HomeMy WebLinkAboutPermit Building 1979-01-16OTPARTI1ENT OF INVIRONI'iENTAL I{ANAGEMENT
PSB, I25 EAST 8TH AVENUE
TUGENI , OIIEGON 9740'I
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Arrlgncd lkrstrr
- Recetpt f
-,owner--Zaay
{ 5ignature/Address
'q? LN)._\J/) -'-.Job Adrlress
Torn:hlp, Ranger Sectlon, T.x
Srrbdlvlslon tot l(\ __8lock
Appl ication for
Structures now on the Property
!fropolcd use ol ProPcrtY:ldcnt a | /-:/ Cqnnerctal /*l {rl l]l ruuttc
Aff idavi t_: I,hereby certify that this information is true and lccurate.
ease pr nt
If this application is for an agricultural bu 'lding it wil'l be used for purposes a'llowed by the State Building Code and
Lane County Code Chapter I0 (zoning) and for no other purpose I have the following legal interest in the prope
of record;contract pu rc ha ser;lessee;holder of an exclusive option to pu
T
authori zed t6-TEt-Tor the own €Ft is -k-nowl??geab
Tel or
l,ihen perm i t is ready noti fy I i c.rnt /://-/ Contractor ry-
s I i cation.
rty:
rchase i
phoneAk*HZi-
0ate
O*ner
Corr tra
'6 zl
zl
/:/
Phone
Phonec tor'
Contractor's 0SR#Plumbing by
uu I{u I t{Rt tt 6t THiS LINE
If Conrnercia'l
Residential:
cdo.
f of storles
I of bedroorr
# of employees
--
f of unltr
S0S; /]/ Ex'ist ing , BP #
/] Proposed, SI #
thtr
{ss.t
SI test holes ready
Sq. Ft. orfae
Percrlp-tl{g I of Sltci Va I ua t_! sn Fee
$
Total Valuatlon:
Plumblng flxtures at
Serer/xater conn. at
4% State surcharge
Plans check fee
Change of 0ccupancy
c4 $
$
$
each
each
aI
$---LJ castr
/:{ Ctwr.l I
Received by
-*i2@
,.IiTER S UPPLY;
:c;)cf,rLD EXISTING
,' i: ,{ ii lhl s] p,LI-[D:
Subtota l
TOTAL
$
$t&-$
PERHIT PR0CESSING Zone #Parcel #Parcel Sizn
Minimum setbacks:, front
Cornnents
To be typed on Permit
cP&l Type- Group-
t side int.; rear
t/
By Da te
Use Classificatlon
To be typed on permit
t-l stFa Pl ans to CP& I
I.lPc
_ set(s)
_.__ set(s )
Fire Zone
By
Hold Sl ipto PCC
Da te
PhoneFor plans 'information call (area inspector)
Directions to site
Da te
Requ i red
Date
Compl eted
Dnte to
PCC
C. Do u/ €" fil,r, rtz
SITE INSPECTION
Ap pnov E o
Rrurnxs
/ / DrsappRoveo fa Darr I nsptcton
FOUNDATION INSPEC
APPRov E D DrsappRovEo f-a oorr f'Z- /-l /Ir,tspEcron
Reuaaxs
FRAMING INSPECTI
Ap pnov E o
Reuanxs
Dr slppnovEo o^',, l-$r-z It'rspt cron
o^
LATH OR SHt
Appnovro
Rruanx s
I NSPECT I ON
Drsnppnoveo [-1 Dart 2 -1" -7V lnsprcron
FINAL INSPICTION
Ap pnov r o
Rruenx s
* ft.a<Ad-*-Z
DrsrppnovEo n oarr fr-*€--/8/A?E-lrrsee cron
CERTIFICATE OF OCCUPANCY
Rraov ro lssur
Rcuanx s
/ / Nor Rrroy ro lssur f-Darr I ruspecroR
-=-
-!
tb#-
{/rc-sft
TRS, T 2 JOB LOCATIO
LANE COUNTY PERMIT
Acreage or Lot Size
Contractor's O.S. #
Partitioning #----{ ) Cornpleted Subdivision
APPLICANT'S NAIVIE AND ADDRE ss
OWNER'S NAIVIE AND ADDRESS
CONTRACTOR'S NAIV{E AND ADDRESS
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Cait
STRUCTURES NOW ON THE PROPEBTY--...=---=-=--
PERIVIIT #
0
Lot Block-
Phone-
Phone-
Phone
IHIS PERI\,IIT IS FOB---
-
+ 5EDROOMS-* PLUMBING CONNECTIONJS.
Date
-
lliATER SUPPLY SEWAGE D;SpOSAL--- i s.l. #
THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF-PLUfu{BlNGBY
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 further certify that (if notlhe owner) I am authorized to act lor the owoer oirecord, and that said owner is aware and approves of this action. I hireby agree to compiy with all applicable cojes reiatint to this permit,
Fee Paid $-Signature
I NEW ADDRESS il FACILITY PERMIT TO TRANSPOR]ATION DEPT,--- () SPECIAL PMT. AREA. lvllN. EL.EVATTON: ___
SANITATION
Minimum Septic Tank Capacity (Gallonsl
Drainfield Required - Lineal Feet
l.4aximum Depth
BUILDING
Type of Construction ____Group
Use Ciassifir:ation
Comments:
ire Zone
{-omments
B
PLANNING REOUIREME
ZONE
Date
NTS SATISFIED By
SETBACKS: FRONT SIDE FACING STREET
B Date:
Date lssuedDate
(FROtvt C/L)INT. SIDE YARD REAR (FNON{ PiL)
LANE COUNTY DEPARTfulENT OF ENVIRONMENTAL IV1ANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG' PERMIT -wHlrE; BUILDING - GREEN; PLUMEING -- cANARy; sANtTATtoN,- GoLDENRoD; oFFtcE copr,-, vvHlrE
cs5-1 3
PHONE: 687-4394
I
(owner, etc.) yuhen ready.
SITI INSPTCTION
AppRov r o
RrunRx s
Dr slppnoveo Datr Ir.rspe clon
FOUNDATION INSPT ON
APpRov E D
REur Rx s
DrsappRovEo C-/ Dare
'1/.-I Hspe c ron>4A o
FRAMING INSPECTI
Appn ov r o DarEDr sappnoveo
rRruanx s
LATH OR 5I-IIETROCK I NSPECT ION
APpRovrD
Rr ttr nx s
DrsappnovEo f--a aarr Z -
lHspr-clon
-77 Ir.rsprcTon
FINAL INSPTCTION
APPRovED M
{ /?"r/
D r s appRovto /a-24fr?I HspecronTT
Rrtta nx s -/2-7 7
@'{
CERTIFICATT OF OCCUPANCY
Reaoy ro lssur
Rruanx s
D Nor Rrroy ro tssuE f-1 Dar r I tspecroa
/,/
e^L
U@-5,/.e
JOB LOCATIO
LANE COUNTY PERMIT
Partitioning #----( ) Completed
NN
PERIVIIT #
TRS, TL * 2Aa
Acreage or Lot Size
Contractor's O.S. #
Subdivision
Lot Block--
APPLICANT'S NAIVIE AND ADDR FSS Phone-.._--
Phone- -Phone--
OWNERIS NAME AND ADDRESS
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Cait_(owner. etc.) when ready
STRUCTURES NOW ON THE PROPERTY_-
r'HlS PEHMIT lS F0R__+ B ED FOO I\,4S-,.# P LUIVI B I NG CC N N E CT IO \JS_
Use Classification
\IJATER SUPPLY- SEWAGE DISPoSAL
-s.l. #
THlSPRoPERTYlSWlTlJlNoNEMlLEoFTHEClTYoF-PLUl/lBlNGBY
I hereby cenify that the above statements are true and accurate, and that I have the follouring legal interesl in the prope.ty:
-owner
of record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I further ce{tify that (if not the owner} I am authori?ed to act lor the owner o{
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( }NEWADDRESS { ) FACTLITY PE F I\4IT TO TRANSPO RTATION DEPT.-- () SPECIAL PMT. ABEA. I\4IN. ELEVATION
sANtrATroN BU tLD tNG
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
L4aximum Depth
Type of Construction
--_Group
__Fire Zone
Comments
-omments
(
B
PLANN ING REOUI REINENTS SA
ZONE
Date:
TISFIED. By
SETBACKS: FRONT
By
SIDE FACING STREET
LJdIC
Date lssued
(FROIVI CiL) INT. SIDE YARD REAR
Date
(FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 974A1
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT -\tJHlTE; BUILDING - GREEN; pLUMBtNG CANARy; SANITATION -_ GOLDENROD; OFFTCE COpv _ !vHiTE
css-1 3
PHONE:687-4394
E
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CORRECTION NOTICE
IANE COUNTY DEPT. OF ENVIRONMENTAT MANAGEMENT
Conslruclion Permits & lnspections Division
EUGENE, OREGON
This building or slructure does not conform to Lone County building regulolions, ordinonces or codes
os noted below:
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7
c55 -73 RE-INSPECTION REQUIRED
FOR APPROVAL
lnspector Date
Building Permit #
I
CORRECTION NOTICE
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IANE COUNIY DEPT. OF ENVIRONMENTAL MANAGE'IAENT
Conslruction Permits & lnspections Division
EUGENE, OREGON
This building or slruclure does not conform to Lone County building regulotions, ordinonces or codes
os noted below:
c55-73 RE.INS N REQUIRED
I nspector
FOR APPROVAL
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B
,
Building Permit #
D ate-'--
4
CORRECTION NOTICE
1/LANE COUNIY DEPT. OF ENVIRONMENTAL MANAGEMENT
Conslruclion Permits & lnspections Division
EUGENE, OREGON
structure does not conform to Lone County building regulolions, ordinonces or codesThis bui 4.c.-4.
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REQUIRED
FOR APPROVAL
I n specto r
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c55-73
Building Permit #
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CORRECTION NOTICE
IANE COUNTY DEPT. OF ENVIRONiAENTAT MANAGEMENT
Conslruction Permits & lnspections Division
EUGENE, OREGON
This building or struclure does not conform to Lone County building regulotions, ordinonces or codes
os noled below:
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RE.INSPECTION REQU!RED
FOR APPROVAT
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Building Permit #
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CORRECTION NOTICE
IANE COUNTY DEPT. OF ENVIRON'IAENTAI NAANAGEMENT
Construction Permits & lnspections Division
EUGENE, OREGON
This building or slructure does not conform to Lone County building regulolions, ordinonces or codes
os noted below:
c55-73 RE.INSPECTION REQUIRED
FOR APPROVAT
I nspector
Building Permit #
Date
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CORRECTION NOTICE,'l
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TANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT
Construclion Permits & lnspections Division
EUGENE, OREGON
This build.ing or structure does not conform to Lone County building regulotions, ordinonces or codesos noted belowt
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Date
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lnspector
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Building Permit #
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CORRECTION NOTICE
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4k IANE COUNTY DEPT. OF ENVIRONMENTAT MANAGEMENT
Construction Permits & lnspections Division
EUGENE, OREGON
struclure does not conform to Lone County building regulotions, ordinonces or codes
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c55 -7 3 RE.INSPECTION REQUIRED
FOR APPROVAT
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Building Perr.r'rit #n--lz*r
CORRECTION NOTICE
\
i LANE COUNTY DEPT. OF ENVIRONAAENTAL MANAGEMENT
i Construclion Permits & lnspecfions Division
EUGENE, OREGON
This building or slruclure does not conform to Lone county building regulolions' ordinonces or codes
os no belowt
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FOR APPROVAL
I nspector
Building Permit #
Date--fr-"...*: