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HomeMy WebLinkAboutPermit Septic Tank 1978-7-11 ". ..-+ " "'-'.. ""~~ ~ ",'~' \....." , . ~. .. ; .:-' ~ , .' ~, ," . . , .~ ,;25"- JOB LOCATlON-_ Kathleen Court - off Wayside LoaD 1f?$;t-7?- ':0, TRS, TI c" ,17-03-22-4.1 100 , Acreage or Lot Si?Q Contractor's O.S. # . .42 LANE COUNTY PERMIT '. ) co~"eted, ~Subdivision 1st a" dd. / J!1fl>>: '-,.-J 'tot-20- Bernard J. Splonsko-W'ski ; 1147 Ba1.boa. E':1f!: 97401 , Partitioning 4' Buena Vista 1 Bloc"" ". / same ) Contractor. (X ) Prefer to pick up. Call _ J PhonQ '587-8532/ //""j~ Phone' 689-3801 " v /1 I / ,/ I' I Phon'e /1' I .If ". ,. /'7,1AC., _ (owner, etc. ),w hen read'y. 1 , d ' APPLICANT'S NAME AND ADDREC:C: OWNER'S NAME AND ADDRFC:C: CONTRACTOR'S NAME AND ADDRESC: Mail permit to ( ) Applicant ( ) Owner v/, 689-3801 STRUCTURES NOW ON THE PROPERTY 'a,. ,'f)' '~ . . " THIS PERMIT IS FOR Sing1e-dwelling r.i'sidence and install Sentic # BEDROOMS~# PLUMBING CONNECTION!; 13 1st fl. 1490 sq.ff.; 8nd ft. 209 sq.ft.; garage 420 sq.ft. ' Rainbow Water Dist SEWAGFD,ISPOSAI 'Sentic tank - anDroval S.I. # ::"'71.-1331 WATER SUP~'~{ , . " THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF Sorin2field " PLUMBING BY Alert Pluhbinl!: ',::-?' \" I h'ereby certify ~hat the ~bove-statements are true and~accurate, and that I hav~ the following legal interest in the property: _owner of record; . contract'Plirchaser; _ potential buyer; _ realtor or-agent. I f.urther certify~that (if not the owner) I am authorized to act for the owner of ( ',' t .;. record.. and that'said ownex ~. aware and approves of this'aciion. (hereby ~gree to comply'with all applicable CodeyJe1ating to this permit. ," Fee Paid SO, 333.78 (52.5941--_ ;: 'i'CSig~atur't/P--;:~z'.l--;]//d&t<P--t4-ahI&' Datg:-~ 1.r:.19-t'f - ----....... ~ ~ C;/' / /' .....'1/A- !x) NEW ADDRESS (') FACILITY PERMITrO.J:.RANSPOHTATION DEPT. I SPECIA.L PMT. AREA. MIN. ELEVATION: /'1- , _ SANITATION. "'---- \, BUILDING' lANE COUN'I'V ~:"'~-:.: -rf.--'"'- R~EA 1(-":".' Minimum Septic Tank Capacity-(GaIIOils1 e:jJJ TYRe of Construction [J-? Group -6' . Fire Zo~e ' l>?iJ Drainfi~ld Required - lineal Feet~() Use Classification :(('.,i __ . - I . - Maximum Depth , . ,._1 , ',\ Comments: C ) " , -I J. ,/..... \,-+' omments: ,....."q.t.~;.....(.'. ';"'\' /c..~4.4J,-,{. ;.{-tf'.t/v" ~ ~A.~""'~~ ';".-rt"~ _j , . ,'"' hi \ . ( / j#~ ,~--{-'" / /) ...-......v".:/j~& '~(:.r:.}"'-'~~ C'6""bf.-.- .'/.f ....?t"~ ~(fI _{.~.'r_'{;';;:J/. ",-~.JJ./'-<^C. .. / / + /,' .. '0, ,/ .;, _ ,.:/ / 'dl ('...t:,. .-""lyA?..'...i-C;::......,y... '-1 O/-<..~ r""'-' ~ '-/ ,,:,I:~~.........~' -:a:J uk...( . f '/" . oJ . ;;~-r /' t . ~. " .' d !. $ . '/ - ti r-- 'to ct'y""-Z'vP-tA-. Itr)~ ~/.~1 /'"0" ~<? /V,--<'.?--l.. ~ -, By: ~!;('..x-,pC;;.-~ Dat'~: 7-/ 7'~ B~:0 JU'{V-:1L..>r_!,.J~ Date: 7--( 1-7~ . .,'-~~ PLANNING REQUIREMEN.TS SATISFIED. By: Rn""T Rnlli.. Date.: (,/1,>17P. Date f',sued: 7/// 17J?' ; 'ZONE: RA _ SETBACKS: FRONT 60' SIDE FACING STREET (FROM Ctl>) INT. SIDE YARD 26'REAR 26'(FR0'M'P/LI' - :. 'LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 .,,$ .~ '.,' ~~ " ~.' '<.. '., . " .;: ~ '. C55-13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMI.T - WHITE; BUI~D1NG - GREEN; PLUMBING - CANARY;;;~NIi-ATION - GOLDENROD; OFFICE COPY - WHITE \ PHONE: ~4394 ~:~:~~!