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Home My WebLink AboutPermit Building 1978-4-6 ~. ~'~~~3-02.3.i 'i'!. TRS, TI f~-o3-11.:t,;J.. - Yf./oo z.ol.'" t1c"lrt>or. Ddve... 13V~.:c13Ggl!.~l(l JOB LOCATION ..' ,-Xh:~ 4* /~ ~_u 0, ..;:~V ,{i/tI~ /pj;;~C;;--:;J' -".I./ J;Ii(J/~-/a @/< LANE COUNTY PERMIT " 60'u 115' Acreage or Lot Si7P Contractor's,O,S. # . IV If" ,. Partitioning # Nt'1- ) Completed Subdivision 5i::h fillD Filbert Lot .:lIJ '" .H Block Grow .:l APPLICANT'S NAMEAND ADDRF<:S I:landDlp~ A Mb. 575 Scal:h A Stroel:. S,r:lnl3lC:1.cld OWNER'S NAME AND ADDRESS LU!3l'leJ..!. ..;.o=r J.<:oJJ. ~rE!.A.a '.rroJ..LClt :::n.A.C:J ::> I:J ;jQt::W n. lu:reot: CONTRACTOR~S NAME AND ADDR""" Mail permit to iUi) Applicant ( ) Owner.'.( : ) Contractor. ( ) Prefer to pick up. Call . K - . STRUCTURES NOW'ON THE PROtE~TY tZobilc ho= (co bo rcz:>vod) /.J<w-tt/!rvtJJ~ . . I .-" ." THIS PERMIT IS FqR DolID1o moo tktbilc !:!(l1;::.) (~pla~"-,-,-,-,i::) Phona Phonp Phonp (owner, etc.) when ready. 1.- " J'" (\ (I. f" / / 71) 7-1)0:>0 I. . , . (") \... # BEDROOM".8' # PLUMBING CONNECTION,,--- , . WATER.SUP!'L Y . c'n1at::J.1:lU tJClll SEWAGE DISPOSAl om.otiIln ooptic S.1. # /Y'/,.t THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF SN' ":1 PLUMBING BY -g.Jn/..~f :../~-?-,,'~. t.- 17~""'-;Z-> ~ lj' 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 co<;;iply with all applicable Codes relating to this permit. Fee Paid <i: Sll.90 Signaturp:l( ~,.. ~.~ Q. a.9..~ - . Date :5 - .:. i -"1 ~~ U ( I SPECIAL PMT. AREA. MIN. ELEVATION: ..-!'::-\ BUILDING lANE COUNTY - J Type of Constru~tio~ Group. Fire Zone ~/E:" .. IlseIClaSSif.ication;;~.5e Eo {;Lf V.C'A "'0'0; .';."'",, . j',{IA _ ---I'~ f/ - ~t?...1>I <:.- .:>...... ".-- Comments: ....( cr-v-~ __ ) NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DEPT. SANITATION " y fVIH Minimum Septic Tank Capacity (Gallonsl Drainfield Required. Lineal Feet Maximum Depth. '-f Comments: Dw ....vT fl.,,-<. J'-7.H,...... '-t.... ..;f {)~~/ {'".f 01 .5.e_....~~ &i~I'.>~1 fuFI >;,s-tf:" , h ~. ~~ ~~ ;.~ . . ~~~~~ ,)By: ~,tl~ ~S~/11jDate: '71!:/lff Bye-it: I~:J h~ Date: 4- ~-12? . -'r1PLANNIN.G 13.EQU)F,lErylENTSSATISFIED. By:-61-~ {/ Date: 'f I./. - /if'" Date Issued:5-1-7i'5 ~ONE: K 17 -/fl/TSETBACKS: FRONT~C/. _SIDE '=.ACING STREET ~ (FROM C/L) INT. SIDE YAR[)~" REARS" (FROM P/LI it/,LANE CO--tUNTY,DEPART.MENT'OF~ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 ',\ /I rJ7" 'N './....c . "'/h: t.