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Home My WebLink AboutPermit Building 1978-02-230{TRS, TL B LOCATIO LANE COUNTY PERMIT Acreage or Lot Si Partitioning # Contractor's O.S. # APPLICANT'S NAME AND ADDR OWNER'S NAME AND ADDR FSS CONTBACTOR'S NAME AND ADDRE ec Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready. 'i-: ,:, # BEDROOIVIS ',. # PLUMBING CONNECTIONS s.l. # ) Completed Subdivision Lot-- Block )lr Phon Phone Phone .TRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FO WATERSUPPLY i '', ,. SEWAGEDISPOSA THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF . PLUIVIBING BY , 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 purchas€r; - 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 p€rmit. Fee Paid $- Signature () NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT Date () SPECIAL PMT. AREA. tVIIN. ELEVATION SAN ITATION BUtLDtNG L,,,.; Type of Comments: Co nstruct ionMinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth roup ire Zone Use Classification Comments: Byr--Dat":,'. PLANNING REOUIREMENTS SATISFIED. gy: '" Date: .' Date lssued: ZONE: r SETBACKS: FRONT SIDE FACING STREET (FROM C/L) lNT. SIDE YAFD ' REAR 1FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE css-ts BLoG. pERMtr - WHrrE; BUtLDTNG - GREEN; pLUMBtNG - GANARy; sANrrATroN - GoLoENRoD; oFFrcE copy - wHrrE PHONE:687-4394 ( ( s ful,{ ,'RS, TL vt$-78PERMIT Ort"ffi Acreage or Lot SLontracror,s O.S. c JOB ro LANE COUNTY PERMIT Partitioning #-( ) Compteted Subdivision# Lot APPLICA NT,S NAME AN D ADDR Phone Phone PhoneVla il OWNER CONTR permit to ACTO "S NA ME AND A R'S NAME( ) Appt icant ( ) Owner DD BESS AND ADDRESS ( ) Contractor. llrlafefer to pick up. Calt (owner, etc.) when ready. ffUprgs ( lS PcRM ES NOW ON THE PBOPERTY IT IS FOR n B EDHoorvr6-* pLUMB I NG coNNEcr toNLlf ,,I/ATER SUPPLY st.o?L-,Q€SEWAGE DISPOSAL:IHIS PROPERTY IS 11/I THIN ONE MILE OF THE CITY OF PLUI\IIBING BYhereby certify that th e above statemen ts are true and accurate, and that I have the followi ng legal interest in the property: ,l'--6wner of recorcj;...-contract purchaseri _potential buyer; *- realtor or agent. I f urther certif y that (if not the owner) I am authorized to act for the owner ofrecord, and that said owner i a of this action. I hereby agree to comp ly with all applicable Codes relating to this permit.*ee Paid g Signatu re \-."n B l-F,d g i )NFW ADD R ESS o..) BAT NLA Nt G n E Uo H rL M E NTS )FJ E L)ONE Date -7 KS FRONT5 JANITATiON 'l-.--i-omrneilts: )y: ANE COU { ) FACILITY PERMIT TO TRAN SPORTATION DEPT.( }SPECIAL PMT.AREA. MIN. ELEVATION BUILDING t" ". "- u-- ey.-; i' "-."'ol*r; ir! tu'&.iirr-$E Type of Construction roupIin,T.urn Septic Tank Capacity (Gailons)u.rarntield Required _ Lineal Feetrvtaxtmum Depth -Use Classification Comments ire Zone 5EE AT1ACTIED Gaa Date B Date Date lssued E FACING STR EET .-. (FROM C/L) INT. SIDE YAR RT MENT OF VI RON N NAGEh/ENT, 125 EAST 8TH AVE., EUGENE, OREGON POST THIS PERVIIT ()N MAIN BUILDING AT SITEBLoG- FERMTT - WHrrE; BUTLDTNG - GREEN: PLUMBTNG - GANARy; sANrrATroN _ t:oLoENRoD; oFFrcE copy _ wHrrE / BEAR / (FBOM P/L) 5-r 3 ONE: 687-4394 ( r\,iT r',1,P !3:&tr4:4:L I t 4aO '0 LAIiE COUIiT Y PLAiiIi ] IiG l- 'I CONSTRUCT]ON PEP.H]TS E 1I{SPECTION 0T l-ti R FROM: SURVEY0RS 0FFICE - FL00D PLAIN I."r{iiAGEl'iil,iT DiPARTT:tliT 0F PUBL I C LANDS PHONE : 687 -4.l 95 (ir: t; rT .JUUULVI. PAD.T lT i Oii l{Ul'i3rR su3!l\'lsl0:i BUl LD] IiG P[RI4]T I{UI,itsER A I A - -1tr. RtCO}ii:iiiDA r IOii: THE ABOVE SUBJI.CT I5 IN A SPECIAL PERI,IIT ARIA. THI ABOVE SUBJECT IS INCLUDED IN THE H.U.D. FLOOD ]NSURANCE AREA. REI.iARKS DATI Z-7-z--18 Dote n - 3- 24.