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HomeMy WebLinkAboutPermit Building 1980-7-1 !. 'l " ('"",-.. POST THIS PERMIT ON MAIN BUILDING AT SITE JOB ADDRESS: - O:62_0-Lawnrldge; Spri ngfi e 1 d, - -----'--! 17-03-25.2.1 TLN 5900 CONSTRUCTION PERMIT # LC-1636-80 Oregon Subdivision: 2nd Add. to Rambling Acres Lot-2 B1k-12 This permit for the referenced property is hereby Approved Setbacks and other conditions of approval must be strictly observed, result in revocation of this permit, citation under provisions of Lane County's I nfraction Ordinance, and/or other remedies allowed by law. TRS, TL: Violation can Applicant/Address: E1va L. Duvall, 1620 Lawnridge, Springfield, Oregon 97477 Owner/Address: same Contractor/Address: na Contractor's OS # na Total Construction Value: $40,326.00 :.:,nstruction approved by this permit: Water Supply: Pub 1 i c PLANNING DIVISION WATER POLLUTION CONTROL DIVISION Setbacks - erior property lines L.Jge of road right-of-way Building foundation Wells, other water sources CONSTRUCTION PE RMITS/INSPECTION DIVISION Directions to Site: . Telephone: 747-5707 Telephone: same Telephone: na Addition to existing house-family room-2 bedrooms-bathroom (1144 sq. ft.) & Cert. Of Adeq; Structures now on property: SFD & attached Garage # Bedrooms: 5 # Plumbing Fixtures: 3 # Employees: na Zoning: RA Partitioning # na Parcel # na '. Parcel Size: 80' xl15' Minimum required structural setbacks, from: centerline of road, front: 45' ; centerline of road, side exterior:' na ; interior property lines: 5' ;rear property line: 6' PUE Special Instructions: na For information call 6B7-4394, Carol Site Inspection # na Installation specifications: na na lineal feet of drainfield required; max, depth of trenches: na Special Instructions: Add additi ona 1 , should fail in gal. min. septic tank capacity; Drainfield 10' 10' 10' 100' line as shown on plot plan. If sewage system future hook to city sewer. Septic Tank 10' 10' 5' 50' For information call 687-3951 between 8:00 - 9:00 a.m., Stan P. Type of Construction: 5-N Group: R-3 Instructions: See notes on attached plans. Fire Zone: 3 Use Classification: SFD/Add. For plans information call 687-4065 between 8:00 a,m, and 9:00 a,m" Jim Lamb for inspections (see back of this permit) call 687-4065 between 8:00 a.m, and,5:00 p,m, /' Date Issued: ~~5-13 North on 19th street in Spfd. to Rambling acres Dr. left approx 2 blocks then north to Lawnridge # on house-go1dish color. By: Hans Ett1in/RLH. 7 -1-80 DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 1 block bne county \. ( , "I, /':1_ '7_ '5 <:qoo ~ .TR9"', TI r" ./ ,...... ...J p, ',,' If.''- PUet Plan ',SUbdivision,::~J".JJ ,A ,U",o.l 10 ' KC<'} \, \I"~ -Ii c- <( $ Lot,;2.. Irrock I ,2, Job Location (Address) I i" :10 L_ ~l : 1/1'/ '(-' '. 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" z ..' ..; 24 '. .c~ ... .:: ."~ 26 ,1' I~ ,'" . 'r. -jO.j Ie .... " E. : " , ~ AI"PLl~ANT DUVALL, TL~ 17032521"05900 ., NEI"I ElLpC lYPE ~ CODE AI"PL NO Iii:' ElP BF' 42 if/ " ElP '. IJ,F' ~ IW Ell" P!- ','f1ECH .. . SUI';: I':'CI( 'SpS, " 40 . , f', " " ,- ,. ; .. LC 163{,BO I',A(.,(., NO ,. FIXlLJf':ES: ..;'3 . ,ND ", CDrINE:ClOI;:S,: ,,' M[:'r~c'l~ N' '[i"'I, '::,!,,'f . I-I _~. r I-jl '. _.1, .,. I ....__ S,r,;lE ,SUf!EHfiF,CE: PU~N 'CHECI( FEE . ',' <'-" .. .' u :;1:> . , :'. ~ so ,., ' -.., SDSV !'>:EI.,oC{:,-rE,' . " .'. . 52 '0 'i"/. " '\ / ~ I'" d'[ CAlG :"', iI . PGK" ,c .." S,'DS 'M"F', ,,' 1":(.", ,FP ", .' , , ~ ::.:! . SE:QU:." i Tf~!{Etf.; BY -CtiD ,~. ',' : ~ ..,', ES(.,,',CCHIPLFr'IDN' ,D(',lL .~ , " ',t 'f " <,~~ I - -~ ," ~. ~ 0; ,.' .. .' ~ ' , .' "'.. h" "'" '1,' , ".' "'1.,. - .', ,.' '. . .;,. .. '. " :.'.'. f','r ~.o. ,.... '. . " ~ 10 .' . " .:~.u _ . " ',I . . '.t;.' " ,'"" \': . ., ~ , 1 ";_..... , ",' " ;~. " ,.", ,. > ~'o ",-'~ ::', .' , .. I U I ,. " .~ ' ....... '" " " .J,"-.". ~ d.'.... ;. ". ,~. .fl= .~ '.II,'liJ '~~1~ .. .-,. ,0> . <! ".-:./, '^:~ .' ," ".{;> " " f',":.. .~} ~,,0f;t ,,~,.J /;0: 00 \_ "",(") , ,\,.:> ", '.,{: ,x.. ..t: .ijO_~3?6. ":. ',EM:H ,,,,':,' , :." " 4%: . ::S'O~>;; ': , (:.00...... . . ".' _ H:;.< ~ r.)(l .'- . . - ~ ,~. - .. .,' 2~5,~:()O".', ".,. '- ., ~ . " " ."'.. .. " ..,.......~ 'l .~ , . ,.~' >1....,; )" J,~ '11 i:.. (1(" _ 'I. . &...,-t .... '. -.~ .. 6 ~ " ',. ~'S' '. . ( ~. ,cn:" .,', :l;~ s': '.; :.';<': '.' . .'..lU;H~L -r:'[E'X--)~ ' ''.>''14'';0 '., '. -',' .... . ....-... ,~L . " . \" t~ .,,> :..~. , ,*,:". 'I," " . - .) ~ ~~6 ' .~.t,,' . .' ,.71 , , . ~. '_~: ~ ~. .f ,.1 . o . o . o ',' .;,. ~ 64'~' , .. ,tt . " " ,;;.'~....: , '.:; :.~~'" ..' ,---'I' < .... '.. . ", ~ " . .:..4 J " . ..'-, . '-l-" . .. . " , ..:.:,. .",', '.: ;. ,., ".1 " .' DEPARTIIENTOF ENVIRONI1E'NTAl, 11A~AGEMENT~ ' :', . ,PSB, '125 EAST' 8TH, AVENUE' . ~", , ", EUGENE, OREGON'9740,1 , ' " - , ' ' \' ",":.t . ";' . . - ,"",', :*:A:~:~::~~~~ fw~iQn.';:.'~~ n' ~~7 _ ~ _ ;"Odj~~:~~t~'''jf:r't' IL,' .:$dbaiYi~;jl!A {).(.;'A m TIl ~ ""l:>\ ._ .A-"...... ~' tolL";>, , lllo~1i J:::J, ' Applicatlon for ArI,.J;;-...._/.:.. ~-":./Z /?~ -.2.-~:_-,.J.-n-c..-l5:. S!,r~c,t~,r,e~ ~~w, ~n the p~?~perty jJ../-c ,t'&'~ ~ ,~-:' /" \,~~_ G..,:: r.~a~, ^ , " , -4t.> jlllllppsell u~e"Q1I!rnpe"ty', Ne~jden;~'1l1. L/ .~llllllIlI,"~hL 'U,:~iI\l"$t'1'''1, 8 ,llllM,lll , , ' Affidavit: I, 'EluA. ;" 1-.... \.~_J.~,!<'41~ ' h~reby certify that. this information is true and 'accurate., , " ' ti!Jll~$ll:llmmi'): , ".."'. , If this application' is for an agricultu"ral builCling it will.be.used for purposes allo,wed by the Sta,te Building Code 'and" Lane County Code ChapterlO'{zoning)' and for', no' other purpose. I have the following le'ga~l 'interest in the, property: . X owner of record;; _ contract purch(iser'; lessee;,.~' holder of an exclusive option to..purchase; duly authorNed to ac~rf'€l:~,owner,'Who is'knOWledge,a~le of this appl.icatiqn. ' . n.,' Signature/Addr,esY~ 4-1':li-;'~! ,/t.;J"O '~J^"r\ AJ/ ~' ,~,ll9cf' ('ZiD) 0.71/7.7 ",r, TelePhoneU7-S707 or(.,K7-<fW<'\-.s Date ~-'S-I?o ,"'. When perm;'t is ready notify: .l5l.-Appllcant ' () Owner /~/ ~on~ractor ,~:. 'C/ mal) p< phone. ' Owner E. L: \) t"wJJP l (', : (ziD) , Phone Contractor: _""5""'~-_M"" (z,ip) '", Phone Contr~ctor"s 'OSR# Plumbing by '/'J".lJ;';"'~~' ;fle'.. ~.. )7 ,,' '';/'', @'IW~~t#~lili! I#:.=fr;:;;'i)& ID !@~Hli~~~;HlIm~~li~\ , , ~. .If Commercia": DO NOT ~RITE;BELOW THI~ lINE' 3 ~:i~~~Si:o::; ~~,)~II.'iiY;~~:::::,:~: _1/~/;_&t;~MU . ~ _.' ~. lii~ ~ ?;f?\?\ !~;~t; " "'t~ff~J!E~7ikj= ,//:;(Q) ~~:: fI-~ ---&~~ ~ ,', ,"-", L/ , ~d~~~ Residential: " . Fee $' ....,$, .', $, $ =?!: 'Tot~ 1 Va,l uatro~': $' IIB!III~ll.~III:: ':' ',Water Supply., ,jq/M..-< ":) Proposed - ..,;'. ,- - "~~.' Year. Install,ed . Existing ~ 4% State ~urcharge __ ~ . Pl ans check fee.' . ..~, ..: c? lil..C' 'V rf~n~<> '''f" f'lrrIJ.QJ1ncy. v'. ~ . r .' '.. " , " $ , each $ each $ $ , $ $ $..."1...-_<;7 CJ7:; ~~9,.6{;J PO X I/..')"' ; rear C' PUG' o o , , Subtotal ., .,",' TOTAL , PERMIT PROCESSfNG M;n;mum.s~tbacks: Zone f!.. A ,Pi;'i't. ~:/ront ' , z;,t:,s-:-r' "I~ # ;,'1.. sidOe. Parcel # ,f[lt;' - Parc~l Size , .",,":"/ " > ., " Comments, To rie, typed"on' ,~. '., -' ,CP&!' ,Type , To :be; typ_ed' on I. ., permit'"'' l " '. \ I ~JI; perh1it ';YJ- Gr;oup~,..-7 h re Zone 'By C.(tl1.(}l. . ' ~'Use Classificatio~ ,~_. , . - . '. 'Datek>- ~-pt) '''S.f:.-/?/A7> ' ,', r,', " .. , ~ ., ,',.;;. "'LI.<". o ~ " .. 'll\t~~'6~~ 4~;#~- .By' I~ ~~ Date' t, .,_L~1Y\;f2, Phone.. ~f~~~ 1 . ~ " ~. .' , . ' ;~or ' pTd~ns" i nforma (i cin ,Oirec ~ CP&I', set(s)" WPG '".. seIls).'.. '. Date,' Required ,:-' -:.' Date " ,~o~n7," I, CIS .. l~&I ~PC L-'I Planning. :'CI Publ ic Works '. CI.Eleva~ion , C/ Address - , E) ~Fac; 1 it} perfT1it .1:;1 Envi";onmental Health "l'" ... ~ . " ." ?:., , ::',,: , ' 'Or"" '..'. '. , >, , ,,\ \} ',~ " " ',} t~h~'~~ ,~y ~ FOR INFORt''lATION abou't- progress. of your :'appl i,cationcall: C74~'171 ' .., .' '. ' . " ,_ ~,>. , :~~. :,~ : \10 _ '. '.-. "." '0" ,.j .... Perm; t ConEro) Center .687.HELP '(687-4357) , , " .. . ., ~ ~I i" .. . ;--. . " ',;;;, .' ~'---..- _ o_~......-_ ___~__'r..', _--.-- -;..'._._r'_ .._ ,.----" , , -'...,~, ,,/ DEPARH'IENT OF ~~jViR6r~mrnAL .r1ANAGEi-'IENT. " PSG, 12S EAST 8TH AVE~IUE '__-' EUGEIIE, OREGON 97401 , " , - '. Job Address It;)/) LAi,,-h...,,,...\ d",.., City <:'?;"j^,,,,f:,,, U Township, Range, Section, Tax lot J 'J 7 - -:z, -.2 fi~. I-c:;ql?~~' '-J , ,i , Subdivi~iO~ ~,....JA _1J~~:~r~""h <K/'o."t\.~~... fI.~ Rn-~ Lot ~_ '0. B10~k" J .:1...~~~+,~"~il~~;~'~~' [I';' '.'-' Application for 4A;4;1:,....",/- ,(.~~'uj"--, /l/H}-?'V>... -.2./.3e&'.