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Home My WebLink AboutPermit Building 1978-07-03TFS,T JOB LOCATIO LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot_ Block_ Phone Phone_- Acreage or Lot S t7e Contractor's O.S. # APPLICANT'S NAME AND ADDR trqc OWNER'S NAME AND ADDR FSS Phon P Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call_(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FO # BEDROOIVIS-# PLUMB I NG CONNECTIONS WATER SUPPLY-- SEWAGE DISPOSAL '=_-.- S.I. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUIVIB ING BY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner oI recordj -contract purchaser; - potential buyer; - realtor or agent. I further certify that (if not the owner) I am authorized to act ror 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. Fee Paid $- Signature () NEW ADDRESS l FACILITY PERMIT TO TRANSPORTATION DEPT I SPECIAL PMT. AREA. MIN. ELEVA TION; Date - SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction c",n,r*"* Use classification roup Fire Zone Comments By Date Date PLANN ING REOU I REMENTS SATISF I ED By Date Date lssued: ZONE SETBACKS: FRONT SIDE FACING STREET (FROIN C/L) INT. SIDE YARD REAR (F ROM P/L) LANE COUNTY DEPARTI\4ENT OF ENVIRONI\4ENTAL I\4ANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 9740I PHONE: 687.4 POST THIS PERVIIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATTON - cOLDENROO; OFFTCE COpy - WHTTE 4 CONTRACTOR'S NAME AND ADDRESS- t I ( By: c55-1 3 J I i MP T. t-. TO LANE COUNTY PLANNiNG I CONSTRUCTION PERMITS & iNSPECTION T OTHER FROM: SURVEYORS OFFICE . FLOOD PLAIN MANAGEMENT DEPARTMENT 0F PUBLIC LANDS PH0NE: 687-4195 SUBJECT: PARTiTIOI{ NUMBER SUBDIVISION 1886 -18BUILDING PERMIT NUHBER OTHER RECOI,S4ENDAT I ON : THE ABOVE SUBJECT IS IN A SPECIAL PERI4IT AREA. THE ABOVE SUBJECT IS INCLUDED IN THE H.U.D. 1INNIJMBERED,,A,'ZONES. REMARKS -THIqD ( = L\o.T A r\t- tMPr2.ov€-MgLIT DATE A. ZA --?8 BY CarnC -\-\ \ \-0\ { \ L -78 TRS, TL Irlritten Directions -33 3bo Job Location L6 ( ) Building Permit UHk W)frD Acreage or Lot Size APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different m app licant's R'S NAME AND ADDRESS ,.,, L q INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites , $st ho W ill be ready .s S'rct a4 aL S Lo Bloc PhoneZ-22-/2SS Phoneuhone =/>/ ?J{ Contractors o.S. f Partitioninsh:-nq- ( ) Completed( ) Pending , -1ALTRACTO ' ,il dermit or \-{Frefer to 4a results of site feasibility study to ( ) Applicant ( ) Owner pick up. Call (owner, etc. ) when ready STRUCTURES NOW ON THE PROPER PROPOSED USE (this permit),Fr. /a.nn {- 7n B-rLa- Ze-s*at - Cinpnr*f # Bedrocnrs WATER SUPPLY (existing or proposed well, etc. lf public, name of system) SEWAGE DISPOSAL elts-,,<-s-\,-(existing or proposed septic tank, etc.) S.l () PROPERTY IS WITHIN ONE MILE OF CITY Address ) Contractor ,t /.12 a *****r**********r********+**+*********n**** OFFICE USE ONLY BELOW T NE ** ')) zoN Necessary T ** cia I Per rt lnterior Side rd wL; * (vfifr Facil ity Permit Necessary Front \{0/ side Facing Street Mi levat SETBACKS: To: P i ng/B ui ldi n g I nspector/San itarian/Su rveyo r Rear (F RO PROPERTY LINES) This applicant appears to have a problem with YoLrr assistance will be appreciated. (FROM CENTERLINE OF ROAD) By Permit Processing Section Response By DEPARTM ENT OF ENV I RONMENTAL MANAG EIV1ENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 3p D ivision f--a. -^ -.PLUMBING BY \, \.-I I ***+***+*+****+**t+*++++ t TRS, TL t,lot Plan Job Locatloo (Add Permlt /l Permlt Permit aq (tp 23 -5 1i t <- ts' -> ,tc l. to OrLe For For For For Permlt /l Permit Pernlt For For Subdivision t ol ilL c'a Block A/q -oL =.;l 4';o "g' N] ,1,,\, V, .l 1 \z' j4 (a'{' + . I I ,) skqL I I I \0 c\ _t '.) s cl I I I t,L d -l I \r s { ^l\ \0 ( k,t\:N {$ '\)C\ --tqe- 3r( .t't c74- 150 Vlclnlty Map N L<,uzo./ ZY' 7 Z'Y -"------*,fll F I I I I I r< -{ ar, 2- Y \ I tt \ \ \ , / -Zr'u o /4 8{, a ('/ ? \ ><vy l/ \ ln"&.d >i7 :_ It / I \ \ th . 1-->t nt/ _ .-.