HomeMy WebLinkAboutPermit Building 1978-2-19
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JOB LOCATION
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LANE COUNTY PERMIT
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Partitioning #
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Acreage or Lot Sizo / '
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APPLICANT'S NAME AND ADD Ri=C:C:
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESC:
Mail permit to (t...)~Applicant ( ) Owner
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Subdivision
Lot "':/ ~
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STRUCTURES NOW ON THE PROPERTY // / 1-1-
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# BEDROOMS
# PLUMBING CONNECTION~
THIS PERMIT IS FOR
dATER SUPPLY. ;i/ .d.
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SEWAGE DISPOSAl ',..
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TH IS PROPERTY IS WITH IN 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,
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Fee Paid $. /." '\ ^~J, Signatu re '_._~?;, " (' =>...c", h' L , -~ Datp 7 - '~ <' - '7 ?
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( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT.' ) SPECIAL PMT, AREA. MIN. ELEVATION:
SANITATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth .
BUILDING
Type of Construction
'.- 'U'ie Classification
Group
_Fire Zone
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Comments:
Comments:
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. By: Date: By:.
PLANNING REQUIREMENTS SATISFIED, By: :':/./ r
ZONE:".- i /J..J--!.. SETBACKS: FRONT ','j". f SIDE FACING STREET
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Date: /~ cL.- '-,' /: Date Issued: (I ([('I 27.- 77
(FROM C/L) I NT. SiDE YARD '-, t REAR /' [(FROM P/U'
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
PHONE: 687-4394
\~ ,C55.13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY _ WHITE
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Job Lo~~tion ~n cJe.
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INFORMATION SHEET .
/ <)-073-/77
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L?R'/JI' - riA) .??y/;',L :Jm..,.,.-..! eL.4-,g
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TRS, TI
Written Directions~ (IN J'LH.
) Building Permit
) Site Feasibility Study for Septic T.ank. Number of sites
Acreage or Lot Size J S 1.1 X C; n
Partitioning # ( ) Completed
( ) Pending
APPLICANT'S NAME AND ADDRESS ~l,.v O. /<U;YEP- S?t:J4c./ /-I/JK'/<."e O.;0,/c:..
OWNER'S NAME AND ADDRESS, if different from applicant'<
CONTRACTOR'S NAME AND ADDRESS /1' t...~
Mail permit 'or results of site feasibility study to (v).Applicant ( ) Owner ( ) Contractor,
( ) Prefer to pickup. Call (owner, etc,) when ready, / I
"rRUCTURESNOWONTHEPROPERTy_,!-J"v1""" ;;?i;r'#fJ} ,Y)1 t ,1
PROPOSED USE (this permit) /..~;ir/ und'h",t,..r, /h~ /"2-:~ '?6' - ~L>,.,- /glI.,~ ';;U'r'!
Test holes will be reaa~;
Subdivision hI J'J::',j.-. c::;',p~ -,h,
J sr-f ;Q~...2J.'-,,~,
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d'h-A. I Phone /47.~Jj>t.-
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Phone
Phone
Contractors o. S. #
:? # l1A-'Ir(Y)m".
WA TER SUPPLY
(existing or proposed 'well, etc, If public, .name of system)
SEWAGE DISPOSAl
(existing or proposed septic tank, etc.) S,I. '"
,PLUMBING BY
) PROPERTY IS WITHIN ONE MILE OF CITY (
Address
.. ** *-ll- ** * * .HI' ** *** *** **** iHt.'*** **.. * *** ** *** * * * 0 F F ICE USE ON L Y BE LOW TH IS LI N E *** * *.. * -ll--lE- *"* * '* *** ***.."* ** *** * ** ** ** ** 11-"*
* * ** * *
-' ) New Address Necessary
ZONE
) Facility Permit Necessary
SETBACKS: Front' Side Facing Street
(FROM.CENTERLlNE OF ROAO)
) Special Permit Area,
Minimum Elevation:
Interior Side Yard Rear
(FROM PROPERTY LINES)
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To: Planni ng/Bui Idi ng Inspector/San itarian/Surveyor.
