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HomeMy WebLinkAboutPermit House Move 1978-9-24 " ' " JI . NOTE: NO PERMIT WI' BE iSSUED,UNTIL THIS'APPLI9ATI -'0 ;;{%/~7S- " ,~,!,:rEJ~M:r ~ if . ' ,HAs B~E'N APPROVED " 'APplicATION FOR: .' .~ I ~ '. .. . CONSTRUCTION I I MOBILE HOME J , PLAN.':EVIE~, I :{ CHAH~E,O~ '9C~UPAN~Y cl ":. f." pWNER Ol~o.1~ "8, 'Q~J ,i'l/./~~A". ti-;,;~J,1AA.:~~l'J.1J'::9'1i?'i ',:' /fll1.3:?13 CONTRACTOR - NaG6-b Vi10"j!,Add'~'" ...: ~0.74:~.~%~;~~M" ',',' Name ' , "1 Address, ", " " '"Ci~ :.:' ~ Zi~ ~~o~ : ::: '7~' Rang. 0'.1 S."inn 3<'.:;' TaxLn, !too '~d' D.11~ 0 9 c~'u; ~~~ Subdivisi~n ',' Lot' Block' , pf~Berty,A'creage I .Widt~/~~t~"<;.f I I, ACCESS:'TO PROPERTY (Road Name) h~, J6.~'''' i.t.u.r ?,8" 1'0" ..., ' " : .". Existing Structures 'on Property: ,Y'I_~_!l_~, ,..., " "npeny Mr,'n., - A~::.'al~t'.o"nn"'. .""f riu<JJ :..~: .J.~~~L; E ~ '7 tI, /?~li- -t;f/ , c' ':- s.". t)' \~rr~j~t ',n ~U} , 'P./Lti..w~}~~, ,~I' /'/ ~. ~ f15F;-, 5~JO i~/c::-."""1:'''''' ;N-..i.......~ ' ," / ,Below for Office Use OnlyXXXXXXXXXXXXXXXXXXXXXXXXXXXXxXxxXXXXXX~XXXXXXXX~XX:XXxxxxxxxxxxxxxxXJdXxxxxxxxxxxxxxxxx --"'7Yl ()7~ Cf..,..;- -Ii ~~:A.i? '/ ' ,Sq..Ft. . " ,IIBedrooms// Valuation '0' /7-(/0/7- 3(~': ~': ,/~~(rmY-c(/d7}:L' ~ /' ,~d,.;)'~) '",', - :r- ""I," / /,~ . A:'110 ..IP,..:s:/J c::: - ,/' " , SEWti.GE D SPOSAL: 0 ,T -,' , '.Site Inspection II ./)h~;..}--:- Existing Sewage DisposalcSystem ,/ "'WwAeTlElR ~UPPL,UY,': ~ 's'pr-ing -,' ; ." ,Public' J" 'II'" ';i""J' ~ Sorimr ' Other Comm~rtity I, Mobile Home '~' ~ . -. . ". I' ,~ "2. ':c' ~.. ,.' ,\," OJ, ';l..L;d]'CASH',J ' ' ew System R~quired ~" System YfAS:rv~i' Bldg. Waste Disp. Plumbing Plan Review, .5?J ,&-fj) . / I. O'-D .. / t:rrJ ' e7-CY , "Nal)le .'.,,,....; ". II of FiXtures'" Water Cbnnection . ..' ',,1% Surcharge ,Pp~H~D ",',-- I ",,1 Y~~ , L~r NO I Sign~t~r,~~ 'Of,,~~'~~c~nt :Lt\\.n.M.-. Fee ~ece1ve~ 'BY,~. , _, ' , ," t", f/ , ' , ,M:j.n. Septic Tank Capacity <=10,0' ,::~,.; Drait~Required - Lineal Fee,t, ''ibOMaxiJtumDepth I~, ,J)cJJ, cll ";"':','L,' ~ A', ./..,,' C u.~rcJ...;":-~' ~':i-.-~~t3JA,L-' .~.:....r;) ';:. .-ItJ',; .5', i L. '1 J....;1;'t:::~) It.:" A-I'ic-.i.J >~.,.J l ~~jL~T ~',:::;-;-;;.,J~ij:k ~'" fJlcu~ d:v'~\~;"(J "'IQ;}l\~qD,s;+r A-{);c!'- ~[~,. .. U , , FACILITY PERMIT : TOTAL ~/ 0L33' ", I:: CH~CK ". . , ( . . ~-~, I ,YES' 'I L....-f-NO~' f>SJ/~~" Date:J{..:-;;} /7Je::- .#,...,-:Y' Type of Construction Group Fire Zone , .