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Home My WebLink AboutPermit Building 1978-06-19l7* o g-e 2.+,r(# - 5lm.:- TRS ,Tf -. JOB LOCATIO Partition ing LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ( ) Completed Subdivision Lot Block- APPLICANT'S NAME AND ADDRE ss Phon Phone Phone OWNER'S NAME AND ADDRESS- CONTBACTOR'S NAME AND ADDRES s Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTUFES NOW ON THE PROPERTY .HIS PERMIT IS FOR # BEDROOML# PLUI\4BING CONNECTIONL \^/ATER SUPPLY SEWAGE DISPOSAL s.t. # THtS pROpERTy tsW|THtN ONE MILE OF THE ctTY OF-. PLUMBING BY---= -- I hereby certiJy 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 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 $-Signature Date () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT. 1 SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING 4 Type of Construction Comments: rou p ire Zone Jmments: By Date By:Date PLANN ING R EOUI REMENTS SATISFI ED Bv Date Date lssued) \ LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERVIIT ON MAIN BUILDING AT SITE C55-1 3 BLDG. pERMtr - wHtrE; BUtLDtNG - GREEN; PLUMBTNG - GANARY; sANtrATtoN - GoLDENRoD; oFFlcE coPY - wHlrE PHONE:687-4394 ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/lNT. StDE YARD REAR (FROM P/L) ,.Nt // S€U 5 11Ld.7/7s Rs wau 1-g 7g ry.4wL*te. ec a1 TRS, TL Job Location Written Oirections AtO INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number ofBuilding Permit Acreage or Lot Size Test holes will be Partitioning #Subdivision 5* APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicant's Nt ( il permit or results of site t ) Prefer to pick up. Call ( ) Completed( ) Pending O 3 2a Bloc Pho ne Phone Phone <r' /t7n St CONTRACTOR'S NAME AND ADDRESS -L,,r-a_feasibility study to ({Applicant ( )Owner ( )Contractor (owner, etc. ) when ready.Contractors O. S.#7' STRUCTURES NOW ON THE PROPER /t "rrse,- PROPOSED'USE (this permit),/ WATER SUPPLY P;^(existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l Address ?a) 5'eoa SEWAGE DISPOSA PLUMBING BY doo I PROPERTY IS WITHIN ONE MILE OF CITY +***+************r+****************+******* OFFICE USE O NLY BELOW THIS LlNf *********t*** ** * t*++Ii***** *+li****i * ** +i + * tetle* A Necessary N Facility Permit Necessary rront'* Side Facing /(FROM CENTERLINE O 9&4 Sp""ral Permit Area. Minimum Elevation lnterior Side Yard -- Rear (FROM PROPERTY LINES) w SETBACKS Street F ROAD) To: Planning/Building Inspector/Sanitarian/Surveyor This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response q4a1 By DEPARTMENT OF ENVI RONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394css-12 4Tt1-5/ D ivision ?4? tt e <./ l, I $;,1 Z**s;<-L7t lo" -*v 7*) .1L ,.f- inir I t].lFl+l'ti-!' ,l I er' 7, to" €r',f::1 ?i.';r, t-q Y1',ql f a hrii int/;stfiri L, r7r' .'t A tl Lerr I I '"r r' siQ i Pa -'5 r ''-* '-'-'- / 7 ZxSr srA .- -. --t --_ _ r€Gs 8&,.+, tlBs 't . tl-:-. x 'f-:; " t5 it?'*.e- I ( 4^ irl. ...-.,t -fi ': U Pf';,lf r,*5 { lr,j.t" -7.-r2 -- \,'- tr ::t i. ,l a .-'i,lr .,,,,XC I , ,t i-:lIf-- i Ilt:t, I I l, I I ! II t ! (I',i'' ''l!' ,9 v 6Pi --l +-1,L __t\I I ! ^a :-,i"v.) It_rL i *__J h ---{- n +J.'._ o !J (. t .'. /. i.,|Yu!,ilt-- l F".#{! - --'.":i ' r.r fQ Nleg. ?#\L -.r)O'/ . *:, i)i.'i^'-/i'i! U') I-(.'-- ;\'-\l-r .i-1,..,., i .r.; .l i I L TRS, TL JOB LOCATIO Partitioning [\4inimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth LANE COUNTY PERM!T Acreage or Lot Size Contractor's O.S. # Ii ,omments: ( ) Completed Subdivision Lot- Block- APPLICANT'S NAME AND ADDRE5S PhON OWNER,S NAI\/IE AND ADDRESS CONTRACTOR'S NAIVIE AND ADDRESS Phone Phone Mailpermitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STBUCTURES NOW ON THE PROPERTY HlSPERMlTlSFoB#BEDRool\,S-#PLUl\4BlNGcoNNEcTloNS- WATER SUPPLY-- SEWAGE DISPOSAL- S.I. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUtVlBlNGBY I hereby certily that the above statements are true and accurate, and that I have the Iollowing legal interest in the property: -owner ot record; -contract purchaser; - potential buyer; - realtor or agent. I {urther certily that (i{ not the owner) I am authorized to act lor the owner of record, and thatsaid owner is awire and approves of this action, I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $-Signatu re () NEW ADDRESS l FACILITY PERI\4IT TO TRANSPORTATION DEPT. (: ,:} SPECIAL PIV]T. AREA. I\4IN. ELEVATION: - sANlrATloN BU ILDING Date - Type of Construction -Group Fire Zone By:Date c"rr.rt, Use classification Bv Date PLANNING REOUI REMENTS SATISFIED. Bv Date Date lssued: ZON E SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENV]RONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLoc.pERMtr-wHtrE; BUtLDtNG-GREEN; PLUMBTNG-cANARy; sANrrATtoN-GoLoENRoD; oFFtcEcoPY-wHlrE PHONE:687-4394 ( SLAB FLOOR PLUMB I NG GROUND^/ORK Aprnov r o Reurnx s Dt sappnoveo Det e I Nsprcton GAS PIPING GROUNU/ORK Ap pRov e o ReurRx s D DrsappRovro D Dare I nspecron ROUGH PLUMBING Appnoveo E Drsrepnoveo Rrxa nx s oorr_7 -/ O 7t &J--I Hsprcron a-3*r$l ROUGH GAS PIPING APPRovED Reranr s D DrsapPRoveo D Dare I Nsercron FINAL PLUMBING APPRovEo E/ Drsrppnovro Reuanxs D oor2f,4%NSPECTOR FINAL GAS PIPING AppRoveo D DrsappRoveo D Rrrenx s Drte I HspEcron CERTIFICATE OF OCCUPANCY Rreov ro lssur Re ltaRx s D Nor Reaoy ro lssue n Dare lrsprcroR t ,\ TRb, T Acreage or Lot Si Contractor's O.S. + APPLICANT'S NAME AND ADDR JOB LOCATIO Partitioning # LANE COUNTY PERMIT ) Completed Subdivision Lot B Phone=-.-- OWNER'S NAME AND ADDRES s Phone--- Phone-CONTFACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready \A/ATER SUPPLY SEWAGE DISPOSAL s.l. # STBUCTURES NOW ON THE PROPERTY HlSPERMlTlsFoR#BEDRool\4L#PLU[nBlNGcoNNEcTloNL TH tS PROPERTY IS WITH IN ONE MILE OF TH E CITY O F-'--. 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 of record; -clntract purchaser; - potential buyer; - realtor or agent, I further certify that (iI not the owner) I am authorized to act lor 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 10 this permit. Fee Paid $-Signature Date lNEWADDRESS l FACILITY PE RIM IT TO T RANSPO RTATION DEPT.- () SPECIAL PI\4T. AREA. [NIN. ELEVATION:- SANITATION B U ILD ING Minimum Septic Tank Capacity (Gallons)Type of Construction -Group -Fire Zone Use Classification Comments: Drainfield Required - Lineal Feet Maximum Depth By Date:By Date PLANN ING REOUIREMENTS SATISFIED. By Date Date lssued ZON E:SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTTVIENT OF ENVIRONMENTAL TVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERVIIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.pERMTT-wHtrE; BUTLDtNG-GREEN; pLUMBtNG-GANARy; sANtrATroN-GoLDENRoD; oFFrcEcoPY-wHtrE PHONE:687-4394 'omments: S I TE INSPECTION APPRov E o Rrulex s D r sappnovro I rspecronDare FOUNDATION INSPECTION APPRov E D Dr sapeRoveo Dare I ruspecron RruaRxs k{ro', FRAMING INSPECTION Appnov e o o^r, L- jo'7trDrsrppnoveo I NSPECT I ON D r sappnoveo I xsprcroR NSPECTOR 7-9*/*5;&, LATH OR SHEETROCK Ap pnov e o Rruanx s d LJ o^,, ?3- 71,axv FINAL INSPECTION A ppnov e o Reulax s oart Y-ZZ- 7d tNsee cronDrsrppRoveo W CERTIFICATE OF OCCUPANCY Reaov to I ssur REnenr s D Nor Reaov ro lssuE C/ Dore_I ruspEcron D 7 W-J- 7 Pl"rob*r Fton old SrOU a ltJi llwl Thri e.rtrrDouJ il a sha^,1es r.,il[ {te AJ(eDei ce/ BooF rr,rDru bill be ur'dt$L [ds,6q oF €ves nlAetr9lago AarD slY b0 wtl' t56' t , I, f b) 7 A) 'C{", {'Fi t# t- i, *$' =5f$,.' Ii _- 3J' : '-a l'-*-a tI i I ;. I ! ! rO .f C')V t'''til lrst lrrr"{ 'l t:"i[ f\aurh. lt<-. Lt'l i oyeaTc N€; Kl1?}.+'' her., Kilzhen hns ,tlrrrnJ 5sr^rr gxi5iTri; il"'i- - r' 5o Urlll UF -rir\r -'' i n 5 frr e rar"r)l 'Lit ti'1 *ro'* Il-.A.- J'-f6" ..) t 1 II €q, -, {?i"*,. 1tr' +, $eu u,,Fl t ( / r "'-', ( V- t I l_*sI] !I I I