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HomeMy WebLinkAboutPermit Building 1978-8-3 TRS, T' -. \ \~-Db-6?... "3..aJ\\OO ! . I";. _. '. JOB LC CATION-' y'5110 I I r I . Partitioning # I 93tf7-7J" \. .\ :-~,.<r ~r~"- 1 ---"'..-- . ., , ' \'::i: 0 I... , --I Acreage or Lot Si,7~'" ... "'::. Contractor's 0 ,S. # '::l \ Q !:; ~c lANE COUNTY PERMIT " ) Completed Subdivision Lot Bloc" , APPLICANT'SNAMEANDADDRESS \1.\n.\f"A 'A. ~\-..,\\\O_'<:. -:1.,q..... ~s+. OWNER'SNAMEANDADDRESC: 3;:'\n"A t,"","l""'...V\' So",,"-'\c\.' CONTRACTOR'SNAMEANDADDRESC:c}\l\(\V:A ~;>\,,-..,\\,"S ,..... Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ('IJ Prefer to pick up. Call ,;.t l,,-l.,P,lnj Phone" '-l-L- (o'?, b"'7, Phon!, Phone (owner, etc,) when ready,: " ,STRUCTURES NOW ON THE PROPERTY THIS~HMIT IS FOR WATER SUPPLY fu~' .e>.",\ c -r-r.(I>_ C:.) SeR I t:GF I ELl> r_...-a-<-.,f""'\I"'}'('"\ \ '2/ I ....\" ,., ~ '8 I \ SEWAGE DISPOSAl # BEDROOMS # PLUMB I NG CONNECTION&...-.. .:: Ex ISTlNG S,I. # THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF NA PLUMBING BY NA I hereby certify that the above statements are true and accurate, and that I'have the following legal interest in the property: XX 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, Fee Paid ~ q ~(g" Signatur~ Is/JOHNNIE R, PHilLIPS Dat~ 7-21-78 ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, (XX) SPECIAL PMT, AREA. MIN, ELEVATION: ... SANITATION " Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth Comments: -n ~ q{ ~ S~~ ~~ /tJ(f- ~ ~~olJ . .::6Jk BUILDING .,)"l'Vl-ype of Construction #./- / Group C:Z-/"'~e.e.-<f.4-<'.F"Y"UI'se Classification Comments: &-~-r- ? Fire Zone " ~(~~n~:).~. ~Date7h(~~~ By: (~)~_-~k PLANNING REQUiREMENfs(SATISFIED. BY: 5,'~ \<o\\~...... C-Date: -(-'-:l. \-/ f'\ Date Issued: <7,- 1m ..7;( ZONE:f.<. ~\-'rfL\.i SETBACKS: FRONT'l'=j()1 SIDE FACING STREET (F30M CIL) INT.J>IDE YARD 5' REAR,' (~ROM PILi , ~~ - LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHONE: '687-4394 , , Date: y":' '5 ..7;J; POST THIS PERMIT ON MAIN BUILDING AT SITE C55.13 BLDG. PERMIT ':'WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION"":' GOLDENROD; OFFICE COPY - WHITE . -- .., . '~_1'1""._ ..,: '.,..'".~" " ~. ".. ..,.... ., ,. .k'L; I .1' ~ ." J __". ,- ,. ,.- _.. ..~._." '.. . ..,~" ,," ~.. ",,\ " '/ .,.. ; ~.. :"I.:l"~""9"COiMo........... ~~l- -" II.GR:J ~, UlGfJon ',,1'>1< WOO'l.