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Home My WebLink AboutPermit Building 1977-02-16\x TRS, T PERMIT # JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor,s O.S. # Partition ing APPLICANT'S NAME AND ADDRE OWNER'S NANNE AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner () Contractor. ( ') Prefer to P ick up. Call ) Completed Subdivision Lot--Blo ak ('Phone_.-- Phone Phone (owner, etc.) when readY IRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FO Fee Paid g # BEDROOMS i + PLUMEING CONNECTIONS SEWAGE DISPOSAL S.I. # WATER SUPPLY DateSignature YPERIVIITToTRANSPoRTATIoNDEPT.-() SPECIAL PIVIT. AREA lVIlN. ELEVATION: - ( )NEWADDRESS ( )FAclLlr SANITATION Comments Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BU ILD ING Type of Construction c"n.',,"",-...,., Use classification -Group -Fire Zone DateBy:'Date PLANN I NG REOUIREIVIE SATISFIED. B B Date Date lssued (FRON/I C/L)INT. StDE YARD REAR (FRON/I P/L) ZON E SETBACKS: FRONT SIDE FACING STREET LAN E COUNTy DEpARTtVtENT OF ENVI RONIVIENTAL IVIANAG EIVIENT,125 EAST BTH AVE., EUGENE, oREGoN 974o1 PHoNE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATIoN - GOLOENROD; oFFlcE COPY - WHITE2 THIS PROPERTY IS WITHIN ONE NNILE OF THE CITY OF 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; 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 of this action. I herebY agree to comPlY with all apPlicab le Codes relating to this Permit.ll PERIVIIT # TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partition ing OWNER'S NAIVIE AND ADDRE lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call ) Completed Subdivision Lot- Block- APPLICANT.S NAME AND ADDRESS Phone - CONTBACTOB'S NAI\4E AND ADDRESS Phone-Phon (owner, etc.) when ready TRUfiURES NOW ON THE PROPERTY THlsPEBl\i]lTlSFoR#BEDRoo[/]S-#PLUlv]BlNGcoNNEcTloNs- WATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUIVlBlNGBY 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 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 of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $Signatu re Date NEWADDRESS FACILITY PEBM IT TO T RANSPOBTATION DEPT.- () SPECIAL PIV]T. AREA. MIN.ELEVATION:- SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date BUILDING Type of Construction Use Classification Comments: By Comments: By: roup Date ire Zone PLANN ING REOUI REIVIENTS 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 IVIANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG. pERMrr-wHtrE; BUtLDtNG-GREEN; pLUMBTNG-GANARy; sANtrATroN-GoLDENRoD; oFFrcEcoplz-wHrrE PHONE:687-4394 ) SLAB FLOOR PLUMB ING GROUNU^/ORK AP PROV E O i- Dtsapenovro /'-i Drr e I Hs pr ctoR ReMrRx s GAS P lP I NG GROUND^/ORK Ap pRov e o ReulRx s / / DrsrppRovEo fr Dar E I ruspecron ROUGH PLUMBING APPRoVED @ DrsappRoveo RruaRxs Dare 3- ?,o^-.d)-^Z*&).7t lrspe c ROUGH GAS PIPING AP PRoV E D Reuenxs D DrsappRovro 1l Drr e | rusercron F I NAL PLUMB I NG _a-APpRovEo XL DrsappRoveo ReuaRxs oorrgaT- )L lHspecron { t. FINAL GAS PIPING AppRoveo Rruanxs D DrsappRove o fr Dare I NspEcron CERTIFICATE OF OCCUPANCY Rreoy ro lssue ReuaRx s D Nor Rraoy ro lssue D Dare luspecron PERMIT # TRS,JOB LOCATIO Acreage or Lot Size- Partitioning Contractor's O.S. # APPLICANT'S NAME AND ADDRE LANE COUNTY PERMIT ) Completed Subdivision Lot-Block OWNER'S NAME AND ADDRESS Phone Phon CONTRACTOR'S NAIVIE AND ADDRE Phone- Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call lowner, etc.) when ready -TRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FOR WATER SUPPLY SEWAGE DISPOSAL # BED ROON/S-# PLUIVIB I NG CON NECTIONS s.t. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEclTYoF.PLUNnBlNGBY I hereby ceftify that the above statements are true and accurate, and that I have the lollowing legal interest in the property: -owner o{ record; -contract purchaser; - potential buyer; - realtor or agent, I {urther certily that (if 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 $-Signature Date( )NEwADDRESS { } FAcrLrry pEBMtr ro TRANSPoBTATToN DEpr.- ( } spEcrA L pr\4T. AREA. 14rN. ELEVATToN:- SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Type of Construction se Classification Comments roup ire Zone B B Date PLANNING REOUIREIVIE NTS SATISFIED. B Date Date lssued / c55-13 LAN E COUNTY D EPARTI\iIENT OF ENVIRONMENTAL MANAG EMENT, 125 EAST 8TH AVE., EUG ENE, O REGON 97401 PHON E: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHTTE; BUtLDtNG - GREEN; PLUMBtNG - CANARy; SANTTATTON - GOLDENROD; OFFTCE COp\/ - WHTTE r L Comments: ZONE:SETBACKS: FRONT SIDE FACING STREET ROIVI INT. SIDE YARD REAR (FROIVI P/L) SITE INSPECTION AP PRov E o REMlnx s D r sAPPRovEo Dare I Hseeclon t FOUNDATION I NSPECTION AppRovEo DTSAPPRovED Drr e I ruspecroR Rrnlnxs FRAMING INSPECTION/r) ---i-JAPPRovEo I-Al DrsappnovEo/ -- '-', DrrE ?- l/' lnsercroR Reuanx s LATH OR SHE I NSPECT I ON Dr sappRoveo 'i DDare?I.'I NSPEcToRAp pnov E o RrMaax s FINAL INSPECTION Ap pnov E o ReMlnx s Drsappnoveo Dar E NSPECTOR CERTIFICATE OF OCCUPANCY Reaov ro lssuE ReurRx s Nor Rraov ro lssuE Drr e I NSPEcToR D D /)/,/tl r A/F. d D ''//agoo (-a 8-72 Job Location a --)T4 TRS, TL ( ) euilding Permit INFORMATION SHEET ) Site Feasibility Study for Septic Tank. Number of sites- )Would I ke to meet on site. Call (owner, etc.) will vAcreage or Lot Size h Partitioning #- ( )Completed( )Pending APPLICANT'S NAIVIE AND ADDRESS OWNER'S NAIVIE AND ADDRESS, if different from applicant's CONTRACTOR'S NAME AND ADDRESS jail permi t or results of site feasibil 1 r-fPrefer to pick up. Call ity stud-/- _3 to ( )Applicant ( )Owner ( )Contractor. owner, etc. ) when readya STRUCTURES NOW ON THE PROPER Su on BI Phone tZ4z-3677 Phone- Phone- t' 4PROPOSED USE (this permit) WATER SUPPLY 7t )r tlo *, e {l e l,)orl , "(existing or proposed well,lf pu blic, name of system) (existing or proposed septic tank, etc.) S.l 4SEWAGE DISPOSA J,i PLUMBING BY Address **l*r** oFFtcE usE oNLY BELOW THtS LINE *******r**+r* 1)New Necessa ry zON ( ) Facility Permit Necessary SETBACKS: Front ( ) Special Permit Area. lVlinimum Elevation lnterior Side Yard Rear (FROM PBOPERTY LINES) Side Facing Street (FROM CENTERLINE OF ROAD) To: Planning/Building lnspector/Sanitarian/Surueyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Respon By DEPARTIVI ENT O F E NV I RON MENTAL IUANAG EIVI ENT Permit Processi ng Section 125 East 8th Avenue 687-4394 Division I c55-12 tg- ).L Lot Jtt) r,AAOzza c,(U ( 4 PRoPERTY rS wlrHrN oNE MILE oF clTY 1 5f n nq17-// 1 (