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Home My WebLink AboutPermit Building 1978-5-3 /.1- j'-/t/- I?C:7-".) TRS, Tit /. 7 - O;'t_S / , 'J I ~ /9 .rl"--A/ ",~"')1/,-:;1 // ,~.....~...~(.-'" ~, '-- / ': , '(/' " . p'" :.. JOB LOCATION "I . ~ ~ .f,'l' I "'''.;.P/I~ ... /;/ I' ,,', . /.;1' ,- I'.';, .,. ~/ I''''..... -j .. (--.;.. '.... :';;-""; LANE COUNTY PERMIT S. jV'lf P ,., IrA. ( ) C IdS bd' . , /y /1 Acreage ar Lat 1'0 ~ -., artltlanmg # amp ete u IVISlan Cantractar'sO.S. # ,:7'/':;"(/ ,1 /'] , y' V Lo! ",.Blac~ ,}<<J:-{..yul fV~.4,,~.-('____ "-?#7C-"}:" ,/C/; d "":;:?~4 ~ ~?t?-?'~e-. c:/7 /' - Y/-.1'f!'" APPLlCANT'SNAMEANDADDREC;C:::>"'. ~-"-"', I? ,.,__'T j( u ,/'~' /. Phano' OWNER'S NAME AND ADDRESC:: 'A //;~},-, ~iif,~-'~-:'~, v'<oJ / ,{."-e" ="/,<-''' '-:C\... ,-..,.-v.....;'." Phanp CONTRACTOR'S NAME AND ADDRi=c::c::,-',P/,/v-I/ ' ;.',''''';'<-. --' .' Phano' " Mail permit to. ( ) Applicant ( ) Owner ( ) Contractar. ( ) Prefer to. pick up. Call (awner, etc.) when ready. ,~/- z-1l..-.-- STRUCTURES NOW O~yHE PROPE~T~~ / - ' :;.<.. 1 . ,,"- ' I .' .-O.JI',,~~A'~," ,-" ,Ad ""-:i.--,,'/,,,.4 ,.~"... "" THISPERMITISFOR......,~~/." ""-v---n<_Go<V---.;../-....../~/,,;.~' (/ ;-I /1-- SEWAGE DISPOSAl # BEDROOM"'/YI'J# PLUMBING CONNECTIONS -"'I. /j/ /f- S.1. # ,)/;;)- ,''- ~ WATER SUPPLY THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF "7 ( PLUMBING BY . /:;1 /t/ / i - I hereby certify that the abave statements are true and accurate, and that I have the fallawing legal interest in the property: _awner af recard; cantract purchaser; _ patential buyer; _ realtar ar agent. I further certify that (if nat the awner) I am autharized to act far the owner af recard, and that said awner is aware and,aQlJraves af this action. I hereby agree to camply with all apfllicable Cades relating to. this permit. _ /1 "7/) O<.4<'I"//~O . ' v ~' \,'-, I~_L. .~ - -.--/",-- /.......-... _7t.7'- CZt;:J"peY'V( , ., ~ ............... ,r---...o{_' -" Fee Paid ~ . / "-. 6~~ Signaturp . - _ t, Dato ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ( ) SPECIAL PMT. AREA. MIN. ELEVATION: = SANITATION Minimum Septic Tank Capacity (Gallans) Drainfield Required, Lineal Feet Maximum Depth BUILDING Type af Canstruction r.roup Ilse Classificatian . Camments: d t:n-<-~. ,~...~. 2;:'.,.." ~ Fire Zane Camments: . By: Date: ,~ PLANNING REQUIREMENTS SATISFIED. By: .-;;T,. .~~' ,'~' ''- '-- ZONE/i/ /1 SETBACKS: FRONT SIDE FACING STREET BY9z/~~~ hi- Date: ,;; ~ :::; :V G ' Date Issued: (FROM C/L) INT. SIDE YARD REAR r') I" /" VtA.r;....... c-_ "l - 751 Date: -" - ,_ (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE PHONE: 687-4394 C55,13 BLDG. PERMIT -WHITE; BUILDING - GREEN: PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY -WHITE \ TRS,TI /.7~ <;-/y -/70 cJ written Directions c:2S'; ~:;~a)~ Job Location lJOR".....