~~;1::j'~;:\;,,:~, ::":,,', {"~,.;:; \l1'~~J\,~':'r-'f~ :;;,:,.,'.~ ;"\ ..:, ~)'~f!X~~~~~, ,:,.:: '.'.: I{ ~~;;. ":".',' . " '/ 'j "'\"" " ~ ---.~- -.. .~. :), ~~: r:'~'9;.~',~:' . " ," '~~:" . . ',,' ..:. ", lO, ~- " .:,:':. ------ . . .--....-----.. . , --.....~.~-- .., '. ... ,_ ,I !~.' ':~:':~.):' ,-:' " :-,; . ' / ".--, .>.:'(. /, / . I'-";; ,~,.'~;f : / ',.,' / I ' ".-~ ( -- "'y ;;":\(;:';';':'1':': , .- ,', .........---,..-...., ...,...,....,.;.~z'- -...... '. ". / " , . ''''-t. , , '~J~', "~~~' '. 'U1\ . ~ 1\ V , \ .. , " , ,'.' , " , , '-;', '.. .... ,. , . ~..: 1.. '~::.~j~.:.\ .... ~ '" ...% '\) ,...- ,,-r ...,. 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',,~ ~v ) ", \ TO: LANE COUNTY PLANNING I .j ~ CONSTRUCTION PERfllrS.& INSPECTION. OTHER I. I FROI1: " SURVEYORS OFFICE - FLOOD PLAIN ~~NAGEMENT ",.. MAP l7-3 -Z2 - 4./ T,L. DEPARHI,ENT OF PUBLIC LANDS PHONE: 687-4195 SUBJECT: PARTITION NUMBER SUBDIVISION BUILDING PERf,1!T Nm,lBER 1 Bs~ -78 OTHER ' RECOMl4ENOATION: THE ABOVE SUBJECT IS IN A SPECIAL PERf1IT AREA. ....,.--- . ..--".--- I()~ THE ABOVE SUBJECT IS INCLUDED Irl THEH.U.D. U;';~lU~.rnER.ED "A" ZONES. REMARKS M\U. >"LOO17. F-LI"o.'-Ib..T\DN We;\' l'Z.""--Ol_lIt7":'n. S\,t:=-_ , \ "=.> I-l 0 T \ Io.J. 1-\ /:>.. Z. b.J2..D ~Q'2-A., OATE ~ 1-z.-z,/7& , BY ~ . < '" J' '. .' , , ~ , " , , ". , ~ 'I :\ , j! .' ; , " (vrBuilding Permit . ,1./:::2- .fIt.rce L.. :/I' !bO Job Locationd.+J IJ:N>" 1:;. - tJ-fr WAc;' ~/;l, Sd,,~~:" /~ - Lk..urbM .#r, /d4tt __ ~cKk LA_D- /' INFOFfMATION SHEET ) Site Feasibility Study for Septic Tank. Number of siteoffhW Lt:II,e. .UUIA. *t / '-1' ~t.J . ;1 , "OfRS, TL.J1 3 .2 z. II Written Directions A;{;-..,.,,t ~ Acreage or Lot Size 4 ~,,--- Test holes will be ready ~~ >!:- Partitioning # . ;'//4 () Completed Subdivision ~ . (~!'-~~ot 2..0 Blocl< / / . ( ) Pendln~ . APPLICANT'S NAME AND ADDRESS ----PEYH-A-v,.J, :r:5'P.Ut\S 1<'t.dC;A~; //V7 BM..J4/1. E._ 'l:1.t/dJ OWNER'S NAME AND ADDRESS, If different from applicant'< ~~" ~ CONTRACTOR'S NAME AND ADDRESC; ~/C0' l/C.... Maiiyermit or results of site feasibility study to (""'-Applicant ( .) Ow~er ( ) Contractor. ( vr Prefer to pick up. Call /;,R9- '3 "'~ (owner, etc.) when ready. STRUCTURES NOW ON niE ~}iI~TY- -/~ .~- ~~4P;;' . :;.,-_.... vOL;::lll"'" ~, -.,.,/ I~'rt.-/'-~ . S7f} -~~, PROPOSED USE (this permit) S/;'?it2.. d'eu;";.~"~ r~rll/,:.Me.S.. ~.I- UAffi.;t;;.(. I H RPrJroans.3 ." WA TER SUPPLY C/;<f WAr~q~ --.. ~~~"~~~./ (existing or proposed well, etc. If public, n?e'OfSySfem~'.'" SEWAGE DISPOSAL .C:;;P.,..-.h'e. ~K.. -- ~k, ~~b"'d&l,,"L (existing'or proposed septic tank, etc.) S.I, ;t77-/3.::L)1 PLUMBING BY "I/Li2rr -f?Ct.t.M JJI/It..1:"-i;:'" . 0< ! Address .?i'? ~ OPERTY IS WITHIN ONE MILE OF CITY ( '~IR~e,,-~a,f') , .. *********************** ******** **** OFFICE USE ONLY BELOW rHIS LIN E *..* **** ~** .**.* *** ***** ** **** ** *'-11- **** *.* **... *..... Phone Phone Phonp 1.f"1.-~3~ tJr 4:.99- ~i" I ~ctors O. s. # ,.., . G .. JI.ti' p New P'Jdr~ Necessary ( ON!' /,:,_H SETBACS: acility Permi,Necessary ( ,) Special Permit Area. Minimum Elevation: Front\.r:C ') Side Facing Street j'!f.,r Interior Side Yard $...?~;;:r ~=<G./ (FROM CENTERLINE' OF ROAD) / i (FROM PROPERTY LINES) . Planni ng/Bui Iding Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with. Your assistance will be appreciated. nlltllr (I':!.'