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Home My WebLink AboutPermit Building 1977-04-19PERMIT # -3.3,3 7avTRS, T JOB LOCATION Partitioning # LANE COUNTY PERMIT Acreage or Lot Si 7P ) Completed Subdivision Lot- Block-Contractor's O.S. # OWNER'S NAME AND ADDRE ssAPPLICANT'S NAIVIE AND ADDRE ss Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready Phone Phone PhoneCONTRACTOR'S NAME AND ADDRESS -TBUCTURES NOW ON THE PROPERTY THlsPERMlTlsFoR#BEDRoolV]S-#PLUl\4BlNGcoNNEcTloNL- WATER SUppLY- SEWAGE DISPOSAL- S.l. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certily 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 o{ 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 $ g 'o Signature Date ( }NEWADDRESS () FACILITY PERI\4IT TO T RANSPO RTATION DEPT.- I SPECIA L PMT. AR EA. MIN.ELEVATION:- SAN ITAT ION BUILDING Type of Construction roup -Fire Zone Use Classification Comments Comments By Date By Date Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth PLANNING REOUI REMENTS SATISFIED. By:Date Date lssued ZONE: SETBACKS: FRONT SIDE FACING STREET (FROM C/L) lNT. SIDE YARD REAR (FROM P/L) LAN E cOUNTY DEPARTIV]ENT OF ENVIRONMENTAL MANAG EMENT, 125 EAST 8TH AVE., EUG ENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-13 \ 3 (owner, etc.) 7s/-77 7{)- r7}') 7/2 /?fJ rRS,T ( ) guitOing Permit Job Location INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites( )w ld like to meet on site. Call Acreage or Lot Size Partitioning #- ( )Completed /("00O ( )Pending APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different f m applicant's CONTRACTOR'S NAME AND ADDRESS 4 2/ {/o a hol ready S a LotJ Bloc Phone Phone PhoneC'7-- i 'ail permitorresultsof sitefeasibilitystudyto (x)Applicant ( )Owner ( )Contra ,L-)J}e@kup. Catl ( owner, etc. ) when ready. STRUCTURES NOW ON THE PROPERT ,tUa o4,1.*(.rt's, t{t- /795', PROPOSED USE (this permit).7,u,O"reLe? J-<(3 WATER SUPPLY kb, **-orb SEWAGE DISPOSA (existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l 4 AddressPLUMBING B () PROPERTY IS WITHIN ONE MILE OF CITY .r'*r.r oFFtcE usE oNLY BELOW THtS LINE *****r******* ( )New ZON To: Planning/Building lnspector/Sanitarian/Surveyor. ( ) Facility Permit Necessary ( ) Special Permit Area. SETBACKS: Front /S' Side Facing Street lnterior Side Yard (FROIV CENTERLINE OF ROAD) IVlini m um Elevation Rear (FROIVI P ERTY LINES) This applicant appears to have a problem wit Your assistance will be appreciated. By Permit Processing Section Response c55-12 lvrslonBy DEPARTIVIENT OF ENV I RONTVIENTAL IVIANAGEIVIENT Permit Processing Section 125 East 8th Avenue 687-4394 a UT s1 a F h:}a ul 5 z ltJ f 5€ftic 1A odV "1 ,/Oa,+r) .J NJ(L \t 7 a J ,l 3lJ I I, l-lq I T I vz u, , wvf It, 7I) E J o r- lo'x73' e nnrlEf-DRIVEWAY- ,,\ .- :-t--*t ?' t*?{Lt Uzj nto S|LC itone I 21x 1S Ir0 7 JI!a tr. ! -...hA1r3"-.!, 15t 5', L- t5' /t' { ,lt. H.66*r 64otIG oritlh wR3 Ittf i.i-r=!lt- '-- ) I I IU z 5 lr o-. LrJZ ;1-N. $qHi B PERMIT # TRS, T JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning # OWNER'S NAME AND ADDR lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call ) Completed Subdivision Lot Block , Phon p (owner, etc.) when ready AppLrcANT's NA|\4E AND ADDRESS , ::, , Phone- CONTBACTOR'S NAIVIE AND ADDBESS Phone- STRUCTURES NOW ON THE PBOPEBTY rHlS PEBN4IT lS FOB . , # BEDROOMS-# PLUIVIB ING CONNECTIONS- WATER SUPPLY " SEWAGE DISPOSAL ,' ' 's.