<t .L9........ &..........L'" ~lr2\1 0;- 5&.L..Q" U 1<E.l.<) INFORMATION SHEET ( 'fJ Building Permit ) Site Feasibility Study for Septic Tank. Number of sites__ Acreage or Lot Size Test holes will be ready Partitioning # ( ) Completed Subdivision Lot . Block ( ) Pending APPLICANT'S NAME ANDADDRESS c.Qr?~ P^I"_l.L-P'-' b '-1'1'3 ~ l...r-.t~ Phone'197'&7'Og- OWN ER'S NAME AND ADDR ESS, if differe~t fro aJ:>plicant's fY )..lJlfr N J...).Il<L J) '::2 ~ I .t.!e....tP""'..'.-5 ~ IP~VI~4'hone . CONTRACTOR'S NAMEAND ADDRESS Q.. c.....~'\rlt ,.., ....."'_"R ~. J...D~t"y Phone 9~ ?~711. Mail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up. Call (owner, etc.) when ready. Contractors O. S. # STRUCTURES NOW ON THE PROPERTY !>I", us€... PROPOSED USE (this permit) b F,", ",.W'{)(j.- 1,0 tr JI RPilrrrmc; WATER SUPPLY (existing or proposed well. etc. If public. name of system) SEWAGE DISPOSAl (existing or proposed septic tank, etc.) S.l.;: PLUMBING BY Address ) PROPERTY IS WITHIN ONE MILE OF CITY ( *******************************************OFFICE USE ONLY BELOW THIS LINE ******......******.********...**.......**............. ( ) New Address Necessary ) Facility Permit Necessary ZONF SETBACKS, Front Side Facing Street (FROM CENTERLINE OF ROAO( ) Special Permit Area. Minimum Elevation: . Interior 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 ResponSt'. C55.12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 Division , / " /' ,/ Jy~U.6:\.,Ul ';;, r~;? ';'~\ l~~~ r-i\ , \ \~\ c-. 1>' 'll , \ \ (~ -'" c' 00> \ -, -<:. \ \ I ~, y_4'___ ---- 1 . / / 1 ;Y .;I 'c'd'~<~> .;:<!("~ ~x~~_ ~~ (r 'f ,".. __ /t> FtI"ttl\-~.,II''''''''''-- I3c (r, 0'- --4 '5 KIt, (3I.;a:.'K. /( 1If1~ bltl't,:, 'p .-J I ~ . - 9(("-b.... ofl.r ~'" "C,OI\CI/€1 e. I' SCo..h~ ~=- 1 Plot Pk<<v Q \ Ii IO~ A "- L R. .d": "15 J /;)C{.[- I ,- .. I"" 6~& 'l\"I\'"~O '-<, ,:,1<.'( .' 1 ,- 3 -I J.I r '. l {f.o ; ,~'" \.. l..... ":'... . ~ JOB LOCATION ~ ',' ~/.-;r i' .:..> ." , .f'~ // . ...':"' . ;/ '/.1") -) .-", j' ~ ;',,;. " T1~s, T I/'I" . c')' . / /4. I' /' ~ J _7 _ t,' ? .' " . '. " ". ~ C i ~"' " . . LANE COUNTY PERMIT ij~ d~ ~ Acreage or Lot Si'p , Partitioning # ) Completed Subdivision / ;' i ." 5 ~ 'I' Contractor's O.S. # ~j.. ,..J - , .:/ .' . . Lot Bloc~ IJ ! A' . /; ,,' ,--,- / -, ,/ .0./l.-e/ ~.~ "/0 ':"", /.'/:/0'- ':; " ,,'/ ."'t;:;;,. :'.! .~. C;''''/?'''Phonp'J/' -;",',,";,;,;.,,- APPLICANT'S NAME AND ADDRE<:<:"~' - .J.-'- ./r" ~ ~~' .'/) ~ 0,/ / /.. /.:/1 " "/' .-, /,1 7--'" "J''' OWNER'S NAME AND ADDRF<:<: C-CA;; :!.(<!,-/.;." (A:, :"...:./;/t;;.r-c/':"". bf,':) / /..-.-/>~ '. K~/'~' / ~ / ,/ './', f: ~ - Phone CONTRACTOR'S NAME AND ADDRES<:' ,:-:'/"'-:"''-S' ,f -,/ ~.' .O-~ .