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HomeMy WebLinkAboutPermit Building 1977-2-2 : L\ ." 'J' \\ ..;,~\ LV"" " , {'i: /. . d /,/,1, .'.. - ~~ tfr~...... ." ...,),' , l JRS;T! -~"-'''''''''-'''.....J'->- "' ,-".- - ~.~;; "_'. :..-' ,-.... .... " c.".,......'":. ,-~ .,,.,-..- "~-'-' n~,' '.3 ....1: .,_. .~.. . ,-'/. . 2.. ""J ';;( )'I'1J f../"d' I' ..,..\. '0-'/' ',''''''1' {t.~' ""~ .........., 1 . ":"'1 ~.2-""~'" -,.~- JQ i3,LOCA TJON ,::;::; S::;;j. ' ' i~:~/ .,.:.~:t'/_/~ i' .J ~J, :'. -) _ . I' J. " ,,,, ,F" / l.Pi..~ (... '{.z;.." V~e...(..v.... -;- I" t ----- . J V , ,."..-y , . ' "1"'7 '7".....-; I _RERMIT # l'.1 c/' /'i , ~::,.. , " ,/';.;- L /'" I ~', j',' C1 -" 7 '"7 t;,'" c./A' ",/ ' (;;7' ' LANE'CQUN'TY' PERMIT _ c." _......;..~: - ~artitioningir;tl, J cI tF L.)"CbrTlPleteg 'Sub.clivision.:. , ' '...,!f' /~..{ Lot" 'Block ....r ... eo' :;0.,.... }.. r:,:.......... J.. / "". ~:.p.;..... .". ". ".,~,'"..,,/,: 'V, ,;r./;?>t. ,.it..- :.7 ';:;~'( /,...." ,(:"':~,:,""),, /':~.~/-- ~~ C~,,', ,>'::~,,;t~7,lh.; , APPUCANT.~S.NAMEANDADDRESS' J." '.".,,,.1'" L. -,..;..' -.;:t. I I'. i.,.r,6.~f~l, :I'r', Phbnp "OWNE WSNAM,E AND ADD RESS, , ,.,' . Phonp " " "j Ph CONTRACTOR'S'NAME .AND ADDRESS. Ca',,'I'I'~ ~~:)4a:..~,~',~""(~,'/1"",{.J, :~('..o~,w.'~n'er'"",etc',.,,)',,,w', ,'h' 'e'o' re"aOd,'ny.p. .,'. ~'lWa.~l'per.rTli.d:~ ,(, )' Applic,ant .l t---)1'O\Nhe~ . ( ,') CO"n.tractQr'.. ('k;rPrilir ~d pick up: " ' , ' . STRUCTUR6SN~WONTHEPROP6RTY/'l)jI.i,:>...t:.'j;f/. ::'.",(' ...,,/;' ." · //:j.~. ,};.. .<:.'7 ;HISP~~Mll' Isi=b:H"il~i~/.r' '~;;' ";~~~-",,', ," " ,< " ':# B,ED'RO~MS'4 iF PLl:JMBfNG ~ONN~~JIONS~/6, , , 0"" -., . . p. ~_'., ';.' l. ,'~ . .. .' " ,",. ': -', ,_..: ..- O'j~. .~~!.,- t ' :~~ ':~'~l/,~~;.-' .. , .;..' ;. - . >".; " .. . 'IJ'JATEH suppLy ..",~-:::1:-~~r-:.:t ~{, /" C."j . , ,sEwAci'EDISPOSA' "l,t/,F;-;"'"/13f:'-.'i&:-j' 'S.I..# <~. . ,lIP ;:'1> .,f" ,', , L S. { I{" .' ."..: ~ ..~ Acr,eage or ot 17: . . ..'... .. .- : Contractor's O.S: #.: . ' ..,.,,,. r '~7' 91/: "':"Lj.f":"7.?l.- At. " '~"";7 ,'t:) , t., ;' 1'; r-, " , , .' THIS'P.ROPERTV:JS:WfTHI:N ONEMI LE OFT-HE CITY OF . PluMB.ING' BY, ' , ~:''''I .h'efebV~e~tif; ;hat'theia~~:v.e>~tat~ments; ar'~t~qe'a~(f-.accuFate,andtbaf L,have the f011~wing'legal i~tere.st::ihth'e'prop'~~tV: " owh~~'of record'; \\ '., """, ',contl'atfpu~cha'ser;'"' ""." potentia I. buyer; ". ': 1:ealtor.' 9f'ag'ent. ,I furthe.~ certify ffha~ (if, not the q,YV4.'!~r) : I arnauthorized~o'?ct for the owner' of reGo'rd;and thafsaicl'..owner .Isaware.and appro.ve?: ofthis,ai::tlo'n:'lher~byagreeto CO'1]PW with 'aU applicable Cbdes 'relatir1g.to this permit., '.. . ," .... .' ;~'~;';:z:;"Pj'~:_~':"4~'~~'" ~L' . ,~~, '. ..... ..'~r:.."'I'Y~,1 .":i~;"'~" ~fl ..;t-{;? ..:~~-',,_. . ~ "~:'>+'~ ~ " " I-,~_:~j,~;;~' -"]' '~~~I ,Fee Parcl$.:~'/,../ "~ '. '/,; <,/ , " " " , , '. " 'Slgnatu r:e',.:~ ' k.>~""jf5"",!J!f,,'':~ ,\.,.,.""'...,,~"'!.A Oate " :...~v.. I ,/ , ',.'( ') NEW'ADDRESS ,(.: )FACllJTY'PE'RMH TO TRANSPORTATION DEJ='T: ) $PECIA,L'PMT.A13EA., MIN. ELEVATION.: ',. . , ..' -, . ._. ., " ",~,."- ~ + T , . ;. "..,'..... .'.' . ,- . ~'. 'SANITATION: 'BUILDING" ..", ',..;.;...,'>,.., , , (.', Minim'urn Septic Tank Capacity (Ganons) ;.~,"',.~i1.."I' Type~9.fco~struct.ioriJ'~,,11roup' '3" Fi'r(~ ZO,ne ." Dra'infield 'Required' - '-"irieal.F.eet , ' "~~, '. I" ""',:."~~""'.Jl.~~~!i':~""':""""",_~J~e.qassiticq~(on" ':" :':,:.--., ' ","' -' '. MaXimum'D'ep'ttL._~~:~':~:'b" ,~:' '.-'.,~~c:;:':"~'-~-G0:Ifl~meJ:l~t~:~--~-il"'~;~:.,:.~:';~,:i':~ .:'.', ~..../~.'~---;~',-~_~-:;;:-. l :~"G()~r:Drne'ht~:>7~~'~-~~~-'l:~: ' ' . ... , ',' .' ' If".: "f"." ~'. c;,or" .. ", -:-' \.. .- .,...."l4f.,',~;,.~"~~' '. '" .', , , .., ' '~' '" " 'c" '::. ' Ii:', .. ,~- . . -j . ~ ,: ~, . ~. I'. J",. i .. .~;i- -: , " , " .', . 'l~,~ ,to", ." . "', " ~ . -:-' ,,' ," . : \ i-.: ,:, , , ,.; '. ..":,i."~:.','.~,'-,.,;,,:.,:~;~:,'f','~,','J~,'::,'",~:,";..'_,".:~..:," '. - . l' ~. . ,.- ,;I~ /' .... .J . "'r~].r"J"a:,,,,.,,,~. .. ,., :'0 " "', $/ ' ./...."i ' B.::y"'.: ( p;,t'~~ ')~L~Y"~~1."',t~,."i~~ii' (',,~~' ~~('D" 'a:te;: "';-" ~"i ~.~ .;c.'f>...;>.r 'By:' 'l,FI""':'F~.>' "-;' " 'a~e:" 'tt:,:.'"l '," /, . " . ~",J" ".i:''''''''"""rr''*,... ". "p, .,:.,.~ir.i""lj;i!""-~,, , .,.<>:.......'~l'~:;, J .,( t. , '::, P;LAI\ININ~R(dU.lEEME;;NTSSATISFIED.B\y.: \'''';.~;Ml''';r--tt,;r. ,.,t' Dat~:~..;~:f ,.l-'" r,r~l of, 'Date Issued,: ,"-<' \:..::>/".' f I ::-...,ZONE: '('/ t~.{t" .., SEtBACKS: FRONt~:7;'C;(, 51 DE FACING $TR EET ,,' (F ROMC/,Ll . INT. SID1= YARD:--:;: j-REAR,~:: f(F ROMP/L) " ;: "..,'::.;.~):AN.ECOUf\Jfy' DE'pi~t~E~'T OFENVI:RONM,ENTAL MANAGEMENT,1,25 EAST8THAV'E.,' EUGE~\iE; ORE'GO;N9740,1 ,PHONE.:687-4394,_' 4' I ,~.... . r' '. . .' \' '._' _ _ "~ . ".".'~ '~ _ ." ".,. .. . . '.. . . "'~ "'- '. ".,'- .;. .~-~'"<. . .-~,.' t .. POST 'THIS-PERMIT ON MAIN BiJIL[)I~G AT SITE '.'~ :";' " I C~5'13 SU>,G..PE'RMI,.f ~WHI;EE;, ~UILD\NG - G'REEf:.j; P~UMBING -CP,N'ARX; S,ANITA:f10'N -;- GOLDENROD;, OFfiCE COp,Y- WH.IT,E. ., t . ' .' , . 'I>' "' _.' ~~" ,..',....~ ,.> \ TRS, T' /7~ 7-Z~ boO Job Location :SS'S-s (w) :~ 3 ss- (f!) 6/f<-.b y U /6'-U /73-77 J:;.lvGr=JJr=: Cf 7 4() I INFORMATION SHEET ) Building Permit ) Site Feasibility Study for Septic Tank. ( ) Would like to meet on site. Call Test holes will be ready _ Subdivision, 111 1 '1-7<..0 Number of sites (owner, etc.) / 4c~e (/() Completed ( ) Pending APPLICANT'S NAME AND ADDRESS L, P. .BRANT ~ ~'-l q P,~L/) V OWNER'S NAME AND ADDRESS, if different from applicant's -?Aiii1.E:.' , CONTRACTOR'S NAME AND ADDRESS C;ANIE_ Mail p~or results of site f~asibility study to ( ) Applicant ()() Owner ( ) Contractor. ( C-nfrefer to pick uP', Call, ' (ow~e~.~.) wh.5-ready. STRUCTURES NOW ON THE PRO~TY .?lJ, ?Xl ~ 7/1 ~ M) PROPOSED USE Ithispermit} Cl/.[~h~ C c; /) WATER SUPPLY, ?J63L1/', / SEWAGE DISPOSAl ~x l,-r-I ~C ~ SE::PTl0 Acreage or Lot Size Partitioning # Lot "7-" Blocl< _ rl~~~~~-~W~ , Phone ----- _ / Phone ' V'/6~..J ,EV 6 b./J€ / ,(existing.or proposed well, etc. If public, name of system) (existing or proposed septic tank, etc.) S.1. # PLUMBING BY (~kJ ~ Address , ( '""' f- c ) PROPERTY ISWITHIN ONE MILE OF CITY ( .~ i d:"'c:/JE ... ,<'P!l{1JL".,F'11=LIJ - . ******************************************* OFFICE USE ONLY BELOW THIS LINE ******************************************* ( ) New Address Necessary ZONF ) F aci I ity Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) ) Special Permit Area. Minimum Elevation: I nterior Side Yard Rear ,- (FROM PROPERTY LINES) To: Planning/Bui Iding Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response: C55-12 By DEPARTMENT OFENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th A ven ue 687-4394 I)ivision /"- I~ .;,,~' , -"- ~I 60'-; L i:r\ " " / I --_.' ,,? .'~ ,I' ";,, ", '":oJ;: , ..~.:: .. " , g 'L5~~ .<" (, G / I.) 'V?' ,/,,/' LANE COUNTY PERMIT FOFl: PERMIT NO, /~ . , mH57~ 'j "'CONSTRUCTION [] MOBI:,LE HOME [ ]' PL'AN REVIEW [] CHANGE OF OCCUPANCY [ ] ~ Owner ~"fJ' &;;A-,,/, 331./q ,k/J I ~t-Il/1tJ//) {J,,~ a 97t/o I ;?I./t -t/tiJ-; 1 v \, . NAME'....- - "'"" ADDRES'S""--""""" "/-!' .. - C1TY- -..../7 'ZIP CbDE, PHON,~,,:' --- o Contractor U ( / "NAME ADDRESS CITY ZIP CODE '! j ~, :" -7r ;,.'10 PHONE O.S. Reg. # .. / ,Twp J ~ Range ,i~ ./section ~~=rax Lot 007')" Code 4- 0 'f Census Tract SUbdiVi:ion.1v! ! l~ l.~ Lo' r{Z. ... Block Ltge. I r rdth Access to Pmperty I ~oad Name I. ~f' dA' AI) ",-" ./..1_ L h / ;J6Il,.e:( Depth Existing Structures o"n Property: ~J/~"; i'. - -. - v -........ \, D,i r20tions..,sp Property' Ad?ress a.,r // Ai,a.:f -{j41d (G',/S.et.:t (c..- ~_ d -;1/,_ fy~ .I j".9.Lr: ' .. A./ CL.iJ K ./'Y-J _ 71 /J /:, ,...# /}/I A:.1.;Z; .h I\. c:nJA A ././ J , /"') "-l ;;:.-- ..r!...... ~/ '-y..r' :UJ,~ If! rfl (t: '/I AII..",'jI v' "" ' ~ ,,~" '-', , .." '7/' ~~ ~ - - - 21 /l.A..---'~ L/ .... I rJl' , t:;"'f.2~ t ;Y-1. ~ ./:.I_~ ~ ~ ' _ t! ,;/ ....,~If7.'"', ,~.{ c.::-! 1. -c-e CZ ,~_ !.. !. .I, ~"_ /'JI!... q! .:? ::' A rm ".. 3.3; --r STR'UCTUfl)~/i;i BE0ROOMS)~/if15 Air " .", l/f { ,SQ. FT.? ' 'D })711 ~ J:\!ALUAlION I Yf1'J.I!A P ~ n'/,IJ-.. /).....(...f.,2 ...I if:i.#:n~L 0 ,_:;;' ~s:\ l s /.4&../;" / h P vtJ M'~ve , /\ '- . f v7./ Ai d/(1",,/ A Jj" _pjY (i -Y-, - p, U'$ d.... tJ ~l CJ' r, ~ ^ i -' I J 1/ ,~ - =- . ~ AI] - .-7 ~ r', -7 ' I ~ II- - ,g,.- -1 I -U-,' A (;( ,.. /l /') /J ,;: /J I. t~71 /Ji//ll /I II ~J~/I)/d /20. I !/./j,LM/}/J 1./ ~,1 '1'7'77/./ /~ P ) '- ') fU ~l/2,!j rJ',,4~l.. SEWAGE Disp'6sAL~v:;i;:'1~3-61V '-'---~r ~ PLLYMeNG-INSlj&lLED~BY:~- - --c::;t;/--;OP;VV- PUBLIC [] SEPTIC TAI\IIK-[!t,.]......- Ol'f1E'R [ ] , OWNER [ ] , OTHER [] NAMF ~-~ /- BUILDING PLUMBING J 7) /"}'/) 3% SURCHARGF I' - ,..:<,........1'"'\ """'" ......... MOBI LE HOME= ::> r .. m r) WASTE DISPOSAL--;;;. Y~-"'l . e:>'=~' ~ ........... PLAN REVIEW WATER SUPPLY':' PROPOSED' [ ] EXISTING [] [e..