HomeMy WebLinkAboutPermit Building 1978-5-8 (2)
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LANE COUNTY PERMIT
Acreage or Lot Sizp
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APPLICANT'S NAME AND ADDREC::C::
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESS_
Mail permit to ( ) Applicant ( ) Owner
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(owner, etc.) when ready.
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STRUCTURES NOW ON THE PROPERTY
eTHIS PERMIT IS FOR ~~~~~'?..~'.~,.' ~ ~~~"~li;c'~l."
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# PLUMBI NG CONNECTION&-
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WATER SUPPLY
SEWAGE DISPOSAl
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THIS PROPERTY IS WITHIN ONE MILE OF THE-Cn:Y OF PLUMBING BY
I hereby certify that the above statements are'ftwe,an~accurate, and that I have the following legal interest in the oroperty: _owner of record;
contract purchaser; _ potential buyer;'-- )'~"realtor or agent, I further'certify that (if not the owner) I am a'uthorized to act for the owner of
record, and th, at,said.owner is aware and approves of' this action. I hereby agree to comply with all.a,prilicable Codes,' relating to this permit., ' . ,
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Fee Paid ~ .~. Signaturp V - "" Date "'. " "
)'NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. (:I) SPECIAL PMT, AREA, MIN, ELEVATION: i.,-,c:,/. 1'-
SAN'ITATION
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BUILDIN<tANE COUNTY SPECIAL PERMIT AREA
Type of Construction. Group ~ire Zone
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
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By: Date: /", By: --. c:. ", -;:..,., ,.} ,/n,? "'0'':/'1/-. Date: ~J'~ - l (";
PLANNING REQUIREMENTS SATISFIED. By: - Date: :" '" ',. '" ,,~,' Date Issued:~"'O-:'r 0
ZONE: ' SETBACKS: FRONT '; >.' SIDE FACING STREET (FROM C/Ll INT. SIDE YARD'::; - REAR !Y (FROM P/L)'
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687.4394
. POST THIS PERMIT ON MAIN BUILDING AT SITE
C55.13
BLDG. PER'MIT -WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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SITE INSPECTION
ApPROVED Cl
DISAPPROVED Cl DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED / / 01 SAPPROV(D c::; DATE
REMARKS
FRAMING INSPECTION
ApPROVEO / / DI SAPPROVED Cl DAn
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO L----/ DISAPPROVED r----? DATE
REMARKS
FINAL INSPECTION
ApPROVED ~'SAPPROVED
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INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ;---? NOT READY TO ISSUE ! / DATE
REMARKS
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TRS,.TI
JOB LOCATION
LANE COUNTY PERilillT
Acreage or Lot Si70
Contractor's O.S. #
Partitioning #
) Completed
Subdivision
Lot
Bloc~
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Phono
Phono
(owner, etc,) when ready,
APPLICANT'S NAME AND ADDRE~C::
OWNER'S NAME AND ADDR"C::C::
CONTRACTOR'S NAME AND ADDRESC::
Mail permit to ( ) Applicant ( ) Owner
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,. ~ ". , (
) Contractor. r ) Prefer to pick up, Call.
!.::",: .1
, -"', - - .--, "i 7" -:.~
: ""-"-"-'~" .-~- . ...-
,'" '''';
STRUCTURES NOW ON THE PROPERTY
.THIS PERMIT IS FOR ~.i":~~,
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,.
'~ '~-;--.'"
# BEDROOMS_# PLUMBING CONNECTIONS-
J_ -~', :.:.:;_ ., ", ..-:;:::,
: ":'. '. "._.::' L :~
WATER SUPPLY
SEWAGE DISPOSAL
S.1. #
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THIS PROPERTY IS WITHIN ONE MILE OF THECIl:.v OF ,PLUMBING BY
I hereby certify that the above statements are~rue,~;a~accurate, and that I have the following legal interest in the property: _owner of record;
contract purchaser; _ potential buyer> 'If.' '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. · \"
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Fee Paid ~ ' . - Signaturp .,.' - -, . . ..' " Date" ,
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) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. (:I) SPECIAL PMT. AREA. MIN. ELEVATION:'
. Comments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
BUILDINGLANE COUNTY SPECIAL PERMIT AREA
Type of Construction r,roup Fire Zone
"se Classification
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SANITATION
Comments:
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By: Date: _~""'_ Date:.;' I. 7:.>
PLANNING REQUIREMENTSSATISFIED. By: Date: '-, \ . '.. ' Date Issued:~' 'r: -'r i.:,
ZONE: SETBACKS: F.RONT SIDE FACING STREET (FROM C/U INT. SIDE YARD'5 . REAR !_' (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHONE: 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55.13
BLDG. PERMIT -WHITE, BUILDING - GREEN; PLUMBING - CANARY: SANITATION - GOLDENROD; OFFICE COpy - WHITE
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SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED L::::l DISAPPROVED L::::l DATE
REMARK 5
GAS PIPING GROUNDWORK
ApPROVED L::::l OISAPPROVEO L::::l DATE
REMARKS
ROUGH PLUMB I NG
ApPROVED L::::l DISAPPROVED L::::l DATE
REMARKS
ROUGH GAS PIPING
ApPROVED L::::l DISAPPROVED L::::l DATE
REMARKS
FINAL PLUMBING
ApPROVED
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DISAPPROVED L::::l
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REMARKS
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FINAL GAS PIPING
DATE to-I
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ApPROVED L::::l DISAPPROVED L::::l DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE L::::l NOT READY TO ISSUE / / DATE
REMARKS
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INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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INSPECTOR