The URL can be used to link to this page

Home My WebLink AboutPermit Building 1978-06-01T3S, T I JOB LOCATION LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # STRUCTURES NOW ON THE PROPERT ) Completed Subdivision Lot- Blo ek APPLICANT'S NAME AND ADDR OWNER'S NAME AND AD DR CONTRACTOR'S NAME AND ADDRESSMail permit to ( ) Applicant ( )Owner ( )Contractor. () Prefer to pick up. Call Phon Phon Phon o THIS PERMIT IS FOR # BEDROOIVS # PLUMBING CONNECTIONS ... t. j. s.l. # \I/ATER SUPPLY () NEW ADDRESS ( ) FACILI TY PERMIT TO TRANSPORTATI SEWAGE DISPOSAL TH IS PROPERTY IS WITHIN ONE MILE OF THE CITY OFI hereby certify that the above statements are true a nd accurate, and that I have the followi ng legal interest in the property -owner of record;_contract purchaser; _potential buyer;realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner ofrecord, and that said owner is aware and approves of thi s action. I hereby agree to comply with all applicable Codes relating to this permit.Fee Paid $Signature l-la+a - Date SANITATION ON DEPT.- ( ) SPECIAL PIVIT. ARE A. MIN. ELEVATION BUILDING Type of Construction roup -Fire Zone cr.,"""t, Use classif ication !1ini1.um Septic Tank Capacity (Gailons) Drainfield Required - Lineal Feet -t Maximum Depth i B Date:ByPLANNING RE UI REMENTS SATISFIED. B ZONE LANE COUNTY DEPARTMENT OF ENVIRO Date lssuedSETBACKS: F RONT SIDE FACING STR EET (F BOtvt c/INT. SIDE YARD REAR Date: (FROtVI P/L) NMENTAL MANAGEMENT, 125 EAST 8TH AVE.,EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITEBLDG.PERMTT-WHITE; BUtLDtNG_GREEN; PLUMBtNG_CANARy; SANTTATTON_cOLDENROD; OFFtCECOpy_WHtTE c55-1 3 PHONr:ba7-+so+ Partitioning #-.---..--( ) li' trac - (owner, etc.) when ready. Comments: I Date: */76 //zz-2r Job Location Z PcJ, TFIS, TL ( ) Building Permit Acreage or Lot Size ioe .i X 7?,7 7 Partitioning #- ( )ComPleted( ) Pendi APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if diffc CONTRACTOR'S NAME AND ADDRESS INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites Test holes will be ready- Subdivision .<*1 o-/ "'t'R tiTn 6,qp/rtt ; 1-o, 7/ Anc l-P P non"41__QJ_27 11sns7+Q 53 4 ?- hone747 67 z 7 Mail oermit or results of site' .fPrefer to pick up. Call ) from applicant's sibilitystudyto ( )Applicant ( )Owner ( )Contractor(.6e1 when ready.Contractors o. s. # /6328 STRUCTURES NOW ON THE PROPE PROPOSED USE (this perm WATER SUPPLY SEWAGE DISPOSA tng roposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l Address {2zo PLUMBING BY ( ) pRoPERTY tS WITHIN ONE MILE OF CITY 5 L1 '...1.r oFFlcE usE oNLY BELOW THIS LINE *r*r.lr+r.$* .N :ryE Necessa ry vtft SETBACKSJKF acility Permit Necessary ,on r{O t Side Facing street pecial Permit Area. Minimum Elevation ln Side yard /€' Rea, fu /a?N (FROM CENTE LINE OF ROAD) By FROM PROPEBTY LINES) To: Planning/Building Inspector/Sanitaria This applicant appears to have a problem wit Your assistance will be appreciated. Permit Processing Section Response By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394cs5-12 Division -q rRr Dr?oo tu-, *t,*rs FrQ TRS, TL JO il Partitioning # LANE COUNTY PERMIT ( ) Completed SubdivisionAcreage or Lot Size Contractor's O.S. #Lot- Bl APPLICANT'S NAME AND ADDRE qq OWNER'S NAME AND ADDRESS CONTHACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready THIS PERMIT IS FOR ) # B ED ROON4S-# PLUIVIB I NG CON N ECT IONS j SEWAGE DISPOSAL s.l. # Phone- Phon Phone- STRUCTURES NOW ON THE PROPERTY- \I/ATER SUPPLY . THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF'PLUtVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner o{ record; _contract purchaser; - potential buyer; - realtor or agent. I {urther certily that (i{ not the owner) I ain.