HomeMy WebLinkAboutPermit Building 1977-12-19
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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
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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-
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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.
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FeePaid"~O, 9t? Signaturel(~l.-.,,() t;. ~..."'...~ Dato /:;-7--77
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( ) 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~.)
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BULLDING _
-~ IJ Type of Construction ',I
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Comments: U
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Group
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Fire Zone
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By:
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Date:
/;;2-/3-77
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Std(,
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Written Directions
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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~
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Phone 71./,(- :;2..(6'
Phonp
Phono
COntractors O. s. #
STRUCTURES NOW ON THE PROPERTY h.., a.~ .e.
PROPOSED USE (this permit)~/" Y" .;.
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~EVVAG E ()ISPGSf' ' ,
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PLUM~J'NG ay .
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r';',f::'n .:.-J ..~ ~().... t:.. ~ ~&r fAr..-I;-~ RPdrOC11L<;
-I- k./ e ) / {e.xisting or proposed well, etc. If public, name of system!
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(pxisting 6r proposed septic tank; etcir. Sol. #
WATER SUP~LY
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.(/1 )'PR<)P.EH:T.Y ',IS WITHIN ONE MILE OF CITY (
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...... **** .***''':.*'''.*************** 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
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LANE COUNTY PERMIT
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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
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M /R'''. {.."i,../ 9~~
Subdivision
Lot Bloc~
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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.
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Fee Paid ".,;:0, RtJ Signaturo' .-1) J',~, r r,'. J-A~~:''')- Date,! .J - i!}.. j /)
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( ) 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
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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
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required, Lineal Feet
Maximum Depth
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Comments: /(. ,)
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....'5 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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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~_
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FOUNDATION I NSPECHON
ApPROVED ~'SAPPROVED L-I DATE ~";" 10-7[/ INSPECTOR QeL
REMARKS,=h-i7!:' ~_J~ 1,.,-;rL""tj~~ ..2 ,~ t<A'J"~/f
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FRAMING INSPEC~N
ApPROVED LJL DISAPPROVED 1 1 DATE 4-S--R2-INSPECTOR~
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LATH OR SHEETROCK INSPECTION
ApPROVED ~I DISAPPROVED ;----? DATE
INSPECTOR
REMARKS
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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