Loading...
HomeMy WebLinkAboutPermit Building 1977-6-6 \ , ' , TRS, TI JOB LOCATION !,;]9 Jasper ad PERMIT # \,-, \.:..\ Sprinnfield Jre~on 97477 , I: i 18-0:HlS 'l'L2301 LANE COUNTY PERMIT 1 acr.. Acreage or Lot Si?O Contractor's O,S, # Partitioning # ) Completed Subdivision Lot Bloc~ APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRFC:<: CONTRACTOR'S NAME AND ADDRESC: Mail permit to ( ) Applicant ( ) Owner Phono Jl..J. :;ogel:O 1.1':;I,} :>oat:1J A spr1.ngt1ald l.lTegon ''J/llll,llI Phonp L 6 n BaUders 9.920 Ma.rcola Rd SpringUeld Oregon Phono ) Contractor, ( ) Prefer to pick up. Call (owner, etc,) when ready. ilT..1G ting llouse 746-7670 933-2888 , STRUCTURES NOW ON THE PROPERTY 'I '" THIS-PERfvnnS-FUR TD.te.r.i()r_>>~"l tlni_y_! 'In 'D1n...n ~T",:"~-:!,?~ ~..t;-~-J7!..~ THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF_ SEWAGE DISPOSA' ~o # BEDROOMC: EKlSTIMG # PLUMBING CONNECTION~ "~u..... V"'vvv WATER SUPPLY EXISTInG S.I, # , ,PLUMBING BY '1.1 I hereby certify that the above statements are true and accurate, and that I have the following 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 allthorized to act for the owner of. reco rd, ,a nd.t haLsa id _ owner_i s,aware. a nd_ a pproves,oL t his ,act io n, .I_hereb y- agree _to_co mp I y.w i t h,a II, a pp I i cab Ie, Cod es-re I ati ng -to. th is, per m it, ,. L..d.~ ' > ' . - "-.'" \. . , t - - Fee Paid <l: """,~ _ Jo..... , ) NEW ADDRESS ( .... ) FACILITY PERMIT TO TRANSPORTATION DEPT. Signature :'-., "'"'" /1 " ,/ _.i,..' ~,.' Date . "r'. C. ~ {.. :-.-7 ) SPECIAL PMT, AREA. MIN, ELEVATION: ,f Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction Use Classification r::roup Fire Zone SANITATION Comments: -.. ..~ . c .,,,.. ","'} I. .'.0/" .:t'Y'~- ,.} .' , .L~ rl"'. <f"..-:;....... ../',. -,(..';.-.~..-ryr ..... ."- Comments: ...~ <,.f By: Date: PLANNING REQUIREMENTS SATISFIED, By: ZONE: t r SETBACKS; FRONT B t' ,r .~-' /'. 0 ./ / 7- Y:"::. .."r,; .'" _' / _"'~~_.; '~""':'t r _ ate: /_.. _ , ._ _ I ~"~"'-~;DE FACING S~R~~T Date;(~R~M'.C;~) \~T,"~~'E YARD;te ISS~~~~ ':: \ ;F~b~ P~~) 1 . .'% LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE OREGON 97401 . ' PHON E: 687-4394 C55,13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE "----'--- -A<RS, TI If' cJ:J... oS- :# .t4.0/ Job Location 470r -;J4-"'rpF",? - 1)r7~ /) , / /S\:' ~-..~~" / ~'" Wn,tten DlIect~ons INFORMATION SHEET / Number of Sites / / I ) Building Permit ) Site FeaSibility Study for Septic Tank Acreage or Lot S,7P PartitIOning # I Ae7?e--I- Test holes will be ready, SubdivISion Lot Bloc" ) Completed ( ) Pending APPLICANT'S NAME AND ADDRESS Phonp OWNER'S NAME AND ADDR ESS, If different froMP~cant'~ ~ ,L rVjtJ~[;e.,) I 11'1().s~ ~4', SPii'N)lf.F/B-I) ,iE_CO'(Z7 Phone/~-767" ~ONTRACTOR'S NAME AND ADDRESS ~L J- ~O}Gl!r" 'j/i?;uJ lr'1t!:PaJ~ ~l>, ~//J~;.q~ 07?q7'-77 PhoneJi?"~-2Hr ,Iall permIt or results of Site feaSlbil,ty study to ( ) Applicant ( ) Ownel ( ) Contractor ( ) Prefer to pick up Call (owner, etc ) when ready Contractors O. S. # STRUCTURES NOW ON THE PROPERJY , . PROPOSED USE (thiS permit) ,.--\:J. --.-.....