(,f i' 197.7>/. .I{..U, . '7"" ~,,---,.,n. -.... "~POST THIS PERMIT ON MAIN BUILDING AT SITE , .I' . C;5-13 .--v,-I.L-'" BLDG. P~_RMIT - WHITE; BUILDING -p.R. EEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE -.. ., '- ;' . /- ..A"'/ t:~:r- 7,f"/t//,'2J;! 0 f'- PHONE: 6874394 '. SITE I NSPECTI ON ApPROVED .C1 DISAPPROVED .C1 DATE REMARK 5 FOUNDATION INSPECTION ApPROVED / / DISAPPROVED L-/ DATE REMARKS FRAMING INSPECTION ApPROVED / / 01 SAPJ~ROVEO / / DATE REMARKS LATH OR SHEETROCK INSPECTION MPROVEO L-/ DISAPPROVEO ~ DATE REMARK 5 FINAL INSPECTION ApPROVED ~ DISAPPROVED .C1 DATE '~-\~-"'0Q;..:;~v.. INSPEClOR REMARKS ie\ ~c. "......., 5k'v/lp, "'.. ~....\...I,- l);" CERTIFICATE OF OCCUPANCY . ~ " j/-b';?9 :," <~ - .-;~ REMARK 5 READY TO ISSUE / / NOT READY TO ISSUE ,I / .,of'lE \.::. :..-i ,_F "., I NSP-ECrOR INSPECTOR INSPECTOR INSPECTOR f>#-, INSPECTOR ~ , ',(. ",0. i.;~j ,,' I = ._~.'''' a'_~..... ~ TRS, TI' 18-03-11.2.2 TL4400 201l" tiAi.~OO~t DRIV~ SPRDlG11ICLlJ O!t:GO~ SOUTh 20ld. .$T TO UA."llOR DlUVE. FOu.oo TO 20-14: ,_t'.!' - r; " JOB LOCATION .. . - " '\ .. \. j ,C)lbl~ - ~tA PERMIT # , LANE COUNTY PERMIT Acreage or Lot Sizp Contractor's O.S. # Partitioning # 5th l!'U.BERT CROVE SllB Subdivision - Lot,)o Block -' EliRRALD TIlA1LKR SALES 575 SOVTH A STREET SPl1.INGFlglpgonp ~'.t.l~K JJLAl1U ":'U~Q :1iU~U.tl. UK~V1S ..,rllJ.J..i,l.;l'I'J..w1dJ ~bV.i.t Ph onp lU't'l.J.Willlilll Phonp (owner, etc.) when ready. " 60 :x. 175 ( ) Completed APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mail permit to T.t:X) Applicant ( ) Owner 747-4003 ) Contractor. ) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY l'r.ACf:lolT:2iT Of t.i1JB:n.E 1m}!!:: Q~~l.7\JJA1. NONE 50S Oill.Y () THIS PERMIT IS FOR !lOU-DUl tilDE ..." t-m ",_,.. U3 SEtrROOMS WATER SUPPLY .filS'llliG # BEDROOMS ME! 171-75 # PLUMBING CONNECTION~. ~ - SEWAGE DISPOSAl. , llP!llliGPULli S,I. # tlA , . TH IS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF . PLUMBING BY _. ~ .t - ~ - - - ~ '\ .nereby 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 Codes relating to this permit. ..... ". , . ( I' , . ',_ i ...1.... , ~, \. ...... '.. ' i /- ,>~..,' . Fee Paid $ ._',v '-- "', \ . :, '--'-., Signature :.., '" , : - Date -, ~ ~ \ ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ( ,) SPECIAL PMT. A,REA. MIN, ELEVATI@N: SANITATION Minimum'Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth BUILDING Type of Construction Ilse Classification "roup Fire Zone ,,-', ( ) ....... Comments: . . Comments: .' '" ~y: Date: I PLANNING 'REQUIREMENTS SATISFIED. By: '~ZONE:", , i--, .,SETBACKS: FRONT ..., By: --. SIDE FACING STREET Date;' \ \ (FROM'C/L) Date: , , Date Issued: .