The URL can be used to link to this page

Home My WebLink AboutPermit Building 1977-08-27PERMIT # TRS, T'L JOB LOCATION Partitioning # LANE COUNTY PERM!T Acreage or Lot Si ze_) Completed Subdivision - " .,' ' ' Lot- Block- Phone.-- Contractor's O.S. # APPLICANT'S NAI\4E AND ADDR OWNER,S NAME AND ADDRESS Phon CONTRACTOR'S NAIVIE AND ADDRESS Phon p Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready THIS PERMIT IS FO # BED ROON/IS-# PLUIVIB I NG CONNECT IONS ,/ATER SUPPLY SEWAGE DISPOSAL S.I. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEclTYoF.PLUlVlBlNGBY 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 {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 clmply with all applicable Codes relating to this permit. Fee Paid $- Signature I NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT Date () SPECIAL PIVIT. AREA. IV]IN. ELEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Type of Construction Use Classification Comments: roup ire Zone Comments ) PLANNING REOUIREMENTS SATISFIED. By B Date Date Date lssued LANE COUNTY DEPARTI\4ENT OF ENVIRONMENTAL MANAGEI\4ENT. 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687.4394 POST THls PERMIT ON MAIN BUILDING AT SITE c55-13 trcq STBUCTURES NOW ON THE PROPERTY- Date:By: ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) PERTVIIT # TRS/ T JOB LOCATIO Partition ing LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot- Block- APPLICANT'S NATVIE AND ADDRE ss Phone Phone PhoneOWNEB'S NAME AND ADDRESS- CONTBACTOR'S NAME AND ADDRE ss STRUCTURES NOW ON THE PROPEBTY THIS pERMtT tS FOR # BEDROOML# PLUMBING CONNECTIONS- Mail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call (owner, etc.) when ready )nrEn SUppLY SEWAGE DISPOSAL S.I. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlV|BlNGBY I hereby certify that the above statements are true and accurate. and that t have the lollowing legal interest in the property: -owner o, record; _contract purchaser; - potential buyer; - reaitor or agent. ! further certify that (if not the owner) I am authorized to act for the owner oI record, and thatsaid owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relaling to this permit. Fee Paid $-Signature ( ) NEW ADDRESS ( I FACILITY PERMIT TO TBANSPORTATION DEPT'- { ) SPECIAL PMT AREA MIN ELEVATION: - SANITATION BUILDING Type of ConstructionlVlinimum Septic Tank Capacity (Gallons)Fire Zone Drainfield Required - Lineal Feet se Classification Maximum Depth Comments: Comments: By:Date By Date Date - roup PLANNING REOUIREMENTS SATISFIED. By:Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FRO[n C/L) rNT. SrDE YARD REAR (FROtVt p/L) LANE COUNTY DEPARTTVIENT OF ENVIRONIVIENTAL N/ANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATIoN-GoLDENROD; oFFICECOPY-WHITE PHONE:687 ;>15{'"7 TRS, TL t1-03-24.3.3 *Zooo Job Loca z= x !*ritten Directionslltatt LEi-UE EP€ _ INFORMAT sHEEr -- JQO {f,) eritoins Permit ( ) Site Feasibility Study for Septic Tank Acreage or Lot Size t76 ><6o Test hol Partitioning# ,( )ComP Subdivi( ) Pending Xappr-,caNT's NAME AND ADDRESS KowruER,S NAME AND ADDRESS,if different from a CONTRACTOR'S NAME AND ADDRESS Mail permit or results of site feasibility study to ( ) Appli ( )Owner ( )Contractor( ) Prefer to pick up. Call ( owner, etc. ) when ready )UCTURES NOW ON THE PROPE R .b koctse oD Ete Hr Number of sites.-.--- &l5r ,.roeC - 191- Eor- <t73one -,ru,rQ------ . ?no"e'14 2243 Contractors O. S. # qi q PROPOSED USE (this permit) WATER SUPPLY IJfi €::*rrA BEDROO}1S (existing or proposed well, etc. lf public. name of system) (existing or proposed septic tank, etc.) S.lSEWAGE DISPOSAL t L tC- AddressPLUMBING BY Ll .,4 td r*orERTy rs wlTHtN oNE MtLE oF ctry * i* ** ** **** r* * * r * ** * * ++ * + *+ + * * * * **t * * ** * * * * Q F ICE ONLY BELOW THIS Ll\f +*+r***+* *r** *d **i+ ** *+ **+* +*** **++*+ +* +t + + ( ) New Address Necessary zoN E ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) ( )Special Permit Area. Mininrum Elevation lnterior Sicie Yard --- Rear (FROM PROPERTY LINES) Planni ng/B ui ldi ng I nspector/San itarian/Su rveyor This applicant appears to have a problem Your assistance will be appreciated. By Permit Processing Section Respon By DEPARTMENT OF ENV I RONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394c55-1 2 Division ready tot 3 Block- i S ITE INSPECTION Ap pnov E o Re uanr s Dr sAPPRovEo Darr I Nspecton FOUNDATION I NSPECTION Dr sappnoveo 7t ,,7 I NspectonDar eAPPRov ED Rrua nx s FRAM I NG Appnoveo Reuanx s I NSPECT I ON Drsappnoveo DrrE I NSPEcToR LATH OR SHEETROCK INSPECTION AppRovro D DtsappRove o F7 RrManx s Dar r I NSPEcToR FINAL INSPECTION Ap pnov E o Reuanx s D r SAPPRovED Dar E I Hsptcro CERTIFICATE OF OCCUPANCY Reaov ro lssuE Rrna Rx s Nor Rerov ro lssue Dere I NSPEcToR D D