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Home My WebLink AboutPermit Building 1980-05-19POST THIS PERMIT ON MAIN BUILDING AT SITE JoB ,{EDRESS: 130 tlova street, Eugetre, oregor coNsrBucloN pERMtr# Lr1o36-80 TRS, TLr 17'03-22.4.4 I Saoo Subdivision: Irosso.o crove, Lr 6 Thl6 permit for the relerenced property ir hereby apptuved, Setbacks a nd other conditions of approva I must be strictly observed. Violation canresult in revocation of this permit, citalion under provisions of Lane County's lnfraction Ordinancq and/oi other remedies allowed by law. Applicant/Address: Owner/Address: Contractor/Address: Contractor's OS +i / Construction a Benny Glllmore, 2112 Norrh llth, Spfd, Oregon 97477 same I Total Construction Value:$41, 410. 00 pproved by this permit: PubI-1c Telephone: 747-5754 Telephone: saps Telephone: SFD: Maln @ 1050 se ft; garage @ 497 sq ft; Schrader wood stove, and tnstall SDSStructures norr on property: storage shed. Water Suppl + Bedrooms: 3 # Plumbing Fixtures: 7 +r Employees na CONSTRUCTION PE RM ITS/INSPECTION DIVISION Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification lnstructionl See reverse side of permit for required cal-I"ed inspectlons. SFD For plans information call 687-3757 between 8:00 a.m. and g:00 a.m., Jlur Larrb For inspections (see back of this permit ) call 687-4065 between 8:00 a.m. and 5:00 p.m hne countyDirections to Site: Date lssued: c55-1 3 na DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 05-19-80 By: R.L. McGuckln/lkY 6l!'!- t PLANNING DIVISION Zonins: RA Partitioning + na Parcel # n6 of cul-de-sac Parcel Size: 1gg *133 Any alteration of tha natural conditions in lVlinimum required structural setbacks, from : centerline of road, front: 60r * ; centerline of road, side exterior: na ; interior property I ines: 5 t ;rear property line: 6 r PuE Special lnstructions: * Front setback ls 60r-point C"".rtt-For information call 687 WATER POLLUTIoN Site I nspection # 79-97 lnstallation specifications: 1000 gal. min. septiccoNTROL DtVtStON200&200 lineal feet of drainfield required; max. depth of trenches:LB-24 inches Special lnstructions:Install an equal dis or area tribution redundant system of 200t each systemsystem as shown on the attached plot plan stanped approved and datedMay L5, 1980. The system is designed to serve 375 gallons per dayfLow, max. (currently 3 bdrrns)No increase in the # of bdrms. will beal1owed. No addLtions,swirming pools, or other structures will_ beaLlowed dueWells, other water sources 50'100' For information cal I Setbacks hteiioFproperty lines te of road right-of-way 10' --rlding foundation 5', Septic Tank Drainfield 10'-10- 10' 10' 1(to l-lnited room between 8:00 - 9:00 0.JTI., rr-rlr x,r r^r; ^l^-L^.t on the 1ot after drainfleld Lnstallatlon.qq6n I 2 3 a 5 6 t0 t2 t4 l6 l8 20 ,2 24 26 28 10- 3? 34 36 38 it0 42 14 46 48 50 52 I 54 56 L-AN[: f,ilLl].lT'f I]EF]T [,NV i"{f,T ftE:CE:It]T i} 1#3$8S ttATE S4?38O ,tFF,r '!'r:,ti'+T {;IL..t-i4t}F:8, I{HNi'.iY rtr}DFl IilI NnFIT}'! 1tT!-1, 'iF'fI}, ilftH fl-,ii I'?t1l;::4,1tr3$S(:) ;iLjFI:1 "1i:]-i::S'i{*N r:;ftilVE: i'.rJ'f $ IJLH tI[:t"i *1...]i; 'iyl-'[ :ii:Ii iJ;tE Fl i..t,i 5l}F:i,i,l r]3 N* i-ll.lI TI' ,]':] 1 N{.i if Tt}Ii I l::i i i'iii IJL..['ils i]$ i [:t]ijti sF'F L- Nil A{:T l LjN 11g.5i:li I F T I LlN :ij"-i F"T LJN I'r *r:j$ T Vr:rLUCil'I ttl{ r'EH I}AYS rrF' i'lri j. N f L.iltiFr i /''i:li'i 35 " ::5 3?+ i ;ii FF' f,ARAGIi 4?? * " i]5 439:] T:r E. . - frl:,I,' F'l:, .t_. :Ht., 1...* { 03*{-1+ Nlitjtt 41 41 + 1 63 " 0t} ri-. Ft_. f,+fi " i:Ili-l't.l[Ii,'j : ? iii.j. :liji'.{Ni:.C'I'tjRS : 7. i,I!:.{-:l-i l"iEiul-lAH If,AL i::'E:H: ,'-it.ifi :i:'iFrl'|: 'il.iFii:l'iftlti;I:t;,i:ii: !::'i..rtN L:l'lfi:ilH rrli[:. ijis j; ,sii$ I i:tfi i.lS l;Lltt Ll,s s.t F fl ill:,:i:'iAiiIN FY 5'l{ lli.-lilol rtiDIlR Ffi i:Ul'1F't-i:1'HD BY i Ll i ,iri,... i i:.. i:...rrj rj 45^00 a1 T.l1J. Jg 1 04. OO 40.00 15^00 0.&* I t.: ; j Z = o E 60 't2 ll r0 9! I I 8L 7 6 5 4 I) 1 64 i^iFli: lll-Al'i N \z,{ m,FII''i'['Hi?,Iiil'ti'ililAGEMENT LC Job Address Appl ication for Structures now on the property ''#run*erUi.:.u+*,i;:rof,ii pr$psl?t#.r,' 7 pl i cant /_/ Ovtner 44 lle:ffi ,i}.fifril r*tu$tii - z_u i$-$ffir,+t'n'*ii LTii}#ii-.Eitst,filiii, j,f,r{br;,lisiirii hereby certify that this information is true and accurate,Affidavi t: I , If this application is for an cul tura td t wi l'l be used forbu Laqe-County CX owner, duly 'ing i otherode Chapter 10 (zoni ng) and for no purpose. I haveof record;con trac t pu rc ha ser;'I essee; authori zed to act -fo-r the who is knowT-edgeable of-this application. purposes allowed by the State Building Code and the following 1ega1 interest in the property: holder of an exclusive option to purchase; Date tor !y: /-/ nail /-/ phone Phone Phone S i gna tu relAddres s When perm 'i s ready noti Owner Con trac tor Contractor's 0SR# Te le or / Plumbing by DO NOT I^JRITE BELOI^' THIS LINE If Commercial Residential: # of employees _,u;i*i#.ixo ii, t:$$tifiii , Existins, BP # /p Proposed, Sl. #SI test holes ready zevv-a7 f ::ii:.:::::::: ! i::.::::::: l.l:::::::.:: :.:iL: :rttr: r ,$S,t,.'.:.!Et.i.iUf i l:ffit:ti,#..:uf.,.:i$lttiii.,:: i$t$t,:Fee Total Va.l uat'ion : $$ A 4% State surcharge at $_ each at $ each Su btotal TOTAL t /l ::fit#H,,:,,,,,.,1,,i- !i#:::::::::::it::::: /-frtttbikttt1t* $ $ Rece i ved Water Supply Propos ed Year InstaI Ied Existing _ $ffiffi&,,,fusns $s@-an s?,q7n_ PERMIT PR0CESSING Zone Minimum setbacks r t , front Comments To be typed on permit CP&I Ty Group Part. #Parcel # int Use Classification Parcel Size t, side {'; rear By Da te Fire Zone To be typed on permit By Date PhoneFor plans information call (area inspector) Directions to site /_/ swo t*'<frr/:u1{ /7 Planning /ffiwor*s // Elevation /TJltf(ress /-/ Facil i ty Permi t l7 Environmental Health FoR INFORMATI0N about progress of your applicat'ion call C74-L7L Pl ans to CP&I _ set(s) I^iPC _ set(s) Da te Requ i red Hold Slip to PCC Da te Compl eted Date to PCC ,d permit Control Center 687-HELp (687-4357) Val uati on I L<-/ . \ DEPARTIENT 0F EtiitR0Nl4ENTAL I{ANAGET,lENT,.-\, PSS, I25 EAST 8Tt] AYt',UE EUGEIiE, OREGON 9740I LC Appl icaiion t Assigned NufibersJob Address A,./{6 il?n",7/)tt r, ,4y'+r'brl e Ci ty 1 r Block * Townshi p, Range, Sectl on, Tax Lot Subdivision a') Lot Structures novi on the property Proposed use of property: /J Residential // Commercial l7 Industrial /-/ Public Appl ication for Affidavit: I Lane. CountyX owne-7--duly ,} , hereby certify that this information is true and accuratereIf this application is for an agricultural building it will be used for purposes allowed by the State Bujlding Code and Code Chapter 10 (zoning) and for no other