HomeMy WebLinkAboutPermit Building 1977-6-6
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TRS, TI
JOB LOCATION
!,;]9 Jasper ad
PERMIT # \,-, \.:..\
Sprinnfield Jre~on 97477
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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,
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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:
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Comments:
...~
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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
.
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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
"----'---
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oS- :# .t4.0/
Job Location
470r
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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' ~ +-
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'-""'""-~""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
,
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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-!<
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INSPECTOR