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Home My WebLink AboutPermit Building 1977-06-24PERIVIIT # TRS, T Acreage or Lot S ize-. JOB LOCATION Partitioning # LANE COUNTY PERMIT ) Completed Subdivision Contractor's O.S. # APPLICANT'S NAME AND ADDRE OWNER'S NAME AND ADDRE qq CONTRACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. () Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY THIS PROPERTY IS WITHIN ONE TVIILE OF THE CITY OF I hereby certify that the above statements are -contract purchaser; - potential buyer; record, and that said owner is aware and approves Fee Paid $- ( ) NEW ADDRESS ( ) FAC|LtTy pERtVilT Lot- Block Phone-- Phone- Phone (owner, etc.) when ready IHIS PERMIT IS FOR # BEDROOMS-# PLUMBING CONNECTIONL WATER SUPPLY SEWAGE DISPOSAL PLUI\4BING BY - - true and accurate, and that I have the foll owing legal interest in the property -owner of record; - realtor or agent. I further cert ify that (if not the owner) I am a uthorized to act for the owner ofof this qction. I hereby r6.rr"fAOo9qg s agree to comply with all applicable Codes relati ng to this permit ignatu re Date TO TRANSPORTATION DEPT.- () SPECIAL PIVIT AREA. IVIIN. ELEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BU ILD ING Type of Construction a"r,*r* Use classification roup ire Zone \.Omments B Date: PLANN ING REOUIREIVIENTS SATISFIED. B ZON E B Date Date lssuedDate: SETBACKS: FRONT SIDE FACING STREET (F ROIVI C/L)INT. SIDE YARD REAR (FROM PiL) LANE COUNTY DEPARTIVIENT OF EN VIRONMENTAL IVIANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON g74O1 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG' PERMIT - WHIrE; BUILoING - GREEN; PLUMBING - GANARy; sANtrATtoN - coLDENRoD; oFFtcE cop., - wHtrE c55-1 3 PHONE:687-4394 TRS, T I \'?- ov*L'L'++ \ \oo (/ eritoing Permit Acreage or Lot Size iL3r!S Partitioning # APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if diffc CONTRACTOR'S NAME AND ADDRESS Job Locati INFORMATION 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 S(,ENA V\'-fA Lot 4 g1s. s 5r+yvr€ \F\SU\1 ( ) Completed( ) Pending rent from appliu/* 141-L=;ac'Y) Phone 4S7-Sc*O-w Phone Phone\4ail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor. ) Prefer to pick up. Call (owner, etc.) when ready. STRUCTURES NOW ON THE PROPOSED USE (this permit) PROPE c:v WATER SUPPLY El({5rl (l . eAtH",rw wErE4- qsr(r(.T (existing or proposed well, etc. lf public. name of system) SEWAGE DISPOSA xisting or proposed septic tank, etc.) S.l ! PLUMBING B Address PROPERTY IS WITHIN ONE MtLE OF CITY ( **.****oFFtcE usE oNLY BELOW THtS LtNE***r*rr**.** ( ) New Address Necessary )N E ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) ( ) Special Permit Area. Minimum Elevation lnterior Side Yard Rear - (FBOM PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor This applicant appears to have a problem wi Your assistance will be appreciated. By Permit Processing Section Response: By DEPARTI\4 ENT O F E NV I RONMENTAL MANAG EIVI ENT Permit Processi ng Section 125 East 8th Avenue 687-4394c55-1 2 ivision 0 TRS, T Acreage or Lot S Contractor's O.S. # PERMIT # JOB LOCATIO LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot-- Block_ APPLICANT'S NAIVIE AND ADDRES q Phone Phone Phone OWNER'S NAME AND ADDRES Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Preferto pick up. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY CONTRACTOR'S NAIVIE AND ADDRESS WATER SUPPLY SEWAGE DISPOSA fHlsPEBMlTlsFoR#BEDRool\4s-#PLUl\4BlNGcoNNEcTloNL s.l. # THIS PROPERTY IS WITHIN ONE Ii]ILE OF THE CITY OF-. PLUI\4BING BY- I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: _owner ol record; -contract purchaser; - potential buyer; - realtor or agent. I further certity that (il not the owner) | am authoriz;d to act for the owner oi record. and that said owner is aware and approves of this action. I herebv aqree to comply with all applicable Codes relating to this permit. Fee Paid S-Signatu re Date () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT () SPECIAL PIVIT. AREA. IVIIN. ELEVATION SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth Date: BUILDING Type of Construction c",".."8 Use classification By roup _Fire Zone -omments: By PLANN ING REOU I R EIVIENTS SATISF I E D By:Date:Date lssued tt ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LAN E COUNTY DEPARTMENT OF ENVIRONI/ENTAL I\4ANAG EMENT. 125 EAST 8TH AVE.. EUG ENE. OREGON 97401 PHON E: 687.4394 POST THIS PERMIT ON MAIN BUILOING AT 5ITEC55-13 wH[Er BU|LDTNG -GREE Date: SITE INSPECTION Appnov E o R euaRx s D l sAPPRovEo Dare I HspecroR FOUNDATION INSPECTION APPRov E D D r sAPPRovEo Dare I rseecton Rruanx s FRAMING INSPECTION Appnov r o RE uanx s DrsAPPRovE, D Darr -2 -I rs pr cron LATH OR SHEETROCK I NSPECT I ON DrsAPPRovEo D D^rEld-/ 7-"?I NsercronAp eRov r o Rrlt rnx s FINAL INSPECTION AP PRov E D Dr sAPPRovEo Dar e -7 I NSPEcToR Reuanx s CERTIFICATE OF OCCUPANCY Reaov ro lssuE D Nor Reaov ro lssuE D REMARK S Drr e I NSPEcToR - PERMIT # TRS, TL JOB LOCATION Acreage or Lot Size- Partitioning # LANE COUNTY PERMIT ) Completed Subdivision THls pERr/r.s ro, ' # BED BooMS-# ,LUMBTNG coNNEcrroNL Contractor's O.S. #Lot Block- b8 7 -52 71 APPLICANT'S NAME AND ADDR trcc Phone Phone Phone OWNER'S NAME AND ADDR Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY \AiATER SUPPLY SEWAGE DISPOSAL-s.t. # THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF . PLUIVIBING BY- I hereby certify that the above statements are true and accurate, and that I have the lollowing 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 for the owner oi 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- CONTBACTOR'S NATVIE AND ADDRESS il NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT ( ) SPECIAL PIVIT. AREA. lvllN. ELEVATTON:_ SAN ITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction -Group --FireZone -Use Classification Comments: uomments B Date By Date: PLANN I NG REOU I R EIVIENTS SATISF I ED By Date:Date lssued: ZONE SETBACKS: FRONT SIDE FACING STREET (FROIV C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITEc55-13 BLDG. PERMtT - wHtrE; BUtLDTNG - GREEN; eLUMBTNG - GANARy; sANrrATroN - GoLDENRoD; oFFrcE cop., - wHrrE PHONE:687-4394 trqq Signatu re Date _ 1-- SLAB FLOOR PLUMBING GROUND/ORK Dr slppnovro Dar e I HsercroRAp pnov e o Rrua Rx s GAS PIPING GROUND^/ORK Cl Drsrppnoveo D Dare I HspecronAPPROv E o Reua Rx s ROUGH PLUMBING W DrsaPpRoveo D o*1[/),*+r?*APPRoVED Rex aRx s I Nspecron ROUGH GAS PIPING Ap pnov e o RtltrRx s Dt sappRovro Dar e I rs ee cton FINAL PLUMBING APPRovEo E DtsAPPRovED Rr uanx s D oarz /3 -J?-12 p I NspEcton FINAL GAS PIPING AP PROV E D Rruenx s DrsappRoveo Darr I Ns pE cron CERTIFICATE OF OCCUPANCY REAoY To lssuE RrltaRxs D Nor Re aov ro lssur D Dore-lNsPEcroR-