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Permit Building 1977-8-9
t:J TR:3, TI.f 8-7<,.-/ /"/.. ") '-../ - (;" n n ,/ , d 05 '3 ~! &und LJOA'j, ..lJ If? H -J - f (". PERMIT # ;;;/d"-,, , .~. < c:: /7 JOB LOCATION \" ' LANE COUNTY PERMIT , -'fi _;fo ; '-. + ,.j It Subdivision'/ -: . Lot ..:5 I .- r ...._i- ,(__ B loc~ c~ , ------ Acreage or Lot Size II,:::)' //_d,/ Contractor's O,S, # , . .. I r"-" APPLICANT'S NAME AND ADD RES" '.....,. 1'1 .r -' i'~ -, OWNER'S NAME AND ADDR""" i' /', ('.( i J/ I .. ./ ' CONTRACTOR'S NAME AND ADDR""" --. j.1 / , , Mail permit to (L-)-A'pplicant ( ) Owner (/) Contract~r: ( Partitioning # ) Completed ;? /It/ , { .....-.... "1'-' -...... . ~ -,' '/ ,. ,;.. ,".t... .,f "1'/ .,' / ...' ,. '(. ; -,-", I ..... .J-, ) Prefer to pick up, Call Phone Phon~ Phon~ (owner, etc.) when ready, # BEDROOMS ;2,.# PLUMBING CONNECTION5--:' '-, .- '" f '7' I_,r! <:, /, , STRUCTURES NOW ON THE PROPERTY - '~HIS PERMIT IS FOR '1lfJ~~~_) , . ~ 61-/ ..,. ." r;';-; -r .' h ,; WAT,\,R SUPPLY SEWAGE DISPOSAl / THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF, .~ , PLUMBING BY - S,I. # ~' 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 " " r~Gord, a~~ that ;;aid o,wJ-er, i,s"aware and approves of this action. I hereby agree to com~lv. with all a,~plic~bl~ Codes relating to this p;.;mit. Co ' Fee Paid $ -<.)/ ~ /.f/J, Signature .' < ',4 ? (,' ::':..' .-':'..')......1 ,.It',,,, Date v..Uo '/. 77_. ( )NEW ADDRESS' (-) FACILITY PERMIT TO TRANSPORTATION DEPT. d...'(SPECllL PMT, A~EA, MIN, ELEVAr10N: 41!/r.7 "-={'" By: ~...,~i'/. "'_ ....,~~ /_~.. ,/<.~" l' .... Date: .-.//. )-, Date Issued:,';ll '" -;:.c."17 (FROM C/U INT. SIDE YARD -, REAR7' (FROM Pill ." SANITATION ',30 1'20 .3b" BUILDING Type of Construction "se Classification Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth / .- "-7a.v /-.l...:~'"I. . .<.""{..;-.,.~ .:.L' r, roup Comments: r:omments: ",."t- ~. ; '. .....,!. ,- " _ 1.'0 '-"''''-' .;-. By:_ .' Date: .:'-/....-, ::>--.- PLANNING, REQUIREMENTS SATISFIED, By: . y;~ ,', _ t-. ZONE: 1/ ..-l.....rn J.I. ~ETBACKS: FRO~ /1 SIDE FACING STREET Date: Fire Zone !:-'. ::>.-K. -:7'7 LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 , " POST THIS PERMIT ON MAIN BUILDING AT SITE C55.,3 , BLDG. PERMIT - WHITE: BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD: OFFICE COPY - WHITE _/rr- \, PHONE: 687-43\ 'TRS, TI 1'(5 -3 - i 1.1,:J, Written Directions #'&60 Job Location .9i I-BE.r:2-1' Ge6Vc, :205.3 1i/V'!t)LJ r:..t.A--ci, ' ,_fJJJ 'fffi:::? ZgS-~?) ~Uo ~ ll-c. f10M..f.:. t-A 12.,(.. ) . , INFORMATION SHEET D<J Building Permit Acreage or Lot Size 1/.;) I ~I /'1~ Partitioning # ( ) Completed ( ) Pendi ng APPLICANT'S NAME AND ADDRESS~.c .9nVGi?