+Permit No.ot6-74 CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the ottoched opplicotion hos been fully considered by rhe Boord of County Com- missioners of Lone County, ond it is the opinion ond iudgmentof the Boord thot the soid opplicotion should be gronted, ond thot q permit should be issued, now, therefore, it is hereby. ORDERED, thot o permit be ond is hereby issued to 6o A),- for plocing, building or constructi ng the following ity: Broct<f, upon the right-of-woy of County Rood No. &orz (Lrlc-*t{8 Mile Post in strict conformity to the exhibits ottoched hereto, ond to oll terms, conditions, ogreements,subiect ond pestipulotions ond provi sions contoined in the opplicotion rmit, the Rules ond Regulotions Gov- upon County thereto, ond Rood Rights-of-Woy,os set forth by the lone Mon- ony other opplicoble regulotions, low or ordinonce. Drivewoy will be constructed in occordonce with the ottoched drivewoy oPprooch specifico- tions (Drowing M98-50). permittee will be responsible for the immediote removol of oll mud, dirt ond debris from the roodwoy ond right of woy coused by his operotion, leoving the roodwoyond qreo in o neot, occeptoble condition. Sidewalks will be constructed in accordance with the attached sidewalk ip.iiilcations and drawing M98-49. The Standard Curb Type shall be constructed unless otherwise specified. 1 2. 3 erning Focilities to be Permitted uol 50.'l90(2) ony omendments Speciol Provisions: fore lnspected ond APProved Expires 19-. Approved by Boord of County Commissioners By Da-r.l * This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon th"t ife"',?i*tty mentioned obove'is hereby outhorized. This perm it sholl be void unless the work herein contemploted sholl hove been completed be- efr*. Dote By WHITE _ OFFICE FILE YEITOW _ REAL ESTATE PINK - PERA,\ITTEE ONINCT - BUITDING & SANITATION DEPT Direclor of Public Works c74-L29 ffi Job Location 5F z*/d4^4sl3t6 tot / glo"k 2--' q/2-.P z'? 2 n D?1 TRS, T Wfitten Directions / ()(l Buildins Permit %< 4,{k, Acreage or Lot Size Partitioning #- ( )Completed( ) Pending APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if di r )NTRACTOR,S NAME AND ADDRE INFORMATION ET ( ) site Feasibility study for septic Tank. Number of sites.--- Test holes will be rea dy Subdivision nE oS ?f2c Phone Phone Phonemant't rvtaijp(+P ermit or results of site feasibility study to ( )Applicant ( )Owner ( )Contractor refer to pick up. Cal (owner, etc.) when readY Contractors O. S- #. - existing or proposed well, etc. lf public, name of system) zt.Pg-- (existing or proposed septic tank, etc') I Address I STRUCTURES NOW ON THE PROPERTY ,- 3PROPOSED USE (this permit) WATER SUPPLY SEWAGE DISPOSA ?'t PLUMBING BY 2,, -l I PROPERTY IS WITHIN ONE MILE OF CITY *****++********+*+******t**************ti** OFFICE US . ) New Address Necessary ( ) Facility Permit NecessarY zoN F +***+**************++*****+****t+*r*t *** E ONLY BELOW THIS LINE SETBACKS: Front Side Facing Street (FROM CENTEBLINE OF ROAO) ( ) Special Permit Area.lVlinimum Elevation lnterior Side Yard Rear -- (FROM PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor This applicant appears to have a problem wit Your assistance will be appreciated. By By DEPARTMENT OF ENV I BONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 Permit Processing Section Response c55-12 rvrslon ./: * ooD .sHFFLOOR PLUMBING GROUNU/ORK APPRov E o E Drseppnovro RrManxs 3- r-ze R2LDar e I Hsprcton GAS PIPING GROUNU^/ORK Ap pnov e o REua nx s Darr I xspecron ROUGH PLUMBING APPRovEo m DrseppRoveo Rexa Rx s oorr-3--3o " 78- l^trrrro,oaQfifufu\ ROUSI GAS PIPING APPRovED D DrsrppRoveo D Rexrnr s Drt e I ruspEcron FINAL PLUMBING APPRovED E Drsappnove, D Reulnxs S\t-lP*Drre P E CTOR FlNAL GAS PIPING AppRovro Rexrnx s D r sappRoveo Darr lrqspEcton CERTIFICATE OF OCCUPANCY Rrrov ro lssuE Re lra nx s D Nor REAoy ro lssur D Drre I rsprclon D DrsrppRovro D ATRS, T Acreage or Lot Size Contractor's O.S. + JOB LOCATIO Partitioning LANE COUNTY PERMIT ) Completed Subdivision Lot- Bloc APPLICANT'S NAME AND ADDRE ss Phone- OWNER'S NAME AND ADDRE Phone- Phonb-CONTHACTOR'S NAME AND ADDRE ss Mailpermitto()Applicant()owner()Contractor.()Prefertopickup'Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FOR , * BEDROOML# PLUMBING CONNECTIONS-- \AJATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEclTYoF.PLUMBlNGBY I hereby certity that the above statements are true and accurate. and that I have the following legal interest in the property: -owner o,f record; -contract purchaser; - potential buyer; - realtor or agent. I {urther certify that (i{ 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 S-Signatu re Date I }NEWADDRESS () FACILITY PE RM IT TO TRANSPO HTATION DEPT.- () SPECIAL PIV]T. AREA. NIIN.ELEVATION SANITATION j fvdi: o1'Contt?uttiohd rx *:'$v6up *'r.;;. i Fir6'ZonelVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date: Use Classification Comments: Comments By By Date PLANNING REOUIREIVIENTS SATISFIED. By:Date Date lssued: ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-13 BLDG. PERMtT - wHtrE; BUTLDTNG - GREEN; pLUMBTNG - cANARy; sANrrATroN - GoLoENRoD; oFFrcE copy - wHrrE PHONE: 687-4394 ( w Ju t7-3-ad.q.l{+Job Location (Street, mile Plot Plan Subdivision g. Eero VE t-Lot I Block (r stem Approved fI System Disapproved Dr.Needs CorrectionFOR SANITARIAN'S USE ON LY COMMENTS: FOR INSTALLER'S USE: Trench Depth ./aao Manufacturer tvl ll from tank r ,;R Scale a Date: ? -Z -7F.S nature Ti from drain - -- PL \s \ \ r L fL L ('I IK/1lo uJ d ln CJa Ct lI\) .t) at)oL !! o) .E '6 =o) E(gz J' PC(oo o-o. *D lP h-b t"fi llome INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION . When signed by the County Sanitarian, this certificate is evidence as per 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 lVlanagement, Public Service Building, 125 East 8th Avenue, Eugene 97401 fF z(, 6 t, GP anC m + CL m o Fit pth Bel IY c55-1 1 Tank Capacity TRS, T Acreage or Lot Size Contractor's O.S. # JOB LOCATIO LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot- Block- APPL|CANT,S NAME AND ADDRESS Phone- OWNER'S NAME AND ADDRESS CONTFACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready Phon Phon p STRUCTURES NOW ON THE PROPEBTY THlsPERlv]lTlSFoR#BEDRooMs-#PLUlv]BlNGcoNNEcTloNL \^JATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYtSWlTHlNoNEMlLEoFTHEClTYoF.PLUl\4BlNGBY I hereby certify that the above statements are true and accurate, and that I have the {ollowing legal interest in the properly: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I turther certily that (if not the owner) I am authorized to act for the owner ot record, and that said owner is aware and approves of this action. I herebv agree to comply with all applicable Codes relaling to this permit. Fee Paid $-Signatu re Date ( } NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT,- ( } SPECIAL PI\4T. AREA. I\4IN. ELEVATION SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date: BUILDING I r;-; u, ...,,, * -.,i. .