.--- -~____ ~ ..<~;_. c . -- _~;__~ r.:;:z,'W.1l' .lWlg/J\ --,-,--l.... To: By. Permit Processing Section "'''2;, ~ C55.,2///// //r:3'3 By. DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687 -4394 Division , , '0 , LANE COU~ 'DEPARTMENT OF ENVI RONM~Nl MAN'AGEME,NT' , . 125EAST.8TH'AVENUE', EUGENE, OREGO[\j97401 c, . . . , . ...... . . , .. /ldI-- '~. PEE AVERAGE PROCESSING .TIME '. PLANNING DIVISION Part! Honing '. Parcel No. Current Zoning O~en~i,l']g' Ocompleted Partltionlno Reauired OtheJ: I ", 'C=J WATEk POLLUTION CONTROL .'.1 . , 0'( Sitell New Slte'iriBpectlon(8~ 'sos Construction 0 New EJ Repa{r~ - humber of Bedrooms. Commercial/Industrial -: '.of.Employees Othe"r , .~.. ' o I i i !. I " J I I' I I I' I, CONSTRUCTION PERMITS AHD INSPECTION (Seo above for . of bedrooms;' of employees) o :o!.obile Home" '). 0.- Permanent o Tempor4ry~ . "0 .' ,0 _ Renewal .,",1 " :. Structure. /J ;:,~. Ft. .: 'Valua~ion; tI/:-,_-.7' ~~A...P ,$~4",..-5/d-t:J I . _ $ $ .$ " I.. ,. rotaI v,lui\tlon '$:' ---:- Plumbing .fixtures at .$ Sewer/Water C?nn. ~t ~ $ Ea'ch $ ;. . each $ 5l.ib~otAl 4' State Surcharge plans Check Fee Change of - Occupancy, .$ .$ $- $ TOTl\~ ,BUILDING PERMIT FEE, $<-5'; .:1.0 I().O 1.,' Minimum structural setbacks: From centerlina of '9t~~et: F~on~ Exterior Side~_,; Fr~m interior ,1o~ i~nesi D'Comin'l prans si:ee,t t"o, Side______, Rear. apPl,~:~~n...t' 0 C,-!rb cut to applican~ ~inimum,Elevation .' ., o o o Address 'p"~ 'M~.n'im~, iiev.ltion. , - . Facility ,Permi.t' PUBLIC LANDS' [] PUBLt.C. WORKS .,0 , ... ENVIRON~NTAL HEALTH Chock t7L!/":1' .$ ~y J:./~ , Ree'do TOTAl. $\</~;"'j Ca.llh . AFFIDAVIT: If this permit 'is 'for an. agricultural building, I hereby dee,lare that- this ;building'.' .' will be-..used for agrieulttu::al purposes -as a110wed by 2:on.1.ng. and/or the State Bulld.1.ng Code,' and . for no oth,er purpose._ I further certify tha't the statements' and other lnforma~lon 'submitt'ed 'on .... this applicaq~e true' a.nd aeeur,~,te ,'and that, I have the following' legal' interest .'i,n. the . property: ~er of record; "contract purchaser; _ 'lessee; ,holde_r of an exclusive option to purc~ase;- _dulyauthorizeato a'ct,'for a person w~has the.IOIlowing legal~'inte~est.: ; 'or' that the own of rec'ord is kr10wledgeable .ot this :;~~~;;~:c~y~::;.::;::' ,""... '""'~'~~JZ::ZZ" THIS IS .YOUR RECEIPT', AND DOES NOT GIVE YOUPERM:L:u~':D. . . FOR,XNFORMATION ABOUT THE PROGRESS O~ YOUR APPLICArlqN, ~ALL PERMIT CONTR~L, 6a7~43S7 (687-HELP) " " Addr~S.9. ,^ ,. " ., ... ~ Iii ~ O(l c. ,.. ~. ~ " ... 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'\.: . /Y5b-78, .: ~ ~ g~ ~ < ~ ~i lJ' \~ , ,~ t-~ l> ;; :L'j :1-\ (1JO ~ \JJ ,~ $> ~ ~, Ii ~ " ~ ~ ~.~ ~ " ::J ~~ ~ ,,"~ , ~, ~ ~,~ V) o ~ ~ ~~ I~ 1'>' ~ , tt ,~l ~ ~ h~ 'f' ~ ~ .~~ ~ ,~ ~I " ~ ~ ~ ~ ' ~, ~.~ ~~ .~ kJne COJnt0 ~ ': '3zf7 Plutlt: Print Rl'll'm Appl1\ai:-i0' bfl"p: 1001/" ',.,'11';1 CCllfIl'}l:'tl.d -",1,:: ,,' "l . ^l;r~Y;,~-~~:'il i ~ D<l i j. Office Use Only APPL.ICATION Al'PLICANT ;;?:.r/>h?n;ec/::r:!;eI~Jt r;k Dr, JC{<'/ ADDRESS ~Jb()/l. t :' , O~~R (IF DIFFERENT) '.PHONEJ{fVJ~~_N-6tJ~3~1 PU~R ZIP' <77ckJ; PHONE' Clty_ ADDRESS aJNTRACTOR Citv ZIP ~ I) c.>e- ~~~p ,,'" PHONE ADDRESS _____CONTRACTOH'S ORE: STATE. LICENSE o HAIL COI1l'LETE[) PERMIT TO APPLICANT/O\.lNER/CONTRACTOR (CIRCLE-O~f:)rYrPREFERto PICK UP. CAl.L 1. PRESt:l~T USE OF PROPERTY (residential; type of fIlrming; cnllllller'ciBl ~lndU/Jtr1al; vacanti etc.) ~ .<1 deA>f_-J.-,-~,c__ . I GliP-- 3>]6T- 2, DESCRIIlE STRUCTURES NOW ON TIlE PKOP:R~,{. N~TE ANY ST~tlc:rURES ,TO 8E;9EMOLlSIlEi)~ / ~ ., //1/ j'VCJLe5:S ';U(LclL~1-_- 5"("19';'" !-<VWf L"{ aI>ueLC.I"lO IMMEDIATE PLANS fOR THIS PROl>ERT'i (THIS APPLICATION) ARE: 1::.[(,~t-o.l..L' t Vo~ c,-fcJ U ~ -r (V fh--#"?/267 J, 4, , FUTURE PLANS: . :'::1;::1 .. " I , .le., '{. ':~'T~---" !::' II.j ,.,., "I. .il: ''':':i :".:1::-: _~_ljJl.;.~ " , I 'I -'--~-j ~ " :.:t! j: ::.1 . '.' . , '.~.I.':"":"~.. !." i I I,' I.. ,I " I.). "'1 ,1"1"" ii.... ::!I . . _.......,.1-_. ..~. I 6. TOTAL \.01' SIZE' OR ACREAGE _t.5 ACIr€..-.~. Stn: INSPECTION TF:ST HOLES' READY (DATE) ~,,-' /977 )'P/:u i:. -/.4:::&~____ " 9.I'IWI'OSEJJ\JXrERSllfTI.Y WEU' SI'RING STRrAH LAKE .PUilLTcg,,,,JOtJ\ /Jde..-,~f:::t.' 10. El.ECTRfCITY FlJRNISI1ED By.~':.:-l:!-..g, 11. NATURAL CAS I'lY . nRE DISTRICT- ...5.J7;I~~,-d 13. . SCHOOL DIS~'RICT .i::;;;;pl't.-r /L'o_l. d _ 14. PLU>l'I~G BY ,.4 i! v Jf>.t1- #~ "" ,If; 3. Hf.nIOD OF SEI,TAGE1)lSPOSA1_ lZ, **1r*****"'*"'*"'1r**."'."''''''''''*",*.",*",.._ 'DO NOT \.JRtTE BELOW THIS LINE *........"'.........."......"''''..... BEFORE YOUR APPLl CAT [ON CA.~ BE PROCESS Ell . YOU MUST FURN ISH: 8~xIl PLOTPLA.~S _______LEGAL DESCRIPTION (~IMENSIONEO) /'l ~ I\'/~.d '" /> .rJ3 g~.~_J~~~' Dm ~Q.J'.//_;I7d<.:zfYZP LANE COUNTY DEPARTMENT OF ENVIRONMENfAL MANAGEMENT 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 '- Sv IJ I 1- " ,.. o " " '- ,. {"' ,'\,. . , ,,'. TRS, TI i , /'t ..;. _- c':. -~,~ .;...~ 17-03-22-4.1 lao JOB LOCATION Kn~hlrv-n t".nnTf" _ rr.l;t; ti1"';,n"A::l inrn"'!; ( LANE COUNTY PERMIT Acreage or Lot Si70 Contractor's O.S. #. .42 ( Partitioning # ) Completed Subdivision lell: add. D=n.'l 11:1.1311:" Lot 20 Block 1 APPLICANT'S NAME AND ADDHFC:C: OWNER'S NAME AND ADDRES<=: CONTRACTOR'S NAME AND ADDRES<=: Mail permit to ( ) Applicant ( ) Owner , . ~ . STR!JCTURES NOW ON THE PROPERTY THIS PERMIT IS'FOR S:1Dclc-d;;'OJ.J.iull res::l.dan."., nntl inrtll:..n g"'''l'i" # BEDROOM<=: ~ # PLUMBING CONNECTIONs...l1. lall: fl. 1490 sq. ili.; tlnd ifl. 209 sq. ft. ; SBlrage 420 sq. ft. WATER SUPPLY_ Ra:l!:lb<m lhwr Disl: SEWAGEDISPOSf\' :::....lrlI,. "",,1<0 - ,.....__....,1 S.I.# 77.1':\';>1 Dem=d J. S'DlDn."llt=Gtrl 1147 l:lalhoa_ Il=ne 91401 oas::a ) Contractor. (X ) Prefer to pick up, Call 6R9-'YItll Phonec ~R7-P,~32/ Phone';, 6Rc}_'1'l~1 Phone .: (owner, etc.) when ready. ' , , THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF g"rl" on ..Id . PLUMBING BY Al.a.......- Plffi\t~4-n"" ;, I hereby. certify that the above statements are true and accurate, a'nd that I have the following legal interest in the property: _owner of record; contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of ~ " record, and that said owner is aware and approves of this action, I hereby agree to comply with all appli~able Codesrelatin.g to this permit. , . v ' I .. . ... ., - . f /-/ f Fee Paid $ 333.18 (52.594) Signature" , .' "',<., . "'rP (Dato '.-'," !' (X) NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DEP~~- ( ') SPEC'IAL PMT. AREA. MIN. ELEVATION: IYIj- Mihimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING t/OlD,'!'-, ........_. ____. ..f " lL.'J-~"" oS, ~.- '.~ - "..-;I!"'