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HomeMy WebLinkAboutPermit Building 1977-1-24 (2) - - .~;, - ,-..:,.?' ~ '-v,.. ~'. ~ ) !.... ///I;~13 -fRS, TL / 1-~.- 3: - ,r:?"T JOB LOCATION I )C/I/;') iJ~>> C-OC; -I.. PERMIT # JCj/- -71 LANE COUNTY PERMIT , . , ,jJ /Ilif.r- .~ Subdivision ~~ a~,. Lot..5'- B lock ~ ~ . , t .,.{ ::: f, , i- Phono . .ill' Phono Phono (owner. etc.) when ready. I . . Acreage or Lot Si?O Contractor's O.S. # Partitioning # ( I Completed APPLICANT'S NAME AND ADD R""" 1 OWNER'S NAME AND ADD RES" CONTRACTOR'S NAME AND ADDRES" Mail permit to ( ) Applicant ( I Owner -. f- , . ) Contractor. ) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY .THIS PERMIT IS FOR ' ~ WATER SUPPLY'" '.' ,', .-IT' , - " --I-- ( # BEDROOMS_# PLUMBING CONNECTIONS-- SEWAGE DISPOSAl / / , PLUMBING BY ;- S.1. # THIS PROPERTY IS WITHIN ONE MILE 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. I --r . Fee Paid $ J. / Signature' Date . ./ ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT ) SPECIAL PMT, AREA. MIN. ELEVATION: SANITATION . BUILDING Minimum Septic Tank Capacity (Gallons) '-A/ Type of Construction _ J Group Drainfield Required - Lineal Feet --C;",l'..--'''-<./~ Use Classification Maximum Depth Cor;;;"ents: / -j I .~ Fire Zone . Comments: By: Date: PLANNING REQUIREMENTS SATISFIED. Bv: ?ONE: ,1/4 SETBACKS: FRONT By: .. r{-.'.""-' Date: /.~ ..../ (FROM CILl /,. .. "/ Date: / J ._/ Date Issued: /- v INT. S'IDE YARD REAR ~/. ,; l' '/ J 1 (FROM PILI - 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-'3 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD: OFFICE COpy - WHITE \ ::0--- . -' lRS, T' '- . )7-:3,~ /. I Job Location lot.! 5 O~ ..AX:~~;;/ jLf/- 77 ~ ~ 0",,-_ / /' INFORMATION SHEET I Site Feasibility Study for Septic Tank. ( ) Would like to meet on site. Call Acreage or Lot Sizo Test holes will be ready .._ Partitioning # ( ) Completed Subdivision "//.L.~_..P /L.-~ ( ) Pending /) J} - . /) APPLICANT'S NAME AND ADDRESS -V~ C ~ /t'/tI F d/-<<. - ,",.J ~ OWNER'S NAME AND ADDRESS, if different from applicant's~; CONTRACTOR'S NAME AND ADDRESC: Mail permit or results of site feasibility study to ()() Applicant ( ) Owner ( ) Contractor. e( ) Prefer to pick up. Call (owner, etc.) when ready. ~ ( 'f) Building Permit Number of sites (owner, etc.) Lot S Bloc~ 2. ~~'--" ,r 0-_ Phone-.Z..'-' 7 -} r 7.2.. Phono Phono STRUCTURES NOW ON THE PROPERTY PROPOSED USE (this permit) ~~ ~._d.-.~ WATER SUPPLY jJ .J...L:- (existing or proposed well, etc. If public, name of system) SEWAGE DISPOSAl ~ I ~./;:;. ~A (existing or proposed septic tank, etc.) S.1. # PLUMBING BY (y) PROPERTY ISWITHIN ONE MILE OF CITY ( ~~ . / - Address Z:-~ ******************************************* OFFICE USE ONLY BELOW THIS LINE ******************************************* ( ) New Address Necessary eZONF ) Facility Permit NeCessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAO) ) Specia I Perm it Area. Minimum Elevation: I nterior Side Yard. . Rear (FROM PROPERTY LINES) To: PlanninglBuilding Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Responsp' C55-' 2 By DEPARTMENT OF ENVIRONMENTALMANAGEMENT Permit Processing Section 125 East 8th Avenue 687.4394 lIivision ,. -sv ~, ~. . TRS, TI J 7-3-3t.! I JOB LOCATION ItJII. s ./ t1 /} /"H.-f'J /1 r(} S:/-. PERMIT # It/I-II /'J I v.LJ./ rr - ( (/ " '. I, LANE COUNTY PERMIT ) Completed Subdivision ~Lfm'J J aA.-e--~ ~ ....... Contractor's O.S. # Lot ~ Block r-...' APPLICANT'S NAME AND ADDRF""JJrJ1I.11J j7 r ~/.;, ",,/', /d1Js I k.L)./~--d/1 t:.?'.<:rJ:. ,-:]cl-R Phone/cj7--317~ OWNER'S NAME AND ADDRES" -' f' .. - ( {./ Phone' CONTRACTOR'S NAME AND ADDR""" Phone Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up. Call (owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTyJ.?-l/.<'1..1l. ~ . .THISPERMITISFOR -.aI1A!.I~/ tZaA_~/ WATER SUPPLY ,Aft> ./ I Acreage or Lot Size Partitioning # ,~ [ , , ,0 " > , ;0 ~ t ,. THIS PROP'~RT":' IS WITHIN ONE MI LE OF THE CITY OF # BEDROOMS_# PLUMBING CONNECTIONS-- SEWAGE DISPOSAL_ ,-~Uc..../_~-F S.1. # / .. 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 I am authorized to act for the owner of record, and t,hat said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. I ~) .-, / . ~ ' 7 Fee Paid $4--}. d / . - Signature jy~..4' .r ,.4.;,....,..,..... Dato /- ;; ~ -7 ( I NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ( I SPECIAL PMT. AREA. MIN. ELEVATION: SANITATION ... , Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth BUILDING _ _erA/. Type of Construction J Group . A>;'-<"..,-!",~llse Classification /r I I Comments: ":5 Fire Zone .Comments: By: vi ~.J/' Jr.~ ~"Date: /- :2-~-71 '-r-r-l/h.A.::r- (/ Date: j-cY4- Y/l Date Issued: 1-,;)'-1- 77 (/ SIDE FACING STREET (FROM C/L) INT. SlDE YARD REAR (FROM PILI "'" By: Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: A/A SETBACKS: FRONT 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.' 3 BLDG. PERMIT - WHITE; BUILDING - GREEN: PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY -WHITE ----- ~ . I~ \., . . " SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVED ~ DISAPPROVED ~ DATE REMARKS. & 0 FRAMING INSPECTION ApPROVEO I V'/ DIS~PPROVED Cl DATE 1-1--1- 17 REMARKS LATH OR SHEETROCK INSPECTION ApPROVED t.-I OISAPPROVED L-I DATE REMARKS 14 A-1d--- FINAL INSPECTION ApPROVED ~DISAPPROVED . INSPECTOR INSPECTOR INSPECTOR ~~ .f I ! 1 NSPECTOR Cl DATE!-7-7-?? INSPECTOR ~ {/ REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE L:::7 NOT READY TO ISSUE L:::7 DATE REMARKS INSPECTOR