HomeMy WebLinkAboutPermit Building 1977-6-23
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LANE COUNTY PERMIT '-r '
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Acreage or Lot Si70 .I! J~J Partitioning # ) Completed Subdivision'" / : (. ,,-_...f .., /
Contractor's O.S. # Lot :'"J C/ Block .::::'._ '
APPLICANT'S NAME AND ADDRES~ ;,.,//.1/ (~ ~r ,''''~;:;,.) /90.0 vIIn A 6a/l,,{1.. ,.' :" i Phon~7{)7- ",.1 ~~()
OWNER'S NAME AND ADDRESS 7 f', r Phono
CONTRACTOR'S NAME AND ADDRESS Y /',i" f ,-,' (.'. ."./" Phono-----;r-,<...("/ . ;I
Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. (l-):Prefer to pick up. Call -7 "/7- L/r. "';r/ (owner, etc.) when ready. ., .
'STRUCTURES NOWONTHE PROPERTY //./."-'/,/""",,",'n ,. ( }/I,')..'~,:- 1::::,'1:7:( ....;./n ../
IHIS PERMIT IS FOR. Po yI.LiPOJ!l:: i;:.\. rtr'il~ .../. 0:1# EiED~~OMS_#PLUMBING CONNECTION~
WATER SUPPLY'>'/. to SEWAGE DISPOSAI;'/'" rS S.1. #
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THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF . PLUMBING BY
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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 purdiaser; _ potential buyer; ....-;:8'altor 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 tOlcoi:"iiily with all applicable Codes relating to this permit.
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FeePaid$ '.,{~.:""n Signature 'f.. ~. ',;.,\....t.....>..'u-. -.'-li_'~ Datp :;., '- ': ",
( ) NEW ADDRESS ( .) FACILITY PERMIT TO TRANSPORTATION DEPT. (v) ShCIAL PMT. AREA. MIN. ELEVATION:/0-A3>~'
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SANITATION
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BUILDING
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
Type of Construction
Use Classification
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Comments: :f7'AREit.,f.(' /4r.';y,~_....-
LANE COUNTY SPECIAL PERMl ~
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By: Date: : ~." ; ~' By: ~_ ~~? j./ ___""."1 "~~""1 ';:LI':.- Date: ,/ ) ~ - ,7
PLANNING REQUIREMENTS SATISFIED. By: .//.J" I-: Date: .: - (/. n Date Issued:' 6:";2.7-77
ZONE: .f./ -, I J j Ii SETBACKS: FRONT ;../..-: '/ SIDE FACING STREET (FR.9M C/L). I-NT. SIDE YARD,.... I REAR (FROM PIL)
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE;OREGON 97401: ... PHONE: '687-4394
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POST THIS PERMIT ON MAIN BUILDING AT SITE t
C55-13
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8!-DG."PERMIT -WHITE; BUILDING - GREEN; PLU"MB1NG - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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) ~/!{f.o ,,' LANE COUNTY PERMIT t.j-t.l... /< //J .
Acreage or Lot STzp" t;; X q~< Partitioning # ( ) Completed Subdivision........:fJ,/,x.tA,f- ~
Contractor's O.S. # .L~t., "":,i.Q Block:?;
APPLICANT'S NAME'AND ADDRESS M// f r/..kt~n~) /(/r'1:? i6" j./1/J.' /)~' ~ ..\(~/j) Phonp7<<7-,c, J-:fO
OWNER'S NAME AND ADDRFC:C: Y7 _ ~ v Phonp7.2". Yir'.'l/
CONTRACTOR'S NAME AND ADDRESS ~ /.71 ~~ ~/ ::('.~7 u?; f".//1.3~f ~,...-;/ '''-''''' - Phone ~,/_uoo,gl
Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. (,l..).Prefer to pick up. Call -:? L./7- ~I')I')~ (owner, etc.) when ready.
