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Home My WebLink AboutPermit Building 1977-5-31 , TR~, TI . .. .. ~ . /. JOB LOCATION .::).('~ ~ I ~A ~rC:D/I PERMIT # LANE COUNTY PERMIT Acreage or Lot Si70 Contractor's O.S. # - Partitioning # ) Completed Subdivision Lot Block - APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRES~ CONTRACTOR'S NAME AND ADDRFSS - .~ " ~ Mail permit to ( ) Applicant ( ) Owner ) Contractor, (....) Prefer to pick up. Call Phono Phono Phon~ (owner, etc,) when ready. STRUCTURES NOW ON THE PROPERTY ~HIS PERMIT IS FOR, '~ 7, # BEDROOMS ..::. # PLUMBING CONNECTION&- WATER SUPPLY 1 SEWAGE DISPOSAl H S.1. # THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF . PLUMB ING BY 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 owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit, Fee Paid <l: ~ 7::"- Signatu ro Datp ) SPECIAL PMT. AREA, MIN, ELEVATION: ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction Use Classification Group Fire Zone Comments: i""'omments: < By: Date: By'-. Date: PLANNING REQUIREMENTS SATISFIED. By: Date: Date Issued: - ZONE: _' SETBACKS: FRONT SIDE FACING STREET (FROM ClL) INT. SIDE YARD REAR ~_ (FROM Pill 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 - WHITE TRS, TT /9-- e;3-//,;1. .;l,-r~ ;;I::.';";" , ..' P I at: Plan Subdivision Lot w( C74-150 ~:~ ~ONFIRMm ~ .... -~ ""'''''it i--:C ";:2. Vicinity Map ~~~/~~- Permit /J Permit /J Permit /I Job Location (Address) ..:1.../? '< / Permit /1M", 'rh.:l-:>S For Permit U.<4'" )''''7~-?7 For Permit /I ' For - 'N For For. For .' ? I I' /,.{. v - ~ - ,f<:J5D ,.1 ~ 1 " ~ , -=- '\J \:J ~- 1'1 \\ 1\ < < ;,-... ~ ~l · It , < ' I. I , ~' I "- ~ "' ~ I " l\ , k:t ~ . ~ '1 , ;1;. , ~ I 11"- ~ ~ '\\ Se?tlc. t- ~ IV K. t' J /- , -P . j \~,,""-I , \ ~ .3 ~ f;;:- $'-;\ ~-_. ~. ~, ~. \'. ~' ~ ~ v) Ie ,;----:;- ~ l? ~- '- ;,\, ;I"'~ "\.~- . " - ~ .. . .1 <if 6, 6 () , , ,I. : ~ \1.",., ' ..,,~ ~.u // ..~. : cP-d.3;- #~-~~--fl ::,..' , '. -) ~ .A-1/-/ /3 ;::'.;2 - 7 ;:; TR,S, TI .I ?i' -~?- // ~ -z. -r-.t- .2- Job Location ~ /).z / ~~f ~~"'" ~~- ~- /r INFORMATION SHEET (t>4 Building Permit ( ) Site Feasibility Study for Septic Tank. Number of sites ( ) Would like to meet on site. Call (owner, etc.) Acreage or Lot Size ;a 5T ~ 5j"'~. c;- Test holes will be ready_ Partitioning # A/ / .A ) Completed Subdivision . / () Pendin~ I II /J APPLICANT'S NAME AND ADDRESS ,{~17'11/; r,: /(;.a)~/J/1M, /3{) A'rdp.t6ur/1., El'''''''' L--oWNER'S NAME AND ADDRESS, if different from applicant's ~~, n . CONTRACTOR'S NAME AND ADDRESS -=-:::; ~ /:"~ ~-- e,,- ~' Mail permit or results of site feasibility study to"'( ) Applicant ( ) Owner ( ) Contractor. (!:>4.Prefer to pick up. Call c-- ~~- (owner, etc.) when ready. /3~~;V -:>- ~4!f / (,/ y '7 ~ L.4 /4/ ~ C? ,~....... ..._:-~.... '/.c.'