HomeMy WebLinkAboutPermit Mechanical 1977-10-28
f
r
,oj
17-01-25.2.1
Yl.6 200
JOB LOCATION'
.16::.,;;
. ,:J.. \.
u.,ir.1 r..!.?~r: !NEHIJE PERMIT #~ _,'\
SPRU1CJ1'IfLD tlllliGtlJ 97477
,
\ ,
, ,
\' i
'TRS, TI
~
c,
LANE COUNTY PERMIT
"
Acreage',or Lot Si7P
ContraCtor's O,S, #
Partition i ng #
~(
) Completed,
's bd' " ,,{7~
U IVISlon
Lot ,"l~
SPRnlGPI!l:L!) OImGOIl
(f~~
Block J,;l.: I
726-!lnl
APPLICANT'S NAME AND ADDR"""
OWNEWS ~AME AND ADDRESS
CONTRACTOR'S NAME AND ADDR""C::
Mail permit to ( ) Applicant ( ) Owner
JOIm CilBANESS
1656
Ll\'.m JUDGe
tuJD..V lw.l.l.AlilA
95239 Olill1.l1A DlUVE
) Prefer to pick up, Call
lroGE>.."E OBEGPtl
Phonf'
Phone~,_
Phone
(owner: elC,) when ready,
(~I Contractor,
r "P
STRUCTURES NOW ON THE PROPERTY
DiSTM..I.AX lOB OJ? WOQi) STOVE
Il!x:lacing HOOSE
INTO EXISTDlG FIllJt.PLtlCi!:
~
"
THIS PERMIT IS FOR
THIS PROPERTY ISWITHIN ONE MILE OF THE C,ITY OF
SEWAGE DISPOSAl
nil.
=# SEDROOMS~__# PLUMBING CON~JECTIOf\jS----,-_,;
llil.
WATER SUPPLY
l'iA
S.l. # -
5A
, PLUMB ING BY
, hereby certify that the above statements are true and accurate, and that I have'the follo,rJing 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 9~ner is aWare and approves of this action, I hereby agree to comply with all applicable Codes relating to ,his permit. '
'.:: ,.,.d' i ,~l./ '" ,'---,~.;..' " " t " '\ \, \\ l\' \
Fee Paid ,<I:: ,..:~ ---- > ' . " r"', Signature ,- ", "'_ c' .: '>, '. ',' '" Dato" ", ,
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ) SPECIAL PMT, AREA, MIN, ELEVATION:
SANITATION
"
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
~>1aximum Depth
BUILDING
Type of Construction
Use Classification
~roup
Fire Z.one
Comments:
,)
Comments:
'/' ,J
l'.{. /~''''''.~'','''~i/'
," l
'~"";;'l;"~:'..
, ..
"
~.
('
~ .. "
:~
,
By: - Date," B (, ". J~, ~ /, ,7_ '1-?"
\ Y: -r. l ,o'."--I_.:f .r."': l./ .......;,;,i.{y-.,".._ Qate: .J '. .. _ /
PLANN ING REQUI REMENTS SATISFI ED, By~:.,,--"'y':.: '., ~~.,~._ "- Date: I, \,.~_:~, \ .::..," \ " ...' \ Date Issued: 10-25-77 ,
ZO~E:- -', ''''S. \ SETBACKS: FRONT _ SIDE FACING STREE:r _ ,(FROM CIL) INT.-SIDE YARD REAR (FROM PILI
. -. ,"l .,...... - 1" -v-- .
LANE COUNTY DEPARTMENT'OF'EN'VIRONMENTAL MANAGEI\11ENT,125'E'AST 8TH AVE" EUGENE,OREGON97401 PHONE:,687-4394
"
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLLHv,BING - CANARY; SANITATION __ GOLDENROD; OFFICE COPY _ VvHITE
\'
C55,13
.-". .,
,. .~'. ~
.'~;"..-F.~~<:;;-~::}.:.u~~. :.' .,;->. '''". - " .
,',r'" ,>," '-, "/'7:': 0''3-: ;< ~ :";;:2./
.--TRS,Tl , . , ,
~7.r.,.,\ ';':. ~ .
~';f.written Directi:bris
t$ff~-'-": .
t.'::-' i"
~,~ ",-- .
"','1-
i,,;;2-b:/ : Job ~ocation .
