The URL can be used to link to this page

Home My WebLink AboutPermit Building 1977-10-04[.rns, r 2 7.?-22 eR. Wtitten Directions (! Building Permit Acreage or Lot Size 70 x )4O Partitioning #- ( )Completed( ) Pending iRppI-ICaruT,S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicant's CONTRACTOR'S NAME AND ADDRESS STRUCTURES NOW ON THE PROPE Job Location J_A*tO,q 5f S "* J4*6 INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites-- Test holes will be read v Subdivision ?a S<r":r"tot 3/ 7<.@ c1J, t*'//s,iQo Bloc (r/e o Phone ?4?*737( 5a-r*-t-- Phone / / Phone / t Mail(x Prefer to pick up. Call p ermit or results of site feasibili ty study to ( )Applicant ( )Owner ( )Contractor (owner, etc. ) when ready. ,af A><* PROPOSED USE (this permit) ,/-7'/Ce< ) De-,,'t<# Bedrmns 5 WATER SUPPLY Q*r-Bc,,n (existing or proposed well, etc. lf public. name of system) sEwAcE DlsposAL (2ac6,o:,e S.el/l,Fg T1- 7 33-7.( (existing or proposed septic tank, etc.) s.t ,c PLUMBING BY Address il PROPERTY IS WITHIN O E MILE OF CITY ****r** oFFtcE usE oNLY BELOW TH|S LINE 5.**+*fir.** ( )N ress Necessa ry ZON ( ) Facility Permit Necessary ( ) Special Permit Area.45. SETBACKS: Front ,56 / Side Facing Street lnterior Side Yard Minimum €/ E levation Rear (FROM PBOPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. (FROM CENTERLINE OF ROAD) By Permit Processing Section Response By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394c55-1 2 Division =Aae 2 2 a-j Contractors o. S. # ?ZrL3 .4 I*vilE ,i PERMTT o3?31-'r'r TRS, T JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot Block- phoneTJ(r *?t/APPLICANT'S NAME AND ADDRE qs OWNER,S NAME AND ADDRE Phone Phone rVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready. CONTRACToR,S NAME AND ADDRESS UJATEB SUPPLY SEWAGE DISPOSA STRUCTURES Now oN THE PRoPERTY- THlSPERMlTlsFoR#BEDRoo[4s-#PLUMBlNGcoNNEcTloNL s.l. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certilv that the above statements are true and accurate, and that I have the lollowing legal interest in the prop€rty: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I further certily 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 complv with all applicable Codes relating to this permit. Fee Paid $Signatu re Date ( )NEWADDRESs ( ) FActLtTy pERMtT To TRANSPoRTATToN DEpr.- ( ) sPEcrAL Plvlr. AREA. MlN. ELEVATIoN SANITATIoN BUILDING Type of Construction -Group -Fire Zone Use Classification Comments: Comments By Date:By Date lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth P LAN NING REOUIREtVIENTS SATISFIED. By Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L) LAN E couNTy DEpARTt\4ENT oF ENVTRoNM ENTA L MANAGETVT ENT, 125 EAsr 8TH AVE., EUG ENE, o BEGoN 97401 pHoN E: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITEc5s-13 VlaaD€'ldtl FLOOR PLUMBING GROUNDh/OBK Apenoveo M DlsaPPRovED Drr r 7- ^,^I NseecroR REtt rRx s GAS PlPl NG GROUNTI4/ORK Ap pnov e o REuanxs D Drsrrpnovro D Dare I ruspecron ROUGH PLUMBING AppRovEo @ DrsrepnovEo D oo-rr/d_/V?Z Rrxanx s I rusprcton ROUGH GAS PIPING AppnovEo D DrsAPPRovEo D Re uaRx s Drr e I rusprcron Apenoveo E DrsrepRoveD D rNspecroR e/L FINAL PLUMBING Rruanxs Drrr FINAL GAS PIPING APPRovED D DrsAPPRovE, D REHenx s Drre I uspecron CERTIFICATE OF OCCUPANCY Rreov ro lssur Reuanx s \ D Nor Rraov ro lssuE D Dore_I HsprcroR a PERIVIIT # TRS, T Z .t 0 o JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning # APPLICANT'S NAME AND ADDRE SS CONTRACTOR'S NAIVIE AND ADDRES q 'aail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call ) Completed Subdivision Lot-- Blo ck OWNER,S NAN/IE AND ADDRESS- Phone Phone Phone (owner, etc.) when ready STRUCTURES NoW oN THE PROPERTY # BED ROOTVIS--# PLUIVIB I NG CO N NECT IONSTH IS PERIVIIT IS FOR WATER supplY SEWAGE DlsPosAL s l # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the followinq legal interest in the property: -owner of record; -contract purchaser; - potenai"i rrv"i; - i"urtor or ajent. I f urther certi{y that (iI not the owner) I am authorized to act {or the owner o{ record, and thaisaid owner is awire and approves of this action. I hireby agree to comply with all applicable codes relating to this permit' Fee Paid $- ( ) NEW ADDRESS ( ) FACILITY PERlvllT To TRANSPo Signature RTATloNDEPT'-()SPEClALPIVlT'AREA.IVllN.ELEVATloN Date - SANITATION N/linimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth Date BUILDING Type of Construction a",n,n",*, Use classification By roup ire Zone Comments B Date PLAN NING REOUIREIVIENTS SATISFIED. B Date lssued LANE COUNTY DEPARTIVIENT OF ENVIRONMENTAL IV]ANAGENNENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE ,C55-13 BLDG.pERMtT-wHtrE; BUtLDtNG-GREEN; pLuMBtNG-GANARY; sANlrATloN-coLoENRoD; oFFlcEcoPY-wHlrE PHONE:687-4394 /? 4, Date: ZONE:SETBACKS: FRONT SIDE FACING STREET FROIVI C/L) INT. SIDE YARD REAR (FROM P/L PERIVIIT # TRS, TL JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Si Contractor's O.S. # ) Completed Subdivision Lot Block- APPLICANT'S NAME AND ADDRE ss CONTRACTOR'S NAME AND ADDR trss Phone Phone tVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready. Phone--- OWNER'S NAIVIE AND ADDRESS- STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FOH # BEDROOIML# PLUI\4BING CONNECTIONL WATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEclTYoF.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; -c;ntract 'purchaser; - potential buyer; - realtor or agent. I further certify that (iI not the owner) I am authorized to act Jor the owner of record, and thatsaid owner is awire and approves of this action. I hereby agree to comply with al! applicable Codes relating to this permit. Fee Paid $-Signature Date () NEW ADDRESS FACILITY PERI\4IT TO TRANSPORTATION DEPT.- () SPECIAL PIV]T. AREA, I\4IN. ELEVATION: - SANTTATTON BU ILDING Type of Construction roup -Fire Zone a",n,n.*.' Use classification Comments lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth B Date PLANN ING REOUI REIVIENTS SATISFIED. Bv: By Date Date ZONE: SETBACKS: FRONT SIDE FACING STREET (FROII C/L) lNT. SIDE YARD REAB {FBOM P/L} LANE COUNTY DEPARTIVIENT OF ENVIRONIVIENTAL TVIANAGETVIENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE C55.1 3 BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITE PHONE:687-4394 Date lssued: SITE INSPECTION NS PE CTORAp pRov r o RruaRxs DI SAPPROVED FOUNDATION I NSPECTION Ap pRov e o Rrua nx s I ruspecroR k FRAMI NG AppRovro Rr ulnx s I NSPECT I Drslpenove, D Dnr r I xspecron e -z LATH OR SHEET I NSPECT I ON AppaovEo Rrurnxs DrsappnovE o F7 Dare I Nspecton FINAL INSPECTION Ap pRov e o Reuenx s DrslppRovro Dare - 7''? -NS P E CTOR CTRTIFICATE OF OCCUPANCY Reaov ro lssue RruaRx s Nor Rraov ro lssue Drr e I Hsprcron \-t D ,*, V z77V -/ -'d DrsappnovEo Tl o*, 7 277? D I