-DuU I.JUUV~ ~au:J C~....... ~ 'r, cr:;::'""ii"';' Z AH'II'ClI AU VCl'I Owner ---=-Miill "lI-~","" P. O. [)G;l u;rs. ConlroctOr . Moiling Addross locotion of r\...,.......d Buildl"ll-{and Post 001...1. C ".. , ~ C70t'O Exis.ing Structuros on Proporty? CJ If 10. describe: Doe. property havo logol ~~C~~!!.__-,-,-VOD __.If so. dOKtibe: logol O<lscrip.ion of Building Site - Metes ond Bound. '.;,.,-'-'~ '--.:" -....:--- ...."'" " . J~t(3'-:b-6 ~'ogf'old. PhonE: Phone ~. J . ~ 4. Ol~";" (11 Ot;:;:nt C\rc;'o .......r-.-r.. .. T~ va Clcms:> rnI S:ii 'cia _ T.... Lot c.:o. Cello Sizo of r...,-". W!lIh ~ . Il::plh 02$ Area ...' . L___ C:l b !:::D ccCr -Oh.~--~ . !!:;::=> ,__ Typo of Construction Bdrms. Valuation SMmAVlC~ ~ llUoDOa 'Q~UU 'lLv-rll , l:4..., '-o.r' ~~....---.J Wal::7 SuppJy. Public 1m r.-.-....J :0.._...... Disposo~- PuIIIic- Plumbi.tg to b:> Installcd by o..nc. ( ) FEES: ~. Buillfmg $ ~ .......". Tanh 7J.CJ -...~ '8.0 Sanitary c..._-:=-_ 0 .0 ~. m3D0c7 10.0 'q(olu~~ 4p"ca~t TOTAl $ a.CJ 8-8-65 (:(J)l!lJL\'Tii1r ~(Wowa~@ -~ $~L\'IIlirA1rOON SflECOIFICATIONS' I j"' .Width of Trench, or 1)CO " ", ; ~ ' . ,ClQ~,~ ) bOt\2. /11:) 0 ~ J. '111'= ~ng' ; S::ptlc , Tanh - . Lj '~'i:JI:1 ; Well: Drilled ; Pit Privy 1Iomo of Plumbe" ; Driven ; Garbage ; Dug Disposal Unit? aa, Zt;D ..~ o l> O. '. ; j o Dole ~---.~--- Septic Tonk: MInimum Uquld C_...d:. With Dlt!ributIcn IIox Suln.moce Di~ Flold Dcquinld, 00 Un;' Ft. s:::3 Gal.. S'It. Sq, ft,- ~'"':"3>-;". . ,"'.. .' ~Jo1loDD ell Oc:::Jn 7J$ G'C~417C:::J uO= ~ cltb dvo'olh:oo. .,.C!-.,... dDc;::::lDD VlI"""":;- w' c:=r (:ln~ pOCl', . , ' . I) crOll for smUcnlJJE: . }. jf!;l;~~~~"~f~:~ '. . '- :' t~ :i:f~<:;~.t;,... ~ . ' ~ ~ ',0 Zone CO Bldg. Sotbock.. F.ontl:l$.:' ,pS>t''''''''''~' of fl_d. Side, Interior 5 fee.; ExteriOl' (if corn::r lotI ~ fc:>tfrcm Ccnl::7 of-llocd;' . ODC7Otlco: ~7.elI CONsmUcnON TO COMI'!.Y WIVH ....~ ~ CO~ AND STATE REGULATIONS GOVERNING PlUMBING AND SEW, AGIO DISPOSAL ~o 9 '-',::,'.-.,.'- , A portion of 1he worlc: covered by .hi. permit ~halhbo' started within 60 days from dote end all work completed .....ithin one yeor. If no., .he perm.t bacomes involid unlo.. j~~,'4 by the county building ;nspeclo,. /1 BY d. a. ~ ~ BY -':,7" , Dole 1 / ~~r J C. P. ~""AN 8-.6-66 Ii .... . WHEN SIGNED BY TH[ SANITAQIAN AND BUILDING INSP[CTOR. THIS FORM DfCOMfS YOUR BUnDING PERMIT fOR HH STRUCTURES LlSTW HEREON. ~OST THIS PERMIT IN A PROMINfNT LOCAnON ON OR ADJACENT TO THE MAIN BUILDING BEING CONSTRUCTED. "{I . .0 .,. , , 0 ~.) " '~ ,~.