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Home My WebLink AboutPermit Building 1977-8-10 , PERMIT # ~: :<': '/ /~' _.' TRS, TI I .~ -:} - ';'.-/j-". JOB LOCATION / , LANE COUNTY PERMIT Acreage or Lot Si7Q Contractor's O.S. # Partitioning # I Completed Subdivision Lot ,. Block APPLICANT'S NAME AND ADDRESC: OWNER'S NAME AND ADDRESC: CONTRACTOR'S NAME AND ADDRESC: Mail permit to ( ) Applicant ( ) Owner / Phon13 .. / .... Phonp Phonp (owner, etc.) when ready. .. , , ) Contractor. ( :.l,Prefer to pick up. CalL f, . STRUCTURES NOW ON THE PROPERTY .IS PERMIT IS FOR WATER SUPPLY. # BEDROOMS # PLUMBING CONNECTION5--",~ S.L # ~ " . . . SEWAGE DISPOSAL THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF PLUMBING BY J 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. Fee Paid $ /. ,,/.'1 Signature Date" , } 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 I Ise Classification Group Fire Zone SANITATION Comments: emments: ~ Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: SETBACKS: FRONT By-,- Date: Date: Date Issued: - . SIDE FACING STREET (FROM CIL) INT. SIDE YARD REAR 17 (FROM'P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG. PERMIT -WHITE, BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE PH\,' 68H394 ~ 6(0 ~~b- '7{s'Zg , TRS TI ! 1- ~ -.:)t- c,...-~ ""'4P '... J.<!,6.Qc.~I--:\j> Written Directions iL.O'n (') , Job Locatign 10 70 /()/ ,p.-.' ~,,_, J~--/~ / ~ 7/'~ ~~~/}-77 . , INFORMATION SHEET t'><l. Bui Idi ng Permit ~Acreage or Lot Size Partitioning # ) Site Feasibility Study for Septic Tank. Number of sites ) Completed ( ) Pending ~'>APPLlCANT'SNAMEANDADDRESS~" I., \A1l\-l..lt'n,\) -";;> OWNER'S NAME AND ADDRESS, if different from applicant'< ~CONTRACTOR'S NAME AND ADDRESS oIIIIIIIiIail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ....<2 Prefer to pick up. Call . - (owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY ~,f: D. PROPOSED USE (this permit) 1"\Jo1'e.rz.IO~ ~DE:'- WATER SUPPLY QA.lIJBOIIJ WAA'e.f2- D,.,...(. SEWAGE DISPOSAl Sz.p.-(. c... &I~ tJ~ ~PLUMBING BY (.:,..p..a". L. ""..... ..".,J Test holes will be ready_ Subdivision No 12...(,1-\' U) OOD E.s1'A'l'E5 V Lot I B~J ~ 0710, Qe;\.. Qo~e .<; A-H ~ De.. n ~f"Q.,,1 6-r=I~~)Phone PhonQ Phone 7..../~-.s:.)Cf(, ) Contractor. Contractors O. S. # 3 ~ RPClrnrrn". ADO BM'J.l'eoOM Ab ~IS,(1 tJ~ r3e:.D eooM. (existing or proposed well, etc. If public, name of systeml (existing or proposed septic tank, etc.) S. L ,. Address 7lt 1J..12.0l/t: ) PROPERTY IS WITHIN ONE MILE OF CITY (_ . . ...... **......... ** ****.. ***.. ***..... *** ** ***** ** ** ***.. 0 FF ICE USE ON L Y BE LOW THIS LIN E ***........ **........ **.... ** ** ** **.... ** *..... ** **... *'........... ( ) New Address Necessary .NI= , } F aci I ity Permit Necessary Front Side Facing Street (FROM CENTERLINE OF ROAO) ) Special Permit Area. Minimum Elevation:_ Interior Side Yard Rear (FROM PROPERTY LINES) SETBACKS: ""' To: PlanninglBuilding InspectorlSanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section ResponSP' C55.'2 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East Bth Avenue 687.4394 Division ~ ~R~: TI : PERMIT # ",,- .. "'. ",' - .'1' , . . .. _-~ -'j 4 - t'.L,U-cff,// -; ,. ... ,.-T -' ,., _ JOB LOCATION /. '.. ' ," ", .,;-',~. , .- '..... I1: ~ ? '.-~ '~~; .. f _ ~.... .' -' , " , ' ./ LANE COUNTY PERMIT Acreage or Lot Si7Q Contractor's O.S. # Partitioning # ) Completed S bd' .. ~-'//:Ll'7'!:'.tJ-;;""r)' .,' u IVISlon .... /,c,.o - ~... v .. Lot / Bloc~ ~ ,?/ t'/. .r"/.'-J..C. ~, . ~-'" I . ./ . , APPLICANT'SNAMEANDADDRESc:;;j--1',.' ';..;; #////",./jp'-" //?c / OWNER'S NAME AND ADDRFC:C: ....:->._~;, .!~- CONTRACTOR'S NAME AND ADDRESC: Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ( t).Prefer to pick up. Call. fI//d -.5:E!~',;:' STRUCTURES NOWON THE PROPERTY ;(/A!//~ .HIS PERMIT IS FOR'/).N77"U/, ~/ /3 U?fi..-L;''/ -61// 0~; n;1~4 ",:"..d- # BEDROOMS # PLUMBING CONNECTIONS _::;, :/] ,/ i., . 4.r'~0 ;-t-j__!il/,;{.~:o#;.." ,i.'!.,....I' ,,___,. WATER SUPPLY ~/~'&.A---" SEWAGE DISPOSAL /.//,,-1:'-;/-/1 S.I.# / .-::J' PLUMB ING BY ,4 /", .Jl..~ ;/ ~ Phonp -;'7//? - .,-....,,/ t( Phonp Phonp (owner, etc.) when ready. THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF 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. Fee,Paid $ /tt,,.::: L/ Signature .~~ ,\.~ \l\ ,--v.,,~p, ".~ Date ~ -.j:. 77 ( ) NEW ADDRESS' ( ) FACILITY PERMIT TO T~ANSPORTATION DEPT. G () SPECIAL PMT. AREA, MIN. ELEVATION: SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth 'BUILDING G J Type of Construction ......I .....-:, ' ~' Ilse Classification /J.q::/<,./~ _..-.....1:.____- Comments: ' Group ?t. Fire Zone .mments: -') -r c-r-i:"'/ .f""?> -.-:--'" ....., LJ ~1 I ,,.zL~"'..;r:> (., Ci "_ ,'~ By: Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: /1/ /::J SETBACKS: FRONT ,- , " By: Cl' /-s.~ ~ 6-0 '-',err/bate: ;0- /,.)-71' Date: ~- ,:7. 7 j Date Issued:nll~ 1'/-77 (FROM C/L) INT. SIDE YARD REAR- U(FROM PILI ,if ,/..( ;16"" <..-- SIDE FACING STREET 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 . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED L::::l DISAPPROVED L::::l DATE REMARKS GAS PIPING GROUNDWORK ApPROVED L::::l DISAPPROVED L::::l DATE REMARKS ROUGH PLUMB I NG ApPROVED .!PJ DISAPPROVED L::::l DATE REMARKS ROUGH GAS PIPING ApPROVED L::::l DISAPPROVED L::::l DATE REMARKS FINAL PLUMBING ApPROVED fP!:j :;P:;: ~' REMARKS FINAL GAS PIPING ApPROVED 1::::7 DISAPPROVED 1::::7 DATE REMARKS CERTIFICATE OF OCCUPANCY gT b#'>7 '1 . INSPECTOR INSPECTOR INSPECTOR INSPECTOR /P,J.-- /.,;; -;:J'l-?? INSPECTOR 19,;1.- 1,:;- ~- /')' A',;J- READY TO ISSUE 1::::7 NOT READY TO ISSUE 1::::7 DATE REMARKS ~ INSPECTOR INSPECTOR ::::::--- TRS,TI /;'-,]-",<5 -y_L/-{lf~'O JOB LOCATION, //1 ',1/J /,~.f~ , ] .I- .......::'~ .'l- /' /1;1-"'{ _/'1 , !,ERMIT # ~Jl.',"- /' " ~.,-1...-n..4 /'_ ~_...., //.......~ ..-~~c'? .~ Y.f . ..- LANE COUNTY PERMIT Acreage or Lot Si?Q Contractor's O.S. # Partitioning if } Completed. Subdivision 72tf7d~..t l?A~-zi;:./ Lot / Bloc~ ~ Lyj PA<J-'L. Phone -;'7V~ - "'~'"'J9{-. Phonp Phone (owner, etc,) w hen ready. r APPLICANT'S NAME AND ADDRFC:C: & U / ~(~/5;L/~u../ //-J'7.o OWNER'S NAME AND ADDRESS <"~.-,-,., 'E'_ I CONTRACTOR'S NAME AND ADDRESC: Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ( tl,Prefer to pick up. Call ?4'h--5'3-;';:; STRUCTURES NOW ON THE PROPERTY /J,4L/LA!:L- .HIS PERMIT IS FOR.J).",7}~U.6~./ A'?~?fi~/-&i-I.f~..v:~/'9:AJ.-:pt / ~ # BEDROOMC: /) / /7 " --q.c~~ "'7T / WATER SUPPLY ~j_~.A./ SEWAGE DISPOSAl /.I./--.../~-" .S.I.# . -/ c::7 ,PLUMBING BY, A-b~<n,~_. # PLUMBING CONNECTIONS ?J THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF I hereby certify that the above statements are true and accurate, and that I have the following legal il)terest 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. Fee.Paid <1:. /~ /L L/ Signature ~,,<\..~ ~ ~O. ;.,.- . Datp 5< - -5'=- /' 7 ( ) NEW ADDRESS' ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. 0 () SPECIAL PMT. AREA. MIN. ELEVATION: ' SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet ' Maximum Depth BUILDING ,c:AJ Type of Construction _::z '-::.., ",' Use Classification /e;.--..........e:k' u -. -..- Comments: " Group ? Fire Zone .mments: :J ~ -; 7')'- P~./iC)d'~ Q"~~ By: Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: .AI P SETBACKS: FRONT _ d By: C~./-tu ;; .:f )d-r~?dJ?<-- / SIDE FACING STREET , / ' /' v--u '---t':.4r-[Date: X- /n)-77 Date: <t' -- 5'- 7 f v Date Issued: n '1;-:;' V.l..' 17 (FROM C/L) (NT. SIDE YARD REARn L..(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 SLOG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE , . . . I ApPROVED Cl DATE INSPECTOR . SITE I NSPECTI ON REMARKS FOUNDATION INSPECTION REMARKS / I DISAPPROVEO 1--/ ~vJ- DATE INSPECTOR ApPROVED FRAMING IN~P~ ApPROVED DISAPPROVED Cl DATE 7- 2- --'7? INSPE~ REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO ~r:'SAPPROVEO /! DATE 2. -Ie, -7.s:fINSPECTOR ~ REMARKS, j;./) ~./ h.........._ ~, 'Z -ef'-7Jf1 ~r-R v /ff' /I.A ~?g..(7 "'----r - {/#/Y>( ,(./14-",-'" _,t?~ ~ tY~./1 /J/C FINAL INSPECTION ApPROVEO ~SAPPROVEO Cl DATE 2. - Ie, -zgNSPECTOR ~ " --- REMARK 5 CERTIFICATE OF OCCUPANCY REAOT TO ISSUE Cl NOT REAOT TO ISSUE Cl DATE INSPECTOR REMARKS