- ,!" '.;Use ,Classificiltion ' "t' " IJ .. .,:~ Bldg Setbacks - from C~ntei: :of R~~d 'Right of W~y: ' Front _9S-' 2-side' ~~t.' .s-:-" 'Sid~'Exter'fbr:' ..,r' . Re'ar~ .' zon~_IIJ -4' ' C55. 12 K-';~:- 7 ~ ,~wt:< 'cr-'2~f:!-7(-" BUILDING: LANE COUNTY DEP~ENT OF ~NVIRONMENiAL MANAGEMENT DATE: ' 'P~ r ','I ' r 'I:Q -- /!PROPERI~' ~~:ER , ,-,. ~t ".",1. . '':~-:~t~.t:,~',:~.~ , , "'. ;y,.;~ ,w, ,~,,:.,: "...._ ,', ',,;. .. . ""', \ : \ , AllAN B. POSEY LANE COUNTY- LJUIL,DING' PERMI)'OR MOBILE' HOMt;USE PERMIT 'BUILDING !Q( , : .Mtl, D PERMIT NO, , , MAILING ADDRESS ;, 111,5oUTH f1A" 5T. 5PR I NGF;,1 ELO',OREGON ,'I ' MAILlNq ADDRESS 2361-75 '" , PHONE 746..3713 , PHONE '<:ONTRACTOR BOB MOODY : . . . ,~ \ ',.. P~OPERTY LOCATION - .INCLUDE 'POST OFFICE OUT Mcl(ENZI E HWY TO 79nl R IGHT',TOSOUTH A 101lEF'T ABOUT 2, BLOCKS PROPERTY ON LEFT-HOUSE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS, , N,Ol-.! AT 5tilO McKENZ IE HWY. ~ , .. .".;. ,'TWP RANGE SECTION , TAX LOT NO, CODE CENSUS TRACT 17 02 36,.'3 !JOO, 1 9...09 18.. 1 55 ' EXISTING STRUCTU~ES, ON PROPERTY APPL NAME & , MAILING ADDRESS {.fQR MOBILE HOME PERMITS ONLY" ,,' ,',I"No, of Bedrooms i, NONE " , )8" I\)GAL ACC,ES~ roPROPERTY , ' McKENZ IE HWY. PROPERTY SIZE, -FT, WIDTH' DEPTH AREA 1 ACRE STRUCTURES TO BE BUILT THIS PERMIT: Connect "to Existing Sewage System D TY-PE CONSTRUCTION SQ, FT, :ft: BDRMS New System 0' VALUATION , Mev I NG HOUSE TO 17 02 36~ 3' ,TAX Lot llOO INSTALL SEPTIC SYSTEM' EST. COST, 1.000. FOUNDATION I SEWAGE DISPOSAL PUBLIC D" SEPTIC TANK ,II] OTHERD ,11.00' FEES 100~OO ')0.00 ,PLUMBI,NG INSTALLED BY ,OWNER .0" OTHER: NAME WATER SUPPLY, "BUILDING ~. WASTE DISPOSAL 'PLUMBING MOV I NG PERM I T PL'AN REVIEW PARK TRAILER PUBLIC 0' D OTHER " 'TOTAL l1: ',. ~~ , 16hil COUNTY BUILDING & NOTE: No Person Shall Erect or Construct , ,'A 13uilding or Structure, or Park A , Mobil~ Home, Without First " Obtaining The Necessary Lane County Permits. SANITATION SPECIFICATIONS , "MIN, SEPTIC. TANK CAPACITY , - WITH DIST, ,BOX: GAL. 900 DRAIN FIELD REQUIRED L1N, FT 'roo TRENCH WiDTH FT, ,18"DEPT....ORSQ, FT, PLACE ORAINFIElO WITHIN 90, FEET OF' ROAD EDGE. KEEP' l'OOF'EEr F'ROM ALL WELLS. ,TYPE OF STRUCTURE ,OCCUPANCY ZONE', ,RA' USE CLASSIFICATION PUBLIC UTIL. EASEMENT BLDG, SETBACKSu FT, FROM'CTR, OF ROAD RIGHT .oF WAY ,i FRO;'.n 95' SIDE INT, 5 SIDE' EXT,' ,", AUTHORIZED SIGNATURE - DATE JOHN'SHOOK/sANITARIAN . REAR 5 DATE 10-7-75 Bt' '"BLDG, PERMIT-'- WHITE ,: OFFICE COPY-WRITE , 'COUNTY TAX - PINK 1 'PLUMBING- CANARY BUILDING - GREEN 'SANITATION - GOLDENROD , ,IMPORTANT: Call 687-4065 to sched,ule all required inspections, All constru~- tion shall comply with Uniform Building Code, D.E.Q. standards for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) , .;r.;2.R.,M,,;t.,;c.'s,s::,lh,' . ...' , . :'. .,---::. .. ',~,':~-,:,.j.