Loading...
HomeMy WebLinkAboutPermit Mechanical 1977-1-27 ~v J/., 7 . TRS,TI /-,--,'-,. . , PERMIT # j.2.-rJ /...... , " '"" I , , ..... ( '.7--, --- JOB LOCATION /" /'.J \.. J/.1 - /./ /," /' !-ANE COUNTY PERMIT Acreage or Lot Si7Q Contractor's O.S. # Partitioning # ) Completed Subdivision Lot Bloc~ ., . APPLICANT'S NAME AND ADDR"'<:<: /1 !;/ OWNER'S NAME AND ADDRES~ ~ ;. 'f CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner '- , l, r. , , ,. ,. " . / , I' /", . r 1'/ !( ./' :' '/c'y L, ,,-- ..;- c:-' I. .~. .? L/l .-( / /c.../?, ';;u/ Phonp '. I Phonp ./-....- //1 .7. Phonp (owner, etc.) when ready. " I'".. ,..,."-:;'y ;,..- r ) Contractor. ( ) Prefer to pick up. Call. STRUCTURES NOW ON THE PROPERTY eTHIS PERMIT IS FOR I J_.'_+ ' I- ' ''- .-'" # BEDROOMS # PLUMBING CONNECTION&...-: WATER SUPPLY SEWAGE DISPOSAL S.1. # THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF . 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 said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. .- -- ., J" . ,'-,I' Fee Paid $ -'. I " Signature ,'... <":. "- DatQ I' " /" / ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION OEPT ) SPECIAL PMT. AREA. MIN. ELEVATION: .mments: Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth BUILDING Type of Construction Use Classification r.roup Fire Zone SANITATION Comments: I": , , , By: Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: ;:.,' ,-j SETBACKS: FRONT 4 . -,;- , By: . "" Date: --'- Date: 1- .V' ,,}. -7 - / Date Issued: (FROM C/L) INT. SIDE YARD REAR -- .".; '... SIDE FACING STREET (FROM PIll 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; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE \ ........ 5L-- TRS, TI /7-;)-/) ;2/ /OcJ{) JOB LOCATION. A PERMIT# /t3-71 5?'-7C:: .../i./,P47U./ -:;:411 /) /h I2J) LANE COUNTY PERMIT Acreage or Lot Si?p Partitioning # ( ) Completed Subdivision Contractor's O.S. # _ 0 Lot APPLICANT'S NAME AND ADDRESS -/Y7IJA f. a A-/-,,-,,~ t1) / </d" 81151: ,.J!d/f. OWNER'S NAME AND ADDR""" .A;t'J1,d...klf, :d' .f)/I";/.~/1 P/). ./-Yri/ 3Rt:,) Cr~ d v CONTRACTOR'S NAME AND ADDRES" -- / /7 Mail permit to ( ) Applicant ( ) Owner ( ~contractor. ( ) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY ,-../L",-~ eHISPERMITISFOR w~cf S~ ..iJB loc~ CV~. Ph:l/-16 -,0 d) (b Phonp -;61&- /// Z Phonp (owner, etc.) when ready. # BEDROOM" # PLUMBING CONNECTIONs.............. I t WATER SUPPLY THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF SEWAGE DISPOSAl S.1. # 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 said owner is.aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid ~ ":;'/0 Signature '-Mew(. {I. ?L~e..- Datp /-';;;1-77 ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ( ) SPECIAL PMT. AREA. MIN. ELEVATION: e"ments: Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction Use Classification Group Fire Zone SANITATION Comments: C; ,,~. 0;: -.'..-4- <':"-7 By: Date: PLANNING f,lE;(}UIHEMENTS SATISFIED. By: VLJ....../Z.e..;C. ZONE: /!/ n SETBACKS: FRONT v SIDE FACING STREET /} , '/L-< / B .' . y 'J.-T-U i )-'d. _ y. ~ ~ <7'-' .".... . // Date: j-Dl '7- - / - / Date Issued: (FROM C/L) INT. SIDE YARD REAR rf. >;.1. r;C:Date: 'j... ] , '-:'- -""'V-' (J ,. / " (FROM PILl LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT S'TE PHONE: 687-4394 C55-13 BLDG. PERMIT - WHITE: BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE v v/ . . SITE I NSPECTI ON ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARK 5 FOUNDATION INSPECTION ApPROVEO / / D,sAPPROVEO 1--1 DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVEO / I D,SAPPROVEO Cl DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO 1--1 DISAPPROVEO 1--/ DATE INSPECTOR REMARKS tI NAL I NSPECT I ON ApPROVEO 0 D,sAPPRoVEO Cl DATE ~/51- 7 7 INSPECTOR~rL REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARKS -lC TRS,T' /0J-77 /7- ~-?. 2. / (jUO Job Location 8 IS" SA'ME' ~M ~. INFORMATION SHEET ) Building Permit ) Site Feasibility Study for Septic Tank. ) Would like to meet on site. Call Test holes will be ready Subdivision . Lot Bloc~ ( ( Number of sites (owner, etc.) Acreage or Lot Si 7~ Partitioning # ) Completed ( ) Pending C'\ ~ u"," APPLICANT'S NAME AND ADDRESS \\~ V"Q...~\.J,," 14:~_ D 'S'I. OWNER'S NAME AND ADDRESS, if different from applicant's s,1E\lB-J L. DQJ.~c::l2... CONTRACTOR'S NAME AND ADDRF<:C: M'ail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor. .. ) Prefer to pick up. Call /'1 ( owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY ~.4r--?A.-<;::/ 17_ I A ;---o-;....J :s-J);}..A ~ <:.JYf:"U'\ ne.c-_ .97411 Phon~7~244> D.o.&.." 6~ li1J<l~)j,<<:' <7746\ Phonel2..Co-/llL Phon~ PROPOSED USE (this permit) WATER SUPPL Y (,e,~isting or proposed well, etc. If public, name of system) SEWAGE DISPOSAl (,e,xisting or proposed septic tank, etc.) S.1." PLUMBING BY Address --7f- ( ) PROPE RTY IS WITH I NONE MILE OF CITY ( I I ******************************************* OFFICE USE ONLY BELOW THIS LINE ******************************************* ....... ) New Address Necessary ( ) Facility Permit Ne'cessary .NF SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAOI ) Special Permit Area. Minimum Elevation' Interior Side Yard 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 Processi.ng Section ResponSl" C55-12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 r'livision