-/)?, "i'?L.Y' 4/1.;;1/>1$1 -!j;riJ1fht'J./~.. OWNER'S NAME AND ADDR ESS, if different from ap~u.cant s f.J'!+'n~,-j // J/,J, !U " / CONTRACTOR'S NAME AND ADDRESS"-jYU ",1P')?,c.ld _40,"/'1/1 L, U?rJ-:>-U'~V Mail permit or results of site feasibility study to' t><~pplicant ( ,) Owner ( ) Contractor. ) Prefer to pick up, Call (owri'er, etc.) when ready, ) Site Fea'sibility Study for Septic Tank, Number of sites Test holes will be ready SubdivisionN/b!vf Grove, &-0 add.A,hOI7) - ..- Lot ~f Block ;;L Phone Phone Phone 7</??;;;-yL, Contractors O. S. # STRUCTURES NOW ON THE PROPERTY n I) Y1 P -I;Jrc , jj I',pC1r(VTn"i .:2-. PROPOSED USE (this permit) /I:1t)h;"/~ h/Jt'J:1.p. ,- WATER SUPPLY 6tJ1f7!hild al-;~u/~S .7 SEWAGE DISPOSAL SP/1i;.... 72L/Jk <,).>1-f2VOPt"tlf PLUMB ING BY c-~"",h, U)";LP. t! ,(existing or proposed well, etc, If public, name of system) .J1781..-1f[xisting or proposed septic tank, etc,) S,I. '= Address , . ) PROPERTY IS WITHIN ONE MILE OF CITY { ... ** ** ** **** ****.... *****.. ** *** ** -II- **** ** ** * **.. 0 FF ICE USE ON L Y BELOW TH IS LI N E **.. -IH-"" ** * *** iHt.... ** ** ** ~...... **.... ** ** -<I- * "'.....*..... ( ) New Address Necessary ( ) F aci I ity Permit Necessary' "'ON E fff- /11 fl.,:>. SETBACKS: Front ~6 -t- Side F~cing Street . . . (FROM CENTERLINE OF ROAD) ) Special Permit Area, Minimum Elevation: c;-- Interior Side Yard Rear fi!I!!1'7/ IFROM PROPERTY L1NESI ?ttg To: Planni nglBui Iding Inspector ISan itarianlSurveyor, This applicant appears to have a problem with Your assistance will be appreciated. By , Permit Processing Section Responsw . C55-12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 Division 'C.'. '::.!i }! " , '-,'; .;,..~V '--. ~ ' ,~:>'\li\, . 0- ;r..RS T' 'J rl- :<"-11 _} :J " ' , (~n () J08 LOCATION, ,/ . CJOS '3 ~ ({) /l~ tt)a..t..L (/ llli# ;J;)%5- 77 J.~j.;.p , '(/ 1 LANE COUNTY PERMIT , s-cl...r 1/. Acreage or Lot Si?~ //[) .!// -/] I Partitioning # ( ) Completed SUbdivision0.....1 Ju t:. ){,I/2i['(~ Contractor's O,S. # ,-- / _, Lot; ,5/ Blocl-- cS:l..- APPLICANT'S NAME AND ADDRF"" ~j,'^--J f:, ".--lLA (k~ 39/4' l-.l:/L.<-d-.rn~:s,f: S.lJk{ Phon~ 7y'7-3::Y-!i, OWNER'S NAME AND ADDRES' rlj rJ /), d ~t7 1'1f h M ,_ T (7 ". (J .' '1 \" , 'Phonp \ CONTRACTOR'S NAME AND ADDRESS -<.'.I../-f)- n) ./....t- .' j Phonp Mail permit to (t...)-/1;pj5licant ( ) Owner ,"')'Contractor.' ( .) 'Prefer to pick up, Call_ (owner, etc.) when ready, ,,\ I ~ A' ~ SEWAGE DISPOSAl # BEDROOM" -::2..