<]""'pCTBliC ' [,] COMMUNITY. NAME: [ ] PRIVATE WELL [ ] OTHER. SPECIFY: rJ~"" m, r//---- /J j // V ~A ( , 'J'" 1\ nodA /Y,(;1 JI . /t, '.L ,oOl",,, .If CONSTRUCTION PERMITS::& II\ISPECT'IONS"A!\ID 'WATER PcfLuJTIOi\f'-CONTR"OL "Si>ECIFlCATIONS MIN. SEPTIC TANK CAPACITY: !~ GAL~, !lftrO ,MI,N.:.DR,tINFI~LD F1CTO;, L1N. FT.!) MAX. TRENCf).,DEPTH, 30 INCHES ~..t/, ~ ~JL,AALg..f../;L ....AA." ~. .:,dU:VU'rTA.1L /V, gilL _ j'VJA,IlAAA.(J _ ..-:<I_A..... J'?fi.t?Al ~~ A ;, J;c/AJ......f;...,..,~P'__ '}!#- d AA ~~:~ _ '/-,,;? j}', I/n oA'J L ;'",,,...I~.o A .' till ( ~A -..,., li;'~h~.A ,... :;";'~?ji l?n.mO.n",~ ..I'..-::ptJ" j'. .. ,,~{,r--"--:---v 6" V -, ~""sT;AY100'FROMALLWELTs TYPE OF/co~!STRUCTION- ..aA:--~ GRduP' FIRE ZONF USE CLASSIF.' v IY"' ~ . :~. TOTAL --- ~ ~'j /. ~n ~ETBACKS, I}:;rl ~R'@I}II CTR. OF r!W: FRONT L~ ~ r SIDE EXT. 'tt'~r.:~~~' FT. FROM PROP" LINE:, --- I ,SIDE INT. . \ I REAR ~). " ZONF(}r1T ~U r ' " il AUTH'OR,IZED SIGNATURES,:/ 't' ::'d' J../ ,',' ,.~ IS1SUANCE DATE: ,..r.i /:" \ ~ J . ,/ l' ,'" f' I /' i ,;';' r I I sl \\ 0 (..... I 1- ;1"" - 1 /) .. ..-<.!-"tA4.._ 1/4... 1] to I..."j( ""~~.t? ~ .i'.M kffUr'7Je....', , ,:,...{", ,,' r-- Ii' -,r I U " . .. '.?' n_ ,-.- ' p" , fY n '~,," ':'." ' dll/687'4065 to schedule all required constructio~inspectio~;, '~all 687-4061 to '''dule~i req~7~, septic system inspections, AII'construction shall comply with the State Buidling Code, D,E,Q, standards IMPO$TANT: for subsurface sewage disposal and the State Plumbing Code, AII\buildings require a certificate of occupancy before being occupied" -'T[ -- ' r BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD (See Details on Reverse Side) ~55-1 3 I' . " '(POSiT THIS PERMIT ON MAIN BLDG. AT SITE) Ii LANE COUNTY, DEPT, OF ENVIRONMENT~LMAN'AGE'ME'NT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE"QREGON 97401 J ' , , ;TRS, TLn-'-~-~ ~ ',-t.19-O , rn 1+75' ~t-~ ' , Plat: Plan Vicinity Map JbbLocation (Address) ?J 3 S-~ Permit If 111 1157 j'- 7~r - Permit If ~ ' , '," For' Permit II For' rfJ' , t -- &1dv /)/;/-/) (J "Permit- 11- Permit 'If ' Permit 'If For For For . i --. r C? . . I se )