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Home My WebLink AboutPermit Building 1977-06-14TRS, TL ( ) Building Permit Partitioning #( ) Completed( ) Pendi APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if d ifferent /oo' t oo' Job Locati INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites-( ) Would like to meet on site. Call (owner, etc.) Test hole will be ready /3 6q""7 tot 3 g;s.2 pnon"7474/55 Phon Subdivi Ztr from apolicant'sSAmE,CONTRACTOR'S NATVIE AND ADDRESS permit or results of site Prefer to pick up. Call feasibilitv studv to 747 - 4/.r,f ( )Applicant ( )Owner ( )Contractor. (owner, etc. ) when ready. STRUCTURES NOW ON THE PROPER Ous € PROPOSED USE (this permit)/L l€oorn r70 Phone_-rilail r-") WATER SUPPLY u SEWAGE DISPOSA SsPnc HUIC existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l PLUMBING BY Address () PROPERTY IS WITHIN ONE MILE OF CITY *****r, oFFtcE usE oNLy BELOW THtS LtNE *******rr*r** I ) New Ad/ness []ecessary rNE 'K-/ f ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) ( ) Special Permit Area. lVlinimum Elevation: lnterior Side Yard Rear - (FROIVI PROPERTY LI NES) 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 D E PA R TIVI E N T O F E N V I R ON IVI E NTA L IV1ANAG E IVI E N T Perm it Processing Section 125 East 8th Avenue 687-4394c55-12 Division Acreage or Lot Size ? * ( ) / pERM,r -1:uq=zl TRS, T JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partition ing APPLICANT'S NATVIE AND ADDR OWNER'S NATVIE AND ADDRES s Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call ( ) Completed Lot- Bloc Phone Phon CONTBACTOR'S NAME AND ADDBESS Phone TRUCTURES NOW ON THE PROPERTY ..- THIS pERt\4lT tS FOR , . . , .. # BEDROOI\,S # PLUMBING CONNECTIONL (owner, etc.) when ready s.l. #WATER SUPPLY SEWAGE DISPOSA THlSPRoPERTYtSWlTHlNoNEMlLEoFTHEclTYoF.PLUlVlBlNGBY I herebv certily that the above statements are true and accurate, and that I have the lollowing legal interest in the property: -owner o{ record; -contract purchaser; - potential buyer; - realtor or agent. I {urther certify that (if not the owner) I am authorized to act for the owner o{ record, and that said owner is aware and approves oI this action. I hereby agree to comply with all applicable Codes relating to this permit, Fee Paid $-Signature () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT.( ) SPECIAL PlVlT. AREA. lvllN. ELEVATION:- SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date BU ILD ING .; Type of Construction Group -Fire Zone Use Classification Comments Comments: By By:Date PLANNING REOUI RETVIENTS SATISFIED. B ZONE: Date Date lssued SETBACKS: FRONT SIDE FACING STREET (FROrVr C/L) rNT. SrDE YARD REAR , ,(FROMT P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG. pERMrr-wHtrE; BUtLDtNG -GREEN; pLUMBTNG -cANARv; sANrrATroN-GoLDENRoD; oFFtcEcopy-wHrrE PHONE:687-4394 Date - PERIVIIT # THS, T Acreage or Lot Si JOB LOCATION 7C LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Contractor's O.S. #Lot Bloc k OWNER'S NAME AND ADDRESS APPLICANT'S NAME AND ADDRE ss Phone-- Phone- Phone-CONTRACTOR'S NAME AND ADDRE Mailpermitto()Applicant()owner()Contractor.()Prefertopickup.Call-(owner, etc.) when ready. \I/ATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the prop€rty: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I lurther certify that (il not the owner) I am authorized to act for the owner of record, and that 9id owner is aware and approves oI this action. I hereby agree to comply with all applicable Codes relating to this permit. STFUCTURES NOW ON THE PROPERTY- THlsPEFMlTlsFoR#BEDRooML#PLUl\4BlNGcoNNEcTloNL Fee Paid $-Si gnatu re ( ) NEW ADDRESS ( ) FACILITY PERIIlT TO TRANSPORTATION DEPT.- { ) SPECIAL P[nT. AREA. lV]lN. ELEVATION: - Date - SAN ITATION BUILDING Comments Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date Type of Construction se Classification roup Date ire Zone -omments: By By PLANN ING REOUIREIVIENTS SATISFIED. By:Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIV P/L) LANE COUNTY DEPARTMENT OF ENVIRONIVIENTAL IV{ANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-l3 BLDG.pERMTT-wHtrE; BUtLDTNG-GREEN; pLUMBTNG-GANARy; sANtrATtoN-GoLDENRoD; oFFlcEcoprr-wHtrE PHONE:687-4394 lone countyHOLID SLIP 6l!' - APpLrcArroN * /Jl?