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HomeMy WebLinkAboutPermit Building 1978-6-29 . /3"CJ~-7? TRS~TI 11-o3-~3.3- ~-o7ou Job Location [urd:::2 8tcclCS' ;(3y4t./21/s/ /Jr-.I6/I;'fidYl Written Directions (~<).?: IS/ ./jt J::r;7 /J)() CC / ~~i~~~IJf'JJ /0(Lq q '7 C)? ? I~ORMATION S~ET ' J--HfUilding Permit ) Site Feasibility Study for Septic Tank. Number of sites Acreage or Lot Si7<> Test hol~ will be ready Partitioning # - ( ) Completed Subdivision K () tf4'cillU 'i- \ <;~ ~~d t \''-(iV'--- ( ) Pending , ' APPLICANT'S NAME AND ADDRESS <--..TOJ-hr.) 111 rCflrl"?/". OWNER'S NAME AND ADDRESS, if different fr~m applicant's S,~ " J CONTRACTOR'S NAME AND ADDRESS Mail permit or results of site feasibility study to ~Applicant (' ) Owner ( ) Contractor. ) Prefer to pick up. Call (owner, etc. ) when ready. STRUCTURES NOW ON THE PROPERTY e~ 1~~/1C~ -r-~/ff:'/) r'fJ97V:16>' . / - PROPOSED USE (this permit) rt'JY7<"~~c~ /p",r ,;2s/'" u/7c::.2'7rY"A/4(?~//;#?,"')) " -O';j/J', t;3~L:;&- '/'" . WATER SUPPLY -------- I~ ' (existing or proposed well, etc. If public, name of system) SEWAGE DISPOSAL ~ s/ IiJrS: (existing or proposed septic tank, etc.) S.I.:;: ( (;/ Lot ;;22- Blocl< ~ C(rrZI r:c; \' 3G 3 f3iuMnp...2 Phonp 2//7-~S-3s- Phonp Phonp Contractors o. s. # ~ ~r.aa:ns '---- PLUMBING BY Address ) PROPERTY IS WITHIN ONE MILE OF CITY ( - ******************************************* OFFICE USE ONLY BELOW THIS LINE ************,****************************'*** ) NWd~S NecessCjry c () Facility Permit Necessary JE---,~ .- SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) ) Special Permit Area. Minimum Elevation: Interior Side Yard ,-5 _ Rear S- (FROM PROPERTY LINES) To: Planning/Bui Iding Inspector/San itarian/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 Division ,<,.:. :.-- :~. ~ . '- -tk ~."... ~fj ~,1', .~:; i #;t: ~'. -..~' . !~::~~': ; t '. . i'~i yi" '.~ll ' ",1 '. .\', 1- ,~~ :: ; l:: ~\:). I>'~ : ~} < ~; #1'1:-' ~J .. ~t.: ..~:.~ : .~~ ":', ~ ~/: .11;,,' . . ~,~l; _ ~ i~,:f:',:, !l)i(' '~f" 11" ~: i. I r , ..........., I I I I ! ~ " . . r ."'~.-~----_...,~...~--_.....,.__._...,,':_...;". '-'.~- .._. ""~_~_""'~."_"__'~,._n_"",~A__~~:Y::'__~"_,~",""-,,'___'~'~"_~~__,~."._.~~c,~_~..~~~_. _,.,' ~"'_"'___"_"____'~~."" _., _. _~., ~ .. I i .. . j ~. . "'i ? f (.."" 1 EAST ~.. ~~._~"---- T"-t:i:eT " . ;0 -~-.. f . ~ o. ...: rJ ~ - A e ~e.O.OO <(-, eJ"" [-.-:--0 ~'L. ~') 'f. I .~. r'~ ;. ' :.. A- I '!. 7G,e:' \~..~-"--=--t.~~..:...~ , I '\ lit .c? I- -1 ' . '.. ..!' ~r~ ';;.I.f.'.-f7 I ._8":- ~ ,.(\0 ~~~"-'JI.;;;:1>'...:&d)<t1:)..-s)ai..~~ ~~.ii ' , ~ ~~ I . : ~ 2 1_ . 1'1.-1, 'en "1 f!-f~~;~.l};,. . ''"''''1 en ~bo::. . '~ i- ,_ .... l ~ ':3 fjLotK ' .::' I--..: ' I. , ~' U ) ~ --~'--" LlJ ~ --:;.. ~ I ....i {.. 1'1 <- .'- i ' ()<f::' ~ o ;: l\I I-- [~~-----~, o I iL------- lr) :z I I ' 4o.z'S ~ J. ~c=~i: .U ~:J ~~ ~ ~ I' -.1 'D' ../1 . LlJ :J ~.. . t ~-",~.,..,..:~'. ez. ,2?.5' , .... ,i .' tJ) <&~' ~ ",,~ r~ ! . o ~ (\) o o l\J lcl ! ~J i' .. t' .. (J I '" tJ - ;d AC~~' )' t ~ I i l, a::;,~..--.a . --_..~-~ J - 5 60"58' 14" E S. Z3 i": \1 S. R. .'~ W. I ! i I ~I '.~ *'::l -::t. L- -.....J seA L F.: ~ f'::: Z 0 ' (-" ") I_./{_, , i \ I.. ,., . .....< ,--- I '\ '.,. ...._.. \ '.. (. ! ',j I / '-- -- -" ;' ',,' " I'" .T"... '("J~' ; \ !t, i;. \ \ ....( ...... ~."I i ~ t .~._.....:! . \~ , - V I... ( 1- (.: \'\ \"d.. \ . L-- ) ~... .:.