-", '..1 '> 0-' ) I INT,SIDEY~'RD! .REAR, (FROMP/L) '.- - LANE 90UNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHONE: 687-4394 '" POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT :-~H,ITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE \ iiJ C5S'13 J \\\lJ.. T. L. '-tWo t\ ,- , ;:- JIll ~5 -~~ TRS, TI'!!' I g- '3 - Il - 2. -"Z.. Job Loc~on :)J)It}. I~"'-. Y.l/LMKo ~. . Written Directions ~ ~~ ~.uI St"( W'- ~&..) <to ~~ CVWJ.u - hr--1J~ io 2CJ1'/-o cY"'- ~ INFORM.lfnON SHEET U v ) Building Perm,\13"7 = (,OK / 7S ) Site Feasibility Study for Septic Tank. Number of sites Acreage or Lot Sizt-36 3cJ x 1"75"" Test holes will be ready Partitioning #. ) Completed Subdivision (, (bK C1,.....\'L VIA. ~ ( ) Pending d S-1.:b dd&. APPLICANT'S NAME AND ADDRESS f:.""~~h TlfiML.ge... ~-c~, r;7~ :::.,tw.:/t OWNER'S NAME AND ADDRESS, if different from applicant's TlI~k' Ru4-lJb ='S~ AA. CONTRACTOR'S NAME AND ADDRESS -'!o...._h...... rLL o..kJ tl-u-t- Mail permit or results of site feasibility study to ) Applicant ( ) Owner. ( ) Contractor. ( ) Prefer to pick up. Call (owner, etc.) when ready. So uJ\'I...lWf- ~ Lot ~b Block 0>> ~ 31 ",{.(rj- 5:nf4" o.In...;A. ~ "7'1i-'/-OO'! Phone "7l/7-f/7!/ Phone Phone Contractors O. S. # STRUCTURES NOW ON THE PROPERTY P, ......r:; PROPOSED USE (this permit) <->v-<- .--e-- ':2'I--X-&,<{,' . ~. Pa.-'l~rv-vn':i _~ P.o i1,~ tIl1~ L~'-.___S~\ c-=--'--~ . '\;<~..,.Q ~ _ n ~\-l.. d-O(..p e.... ~ J., . (existinQroposed well, etc, If public, name of syJem) (existing or proposed septic tank, etc.) S.1. # WATER SUPPLY r.2<.J<;T( NG1 SEWAGE DISPOSA! E:x.\ST(~G- vX lS,! N f- - ~ ".... ~ "'~ j,':" PLUMBING BY Address (v)"PROPERTY IS WITHIN ONE MILE OF CITY I s.r~\~ .. ** **.... **** *****.. ***** *** *..+ **.... *** ** *****.. 0 FF ICE USE ON L Y BE LOW TH IS LI N E ***........ ** *.... -)I- **.. *** *-It ** **.... **........... * -IE- * * * **.... ( ) New Address Necessary ZONF SETBACKS: ) F aci I ity Permit Necessary Front Side Facing Street ..'{FROM CENTERLINE OF ROAD) ) Special Permit Area. Minimum Elevation: Interior Side Yard Rear (FROM PROPERTY LINES) To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section ResponSP' 055.12 . By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th A venue 687.4394 nivision INSTALLER: . i PROPOSED SEWAGE DISPOSAL SYSTEM RECORD . ~, Complete top part of form to.signature and submit both copies with application. " PERMIT NO. m JJ. ,'7"7 -7. ' c;. (; . PROPERTY AUURE~~ ,:'1 L-6~ T (~~ 1)(3 . J.l.ML.(,n~ p t;> 1 ,/,<- Basement Water Supply . Yes No. Public ~ Other-List , INSTALLER'S NAME -r E I) SOl' -r F j. {s./-\ f\l No. Living Units Bedrooms Baths Septic Tank: Ft. from well Steel 0 Ft; Diameter Concrete ffNO. Compartments Ga I. Capacl ty /5. () 0 Tile Disposal Field: . ~ . . Depth Distributi.on Box: Yes V N~ E eEl u ~ ~ Other "DistributIon-Type n 1.1 t. i:j'- 1/ R" . ..-' Inside. Dimensions: Len9th Width OWNER NAME J)/d~ Ri_tliJ f\ /........ <. ~ ~ .q ~\ ~ \p I ~ \ / ... . ,. . ,} .._n____ "\ '-~.__._=,_'-I-----..--.-.-.-----.. --- ....--.-...---)---. -..., .--...---.---.---- I/--!/,p fpOR I)!,~IYE ' Date' P fJl' /1- J."/- 71> Siqnature _.:-f.i.(;~!.t'ln/l A.--t,.-v(~t;~. CERTIFICATE OF SATISFACTORY COMPLETION / "./ 7'/ For Sanitarian Use Only: Date: ~- ,~ p In accordance with 1973 Oregon Laws Chapter 835, Section 214 this certificate is issued.. as evidence of satisfactory completion of a subsurface sewage disposal system at the above location. ~ Approved: System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks: Feet from MAILING q7~ K ,"iT WEll ADDRESS -SPf?A ;J'6 FI eM) rfh '1?Y 77 ~~~n~ine, 0 Length of L.ines-Ft. lT~ench I. Tota.1 S'lL) I F~. Between ,I :7S2:tP3. 4. 5. 6. W.dth1.- Ft. 10 . Llnes~ 'lot pi\,n (see I ns.tL.uct.ions.l: +--! '-<;~~___..f:_~J..f..~f-ryr l~__.___.___.___._~~ . I ~-~ -' l/ D' .., I . ~ I . ~ ~ II". ~. ~: If ~\ ~ I 01 fP.t)P()Sf.()\?()\~'~ 1 \ L-) () tJ I ~. 6 I~ r pJ~t~~J0v I t'" ,.!') ,~,., ,,' '1, ~ C p. ~f"({;Y sri /} 1--0\ -//1 ~ \ ~~~ [>' '} 01 J l" . \r. l..'!J 'B~Dv\ Foundation APR 1 61976 Side I. 0 LANlrl.daeUNTY IFi Iter), IFi IlerE!PMIlI1lNMI1I'liJ1\terf)1~ T',pel "2. Above Ti le7 In.ITi Ie bin. 1'-. ~~ --t!!:o/----" _J I' 1,,\ " "- ..... " I:" '-\ ;:t: f"~ .~ j:: \~~ , (]~7 ? t{ P R ,Y () VI A'f___1.. . c~s I R61'/ I --.NOR~ ,- \ 11/ '- .... -.l--, C55-11 4~) 'anltarian'~fiignature . LANE COUNTvV STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY _ l/ / . _ __ ~-& .\ i>-: TRS,'~I 13-03-11.2.2 TL4400 2014 SOUTIl 2nd JOB LOCATION liARL'OO. mUVE SPRIEGFIELD Oi1EGO~J ST TO illIRIlOR DRIVE FOLLOH TO 2014: .....''\ ',~, <.:.'" ,~.'\ PERMIT # . .:>'C:'''6-l \' \.. LANE COUNTY PERMIT Acreage or Lot Si?e Contractor's O.S. # Partitioning # .( ) Completed 5tb Subdivision Lot FILBERT GrtOVE SUB GO >l 175 < Bloc, - oJ -'V ) Contractor. ) Prefer to pick up. Call 575 SOUl'll .