~::~.... ";',!;.:.:.;, .;.- (POST THIS PERMIT ON MAIN BLDG, AT SITE) , LAl<:lE COUNTY, DEPT:,Ot ENVIRONMENTAL MANAGEMENT, ' , 'COURTH()USE ANNEX;13~ ,EAST 6th, EUG'ENE, OREGON 97401 " ....."...._,:....-:.1.:_.:....:. .,~t.._...;,_;.~..:~.c;..t,_...,.... :: -I' -' .~~,....,:'.~ ""'_ .i......._.,.:;:~,...:,__ :;,,,;"'. '0" '.' ~--, :-~, ..~';: .." , ....'...'''1..'' <I, '.~ 'I.':,..... , . '/J I ' C',','" ;~":;'!, """'-"""''''<''P:s::'I'~'' ~..~';;~.;.'~~~~~'# D236l~ 75'" ' '.' I, . ~, .' . " . -; - " . . 0-;- !........::;; " ,', ,I.:; ':' ~~"(' I"! . ';'. ~ J..,,....-\.~~..~\.....'-~,.~'::...N>(".c-'!~.'i~.l t.........l..~.. ~ f"'- ',-" ~ ........~..-.. .,." ":;,,1.'.,.';,:. ..,,:':':~,:.;:,:;',;:;;\' ,..,,:'~.:.::... c .",. 'c' ,'-' ' . EVALUA~IOW'" ," :J j FOR DETERMI:NING 'SITE SUITABILITY ,.~ ~.~",;:.~.~ ,t-.,>:" ";"'d~;;;'_'" H '. ~'" '-'.1 -,'" .. _ !"""."'.'7"f"': \.....,. ,i,'" ...:.... :.; FOR DEVELOPMENt: UTiLiZING:"'" ' 'Si.h3Slr'RFACE SEwAGE': inspos~ METHODS'" .......'.: .~. ~ }~....."..-...-; "'"" .. - ,,~., . ~ ~ ..\ ,', .. , ' '.' LOCATION: TWP. .,,' 'il7 RANGE, . ()2- SEC. ~ k.t3 T~ LOT it. dOV .. r } ~. I' . t, Are pl;1blic sewers av~ilable.ornearby?'(Dis~di~C~) "")10 Are t~ere zoning or environmental considerations?' ;~ Size6f prop~rty: ",.,,? Amount usea,ble areir ~A , "J7 d1A-fL . , '. ,. .' . ..' Are other' sys t~iris in, area' known to be, maUunc,t;~oning? ';1 Is there room for future 'expansion?:' ;\ i, ,; :',,: " . '. -. ',' . .~, " , " . . SURFACE FEATURE CONSIDERATIONS: Slope;~ '(l'I/l0C)I) ',\ ::Y""-f.O" /10 (Explain) .{%) , , : ,'.' ~ .' Flood plain: Plant,s: ' , Rocks: . ... .....' '," ~ ~ ~ , . / Low: fI:.:r:e,a: Dr,~,~n~g~way ,t Streams : ,','1. ".; ,.,. Cu,~." bank or ,s.lop'~:. WATER, SUPJ;>LY ,AND.,UrII.IT,I~S: " Community 'Water':' No; '. '/. ..., (SKETCH IN' PLOT PLAN) . "~'" Individual Water: Existing U Pr,oposed~ Water line,s:, ._'~ :..," ,"'-"~ .,-........ ..... ....~ "Exis~ipg, ,U, : .I>,~opp~e,d LJ .~ - " :' ,:'~jt.JJ'./ 2-- C. . . -f~~,~.~ ',~~ (fli~' Gas lines: Exisdri~ ' : LJ ,! Pi:~~~s~dD ,,' '. :,,~ '/.. Wells on adjacent, . Existi!:lg properties: L,j",;Fr,oP.Qs,eqU., '. :." .-.~,~,..-~,. ..-:.~'" "..;.......~;,~ !.'.:"l.i':"".I.,.'~ . ,. I ""'~' . \. i., ': . oJ-,.' _" '. "'..j"'" '.~. .J'., ,.. , _ y"'~ " . " " .~ . " I"', .,.~ .,' "....,,1>'".:.., '. f'..~~.<:' ,[.';, ."~: " :' . .~ . . ',.", '", -.s;;:, ,', '.. ",. -~ #1TES T .Perched Water Predicted Observed Date Saturated Zone Predicted Observed Date Res,trictive Layer ~Impervious Layer : Mottling , . ~' St't:e Does I H 0 1 E '0: in. in. PROFILE Inch, . #lIES! ~erched Water I-OD~::~t::~ ate" , ' Saturated Zone Predicted Observed Date Restrictive Layer Impervious,Layer Mottling H 0 L E in. in. j r' : I PROFILE Inch 12 - 24 ~ 36''; " in in in 48- I Meet mi~imum standards for individ~al waste disposal. IF SITE DOES NOT MEET STANDARDS SPECIFY BASIS OF' DENIAL:' , I . --0 ~ " -' ~dmi,ni,s,tra, tive Ru_les Require - 'r,. ./..J.IU~b1~-- ~~~- 6(;.. ~ , . .' . -' .' " 60 - "',,-' . ;~~, ',~.~ '" 12 - 'Sc.-L- '2~;'~' fiOC.-r, , ~ 36- .~ " in. ~~ in. : in. 48 - 10. nYour pro~er,ty found to be'Deficient - ~.._rnf" I' ,A,~ a-In., JZ2" , V . U ' IF SITE MEETS STANDARDS FILL OUT: TYpe of structure and appr?ximate sewage flow: Single Family" , Multi-family Commercial 60. .. Site Does Not . 'X GPD .- r,PD' industrial Institu~ional NOTE: Soilabsor~tion area in square feel Area necessary for sewage disposal systems .- , " I ARE ALTERNATIVE SITE LOCATION, DESIGN OR MODIFICATION AVAILABLE, NAME ~~ , J -I I I . , DESCRIBE: . DATE OF FIELD EVALUATION" 9- ~~ '7 S- GPD GPD GPD O~W-1~i~ ~~r Jl' , CK I D BY: ~' '1-ff-7:::>"'- . DATE COMMENTS: /M~ - ~ :J.t....L -/;;~. "r.:;/ Sei' . II d!)Jtl__~~, ~ ~ tJ~..-^- i. ~--A- ~ r) .,.,,\t-~~ '~~ rie- ~'7M",,~?,Y._,~_, f(dL.e~~~.,J A,ra., 4 ,',.,~dl....2I,1~,~~. ~ I""...... ~ ~AL__ I!Jif 9k ~L ~,~ ~ ~~~ IN'.-I_ ,....fI~It'.; I~ ~c... p'~' J . " .,. ~: _____(7; . - () . IK-Vc-- Cj J?;r<L 7 ~ '"' _ -c... TO APPLlCANTh~:~i~:i:~p~O~~~~ 'nspect~~AheD ~ ~fu:~:tf~ f>J~ ~ ~annot be approved at this time as indicated on item NO. ~above. ; . Questions and further information oM items 1 through 6 contact the LANE- COUNTY PLANNING DIVISION. Questions and further information on items 7 through 12 contact, the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) Will be held in this office until you can resolve the problems indicated. ( ) fs be i ng returned. (- ) Your'building permit aep1i~~"!:..t.2!'_,Je.~,l.~ein!L!:~turned ,under seoarate covp.r. uc.rJARTMENT OF. ENV I RONMENTAL MANAGEMENT 135 Sixth Avenue East Euge~e Oregon 97401 PHONE: 687-4065, ' ,LANE COUNTY PLANNING DIVISION PHONE; 687-4186 .~:-' Js/cfr BU I LL\;I NGc..9.Jj TE EVALUATI ON ,~ ( )~: BUILDING PERMIT APPLICATION NO....-.:2.3~./- ZL () SITE INSPECTION, APPLICANT DATE Not Applicable ,No Yes 1. Zon i ng Ord i nance Comp 1 i ance:.zone~ () ,T"> (p 6. 