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HomeMy WebLinkAboutPermit Miscellaneous 1978-9-11 . TRS, TI . () 6i13jSPR. JOB LOCATION ~'-\~\l.. \)", \,.,~....... LANE COUNTY PERMIT Acreage or Lot Si,a Contractor's O.S. # Partitioning # ) Completed Subdivision Lot Bloc~ , APPLICANT'S NAME AND ADDRE"" OWNER'S NAME AND ADDR""" CONTRACTOR'S NAME AND ADDR""" Mail permit to (~ ) Applicant ( ) Owner , '-. '( I .I ' 4;'" ;;,;_~ Phonp "/';/,'- - Phona Phona (owner, etc.1 when ready. ~, . ' 1.#- ) Contractor. ( ) Prefer to pick up. Call - , STRUCTURES NOW ON THE PROPERTY ,. -.HIS PERMIT IS FOR . . I.~(~l;~' " ;i,. !. .....__. _'-' .I ~." ~ " /-' . . .. , " ;1 ( ,\' . , # BEDROOMS~# PLUMBING CONNECTIONs..lJ WATER SUPPLY THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF , SEWAGE DISPOSAl " . l .... S.1. # r ; I ,_t (' 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 appHcable Codes relating to this permit. Fee Paid ~. Signature ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT Data ) SPECIAL PMT. AREA. MIN. ELEVATION: .omments: ~. Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth BUILDING Type of Construction " Group . .,' Ilse Classification Fire Zone SANITATION Comments: ...\. . .,"\ :., ~,. . ~ 1.:...-::... . f -, , .J' ,. /' 7 . ,/' - .- -:"L~.- .. _ ',..' "I' \: _:"--f:... -"- -. ,~- .: By: " , .'~ Date: 7-! I )/ '. // .' 7' Date Issued>.,.. Il - I, INT. SIDE YARD. ., REAR --(FROMP/Ll By: Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: :, .". . SETBACKS: FRONT .' " ., ./l - 1'-' ,/.-- SIDE FACING STREET Date: .(FROM C/Ll 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 II ... ~ . .. SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED;----? DISAPPROVED ~I DATE INSPECTOR REMARK S FRAMING INSPECTION ApPROVED I I 01 SAPPROVED I I DATE INSPECTOR REMARK S LATH OR SHEETROCK INSPECTION ApPROVED ~I DISAPPROVED ~I DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVED 0C1 01 SAPPROVED Cl DATE:2,X F~T3 B"i INSPECTOR r..J ~ REMARKS_b. t"'P~"Vi'-v 'PI..AIJS /MDU4/r- L'f y,," /':/101-1 s, W. J::()~ C oA.JAk l rOlt,,- M-B.. '=,S/l.Lrt - f 1,-.' TD 0 ,,~ft S /Z/: A~ C~ pr~V- ..., ~ wt. 6tC/ T S CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE ! / DATE INSPECTOR REMARKS . -j ',~ i- or- l/ dJ, )~,- It .TRS,TIII0~--1',1.-{J LJ 1J:-3/()r) JOB LOCATION LANE COUNTY PERMIT Acreage or Lot Si,a Contractor's O.S. # _ nG\ hO\ Partitioning # r\ CI ( ) Complet~d Subdivision 'n C\ Lot Bloc~ APPLICANT'S NAME AND ADDRE"" '-)0 ;'.C, I.-I .t, OWNER'S NAME AND ADDRE!''' CONTRACTOR'S NAME AND ADDRES" Mail permit to (>() Applicant ( )Owner ( ) Contractor. ( ) Prefer to pick up. Call .TRUCTURESNOWONTHEPROPERTY 3 bf>r/(1()oyY) l-\omtC THISPERMITISFOR IIYICr1S+{\\1P 'i' €"\'CCJI cJ\\V~'f'\-e_~ "-.J SEWAGE DISPOSAl U),f.C'Ciln,.:).'-J"l(P tJe.6rc: , D{\. So..