HomeMy WebLinkAboutPermit Building 1976-11-24
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LANE COUNTY PERMIT
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Subdivision <I A'. U,-c;t' ,1 , .I (J. I '" L '-5'J ., )'-..,C.
L~t -:'50_ Bloc'" .-~ r7
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Phone
(owner, etc,) when ready.
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Acreage or Lot Sizp
Contractor's O.S, #
APPLICANT'S NAME AND ADDRESS a17l1
OWNER'S NAME AND ADDRES<=:
CONTRACTOR'S NAME AND ADDRESc;
Mail permit to I L,...)-A-ppiicant I ) Owner (
Partitioning #,
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STRUCTURES NOW ON THE PROPERT:Y
~LJIS PERMIT IS FOR. /lr(;j. ~ (!~J-r.J.4z:iJOcCfZjJJ ,J
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SEWAGE DISPOSAl
# BEDROOMS_# PLUMBING CONNECTION&..-
WATER SUPPLY
THIS PROPERTY IS WITHIN ONE MI LE 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 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 C.odes relating to this permit:
Fee Paid SO J.jt" IFf) Signature ?rl r"}.,A ;~>;' ..::J.J.;..(~ D Datp .11- d- 3- ;e;
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, () SPECIAL PMT, ARI;A, MIN, ELEVATION:
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SANITATION
BUILDING
Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
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Type of Construction
Ilse Classification
Group
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Comments:
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By': . I' ," I ". Date: .,/i/,'" I/',"~ By:
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PLANNING REQUIREM'ENTS SATISFIED, By: (,,0 1".f- ,f
ZONE: 04- S~TBACKS: FRONT -;'t''PSIDE FACING STREET
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Date: il-c_?3
(FROM CIL)
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"l'!.. Date Issue'd':. I /,~.-f,'7:""71;
I NT. SIDE YARD C} I REAR '_ "';' (F ROM'P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE: 687-4394
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NOTICE
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, LANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT
'iConstruction Permits & Inspections Division
fY1 EUGENE, OREGON '. ,
. \ This building or structure"o6es not..conform to lane County building regulations, ordinanc~'(or coa~s
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CSS-7.3 RE-INSPEcTION REQUIRED Inspector, 01....~~_.L-.- Dato //-/1'-/'6
FOR APPROVAL c7 ~ ) "
Building Permit # "'/?~;... A'...rlA'~../
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JOB LOCATION
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[h:;A-V PERMIT ell H-6;& 7h
Acreage or Lot Si70
Contractor's O.S. #
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Partitioning # ( ) Completed Subdivision.5 _ '..6f.Cf' .;T...(,.,Cll..{,4, - ~7.^-!!-
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LANE COUNTY PERMIT
APPLICANT'S NAME AND ADD RESC:
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDREc:C:
Mail permit tod'!.-)"'Applicant ( ) Owner
) Contractor, (
) Prefer to pick up, Call
Phono
Phone
Phone
(owner, etc,) when ready,
WATER SUPPLY
STRUCTURES NOW ON THE PROPERTY
-l-lIS PERMIT IS FOR m.l..l f- CQ4~'I~ rf .;- .xl ?:wio s,.c......-J
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SEWAGE DISPOSAl
PLUMBING BY'.. 44"-
# BEDROOMC:
# PLUMBIN'G CONNECTION~
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THIS PROPERTY ISII'IITHIN ONE MilE OF THE CITY OF
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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 th~tl)d o~n,er is aware and approves of this action. I hereby agree to c~ :t~ :" app.!i~~e r)de:c~ating to this P/l~";;;.. :=?-7~
, Fee Paid <1:' 'J ~, (TO Signature ~'I / <...vw.(D,,,,, ~ Dato II ~
l NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, 1_ ) SPECIAL PMT, AREA, MIN, ELEVATION:
SANITATION
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Minimum Septic Tank Capaeity (Gallons)
Drainfield Required _ Lineal Feet
Maximum Depth
BUILDING
II (/..~ - Type of Construction
Ilse Classification
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Group
,Fire Zone
Comments:
~')mments:
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Date: /1/;1.3/76 By: () t 6~~.- h: ~ Date: /1- ,..4 -'1t..
PLANNING REQUIREMENTS SATISFIED, Bv: l...JO~ V Date: J1....;!..;5* lC:, J Date Issued: /1-50-7/;'
ZONE: f.:!. 1+ SETBACKS: FRONT ~5"'ori SIDE FACING,STREET (FROM C/L)~ INT. SIDE YARD:r RE_AR .5 '(FROM Pill
By:
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LANE COUNTY DEPARTMENT OF ENVIRONME'NTAL MANAGEM'ENT 125 EAST 8TH AVE. EUGENE OREGON 97401
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PHONE: 687-4394
'C55-13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDEN'ROO; OFFICE COPY - WHITE
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ApPROVED. ~ DISAPPROVED ~ DATE
REMARKS
GAS PIPING 'GROUNDWORK
ApPROVED. / / DISAPPR'OVED C1 DATE'
REMARKS '
ROUGH PLUMBING
ApPROVED i / 01 SAPPROYED C1 DATE
REMARKS
ROUGH GAS PIPING
ApPROVED C1 DISAPPROVED' C1 DATE
REMARKS
FINAL PLUMBING
ApPROVED ~ DISAPPROVED C1
REMARKS
FINAL GAS PIPING
. ApPROVED C1 DISAPPR.OVED C1 DATE
REMARKS
CERTIFICATE OF OCCUPANCY
r)ATEj- 'J rt-')()
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INSPECTOR
INSPECTOR
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INSPECTOR
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READY TO ISSUE C1 NOT READY TO ISSUE ;---? DATE
INSPECTOR
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REMARKS
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JOB LOCATION .;..::J ()/f~
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~ PERMIT /J1 H6;;& 7.6.