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 Codes relating to this permit. Fee Paid $Signature Date ( ) NEW ADDRESS ( ) FAC|L|TY PERN/ilT TO TRANSPORTATION DEPT.-() SPECIAL PIVIT. AREA. IVIIN. ELEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction U se Classification Comments: roup -Fire Zone Commentsl B Date: PLANNING REOUIRENIENTS SATISFIED. By: B Date Date lssuedDate rl ZONE:SETBACKS: FRONT srDE FACTNG STREET (FROrVr C/L) rNT. SIDE YARD REAR (FROtVt p/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.pERMTT-WHtrE; BUtLDTNG-GREEN; PLUMBtNG-GANARy; sANtrATloN-coLDENRoD; oFFrcEcopy-wHtrE PHONE: 687-4394 SLAB FLOOR PLUMB ING GROUND^/ORK ApeRov e o Reun nx s D Drsrppnovc, D Dar r I ruspecroe GAS PIPING GROUND/ORK AP PRov E D REua nx s D DrsappRoveo D Dare_I Hsprcron ROUGH PLUMBING Appnovro D Drsappnoveo D Rrxa Rx s Drr e I Nsprcron ROUGH GAS PIPING Appnoveo D DrseppRoveo n REuaRx s Dar r I Ns pe cron FINAL 8,*?/,V APPRov E o Rr uanx s m I NspectoRDr sappnovro Dnr2l- 87_ FINAL GAS PIPING Ap pRov e o REtlanx s D r sapeRoveo Darr I rusprcron CERTIFICATE OF OCCUPANCY Reaov ro lssue Reul Rx s D Nor Rraov ro lssuE D Dore_lrsercroR_ rRS, TL JOB LOCATION Partitioning # LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot- Block- APPLICANT'S NAME AND ADDRE ss Phone_- p Phone-OWNER,S NAME AND ADDRESS PhON CONTRACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready. s.l. # STRUCTURES NOW ON THE PEOPERTY THlsPERlvllTlSFoR#BEDRool\4S-#PLul\4BlNGcoNNECTloNL- l \I/ATER SUPPLY SEWAGE DISPOSA THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certily that the above statemenls are true and accurate, and that I have the following legal interest in the property: -owner oI record; -contract purchaser; - potential blyer; - realtor or agent. I Iurther certify that (if no1 the owner) I am authorized to act for the owner of record, and that said owner is aware and approves of thls action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $-Signatu re ( )NEWADDRESS ( ) FAC|LtTy pERt\4tT TO TRANSPO RTATTON DEPT.- ( ) SPECIAL P[nT. AREA. MTN.ELEVATTON:- SANITATION BU ILD ING Type of Construction -Group -Fire Zone c"n.,n.,"*,' Use classification Comments Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth B Date PLANNING REOUI REMENTS SATISFIED. By: B Date Date lssuedDate ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEI\4ENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITEc55-1 3 Date - I rs pr cton SITE INSPECTION Ap pnov r o Rrunnxs D r s appRoveo FOUNDATION INSPECTION AppRoveo D D r s aepnoveo Dare CIAT E 'a-/ al-<--( I Hsprcton 4, -/-ilk<- Rrurnx s FRAMING INSPECTION Appnov r o Reuanx s D c'orr51 /L'-Jt-D r sappnoveo I xsprcroR LATH OR SHTETROCK ECT I ON Ap pnov e o Rtuanx s Dr sappRoveD Dar I Hsprcton FINAL INSPTCTION Ae pnov E o REltanx s D t sappRovro Dnre I xsptcron CERTIFICATE OF OCCUPANCY Reaov to lssue ReuaRr s , u D Nor Rraov ro ls:suE D Dore_lNspEcroR_