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Home My WebLink AboutPermit Building 1977-06-16PERIVIIT #7. TRS, TL JOB LOCATIO Partition ing LANE COUNTY PERMIT I y'- t L-gZ L -38Acreage or Lot Size Contractor's O.S. # -rlTlITleI]tS ) Completed Subdivision Lot- Block _ OWNER'S NAME AND ADDRESS APPLICANT'S NAME AND ADDRE qq CONTBACTOR'S NATVIE AND ADDRE cq Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call Phone Phone Phone (owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY , HIS PERI\4IT IS FOR , . # BEDBooI\4L# PLUI\4BING coNNEcTIoNS- \IJATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEclTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the tollowing 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 S-Signature Date { ) NEW ADDRESS l FACILITY PERMIT TO TRANSPORTATION DEPT.- ( } SPECIAL PI,IT. ABEA. I\4IN. ELEVATION: - SANITATION BU tLDtNG Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Type of Construction Use Classification Comments: roup Fire Zone B Date By Date PLANN ING R EOU I R EIVIENTS SATISFI ED By Date Date lssued: LAN E COUNTY DEPARTI\4ENT OF ENVIRONIMENTAL I\IANAG EMENT, 125 EAST 8TH AVE., EUG ENE, OREGON 97401 PHON E: 687.4394 POST THIS PERMIT ON MAIN BU ILDING AT SITEc5s_13 o; oFFrcEcopy-wHrE ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (F RO IVI P/L) PERIVIIT #og zo,JOB LOCATIOTRT,.TL LANE COUNTY PERMIT Acreage or Lot Si 7e Partition ing Contractor's O.S. # APPLICANT'S NAIVIE AND ADDRE qq Phone Phone Phone Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready WATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTYlSWlTHlNoNEtVllLEoFTHEClTYoF.PLUIVlBlNGBY ) Completed Subdivision Lot- Block- OWNER'S NAME AND ADDRE ss CONTRACTOR'S NAME AND ADDRESS s;TBUcTURES NOW ON THE PBOPERTY_ TH IS PE BM IT IS FOR- # BEDROOML# PLUI\4BING CONNECTIONS-- I hereby certify that the above statements are true and accurate, and that I h -contract purchaser; - potential buyer; - realtor or agent. I further record, and that said owner is aware and approves of this action. I hereby agree to Fee Paid $- fr 6fi.@ Signatu re () NEW ADDRESS () FACILITY PERIV]IT TO TRANSPORTATION DEPT ave the following legal interest in the property: -owner of record; certify that (if not the owner) I am authorized to act forthe owner of comply with all applicable Codes relating to this permit. Date () SPECIAL PIVIT. AREA. tVIIN. ELEVATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction -Group Use Classification Comments Fire Zone uomments: Date -2-B Date: Date lssuedPLANNING R IR EIVI SATISFIED. By Date ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIBONMENTAL N4ANAGEMENT, 125 EAST 8TH AVE., EUGENE, OBEGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG.pERMTT-wHrrE; BUTLDTNG-GREEN; pLUMBTNG-GANARy; sANrrATroN-coLDENRoD; oFFrcEcopy-wHtrE PHONE:687-4394 I SANITATIONovisd By: fu\tn,h"rr* \ TRS, T ( ) Building Permit Acreage or Lot Size ,9'f ' tr lzS Job Location INFORMATION SHEET ) Site Feasibility Study for Septic Tank. Number of sites ) Would like to meet on site. Call L /7-o3-ZZ^4^4^Bdoo I /z72_77 ( ((owner, etc.) Partitioning #- ( )Completed( ) Pending Test holes be ready Subdivision Lot I Bto PhonAPPLICANT'S NATVIE AND ADDRESS OWNER'S NAIVIE AND ADDRESS, if different from applicant's CONTRACTOR'S NAME AND ADDRESS VI ail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor ) Prefer to pick up. Call (owner, etc. ) when ready o L Phone Phone STRUCTURES NOW ON THE PROPERT PROPOSED USE (this permit)a c{ci i7,'a ,Jo H/r:/e,,-,qL B^d- ( WATER SUPPLY C SEWAGE DISPOSA PLUMBING BY 5 existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l.+ Address ( Y) PROPERTY IS WITHIN ONE MILE OF CITY -) r****** oFFtcE usE oNLy BELOW THtS LtNE ******r***r*r ' t:.i"W:NecessarY ( ) Facility Permit Necessary ( ) Special Permit Area. lVlinimum Elevation lnterior Side Yard '{/ Rear 5-/ (FROIV PROPERTY LINES) SETBACKS: Front Side Facing Street (FROIV] CENTERLINE OF ROAD) 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 IVIE NTA L N/ANAG EIVI ENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 Division E SITE INSPECTION Ap pRov r o Rruanx s d o,sAppRovED D oor, &-{--a?