HomeMy WebLinkAboutPermit Building 1977-06-16TRS, TL /q -2
( ) Building Permit
Acreage or Lot Size-
Partitioning #- ( )Completed
Job Location -?5-Jf /). ZtU
INFORMATION SHEET
( ) Site Feasibility Study for Septic Tank. Number of sites-( )Would like to meet on site. Call (owner, etc.)
Test holes ll be ready
Subdivisi
-:/o
Lot ,4 916"( ) Pendin n,f,ourou
tA -Z-d-zzz-z- a- ,r/. "APPLICANT'S NAME AND ADDRESS
oWNER,SNAMEANDADDRESS,ifdifferentfromapplicant,s
CONTRACTOR'S NAME AND ADDRESS
/tu3*77
pnon" 7y'6 .sYd,F
Phone
Phone
Mail permit or results of site feasibil studyto ( )Applicant ( )Owner ( )Contractor.(/Prefer to pick up. Call
STRUCTURES NOW ON THE PROPER
PROPOSED USE (this permit)
WATER SUPPLY
SEWAGE DISPOSAL
owner, etc. ) when ready.
?
(existing or proposed well, etc. lf public, name of system)
(existingorproposedseptictank,etc')S.l.#-
PLUMBING B Address
( ) pRoPERTy tS W|THtN ONE MtLE OF CtTy
* * * * * * * * * * * * ra * * J( * * * * L l( x * * .r r( * L * J( + Jt * * Jr * * * * li FFICE ON LY BE LOW THIS Ll|\ f xxx*******+** *** ***** ****rr* ** ****r++x* **** **
( )New Necessa ry
ZON
( ) Facility Permit Necessary ( ) Special Permit Area. lVlinimum
lnterior Side Yard g'6'
(FROIVI PROPERTY LI
SETBACKS: Front Side Facing Street
(FROIVI CENTERLINE OF ROAD)
To: Planning/Building Inspector/Sanitarian/Surveyor. -4o -* ' -'-a
Thisapplicant appears to have a problem with-
Your assistance will be appreciated.
By Permit Processing Section
Respon
By
D EPARTIVI ENT O F E NV I RON M ENTA L IVIANAG EIVI ENT
Permit Processing Section
125 East 8th Avenue
687-4394c55-12
rvrston
)
)
PERIVIIT #o
TRS, T b
Acreage or Lot Si
Contractor's O.S. #
APPLICANT'S NAME AND ADDR
OWNER'S NAME AND ADDRESS.
JOB LOCATIO
LANE COUNTY PERMIT
Partitioning #-( ) completed subdivision
*0
Lot- Blo ek
Phone
Phone
Phone
STRUCTUf,ES NOW ON THE PROPERTY
CONTFACTOR'S NAME AND ADDRESS (owner, etc.) when readY
Mail permitto ( )Applicant ( )Owner ( ) Contractor. ( ) Prefer to pick up. Call
THIS PERMIT IS FO # B ED ROOIVIS-# PLUTVI B I NG CO N N ECT IO NS
WATER SUPPLY SEWAGE DISPOSAL- S.I. #
Fee Paid $*Signature Date
( ) NEW ADDRESS ( )FACILITY PERIVIIT TO TRANSPORTATION DEPT.- () SPECIAL PIVIT. AR EA. IVIIN. E LEVATION
SANITATION
lVlinimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
lVlaximum Depth
BUILDING
Type of Construction
-Group -FireZone
c.n-,,.n*.'
Use classification
Comments
I#.NE COUNTY SPECIAL PERMIT AREA
Date B Date
Date lssued
B
Date:PLANN ING REOU I R EMENTS SATISF I ED
SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L)SETBACKS: FRONTZONE:
LANE COUNTY DEPARTMENT OF ENVIRONIVIENTAL IVIANAGEMIENT, 125 EAST 8TH AVE., EUGENE, OREGON 9]4O1
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT _ WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
PHONE:687-4394
TH IS PBOPERTY IS W ITHIN ONE MILE OF THE CITY OF='....._.--' PLUMB ING BY
-
I hereby certify that the above statements are true and accurate, and that I have the lollowing legal interest in the property:
-owner
of record;
-contract
purchaser;
-
poten,i"i'UrV"i, ---1""f** oirgent. f fu.tt'", certily that (if not the owner) I am authorized to act for the owner of
["ora, una itui oia o*n", i, urri."