-t:~'6J-7J-t -t$;o , Structures now on the property U.... ttl....,.. -1-' ~tt", C" hl""{ ~/:\ reX-tiP .t; ~~~. '----, I ..- _ _ ~_r- Proposed use of property: ~l.......Residential LI Commercial L/ Industrial 1:(1 Public Affidavit: I, r:=:.IIJA L-.. D I... (/6... H . hereby 'c~rtify that this information is true and accurate. (please print) . If this appl ication is for an' agricultural building it wi 11 be used for purposes allowed by the 'State Building Code and Lane County 'Code Chapter 10 (zoning) and for no other purpose. I have the fallowing legal interest in the property: ~ Qwner of recor.d; contract purchaser; 'lessee; holder of an exclu~ive option to purchase; duly authorized to act for<:he owner. who is knowledgeable of Vlis application. roC Signature/Address?fi.M /"1 J'JAI't!l_p!1 1t,..J..o ,I-t-J 11)'-'.' Y"\ d/l '" ~d ('1"-(" (ZiD)/) 71/' 77 ., - Telephone 7'/7-'S7f)f orb&7-Qqc\5 JOate I%-/S-i/'o When permit is re~ notify: )yi....APPl icant i:;t O\'Jner () Contractor Qt.: C/ mail j;i( phone Owner E, L. \.1.",;/.. \ r (zio) Phone Contractor "';;'1.Mr.:" (z10) Phone Appl ication #' L['.-I{n,~?:t :1...') '" As signed Numbers'- ~ Contractor's OSR# P1umbing by /,h"H<:",r DO NOT WRITE BELOW THIS lINE If Commerdal: # of stohes . # of employees ' Residential: if of bedrooms .3 J?,.I_]A~ . SI test holes ready _.c;-t,d}4. (7tJ1AA) (iVU #' of units SOS:, IjrWsting, BP# I~I Proposed, SI # f[JU!~1,fe. t; A;ZX1U. Fee I Sq. Ft. or Code 4" 4" _" D;~cript;~n I'. ~r / /' # of Sites ?Z"'P-"t'Lj!{.kY!.. ,~c.' ,.L-./.-/',d./~j ~-ad--" _ C~&/n-r/ P /?......O'--;<;v?J.--Z, //!.,,2?r ~~-u:JzJ'-n4<J /1 ;;:"~I' ......~~--y-V\j v Un'it C6st Valuation Fee T.... CI Cash CI Check # Rece i ved by Total ValuatiDn: $ -, -) Plumbing 'fixtures at $ Sewer/water conn. at $ each' each $ $ $ $ $' $ $ $ $ $ $..;t <)707) $;<' (.~ 'l,S(J //</4/ (OJ 4..~S~ '--" L/ . " ~ .U~~4.--v?(ffi-~- Subtotal Water Supply Proposed Year Installed v? If ' /-:,/,/ -IH A A' , Existing 4%'State surcharge Plans check fee _Change~of_accupancy , .51'6 TOTAL PERMIT PROCESSING Minimum setbacks: lone 'K Ii Part. # s., front 4S- /' s., side Parcel # into Parcel Size ~.e::;-/ /76 X liS-- rear C' Pk',!;? Comments To be typed on permit -.: .'<- By ('/h1f'vl , oa te c"-I'7 -. f-j"') l WATER POllUTION 'CONTROL Installation specifications: gal. tank; . .fIt' of dra..irfie7d; max. depth of trenches: ,TOberype9onpermit;.:,4'/j ~../d,,//J"'L/ ,h""" tl5S.!f)J"1 "'" /1 .fJ III I pit; rI. r-l' ""'_J~';'7kf.,.~ sL..di;J /},,-/,,~ I::. /u'" ,~j,,,,)k . L' n...fr fu,.~)6J' 'I . , . ' , , , ~,'- Teleph'one .6.1[7 -:?7~7 B~~=-:;:.:' --....--X Date, In/)-/' j(() oyeC\,iOnS to site l\.~'H/l (')" \:?Hi" '7'5-1 cL?itl~ lV\4t'JX'1 ,i1Jl-'YT/i'lY)[J!lJ{"<"..j 1/1/, ~ UA~71 {Ul',,)Y'(lY ?: {-3<( rt!\lf"7' i-l11 0 N\ k L'i-fqt",i 't t'5';J (\('11...- -li'i IJlif Lht\ JLl./A c-() , I-I s\,'o U Plans to: CP&I U set(s) Date HOldLSljp U Date Date to 'J - ".