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Home My WebLink AboutPermit Building 1977-03-07T RS,. -'__1tr- 0e -o e, r.z r/ t PERMIT # B LOCATION LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot Bloc Acreage or Lot Size Contractor's O.S. # CONTBACTOR'S NAME AND ADDRESS APPLICANT'S NAME AND ADDR trqc Phone- Phone Phone-OWNER'S NAIVIE AND ADDR Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready \A/ATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlB|NGBY 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 1C) 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. Fee Paid $Signatu re Date INEWADDRESS () FACILITY PERIV] IT TO T RANSPO FTATION DEPT.- () SPECIALPIVIT.AREA. MIN.ELEVATION:- STRUCTURES NOW ON THE PROPEBTY 1THlSPERMlTlsFoR#BEDRoolv]L#PLUl\4BlNGcoNNEcTloNL SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction Use Classification Comments: roup ire Zone aomments: B Date PLANN ING REOUI REIVIENTS SATISFI ED. By: B Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TVIANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 , POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG.PERMTT-wHtrE; BUtLDtNG-GREEN; pLUMBTNG-GANARy; sANtrATroN-GoLoENRoD; oFFrcEcoprz-wHrrE PHONE:687-4394 trqq Date: \ APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS- TRS, -i Acreage or Lot Contractor's O.S. # Fee Paid S- PERMIT # JOB LOCATIO LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot- Bloc Phone Phone Phone STBUCTURES NOW ON THE PROPERTY I THIS PERMIT IS FOR- # BEDROOML# PLUN]BING CONNECTIONL CONTFACTOR'S NAIVIE AND ADDRE Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready \^/ATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate. and that I have the following legal interest in the prop€rty: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I {urther 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. Signature ()NEWADDRESS { ) FACILITY PERI\4IT TO T RANSPO RTATION DEPT.- { ) SPECIAL PIMT. AREA, IIIIN. ELEVATION: - Date - SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction Comments rhovea /A)oo(ur-D- a- - qrl roup ire Zone Use Classification gRR tau FretD A r r.J c AJo ?aga omments By:By Date PLANNING REOUI REIVIENTS SATISFIED. By Date Date lssued ZONE:SETBACKS: FRONT stDE FACTNG STREET (FROtVt C/L) tNT. StDE YARD REAR (FROrVt p/L) LANE COUNTY DEPARTTVIENT OF ENVIRONMENTAL IVIANAGEf\4ENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLoc.pERMrr-WHrrE; BUTLDTNG-GREEN; pLUMBTNG-cANARy; sANrrATroN*GoLDENRoD; oFFrcEcopy-wHrrE PHONE:687-4394 Date: l SLAB FLOOR PLUMB ING GROUNB,/ORK AppnovEo Rrua nx s D Dr srppnove o /-/ Drre I NspecroR GAS PIPING GROUNU/ORK Ap pnov e o Rg ulRx s D Drsrppnovso /-/ Dare_I ruspecron ROUGH PLUMBING A ppRov e o Rru enr s Dr saepRoveo D Dare I rspecron ROUGH GAS PIPING Ap pnov e o Rr urRr s D t sapPRoveo D Dore-I rusprcton FINAL PLUMBING APPRovEo D DrsAPPRovE, D Rr uanx s Dar e I NspectoR FINAL GAS PIPING Ap pnov e o Reurnx s D r saeeRoveo I Nspecton CERTIFICATE OF OCCUPANCY Reaov ro lssue Re ltlnx s Nor REaov ro lssuE De rr I nspecton t D Drre- PERIVIIT # TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partition ing APPLICANT'S NAME AND ADDRE ss Phon OWNER'S NATVIE AND ADDRE ss Phone- Phone- Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready WATEB