2. Subdivision Ordinance Compl iance, ().. ( ) () 3. RequiredAccess ' () () (,) 4. Building Site (Area, Width, 'Frontage) () () U) 5 . Other (see comments) () ()~, ) PLANNING DIVISION COMMENTS: ' PLANNING DIVISION ACTION PENDING: YESt ) NOl ) APPLlCATION# BUILDING INSPECTION DIVISION Not. App 1 icab 1 e ( ) ( ) ( ) ( ) No Yes \) ( ) ,(- ) ( ) ( ) ( ) ( ), ( ) 7. Plans Submitted 8. Soil Stability (footings) , 9. Flood Plain ' 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Applicable ( ) () ( ) ( ) .~~ , ' 11. Meets Department of Environmental Q0i'n~ty"""" ndards. 12. Otfler (see com C55-28 --- CK1D BY~~ Setbacks ~rOm cll Front Side Exterior Setbacks from interior Side Rear 1 i nas : ..r .,-. CK1D BY: DATE ~. . \ ../~ ~.:- ----- ./11 . ~. LANE COUNTY. ENVIRONMENT. ~MANAGEMENT PLOT PLAN -J Name and Address of Owner Date this property was purchased I thib . I \ ;. .. TelephonE;!: The building being. constructed under permi t will be used for Do you now, or. did you ever own ~roperty adjacent to this taX: lot? If so, please list those tax lot numbers or draw those properties on the plot plan below. Indicate on your drawing the location of all homes (including mobile homes) now on the property, as well.as the location of the new building. r --.- 1. --- -.. .- ------.-- _. ':J.. ~.I "l: - ....- ... .. ...,. ...; T f " ..: 1. Y 1 '. . --) .::: _: nT. n:) .' :~i;'~~ ~: V rll ~:==:-::-H-'~-':='-"::;il=::--I~n~/~ 11 ~v '~': _ _ _ ' .:.:. .' .::.:_ __u r:=:-:-.: -_.:.: ~= -:-:,9J.~ ' ,:!-~ Ii ... .... .. .... ,~-~,=~L:--' _ :'~-.' -:~-'Ii:.:_:- .' - . '.' .' ':1~:~"""III.~.'-_:.<.'..'~," "--~~:i,~I~~j~~g~II~~~~:r;.'._" ..-- --i'" ..1-- ... ,;;....:;)....,.._,u -'-7'" -,- ---.- .~.- .:;,2,;;..> t(P I~" I .,~.,. . . .. '.. ....... , -, - -:-7,v'~ -- --~ -' -:- - - ~ -:- ~ ~- ~~I D~ - ,_,""c~.. u ~L~~' . i:-~~ --- .----..~-.-.- ;-,.-..,' "" .. '.";J'~.. ',. .-j" . I' n_' I. ~.. ~ :.:- . 'G' . ...:' = I ~ 'I' ~:Ii; .. \t,,>', im(, 5k .. -I. . ~. :.. - 1__ _,u _.: _:'~~~~:{I_c:.__: -.- I un --- _ .:-:: --- u': '1- . . ~~j L r'~ i L ' . - _, \;,}/ . .~ .\t . '. . -- ..: ~., -I : '.; .. .: - '..: - n . ~ :'! . ~__~_~~__~~-.:_~~!.: ~'1 . ~ :=.=. -- -- .- - n -=__1 .-1- u. . , -,~,~,~- u .. .-- .. .. -- .. - ~I_~~~2:~~ ~CTF~'~:~~ -.. - Name of Applicant (if different - from owner): r~ c: k!.."ti}ie . Address ..' I " - Telephone I Appiicant's Interest: Buyer ~ ".seller'D Agent =:J M74-99. .1 . 1"-- -=c-=-:::___--- ~w.y-. Map Tax Lot' Permit II j. y. /' LANE COUNTY BUILDING ,~: oUILDING PERMIT, OR MOBILE HOM-t; USE PERMIT MH 0 PERMIT NO. MAILING ADDRESS ~ 11 ~if;) v-r~ ,/ PROPEf\I[y OWNER \'L~,lf; t;. P;;t3Cr \: , ',--. . , . ~"tl!-fi i NGr H~)"',~,; c>) ~r~ .~~ : '; ~- PHONE ',-)Vt" -t'.. ,-""~.,", ~ .. l~~,i}.'4 :~~J ; 'j CONTRACTOR MAILING ADDRESS PHONE f~~.lt~ ~'!\2;')J/t PROPERTY LOCATION - INCLUDE POST OFFICE O,,:J' M.;;~rp.~Hf; N~.';::j ~~'9~ri U',Hl' It.:' :-'OV"'<< ; U;.~ L.!S:f'1 ^<&u'17 ',.. D;,,;;'~~;B f;:O,?f"l'!" 1;', t.til'q\CF "" PROPERTY LEGAL DESCRIPTION - METES, BOUNDS t,(.:.;.;~ It.:; ~5010 M-C"'GU.;~ ~~; H~rr a TWP RANGE SECTION TAX LOT NO, CODE CENSUS TRACT ~';i! 'tt1(;.. 1, ",,* lI/;;;, f,~{:\j .s..a:} td...r5:; EXISTING STRUCTURES ON PROPERTY APPl. ;~ i}iI/( LEGAL ACCESS TO PROPERTY & \ ,:-... '\ r... \ ,,1'-- i\ ,....~ \ MG.~tLt~ t' H>t~\. "- MAILING , \~.::J ~,'<" \ t '~~, \ ~"\q ~'\\'\'\.\.~\ '~0,~~~SiJEJ-t,~~~,->,~: ~ ',\ CJ ADDRESS ....." , "''-' ,""..1.:-' _ '.", \~ ~~lpTH \ 'QEPTH \\ ~AR~At f~':',? FOR MOBILE HOME PERMITS o~t~~\" \ (.;- \.... \ c )~~~~'t..l~....i~ ~'\.:~~-~~~- '.i\~"" ...Yi~~~'''''~ , , " '::!-: ;,"-.r No. of Bedrooms C~Q'nett-'to\~Existing ,Sewage System 0 STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTF,lUCTION'" ,:':<" ' SQ:,'F,T, # BDRMS P'i,',' ! '. H U"""~'r .,.. 'Pf' r-.r' ';1'~ ':'1. T, ..,,,,: ,i_""~",u dC'O \ \ >~..' j!. ~ i "'V-......-,;Jf _ I<J ,t ~ t t.Je.... :_','......,;'1 ~",~ {. V _ '. ...- ". '\ .- <. . ,::S;;; NAME ,New System 0 VALUATION ~i:"'-""f ,".s"'~"'I:' ~"::~~:'il.l ,'~., '-' c. '. l'o,. I '" ., '>;';:'S:.'.' -,~~~~~~'-:.~Q~~ f:~;;~ e ;;f)a."~. ~ i~OD(', ,r ;~'.:[:../~ r ~ OH '~: .:~.' 1 .:'''t. \~,,~: ~~: \:\ t.-,1;_.., ." ' ';'. . ..~-...:::- 0,' \......... " ' BUILDING . WASTE DISPOSAL \ \ ;1, r\' f ^ -'1," PLUMBING . ~ ,. h'" PLAN REVIEW PARK TRAILER ~ OTHERD t ~ "t't~ ~{Jn 'I (,~; :J1..f:e \ FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK:'tJ :it:: ;~': ,Il '~' PUBLIC 0 o OTHER TOT AL t ....,o-T:; >t:t.) ih~ .3:. MIN. S'EPTIC TANK CAPAciTY'" WITH DIST, BOX: GAL , . \v~ \' " '0. \ . p~~CC O~AtNrlrt~~Ut~"IN " ..l'lo......,._l -"'_..... COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED ,VV". i\ '8""l"'~""" lIN. FT 1",,/1' TRENCH WIDTH',FT,,' .,..,., "FOR SQ. FT. \ \\ _ r,', " :\\._':~\"" ':<i' rt!~1) <:;"(' r~...tl' (oie:~ t;t:.l' 'fCC)"'y)-t. ;; if, . :' .,' ~. , " "'\- \ ',', '. \ ,-,' J\ ~. ....~~l~<... , \." \:- :.