-.--.. --, i, ;,.-.'-.; Type of Construction ' Group se Classification Comments By Date Fire Zone Comments: By PLANNING REOUIREMENTS SATISFIED. By:Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FRON/I C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG. pERMrr -wHrrE; BUtLoTNG - GREEN; pLUMBTNG - GANARy; sANrrATroN - coLDENRoD; oFFrcE coprz - wHtrE PHONE:687 4394 q Cl $ ,TRS, TL Subdivision: Job Location Written Directions SITEFEASIBILITYREPoRTFoRSUBSURFACEANDALTERNATIVES DISPOSAL Pho Phone (owner, etc.) when ready. E MILE OF THE CITY OF . ng legal interest in the property: -own Lot APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS Mail rePort to ( )Applicant ( )Owner 1UCTUBES NOW ON THE PROPERTY PROPOSED USE OF PROPERTY ( ) Prefer to Pick uP. Call SI ie' n MEErs STATE STANDARDS N DOES WITHIN ELOW THIS LINE**n'i*t'r(* DARDS Zoning Acreage or Lot Size Partitioning #- Parcel #- *********** (No) WATER SUPPLY I herebY certifY contraet t ;fr, and that that the above statements are true and accurate' ourchaser; potential buyer; ---- realtor :'said owner is aware and approves of this action' and that I have the Er or agent. I further ify that (if not the owner) I am authorized to act for the ure Date t'd of TEST HO LES READY ************** ***r+*** ****r^ -1? LAND E IVIPLIANCE ***-* Ll iWW.S.. TH ISISA PBELTM INARY REPO ELIANCE UPO RT WHICH DO N THIS REPO ES NOT ENSURE TH RT ARE AT YOUR O E ISSUANCE OF A FUT WN RISK. IF SITE IS AP URE BUILDING PERt\IIT. ANY PLANS OR PROVED, SEE REVERSE SIDE EXPENDI. nes ueo AUTHORIZED SIGNATURE EINR AUTHO D I l DATE Permit Processing Section A RIZED S IGNATURE Divisrion of Water Pollution Control \NE COUNTY DEPARTMENT OF ENVIRONMENTAL x x xQff ICE USE O NLY TVIEET STATE TU MANAGEMENT 125 EAST BTH AVENUE, EUGENE, OREGON 97401 68i.4061 of t I "..ffiffii*+i*li:J****n'l*1hitili"f ffi '.ff ffi *liiilil'.",Hffi ff::t,:'J:'#'Jfiill*:lXiiJ''?:,1[1Jffiffi ffi"?:T['#il1,1:ffi:;ffi::iy;in."[?Hand app y t;r.l?flif"JJ1r["T'' ' portion of a tax lot, a partitioning or subdivision must be approved before the ill,'liH}]i:1.H]1tr",;"'{:i#li+i[t:i"t*T?riti.,H'"n:"tui:[ifii{i:#,* ,v (./ i( tl , rrs, TL Subdivision Lot / Plcrt lan Permit Permit Pernit Block 4,.'- c74-t50 Vlclnlty Map sr Job Locatlon (Add # €--) 7a {-z-1 For Permtt #For Pennlt #-For PenoLt For .lo For For lc s-' 50' L \rt l- w J IJ J -\ys x. t I 17-px{ SITE EVAIUATION WORKSHEET 3 oNe!41 TA,X. LOT #fcoRANGESEGTI ZONING:PROPOSED USE: SIZE oF PROPERTY: ZX X fI*5 AMOI]NT US$LE AREA: EFD WATER SUPPLY:COMMUNITY PUBLlC IF SITE MEETS STANDARDS FILL OUT: Type of structure and approximate sewage flow: ltu 1t i- f ami ly Corunercial }fINIMUM DESIGN REQUIREMENTS : Length of disposal trench required Distribution Method: Equal Curtain drain required: Yes Other: tr- Single Family Indus tria 1 cpd cpd cpd cpd gpd Ins titutional ItO €" /,k /750 gaL.;;r T saNo SPECIAL SITE CONSIDERATIONS OR VARIA}{CE OPTIONS OR OTHER ALTERNATIVES: NAlfu c7 4-L26 DATE OF EVALUATION:7 LOCATION: TI.IP. r J a E INDIVIDUAL If :ro Efl EST HOLE#z PROFILE Inch fcL t2 24 36 48 60 C-fu-n PREDICTED WATER SATURATED ZONE Restrictive Layer in, rmpervj-ous LayLr -irr, l}4ottling .l#,n/ut-. (M,(l-.