-z z Name Addres s p The above application js being held by the Permit Processing Section for the following re SONS ,rd /0 fr- te l-v7 &* r 7/ Division: Si gnat u Division: Si gnature: (Jd Date This application w'ill be held untjl If the'informationrequiredabovehasnotbeenfurnishedcationwillbecancelled. Fees paid for waste disposal systems (site inspections and/or applications to installthe septic tank and drainfield) are nonrefundable. Some refund ma.y be made on thebuilding and plumbing portion of your application if cancellation is necessary. In the event a Planning or some other long-term problem exists over which you have no control we will hold the permit until the problem is resolved and we rece'ive word from you as to whether to proceed with permit issuance or process a cancellation. c74-L39 PERMIT PROCESSING SECTION - 687-4394 lane county HOLID SLIP APPLICATION # Zip Code The above application js being held by the Permit Processing Section for the following reasons: Division: Si gnature : Division: Si gnature : Date Date This appf icatjon will be held until If the 'information requiredabovehasnotbeenfurnishecationwillbecancelled. Fees paid for waste disposal systems (s'ite inspections and/or app'lications to install the septic tank and drainfield) are nonrefundable. Some refund may be made on thebuilding and plumbing portion of your application if cancellation is necessary. In the event a Planning or some other long-term problem exists over which you have no control we will hold the permit until the prob'lem is resolved and we receive word from you as to whether to prbceed with permit'jssuance or process a cancellat'ion. c74-139 PERMIT PROCESSING SECTION . 687-4394 Name Address I E :lon (Add )aa For ut tT ts/Jnt.:-ez."O Permlt /l For Permlt Pernlt For For l/' * SQU(Ucl: / €ut) Ol-nt-ct + For For ) '.i -\!?{r=ud v \r Cn l.'t c >--l la I't I -_--.I .t f tu_, t\/,, ittl\i zo i \ /., ) I r'- l'.. t- t=- I I_) ,\. / tc' l"-30'ScALE a D -|< (-i D -l 4 Vlclnity Map Dlr -4 - lo) -[:-,-.----:- (\----*_ q- - Rpaggd of'Individual Dispoial Sy-stem V rO M C0TTUTED 3Y INSTALLER: 9G.}rtT ESlltD l0rJ. C. Onbry tlliEl rbkt: 5(, * !t IlE lo t.Dtclrl xotTxn[y ollrcloN oor.- $--J ---7.e -_ lmolh/rrqrr lrildhgpclritnrobcr- lql&69--- ?rcpcryoddrcs -- 2667 - vi-io-:r-- 0e Gree filc f- iachcs. t /c' F.L ts )) ffii E iT,'y.,t lE.-'trr.J l,AfiE Couilfi HEAUH t xil Signoturcfi,'t -1<< 'Ot USt OT SANITARIAN ONLY: sptcn opporcnt\ vill fi, rill nor '--'l ferctir rotisfoctorily, ond ic therelorc opprovcd lor o<cu ,*a/$zc-- ' " 1-', ^-/\.urxr COur,fr Xte(r}t dlrrtrntxr -X'-LC:{1.-ir------ po^TE.- Disopproved l fr. trdJ ,..1f fib Orrl 6rlt:Dil6.rio. Dor? Ycr I-"1scc -el li. frclldrpr fc*o1Obrc.f.lat-.. d ft.r trl:dfrr-rI .it _ fi. h. No ! otlcr--- h. DirtoNt fror: 'c-zs 3 ft Vflclt ?-?+ € tcct. /<o-t'*Sidc l'ileot - -24-kct. h. Lot line: front 1-_l h. fon&tian- _._.t'-._-_* _tcct. id.a ,r. Ncortrt ,/ f SITE INSPECTTON Appnovso Cl Drsappnoveo n R euenx s Dar e I nspecton FOUNDATION INSPECTION Ap pRov e o RE urnx s Drsappnovro Dare 7-18 -7?t*r"rrro*l)44 - FRAMING INSPECTION APPRovEo Re ttaRx s l_{/Dr srepRoveo Dar e 7- lR-Z? tNspEcroR LATH OR SHEETROCK Ap pnov r o Revrnxs I NSPECT I ON Dt sapPRoveo Drr E I Hspecron F I NAL I NSPECT ION Ap pnov e o Rruenxs D r sappnoveo CERTIFICATE OF OCCUPANCY Reaov ro lssur Cl Nor Rerov ro lssuE D Dare- Rruanx s I NSPEcToR D oartS- 3/- ?v t**r-*-fu4!. 1G-- E :lon (Add 2 t-c-l For : ' ,i- t7'F/:t.tt -;lC Pernlt /l For Pernlt /I For Permlt For3?AiulCt: / kLr) J[-.r\r.ct + ';r,,j- I ) }N l'\ N{\- ForZ- lc,t-For \iI Cn c..,yl. ) >\ I --.-.., IJTU. :: \:i{- \ld-f N1- ) H \ t i ?c., ', a /'. -\1 It-L----I I_) i 8o' l" - 30' scALE a E 2r)q ,) + ) { l. \- Vlclnity Map Ftr