-l t, t A t{ NJ 28'.t4 TRS, TL JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot Blo STRUCTURES NOW ON THE PROPERTY- THlsPERMlTlsFoR#BEDRooMs-#PLUMBlNGcoNNEcTloNL APPLICANT'S NAME AND ADDRE ss Phone-- OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Phon Phone- Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready \IJATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEclTYoF-.PLUl\4BlNGBY-- I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner o,f record; -contract purchaser; - potential buyer; - realtor or agent. I iurther certily that (if not the owner) I am authorized to act for the owner oI record, and that said owner is aware and approves of this action. I hereby agree to comply wilh all applicable Codes relating to this permit. Fee Paid $-Signature Date il NEW ADDRESS () FACILITY PERN/IIT TO TRANSPORTATION DEPT il SPECIAL PIVIT. AR EA. IVIIN. E LEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING q {:x!F cG!r$!w $l!!--?-! Type of Construction a".,r*"* Use classification t ,1 - 1 roup -Fire Zone Comments By:Date PLANNING REOUI REMENTS SATISFIED. By B Date: Date lssuedDate ZONE: SETBACKS: FRONT SIDE FACING STREET (FROM C/L) tNT. S|DE YARD REAB (FBOM p/L) LAN E COUNTY DEPARTMENT OF ENVIRONIiIENTAL IVIANAG EMENT, 125 EAST 8TH AVE., EUG ENE, O REGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE c55 t3 SITE INSPICTION Appnovro ReueRx s D t srppnoveo o*,7-/y''?d.o,aSPECTOR /-: FOUNDATION I NSPTCTION APPRov Eo D I s APPRovED Dare I rspecton Reun nx s FRAM I NG Appnovro Reurnx s I NSPECT ION D/ Drsappnove o D oorrug:af.b -/-9,NSPECTOR LATH OR SHEETROCK Ap pnov r o Reuanx s I NSPECT I ON D r s appRoveo Dare I NsPEcroR n-V:?-4/ FINAL INSPECTION ,or18- I .7 /NSPEcroRAppRov r o Rruanx s Drslppnoveo CERTIFICATE OF OCCUPANCY Reaov ro lssuE REua nx s Nor Rraov to I ssue Drr e I NsPEcroR I TRS, T PERMIT # JOB LOCATIO LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot Acreage or Lot Size Contractor's O.S. #Bloc k APPLICANT'S NAME AND ADDRE SS Phone Phone PhoneCONTRACTOR'S NAME AND ADDRE Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready OWNER'S NAME AND ADDRESS WATER SUPPLY SEWAGE DISPOSAL STRUCTURES NOW ON THE PROPERTY THlSPERMlTlSFoR#BEDRoolv]S-#PLUMBlNGcoNNEcTloNs- S.l. # THlSPRoPERTYlSWlTHlNoNEMtLEoFTHEclTYoF.PLUlVlBlNGBY 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 lor 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. Fee Paid $-Signatu re Date () NEW ADDRESS () FACILITY PERIV]IT TO TRANSPOBTATION DEPT.- I SPECIAL Pfu]T. AREA. [NIN. ELEVATION SANITATION BUILDING Comments Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth Type of Construction se Classification roup -Fire Zone Comments Date: PLANN ING REOUIREI\4ENTS SATISFIED. BY Date Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIV P/L) LAN E COUNTY DEPARTMENT OF ENVIRONIMENTAL MANAGEIVI ENT, 125 EAST 8TH AVE.. EUG ENE, OREGON 97401 PHONEi 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG.PERMIT*WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION GOLDENROD; OFFTCECOPY-WHtTEc55-13 By:By: 3-2-/rhff /2 -7 ) TRS, TL ( ) guitalng Permit Acreage or Lot Size Partitioning #- ( )Completed( ) Pending APPLICANT'S NAIVIE AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicant's Job Location INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites-( ) Would like to meet on site. Call Test holes will be ready 34 Itner, etc.) Subdivision fr Lot- Bloc Phone Phone Phone /la il permit or results of site feasibility study to ( ) Prefer to pick up. Call CONTRACTOR'S NAME AND ADDRESS STRUCTURES NOW ON THE PROPE Applicant (''. ) Owner ( ) Contractor ( owner, etc. ) when ready. WATER SUPPLY P^ SEWAGE DISPOSAL 4a existing or propo sed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l.# PLUMBING BY Address () PROPERTY IS WITHIN ONE MILE OF CITY r*r***** oFFtcE usE oNLy BELOW THtS LtNE ***+****:**r* ( ) New Address Necessary ZON ( ) Facility Permit Necessary SETBACKS: Front 2?' Side Facing Street (U.Sp'€rfa1ffin.Area. [Vlinimum Elevation F (FROIVI CENTERLINE OF ROAD) lnterior Side Yard 2' Rear (FROIVI 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 DEPA RTIVI ENT O F E NV I R ON IVI E NTA L IVIANAG EIVI E NT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 t-)ivision I 3, ,'). r- , ' ;' ,,.,. \ ,, 3 L//onoo ^, t ,9/r-, ^, ^ /a- /J / q6 'XI nh -7r' ',- / ..