HomeMy WebLinkAboutPermit Building 1977-8-9
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JOB LOCATION
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PERMIT #
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LANE COUNTY PERMIT
60 x 100
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FILBERT GROVE SUB:
Acreage or Lot Si70
Contractor's O,S, #
Partitioning #
) Completed
Subdivision
Lot 7 ",","" Block I
I!ARIlQll Cli."'-'>T:.:t SPRlliGFIRLD OUilGmI
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JOIID lNIDlTCrT U.CJ\l'!P
1575
APPLICANT'S NAME AND ADDRI=~<:
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADQ,RI=<:<:
Mail permit to ( ) Applicant ( ) Owner
) Contractor,
(XX) Prefer to pick up. Call
IDtISTINC CARPORS: MID
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Phono
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(owner, etc,) when ready,
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'<:JRUCTURES NOW ON THE PROPERTY
REPLACElmlIT tlOBtLE Hm~E DOUBLE aIDE
rHIS PERMIT IS FOR:::: :::' ::: :~::.:.:-:::: :::.::::::;.
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# BEDROOMS_# PLUMBING CONNECTION~
WATER SUPPLY
CITY WATER SUPPLY
SEWAGE DISPOSAl
S,I. #
THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
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, 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 applicable Codes relating to this permit.
Fee Paid <l: "--::if' "~~...... Signature," / Dato _ ~',
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, (~) SPECIAL PMT, AREA, MIN, ELEVATION: -04)(,0
Minimum Septic Tank Capacity (Gallons)
Drainfield Required> Lineal Feet
Maximum Depth
LA' N>E' CiO'ri'T;'-" ,'>:.; ~;i.,"
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Type of Construction r:roup
Use Classification
Comments: fi-'I. fl.
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SANITATION
BUILDING
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Fire Zone
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" Comments:
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By: Date: _ By: _~7:;:'~/r::.~~-: .((~S:;:-:t,(~bate: ~X:"9-=- 7--7- ~'
PLANN ING REQUI REMENTS SATISFI ED, By:', , ' . Date: "\" \' Date Issued: () t {r..t~IC..,-n
,ZONE:'\ '..' SETBACKS: FRONT \.... \:", SIDE FACING STREET (FROM'C/Ll' INT, SIDE YARD"""" REAR.'.\.... '(FROM P/U
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401
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POST THIS PERMIT ON MAIN BUILDING AT SITE
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BLDG. PERMIT - WHITE; BUILDING,:- GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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C55-13
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PHONE: 687-4394
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Job Location (Address)
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LANE COUNTY SPECIA{ PERMIT AREA
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( ) Building Permit
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PERMIT AREA INF8RMATlON SHEET a G..,,~ ..- Q.. ~ S~......J.
( ) Site Feasibility Study for Septic Tank. Number of sites \l'-.:)
( ) Would like to meet on site. Call (owner, etc,) I 0 _ ~ _ '7. ~
~oX I Test holes will be ready_ "Vi-' /rf!,..'::/J./ --
( ) Completed Subdivision'oJ! ~I-- ~ Lot '. ~ ;/3/JO '
( ) Pending ~ 11/
APPLICANT'S NAME AND ADDRESC: - '. Phonp
OWNER'S NAME AND ADDRESS, if different} om a Ii ant's .;r;:: ~ /-11(7 J/f' ft /n (~IM J::,IS'7S ./f,t("~(;( Dr":>.Pr,~. Rhonp
CONTRACTOR'S NAME AND'ADDRESS e e - P-.'; -- 4{', /1 Fr an ^ / / "-' i~i)Qnp ';t~1. -%lIP r-
lail permit or results of site feasibility study to ( ) Applicant ) Owner ( ) Contractor, fa/,
,A) Prefer to pick up. Call ?L/.l., 0 '{d9 (owner,etc.) when readyZ;:;. 't-
STRUCTURES NOWON THE PROPERTY (]plIbrJV'7- - ( '^";:&.,c...) ..qt-~~e-\
PROPOSED USE ~this permit;0~H-j;;; ~:g~#~~,,~ - ~~, ~ ~ ~~ )("~~ .