\ sTnimT SPlUNGFIIDJ> uu'_.. .__._ h. Phone ~V.l.q IU.UUAlE\. U1UV..,. L>CL\..L.L1JU..:.I.l.:r.LcU' ViJo.CIUUU Phone Phone (owner, etc.) when ready. 747-1,003 'F.. "':.", APPLICANT'S NAME AND ADDRE"" .,. OWNER'S NAME. AND ADDRF"" CONTRACTOR'S NAME AND ADDRESS Mail per;;'it to )(1i.J!.) Applicant ( ) Owner illlERALD TRAILER SllLES U.L\..oL't. .w...JU~U JU"rL.L\d.lWU:: -- STRUCTURES NOW ON THE PROPERTY nONE SDS OBLY PLACEMEBT 01' HOIULB nOME DOUBLE HIDE 113 BEDROO:1S ...-Ti..fls PERMIT IS FOR RR1\lRHAT. 0'11 r.ffi 177-1<; EXISTnlG # BEDROOMS # PLUMBING CONNECTION5- ME 177-75 WATER SUPPLY . SEWAGE DISPOSAl SPRWGFIELD S.1. # llA THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY 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 cerJ_QY 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~complv with all. applicable Codes relating to this permit. Feep'aid$ ~l;~ ~\'\~"K-Signature V,,-^,JJmlAtG roOQr--- Date \Vi.lIL"L i. -~. ~ --- J". , I ( )NEWADDRESS ( )FACILlTYPERMITTOTRANSPORTATIONDEPT ( ')SPECIALPMT,AREA. MIN.ELEVATI0N: BUILDING SANITf\~ ',( . 1/ ~'/ Comments: Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth J!.w7Jv ',..1 ; L- 4ft, '.--'" , Type of Construction Ilse Classification r:roup Fire Zone ...... c,~._,'.;~l~;~a I/- I. . / _ Comments: /0 ..f:l-t'"nt. UJ;" ,.'~, . l,. .;.tJ\. ,. J ~ -;".' ;--- --' , .-- ~. r ,--",. / ~ ~ By: ,_ .--/ '.<--,_ Date:. .,,- -:...., A By: _ '/ Date: ... PLAI)JNING.REQUIREMEI'.JTSSATISFIED. By~ )L. ~ '~"_~"-"---- Date: \\ ?J..::~ \ t \\ \ Date Issued: UJ..t9l(2--' I ZONi::Y..J~ '\'\-'\~SETBA<:KS: FRONT ~<=-{ SIDE FACIN.Q2TREET (FROM elL) INT. SIDE YARD, "'--;REAR. '.:-....,''1FROM PILL LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE C55..13 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE J., - , ........,.- . , . .. ; SLAB "FLOOR PLUMBING GROUNDWORK . ,. ApPROVED / /. DISA.PPROVED. Cl~.~DATE- REMARKS GAS PIPING GROUNDWORK ApPROVED Cl DISAPPROVED Cl DATE REMARKS ROUGH PLUMBING ApPROVED .Cl . DISAPPROVED Cl DATE REMARKS ROUGH GAS PIPING ApPROVED Cl 01 SAPPROVED Cl DATE REMARK S FINAL PLUMBING ApPROVEO .0 DISA~PRO.VED P DATE-I! //a/71 REMARKS ~ tJ/( " ~ olr " " FINAL GAS PIPING ApPROVED Cl DISAPPROVE~ / / DATE REMARKS CERTIFICATE OF OCCUPANCY' I f I I ISSUE I ,. I I Cl READY TO I SSUE Cl~ NOT READY TO REMARKS , INSPECTOR I'NSPECTOR INSPECTOR INSPECTOR I,NSPECTOR INSPECTOR DATE /PJ/. INSPECTOR 'r':-~:' > " , .'i{// ~;i"''Y:'.._JJ'''';~: -' '; ~ ~;.