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HomeMy WebLinkAboutPermit Building 1978-08-18t7-03-11,+,L+ l0/ oo3 TRS, TL JOB LOCATIO LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot- Block- Phone- Phone Phone Acreage or Lot Size Contractor's O.S. # APPLICANT'S NAME AND ADDR FSS OWNER'S NAME AND ADDRE CONTRACTOR'S NAME AND ADDRESS \,4ail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY THlsPERl\4lTlSFoR#BEDRool\,L#PLUlv1BlNGcoNNEcTloNS- WATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNENnlLEoFTHEClTYoF.PLUlVlBlNGBY 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 (il not the owner) I am authorized to act for the owner ol 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 () NEW ADDRESS il FACILITY PERMIT TO TRANSPORTATION DEPT.( ) SPECIAL PIVIT. AREA. MlN. E LEVATION: - Date - SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date BUILDING . Type of Construction -Group Fire Zone Use Classification Comments By Date Comments PLANNING REOUIREMENTS SATISFIED. By Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (F ROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 91401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55.1 3 BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITE PHONE:687 l) By: Please Print - Retrrm Appllcation to Receptloni st Ltlen Connleted APPolnrknt Dat(' Jr,PLICATIcl I\I Office Use Only rnonn tot\),-04{.$l ,,, Ei.,$*.re ,rp Q.fqol APPL Q=*v=EEt, H BH z o ADDRESS OINER (IF DIFFERENT)e.PHONE ADDRES ZIP PHONE F,\,ri-o\ zo ''l 's oRr. srArE lrceNsr eCclifi{{ nfl MAII coMpLErED pERurr ro AppLI (crRCLE orlrl[-_l PREFER TO PICK UP. CALL OF PRoPEIITY (rest dentlali type of faming; co@rclal or indwtrlall vacant; etc.) H{zq * zoE E P |lF .*\i-\ 3. IMMEDIATE 4. FTITURE PLANS: }-OR THIS PROPERTY (THIS e S. ARE: =' or 5. PLOT PLAN Sketch (a) all roads (b) botndaries of property (c) exlsting/proposed buildings (d) exlstlng/proPosed smage disposal areas (e) exlstlng/proposed wells (f) exlsttng/proposed driveways(g) easements (h) dralnageways, streaus, creeks, any other pertlnent features. If comrclal { or 1nd6trlal, ahow freestandl ng slgns, parklng areas. INDICATE DII'IENSIONS, (I v l' I ;- 1 I i I tl e FI d 2 U FEod Hoz @ Bo oE Foo H z l, ,l I I $ T 1 e\ \ I !-t 6. TOTAL LOT S]ZE OR IN SPECT 1'EST HOLES READY 3. METHOD OF SI|IIACE DISPOSAL 9. PROPOSED WATER SUPPI,Y IO. ELECTRICITY FURNISIIED BY SPR ING STREAH_ LAKE _ . PUBLICT I I. NATURAL CAS BY 12. FIRE DISTRICT I 3, scllool- DrsTRr 1 4, PLlJllBlx-c BY *******t********t*************** DO NOT LRITE BELOW TIIIS I,INE *********r********************* BEFORE YOUR APPLICATION CjlN BE PROCESSED YOU MUST FURNISH: _8!*11 PLOT PLANS LECAL DESCRIPTION ( DIMENSIONED) o-L-. brre cornty i--f I DATLBY LANE COUNTY DEPARTMENT OF ENVIBONMENTAL MANAGEMENT 125 EAST BTH AVENUE, EUGENE, OREGON 97401 6l!' - l. 2. DESCRIBE STRUCTURES NOW ON THE PROPERTY. NO'I'E ANI STRIICTURES TO BE DEHOLISI','. \C\C.E tlrr I I I . :--,' , : li i I I I I!.l' I I I I I I I i I I,l 'I j I I 'I I I I I I.l I I I I -.,.. -._ .'! WELL w LANE COUNTY DEP^qTMENT OF ENVIRONMENTAL MAN^GEMENT 125 EAST Bl', AVENUE, EUGENE, OREGON 97401 PTANNING DMSION Current zon ing Partttlonlng l_-f]rend I ne ted Parcel No. / Partltlonlno Reoul,red .a2"{44-77 AVERAGE PROCESSING Other t F U6Y Slt. InBpoctlon(r) IIATEB POLLUTION CONTROL I of Sltc. SDS Conlt Nur$e Comncrcla ruct rot lal -of Employeet Other E}o rrHr)),}l Hoz },Fo (/tc E'(a H H vtHo F CONSTRUC?ION PER.YITS AND INSPECTION(See abovc for I of bedrooms/l of ernployees) t] :{obi t e Home s rEE trq rl Permanent Temporary Renewa I Ft IH luat lon sc) a s Total V!luation S Plumbing fixtures at S SewerAater Conn. at t l-\l abo -=-Each S Each 3 \,, ln o tr oI Subtota I al Statc Surchargc Plans Check Fee Change of Occupancy TOTAL BUILDING PERHIT TEE l{lnlmun atructural 6eLbacks : Fron centerlino of atrceL: Front Exterior sid€ Froo interlor lot lines: Side Rear fi Comu'I plans Bheet to appt PUBLIC T.AIiDS PUBLIC T.JORXS tr Paciliry pernit EIWI ROII:.IEIITAL IIEALTII fiaa,"", lcant I CurU cut to a[)pllcant {rrninum Elev!rion E t,r.x caah- cn."t t -z/ZZZ- icc,d At. s AFFIDAVI?: If thls permit is for an agriculLuralwill be used for agricultural purposes es .rllowccl ilding, I hereby declare rhat this bull.dlngby zoning and./or the State Building Code, andfor no other purpose. I further certif y that the statemenLs and other information submitted onthls appl Pro[)€rt y: to purcha APP ca n, ica,t ion X_.*"; are true and accurate, and that I have thc. followingr of record; conLract purchaseri lcssee; hr> lega). interest in the lder of an exclusive opt ionuly authorized-Lo act for a person wh-o-has the r6rlowing legal inLerest: ; or that the owxer of record i lone colrntys knowle\l(leablo of thrsll applic.rble codcs relat tng il"i^?'-77_ rrtrm not 'iie owncr-.-l- f urther .r(Jr to comply !ri. Applicant' I Si,lnature TTIIS IS YOUR RECEIPT, AND DOES NOT GIVE YOU PERMISSION TO BUILD. roR INFORilATION AIOUT THE PROGRESS OF YOUR APPLICATION, CALr, PriRMrT CONTROL, 687-{157 (687-HELP) "/cot Address Minimum Elevation s s l-[ ba. s s s cr\p I Usa 6t\' - tl flft s s .t oo. Ja A - lr. ,.& st-ri-"lc r;lr:.k I .. :lrltl o ) ]ri";h Sl,-md i_ iI I I I + SH I2 .1 o '-i' -'. \.^ CP$ d\(p' ? q,I eIe t:' t. \l \ Cr s.(h)rlr-ta I t7 ?c Sn 'l;' -. g.-at?1 l-o no les: - o.' r 1 t3ry'i.ja"co ,1-r-:l', ; :ro :''l,og '-.:.:l t'.) ''-:l.rrr i .r-, s ol '"he ];':.: 'l - ', 11' I o L '" i'l- 'l '''. : ! nn o l'J+'-o j b,hn ire:ro!€ iJL --i tl ta ll ti il rl il il I l \l \ '.1 / f0v'+ il ==F- ii CORRECTION NOTICE IANE COUNTY DEPI. OF ENVIRONMENTAT MANAGETTENT Construction Permits & lnspections Division EUGENE, OREGON This building or structure does not conform to Lone Counly building regulolions, ordinonces or codes os noled below: 7)/Z 2.+d. r-,{rr/ r-.*4- g1rL* I 4 d..--*-ru,* f 7zu r.4 /.-et e-C-.t-o-rA-t NSPECTION REQUIRED FOR APPROVAL I nspector nc55-73 Building Permit # -e.--4.t4 Date ' I /?- z - /?J r.t.3/P 10: PLAt,ill i ilG PII{I.1iT PROCESSIIIG OTHI R FROI4: rLOOD PLAIII ,'IAIIAGIMEiIT DEPARTT'ItNT 0f PUBLIC i0i:'iS PHoilE - 6A7 -4.l95 SUBJTCT: BU ILDING PER}.IIT NUT,IBT z?3?-78 PARTTTIon NUI,IBER SUBDIVISIOI.I SITT IH FLOOD HAZARD AREA. YTS I,IO X DETAILED STUDY APPROX I IlATE STUDY NOT A SUBSTff{TIAL II4PROVEMEITT t'rlnliluM FL00R ELEVATI0N REQUIRTD SITE IN DESIGIATED FLOOD HAZARD AREA EXTRA PRECAUTIONS MAY BE APPROPRIATE. RECOTNENbAT I ONS : 2DATE56BY__?