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WATER SUPPLY l _I.{ '! VU".. e... (existing or proposed well, etc, If public, name of system)
SEWAGEDISPOSJU Mw ~KJj;;~ -/'7'#-':: </-xl., - /Ut> "ht./2..- (existingorproposedseptictank,etc.i S.I.#
PLUMBING BY --RP....~ t AJ../~-r, IiA._.r' .( CUJv..d. ~ ') Address ~~
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()d PROPERTY IS WITHIN ONE MILE OF CITY ( ,SPY) Y1C;';;'o )J
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Job Location
Acreage or Lot Sizp
Partitioning #
******************************************* OFFICE USE ONLY BELOW THIS LINE *******************************************
( ) New Address Necessary
ZONF
) F aci I ity Permit Ne'cessary
) Special Permit Area.
Minimum Elevation:
SETBACKS:
Front
Side Facing Street
(FROM CE~TERLINE OF ROAOI
To: Planning/Building Inspector/Sanitarian/Surveyor. 2-"
This applicant appears to have a problem with ~.--
Your assistance will be appreciated. d' ,/:
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ResponsP' .... ' n .~" _
DEPA~!:T OF ENVIRON::NTAL MANAGEMENT
Permit Processing Section
125 East 8th A venue
687-4394
By
Interior Side Yard .--- Rear _ ---........
IFRO~PERTY L1NESI ~
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C55-12
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Permit # For
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PERMIT#.
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JOB LOCATION
LANE COUNTY PERMIT
60 x 100
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Partitioning #
) Completed
Subdivision
Lot
FILBERT GROVE SUB:
J,::IUU B loc~
Acreage or Lot Size
Contractor's O,S, #
APPLICANT'S NAME AND ADDR"""
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADQ.RESS
Mail permit to ( ) Applicant ( ) Owner
JOHN EVERETT LAcAHP
1575
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SPRINGFIELD OIlEGON
Phonp
_ Phono
EUGENE OREGOn Phonp
(owner, etc.) when ready.
GLH!l I:lAVK."I
) Contractor.
!l~S 4bU ~~11_~~YD
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(D) Prefer to pick up. Call
EXISTIllG CARPORT Ahll 8DS
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"TRUCTURES NOW ON THE PROPERTY
!lllPLACEME..'lT HOBILE HOME
I HIS PERMIT IS FOR,--u- --- -.. ,. -
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DOUBLE !fiDE
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, # BEDROOMS_# PLUMBING CONNECTION5--
WATER SUPPLY
CITY ~;fiTEIl. SUPPLY
SEWAGE DISPOSAl
SPRItlGFIELD
S,I. #
THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF
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 authorizedto 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 <;:odes relatiQg to this permit./ I
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'Fee Paid ~ . ~~\r"\ ~--... Signature.\ ;~(,~ :. . !oJ....~ ..-,.- /'..~ I; Oatp'.
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( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, (.~) SPECIAL PMT, AREA, MIN. ELEVATION:
;I'
4t/~o I
BUILDING LANE COUNTY SPECIAL PERMIT AREA'
Type of Construction Group Fire Zone
Use Classification
Comments: A4. fl. ,
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-fo k ..30// ~ ~
/h~ ~ LA-> ~-15- r~
By: ,,_ __:-~_ ,A ~ Date':, "/.2.. ?i7 By: .fl:/.-' ~~ (f~S;cf~~ate: x- '7 - 7., .
PLANr':JI~G. REQUIREMENTS SATISFIED, By: \.. YC, _ '. ~ ~ t/Date: '"" \ P')\ '1'1 ' ...... Date Issued: (1J...~,Qr. ~ to-17
~NEi~i~ \\''\\,\>, SETBACKS: FRONT \.\ c::.::;. SIDE FACING STREE,!: (FROM'C/U' INT. SIDE YARD "-)REAR:,\'\{'''('FRQM PILL
1'-<,,-,._-,,-- ," . /' --
LANE'COUNTY DEPAR~NT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
Comments:
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C55-13
, POST THIS PERMIT ON MAIN BUILDING AT SITE
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BLDG. PERMIT -WHITE, BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY _ WHITE
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SLAB. FLOOR
PLUMBING GROUNDWORK
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ApPROVED /7 01 SAPPROVED \ C1 ' DATE
INSPECTOR
REMARKS
GAS PIPING GROUNDWORK
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ApPROVED / / DISAPPROVED C1 DATE
INSPECTOR
REMARKS
ROUGH PLUMBING
ApPROVED C1 DISAPPROVED C1 . DATE INSPECTOR
REMARKS
\
ROUGH GAS PIPING
ApPROVED C1 DISAPPROVED C1 DATE INSPECTOR
REMARKS
FINAL PLUMBING
ApPROVED LE:::J
DISAPPROVED C1 DATE 01..17//7
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INSPECTOR
REMARKS.