- I -: - :--; ,- . \ JW'.(WUw~L.:~f ~""(-'lr ,,,", :ii. :, ,',. fl . . . ~ ' . Ill; \2h~i '"f r- """1 l"' r "," '0"" ", :,. . 'I.' . ..... ." buJu uLiu'-.:.o-:L.1 I: 1" ffi):lJ r."\rfriU? OIro'l f '~JLLr\\U\.~..~1 'rL1W ~b I fiil1f r.\ \f' (6) r;? IlD -iLL~ 1. @l~ I " , uwv~b i,:' I ..~..r""-'.~ , I " .. \V U\.lLn.JLl\J~t...;.; filrm 1 1 ' Q}l~ '::\ b Wl'mr Iln j-1 I /I, ~.,lU ~" " 'm "DlE ~lPLIFV'IEII) lilY DNSTAU.!Lt: lliXlMl'V "~~ TO: " 'DSluIIar'.car"a M--_ Western AmerIcan Development Co. r-:-- "~OcildUlg ~""it nUllIber M:ilba~ % Alfred Allen "fCll:lrIYa&troa Lot 4; Block 3"" Fi lbert Grove p. O. 8~. 175. Springfield, Dr~ofl Harbor Drive" C. P. Knop~ Tdd ctll:lb: Lmog 0<>,"-.- Oc!d_,-- ~ 0-_.1: Yes O~No 0" _ WGt.lr sClllllv fly: I'dl!= ll)'it"- ,lndividOJ! ~ Cammuni" SJSt"'" ~ 1c:1Il: Datal:co fIoo trol' F~. .Mate,;... No. of comportment- Tdd ~ ~itr GO!. 'asida 1Oc#' It. 'nsille 11idtll C=--. ft. ' Liqcid If:F'o It. ,Ti!o ~ fi:l!d: DiiIril;:Jtiu:I b.~ , YOlI 8:::~ 0_ Olllor. ;,1Lc::ijtb ~b ~ ~ ~ ~ ...u:. ft. "Vd~ /;;"/ at. \"rc::.b c1 "=/I '. i' ft. Vc;t:l c:;::Dro ~ :; ! :' ft. ~ ~';.......I:::a ' "' It. Tpp c1 filb __;..;: Gnml/'';''/ ~ IItQ:lb c1 filb OG;",;.J o;;fr'ifrl" /, icd::a. ~~ 1~t-;~~.~id-,,</~!:~. .,...,--~~,,,,,,. ~,~ ;u.'-:'::.- "..~ ''''~ - "' > ~..~"'!;~';- ...-..... ;/" J. 7>.;...~ .~;..,..,,~ -, ',4",;"':f~y Y "<'.. :.. .,:,;".~.r '..;;::.~. /,..1'" ........?: -",' . f/Z!.1Jf:!t . "'.:??1:~: ,-- . - '-,.~ f;,~4'?-- f';.-~'''.~'j~~~.-.~ ~i 'J:'~' - :"- '~7.-;' . ~,_' ,,',' '. ~---- t ~"'~j-,_~-,E:~:~~,-~..""."",.._.i;,; ":::i".~' " ~ - .----'- :) - '. '."'. - ':t,:~ . . _Ou -~ -' .--'-:'L__ "_ - -.<----:~.-~i;7~- _~ ."-~______ ___:-~ rn~ '-I'" :,.... '-. '::~'+:Ji;l~,,'iJt~.. ,I.t .... . ~. ~~ ~": :~..~l.~~,_ > )~ ,... '-;t,......."""... "-;,~ /" 4~ ~,~ ' ,G, A " .1 i"'I\ f.'l') -~'" ., ~~;. , ---" l:cO~:: . ,i,:':" " , .-------;r",-- !lll!rC11!::r :.--,->,: .l .- /,- --~:-- ~~- ,;'''~ .. . ....~., ~-l..'\. . '\ ~....l"'~"oC;, . ,/ ....,,, _l'- "._.~_~..:."'~~\ '~~~l:, ;.-.~;?'{.; :-j;'~':;i~:-~ . .~.~ . j''''''''v" qiJ,{ici I" I 1 , .,,' I . '~.~--~~~" --'.'~~'-f;;::--'-:::'..~r----::~c-- -~- . ~,.'?:>O~__P:',''I>' '?"'-'~ ;'''''' ~ ,~. ~.". .., .'.~ , , .,.' ,', -:''1,;~, . :"'!~'." '\;:" , ~, 'R"~h ;'iit.'~~." . '~lf~\ ";ji.~. " ~...~\; , . ~,~ '," '1543"66 , l;'<:l . I, It. o Dis/o:lce ,",,,I:" WeI' Mea..... Lot 'iDe: Froat g Sift B' Clear EJ ::-.