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Home My WebLink AboutPermit Building 1977-04-043-2 a7 TRS, T Job Location r{67 INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- (owner, etc.) Test holes wi Subdivision Lot ( ) Building Permit ( ) Would like to meet on site. Call Acreage or Lot Size- Partitioning #- ( )Completed( ) Pending APPLICANT'S NAIVIE AND ADDRESS OWNER'S NAME AND ADDRESS, if different fro pplicant's CONTRACTOR'S NAIVIE AND ADDRESS Mailpermitorresultsof sitefeasibilitystudyto ( )Applicant (/\)Owner ( )Contractor( ) Prefer to pick up. Call ( owner, etc. ) when ready IRUCTURES NOW ON THE PROPE PROPOSED USE (this permit) WATER SUPPLY c72a-z-c-t SEWAGE DISPOSA :2--fBlocv Phone Phone Phone kzzad / existing or proposed well, etc. lf public, name of system) (existingorproposedseptictank,etc.)S.l.#-- PLUMBING BY C) Address <qott6 t lpaopenTy rs wrrHrN oNE MtLE oF ctry ******r oFFtcE usE oNLY BELOW THtS LtNE **.lrr***r*.* il" ( ) New Address Necessary ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) ( ) Special Permit Area. [V]inimum Elevation lnterior Side Yard Rear (FROIM PROPERTY LINES) zoN E9w@ )J:Planning/Bui lding lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response By DEPARTIVIENT OF ENV I RONMENTAL IVIANAGEMENT Permit Processi ng Section 125 East 8th Avenue 687-4394c55-12 Division va l-2,.L-u-/// 4"x 1 #/oz TRS, T Acreage or Lot Size Contractor's O.S. # OWNER'S NAME AND ADDRE PERMIT # JOB LOCATIO Partitioning # LANE COUNTY PERMIT APPLICANT'S NAME AND ADDBESS Phone- ) Completed Subdivision Lot- Bloc Phone- Phone--=---CONTRACTOR'S NAIVIE AND ADDR Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY ()NEWADDRESS FACILITY PERIV] IT TO TRANSPO RTATION DEPT.- () SPECIA L PMT. AR EA. I\4IN. ELEVATION TlllSPEBlMlTlsFoR#BEDRool\4L#PLUMBlNGcoNNEcTloNL Date -- JnTEn SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNE[nlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the {ollowing legal interest in the property: owner of record; -contract purchaser; - potential buyer; - realtor or agent. I lurther certify that (if not the owner) I am authorized to act lor the owner (.1 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 $a Signatu re SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Use Classification Comments: Type of Construction -Group Fire Zone Comments Date: PLANN ING REOUI REIVIENTS SATISFIED. By B Date lssuedDate ZONE SETBACKS: FRONT SIDE FACING STREET (FROtVI C/L) INT. SIDE YARD REAR (F ROIVI P/L) LAN E COUNTY DEPARTMENT OF ENVIRONI\i]ENTA L MANAG EMENT, 125 EAST 8TH AVE., EUG ENE, O REGON 97401 PHONE: 687.4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFF|CECoptr-WHtTEc55-13 trec By:Date: PERTVIIT # TRS, T Acreage or Lot Si JOB LOCATIO Partitioning LANE COUNTY PERMIT Lot Block- STRUCTURES NOW ON THE PROPERTY TH|S pEBMtT tS FOR # BEDROOIVIS-# PLUI\4BING CONNECTIONL 7p OU.'NER'S NAME AND ADDRESS Signatu re Date Contractor's O.S. # APPLICANT'S NAME AND ADDRE ss Phone ' Phone- Phone--CONTBACTOR'S NAME AND ADDRE lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready Fee Paid S- l NEW ADDRESS { ) FACILITY PERIV]IT TO TRANSPORTATION DEPT.- ( } SPECIAL PIV]T. AREA, I\4IN. ELEVATION: - 'ATER SUPPLY SEWAGE DISPOSAL S.l. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUN/lBlNGBY 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; -contract purchaser; - potential buyer; - realtor or agent. I {urther certiiy that (if not the owner} I am aulhorized to act for the owner of record, and that said owner is aware and approves ot this action. I hereby agree to comply with all applicable Codes relating to this permit. SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction -Group -Fire Zone Use Classification Comments: Comments: By: Date: By: Date PLANNING REOUIREMENTS SATISFIED. B Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FRONN C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONIVIENTAL IVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG.PERMTT-wHtrE; BUtLD|NG-GREEN; PLUMBTNG-cANARy; sANrrATroN-coLDENRoD; oFFrcEcop\/-wHtrE PHONE:687-4394(r SITE INSPECTION AppRov e o REuaRx s D r sappRoveo Dare I NseEcron FOUNDATION I NSPECTION Dr saepnoveo Dar e I xseecron Rrua nx s FRAMI NG AppRov e o Reuenx s Ap pRov r o ReNaRx s I NSPECT I ON //77 Drsrppnoveo F7 Dr sAPPRovEo n Dare, ,orrr/ L/- ?'?I NSPEcToR '^ /r- LATH OR SHEETROCK I PECT I ON /' \ ,. ' I ,-)'lNSPEcroR ,-&l -h t_#/,' FINAL INSPECTI v ( Ap pnov E o Reuanx s DrslppRoveo Dare I NSPEcToR CERTIFICATE OF OCCUPANCY REaov ro I ssue REuaRx s D Nor Rraov to lssur D Drre I NspEctoR Appnoveo D 4"t-tsD CORRECTION NOTICE IANE COUNW DEPT. OF ENVIRONMENTAL AAANAGEMENT Construction Permits & lnspections Division EUGENE, OREGON This building or structure does not conform to Lone County building regulotions, ordinonces or codes os noted below: 1 RE.INSPECTION REQUIRED FOR APPROVAT lnspector- Date-c55-73 Building Permit #