"no
uip-rir", of this action. I h;reby agree to comply with all applicable codes relating 10 this permit'
)
I
G
RAbrd oI Individual Sewage Disposal System
IE COT'?ITTED IY I}6TA[LEi:
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rot ust or SANITAilAN ONLY:
Sptcm opponntl, rill + rill aot !l luncrion solisfo<torily, ond is therclore opproved lor occuponcy
Rcmorlr:--
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I r-fi-COUilTY BUIIDING &
-grf te SA N ITATION SPECI]FICATIONS
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A ptrtiofi of rhe rroft covefc'd bv ?his lrimrl iha,l be startod rvithin ol 1ry.s tr-.e- dll? arj 3ll rvofL ccf,Sletgd ry;thin o.€ \ea., t.\cei)rdi$Gal repair, vylri€i rrrrn bogin r-rne{rrtelv. lf not. rhe p€rmii te.:m* i.rr.,t ,.,#; bv lh. Drl.liy britJin:; insp1.c:.rr. _/" .. n /,// // - "./
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TRS, TL'Plot Ian
Subdivision
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Job Locatlon (Add
Permlt /i
Permit
Permit
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Permlt
Permlt
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Vlclnlty Map N
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Acreage or Lot Size
Contractor's O.S. #
oJd th-v+-{l
PERMIT #1303-77
TRS, TL JOB LOCATIO
LANE COUNTY PERMIT
Partitioning ) Completed Subdivision
Lot Bloc
APPLICANT'S NAME AND ADDRE Phone
Phone
Phone
tVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready
WATER SUPPLY- SEWAGE DISPOSAL- S,I. #
THlSPRoPERTYlSWlTHlNoNEIVllLEoFTHEClTYoF.PLUlVlBlNGBY
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in lhe property:
-owner
o, record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I further certify that (il not the owner) I am authorized to act for the owner o{
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 $-
OWNER'S NAME AND ADDR FSS
CONTFACTOR'S NAME AND ADDRESS
STRUCTURES NOW ON THE PROPERTY
THIS PEBIV]IT IS FOB # BEDROOML# PLUMBING CONNEfiIONL
Signatu re
()NEWADDRESS () FACILITY PEF I\4IT TO TRANSPORTATION DEPT.- () SPECIALPIV]T.AREA. IV]IN. ELEVATION:
-
SANITATION BU ILD ING
lVlinimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Type of Construction roup
-Fire
Zone
Comments
LANE COUNTY SPECIAL PERMIT AB.BA
Date
-se Classification
By Date B Date
PLANNING REOUIREIVIENTS SATISFIED. B
ZONE SETBACKS: FRONT SIDE FACING STREET
Date:Date lssued
(FRO[N C/L) INT. SIDE YARD REAR,(F ROTVI P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55-1 3 BLDG. PERMIT -WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
PHONE: 687-4394
Comments:
SITE INSPECTION
AppRoveo
ReuaRrs
Drsappnoveo Drrr l rspecron
FOUNDATION I NSPECTION
APPROv Eo
REr.trRx s
Dr sAPPRovEo Dar e I ruspecroc
FRAMI NG
Appnov r o
Re uanx s
I NSPECT I ON
Dr sAPPRovEo D Darr !-:v tu lNSPEcroR g.rrgU
LATH OR SHEETROCK I NSPECT I ON
D r sAPPRovEo Dnr e I NsPEcroRAP PRov E D
RrMnnxs
FINAL INSPECTION
APPRovEo E DrsrppnovEo D
Ret{rnx s
tNsprcroR 4-.t+vDar
CERTIFICATE OF OCCUPANCY
Reeov ro lssus
ReuaRx s
D Nor Rraov ro lssuE D Drrr I rusprctoa
ta
)
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Plcrt
subdivision tl
Job Locatlon (Addre
Pernit #
Pernlt
Permitlan Permlt /l
Permit
Permlt
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For For
For For
.'I For For
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Vlclnlty Map N
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