~#~., .......z,._ .... TRS~T( H)-C'3-~.1.2.Z TL44ll0 ZOlt, HAInOR D:nVE SPRINGFIELn OR.;;GOi. SO,:1:1' ?r.d 81: ,.'0 lli'f30i: 1}RlVE FOLLOW 1:0 2014: JOB LOCATION . I' \ '\ ."..... c::-"\r--.. c. '\-'-, PERMIT # '. ";...._n.~'..C', .. 'I. , LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning 4' ) Completed 5th Subdivision Lot FILBERT GROVL SU~ 60 ", 175 50 B'oc~ 5 c- APPLICANT'S NAME AND ADDRES" OWNER'S NAME AND ADDRESC: CONTRACTOR'S NAME AND ADDRESC: Mail permit to :(-lOI) Applicant ( ) Owner 1!tJ,;:tALD 'fRAILEP vIeR JJLi\JJl APPLIGA1!ll:J: ) Contractor. ( ) Prefer to pick up. Call SALES 575 LOl': IiAlUlUtl !)lUV.'; SOULa A STP.EET SPRI~GFXETpD Ilonp ~PK!N~YlbJ~ Uilli~Ul: Phone Phone (owner, etc.1 when ready. 7!:-7-!~;)CJ ; STRUCTURES NOW ON THE PROPERTY PLAGffi'll2IT OF liOElLE HOrm llOUBLE WIDE UTIl.Tli'f.1AT ('\."C" '}.f"tJ ';'7_~r:;: 1:~O~Tf. SDS OiifLY o #3 BEDROQ;offi WATER SUPPLY. ElUSTIEG SEWAGE DISPOSAl SPRDrGFIELD # BEDROOMS_# PLUMBING CONNECTION5-- Mli 177-75 S.1. # THIS PERMIT IS FOR 'u THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF . PLUMBING BY I hereby certify that the above statements are true and accurate, and that I have the following legal inferest in the property: _owner of record; contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the ownerl I am authorized to act for the owner of record, and that said owner is aware and approves of this action. I hereby agree t07comply with all applicable Codes relating to this permit. FeePaid$ ~l;;-~ 0,~~~ _Signature V:.J)lllfhlr:t iOOOr---- Date \:'''/''7~' "' '1-:-=' -~JV --- , I I ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. . ( :) SPECIAji'PMT. AREA. MIN. ELEVATIGN: SANITATION . BUILDING .> ,'~ Minimum Septic Tank Capacity (Gallons) Type of Construction ,Gf'p;-- Drainfield Required. Lineal Feet llse Cla'ssification Maximum Depth ., 1 Comments: Comments: ~ 7;u(:.Jt./ ~~ /0 I A$/>1 ,i;'t..t.. ?'~ :. /. _ l <I ~'t:f'~'i;.di0. jJr ""}<,>t (~~t- ,,~v ~O':" J:w.-.-{1 I . :-r / I -.;r ---'".~ fA' U.~",.'~C/. Group Fire Zone (~ . .. ) ........~ ,'I', B . f" / I ~/ y: ""., Z'. L"" Date: <<-:-,.;;, "7j~ By: Date: , PLANNI~G REQUIREMEN;T'S SATISFIED. By\.\ '&)',,, ~.,.. c' Date:;- \ \ :--~':'.', \ \ \ \ \ Date Issued: 0 I .(('" ~'3:1 7 ....ZONE~J\ \\:'\.';....SETBACKS: FROI\jT 'N.S' SIQE FACING ~EEt (FROM"CCiL) INT. SIDE YARD r-""';REAR L-.,:"(FROM PILI .-----'LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE C55.13 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION,- GOLDENROD: OFFICE COPY - WHITE i.~.~~:<'-. . ;';;1':': . ,~ <,"" _. ~ .. J .~;.. .....,-.. <. . . ,~IJ....., c "i' n, \ SITE INSPECTION ApPROVED .Cl REMARKS FOUNDATION INSPECTION DISAPPROVED..Cl DATE ., REMARKS . ApPROVEO L-/ 01 SAPPROVEO L-/. DATE " FRAMING INSPECTION ApPROVEO / / 0' SAPPROVEO /7 DATE REMARKS LATH OR SHEETROCK INSPECTION APPROVEO'L-I DISAPPROVEO ;----? DATE REMARKS ApPROVED REMARK S INSPECTOR INSPECTOR INSPECTOR INSPECTOR DISAPPROVEO .Cl DAT~-i1- V'NSPECTOR CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE REMARK 5 " ., ,;; .-"- ....,. , " .~, ,{ , .r ~#. INSPECTOR .. J INSTALLER'S NAME PROPERTY ADDRESS r:'1l-6(:-:1e.T t,f.-o IJE . J.ltw'-'<'n~ p ~~l >It'- Basement Water Supply" . Yes No Public V' Other-list . I "- copies with appllcatlon>-~>-' PERM IT .NO. fI1 Jl / 7.!"L 7, G.t; ,'. INSTALLER: PROPOSED SEWAGE DISPOSAL SYSTEM RECORD Complete top part of form to signature and:submlt both /EI) SOP7-F).!;./.I// No. Living Units Bedrooms Baths Septic Tank: Ft. from well Inside Len9th OWNER NAME Dimensions: Width St.eel 0 Ft. Diameter Concrete 0/NO. Compartments Gal. Capad ty , 15 () 0 . Tile Disposal Field: .. Depth . Distr.ib.ution Box: Yes V N~ E eEl V r n . Other llistrlbution-Type fi ~ u:;, i.J i/ R" I 'to k, <- ~ h.( I ";) <:.\ 0 't '!1 1 ~ '\ l)i (1-rl \ ~~ '1l /\ \ P ) I ~._.__v~.... wV:.u p If-I I' P t3 0 /? I! P I '( F Date'. P. /--'/< /1- /.5> 7 I> J"")/(,< ,P.l.LJi<.JI\ HAILING C}7i. 7<> ~"'T ADDRESS .:sPf!A ,j 6 PI eN:::.) ah I '1? Y l7 length of Lines-Ft. [TrenCh I Total Sq() .1':7.5'2,753.4.5.6, Width:2-.Ft.'10 'lot P /Ian (see i n.s..t.c.JJCtiODS.J : . '----.LltO.n5 -+-;1!)) /~.' 1 ,-I '~'-__.___n_t},-..s.lr~lYr~, ~ //(), , 1/0'" } ,) '-l---..n-- u.,-._-t-C''-~<r .~- I v Ii'" \. ~J_ ._J._O\) r P <) f:{)~ ~~) () fZ~~, DC 0.(. ~ '-".' 1 I "^ u 'j , ',;,(;' I r, \l I ! ,H I ~ ( c-[>P- 'fll\I5Y I 1 ~ " ~ i9 --- P ,-r,....- Sl t' 1,..0\ - 1'>\ V/'f'~r>' ) '} I) i '3 ~ \-., I "!J ..' \.... l)\--Dv Feet from WEll. lot Line 0 Front l- I 't. Between lines c7 -- Foundation . APR 161976 Side /0 LAN1Jl.da8UNTY IFlller). IFi tierE!NV1Jll'J)NMaFlirn~rty1&Mbw Tvoe 1 -z.. Above Ti' e...2- I n.IT il e bin. r-.I" ' "'"{ ----CiiJ--..~-_._-h-'--:-,1 2 l{' () P, ) '(12 C/>SI I R6/V ~ " '" " 1 I:"" '-\ ;:t(-~ ~ i:: \~~ .. (].~~ W/JY f"- NOIQH \ . I' /' , '. ) ... ,- '--'''--.---\,--:. , / S i 9nature . .