-. . --- 0\' ; .I J, p -.. . .:.. . ... DeSCfumON: 1 first Addition Book 3-2. Pa.~~ . Mcorch~. " iiff AmnJiVIT: I. certify the. t t.J ovtu'la. p.'J on t.hl propt;rty and t~ t.he true .tnd Cf JUf'.A 2J. 196,5 " /< /, . , . . .'.. .. , , "of ~ ",'.i PACIFIC ITRS P. o. Box 89 Spl.ingfhld. ~.!k?JA.N W. & AS see , C1VU. ~o l i f'UC€llC -- j ." t, ~f. .~ /; , ~'/.: ~" ",: , it'".. , f. ,~;. . ~b ' I (,I;' P' , .f ;, ' ~i; ',' ~:.. i~- 1 t. ~,' ;r~' ; f . tt J': "') j :0, ~ . .,: ~ y J, .~ ' :{~.;. I \ :;:" .: , ',l;: ' , " " . ;.;- 10 r .' {. ti'.' ?' tr .~, ,: j ;ii. J;.~, ~ t ji' ~;;, ------... ') ,f. ~~'. : L..t . ":..' r- " &,1, ~ . ilL ~j(, . P'j" .....," ~. f~':'" '~4!"~ ' },'J./ ' /~~,", .; *"'iy Y'~' t'(. I !i'X' .r: ';, d' ~: 1 Y',:! . o l:J.8' ., ~. - - ~' LI) .. \J) ----- Wr<1 ~ ~ --.1(, ~ ~ ~ r-. O~ Q' ~ f-- (( ------: o I. (r'\2 I: ~ ~~~/:- ( 'ti'O ''--/ '- ~~ --J~ cO~ ez. ,L!~' ~' 0r EA51 .. t o. ~, L 0---' i ~\o ~i>' I ----- Ao.z.s () l{) ~ u .. f\J ..... 'f;" ~ . ~ 4OZ:~' 5 60-58' 14- E S.23 i': 11 S. R. .'3 W. r-~~f- ':( _ ) ;. - ", ".... I" () __, c I '. ........."'OM . Cc.M......... ~"::2.. C-.....) ( ',.. \ /I. " '-', '1' .. ~ I " I , , ~1 , \ . 1 -. j (, <! reo.oo' o .. .' 11 " ~.!. ~ . I . r--. , ' 'It 7G.~~ 'i~..___..=~_~: I/, , j ~ ~'1' ;:-, i i:;- ~ ~/ ~l ' I -8"":' a '1) en <0 ..., ,- ) J & o ~ en o o C\J ~ II') ^J '.J I\J BLOI:K ,,3 , . - ("", \ \\ '\ , \ " SCALE: I" =20' , , ,I -;....---V ~_:,),.,'_[\) (n, '. of' J,i.- _,_ I. . .t DESCRIPnON: ) First Addition Book 32. Page Records. .(' " -,mIlAVI!: I. certify that tJ overlap.s on thl propsrty and to: the true and eI June 2). 1965 ...<'~ _ .4_' " . . ... . , ~ PACIFIC fIRS P. O. Box 89 Spl'ing n eld , ~~JAN w. & AS So( . CIVU &10 fUGm! ~ ---- TRS, T! vJJA~~(1J LANE COUNTY PERMIT Acreage or Lot Sj7P Contractor's O.S. # , ,(-+- Partjtioning # ) Completed Subdivision Lot Block APPLICANT'S NAME AND ADDRES~ OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRF<:;<:; Mail permit to ( ) Applicant ( ) Owner ) Contractor. ( ) Prefer to pick up. 'Call Phon" Phone Phonp (owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY "HIS PERMIT IS FOR # BEDROOMS # PLUMBING CONNECTIONS WATER SUPPLY SEWAGE DISPOSAL S.I. # THIS PROPERTY IS WITHIN ONE MI LE 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. Fee Paid $ ) NEW ADDRESS SANITATION Signature. ) FACILITY PERMIT TO TRANSPORTATION DEPT.. Date ) SPECIAL PMT. AREA. MIN. ELEVATION: Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction Use Classification Group Fire Zone Comments: 'omments: ..... ~I By: Date: By: PLANNING REQUIREMENTS SATISFIED. By:.< ,_ ZONE: SETBACKS: FRONT.t(~~;t"f'.- SIDE FACING STREET ,..<:' Date: Date: _J Date Issued: (FROM C/U INT. SIDE YARD': REAR (FROM P/U . .... . 7-' 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 J / SITE INSPECTIO~, ApPROVED / /j DISAPPROVED.I / DATE /;'~2-7- 7~NSPECTOR (~ C/ REMARKS ApPROVED / REMARKS ~ ~ FOUNDATION INSPECTION "../ /' I DISAPPROVED I I Om $-li=-t2INSPECTO~ . () j(' ~ ~ In_ - 2-Cf- 7 r! ~_ v FRAMING INSPECTION ApPROVED / /j 01 SAPPROVED / / DATE 5? -I c./. 1t INSPECTOR Q. rR.. REMARKS~ ~; : ~.1 ~ :;:2- UI~ ~ ,,~~ <?-/Y~7g~ J . 0 LATH OR SHEETROCK INSPECTION AP.PROVED / REMARKSt~ '" / DISAPPROVED j /Jj a, j DATE INSPECTOR FINAL INSPECTION Aep,o"o LL/O'''''"o"o I I O'TE 2-6-~1. '''''CTM~~ REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE I , / ,DATE INSPECTOR REMARKS