(, - t-.t //o2,, *= 'Tl ,O.hzl.-'n u ft/.*{',PROPOSED USE (this permit)/- ( ,{PERIVIIT # TRS, T JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size- Partitioning #) Completed Contractor's O.S. # APPLICANT'S NATVIE AND ADDRE ss CONTRACTOR'S NAIME AND ADDRE lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call THIS PERIVIIT IS FOR Lot- Block -OWNER,S NAME AND ADDRESS PhON Phone p Phone- srRucruREs Now on rte paopeRty I \A/ATER SUPPLY ' . SEWAGE DISPOSA (owner, etc.) when ready. # B ED ROOIVIS-# P LUIVIB I NG CO N N ECT IONS s.l. # THIS PROPERTY IS WITHIN ONE N/IILE OF THE CITY OF PLUIVIBING 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 lurther certify that (if not the owner) I am authorized to act for the owner oI record. and that said owner is aware and approves o{ this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $Signatu re Date () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT (, ) SPECIAL PIVIT. AREA. IVIIN. ELEVATION SAN ITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Type of Construction Use Classification Comments roup ire Zone B Date PLANN ING REOUI REIVIENTS SATISFIED. By By Date Date lssuedDate ZONE: SETBACKS: FRONT SIDE FACING STREET (FBOM C/L) lNT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTI\4ENT OF ENVIFONIVIENTAL IVANAGEI\4ENT. 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE Comments: SLAB TLOOR PLUMBING GROUNU/ORK Ap rnov eo ReMlnx s Dtslppnovro I Hseecron GAS PIPING GROUND/ORK D DISAPPRoVED D Darr I ruspecronAp pnov r o Reuanx s ROUGH PLUMBING APPRovED D DrsappRoveo D ReltaRxs Dnr e I ruspecron ROUGH GAS Ap pnov r o ReNa nx s PIPING D DrsrppRoveo D Drr e I ruspecron FINAL PLUMBING APPRov E D ReurRxs dDrsappRove o D oorr-&/3/?/-R**I Nspecron FINAL GAS PIPING Ap eaov e o REuanx s D I SAPPROVED Dar e I Nspecron CERTIFICATE OF OCCUPANCY Rrnov ro lssue Reuanxs D Nor REAoY ro lssue D Dare I HsprcroR D Dore- D (\2, r PERIVIIT # TRS, TL JOB LOCATION Partitioning # LANE COUNTY PERMIT Acreage or Lot Si Contractor's O.S. # ) Completed Subdivision Lot- Blo APPLICANT'S NAME AND ADDR 4..Phone Phone Phone OWNER'S NAME AND ADDRE CONTRACTOR'S NAME AND ADDR STBUCTURES NOW ON THE PROPERTY , , " I THlSPEBMlTlsFoB#BEDRooMS-#PLUMBlNGcoNNEcTloNL Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready WATER SUPPLY SEWAGE DISPOSAL : S.t. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLU[nBlNGBY I hereby ceftify 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 lurlher certify that (iJ not the owner) I am authorized to act for the owner of record, and that 9id owner is aware and approves o,f this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $- Signature il NEW ADDRESS () FACILITY PERTVIIT TO TRANSPORTATION DEPT () SPECIAL PMT. AREA. IVIIN. ELEVATION Date -' SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING c"n..'n..""tr, Use classification Type of Construction -Group _FireZone Comments B Date B Date PLANNING REOUIREMENTS SATISFIED. B Date Date lssued SETBACKS: FRONT SIDE FACING STREET (FROrvr C/L) tNT. StDE YARD R (FROrvt P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONIVIENTAL TVIANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG.PERMIT-WHtrE; BUtLDTNG-GREEN; pLUMBTNG-GANARy; sANrrATroN-coLDENRoD; oFFlcEcopy-wHrrE R PHONE:687-4394 trqq trQe v: ZONE: TI SITE INSPECTION AP PROV E D Dr sappRoveo Rrua Rx s TOUNDATION INSPECTION AppRov eo Reuanxs DISAPPRovED Dar r I Hspecton FRAM I NG APPRov E o Rr urnx s t NSPECT I ON Drsappnovro Drr r I NSPECTOR LATH OR SHEETROCK I NSPECT I ON DI SAPPROVEDAP PRov E o Reuanxs F I NAL I NSPECT ION AP PRov E o Rruanr s Drsappnoveo I Hsprcron CERTI FICATI OF OCCUPANCY Reaoy ro rssuE D Nor Rrrov ro lssur D Dorr-llsercton- Reuanx s n D Dare I ruspecloR -7 Datr lrrspEcton4, D o*, E.f.7-l I \ \ \t q' .:\ (.r '\J €rr.l o 11/ > i 7o / Fa . ),. -