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HomeMy WebLinkAboutPermit Plumbing 1974-10-2 '-, " , ';';:,':;fJ.i"'J[" _.!, ~ 'i-J./-~~&~;:~~;' -~." .'. ", ;" ... "~,;l ~(, ",~ " , '- <,,~;<:~~,,/,t;l,,~t,}. ' . PRO~EJm OWNER, , .. _: n I ':'(;~ IdM D A, , , .CONTRACTOR .~ j ,', LANE COUN BUILDINGD ,.<. " " BUILDING ,PERMIT OR . MOBILE H( MH 0 MAILING ADDRESS, P~O.. Box'lH2 EU'GEr~E, ORE. MAILING AI?DRESS _ USE PERMIT PERMIT' NO, . i , ' f <J.. 7 QI"?"-';v~", U '-:~9~i!1!lL) , ~ I , ~87'-74 PHONE PHONE PROPERTY LOCATION"': INCLUDE'.'POST ,OFFICE, ' :.7797 t<1CI(t~IZU~, Hwy:.,, , . PROPERTY LEGAL DESCRIPTION - METES. 'BOUNDS' :TWP 1100 :; CODE CENSUS TRACT RANGE '2 SECTION 36.,3 TAX LOT NO, :17 '19~09 }PPL. ,'NAME &' MAILING ,.,; "'ADDRESS ;";,~,.F.,ORMOBIL,E HOME PERMITS ONLX-, " ~o.. cif Beqrooms, 'r:EXI,STING.Sj' ~,CTURES, ()N, PROPERTY , HO:USE .: " "' " ' '- '. \.. L~,?~~SS.. TO PROPERTY "1l;;t\EIIIZ lE ~f,y PROPERTY ,SIZE'-,FT.' "'WIDTH' ' , DEPTH. AREA 2 . A.~RES. STRUCTURES TO BE BUILT,THIS PERMIT Connect, to' Existing Sewage System' 0 'TYPE,CONSTRUCTlON ' SQ, FT: # 'BDRMS New, System 0 VALUAT!ON' REPAIR S~D.S. --I.., " -' 'Ih'j..,.~.,.., , , ~ ',) .. _::t " SEWAGE.'DISPOSAL PUBLIC 0' , BUILDING WASTE DISPOSAL PLUMBING' PLA'NREVIEW ,PARK TRAILER FEES PLUMBING INS!ALLED BY oWNER :[1' OTHER: NAME " W~TER,SUI'PlX SEPTIC ,TANK' "0' 't OlHERO "5.00 PUBLIc.' '0 o OTHER p j I. /'~- I- .~ -. . . t .15.00 COUNTY;BUILDING & SANITATION SPE(}IFI~ATlbNS \ r TOTAL \ MIN. SEPTIC 'TANK CAPACITY. WITH DIST.' BOX: GAL J50 DRAiN.FIELD REQUIRED '. ~IN.' FT'1-70 . , ' TRENCH WIDTH '~T::'2',.- OR SQ. FT, 3~0 '."'- TYPE OF STRUCTURE . OCCUPANCY ZONE,"": PUBLIC; UTIL. EASEMENT BLDG. SETBACK'S,_ FT, FROM CTR.'OF ROAD RIGHT,OF WAY USECL;ASS!FIC;iiTION FRONT . SIDE INT. SIDE EXT. rAUTHORIZED SIGNATURE - DATE REAR J.. SliOOl</SWN.,'TMn,AN';, "jO/2/74 Kw DATE' BLDG, PERMIT _ WHITE OFFICE COPY.-'-WHITE COUNTY TAX'- PINK' PLUMBING - CANARY Bl!iLDING -:- GREEN , SANiTATION - GOLDENROD" IMPORTANT: : Call 687-4065 to. sched!Jle all required inspections. All construc- tion shall comply, with Uniform Building Code, D.E.Q.standards for subsurface,s~wdge t;iisposal and county 'regulations covering , plumbing. ' All b0i1dingsrequire a certificate of occupancy before 'being occupied., '. ." ' " ' (See, Details o'n Reverse Side)' . ' ,,' ~. ' i:--,'~':r-,~'1-.,,(j.~,'1.~ ~.~:< _,.L't ,..-" ',. '}', ,~" ~:I"'~'~ ~ ' ',.\.lr~:..... ~~ t.-.!..j:--.....~ J.' .-" ,''', :~I,:'" ; ~.:,.::: . ' ':, ; -:~ ''', : '" ':'~. _ -., ~'.' ''::/~" y..:' ~./_':~..l'';~'. "1\'; .f_ ..t- ~_..;,' . :J, ..., .;;0,' (POST, THIS PERMIT .O",f MAIN" BLDG, At SITE)' ", ' LANE, CO!JJ:-l'!'Y, DEPT. OF ENVIRONMENTAL MANAGEMENT ~OURTH~~S~!.A~NEX, ,135 EAST 6thj "EUGEN,~,ORJ~ON 97401, . ,~'.: ... -.,' . ~;~, ... ~, ' '1:- ',:' . < : ~;_.t.~ _I. .,i.;.-l :. ' t , , ", ,'. ;. ~. ~ - " ; ~l~l~~r:t~1':(j 5,'5~~>13 ; J. /~_<, _:L:_,_~' :-:":-.-i": , '. _,:~ 'i '1~':.; 1- , -0/.. Building Permit Application No. JCb7Q - ~{j Site Inspectio~~ Wfc:.. Q-17'-7'f' /: C/S B U 1 LDlilG S ITE EV'ALUATION r'- ... ( ) ( ) ( ) Pre-Permit Investigation LANE COUNTY PLANN I NG DEPARTMENT' 1. Ion j ng Ord i nance Comp 1 iance , (Zone ) , 2. ,Subdivision Ordi,nance Compl ianc'e ( ) ( ) () , ( ) 3. 4. Requ i red Access . Buil~ing Site (Area, W~dihi Frontage, Setback) Other (see comments,) 5. COMM.ENTS : . . ,TJ1 Q Dz S 36/3 TAX LOT 1106 CENSL rRACT APPLIC'ANT: 'NAME' '.D~ L G:- ADD~ESS P HON,E DATE q-'-/7-c- 7)/ /, , NO DATE NO YES NOT app I i cabl e () () ( ) ( ) () ( ) YES NAME NOT app I i cab I e () ( ) ( ( ( -) ( ) )1( \ E... ,'. .' >( '(0J ]A ( ) ( ) BUILDtNG I NSPECTI ON SECTION NOT NO YES NAME DATE aDDI i cab I e 6. Plans Submitt~d ( ) ( ) (-) 7. So i I Stab'i I ity (foot ings) ( ) ( ~i\- 8. Flood Plain ( ) ( : ( .' 9, o the r (see Comments) ( ) ( ) ( ) COMMENTS: SANITATION SECTION' 10. Sewage Di5pos~1 II. Usable Area ( ) ( ) ( ) 12. Water Supply 13. Otber (see Comm.ents) COMMENTS: TO APPlI CANT: . JPfi. J You,r , /7.1y;1, U) , out "'IT I( ")' ( ) '. ( ) ( ) () . (, , 0~): , DATE CfA~(7t( B!Jilding Permit / Site Inspection: Can beappro~ed~ " .' Cannot be approved at this time as indiCated oni:tem NO, above. Quest ions and further informat ion on items I through 5 contact the, Lane- COUNTY PLANNING DEPARTMENT. Questions and further' information on items 6 through 13 contact the Lane County Buildi~q and Sanitation Division. Will be held in this office until you ccmresolve the problems indiCated, Is b~ing ,~eturned. Your bl!ilding permit application fee is>being returned under separate cover. ( ) ( ) ( ) LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186, C55-28 LANE COUNTY ENVIRONMENTAL MANAGEMENT , 135 Sixth Avenue East, Eugene, Oregon 97401 'Phone:(503) 687-4065 Ii.,,' .:- , .,~" '"",""I';":'; ""'~-,,~,,;-.:,,--;-" 0;'1>--,-_.-- ,._,";:"-.,,.-,,-.- <-. ~ ]' :-,- l.. .;to,. : i r ! t , '...1 :r ;P.ROPERTY OWNER {. ~ ." . " , . ,1':;. f.nt.a. .WN,,,, la .f. ~'CQNTRACTOR "',; 4...:. ,~r.. J: ~ ' c.'fPROPERTY LOCATION - INClUDE POST OFFICE .'1..;,' 1m .M_~.',. fWr.. ,'" ;' i PROPERTY. LEGAL DESCRIPTION,... METES, BOUNDS .~.' '~~':1:;~:j:~;\ LANE COUN1.jdUILDING PERMIT OR MOBILE HO BUILDING D MH D MAILING ADDRESS USE PERMIT PERMIT NO. '6~1\ ;L PHONE " l , ' . ! ,,~o. .. '1'.. MAILING ADD.RESS (iUtit~ Oh. PHONE.' i ~, " " '1 .t~~ CENSUS TR.ACT 4_,~ :'; IL" :'1~~~ "l~r' :1""..., ' t .T\iYP. ,'! 2 SEClCION ,ti~3 TAX LOT NO. tl. CODE RANGE !'~'~. , COUNTY EXISTING STRUCTURES ON PROPERTY "'e: 'i; i: APPL ," .; NAME , ,1 , f &. LEGAL ACCESS. TO PROPERTY .....Iill t~ ,~ 'j MAILING ! 1 i'.1 f'IQDR!;SS 'I '. , ,:i=C)R ,MOBILE HOME PERMITSONL Y :.' 'f -I . '_ ',. -:: -_ '_' " \' kNo. of. Be~roo!ns . PROPERTY SIZE - FT. WIDTH DEPTH , S,TRUCTURES TO BE BUILT THIS PERMIT ._.'t,!:: ..,......" . . '...~, '-'- ,~ Co~nect t~Existlng, Sewage TYPE CONSTRUCTION SQ. . , i:1':L ' ~':i )'f".., SJ';:4~:, :It;1;:' '''':'",:J!.',';.":' l'!r.,. ' i' :::'Y ii, :'4fSEWAGE DISPOSAL" .' ~:it~:U~~IC'D;-',,"'SEPT'(C 1ANK" TJ . ....t,~" fro ~ ,. - - ""B.uhDING'~f!iiii':;': ,. !;~:]l:,,~~~~'<~~,--_i::,~~i.), ,,'__ . liE'.DIS,P"OSAL"~ . ,i., !;'r~~~~~fh'S:ii: ."f ':'P.L'AN"~EV'IEW{'t ,.' :./;XRK'\R;llER.::"'C:": ;' .' .,i'T:~T~~~:::"";i;X:~j,;\,rL ' ~t''I;?J'~1:: ;;'~ . """\h~;l!:~f~~,;rfP~~;'~::';,. .,' . . :'OTHERD PLUMBING "INSTAllED 'BY . , '_ -" I ,~,~ ';'~'<:~'~,,),:-;:,:'~ :' :: :-' "L OWNER'n., qIIilERi 'NAME.., WATE,R SUPPLY: PU.BlIC. D ~ ~.' .... .~~::,:\, >., ',~'~" ',:':,.'" 'rY"~-",~ .~(.;\;,,~'-' " ".....'.'I~..' , ""~ >-: '. '. ~.~, ' BUlLPIN.<:;;~~-;:$~f..j,ITA~T.I~I~f';~~f;<::lF.I.CA~tle;:;NS' ~1:~INfl U!~~[j;;~E~~HWlbTHFT]~~i~t .BLDGc':SETBI\(;'i(S);SCFL ~ROM.C!R- OF' R.OAD ~RIGHT OF.. WAY , .',. ::'.,.,,'..'.h:..'... ,'. . .\,'" ..... , ;" J'FRONT.' . """'SIPE INT. . SiDE EXT. I>.UTl-iORIZED SIGNATURE -DATE' .'_~."...ui. '~.:_"~::~:,_:':~,T . ',' ,. " ";< , - '" :: I .\ l' .";;i-,,' ;" -' :' '..,:~.?:\:rt , fBlDG,.PERMIT2tY:tHITE l. OFtlCE .COPY':"'~H ITE . :.IC()U/;'lTY TAX --'-PI.Ni<:: if" lPLUMBING -'-- CAN:t>.RY' . {;:I'BUfLDjNG~GREE~' . ' " ,',~AN[tATIQN~z/~'(~ll) ENR0'D ~ ~'1;,;~,2,~,'.i.~L~:r~~:'". ".C'j ,. C~II:687 ~4065. to schedule all req u,i red . insl?eCt'ioii tiqRshallcomply with Uniform Building' Cq.de; IMpORTANT:' foi~s,ubsurfa'ce seWage disposalandcolJ,l'!t*,~.,r:~glJ'I... plumbing. All. buildings 'require a cer,tifji:qt~i':9.focc": . being':ocicupied. .. ' : '~':," .. 't (See Details on Reyerse Side)': ~( ".'-"'_'_':';'-i::,";-'~~i,~;~:--~~~-.';:.~{~1t~~t'~tf< 7,; ~,_,,;' '_",~. " ;t.': ~j~ok~ tE.Js:~:;/' ~/:-;- ~'-~.' .< ..,L;SL~'i;;'ij~~~:~::'Jt S!TE INSPECTION REMARI~,~ ApPROVED / / DISAPPROVED, / '/ Dt'TE ApPROVED /' FOUNDATION ,INSPECTION' / DISAPPROVED / / DATE' REMARKS FRAMI NG I NSPECT I ON REMARKS ApPROVED / /' DISAPPROVED ! / DATE ApPROVED /. LATH OR S,HEETROCK I NSPECT I ON I D I SAP Ii' RO V E D .I REMARK,S / D',TE ';,/j // /~~/ / -- ./ I f ' ___ 1 .~-[ F I NALI NSPE'CT I.ON ' REMARKS ApPROVED /' /, DISAP~~OVED / I DA"E ,~ tERHFI CATEOFOCCUPANC,Y ,READ'Y TO I ?,SUE " / / NOT READY Tol SSIJEI / DATE REMARKS' ~- ., 'r I I 'I I' ".,,",-. : - . .; ... '. '~ INSPECTOR , INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR "'~~,~;J~r,~~~:~e:~}'f!;~P:~,':~~~~~\;~~~~i~~{~ri~1~f~i~\~~~ka~~sf~~~'~.;4'. . . INSTAlLER "S NAME '.' .. " ',..', . .-,.".':.PROPERTY AODRE::iS;' . '.' \ "','. I),. ~'. ". . ~., . '~/.:~~.." ,'. "(:, Y:'l~~J:::. .;~:;~t:~, ~" J:"'::;J::;.;{j~~;'~)~EG~t:r (~~;:.~: ,~JJ;;:~~ :--:~~):"''':<'''::~~':'~:::~~''<:'~:;. ..":~ ':;.~:~..:" ::. ,;~<?"f'~i .v i,rfg .-Y.!l, ~ i~~ ,:'.~.':~~:d'r~o~.s;: ..'.:, ~.a:1::h:~H:';:"B~,~ ~~:eD~tt:(' /:'~:~~t.:~f .:S ~,~~Xy ~'::.~; < \~:;,h... .:'! , . . .. ,~. .. '." '1': .' h. loo~+.. ; .' .'.7'>,,~...'