This applicant 'appears to have a problem with
Your assistance will be appreciated.
By
, Permit Processing Section
Response'
By
f)ivision
C55.12
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue '\::--'~'
687.4394
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JOB LOCATION
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~P.ERMIT #d073- 1/
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Acreage or Lot S,7P / /.)/X' q() ~ Partitioning #
Contractor's O.S, # I . f'....
APPLICANT'S NAME AND ADDRES~ /';; ".."...-f)
OWNER'S NAME AND ADDRES<: / /- II
CONTRACTOR'S NAME AND ADDR':<:<:
Mail permit to (q-Applicant ( ) Owner ( ) Contractor,
STRUCTURES NOW ON THE PROPERTY /r} II-
THIS PERMIT IS FOR (7 >r7A tJ /) (J,.C /:lIr ,(;
JATERSUPPLy./l).A- ,'/'
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LANE COUNTY PERMIT
~ .,40/".1.-/1
) Completed Subdivision. ' -f A'.~//UA !~,d".L!f-V--(!_---'
Lot 4'3 - Block ~-
K,Pt7A. ~?rJL/c/ -;;h/l;{-rv1. j;]" .C::,ail{,honp io/1-C/Rf?6
. / , I J ' Phonp
\J Phonp
(owner, etc,) when ready,
) Prefer to pick up. Call
'l.JdL?f
# BEDROOM<: # PLUMBING CONNECTIONL-
SEWAGE,DISPOSAI "-..4.PvJ 7';;;;' ) _ S,I. #
/- ./J / /1
/7/..,4-- , PLUMBING BY / H-
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
. v
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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 pro'perty: _owner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certif.y-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 C?rr;-Ply v\.ith all a~licable Codes relating to this permit.
Fee Paid <I: 1::( \' ~ Signature ~,,{, (Oi:;;::i,..-k.o....r--' Datp 7 -- ,;;>:::?- '7 '/
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( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. '() SPECIAL PMT. AREA. MIN, ELEVATION:
SANITATION BUILDING
--1 /, _ Minim,um Septic Tank Capacity (Gallons) Type of Construction Group. Fire Zone
~ . Drainfield Required - Lineal Feet //~" - '" A ~\'Ise Classification
_ Maxi~um Depth /
C:m~~~J- - - /J," /) /J/ ", b1
comm~nts: J".,.;;t,:e.f.. .!&dl Q~~ :$," f/J~~ ~ ~
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~ ..,.,(/_~.-<V, Date: (\<;1'-/-77 By:_)f:....f~ l/q ~Dat~ X-/f:-7?
PLANNlrfG REQUIRE.MEf)JjS SATISFIED. By: '-JC~ t/ Date: /-Ol..,{"'-) ~ 7' J Date Issued: 01.1Q 22-77
, ZONE:tV IJ. m.J.+-- SETBACKS: FRONT, <;"7'\ ~ SIDE FACING STREET (FROM CILl INT. SiDE YARD,'5' REAR /<;7f1FROM P/L)
,
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERM!T - WHITE; BUILDING - GREEN; PLUMBINGl- CANARY: SANITATION - GOLDENROD; OFFICE COPY -WHITE
"
PHONE: 687-4394
C55-13
I
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SITE INSPECTION
ApPROVED .Cl
DISAPPROVED .Cl DATE
INSPECTOR
REMARKS
FOUNOATION INSPECTION
ApPROVED 1--1 DI SAPPROVED 1--1 DATE
INSPECTOR
REMARK 5
FRAMING INSPECT.ION
ApPROVED I~ DI SAPPROVED 'I 1 DATE
INSPECTOR
REMARK 5
LATH OR SHEETROCK INSPECTION
ApPROVED L..:..-I DISAPPROVED c:J DATE
INSPECTOR
REMARK 5
/ / DAT~/ f7 -/7- 71 I NSPECTOR~~
ApPROVED
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE .Cl NOT READY TO ISSUE .Cl DATE
INSPEctOR
REMARK 5