-4..,;", feet. Deptll of filter --:..:.J'beneoth til,. feet. feet. .~_: jlll:bes. '~':-- " , . r~' . 1:J; ( , , ". 'j{.',~,~_ p:",;,~\Ir';~/,~'~~'ir~C-,' ""-""";"""" ! -S f: F;/ ',9th : . "~'i "~ -,-",." -- ,.....,. .-,. ,,".," "., ~,.,,; "." ~"("', ,',-t.;' ',C _' !') '.. ," '~~':~";l,"_r'!'"i'i'~'''R~Oi''',' "!1~~':?!:'~ff.i~WJ;1i~'1~ll:\a1t~t"ii~'{1$_~'P;\V'f{.~fA~~~j~ ~': UlJii'w(J;\ir r;t~L1H Uiill . ' ,<~~r \ .~ '~ ci$V!li! 10 C3lQ'tE I<tI:l11mtLv Dl~ ,;'/"- "7, ft=tz.... tlIIisli......::,. aiJ'~:thell!lo'" ~app;ovcd for occuponc, B.::..u-iSGpProveif 0 . 'l,:~t~;:~tJr-. ",.>".;;~:'~'-' , ".""" IItotn /' ::::~~~-~~~~:,O fla:::W' . of': i:'i Oat- / ""'. J.. t - ~/ ......, Gl." ~ --'-~~----___'_'_ ~~'_'_'O ", -" " " , : ',: ;.~;~~:.i;::,~;~r:~~A.:~;::. ~<,. . ,~ o ---~<J ----'~...~,-- .,' '~.: ,..' ;.~.,..~, ,.; ~......"'" ,r---'.':'f~. /~c ~' '~,;: I.AIIE COUNTY HfAlTH WAlITMfNT "." .. ct'~~. p,,:,;/~ . ~;" ./" '.' ". ";:.~~~,i~~~~l~ft{~~;~i~fi_ . ~j'-t\:.~A~:::"z \ .~ "r.t!.;';f . ~.-, \ "' ,'~''':'''~ ... .------' ' v NAP IR-c>~'oz..~-z. T.L. 1100 TO: PLANNING ~ PERMIT PROCESSING OTHER, FROM: FLOOD PLAIN MANAGEMENT DEPARTMENT OF PUBLIC WORKS PHONE - 687-4195 SUBJECT: BUILDING PER~1IT NU~1BER 2~41-78 SUBDIVISION OTHER SITE IN FLOOD HAZARD AREA. YES NO PARTITION NUMBER DETAILED STUDY APPROXIMATE STUDY ~ NOT A SUBSTANTIAL IMPROVEMENT MINIMUM FLOOR ELEVATION REQUIRED ~ITE IN DESIGNATED FLOOD HAZARD AREA EXTRA PRECAUTIONS MAY BE APPROPRIATE. . RECOW4ENDATIONS: DATE (.~_~:J -IE':, BY Co I'Vl L 7 ~NNING DIVISION part1tioninq . Parcel No. LANE COUNTY -PARTMENT OF ENVIRONMENTAL" '\NAGEMENT 125 EASI 8TH AVENUE, EUGENE, OREGON 9, _, , current.,~.cninq"~ 11'-111/1 ..[Jpc"nc1inq Ocompleted FEE', AVERAG~ PROCESSING TtH~ PartJtlonina Reauired Other I $ i I I , Ii Ii II 11 ..- ~ATE' P~LLUTION CONTROL New Site Inape~tion(81 50S Construction [] New Number ot Bedrooms, $ . ot. Sit'ea Commercl~str141 - I ot Employees ,Other '~'--~ ~C'" .:.:~TRUCTION PER."ITS AND ltISPECTION ~. ~~:=1 above tor. of bedrooms/hot "employees) o :o!obUe Hi::mio" c-- '---~, $ I I I I I I I ! ~' ~ ?:; .. '" '" 0. t< H H <: .., n H t< ,. 8 ~g '" ~'" '~~,- t--: JJ Q.2 ~~OJ ~~;; tl' , ~ '7 \:) -tt ' D:Y o Repair $ $ FEE $ o Permanent D. ,!,emporary o . Renewal r\tructure (' \.. 'r",.~~_ ...a s. '\..-.. rC"l O?v\.. ..L.l"~ _____ Plumbinq fixtures at SewerjWater Conn. ~t Sq. rt~.\. . Valul1tiof(:::;:j c~W>~~ Ci~. $ S $ $ Each S ~ I,:?