{rjr., ].fl o inl ,n Predicted Observed Date Predicted lob..rr.d 1o".. L2 24 36 48 60 Res trictive Layer 1[E-51Impervious Layer ^^inMottling tnf",. Urail11lo" 1n 1n PERCHED WATER SATURATED ZONE PROFILE InchPredicted Observed Dat,e Predicted Observed Date SITE DOES DOES NOT MEET MINIMI]M STAI\DARDS. ADMINISTRAT]VE RULES REQUIRE 4 MIN]MUM DEPTH OF: #t rEST OLE an imperrneable layer a restri.ctive layer a permanent water table a temporarily perched water table ON YOUR PROPERgY THE DEPTH trrIAS: inches inches inches inches 36 inches to 30 inches to 60 inches to 24 inches t,o OTHER REASONS FOR DEN PLOT PLAN: Stream --rh.^.fb Drainage or pond la .. la.ta rr. rl, I a Road __-- Tes t Hore @ \ % SloPe Cut Bank .rrtl/ Fence )(- X-X .QSitr l-fl r V I tr Z//-@T TRS, T ,r-?*L4 /?taPs Job Location L.A Jnci .^< / <f - Wtitten Directions T ..1 INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites-( ) Building Permit Acreage or Lot Size cla x los-Test holes will be ready ll.-25--7^? Partitioning #- ( )Completed( ) Pending APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicant's NANNE AND ADDRESS Itsof sitefeasibilitystudyto (')Applicant ( )Owner ( )Contractor up. Call (owner, etc. ) when ready STRUCTURES NOW ON THE PROPE R li/on " WATER SUPPLY () PROPERTY IS WITHIN ONE MILE OF CITY Lot-----!- Bto" 4-2 Phone Phone Phone ?L{ 7-?2 0a 'oNTRATTOR',S I ,.tlailgt{mit or resu (WPrefer to pick PROPOSED USE (this permit) existing or proposed well, etc. lf public, name of system) SEWAGE DISPOSAL (existing or proposed septic tank, etc.) S.l. L PLUMBING BY Address .r,*r*.i oFFtcE usE oNLy BELOW THtS LtNE *r****+**r*** 1 1 New Address Necessary zoN tr ( ) Facility Permit Necessary ( ) Special Permit Area. IVlinimum Elevation SETBACKS: Front Side Facing Street lnterior Side Yard - Rear {FROM CENTERLINE OF ROAD} (FROM PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT OF ENV I RONMENTAL MANAGEIV ENT Permit Processing Section '125 East 8th Avenue 687-4394c55-12 D ivision Subdivision 9,l1rcve_ ( .S^ ,-- o Contractors O. S. # TRS, TL ,/7-3-2 Plcrt lan Permit Subdivision Lot /Block /<- c74-L50 Vlcinlty Map N Job Locatlon (Add Permlt tt_?ZzPS' Permlt /I ,ra'4) For Permit /l Permit Permlt For Fo' Fo r ForrFor F h F vt J r) aJ a. lc s- 7a -"t'P 4P ><. l& t,1 O - ( TRS, T JOB LOCATIO J Fee Paid $-Signature () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT & fl--24 r fu-U<LANE COUNTY PERMIT Acreage or Lot S t7c Partition ing ( ) Completed Subdivision Contractor's O.S. #Lot- Blo ck OWNER'S NAME AND ADDRESS CONTRACTOR'S NAI\4E AND ADDRESS APpL|CANT,S NATVIE AND ADDRESS Phone- Phon Phon c Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready SIRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FO # B ED ROOIVIS-# P LUIVIB I NG CO NN ECT IONS WATER SUPPLY SEWAGE DISPOSAL S'I. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUtVlBlNGBY I hereby certi{y 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 {urther certify that (if not the owner} I am authorized to act for the owner of record, and thatsaid owner is aware and approves o, this action. I hereby agree to comply with all applicable Codes relaling to this permit. Date - ( ) SPECIAL PlVlT. AREA. lvllN. ELEVATION:- SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING ilt. -t-:- L.: v,'-J !i Type of Construction Use Classification Comments roup -Fire Zone Comments B Date PLANN ING REOUI REMENTS SATISFIED. Bv By Date: Date lssuedDate ) I ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEI\4ENT, 125 EAST 8TH AVE., EUGENE, OBEGON 974O1 POST THIS PERVIIT ON MAIN BUILDING AT SITE C55-13 BLDG. pERMrr - wHtrE; BUtLDING - GREEN; pLUMBTNG - GANARy; sANrrATroN - coLoENRoD; oFFlcE coPY - wHlrE PHONE: 68l-4394 t SITE INSPECTION AppRov e o Rruenx s D r sappRoveo Dare I Nspecron FOUNDATION INSPEC l0N AppRovro DrsappRove o n o^rr.j-3a-78 I xspecton REun nx s ar+t FRAMING INSPECTION Appnoveo Drsappnove, n Dare I xspectonb-r: REMARK S * I xspecton # v,Jr.S LATH 6i{-i OR SHIETROCK ** ECT I N Aepnovro Retta Rx s ARKS L INSPECTION Dt sappnovEo D Darr, D*fl Drsappnoveo Cee--.-. 5-?-zl 9^<- AppnovEo d DareT- z{- Z{ INSPEcroR ffir7ofi"o? Rrnov ro ftk--n, ft - 7:-7 I ssue t I * \ $ $ \Q 1,4\ N S L\ f N $ D Nor Rraov ro lssur D Drre I Hspecron \ t \A Nt \ 'L \ ADD I?I 0N4J: -IT.IFCRM.A ? I oN RE QITIRED $ubnlt ths follorlrrg ltems to the Bulldlng 0fflclal st leaet 2 reekg mtopto lngtallatlon. Return thla forrn rlth tro coples of all rrrqm&l uforriiron 2-rVt*t1 )appqacatzea> 1Zl 7-aw+tq\) .4- 4*o" 5vas1 ?o'-e" gbx) slgned ,Ro,o- Nr%,rt - Buil,dJ.ng AppU.cant Job Locatu" * (-d..tiI 4.:_aff^_-_ Fe:rn-lt No. -4b-7O / Bulldlng Inspector It Dote Permit No. CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the ottoched opplicotion hos been fully considered by the Boord of County Com- missioners of Lone County, ond it is the opinion ond iudgment of the Boord thot the soid opplicotion should be gronted, ond thot o permit should be issued, now, therefore, it is hereby. ORDERED, thot o permit be ond is hereby issued to for plocing, building or constructing the following focility: upon the right-of-woy of County Rood No.Mile Post in strict conformity to the exhibits ottoched hereto, ond subiect to oll termS, conditions, ogreements, stipulotions ond provisions confqined in the opplicotion ond permit, the Rules ond Regulotions Gov- erning Focilities to be Permitted upon County Rood Rights-of-Woy, os set forth by the Lone Mon- uol 50..l90(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce. Speciol Provisions: '1. Drivewoy will be constructed in occordonce with the ottoched drivewoy oPProoch specifico- tions (Drowing M98-50). 2. Permittee will be responsible for the immediote removol of oll mud, dirt ond debris from the roodwoy ond right of woy coused by his operotion, leoving the roodwoy ond oreo in o neot, occeptoble condition. 3 Sidewalks will be constructed in accordance with specificat'ions and drawing M9B-49. The Standard constructed unless otherw'ise specjf ied. the attached s'idewal k Curb Type shall be This permit is revocoble ot ony time, ond will be strictly odhered to qnd no work other thon thot specificolly mentioned obove-is hereby outhorized. This permit sholl be void unless the work herein contemploted sholl hove been completed be- lnspected ond APProved fore , 19-, ExPires 19-. Approved by Boord of County Cornmissioners By Dote By WHITE - OFFICE FILE YELTOW _ REAI ESTATE PINK - PERMITTEE ORANGE- BUITDING & SANITATION DEPT. Direclor of Public Works c74-129 u