~TRUCTURES NOW ON THE PROPERTY /nJ:..l,(!n LvJ /}PJJo1ff)/-PC.()) /1/Jh I/J/f/J I: S;;'./),..,CR h~ /'
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THIS PERMIT IS FOR '1 V vI/'IflO J /rJ d / R'....{f)./ o-l.f2 c>c""#'BEDROOM<; # PLUMBING CONNECTION5---
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WATER SUPPLY f..Lt:u SEWAGE DISPOSAl jJh~~-r...s'
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THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY
5 ()OO JOB LOCATION
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~ERMIT # Itll.f lj- 77
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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; ~Itor or agent. I further certify that (if not the owner) I am authorized to act for the owner of
record, and that said owneris aware and approves of this action. I hereby agree to ~mj!Y with all applicable Codes relating to,..this permit. I
Fee Paid ~ .c:;~_.::-:: 0 Signature '( ........GoJ~Q a..tL--- Date ~.- ~ "71
(.... ) NEW ADDRESS ( I FACILITY PERMIT TO TRANSPORTATION DEPT. (v)S~ECIAL PMT:AREA. MIN. ELEJ'ATION:/~
SANITATION BUILDING
.' ~J i..';) Minimum Septic Tank Capacity (Gallonsl Type of Construction .' Group
..' p,)[..4)/ ,~',:> Drainfield Required. Lineal Feet I ke Classification
. ", Maximum Depth ,Comments: VlA~ .'~ 14r~
Comments: j(~,,"J ?""tj.;<~ dirw<.1i.- / () I ~, a..1 . CI H L PERMltr1\:REA'-
.-,-' i' ,." L/ < ,'- .7tNE CQUNTY S;PE n.
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By: ()r: A...-..-,~ L ~ate: L. _ ,;l. 7- --'7
PLANNING REQUIREII,;fENTSSATISFIED. By: ,--J?AfI'r-: P Date: L,- Y- 77 Date Issued: t::-2?-77
~NE: f/ /-11Y1b'SETBACKS: FRONT .l../~,/SIDEFACINGSTREET _(FROMC/U INT.SIDEYAfW.c:;/REAR . (FRQMP/U
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE,O'REGON 97401/""" PHONE: 687-4394
. . POST THIS PERMIT ON MAIN BUILDING AT SITE '",_ 4/1 (rrn. P&4-nr-.
C55-13 SLOG. PERMiT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; 'OFFICECOPY--'-~HrTE /)
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Date:
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SLAB fLOOR
PLUMBING GROUNDWORK -
"ApPROVED .'~. DISAPPROVED '~ DATE
REMA~KS
GAS PIPING GROUNDWORK
ApPROVED / / DIS:<\PPROVED ~ .DATE
REMARKS _
ROUGH PLUMBING
Ap,:"ROVED ~ DISAPPROVED 1/ DATE-
REMARKS
ROUGH GAS PIPING
ApPROVED
REMARKS
FINAL PLUMBING
ApPROVED fEl DISAPPROVED -.0 DATE
REMARKs. rl2tl__~..._ o;fi
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FINAL GAS PIPING
ApPROVED ~ DISAPPROVED / / D~TE
REMARKS
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CERTIFICATE OF OCCUPANCY
INSPECTOR
INSPECTOR
INSPECTOR
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INSPECTOR
READY TO ISSUE ~ NOT READY TO ISSUE I / DATE.
REMARKS
INSPECTOR
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s- ;;;00 JOB LOCATION
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{ , " LANE COUNTY PERMIT tj-civ,/ , .m.
Acreage or Lot si7o' t, 0 X q~ Partitioning # ) Completed Subdivision-J././ it/l/- t-,(j;:-t.-(rV-e...../
Contractor's O.S. # Lot::JQ Block..?)
APPLICANT'S NAME AND ADDRF<:<: M// I. atf/n/1) Ic?n..Q <i6 A.. h-1.. ,/Jf ,\;a;;J ~ Phonp7<i7-t:_J-fO .
OWNER'S NAME AND ADDRE"" . Y7 . -:. AU. Phone7...U,... w,."'/ ,
CONTRACTOR'S NAME AND ADDRESS <;-1/}?qA /'1/ :!./.~7 ~ /'}; P~/1.. c!0/~/7./ ."".~ . Phone ~--:"7_ ;:::/008" :
Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ( l,l-Prefer to pick up. Call '7 L/7- 4'/)/?? (owner, etc.) when ready.
STRUCTURES NOW ON THE PROPERTY mJ:/-(/;, Lc~ I>hn-I.fi7~cfJ) /1/)'/) vM'/; I: .5,-;-!o/)/l'Ci:?h/7? ./'
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,rllS PERMIT IS FOR r-t? ,/J'/?<1o J /Y7 U / J!..-:<57/ j}...-t..(! c:::.Z.#-BEDROOMS_# PLUMBING CONNECTION5-
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WATER SUPPLY uh SEWAGE DISPOSAl. tJk.o7L,s
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THIS PROPERTY ISWITHIN ONE MTLE OF THE CITY OF . PLUMBING BY.
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SANIT)ATION
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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; ~Itor 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 compl,y with all applicable Codes relating to this permit. .
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Fee Paid ~ -<: /"'. ~ n . Signature 't. ~ kJ ~a.... ~ _ Date ~.3. II .
