HomeMy WebLinkAboutPermit Building 1978-09-08TRS, T JOB LOCATIO
Partition ing
LANE COUNTY PERMIT
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Acreage or Lot Si 7F ) Completed Subdivision
Lot BContractor's O.S. #
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APPLICANT'S NAME AND ADDRE qq
OWNER'S NAME AND ADDRES
CONTBACTOR'S NAME AND ADDR FSS
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready
Phone
Phone
Phone
STRUCTURES NOW ON THE PROPERTY
THISPEBMITISFOR ''' . , ''. # BEDROOI/S-# PLUIV]BING CONNECTIONS-
\AJATERSUPPLY - .. SEWAGEDISPOSAL { ''s.t. #
Fee Paid $
()NEWADDRESS () FACILITY PERMIT TO TRANSPO RTATION D EPT.- ( }SPECIAL PMT. AREA, MIN,ELEVATION:-
SANITATION BUILDING
roup
-Fire
Zone
se Classification
Comments:
Comments
Signature
-
Date
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Date By Date
PLANNING REOUIREIVIENTS SATISFIED. By:Date
ZON E:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD f REAR (FROM PiL)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55-13 BLoc. pERMrr - WHtrE; BUtLDING - GREEN; pLUMBtNG - GANARy; sANtrATroN - GoLDENRoD; oFFtcE coPY - wHlrE
PHONE:68l-4 4
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THISPROPERTYISWITHINONEMILEOFTHECITYOF_--.PLUI\4BINGBY''
I hereby certify that the above stafements 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 (il 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.
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By:
Date lssued:
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
125 E '8TH AVENUE, EUG NE, OREGON C1
PIANNING DMSIOT{ Current Zon
AVERAGE PROCESSING
Prrtltlonlng f_
PlrcGl No.
1 red
f]Pending f]completed
I of Sltee
I nepalr
I ol Employeer
t
}IITEI POLLUTION CONTROL
DIGU Slt. InBpcctlon (.)
6DS Con.tructlon [-T Ney
Nunb€r of Bedroonst
Coruncrclal,/Indugtrial -
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CONSTRUCTION PERMITS AND INSPECTION(See abovc for I of bedroorns,/l of enployeee)
f] :{obitc Hoto6 s
t] permanenr
n Tcooorarv
t] Reneual
Sg. Ft al
rEE
ec)r6u t
s
s
TotaI V!luntlon S
Plumbing fixtures at g
SewerAater Conn. at t
Each $
rach 3
Subtota I
TOTAL BUILDING PERHIT TEE
S ldo
I
al St6to Surchargc
Planr Check Fec
Change of Occupancy
Mlnlraun rtructural aetbacka :
Froru na of atree : Front
lot lines:
to ap pt
ot,
Z b€tx.s
Proro
centerl it3'
lntcr lor near 5
fl CurU cut to appllcantf] Conu'l plans al.reet
PUBLTC r,nHos ffKaa
PUBLT. wonxs jff{kc
resa
iltty
EIev! t i on
E}IvI
Ca.h
AfFtDAVIT !vlll befor nothls
to
I
Permit
'll
y authorizeaf-Eo act for a person
s_as alloued by zoning and/or the State Buj.ldingify that the Etatemcnts and other information si
ilng
and
holder of an exclucive opt lonf6lflowing Legal lnterest:
Rcc 'd TOTAI, S
lt la for an agricultural building, I hereby declare thrt thls buildItural purpone
I further cert Code,
bmitted ontrue and accurate, and that I have the followin g legal intereat in therecord i contract purchaaer i lessee,
vEo=-hag the hr.,e ccJnty
am e Or^tner. I
or that the owrefurther agree to
r of record 16 knowledgeable of thiscomply uith all rpplicable codee relatiagto
Applicant's Signature
THIS IS YOUR RECEIPT. AND DOES NOT GIVE YOU PERMISSION TO BUILD.
LI
Address
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.ac
roR oN ABOUT THE PROGRESS oF YoUR APPLICATIoN, CALL PERMTT coNTRoL, 687-a357 (687-HELP)
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TRS #77-03-22-1-3 10200 DATE ISSUED: 3/06/86 PERMTT# Czz -aG
OI,JNER'S NAME PHONE NUMBERBARBARA K. PARMENTEN 8, TRWIN NOPANSTAR
corurnAeT OR'S NAME
PARMENTEN CONSTRU CTTON
PHONE NUMBER
146L7 46-
BACK RE
FRONT
QU I REM ENTS
L SIDE
#P LUMBING FIXTURES
I NTER I OR REAR
l,l0R RI ZED
WOOD STOVE INSERT
I
T SDS APPRO\XAL REQLIIRED
HARLOW ROAD TO GA]48 FARM, LEFT T0 MALLARD, RIGHT r0 )RL1LE, RIGHT TO TrNAM)tl.
SiTE ADDRE SS
660 TINAMOU SPRTNGFIELD 0R 97477
TI NG N TIApproved Da te Correcti on Date
P TION
Inspe ctor
PLUMB I NDI.IORK INSApproved--Date Correcti on Da te I nspector
UNDERSLAB PL BG.tr /UNDERFLR PLBG. n I NSPECTI ONApproved Date / Correcti on Date Ins pector
OTHER INSPECTIONApproved Date Correcti on Date Inspector
ROUGH PLUMBI (TOP 0uT) TNSPECT
Approved Date
ION
Correcti on Date I nspector
Correcti on Date spector
roved te 4-t1-th /Correcti on Date Ins pe ctor
INSULATION /VAPOR BARRIER INSPECTIOApproved Date Correcti on Date Ins pe ctor
LATH / G BOARD INSPECTIONApproved Date Correct'ion Date Inspector
Eproved y' Date 4-t4-fL lCorrectjon Date I nspector
IF NAL PLUMBING I 5P ECTI ON
App rove d Date Correcti on Date Ins pector
FINAL INSPECTIONApproved Da
BUILDING tr /MOBILE HOME tr iAG
te Correct'ion D
PLACEMENT f]
ate Inspector
CERTIFICATE 0 0 CCUPANCY TF IEMPORARY CERT t-tcArE 0F occuPANCY DDate--Insp.-Approved_l
M74-t97
Da te Insp roved
LH,IE COUNTY I NSPECT I ON RECORD