/ (",'S (
/2, .
LA~ -.JY'?-~'ol .., ,
. " , /\, -
. . ~ .
~)L/ ~pf?' -W~.
:
'-""-
INFORMATION SHEET
'. ".' .~"
(" ) Site 'Feasibility Study 'for Septic Tank, Number ot'sites
359-77
';:;c,:'); Bui Iding Permit
'Acreage:br,Lo(Size Test holes will be ready
"'Parti~'i6ni,!~:;(:' rCompleted Subdivision
. .' " )'Pending '-,-; (\ \ ~ ,. I
APelICA-NT'S NAME AND ADDRESS . '-.l ~ h~ , ' ~ RrV'Y-\.f!Ci""-."'-:
OWNER'S NAMEAND ADDRESS, if differenAfrom appl+€ijnt'c
:)DNTRACTOR'S NAME AND ADDRESS r--\GlL(') J<-... ,,,,::t ~~"'II'>. __ '-1~ 7~ "'t
l~ail.perrnit.()r-results of site feasibility study to () Applicant (' ) Owner (t) Contractor.
( ,.) Pref~r'to~ick up. Call . ('owner, etc,) when ready, '
ST-RUCTU~~;'NOW ON THE PROPERTY J-/o-.r--.. 'S ~
........, " ......'. :.:>t' .
P~()PciS6b U;'((this'permit) /;"-,1&:>>>.11 e,:l,o.... '.("')Q.- 'J:JJ S-,0,-,(tL f:2:1ic,
:'. "> "_'\ :~2~t~. :. - ~
W ATE R'SiJPF'IZY'
Lot
B loci<
/ra-s~
(A~,_{ ~-lW
rJAfll ~Itt t',r,'
Phone)?f ~~~l(.
Phone_ ' .
Phone S:..9R -',)'-38
Contractors O. s. #
c ~ G,n,f+.~'L,.
<:...x:,>,-'1'~ ' II BEDROOHS
(existing or proposed well, etc, If public, name of systeml
!,,_..".,-:,r
SEWAGE'D/SPOSAI
i., -.
,(existing or proposed septic tank, etc.) S,1. #
, pi'UMBING BY
",'.
Address
. . ". - .
. ( (PR6~E.RTY ISWITHIN ONE MILE OF CiTY ( )
,:,;"'*'';'****-*_::':-*~'~~******************,***-ll:*****;*** OFFICE USE ON L Y BE LOW TH IS UN E *'+* *""*'* -11-** ** * -I"" ** *.... "0-*".... *:......... '** '* ........ ~... *...~....
...-...
.' - ,,'~ ' ,
\ i'l\!ew',Address'Necessary ) Facility Permit Necessary
ZONF SETBACKS: Front _Side Facing Street
(FROM CENTERLINE OF ROAD)
(, I Special Permit Area,
Minimum Elevation:
I n'terior Side Yard Rear
IFROtl." PROP,ERTY LINES)
',' _._ 1._.
To:, :elannil)g/Building Inspector/Sa'nitarian/Surveyor.
'J,' . This:applicant appears to have a problem with
... ",' Your~'assjstance. will be appreciated, "
.... .
.' Rei~dn~l:
''''',>'' - - .. '.
h>.t, .
';~..::_,F~.,,, . ......,~_............
By
Permit Processing Section'
-..,.. ~ '". ~
'," , By,
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
. Permit Processing Section
125 East 8th Avenue
. 687-4394
nivision
"
.'
l...._..
','CsS:'2
.'~. .
. .............
'~
,.-.,.-'
-
TRS, TI
JOB LOCATION
(.;j)n~c
PERMIT ~31~.
:r~IT::': '::'.'~:;' 1"':. '- ._1 fl.,..
J '<.~I ~1'h-
'F
, -~
.:: . .'..J.... -~S..; .. __-
- ~'. .
.i. /, ~ ~
,.
'f~.. :'.
:-:.. ..
LANE COUNTY PERMIT
~
Acreage or Lot Si70
Contractor's O,S. #
Partitioning #
_( ) Completed
Subdivision
Lot
Block
APPLICANT'S NAME AND ADDRESC:
OWNER'S NAME AND ADDR"C:C:
CONTRACTOR'S NAME AND ADDR"c;c;
Mail permit to ( ) Applicant ( ) Owner
J'1U:. G:-.L,:\.'.~:.~;;)
)t~': i....i.i:. L..,'-:
_]~.J..L1:..:~':,~':
....,.1 ro_
v~_ '...~.