<:. IE'- r:; . /. . /' - - . (/ ~ .(existing or proposed well, etc. If public, name of system) Lot Bloc~ '170'7(Phonp8Y',)-gU'1r Phonp Phonp :iTRUCTURES NOW ON THE PROPERTY PROPOSED USE (this permit) WATER SUPPLY SEWAGE DISPOS,o.' .(existing or proposed septic tank, etc.) S. L 4' PLUMBING BY . Address ) PROPERTY IS WITHIN ONE MILE OF CITY ( ******************************************* OFFICE USE ONLY BELOW THIS LINE ******************************************* ( ) New Address Necessary ZON'" ) Facility Permit Necessary SETBACKS: Front Side Facing Street IFROM CENTERLINE OF ROAD) ) Special Permit Area, Minimum Elevation: I nterior Side Yard Rear (FROM PROPERTY lINESl To: Planning/Building Inspector/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 Avenue 687-4394 l"1ivision 1- ~ \' \ tt \\ ~ 1: "Z - - ----- 1 :"TRS, TI . /.JT~ /:5 -/ I. -, .., '...r~ f-,L.~ '.1, ,;:> JOB LOCATION ;1< ~ I ~_../~'1'-:.1~':A _ ..." 1/ .. PERMIT # ?N /_"; "7';1 -.7;;> ,j;...: ..P-l ..., /':.../ :;,. /' ,/ (/ ../ LANE COUNTY PERMIT Subdivision ;z.......g~....;r- ~~~,"" Lot ,;...;z. Bloc~ ~ ) '7 ;' ./' ft.-/ 4) ';-....LL ...:;> ,/ ,"" APPLICANT'S NAME AND ADDRFC:C: ,{-'~-'- _.'-m p~ ...:., ~! ~ ...../'~~..~. ~"" r-J ~"""6"_~'A., ~ ,~ OWNER'S NAME AND ADDRESS .%,~...:;- - , /' CONTRACTOR'S NAME AND ADDRESC: ~,AA_.?.._, ~ (~~ 1- Mail permit to ( ) Applicant ( ) Owner 'j ) Contractor., ( >1, Prefer to pick up. Call Acreage or Lot Si7P Contractor's O.S. # ~ X" )0( J<_~. S- Partitioning # A//A / ) Completed n:' .~ - ~._~.__..a..-J Phonp Phonp Phonp (owner, etc.) when ready. .3 ;'3-~o..?S- STRUCTURES NOW ON THE PROPERTY //"""'-' u'. ~. (i:.~)J~ ~~ y P.....P ~ I" - , /? / / C /' ~HISPERMITISFOR 1,;"'-70."I//~::""f... -'?~~ "',.....<,,--,.,..... - //Jx'::'O#BEDROOMS~#PLUMBINGCONNECTION5-- /' r/ /'5C'?.. /2/--,...:_ SEWAGE DISPOSAl ~.o.-N :Y'6.;:; -.?..s- THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF ...R":2A.., - 4"~.~ "':./, PLUMBING BY. . // 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. owner is aware and approves of this action. I hereby agree to comply ~ith a)l applicable CQ(:l.e~2Iating to this permit. .' ... j . . '// .....~' - ., '7 . -. Fee Paid $ ,'I.,; ~. '.', Signature /. .II;,jZtl. ' A/l-/I'~I/Z. '!..-' , . Datp ,-. ~ . J / / WATER SUPPLY . S.1. # ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. BUILDING ) SPECIAL PMT. AREA, MIN. ELEVATION: SANITATION, -- il. "_/ Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth Type of Construction Use Classification Group Fire Zone r:omments: /. 1 '. , Comments: /';" / , '. / ,rj C I ~ r::!,u, ~ I 'I K~ .c&L'.-2 /;1..- /:t C ~/- < By: Date: By: c..,;.. ,"t'~,:~ 1~.....:~dDate:_:;: 3/--77 PLANNING REOUIREMENTS SATISFIED. By: .;;J!;,.:~,- ;;k:....~~.,.