HomeMy WebLinkAboutPermit Building 1977-8-5
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LANE COUNTY PERMIT
PERMIT #
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Acreage or Lot Siz~
Contractor's O.S, #
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APPLICANT'S NAME AND ADDRES" /_A./I r " } '----,'.
OWNER'S NAME AND ADDRES" . Ii
CONTRACTOR'S NAME AND ADDRES"
Mail permit to ({..).Applicant ( ) Owner
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(owner, etc.) when ready,
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. STRUCTURES NOW ON THE PROPERTY ';- 1 j /', ~, I
THIS PERMIT IS FOR (:I'/J!rJ7t, ,C:;;i;n ~~1;r::!' ~~ :~Ms,Lf # PLUM~IN~ CONNECTION~..
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WATER SUPPLY )._,/ ,(.t .1"; & rA.-I SEWAGE DISPOSAl ~ ~/ j' (.r"' ---' S.1. # '
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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 owner is aware and approves of this action, I hereby agree to comply, with all applicable,Codes relating to this permit,
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Fee Paid $ ,..,..--'" Signature' _,_,:,<- '" I, . '[, I... '(,A-' ;' Dat~
) NEW ADDRESS, ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, I SPECIAL PMT. AREA. MIN, ELEVATION:
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SANITATION,_
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
BUILDING
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'I'I Type of Construction .: Group
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F ire Zone
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Comments:
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By:.oC Date: 7.., I. ., '7
PLANNING FiEOlJ)REMENTS SATISFIED, By: // > t::
ZONE: f-I('-~ -f,~ETBACKS~RONT{'/' I/~E FACING STREET.
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LANE COUN'fY DEPARTMEN'f OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUG ENE, OREGON 97401
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Date: -7- / }"7 Date Issued: :__LUa /() .'/'I
(FROM C/L)' INT. SIDE YARD~_/ REAR 1")1 :'(FROM Pill'
PHONE: 687.4394
POST THIS PERMIT ON MAIN Bl:JILDING AT SITE
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BLDG. PERMIT - WHITE; BUILDING ~ GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD: OFFICE COPY - WHITE
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INFORMATION SHEET
) Building Permit
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Acreage or Lot Size /(,tJ U,r(;,,( iI;:; X d<l
Partitioning # ( ) Completed
( ) Pending
APPLICANT'S NAME AND ADDRESS /3)"" - , fil/~,I n n
OWNER'S NAME AND ADDRESS, if differentJ.rom appli~ant'c / 5o.l1l~
CONTRACTOR'S NAME AND ADDRESS ;(-5,;.,;,._ 71,,//TY /2.,7
Mail permit or results of site feasibility study to (0Applicant ( ) Owner (
( ) Prefer to pick up, Call , (owner, etc,) when ready,
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) Site Feasibility Study for Septic Tank, Number of sites
( ) Would like to meet on site, ,Call . (owner, etc.)
Test holes~1I be r!lady
Subdivision,~~
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STRUCTURES NOW ON THE PROPERTY
PROPOSED USE (this permit) ,4),1, ;'OA
WATER SUPPLY '~mh..",j
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SEWAGE DISPOSAl
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(existing or proposed well, etc. If public, name of system)
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PLUMBING BY
(v1PROPERTY IS WITHIN ONE MILE OF CITY ( )
*** **** ******** ** ** ** *** **** ** ********* *** * OFF ICE USE ON L Y BE LOW TH IS LI N E *** **** ** ** ** ** **** ** **** ** **** * * ** ** ** ** **
( ) New Address Necessary
ZONF
) Facility Permit Necessary
SETBACKS: Front Side Facing Street
IF ROM CENTERLINE OF ROADI
) Special Permit Area.
Minimum Elevation:
I nterior Side Yard Rear
(FROM PROPERTY LINES)
To: Planning/Building Inspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated,
By
Permit Processing Section
Response'
C55,12
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th A venue
687-4394
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_!J>TRS:TI.n-':J-3 ,~' .!:', JOB LOCATION /;; ~7 lJ;;f?!I.(J~ {";;!,. ~ G1 ' : " I
~I _'. "I , , LANE COUNTY PER~IT(}uJ~K/U a-f ft Q.;zI'U"7P rn.~{!j;t
l, ACreage~: Lot Si?~~' Partitioning # ( I Completed Subdivision 4o/l~/;t ~t:I'-P _
Contractor's O.S. #' L6t- " Bloc~ /
APPLICANT'S NAME AND ADDRESc:lS,{/,/ /" tJ" Gf h-u_, ~ ~ Phone 7?t - ~CJcfki
OWNER'S NAME AND ADDRI'C:C: t/' II /7 Phone
CONTRACTOR'S NAME AND ADDRESS' (/ Phone
Mail permit to (L.).Applicant ( ) Owner ( ) Contractor. )Prefer to pick up, Call (owner, etc,) when ready.
STRUCTURES NOW ON THE PROPERTY _ S.~ n.. _ r /
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THISPERMITISFOR ./7'.,,,1//'1"7/\ '-Y~f../ 11-' A...;,.P'/i 10 ~ (J #BEDROOMS...::z:#PLUMBINGCONNECTION5-...'.
WATER SUPPL~; brxJ ~-. SEWAGE DISPOSAl 5:;)7.. ~ 3, S,I. # "',
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. TH IS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
.,P,LUMBING BY
Minimum Septic Tank Capacity (Gallons)
Drainfield Required, Lineal Feet
Maximum Depth
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Comments: '{./..J/..;}:';U',..,,-/.44 ",(, "-';c {U!~~~ ;t:,
'/'tGC,'-(~dc- ;iJ.'ct.<-f.d. 710 1U..r:'-': ,,~/~L.':"-4 ;3) ..
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'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 th8'ownerl 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 ,comr;J.^' w.ith all app~j9bl~~(;.des relating to this permit.
Fee Paid $ /)q;; / Signature ~.,:-. i~ <lA, '.hr~ . Dat~
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( ) NEW ADDRESS, ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ( ) SPECIAL PMT, AREA. MIN, ELEVATION:
BUILDING
C; AI Type 9f Construction :z .. '7 Group
.Il. ; _ Ad,. .. Use Classification
(~-..............-,--,-,,--~ ~ '1"
Comments: I
SAN IT AT I 0l:L-
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Fire Zone
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By: ../.7 ~A/, Date: r-'\ 7-.27. '),7 By: CJ/ ~ i-u ~ ~at':: 5i- -)'-"'1 _
PLANNIN.G,I3..EOUJ.REME'NTSSATISFIED, By: ~4fj::C; / Date: ''7",/-7 7 ' 'Date Issued: llU..aJ()-'rl
ZONE: f-f(~ -A /) "' ~ETBAGKS: F~ONT C/) 'rSIDE FACING STREET '(FROM ClLI' INT, SIDE YARD-.)' REA~(')I ((FROM P/L)'
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LANE COI,JN'IYDEPARTMEN'r OF EN\lI'RONMENTAL MANAGEMENT, ,125 EAST'8TH AVE". EUGENE, OREGON 97401
PHONE: 687-4394
C55"13..
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OF;FICE COpy - WHITE
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SLAB FLOOR
PLUMBING GROUNDWORK
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ApPROVED
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DISAPPROVED
Cl ,DATE
REMARKS
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GAS PIPING GROUNDWORK
ApPROVED / J DISAPPROVED C1 DATE
REMARKS
ROUGH PLUMBING
ApPROVED ~,DISAPPROVED Cl .DATE
REMARKS t:? ~~;t
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ROUGH GAS PIPING
ApPROVED C1 01 SAPPROVEO Cl DATE
RE-MARKS
FINAL PLUMB lNG'
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INSPECTOR
INSPECTOR
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?lif/77INSPECTOR Rk.
