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HomeMy WebLinkAboutPermit Plumbing 1978-7-6 "r' .1955-78 t:, ;,; - ":!,' tRS, TI. 18:'Q2-06~ 1. 3 920~, JOB LOCATION 10.36 Laurel Avenue ~ ", Spririgfield~ Oregon ' l: LANE COUNTY PERMIT Acreage or Lot Si7P Contractor's O,S..# 80' x 100' ,.J Partition i ng# ) Completed S. bd'" ,. 2nd add. to l1eadow Green u IVISlon . . - , Lot;1.0 Block '" APPLICANT'S NAME AND ADDRESS Curtis ~lNewell~, 1036 Laure1::Av~mte, Springfield, Oregon OWNER'S NAME AND AQDRESS same CONTRACTOR'S NAME AND ADDRESS Hon Glover Mail permit),b(' ,) Applicant' (~) Own'er' () Contractor., (XX) Prefer to pick up, Call STR UC~U~~~~'~OWON THE,PROPERTy',Dwelling' ..,"~",,' . ....,- .,' ':., ~ , . -,' , " TH IS PE R M ITJS FO R Plumb1l!-~--finish roOm Owner Php,!,!p Phph<> ' , Ph6):\p', - (owner, etc.) ,when rea~~';(' 747..,.9590 .'~, .,,~~t;\ # BEDROOM~ 3' .#'~l:.UMBINd-e~N-NECTIONS' ~ ' "."" ....~" . ..... . WATER SUPPLY 'THIS PROPERTY ISWITHIN ONE MILE OF TI1E CITY OF Willamette Water Co ;' ''- . " ~i SEWAGE DISPOSAl '\;," . Ens dug 'septic :'s'ystem,'. S.I. # Venet:4 . " LUMBING BY R,cmGloyef' I hereby certify that the above statements are. true and accurate, and,that I,have the lowing legal interest in t~eproperty:, o,!"ner of record;, contraCt purchaser; potential buyer; realtor or agent. I furthercert" that (if not the owner) lam authorized to act fo'r'Yhe owner of . record, and that said owner ,is aware and approves of this ac.tion. I hereby agree t~c~PJY with Jail a~I~31e Codes relating to this permit. - __ -ie,;,~;'; , ~. ' . 9 36 - - . ,~y --?- / =, - "" # ~ - 2- 2., / <'J, Fee Paid $' , " 'Slgnatu. ~' , Date <.D' ,,' ) NEW ADDRESS, (, ..) FACILITY PERMIT TO TRANSPORTATION PT, CD). SPECIAL PMT. ARE~. MIN. ELEVATION:/7,. t:/.. SANITATION ' _ "_ BUILD'ING ~t'~1!.- ' l\IIiriimur:Ti':S,ElPticTankGapadty {Gallons ' ,TYP,eo~ Co.nstructidn . ..Gr94P '" Fire, Zone. " Coy, bra'inf.iel(f:Heguired-Lirie'al Feet;" .' , ' . ." Use GlassiJication." ...' ' }!I,~XjmumQ~!,,tl(, ........ '_.' ...commenfs,(?~i~#i'~ '~-~* ~~ . /./1._ A ~,e~;;C~ .,~~ ,.' {,.,..."~~(/- ~~ - --"" .J.-~~. ~'BY' Date: BY:9t~ hr ~Date 7~3-71 ,PLANNING REQUIREMENTS SATISFIED, By: v Date: (/ .) Date Issued:- ZONE: SETBACKS: FRONT SIDE FACING STREET (FROM CIL) INT, SIDE YARD REAR , '.1 . ,", ., . , ' '., \' \ (:Yf.NE COUNTY D~PARTMENT.OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 I' ." ,. ~ POST THIS-PERMIT ON MAIN BUILDING' AT S,ITE '. "';omments: ': ; .,:,... .....'. ,/ ,. PHONE: 687-4394 , C55-.13' BLDG. PERMIT - WHI,!,E;. BUILDING - GREE~/ PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY ~ WHITE, i I~-OL-O (o~1:5 $C~ -...... -, " ....... .... RS, TI . --:- "" ;' . \wrIt:terr DiIections <N '2.. 0 '1 ! , ..) ~'~- 'd I" "'" I . _ ' - ,~ " J~b Location / () '? , /:e u i"~ I aet 4JT ~~ / t/ V I "INFORMATION SHEET iJ ~~il?ing Permit. " _ ) Site Feasibility Study fc;>r Septic Tank. Number of sites ---.: Aer~age ~rLot Size ~O><ro"" Test hOle!J5'~e r~y - L~'" #', ~ Partitioning #r' p~, ~ ( ) Completed SUbdlvlslon....-L~~~ ~d~)d~ot~ BIOCk,,~" ") " . / ( ) Pending , " ( APPLICANTS NAME AND ADDRESS CIA V+I ~ Wl/jO(N../I loy~__~c;u._~.e. '7 )., Phone 7'17-9S90 OWNER'S N~ME AND ADDRESS, if different fr...Ofll applicaj).t')i' -"r~.r~ ~ ----- Phone ~QNTRACTOR'S NAME AND A[)DRESS /r'crw (_/o;J~'t/' Phone ail permit or results of site feasibnity study "to' ()() Applica~'t.( ) Owner ( ) Contractor. .- } ( rt Prefer to p iek up. Ca"" C V-> IV... v-:- . I owner, ete..! ""hen ready. ContJ;a<;:torsO - 5 - #. f;:/.4- ST'RUCTURES NOW ON TH~ PROPERTY, -/(Hlt'uP.- I,:' /l /~ ~ ,.... f._ ~ / ~"" _ PR'OPOSED USE (this permit)" "/?~'rv~.....er:(.. - { -~t..L.a I A.o-~ \~ ~ 0 ., c:;r \ f/ ", /' ,~. ~ , -~ C-I I:;; 'W"; ( I CI VY....a H~e l..J nJ.' ~ 1..- C lQ '. ~xi~Fing or proposed well, etc. If public, na~e of syst~m) ,c::,; IZ ,of-/C /J;~- .' '~//?~ U&a/ ) PROPERTY IS'WITHIN ONE MILEOF CITY (~~-~ /7' " WATER SUPPLY SEWAGE DISPOSAl (existing or proposed septictank, etc.) S.I.:# PLUMB.ING BY iAddress * * )fA* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 0 F F ~ USE 0 N L Y BEL 0 W T HIS IJI N E * * * * * * * * * * * * * * * * * * * *' ~ * * * :.