HomeMy WebLinkAboutPermit Building 1978-2-20
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LANE CO~NTY PERMIT
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Acreage or Lot Si70
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Subdivision 7-'
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Contractor's O.S. # ~~ - u. I '
APPLICANT'S NAME AND ADDRESlwWl::(.j ftO--rnJ7t-f!7\-Jl.
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OWNER'S NAME AND ADDRESS .".A /\ , -._., /'I
~CONTRACTOR'SNAMEANDADDRESC: U-/UAX-y- <..J-e.R--CVV /1,5:; /1/ .:::>~'- 0.-'J/-e:lL
, Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. (I..-)"Preferto pick up, Call/.;,.J&-/2l' '/ "".
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STRUCTURES NOW ON THE PROPERTY ,N- I ,f'"""~.~~""r-!"-,,,,,\i<z~_~'. .
THIS PERMIT IS FOR --e,4u!._LtJ$.e.. ..Al~~.eL ..d-tv~) W(M. r:jC./ # BEDROOMS_# PLUMBING CONNECTIONC: ;1/4-
" WATER SUPPL Y ~'-*-- . ...W...,' SEW~GE DISPOSAl .~ f'~ S,I. # a/IJ
THIS PROPERTY IS WITHIN~NE MILE OF THE CITY OF ~-fl-1I-tf2r ..PLUMBING BY ..1/.4
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-f-omply with a[l'i'Pplicable Codes relating to this permit, ~
Fee Paid $ d<. / & l '7c:.2/~ J SignaturJm~ ~~d Datp c2~/ 'T /'?/f <>~"
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, e/( ) SPECIAL PMT, AREA, MIN, ELEVATloN_
Block
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(owner, etc,) when ready.
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SANITATION
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Minimum Septic Tank Capacity (G'allons)
Drainfield Required - Lineal Feet
Maximum Depth'
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Comments: ~rt/'^~' 4--_ ~.
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BUILDING '2
\f - I-J Type of Construction :r. Group - ;;::;:1 .Fire Zone
L...',!I~ ?~ Use Classification
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Comments: '
~ ~f'O(Z. r<.E:.cyUIf:?ep ItJ'5PE?'".-.:TtOfJS
A.co~ ~(., eE. 'SA.ME F.J FNAT/OfJ,A~
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By:~JA- 4 ~~ Date:~J'-~~/y' By:~~b Date:Z!zt;;!167
PLANN IN\3'-.R.EQUI.REM.EN'crs SATISFIED. By::-;K'~ Date:o,?-7- ''/0 DateJ.ssued:.;:)';~'lD
ZONE.:f!;~i1r:f;jjJJIf/ t1SETBACKS: FRONT ~a ' SIDE FACING STREET'- (FROM CILI INT. SIDE YARg.::r- REAR5 .(FROM PILI
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHOKJ'E: 687-4394
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POST THIS PERMIT ON MAIN BUILDING AT SITE ( \
~C55-13 B.~~:' PERMIT - WHITE; "BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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Acreage or Lot Si70 ./1/ A --.
Contractor's o,s, # . ,1Voo/.::> <S _
APPLICANT'S NAME AND ADDR~c:.c:.7ylt/./<<1 flo /1'i /7t ~ /' J? -~jo I"i"""--
OWNER'S NAME AND ADDRESc:. ~" ~ -" - -, ,.,
CONTRACTOR'SNAMEANDADDR~c:.c:. UJ~.y {..di('lCV!.J /f.:5:5 /t/::::>--- ~AJ/d:.
Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ('-)"Prefer to pick up. ,CaIl7";)?" - fd' 7 Cb
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~q. ..d-u~) ;~tM(. 0 # BEDROOMS_# PLUMBING CONNECTIONS I,} +
o.w~-~~ 1/ , i SEW~GE DISPOSAl ~ r:s. S,I. # //.//
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~'tk: ,PLUMBING BY /V
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JOB LOCATION
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LANE COUNTY PERMIT
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Phone_ -7,1
Phonp -/010-/0 "'"
(owner, etc,) when ready.
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Subdivision .::7A.A: 1,1....(/
Lot f Block
) Completed
STRUCTURES NOW ON THE PROPERTY_
THIS PERMIT IS FOR -h11 (!..io $.e.
