HomeMy WebLinkAboutPermit Building 1977-4-6
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, L~NE COUNTY PERMIT
Acreage or Lot Si7a
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'Partitioning #
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_IS PERMIT IS FOR
WATER SUPPLY
APPLICANT'S NAME AND ADDR"""
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESS
Mail permit to ( i).Applicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up. Call,
STRUCTURES NOW ON THE PROPERTY /) J. 1-/
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SEWAGE DISPOSAL
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# PLUMBING CONNECTIONs.....2.
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THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
PLUMBING BY
elmments:
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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) NEW ADDRESS (...) FACILITY PERMIT TO TRANSPORTATION DEPT, I SPECIAL PMT: AREA, MIN, ELEVATION:
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SANITATION' BUILDING
Minimum Septic Tank Capacity (Gallons) ""':., jType of Construction --T" Group
Drainfield Required - Lineal Feet -- . Ilse Classification
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Maximum Depth Comments: .'
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By: ;1. :.. ''L, Date: r:/ t./ 71 By: ~,;.., /. ~,_.' .f
PLANNING REQUIREMENTS SATISFIED. By: \ Date:
ZONE: ;;j .J/ rJ ,L..,!-SETBACKS: FRONT '/, f.~ ISIDE FACING STREET (FROM C/U
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401
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Date Issued:
INT, SIDE YARD 7/REAR 7 I (FROM P/L)
PHONE: 687-4394
C55.13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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HOLD SLIP
APPLICATION # '708'-77
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Name
Address
The above appl1catlon lS belng held by the Permlt Processlng Sectlon for the followlng
reasons
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0o?-bC ~tP1t~#-v~ 7~Ofh
D1V1Slon ,~~ff('1- BtJU-dJ-c.-)-1 C1--:-
Slgnature (;, (! 17~ Date,V4/
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D,v,s,on
Sl gnature
Date
Thls appllcatlon wlll be held untll If the lnformatlon
requlred above has not been fumlshed by that date your appllcatlon wlll be cancelled
Fees pald for waste dlsposal system~ (slte lnspectlons and/or apDl1catlons to lnstall
the septlc tank and dralnfleld) are nonrefundable Some refund may be made on the
bUlldlng and plumblng portlon of your appl1catlon lf cancellatlon lS necessary
In the event a Plannlng or some other long-term problem eXlsts over whlch you have
no control we wlll hold the permlt untll the problem lS resolved and we recelve word
from you as to whether to proceed wlth permlt lssuance or process a cancellatlon
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PERMIT PROCESSING SECTION - 687-4394
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C74-139
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INFORMATION SHEET
) BUilding Permit
) Site Feasibility Study for Septic Tank Number of sites
( ) Would like to meet on site Call (owner, etc )
Acreage or Lot S,ZP Test holes 1!l be reasj.y, .
Partitioning # ( ) comPlete~d SubdivIsion c::; ,-7~1.j-<A r .ffiAr7~ Lot S~Block .::::L-/
( ) Pending ) n
APPLICANT'S NAME AND ADDRESS ! ~ 11 /-:;/?../~ A-~ ~
OWNER'S NAME AND ADDRESS, If different from appllc~;;(" fI
CONTRACTOR'S NAME AND ADDRESS
Mail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor
( ) Prefer to pick up Call (owner, etc ) when ready
STRUCTURES NOW ON THE PROPERTY n}, ,;,.(. ,
PROPOSED USE (thiS permit) ~~ f- ;;;;~o---~
WA TER SUPPLY ~ I ' ~ _ (existing or proposed well, etc If publiC, name of system)
SEWAGE DISPOSAl ~ d,~s9- 7....':) (existing or proposed septic tank, etc) S I #
Phone
Phone
Phone
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PLUMBING BY
Address
) PROPERTY IS WITHIN ONE MILE OF CITY (
*******************************************OFFICE USE ONLY BELOW THIS LINE *******************************************
( ) New f:J~s Necessary ( ) Facility Permit Necessary
ZONE, IrJ /-1- SETBACKS Front Side FaCing Street
(FROM CENTERLINE OF ROADI
) SpeCial Permit Area
MInimum Elevation
Interior Side Yard Rear
(FROM PROPERTY L1NESI
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To Plannlng/~ldlng InspectorlSanltarlan/Surveyor
TbJs.aw1fcant appears to have a problem With
Your assistance Will be appreciated ,/Le t2/[
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Permit Processing Section
Response
C5512
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394
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LANE COUNTY PERMIT
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PERMIT#-:;Oc"--7-;
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JOB LOCATION
Acreage or Lot SI7~
Contractor's 0 S #
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Partitioning #
) Co mp leted
APPLICANT'S NAME AND ADDRES'::
OWNER'S NAME AND ADD RES'::
CONTRACTOR'S NAME AND ADDRESS
Mail permit to ( L).Applicant ( ) Owner
) Contractor (
) Prefer to pick up Call
Phonp
Phonp
Phone
(owner, etc ) when ready
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STRUCTURES NOW ON THE PROPERTY
THIS PERMIT IS FOR "./1.A j:.J/AA r r;t.
WATER SUPPLY_ ..J!-a-L"f2F
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SEWAGE DISPOSAL
# BEDROOM"
# PLUMBING CONNECTION5--
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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 (,f 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 ~ II "" /. Signature //t'. -~";{--s::,.-"'""--"~DatP .-;1, /~ _ //' :;::>
( ) NEW AclDR'ESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT v () SPECIAL PMT~REA MIN ELEVATION
SANITATION
"omments
M,nimum Septic Tank Capacity (Gallons)
Dralnfleld ReqUired Lineal Feet
MaXimum Depth
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BUILDING
_ 5A /Type of Construction -;-r Group
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F Ire Zone
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By I!.m/' Date &/1/-77 By C~/1""'--:i-4 t...... C~~ate // -~ -77
PLANN ING REQui REMENTS SATISFI ED By ()""'" , J.- J7 Date I -' Date Issued 'I-;;? - -; 7
ZONE k.I A- m J..,l.-SE.JBACKS FRONT (de:.. I~D'E FACING STREET (F_ROM C/L) INT SIDE YARD 7 {REAR 7 I (FROM PILI
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401
PHONE 687-4394
C5513
POST THIS PERMIT ON MAIN BUILDING AT SITE
SLOG PERMIT-WHITE BUILDING-GREEN PLUMBING-CANARY SANITATION-GOLDENROD OFFICECQPY-WHITE
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SITE I NSPECTI ON
ApPROVED 0' DISAPPROVED C1
DATE .c;--
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INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED ~ DISAPPROVED ~/ DATE INSPECTOR
REMARKSj%j)/lj...-H'Y rn;d Ir?/;I ~~_' ~- ~"-7.:2. n J
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FRAMING INSPECTION
ApPROVED
In
DISAPPROVEO I I DATE ':;--2-- 77 INSPECTOR ~
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REMARK S Jhu?.L.
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LATH OR SHEETROCK INSPECTION
ApPROVEO ~ DISAPPROVEO ~I DATE
INSPECTOR
REMARKS
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FINAL INSPECTION
ApPROVEO, llZJ 01 SAPPROVEO 17 DATe ~ - .1- - ? 7 INSPECTOR
Qed
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE C1 NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS