HomeMy WebLinkAboutPermit Building 1977-4-6
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18-02-06.4.1 ~200
3915 Ricl:-Aarrl St
PERMIT #
Spr:lnqfield '--<-......97477
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JOB LOCATION
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LANE COUNTY PERMIT
Acreage or Lot Si!~
Contractor's O.S. #
Partitioning #
'- ( ) Completed'
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Subdivision"" -, \ \
Lot \.c.
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Blork ....,
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Rllsscll Harris
3915 Ri.ch1and Street
'7~6-o776
APPLICANT'S NAME AND ADDRES>::
OWNER'S NAME AND ADDRES>::
CONTRACTOR'S NAME AND ADDRES>::
Mail permit to ( , ) Applicant ( ) Owner
eTRUCTURES NOW ON THE PROPERTY'
Fanily Room and Bath
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Phonp
Phonp
795 JI.:lpen ;-~e Phonf'
Call f'l!;r-'J1Ib ' (owner, etc.) when ready.
R::lrt-ATCl Hal:r1B
!lDI:lert Menlten BulUter
) Contractor. (X) Prefer to' pick up.
OlllPllfng
THIS PERMIT IS FOR
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WATER SUPPLY
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# BEDROOMS
Fxistinq SDS
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# PLUMBING CONNECTION~
W1l.l....=~;.e Water
THIS PROPERT,Y IS WITHIN ONE MILE OF THE CITY OF
.. PLUMBING BY
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Ball Plumb.i.ng
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SEWAGE DISPOSAL
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 wi~h all applicable Codes relating to this permit.
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FeePaid~ .,' .. ~' .- ("'" ..:>,;;11" Signature '. .". ., Data '-, . ','
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ) SPE~IAL PMT. AREA. MIN. ELEVATION:
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SANITATION"
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
Maximum Depth
BUILDING I
, !"'.-iV_ Type of Construction
, ". .,'" II -r-:- . Use Classification
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Group '_
Fire Zone
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Comments:
Cqmments:
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By: /' ',. Date: ..,,',_ -,'. 'By: '-'.V1~~~.f_ ;""4 ......t(j..{ 'Date: //
PLANNING REQUIREMENTS SATISFIED. By:.... ~_, ,^' .:... Date: _ \ ",t ~~ \" \' \ Date Issued:
ZONE: "'",.,~.... SETBACKS: FRONT \-\.. ~SIDE FACING STREET .lFROM elL) INT. SIDE YARD":;:", REAR
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
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pHbNE: 687-4394
C55-13
POS1:THIS PERMI,T ON MAIN BUILDING -AT SITE
BLDG'. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD, OFFICE COpy - WHITE
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PERMIT # ~ ~'-\ .\-\'1
Sprinqfield CJ.~.974n
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1&-o2-06.~.I--TL6200
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JOB LO'CATION
3915 R:!.dlfland St
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LANE COUNTY PERiyllT
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Acreage or Lot Si7~
Contractor's O.S, #
Partition i ng #
)'Completed
Subdivision\J.....)\\c-. ", ,.. \\.."" \"'\. \. o^ ,~
Lot \." Bloc~ ~ \
lbJssell Haxrls
3915 Rich1and Street
746-0776
APPLICANT'S NAME AND ADDREC:C: Phonp
OWNER'S NAME AND ADDRFC:C: """"'" Phono
CONTRACTOR'S NAME AND ADDRESC:_ _Robert:Renken Builder 795 AsDsn E~== Phon~
Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. (X) Prefer to pick up. Call 746-0776 (owner, etc.) when ready.
R:o~ HaJ:ris
"RUCTURES NOW ON THE PROPERTY ~lllnq
THIS PERMIT IS FOR Pamily IO:lm and Bath
o WilI.......o.~~ ~t:er
WATER SUPPLY
# BEDROOMC::
,
# PLUMBING CONNECTION~
SEWAGE DISPOSAl
EXistin<.J BOO
S.1. #,
Ball PI\lll1bi.ng
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, J~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 $ ~ ,-~.., ~ ('\'r ,\<:i('v<" ._ Signatu'rp ~~ OJ~ / rt( IL' \":-(( \. L~, 0 Date ~ -. (,0'
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPO'RTATION DEPT
) SPECIAL PMT. AREA, MIN. ELEVATION:
.....