-\~-- o~ WA TER SUPPLY "--- Q ... -e. c.. ( ~--'C' ~ +- " ') '-""'""-~""D, C'( dlaC-.a iI RPr1 Yn(>TT1 '" ! ~ 0 ~)/\"-C) I (exISting or proposed well, etc If public, name of systeml SE,vhGE DISPOSA' (existing or proposed septic tank, etc) S I # PLUMBING BY ~,---""",,"'-l" Address ) PROPERTY IS WITHIN ONE MILE OF CITY I ~~c.x.. _l "* ** ** ** ** ** ** ** ** ** ****.... ** * ** ** *** **** *** * 0 FF [CE USE ON L Y BELOW TH IS Ll N E ***.. '* ** ***.. * * ** * *.. * ** ** ** **.... **.... **.. *" **.. *".. * .( ,( ) New Address Necessary , . ZON!' ) Facility Permit Necessary SETBACKS Front S,de FaCIng Street (FROM CENTERLINE OF ROAD) ) Special Permit Area Minimum Elevation Intenor Side Yard Rear (FROM PROPERTY LINES) To Planning/Building Inspector /Sanltanan/Surveyor This applicant appears to have a problem with Your assistance will be apprecIated By Permit Processing Section Responsp C5512 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit ProcesSing Section 125 East 8th Avenue 687-4394 D,v ISlon ---------=: ---- . , . ~ 18-02-05 TL230l JOB LOCATION 4709 Jasper 3.cl ': ' 'Iv PERMIT #, \ \-\\o~'~'1 Springfield Ore eon 97~77 ' TRS, TI yJ LANE COUNTY PERMIT , 1 acre Acreage or Lot Sizo Contractor's O,S, # Partitioning # ) Completed Subdivision Lot Bloc~ APPLICANT'S NAME AND ADDRFc:c: OWNER'S NAME AND ADDRi=c;c; CONTRACTO~R'S NAME AND ADDRFC:C: Mail permit to ( ) Applicant ( ) Owner B.J. Rogers 1790 South A Springfield L & M Builders 97.920 ~~rco1a ) Contractor, ) Prefer to pick up, Call Existing House Phono' Oregon'97477,m Phono Rd 'Springfield Oregon Phone (owner, etc,) when ready, 746-7670 933-2888 ' STRUCTURES NOW ON THE PROPERTY ,-' Interior Remodel .. Only! NO Pl~_ns N~eded. as per J ..L. .u...&..u.c. ,/Zbvv WATER SUPPLY EXISTING SEWAGE DISPOSAl NO # BEDROOMS_# PLUMBING CONNECTION5-- EXISTING S,1. # THiS PERiviiT is FOR THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF ,PLUMBING BY NA I hereby certify that the above statements are true and accurate, and that I have the following 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_ow~:5"are and.a~proves,of this action, I ,herebyagree,to-comply withall applicable Codes/elating to-this permit" -,- Fee Paid ,<t ,~~-,\, " ~r:;:\~Signature / ~~ Ie? , t:.:J/.E,-^---" Date C -6 -- ??, ) NEW ADpRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ( ) SPECIAL PMT, AREA, MIN, ELEVATION: = a Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth BUILDING Type of Constructi~n Use Classification (;roup Fire Zone : SANITATION Comments: Comments: d~T~-~' ,~er-/. f7 By: Date:'" r~- ByQ..c;g~ L ~dDate:L.-L- 77 " PL~NNIN_G.REQUIREMENTS SATISFIED, By: l ".co.. >:--., ~. Date: '--c, \ \0 ~" \ ( \ Date Issued: '-0 \ '-.0\ i I' 1 ZONE:_\ /.-"t=, ,...0 SE,TBACKS: FRONT '-S'IDE FACING STREET (FROM till iNT, SIDE YARD, REAR '(FROM P/L) '-----'" LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE SITE I NSPECT I ON ApPROVED ~ DISAPPROVED L:::7 REM.ARKS FOUNDATION INSPECTION ApPROVED L-I DISAPPRDVED L-I DATE REMARK 5 vy /Af FRAMING INSPECTION ApPROVED /1 01 SAPPROVED L:::7 DATE REMARKS tlY I~ -.. LATH OR SHEETROCK INSPECTION / ApPROVED 11.-1 01SAPPROVED I REMARKS FINAL INSPECTION ApPROVED.. ~ DISAPPROVED /7 REMARKS CERTIFICATE OF OCCUPANCY 1 DATE ,'-; DATE 6, - t - 7'7 INSPECTOR I II II II II NSPECTOR INSPECTOR I , " Ch.<)g , '--.. II II II, II I 171 NSPECTOR~^L II II II II DATE ~ -/4- "7-I!:>~~ I? INSPECTOR I II II II II READY TO ISSUE / / NOT READY TO ISSUE L:::7 DATE REMARK 5 ... I II II II II II Our-!< --- -- INSPECTOR