purpose, i have the following 1ega1 interest in the property r of record;con trac t purchaser;I essee;holder of an exclusive option to purchase; authorized to aaT-To'r the own er, who is Ei'owlGI@aul e of-TEis-a ppl i cat i on S i g na tu re/Add res s Tel When permit is ready notify: Owner Con trac to r Contractor's 0SR# z1 7rt I i cant /_/ )wner or Date /!:,.!zJ-";g7) /_/ Contractor !y: /-/ mail /-/ phone A4 4! Phone Phone4z1 Plumbing by 5I test holes ready Code Descri pti on DO NOT_XRITE-EEIOI{ THIS LINE # of units SDS: ! Existing, BP # N n 7 7Proposed, SI # 4 Fee Sq. Ft. or # of Sites ./a-qw Unit Cos,t Fee b Received by Total Valuation: Plumbing fixtures at A Sewer/water conn. at $-- Subtota l 47,1 State surcharge Plans check fee "Gharqge*o{-.0cqrpart:y r.- .a:,t'1..st' (-"$$ $ TOTAL each each $ J t Water Supply Proposed _$ Year Instal led 5_=-- _,<- /4.PERI"IIT PROCESSING Zon e Minimum setbacks Part. #Parcel #Parcel Sizett, side, front ; int rea r f v-A Comments To be typed on permit uY X14f a'e"t1-z Da te WATER POLLUTION CONTROL Insta l I ation speci fications it gal. tank; -@ I ft. of drainfield; max. depth of trenches Da te To be ed on permit Te1 ephone By rections to site /_ / slF0 /-/ CP&I /-/ ,i.PC /J Planning /-/ Public l.Jorks CP&I hIPC set set (s) (s.) Hold Slip to PCC Da te Compl eted Plans to Da te Date to PCCRequ i red / / Elevation /l-/'n/a 1;1-xar"r, 1-/ Faci I ity Permit l/ Environmental Health Ntl h!. illA^Nc/ drfi-A l/nrfr-/ rttnn oL\We* O, (fu "*^frU ^a6vflfun FOR INFORiIATI0N about progress of your application call Permit Control Center 687-HELP (687-4357) il (a 'I l, / If Commercial: # of stories # of employees Res idential : ; of bedrooms Val uati on Exi sti ng _ dzl z /J hne countyHOID SLSP 6B!'\rI7APPLICATION # LOCATION NAME ADDRESS E The Lane County Water Pollution Control Division cannot proceed with processing your appl ication because: I Incomplete application (items deficient). l--l naOress and/or directions to appl ication site. f] ProRosed number of bedrooms in dwe'l1ing. Approvable plot plan (see attachment). J-'l ltottfication of date test holes will be ready. Verification of ex'isting system required (memorandum explaining this procedure attached). Two test holes (2'X4'X5' deep) required for expansion or repair of existing sewage disposa'l system in the area of the proposed drainfields. 4 0ther: 2 3 DATE If the necessary comections are not made within days, the application will be denied. bTATER P0LLUTI0N CoNTBoL DrVrstON I I25 EAST 8th AVENUE / PUBLIC SERVICE I]UILDING ENVIRONMEN'IAL MANAGEMENT DEP / EUGENE, OREGON 9740]1TBiIIUT Ztt'ZU Nc rfh / llh /n/r/a\l It ,{ ,/, ,ta,/- 7/^ a l/fii ,,u,irll) n r),40t+, h l,ltt//(tt aid l/n",/ Y J' U- I r u44pd Jtuu a zc/ tl,rv; I # -oLu u-(' fw. /rtn t rn aqt, lzn Lh, SIGNATURE m JOB ADDRESS: Contractor's OS + Construction approved by this permit: Water Supply: ?ubl{c POST THIS PERMIT ON MAIN BUILDING AT SITE - -. : i. CONSTRUCTION PERMIT +t , l.Subdivision: ' ' ?t r^l"t Total Construction Value : LO-1036,-90 TRS, TL Thii permit for the referenced property is hereby iPl,B,vrxi. Setbacks and other conditions oI approval must bs strictly observed. Violarion can result in revocation oI this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other romedies allowed by law. Applicant/Add ress:Telephone: Telephone: Telephone: Owner/Address: + Bedroorrs: + Plumbing Fixtures: + Employees: PLANNING DIVISION Zoning: Partitioning + Parcel + Parcel Size: lVlinimum required structural setbacks, from: centerline of road, front: ;centerline of road, side exterior: ; interior property lines: ;rear property line: Special lnstructions * rroat r.tt c* ?.,:H** 6d sut-d..?mc For information call 687-4394, WATER POLLUTION Site lnspection # .iii-. ri lnstallation specifications: gal. min. septic tank capacity; CONTROL DIVISION' . , .: , lineal feet of drainfield required; max. depth of trenchesi ',,*..,. l_nr:, , .,, Special lnstructions Inrtrll on e6el d{r-trAbttttm rrxtmdmE .ytt r of ?803 aach ryetrm Setbacks nter property lines ge of road right-of-way Building foundation Wells, other water sources Septic Tank----lT--- 10' 5', 50' Drainf ield--lTi'- 10' 10' 100'For information call ]yrt a $e rltom lra the ltt{Ehnd plot plra otapsd ap}r6!:Gd 6nd dst*d!l.y 15r 19iO. tU ryutir Ls dcrl;nad ro tGnm 375 scffrtc ptr dnyfr*ru, nu. (errcotly 3 bdrur) }{o lnemalo ln tha # of btttur. vtu b.'lkn c*. Uo .ddtgloar. rvld,ng poo!-al or oth.t atntrair*e,! E{U bs uLlotred duc between 8:00 - 9:00 oa Eh. Lot aftcr drailfteld Lnttqrlsctos.4.m., CONSTRUCTION PE RMITS/INSPECTION DIVISION Type of Construction: Group: "- Fire Zone: Use Classification; lnstructions: For plans information call ) - ' .' between 8:00 a.m. and 9:00 a.m., i -,, i. For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. Directions to Site Date lssued: c55-1 3 DEPABTMENT OF ENVIRONMENTAL MANA(]EMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 o3-19-80 By:i:-.[." ]ful(luckl.ri l,uy lane county 4d-gt*ETFLOOR PLUMBING GROIJNU/ORK Apehovro El Dr srppnove o D o^rr. t 3 ?- fu, RrMlnx s SPECTOR ol* GAS PIPING GROUND/ORK Appnov r o Reuanx s Dar e I Hspecron ROUGH PLUMBING AppRoveo D DrsrppRovrD D oorr-(e=E& ReHaRr s I Hspecron n4 ROI.,GI{ GAS PIPING APPRo,,'Eo D DrsrppRoveD D Reranrs Drrr I rus ee cron F I NAL PLUMB I NG APPRoven n Drsappnoveo Reurnx s 7 ao,"-f,--z- bH-UL._NSPECTOR FINAL GAS PIPING APPRov E D Rsxanx s D Drsrppaovrc fJ DATE I rusprcroR CERTIFICATE OF OCCUPANCY Reeov to lssur ReuaRx s D Nor Rcaoy ro tssuc D Dare I NSPEcToR C/ DrsappRovEo D l3o NovA YI Permit No./OSle$O- rwnshp Standard System A Alternative Job Location (Street Address) Subdivision / Partition # MUST B))EINB] Range r€* n(s T vpe) K ti Parcel - Tax Lot fsrm c55-11-5BOO Xvr To 6e ?e o G/ oozqr SYSTEM PLOT AS CONSTRUSTEI'u , "u," lwt,, : D:_ o - r c -- 1o REpUrlD4rtr 5Y5TPta eE*rr{ Li}lE 5oLlO PrPE ttEkr4 v /\l eao trI Df t as $otr, Atao \ & I I I I I tI \ -l d ,5 Orel t I d rol Il- I a \ 2:c-t -ol Cov,L OI to t J flo.N I I \ r o ll:llt I Ol lnstalle FOR INSTALLER'S USE Tank Capa Measured Distance f Well COMPLETE THE FOLLOWING IF A PUMP WAS USED ON THIS INSTALLATION: I (installer's certify that a (Mfg (Model No. and Mercury Float Switch (Mfg. and No.)- have been installed with this sewage installation Signatu USE BLACK INK ONLY t il Trench Deoth 2Ll Gravel Depth Below Tile tr Manufaqturer tr rltl4ht etEe- 68r]#W NEt i.