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WATER SUPPLY ~
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THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
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~omply with all,.app. licable Codes relating to this permit. G-
Fee Paid $ d<./0 l7.,;2/~.J SignaturJI? laA:-Q~ 2~'~'J-1-'m&?,d Dato.;t / 7 //1{
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ,,/ ( I SPECIAL PMT. AREA, MIN. ELE0ATloN:
- 1!'lI1l";tr'l~
BUILDING lANE wmuw ~!Ji'll:.\\.dAIl.. rl!:. ~I ttl\l!.rt
V - I-.J .Type of Construction L Group =:;:1 Fire Zone
,1.....!"1oA ~ Use Classification
It."IN nl"'"t"~
Comments:
::'<=.e ~ rot<:.. R.E4'UIf!?EP ItJsPB::...T(O,.j~
Ftcoe ~ 13E '5A.M6 E~ ~AT/O~ A~
MOBIUS HOME::
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Comments: ,G..u..,~ c....... orIli4.
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SAN IT ATION
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By:1-JA,. ..:>/( .L-;.<</' Date:,~~-~- If" BY:~~ Date:Z/20/78
PLANNIN~;:J!f'<aULREM.ENTS SATISFIED, By:;j~ . Date:o?-'1'- '/0 Date.J.ssued:~- 0_-70 -
ZONE.: <1lJ!S1iJ Ifl ttSETBACKS: FRONT ~ I SIDE FACING STREET -- (FROM CILl INT, SIDE YARD.=,- REAR5".(FROM Pill'
LANE COUNTY DEPARTMENT OF ENVIRO~MENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON gl40{ Itv~N'E: 687-4394
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l POST THIS PERMIT ON MAIN BUILDING AT SITE
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C55-13
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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SITE INSPECTION
ApPROVED ~ DISAPPROVED
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REMARKS ~
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Cl DATE
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~~- I'd? INSPECTOR
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FOUNDATION INSPECTION
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ApPROVED / V / 01 'APPROVED L-/
REMARKS r- _ /J tv
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OATE /7'- Zc;-l.)(' INSPECTOR
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FRAMING INSPECTION
REMARKS \~______ ,"1f. ~
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ApPROVED /~ OISAPPRQVED
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DATE ,r;: 2..5'- 7~. INSPECTOR
LATH OR SHEETROCK INSPECTION
A~PROV[D L-/ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
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FINAL INSPECTION
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ApPROVED L..!:...../ DISAPPROVED Cl DATE ,')'-2...$ -711 INSPECTOR 1:I'r7--
REMARKS
CERTIFICATE OF OCCUPANCY
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READY TO ISSUE /7 NOT READY TO ISSUE I / DATE
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INSPECTOR
REMARKS
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TRS TI jg-s.-;) 3- ;)...
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,/tflb Location, /.1/ 69 Mn,./"",", f)~,;_w
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) Site Feasibility Study for Septic Tank, Number of sites / V /'
30 c/- 7<<
'Written Directions
INFORMATION SHEET
0) Building Permit
Acreage or Lot Size
Partitioning #
Test holes will be ready
Subdivision 7-;J;:"A1.Lt./~,
Lot
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Blocl<
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( ) Completed
( ) Pendin
APPLICANT'S NAME AND ADDRESS
OWNER'S NAME AND ADDRESS, if different f~
CONTRACTOR'S NAME AND ADDRESS '/.I}
'", Mail permit or results of site feasibility study to (
~ (XJ Prefer to pick up. Call ?flL-/87t;.
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-Y..t cl ) J"r'-iYt', JJJ?J? AI _,,7hAh,L-./ ,
) Applica~t ( ) Owner, ( ) Contractor/ I'
(owner, etc.) when ready,
Phono /L;/,; -4-'/4'/
Phone_
Phone 7~L -/)()"t
Contractors O. S. # J 0/2 SF
STRUCTURES NOW ON THE PROPERTY
PROPOSED USE (this permit)~..:F'~..Rd ./J//..-v> ru'..J!J.