~ ~otal V,lu~tion $ $ \ '" ,. " " r.och ~ Sulltot....l. $ $ $ $ '4 '~_p 0. '~\.c, I I, TOTAL BUILDING PERMIT fEE $ Q.~\p 87.,~' (L& o "I 4\ Stcte Surcharge Plans Check Fee Change of Occupancy' Minimum structural 8etbacks~ ., 6) ~ . From interior lot lines: [J CoMm'l plans 8he~t to ( r.-Fl , FrOM centerline ot'street: Front -, ~ Ext!n'ior- Side ../V....Q: , Side;";-'. Roar .7" ?ii'E appl1c.ant Q Curb cut' to ~pplicant Address ~, PUBLic LANDS []. Address ~ ."1inimuffi r:lcv,ltion lMini~um Elevation ! o o .PUBLIC WORKS. [J F/'lcdity Permit C..h WVIRO:~ \ l $ ReG'd. ;,y_J~ TOTAr. '-\ "~~ , ~ If this 'permit"ls for an agricultural building, I hereby dccl~"lre that this building ag~icultural' purposes .'<15 .lllowed by zoning and/or' the State. Building Code, a.nd for no ther purp se. I further certify that the statements and other" informa.tion suhmitted on this Pl~C' on' re true and accurate, and that I have the. followinq legal interest in the prc;:pe ty: o..dej of record;, _..con.tr;l.ct purch.lseri _-.,-_} (>ssee; _ holder'of an ~xclusive .option .to pur i\ e; ~uly authorizea to.,act for a per~on who h.lS the rDTlowing le'lill lntercst: ; or th"ahC u..'ner of ' record is knowlr:.lqe.,blc of thi; , ,"1m not U}.! owner, I, further .ll.r(1 to COmPIY......i.th~i\ll apPlic:w...:-<!.COd(,5.'-rC.I~tinq Dote Applimt', Sion"ture fJ(^,,- ^.JA. ~ e p~ ~ TillS 'IS YOUR RECEIPT, AND DOESj,OT GI~C YOU PCRMIS~lO:' TO nUlLO, ' :..nou't' THE: PROCRESS Of' 'iO\J~ ;\r?UCl\TI0~l, CALL PERMIT cornROL. 6S'7-4357 (6a7-HELP) ~neccx.Jnty , ~ bne county, ca Please P:-int - Rl'lllm Application r Rec.~ptioni~t ~~p.n C~~rl~ted i\ppointm<<nr Dill.,. '. APPLICATION Office Use Only APPLICANT \ al ~O f) ,,1. 0\, ~ \ ) , 'c-Q PIlONE "ILl to 10" I" ... AOORESS :::l7Cfq, ('_ "3.~ \l- .Cf,y '::iypn6. 1l.~(khp- mr...ER (IF DIFFERE~T)f:'1-{J ~ ~I'1'J ~ lY""rr1..f\ ^"-'" _ PHONE Q~ ADORESS~~S- '71n tjo~ 0,0-<' . CHy_':2p;,,~iUVJ ZIP , CONTRACTOR \ 0t>.N~. P~,\)\)..:....v, ',' HONE 1fJiJ..,~ - In,? <;. '7 ADDRESS :l'l C1 q, (l ~ ~ (f CDNTRACTOR's..ORF mT" 'CO"", gal:;;/? ::) 19,=~ o MAIl. COHPLF.TED PERMIT TO APPLTCANT!OJ..m:R!CONTRACTOR (CIRCLE ~~REn~ TO PICK UP. CALL 7L/f.t;-~<?(P V 1. PR~SENT USE OF PROPJ::IiTY ~ type of fanning; cOlllIllerclal or indu.~tr1al; Vilcantj etc.) 2. DESCRIBE STRUCTURES NOW ON TIlE PROPERTY. CO ' 'Yl.\~, \) ~"'~___ 3. IMMEDIATE PLANS FOR THIS PROPERTY ',::ill NOTIo; MH' ST1H1CTURF.S 'fO BE [}E~lOLISIlED. 4. un <.).a,\,CV- \j- (THIS APPLICATION) tRE: I . (b..art\() ov< \' 1. " .nJJv.. 6--: <? ( FUTURE PLANS: 5.' PLOT PLAN. Sketch (a) .'