*?,tbl ,- as on DEO licens) Telephone License No lf lnstalled By Owner- Da ," 6/ql Ro ump Date-FOR SANITA COMMENTS: US ON E System Approved E System Disapproved E Needs Correction(Signature ol Owner) Applicant's Name I Address t Lfno( ena trS Cor System l. / day Signatu Da TNSTALLATTON RECORD & CERTIFTCATE OF SATTSFACTORY COMPLETION When signed by the countv sanitarian, this evidence as per ORS 454.665 of satisfactory completion of a subsurface sewage disposal system at the above location. Return this form to: Water Pollution Control Div., Dept. of Enivronmental Management, located in the basement of the Public Service Building, 125 E. 8th Avenue, Eugene 97401. isSPro. OeE. q1+77 w 0IIPOST THIS PERMIT ON MAIN BUILDING AT SITE Jt-lli ADD Applicant/Add ress: Owner/Address: CONSTRUCTION PE RIVI IT + Telephone: Telephone: Telephone: RESS:XIO lbrr SGrlrtr fatq), orrgra TRS, TL:f,?-0!-22.*.4 t 3800 Subdivision: This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed. Violation can result in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law. Contractor/Address: Contractor's OS +Tota I Construction Va I ue :,I+ira4!h. nn tltDr Hrtn I IOS$ q ftl fmgn 0 ArT .e frt $chds rrod .p;, lrd tnrrdt ffiEtEacturor fifi orE propGrtyt #Water Fsbltc PLANNING DIVISION Zonins: th.6.C +r Plumbin Fixtures:+ Employees: Partitioning + na Minimum required structural setbacks, from: centerl Parcel # $o Parcel Size: ,1,16, * 133of road, front: 6Cr*; centerline of road, property line: Sf EUE efSnoara of, csl-.'ilc-=rc side exterior: Special lnstructions ; interior property lines: IAny alteration of theFor information call 687 WATER POLLUTION Site lnspection + lnstallation specifications: CONTROL DIVISION lineal feet of drainfield required; max. depth of trenches: natural drain- area will n rtas! ee &sra oc ttc ittrsftod ploc plrn ramp*d rpproy*d andMrt l-!ir l9{l$. ?h :'rr:r ,.1 d*rf*art Bo r*rvc 1I5 gallorne psrftil, ux. (wrrmtly 3 bdrr:) tb tecrrr* *; thr I sfrllc:d. Ib addttl.ore, trtd,ng paolr; or sthGr .t*Ets*! gal. min. septic tank 1E-24 lrchao Special lnstructions Iurtrll rn .q3d dtrtrllc.ton rl&tudmr .rratr of I{lOr uch rfrtr j datrdSetbacks lnGiior property lines Edge of road right-of-way Building foundation Wells, other water sources Septic Tank 10' 10' 5', 50' Drainf ield---T0'- 10' 10' 100' ii,, For information ca n - 9:00 Type of Construction: 5{.i Group:Fire Zone 3 Use Classification I nstructions:$sc rwure c{da of prrd,t for mqux'rcd e*ll.d tuptctloac. x, ,,.;,, ,6fit r1- For For plans information call between 8:00 a.m. and 9:00 a.m.,LffiS m ths lot eftar *tralnftald lnrt:llatlon. SFD duG CONSTRUCTION PERMITS/INSPECTION DIVISION By: hne county ions (see back of this -4065 between 8:00 a.. and 5:00 Directions to Site: Date lssued: c55-1 3 nil $.9-19-80 DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE i PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 Construction approved by this permit: \ lr i\ \\ l t 1 \ \'.f il r\.{ ,t"' \\} \ \h ts s} t, r I {)1r' l' i t t\ .r'/,0,/ r't' // 7/ *//O I I r! ilI a \ s i t \ I ll fiild \-.l*.-, I \ POST THIS PERMIT ON MAIN BUILDING AT SITE ePJOB ADDRESS:Lf-E€r.1. rlBge&€r t,ressn CONSTRUCTION PE RN/I IT + TRS, TL: Subdivision: This permit lor the referenced property is hereby .-1..i,-. Setbacks and otherconditions of approval must be strictly observed, Violation can result in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance. and/or other remedies allowed by law. Applicant/Address: , ,. i ir. .. . ' . ;1 Owner/Address: Contractor/Address: Contractor's OS + Total Construction Value Construction approved by this permit: Water Supply: )reson 97t477 Telephone: Telephone: Telephone: # Bedrooms: # Plumbing Fixtures: tud {n*ta}. + Employees PLANNING DIVISION Zoning: ::,. Partitioning + Minimum required structural setbacks, from side exterior: ,* Special lnstructions ; interior property lines centerline of road, front I jIBEr property line Parcel Size r . ; centerline of road, Parcel +nt !