WATER SUPPLY .-P--/-<'~~ ,JJJA, -~ .<J~~
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(existing or proposed well, etc, If public, name of system)
SEWAGE DISPOSAl
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(existing or proposed septic tank, ete,) S,I, #
PLUMBING BY ......P.dJ~
) ~ROPERTY IS WITHIN ONE MILE OF CITY (~~~~.LA..
. ..:.* ** **.... * * *.. **.... ** *****.. **.... * ***** *~ *** *.... 0 FF I CBJ/5'E ON L Y BE LOW oTH IS.
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Address _
LINE *** **** *****.* ** * .*1"* **0** **** **** * ** * '*"* * * -'l-+ * *
.' ( ) New Address Necessary ( ) Facility Permit Necessary
:J ZONF SETBACKS: Front Side Facing Street _
, (FROM CENTERLINE OF ROAOI
) Special Permit Area,
Minimum Elevation'
Interior Side Yard Rear
(FROM PR,OPERTY LINES)
To: Planning/Building Inspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated.
By
Permit Processing Section
Responsp'
C55-12
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th A venue
687-4394
nivision
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JOB LOCATION /L/6 i cA/ tv> hu-
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LANE COUNTY PERMIT
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Acreage or Lot Si70 ' Partitioning *'
Contractor's O,S. # '
APPLICANT'S NAME AND ADDR""S (l h/l/t.!R ~ il ~miJ7'1d I7S" g\.(lj.fi.
OWNER'S NAME AND ADDRES" Jr'T/', 5;. <f.:Q.-.'Ct7J7t./ ~
CONTRACTOR'S NAME AND ADDRES'C:; U J"w t1.C7'1LR- //~L.2 -e
Mail permit to (l.-r'A.pplicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up, Call
STRUCTURES NOW ON THE PROPERTY _ e...-et.-<r~pt::&1..-t..
THIS PERMIT IS FOR -171tJ-.-fJ-~ ciIr.l7L~ ~ ~c}W/tUvt.4'fJ:Md.o# BEDROOMS~PLUMBING CONNECTION~
WATER SUPPLY, (I~Ld (/ /SEWAG~ ~ISPOSAL~~~ . S.1. # J
V'
THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
) Completed
-/ . /:... . .t-.i.l
Subdivision" '/ --Lf~!L-vr / ~l ()~
Lot / Block I
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uu;.tt.:::. I~{/ ~c;'. Phono Y'-J - -----
{./ Phono _
Phono
(owner, etc,) when ready,
,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 with all apQlicable Codes relating to this permit.
Fee Paid SO --<;~.1o Signature /] 7"~...I~,;;;(;/t/Y?"l/J-YJ.<:n;~1 Date /-2-/J-/77 _ I
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. -:-(1...)-SPE'-CIAL PMT, AREA, MIN, ELEvA'fION( 4</~ c)
SANITATION BUILDING
'7rrO Minimum Septic Tank Capacity (Gallons) Type of Construction r,roup
,SO Drainfield Required, Lineal Feet I Jse Classification'
3h Maximum Depth _ Comments' .
. Comments: t/.wJ )~..I-''J..u~: _~,'t..c. P~~<..' 'LANE COUNTY SPECIAL PERMIT AREA....
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By: ~ ~. Date;-,\ 1e2-/;!.-77 BY:W~ /5-z.,~ate: /OZ-2<!J-77
PLANNII)J[J REOUIREMENTS SATISFIED, By~'-ff{)/}f._,;t-:, / Date: 1;2 -&-77 / Date Is;ued: Uec GZ,Ic.:>Tl
ZONE:/GH trJlJ SETBACKS: FRONT..$'O' SIDE FACING STREET (FROM C/L) INT. SIDE YARD7 '",gEAR, ,;5~FROM PILI
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LAG ~UNTY_DEPARTMENT OJiE~NMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON~9740.1~P,HONE: 687-4394\
' , (.L.r' -, 7-C9"7 7' ,r ~aT\E"H?s'PERMIT ON MAIN BUILDING AT SITE _ .
C55.13 '. BLDG. PERMIT - WHITE; BUILDING ~ GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD, OFFICE COPY - WHITE ' \.
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Fire Zone
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