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C ) NEI!\' ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. (,A'SPECIALPMT. AREA. MIN. ELEV'ATION: hCJ7'-1.r .-.c
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F ire Zone
BUILDING
Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
~omments: /~ ?!t{J~ ~ /{)f Ii~ g
f';;J!:;: 'i d:,,~m 4 .rtJ-f.RJE,{fO&NfYY~mECIAL PERMIT AREA
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By, ..A" ,~~ _ Date: /". ,1;-9-:7"7 By: C)r::. ,:2,~.A , iA../ ~6ate: L _ ;2.."2- - '"17
PLANNING REQUIREM-ENTS SATISFIED. By: '--.hA'i./:I-; P Date: 1-:'- 51-. n Date Issued: ? -27- 77
ZONE: f-/ A/Y7 t,LSETBACKS: FRONT .LJ~I'SIDE FACING STREET (FROMC/U INT. SIDE YARD C;/REAR (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRON~ENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE~:Q:-REcfO'~fgfiOfIS/pH"6'N"E"6'8'74394
POST THIS PERMIT ON MAIN BUILDING AT SITE tf!) 6?-r>.. h.--u-~
C55-13 BLDG. PERMIT - WHITE, BUILDING ,- GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY -'WHITE ()-
Comments:
Type of Construction
Use Classification
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Group
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SITE INSPECTION
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ApPROVED Cl
DISAPPROVED Cl DATE
REMARKS
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FOUNDATION INSPECTION
ApPROVED;----? DISAPPROVED ~ DATE
REMARK"S
FRAMING I'NSPECTION
ApPROVEO: / / DISAPPROVED /7 DATE
REMARKS
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LATH OR SHEETROCK. INSPECTION
APPRO;ED ~. DISAPPROVED L-/ DATE
REMARK S
FINAL I NSPE~
APPROVED, $. DISAPPROVED / /
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
DATE Z'h-77INSPECTOR
RE'MARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE Cl DATE
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REMARKS
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) LANE COUNTY PERMIT / /+~.' ". .
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Acreage or Lot Sizp ~ 0 X CJ....-:::> . Partitioning!' ) Completed Subdivision..,...-:;I.//itfi f- ~
Contractor's O.S. # Lot :::J.9. Block.-::;';
APPLICANT'S NAME AND ADDRES&./h/I f. riLl! ~./]) /~n,..o rf; ,/.. rhA I [)( ~ /J} Phonp7d7- t..... jRQ
OWNER'S NAME AND ADDRESS' ~ _ A U-- Phonp .
CONTRACTOR'S NAME AND ADDRESS Y/7' !J> -2/~':/ ,_7 J (}/ j/( /l. .J' ~ f't!,O./ ----" Phone -?/7_ Uc70g'
Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. (L-J-Prefer to pick up. Call -? 417- L/t00-Y (owner, etc.1 when ready.
-RUCTURES NOW ON. THE PROPERTY m JJ,(:a ..(e~ /i..e~..(T?~Ji) r?LJ~7d/' I: .srIa./M.c;::c h/'/7 ./
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THIS PERMIT IS FOR, -rCI!/) (1q) /7}.~ /fjj?/./J-t..k' ,-#-13EDRDOMc; # PLUMBING CONNECTIONS-
WATERSUPPLY C;L.~)'. . ... . SEWAGE DISPOSAl, ~x77..;s S.I.#
THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF PLUMBING BY
S-C?eO .
JOB LOCATION
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; ~Itor 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~y With all applicable Codes relating to thl> p~mit. I
Fee Paid <: ~/". .2. n . Signature "",,"-(1J,~ ~ Date :s -n
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT ( ) S~ECIAL PMT. AREA. MIN. ELE ATION:
-- --
-- -"
Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
BUILDING
Type of Construction
Use Classification
Group
F ire Zone
SANITATION
Comments:
Comments:
LANE COUNTY SPECIAL PERlyf.lT AREA
S\At-.)d::>~l.C:..C .:t:"ot)/....:Jt::>A-lIOU AI S(TE {~~P:o~~
6~/O-77 l.Vt ~~
By: Date: By: Date:
-
PLANNING REQUIREMENTS SATISFIED. Bv: Date: Date Issued:
ZONE: f./ Aff7 .J-I SETBACKS: FRONT SIDE FACING STREET (FROM ciU INT. SIDE YARD R::"<R (FROM PILI
,
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST BTH AVE., EUGENE, OREG9N 97401 PHONE: 687-4394
C55-13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING _ GREEN: PLUMBING ~ CANARY; SANITATION - GOLDENROD: OFFICE Cop'y - WHIT~