,,' SANITATIO~I':-J-J
I )f,);ify
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Minimum Septic Tank Capa'city (Gallons)
Drainfield Required - Lineal Feet
_ Maximum Depth
Comments: t~'~) ~\~~ 10'~
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BUILDING
<Z::;=/IJ Type of Construction_ 7-
;r # # ,. ~ ' I Jse Classification
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Comments:
Group
.3
Fire Zone
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By: ./} /!.,....,/ ~ate:,7--5'J')- 77 1-- -By: a.~ A..~: ~ Date: .?/':--i,':'77
PLANNING_Rj::QLJIREMENTS SATISFIFn. By:.\ '\.':'" ..." ,'co ., ?Date: ~\ \~ \ "\'\ Date Issued: ~~7-J7
ZONE: ~ J"I\. SETBACKS: FRONT ~\;::.{SIDE FACING STREET (FRO!"l C/L) INT. SlbE YARD::::> REARcP(FROM PILl
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHONE: 687-4394
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POST THIS PERMIT ON MAIN BUILDING AT SITE
_ ..C55-13
BLDG. ~ERMIT - W~'i1TE; BUILDING -:-,GREEN; PLUMBING - CANAR_Y; SANITATION - GOLDENROD; OFFICE COpy - WHITE
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SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
GAS PIPING GROUNDWORK
ApPROVED Cl DISAPPROVED Cl DATE
REMARK S
.
INSPECTOR
INSPECTOR
ROUGH PLUMBING
ApPROVED !P::J DISAPPROVED Cl DATE0-.j.3-77INSPECTOR
REMARKS
ROUGH GAS PI PI NG
ApPROVED Cl DISAPPROVED Cl DATE
REMARKS
FINAL PLUMBING
ApPROVED
fEJ
DATE
o I,SAPPROvED Cl
REMARKS
FINAL GAS PIPING
ApPROVED Cl DISAPPROVED C1 DATE
REMARKS
CERTIFICATE OF OCCUPANCY
8"///17
INSPECTOR
INSPECTOR
INSPECTOR
READY TO ISSUE C1 NOT READY TO ISSUE C1 DATE
REMARKS
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INSPECTOR
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INFORMATION SHEET
(X) Building Permit
) Site Feasibility Study for Septic Tank. Number of sites
( ) Would like to meet on site. Call (owner, etc.)
Acreage or Lot Siz~ Test holes will be ready , ~
Partitioning # ( ) Completed Subdivisiorl- \. ,\\c~~e, ~..-.-..~. Lot \ C> Bloc~~
. '. () Pending
APPLlCANT'SNAMEANDADDRESS}?\'LS::St'J \ \:) HAR.~L'" a...qlS \<lchICltV) ~T Phom;7'-<100)?.-6
OWNER'S NAME AND ADDRESS, if differ~ from apJ!Ucant'~ ~",-'l.I,'1 (\, (')e - Phon~
.ONTRACTOR'S NAME AND ADDRESS \.2n'i?,EA~T 1-<E."-lKF\..( (8i,.De.') 7Q-S- A~PE..N -Phone2<17U,~07
Mail permit or results of site fea~ibility study to (X) Applicant ( ) Owner ( ) Contractor. E- U. <GEN'C.-
(V) Prefer to pick up. Call-r<l0Oi7G, 0e,.; (owner, etc.) when ready.. 9
'(' ,-(lOR.\(, ~'R.eA~f\ Hf'lRV<.1 S-- Co 8- 77/3
STRUCTURES NOW ON THE PROPERTY
PROPOSED USE (this permit) FA~ I \ V Q (')(') fY",
WATER SUPPLY. :\\..l'o\lC:.. (\^'Hl/AfVl~f'
SEWAGE DISPOSAl . &o-hc. -\-cH'\. \C....
PLUMBING BY~ \ \ '~\ \ J I'Y\ 'en r.. ~
( ) PROPERTY IS WITHIN ONE MILE OF CITY (
H()IY\E.
<? ~TH
I A \-'PI -\--e.'r )
(existing or proposed well, etc. If public, name of system)
.(existing or proposed septic tank, etc.) S.1. 4'
, Address (o'j (pV:J ~ E J 'ST
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****_*************************************** OFFICE USE ONLY BELOW THIS LINE *****~*"*.**.:*"**_*~**-ll-***_**********************._- -
~ Nec~ssary -,.- ( ) Faciliw Permit Necessary ) Special Permit Area, Minimum Elevation: '
ZONI= . SETBACKS: Front Side Facing Street Interior Side Yard Rear
(FROM CENTERLINE OF ROAO) (FROM PROPERTY L1NESI
To: Planning/Building InspectorlSanitarian/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
nivision
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Acreage or Lot Si7~
Contractor's O.S. #
Partitioni ng #
3915 Ric~ St
JOB 'LOCA TION
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LANE COUNTY PERMIT
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3915 Ri~ Street
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PERMIT # ~ ''-\ -'\-\,\
Springfield CJ.~.97477
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IS-02-06;4.r -TL6200
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Subdivision\..>.-)'\ \0"," ,.c ~,~ '\~", ~ ...c)...
Lot \.... Bloc'" 3 "
, 746~776
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APPLICANT'S NAME AND ADDRESC:
OWNER'S NAME AND ADDRFC:C:
CONTRACTOR'S NAME AND ADDRI=C:C:
Mail permit to ( ) Applicant ( ) Owner
.TRUCTURES NOW ON THE PROPERT~'
THIS PERMIT IS FOR Family Room and Bath
o l'7illamette Water
WATER SUPPLY.
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Russell JIarris
Phon~
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'.1 - .' --" Phon~
Robert Renken Builder' ~' 795 Asoen Euaene "5;. Phon~
( ) Comract.e{ (X) Prefer top, i.ck UP)'~G..a.'1I 746-0776 - (owner, etc,) when ready. .
-. :: Barbara Harfi,S . V
IM.ellinq ~, ~ ..,
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# PLUMBING CONNECTION~
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# BEDROOMC::
Existin SDS '
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SEWAGE DISPOSAL
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THIS PROPERTY IS WITHIN ONE MI LE'OF THE CITY OF PLUMBING BY!, "
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hereby certify that the above statements are true and~accurate, and that I tl'ave the following legal interest in the property: _owner of record;
; .-. \ ... .. \
contract purchaser; _ potential buyer; _ re"ltor or agent, I further certif,y that (if not the o'wner) I am authorized to act for the owner of
record, and~that said owner is aware and approves of this~~tion. I hereby agree to comPlY wi\!, all applicable Co~des relating to this per1mit.
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Fee Paid <I: " ::::::-: --:::;~ \ '''-''''<''>Q",", \r, !~ Slgnatur~ ,<-,,0.1'\ ~ r<ll KA ,";- q, \ LA. J-.J Dat~ .".;, \.0
( .) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ' ,\ ( ) SPECIAL PMT, AREA. MIN. ELEVATION:
, - ...!..:!:.... -.
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,,- SANITATigtJ_/ BUILDING~ ,,' .
. ,If~ Minimum Septic Tan~ Capacity (Gallons) '~/T;ype of ~onstructlon -L-
Drainfield Required. Lineal Feet' .or P J1!..'",p- Use Classification
~<-u. : ' . f""
Maximum Depth A ' "comments: ':r
Comments: f'~ 'h.1,,-<) ~~-ui--"-,, (0' NIN.../ ,,\.{ I(-
k"aeI,,/ ~~~"1d~J;R.,.,, ~<rU-J2- ~ a.w \1 " \~). \~ X
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By: d .....-;~_t!:A./ ; Date\,~" <n- 77 ,'. By:~a.~ ,4. ~ Date: .v-~-77
PLANNINGJiEOUIREMENTS SATISFIED. By.:.\, ~..'Y"V""<--'" '...~ _~ ... ,(( Date: ::S\ \"-\. \ "'-\""'\ Date 'Issued: ~~-7-77
ZONE: ~)... f'\, SETBACKS: FRONT N~~E FACING STRI;E;f" (FROM C/U I'NT. SIDE YARD S REAR;6 (FROM P/U
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE,'OREGON 97401 ',\ PHONE: 687.4394
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Ball PllUllbing
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Group' - _7 .
Fire Zone
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POST THIS PERMIT'ON MAIN BUILDING AT SITE
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BLDG. PERMIT - WHITE: BUILDING - G~EEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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C55.13
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SITE INSPECTION
ApPROVEO ~ DISAPPROVEO ~
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DATE!": .- / { .' 7(1 INSPECTOR
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REMARK S
FOUNDATION INSPECTION
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ApPROVEO LLI D'SAPPROVEO 1--1
DATe
6-t7-11
INSPECTOR
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REMARKS
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FRAMING INSPECTION
ApPROVEO do, SAPPROVEO ~ DATE,i - t-? -12 INSPECTOR
GtArf:.
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REMARKS
LATH OR SHEE~K INSPECTION
ApPROVEO LlL-I 01 SAPPROVEO r--7 DATe]_ .:('-7"7 I NSPECTOR~
REMARKS
FINAL INSPECTION
ApPROVEO ~SAPPROVEO Cl DATE ?-"51- 7;( INSPECTOR ~
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REMARKS /toOt 1.er>'.I, - -4 Jr "..J ::J,.-~,:;..]'5( /\ /
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CERTIFICATE OF OCCUPANCY
REAOY TO ISSUE Cl NOT REAOY TO ISSUE ~ DATE
INSPECTOR
REMARKS
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