# PLUMBING CONNECTIONL '"2.I'J5< I-?S - - -. ~. -- S.1. # , 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 purc,haser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of record, and thadaid,owner. is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit, Fee Paid $ dI~ dn Signature ,YJ};/JhL A12A.../~..p, 0atp t2't.4 7-77 ,.... I~ /'J/, I /J / ( ) NEW ADDRESS J' ) FACILITY PERMIT TO TRANSPORTATION DEPT, VV) SPECIAL PMT, ~REA, MIN, ELEVATION: .t,k/~ 00 SANITATION BUILDING " "j Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth tJ 17 ~omments: :;;'f)5 A~ ~ ~M a......#. C1.j)fY-~,~.._J' t.-J~ ~~~..,. _:;0;; -7J~ ~ /'I(.!I.r:.[J!v ~ 10'-4;.... ~,/!J, 1~/7''- ",' I' }' ,./[. /) f /-. .~tW 1_.',"- ~;r.J.tt.~~r ~ 7-Vr....' ..:.,) '\.:-1'.' . ,<. /~ " " . ,"t.h_vt ,~~1 ~--y-"-"'"\- ._~.~-e..:- ,'....Lt!l"~I.~~.....L ~. ,.c.~A41~ By: .,Y'/, ~~ Date: /'~-/~' 77' ~y: a,q-__ /"'" G.fr/ Date: P_'Z..1L_?7' . PLANNING_REQUIREM,ENTS SATISFIED, By: ~n-l'T: f/ Date: ;('-j()- 77" Date Issu,ed:CLu..6 2-5.77- ZONE: ,(/A...IYJ!-tSETBACKS: FRONT".:/, SIDE FACING STREET (FROM1C/U INT,SIDEYARD,")'REAR7" (FROMF?/L):; ""(~C PHONE: 687-4394 I.!' -.. _ Type of Construction I'se Classification Gioup Fire Zone '''1,' , Comments: " ; " , " " LANE COUNTY DEPARTME,NT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 C55-13 POST THIS PERMIT ON MAIN BUILqlNG AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION,- GOLDEN~ROD; OFFICE COPY - WHITE SLAB FLOOR ,- PLUMB I NG GROUN[);IORK ': " ApPROVED' / / OISAPPROY~O .L:::7 DATE REMto.RKS 'I NSPECTOR GAS PIPINGGROUN[);IORK !, ApPROVED'" I ,/ DISAPPROVED .j / DATE INSPECTOR REMARKS ROUGH PLUMB I ~G ApPROVED /7. DISAPPROVED L:::7 DATE' -I NSPECTOR REMARKS ROUGH GAS PIPING \ ApPROVED L:::7 DI5APPRO,VEO',C! DATE INSPECTOR REMARKS FINAL PLUMBING REMARKS fEf" D,SAPPROVEO CJ DATE /&/.i/97 I' I 1'" ~ d-A 9;1 :J.!1/ &'7 ('.A-V/;' :~IT~_ Zr i~:~~ I! ' , ~. ,l~ .~ ~t ~; I NSPECTOR tiP ~" AJ/J., ApPROVED J</A ~~.~~ I.l)f ,~ . ~. " , 't. , FINAL GAS PIPING ApPROVED L:::7 DISAPPROVED / / DATE , INSPECTOR REMARKS CERTIFICATE' OF OCCUPANCY R~ADY TO ISSUE / ;. NOT READY TO ISSUE /, / DATE "I NSPECTOR REMARKS " ,\)J . 0- , , .. ~, \t'Rs"ff~,.1 'K-=<,-/ / -I ~ ) , l -. - (- /") () JOB LOCATION , 111 If o(~_ 7 ~' PERMIT # ;}d{L~ J 8os'3 0,!y, I/J/'Idl u fu.d. ~ tl ' (/ LANE COUNTY PERMIT , S-C,[.-r II Acreage or LotSi7~ II-/') II" I fJ.! Partitioning # ( ) Completed Subdivision ""..7" ,..L.l tlve t.: ~~~ Contractor's O.S. # .