\11 roads (b) bound.1rle~ of property (c) existing/proposed buildings (d) existing! proposed sewage disposHl areas (e) ....xisting/prop05edwells (f) existing/proposed driveways (g) easements (h) drainag~ways. streams, creeks, any other pertinent featuTes. If commercial ~ . or ind~:..:_1_~_:. ,sho~ fr~c~t.an~:I~g- si~s. p~~k.in~ ~n:~a~.:...._ INDIC~!~ DIMENSIONS. . , _ '___:-. [:~i'j:CCT :'T:'T'::j:: ::ri~~~"~i2-B-:::r'::':T":':r:~T:-;:F:~-: i: i ::: i :.'. .::: I Wi>!~ ' ~I'.nl ,'I. . :=~::;.,<~n~I-"I[C--I~> ....j''C-]t ,~,: :, = i.. ::! :::"1' " ".... . L.... ......,.. .. .. i__L'_!,_!~.~~~ [l:i l ~ ~~~.'i .... ~.J___ _~~~~ ~~~~, ii. i . ~'Ii : baz.Rb6bi ,iP!hi-~:':::1 ':i::"/ !' ':"J I ::T')" ",1:'\:.:'1: .. ,.. I::: I::'\, ~I,:..I.: .'1:'. ::"11.: ;,!. ni-~:I: !-.-i!'~:::in_.,1 ,,-.L,~!:: I>.~-S ~ Iii.'" i ",: Iii:!: i:: il:::: :::1 I ' ,.' ',.i' '[ 'j" I' :i "!, 'i:';": Ii:' .. , \:;',1:"'1 "I:: :':. l" I,', .'11',",., .. "1::':1.:: !:i:'1 :,',,;:..,:'1 1. 1.1 :1"' . . ... !.. .-....- ..-- ""1 . i' !" 1',' -'~T:-' ~.(,. '-"-.. "; '. ~11': ~.~ -~~ -". :-;-r"j , I' I .1.... :::i ",_ ' , I . " . . '. " . I. I . I ... ~ .. , :::i, "I,':>i"i Jl::; ::'!:::::: ,___.,_.n .1, '-'::"-'T~-"""- _I,:. h'I'_~'~__' ~',',I, ~ ! : ; .....-..-. ~_.__.___...~w:...~L :... . . . . . , . I: ,I i ., I" 6, 3, ,. 10, 11, TOTAL LOT SIZE OR ACRF.AG'E'~':';"'~-'i:.'~-;."-"'- SIn: INSPJ::CTIO~ TEST HOLES ,READY (DATE) ~ETIlOD OF SE\"AGE DISPOSAL PROPOSE!) W/\TER SUPPLY ELr;r;TRTCrTY FURNlSllED BY };ATURAL G,'S BY WELL S~R TNG STREAM LAKE C;'P'; , ""AI:- , <\,\ - . PUBLIC: ~/ 12. F'fRE DISTRl(..'T 13. . SCIIOOL DgTRICT 14. PLilllBl:iG BY ****"'*"'************************* 00 NOT l-.'RITf. BELOW TillS LINE ******************************* BEFORE YOUR APPLIG\TIW CIIN BE PROCESSED YOU MUST FURNISH: 8~xll PLOT PLA~S _______LEGAL DESCRIPTION (OrMENSIO~ED) ". D,\TE LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125.EAST 8TH AVENUE, EUGENE, OREGON 97401 ~ ~ ~ ;:; ~ > ~ ~ ~ ~ ~ ~ o z ~ ~ ~ g < ~ ~( ~ f'; ,~? ( ....- - ~ 6 r: ~ :;f . f ,-J 'CO p; r ~ ,.. ~ ~ ,.. o ,~ o .., ~ ~ ~ !i! ~ o ~ ,.. o n > ~ ~ o z ~ ~ n ~ ~ o z ~ ~ o ~ ~ .., '" 1 :;:r o \ ~ Q (' (J :> ~ .. ~ " (AddreAs) For For For TRS, TJ Job Location Permit II Plat Plan Permit II Z~ Permit # Subdivisi~ \ \0 Q '-;~ G.