* * * * !' ...' * * * * * .. ~'" * .. .. .. . {tdtw'Address Necessary ~FacilitY Permi~ Necessary.' (/~cial Permit Area. Mi~imum EI~vatio~: _,' _ ZON~l~ . _ ~) SETBACKS: Front,. Side Facing Street 71.." Interior Side Yard Rear ' ~l/A~~ ".." (FROM CENTERLINE OF ,ROAD) (FROM PROPERTY LINES) To:Pl.anni ng/B ui Idi ng I nspEfctor /San itarian/Surveyor. " This applicant appears to have a problem with Your assistance wi II be appreciated. . "t... By " 'Pe:rmit Processing Section Responc::'" , / C55-12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Proc'essing Section 125 East 8th A ven ue 687-4394 nivision '. .'l. \\ . \. " ....;~---'~. MAP I~ - z-~ - '/3 T~L. q 2.-04 ~ TO: LANE COUNTY pLANNING \, ~~ ~ CONSTRUCTION PERMITS, & INSPECTION OTHER FROM: ,,-,;. SURVEYORS OFFICE - FLOOD PLAIN HANAGEMENT DEPARn~ENT OF PUBLIC LANDS PHONE: 687-4195 SUBJECT: PARTITION NUrlBER SUBDIVISION BUILDING PERMIT Nut.mER OTHER . /9 O-S- -7 sg RECOMHENDA T ION: ~ __. 4~"~ ._ "4___..,-___.. THE ABOVE SUBJECT IS IN A SPECIAL PERJ"1IT AREA.. THE ABOVE SUBJECT IS INCLUDED Ir~ THE H. U. D. U:-'NUXBERED "A" ZQ.NES. REMARKS M\~, t=Loarl. ~L~"-I&""\\()~ WeT Re...aU\r7 en I srr~ \<=::, woT \ r-.J. K~ 'Z-b...I2.P t:::..Q~. '\ DATE o /Z7 /28 / BY ~, i "." ~.~,:-.\. . :' I '. 't~' I, I !, ::I'lt ., '-~ ; I :' L a .lie 1.4 ".. g '., f " L\ -i,i! ~ : I ;1i .,:\ i! .:- , ; : , , ! 'l! . :;:1 'I' :'1 , , '; , , I- J 'j , "'~ .! 'tf 8 P Aj;// ~ "I'P' ' __ ___~. _ _n ._ . _no__. . __. . . ''''l.,' ~' .) ,;t I I' __1._ ! -- ----~_.~ i j , I '..--~---- .-----j.---. 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" ,.',<'.I,--'~ZE.':.,>':~ - .... -..-.--.- .. .~--"-~~s.:.._.:-:-....-'- ., i.. .0.":"::'; " '(.'-1":." " ,.'-' . '(.f:'4'~\"" 0, ~ ".\." ..' , . . -. . .~~::~;:~e~~~~n~, I rJ~) lAlI. N <D \., +01 \,,'F~~";"';,; ",In IN) .,..... '^" "--'~~-". :-;?r'::.~~ \3a.+k 1: \A.h*.'SI~N k.~;:!,:.'."~t):;' ~ ''''stA U fNj ,E:\~c:.1.Y_;.~_~~':: ~ 10 r" 't eo oN~ _~ ._:'_....._ ..___~_," , - --1--- "._._._.u"__ ...~.._-.... _ . ,.I~~1.:l~.~t: ")(..~~.., "" .. __~"'.M_~i.:J:L~ ,',.~ J~"'~ " .~. .~ .f (( I?fl N_j~a (lmt \ 'j. r c)OW\ _.._._L_..~:. ____.~_ _ ~._.~ ~._:.2_I<~~._~~~ ;- .' , ._._.----~_._--_.-..~.... .~-_.- ._" - .....--.- \. ._ ..~>It:o'~., " . ~i ... .' .- -. - ,:-.-:", .-. -.-...-,--.. . ""(~< ,r'" .} ,. ;.?J:. -=~_ ..~~._._-:.~~::~i~;:~~~:~ "," .~' ".:,;;,'," ,. :~.;,,,i;~~~l;:.{'i;;:: \ '(' - .~1 :;t1 , ~ . ' .It. - ~Li~~-:;i' .' r ._ ~_._...___ ..:.._______,-' .".:._~_.......rl~~,~.....~_.__ ____ ~ ~~ IJt. ti/.k ",~S. : r:;.t ~.)":, I:') . ......- '~ '';'1-" '.. . \ !:.':i' ..'~~. ~-,~- "I~ ' " ;'CONJRACTOR ." ,'. SA~lE': 1,: " BUILDING PERMIT OR MOBILE ~. MH 0 :M.AILaING ADDRESS : . 70 \IIEST CE~'TENN I Ai-: MAILING ADDRESS AE USE PERMIT PERMIT NO. SPRlNGPlnD OREGON 1478- I4 ~ '1' . /(/781 - \\i~ :. . ~, . .~. ; \ };':~, '-~1rY~~-' .~, ~: . , .PROPERTY OWNER , :; ,Hh,l.) ROB~Rl 1 . lA:NE GOU.' J ;',:,~UILDING D' " p'HONE ,746-9916 N~ ,BUI~DER$ 'IRiG PHONE ":. 'PROPERTY LOCATION - INCLUDE POST OFFICE. ',; , ,: 1036 'lA.UR,EL STRE't;T:,',': '., 2~ti,AotH;rION ....' PROPERTY LEGAL DESCRIPTION:....:. METES; BOUNDS ,~<>'~ LOT ,,6, BLoCK 2 '..'. . ~~. ~ .." ,\'0 J4EAPOW GR'EE,N"', SPR "'~GF' I ~I.D.; OREGON'" , ". . ..~ " . '> .. . ~rilO AeolT ION Ml!AOOW' GREEN '[S'rATE~: ."iII.'ifWp, ''.18, RANG.E 01: SECTI.ON 06" TAX LOT NO.. CODE' CENSUS TRACT 35-152 "'.' APPl. . NAME .& ,. '. ROB,ERl'N. .HILL BUllQf;RS"'NC. ',870 '\-JEsr:' Ct::NT,ENN', ".L,' EXISTING STRUCTU~ES O~ PROPERTY 'H. NorJ.E ' i i . ""MAllINq,.. , i S ~ ADDRESS,' Pf~)NGli'lE~O., .vt'(EG.<?~... FOR MOBILE HOME PERMIT:S "ONLY':' , ,No. of Bedrooms lEGAL ACCESS:TO PROPERTY LAUREL 'S\.~tET, . PROPERTY SIZE....., FT. WIDTH' " "DEPTH, AREA , j STRUCTURES T.O BE'BUIL)"T':!IS-PERMIT. " Conne~t'to Existi~g Sewage SystelT1 0 TYPE \=ONSTRUCTlON ., SQ. FT.. :rt BDRMS '0:-, 1104@2LBo 328'@ 5.30 New System .0 VALUATION, .24,067.20 " 1 , '738~ ~.' :-2~"OO5~-W ". ..-= .':?-" 'Ol.-lEl.,llNG G;ARAGF. '.\ - '( r .;t"... ,.F : "', S~[:SUPPJ.EM[NT -. . . . ," ,," :' . " ' ': . SEWAGE . DISP9SAl' -' PUBLIC b; SEPTIC TANK 0 , .. ,BUILDING, . $ WASTE DISPOSAL . ,,",.., '" PLUMB,ING PLAN REVIEW " . '. . OTHERD' . .~151.GO>f' : FEES ,r:.1I'\'OO. ,'''. '.,]V "', '. ~' '22.00 - , ,PLUMBING ,INSTALLED BY OWNER 0 . 6,THER: NAME , WATER SUPPLY, " ~UBlI,clD ',' " 0 ' OTHER . :~ pARK .TRAILER '~~UF/CHARG~ ' TOTAL , ; <1;" ...1: ~ if ' 1 00.,'3 { COUNTY BU.lLDING & SANITATION SPECIFICATIONS MIN, SEPTIC TANK CAPACITy. ' 'wll:8 DI5T, 'B~X: GAl,900. . DRAIN FiElD ~EQUIRED" . ,1m , '! LiN. FT .)"', TRENCH WIDTH FT, . ~; . OR SQ, n., 450:' , > , ROOF ORA , NS to ,BtO J VERi-tO' A:T.' LE~St - 20 'FE tT r~OM, ORA,INF! ~1..D "A.R'~A " 'I':. "'" I. .~;,!' IYPE OF STRUCTURE '5 8 _', , BLDG. SETBACKS., FT. FROM:CTR: OF ROAD RIGHT:OF WAY FRONT 45 SIDE INT," 5' , 'SIDE' EXT. , ,," , AUTHORIZED SIGNATURE --DATE "', ' 1 sl ..,J~ ,.r.. Bos~" a.v c. HARBOuGH, "'.', ' OCCUpANCY : REAR ZONE " R'\ USE CLASSIFICATION' 7. t -r' ~; " J' I.:;' " .PUBlIC ;UTIL EASEMENT .'l&J , ., .( ..' I ~. " :..qcKsHANI<1 SAN I1'AR I AN- . DATE ..". . ,.fJ/l ::li4 :Ptjl;'. . ' BLDG, PERMIT-'-:WHITE OFFiCE COPY'- WHITE c;OUNTY TAX - PINK 'PLUMBI.NG - CA'NARY , BUILDING - GREEN sAN IT A TION - GOLDENROD IMPORrANT: . Call 687-4065 to schedule all requ,ired. inspeCtions" .AII construc-, ,tion s,hall. comply wit~ 'Uniform' Building 'Code, D..E.Q. star:ldard~ for subsurface sewage .disposal and: county regulo'tion's coverihg , plumbing. All !:>uildings require a certifjcat~ of occupancy before being occupied.. .' . .', " ' : ,., ' '(See Deta:i1s ,on _Reverse Side') ) , . , .' . <:' : F~!,M,#'C55'" " (POST THIS 'PERMIT ON MAIN' BLDG. 'AT SITE) _', ". LANE COUNTY, DEPT. OF ENViRONMENTAL MANA!3EMENT ' .-. . - , . -, ' . ,. . . ," ," , " r,' '.' ~ . CqURTHOUSE ANNEX, 135. EAST 6th, EUGENE,:OR~GO~ 97401- , . ,'. ": ..\ ~ ,". ' .' To" . .. ,. "'. " . .:: "'_~' ;_...... ._ ~'V''''_\~;:'':L' ..;.~"-... .,' ;'. .h'" ~ ~.v . . ...:".:,~..~;:,\J.J)/~::L'~" ;:~,_:'._' ',1<. , ',. ,,",' '"'- ,:;. . '-J..:> ~. ) ......- , 4'/~';" , ..( '\\l~n ._ ~ \! 'i~~:' ~ t C \fS" . <,~~ ....- ,~- ~ ~':J ______.... ,.:i I '" . ;. ("',-- ' . ~\~ to cOu ~G~\. t..~~ 'i.~\ t:-.\; it\'4\RQ~~ - . ~v~rett E. Stolp Disston Rt., Box 16 Cottage Grove, Ore. ;)['1GI'~ ~ --(~~~. , '- . Envirornnental Ma11a.gement Plans Review Division 135 East Sixth Eugene, Oregon 97401 ATT: David White, Assistant Plans Examiner \ Gentlemen: Regarding your Pt"p"ces6iilg~ of my building permit, application, #ll23-74, and the toilet facility requirement for this type of building, I wish to state the following for your information: (a). Number of employees working in this building: () (b) Employees will have free access to the existing house facilities. r I understand that the Building and Sanitation Divisions will accept this arrangement as meeting the required toilet facility. . Sincerely, t 1-e/l,U// f11, . A ()-I--#, - Everett E. Stol~ Date: fP(J ~ ;970' "J" . ..JtJb 6 ~..-I~~ ~ d2 .:?A.Le-&P-1 ~-'-~~ '''<'<'Jw ~ 4~ ~ ~ .Ml'H-Lc;( ~ ~~ ~/-:-:7) ~(../-:"'--/. .?:', , A / ~te../ ~./! ~. --0u $0 ~~' ~ ~ ~ <U/-<'~ ~ A-tV--. ~1.Af../~ f a..u~ ; ~~ '~I 71'./"d,l ~ ~v rl?7 /uu<~ ()I/J1~1 tr..Lf ~(.,uu~~~ ~ 7~ ~. 7' n~:;V~ ~~~ ' . , ' Y11AA. ..'~' ", .0--- RECEIVED AUG 0 9 1974 "'-. y~ .2 Vi d leccdo Ll! 6- r ece Pi ~.S f-a:l-e5 c! I (, tS'~ T /g RL S 0 TAX. LOT 2 CENSUS TRACT. BU.rLDINt' SITE EVALUATION Bu i 1 ding Permi t App 1'i cat ion No.. /<;/7i'--7Y APP.L. ICANT: 'I. / I ,// . NAME '/7 J r/ 8/J /' Id (Off, J'J4r ADDRESS. ( ) ( ) ( ) Site Inspection , V"'Dtt> PHONE. DATE, . .' 2 -?.. -?C/ . Pre-Perm i t Invest i gat ion' , -- -...-...--- --.. -,., "", .1. . Zoning Ordinance C6mpl iance. (Zone. ) .2. Subdivision Ordinance CompJiance NOT . app 1 i cable () () NO YES NAME. DATE LANE COUNTY PLANN I NG DEPARTMENT' 3. 4. Required Access ( ) ( ) (.) ( ) ( ) () () i ./) ()t'cfVl<: ()(f. ..... Building Site (Area, Width, .. Front age, ., Setback) Other (see comments) . ('). ( ) 5. COMMENTS: ._\._.T,.~-:r', BUILDtNG INSpECTION SECTION NO YES' NAME DATE NOT appJ icabJe () () to }<! ()() <h ()() -9.\ Other. (see/lcomments)";\ J>i, () 8,~ r-9-'11/ COMMENTS: ~&~ A~~~ ~~ ~ ,--2~,;(;J.'i ~~:4~~.M. r /' , ,,/. .. . ~ ~~I'!.. . ~7~':::/ .. . .. V I' v~ ,6. Plans Submitted 7. Soil S~abil ity (footings) 8. F J ood P I ai n , SAN ITATION SECTION. 10. Sewage Disposal NOT .app J icab 1 e () f ) ( ) ,( ) C) NO YES NAME DATE 11. Usab.l e Area ( ) ( ) ( ) y{ ~. \J,B11~I!/ffI) tA.~. ( ) 4-;;hY' J2. Water SUPP,ly lj. Other (see Comments) COMMENTS: TO APP L I CANT :' Y6ui Building Permit / Si~e Insp~ctiOn: (') Can be app roved. '(,) Cannot be approved at this time as indicated on 'item NO. above. Questions and further' information on .items 1 through 5 contact the Lane- COUNTY PLANN ING DEPARTMENTo' Quest ions and furtheri,nformat: ion on j terns 6 ,,-,through 13 contact the Lane County Building.and'Sanitation Divi.sion. ( ) Will be held in this office 'until you can resolve the problems indicat,ed.. () Is pe ingretu rned. . . . \r. () Your building permit applit'ation fee is being returrred'under separate cover.. LANE COUNTY PlANNING DIVISION. 135 Sixth Avenue ,East, Eugene, Oregon 97401 Phone (503) 687-4186. . LANE COUNTY ENVIRONMENTAL MANAGEMENT .135 Sixth, Avenue ,East, Eugene,. Oregon 97401 Phone (503). 687-4065 . .~ it; C55-28 /j t '."~~"<<i!;:i-,~;,:,' :,__~._q. ". " , ." '.' .j. '.~ .. .'..:l~..,;. .. '. SUPPI rl~ENT TO BUILDING PERMIT NO. ~. Lane County, Oregon ',1'/~~7 Y .~~ " .;, " . . (~...... OWNER I JY. V . J/-c ... '1 /~ ".;1,/' . ~ *' . {..'...' .... 'I........... """, , s:~.....~ " J2.--' ...;..,~~~~....~;;.-'. '4Ji:;.1--1.;... (,;'. 7(') j I / :z-- , MAILING ADDRESS I) ''V [e>.!f.~.-;,.;::'.?~".;>!.,~~:, MAILING ADDRESS .___.t.<?dZ-/,.e:1J, . ------ / v (_~~:;~/~ ("'/0,)'6) .,/ CONTRACTOR PROPERTY ADDRESS r~/:::~~-;"'~_:f'-/ . ,P ~ ADDITION: . t (::La-~~p / /,::r. 0 ;) V CtJ1A:JL~ ,- 8"'0 I !j (,) ~cfi,b"" ...-...." ~ .ii( ...- f} gl ...,(;.9' IV";; l.,", ,-' [l( CORRECTION: sJ' trtJ IAJafi I/O l/ I) .~ ./0 ti ~o6 ?,cJ () . l?"-' , A~kf ~ I/()t{ _ ... /7 ??4.t(O . .... C!!I/6,rv'~'"'' hr1:J F......0u-v ~() __ . ~~9,.2, YO I - ilvO, ~tJ .- ~~~~ _ ~-. /~71}3'bc) ~~ ~,,-,--- '/ ;.- ~ff' V 0 , ,\,,,~ CHANGE RESULTS IN: ![a REFUND OF FEE, OR I ~ S- 7..2 () 0 ~u::~~:ONAL m: · \~ ~'~."~ X~;Y~DatA ~;~/7~~ SEPTIC TANK . / ,/" .. SANITARY CONNECTIONS ..." :.:~::::::.:,::::I.~:- ,~;::: .,~:":"";:~ TOTAL $ 0 0 DATE FEE PAID Cash Check LANE COUNTY DEPT, OF HEALTH & SANITATION Supplement N~ _ 1722 . /""1 5 I' /..::.'.l A .I B Y .f'~.Jr':4'A-'''''''''''''- ~!,i" ., o ~......... u I: ~.o;.,"l " to- .'f .. ~\ r.;1 ~~ --, _ 'iI ~".J ' ^ RE..FUND o r r E E THE LA'NECOUNTY DEPARTMENT OF" ENV IRONMENTAL MGT. I HAV I NG REQUESTED REFUND OF" F"EE TO:- NAME OF 8f{j H. Ceni:~nni""lo 5~rii'fJfk;1dg Orr:qf\1;l ADDRESS ~. ~nn ApP(ICATION FOR BUILD1NG PERMIT DENJED, AND NO APPEAL or SUCH DENIAL HAVING BEEN MADE. ApPLICATION FOR BUILDING PERMIT CANCELED. APPLICATION fOR BUILDING PERMIT, OVERPAYMENT. . ZONING PETITION. M'PLICATION fOR RESTAURANT LICENSE. ApPLICATION"FOR CERTIFICATE OF" SANITATION. M'PLlCATION fOR PRELIMINARY SITE INS..ECTION. FOR THE fOLLOWING REASON:,' S~I.!,rc1'o';)ll:,"'ge !iho~d(, h;'VC': oeol1 t-ken ;.\: $16. W Cr!stl2:,d Ctf$2LGtI/~<i1ditjoi"i nf top 'i"iotlr'. Fee M~tllulu tjc $810.00. ~,t'fJ di',gC.J '$1 '~;;.tjC. ,)iff.crl!me~ Df $35.~~ r0"7t.m~1'bie. AND THE APPLICANT DESIRING THAT THE fEE BE REF'UNOEe, THE OUtr:CTM "F' FINANCE AND AublTINGJS REQUESTED TO REFUND THE AMOUNT 6F' $ S~~.DD , (UNDER APPLICATION NUMBER l/.'j][Lj1J!;. IN THE. CASE 'Of APPLICATION fOR BUILDING PERMtT), 'WHICH IS THE F'EE CHARGED. DATE h1gU\!lt 12p' 1~/!} CJ,~/!3~ ///~. ,,; . k c~.~~.t'i;~~iding !nspGCwr " 55-029-12 1 !~ 7fj.,~ 7~ .:. LANE COUN rY BUILDING D BUILDING PERMIT OR MOBILE HOME MH D MAILING ADDRESS 810 \1t$T elt~l\i:~ I AI.. , US~ PERMIT PERMIT NO. PROPERTY OWNER Hg~~~'R~~~~Y M aU.~~~~$ V6C CONTRACTOR 5AM1Ii: $~rHIIroi!t i Iltt;D OrtIt~~N PHONE '(~~9~<5 MAILING ADDRESS PHONE ~.'..;" _ :t", ';. 'f PROPERTY LOCATION - INCLUDE 'POST OFFICE ,. to36 lAtf~ll!i.. S7~il!a., ~~ Atlil)cfV',rm Y(lJMtAti}O~ QJti!ttt ' ",.Z~~...J ~~i~~k'(:,;".~' S~i-~' ~~r UU,.!), ~~~~t PROPERTY LEGAL DESCRIPTION - METES, BOUNDS . L<rr t 6 ffih.O(t{ ! 2MD,tu>oalJQN t4t~~QW ~~c~w ~TA1t$ ..,'TWP l8 RANGE Of SECTION Oij TAX LOT NO. CODE CENSUS'TRA'CT 3~t52 APPL NAME & MAllINq R.~tlin' t~<! th t..t. 6tH t>>lJ:ns aNt a~ WG;ST ettN'i'tN.~ ft 1M. EXISTING STRUCTURES ON PROPERTY ,~n*= , LEGAL ACCESS TO PROPERTY LAtJG!\!L $'n~~g1 PROPERTY SIZE - FT. ADDRESS Slt'Q ftt1lflli" ~c:tD~ Oilla:faQN FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT O'~'u,. tl'itfal WIDTH DEPTH AREA .}-o.,:l GAlFlACU: Connect to Existing Sewage' System 0 TYPE CO.NSTRUCTION SQ, FT. # BDRMS uot~ Og~..~ ~8 @ '.3i New System, 0 VALUATION ~~'}SlCt51~zO 1 ~~i(tj .tJ;I'iJ ~ j H ;):1" {'v See: S~\PLt"W~NT a5)1i&1;;~ SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK 0 BUILDING t ,WASTE DISPOSAL ",'. PLUMBING PLAN REVIEW PARK TRAILER l~l~CUA~Qg OTHERD v.