- ~!PC ~ set(s) ReC]uired to PCC Completed pce IVI CP&I -=--- , II'I WPC \ C/ Planning' ~-/ P~bJiC ~rorks _~ LI Elevation /-::; n/a CI Address I~I Facil ity Permit' I~I Environmental Health I , III ~Url t ){)lL~. - 9J{)(ckdv 0()LO y- FOR INFORi-1ATlON about progress of your appl icatio'n call: Permlt Control Center 687-HElP (687-4357,), ,j ,,- ~ ~"::!. ... L." '. (; J..." ., '" .F......~;..c-. .. 't. ~~..ll'. ". "- To cf\V '. Date Time ~ WHILE YOU WERE OUT. , of phone ext. ~ TELEPHONED CAME IN ': I RETURNED YOUR CALL PLEASE CALL 3 WILL CALL BACK RUSH Messy ~' ~~ J~~A;r~ ~~ l .fl-~~~~~ j - - ~ -..J) ,,, "-'ITA? -A.f!;;I- , , . 1 /,/ fA Alj A.:/YL"1r'~ ..-'\ j /' L~_))J 'A',~ -<< . . ... . .<:;?F~fW .>A ~ " fIlL 'iNiTY MAP MUST BE IN BLACK INK Jorm c55-11 Permit No,It,.r~ -W Twnshp, ''7 Range 03 Section ;;l,s:. '2. 'Tax Lot 'J2Q5o()(') . Standard System Ci!lAltern'ative System 0 (Specify Typp) ,--~ Job Location (Street Address) I fL,~.f'I ~-<'" WM'l-1,-t. ~ , ~ F,.../ /)""'C ~ETAn:S?{S.ttM,';L:T~~i~{i~~9~q..yrtED 1 ;t4J "f1e7( 5r~_ J,o: - Scaie- , "= ' , /.-IN~.l>~) /- ,It __ ' '\~ U2'/1"-" :,,-c I /\~I~ J' \ j' )'-' fJj'.',N11t11~,..R ~ _ f~~ <Y-~~'" I ~ J- , Ln, 'v~ <: /J 11+;.'/ ~ -r v IIMt/le -~ - ~)\. t .1' 'Y1%,D':" -rr P~\sti" {b~/2-{ r \- .-J USE BLACK INK ONLY I' FOR INSTALLER'S USE: Trench Depth' '?t, 11 Gravel Depth Below Tilp 7 Tank Capacity Manufacturer Measured Distance from ell to Tank From Drainfielrl _ Total Length of Lines / 9 i~ COMPLETE THE FOLLOWING IF A PUMP WAS USED ON THIS INSTAL~: I linstaller's name: ~ . certify that a IMf~) , (Model No,) Pump and Mercury Float Switch IMfg, and No ) ~ have been installed with this sewage installatiDn. Installer . Telephone License No, Bonding Company (Tille as shown on DEO license) ..;..-- Datp Signaturp - . ~ Datp Datp 7-111 -"0 . Applicant's Name '& Address t=/I/c, L, D/A <//1// Ji2'?-D LA ~J.vY"'I~f' . ~(.!.~ ~ ;;7~77 FOR SANITARIAN'S USEpN L Y:~ System Apprq\(e<;l 0 System Disapproved COMMENTS: .J1dDritiJ --ro ~f'>drdi, !rlt\v1'~, r14tM21JiM o Needs Correction Datp L, Datp ~ 1"^'1 lr) 'System Capacity, b " IJ syste~r;xr ~al. / day Signature /tf'ht" /;1/J , J AI (P INSTALLATION RECORD & CERTIFICATE OF SATISFACTORY COMPLETION When signed by the County Sanitarian, this e'illtiliea;. is evidence as per GRS 454.665 .of satisfactory completion of a subsurface sewage disposal system at the above location. Return this form to: Water Pollution Control Div., Dept. of Enivronmental Management, located in the basement of ,the Public Service Building, 125 ~. 8th Avenue, Eugene 97401. \. 1....--- \ JOB ADDRESS: POST THIS PERMIT ON MAIN BUILDING AT "SITE , 1(i20 Lamlrid~. Springfield. Oregrm '.'" :;.~.,. .. " ~ j. '. " CONSTRUCTION"PERMIT # lC-1635-BO TRS, TL:. 11~O3-25.2.1 TUl' 5000 SuBlilivisis<l: 2nd Add. to Ra,':31ing Acres This permit for the referenced property is hereby ,A~~m..."'