.')".,1-,." Yes, .,.t?f[c5):.... 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'.'..,:~:,.,~.",'-__': ';~.>:~ ,,-,:, :.' ..'-;'-~E~~ :" .' ':'.' '::"::"'. . '-' '-'. "'1;$l.: Appro~e'd": :':Sy's't-em ", ns't'a j;Ja'i-;:()!{ conforms' ~t(j'~i~7rr;enf~ Js.:tan'~aras,~: '?i,~: c-.. .:' .- '. '.. ." :>"':i;,.;.;. - <,':i~~~~~~{ 0 i~aep~t:ciC';~~~~';nd'<~iitO.~~rN~reQ;~:'~tfn~~f"1~i;~;:{" ,. <;1;:~;. '.'~'~~i;;f ." " 'e ",", .. ",,"'. '.' '<e< ~i.~~:::~,' ." ,'. .. ,.' .'. - :..>. .," ,',':. "'., , '\~~\""~':"" .. , . ..:<" ";:.:';;~~\~;~~J"~~k,Gbi:~Jp~~~~~',~iJ~~~~~r~~}i~~ySi ~.~:~:~rr^;~-!;, ,.'1-:, .... . ,tt-\ ~~" v' ;/'. ,: ',',' .... ,", . i<~..... . . '7' "p~ '~...1' ;' t -i .,~9-/. .,.1 4,~ f'!-, ./j;:.~~ .\*.'J'~ 11 .-j ?,~..' .,,;: j '~ '.' '';':..,~, .of ':~.:II:;'~ ". .>':..,.,.. 'r," ~;; Hi qf( -1(/ lt~l. '. . .' . u~~ .P.ERMll~..'ll' ~ ILERMIT NO~:?V 7 .', '-! LANE COUNT. BUILDING D BUILDING PERMIT OR MOBILE HO. , . ! MH 0 MAltiNG ADDRESS P. O. Box 1132 . ~ j PR.oP6RTy.oWNER '.@lle6i!, 'ItJH.L lAM A. C.oNTRACTOR SA'ME PR.oPERTY L.oCATI.oN - INCLUDE POST .oFFICE , It-1lu; tAST OF$PRI NGf" lEl.,.() CltM~,' ON MtKENZ IE H IGHWAV: SPR INCllF' ItLD PHONE OR,EGON PH.oNE . ',MAIlING"ADDRESS PR.oPEiuy LEGAL DESCRIPTI.oN - METES, B.oUNDS 11- 02. . SECTION . .' 36~ TAX L:OT NO. 'TWP 1100 CODE "19~09':',: EXISTING STRUCTURES. ON PR.oPERTY ., . ..Ho~.$.~ .' , LEGAL 'ACCESS' TO, PR.oPERTY .' 'DRlvt;;: 2STREli.,TS 'CENSUS TRACT ,RANGE APPl. NAME & MAILING' WtLL{AM A. DILL~ P. . O~Box 1132 . PR.oPERTY'SIZE'-FT.. . ADDRESS SPA H43fIELO,: OREGOr-.! ';., FOR MOBILE HOME PERMITS, QNL Y , No. of Bedrooms WIDTH . . DEPTH AREA \, -,i,'.'.: ' STRUCTURES TO BE BUILT THIS PERMIT Connect to', Exisfi:~g Sewage System D . . ': ':'lev.-' . System 0 TYP~. CONSTRUCTION SQ. FT. #'BDRMS, VALUATION . ~ ( . ~' t.......:.;J . , ., ~, . ADDI T H)N LI VI NG AI~EJ\ / .416 ~' '16. to 6,697,.60 .,.... ' i ~ . ~> ~~. ," " " , , r . SEWAGE 'DISP.oSAL .PUBlIC. 0 . .,"BU ILDIl'l,G WASTE DISP.OSAL '. '.PLUMBING PLAN REVIEW PARK TRAILER' ~', l%SURCI'lARGl.E piUMBl,l')lG INSTALLED 'BY , .f ,.oTHERD' 40.00 FEES , . OWNER: 0 '.," ..oTHER: NAME. WATER SUPPLY. . PlJBlIC' .0', '.0 .oTHER' t1EL~ SEPTIC TANK 0 9.00 'T.oT AL <I: .49 , , Ill'!'.!' "J1.o' , r7~41 ,-, , COUNTY BUILDING & >. .'; SANITATION SPECIFICATIONS MIN, SEPTIC TANK CAPACITY WITH DIST, BOX: GAL. DRAIN FIELD REQUIRED, lIN.H TRENCH WIDTH' FT. ' .oR SQ, FT. PUT NO PART or UE\t 'CONSTRuc'rrON OV,ER SEWAGE 01 SPOSAL .SYS'T.Et4',:, " .; /,e. , . ~ ~~.~1~ I~'V": j ,--'j r,,' i I '-' /') I .~ Q /{ r, ~ : \"I~ f '- TYPE .oF STRUCTURE 5[~ I. . ClCCUPANCY . .: f ,ZONE R~( US,,' q;ASSIFICATI.oN PUBLIC UTll. EASEMENT BLDG. SETBACKS _ FT, FR.oM CTR. OF R.oAD RIGHT .oF WAY FR.oNT 65 SIDE INT. 5' SIDE Ein. , AUTH.oRIZED' SIGNATURE - DATE J.E.. .Boss . BY C HARBAflJGH REAR 5 ,} S~-lOOK/SAN I'TAR'I'AN DATE 9/10:/74 . DM. .'; , "'.,'........ ..',,,~. ".', 'f ~. ...... ",; ~,', t Ceill' 687-4065 to sc'heduleall r~quired. inspections. Allconstruc- " '. tion shall comply with Uniform Building Code,. D.E.Q. standards t~ .... IMPORTAN:r~ "f,6r sub~Grfa~e sewqg~' disposal and county r.egulations covering \\'~ : " ..tpl~rh1lingl~AII 'buildings r~quire a certificate of occupC!ncy ~efore ,'-- ':, '. ':>-. / bein6/ occupied., ' , . . (See be'tails on Reverse Side) h' . . "BLDG. PERMIl:c WHITE . .oFFICE C.oPY - WHITE C.oUNTY TAX':'" PINK PLUMBING - CANARY. BUILDING -yREEN SANITATI.oN :"',G.oLDENR.oD , ~ ' :, '.......... ' ,FORM if ('55,.13 ',,:,,' . ,r ~-:'."...'--. ~ --~---....:. . (POST THIS. PERMIT 'ON MAIN BU)9, AT; SITE) . LANE CO\-lNTY,DEPT.. OF ENVIRONMENTAL MANAGEMENT . , COURTH.oUSE ANNEX, 135 EASt 6th, EUGENE, ()~EG9\:'1 '97401 ~",;.;~~:,.:';~~ ' ~;,:::,~:<;;:,..,: Bll". f\,' ':I); , ., 3s~~I_. '~o.~0 ?8-7y"_ '. I.) 7 _1\..92_';_536/3 :lAX 'UJ i /I Q 0 'eLl Sf RACT D'U r LD IIIG ~i II L. L VI\lJJfd lOll .. . .,. . - ~- < ,. Building Permit AppliciltiOn ~;:,~;:,'J:MII : D'I fly' 'A[)Of{ESS ,,~,~.,....' .. (. ) , ( ) (. ) , Site 'Inspect iOn+-r<Dm W~e... q-~-7Y Pre-:Perm it' Invest i'gat ion , ' /' 2. IIYS" PHO~IE ' ' DATE ,'(5. - d6'-7V Zonlng Ordinance Co~plian(e ( Zo~ C ) Subdivision Urdinance Compliance NOT , app 1 i cab 1 e ,() ( ,) NO YES NN-IE DATE, ,," LANE COUNTY PLANNiNG DEPARHIENL. 'I. ( ) 'Il , Ii .3. Required A~ce~s ' ( ) ( ) ( ) () @()();;""' '(), t~V "- UJ ) I r------- ~ , ,. , ~ ( ) " ( ) i; " (.) ()';! ' 2. " I, ' < r" ~ . ,4. 'Bui ld ing Site (Area, \.{idth, , Ftont~gei Setback) 5. Other '(see comments) " ,COHM EIHS : ,..- ,._-_.~ _.~,.__..., .., NOT NO VE~ app 1 i cab 1 e , It< '- () () >II (X) () (-) v\:) ,() (.) ,t/!. ()() NN1E DATE' B,UILOING INSPECTION SECTION 6. plans Submitted ,,7. Soil Stability (footings) ,8. 'Flood Plain - ~" ,,' , V/.' C,\W~ ,r;..~-?i/ , ' /' II . 9. Other (see Comments) COMMENTS: .. ~1 ,. ".._--,~~ ---- '.', SANITATION SECTION NOT apP'l i c'ab I e () '()',() () () ( ) () ( )' (-) NOVES J-Dx DATE', ,01k/Jel "10.' Se~age Disposal , II. . Usab Ie Area ( ) ,-- ,~. ,~-- - - . -,. --,-_.~--' : ! ,::; 12; Water, Supp! y 13. ' Other (5 eeComm'ent s) COMMENTS: , ,..TOAPPLI CANT: J <tl:1 Y ',' tf /'l. ' Your eX /( ) Building'Permit''.1 Site Inspection: Can ,be app;iovecl. '1 CannotbnafJprcivecl at this, tirnc <15 inc\i(>1t'cd ')11 itr'rn'NO. <lbove. Questions cHid fur'ther information on items I through ~; CQ,i1ti:lct the L<1nc- CQUNl;V PLANt,lING DEPAlnMENL Ques t i~ris ilnd fll r the r in forlllat ion on items 6 through 13 contact the Lane County [3uildir1CJand Sanitation Division. WiJl be held in thisofficc uritilyou can resolve thc"problems indicated~ I s b ei n 9 . r c tfJ r n,c d . , ' Your bui'din~pcrrnH iJpr1 ication fee rs being returned,uflder separate 'cove,r. ;/; . r~ i ~ ' 't\ " , ,&1 ~:! ll.t" ,( ), , A ) C) i~ ' '- ~. . I,.ANE, COUNTY PLAN,NING'DIVISION Vi II 135 Sixth Avenue I~ast", Eugene,' Oregon 97401 ,Phone (503) ,687-4186 , I,XI'IE COUNTYENVTRONHENTAL HANAGI~HENT 'US Sixth Avenue I~,ast, 'Eugene, Oregon 9741 rllon,e (503) 687-406,5 ....._-., .~ '0' ., . :-.' :'~:'7'-r~""?:~ :"T:'~~~~f~;{, ._\ I '. \ BUllDIN~PERMIT OR MOBilE HCJ,...: USE PERM~TL~1' MH 0' (. PERMIT NO~ MAILING ADDRESS'" , '~. '\.j, . '.'fi~. h. U]2" MAllINC ADDRESS --' , .. '-1 , , ,~-;~';'t-":'". i L~~~ \' " Ii i'. ! ; . ;. CONTRACTOR i SAM' '.'\. , ~PROPERTY LOCATION - INCLUDEPC>ST OFFICE ;:. l flik.... iJA.at 0,.. 8'"".....1'1... ,'PROPERTY LEGAL DESCRIPTION - METES, BOUNDS .. . I!l: LANE......COUNI , ." BUILDING D /' A, $Plti.'I5:L.1O PHONE OR:_OH J .\ PHONE- .H .1': .}, I-j.' , <\ '-; Ct.. .H MeKt{lj-l J,~ t,h..~'t:' 1, ; '.-,"'\ I 11 RANGE .. SECTION 3'3 TAX LOT NO. CODE CENSUS TRACT I, ' ~--- . ' ,1'1:' . f ,,~ 'TWP noo ,l....... 1~' W.lDTH DEPTH 'AREA h 1:,:1 ..... j ," . ,4" .. t", "'lJjJ~ .'. . 'Ii .~~ ~'.-~~, T~l:~ tt $', APPl. I'J'';.' NAME ~. ;'e;-,~ & ,~ \\ . . :,j':'f:,:\AllING ,,'e ::,,;",,::.~' " '.:"iIl....>, :>, '" _ ',', :r':""Ab'6RESS.',. ~f~. "t.; W4Ill'.... ",." ;~~_~'",.j'-'l:'-~_' .' ~A:"- _,C--. l;',E0'R;;,)'iMo@iLE"d:;10ME 'p E RM ITS .0 Nt y. l,li\t~,~J},~;(;:~~dP~J?~~~",~,.,', i" . .:, , V;',t" J;',' .STR'i!JCTU'R"T'ES'TO'BE.BUILT.THIS PERMIT r~', '". "v._., '~i{:~"'<--"; ',_~, ",.'_', '-',' k~',:; , . ".':: 'c."".1 ".l"f1~l.l~J'" M'Q f':? ~,i-~:\:~",~':."",-'" ,'" -':,_~,--">' '^"~~:'< -~'-;':',,-~,_> -"_-. ',.. - ' t',r ",~ri:i;;: ,;,Y~~~~\\{~""'~'-,\ ~~~, -_"'u". ~"" ,~(\- \~~ .,(.'\-~. ,,) - ,.'.' ?~li:~~~~ ~ w,,"'i_ ~~. O'\4V .:"- .-.- ',,", .. '~",; '..'" . .'\\ '\ t' \ - ',~' '\. \ EXISTING STRUCTURES ON PROPERTY " >- - HtluU LEGAL ACC, ESS TO PRO~RT~ . ..),. '. .'\It c;. ..T!t~tTO PROPERTY SIZE - FT. Connect to Existing TYPE CONSTRUCTION . '. Sewage SystemD New System, SQ, FT. #BDRMS.< ',~;, '."~l' .rii;lf~~ILi..:; J....t}U.'..fMlAMOAlEj.""" , , .. ::~ .':' : '.c....a,..' II' 68, 7~4. ,.O..~,.~,'!i.'. .......,"t~.~',\~.nd,' ufe.,.. ." 01.1. ~,e.,',".q',' ,u.,..i..,r,.e"..',a. .;.,:".{nspe.'.~;ib...:,,~.~,.,,'.$...,:..'~, r.;.,.~..'~.:..,:. .tt,;'~.:6,':.:...~,'.~.~:,.~".f,i . .......)t,,'<~.',' '. Ij.~C.,lOF..D.,.,~ulGN.:.,E,T'.RY~~., ~TMA'.~,XI,;,.,._".~.L,.,.),.~.','I+N.~'.,.KI,',.;.i,,.e.:.,.,..,..'.'.:...'..,.,'.,.....i..:..,.:..;",.,'..,'......,'.,.,..;, ' 'Il .. - . ,,- ~ ' r. . tion sh~1 t(jm ~y~"<' ~rrn~:;~~lLd.in~ ,C.o~,~I;p~t!:~',~?staT,~~~.. tit,~ '.f jP~UMB,I~C;;"':' CA.N,~~~': ,'.. IMPolitANT: for:sub,.~, ,.,<?.s~!/ClPa;co9ntY,)~~gYJ9tw,lw~O*~!I;...{~ ,4 . I.BUILql,~G - GREE~. ~,,,,~ . .; ~ , . pl~rnb;nn,~lt,ou . in. 5 r~uiri~"!Q;'l~~tificdte'tof:J9l · '! ~,~'~XIb~l6,!'~i;:if l~ . IS1INIJATION - G~L?EI':!R,o~". bemg occupied, i.,>", ", 'k" .' ..'., :e;., ",,~;t,,\'i}1;>" ''/I''l, ',' 0."" . ....:' ,..:,,,.,...,.".<,.'i!~',,'lt .,.1, '~" 1\\f1.~~','\;,:~~"...,/,:~.1 'J:' I '~~;%.l ;:-~ ~':~}~" .>f;~~"'~,, "" ..1::~t:..c, .:':. .