~ _ - Lot 1 Block.3 pc. ;-- I! I #- I~()t> \ ~ ,'f \)( 'S~' .,l:.t, ~ ~ '\:)--' Vicinity Map ---- c74-l50 N l \. , ( /0' ~ /F7ib ffi r hor- perm'it II Permit II Permit II /14 r- bo r- - v ." ,::; <;:>' ~ kl) '" , 4< ~ ..., '1 ~ rJ;:- ~~" ~.. " ~ ,\J' '.~(1Ij /\, ... .~ \( r-->x. S 1.. /~ D' Or For For For ----- ~ \::b Y<,o"nb.'P A GM~-\ ~ CS""l, rr / I" ~ I-- , , -fRS, TI . /<(('):2./)';). !2,;:A Ilnr) Written Directions Job Location /t)'l fO J-I f;. Y'" bOv-- INFORMATION SHEET ) Building Permit } Site Feasibility Study for Septic Tank, Number of sites Acreage or Lot Size C, 5)( / m ' Test hole~ will,b/9 ready , Partitioning # . ( ) Completed Subdivision 13j'J.-eA;J- _~ t.:otL- Block ~ ( ) Pending I If iCYl r ~ APPLICANT'S NAME AND ADDRESS 011 1-1:3 IT'tj u;! It ":>3 2 7 t:f f G ~ [) p r.TL- . _ Phone 7'Y"..:;:' ~ ~? OWNER'S NAME AND ADDRESS, if different frpm ap~lq'lt'< 1)7 G /-N; r-..h/, v-- S ,pr-Fu PL,,!;' ~t'! L~w,r1'Y1 4 ... -"NTRACTOR'S NAME AND ADDRESS "-'J4 ;-("1 IT P to, II ~1JS ' Phone ' .i1 permit or results of site feasibility study to \>6 Appli~ant ( ) Ow~~r' ( ) Contractor. ( ) Prefer to pick up. Call (owner, etc,) when ready, Contractors O. S. ~O();L~ WATER SUPPLY 1F.-i . '" m ,., h /L -/ll1~ to. E VI. La. VC/ -t" Ct:; Y J>or7- ;L '~h (')17 -'l ' p , 1\/ "~I t6' . '~ ~ !I ~""-P., -~ -'L-~(exi rop'os/,..e1c. If public, name of systeml I'existing or pro septic tank, etc,) S.1. # cY/C;~l ~~~" H"~ STRUCTURES NOW ON THE PROPERTY 'PROPOSED USE (this permit)_ Tt'J SEWAGE DISPOSAl VAh4' \\1 tJYl -e ~. ...'--- .--- ._-----..~ --' PLUMBING BY ~~ Address ) PROPERTY IS WITHIN ONE MILE OF CITY ( y",,, ----------- *** ** ** ** ** ** ** ****.. ****.. **.. .IHt ***** ** ***.... * OFF I CE USE .ON L Y BE LOW TH IS LIN E **.... * *.. ** * * *.* ** 11- * *.. ** **... * *.. ** **.. * * * *................. ''fr New Address Necessary ZON~ f1t1 Facility Permit Necessary SETBACKS: Front 6tJ Side Facing Street (FROM CENTERLINE OF 'ROAD) ~Special Permit Area, Minimum Elevation: .0:;"", -e Interior Side Yard.::r- Rear 70 IFROM 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 Response: 1-~IIP/A~ / )'l.f3- t~ By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687 -4394 l1ivision C55.12 TRS, TI \cn-D'b=O'a 0 '3_aJ \ \00 I i' :;. -::,: <" / - ;,..:' ,,-,). .<-. JOB LOCATION,'\'SI~ ,"-\-c...,," \....."... LANE COUNTY PERMIT Acreage or Lot Si?p \'30 I 'k cst Partitioning'#" Contractor's O.S, # "2 \. q 1:;. ~ ", APPLICANT'S NAME AND ADDR~C::S \1.I^....A ~. 9\....\\\0"... -:l,q<?, r.;, s~. OWNER'SNAMEANDADDRESC: 'C'\,..,,,A t,,,,,.,~,,,,,,, \ '5D",,~\&' CONTRACTOR'S NAME AND ADDRESC: c} \lI,,";:A ~,\\.".5. 