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Home My WebLink AboutPermit Building 1978-03-23TRS, T JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Si Partition ing Contractor's O.S. # APPLICANT'S NAME AND ADDRE CONTBACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call Fee Paid S-Signature ( ) Completed Subdivision Lot_ Block_ Phon Phon Phone- F OWNER'S NAME AND ADDRESS - (owner, etc.) when ready ITRUCTUBES Now oN THE pBopERTy THIS PERMIT IS FO # BEDROOIVIS-# PLUMBI NG CONNECTIONS WATER SUPPLY-- SEWAGE DISPOSAL- S.r. # THIS PROPERTY ISWITHIN ONE I\4ILE OF THE CITY OF ' . PLUI\4BING BY-- .........--- --I hereby certi{y 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 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. Date SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Type of Construction roup _Fire Zone Comments: c".r."t, Use classification B Date:B PLANNING REOUIREMENTS SATISFIED. B v Date:Date lssued ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTTVIENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITEC55-13 BLDG. pERMtr - wHtrE; BUtLDtNG - GREEN; pLUMBtNG - GANARy; sANtrATtoN - coLDENRoD; oFFtcE coplr _ wHtrE PHONE: 687-4394 t Zfredb {a ( } NEW ADDRESS () FACILITY PERI\4IT TO TRANSPOBTATION DEPT.- | SPECIAL PMT. AREA. I\4IN. ELEVATION: - BUILDING .4€'J-4-Date: Xr*r,tt l7-oe-a/ -,=-4 3?f Q?2- P/. *e e u /J1.- S<c Bloc 3 74 7- Job Location f* *1. INFORMATION SHEET ri jh-t 1 ( ) Site Feasibility Study for Septic Tank. Number of sites_ Test hole s will h1,, be ready Subdivision 0aa lo Yo lo "do Lot h +6 /4 * ltritten Directions fX euitding Permit \o"rurn" or Lot sizef/' y 72'X //3'x Bg Y 53/ Partitioning#_-- ( ) Completed( ) Pending \appI-ICANT,S NAME AND ADDRESS\ owruER,S NAME AND ADDRE SS, if different from applicant's\ DNTRACTOR,S NAME AND ADDRESS \,RUCTURES NOW ON THE PROPER Scr tn e- Phone Phone Phone\rfl E::;: I ;'#il'::,:' ;:ii' " ?'u'/ vw *"$ t' i :?,j[T :, J, ] 3#?::. I ) Contractor Contractors O. S. # a JJ" existing or proposed well. etc. lf public, name of system) \ \PnOPOSED USE (this permit) \ort* suPPLY \sEwncE DtsPosAL a *ar, \PLUMBING BY PROPERTY IS WITHIN ONE MILE OF CITY ( * r * * + * + * * ** * * * * * * ** * * * + * * * * * * * * * **Jr * * * n * * * * O F F ICE (existing or proposed septic tank, etc.) S. I Address ress Necessa ry ZONE To: Planning/Building lnspector/Sanitarian/Surveyor Facility Permil ,ronrhs / USE N Y BELOW THIS LINE Necessary {FROM CENTEBLINE OF ROAD) ( ) Special Permit Area. IVlinimum Elevation Rea r (FROM PROPERTY LINES) () This applicant appears to have a problem Your assistance will be appreciated. By Permit Processing Section Response By DEPARTM ENT O F ENV I RONMENTAL MANAG EIVIENT Permit Processing Section 125 East gth Avenue 687-4394c55-12 D ivision c11 J. *****+*******+**++*t*****+*****+**+** +t++++ ) ) bt lVeut Arl4 cF'r' (a nK rd,#Ii A {a* /; en ftuo a4t //d* ,/o /fro^ € x, i/, ,.a, tt"-r9- I I I I I I E y,sfia1 Qa.r \ I t t_. t, rtpl U /?q P/o*x_ ) SITE INSPECTION APPRov E o Re tta Rx s DrsappaovEo D Drr r 6 - z' I ?, *trrrro^-{.h^r{ FOUNDATION I NSP APPRov ED Rruanxs T ION Dr sappnovrD I Hspecton z 7 FRAM I NG App nov e o Re lt enx I NSPECT