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HomeMy WebLinkAboutPermit Building 1977-6-2 &',\ ' ..:/,i" >" , '" I \ ~I':f '. '~- ", 1?--'/." -' "- /-(1' <- , .() '7 , .J TRS, '>' IF) - .. j~ , . I II. d.J. :tI' r; eo JOB LOCATION dJ(? ::;3 /(1:' .., , PERMIT # <.../- f ,.'"._ / ._'" . C\ f,-;, I j: ,If /J ('I ...' (..I.~' f ~-' .r- ct' ::;. cJ.. .5;' fi' r- 1.(\ ' S bd' , . .I d J '...... ~ (' U IVISlon . 0,. ~'"\.,.. I'" _--" Lot ::.> / Bloc~.",.2. </ LANE COUNTY PERMIT Acreage or Lot Si7~ Partitioning # Contractor's O.S, # , APPLICANT'S NAME AND ADD RF"'<: Fa}) :':"/1-0.,'1.' OWNER'S NAME AND ADDRES<; '.,i.P/.i" ,- .;... . :~-dN'_ , CONTRACTOR'S NAME AND ADDRES<: 7:/" h (!:.. fl.f-r-. r--- ( , r'.4:Y /"-:r.';.! h Mail permit to ( ) Applicant ( ) Owner (-)-<30ntractor. ( ) Prefer to pick up, Call I'n ~ --- ) Completed ;--I..('c, ,7 V Phon~ Phon&:> ~ / .....- Ph~n~ L//,'V-ff'/ /...___ (owner, etc.) when ready,~ :?' STRUCTURES NOW ON THE PROPERTY , '- .' 7/ .?!!;' .... ~ # BEDROOM<; SEWAGE DISPOSAL-::V'? j- 1~ # PLUMBING CONNECTION5-- THIS PERMIT IS FOR 'j'F..' <~ /,,0./ . , / I ./ ~ ,-':) " ~., WATERSUPPLY ,.:/ '".(''/ S.1. # --- ,. THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY .' 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 owneris aware and approves of this action, I hereby agree to comply with all applicable Codes relating to this permit. ,,} CI ~ II .' /"...,:_ '" _ -< - "7 7 Fee Paid $ r:J' .',. c 7 Signature ./' - / /'- ~ D Dat~ - ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT ( ) SPECIAL PMT. AREA, MIN. ELEVATION: SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth BUILDING I,. Type of Construction ' .' .'Ise Classification Group ; Fire Zone, Comments: J Comments: . " n('" , '''. I /, " , By: H.VV Date: l -,.:' j] By: ''-./.., \.., :', .. Date: . '- ,,'f, ~ 7:/ - - PLANNING REQUIREMENTS SATISFIED, By:. ,,:',?, Date: '," Date Issued: 7-p({;-77 ZONE: k' n f iJ J..f SETBACKS:/FRONT '~~SIDE FACING STREET (FROM C/Ll (NT, SIDE YARD ~ 'REAR---I ' (FROM P/L) ,LANE COUNTY DEPARfM'E~tr OF/EN'\/IFfo;'N~E'NT L: T, 125 ~ST --rif A-SE.~/EUGENE, ORE'GON 97401 PHONE: 687-4394 ,'r ./., ..'/ i POST THIS PERdT ON MAIN BUILDING AT SITE ,', C55,,3 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE \ t'\ - ~ /~~1V l /t'%S,TI /R-:)- J I d. J. Acreage or Lot Size Contractor's O,S. # APPLICANT'S NAME AND ADDRESC; EfJm a72<1:l" OWNER'S NAME AND ADDRES<; LJ;J-hA; 5.0....1... ,;71..117 _ _ ~ CONTRACTOR'S NAME AND ADDRF<:'i: 'f'./n-, LlA1A.-r~ ;v.O ~ /OfJd2 b Mail permit,to ( ) Applicant ( ) Owner (-).Gontractor. ( ) Prefer.to'~ick up, Call "(,.1 STRUCTURES NOW ON THE PROPERTY In ~i:" '. '.&r THIS PERMIT IS FOR at1/? 0 rkCJ./ 516 ,c}// /10 l/' ,vATER SUPPLY f'Z....~./ Partition i ng # - ~ ( ) Completed \ PERMI" # ;(/:;2 7- / I . dJoS3 tt iln1CM'LdJ ;;)(j)A;f' ~;>,<'ct: 0'- ' ~ SUb~~~~ Lot ~L) / Bloc~ ~ - / 10 ,1 /J JOB LOCATION " LANE COUNTY PERMIT c,..:~qc:t /'/ V Phonp Phonp Phonp (owner, etc.) when ready, ~2IC/~ 11-91 .' ,\ /'. , # BEDROOMS_# PLUMBING CONNECTION5-- , .' SEWAGE DISPOSAI1"3o~/-16 S.L # , THIS PROPERTY IS WITHIN ONE MILEOF THE CITY OF 'PLU!tIBING BY I hereby certify that the above statements are true and accurate, and that I have the fOI,I~"'i!Ji~'-;;;gal interest in the property: _owner of record; <;qntract purchaser; _ potential buyer; _ realtor or agent. I further certify,that (if not the owner) I am authorized to act for the owner of record7and that said owner/is aware and approves of this action, I hereby agree to comPly ~ith all applicable Codes relating to this permit, Fee Paid <l: ri,f., 8'1 Signatu're IY ~ ~ A7f""l D Date {' - -2 - 7 ? I I . ~. --- .... ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTA~EPT. ( ) SPECIAL PMT. AREA, MIN, ELEVATION: SANITATION - ", ~i" BUILDING Minimum Septic Tank Capacity (Gall ns), \~ -~ t.J Type of Construction -:r- Group ,1' Fire Zone Drainfield Requi'red ' Lineal Feet 'j' ~':" /" ~ _ _ _ A -~Use Classification . . /1./ ~----- v",; MaXimum Depth ;' ;;:)'-0.1' , Comments: , , " Comments: I OK. ~i ( !\)fA < i 8y: f?6vt,-, Date: 1- U-i~ 8y: Ck~ / i~ r;A~Date: 1- U, - J7 PLANNINQ REQUIREMENTS SATISFIEEl, BLd~,-", ~./A/.4';r',v Date: "7-..:2.L-?..-f - Date Issued: 7...:- ;;2-b-77- ZONE: Jelf r.n ).IS~TBAC~/.FRQN:r 0(0~ SIDE FAClNG STREET (FROM C/LI INT, SIDE YARD .5fREAR"'7 / (FROM P/L) LANE COUNTY DEPARTM1:;';T":.OF'~ri~\iOI1ME$..:r~~~,.:0 Z.t.:F-8J!i, ~V~~GENE, OREGON 97401 PHONE: 6874394 ,7 V 77- /7 'I ~,e.-<<t J- '1-7.7 POSTf'HIS PERMIT ON M'5!N BUILDING AT SITE C55-13 Y I~LDG. PERMIT - WHlTE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE ,. ~ r"'- I' .'<.. ..fh , " SITE' I NSPECT I ON ApPROVED ~ OISAPPRDVED ~ R[MARKS FOUNDATION INSPECTION ApPRDVED ~'SAPPRDVED L-I REMARKS~A/) ~t 1'Jk-' FRAMING INSPECTION I" ~ DIS~PPROVEO 17 ApPROVE~ REMARKS LATH OR SHEETRQCK INSPECTION DATE, f -1t.-77 ~ INSPECTOR , DATE 7- /(.- VINSPECTOR ~ b ~ ~/h-77 O~ 4 v DATE 9=- Ie. - 77 I NSPECTOR ~ rR- , ApPROVED / . / DISAPPROVED II DATE INSPECTOR REMARKS ',I/J~ FINAL INSPECTION ApPROVED ~'IS~PPROVED / I REMARK 5 CERTIFICATE OF OCCUPANCY DATE '9-/t:. -71 INSPECTOR~ {/' READY TO ISSUE 17 NOT READY TO ISSUE ~ DATE REMARKS " INSPECTOR ," 'J ,- .> " (. , \ ( \ . I \ .'," '\ ; ; ('. ~.,': ( : .~ L::U.JtJ. SHAu,I!a 'l1,..:'.'t""1. C;PAOf& sptclErOR TJI1!SSSP.u.GASNOTtDIELO'to" (!lol;I~I.U'Um~ be mtnttl1fledwbere.fkmooP'iJ b.~) . =-1;..OlD\DSS S!:..STI'...\ SEL.STl. DNS. No 1 I No I ID~. No 2 )0/0.2 CONST. Sll..11L f ND. 1 ... 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Number of sites ( ) Would like to meet on site, Call , (owner, etc,) , , ~oles will be r~agy , A , ) Completed Sul)d1{,isi~~ d~ f~ ) Pending t:I.M CONSTRUCTION CO. APPLICANT'S NAME AND ADDRES<: \] P. 0, BOX 10026 OWNER'S NAME AND ADDRESS, if different frQlll <wplicant'< L ~u~~,,~, U"VI4U' ~ .$:.'~' u ...~. '" CONTRACTOR'S NAME AND ADDRESS ~ ~~. ,/;-,- Mail permit or results of site feasibility study to ( ) Applicant ( ) Owner {k1 Contractor. ( ) Prefer to pick up. Call ,( owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY A/r> /1/'<2.. PROPOSED USE (this permit) ".17// I t/ -1- 7' ~ pag/...;C . TRS,'T' /J?- ] II. . 2. " ') Building Permit , Acreage or Lot Siz~ Partitioning # WATER SUPPLY SEWAGE DISPOSAl PLUMBING BY ( do !tj~ 2- - 77 ~r-<'o" 20':;-] ./'/1/.c /l /ld CJ/'io,. Job Location INFORMATION SHEET Lot S-:1.. Block ? Pho n~ 4?)> ~ -,f' 9'1' Phon~ Phone~u> -//9.9 /V1# ;Z!:;. JrJ,.j> I - >,j =5 57 S- G --"I- V' A q---Q '" (existing or proposed well, etc. If public, name of system) I~visting or proposed septic tank, etc,) S,I. <# Address ,( ) PROPERTY IS WITHIN ONE MILE OF CITY ( *** ** ********** ******** ***** ******* ** ****** 0 FF ICE USE ON L Y BE LOW TH IS Ll N E *** **** *** *** ** '* *~* ** **** * * **** ** ** ** ** ** ** ( ) Ne"Jfo/!!;ss N~~ry ( ) Facility Permit Ne'cessary ZONE~ m; I SETBACKS: Front ' Side Facing Street , IF ROM CENTERLINE OF ROAD) ) Special 'Permit Area, Minimum Elevation: Interior Side Yard Rear (FROM PROPERTY LINES) M)/ PlanninglBuilding InspectorlSanitarianlSurveyor. .// ~ Il /7 This applicant appears to have a problem with (U A ~ /1/ Your assistance will be appreciated. ' To: Response' \\:, \~ \...JL '0-.. .\' \. --\"'~ C55"~Q.C\ (OC~~ Uo.v'C' ,,'\~ tl Permit Processing Section By By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East Bth Avenue 687-4394 f)ivision '" " ., . ~ ...., .,>..'. 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