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HomeMy WebLinkAboutPermit Building 1977-12-19 If, ,/ :~ . . "~V TRS, TI /fl-CJ.:z -~/.d~?..:?O/. JOB LOCATION 9'3c:> Q.~/.I"... -#- ~ ,j:-Le.c:~,__ 0"tJ.7Vf..., )~ 37Zel-77 ., j/ / ,R LANE COUNTY PERMIT Acreage or Lot Si?O ~::s ;X / 3~ _ Partitioning # ( Contractor's O.S. # / )/"J A APPLICANT'S NAME AND ADDRE""x'7~~ WJ.u;;0 OWNER'S NAME AND ADDRESS v CONTRACTOR'S NAME AND ADORES" Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY. ~ . THIS PERMIT IS FOR ,~..&At-?~ C '?/Jt;/' 47 {( . WATER SUPPLY 1luI~ '1<- !/Jdf. ) Completed Subdivision Lot Bloc" 9~ ~J~~/'::~ Phonp ?4'6-3zb~ Phonp Phonp. (owner, etc.) when ready. SEWAGE DISPOSAl # BEDROOM" # PLUMBING CONNECTION5- ~r(~ ,.It, ~ ~) S.1. # / (/ PLUMBING BY 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 appliC:a'iJle Codes relating to this permit. fV1 -s: ", ./ I. / FeePaid"~O, 9t? Signaturel(~l.-.,,() t;. ~..."'...~ Dato /:;-7--77 - U- . . - IT ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ( ) SPECIAL PMT. AREA. MIN. ELEVATION: SANITATION ' ' .~ Minimum Septic Tank Capacity (Gallons) ., :.~ Drainfield Required, Lineal Feet . ././1 Maximum Depth . Comments: I~ c~'~' /,,'1- ~/O'~,- 04fkvd~.) ~ -e-p..wL.~ I '. ~ ,"'...< ~ l 1"/' ~~~i~~ BULLDING _ -~ IJ Type of Construction ',I "r/l t""A .A A - ~"JseClassification !^",---,-,-'I::I"-"~ ~ Comments: U ~ Group .J Fire Zone r"'~~~ 7 ~; L " By: ....,,;!./ ~.,..--. Date: /;;2-/3-77 9'30 h '/ be~ r J.... o~ ~ / IF 7..~:-~ ('0';;-1" '&..........;.._7 Std(, .$7,;70-77 (".- ~r , &6' TRS, TI Written Directions /~ O~. 6.11.1-7,;200 Job Location 1:'",w'-J:h:_ INFORMATION SHEET ) Building Permit ) Site Feasibility Study for Septic Tank. Number of sites / / / sf ,L 1/ -I- /3.f, Test holes will be ready ( ) Completed Subdivision ( ) Pending f) APPLICANT'S NAME AND ADDRESS C"" r,,-e E &L...1S / OWNER'S NAME AND ADDRESS, if different from applicant'< CONTRACTOR'S NAME AND ADDRESS ~ail permit or results of site feasibility study to ()'.) Applicant ( ) Owner ( ) Contractor. ~ ) Prefer to pick up. Call (owner, etc.) when ready. Acreage or Lot Sizp Partitioning # Lot Bloc~ "lJ 0 /'; !..k...7'f /~ I 1 / ,<; =;"",[::/,/ t:J.,.,... CJ 7<12.Z.. / u / Phone 71./,(- :;2..(6' Phonp Phono COntractors O. s. # STRUCTURES NOW ON THE PROPERTY h.., a.~ .e. PROPOSED USE (this permit)~/" Y" .;. (f;/ '"' /" r 17/~ /~,:. 7 ~EVVAG E ()ISPGSf' ' , '. ,:' J .. . PLUM~J'NG ay . ; "r, <;" P 0ir. --- lah k ,/)" ~ ~~ .-_ a,.. r';',f::'n .:.-J ..~ ~().... t:.. ~ ~&r fAr..-I;-~ RPdrOC11L<; -I- k./ e ) / {e.xisting or proposed well, etc. If public, name of system! ! (pxisting 6r proposed septic tank; etcir. Sol. # WATER SUP~LY . " .! r , ' Address ~.~. l ~'" " . ., '. .. , '. .(/1 )'PR<)P.EH:T.Y ',IS WITHIN ONE MILE OF CITY ( " .,~. I . . , ...... **** .***''':.*'''.*************** iI*.********** OFFICE USE ONL Y'-BELOW THIS LfNE *** **...... 'I'-~'*'*~:*"~'" *.*...; ****...... **......... ***...................... . ) New Address Necessary ( ) Facility Permit Necessary ONE 1<.11. SETBACKS: Front _/-r:::- Side Facing Street (FROM CENTERLINE OF ROAOI ) Special Permit Area. Minimum Elevation: Interior Side Yard 6 Rear ~ (FROM PROPERTY LINES) To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section ResponSP' C55.12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 nivision 1", ' ~ I.f) ..... , \., ,.., .... " " . iJ ' Icun. rh;P 1>1,,? ~"". J,.y It 1 6 I If . ,J ...f i,'r' ~ ,:'~ ~' . , .... / 1; J. II .'. ',,- ~ "", o "'- -(r-c.. fa~7 '\. ""- "- ~ ~ i8 o 1\ ," :), 'J i" 'j -' - .0' -7;, ')"c. S" j ,'I' L. . ) N C. \t ~ (.Al'~ . " I rl r.t ,\ ; .