~.;~.~;.;i>'(?~e\~e.t~~I1~~eX~rSe~!S-I!ae) (,,, ~;;.!ri">F'~': ,{i!\l'..i;;, .; , .J~S~ ,rftl~;>p~~II~~;~,MAI~'SBl:PG~ .~]1."S'TE.) \;~\.. "" ,,?,'~~')~~,' '.', ;;, ::i .~\{ ~:~\ ~,,,JJ~!:!.E;;~0!J~;rr, I?EPT0>F .EN~~Ot-lMENTAL"MrNAGEME.N~-r:~" . ~,,,,~,::'~'~'~?,~~,';l~:,::: . f :FORM #, 'C~U,~~~O,~~~..~:NEX, 135 EAST 6th, EUGE~E"OR~GO~.,97~~.,;.;".,:~.5Lfj:L.)~ .-;';,~-".- . . ...:;: 4 SITE INSPECT I ON INSPECTOR ApPROVED / / DISAPPROVED D..TE ' REMARKS I I I I I / 0"'9'.2'. '1'1 INsmrOR(f2f!' G/ , , FOUNDATION INSPECTION ApPROVED / V'~SAPPROVED / REMARKS I I' I I FRAM I NG I NSPE~T ION L .~_: '1.5-' "V/'/''.CJ ApPROVED I-----fj' 01 SAPPROVED / / DATE '(- /1 /),1 NSPECTO~ ~ i~ REM"~'~ 4,.,', .... r ~ 1;,1'1~7if.J.. L'/.{(1 ~ "k/fAiA'il,;{A .../M./"..{.d/, -f/kfllj' r/->ilti!P2' .~~"U ..Z;Z(4'-((-;.11<;//:,.t' ,t:t,L-f0 ,,-,,' .Zir/ftd ,Mal4('" c.E'vkf!..,1..:.",i(l~ q- / 7~1 L,/+-: /-It -/r.i7l61', , 1 I LATH OR SHEE~~ INSPECTION ApPROVED / V I , 01 SAPPROVED / _ /1 'f'l~..! " ", :/d:'/ " ' - .,. ,'f: I , ". " / . r'l ) .~, / DATE L1.;1..q..~ INSPECTdR /,11./ 1) ,~;'~ -t-:. t/ G J; REMARKS' <"'! . FINAL INSPECTI~O~~' A,.ROVEO / / 1 ~VEO / f REMARKS I f/ I I I / ,I ... 6~J'tI Pr~-'~' rP/ / DA1E./~ I NSPECT'-X"" CERTIFICATE OF OCCUPANCY 'READY TO ISSUE, /, / NOT READY TO ISSUE / / DATE INSPECTOR REMARKS . /1/1 4 ~i ;J/~(/,' '/1.h: (~~'V"&w;r& I , ' ~ '1~1J' I ~ fg'wP1. ?11. . JJ. 1'~' I~.." '" < ~rrt( VHt? 'r.'" , r, I '.1. ' ~ I ' . . .; h , " .' , ,.' ~, . ~, ,~k ~f't(;~"W eb~ ~_,.__~...,... 1'197 ' ' .:. ~. , . , \ ':... ......,., / .' '! (." 'I )j.., ('4/ .I . }. , ..' ., Dj / C! PR0PERTYO~R :.__., ~rL~tA. A. ..~,' . f (f,,1' :,rif/ j ..' "l (' : '" LANE coW,. "./' BUILDING PERMIT OR MOBILE HL...tE USE, PERMtl~~7!l BUllDI~G'.D 'MH 0 \<' PERMIT NO. " MAILING ADDRESS P.. O. ~0X $~3I , Sf;i~, l\~et ~ 8Q,.19 PHONE OijbsO~ PH'ONE CONTRACTOR SAMl! :- , , MAILING. ADDRESS , .'. \1 \~," ,PROpERTY LOCATIOt-l -, INCLUDE p'OST ,OFFICE ,', ,.'lt14~'L<<' tAS-T Ql1" S~ ;f-J(j}jr BIi!t.O Ce~.. PROPERTY LEGAL DESCRIPTION - METES. BOUNDS . ' eN MC~~(tNl tfl: &itGf1'i'tAif;' : ' ~:I I ,"\ ~ 1 ~ '-I' " TWP' RANGE tl 02 SECTION 303 TAX LOT NO, COD~ CENSUS TRACT 1100 i9~' EXISTING STRUCTURES ON PROPERTY 'Hfi)~$i lEGAL ACCESS TO PROPERTY O~ I va '~STI~~Ilt1'$ , APP~, NAME & MAILING WO~~fA~ A. OfLLY P.. o. Eez~ n 32 PROPERTY SIZE - FT. ADDRESS $PfH&tGV tl:H.I!)J>~eGON FOR MOBilE HOME PERMITS ONLY . No, of 'Bedrooms ' STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA <;:onnect to. Existing Sewage System 0 TYPE 'C9NSTRLlCTION SQ, FT, # BDRMS New System 0 VALUATION ~" ~ ~ns~ UVDIIaG boRVlA ~us e ~ '-'it\) 6p"1.€r>> , ~\..,,' . , '\' '-..'\ ''-., ' {' SEWAGE DISPOSAL $ OTHE,~D w"c.m FEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 BUilDING ' WASTE'DISPOSAl PLUMBING Pl'AN REVIEW PARK TRAilER 1 %$URCt4A~GIl: SEPTIC TANK 0 ,..00. PUBLIC 0 o OTHER ~j{n..t TOT Al $ lj',a' , . ~11:', ~9+< ~' COUNTY BUilDING & SANITATION SPECIFICATIONS , MIN. 'SEPTIC TANK CAPACITY 'WITH DIST, BOX: GAl. DR.A;IN FiElD REQUIRED L1N. FT TRENCH WIDTH FT. OR SQ. FT. PUT t-JQ PAn1' Of" New CO~$Tfl,un lQ~ OVlZR' ldm-.J~ll)ct ,IlH13~QSAt. . tWfDfaM,8 r ,.. TY'PE OF STRUCTURE ;rJ OCCUPANCY I ZONE , fM: USE CLASSIFICATION PUBLIC UTll. EASEMENT BLDG, SETBACKS n n. FROM CTR, OF ROAD -RIGHT OF 'WAY 65 5 'FRONT ' SIDE INT. SIDE EXT. , AUTHORIZED SIGNATURE - DATE" , J. IE. 130'$9 ~v e HAR\M.OO~ REAR '5 " J SMQQ~/1SAtH?tIl~tAN DATE '9!1011~' 'f;h\?,,' ~ i BlDG, PERMIT - WHITE . , , OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY, BUilDING - GREEN SANITATION - GOlDENROD " Call 687-4065 to schec:lule all required inspections. All construc..~. ',' tion shall comply with Uniform Building Code, D.E.Q.standards ' IMPORTANT: for subsurface sewage disposal and county regulations covering , plumbing. All b1:'i1dirigs require a certificate of occupancy before . being occupied.' ,(See D,etails on Reverse Side) FOR~ it C55-.13 (POST THIS PERMIT ON .MAIN BLDG, AT SITE) lANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 'i' , . " ""0.( SLAB FLOOR PLUMBING'GROUN[NJORK .~ '. ApPROVi;:D': II 01 SAPPROVEDI I ' DATE:' INSPECTOR REMARKS<'~JIt ,t ~"'t" ct ~ )'\ ~ ,-lc.>YOS-'" t:J Jt9 ~~.., ,. -'II;! , . tJl~I},. - .J/..:L"" ~ ,#' !/Iq I","" t'1 ~ J4, (..0.1';3 -I ~- .'" i/!!!", ~-w: ,~S-;.r4rr " . ' " " I, . , , , ,. .'. . I GAS PIPING GROUN[NJORK ApPROVED F;, l 01 SAPPR~OVED I I DATE INSPECTOR . REM'ARKS ROUGH pLUMBING ApPROVED'" / I DISAPPROVED I REMARKS iY k ' f6 I DATE o /;1 ~ ~_/' r-- i ' I I . INSPECTOR 9-/9-;~ .~'- iJ ' ROUGH GAS PIPING ApPROVE;D'1 I DISAPPROVED I I DA1;E' I.NSPECTOR REMARKS FINAL PLUMBING ApPROVED j)(1 DISAPPROVED "I I . , DA;/{ffi'/ J- <~I NSPEC, REMARKS I I I I F I NAL'.GAS P If:' I NG ApPROVED / I DISAPPROVED, j I DAT~ INSPECTOR' RE.MARKS , CERT I FI CA TE OF' OCCUPANCY BEA'OY TO. ISSUE I I NO! READY' TO' I SS JE I I DATE INSPECTOR REMARKS I , J..: '.'.~' :." ',. ;' ., '...c: ,'~ . ':'IY.':" ,... JI~.~,. . " '-'" " ';, . ~ '~'~.': 'r ,', : " ';':./:: :-;; t f, ~ ;.::;:.~-::. .~. .:: ~~T#;/ ?"'7}P---:::7J/ .-,:',<.::/, :..,. ' , ~ ~~f5:,.., ,.:'".~r:::"B~iidiI1g .,~' '.- ,,'DEPAR1MENr: OF rnvIRONMENTA ~(MANAGEMENr ~:~ ".llibilt{ Hollie: ':' .''- . ,.~:. ,:"':....;., -: ~...".:_.....),:,-.. .'_. , .,~:",\,.,,',_:.., -":::'-~,-~, "-:e"~~-~:;'_..,_'_ .,-' ,.~_: '-<C'~: i- ,;:-O'~'t-'_'..J' "--'-. ".. ,'<'.APPLICATION;'FORBUILDm:;l'~T, OR MOBILE HCME USE"~.s";~\ ~ ...... : ", .'::: ." .NaTE:: );Nd:p~~~;1it,:Wtll:be issued 1.IDtil thisapp,i:t~attori::l1a~~be'eh"app1:oved: . PLFAsEOONT.. .. '.''-''. . ,.',.. ?<;' ~. '..- ...... " . ".~ h:':'- ,''- .~. ,.' ,<:: '::;~~, >Z,::, ':, ", ',.:'.J'~9P~rx 'IpcATION. f.; lvr / L.' '12 ,e:7-J-i:; /:: ';;; . C:?/G//;;?(/hb--~iJ>e:6~V1J::'~"; ...,:, 0" ':-' :'~/J, M."e/<~/J7.'LE.,,'i4i,iu)iv :" ,:.:',;",,:,:\~,: ,'. '. . . -- ,.,.'. .,/....... '.. ,. :.D' '\~,...'.:' ". .~ - ~ . . - :~ "<"-". .~..-' " ; ,.:..," .., . ."J:WP /7: .Ri\OOEO,;1 . ~SEG:~i/~.y:C;3 . TAX. LOr iF ://tl() r'coD{;9:';o9(~sus.'#OCr' , ~,-..ik.;Nb/:'" 'BLOCiz : ,;:"~':':S:uBDIvISION, ,:' "': : ,: '....- " ' ;- .'.{:" >' ;.(~:/ .'~'...; " ~/.' :Y,:, _ ,. . -. . .,:PRl!r~1Y 'SIZE ~ _. ~. . ";AcCESS<TO PRut'lli'IY' .1> C2/UE, '42.':, ~Te.e-a:j.,):,wj:pTH:". ;:: ... :- :JJ~~nf .ORAcRE1GE. '"'L- .' ~~~~STIlliCl1ffiES?;;~:~1'r.KlMk~6J\. 12 .LtJY~,:R"o:~' ..,..,. .:,,~., ,,:NA11E :.60 ,,' 4, b;" L_,c?(. .~'" ADDRE$S, yo. 'l?<:r.k tI S '""2--c:-,. ':~PH~:.~,~ . ; 'CONTRACIOR :., ',. . ' ,. . . MAIL~ :'... ~ '.. '.' '(;>.... .~'..;NAME .' . .,~ A-i-(~" ADDRESS., .,' .' '~" PHONE:'. "_ ,'" ~. :. -- . - ' . ~ _.-- .-' .. ',' - . :, " -' ., . - ~~>~~:'-~~~' . . ..' : BELLM-:'r~UK OFF lC~~' iJ5j; UNLY7(.,-, ~~ ,I~';'_~-" ;~;" ;...~-..>~:.J..J.. ,'..,-..;..;..,~ ,-.. ,~#\f:;_.._~...,~,~ ';..;~ ;~tf" #'I>~~;\ /..- ,'~;'~-,'~ /...,', ,'.:,1.);. #~(";~f,:'.,:..j.. ;~~}i-AJ..;\;.. ~ ,<-l~-;'..:.. ,'..:: "b\;... ~< _,', ;',.:1( _ ,; ':Sq~tures' to l?~. b~iltMoEil~ :.lJo?1e .:', ", ,sq:~ ft. @ /t/.(~.{t1iedro6rIis;.',' .-:; '. Y~;llatioi1 '.: '. . :-- ~f::4;:z::~.:..~) ~~'-r.~-,/<-,/~~{'1?~A ',' .'.".1.;(,;' ....:.>/ ' ".:, '.?--: ~":'~'~'.';4:.;.:~7Y?~,GCt::' :.;:../ '- ",..' ,I: ./ "- . ::' '.., ;'.' , . - ,,_.' , /.~", '. :oSe~g~ Disposal: .'... " " .,.. ., ' ~ ,Stte Irt$pectici)II ' '~~rl~ :~ewage <!~SJlO$~i ,~;St~\n ~ ~ew~yst6n~eijui,~,:P , . ; W4t,er., Supply: ".' .' . , , '. .' .~. . . " "l\iblic'I;J:. Dist:r;ict.N~. .,:, :',...:. >. ',:, ,{ W~ll~~Spr~i CJ '~e~':' ..: ~.: . :.. . '~~~~~bis.' " "~/O i' 0.)]' ::..:.: 'F~e~.Pltimb~~' ~;~li~~::b~' .Je~ ~ :;,iOt~~~," ,,~ .;' -', :, '." .... . ~" Plurnbirig .' ': '" Y EqQ:: . .'- 'P~~ing ,:Fees. '. ".' ':,; ... , ~~wer' ~~~c io '~:~ater., c?nnec~ion '. . Plein Revl.ew' '. .- 0 :# of ~lXtt.:rr:es 'lllspect1:on', f..e .' q.,r?sRec.t~on fee" . . -" '. .~ " ,1 ._ t.' ~, :' .... ..., .' _ ','1. ., _. :' . ", , Tra~ler - '.,. . . . . . ." ,. ." , . ;/. . " .. ' '~'l%surcharge~:" 5 ':, < :<tL;f'.p:, CJ~~h ," .'.: ,-:.:. ':,Pla,ris ft:rini~~ed . '~a~;i;.li~:'-Petplit " ". '.' .' ' ,. '... '..,. .~"'; ". . G}€tfeck'. ' 'Yes ~No 'bl. "'.". fjJe>>'O '.'-No' \5<f '..' . . . ::~. . SigMttir7,.ofj~p?oj.canS?J{11~i, 'iY~i<-. '.,::. '.:" '.> 'date}7~.by Tar~; :. ..~7; C./7 . Fee;r~c.~~ved b~~j:-p~\2./.'" .clat~,!r('..,;2,'~/.?Y:" . . ..Mfu.;',-5eptictank capacity :'" ~ainfie~d.required:."':..' .' ...... f ":~' ....:;.' 'vn:th)list,~ pox: .' .Ga,llorls,. ".-. .. :" .Lib~al',~e~t,:' ~ ..""Tre{1Sh,~pt=h"', '..:.',;,:';~!~:~q. Ft. . <)' . '. '. -- ., .':>', : '. ". .' : . . :, " " ",' . '.. . , ". ' I 1;-vT ':.~~ D ' '. I?ci/~-:f ,~'O;~. '-h-e.0 ~S+ 'B'iJ e.-~':' <y.bS'.i' ;. ,', './' , , . . " .". . " .~ . . ., ", '';, '. - ..~. ........t, : , .:- -~- r' \:: ...' :.. -" -.." ,~'.:~ ' , ,,~ -- I. ' -~ .