HomeMy WebLinkAboutPermit Building 1978-04-24\\\ \-\B
TRS,'I'L.17-03-22.4.1 T'L #59 98g Locnrro
PERMIT #
SPRI}GT]EID OREGON227 C,A!,IffAFT,I FD
Subdivision
LANE COUNTY PERMIT
nfl04-77
Partitionins +fr[-;( ] ComPleted
NA80x160'
Acreage or Lot Size
Contractor's O.S. #NA Lot- B
EIJ@NIE ORreCt{746-4942Phone.-.._---.-
Phon e
Phone=--.-
ready.
APPLICANT'S NAME AND ADDRE
OWNER'S NAME AND ADDRESS
CONTBACTOR'S NAME AND ADDR
Mail permit to ( XlApplicant ( )Owner
STRUCTURES NOW ON THE PROPERTY
L.R. BRANT 3349 BALDY VIEI^] IANE
( ) Contractor' ( ) Prefer to pick up' Call
DCISTITT{G HctlsE (To BE DEl4o) Dcts'Trlc SDs
(owner, etc.) when
THIS PERMIT IS FO
PERMIT FOR NffiI TX^iELLI}{G 580 sq ft:VALUE:154.00
DiISTDG C,ARAM 350 sq ft:
SEWAGE DISPOSA DCIS'INE SDS s.l. #
\ryATER SUPPLY BLTNBCP{ VNTER DlSI BEBSON PIilt'IBI)€
NA PLUMB ING BYTHIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
I hereby certify that the above statements are true and accurate,and that I have the following lega I interest in the Property:
owner) I am authorized to
# B ED ROOTUS_-*Z* P LUMB I NG CO NN ECT IO NL9
}E\
er of record;
the owner o{
n
contract purchaser;potential buyer;
-
realtor or age nt. I further
record, and that said owner is aware and approves of this action. I hereby agree to
Fee Paid $
<o
,r.Sienat
EW ADDRESS I FAC!LITY PERMIT TO TRANSPORTATION DE
SA ITATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Comments:
(if not the
ll ap e Codes relating to this Permit'
Date
) SPECIAL PMT. AREA f,illN. ELEVATIO
C
PT.- (
BU ILD ING
TYPe of Construction
a"r,""*,
use classification
roup
-Fire
Zane
Date
Date:
B Date
PLANN I REMENTS SATISFIED. B
Date lsued:
(FR C/L)INT. SIDE YAR D REAR (FROM P/L)
SETBACKS: FRONT SIDE FACING STREET
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97 401 PHONE:687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMTT - WHITE; BUILDING _ GREEN; PLUMBING _ CANARY; SANITATIoN _ GoLDENRoD; oFFICE coPY * WHITE
B
c55-13
,Jh,.l
TRS, T a3-22,
I^Iri'Lcen Di-rections
t)f aritoins Permit
Acreage or Lot Size
Partitioning #
OWNER'S NAME AND ADDRESS, if different from pplicant's
Mailpermit or results of site feasibility study to K )Applicant ( ) Owner ( ) Contra
( ) Prefer to pick up. Call ( owner, etc. ) when ready
STRUCTURES NOW ON THE PR
PROPOSED USE (this perm
WATER SUPPLY t(n lv
SEWAGE DISPOSAL - Exrs tV (2
PLUMBING BY ?fgS.rtu, Fr .,, rv-tprt NG
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pnon" 7 4( '-/?y'2
Phone
Phone
Contractors O. S. #o
effunS
isting or proposed well, etc. lf public, name of system)
xisting or proposed septic tank, etc.) S.l
Address
a Job Location
( ) Site Feasibility Study for Septic Tank. Number of sites-
Test holes will be ready-
Subdivision Lot
-
Bloc
lEtv tN bAPPLICA
3EANDA
( ) Completed
(z-lPending
DDRESSM
CONTRACTOR'S NAME AND ADDRESS
.Q:
I PROPERTY IS WITHIN ONE MILE OF CITY ( )
\o\YLbt o
*+* ***+ ********+***********+i* *t+**** ****** OFFICE USE ON LY BE LOW THIS LIN E ** * * * * r t * r i * + ** * r+ * ** ** * * * * *+ * * * t +r * + * * + + + *
( ) New Address Necessary
zoN
( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation
F SETBACKS Front Side Facing Street lnterior Side Yard Rear --(FROM CENTENUIruC OT ROAD) (FROM PROPERTY LINES)
To: Planning/Building lnspector/Sanitarian/Surveyor
This applicant appears to have a problem with
Your assistance will be appreciated.