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUIVlBlNGBY t hereby certify that the above statements are true and accurate, and that I have the fotlowing legal interest in lhe property: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I iurther certify that (if not the owner) I am authorized to act lor 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 $-Signatu re Date ()NEWADDRESS () FACILITY PE BM IT TO T RANSPORTATION DEPT.- () SPECIAL PN4T. AREA. MIN.ELEVATION:- SANITATION BU ILD ING lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date i Type of Construction -GrouP Use Classification Comments: ire Zone Comments By By:Date PLANNING REOUIREMENTS SATISFIED. By Date:Date lssued ZONE: SETBACKS: FRONT SIDE FACING STREET (FBOlVl C/L) lNT. SIDE YARD REAR (FROI\4 P/L) LAN E COUNTY D EPARTMENT OF ENVIRONMENTAL MANAG EN] ENT, 125 EAST 8TH AVE,. EUG ENE, OREGON 97401 PHON E: 687.4394 POST THIS PERMIT ON MAIN BUILDING AT SITE c55r 3 trcq ( SITE INSPECTION AppRov E o Rruanx s D r sapeRoveo Date NS PE C TOR FOUNDATION I NS toN AppnovEo REuanx s o^,, L 'Lf-71 <)Dl sAPPRovEo I Nspectoa / FRAM I NG I NSPECT I, AepRovro Reuanx s Drsnppnoveo L:Z?t tDare I Hseec LATH OR SHEETROCK Aepaovro REttrRxs I NSPECT I ON DrsapPRove o f-7 Drre I xspecton FINAL INSPECTION Ap pnov e o RruaRx s DrsrppaovEo L-21-2 Ir NS P E CTORDare CERTIFICATE OF OCCUPANCY Reaov ro lssuE Reuenx s D d D Nor Rrrov ro lssuE D Dore_lrsee cron_ 3\a LUtLo /utra^., =t ,\ O q -e.*7-{ ?/q-{i fr ,co, { F }-?ar,j t-o,c{+* -/ .If,{r*r;te^, - -tt-,bl /,t'+-- -2 ?Sfe/}9. 2ao {*t*a E* &sar.s ' ./'Nr P",s& 7X4/ oa /*-' si.-**Av*, ft frt'Sfi@*a ,4ttua* f*4r,:r @Au4a)J: ?)-*- -ro <# A?prcuED Qocceos aTATc, ra*6 ,;Jbl.ct rn 1" L-l T9P6 Mt{ Dtv') ftlnu fi***aiF^ y' {at /"o f, //:r!'le rs'rr p i ,4,it* (- I i I { 1';- ' t_,-" -.*-.-.++L\.t ,/i *, d*[ t\.' : 19r{ r. 6 t'-* J F'*"Qho* flil ,u=%iE'E? '::l*s, I I. l_I _____Et_t---_6 li o'.t -.4 t5t 1 leu.ra,c /o' x. 73' t L * qRXFv/Ay - - - -.1--__-- - -i-.-, - ,j il c0 J tog u, :t xc{aL ,r, zl L1j \9 'l - z I-IJ LU Z ! t.l-j <- t5t 5 I I I I I I ln s', l-z u, , w v1 U 7 Y) 'u J F IqJ 3lJ I Ira l-lq I -i o t_ tsl '. '-ilt6E[t G,f,ou3 -. _n S€ntc " Tr(fti ( .a . \-1 Jo ') ll fio 8tu€ HoYne 2*x ** -_l|,1iIeF,-L!NC rhoAl 6Rn 3 PERIVIIT # TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning # APPLICANT'S NAME AND ADDR OWNER'S NATVIE AND ADDR Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call ) Completed Subdivision kLotBloc CONTRACTOR'S NAIVIE AND ADDRESS Phone Phone- Phone- (owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY THlsPEBMlTlsFoR#BEDRooML#PLul\4BlNGcoNNEcTloNL WATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the lollowing legal interest in the property: -owner of re@rd; -contract purchaser; - potential buyer; - realtor or agent. I f urther certify that (if not the owner) I am authorized to act for the owner ol record, and that said owner is aware and approves of this action. I hereby agree to mmply with all applicable Codes relating to this permit. Fee Paid S-Signatu re Date ( }NEWADDRESS ( } FACILITY PERMIT TO T RANSPO RTATION DEPT.