~, '.:; ~ ,. '..<< , .,:..-.-' ,',' ~." .;, ,~.:' f. .'- '.,: ,".. ~''''.' . c';' '. 1YPe:.of St~ture \..?P 'OccUpan.7Y' -'I' ,Fire Zone::' :':,'Use cra?sifi'c~tion. . -" -" ~ +- ~ , ..., ~ . . . .: . , .. " ' . "., - ' . -" '. , Blgd,'se~b.g.cks~ft:.. from center.:{'of road' righ~ofway' :c" , c}" . ' .". " ..- 'Front ,~;5;"": - ~..Sicle'Int>~ '. 'SA4e.EX:teriox' :,--:-.' ".:::,;:kai:<"S- , ~ ,.',.r . ,,- 'll _, __" ';:; Planning .~::? ~~. ;...... . Z~e I<.. :;;4 ~.' 7~;~_?~te,\~X\~Q"';fJV~Jf!/:~~~-t .~q /. ~ " , ,..' (j . . :' .....;,- :,,:.".,;'-t::..' ,.' ' . . . :" .J. '. ':'. ", ,,:,' """ '~ ' '.. . .' , cS 5 :..1'2: ' --~ P . . - .- t' 0;.- ....r.. ';, 1'., .:<; .. . ~ .' _.....; ,.~ -. -< ~ ; \. '.- '," I _\ . .'......,.. '" .,.' ,;.... .,-,..:,{.;.:i"....;...:;".:v<; :; ; ,>".'~ ~i.' :....':':',. ...:'~.' ;":~.'. ~~,.','~:." 'AT' .,.TJ~...:..,J...~.. '. ,~.'. ~,'-, . 7,',"'.'/'''''.'" .,.'.,'.::;~. . ...,.... ~~::>:i::;,: ~' . ., 11 ... J.;.N"U 1t /7:> ~ 7 r:_ (1)'I,rq '::\,;:DEP~ OF)~~d;;~4~i;~t';J~~t~ . '. .. ", ':'. '.: '. . :APPLICATION FOR .BUIIDIN;:.tt.Kl'1IT'O~'M013IlE HCl1EUSE. .' .... " ':::", ':Nom': :', No;.pern1it,wi:L-l:'b'e,Jssued'.gtltlF:.th.is,'aRptiG{3.tj,..~has.been app~6ved.' >~~~'l'1~f: '~~1,;C~~~lbo';~~JI:~1~"c';;~;: .':, '.. . ~, , ." :~~ .- . ". 1,.:.- ..,.-.. .: , . . rwP:.;I;,:~'7..j~:?-#~Ji. lJij. SEC. .: 3bi?:>' TMr~'di.'.:'!I{){):;"~OOE"',' ft~/LJcLcrnsus TRN:r ::~;~;;~~~e,ivi,;'7~SIOO .':'~ ~JZEUM<lIl(;OR~ 'z:4 '.' 'DEs~B~~ Ex;sl1N; s~~s.,.O~".:r$ ~~0t'~. 'B'~::'I:~'Gf . '.~ . .' APPLICANT...,. '. .. . ....' ". . ~';.' MAILOO ", .. " '. . NAME ,.,:'-:.. , . " ~" f" " '-'.'. "'::, ADDRESS' ~;,' .:' , ~ ',''.-'~.: . .; . ,~OOE;, ':, ".OJNTRAl;l\JK"':'" "1\ ... ,.~'.;:', . ....MAILING V(9'J: '~. K Il's~ . '" ." .' ~:.':>,:l AT i11':~:':I':J\)~rl :..~ ..... . ADDREs~":' ~U~>e~E .'-t' b'~ PHONE... -'B17T-rT.T'.F"O.'~~ .O~ICE' US' E' O~":~;::::"'" . " ,-, J t....:.-'-X';.:..~-,_t. J ' . "ddd;,-' , . , '-'-'(":' '.' ,-, ~. .-, J t '~'-' , ; . , ",J J J 'h~~l-' t' '--'--" . , ,: .~" '~' ".'rI\.~'. '1I'_.r',:. , ,",. Pl"'LL{"H"'~"'~'''''''''!>;_''~''',_\'.^J\"f\.~' "^''''\.H.'~.'''' '''''.~~'' ..''''...''~''~'':~~.'\'~..'~'''n,'i",,!,..,,..~,,J... ..""J. _"~_"",,,)~__,,,:~~~, ,,,~:':-,.,:,,,.., '''-,....':..#''^'..,....'...#\..,''H'~, ~::>:<;tr~~es~~'fo. be f~,~tl.M6b~le:~~..,o .' ~;.,' . r-~o:~~~;;~~q.:;.r'~f,~.,.JI :~,' .". .,~,:tFbe~~<c:,... valuati,9n: . " .-'. :'. . ~.~€ !Dc(t":;-r;":, '~'eSD~~ '.". "_~,': '<..~./~~.. ," c.,.:' 'c" . '. ". ~', ';,.:'C" ',:' "'~" ....' ': ..;:.:.'..:..~.'::.:' '., , l.......,.::/.:/C ".: '. ", '., -' _..;;/_.,::'-'-....._- . , " : . '..- ~l i;ystan~r netY systemreqrn;edp .. .' .... .. '_ \, _/i;;; .'...; .' . .. vJ~,l~ :.01' ,Spr~ D. Other 'l, ' ; -.. . . Sewage. Disposal: ". . . ,... " Site .Inspe'c.t:ion .il. " 'EXi?tiJ:1g'se.wage Water Supply.: .,'. ,. Public. p' District Nam..e ,:-' ; ..::."'. ._ -t.: <-~ , -.' , ,-~.:~' Fees.- <:. '!~ '. .. .,:':'. . '. 'ElpmbJng Instai~~(l bX::~.cMn~r ;: . Other"'Narne.: :.' PIuriID,lng ~e~s:':' :,:.ji;'.~~wei~.connect.ion, . Wapetconnectiori ... . , . =IF of-' f:iXtLires,~., ihspecti9Irf12~' :inspection fee , \-. ~,;:-", .. ':- . .-~ ,- \.,- ..-..-.'... -'~;':~ - '. ,-~-: . .: . " '6t'i.ili~[i.:-::..,.:'. .'" ",P~~'~~""'~S4_d" ;'.Fa~~'iity'E, Ot .', /'''O'iheck .,'..' ' , . . Yes O'"No _ : Y~, " No' .' " I .~'" ..., . " "~ ...... _' , 'Signature' of k,pp:tiC::',' ~.' ,/J1C'ftt 'U' '.' date . ',TOTAL", : '., ,'/<;::"t)().' "'::'.- -:::::', . .,~ 'fee recei~ed~py ~e#~~date q-/1-: 7Y : .~~,~~~.f~~~b6~.,;g:li~;r';7~{'IT:~i;;~tr1~Qe~t :'~~ch.:~p~c','.2:1: :,."or S~. :;t.fl{ 0 ".... _~ -"'., 'I.,' _."-;;-. '. ':'.~:_ _ '. - --- - "l..._~". . .,_~'+-".' . '.,"...1" .~'.:..' _.""". "_ ~ _ ", -,' -. .- .t' '.' _ _ i>' ,'. i:' .: '.~. ", . I.. ; . Bldg. . Waste Dis';.":o-. Ph,lfnbirig . ',p}ari ~yiew . ~_. . .Trailer:: . . ,1% s~charge . /i~1 ()O ."" .. . _ ,. ~l -. ,. . . . . ';'.' .10 .1, ..' .-,L... ".j' :': r. l' :: _ ~ f"; \ ~ ..-', ...~.,.. ':.. ..' '. _, ..-~~.~~':-.~.. l; " '.1YP~",O,~StructU,reOc.e?p.ancy.. ':, '..:Fir~ Zbn~':.".:::~ '., 'U8.7.., G~a~;~~~ic~ti~'.,,\,::, . ..' . , .-~.. .-~ '" .~ .+ -.";-:.. .'~" _, . K .:..' ~. ,'_. _ . Blgd:.,' seo~b.:lcks-ft:':,<fromcen1;~r 9t.:c.road :r:ight of',W<\lY.> f .",. ..... . ",Front . . .:. '.:..Side 'Int..-:.';'~.; ..>;' : ''.S~deExterior.,' .:' '.:', ,>gear, Zone .'