HomeMy WebLinkAboutPermit Miscellaneous 1978-4-28
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1027 DIXIE DRIVE
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18-o2-05,~,4
JOB LOCATION
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S'.l'!-tta'J.l' '10 THI: RIGli'.i: 7t:h HOOSE ON I.EBT SIDE OF &..1.=;;:....::
LANE COUNTY PERMIT
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.( ) Completed Subdivision
Lot Iff
22ND 1\IJD ~7r "'''''''j'''' ESTATES
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Acreage or Lot Si70
Contractor's O.S. #
Partitioning #
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,tI,PPLi'CANT'S NAME AND-ADDRESc::
OWNER'S NAME AND ADDRESC::
.. CONTRACTOR'S NAME AND ADDRI=C::C:
Mail permit to (X) Applicant ( ) Owner
J.\U1Il""'= J NEJ:B(l'l
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\ 1027 DIXIE DRIVE
;,!:'tu.l,^", l..l!d.4.I Vl\l:.UVl~
. 746-0398
SAME
UW.tN:i t'UU.Lb ':>0':> 1"-
) Contractor. ( ) Prefer to pick up.
EXL:>J..ll'i\> HOUSE SHED
\1.t\i:)J:'.t:.l'\ L'UJ
Phonp
- .--- -.---- Phonp~
urL\.L.l,'i\.Z"~ '-A~'oI
Phonp
(owner, etc.) when ready.
Call
GARAGE
STRUCTURES NOW ON THE PROPERTY
THIS PERMIT IS~FOR PER-lIT FOR SWIMMING POOL
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=J:U1~.u.ill WATER DIST
WATER SUPPLY . SEWAGE DISPOSAl S.1. #.
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF e!!pringfield . PLUMBING BY a'lENS ~,
I hereby certify that the above statements are true and accurate. and that I have the following legal interest in the propert~.~Xowher of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to acn(';r the own~r of
record, and that said owner is aware and approves of this action. I hereby agree to cO':)Ji'ly with all applicable Codes relating to this permit.
F-ee Paid $ 0~ ~ /Signature Un.&_ ~ 7Z-~ Dato \-i.. \~ \ \ f\A
~ 'll'1.EW ADDRESS ( ) FACIUT-Y PERMIT TO .!RANSPORTATION DEPT. (/ () SPECIAL PMT. AREA: MIN. ELEVATION:.. -.: .
SANITATION BUILDING
'- :;.,r'j. Minimum Septic Tank Capacity (Gallons) Type of Construction
n .,.,JAV Drainfield Required, Lineal Feet Use Classification
. '" ( Maximum Depth I. Comments: G:: e..
Com:nents: /luvwL- C.... ~~ ~ ~v cro- ",
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~LANN!NG.8.EQUIREME:NTS SATISFIED. By:~ ~y >- _ --I....f.' Date:~~ \~ ,"' "\~~ Date Issued:~?g,\)r.'.,
~ONE:~ ~SETBACKS: FRONT \4~IDE FACING STREET (FROM ell) INT. SIDE YARD~ REAfil::R (FROM P/-r.)
LANE COUNT; DEP~RTMENT OF ENVIRONMENTAL MAN~GEMENT, 12~ EAST 8TH AVE., EUGENE~OREGON 97401 P~'~NE:'~7!4'394,J
Group
.Fire Zone
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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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LANE COUNTY PERMIT
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Acreage or Lot Si,a
Contractor's O.S. # .
Partitioning #
) Completed
Subdivision
Lot ((I B lor~
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APPLICANT'S NAME AND ADDRE"''''
OWNER'S NAME AND ADDRESS
.. CONTRACTOR'S NAME AND ADDRESS
Mail permit to (J~) Applicant ( ) Owner
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1027 D~:;:-; lr~
7f5-n30'l
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Phona
Phonp
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Phona
(owner, etc.) when ready.
STRUCTURES NOW ON THE PROPERTY
)J,,,,,2.J]X nn s;,m:;r;!; lCOOL
) Contractor. ( ) Prefer to pick up. Call
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THIS PERMIT IS FOR
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# BEDROOM'"
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;2-l:W\.u><J.l.>U1J n~ DIf)T bWSJ:.!.L0 s:'OS
WATER SUPPLY SEWAGE DISPOSAl S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF c...~!eJ.d PLUMBING BY O:-~5 ~ "" .
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the propert~:~J( ow~er of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act'f~r 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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Fee Paid ~ ~ , , '" .,/ Signature VOIX_. . -'-" //..P-"~ Datp \". ~ \ \ ~ \t \
\( 'l NEW ADDRESS ( ) FACILIT-Y PERMIT TO TRANSPORTATION DEPT tI () SPECIAL PMT. AREA. MIN. ELEVATION:
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SANITATION
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# PLUMBING CONNECTION5-
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Minimum Septic Tank Capacity (Gallons)
".,,,,,',;.','V Drainfield Required - lineal Feet
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. Maximum Depth
Comments: l~ ''/l.(...... ,e. /. J_,4:.~~..Y ;..t."~ ~l"""
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~y: /:.. .. ~"'-,/. - Date: '....{(-.27-\..7? By: \. ,''';- n-;-::i-'J (<>-<4 \'>;A:...r.('Date: '--f- 2.9_ 7X'
'PLANNING.REQUIREMENTS SATISFIED. By:\.. ?5-, .:--~ _~Date:N \ -'J' \ ,.\t'-. Date Issued,5a-n"),,,:......k..,,
ZONE:~,<~ SETBACKS: FRONT \-\~SIDE FACING STREET (FROM-tFU INT. SIDE YARD'-") REAR::Jc:, (FROM PIt)
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE.. EUGENE, OREGON 97401 PH0NE: 687:4394
BUILDING
Type of Construction
Ilse Classification
Group
Fire Zone
Comments:
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C5S,13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANAR'y; SANITATION - GOLDENROD. OFFICE COpy - "YHITE
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SITE INSPECTION
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ApPROVED Cl DISAPPROVED Cl DATE
REMARKS
FOUNDATION INSPECTION
APPROVEO.c=; D'SAPPROVEO L-/ DATE
REMARKS
FRAMING INSPECTION
ApPROVEO / / DISAPPROVEO Cl DATE
REMARKS
LATH OR SHEETROCK INSPECTION
REMARK 5
ApPROVEO L-I DISAPPROVEO 1--1 DATE
FINAL I NSPECTI ON
ApPROVED
Cl
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DISAPPROVED Cl DATE
REMARK 5
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CERTIFICATE OF OCCUPANCY
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REMA'RK 5
READY TO ISSUE ~ NOT READY TO ISSUE I / DATE
INSPECTOR
INSPECTOR
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Written Directions S. L/.~ -?I<i 5-+ __:h JO-s~e. 12.& - Le,P-I- ",,1 J{1S.,~12 Pd. 1 sJ- Sf. h ,.f.'a.h+. '7 __~
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,e eas, "y u y or ep ,c an. ul11.,er_o s~es d.. "
Acreage or Lot SizD ./ /. d ~t holes will be re<l(ly ~'\ '/ & I'V ~ G ~ ,'.
partitioni~ () Completed S"QsI.i~,iSi<;m.\f\,\-\- \.. '~"'V)P~ 'e:.a V ,Lot" Blocy,
( ) .Pending: , ~ ~ -:
apPLICANTS NAME AND ADDRESS &v/"-'. TJ) . 0_ n~; ~ Phone'74,{,-/)S 7?
OWNER'S NAME AND ADDRESS, if differe~ from applican'& PhonD
CONTRACTOR'S NAME AND ADDRESSJl'J'/L8.a:'~J i?~ - ,~'d7? lkr.....u e-L. ~d...#..I Phone '?~P7'-/VcP
Mail permit or results of site feasibility ~tudy te;> ( ) Applicant ( ) Owner ( ) Cont'1act r. ';;Ibl
(.0 Prefer to pick up. Call afro 1..('1> mJ-- . (owner. etc.) when ready. (I \ Contractors O. s. #
STRUCTURES NOW ON THE PROPERTv lJA-01;.L'XG) SR.oLi ~~C~t1; I, _
PROPOSED USE (this permit) 'S.t I 't(~. p.tmf .J f!f::~'\"'l. - ~ rrv-rn-=
WATER SUPPLY~ (0 )~-t-o .r-Q-x-{-. (wJl~~ osed well, etc. If public. name of system)
V \ ./
SEWAGE DISPOSA' f.V-[7, -I-uY>O ~,D. -;;..
PLUMBING BY n" UIV\ <:;)
"~xisting or proposed septic tank. etc.) S.I.;:
Address
. ( ) PROPERTY IS WITHIN ONE MILE OF CITY ( 5Df.cl.
...........* *. .......... .....*.... *... ..................-........* . *...*... *... **......... * OFFICE USE ONLY BELOW THIS LIN E **... ** **......* it.... **...... _..........,
***... **........... *-ll-*.....................
( ) New Address Necessary
ZON~
) Facility Permit Necessary
SETBACKS: Front . Side Facing Street
(FROM CENTERliNE OF ROAD)
) Special Permit Area. Minimum Elevation:
Interior Side Yard Rear
(FROM PROPERTY L1NESI
To: Planning/Building Inspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated.
By
Permit Processing Section
ResponS'"
C55,12
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394
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APPLICANT'~NAME AND ADDRFC:C:
OWNER'S NAME AND ADDREC:C:
. CONTRACTOR'S NAME AND ADDRES~
Mail permit to ();) Applicant ( ) Owner
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LANE .~OUNTY PERMIT ~ ,Q :~ v::r~,1J-: L-:~.:--'-~ ~
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Phono
Phono'
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(owner, etc.) when ready.
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Acreage or Lot Si70
Contractor's 'O.S. # .
Partitioning #
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o.__.b k'iJU...4:S st)~ I ~ u_:..:...f. -j~ 1.10),1
) Contractor. ( ) Prefer to pick up. Call
ElUS'i1.:G rrm;s:; ffi1.c:>Gm-:t~
STRUCTURES NOW ON THE PROPERTY
THIS PERMIT IS FOR_
Pffi'i:".'Ti' r"(R s:m:oc:G PCQI,
t!n :::!\
# BEDROOMS_# PLUMBING CONNECTION&....-
WATER SUPPLY
=..Ul.c:E lldD t~ D:IS'I'
SEWAGE DISPOSAl
E1ut:rf.JJ.\-U' SDS
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S.1. #
, 0: 2;S POO,\S
. PLUMBING BY ,.,..... _
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I hereby certify that the above statements are true and accurate, and that I have the following legal interes~ in the property:. )( 11 owner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the.owner). I am authorized~to'act'f6r 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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Fee Paid ~, ..... -i.,.. '-~ . Signature vnk, .. .. '-- ,';);~.:.. __-~ DatP"'~' I' '. , \1"
,( ~) NEW ADDRESS' (-'j FACIL~Y PERMIT TO TRANSPORTATION DEPT. :/ _ ( ) SPECIAL PMT. AREA. MIN. ELEVAfION:
. " :
SANITATION
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THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
r:lJp.rin:gficld
Minimum Septic Tank Capacity (Gallons)
Drainfield Required'. Lineal Feet
Maximum Depth
BUILDING
Type of Construction
Use Classification
Group
Fire Zone
Comments:
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Comments:
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By: ;"..... Date: .....(:..27- ?j- By: /.' ". / ~, '-,;. ....' Date: (/- -:> -, - 7;;;/
PLANNING REQUIREMENTS SATISFIED. By", ?i . "--.. ~,_ Date:'" ,\ \ ...., , \! ,~ Date Issued:37l-t;7,.......... ."..~.~
ZONE:'~.=',",-;'~ ~ SETBACKS: FRONT" ,\':,."'SIDE FACING STREET (FROM'C/l.) INT. SIDE YARD'-~ ~EAi=(>.~ (FROM PIe)
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE. OREGON 97401 PH0NE: 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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SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
'.'
GAS PIPING GROUNDWORK
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
ROUGH PLUMB I NG
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FI NAL PLUMB I NG
ApPROVED ~ DISAPPROVED
REMARKS /?In...od
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~ DATE INSPECTOR
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FINAL GAS PIPING
ApPROVED ~ DISAPPROVED / / DATE
INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE ;---? DATE
INSPECTOR
REMARKS