~, Phone Mail permit to ( ) Applicant ( ) Owner ( ) C6ntractor. ( ) Prefer to pick up. Call (owner, etc.) when ready. r!!.,.fi. '" d 4.J1.. ,- STRUCTURESNOWO~}HEPROPERTY,., vl:.-T~',; '" '. ,,' . '/'/ . ~ ~ 0~ ~/' '-.// /,/ ..4 '", -', .,';.... //~~ ffY.' .. TH IS PERMIT IS FOR \.. v' --, ..', - ".'-"./<--. ,,,-'-",:? .;, ,'z- .?74 . /' '7 h1< -,' - " # BEDROOM<:" /J# PLUMBI NG CONNECTIONS /./-,. 1/ , A//f j"/ f'r SEWAGE DISPOSAl . :/ 1 S.1. # ,'., I~i i .- ~. WATER SUPPLY THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF , PLUMBING BY JiY /- 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. ,. . , ", // ;;;; /.J <:C( ~ '.1//0 . . '. . " - i' " .' . . F P'dm/.)r>~J'" C'.JClfV..' J".{' / S' t 1\,/I.~..4\"'l'~-""ii...-:..../ 0 .j., /11 ee at ~.. - ... - l'./'~!:-!.e ...-.-.et1--i. Igna ure ,. - aTP ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ) SPECIAL PMT. AREA. MIN, ELEVATION: Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth BUILDING Type of Construction Group Ilse Classification .:I J -:/"' . Comments: ,,_Y I.....~..,.,./---f:~~ -:0 ",.I-~_~r.:~ Fire Zone SANITATION Comments: . ~: Date: PLANNING REQUIREMENTS SATISFIED. By: . - '.;-~,. /- ZONE:t./ j SETBACKS: FRONT SIDE FACING STREET ,. .,/... ^ ' 8y:'.-'-:: .....-~-/. (-~~f Date: '"-~-; - :....-; - ...y,~~. ___of ':'..# r-. ~ -.J- -.J Date: ..1 - ~ ., 7",r Date Issued: (FROM CIL) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE PHONE: 687-4394 C55-13 BLDG. PERMIT - WHITE, BUILDING - GREEN; PLUMBING - CANARY, SANITATION - GOLDENROD; OFFICE COPY - WHITE . . SITE I NSPECTI ON ApPROVED L::::7 DISAPPROVED L::::7 DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED;----? DISAPPROVEO L::::7 DATE REMARKS ..d)/~_' ~...,:",d Lh,T /1_:: - ' /I ,,-f...r-./-V ~-2 _:;'- ',; _ "7? INSPECTOR .~~ /.,~. . .. ~ ----- - '-~ c7 - _h_~.~" FRAMING INSPECTION ApPROVEO / / DI SAPPROVED / / DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO ~ DISAPPROVED L----/ DATE INSPECTOR REMARKS FINAL INSPECTION ApPROV[O ~ SAPPROVED L::::7 DATE <= f 7- 7f(1 NSPECTOR ~ REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE L::::7 NOT READY TO ISSUE I / DATE INSPECTOR REMARK S . . . \ .".. 't.: r' ~ '~:'I r"\ .~ ~/! ',,' ~... ;".. .. ..~...j ~,}..~ ~:: ,,' ,; ., , '.' .,,~ . ~.. .r' :J '" , "f. f:, ,d !.,' .' )0~g.. " "":~\<::, ,'....,.,_. . :;(;::;.:j....: ", .:t :~:.<,.,~: ?\~f.:.:~>.. :" . .. ":', ';~:~::~... .: ..i.;~~~~::..;~:~: :.. "')"\' I . 1'1-,' ~ ..' ,:if.:~;;jt.y . .' ," ..ow...... '~/' )' ~~ " , t '0. '......,., . "~ ,,, ~l"".'~" >., ., \ l f l' ~ {.' . io .,' o,yJ' '.~ f. .....1 ~ '1; :l ":': , (, ".,':':: ~.;. '.:'. '. ,." ",) .' . '.~ ;[ ~.,< .,' l 't , 'f ',' ..:...., . j),~~ ;:.' \;' ',. . , : : ;'::; ~ ': ,.1 ~ . . ,:',,{{/:Y .:};.~~.:/:J;i. " '-':~;:;ir::':'J ,. 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