. . Planning '..--' -. . . , , >date"I~ cr~7C~~~t;t,fuli~djng date . ' : CSS':'T2. .,i ~, ", .,. . .. ..,. - ~ ~ ."r . :-.....' JOB' ADDRESS: TRS, TL: POST THIS PERMIT ON MAIN BUILDING AT SITE 7800 rkKenzla High~ay, Sprin~field OR lC 2937-79 AljI CONSTRUCTION PERMIT # 17-02-36.,3, tl 1100 Subdivision: This perrTlit for the referenced property is hereby ,approve<;!.' 'Setbacks and other conditions of approval must be strictly observed. Violation can result in revocation ofthispermit, citation under provisions of Lane County's I rifraction Ordinance, and/or other remeqiesal lowed by law. Appl icant/ Address: Owner/ Address: Contractor/Address: Contractor's OS # William A. 'OUg, P. O.Box 1l32!> Eugeile OR 91440 5 illlle Telephone: 687..4316 Telephone: Telephone: Total Construction Value: " ,.", I,: " :'~'-) , Water Supply: Construction approved by this permit: '12 X 40 mobile home, 1979 Magr:lu strtlctures now on property: residence' PLANNING DIV.ISION WATER POLLUTION CONTROL DIVISION existinQ # Bedrooms: # Plumbing Fixtures: # Employees: Zoning: GR-l0 Partitioning # Parcel #' Minimum required structural setbacks,from: centerline ofroad, front:, 65~ side exterior: ; interjor property lines: 15# ;rear property line: W' Special Instructions: .. , Parcel Size: ; centerlin'e of road, 204 X 435 For information call 687-4394, Donnal@e Meias Site Inspection # ,Installation specifications:" gal. min. septic tank capacity; lineal feet of drainfield required; max. depth of trenches: ,Special Instructions: Connect to theexfstiny septic system (refer to lC 2510-79) .Setbacks Septic Tank I), )q~t~r:iorprope~ty lines . 10: ,ge of road rrght-of-way 10 , : ~uilding foundation 5' Wells, other water sources, 50' CONSTRUCTION PERMITS/INSPECTION DIVISION Directions to Site: Date Issued:' C55.13 Drainfield ' 10' 10' 10' 100' Kathi Wiederhold ':" For'information call 687-3960 bet0een 8:00" 9:00 a.m., .. Type of Construction: fi-Xi Group:f~ Fire Zone: 3 Use Classification: SFD Instructions: Provide footings and piers to comply ,ith SIie State foundatton requirements for nlObne . homes or as reconmended by the manufacturer that'""'are attached to the ip;zlll inside of the foobiie home. Also provide skirting as requiY"ed. See rev~rse ~ide for calleclil'lspections. For plans information call. 687-4065 ' between 8:00 a.m. and 9:00 a.m., , For inspectioAs (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. 79th & r.fcKenz1e, Springfield 6ne county ~ lOIn 179 'B y' .... ( ,,'... ,. E . ~f.r?feh/: .1;, ?<-.~" .z..... ~~ DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC S,ERVICE: BUILDING 125 EAST.8JIj AVENUE, El!QENE, OREGON 9740.1 , } , ~1 ;'\ '. .., S lIE I.NSPEq ION ApPROVED ,/ / DISAPPROVED / / DITE REMARKS' rOUNDAlI qN' INSPECTION ApPROVED / (.DISAPPROVED/ ,01 DArE R'EMARKS. . ' I I I I . _.. ..' INSPECTOR ICNSPE CTOR INSPECTOR INSPECTOR ApPROVED '/-,,;,<f=fJ- I NSPECTOR$: REMARKS r- /Y/ DISAPPROVED I 1 DA"E -, ~ ~-t~tfP ' "~ 41(' ,~" ,r~ , I ' /JIUJ 5)1< , , CERTIFICATE OF OCCUPANCY - ,d,. t6 I~ REMARKS READY TO tSSUE / ,/ NOT REAOY~O ISS~E /0"/ DATE ,- I,NSPECTOR 'x::.::-..., ...-,-.......-..... .. "20 I-i-' '.' ,,2:. <... t.J , 9,. PflJ)C" ~jy/ . / ..~, . ~rc~ \ c. fJ '---1 ~J 0 ,,~ t. TI I' 0 o (/' <3 If) ~O en f5J .. ~,~ ,J\\ . -~ . '. .'.....0 !: r:l " .J.Q' ? ( a-'" '\.. )-. r-- I , I.. ! I fJ<:,: \...l . <:: (j: ",f' i)T ~ ~'-J $0. - ~ '^w ~' -~ ~\ . ,~ " " ' -'r " ''..,'" ", L __. c.\J "~ I I . ....., ~ , \7 L_~ ~ //'~--'-'--- I / ~ ,I \ <1. ":" :. .. ~. ~' -, ,'- - t~,~:-.: '_:I~' i ~ -.--_.- ., ) . I /.. /i"- ~/ /.:) .' - ':-.,-:-':;.:. " .<1 L ..... ..,! ) I; ''-., .'-'.......... -" - ..... '-' ...\...----- ,.' " . ~\ ,-. . .(l'/ \, . j-.' r ~f) -(7-' . '......... ",'<'> .....-" I -- "~'~ /, .'t:' , .' '. 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P-I ot; Subdivision Lot ! t It 1cinity Map Plan' Block Job Location (Address) ~1C( ~ t.M C Pennit II ~"'1 ~~ . For~ ~,t \.:' .,.. Permit Q ", 'For' , Pennit Q For C. E 102. t G ~ Permit (J Permit II Permit IJ t-t wy For For For H ~ <: e ~'2 I ..;;;: HuJ'- ~.~~~ :;~ ,,,> ( r E ____ ,.' - 1/ '--. ........ -: , --'"/f-k ./ S~Pn c.. ,..,; ,...,-'--,~,- --.---. -1 ...0 ,1 ..r l~ '~~~!.e~ ~Q'<""'\"'" ~~<<=- v ~'" ~- ~ d.~SD-~l :.. '-J / \ )'~ / '7 /..., / _ 0 L./-, ____ ~f "',1 ~ -~" _ ." ,. 4" _ _ . ". '~~~.~~~~J~\~~<i1~~~~~;r~i~:::t.',.>~,.::", .