-g p'ant rt t nf errl- For information call 687-4394, WATER POLLUTION Site lnspection # lnstallation specifications: Special lnstructions gal. min. septic tank capacity; 18-24 !.oct s furta.Xl aa agrl dbtrt6;{tioa redrcdant sy Setbacks nter ror property lines Septic Tank--T0'--Drainf ield---T0- 10' 10' 1 00' rystGili 8r ihrB @ tha at#-{bd pl.ot p18a rtetrpe{ FIry 15, 1t80. ?hs syrta tb'dcrfgpGd ro sglrve 3i rch ryrte rnd dated )er dav lge of road right-of-way 10' duilding foundation 5'a].Ified.. f].tr) rffi. (esrrrc*tly i bdru)r:0 I'$.€f€a.{,e Lr:l gn€ # of, bdrgr.q. wlllpoolal or othcr atrncBrEr rllt be he lot after fuafurft'Gld Inatallatlo lo rddLe!,ocs, arinil.ng Iorred rluaWellother water sources 50' CONSTRUCTION PERMITS/INSPECTION DIV!SION Type of Construction lnstructions: Group: $da reverae sld* of pctd.t fo between 8:00 - 9:00 a.m., Fire Zone: Use Classification For information call 5-H For plans information call ii,e-i*375,7 between 8:00 a.m. and 9:00 a.m., iJ.For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and'S00 By: p.m. Directions to Site Date lssued: c55-1 3 O5-19-80 DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 lane county6l!' - \ SITE INSPICTION AppRov e o ReNanx s Drsappnoveo D Dare - z-z SPECTOR l,?s, FOUNDATION INSPECTION APPRov E D Dr sAPPRovEo Dare I rspecton ReunRxs zz-n(q FRAM I NG A ppnov e o ReMenxs , I NSPECT I ON /(// Drsappnoveo Drre C - 2(,rrrrr'ro*-1% LATH OR SHEETROCK INSPECTION Appnovro @ Dr sapPnoveo Reurnx s D oo.,,1f,2y'{zQ I NsPEcroR M FINAL INSPECTI Ap pnov r o Rruanx s DrsappRovEo ,o,,-J=I7-8D,NSPECTOR CERTIFICATE OF OCCUPANCY RraoY ro lssue Reuanx s D Nor Rrrov ro lssuE D Dore_I NSPEcToR s.l. #7 TRS; TL 11-03-22 *q -+-6@a Job Location Novl Sr. aNo Ktnx AvE., EueENe Written Directions Orr or Hlnuow Ro. AND Do!/N GlMe Feni4 Ro ., Isr. STREET To R I GHT. Subdivision I4OSSMAN GROVErLot @ Block SITE FEASIBILITY REPORT FOR SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL APPLICANT'S NAME AND ADDRESS BeuuY C. G ttuuonE 21'12 N. 1l rH Sr. ,Sen tNor t ruo, 91\11 phone 7\7-1 53, OWNER'S NAME AND ADDRESS SAME Phone- Mail report to hl Applicant ( ) Owner ( ) Prefer to pick up. Call (owner, etc.) when ready. STRUCTURES NOW ON THE pROpERTy 2 MEIA! BUlLolNGs arD Pur'lPHousE ro aE REMovEo, PROPOSED USE OF PROPERTY Res roerur rel WATER SUPPLY 2 I h€r6by cenily that tho above statements are true and accurate, and that I have the lollowing legal interBt in the Eoperty: - owner of rec'rd; -IL cortraa purchas€r; - potontial buyer; - rerltor or agent. I further cenity that (if not the ownorl I am aulhorized to ad Ior the owner of record, and that said owner is aware and approves of this action. Date z/zo/B2/z5/tg Signature /"/BENNY C. GILLI'CIRETEST HOLES READY * * * * * r+ * * * * * * * * * * * * * * * * * * x * xQpflCE USEONLYBELOWTHIS L INE * * * * * * * * * * * * * * * * * ,' * * * * * * * * * SITE: K-VTTTS STATE STANDARDS E DOES NOT MEET STATE STANDARDS. 4.