HomeMy WebLinkAboutPermit Building 1977-7-18
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JOB LOCATION
103' Donoea
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PERMIT# t..\~.:J.~---\1
Springfield Oregon ~7~03'
LANE COUNTY PERMIT
Acreage or Lot Si?O
Contractor's O.S. #
Partitioning # .
) Completed
Subdivision
Lot _-s-
tlco8ow Groen F9tatea
-,
,
Block
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APPLICANT'S NAME AND ADDRESC:
OWNER'S NAME AND ADDRI=C:C:
CONTRACTOR'S NAME AND ADDRESS
Mail permit to ( );) Applicant ( ) Owner
Lane Co~otruction Co 315 Oorris St
8m':o
Ball!:>
) Contractor. (Z ) Prefer to pick up. Call 63B-503G
Phonp
Phonp
Phonp
(owner, etc.) when ready.
6313-5836
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STRUCTURES NOW ON THE PROPERTY
.' ~~Pition. of_200a~ ftronto G~ra9c/ P~oily
THIS PERMIT IS FOR -
~.~~ _~4~~~UY rur~~un ex ~urage
City of SPringfield
~ellinCJ
Garflge
Roo!!}
# BEDROOMS
Exis~lD('f
# PLUMBING CONNECTION~
WATER SUPPLY.
SEWAGE DISPOSAl
S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
Sppin~f1cld
. PLUMBING BY
.1 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 t~at said o,,:!.ner is aware and approv,es of this action. I hereby agree to comply with.al~ ap~cable(codes relating to this permi~ /
Fee Paid $ ~Jt-. -.-......... "", \.;-~ Signature \I,'-<.L/'N~ Da'o _:q/~//77'
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) NEW ADDRESS ( ) FACILITY PERMITTO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION:
e:omments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Type of Construction
Ilse Classification
"'roup
Fire Zone
SANITATION
Comments:
'By: "::-~ Date: ?j' ;- / By:////;Y/ X if Date: --</;:,/-'/'1
PLANNING REQUIREMENTS SATISFIED. By\'-,.,. . Date:' .:.... -, " ,XI ."' Date Issued:' --::;'/.. /:-;r)
ZONE: -"" ,...:" SETBACKS: FRONT ~. SIDE FACING STREET (FROM C/L)' INT~SIDE YARD: REAR t-./- (FR'OM'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; PL~M81NG - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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Job Location
(0 38' Do,j.{J.e:A-
- s: ..j)RIfJC;FI~ MM -
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~oo c::,
INFORMATION SHEET
( v) Building Permit
) Site Feasibility Study for Septic Tank.
( ) Would like to meet on site. Call
"[est holes will be ready
Subd~ea..~ \
Number of sites
(owner, etc.)
Acreage or Lot Si zo
Partitioning #
( ~, QD~ -ca,V:ot ~ Bloc~ /
) Completed
( ) Pending
APPLICANT'S NAME AND ADDRESS Lwc: &tz;Sr~<VTtd)) CO.
OWNER'S NAME AND ADDRESS, if different from applicant's
CONTRACTOR'S NAME AND ADDRESS I-JT-NC. t!LJA/,-C,eu(171ov d,.,. oArS J)oe.e.l~ S:T
Mail permit or results of site feasibility study. to ( ) Applicant ( ) Owner (/-fCOntractor.
( ) Prefer to pick up. Call b y-fr-Sij 3 ~ (owner: etc.) when ready.
8/5.])0IZ.I2.IS ST.
Phone .b:8B-Sc5!3'k,
Phonp
Phone.?,f' ,,"-S"?"3" f..
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PROPOSED USE (this permit)
WA TER SUPPLY C\ . ....~
STRUCTURES NOW ON THE PROPERTY
a-.-Jl~ ~<:.>
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C ___..x..~ =--- ___
;2,..... .Jl.
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/ ~:: ~~- ~-~~. \, ~~ ,~
'oc.u.. Cf_ E:.x>-"",~~ G-o,<>.~ ~~
(existing or proposed well, etc. If public, naml of ~ystem)
~
G-o _0 ~
/
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SEWAGE DISPOSAl
(existing or proposed septic tank, etc.) S.1. #
PLUMBING BY
Address
) PROPERTY ISWITHIN ONE MILE OF CITY (
)
******************************************* OFFICE USE ONLY BELOW THIS LINE *******************************************
( ) New Address Necessary-
eZONf
) Facility Permit Ne'cessary
SETBACKS: Front Side Facing Street
(FROM CENTERLINE OF ROAOI
) Special Permit Area.
Minimum Elevation:
I nterior Side Yard Rear
(FROM PROPERTY LINESI
To: Plannillg/Building Inspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated.
By_
Permit Processing Section
Response'
C55-12
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394
Division
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JOB LOCATION
1 ;\:-:fJ !:cntsa
d5:
PERMIT # "\"~--~
SryT.inCJfiGl(~ Oregon 97.1.rp
. \~
".\.'-\
LANE COUNTY PERMIT
Acreage or Lot Si7~
Contractor's O.S. #
Partitioning #
) Completed
Subdivision
Lot
Ueado~" Green .Fstate'l
Bloc~
APPLICANT'S NAME AND ADDRFC:C:
OWNER'S NAME AND ADDRESC:
CONTRACTOR'S NAME AND ADDRFC:C:
Mail permit to ( )) Applicant ( ) Owner
I,ane CO:<:1st!:uction Co
Dor=i:-:
St
Phon~
Phon~
Phonp
(owner, etc.) when ready.
6R8-583~
STRuqURES NOW ON THE PROPERTY
. THIS PERMIT IS FOR Addition of200sq ft:ronto G"ragel Family
. L~um ~~H~Ln9 ~or~~on or ~arage
WATE'R SUPPLY City or SPringfiold
BaL'C
Same
).contractor. (X ) Prefer to pick up.
Dvelling Garage
Call.
688-5836
Room
# BEDROOMS_# PLUMBING CONNECTION5-
Exist!l:nq
S.1. #
SEWAGE DISPOSAL
,
,
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
Slllpinqfield
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 sai.d owner is aware. and approves of this action. I hereby agree to COmp~IY with all applicable Codes relating to this permit. A
. ~ -1::'. \ (., " ( J f:{ ,:p. /
Fee Paid $ ~~ '- ~~ ~,,~ Signature'--;/' " '1" Dat~ .3/7 77
\\ \ . {/ - '; . I I .
( ) NEW ADDRESS ( ) FACILJITY PERMIT TO TRAN.SPORTATION OEPT. ( ) SPECIA.L,;PMT. AREA. MIN. ELEVATION:
",'
e:omments:
/
.
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth .
BUILDING ~L1
Type of Construction
Ilse'Clas~ification
Group
Fire Zone
SANITATION
Comments:
-- \
,BY:~~'~- Date:<8-~_/?/ r-"By:M hJ1 ti. ( Date: 3/~/1J1 ~
PL~NNING.REQUIREMENTS SATISFIED. By:\.. ..........r-..,.....--y--., ...\- ,~A, ~-Da{e:? \ ~\ ~"'" ~~!~ I~~~~d:... .3/A/rn.
.ZONE: ~..p... SETBACKS: FRONT .i!(,' SIDE FACING S':'REET - (FROMc/U\ INT.'SIDE YARD _~ REAR ~'(FROM Pill
l~!b..,,6~ .-
.LANE COUNTY DEPARTMENT OF ENVIRONMENTAL'M.A:NAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
r
C55-13
BLDG. PERMIT - WHITE: BUILDING - GREEN: PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
..........
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SITE INSPECTION
ApPROVED
/
~ DISAPPROVED
# A1~ j;;--:,
Cl OATE ') - ~9 -71NSPECTOR
9A~
REMARKS
fOUNOATION INSPECTION
ApPROVED I
I DI SAPPROVEO L-I DATE
REMARKS ,{) K- h /J~
I
'j - 2-<7- 77
fRAMING IN~~~N
ApPROVED DISAPPROVED
Cl Dml ()~ ~ 7 ?
REMARKS
LATH OR SHEETROCK INSPECTION
/"
ApPROVED L...LI DI SAPPROVEO /
I
DATE-I-/~"f-77
REMARKS
.
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INSPECTOR
~~
INSPECTOR~~~
INSPECTOR~
,
fINAL I NSP::~ I~ 2{- 71
APPROVED. DISAPPROVED Cl DATE~:~NSPECTOR ~rt
REMARKSf:.r' ~ -- h~~f,..-n.....JL- 1_.._7/-7 "1 9tA~
"
CERTifiCATE Of OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
REMARKS
INSPECTOR