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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 \\(\ nb 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 ApeRov e o REuanx s oo* L4?-t {?*D r sappnovro D I Nsprcron GAS PIPING GROUND^/ORK AppRov E o Rturnx s D Drsrppnovro D Dare I xspecron ROUGH PLUMBING APPRovEo n Drsappnoveo D Darr Rexanx s 7 €4 Zt tHspe cron R* ROUGH GAS PIPING AP PRov E o RexrRx s Dr sappnovEo Dar r I NspEcton FINAL PLUMBING APPRovED @ Drsrppnoveo D Rexrnx s R)l-I Hspecton FINAL GAS PIPING Appnoveo D DrsAppRovEo D Rexanx s Dnre I Nsprcron CERTIFICATE OF OCCUPANCY Reaov ro lssue ReueRx s D Nor Reaoy ro tssuE D Drre I rspecroR D oo,,-7- / f,-7f, 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 $-Signatu re Date ( ) NEW ADDRESS ( ) FAC|L|TY PERMTT TO TRANSPORTATION DEPT.- ()SPECIAL PMT. AREA lvllN. ELEVATION: - SAN ITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date: BUILDING Type of Construction -Group -Fire Zone se Classification Comments By:Date Comments: By PLANN ING REOUIREMENTS SATISFIED. By Date Date lssued ZON E:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 91401 POST THIS PERNIIT ON MAIN BUILDING AT SITE C55-1 3 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLTJMBING - CANARY; SANITATION GOLDENROD; OFFICE COPY - WHITE PHON E: 687-4394 ra etfBfio6i J22rL TDTORETNtr]3FUIJNMRK APPRovED H Rruanx s -/?'zj tHsprcron r?*Dt sappnovEo fzD4 Oor, L 4-rr- 7 F }L GAS PIPING GROUNU/ORK Ap pRov E o Reua nx s D DrsrppRovro D DarE l uspecron ROUGH PLUMBING APPRovED E RExa nr s Drsappnove o D Dorr_G -/ &4,fttrrrro^ fr$ 4*t 'tzlot* *.*Z-*-r * re./ ROUGH GAS PIPING APPRovEo D Drsappnovro D Reuanx s Drr e I Nspecron FINAL PLUMBING AppRovED @ DrsrppRoveD D ootr_7-/f-7P, Reuanx s NSPECTOR rhl- FINAL GAS PIPING AppRov eo RemrRx s D r sapPnoveo Drre I Nseecron CERTIFICATE OF OCCUPANCY Reaov ro lssuE REr.rlRx s D Nor Rerov ro tssuE D Drre I NSPEcToR D h/{ /