(:,--l oR. Phona7'/h-3.f~ Phona Phon a (owner, etc.) when ready: f2:::...J........ (2,,0."";- / ::;"J~.r \.J :;;,. /\ # BEDROOM" ,-1 # PLUMBING CONNECTION5-LJ WATER SUPPLY no y\q S.1. # nCt THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF '('\rJ . PLUMBING BY net 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_yvith all applicable Codes relating to this permit. Fee Paid!l: (';,;:).(j Signature IS/i'\.JOYl (J..Jt U ~"-'Q) Date q-J.. -'IX' ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION: rV tJ. A . ;JY ~ I' \ t?\1 ' Comments: \ BUIJ,DIf'lG ? 2.. ;;: ~--JLJType of Construction l' - . Group - Fire Zone ?...." J~-r- J9 Use Classification'/ / I !,..../,&/ '-'lr' v - Comments: . /LL-O '('-t'-L'l.~: ~~~~ ~~ , '" ~ ---IJ _ . -{Ii -I- t /" /' --l-v\... t~~ LA,~ (,.{,u; ~ Cc-_~J2. .c ~U~"'- -;--Rt"~/1/'b..J;j \ " By: Date: By:"'-, (Jt!~ ~ s:.41 ft 17.-# Date: q-! 1- /y PLANNING REQUIREMENTS SATISFIED. By: c...-...Oate: Date Issued:q'_ II - 7,r ZONE:AILJ-Tn-!-. t'1I1f\SETBACKS: FRONT - SIDE FACING STREET (FROM C/Ll INT. SIDE YARD - REAR -(FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth SANITATION C55.13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT -WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE \ Parcel No. LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT M:::~~:~~::T~~EU~ 91401,. AVERAGE PROCESSING TI.... ~LANNING DIVISION Partlt10ninq I Partitlonina Reouired Other, $ ~NATEa POLLUTION CONTROL Yew Site Inspection(.) 60S Construction [] New Number of Bedrooms, Commercial/Industrial - Other $ o Repoir $ $ I ! l!l .. i:: " ~ .. c " :: ~ n ~ " > '" ... ~ ~ C , 0 z 'z '-.],- ~~ t~ ~ ~~ ." I of Sites I of Employees $ ~ CONSTRUCTION PERMITS AND INSPECTION (S.e above for I of bedrooms/' of employees) o :o1obillll Home $ o Permanent o Temporary o Renewal ~/ Azf;;/q. ~ FEE Ft. Valuation -:l~~ ,.:7 ~ ,= $.2. $ #'d - $ l>J "- I~~ $ Total V!lh,.,tion _____ Plumbin9 fixtures at Sewer/Water Conn. ^t $ y~s:~ $ $ E4ch $ ') r.ach $ Subtotal , $ $ $ .A/'J 4\ State Surcharge Plans Check Fee Change of Occupancy TOThL BUILDING PERMIT fEE Kinimum atructural setbacks: ~ From centerline of street: Front Exteri From Interior Jot Iln.s, Side , R..r [] Comm'} plans sheet to applicant [] Curb cut to applicant $ ScP,O ~t? o .., Address ~ I rUBLIC LANDS o o Address [] Minimum Elev~tion I Minimum ! Elevation " i; I o o o PUBLIC WORXS Facility Pert:lit ENVIRONMtNTAL HEALTH $ C,uh Ch.e~ I_~ 1 Rflc'd by ,~ TOTAl. $ J:), .2 /) , . AFFIDAVIT, If this permit i8 for an agricultural building. I hereby declare that this building will be used for aqricultureol purposes as allO\ll'ed by zoning and/or the State Building Code, and tor no other purpose. I further certify that the statements and other information submitted on this apP1dro" 'on are true eond accurate, and that I have the following legal interest