~,.OO FEES ~"W ~,go PLUMBING INSTALLED BY OWNER 0 'OTHER: NAME WATER SUPPLY PUBLIC ,~ o OTHER TOTAL ~, , .^:~~! fW.jj( COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED lIN. FT ' 'U)U , .. TRENCH WIDTH FT. OR SQ: FT. ..l~" MIN. SEPTIC TANK CAPACITY WITH DIST, BOX: GAL ;900 f-lQ'.:)v' 8lfl/HWG TO .~.lt: ~HV$~Tl\n) At ~.tJ\i" 2Q il'J;{t:n f'RQ;t.l aRAiI'Wifr':t,,/OI ~it4 TYPE OF STRUCTURE 58 BLDG, SETBACKS _ FT, FROM CTR, FRONT ~5 OCCUPANCY 1&.J ZONE RA PUBLIC UTIl. EASEMENT / OF ROAD RIGHT OF 'WAY ~ SIDE INT," SIDE EXT. AUTHORIZED SIGNATURE - DATE (" ~$$$ 'fi~'t C. HA~~~tJU&W D REAR USE ClASSIFICATION , r ' Pt.i1 /s/ J.. J. CrUJeGNali(~tt/$~~t.'l'4R~~t4 DATE 6/'U '!J1'4'!')r~ BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY T~X - PINK PLUMBING - CANARY BUILDING - GREEN SANITAT.lON - GOlDENROD- Call 687-4065 to schedule all required inspections. All co~~truc- tion shall comply with Uniform Building Code, D.E,Q.standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. . (See Details on Reverse Side) ,/ ' ,.. F~RM # C55 -13 (POST THIS PE~IT .ON MAIN BLD.G. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 9740.1 t '. 0.< (~ SLAB,fLOOR , PLUMB,iNG: GROUN[N/ORK ~ _c' ",'1". " API"R?VfD I REMARKS' I bISAPPROV~n I ! t OAT E INSPECTOR ',' _ ij _ _ GAS 'f;>' P i'NG'GROUNi:MORK " ApPROVED, ,1-,1' DIS~PPROVED l I DATE INSPECTOR' " 'REMA~KS , .. . . ROUG~, PLUMBlN~ ',' ApPROVED',';< I DISAPPROVED I REMARKS' .. . . . ~ / .. D,)2_lq~7UI",P'~'';#~': . ~ "~ 'V ': ROUGH. GAS PIP ING ~~.. ~ 1" ApPROVED I I DiSAPPROVED .J , I DATE 'I NSP-(CT9R Yl{ _ REMARKS REMARKS' . ...., . DmL:~J-7j,",pmo#III'-: F ,'Nili.:' ,PLUMB I NG- -'>' ---..; - -.,~ - '.... ApPROVED' I k' /; DISAPPROVEP ,/', I ,II o' . _./ ..... " 1_',. , fiNAL GAS P WI NG " . ApPROVED /.. I 0,) SAP PROVE D J / DATE ,,/1 IN~PECTOR ' REMA'RK$ \\ ;.~ , ([,R,T)I F I C~ Tf.:, 9{ ,OCClJP.ANCY ,'. , I' ,... : : ' ,:': REA:b;j, in Is.s.lIE i' :/ N6T.REAO~( tb ISSUE / 'F DATE j'}).'r INSPECTOR' " '. ~ " REMARKS S' I , (,..,. 'I' .; :_;i, ti. -!-)- ,'PROPERTY; OWNER , .j 11 H..t,J RatF{T H I CONTRACTOR. j . ~J '., t,~t ...~ c - &:,i.)., I, . "'~,~;~;;~1.~" , . ,', ~'~..',~'t. ..;.0.....'.. ,- .: MOBILE HOME t lrr~ 7~ . tANE . ~O'UOBUILDI~'G.'PERMIT OR BUILDING D / MH tJ . MAIL~AD.DR. ESS. ivu..liltl.t$ lM' Vl>4 *,ZlfT Ct~T(mnA!. .> .~.i., USE PERMIT PERMIT 'NO, 's!:>z:i ft$P' ttt,.(t ().t~~0* !. P.HONE ',..6...9) \6 ~ .. MAILING ADDRESS ~ . PHON!= ...::. "':.. nl" , . PROPERTY LOCATION - INCLUDE POST'OFFlcE , . . 1036 L~IMIt.n.S:tfU..T, 2fl.'!Q A~I'!j.' tON 1t) ME;A'OOW Qlt~a..l'f , . , ; ~ROP.ER. TY LEGiL DESCRIPTION - METES, BOUNDS 'I... .tlt'tf ll;iJ , at.~jlt. 2 . : , ..twp ld. .0. Ap.Pl. . NAME & MAILING ADDRESS " SP~ Uliar 'tL~Jt)Ht$~ f ". i."; 2Hf) ~r" tO~ Mlr;jj,i'.tO'W "Icr~ .E$TATts RANGE 01 S8j;ION CENSUS TRACT. ~152 TAX LOT NO. CODE 'ROltE.ftT N.-~~ atULKf!l~. ~~c , 810 Wtt'f '~t?NH'Al.. '>~'\ '-'~':';'~<"\ . , '~ ~. " ~ " t:' $."'~~ lEUlJ O#tlGOtf ',. EXISTING STRUCTURES ON PROPERTY NoMt LEGAL ACCESS TO PROPERTY"'" \ . L'~f," St.R''k~ '1' . PROPERTY SIZE )~T.,., ',\ WIDTH DEPTH AREA FOR. MOBILE HOME PERMITS ONLY 'N6. of Bedrooms Connect to Existing TYPE CONSTRUCTION Sewage System 0 . ,,New System D'; SQ FT. # BDRMS ~~LU.. ATIO. N. '.. '.. BoA .~.l.80 ~~'r.1l} :,', ~\ '.1J. \ STRUCTURES TO BE BUILT THIS PERMIT , ... i ~u.. .- .' "." .:-., \ \\ \." ..... . ...... \"' " . '. '~t:: '<- ." J ~A4C\ .,:~ \~~:J\ '\ ' '~~. \; ~ , ' .. $. _ , ~:\ ' .. . '. $1; S\tP,'~~~,i~ \ ~, \ \, \ .. "f#~-~-,.,.)I\ ~t3', --~-.~\.:' ~.-u" . 1~ ~_ ." . \ . ,. \''\~\\~~~\'~~, ".," ~ "~~'t;~.~ .~i <~~.il~~ ':,;;~:~~~; ..." I , . '. , filUMBit;fG'l' IN"S:r1>.f~ED BY~:""..n W: ~'\.\. .-.., \ '~. OWNER 0 OTHER: NAME WATER SUPPLY '\. u . 'PUBLIC EJ' 'J73i.,~ . -, ",i'",~~" I;! I, r \ - ,1 i 'PUBlIC 0 (SE\'IAGE DISPOSAL MIN. :EP..TI.C T,A. N.K..'CAPA~~< WITH DIST, BQX:GAl.. ~ . ....~\" a(>or'~iQ ~~ ~\f:'fJ' A'f BUILDi'NG WASTE'DISPO!jAL t , -. , PLUMBING : pLAN REVIEW ! . .. 1 ;t,p.. ARK TRAILER , f1"$~e..-1 (.. , TOTAl f . I . ~ I I , .' . SEPTIC JA.,NK 0 PJI:!ERD. ., ..r--... t. ~". W FEES \..~' .\~,,~"\ ?J"W,. . . .....~\~ ,,~,\ a~,~w ~~~~~\\ '~~~~> ... ."n~\:""~~~\ fl.)lUtt.)f ' o ..0TREg .;' . ~. '~----.~c.''''' .,' '. . '.. . . ....... '-\ . . . ':, :.,..,~,t.:<, . ~~~~ ~......,...'"~'~'.<t'" \jt-~ o~<\~ ~~~\~\\~,,*;~;..}:!;..:~,. . '." ~'''l'..,I. ~";;;~<~<:",'l' COUNTY BUIl[)ING~/lt\$~.~lili1\T,I~~ .SF(~~If..I~ATlO~:-u~.~..' 'DRAIN'FIElD~RThl!iIRED .. ~'" ~ -- --...." 9"4 lIN. FT 't ~ TRENCH WIDTH' FT. OR SQ. FT, I..tt.~~'~'\'lt~)IC~A4,.r' Ii.? Alitl\ ~ \ .; . OCCUPANCY i&.~. PUBLIC UTll. 'EASEMENT ,TYRE OF STRUCTURE ,~ Ii) ;. ~~.J "" ZONER,A BLDG, SETBACKS n' FT, FROM CTR. OF ROAD RIGHT OF WAY. 4J~ 5 .' F.RONT' . ..1 S!DE INT," 'SIDE EXT. AUTHORIZED SIGNATURE - DATE / $/ J~ E. nO$! th: C.. >>."l!Kl\l(l;h, REAR : ,7' ~\l1fLASSIFICATlON . J.. ~~t(K.HAMKls.l\.trAiHA" DATE ,"1'/1' ,BLDG. PERMIT - WHITE OFFICE COpy - WHITE 'COUNTY TAX - PINK PLUMBING - CANARY " ,BUILDING -GREEN SANITATION ~ GOLDENROD IMPORTANT: i'~_ . - , ! . <;:all 687-4065 to schedule all requiredinspedions, All construc3 tion shall comply with Uniform 'BuildipgCode, D,.E.Q. stcmdordsf .j', fqr 's'ubsurface sewage disposal and county regulations covering 1.1 plumbing. All buildings require a certific!Jte. of occupancy before t being occupied. . , . , . "\ (See Details on' Revers~;; Side) .oj , . ~~'M';>::,.cs5- 13 . aft .". . . . (POST' THIS ..PERMITON MAIN BLDG. f!.T, SI,TE) LANE COUNTY,DEPT, OF ENVIRONMENTAL MANAGEMENT . COURTHOUSE, ANN.E~. 13~ .EAST .6t~~ .EUGENE, OREGON 97401 . , ,.r.' -...... ~ -', .. ',- ' , -.-' \,..". ,'. . ,': ..ii~:,,~r:;;~,:_.?~::,1~,,::i:i~_:~:17\:__.~~~;.. ;_ "-::.~..i.;~.::-,:i .:. '~" ,-j :.".',;_.:\.:\ ,. ~ ~-~;'". SITE' I NSPECT ION t ~ 1": ~. .,r""" '-- . ApPROVED /J / .~t~:ARKS', ,V "'. :.j\ bl~~PP~OVED /' / O~TE INS PECTOR . ,. , . ...t ,/I :", , ''',. \:' ' FOONDAT'DN~"~~~~ON./ ..... '/1 'ApPROVED '.LLZ!',,'fJ;I'SAPPROVED / /"DATE, ~ 7t!~1~N'SPEC'TO~ R[~~RKS :Oj~~j ..~~',' ~v7&Jlrdl, {!jl ,f .~ '.~. 'I.\~ . ".-"'; .... \\'-' ~.'~ \ i~.~",~k;" '\ >. _' -'~_~,," ..:{~ ':'r" FRAMING I NSPBctION" ' '., .' '../'f' .' ',,".1'/' -,' ApPROVED' / Y /' 01 SAPPROV.ED / crl~-'?/! ,"s;,c;~~'l. .. . -... ". '.. ',. , , / DATE ,REMARKS' L ' , . ::::0::0 S~E:7:: ::::::::: / / D'H /l-rr-'fI(I.;p;CT{?L<iz .' ':, :' RE~RK~ 'IJ~t/} ~~~' . 7ft; ~ ~ w7k . YiII.'7Q/~ '\LP.~ ~ /O-~;7rJ~ , '~~~/f)4.~''/J~~L, . . " ',,:~~/'li~'T~jq"f ..' . _ "Nip,mrfL (J.l , . " FINAL'INSPECTION, '.:'/,:: APPROVED,LIL.l' 0 I S APPRO'" E D, l / 'DATE /l~r~?f' . RE,MARKS' .I" ; CERTI~I~ATEQf OCCUPANCY READY TO I~~~E / / NOT READY TO ISSUE /: ! ;OATE INSPECTOR . , 'REMARK,S' ..... ~. . , _ A/} , ,t/) ... ,tl//. ': ",'. '^*"~~ Ir'1'i~7I1?1~ I~d(p,~ -!' , . , . r.<8 ...4 '.' .' ':"~:\;':'''' ". \.-'::,{' ?'j\: p~t~';~ 'SEwA~E :~:~~~~S7~YS~E~RECO~;;: ;;'~.~ 'J:,::~X;!;i. / '~H " .~:. I N~TJ\~~~~:: _ ~C.~.p 1~~~e.: ~6p''- ~ar(~~,~ }~9.r.i1! ~'i::9 ::sJ ~~~tu're'- a'nd " s,~b~J'('B~~~~ :,p !'-~S'" ,_~'~'. a:pp:l1.~'~{f.6'~;~ :'.~:._ : ::".'~ .~,: .., . ", - " : ."".. '.. ',". ." '. .. - '-. '.'.. - ',., . " - -" P MH" NO'-- - 14if8 74' rlL " -~ , .' . ::" 't :' ~ ....-.,. .;: - "... : ~ : '. -.>-,' I," . t :--'."" :.::... .f:,.~ .....- : ..... . ._~.~~~.~:-:.4~-~.~~.:: . '-..':., ".'""-'-.'- .-- -. - -.".- '.' ~ ~ :.. -. : >..f:;.~~i~ ~..- . ~ .' . ~.r .' , . :~_lE~'ng~h~ ~:it?~ip.~s~ft?(:/; :T~:~D:ch.' .:, :T;~~~~~<:~~;,. .~;.~.:: .B~e.twer;::~ ;__f.qJ~~ri'... F-,! 1} ~r:; ~~f'~~r~:~'..IF'!q ~r,<B,7l~,::. . ~3f11.4f)r5.., 6.'w:l:otlr.. 'H.::.~:.. :.:'.Lln~s': IO:::.,:':JYDel".:l Above'~T.d..e-",~.,..I.n.lT:lle -...-I.n.-.~,-- PJ':~rD~;i':. i ri,S ~ r U~,::i~~;~V ';-}: . .'. , ......" "., ,,'.'. ;},"V ,.: .' .'~ ;:;. " . -. .......' .. . ~ --. . - :-. . --.. .t~ .': . >. -~ :..: ... '- " ~'. . , _. <,.. .. '~.~- .- ,: :... .~: ~ :~-..... - -~ . '.- - .~.. ~J<' .-' .' --r r " _, ,'~'~" '. ,'. ': ~ ,~~.~:, ,: .,\~~.{~~ " :. ,~,,;/:, .'...-:;::,.i: '; :~~~~~~rib~;:~.~ :'~:.i'~lire_ ..'~1 " . '~STA~(EC o'F" o R'E G oN:' OEP~RTMENT--" bf' EN" I RONMENTAL~'QUAL 11V--.-"/:" :'" ~:.:.:.;_:-,';. '_,. .>-.i- .~' ......N ".':_:-'..7--.~~<.".~~;;!~.r'."..~~ "'-':-::'~:~-.~'~ -' ._:.~' .;......>::1,;(...;..~.:-.. _, - .. -:o;.,..~ .. ,- .; .' .. ~. .:. ...~,-"~' -; '. ".' . _.. . . ~..'" . r "". .' ,;';:. ..".. ......' ..,->,.:.:~:,. . '::<::: " !J~tiF:J~-7'Y '; ,.:..,:...",.., ". .'.,'~"~..iVmY.... >':::;::: .;..'\;~'-'~bi~cfing'.' 7i .'- .' .:'" . '. .,' ',.