'oJ Mail permit tot I Applicant ( ) Owner ( ) Contractor, ("fJ Prefer to pick up. Call "'.4I...-l.I'\\"', ) Completed Subdivisior, Lot Block Phonp"" 'K- (JAb f Phonp Phonp (owner, etc,) when ready, STRUCTURES NOW ON THE PROPERTY \")\ \J. THIS PERMIT IS FOR ""_,^\ Cl ("'n(O!. r.""..... r"\....... \ Q , San '''GV lll:l.O 2', I, "",^ "'''' 'tl, L \ SEWAGE DISPOSAl # BEDROOMC: # PLUMBING CONNECTION&....-. WATER SUPPLY lot- ' <':TcHISPROPERTYISWITHINONEMILEOFTHECITYOF r~ ,PLUMBINGBY r!'\ ~~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; r" . contract purchaser; _ potential buyer; _ realtor or agent, I further certify that (if not the ownerl'l am authorized to act for the owner of ";'r.ecord, and that said owner is aware and approves of this action,.' hereby agree to comply with all applicable Codes relating to this permit, 'Fee Paid $ ,q ~b Signature Is/Ja.lr;;'lIE R. PHILLI~ Date 7~21-78 (:,) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, (XX) SPECIAL PMT, AREA, MIN, ELEVATION: : EUIS71Wll S,I, # ...,,, SJ,\NITATION ,Minimum Septic Tank Capacity (Gallons) Drainfield Required --,Lineal Feet , ...' , Maximum Depth ' , 'co~m.lpents: '.IJlr. ~~r-' t. (~~' '..,' S~ ~. ,,~,.\~~ /U A(). ~ . I '- " ::......' '., '". ,'"' , ~: ;:6k BUILDING , 3' ,vType of Construction h/- / Group ~~Use Classification ;J'...t~ ,., Comments: ........- r/~~ ? Fire Zone , . , ~ 1 'oJ )BY: \Hr.~tl,""'-'""" JJlJlJ'tH... r~Date7h(~/;~. By: (-:~i;)~__='k Date:? - "5 -7 ~ PLANNING REQUl<fiEMENTSlsATISFIED. BY: S~)~~\\e"'" <--Date: '-":1..\-/ ~ Date Is~ued: C;;; -/<<; -7/''''' ZONE:RI\_'fv\\.\ SETBACKS: FRONT"5f)' SIDEFACINGS;rREET (FROMC/LI INT,SIDEYARD'5' REAR" (FROMP/~ , rvl;. ~- 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' ApPROVED DISAPPROVED ~ DATE L - /7-7JtNSPECTOR ~ Jw;G REMARKS ApPROVED DISAPPROVED ~/ REMARKS ~. _") - At P_..k C'Jk DATE -F-/S"'--ZZ INSPECTOR ~ ~'/~ ?'-/7-7) _~r.e FRAMING INSP7 . ~PROV[D /,' DISAPPROVED 17 tI~ r .<fL"I:._ J _/: _fp .? .~~ ./~.Y~~_-" DATEJ?-IS-7i INSPECTOR ~. r~-'I/JPeJ;;~r -11 ~~. ::;>'.f'l~ -Y-/"-7sY WAJ"- , ,- LATH OR SHEETR~INSPECTION APPROVED L-!:../ DI SAPPROVED II DATE)j - '5/- 7:! INSPECTOR J!A.r-/. REMARKS ~ <,~/e"I I~~'/) 1IYr.--r? 12r' 9-,1- 7<;1 ?L FINAL INSPECTION ApPROVED ~DISAPPROVED ~ DATE2J- J (. 7~ INSPECTOR CJwL- () REMARKS . CERTIFICATE OF OCCUPANCY READY TO ISSUE / I NOT READY TO ISSUE ,I / DATE INSPECTOR REMARKS