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Home My WebLink AboutPermit Building 1977-08-30U I /fi /',2-49-7) Job Location n2 !,iritten Directions ( ) guilding Permit I oa" i' Acreage or Lot Size Partitioning#- ( ) ComPleted( ) Pending INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- Test holes wilt be ready Subdivision Lot ,// #a'* <; I eto"kl ..i APPLICANT,S NAIV{E AND ADDRESS OWNEB'S NAME AND ADDRESS, if d L,Phone 7/t-a*ez Phone 7f 7 2d i;( Phone ifferent from licant's CONTRACTOR'S NAtVlE AND ADDRESS ail permit or results of site feasibility study to (pplicant ( )Owner ( ){, /7?1, -A d1 7 M l ( ntractor ) Prefer to Pick uP. Call (owner, etc. ) when ready Contractors O. S. # /5.1-lSt 3 2-7STRUCTURES NOW ON THE PROPER PROPOSED USE (this Permit) WATER SUPPLY 'a4P SEWAGE DISPOSA L existing or proposed well, etc. lf public. name of system) (existing or proposed septic tank, etc.) S.l AddressPLUMBING B / ( ) pRoPERTY lS WITHIN ONE MILE OF CITY /? + * * * + * * * + * * +* * * * * *+ Jt ** * * * ** * * * * * ** * * * + * * * * *OFFICE USE ONLY BELOW THIS LlNf *+***+************+***i***+*************+++ :o N ) New Address Necessary ( ) Facility Permit Necessary SETBACKS: Front ( ) Special Permit Area. Minimum Elevation lnterior Side Yard Rear (FROM PROPERTY LINES) Side Facing Street (FROM CENTERLINE OF ROAD) To: Planning/Building lnspector/Sanitarian/Surveyor. Thisapplicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response: By DEPARTIVI ENT O F E NV I RONMENTAL MANAG EIVI ENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 Division t . TRE", T . ,/,+ #Ysd PERIVIIT # \ TRS, T JOB LOCATION Partition ing LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot- Block- APPLICANT'S NATVIE AND ADDR FSS Phon e_ CONTRACTOR'S NAME AND ADDBESS Phone-OWNER'S NAIVIE AND ADDRE Phone_-_-_=-- tVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready \^./ATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTY|SWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner oI record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (iJ not the owner) 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 $Signature Date ()NEWADDRESS ( } FACILITY PERM IT TO TRANSPO RTATION D EPT.- () SPECIA L PN]T. AR EA, MIN.ELEVATION STBUCTURES NOW ON THE PBOPERTY ]THlSPEBMlTlsFoR#BEDRoolvlL#PLUl\4BlNGcoNNEcTloNL SANITATION [Vlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet IVlaximum Depth BUILDING Type of Construction c",,..'n.,""1,. Use classification roup -Fire Zone Comments B Date B Date PLANNING REOUIRETVIENTS SATISFIED. B Date Date lssued ZON E SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (F ROrvr P/L) LAN E COUNTY D EPARTMENT OF ENVIRONMENTAL IV]ANAG EI\4 ENT, 125 EAST BTH AVE.. EUG EN E, O B EGON 97401 PHON E: 687.4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-cOLDENROD; OFFTCECOPY WHTTEc55-1 3 \ l'l { * $ tA ,/a{l r\J( U tuL€i u(, I q \L\ (\e fr"r/ffinyrou 4 gaq $er +t {o Lol 16kl 0t"t., )\ $rjo \ Yo I J I s- sY I l4.rloDa' 0 l.4r sg, $i "t t" I frtN t' I so ql I ) I t* I Ett i _$ V \ E$i TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning #) Completed OWNER'S NAME AND ADDRE ss Phon CONTBACTOR.S NAME AND ADDRESS PhONC- lvlail permitto ( )Applicant ( )Owner { }Contractor. ( )Prefer to pick up. Call- (owner, etc.) when ready. PERMIT # APPL|CANT,S NAME AND ADDRESS Phone - STRUCTURES NOW ON THE PHOPERTY THIS PERIVIIT IS FO \A/ATER SUPPLY . SEWAGE DISPOSAL # B ED ROOIVIS-# PLUIVIB I NG CO N N ECT IONS s.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUtVlBlNGBY t 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 (il not the owner) I am authorized to act for the owner of record, and that said ow er is aware and approves of this action. I herebv agree to comply with all applicable Codes relating to this permit. Fee Paid S-Signature () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT.( ) SPECIAL PlVlT. AREA. lvllN. ELEVATION:-- SANITATION BU ILDING lVlinimum Septic Tank Capacity (Gallons)Type of Construction -Group ire Zone Drainfield Required - Lineal Feet Use Classification lVlaximum Depth Comments Comments By:Date By Date bdivision BlocLot PLANNING REOUI REMENTS SATISFIED. By Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIM C/L) INT. SIDE YARD REAR (FROIVI PiL) LANE COUNTY DEPARTMENT OF ENVIRONIVIENTAL IVIANAGEIVIENT, 125 EAST BTH 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 Date - SLAB FLOOR PLUMB ING GROUNTI,JoRK Appnov e o Reilrnx s DrsrppnovEo Drr e I NspectoR GAS PIPING GROUND/ORK AP PRov E D Reuanx s D DrsappRovco D Darr I HspEcron ROUGH PLUMBING Appnoveo n DrsappRovro Rrua nx s LrUz,P{Dare I Hsprcron I Hspecron F I NAL PLUMB I NG Appnov e o Rr uanx s D r srepRoveo DarE I Nspecron FINAL GAS PIPING AppRoveo D DrsAPPRovE, L/ REHanx s Dare I Nseecron CERTIFICATE OF OCCUPANCY Rrlov ro lssue RrulRxs D Nor Rerov ro lssur D Dare I NSPEcToR ROUGH GAS PIPING AppRoveo D DrsappRoveo El Doru_ RrurRx s -TRS, T , /"( 4fflm JOB LOCATIO Partition ing LANE COUNTY PERMIT PERMTT - ?35q-7 t t*B lL-t z -$3 Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision- Block.--- APPLICANT'S NAME AND ADDRE SS Phone Phone Phone OWNER'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready CONTRACTOR'S NAIVIE AND ADDRESS \AJATER SUPPLY SEWAGE DISPOSA STRUCTURES NOW ON THE PBOPERTY ITHIS PERMIT lS FOR # BEDROOIIS-# PLUI\4BING CONNECTIONL THlSPRoPERTYlSWlTHlNoNEtVIlLEoFTHEClTYoF.PLUN/lBlNGBY I hereby cenify 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 Iurther certily that (if not the owner) I am authorized to act for the owner of 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 $Signatu re Date ( }NEWADDBESS { ) FACILITY PERIV] IT TO TRANSPORTATION DEPT.- ( } SPECIAL PI\4T. AREA. MIN. ELEVATION: SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Use Classification Comments: Type of Construction -Group ire Zone Comments Date By Date PLANNING REOUIREMENTS SATISFIED. B Date lssued: LANE COUNTY DEPARTIVIENT OF ENVIRONIVIENTAL IVIANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE -.-1 3 BLDG. PERMtT - wHtrE; BUtLDtNG - GREEN; pLUMBtNG - GANARy; sANtrATtoN - coLDENRoD; oFFtcE coplr - wHtrE PHONE: 687.4394 Lot- Date:v: ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (F ROIVI P/L) SITE INSPICTION Ap pRov E o Rruanx s D r s APPRovEo D oor-7- /z-'???>h,'-LI HseecroR zx-.- FOUNDATION I NSPECTION Ap pRov r o D r s APPRovEo Dnr r Rrurnxs - /z-z FRAMING INSPECTION AppRovro Reuanx s DrsAPPRovEo oor,/L27- Z? 2 I NsPEcroR LATH OR SHEET I NSPECT I ON Dr sAPPRovEo ,^,, /Z -7- 2 ?,n,,,,,o^APPROVED Rrxanxs FINAL INSPECTION AP PRov E D ReMenx s D ,o,,_lza3--93-D r sAPPRovEo I NSPEcToR -7 CERTIFICATE OF OCCUPANCY Rrroy ro lssuE D Nor Re rov ro lssue D DorE-lNseecron- Rrua Rx s -- 7u]n'^""**-fu{