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Home My WebLink AboutPermit Building 1977-11-16JOB LOCATIO Partition ing LANE COUNTY PERMIT i,'ti \-'' TRS, T Contractor's O.S. # - APPLICANT'S NAME AND ADDR OWNER'S NAME AND ADDRE CONTBACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner () Contractor ( ) Prefer to pick up. Call ) Completed Subdivision Lot --- B lock Phone Phone Phone (owner, etc.) when ready # BEDROOIVIS *.. # PLUI\NBING CONNECTIONS SEWAGE DISPOSAL s.l. # Acreage or Lot Si \IJATER SUPPLY THIS PERMIT IS FOR 7C lSTRUCTURES NOW ON THE PROPERTY THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUMBlNGBY I hereby certify that the above statements are true and accurate, and that I h -contract purchaser; - potential buyer; - realtor or agent. I further record, and that said owner is aware and approves of this action. I hereby agree to ave the following legal interest in the property: .-owner of record; certify that (if not the owner) I am authorized to act for the owner of comply with all applicablq Codes relating to this permit' Fee Paid $-Signatu re Date I INFWADDRESS { ) FACILITY PERMIT TO T RANSPORTATION DEPT.- () SPECIALPI\4T'AREA' MIN'ELEVATION:- - SAN ITATION BUILDING roup ire ZoneMinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Nlaximum Depth Use Classification t Comments Comments: Date B Date PLANNING REOUI REMENTS SATISFIED. B Date lssued: ' " LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE CS5-13 BLDG. pERMtT -WHtTE; BUtLDtNG - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE , PHONE:687-4394 BY: Date: ZONE:SETBACKS: FRONT u,, SIDE FACING STREET (FROM C/L) INT. SIDE YARD '1 ' REAR (FROM P/L) 33prz tas,ttt? Z 6 4Z lor/Job Location //({-so.3?fr -Sers''1A. hfritten 2@ Ou (- de *51<- a*t Z-*juf (!) Auilding Permit Acreage or Lot Size Partitioning#- ( )Completed( ) Pending APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicant's INFORMATION SHEET ( ) site Feasibility Study for septic Tank. Number of sites Test holes will be readv Subdivision klr t< ,* s;d * .r&,o.,r,r, Lot 8 Brocr 4 Pho ne 7d6- ot 3/ Phone-..-."---....-.-...-- Phone_=-.-..---.- Contractors O. S. # (existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l Address PNTRA Mlailoerm(ffiefe CTOR'S NAME AND AD ESS it or results of r to pick up. Call STRUCTURES NOW ON THE PROPER PROPOSED USE (this permit) WATER SUPPLY SEWAGE DISPOSA PLUMBING BY () PROPERTY IS WIT IN ONE MILE OF CITY Applicant ( (owner, etc 12G ) Owner ( ) when ready 3-1 b / ) Contractor ****+********+**r*.r*+**********+*********** QFFICE USE ONLY BELOW THIS LINE ********+**********+*****+* it***ii*t**i++ *+ ZO ) Nevry'rAddress Necessa ry NE K,4 SETBACKS: ( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation Front - Side Facing street rnterior side yard a"u, a ' €U-€(FROM CENTERLINE OF ROAO) (FROM pBOpERTy LTNES) To: Planning/Building lnspector/Sanitarian/Surveyor This applicant appears to have a problem wi Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT OF ENV I RONMENTAL MANAG EIVIENT Permit Processing Section'125 East gth Avenue 687-4394c55-1 2 D ivision * --'.-.:- .- " N " ,(r,/ ,3,5', --F r--.-Z?@. <-l+; y'oct>E /@ 2r- h Peoposs> DZxttV.*<-e LttU4. I tu xtt aa s \ rt\ t \ qc \ , k to' e> ,z/w I I I I I I t II I o r\) a bd ( Nc-w' Ar_.n.r,1-1qtr.! I I I I I I , e_ TRS, T JOB LOCATIO Partition ing LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot Bloc APPL|CANT.S NAME AND ADORESS Phone- 6WNER,S NAME AND ADDRESS - PhON CONTRACTOR'S NAME AND ADDR trqq Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call Phone- STRUCTURES NOW ON THE PROPERTY THIS PERTVIIT IS FOR # BEDROOUS ] + PLUIVIBING CONNECTIONS WATER SUppLy - SEWAGE DISPOSAL- S.l. # THlSPRoPERTYlSWlTHlNoNENnlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby ceftify 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 ownerl I am authorized 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. Fee Paid $- ( ) NEW ADDRESS ( ) FACILITY PERI\,I1T TO TRANSPORTATION DEPT.