!--"."- 1I-'F'fJ , Pi}, 1_ Type of Construction" ,.:/~, . (;roup""- :<::..,,; '~F.jre Zon~.K~l'ii ...... . ,,~~~: ') ( fse Classi'ficat{~rr' .... . ~/ ~-- Comments: SANITATION , Comments: ./ -~.-' '~ ,. !'-; '1 .f '1<. !' .... By: ~ Date: ... ""PLANNING REQUIREMENTS SATISFIED. By: R..",,.,.. PolH.. ZONE: !lA SETBACKS, FRONT 61)' SIDE FACING STREET BSh"~ t! ~ <',<1.-1/ 'C-' ... Date: 7_" II. ""'!/ri Date: t;1I~"P. Date Issued: 7/'/T/7fr (FROM C/U INT. SIDE YARD 26'REAR 26' (FR0'M"p/L). '.'..... LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 C55-'3 q POST THIS PERMIT ON MAIN BUILDING AT SITE BUJG. PERMIT - WHITE} BUILDING - GREEN; PLUMBING - CANARY: SANIT'ATION - GOLDENROD; OFFICE COPY - WHITE ,~. i~J., -. .; ','~"L:....~.... ,>--:/ , > ~;'.~':r' '-X SLAB FLOOR -" PLUMB I NG GROUN[).oIORK' , - ,', ApPROVED II DISAPP~OVED Q " .OA-l E .l!':- IN_SPECTOR REMARKS ...0<" ~,.. ::. . , I GAS PIPING GROUNDWORK ApPROVEO /E! O'SAPPROVEO Cl OATE1-S-71'., INSPECTOR a4!if. REMARKS 5C1-J ,~ e.. ,~. ~ '7-7_'7 ii'--I 0 f.R I I I ROUGH PLUMBING ApPROVED Cl DISAPPROVED /' / DATE I INSPECTOR REMARKS " ROUGH GAS PIPING ApPROVED Cl DISAPPROVED C7 DATE INSPECTOR I REMARKS I I I I FINAL PLUMBING ApPROVED LEJ OISAPPROVED / / DATE //-9-7f INSPECTOR ?f)/- I REMARKS FINAL GAS PIPING ApPROVED Cl DISAPPROVED / I DATE I I I INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / ISSUE '- I I NOT READY TO< / / DA T.E I NSPECT'OR REMARKS ~~ " ~', ~ ~" - TRS, TL 17-03-22.4.1 100 Plot Plan ..,- , /<q}4 tuv) , ~I (ie' , cr -----... , '\---, C<;<lr. ~'oI x..~, , " " w -~>- J l";:\ '", l " ~, ~ ..\... I ,~ b-- <;J) ~ \w ~~I -! ~ ' 'r~~ '~~ ~), V> >' C co , y .~ ~' ,;s; ..:t.;. ;" .. 11)...( J i'H] r J~YJ I!J,-, "'4t' V> V> Q), ~ -0 '" '''0 U) <( " " Cl 0 C ~ Z '" 0 :;;; -' --. "- Q) Cf) E '" z ,-, '" o 10 ~ O' . <(( 0: co '" z r-- 0: "" Ci .., a: Q) <( ,V> ~ C <0 U - o '-1:. ' ~ - - , ,~ .., z .., '" ::> w ~~ N . 0: o ci::l r- I '" lC' ' 0Cl - . '. '.' - ..... .I.; '-." Job Location (Street,' mile postl 25 KATHLEEN COURT 1ST: ADD. BUE~A,VlsTA Subdivision ~ Lot 20 ... Block' ',. FOR SA,NITARIAN'SUSE ONLY: Jt'y te COMMENTS: ", ' " o System Disappr?ved o Needs,Correcti,Jn, ---,,-. " .' " ~ . . Da~e:;.t~ _ Signature: W~' FOR INSTALLER'S USE: :Trench Depth' .~7" Filler De~thHelow TUI t%,' Tank Capacity,~DOO ',Manufactur~r e(/':;~_h 't" ,5c.~A Measured distance to well from tank_E_"I~, 'from drainfielrl "'-:&~' .-. ~ --- '/\;,~9.l""'" ~....Y rfr~rF'I'Dil Kj\,--" .-<>\ 'I: ~(ljtj ~tD Y"""j ~ OCT 0 3 1978 c> -11 - Water Pollution - . ~.-:"--~ \ J Con:IQ.' . ',.In I 4-::~- , ~Lan€ ~C"nt~' :0V : ,cr ~ /' '~,._...~. f\) ~ r . .......~ ,",' . ./ ..,~ '~ , '" , ' --" . -------:- f \ .,--.-.- --. -:-~ -- . -e. rl"'v'J , , l' o~' '. " (JP.iY\, \ (;, / ,-," &1:1 l~oo!f , , {cty'lK. ; , , ' .'," . .' .. ~,.' , ,,;/" ,- '/.:" ! ../ ;,"// -, , "\ ' , --".------:<-- ;....-...----------- " Scale: , - INSTALLATioN RECORD AND CERTIFICATE OF SATISFACTOR'v COMPLETIOI\ ' When signed by the County Sanitarian, this,certificateis ~vidence'as pe'r ORS 454.665 of sat: isfactory completion of a subsurface sewage disposal system at the above location, Return this form to: Permit Processing Section, Department of Environmental Management, Public Service Building, 125 East 8th Avenue, Eugene 97401 ~~_.~ C55-11 ,', " '\ -.. -;....'.".". I, ,"" 'rn -": 1." , ,< I,J..4 i". ~ BUILDING PERMIT /P5-~~.7.:? '~ ,. /1~7 .4/./dd.J,~tt~L '1'71(&/ \, 'phon_e' 6R 1-?S"3.;J... SUPPLEMENT N09 nn~?A OWNER &~..../ ~~~ ~ address CONTRACTOR ~ ~, address phone PROPERTY ADDRESS.!:/.C;--- ~~./ /1~, ~ - , J ' IY t' (Building Valuation) Revised( ) Prior ( ) '[]addition []amt, due []eorreetion []refund M-thHI ~-' ~.d/AA'~-0;~;~~ -P!-J!31? S .;J.~'7 ~ I <, ' I~O 'Il!S#t1?J TOTAL .;;:/ amt.paid amt. due ..::;~ 0 c<.' 'JCE10. . / ~ ,viJtt If! , hi, ~ ~'7 Slgnature of Appllean.t~~_ -~L4#~,.hh";Date/i:J-:;;.-7/ :."'~ ~;). ~ k Fee, Received By j)./ ~'t.J /D'af'ejIJ-;Z-IX' [leash []eheek - : \i\j~~' ~ LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Bldg. Waste Plumb. Plan R. 13%sur. ..Ii, trCJ c " C74-119 .. '_.~ ,,~;. '.." J.d"'>":;'~'_:':'_':: -,,:' . . ,,' , ...";,:\ ..,' ..:,~::~\-_~, _.'_,~_,,;,<:-~_,A.", \,..._.j~:.._.~.. '<.".'.~', . ,~.. .. ~'.: ..:;'. '_", _ "i'~_ .. '..,. ," .. '7 / ~//~ ".' t'~"(: - / ,~~: ~. ~. j(,,-!fL e!Y -, ',., , CORRECTION NOTICE LANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT Construction Permits & Inspections Division EUGENE, OREGON This building or structure does not conform to Lane County building regulations, ordinances or codes as noted below: . -1 1..,L- #', -r . OJ:::. s;-l/5"~Jf'-1 r~~-bO'Ot";;-to tet?(S~/ _j~-'-''''_ 7- ,...", cI<. I./"I'-'}':'" (- .' j/ F' ~ j1,-1 ~( Hn7inf.A tY1 57';;; AJ tOIL ~ nop.'d:.1!-evdv.!! aYf"...J:!(f) IT- kr,ffSu",c; ,'I.'~ r. - ofZ..t/~e6. :4.,.rl. Cl/Z.nL 4;k-JU/ WAJ:.fl,'HLPrlZ?; &...ckLtJ,;;, .' .' 6 JL. !":~;; ,..}".&: p _JI,'/iZ;...,#J dJ.: .1IA.1<:hLI J..rllr- z- ",uLIL-'t<-uif- ~ LA lJI,vc.. ,~J',tle7.A.,{J2Z:.f/'ou lU~ . -',.'" I.': ',-,-t::/ :~,y '/.1 ) (1)1( {t;.il/,1/;~A ct'J(/q-.t.!/,)H~,Q hM..~C;"'.r"n.r C..,j>~{ C...e.,fl o-ton. 7;,..:to~;',..~:.<('n.,.,'<z<t.. " lA' ?/ __ I I J' ' './....IIA:b't)zrll /t/",//A7i'-:;:V rl ~~.J' -~J.. . L tJ +- J .J,.__,,__=,-+ _ . t}~~~lYr- ;-' ., .' -. V tV /7~/'J;:#J 61. ~_ I ,/ C55-7.3 RE-INSPECTION REQUIRED Inspector_JfA'X . ~jl"~.I0A r- Dat" JI-/~-18 \ FOR APPROVAL . ,. . '---- Building Permit # ---- ...... '. .:......-. ~,~.;..~:...:,......~~~~.,l: ;-. :..; _,:j~..'.:' ~- _~.<__'.~..~..j.~:,.1:..":;.!.'_~":.,1 - "...~_..' . '. ._~- ,'. ..- . . -','-'-'" ,., ......-,. ,. ~. - \. '). ~.. '. '"';;' ".,,' ....,' , . ,', ~:' " ," .~, ;. i " . ~~ ,~. ~ . .- ''; -, ~:_. f . '/ , ',' 01;' :!:,: '" -, << ., .... :P" ~. '!. " ~'. : .'- ... CORRECTION . , . . '. '. N OY.,l,C E ,- .. ,'" .... : ,,:''': ;..'-' .~ LANE COUNTY DEPT. OF'ENVIRONMENTAL MANAGEMENT", Construction Permits &' Inspections Division ~~ EUGENE, OREGON '"\-..., ~"."'"i. 14",.f This building or structure does not conform to "Lane County building regulations, ordinances or codes as noted below: . .. . " .. . :' :-,,";' " .h..~L .//!'_ - ~L_f. t:?~ /) ,........-- . ~ ..A.-J!'.-f' L~ 11// C55-7.3 RE.INSPECTION REQUIRED FOR APPROVAL Inspe~:~:(b )~-----?-Dat. //-7-7-.! ~ ~ . ~~ Building Permit # ~ .~f~ ft-.. ) A'~ . :.. '",-.:, '" ~ ~ ',' " '?~,- \ , . 'If' ~'. ~ ~" ,-:,' '~:';'.-1.' ,,' f' :~'-'-_'1"fl;' "'~~~:Yt-:';"".' j~:'9"'r;:: ,>i,e "r: ~''''''.i",!-::,~",:~ri'~'I'''':>TI'~,<,t!y,;\;,:.,..~~~,::::;,,~-~~; ,l .,.p' -....., , ~ -, -,-,_.,' ,.', SUPPLEMENT [NPo. nn~?R OWNER &t?Z-d/>L dd#n44rA~ - (/ address CONTRACTOR ,,~- BUILDING PERMIT;lX7~~--~~ //f,t 7 .4/~1Jl'1 ,ftu./k't!.. 'T7Y.'?