HomeMy WebLinkAboutPermit Building 1978-2-3
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Aereage or Lot S17~ /:; 'fro X. I
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APPLICANT'S NAM/AND ADDRI=C::C:: }y7:zc.;; ~ {)
OWNER'S NAME AND ADDRESS _, /I II ,
CONTRACTOR'S NAME AND ADDRESC::";>/~ /1'/ PI-
Mail permit to (L--)'J\ppl:cant ( ) Owner ( -) Contractor ( ) Prefer to pick up Call
PartitIOning fr
LANE COUNTY PERMIT ST5..1.. ~
,( ) Completed ~UbdlvlSlon ,---;t;L( kct _ o-p-<!.-/
'" Lot rt c.y Blocl< 6::i n cP.
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STRUCTURES NOW ON THE PROPERTY '-"
THISPERMITISFOR ml-J ~j UJ
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THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
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# BEDROOMS ;# PLUMBING CONNECTION5-
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, SEWAGE DISPOSAL t 1 ~- /. . S I # .
WATER SUPPLY
PLUMBING BY
I hereby certify that the above statements are true and accurate, and that I have the following legal Interest In thp oroperty _owner of record,
contract purehaser, _ 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 th,s action I hereby agree to/comply with all apRl,cable Codes relating to th,s permit
FeePalH 5(p.t>l/O. Slgnatur~~,t:?~('(~ P~if'/?.Y
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT ( ) SPECIAL PMT AREA MI~JELE~ATION 4~,y;CJ
BUILDING LANE COUNTY SPECIAL PERMIT AREA
Minimum Septic Tank Capacity (Gallons) Type of Construction Group, Fire Zone
Dralnfleld Required. Lineal Feet "se Classlftcatloj / _
Maximum Depth . /. Comments ~~ ~
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FPLANNLNGREQUIREM-ENTSSATISFIED By ~::'::":,~~~ (/ Dated9-P-'V- ..-/0' Date Issued .z:J-~--,(:j
/j..ZONE !.,-;.I7lj / /;!i SETBAc.K.S" FROJ;JT,,'~ _SlDE FACING STRE~T (FROM C!L) INT SIDE YARDY REAR S i (FROM P!L)
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L~N(E COUNTY DEPAH(r~~T OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401
*(j !:f_-?-td ~ ..3' -/3-76"" POST THIS PERMIT ON MAIN BUILDING AT SITE
C5513 - SLOG PERMiT - WHITE BUILDING - GREEN PLUMBING ~ CANARY, SANITATION - GOLDENROD, OFFICE COPY - WHITE
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SANITAT~~
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PHONE 6874394
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APPLICATIO~ l0JildriJ1~l-v
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lane county
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The above appllcatlon lS belng held by the Permlt Processlng Sectlon for the
reasons
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ThlS appllcatlon wlll be held untll If the lnformatlon
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requlred above has not been fumlshed by that date you1;JappllcatlOn wlll be cancelled
Fees pald for waste dlsposal systemo (slte lnspectlOns' and/or apollcatlons to lnstall
th'e septTc tank and dralnflel d) are nonrefundable S6me refund may be made on the
bUlldlng and plumblng portlon of your appllcatlon,lf cancellatlon lS necessary
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In the event a Plannlng or some other long-term problem eXlsts over WhlCh you have
no control we Wl]] hold the permlt untll the oroblem lS resolved and we recelve word
from you as to whether to proceed wlth permlt lSSL'ance or process a cance]]atlon
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PERMIT PROCESS fNG SECTION - 687-4394
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C74-139
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LANE COUNTY PERMIT
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Acreage or Lot Si7e - Y (j X / I
Contractor's O,S. #
Partitioning #
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APPLICANT'S NAME AND ADDRE"" )11A.-~" /.~-L U.