- { ) SPECIAL Pl\4T. AREA. llllN. ELEVATION: - Signatu re Date SAN ITATION [Vlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BU ILD ING Type of Construction -Group se Classification Comments: ire Zone Comments By Date B Date Date lssuedPLANNING REOUI REtVIENTS SATISFIED. By:Date 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 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55.13 BLDG.PERMIT_WHITE; BUILDING_GREENi PLUMBING-CANARY; SANITATION_GOLDENROD; OFFICECOPY-WHITE PHONE: 687-4394 S LAB PLUMB {i ,,gl'.^o' FLOOR ING GROUNU/ORK VED RKS D Drsappnove, D ATE I Nsprctoe J-/?-;>-77 GAS PIPING GROUNU^/ORK Ap pnov r o Reurnx s D DrsrppRoveo D Drr e llrsprcron ROUGII PLUMBING AppRovso E Reuanx s D r sappnoveo D ,or,-/- / 6-7t,,?,LNS PE C TOR /-3-rf -I ROUGH GAS PIPING Appnoveo D Drsrppnovro n Remrnrs Dar e | ruspecton FINAL PLUMBING Appnoveo m DrseepRoveo RrMrnx s ?-t6-z*rsPEcroR {?*Dart FINAL GAS PIPING Ap pRov e o Re Hlax s -, D Drsrppnoieo D Dare I Nspecron CERTIFICATE OF OCCUPANCY Reaov ro lssue ReurRx s D Nor Rraov ro tssuE D Darr I lsprcroR I I TRS, TL Acreage or Lot Size Contractor's O.S' # APPLICANT'S NAME AND ADDR OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND AD Mail permit to ( ) APPlicant ( JOB LOCATIO v LANE COUNTY PERMIT Partitioning #( ) Completed Subdivision Lot-- Bloc Phone Phone Phone ) Owner ( ) Contractor. ( ) Prefer to pick up. Call-(owner, etc.) when ready.DRES s STRUCTURES NOW ON THE PROPERTY # B EDROOTVIS-+ PLUIVIB I NG CONNECT IONS THIS PERMIT IS FOR WATER SUppLy - SEWAGE DISPOSAL- S l- # THIS PROPERTY ISWITHIN ONE I\4ILE OF THE CITY OF_- -.PLUINBINGBY-- I hereby certify that the above statements are true and accurate, and.that.l have the lollowinq legal interest in rhe 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 .*-d, ;;;;;GJ;;!r is aware and approves of rhis action. I hereby agree to comply with all applicable codes relating to this permit. Fee Paid $-Signatu re ( ) NEW ADDRESS ( )FACILITY PEBMIT TO TRANSPORTATION DEPT.- () SPECIAL PIVIT. AREA. IVIIN. ELEVATION Date - SANITATION Minimum septic Tank capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date BUILDING Type of Construction c.,,."".' Use classification B roup -Fire Zone Date: Comments By PLAN NING REOUIREMENTS SATISFIED. B Date lssued LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TVANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERVIIT ON MAIN BUILDING AT SITE CS5-13 BLDG.pERMtT-WHtTE; BUtLDING-GREEN; PLUMBING-CANARY; SANITATIoN-GOLDENRoD; OFFICECOPY-WHITE PHONE: 687-4394 trqQ Date: ZONE:SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) S ITE INSPECTION APpRov E o Rruanxs Drsappnoveo D Darr /Z- z'7? tNsPEcroR I FOUNDATION I NSPECTION APPRovED Rruanxs / / Drsnppnove o Fl Darr Ir.rspecloR FRAMI NG APPRoV E D Re ltanx s I NSPECT I ON Drsrppnoveo D o^rrt/- /(nJ.8_I xseecron LATH OR SHEITROCK NSPECT I ON APPRovEo Reilanxs DrsappRovE o F7 D*,/-ja-78 I rspecron F I I'lAL I NSPECT l0N AP PRov E o Rrulnx s Dare Ir.rsptcron CERTIFICATE OF OCCUPANCY Reaov ro lssuE RemaRx s Nor Rerov ro lssur DarE I Hsprcron DrseppRovro D JOB LOCATIO Partitioning LANE COUNTY PERMIT t'l :'fTRS, T Acreage or Lot Size Contractor's O.S. # :r ) Completed Subdivision Lot =, Block *. Phon OWNER'S NAME AND ADDRES S Phone