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
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By:
Please Print - Retrrm Appllcation to
Receptloni st Ltlen Connleted
APPolnrknt Dat('
Jr,PLICATIcl I\I Office Use Only
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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.)
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3. IMMEDIATE
4. FTITURE PLANS:
}-OR THIS PROPERTY (THIS
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ARE:
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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,
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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
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*******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)
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DATLBY
LANE COUNTY DEPARTMENT OF ENVIBONMENTAL MANAGEMENT
125 EAST BTH AVENUE, EUGENE, OREGON 97401
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2. DESCRIBE STRUCTURES NOW ON THE PROPERTY. NO'I'E ANI STRIICTURES TO BE DEHOLISI','. \C\C.E
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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
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Other
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F CONSTRUC?ION PER.YITS AND INSPECTION(See abovc for I of bedrooms/l of ernployees)
t] :{obi t e Home s
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Permanent
Temporary
Renewa I
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Total V!luation S
Plumbing fixtures at S
SewerAater Conn. at t
l-\l abo
-=-Each S
Each 3 \,,
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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
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lcant I CurU cut to a[)pllcant
{rrninum Elev!rion
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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
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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)
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Address
Minimum Elevation
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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.
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e-C-.t-o-rA-t
NSPECTION REQUIRED
FOR APPROVAL
I nspector nc55-73
Building Permit #
-e.--4.t4 Date '
I
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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
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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
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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
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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
-
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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