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Home My WebLink AboutPermit Building 1977-01-10L/ TRS, TL ( ) Building Permit AcreageorLotSize / ac fel Partitioning#--- ( )Completed( ) Pending APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if d /a 3-2/52-c 2tz>p%47b Job Location FrVd o tr N o E INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites-( ) Would like to meet on site. Call Test holes will be ready Subdivision kl )J 9 - 7$*Lot6-0() 31o" ft€pnon" 2t/ 2<>-6Zc Phone- Phone- ifferent from a icant's i"'J Eil:l;',fiH:t:f i?r':a %q i:*ifl:,.,il,3xx.1 ) contrac'lor CONTRACTOR'S NAIV'IE AND ADDRESS STRUCTURES NOW ON THE PROPERT PROPOSED USE (this permit)1l a A/t .o WATER SUPPLY SEWAGE DISPOSAL PLUMBING B *existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l.L Address 2gJJ N, ^ o,74o-,r,u,tr.e // 77y77 d J F PROPERTY IS WITHIN ONE MILE OF CITY * * * * * * * * * * * * + x l( * * * * * lt * * lt * * {. * * * * * * * * * * * * * * * *OFFICE USE ONLY BELOW THIS LlNf xxxxx+****t(*+*+++*r(******J++***n*********n** ( ) New Afilress Necessary ZONE K:4 ( ) Facility Permit Necessary SETBACKS: Front 45 'tide Facing Street(Fnou cENTERLTNE oF RoAD) ( ) Special Permit Area. [Vlinimum Elevations-lnterior Side Yard Rear (FROIVl PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor This applicant appears to have a problem Your assistance will be appreciated. By Permit Processing Section Response: By DEPARTMENT OF ENVI RONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 tvrslon (owner, etc.) ) PERIVIIT #L83sTRS, TL JOB LOCATION LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot- Block-Acreage or Lot Si Contractor's O.S. # APPLICANT'S NAME AND ADDRE SS OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STBUCTURES NOW ON THE PROPERTY THlsPEBMlTlSFoR#BEoBooML#PLU[/]BlNGCoNNEcTloNL Phone- Phone- Phone- s.l. #WATER SUPPLY SEWAGE.DISPOSA THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUIVIBING BY I hereby certily 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 (iI not the owner) I am authorized to act lor the owner of record, and that said owner is aware and approves of this action. I hereby agree to comply wirh all applicable Codes relating to this permit. Fee Paid $Signatu re () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT () SPECIAL PIVIT. AREA. IVIIN. ELEVATION SANITATION BUILDING [Vlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Type of Construction roup -Fire Zone Comments By:Date:By Date Date - c",nr"".,, Use classification PLANNING REOUIREMENTS SATISFIED. By Date Date lssued: ZONE SETBACKS: FRONT SIDE FACING STREET (FRONN C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG. PERMTT - wHrrEi BUtLDtNG - GREEN; pLUMBtNG - GANARy; sANtrATtoN - coLoENRoD; oFFrcE copv - wHtrE PHONE:687-4394 ) PERMIT # TRS, T JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ' ) Completed Subdivision Lot- Block- APPLICANT'S NAME AND ADDRE ss OWNER'S NAME AND ADDRE co NTBACTOR'S NAME AND ADDRESS ( ) Contractor. ( ) Prefer to pick up. CallMail permitto ( )Applicant ( )Owner THIS PERMIT IS FO WATER SUPPLY Fee Paid $- ( ) NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT # B ED ROOIVIS-# PLUIVIB I NG CO N N ECT IONS Phone ' ; Phone Phone STBUCTURES NOW ON THE PROPERTY THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUtVlBlNGBY I hereby certily that the above statements are true and accurate, and that I have the following legal interest in the property: -owner oJ record;' ' contract purchaser; - potential buyer; - realtor or agent. I {urther certify thal (if not the owner} I am authorized to act {or the owner of ;crrd, and that said owner is aware and approves oI this action. I hereby agree to comply with all applicable Codes relating to this permit. Signatu re SEWAGE DISPOSAL S.I. # 7L (Date - I SPECIAL PIVIT. AREA. tVIIN. ELEVATION SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date BUILDING Type of Construction Comments: Comments: roup Date ire Zone By: PLANN ING REOUI R EMENTS SATISFI ED By Date Date lssued: ZONE SIDE FACING STREET (FROM P/L) LAN E COUNTY DEPARTI\4ENT OF ENVIBONMENTAL I\4ANAGEIM ENT, 125 EAST 8TH AVE., EUG ENE, O REGON 97401 PHON E: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE c65-13 (owner, etc.) when ready. By: SETBACKS: FRONT ROIVI CILI INT. SIDE YARD S ITE INSPECTION ApeRovEo /g Drsappnoveo RrulRr s 8-z z rNspecronDare FOUNDATION I NSPECTION APPRovEo D DI SAPPRoVED D Dare I ruspecton Rcuanxs -*o /-/y-7" FRAM I NG AppRov e o Reulnx s I NSPECT I ON E Drsrppnoveo Dart 7- L<i:- 7? lNSPEcro LATH OR SHEETROCK INSPECTION Ap pnov r o RrManx s r*Drsappnoveo Dar r 7 =8:a1-I Ns pe cton FINAL INSPECTION ( Ap pnov r o ReuaRr s DTSAPPRovED Datr NSPECTOR CERTIFICATE OF OCCUPANCY Reaoy ro lssur D Nor Reaov ro lssuE D DotE- ReurRx s ErL I rspecroR l€ d D \ PERIVIIT # TRS, T Acreage or Lot Si Contractor's O.S' # APPLICANT'S NAME AND ADDRE Fee Paid $- JOB LOCATION Partitioning # LANE COUNTY PERMIT .) Completed I Subdivision Lot Blo ck OWNER'S NAME AND ADDRESS Phone Phone PhoneCONTFACTOR'S NAME AND ADDR FSS STRUCTURES NOW ON THE PBOPERTY Mail permitto ( )Applicant ( )Owner ( )Contractor ( ) Prefer to pick up. Call (owner, etc.) when ready THIS PERMIT IS FO # B ED ROOIVIS-# PLUIVIB I NG CONN ECT IONS WATER SUppLy SEWAGE DISPOSAL- S.l. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certily 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 lurther certify that (if not the owner) I am authorized to act for the owner of record, and thatsaid owner is aware and approves of this action. I hereby agree to comply with all applicabl€ CodeE relating to this permir. Signature ( )NEWADDBESS (.iFACILtTypEBMtTTOTRANSPORTATIONDEPT. , ( ) SPECIAL PIMT. AREA. MIN.ELEVATION:', SANITATION BUILDING I lVlinimum Septic Tank Capacity (Gallons)Type of Construction roup ire Zone Drainfield Required - Lineal Feet Use Classification Comments:lVlaximum Depth Date By Date Date By: PLANNING REOUI REMENTS SATISFIED. By Date Date lssued ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTTVIENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 974O'I POST THIS PERMIT ON MAIN BUILDING AT SITE C55.13 BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITF PHONE: 687-4394 Comments: SLAB FLOOR PLUMBING GROUND/ORK APPRov E o ReMa nx s Dr sappnovEo Dar r I Nsercron GAS PIPING GROUND/ORK Ap pnov E o Reua Rx s D DrsrppRovEo D Date I rspecroa ROUGH PLUMBING Appnov r o Rrua nr s m,sAppRovED D oor4 -4 i-gfl ,*r"rr]l*r-#3*.rf*,-l ROUGH GAS PIPING Ap pRov E o RettaRx s D r srppRoveo I Hspecron FI NAL PLUMBING Apenoveo g DrsrepRovro D oo-rr-44742 ReNaRx s I Nsprcton i?d/f FINAL GAS PIPING Ap pRov e o Reulnx s D I SAPPROVED DaTe I us pe cron CERTIFICATE OF OCCUPANCY Relov ro lssuE Re ltlRx s Nor Reaov ro I ssue DarE I NsPEcroR D Dore- 7/ 4 b 2,il 20 2, I {r"p q1' ,\1',/ 2 (, ..) 2 !t b 2 ./) 2 ) .r1 4 % -)-f5 Jrx)s 2r/> l,fJo fio r"t q lf ,f +5.ib o $ \ ) ) a 0r,) /1 4b', ) b \P b t/\ e , I 0 q (t(/tu o { \\\ 4\ U