/ - phol).e' 6P 7-$'5'"3:1... M #?J-/ L/:?:;;u~ ~~/A'l..-r 1-(:J.r/.t?.PAA.~ I .JZ!.- Sf) 5.:2-S"" '7 1...-;, - ,fJ.O $4IrL'J TOTAL?/ amt. pa i d amt. due ~:J.. 0 /-----'- d ,.._/7 ~' [).... ~ :I;c. Ef 0 , , . /, _,;tl. J//./ / ,;.. 1t 3J..V~.'7 Slgnature of Appllca.n.t.,/~", ;r;.:,~;:;;r;r-=? ':""'f.I.."oDate/d-.;I>>-7f" \ ~? A'-r Jr-r, Fee Received By in /.UJ-yU D{teJI7-2-Jf []cash []check :+~JW/V-- (\ LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT '.) address PROPERTY ADDRESsJ/lC;- c:kdx:ltP.ff/U./ /~, ~~ , '/ ' 't/ (Building Valuation) Revised( ) Prior ( []addition []correction Bldg. Waste Plumb. Plan R. . t3%sur, C74-119 . ' .L_~~~:'l~l!'~;;;,.....<,~~~..,_;.:..._ J. ,:. ., ..:,I;~,,;L';"i ...<:-L ' -_-i,;;:,.:.".!',,!...~..,~1 .~",".:::;, ~;,!-'. > ~ ,~,,,.."'l1l_:,~Jib""':'kI.C.: '..'_.06 , , .. phone []amt. due []refund -', ..5," t/tJ .; .- .', "n",' ~ , t' . '. _ ;', 'p" ." ,. ,._,,' ~~ '~'~.~..'V' ........ ,', . ~ i"~ .-" '~'O"-' "'i:Y," ;'t:~'r({: , .;-~, '. . 'I : ~ \ . .o.<,~l;':.f'lo._ H' .. ~.!<.... ~ 1 This building or structure does not conform to Lane County building regulations, ordinances or codes ~ as noted below: ~ ____iL, /rrrl/~~~,~ &eAh,/lj/ h.n~.J d... ~ A . . .I) .' '. / - ~ ~.....,v/d-~/~ A.".;T.'{I~~*,J /..:J./9,C'-.. . I . . ,.: /- 71:=- 0'_., r/ j. T' . 'J.,'. '-?'t"'~/~,'.,.; h ",~.1-A /.' h-<L IAJ IAA...A'>A-"--"'T A ~~ ---I-~ , N 2J ) ;/ (/ /!.RJ .(1~a- ~ Z:?'-.~ /:~ ~c/ /,..,/f /;~_ /;2// \ '-(n;'- -/~~~.' 11'/ ",:;;'~,) 17'oL' rA-{'~. )1~_,-,-,.,f ~~-A'~~l CSS-7.3 /RE-INSPECTIO~ REQUIRED Inspector(')f I__J4A~_...?-- Da'O ~_:1-' - 1,7 ~ FOR APPROVAL 17-: --- ) / , /l L ' . ~ Bu,ld,ng rermit #, X1../J~ /.k1r7/~ _~ ' ~ " .'~ .:,<,",,:,~./((,i ,ij~-~Jh~I ~-.~;:;? ~""~'*:" CORRECTION NOTICE " I , LANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT Construction Permits & Inspections Division EUGENE, OREGON ..1 -, .' 0..' if"! ;~:,A; .'. ".:F1 . . ,.~ " :-. fl' ....:r. C,/p ~~"~"~'~>>-I,"' ._.~'Mi1. ..... \~ L-= ADDITIONAL INFCRI&A TION !tEQUIR~ Subl!\i t the following 1tem3 to the Build!n,; Official at least 2:.. weeks prior to installation. Return this form with two r.ople5 of all required intormatior /tJA/..luPAt-TU~€fL> NIlft1€, ~E'- NO'J .f /N:'r4LL*T10~ INS7/CcH.Tl()A/S t:OfZ... Wot:ul::> ST6v~ ;AALP .P6TAJL ~I?.. 'Ct:JYvlt3<.JS77eN. .AIIZ JA/Lt3::r,. \. Slgn~d I ~ Dllild1ng PArmit No. , /fr.~b-~ , Applicant VLlJ,U-5Kt31;/fl<l J 00 Loc a ti on I:<.A-rJ./LIS3?/J c.-r. Uulldlng Ins,('ctor -JL "- .\~.. .~:-:..'.~ '\ ... ':,~. .. , '. . . .:.. ~ . :.1J:" t ~l, to f , , ft," . . .J: ,', ". ' ... , -- - " TRS, TI ( tfItr 17-.U3-~2-!...,,:" 'i.G:'" .:is-, .. ^" ~_ U H- JOB LOCATION. u.'..:.,_sc.:. v:)n;:(; - 0>:1: c.n"o:;,\,e =0,., .+ ~-,,"- LANE COUNTY PERMIT \, '. Acreage or Lot SilO Contractor's O.S. # .[,2 Partitioning # ,{ } Completed Subdivision lot add. J:l::::;:ro VinCo Lot 20 Blocy 1, , . APPLICANT'S NAME AND ADDREC:C: J::~I:::'-4::; J. ~l=!iGCjQki 1167 Dalbon. n~~ 9741l'1 OWNER'S NAME AND ADDRFC:C: . CONTRACTOR'S NAME AND ADDRESC: 0:::-_::- ' Mail permit'to ( ) Applicant ( ) Owner ) Contractor. (Z ) Pr,efer to pick up. Call 60S-3S01 Phono Phon~ Phon~ '_ (owner, etc.) when ready'. 1387-0532/ 58!Hl;;;Ol .... "'Ij \'~ ,','"" "'- .' STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FOR Siagllo-Citolliog !:'~i<'lOZ\cG !:!.!Id ;J.'1utall-llcptic # BEDROOMS~# PLUMBING CONNECTIONS 13 1st f1.. 