in the property: owner of record, contract purchaser, lessee; holder of an exclusive option to purcha e: ___duly authorizea-to act for a person w~ha8 the roIlowing legal interest: : or that the owner of record \S knowledgeable of this not tht? owner. f further agre. e tJcomP1Y w th al applicolble codes relatin9 Applicant's SignatureY / YJ-;;t roa THIS IS YOUR REC., AND DOES NOT GIVE YOU INFORMATION ABOUT THE PROGRES YOUR APPLICATIO~, CALL PERMISSION TO ~. PERMIT CONTROL,~7-4357 (681-HELP) lane county - application. it I am to thi~ermit. ,(7 0... 7-/-7% C74-170 lone county .~~.- ~I rl.... 'rlnl - R.t\lm "rpllut.lt'ft to .~.f'f'P' h'ntllt \,,,_ (~.hh.4 Avrnlnl_nC 1\.... Ollh'. U.. Onl, APPLICATION c.,,'" DIlN.4-L() ~ UJ/U/4/h c; PlIOllt 11/{,-K;?II,.fJ- ." :Jl/.tJ/, /').n'l,Jf'A- T\ If" .w,: Q?A"N~I/~;~IP '171/'77- &I (1r DlrfUDlT) "FIIOM[ ADDIISS t:lt'l.____..__}.IP CDlTUCTOI PttO!4E ~. S" . . C~nACTO..S ORE. STAtE \.ICt::cst . . :". HAlt. CUKl'LttlD 'UJUT to APPLlCAMT/O\4tU/COIiTRACTOa (CltCLE OMtlD PlEPta TO 'Iel UP. CALL. . "". .: '. au-:," USI or '~ortan h..ldeftUal; I.Jp. of h.,..ln1i C'o_rdal or IDd~C,rhl: ..unt: etc.) 3",' .... .J:{e.S1DeNhAL . . '.' ,,- . . ".. DUCIlIl snUCTUIts MOW 011 nl. nOrDn. IIUTI ANY .'{'j",!-::.3..B6DIToOM. HOME" ";:"'" STlllCTUUS to IE DDIOLtSIIEIJ. ,;, ...,."....-..... ,:,;-:.p;; '. ...:'l'.... :'.- t. 1V1'UU rUJCS: i. PLOT PUll. Sketch (.) .n road. (.) bo~ct.rl.. of propnty (cl e.tulnl!pro,o..d bul1dinll (d) nbUllIl1 .. '.':S . .........~_ '.: ,_ ,ropo..4 .w... 4t.po..l ...... (e) ..istlnl/propoud v.~ls (I) ...htinl/prop.,... driwv~_ . 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U. ,.. !ttt: lssru:I'lOS rUT IItILES ltAllY (rAn) ~OTAL lOT Silt oa AC.tACt tlftMOD or SEWACt DISPOSAL&._ Plo'DSro VA TtIt srr'L1 "I.LL lJ.tcraICITY. n...."ISil[O 11._~___.._.._. _.__..___ "TU~1. CAS at nil DISTua ICHOOL D1STIICT___ rLLMll'" It -----..--.--.--.-- S,llNe STIIUl't LA" .,l:IIUr. ------ --_.- ..-.-. --.-- ---. - .._-_...~. ..-.-.--. ------..-.------------. ....---.-------. .................................. DO !\IllY ",,.IT[ IU,llW THIS tl:'lr ............................... ( ,lron lOUl "'PLlCAllm& rA"C It raot[.s!'>t:D lilY !"l1"!tT ITk~I~": "".11 nOT ru..'Il$ Ltt:AL DUCUrTlOll ..- (DIM[~Sh'~F.D) -- . . it~ tI UlI ? _ z .= :; ~ '" - .-, i ~ g n ~ !' .~ ~ ~ !' ;l ~ Y\ V\ \ N ~." :\:.~:. "" ........ --.l I uJ ~Ic 0'- o . "~( ........ ,._.:\.. :;;,..-q:;.. Ii '.~ ',,\2 li""" r ~. .." ::0 ~ ,i i M Cl ;:':' .~ .~ .'.1-<-' TRS, IT Plat Plan Subdivision Lot Block Vicinity Map C74-150 Job Location (Address) Permit U For Permit U For Permit /I For :tIc) fEY - rol : I ~Q.. tl ~0 -\ ~ IQ '~ ~ N Permit U Permit U Permit U For For For -+ 5 tP-€'-j 1'1().. .e. (/ I {'Il,.J CVl I l~ . TZ- p- G e..- Gf . ., ~L \r^l1 t7 \ UV- o /\ ~, I . _I , I f3A9f f!I?{'I/\ I' \ . '. . .