~' :~;:, '~~AR1MENr. ~F:::~~ONMENTAL,' ,...F :..,,' '. ~~,tle:.H~ "', ' ,,' .', ..' "< ::~:c:"'.:. .;';".:. ,';.''''APPLICNrrON'FoRBUII1>tN;: !'liliMIT OR MOBlLE,:-m:W: USE ','-> . . .'7>'{:' . : . ~i:~Jt.<~,~o/E.~:;::' J~g':;R,~~~~i] b~ -is'~~,d~.~~ti~ )~iS ':::kip'Pl~e~.t~~'~~:~~;'.,~~~\~rp.~9~e~.' 0 . _ . '. .g~Uilli'f(~~ok?- /l!j.i:',,~:~;;d,1 ,~-'~~ :Zl~:''-~~jfi~Y~.'' .,. . ,J.~.., '., "S:' .,' -i;// '~~ . , '.",'., ,.,..... ' .'<:: .:',.;:::- :~.:-~':.:.< ',~~.'.J'. .~;: -..J:.: .':,','.' ." ..:' ,".. ":":":"~;:;:~;."" .: ,. ,':;~~';';~~::;; ~~~{~~. ISI:~.;~dA...~.,':'g~.~..-.~~1~b.. ~,~~/~ ,., . '. '. . "PRun.iKlYSlzE7:". . " '. . .".. .. .... ... . ' .:. ~CE$S: To'" pR6~~TY.Yait!u~l ~.. :. .. .: ::.:.WIDTI(&9~?r;G~1'rl'.io~.7j'O~\A~i:;;~ .;,-~-:.-:- , ~~~~~'SnWCITJRFS'~k7~m:~"1ki' ,d}#w;J, ,;' '. :j~?~/ .... . ;m=w~~'~, '..J.t? ~1~""'rJi!li s~g7;()'J4~U#~,f#!/~:. . ..NAME ':.' ".~. ......'. "':ADD 5S .'~~' ,.... 'I,:' ;.' ,PHONE . ':, "'.'::.:'-. . . . ~. '. ". f' . . _"'" p/ <:" . ~~. f' ~ - .BELCW FOR-,~. Off ICE- ~USE ONLYi~<1n'~~'~~~~~1"~'l~~;..;.. A 1(';~' /../.. I.. /0J>1f~~<'~ l.. }"_~I~ '~'.?",':'\ J.. }~/~-J(alrldrlg~ A ;,..1~!.. A, }~}.. h. ~~;".~'~ ~,~~..l.. A ,'..,AI.. !..,'.. ,'..,''! !~ A ,'(, . ",S~jJ~:builtlMob'~;~~':H' " ~ ..':'i/}?/J~~~i~;l?e~orr;.::", ..~~a~J~. So ".:-J!:to;;4;(J2Jj ':.' ,....:.. .:.,,' .. ", :' ",:': ,...:' ~>I!!?,:r .io'" . -- '-.' ..'..< ...' ./ ~ j:sg VO'" "," .; ,.'.:<. (/. ":: ,'. ,.'i',::, :.~. . '.:<~ ." ':." .-:,. ..... l5-=;-..." .,'.. .:~.~'~' ";< : '. . .'" .;~.~:,:).r - '. .~ c' "" ,'. . ". ."". ", . "... . . .,.....;,... ..". "'. ' . .... -, . . . 'b<'. :< ,I') j\'::;:. t/,l'. '. _, ,;,(~'. " ,.',:,\(~.:~;;;;K~.",: ~A~~~~~..~:<,',~~:::'.:,.". - ..r;... :....:..,. .. 'Sewage'Dispqsa>l.:.::. _~r~e-:~;.'>~"" ".' .,'/~V'.';': .,:': .:-~' "..,t.,;,.';, . .. S~t.e :~~peGti0Il ~f: : .f.Xi~tf~,~~age .disp~~~f{ys..terri'..o or neW Syst~.:..i~~~:~4:'O . -Water'~,~Y: ,.... '. . ,.'.... ... "::<\':-.~'....; /f.:"~" .,'-;'.. "0 ..):~~+d~I?:strict'N~ ':-'. _: .,.' .,' '. ,-:.: "".:We]J[JSpn.n:g'\~..-Other' '. ,.Bidg '", , / /0, og:.- Fees'. : ~ <'~, ". '..' '.-:.:<;;~"': ,> .". -. t..; . . :.....VJast~.Dis':,.. >..51)~r)o, . ',,': '.Pltnnbing ip.staii~((by 'CMh~r':<:.Qther:&~,9a~' ,. Pltnnb:lhg.:'" ," -,.;;);;):..0. 6D: . "". . ., .:. "Pltnnbing Fees. . '.. Sewer ~Onpect:ioh . wat~1;' .C:bnri~ction. .'Pl~:~yi~ '. ~ l~.~ .'.:;~,"':';-':b Af.of.~t~~~7~:JTh~~ec~i8n.f~~bI:-:tVip~SI'e~~~o~'.fee~,o () , Tra1.1er~. .' ,,,' " .. . . '.". _, , l%~s~dl~g~ ,"'I;~'8"?".. 'b<?~' ":,,,.,..,.. :piap.s':~isB~d ". ,,' :'lac~~ity.)e~t ." ,'. " " '~c~.f,' . , ';.: ' . '.Y~~. CJ . No Q' ,.,,-. ",'O,l~s'D .No ;.Q" ." .' .: .:. ..... ."..:. - .,;......;'.'.'... ..?<..,.(? :",: ':: . . 'i",'" ,'.. . _", $:i:gnat:~.~. ..,Of. :;.~P"~i..~ant.~. ;~. ..rr!~.. '.. '//. ~ ;~. WJZ., date:! -:;):. '~~,' ..<'/:~: ()' ~. ._1I:0?- -: ". ':..: F~~ rece:t:v;~d))K~: ~~ 'l.'P~'.':" .'.~~t:e_ dR,.,.~. . " ,. 'Min, Septic tank ~9-pacj.ty'{ . ""PI;"aihfield :requfreq:Lc." .:':: ....'. ,'\':"';'" ,: i',.':: ' " ';with' dist.:bo:it~.Gallons... . .'9W:,'.Lll1efl:lFeet '/6-0:: .Ti-epch))epth ;.,.,..c'. ,.or '-Sq. 'Ft. 1160 , -RnnWnvwL .&6' hP1,;d/;d#~. d-;e~4~..:.:/:i~~:.~~jdt~Y~:.i/::'.":" . dli~(>2(f~i;1 aip;j'E~::::::' ":::};!~h>., '.... f;..' . , . . ':,'):::'.,;;;X'~;'I':' . .... :'\,",..J:(:0'~4~(' ,~';;:'-J '. ..' " :~~~. . . ."> - - ;. ~.~:~. ~.' ',:" :;>rj'.~~,- ~~: . :':oJ," ' ". ':"1YPe'bf: S'tr'ur2ture '.;"; _'occll]iaricy,:,,,, . ;;.Fire Zone . ': ,,:.Us'e"Cl?~si.ficatio't+' . ":, ' " ',,:" '.,,' . '. ,..,. '(!!..:c: </' '.":... ....... ,Itt:>>-....".,..~, ..' ........".~.' ..."..~: ",>J: ' " . .. ,~; '. '....,'-:i~ D 'f ~1'_.'" t ,'" '--0." 'l;.,~ ," .... ~.~'-:..... :~~.;: ~. ~~:~.~ '.. : ~.. __ ~_: " :. BLgd,.; setb.;lCks~:f~~.. ~rorn'c~t.er bf'~rp~Cl<:ight ~fi.!aY.~I:' .:...". ":~'.::'.:~:~.hLl'~Y::;:: ;:c~~~::",,:;>:,~".'.. '. Front 1/ r. '. S1.d~.:+nt;.-.~.", ::,$1.de ~ter1.or:,> ,','.'. . ,.RgaF ,./.<?de;:-{',f",Zorie,' 42...4 . . ..c:" . , .. / 7 ._~' . ..' .,,:,,;. "",: ':.-,_ _' _. A' .'.' ,-. '.- ,." "<::::;::- '__'":"'. " ' . .~ - ."-.~_,~' :\:':-. ~.'. ,. ',-. .'."'.... ." ~ - ~'_ ~-. .P.~~" g~~'L7Y"~~' ,S 'ita on'..'.....:::\)'..~j~da.t~~~=::;~~:~f;9:Pj);L,:'. , ' ". ';. ....7c~(:1:~!;;~\,tj.'. , .." . 't' .;, '. , :, C~?