PhoneCONTBACTOR'S NAME AND ADDRE ss Mail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call (owner, etc.) when ready r STRUCTURES NOW ON THE PROPERTY TH|S pERt\4tT tS FOR , # BEDROOMS # PLUMBING CONNECTIONL WATER suppLy 'J '(-"' - SEWAGE DlsPosAL ;"' '' '"r': s.l. # TH IS PROPERTY IS W ITH IN ONE I\4ILE OF THE 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 of record; _contract purchaser; - potential buyer; - realtor or agent. I lurther certify that {if not the owner) I am authorized to act for the owner of rccord, and that said owner is awire and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $-Signature Date ( ) NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT.- () SPECIAL PMT. AREA. MIN. ELEVATION: - SAN ITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BU ILDING c",.nr""tr, Use classification Type of Construction -Group -FireZoneComments: Date B Date PLANNING REOUIREMENTS SATISFIED. B ZONE SETBACKS: FRONT Date Date lssued SIDE FACING STREET (F ROM C/L) INT. SIDE YARD , , REAR (F ROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG. PERMIT _ WHITE; BUILDING _ GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE PHONE: 687-4394 \ APPLICANT'S NAME AND ADDRESS ' ) BV: - \-rlI.=9 a x.tr Hdrr e""ttE lL ATUAP I#,Wefr.s+d -Iddi: Uqrt., f.frJ- Wt !aa?: yerE )toDlD-f f ts E-j-ril r-t -Grrrr Fe.--t* I: h Qr -rf--- t- l-dlS *!; t x" or .-or+-.rir----!----t- 3-a *t q to-d. b- b'A-2.S_ft hda!.ridrr ]. >- rLfr.U-.fult-E--f- I Diracc frr: . iYr[ loa. ;Nos:a lof lbr: florr [-- Sric g lcor S ," ifr&tior-__fcet Drytl of filtcr osteriot benmrh tilc 6 _ -rLt()fr ?c=l cpo e#, t'}t\ ! *rirrff' z,- - - g5{. {:S - ---'- -, L6.1 1'.,E 5l\q,-7 ,- Llltt Sultll )I r-r- l'|<\ _-\ fl trru rc naDErfi xotTHttt? otucilot{ Signo?urcrot u$ oF sANtTAt IAN ONLY:Sptmr cpportrtty ril lfil, mr f frxtioo rrirfo<rorir7, snd ir thereforc oppmved ior occoponc ,rb or**.,.r 1 er taxt?^ttan la .1 t tro , -L t 1 <+ a rl I oer'r)w-/L ux{ - I E - 32G /- zJ TRS, T - o 6-Job szd -0n /nar/b tZ Building Permit vAcreage or Lot Size Partitioning# ,,( )Completed( ) Pendin X.A PPLICANT'S NAME AND ADDRESS xowN ER'S NAME AND ADDRESS, if different from applicant's -)o rula il permit or results of site NT BACTOR'S NAME AND ADDRESS feasibilitv studv to7t//o-'o/3?/( owner, etc. ) when ready. ({Applicant ( )Owner ( )Contractor l2t) Preler to Pick uP. Call INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- Test holes will be ready- subdivision Nill$pterte, ' ' ' ze &t*lrho*t Lot 8 g1o. *5a. g7b &..Phone74d, -O/3/ Sa->yL Phone Phone k 4 Contractors O. S. #72G - 37(oB STHUCTURES NOW ON THE PROPER tr,D 6an-cu PROPOSED USE (this permit)Pq-t o c cLt-'J*, cjrrc*r-r^CL WATER SUPPLY t*ar:l .-QtU-t V tr) (existing or proposed well. etc. lf public, name of systenli (existing or proposed s$i'ic tank, etc.) S.l eo rn *I/ BEDROOUS U SEWAGE DISPOSAL PLUMBING BY N)A (x PHoPEHTY rS WITHTN ONE MrLE OF CITY (S?ZLU€-fre<-> L Address *r+ **oFFtcE usE oNLY BELOW THIS LjNE *.+i*rr*r*,** ) 1 rue* Address Necessary zoN F ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) ( ) Special Permit Area. lVlinirnurn Elevation lnterior Side Yard Rear {FROM PROPERTY LINES) To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears (o have a problem with Your assistance will be appreciated. By Permit Processing Section Respon By c55-1 2 Division (J >1*p<Lf-) O c6' DEPARTMENT OF ENV I RONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 il TRS, TL Plot Plan Subdivis Lot a Block 4 Job Location Permlt il Permit Pernit For For For (ul-De- sr&<- tll Permlt Permtt /l For For For --+--.*_F..-:__l\,5 . t_.tl_tr1, c74-L50 Vicinity Map N &; )