HomeMy WebLinkAboutPermit Building 1977-02-11Lo+ zo , Bu'/- I
TRS, T .* rr
{/1 aritoing Permit
Acreage or Lot Size-
Partitioning #( ) Completed( ) Pending
APPLICANT'S NAME AND ADDRESS
OWNER'S NAME AND ADDRESS, if d
CONTRACTOR'S NAME AND ADDRESS
'ail permit or results of site
, ) Prefer to pick up. Call
feasibility study to ( ) Applicant ( ) Owner ()<1, Contractor
(owner, etc. ) when ready
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INFORMATION SHEET
( ) Site Feasibility Study for Septic Tank. Number of sites-( ) Would like to meet on site. Call (owner, etc.)
Test holes will be ready
Subdivisio Lot 3-O Bloc
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Phone-
PnoneTS)-"23oY
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f rom icant's
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STRUCTURES NOW ON THE PROPE D AJ NDNS FE-S /DsNcg
PROPOSED USE (this permit),*/>/) ll/arv - Bbft v tsfrrH
WATER SUPPLY b
SEWAGE DISPOSA t E)( t s.f/il& .ssA7t c.lVF 4sa-tl
PLUMBING B O,O(B I bc4 PLU n\B I tud cat' thEctl 9l/)ctfl Caulnrc)bps
(x PROPERTY rS WTTHTN ONE MrLE OF C|TY t sPRrNQtrtelb
(existing or proposed well, etc. lf public, name of system)
(existing or proposed septic tank, etc.) S.l. #_
Address o x
****r.* oFFtcE usE oNLy BELOW THtS LtNE ******r******
( )New Necessary
-oN
( ) Facility Permit Necessary ( ) Special Permit Area. lVlinimum Elevation
lnterior Side Yard Rear
-
(FROIVI PROPERTY LINES)
SETBACKS: Front Side Facing Street
(FROIVI CENTERLINE OF ROAD)
To: Planning/Building lnspedor/Sanitarian/Surveyor.
Thisapplicant appears to have a problem with-
Your assistance will be appreciated.
By Permit Processing Section
Response
By
D EPA RTIVI ENT O F E NV I R ON IVI ENTA L MANAG EIVI E NT
Permit Processing Section
125 East 8th Avenue
687-4394c55-12
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JOB LOCATIO
Acreage or Lot Size- Partitioning #
Contractor's O.S. *
LANE COUNTY PERMIT
PERMIT #
Bloc k
) Completed Subdivision
Lot
APPLICANT'S NAME AND ADDR trqq
OWNER'S NAIV1E AND ADDRES s Phon
Phon
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready
Comments
Phone-
CONTBACTOR'S NAME AND ADDRESS e
STBUCTURES NOW ON THE PROPERTY
I.HIS PERMIT IS FO # B EDROOIVIS-# PLUIVIB I NG CO NNECT IONS
WATER SUPPLY- SEWAGE DISPOSAL- S,I. #
THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.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
plrrchaser;
-
potential buyer;
-
realtor or agent. I further certily that (iI 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
( ) NEW ADDRESS ( ) FACILITY PERlvllT TO TRANSPORTATION DEPT.- ( ) SPECIAL P[,lT. AREA. [nlN. ELEVATION:
-
SANITATION BUILD ING
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
lVlaximum Depth
Type of Construction
-Group -FireZone
Use Classification
-omments
By:Date By Date
PLANNING REQUIREMENTS SATISFIED. By:Date:Date lssued:
ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55-13 BLDG.PERMTT-WHtrE; BUtLDtNG-GREEN; pLUMBtNG-GANARy; sANrrATroN-GoLDENRoD; oFFrcEcoplr-wHrrE
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PHONE:687-4394
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PERMIT #
TRS, T
Acreage or Lot S t7e
JOB LOCATIO
Partitioning #
LANE COUNTY PERM!T
)Completed Subdivision, ' . ,' r ,
Lot Block '
APPLICANT'S NAME AND ADDRE ss Phone--
STRUCTURES NOW ON THE PROPEBTY :
Contractor's O.S. #
-omments
By:
OWNER'S NATVIE AND ADDRE ss Phon P
CONTRACTOR,S NAME AND ADDRESS ., ,, Phone-Mailpermitto()Applicant()owner(}Contractor.11P."f",topi"tffic.)whenready.
r H lS PERIVIIT lS FO # B ED ROOIVIS-# PLUIVIB I NG CON NECT IONS
WATER SUPPLY- SEWAGE DISPOSAL- S.t. #
THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUIVIBING BY
I hereby certi{y 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 {urther certify 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 $-Date
NEWADDRESS () FACILITY PERI\4IT TO TRANSPORTATION DEPT.- () SPECIA L PIV]T. AR EA. fuIIN, ELEVATION:
-
SANITATION BUILDING
Type of Construction _Group
Signatu re
fVlinimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Date
ire Zone
se Classification
Comments
By Date:
PLANN ING REOUI REMENTS SATISFIED By Date Date lssued:
LANE COUNTY DEPABTMENT OF ENVIBONIV]ENTAL IV]ANAGEI\4ENT, 125 EAST 8TH AVE., EUGENE. OREGON 97401 PHONE: 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
c55r3
-
ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L)
SITE INSPECTION
Ap pRov r o
REueRx s
M DrsappRoveo n oert ")- l4-7? tNSPEcroR
FOUNDATION I NSPECTION
Ap pnov E o
Reuanxs
q1 DrsappnovEo 77.!r<-'
_.7 I NspecronDnre
FRAMING INSPECTION
APPRovEo /\// Dt sappnoveo
ReManx s
oo',, 3- / 7-?? rxsprcron
LATH OR SHEETROCK
Ap pRov E o
Rrurnxs
I NSPECT I ON
DrsrppRove o F7 Dare,I Hsprcton
FTNAL INSPECTION
-./
Apenovro / t.{ DTsAPPRovED
Reuanx s
oor.- /-^/?-?7 lxsp.croR
Reue nx s
Or,J-
fuZr
CERTIFICATE OF OCCUPANCY
ReaovTolSSUEC/NorRelovTolssUEDDorE-lNsrrcton-
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TRS, T
PERMIT #
JOB LOCATION
LANE COUNTY PERMIT
Lot Block-
Phone
Pho
Phone_--
(owner, etc.) when ready.
Acreage or Lot Size
Contractor's O.S. #
APPLICANT'S NATVIE AND ADDR
OWNER'S NAME AND ADDRE
CONTRACTOR'S NAME AND ADDRESS
tVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call
STRUCTURES NOW ON THE PBOPERTY
THIS PERIVIIT IS FOR
WATER SUPPLY SEWAGE DISPOSAL
I
# B ED ROO tVS-----:# P LUTVIB I NG CO N N E CT IO NS
s.t. #
ire Zone
THIS PROPEBTY ISWITHIN ONE MILE OF THE CITY OF-. PLUMBING BY-
I hereby certily that the above statements are true and accurate, and that I have the following legal interest in the prcperty:
-owner
oI record;
-@ntract
purchaser;
-
potential buyer;
-
realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of
record, and that said owner is aware and approves ol this action. I hereby agree to comply with all applicable Co4es relating to this permit.
Fee Paid S-Signature Date
() NEW ADDRESS () FACILITY PERIVIIT TO TBANSPORTATION DEPT ( ) SPECIAL PtVlT. AREA. lvllN. ELEVATION:-
SAN ITATION BUILDING
Type of Construction
-Group
Use Classification
Comments:
Comments
AC
lVlinimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
B Date
PLANNING REOUIREMENTS SATISFIED. By
By Date:
Date lssuedDate
ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (F ROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGETVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
c55-13 BLDG. pERMtr -wHtrE; BUtLDtNG -GREEN; pLUMBTNG - cANARy; sANlrATroN - GoLDENRoD; oFFtcE copy-wHtrE
PHONE: 687-4394
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SLAB FLOOR
PLUMB ING GROUNU^/ORK
Appnov e o
ReManx s
D r slppnovEo Dar e I rus pe cton
GAS PIPING GROUND^/ORK
Ap pnov r o
REurRx s
D DrsAPPRovEo D Dore_I Hspecron
ROUGH PLUMBING
AppRov r o
Rexa nx s
D oorr-3-1_'bV)D r sappnoveo I Nsp
ROUGH GAS PIPING
Appnoveo
ReMrRr s
D r slppRoveo Dare I Nsprcron
F I NAL PLUMB I NG
APPRovED D Drsrppaovro D
Rruanx s
Drrr I Nspecton
FINAL GAS PIPING
Ap pRov e o
Reulnxs
D r sappRoveo Dare I Nsprcron
CERTIFICATE OF OCCUPANCY
Rraov ro lssue
RrulRxs
./
Nor Reaov ro lssuE DrrE I NSPEcToR