~f /~-f~fl;rl/'.A-rl~'-(~t;,,,,--,... CERTIFICATE OF SATISFACTORY COMPLETION . / ,1./, 7f. For Sanitarian Use Only: Date: It-..r .In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is issued.. as evidence of satisfactory completion of a subsurface sewage disposal .system at the above 1 ocat I.on. [J(l Approved: System Installation conforms to current standards o Di sapproved:. Does not conform to current standards Remarks: C55 -11 J~J Sanltarian'~)5ignature ~NE COUNTvV ST>. . OF OREGON DEPARTMENT OF ENV I RONMENTAL QUALITY \ INSTALLER: Comp I ete to~ . '&M<::;: KZ./.:JL-D "7 R.4 (06':. '- 0' PROPOSED SEWAGE 0 I SPOSAL sysr.. RECORD ~ cY' '.1 Jrt of form to signature and sub.... t both copies with app'llcatl U . PERMIT NO. (Yl H"J PROP~K IV AUUKt" G- (., f=il-6~ T (,-e..o v6 ~\ ..HML~n~ Qg" ,/,<-- , Basement Water Sup ly . Yes No Publ ic ~ Other-List , .,: INSTALLER'S NAME IE-I) SOPIF--Jl-::;'\t'/. " '0. U,'o. "0'" .,d,~, ..<" Septic Tank: Ft. from well Dimensions: Width Steel D Ft. Diameter Concrete t(N.O. Compartments Gal. Capacity /5.00. I Ti Ie Disposal Field: -.- - Depth Distrib~tion Box: Yes V NiD IE' (t f' n" ~ ~. Other Distribution-Type In. It. ~ Ib g 'lI1lAo :J V All ., Inside Length OWNER NAME 3)/(.i. PJjlA1f) I" <: ~ ~ I \ ~ h1 {fl' ~~,Ilw 11(1 ~-: ^ -----.! IP) ......1____ '.:.~____.\L__._d_._._.u..__.__...d____)..--.---.-----'. . l II-!/'p f3 0.1< ~; j-( I VI; /, , .. . Date' po f-J F I J- /, c;_ 7 I> Signature ,.:1 Lr:I'.rf{.(f"l.P A~rt,.v("t;~. . CERTIFICATE OF SATISFACTORY COMPLETION / //.j 7f. For Sanitarian Use Only: Date: ,-.'- In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is issued as evidence of satisfactory completion of a subsurface sewage disposal system at the above location. ~ Approved: System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks: Feet from MAILING q7~ k' ,<)/. WEll ADDRESS .:sff?A JJG P I eM; rfh '7? Y 7 7 ~~~n~ I nej 0 Length of Lines-Ft. [TrenCh I Total S'li) I Ft. Between , 1-:!5'2.'1f3... 4. 5. 6. Width)... Ft. '50 Lines <7 --- 'lot P i\.n [see i IlS-tLuc_tlons.l : '----0o.ns ~;J ())... /~ . ! \, _~-______P~JJ~~t{r ~"______-'-__'~ ~j/O; f .. ~ :. ~. . ~J' ~~ ; I 0\ pp. oPOS((J , tJ f. ./ ~. ~.--k_-> r"IL6" rfl-.&koJ0 I . tf- 0/) 1~'.lJ / '1, ~ c f> ~f':({jl/ S (\ r ) lr \) i --31 s \ ~~~!>' '} \r!) ~ ~ . 0\l... \)\.-D Foundation APR 1 61976 Side 10 LANIIl<iaflUNTY . IFi tIer). IFi 1'lerElNlJ:lJltllNMElFlill\\.IlrM~ T"pe/ "2.- Above Tile..2- InJrile bin. . .1 /I() ;~ ~Ofn_W \ , /" ~ "" "- " I:" ~ ; :\::1- \:), h .\~~ (]~ ? t(' P p')'{rJ W 1lf_J.... Cf>S I R6/'/ / . " ,. fv. f'-t r:; 0.-.. I - C55 - it 44. Sanltarianr~filgnature LANE COUNTvU" STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY -i.llf.I...--. .-.- ,:-..::::~..,_,....___._ __