~ , ~ >. ~ ~. " ~ '. \.1 ',' " 6 ~~&t6-&rA:: 0{' ~ R6n~e 1W~5f S~C'I;;'JtS ,i SD"; h.. ,/ P8VC'f!/ hu/J/b....y 71(1(\ '" ~ ~ \ --- ""- (' ... t. C~de A ~e'a ,f{,,,,d.,.y- '/Cf - 0 I TRS, TI I~i;-:'- ..~." ./.__ l.-.::..... r2,..-/....,...,., "J.' r:....-, ,_,/ , , ~' - JOB LOCATION -/, --'/ ,. ( , pf,. tI/ '.- ) 'j- , . ..~:{. -.:.- ..j_- -"-- ~'-e",-/...... .pf- '~, ~~, //- . _-' / ~._' ,~, iI 'X' 37.d-.O-7J -::;/"/.:,:2... " .' " LANE COUNTY PERMIT . . Acreage or Lot Si70 ;?.~ X /3S- Partitioning # Contractor's O.S, # . . , APPLICANT'S NAM~ AND ADDRE""~6l-U>.fi.-~ OWNER'S NAME AND ADDRESS v CONTRACTOR'S NAME AND ADDR""" Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. STRUCTUR ES NOW ON THE PROPERTY ~1'",7....rt.- / ,. >.L. THIS PERMIT IS FOR ,<4.7~2.4'.'/~ '?/J4" 4;V WATER SUPPLY 1'1/..6.-& '"c I/)~f/R, ) Completed , ./ /7 -..:- M /R'''. {.."i,../ 9~~ Subdivision Lot Bloc~ ;&-i~~.~-7U.SH~ .r'7~, ./ ':>- -.-' . Phono /4'('>, -:.:>2_,"(_, Phono Phono (owner, etc,) when ready, ) Prefer to pick up. Call THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF # BEDROOMS_# PLUMBING CONNECTION5- SEWAGE DISPOSAl /;/U~,~ (~P.4 ) / (/ . . PLUMBING BY S.1. # 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 agein, 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. . f' 1 t"./ ~ _,~ I , Fee Paid ".,;:0, RtJ Signaturo' .-1) J',~, r r,'. J-A~~:''')- Date,! .J - i!}.. j /) , 'iJ" . ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ( ) SPECIAL PMT, AREA, MIN, ELEVATION: BUILDING J=- . -\ t,/ Type of Construction , ' '\, I Group 4/ .1\ .; ,. ," /' _ ~.d Ilse Classification . C~~~;;;:v-v ';f- I. U ' k fi-, ~J-~~ trY 'Y' /1V(.-jJ l' r./'-<'./'-7~ g i By: ~/ _=;;.~'-"""-- Date: /;;2 -/S-77 By: C..: ./~,'1-:'1-? In; ~./ Date: /2 - J 7- 77 PLANNING REQUIREMENTS SATISFIED, By:. '>;t'...~,....~ 'I Date: / 'Z-P/2 - 77 Date Issued: OflC, 7'/),1077 ZONE: k lJ.,. SETBACKS: FRONT...:1Z7' SIDE FACING ST~ET (FROM C/U INT. SIDE YARDS" REAR_S'" (FROM P/L~ LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 SANITATI~4 ~4:;i):I' Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth v,':" /- . ,/- '0 "., ,/; , .~~. ......- ,:..-; '. . (r.'. fi(J/'....~-4-- ,) I:...J.../~...A.:b-c.. &'( :'V!~ " . Comments: /(. ,) I ..{:..' -/p ,>t......-<:f--- V.A:--:~ ,-<~t.. .......-:. '!."-'/~ ,./~~.~...J.A.r ~. .:::i::.'.t;_ (~~. ,/;.d.cd:- . ....'5 Fire Zone r-<-<; t_<..-r-<!.d? :> C55.13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE . . SITE INSPECTION ApPROVED [::21'/D, SAPPR~VED C1 D~TEt - fo -7/ I NSPECTOR~r-f"" _ REMARKSJ./} .t?P..,. < I-' U A_ "7:.P I~ ,';..J', '_, ~___.r-12.... I~_ I - I ' 'J //~) /~....::P';'""" //- ~,.,- 77 ;.....f . ~ f1 A-1...o h<n-- .... 2. - / :? - 7 51 ~,...r FOUNDATION I NSPECHON ApPROVED ~'SAPPROVED L-I DATE ~";" 10-7[/ INSPECTOR QeL REMARKS,=h-i7!:' ~_J~ 1,.,-;rL""tj~~ ..2 ,~ t<A'J"~/f ,./ _ ~, II ,{':I" b>-lo-7f<ViA-K.- v FRAMING INSPEC~N ApPROVED LJL DISAPPROVED 1 1 DATE 4-S--R2-INSPECTOR~ {~~. , -d' ' . . /~":)RKA_ f~ :' ':C~ 1~~Y!!t.~':':;1' ;:-/;'--::t-.~,Jj ~/~~ !r:-n.u;'L' /_..fi'>- /. /. Aj~ ,,>-<>--rd.~, ~+-?A__A r~'pI--.fT>~ ..r,<-,;?,'\/''::&--L..''''''''1 ,J.s:d..)J~ J,......., 1,,- /(">- '-1:; Ut..d' -- /,f (/ //- /?:.. ?Lfi'--- ........A_ A - .. - R- / r "'" ..r. ~",......c' LATH OR SHEETROCK INSPECTION ApPROVED ~I DISAPPROVED ;----? DATE INSPECTOR REMARKS 11 fn.d ./ FINAL I NSPECT I ON ApPROVED d D'SAPPROVED C1 DATE f-S--?52-INSPECTOR~-r-R _ J REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE r---7 NOT READY TO ISSUE I 1 DATE INSPECTOR REMARKS