
NOT A SUBSTANTIAL IMPROVEMENT
/ MINII1UM FLOOR ELEVATION REQUIRED
~ SITE IN DESIGNATED FLOOD HAZARD AREA
EXTRA PRECAUTIONS MAY BE APPROPRIATE
RECOMMENDATIONS
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~LANNING DIVISION
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LANE COU~''''Y DEPARTMENT OF ENVIRONMEW '_ MANAGEMENT
125 LAST 8TH AVENUE, EUGENE, OREGON 97401
Partitionlnq Reouired
Other I
Cumnt ~onlng Q ~/\'\\ \A
[]_cndlng []C~tCd
fEE
AVERAGE PROC~SSING
TIm:
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New Site Insp~ction(8)
SDS Construction [] New [J R~palr
Number ot Bedrooms,
Commercial/Industrial - , ot Employees
Other
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~NSTRUCTION PER."ITS ^ND IllSPECTION
[tar ~~ee above for , of bedrooms/I of employees)
o ~obllel HOIUe $
o Permanent
o Temporary
o Renewa 1
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Total V31u~tlon $
Plumbing fIxtures at $
Sewer/W~ter Conn ~t $
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Each $
rach $:
Subtotal
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4\ State Surchdrg8
Plans Check Fee
Change of Occupancy
Minimum structural setbacks
From centerlIne of str~et Front
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ExterIor SIde ~ ~\. ~ IC
From interior lot Iln~5 Slde~ Rear . I ~~
o Cor-;:n'l plans sheet to apPliccl/,D Curb cut to t1pplic3nt
PUBLIC LAt.DS 0 Address Ita' ...11 n lI'lUffi Elev1.tlon
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PUBLIC WORKS [J r~clllty PerMit
E1NIRO l'''.l.lTAL IIEALTII
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Date
, or tInt the U"''Tler of record 1'; kno....l,_\.lqC1.blc of th1s
r. till owrH'r--r further .l(Jr-co to comply ....Ith III appll! Il)lt.. codes relating
^pplle3nt's Q,"n3ture /,~~.;::;f!;...-?'..JJ/
bne COLJnty
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FOR INFO MATIO~
IS YOUR REC~IPT. ^~D DOCS ~OT GIVL YOU PCRMISSION TO BUILD
TPE PROGRESS OF 'eOlIR ....PPLICATIO'l CAll pI RM.I1' CmlTRQL 687-4)57 (687-lIE...P)
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Plea<:e f'-int - Rltum Applit.C1tlon to
RpC'ppt i om 'n \"'hpn r"mplPt t'd
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APPLlCA....r
ADDRFSS
OW\ER (IF
APPLICATION
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OffiCe Use Only
PIIONE 7~6 -/dbO
'yr.C/ r-I ZIP 975<'77
PHO"lE
ADDRESS Citv ZIP
CONTRAcrOR~ ';U/YYl.P. O/J (J~ __ PHONE _
ADDRESS CONTRACTOR'S ORL STATE LICEN~ ~
~ MAIL C011PLFTED PERMIT TO AP~LICA'H6"''''lFR)~NTRACTO~ (~IR~E O\E)! ~P;;EFER TO PICK UP c1u._74/~ - Qhcr J
1 PRESENT USF OF I'ROPI:.RTY tes1de~t_in9 type of f'lnning commercial or industrial, vacant, ete , __
zi!x OESCRtBE "RUCTURE> 'OW 0' THE PROprRlY lMl A" 'T1WCTURfS TO .. D~'IOI ISIIFn .~ .A
~,.-us';/~_~r1X'/",,_-A__~c., \'f\~ - ~C\\",,~-\-S
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PLOT PLAN Sketch (a) 111 r01.ds (h) bound1.r1e,> of property (e) existing/proposed builJln&s (d) existing!