_ SITE INSPECTION DrsAPPRovEo D Darr f-27-fi, - NSPECTORAppnoveo RrMaRx s TOUNDATION I AppRoveo REMA RK S Dr SAPPRovED / :', 't I NSPEcToR l nspecron FRAM I NG APPRovEo Rr MaRx I NSPECT I ON Dr SAPPRovED b-r zl Drrr Drre -z LATH OR SH AP PRov E o Rru a nx I NSPECT I ON D.r sAPPRov€D '7/tHserctoDrr FINAL INSPECTION APPRov E o Reuenx s DTSAPPRovED D o^rr3-Z-Z-77 I NseEcron CERTIFICATE OT OCCUPANCY Reaov ro lssue D Nor Rerov ro lssur n Drre, RruaRx s llrsprcron - -23 a // TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partition ing ) Completed Subdivision- Lot Bloc APPLICANT'S NAME AND ADDRE OWNER'S NATVIE AND ADDRESS CONTRACTOR'S NAME AND ADDRESS- Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )prefertopickup. Call STRUCTURES NOW ON THE PROPERTY Phone Phone Phone (owner, etc.) when ready THIS PERt\4IT IS FO \AJATER SUPPLY SEWAGE DISPOSA # BEDROON4S-# PLUIVIB I NG CO NNECTIONS s.t. # THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF-PLUIVIBING BY I hereby certify that the above slatements 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 1if not the ownerl I am authorized to act lor the owner oirecord, and that said owner is aware and approves of this action. I hereby agree to compiy with all applicable cojes relating to this permit. Fee Paid $-Signatu re Date - () NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT.- () SPECIAL PMT. AREA IVIIN. E LEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Type of Construction _Group Use Classification Comments: (ire Zone ' Comments Date By Date LANN ING REOU I R EMENTS SATISFI ED B Date Date lssued NE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATIoN - GoLDENRoD; oFFICE coPY - WHITE c5s-13 PHONE:687-4394 I ( Bv' TRS, T JOB LOCATIO LANE COUNTY PERMIT Partitioning #-(- ) Completed Subdivision Lot-- Block- Phone Phone- Acreage or Lot Size Contractor's O.S. # APPLICANT'S NAME AND ADDRE ss OWNER,S NApIE AND ADDRESS -- Pho CONTRACTOR'S NATVIE AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY THlsPERMlTlsFoR#BEDRoolv]L#PLUMBlNGcoNNEcTloNL \A/ATER SUPPLY SEWAGE DISPOSAL s.t. # TH IS PROPERTY IS WITH IN ONE MILE OF TH E CITY OF-. PLUMBING BY _* I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner ol record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (iI not the owner) I am authorized to act tor the owner of record, and that said owner is aware and approves oJ this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $Signature ( )NEWAODRESS ( ) FAC|L|TY PERMIT TO IRANSPO RTATION DEPT.- ( )SPECIALPIVIT. AREA. MIN.ELEVATION:- SANITATION BUILDING Minimum Septic Tank Capacity (Gallons)Type of Construction -Group -Fire Zone Drainfield Required - Lineal Feet Use Classif ication Comments:Maximum Depth Comments By:Date:By:Date: PLANNING REOUI REIVIENTS 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 MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 c5s-,,3 BLDG.,ERM,T-wH,rE; ",,.::.""1:l::J'":*'J-:illl:;:lx:1},""fl;':'.,".oD; oFF,cEcopy-wH,rE PHONE:687 4394 Date - .waa s'{*r FL00R PLUMBING GROUNO^,ORK AepRoveo E DrsappnovEo Reilanx s 76 -zr aeRDareI Nspectoa GAS PIPING GROUND/ORK APPRov E o Reuanx s D DrsAppRovE, D Dore_I xspecron ROUGH PLUMBING APPRovEo E DrsrppRoveo Rexanxs D oor, / O^/O'I Hspecton 4!- ROUGH GAS PIPING D Drsrppnoveo D Drt e I NsprcronAP PRov E D RexaRx s c.a FI NAL PLUMBING Appnoveo D DrsrppRovro D Darr Re uanx s I Nspecroc FINAL GAS PIPING APPRovEo D Drsappnoveo D Rexanx s Dare I NspEcton CERTIFICATE OF OCCUPANCY Rraoy to lssue Reun nx s Nor Reaov ro lssuE DarE I xspEcton