- () SPECIAL PI\4T. AREA. MIN.ELEVATION:- SAN ITATION Type of Construction -Group -FireZone c",nr."*, Use classification Comments: By Date By Date PLANNING REOUI REIVIENTS SATISFIED. By Date Date lssued SETBACKS: FRONT SIDE FACING STREET (FROtVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTMENT OF ENVIRONIVIENTAL TVIANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.pERMtT-WHtrE; BUtLDtNG-GREEN; pLUMBtNG-GANARy; sANtrATtoN-GoLDENRoD; oFFtcEcoprz-wHtrE PHONE:687-4394 trqq trcc lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth ZON E: \ =o qcr*- TRS, T '\?r-()3-(>f a\OO ( ) Building Permit Acreage or Lot Size Partitioning #- ( )Completed( ) Pending Job Location L!'\1=A- INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites-( ) Would like to meet on site. Call (owner, etc.) Test holes will be ready Subdivision D.---.,\ Gp-9-_Ll_s1 -)r2tG*.\ G-c'-4-{- Bloc Phone Phone Phone APPLICANT'S NATVIE AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicant's CONTRACTOR'S NAIV1E AND ADDRESS Mail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor( ) Prefer to pick up. Call ( owner, etc. ) when ready STRUCTURES NOW ON THE P PE =\\=qJ existing or proposed well, etc. lf public,me of system) (existing or proposed septic tank, etc.)-\b PROPOSED USE (this permit) WATER SUPPLY vC> SEWAGE DISPOSA Qr-s.r=qJ PLUMBING BY Address () PROPERTY IS WITHIN ONE MILE OF CITY <'- ***.***oFFtcE usE oNLY BELOW THtS LINE*******r**r** ( ) New Address Necessary ZON ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROIVI CENTERLINE OF ROAD) ( ) Special Permit Area. lVlinimum Elevation lnterior Side Yard Rear -- (FROI\N PROPEHTY LI NES) To: Planning/Building I nspector/Sanitarian/Surveyor This applicant appears to have a problem Your assistance will be appreciated. By Permit Processing Section Response: By DEPARTTVI ENT O F ENV I RONMENTAL MANAG EIU ENT Permit Processi ng Section 125 East 8th Avenue 687-4394c55-12 lvtston t--\\N\d- \t3-\"1 F TRS, T Acreage or Lot Size Contractor's O.S. # PERIVIIT # JOB LOCATION LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot- Block- APPLICANT'S NAME AND ADDR OWNER'S NAME AND ADDRESS Phone_-- Phon p CONTBACTOR'S NAI\4E AND ADDRESS Phone- Mailpermitto(}Applicant(lowner()contractor.()Prefertopickup.Call-(oWner,etc.}whenready. STRUCTURES NOW ON THE PBOPERTY THIS PERMIT IS FOR # B ED ROOIVIS-# PLUIVIB I NG CO NNECT IONS WATER SUPPLY- SEWAGE DISPOSAL- S.I. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEclTYoF.PLUlVlBlNGBY I hereby ceftify that the above statements are true and accurate, and that I have the foliowing legal interest in the property: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I lurther certify that (iI not the owner) I am authorized to act lor 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 $- ()NEWADDRESS FACILITY PERI\4IT TO TRANSPO RTATION DEPT.