Phon?
Phone
Phon"
(owner, etc.) when ready,
. ....r. ...
l,~\--,..::.!. t.
;t" \..< ";.' It;.' J.J...l~~. \
'..I~,:~3~'
u/":J:LiiA
)/:tI~.:-;
7':J:g1:',~ 0':'~-,GC .
(X;,) Contractor,
) Prefer to pick up, Call
STRUCTURES NOW ON THE PROPERTY_
~:rlLi,;:t:":::'\ !"',-J~~:
,
:L~3"~'6.L~~'~"'i:'JL :~i' :::;-=t~ rr.l."{)'t':
L..l'O l;:!L.-..:::. r.r 772 ':'.j.::'::' 1.;1'
THIS PERMIT IS FOR
WATER SUPPLY
'_t.r
.&.~.....
"* SEDROCMS__'" PLUMB!NG CONNECTlm,i':__
..
SEWAGE'DISPOSAI
~t1.
S.L #
THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
ili~
.',t,
\t,_ "
,PLUMBING BY
I hereby certify that the above statements are true and accurate, and that I have the fol!~Jing legal interest in the property: _owner of record;
contract purchaser; - potentia! buyer; _ realtor or ag~nt. 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 al! applicab!e Codes relating to this permit.
,___J . ~.~, :-, (' i ,_._' ~:-.. ...., ~ ',_ "'- _,
'''-- '-, ..",~ I ._~ S ~ 10 .., \ '.~ 0 r.. ~,"-:""~t. '~'"
Fee Paid -~ .. .......... "i.). "'\..<;::Jf'",... ignature'-' ',..._.. '.1, '.."1" ~.~ " atp ,-'
_...1.' I
) NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DEPT, _ ( ) SPECIAL PMT. AREA. MIN, ELEVATION:
SANITATION
Minimum Septic Tank Capacity (Gallons)
Dralnfield Required - Lineal Feet
~.1aximum Depth
BUILDING
Type of Construction
Use Classification
Group
Fire Zone
Comments:
Comments:
pJ~ ~r,/ _ S~e....
By: Date: -, t By \.y:;::' l:'l ,~;'-:r-<J t~'4 \J_O'--/Date: /t-} - Z 7- '17
PLANNING REQUIREMENTS SATISFIED, BY".,._,:;,C: . "'._, _ _'>. ~_: Date-:' (_~ \':C .',(" \ \ "1 ''. Date Issued: 1(')-,?p.,~7/
ZONE" "',- ".. 'SETBACKS: FRONT SIDE FACING STREET (FROM CIL) INT, SIDE YARD REAR (FROM PILI
'-" -:''::1, ~ "\.. ,~_;. '.' .";- ~ -
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
C55,13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHiTE: BUILDING - GREEN; PLUMBING - CANARY; SANITATION _ GOLDENROD: OFFICE COpy _ \-'1HiTE
.-'
SITE'INSPECTlqN
ApPR9VEO. d . DlsAP~RovEo C1 DATE
R(MAR~ S
.'
'.
FOUNDATION' I NSPECT'ION
REMARt<:S'
ApPROVED L-I DIPPPROVED 1-1 DATE
....,
FRAMI NG',INSPECTlO~
REMARK~
.ApPROVE~ ;. I DISAPPROVED C1 gAT"[
LATH OR SHEETROCK INSPECTION
;
....
"
'ApPROVE~ Cl'
RE.,tARKS
, ,
'O,I,SAPPROVtb
,
'\
"
FINAL INSP;C~ '
ApP~OV[D .' . ~~'SAPPROV~D
REMARKS .
CERTIFICATE'or OCCUPANCY
1-.....1
DATE. ,I:
1 1
INSPCCTOR
INSPECTOR
INSPl:CTOR
"I NSPECTOR
DATE/2-11o'Ji' J I NSPEC.TDR
REMARK'S'
. READY T.O IS.SUE C1 NOT READY TO ISSUE .cr DATE
'.'
",k
7\"
" "."
.-"
'.:;.
a.rlC
,
INSPECTOR