149081'\.>:17.; end xli-. 2C9 oq.f'!:.; gnrOJO 420 oq.lfl:. ' WATER SUpp't/ Rniob= Hato!: Dine 'SEWAGE DISPOSAl &'"r:ic. tmk - 2.nmm'l7cl S.1. #, 77-B3l ;> THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF SDld.nl'.f:icl.d -,' . PLUMBING BY A1..,,~ Pl",.."1"", ~ i" I hereby certify that the above statements are true and accurate, and that I have the following legal interest'in the property: _owner of record; contract purchaser; _ potential buyer; _ realtor or agent, I further certify that (if not the owner) I'am authorized to act for the owner of , ' .~ record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable,Codesrelating to this permit. - .,.., t _ '. _.' ./ /" . ' ._, ( ..,~? ,\;"\I_) S' '( ~" f- -; I ~'/' "-' 1'.,. _/:.;-.Il~ '. I ," I I I" ...::1:- ..._..."J' Ignaturp i' _-...,' ,'....T. '-".,:, ~. ~., .'r,. ''''-1 Oat'" . ....-"- ~~ _ (' ) FACILITY PERMIT TO TRANSPORTATION DEP-r.- ( 'i SP~Cl'AL PMT. AREA. MIN. E~EVATION iYk . _' "1:- ~- -......... . Q _I;>' I BUll DING ~~i~- 1'""""'-";"-";; :;':;/'~..,,,j.-.t t.1.i\;i'~~~':-~ z.\n,ll.I.i:.l .<1Jf....J Type ;f-~on'str~~t;~n i~ Group -:? Fire Zone ~j) Use Class,flcatlon' -, Comments: Fee Paid s: 33::l.78 I (;~) NEW ADDRESS SANITATION " Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth .;} Comments: , " ~ , J ~/ , By: ~ Date: PLANNING REQUIREMENTS SATISFIED. By: f'nrc,-.r ['"Uin ZONE: ;]A SETBACKS: FRONT W' SIDE F.ACING S:rREET r--) . B~: i<'t . ~l ~.-IL)/_LH~ Date: 7-- ( t - ~7(iJ Date: M!r;I7f', Date Issued: 7/jl'; /'J]f (FROM C/l,) INT. SIDE YARD 2()"REAR 26' 1FR0M'piu' '1 . ,~ LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE PHONE: 687-4394 C55-13 BLDG. PE.RMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION ~ GOLDENROD; OFFICE COPY ~ WHITE " . .. .i~, ,. -. , . .:11 - " '-, ,. t:.:,.. , SITE INSPECTION~ ApPROVED ~ DISAPP~OVED ~ OATE -J'::,/3 - ~ NSPECTOR Q-t~ ;/ - ,. - FRAMING INSPECT)9W . ApPROVED d DISAPPROVED 17 DA+E 7-/3-'19. INSPECTOR VA ~ ~ SC: : ' ~ .1~ '-- , f#.MARKS--1:1A-fhf:.'(lJAAJ. ~_/~b_dJL.... "JC--,.__ ./.--'"'1 J' ('~..LJ RAf/J""'/./I..t"~...... ".....,1' ',':_ 'f", ,~ tfl.:. ...........~_ ~-T'4.' ~./.7!!:~ ""'''-. /1 q "- . _. 'T-/I_'7=? .LV~k.A' r ./_ k."....I/ ~........,- h"""~ /~_ - ""~-f:' .-;- -~ -- 4! 7"t;. '0 "/'-"Z7','~~:-~~ -j ~~;I'". ~ .-/~.... h -7 /~::':;L ~ ~R~N~ON~I~? ~ . 7~-'-~ Ap.PROVEO ~'SAPPROVEO c:J D~TE q:. 2-7- ?tINSPECTOR~ ~ ",Q;' <,--..,.--7 _ _of --'- ~ :; .~.'.~ I' ""L7-7~ t REMARKS FOUNDATION INS~TION ApPROVED LL/ D'SAPPROVED L-/ REMARKS .J:J/I ~"'"" <:) _ .y~A , 7 ' . . DA1E 1:-,/3,.7KINSPECTDfJzvZ ,n~ -k, I' -- 7-/2-7 ~ F II,AL I NSPECT I ON ~ I '7 .-/ '-/ r.J Ii // APPROVED ~/ DISAPPROVED / / DA1;E /.(.--I,-,;r INSPECTOR ~.(rl:. _ I I) ~.4- flJj-7lOu~ . L, - / ~ : //-/J-"7;-'-/);(I5' v-:. ~ k-" ~ ~ //-/'7'-79 k.l.~.JI-- u .&I-rr'...'....'...~ /i--2.,Q._J? ~:.r-I";J. REMARK C./: C/: C.J: S"c.::- ) CERTIFICATE OF OCCUPANCY READY TO ISSUE 17 NOT READY TO ISSUE I / DATE INSPECTOR REMARK 5 ~ \ '" "" I ..... d:; 1 "!1:~~;~~'~~:':~r,. ;:'/" ..., ':. ::;:,.- Y. ,...."',.'.,...,,. ,.",..A'l . '. '..e' .'1'-;1";1'.1:' ...."i~...'l'.. ~~; t,. .,. ,~~-r:~.~;"\f::l';~~, . ','~' 'n, . " /.j....."....'..-. ~ __"~"J> . ;',...-.k::;n.,::.~~' ~ : . .---- ,. . . ./.' . . --------... 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