- () SPECIAL PIV]T. AREA. I\4IN. ELEVATION Signatu re Date - SANITATION T.ANE COUNTY SPECIAL P Mi-nimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth EEil"{il /r6gffi r*G Type of Construction -Group -Fire Zone Use Classification Comments: Comments: B Date PLANN ING REOUI REIUENTS SATISFIED. By: B Date Date lssuedDate ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-13 BLDG.pERMTT-wHrrE; BUTLDTNG-GREEN; pLUMBTNG-cANARy; sANrrATroN-GoLDENRoD; oFFrcEcoprr-wHrrE PHONE:687-4394 ( trqQ SLAB FLOOR PLUMB I NG GROUNU,/ORK Ap pnov r o ReMrnx s Drsappnoveo Dar r I Hsprcton GAS PIPING GROUND/ORK Ap pnov e o REt,tl nx s D r sappnovro Dar e I Hseecron ROUGH PLUMBING Appnoveo D DrsappRoveo D Rexa nx s DatE I Hspecron ROUGH GAS PIPING Apeaovro D DrsapPnove, D Reua Rx s Drr r I NsprctoR F I NAL PLUMB I NG APPRov E D Rturnx s I Hspecron e*E Dt srppnoveo ,^,,-8/8/ry FINAL GAS PIPING Ap pRov e o RettaRx s DrsapPnoveo Dare I Nsprcton CERTIFICATE OF OCCUPANCY Rraov ro lssuE Reua Rx s D Nor REaov ro lssuE D DarE I xspecroR D D PERMIT # TRS, TL Acreage or Lot Si Contractor's O.S. # APPLICANT'S NAME AND ADDRE SANITATION LANE COUNTY Minimum Septic Tank Drainfield Required - Lineal Feet Maximum Depth Comments JOB LOCATIO Partitioning # LANE COUNTY PERMIT ) Completed Subdivision Lot- Blo ck SS Phone- OWNER'S NAME AND ADDRESS-Phon CONTRACTOR'S NAME AND ADDR lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call- Phone----------_-.-----..-- STRUCTURES NOW ON THE PBOPERTY THIS PERMIT IS FO # B ED ROOIMS-# PLUIVIB I NG CONN ECT IONS WATER SUppLy- SEWAGE DISPOSAL-= -=---- S.l. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner oI record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (i{ not the owner} I am authorized to act for the owner oI record, and thatsaid owner is awire and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $-Signature Date NEWADDRESS () FACILITY PEBM IT TO TRANSPO RTATION DEPT,- l SPECIAL PMT. AREA, MIN.ELEVATION: -- SPECIAL PERMIT Capacity (Gallons) ARtsNILDING Type of Construction c"".',n.rt- Use classification roup -Fire Zone By Date Date Date lssuedPLANN ING REOUI REIVIENTS SATISFIED. By Date ZONE SETBACKS: FRONT SIDE FACING STREET (F ROIVI C/L) INT. SIDE YARD REAR (F ROTVI P/L) LAN E COUNTY DEPABTIV]ENT OF ENVIRONM ENTA L MANAG EMENT, 125 EAST 8TH AVE., EUG ENE. O R EGON 97401 PHON E: 687'4394 POST THIS PERMIT ON MAIN BUILDING AT SITE c65r 3 f r trcq (owner, etc.) when ready SITE INSPECTION Appnov r o Rruanxs DrsappRoveo Drr r I xsprcron FOUNDATION INSPECTION Appnoveo Rrua nx s D DTsAPPRovE o f-7 Drrr Itt'sprcron FRAMING INSPECTION AppRovro REltanx s Dr sappnoveo D DATE I xspecton LATH OR SHEETROCK Ap pnov r o ReM rnx s I NSPECT I ON Dr sappnovED Dlt r IttspEcton FINAL INSPECTI o ^,, /f- r/- 7 7, * ",, ", o ^ A ppRov r o Rrtre nx s Dr sappRoveo CERTIFICATE OF OCCUPANCY ReaovTolSsUEDNorRtaoyTolSsUEDDore-ltseecron- Rrurnx s T \r \ /\ t. #,r-H tr3- 11 S' l', -7 7- l'?L/ TRS, T t lX-03-oA 2zoo PIot Plan Job Location (Street, mile post Z/)N EPrU^|6 Subdivision A V Lot -, Block '') FOR SANITARIAN'S USE ON LY COMMENTS: F,qystem Approved fJ System Disapproved fl Needs Correction 1P 351 P 0 0,0 6 Y Trench De Manufactu S ature L o0 T- - /d '77b l")FOR INSTALLER'S USE: Tank Capacitv /-------: tP Filler Depth Below Ti 6:tr- lVleasured distance to well fro mtankS.Pi)EAElELJ) from draintietd C URL) t)OY ^l o K -r-l+ \{J 0' \ \ J oo,6o GRATTL DNIVE l00l trl +o- m .( o l( I \5 4( \h .: .-.j ooo !E O) t\c =1.