SUPPLY- SEWAGE DISPOSAL- S.I. # THlSPRoPERTYlSWlTHlNoNEIVllLEoFTHEClTYoF.PLUIVlBlNGBY 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 (iI 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. Lot- Block- STBUCTURES NOW ON THE PFOPEFTY- THlsPERlv]lTlSFoR#BEDRool\,s#PLUl\4BlNGcoNNEcTloNL CONTRACTOR'S NAME AND ADDRESS Fee Paid $Signatu re Date ()NEWADDRESS () FACILITY PERIV] IT TO T RANSPO RTATION DEPT. () SPECIAL PIV]T. AREA. MIN. ELEVATION SANITATION BU ILD ING Type of Construction -Group -FireZone se Classification Comments: ^-rmments Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth By:Date By Date PLANNING REOUIREMENTS SATISFIED. B Date ZONE SETBACKS: FRONT SIDE FACING STREET (FROIM C/L) INT. SIDE YARD REAR (F ROIVI P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONTVIENTAL IVIANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG.pERMtT-wHtrE; BUtLDtNG-GREEN; pLUMBtNG cANARy; sANll'ATtoN-coLDENRoD; oFFtcEcoplr-wHtrE PHONE:687-4394 Date lssued: S I TE I NSPECTI ON Ap pRov r o Reuanx s H D r sappnoveo D oart 3* ,//-77 I Nspecton FOUNDATION INSPECTION AppRov t o D r s apenoveo )-77Drr E 7 5 I rspecton Rrur nx s FRAMI NG A ppnov r o Re ulnx s I NSPECT I ON oartl- ?-7 7 tNSPEcroR LATH OR SHEETROCK INSPECTION Appnov r o Rrxanx s M DrsappRove o 77 7 -z-7- 7a lrspectoR )<&Dar e {/ FINAL INSPECTION APPRovEo / L//Drsrppnovro DarE -7 NSPEC Retta nx s CERTIFICATE OF OCCUPANCY REaov ro lssue Reulnx s D Nor REaov ro lssue D Dore_I rspecton Qr.*1 -/ ,d Dr srpenove o D ffio ----. O c I I ( ../ #-0 GN I ! (,o I I r\ 19 I i I GoNc, fleO \o <,oi)s Dt+l6 t8' <o,l) <, cr-A I I l ,- \ )-r - -\ I Al,,70-1 ,/Aooltt op I I I I -^ ;, E,' t' - / /j.'e.-- , +.? C-' '-','i-._/ - / t .t .,t y''/ - /' ft/''"r" /; /\ra.?a J 8? O RICHLA D A 5 P,t NQFIEUO - + - -i----+*,t ------- ":--l- .1,.' '' + "c4: ,..t.,7 --- --.1-. -':.; -t 1l l ( fi"gh,so /?,a"gr-- *0.*r* lo$ APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if di CONTRACTOR'S NAIVIE AND ADDRESS Mail permit or results of site feasibility stud( ) Prefer to pick up. Call qF Job Location &ze !NFORMATION SHEET ) Site Feasibility Study for Septic Tank. Number of sites - ) Would like to meet on site. Call (owner, etc.) Test holes will be ready Subdivision utillnne.l*jmAu /"(. m cant' */-ru_TRS, TL D{Building Permit Acreage or Lot Size t3> /q5 Partitioning # ( ( ( ) Completed( ) Pending t- uSrr ptroneT y' ) -oq8i Phone- PhoneTSL'ttl77 app K) Applicant ( )Owner ( )Contractor (owner, etc. ) when ready ,2 r/- .L t'?^STRUCTURES NOW ON THE PROPER e 1 f, )-r *..^":aPROPOSED USE (this permit) WATER SUPPLY SEWAGE DISPOSA r'{.-n<to-tql +', g lrrlul 1:t' existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l 4l AddressPLUMBING BY D(t enoeeRTy rs wrrHrN oNE MtLE oF ctry ( *******oFFtcE usE oNLY BELOW THtS LtNE+**r*****r*** ( ) New Address Necessary zoN F ( ) Facility Permit Necessary SETBACKS: Front ( ) Special Permit Area. lVlinimum Elevation Side Facing Street (FROM CENTERLINE OF ROAD) lnterior Side Yard Rear - (FROM PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor This applicant appears to have a problem Your assistance will be appreciated. By Permit Processing Section Re By DEPARTTVI ENT OF E NV I RONMENTAL MANAG EIVI ENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 tvtston tot I L eroc,---U- a J 9c/ F )