~12 .: , ~ ~. . ,',' . : .". -, ~ ~l'; . ..~. r;~.'\(l f.' :( ~ ' \ - ""---. " """-I ]l"..':~-~;~ l/! / -, ...,...;c/TRS, TII I / I. ./ " )' ,y' ; . .' ,:.r 1[!~('2 ~...~1i 0 '~c ~ g.~d!J JOB LOCATION ""'~"'l..~ ~'.t?'Z~ ::' ",:~'-~,,'&-:;- ~ ~,~ ~-~"~-'\';'"':!;-~'~'_\ -_~......._. . "-".y......:'i.....t r~~;.i-:fLnz:€~TQ1(i::, i.;If~t~~;~: LANE COUNTY PERMIT ; i ..' ~-:;-'-~f- . ~ 1.:. :.11' . i ':0 1..:<z.2~D1] '..;.:b'UC't.' Subdivisi~rf)')""''; C". ,'~ :J . I Dot", _..w 'k. I @'U."\:'\:.titc G ~Z~.r::l.l" 1())2f; y;l:~'\t.'e.~~Avu~:::. l:r?,:2..v~~e)!~(g~.,.,?(',,.. - -.;;Jt/ ~- t'~~~ -~~~]'-~7;-'-~.~ Phon,~ ..:' ! ,,~ Phon,p r 1"., Ph ~:: .., f :. on<> 7"T(l)? ,0., ,,-.-t;. J.Qwner, etc.) when readM.: u - 'v : .. _;7',':/ J r~.~/ ... . . .J.... ../1 A I., j'"._,........;I 0) Of'< "'M II I...; ~ .,~~ THIS PERMIT IS FOR rl~~;l~g......,t:1lili.ll.G'L'!l m~ . r:7 BEDR?~/M~~ 2i #PLUMBING CONNECTIONS .-/ ,.r..~.'.."'.t;;! W~TER' SUPPLY t::'fJ.1nD~t.t:e T:'Jaitor: !tk, SEWAGE D ISPOSAL {~ti'7cl;_g~p.t:f.C 8YC"~~ ' S.1. # ~...... ", ' /1' t~-:'/-'V/ '" THIS PRO'PE~TY IS WITHIN ONE MI LEOF THE CITYOF t)'Q:r~gG, ~t:fMBIN:t~~_f~'~~ @1@~~!f I hereby certify that the above statements are true and accurate, and that I have the followmg legal I'm.terest In the,property: owner of record; contract purchaser; potential buyer;' realtor or agent. I further certify that (ifJ?d"t tht'ovY;njr) I am authorized to act for tIIe,_owner of record, and tha~~id owner is avvare and 'approves of this action, I, hereby ag~ee t~<comp~y wi}h ,al,l;;a1~,I~~~1E{55~.Q;deS relati~g to this pel)Jlit. -<- ...,~ .,... '-':i"~.d F P'd $' .1i~ "N) , S' ,/, ~ '''''<'i-./'i,,~''''''''~'~'l?' ".;1.~O A-v<" A!{[ D' l-.,~ ?e".&- / dr ee al Ignature ~.,....!:." '.' (,. ''"1,1"', 1 :-..,~.,ri at<> "..,.. '. ' ('::;71 ',l'. k jo '."!.' ( ) N:EW ADDRESS ) FACILITY PERMIT TO T.f~ANSPORTATION DEPT. ( :llik~fECI~~ PJJI~;. A~~~~ MIN, ELEVATION: J':' SANITATION BUILDING d::1 ,?'/ JCz. k ;1;( ,..~/.:,:.;,tR.., ,'Minimum Septic Tank Capacity (Gallons) Type of<C~nstructj0n1i"l \ ILGroup Fire Zone Drainfield Required- Lineal Feet 'hJse Cla~Mic~tion ( tI Maximum D..e.p.,th" C ,.... .:.L \ ib#~ . ;L ,I' . , omments: :1-" -/Y C:t.r. I i'.'-, .f ./:.~~~~~l 0/;--('. ,....~'lff2 l'J '~<:-- ~.;t. ~ . 1t1, ,1;""" ,"/IV ,;;1' .". '1 F/~ ,," \of 1 .." , .I.' ,,--,.a.:;;. 1 4' "" \.1/ "' -~{ .4-<d" . """ .:!v I h'riC.-.~~ ',:Ji' t't ""- ' :-...'t~",.y " ~ , ",,;:flj, ,;;..~~..,..: ';4>( d'. "J . ,;f/ 0 'f~1 /;:/(/: / , ,"..... <, I ,v-' .,'" ,I ~. i"..y, ., /"~l~' LIi ""_. ".", ~1J~~~'.f...t ~ .....~ ,iL",ei-",/f/ t.., --7 . /7."-/ " ('.1 " . /';. . ~ " . c.. r1 .1'7 i-... ,:..;. t/ 4. 'i.'. / C7 I I :/ ;;."-'" ~i -7'. ...,." By: Date:, By:-;"-'(. J*L--t,,::.:lir /fj,'.:. '.,l;~tr-.:;(-- Date: / -...jJ -'. If.J ',. PLANNING .REQUIREMENTS SATISFIED. By: Date: '5 d(>... "' Date Issued: ?-"~';. ,. "/j ,~~:<'- ZONE: SETBACKS: FRONT SIDE FACING STREET (FROM/JC/L). 1~1, SIDE YARD REAR (FROM,PZU LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH ~V~., Eu'~~E OREGON 97401 PHONE: 687-~394 . . . .,' POST THIS PERMiT'ON MAIN BU~LDr~G Ai/SITE ' .: , \ d~/ ',BLDG. PERM'IT "::'~WHITE; BUILDING - GREEN; P~UMB1NG - CANARY; SANITATION -f,-GOLDENROD; OFFICE COpy - WHITE :' ".,~ . ", . :. .: /;/.",l~~:' "; \ : ...::~: \:";'" ,(!-f'~ ~., / /~ '. ,..' Acreage or Lot Siz<> .,' Contractor's O.S, # gJl 8 ,~. Partitiqning :# ) Gompleteq B locI< (;, APPLICANT'S NAME AND ADDRES~ OWNER'S NAME AND .ADDRFSC: eQrL'1 CO~TRA~TOR'S NAME. AND A,BpRESS Mall permit to ( ) Apphcant() Owner liJ.'l=95JG - : ~5:tl t.:.. ~':i7JT7'!') e '1., 'l" ) Contractor. ('"~~) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY ih"f.'f,S1:U.iP-3 Comments: o .:'~ K/ ,,,IT H ,"" ~.A.J.~-~..;( }..~. , . / '- .. .;~ (:55-13 J~;fi'>~~i ' '1.. >>-.. 7., ' '! ,:1,' t " . '.:"'f ~. I ..~ . l SLAB' FLOOR PLUMBING GROUNCJ..JORK . \ . ~ ; " .' .>:" ApP~OVED -/' ( DliAPPROVED / ./ DAT~ I NSPECT,OR REMARKS " . FINAlPLUMBINGJto~1f~~~~ ApPROVED / / DISAPPROVED / 0 Dfr{ ,.' 'INSPECTOR . " ~%;~ ~~~.4.ij-U~~ ~c . ~7~'Jf~'<<;"--;_'-'!!f:fT;"- /f)"'~e<'cfJ, , " 'VI)' t/ ~. _ " , FINAL GAS PIPING v ~ -1>-:5'-~ ApPROVED I f DISAPPROVED / / bA:TE . INSPECTOR REMARKS CERTlF I CIITE OF OCCUPANCY . , f READY TO ISSUE / - / NOT READY TO ISSUE / '/' DATE INSPECTOR REMARKS