By Permit Processing Section
Response
By
DEPARTMENT OF ENV I RONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394c55-12
D ivision
yor
TRS, T
Acreage or Lot Size
Contractor's O.S. #
JOB LOCATIO
Partition ing
LANE COUNTY PERMIT
) Completed Subdivision
Lot- Blo nk
APPLICANT'S NAME AND ADDRE qq
OWNER'S NAME AND ADDRESS
CONTBACTOR'S NAME AND ADDRESS
Phone-
Phone_-
Phone-
CTRUCTURES NOW ON THE PROPERTY
THlsPERl\,lTlSFoR#BEDRooML#PLUMBlNGcoNNEcTloNL
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready
SEWAGE DISPOSAL S.I. #-.\T/ATER SUPPLY
TH IS PROPERTY IS WITHIN ONE I\4ILE OF THE CITY OF
-.
PLUIV]B ING BY
--
I hereby certify that the above statements aie 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 lurther certify that (il not the owner) I am authorized to act for the owner ol
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 $-Signature Date
()NEWADDRESS { ) FACILITY PERMIT TO TRANSPORTATION DEPT.- ! SPECIAL PI\4T. AREA. MIN.ELEVATION:-
SANITATION BUILDING
Comments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Type of Construction
se Classification
roup
-Fire
Zone
Comments:
PLANNING REOUIREMENTS SATISFIED. By Date:Date lssued
ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL NNANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
c55-13 BLDG. pERMrr - WHtrE; BUtLDING - GREEN; PLUMBtNG - GANARy; sANtrATroN - coLoENRoD; oFFrcE copy - wHtrE
PHONE: 687-4394
B Date:B Date:
/0co€{*e FL00R
PLUMBING GROUNU/ORK
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CERTIFICATE OF OCCUPANCY
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TRS, T
Acreage or Lot Size
Contractor's O.S. #
APPLICANT'S NAME AND ADDRE
JOB LOCATIO
Partition ing
LANE COUNTY PERMIT
) Completed Subdivision
Lot- Block-
SS Phone-
OWNER'S NAME AND ADDRESS-Phone-
Phone-CONTFACTOR'S NAME AND ADDRE cc
Mail permitto ( )Applicant ( )owner ( )contractor. ( )Prefertopickup. cal (owner, etc.) when ready
STBUCTUBES NOW ON THE PBOPERTY
THIS PERMIT IS FO # B ED ROOTVIS-# PLUIVIB I NG CO N NECT IO NS
WATER SUppLy-- SEWAGE DISPOSAL- S.l. #
THlSPRoPERTYlSWlTHlNoNEtVllLEoFTHEClTYoF.PLUN/lBlNGBY
I hereby certi{y that the above statements are true and accurate, and that I have the Iotlowing legal interest in the property: -:owner of record;
_contract purchaser;
-
potential buyer;
-
realtor or agent. I further certily that (if not the owner) I am authorized to act lor the owner of
record, and thatsaid owner is aware and approves of this action, i hereby agree to comply with all applicable Codes relating to this permit
Fee Paid $-Signatu re Date
( ) NEW ADDRESS ( ) FAC|L|TY PERMTT TO TRANSPORTATION DEPT.- ()SPECIAL PMT. AREA lvllN. ELEVATION:
-
SAN ITATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Date:
BUILDING
Type of Construction
-Group -Fire
Zone
se Classification
Comments
By:Date
Comments:
By
PLANN ING REOUIREMENTS SATISFIED. By Date Date lssued
ZON E:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 91401
POST THIS PERNIIT ON MAIN BUILDING AT SITE
C55-1 3 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLTJMBING - CANARY; SANITATION GOLDENROD; OFFICE COPY - WHITE
PHON E: 687-4394
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