~'t, :: \ :'" ii~~ ~ -t, TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT BLDG, SETBACKS 'u FT, FROM CTR, OF ROAD RIGHT OF WAY {' FRONT ; ,,? USE CLASSIFICATION : ~':~ ~ r.:t~4 SIDE INT. I"'-~ SIDE EXT. AUTHORIZED SIGNATURE - DATE >;,~:;}"I SiAN J l,rl\l1'llj,:~ REAR :; BLDG, PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOlDENROD IMPORTANT: DATE to,w}.:r:j J'lr Call 687-4065 to schedule all required inspections. All construc- tion shall comply with Ur;1ifo~m Building Code, D.E.Q. standards for subsurface sewage disp'osal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Si~e). ", ,\ t, , ,2"; " ,. FORM_#C:SS-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ;:;. j SITE INSPECTION ~j ApPROVED / / DISAPPROVED / / D,.TE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED / / ,.DISAPPROVED / / DATE '. .d INSPECTOR REMARKS!? it' (;./~J~t> t'tlt;~~!.I/tJJ /'1/; g.,.r (lit I C~:j i J'rl~~ , .I 4' 1/ I {' Jl /; l/i .:1..1 // e/' ,.At4~~ '~..uh?P~ /f~~,'/..2"''3i''7.~~ , 'I INSPECTOR INSPECTOR FINAL INSPECTION INSPECTOR / DATE~ /?-J?? / ApP~OVED / / R'E.MARK s''')r ! CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE REMARKS '/Jj' (~/l~ J - # ~ INSPECTOR fiJ './1 A ~f~io.- A. ~ rv.. ~,~. )(.L-J.., ,_ u,...// ~ ~~ , /' /'vv v-v'c.q ,J fj---vr-;--' . ~ ,... f I _ I ',/ /l ~cfl.3(P 1- J~' ;?/~p<fiu$ t2 ~ ....... :fI,) .,} .-. I , 'i,,". .... . \.~- ..-:.- ," ~~..,... "..>.....P.:."POSED.~'SEWAG'E OISPOSAC SYSTEM.REf:'~? .. 'INSTALLER:.-. ComP~~~~'.top' part'_ )form::t~:<si:gnatJre 'ard subm'H b~ ..."eop.ies with.applieatio~. . . . ," . "'. I.'. , '" . 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", ':h 7-.t',/ ~ ~l: " ". \rt.... 6(A;M,J --: ""I~o~'2;IHJ.5 ~,,~:. "" .'" g6L- " '. ..' >jt/..~.- ,,;: '. .' . .,' '. ., >..-/? '. . f' . .., s & '. ,:. . .. J -- f:to :df-.c' ~. . .' .. T ~.at.e'b,i I.. Lt. ,'i..,.(;,... : Siq~at:u're' ~ . ~.', . ",.' "'" 1-{ CERTIFICATE. OF SATISIF;Ac.;rORV tOMPLEnO~ .'. ' . Ear. Sa~i,taridn ~~e On1.y:< . '.'.," . ..... . ..' ..' .' . '. ~~~t7: be -:-:~ "'7".-.-. .In.ac.cordal1c~ wl:~h .1973 Oregon Laws Chapter. 835,>Sect,o,n .214 thlscertlf.lc::.~te' IS. Issued . ',:~ as evfdence':of-.'sa'(isf actory : comp.1 et i.b.~: Of. . a subs u'r-f ace ',sei.,iage ,d i sposa 1 . system; at. theab'ov~ " .location' =.":: .,.. :' ...." " ,.. .' . ,- , . ',. . n1i"APpr?~ed: 'Sy.stem.,lnstallitiof1'~onfor~.s 'to:c~r.ren't stan~'ards" ';. r~'-'-Di_sal?prove~:~ Dcies.-not c~nf9rm.to ~urr~nt sta~dards ~. ~ .'- " Remarks-;:: : .' .. . . '. ," :-. 'STATE, or:o~EG9N :~ . . "d.'~.' ~/- _ . .'~' "":', ,> '.' "safi~;ria. .n's S.i.~e'. ,.... .- '. . . , .c. :' .LANE. COU~TV. 'V:.. .' DEPAR.TMENT OF~'E.N;V'IR~NM'ENT~L Qut~ l:r~, ':'. .;., "',:." I, . . ,. . . . C55-11