LANE COUNTY PERMIT
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Subdivision' {jtd,. -' .1-../0 ,-
Lot ..5 0 Block ,~=3 (/
11), xLa.c.-J. '
Phono
Phono
Phono
{owner, etc,) when ready,
Acreage or Lot Sizp
Contractor's O,S. #
Partitioning #
( ) Completed
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APPLICANT'S NAME AND ADDRES<: ().:rm
OWNER'S NAME AND ADDR>=<:<:
CONTRACTOR'S NAME AND ADDRES:"
Mail permit to (!.-I"Applicant ( ) Owner
, (I
) Contractor. (
) Prefer to pick up, Call
(_T)HIS PERMIT IS FOR
, WATER SUPPLY
STRUCTURES NOW ON THE PROPERTY
rn j.j. +- i?~M rf 1- x1/lu/ (')~.f ,;-
C/
SEWAGE DISPOSAL
,PLUMBING BY~-
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# BEDROOM<:
# PLUMB I NG CONNECTION5--
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
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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 comply w~th ~II applicable 70aes',elating to this perm~'1 _./
Fee Paid <l: .1./ t, - IJ() Signature ~1 t1...1..~ ~ Date / I o~ 3 7~
) NEWADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. I SPECIAL PMT, AREA, MIN. ELEVATION:
,
SANITATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
;f) .1..rJ.. ,Type of Construction ./ Group
Use Classification
Fire Zone
Comments:
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By: - ~!/Y1~,,/k.'11./o1J-rI-- Date: 11/;1.3/4':1 By: () /, ,~.. 4.r" c;~,nt_ Date: ' /X. ;i..L;t! - ..it
PLANNING REQUIREME'NTSSATISFIED, By: lJ:tJvru,:/-:' {Date: lJ-.:2.3--tt." Date Issued:
ZONE: () j.j.. SETBACKS: FRONT"'}./)II SIDE i..ACING STR~ (FROM ClL) ~T. SIDE YARD S/REAR 5/(FROM P/U
h,,"~ANE, CpUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE", EUGENE, OREGON 97401 PHONE: 687-4394
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,:,;; C55-13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PE:RMIT - WHITE; ~UILDING - GREEN; PLUMBING - CANARY; SANITAT!ON - GOLDENROD; OFFICE COpy - WHITE
SITE INSPECTION
ApPROVED Cl OISAPPROVED Cl DATE
REMARKS
FOUNDATION INSPECTION
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ApPROVED / /
REMARKS I J1/J
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FRAMING INSPECTION
DISAPPROVED /
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ApPROVED / / DISAPPROVED / / DATE
REMARKS
ApPROVED /
LATH OR SHEETROCK INSPECTION
I DISAPPROVED ~ DATE
REMARK 5
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CERTIFICATE OF OCCUPANCY
I
REMARKS
READY TO ISSUE ;---y NOT READY TO ISSUE / / DATE
INSPECTOR
INSPECTOR
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INSPECTOR
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. . CJ:I>!PORTANT MESSAGE= \. ,
FDR 11 (<(,0;- , '
,:ATE Pal1f~tJ\ ,~;I~/;~()~
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PHONF ~ . ,,0..
o FAX AREA COO~ E . \\9~NS'ON
o MOBil " AREAC~!}:.I, NUMB\~~_\:~\' CALL I
I TELEPHONED T ~LEASE CALL V
I CAME m SEE YOU I Ii WILL CALL AGA;N
I WANTS m SEE YOU RUSH I
I R~~~~.$6 R ~ ,II SPECIAL_AirENTlo~' l
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""Wtura. MADE IN U.S.A.
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ADDRESS6l.i7it;" /l.7d~~;
Your attenti~n is caUed to ite:'/"'~#-
checked below:
1. Fa~lure to hav~ or dispta~.. \-\. ~
bUilding permlt,~ -\.'S; 0 , '
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2, Faulty framing ..\ "\ '. '\,,>, ,! ,,":c'
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< aulty foundation .' (, {X ",/.,>;', ! .} J: r .'
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4. Faulty chimney r" " ,. - "-'--'-" -:,. """
5, Faulty se~age disposal J ,'-
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6, Zoning violations
7, Other violations
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,! LANE COUNTY
"'~JILDING & SANITATION DIVISION
BY IQ;)J~~ '
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DAT'E / /-1;(J-7h
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