~ _. Date: S'/.:z 7/';:>7 ... Date Issued: 1::. - ~- / I ZONE: ,(J-?1-....~ SETBACKS: FRONT ~ _-;-- SIDE FACING STREET - (FROM C/L) INT. SIDE YARD $REAR;7 (FROM PILl 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 ti//O!?7 /l Cl DATE~ INSPECTOR dr-' 'l1'f-- .~/'~~ SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / 0ISAPPROV[D Cl DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED Cl DATE INSPECTOR REMARKS ROUGH PLUMB I NG ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARK 5 ROUGH GAS PIPING ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVED IE DISAPPROVED REMARK 5 A 11J1~nK '?! 11' ,j:,12.,/1I ~(. , FINAL GAS PIPING ApPROVED Cl DISAPPROVED / /, ~ATE INSPECTOR REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE ;---? DATE INSP[CTO~ REMARKS ~/.Jq?7 ..... PERMIT # ~ HlOi,F' JOB LOCATION .--. ~ I ~ " -' L-........' LANE COUNTY PERMIT Acreage or Lot Sizo Contractor's O.S, # 'J , , ~_~ oS Partitioning # ,.., ) Completed Subdivision .,.- Lot '? ...., Co '" '--~ -~" ..." Blocl< ... APPLICANT'S NAME AND ADDRESC: OWNER'S NAME AND ADDR~C:C: CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner ".1 ,;,) -1 .4'~ ~.L ~ 6." ) Contractor. ) Prefer to pick up, Call ". ~ _ ._ ..... .7_ Phono Phono Phono (owner, etc.1 when ready, ,,' -' .- -" - / -- ..... .~ - STRUCTURES NOW ON THE PROPERTY / /<r~ (, .,. .f' THIS PERMIT IS FOR o .:.--... # BEDROOMS_# PLUMBING CONNECTION5- WATER SUPPLY -., -' ...... _J'" ~ ~ TH IS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF .J. ,1 J. ., SEWAGE DISPOSAl "..?- ,PLUMBING BY -..."!.s..;J "" -~,J .(;~. ... ~ S,I. # , 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 owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. '1 . ,-, ,-. .... Fee Paid $ Signaturo ) NEW ADDRESS ( 1 FACILITY PERMIT TO TRANSPORTATION DEPT. " ,; ,~ Dato ) SPECIAL PMT, AREA, MIN, ELEVATION: SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction Use Classification (;roup Fire Zone r.omments: -'~ y .. Comments: '1." /,... !-- ~- , J ? "<t. '1 "\.t.' ,.. ~ Date: Date Issued: INT. SIDE YARD .;;;0 REAR" By: DMe: PLANNING REQUIREMENTS SATISFIED. By: ZONE: " SETBACKS: FRONT By: ...;y, /; "i Date: 'f ..;; SIDE FACING STREET (F ROM CILI (FROM PILI 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 - WHITE . . L__ _ SITE I NSPECT I ON ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVED L-/ DISAPPROVED L-/ DATE REMARK 5 FRAMING INSPECTION ApPROVED / / DISAPPROVED / / DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L-/ DISAPPROVED L-/ DATE REMARKS FINAL INSPECTION ApPROVED ~ DISAPPROVED Cl DATE REMARKS (')Y. P'/t/t" /~ #A J/\>- I Ii -, /, iI/\: CERTIFICATE OF OCCUPANCY INSPECTOR INSPECTOR INSPECTOR INSPECTOR I(..~)-'Z!l.. INSPECTOR ,tpi, ~'1;_~ %-/0.-77 / READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARK 5 ,~ ,