-I NspectoR FOUNDATION INSPECTION D D*, //- 2-{-i?I HsprcronAppRoveo RrManxs D r sAPPRovEo FRAMING INSPECTION APPRovEo Rrulnxs LATH OR SHEETROCK DI SAPPROVED I NSPECT I ON D r sappnove o F7 Dare D o*,1- z3- 7?I rspecron Apeaovro REManx s I Nspecron Reuanxs I NSPECT I ON D DISAPPROVE, D oatr 2-L I rusprctoR -eu4-Q REuaRx s CERTlFICATE OF OCCUPANCY Rerov ro lssuE D Nor Reaov ro lssue n Drrs lNsPEcroR- J Dote Permit No. CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the ottoched opplicotion hos been fully considered by the Boord of County Com- missioners of Lone County, qnd it is the opinion ond iudgment of the Boord thqt the soid opplicotion should be gronted, ond thot o permit should be issued, now, therefore, it is hereby. ORDERED, thot q permit be ond is hereby issued to for plocing, building or constructing the following focilityt upon the right-of-woy of County Rood No. --, Mile Post -, in strict conformity to the exhibits ottqched hereto, ond subiect to oll terms, conditions, ogreements, stipulotions ond provisions contqined in the opplicotion ond permit, the Rules ond Regulotions Gov- erning Focilities to be Permitted upon County Rood Rights-of-Woy, os set forth by the Lone Mon- uol 50.I90(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce. Speciol Provisions: l. Drivewoy will be constructed in occordonce with the ottoched drivewoy opprooch specifico- tions (Drowing M98-50). 2. Permittee will be responsible for the immediote removol of oll mud, dirt ond debris from the roodwoy ond right of woy coused by his operotion, leoving the roodwoyond oreo in o neot, occeptoble condition. 3. Sidewalks will be constructed in accordance with the attached sidewalk spec'if ications and draw'ing M98-49. The Standard Curb Type shal I be constructed unless otherwise specified. This permit is revocoble qt ony time, ond will be strictly odhered to ond no work other thqn thot specificolly mentioned obove is hereby outhorized. This permit sholl be void unless the work herein contemploted sholl hove been completed be- lnspected ond Approved fore , 19-. Expires I9_. Approved by Boord of County Commissioners By Dote By WHITE - OFFICE FILE YETTOW_ REAL ESTATE Direclor of Public Works c74-r29 -t PINK - PERMITTEE ORANGE - BUITDING & SANITATION DEPT. l_. 3 \fr PERIVIIT # . TRS, T Acreage or Lot Size Contractor's O.S. # JOB LOCATIO Partitioning LANE COUNTY PERMIT ( ) Completed Subdivision Lot- Bloc APPLICANT'S NAME AND ADDRE qq Phon PhonOWNER'S NAME AND ADDRE qq CONTBACTOE'S NAIIIE AND ADDRESS Phone- l\4ailpermit to ( ) Applicant { ) Owner ( )Contractor. ( ) Preler to pick up. Call (owner, etc )when ready' F STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FOR \A/ATER SUPPLY SEWAGE DISPOSAL # B ED ROONNS-# PLUIVIB I NG CO NNECTIONS s.l. # THlSPRoPERTYlSWlTHlNoNEl\4lLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certily that the above statements are true and accurate, and that I have the following legal interest in the property: -owner ot record; -contract purchaser; - potential buyer; - realtor or agent. I further 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. Fee Paid $-Signatu re Date () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT.() SPECIAL PIVIT. AREA. IVIIN. ELEVATION SAN ITATION BUILDING Type of Construction -Group Use Classification Comments: Fire Zone Comments By:Date:By:Date Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth PLANN ING REOUIREtVIENTS SATISFIED. By:Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FRON/I C/L) INT. SIDE YARD REAR (FROIVI P/L) LAN E couNTy DEpARrueNr or fruvrnoN[4ENTAL MANAGETMENT, r 2s EAsr grH AVE., EUG ENE, oREGoN 97401 pHoN E: 6g7-4394 $ POST THIS PERMIT ON MAIN BUILDING AT SITEd BLDG. PERMIT-WHITE; BUILDING -GREEN; PLUMBING -CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITEc55-1 3 r/0aD SLAB FLOOR PLUMB ING GROUNU^/ORK Appnov eo REMrnx s Dr slppnovEo "/ a>L a GAS PIPING GROUND^/ORK Appnov r o ReurRx s D Drsrppnovro D Dar r I xspecron ROUGH PLUMBING APPRovED D Drsappnoveo D Reuanxs Drt e I Hsprcron ROUGH GAS PIPING Ap pnov e o Reuanr s Dr sAPPRovEo Dar e I Nspecron PLUMB I NG D DrsrrpRove D D oorr/-27-,--il I xspecton Re uanx s FINAL GAS PIPING Ap pRov e o RrttaRx s DrsrppRoveo Dare I NseEcron CERTI F I CATI OF OCCUPANCY Rerov ro lssue RrulRx s D Nor Reaov ro lssuE D Drre I xspecron D Dore- lHseecron- D Cl