FINAL GAS PIPING
ApPROVED C1 DISAPPROVED /7 DATE
INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE C1 NOT READY TO ISSUE / / DATE
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REMARKS
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INSPECTOR
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PERMIT #
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JOB LOCATION
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LANE COUNTY PERMIT
Acreage or Lot Size
Contractor's O,S. #
60 x 100
,
Partitioning #
) Co mp leted
Subdivision
Lot
FILBERT GROVE SUB:
pua Bloc~
APPLICANT'S NAME AND ADDRI=C:C:
OWNER'S NAME AND ADDRFC:C:
CONTRACTOR'S NAME AND ADDRESC:
Mail permit to ( ) Applicant ( 'r Owner
JOHN EVERETT LAc~lP
1575
HARRflR llliiliiiJ>i'
--~--
SPRINGFILLD OREGON
Phone
_ Phone
EUGENE OREGON Phone
(owner, etc.) when ready,
STRUCTURES NOW ON THE PROPERTY
O REPLACEMENT MOBILE Hai'IE
"HIS PERMIT IS FOR -
. . O:U:'.L. V~ J.JJ. \.7LtJ.:.J.l ll.l1.VJ:.l1 ovrl.l:..,;
GLEN I:!AVfu~ IIlJdES 4611 FRANKLIN BLVD
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) Contractor, (lQ) Prefer to pick up, Call
EXISTING CARPORT AllIl SDS
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DOUBLE WIDE
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# BEDROOMC; # PLUMBING CONNECTION5--
WATER SUPPLY
CI~Y W,\IER SUPPLY
SEWAGE DISPOSAl
SPRINGFIELD
S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
,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 applicable Codes relating to this-permit./ ;'
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FeePaid~ ~\\,",,---=- Signature,V;,;,,,4.h-..-7't:-&("J,.r,.--fl/ Date " // -/ _
) NEW ADDR'ESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPTr '(~) SPECllL ~~T, A~EA, MIN, ELEVATION: 44A?o'
BUILDING LANE,C6UNTY SPECIAL PERMIT AREA~
Minimum Septic Tank Capacity (Gallons) Type of Construction r.roup Fire Zone
, ~"~W' Drainfield Required, Lineal Feet I Jse Classification
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U........ Maximum Depth C' ./)A.LL
, omments: /V{' TT'
Comments: K~ r.",,!~'I,,-, .,Al:I~ 10/ ~ o.i.( r ", r ,
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By: ....,,/,J' ~J Date;......... 7-;;J..O-7,'-'r-, By: .0-' ~~. (i~.s;C':;!-.:late: .k- 9'-7"1
PLANf:,Jlf\.I.G.REQUIREMENTS SATISFIED. By: \. "<c"V-~ ~~ '- t/Date: '\ \ ~)\ "1'1-, {/ - Date Issued: Q)~9t-,~ IO-::n
Z6NE~' \\\.\~ SETBACKS: FRONT \~ S SIDE FACING STREET (FROM'C/U 'INT. SIDE YARD "'1REAR.\-'r~"'{FR-OMP/L~
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,:ANE-COUNTY DEPAR~NT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHOf':JE: 687-4394
SANITATION
C55-13
POST THIS PERMIT ON MAIN BUILDING AT SITE J
BLDG, PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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SITE INSPECTION
ApPROVED Cl
DISAPPROVED Cl DATE
REMARK S
FOUNDATION INSPECTION
ApPROVED /
I DISAPPROVEO;----? DATE
REMARK S
FRAMING INSPECTION
ApPROVED / / 01 SAPPROVED Cl DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO L-I 01 SAPPROVEO I
/ DATE
REMARK S
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
FINAL INSPECTION 6
ApPROVEO ~PROVEO Cl DAT()~/7- 711NSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
,
READY TO ISSUE Cl
NOT READY TO ISSUE / / DATE
REMARKS
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INSPECTOR
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Vicinity.Map
c74-l50
Job Location (Address)'
, Permit I"~\'>.. \ El"",-"'" For
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