I Drsappnoveo D Drrr ln"-7ri 9,dZ--I xsprcton LATH OR SHEETROCK Ae enov r o RruaRx s I NSPTCT I ON Dr srppRovrD Dnrr I Hseecton F lllAL I NSPECT l0N Ap pnov r o Rrunnx s D t s appeoveo Dorr2 - Z{-8{I nspecron CTRTIFICATE OF OCCUPANCY Rerov ro lssue ReurRx s Nor Relov to lssue Drrr I NSPEcToR In oart l-ZL=77 D TRS, T JOB LOCATION LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning # Fee Paid $- Signature () NEW ADDRESS () FACILITY PERMIIT TO TRANSPORTATION DEPT ) Completed Subdivision I Lot- B { iTRUCTURES NOW ON THE PROPERTY APPLICANT'S NAME AND ADDRE ss_Phone- OWNER,S NAI\4E AND ADDRESS PhONE- coNTFAcroR's NAlle nruo aoonrss Phone- Mail permit to ( )Applicant ( )Owner ( lContractor. ( ) Prefer to pick up. Call- (owner, etc.) when ready. THIS PERMIT IS FO # BED ROOIVIS-# PLUMB I NG CONNECTIONS WATER SUPPLY-- SEWAGE DISPOSAL- S.I. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY t hereby certi{y that the above statpments are true and accurate. and that I have the following legal interest in the propertv: -owner of record; -contract-purchaser; - potential buyer; - realtor or agent. I further certily that {i{ not the owner} I am authorized to act for the owner of record, and that said owner is aware and approves o{ this action. I hereby agree to comply with all applicable Codes relating to this permit. Date { ( ) SPECIAL PMT. AREA. MlN. ELEVATION:- SANITATION BU ILD ING lVlinimum Septic Tank Capacity (Gallons)Type of Construction roup -Fire Zone Drainfield Required - Lineal Feet Use Classif ication Maximum Depth Comments Comments: By:Date By:Date PLANN ING REOUIREMENTS SATISFIED. By:Date:Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEIV1ENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERTVIIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.pERMtT-wHtrE; BUtLDtNG-GREEN; PLUMBtNG-GANARy; sANtrATroN-GoLoENRoD; oFFtcEcoPY-wHlrE PHONE: 687-4394 MIT TRS, TL Acreage or Lot Size C,ontractor,s O.S. # APPLTCANT,S NAME AND ADDR OWNER,S NAME AND ADDRESS CONTRACToR,S NAME AND AD Mail permit to ( ) Applicant ( I hereby certi{y that the above statemen*--contract purchaser; -- potential record, and that id owner SA N ITATION , LANE COUNTY PERMIT Partitioning *"4/,4 ( )comPleted JOB LOCATIO Cl (,* Subdivision t pnonJh,tfi/ E DRESS )0wner () Contractor. 1 l-yf-eter to pick up" Call I Comments {owner, etc.) when reaciy Phon Phone.-.-.-=-.--- ETRuctunes NOW ON THE PROPF-RTY <f.-) f THls pERMtT ts FoR U/ATER SUPPLY TH ls PRopERTy ls wlTHtN oNE MiLE oF THE clrY o # B ED ROOIVIS.---=* PLUMB I NG CONNECTIONS AGE D ISPOSA s.t. # PLUI\4BING BY have the following legal interest in the oro perty: --owner of record; f er certify that (if not the owner) I am autho rized to act for the owner of agree to compl with all apP licable Codes relating to this permit. of lVlinimum septic Tank capacity (Gallons) Drainfield Required - Lineal Feet Maximum epth ts are true and accur a buyer; -_ 10 prour.*- Use Classification , 2t4-4-fr4*dL--A- , Fee paid g Signat u re te ) wEw ADDRESS { )ACILITY PERMIT RANSPO RTA TION DEPT.- () SPECIAL PMT. AREA rvilN. ELEVAT!ON: -- BU ILD lN9 1lS tVr ype of Constructio " ,{- '=Group '*? 'ire Zone Cornments: f ^""^t w *4 ,*:-&*4 f,A*\* q/4?AJ AN NI REOUIRE NTS SATISFIED. BzoNE rytu,r ffi, B v Pl -2{-By Date:-23- Date 1i FROM PIL VIRONMET{TAL MANAGEMENT, I25 EAST 8TH AVE., EUGENE, OHEGON 97401 POST THIg PERMIT ON M/IIN BUILDTNG IIT SITE ELDG.PERMIT*wHlTEiBUlLolNG_6REENiPLuMgING..CANARY;SANlTArloN*GoLoENRot};{}fflCEc6PY-*1i{t.{t'€ Date lssued:Date HEARSIDE FACING STREET-(FROM C/Li INT. SIDE YARISEKS: FRONT il LArv € cou P PHONE: S87'4394 W ( &*- City of Springfield Mechanical Permit Status: Issued 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone 541-126-:(tl6 Fax 541-;' -J 7 (t9 Inspcction Line PERMITNO.: ISSUED: APPLIED: EXPIRES: MEC2002-00129 12n7t2002 1211712002 6n7t2003 SITE ADDRESS: ASS|SSOI{S PARCEL NO.: 242I ITTIJPL 1703243400348 Springfield TYPE OF WORK: TYPE OF USE: New Residential PRO.TECT DESCRIPTION: Install fireplace insert and gas piping Qrrr) FAIR(. 2421 | SPRN .I'I'I,ICAIIT: ) DONAI-DL&RL i I)L t,t) oR97477 MECHANICAL CONTRACTOR: AMBASSADOR PIPING INC 541.726-5723 PO BOX 70737 EUGENE OR 97401 CCB # 121469 Expiration Date: 03/27/2003 Desg,flr"' +7%5, +8%A -Issurr' Gas Fir Gas O Mininr t r rrcharge i,lttlivc Fee Amount Paid 3. l5 3.60 10.00 15.00 4.00 26.00 Date Paid t21t712002 t211712002 t21t712002 1211712002 t2n7/2002 1211712002 Receipt Number l 20020000000000042 l l 20020000000000042 l I 20020000000000042 I l 20020000000000042 l I 20020000000000042 I I 20020000000000042 Istnrcnts - Mech Cashier dib diu dib dib dib dib To Reclt,e .. t an inspection call the 24 hour recording at 7263769. All inqpections requested before 7:00 a.m. will be made the san: ' " ',rking day, inspections requested after,^k, will be made the following working day. Reqr i rygf'tronqi 1 . l-cn'ice-: After rntt s been connected to a minimum of one appliance. Presure ter work is complete. e, that I have carefully examined the completed application and do hereby certiff that all correct, and I further certiff that any and all work performed shall be done in accordance with 2 By Si1, infom. the Or further further' street, t, arco 's o llh of Springfield and the laws of the State of Oregon pertaining to the work described herein. I , ' "rt ()ll ly contractors and employees who are in compliance with ORS 701.055 will be used on this project. I ' ) ,.'nsr.r' : that all required inspections are requested at the proper time, that each addrcs is readable from the ' ,lre' A1';,1'sved set of plans, if applicable, will remain on the site at alltimes during construction. Owncr lnlcloN Signature l of I Date /2- r t/-3-2y'.s,7 3?/ GplCE Ftt-,E SUPPLEMENT NO. Ot^lNER \HtiBUILDING PERMIT address phone CONTRACTOR address phone PROPERTY ADDRESS (BuiIding Valuation)) Prior (Revi sed ( []addi tion []correcti on BI ds. l^laste Pl umb. PIan R. 3%sur. ) t t ll amt. due refund TOTAL amt.pai amt.du e DateSignature of APP Fee Received BY LANE COUNTY DEP I'icant & \\\[]checl * c74-Ll9 sh CORRECTION NOT]GE I.ANE COUNTY DEPI. OF ENVIRONMENTAT MANAGEMENT Conslruction permits & lnspections Division EUGENE, OREGON ]!|jr:lt;:i; srructure does not confornr to Lone counry building regulotions, ordinqnces or codes RE.INSPECTION REQUIR.ED FOR APPROVAL lnsPector Date- Building Permit # c55 -7 3