~ . Setbacks a,n~"l,th~r conditi~\k.;tltpproval must be strictly observed. Violation can result in revocation of this permit, citation under provisions of Lane County's I nfraction Ordinance, and/or other remedies allowed by law, Applicant/Address: El L Owner/Address: .lta. Contractor/Address: sane ,Contractor;s OS # on ll':l , ~onstructi~n approved ~y this perm,it: ~ater Supply: _ , _ . , r\AU!JL PLANNING DIVISION WATER POLLUTION CONTROL' DIVISION. , 'j " '. ..' Duvall, 1620 Lalflnidge, Springfield, Oregql1 97477 Telephone: Telephone: Telephone: 747-~.,01 -11~~. 7,5.;>3. salli2:~ fiG .~~ r ~, , , Zoning:!l. Partitioning # . Parcel <; Parcel Size: Minimum recjBired structural setbacks, from: centerl~ne of road, front: 45' ~Pc:enterline of road, . side exterior: ; interior property lines: 5' ;rear property line: 6' P Special Instructj~ns:" ' ' UE D& For information call 687-4394, _ _ ...cJfU" ...:r-- ..': 00' )(115' .. '",,!, Site Inspection # , 'Installation specifications: lineal feet of drail'1field;required; max. depth of trenches: na , Special Instructions: "ilil Add add1tiooal Hlle 'as, shG\:}n on plot ,plan. shaul dfa11,1n ftltUN )lbOI( . toc1,ty Set1er. gal. min. septic tank capacity; 11M . 11' sC'".raga system Setbacks , ,.,septic Tank Ilnterior property lines' 10' "Fdgeof. ro,~d righ,t-of;way', 10: .,_.Bullding foundation . 5 "Veils, other water sou'r~es' 50' ,- CONSTRUCTION PE RM ITS/I NSPECTION [>IV1SIOrii . ~';"'^' Directions to Site: Date Issued: C55-13 Drainfield 10: 10' 10' 100' For in'formation call b~tween 8;00' - 9: 00 a,m., DOI-~:iol Fire Zone: - ~\;tl:n f"'.. .t. ' ~ Type of Construction: Instructions: Sef! Group: R-3 att<lched pians. 3 Use Classification: SFO/Add. ' 5-lt notes on -; I , For plans information call _1''7 .1'1;:" between 8:00 a,m. and 9:00 a,m" 11 . ~ For inspections (see back oftitnisp~rmit) call 687-4065 between 8:00 a.m. an'd ~O(Pp,m, f{orth 011 19th street in Spfd. to Rar.bl1ng acres Or. left apprQl{ 2 blO!:ks then north 1 to Latroridge fi on house-gOlrl1sh color. . ' By' u~ Ett11 IRLH 7-1-;;{) DEPARTMENT OF ENVIRONMENTAL MANAGEMENT . _ns n COURTHOUSE I PUBLIC SERVICE-BUILDING 1.25 EAST 8TH AVENUE. EUGENE, OREGON 97401 ,,"'- -.\.. ,Ii "'~.-/ '., , I", , SLAB FLOOR PLUMBING GROUNDWORK Ap~'ROVEO : / Y1~ DISAPPROVED 7-f-i}2 CJ DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / / DrSAPPROVEO' CJ ~. DATE REMARKS ROUGH, PLUMB I NG .. ~' " I N'SPECTOR j .. INSPECTOR ApPROVED ill DISAPPROVED. / / (l>~, / / -- j -V-Pt"J I?V<',....."..7.:..... / 1- '2 $'- J>-'" DATE /I-;;..F-Jb I NSPECTDR' ff~ REMARKS ,ROUGH GAS PIPING APf~/WVED L/ DISAPPROVED CJ DATE INSPECTOR REMARKS " FINAL PLUMBING ~PF'RO'.JED CJ DISAPPROVED i / DATE 1 NSPECTOR . REMARKS F.lNAL GAS PIPING ApPROVED .Cl DISAPPROVED 17 DATE REMARK S CERTIFICATE OF OCCUPANCY READY TO ISSUE I - I NOT READY TO ISSUE I I DATE REMARKS INSPECTOR ~'e/f ,;(,d- INSPECTOR \