- ,n Lot ..5'/ Block.., a-. APPLICANT'S NAME AND ADDRESS ~L* ~ F. d...aA t1c2u.t7_ 39//1' ,{];./U....4f)r.. sf: S/24d: Phone 7sJ7- 3;Y!b OWNER'S NAME AND ADDRESS ~,)IJ/J.PAl ~l/Ir>-,. ~' t7 ,. (I. " Phon~ CONTRACTOR'S NAME AND ADDR~"~' '-<.:/)L-tJ- rY7 ./J..' Phone -r-i" - . ~ ~ ., . Mail permit to (L..)-Applicant ( ) Owner { i)-Contractor, ( ) Prefer to pick up. Call (owner, etc,) when ready, . -' '.-; r SEWAGE DISPOSAl # BEDROOMS 2# PLUM'BING CONNECTION5-- '7,n9/-'7.S - ___ . . -. T ..... ,. S,I. # , 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 owner is aware and approves of this action, I hereby agree to comply with all al?Rlicable, Codes relating to this permit. Fee pa'id <l: .c.l/,.. /~n ' Signature YJ;b/)hZ ~..Aw Date a~<:7 7~,77 I..... /~ /I/: ..7. /I / ( ) NEW ADDRESS ( ) FACILITY PERMIT TQ TRANSPORTATION DEPT. Vv) SPECIAL PMT, A'REA. MIN, ELEVATION: ,~q, CO SANITATION BUILDING , Type of Construct'ion Ilse Classification Group _ Fire Zone ~,,) Minimum Septic Tank Capacity (Gallons) ..~.~ Drainfield Required, Lineal Feet .. '1;- ,. , Maximum Depth eJomments: 5,05..L.cv k~ /~&p a-f/ c.~ ~ ~f-.30fl-7d-: ~ NA'U[e......, ~L- IO'f...e.... Air jW<lfi tf" ~, Ik W'r- tJ. . . d /J.' . "'CU<<. ~ftct!-cd,- '{.<-4<"',;/,"Y;U I.~(.. <t. /.~~ By: //. ~__ Date: ........J?-/..f'" 77 By: a'~_ /~ Ch,,./ Date: O_'Z-!L_"77 ~PLANNING_REQUIREM,EN'rSSATISFIED. By: '--.I4./J'l.fJr: ? Date: 5(-/()-7"'7 v Date Issued:()u,e; ~-j'7 ZONE: t/ JLm ,l,tSETBACKS: FRONT /.../, SIDE FACING STREET (FROM':C/U INT, SIDE YARD,"')' R5.,AR7 I (FROM F:/U '. ?/O.f.... LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 Comments: .--r ' ./- ~. I -;; _- -._-" ff i " POST TH'S PERMIT ON MAIN BUILD'NG AT S'TE C55-13 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE A<~;'i:{c I";.<J(:',\ ", . ; t',r t.. '.. 1;' oJ}, " ", ."'"... . ....-. ~,,;~ ~Q;~C';;~; , "~"" ... SITE INSPECTION ApPROVED Cl CJ D~TE INSPECTOR DISAPPROVED .~~~;: ~ "i")..:.. .;J.};."'~-'~. , :l1. ,. 1 Wit.",; " It:~:. ' "~;~t:-~. '.' REMARKS FOUNDATION'INSPECTION .' 'j." '. ApPROVEO 1-1 D'SAPPRqVEO 1-/ DATE . INSPECTOR i:' .J:."-. I REMARKS ,', , - .~'~i " ,)..: ~/, '..h ~ t, .'. .;' " FRAMING INSPECTION ApPROVED /. I DISAPPROVED /7 DATE REMARKS . LATH OR SHEETROCK INSPECTION " ApPROVED 1-1 DISAPPROVED ~ DATE ". , 'REM~RKS ':{ ~ INSPECTOR INSPECTOR . " ~... .: ,~ , ;.}~ "~l :. :%:;.::.,-"{ J~"';' :....-,-'. "d;': '~~";' .;1-;'. ";~f. ", ~1 '" :~~:~;' ~"; ;1". :,~.... ...~. - '....' ':~:F I NAL INSPECTION '" :~:~,1' ~PPROVEO,' ~APPROVEO .:'- I / DATE ~- 5 -7 '/lNSPECTOR !{,Z/< , v 1',.,' ",:, R['~ARKS . .~. , ~' '\:;',.. ~. '-,: ~ -'-.,,' ',,\ " " CERTIFICATE.OF OCCUPANCY .- \ '-".' 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