-. H -Zr&e- Oa^- /<- "4"a*tL.6*,P*rr*-- a- LAND USE COMPLIANCE RAZoning Acreage or Lot Size Partitioning NA Parcel # NA (TOTAL) ( ) Completed( ) Pending ,fi*- THIS IS A PRELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE BUILDING PERIV1IT' ANY PLANS OR EXPENDI' TUREs MADE tN RELtANcE upor..r rit iiiiEio si eRe at youa owN RrsK. tF strE ls APPBovED. sEE REVERSE slDE. 3J Ta7 JEAN OFSTHUN AUTHORIZED SIGNATURE Permit Processing Section AUTH IZED S URE DATE D tvtslon of Water Pollution Control LANE COUNTY DEPARTTVENT OF ENVIRONN4ENTAL MANAGEMENT c55-32 DATE 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 687 4061 WTTH1N ONE M;LE OF THE C;TY OF ruR (NO)--- t/tg/tg I ){ { OAR Chapter 340, Division 7, Section 72-02016l: This report shall remain in effect until issuance of apermit to construct, unless in the meantime conditions on this or adjacent properties have been altered in any manner which would prohibit issuance of a permit, in which case this evaluation report shall be con- sidered null and void. Technical rule changes will not invalidate any evaluation report issued pursuant to this section. Before construction is started bring this form to the Department of Environmental Management and apply for a building permit. Exact specifications for the sewage disposal system will appear on the permit. lf the property is only a portion of a tax lot, a partitioning or subdivision must be approved before thepermit will be issued. Only persons having a valid license issued by the Department of Environmental Ouality under ORS 454.695to install subsurface sewage disposal systems or an owneror contract purchaser or his regular employees may install subsurface sewage disposal systems. A certificate of satisfactory completion will not be issuedif persons other than the above perform the installation. ( ( sr# t-c - SITE EVALUATION WORKSHEET LOCATION: TWP.l1 RANcE ra L sEcrroN z z-- TAx Lor # ZONING:PROPOSED USE:{E3 SIZE OF PROPERTY:AMOI]NT USABLE AREA:4;64: IF SITE MEETS STANDARDS FILL OUT: Type of st.ructure and approximat.e sewage flow:Single Family Indus tria 1 3bo cpd cPd gpd Itu l ti-f ami ly Corrnercial cpd gPd Ins titutional MINIMUM DES]GN REQUIREMENTS : Length of disposat t.rench required Distribut.ion Method: Equal [J l(uc\Z /t5O gaL. Yes --T" Serial No rflCurLain drain required: Other: SPECIAL SITE CONSIDERATIONS OR VARIANGE OPTIONS OR OTHER ALTERNATIVES: NAME: c74-L26 DATE OF EVALUATION: wArER SUPPLY: COMMLNTTY EL PUBLTG Ef TNDTVTDUAL [-] SUBDIVISION/PARTITION LOT BLOCK PARCEL - tlfl J z^-__-7-o SITE DOES DOES NOT MEET MINIMIJM STA\IDARDS. AD}fINISTRATIVE RULES P€QUIRE A MINIMIJM DEPTH OF: 36 inches to an impermeable layer 30 inches to a restrictive layer 60 inches to a perrnanent water table 24 inches to a t,emporarily perched water table OTHER REASONS FOR DEN ON YOUR PROPERTY THE DEPTH I{AS: inches inches inches inches #Z TEST HoLE PROFILE Inch Restrictive Layer l-O in rmpervrous Layer ],-., 1n t2 S-c. As4836 C<*'/ SLOPE l-n n 1n 48 .'0 60/o .n s!/- 6Al &o 24 SATURATED ZONE Mottling PROFILE Lnch PERCHED WATER Predicted Observed Date Predicted Observed Date TEST HOLE#t PREDICTED WATER SATURATED ZONE ,./ARestrictive Layer wyl " in Impervious Layer in, SLOPE IN ,n 1n r-%*r.t- 1nMott I ing Predic ted Observed Date Predicted Observed Dat.e t2- 24- 36- 48- 60- ) :iac- So PLOT PI.AN: Stream -+^r.ll, Drainage or pond l, r. ta qla a.. .la I a Road --E-- Test Hole @ \ % SloPe Cut Bank .f t f 7- Fence X-X sr# la 7?_?/ tr tr tr tr -ffid4' "*f 3-o d F.et e I Strucluret noH on thc prope iProporad uz. ol property: fffrdav-lt: l, lf thls appl lca Lane County Cod (,ontrrc tor Contractor's OSR| l f Co,nnt rc i r'l Rcs ldentlal : I of rtorlcs I of bcdroer Sl test holes fcc!:tr DtPARTiltNI 0r EnylRotitltriIAL ttlr'l^0tl4tNI PS8. I25 TASI 8T}I AVTXUE tuGENt. ontGoN 97101 Cl ty Plunblng by I of crnpl te Bulldlng Code cndln the property! option to purchasel , rc55 hlp, Rrngr,tlon, Tax Lot 7-as -L Srrbdlvlslon Block Apirl lcatlon for 9_ & n"rtdsnilrl t_t rclal /-7 lndusplrl ll ruUttt t rfrft p t! se nt , herciry ccrtrfy that thtS informailon ls true lnd accurtr tlon ls for an agricultur al bu lding lt xlll be used for purposes allowed by the Stae Chapter l0 (ronlng) and for no other purpose. I have tlre followl ng'legal lnterestouner of record: X c I_arly authorlrcd - to att-Tor ts [ffiTe*dgcab'le of ttr{iTppl lcatlon ontract purch,!seri 'les see holder of an exc'lusl vethe onner !l9no ture/Address al b ,*/-n tc' Tel or Da te i{hen perml t is re!dy noti fy Appl lcant f t On ", I Contractor [: t-/ r;otl phone ([{rr e f 4<.Phonc 7,/l/ ) //^- i , - Phgne -,1 z/ 7^z t -Jr'* t of unltr 505: , Extsttng, Bp , /j7 Propored, SL Ft. orf of Sttcs (hlr Cor t Ial.u-9.[9!.Fee_ t r€I , Total Valuatlonl S Plurrbtng flxturer rt t Sewer/ratcr conn. at t 4l State surcharge PIans check fee Change of 0ccupancy each each t /_/ he<l I Received by $ Subtota I TOTAL 3 ilirll_L-l,ROc!ss I Nc i'l in inturit setblcks: ne t, r*r,i t, sl Parcel I - Parcel Size .4 rea r P\cr,v1 Ior:nnntS __ I o be typed on pt'rmi t By | !.1 Tvpe-- Group--_--- Fire Zone ure clasrlftcatlon Io L:e typed on pennit Da te By 0a te I ( r' l,lJn! itrf onru 0n l'L'J ln5l)uCtOr) tions to si lPlans to: Cp&l set(s tiPC _- set(s Da te Requ i red Hold Sl lp ro PCC Da te Comp I e ted 0ate to PCC Pl anntng 1/ I'ubi ic llorks f7 t'lcv,rtlon /*/ n/a /-/ Addres, /_/ t act I i ty Permt t / / tnvironrnental Health c74-17 | 4 )r "e-\r t-- t ' / 5lt0 , / cl'El \t tTPc 1r\ \''- . r '-- l Plclt Plan .l r't;C<ii Permit /l ,.*ddr \-o + qa3\< \3_5\ (c, bbJ For Permlt i/For Pernlt #-For Pemit Por Permlt /l For Permlt /l For Subdivision Lot ,f/ l''IBlock t3 /-ttl \ Q -> 1) = 5 L.r+ \d-t \-c.) + I- c-t { a\. )5 u \ 8)-\toclx 2\ <? $i' .t i) u r h^ $ tf t 4 \o 't'_l* r x I -1 i.' 6 t- i<{' ,,(,1, ) o a c74- 150 Vlclnlty Map N I 0C, oo / fo' '1 t-.Y - _ -- - - - i I \,L -bo' - '6N1r(^i5 *(il () ,' .\ t) ,t Lt I.-.o'l+ \D l(o. l\lP 9_ I(10*lot- t oo \ 6-.t (? (ro )-*\ e;i. \'r .o \ 0)t I 1S C 'o$oI ,\. \ LCt -b -L]3N :_ 3 belQooq Lo' P 1 Ir v ^oN a +t -> I I z', '-t I "LANE COUNTY, OREGON CONSTRUCTION PERMITS S INSPECTION DIV. ga -/o -8o -JOB ADDRESS TO NOTE 3 I DATE BLDG. PERIVIT h sruln l.t- -f,L-z +a" Ac. ro{ c55-73 FIE.INESFECTTclN FIEGlUIFIEE, 5 Fc,F| AFPFTG,VAL INSPPhone E,El7-4 LAi-,tE COUNTY, OREGON D' 1T. OF ENVIRONMENTAL MANAGEMENT CONSTRUCTION PERMITS A INSPECTION DIV. lr-SFECTCIFI'S MEMO JOB ADDRESS TO DATE -/ NorE: 4 X Q nt* ' r/ ok-I:Q lt --T T ## t /(L a7''. 1,84 Phone EiBT-4O65 INSPECTOR MM ,I ..LANE COUNTY, OREGON DEPT. OF ENVIRONMENTAL MANA JOB ADDRESS TO CONSTRUCTION PERMITS E INSPECTION DIV..VIENT CCIFIFIECTIGIN NGITIGE DATE BLDG. PERN/IT NOT ft c55-7t *E-rNErpEcrr.,N ErEourFrEE, Phone ciElT-4ElEis FoFr APPFToVAL INSPECTOR