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INSPECTOR
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ApPROVED / 0 D'SAPPROVED Cl DATE J-/ f-7?' INSPECTOR
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REMARKS
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ApPROV'ED Cl 0 I SAPPROVED /7 DATE
REMARK S
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO IS~UE / / DATE
REMARKS
INSPECTOR
INSPECTOR
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, JOB LOCATION
" '&t- PERMIT #. J7~,C: J//
/171 V' (. CJ ""
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. LANE COUNTY PERMIT ;?
Partitioni~g# ) Completed Subdivision ~/J~-?1. CiY7~
L6t - '7 Block /
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Acreage or Lot Siz~
Contractor's OS #
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( ) Contractor, ) Prefer to pick up, Call /
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.. STRUCTURES NOW ON THE PROPERTY ~~ (). - /' , \-'/
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("-----THIS PERMIT IS FOR ../:'4/'f/-f), ..~/J /7' -~ A..p ",1JJ?ET ~ U # BED ROO MS.:.....L# PLUMBING CONNECTIONJ
WATERSUPPL~.6i,,; b-~ - - . : SEWAGEDISPOSA' ,5.:J7~~3 S,I.# ' _
APPLICANT'S NAME AND ADDRES~
OWNER'S NAME AND ADDR~""
CONTRACTOR'S NAME AND ADDRE?S
Mail permit to (Ll.Applicant ( ) Owner
Phon~
Phono
Phon~
(owner, etc,1 when ready,
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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 followirig\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 fb; the owner of
record, and that said owner is aware and approves of this action, I hereby agree to comPI;,wit~ ),~apPIQble Codes relating to this permit.
Fee Paid ~ ,/}q. ~ / Signaturp -L ,{).~<- {lh. "J.o..t~~ Datp
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'( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ) SPECIAL PMT, AREA, MIN, ELEVATION:
~
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SANITATIOl::4_ j
/. J.., ,'j/ Minimum Septic Tank Capacity (Gallons)
YF'" Drainfield Required ,/Lineal Feet
.
Maximum Depth "
Comments: /Z'if-/'-' '-/. \ ,r , -
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,-By: "..",/)'''~j,//" Date: ("'\7-..2'1:')3 By: C.2/. ~-(... t.,~ C2vLDate: 5i-5"-71
PLANNIN~.RJ:QUJREME'NTSSATISFIED, By: '---.!:::L/#/;f'"; /Date: "7-/-77" Date Issued: lLU_Q./()--rl
ZONE: {l-t(~ -J:.. /\ ~ ~ETB,A~KS: F130NT C/) f/SIDE I;ACING STREET (F'ROM C/U/INT, SIDE YARD--.)/ REAR n/ <<fROM PILl
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LANE CQ~NTY'DEPARTMENT OF EN\YIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401
BUILDING / _ _
~ AI Type of'Construction ..1 - J Group
.4::. I_~/J" ..' _ Use Classification
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Comments: /
.3
Fire Zone
~~
PHONE: 687-4394
C55,13
POST THIS PERMIT ON MAIN BUILD-ING AT SITE
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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SITE INSPECTION
ApPROVEO ~SAPPROVEO
Cl
DATE ~?'.,r/-7'/?NSPECTOR
9a~
REMARKS
FOUNDATION INSPECTION
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ApPROVEO ~I D,SAPPROVEO
REMARKS Q./~ I'JK.
L-I DATE % '2---7-1
~ ~ %'-z.-c/'- 7'7
INSP(CTO~
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FRAMING INSPECTION
ApPROVEO .;~S~PPROVEO
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I I DATEio- ),5-71 INSPECTO~
h~ ~ / - Lx 12. j'~ ~ /JP./__ 7--Z-77 ~
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REMARKS
B,e, ~
LATH OR SHEET~INSPECTION
ApPROVED LLI DISAPPROVED L-I DATE/f=:,/tJ - Z2INSPECTOR.j;2h~
REMARK 5
FINAL INSPECTION
ApPROVED~ DISAPPROVED
I I
DATE
/-1<1.-18" INSPECTOR~
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARKS