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HomeMy WebLinkAboutPermit Building 1977-7-18 , ~. . '. .; " \' /' ;; J " TP.S- TI'. -> ' 18-'/):1-01; .1. 3 ?LeOO'l JOB LOCATION 103' Donoea , 'V o. 1,:;;' 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 / 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 r 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' I ' ) 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 \ TRS- TL (f -02 - U (, - .,v' ,- , - -S Job Location (0 38' Do,j.{J.e:A- - s: ..j)RIfJC;FI~ MM - ~- ~\~':).-~~ ~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.. :. PROPOSED USE (this permit) WA TER SUPPLY C\ . ....~ STRUCTURES NOW ON THE PROPERTY a-.-Jl~ ~<:.> ~~-.~C6 -- - -~ - ~ =.\ C ___..x..~ =--- ___ ;2,..... .Jl. ~ / ~:: ~~- ~-~~. \, ~~ ,~ 'oc.u.. Cf_ E:.x>-"",~~ G-o,<>.~ ~~ (existing or proposed well, etc. If public, naml of ~ystem) ~ G-o _0 ~ / I 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 '" I . a..co .-: ~ "-" \ ,..'-< i0--- I~ r\'- " ~ rot> , - .. --..,. . (L"'. ... - I oJ. l!E/l1"Oi.'.L.IN~; <'" \' '" , '" I \r -, 'I ~.s TI'It! 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' , )~ TRS T.I~ lil-C">-"'6.1. 3 ,.."-.,' "-, ~)V ','r,1HH)rf 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 .......... l " ".. / .. .- - ., , 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 . ':i/'.~ ,. " 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