OWNER'S NAME AND ADDR""" .., 1/ 1; ,
.. CONTRACTOR'S NAME AND ADDRES",,)/J!'C" /7j p/-,
Mail permit to (L.r-Applicant ( ) Owner' (" ) Contractor. ( ),Prefer to piek up. Call
STRUCTURES NOW ON THE PROPERTY
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THIS PERMIT IS FOR. ' 't-: (.Lv {...' ,-,.V
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WATER SUPPLY
SEWAGE DISPOSAL
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THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
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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 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 ownetis aware and approves of this action, I hereby agree to.comply with all apr:!licable Codes relating to this permit,' '
Fee paiH S(P",L/O ' Signaturl!f;;........,;-1f~ ~ #7f' ("1-t'4~ .~ If /76"- ,
( ) NEW ADDRESS ( ') FACILITY PERMIT TO TRANSPORTATION DEPT, ( ) SP~'C1AL PMT. AREA, MI~! ELE~ATlON:d'/"'::P:O
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Minimum Septic Tank Capacity (Gallons) Type of Construction (;roup
Drainfield Required, Lineal Feet Ilse Classification
Comments: 11/, J, ,~:,.:im~~..~.ep~h r~~J --<:At. ,~.,,~~~.. commen~s,,: jt-GH::'-'.h ;?t:n--e-
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lBy: /....,' ~.-f.''/>i Date: /:::4/-78 ByVC~.-'J';'''''tf-,''1'' ~4~~'Date:;Z-3-c' 7;(V
rPLANNI"NG BE.o~IRj:MENTS SATISFIED, By: ,;::-Z"~~'7't-- t/' Date:;:?' -,;/('1- 770" Date Issued:;:J -275-70 "
G?NEii::!!! ~,,~f:5,~: F!?~T~ C~E FACING STREET (FROM CIL) INT, SIDE YARD:::>" REAR S; (FROM P/L)
_~L.~N!~i9~NTY [)EP~:R.~~~N~;?~J3~}7j~Mp~::AT~~Ap::~~~~~T~~~~ ::~~:~:G:~~I~~GENE, OREGON 97401 PHONE: 687-4394
C55-13 P BLDG. PERM-IT =- WHITE;' BUIL61NG --=- GREEN; PLUMBING - CAN'A"RY: SANITATION - GOLDENROD; 'OFFICE COpy - WHITE
SANITAT~S~
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SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
GAS PIPING GROUNDWORK
ApPROVED ;---? DISAPPROVED ~ DATE
INSPECTOR
REMARKS
ROUGH PLUMB I NG
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FINAL PLUMBING
ApPROVED i:i:::J' DI SAPPROVED ~ DATE3 -.;r.::J.. 7 tT' I NSPECTOR a.. elf::.
REMARK 5
FINAL GAS PIPING
ApPROVED ~ DISAPPROVED ;---? DATE
INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
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READY TO ISSUE ;---? NOT READY TO ISSUE ;---? DATE
INSPECTOR
REMARKS
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LANE COUNTY PERMIT .s {/.. , I.' L./ 6 ((
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3 ;)00 JOB LOCATION
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Acreage or Lot S17~ Partitioning #
Contractor's O,S. # , ' tf.'
APPLICANT'S NAME AND ADDRFC:C: /?''If{' h~"
OWNER'S NAME AND ADDRI'C:C: -, IJ / ~ ,
CONTRACTOR'S NAME AND ADDRESc:v;;..')"r;;A. /0 P!-
Mail permit to (L-rJ\pplicant ( ) Owner ( -) Contractor. ( ) Prefer to pick up, Call
STRUCTURES NOW ON THE PROPERTY, -r-
THISPERMITISFOR fJil-/ CtOl-ctCv
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WATER SUPPLY ./'- " ,. c.T'd..
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THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
Phon~
Phonp
(owner, etc,) when ready,
SEWAGE DISPOSAl
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# BEDROO_MS ,#}LUMBING CONNECTIONS-.-
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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 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,comp.lY with all app-licable 90des re~ permit.
FeePaid<!: S&~qO Signatur~~It?~('{.r. '~ate /b,/f/7Y ~
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ( ) SPECIAL PMT, AREA, MINJELEVATION: 4C/J1t7-
BUILDINGLANE COUNTY SPR0IAL PEm"U'i' lI~t'!'
Type of Construction , i'iroup ~ite Z:of1\f".'\
"Ise Classificatioy/. _ '
Comments: /~ ~
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rPLANI\iINGIiJEP,UIRj:MENTS SATISFIED. Bv: ~~'- (/ Date:& -""U. "';/'0 Date,lssued: D -'dD-7t5
(jJ?NE!;.:;~lj~?- i:E~~~~:J FROf>JT~ -.::~E FACING STREET (FROM C/L) INT, SIDE YARD'::>' REAR:5' (FROM Pill
LANE COUNTY DEPARifMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVE, EUGENE OREGON 97401 PHONE' 6874394
+,t /1" /,",' '''', (7!."f::: ..3' -;3-76, ,POST THIS PERMIT ON ~AIN BUILDING AT ~ITE ' ' .
C55.13 - BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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SANITATION
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Minimum Septic Tank Capacity (Gallons I
Drainfield Required. Lineal Feet
Maximum Depth
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SITE INSPECTION
ApPROVED .C1
DISAPPROVED .C1 DATE
REMARKS
FOUNDATION INSPECTION
ApP.O'EO ~I DISAPP.O'EO ~I DATE
REMARKS
FRAMING INSPECTION
ApPROVED / / OISAPPROVED /7 DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPRO'EO ~I DISAPPROVED ~I DATE
REMARKS
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
FINAL INSPECTION
ApPROVED ~ DISAPPROVED .C1 DATE 1/-~- 79 INSPECTOR
REMARK 5
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CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE ! / DATE
REMARKS
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INSPECTOR
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