proposed sewage df<..po,>al areas (d exi'ltlng/proposed wells (f) eXistlng/proposed driveways
(g) easements (h) drainngc.ways, streams, creeks, any other pertinent features If commercial
~r industrial, sho,", freestanding signs, parking areas I"lDICATE DiMENSIONS
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SITe IN'>l'H'TJON 1 FST HOLES RL\DY (DATr)
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Il1'1EDIATE PLA% }"OR THIS PROPERTY (THIS APPlICATION) ARE
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FUTURE PLANS
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PROPOS~D WATER SIPPIY
STREAM
LAKE
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BEFORE YOUR APPLICA1IO~ CA'. M I'ROCf<;'-,HI )OU \lu<;r IUR.~I<;II
******************************** 00 r..or I-mITE BU ow TillS lIl<F ******************"''''''''''*ll**ll****
LlGAL DESCRIPTION
8~xll PLor PLA~S
(DlMI:NSIO~rD)
B\
D\TE
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
125 EAST 8TH AVENUE. EUGENE, OREGON 97401
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Acreage or Lot SI70
Contractor's 0 S #
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\ \ \[) J L NE COUNTY PERMIT
\.-) partJt\onlng '# :!:,,, () Completed
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SubdiVISion
Lot
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Block
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4
APPLICANT'S NAME AND ADDRESC:: iU1.o 'J.i:::'".:!J. C;::-;l r:3 <::JV1ro
OVVNER'S NAME AND ADDRESS ~)--3
CONTRACTOR'S NAME AND ADDR"C::C:: ET:i';:;
Mali permit to ( ) Applicant ( ) Owner ) Contractor (,;l'v) Prefer to pick up Call 7";'-1""'0
Phone 71)(,-12C:J
Phono
Phono
(owner, etc) when ready
STRUCTURES NOW ON THE PROPERTY
:~;r"";\ F':l :3
THIS PERMIT IS FOR c...,,,,,,= [, r:;.n -~.-'
# BEDROOMC::'.'!' # PLUMBING CONNECTION~
WATER SUPPLY
Ft!."~l "ir.
SEWAGE DISPOSAL
Z2'1d.c
S I #
-
.. >
THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
NA
PLUMBING BY
I~
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 (,f not the owner) I am authOrized to act for the owner of
record, and that said owner IS aware and apprOves of th,s action I hereby agree to comply With all applicable Codes relating to this permit
Fee Paid $ ~_oJ) Signature
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT
1t".1 ,\1_",-, /~"::;
Dato 7, I '!-7.
li"i) SPECIA L PMT AR EA
MIN ELEVATION
SANITATION
M,nimum Septic Tank Capacity (Gallons)
Dralnfleld Required. Lineal Feet
p
Maxlm~m Dep.th f I 1
<;omments lIb (?Ofi'i 0 -:f ~ ':., ~ I"!A.C I~ 'rb
'!)~ oj \ ~'" to vr o.f-- ~v..~"Q,I.rJ.
BUILDING
S AJ Type of Construction .A4 - / Group
CL-I' A" J"~d'7-eI.llse Classlflcatlor
Comments t1'
---3
F Ire Zone
By ~ %~. fr(l ~ '\1\ j (,::jJ/1I,;?r, 1Jlt ...;'LDate Z!J.U!71:f'
PLANNING REOUIREMENTS SATISFIED By ~..!:I~ ;-~
ZONE '1.lfe; SETBACKS FRONT ',5' SIDE FACING STREET
By
~ d:Jf-
p- 2:rgl
Date
Date..>' 7-'].0-.7& Date Issued ff-'!:;';~,<?
(FROM CILI INT SIDE YARD 5' REAR 7r'(FROM PILI
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHON E 687-4394
C5513
SLOG PERMIT - WHITE BUILDING - GREEN PLUMBING - CANARY SANITATION - GOLDENROD OFFICE COPY - WHITE
SITE INSPECTION /
ApPROVED ~ DISAPPROVED L:::7
DATE /fJ-2V-.I9 INSPECTOR~
REMARKS
FOUNDATION INSPECTION
ApPROVED f7"f DISAPPROVED I I DATE /. -t -77INSPECTOR ?~/
REMARKS ;:J.fr~t<' hp...._/ ICJ-~tL-7?, p_
<: f". - H.....o _ ~ ~ .-, AA~ r ~/,JJ';. _ ~ _ L _ 79 n, .-.If?
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FRAMING INSP::~N
ApPROVED / DISAPPROVED
I I
DATE :2 - 2- ~ - '91
I
. ()" . t1
I NSPECTOR~Lt r
~
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED ~/ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED d DISAPPROVED ~ DATE 1- 2-1, 'i1INSPECTOR--9r' ~/
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ;---? NOT READY TO ISSUE ! / DATE
INSPECTOR
REMARKS