(u o) E @ Pc(oo =o-o t!F o UJtr o6 co \ St <\ !I\ ^l \ F- \Sa a \ r- L 0) (oP0 C 7 \ b \ \ r- s- t$ il D I Ir/0 / C. \ o scae)'= l0' o 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 [Vlanagement, Public Service Building, 125 East Bth Avenue, Eugene 974O1 l0 0D J Dr c55-1 1 ,t RI rffi I J'=" I I J !rP- PERMIT # TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size- Partitioning ) Completed Subdivision Contractor's O.S. #Lot Block- APPLICANT'S NAN/IE AND ADDRE ss OWNER'S NAME AND ADDRE ss Phon tr CONTRACTOR'S NAI\4E AND ADDRESS Phone-lvlailpermitto()Applicant()owner()contractor.()Prefertopickt]p.call-(owner,etc.)whenready. Phone-- STRUCTURES NOW ON THE PROPERTY- THlsPEBl,lTlsFoR#BEDRooML#PLUlV]BlNGcoNNEcTloNS- \AJATER SUPPLY SEWAGE DISPOSAL s.t. # THIS PROPERTY IS WITHIN ONE IVIILE OF THE CITY OF PLUIVIBING 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 lurther certify that (il not the owner) I am authorized to act for the owner ol 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 $Signatu re Date SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet IVlaximum Depth BUILDING Type of Construction -Group Use Classification Comments ire Zone Comments By:Date BV Date PLANNING REOUI REIVIENTS SATISFtED. By Date Date lssued ZONE: SETBACKS: FRONT SIDE FACTNG STREET (FROM C/L) tNT. S|DE YARD REAR (FRO|\4 P/L) LANE COUNTY DEPARTMENT OF ENVIRONIVIENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 9740'l PHONE: 687'4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITEc55-1 3 I NEW ADDRESS l FACILITY PERI\4IT TO TRANSPORTATION DEPT.- I ) SPECIAL PIV]T. AREA. I\4IN. ELEVATION: - ( Dote 4/q-11 WHEREAS, the ottqched opplicotion hos been fully missioners of Lone County, ond it is the opinion ond iudg should be gronted, ond thot o permit should be issued, ORDERED, thot o permit be ond is hereby issued to Permit No.7 CURB CUT considered by the Boord of County Com-,. ment of the Boord thot the soid opplicotion PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF IANE COUNTY now,it is he 6,^ .il;2, for plocing, building or constructing the @llowing focility: er%'--f 44.-. e*f s ,fr"4{ 3d Mile Post /r-44O upon the right-of-woy of County d No. in strict conformity to the exhibits qttoched hereto, on d stipulotions ond provi sions contoined in the opplicotion Rood Rig I lerms, conditions, ogreements, the Rules on upon County thereto, ond subiect to ol ond permit, hts-of-Woy,os set forth d Regulotions Gov- by the lone Mon- 2 3 erning Focilities to be Permitted uol 50.19O(.2) ony omendments Speciol Provisions: fore ony other opplicoble regulotions, low or ordinonce. Drivewoy will be consfructed 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 oreo in o neot, occeptoble condition. Sidewalks w'ill be constructed in accordance with the attached sidewalk specificat'ions and drawing M9B-49. The Standard Curb Type shall be constructed unless otherwise specified. '19_. lnspected ond Approved Approved by Boord of County Commissioners By Dote ol il L'u By This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon thot speciiicolly mentioned obove is hereby outhorized. This permit shqll be void unless the work herein contemploted sholl hove been completed be- P2-tr Expires WHITE _ OFFICE FIIE YEITOW _ REAT ESTATE PINK _ PERMITTEE ORANGE_BUITDING & SANITATION DEPT bf Pu blic rks c74-L29 1.1/B/ / I -3- 2/ a Job Locatlon Pernit /l Permlt Permit ?oTRS, TL 5rl Subdivis Lot 7 For For Pernlt /l Perml ttt Permi tlt ul For For 1f For For [)n p/-une S /" ae* 4 ( rl It I I I )t /I 6 ( I ,l {;f,{ \ ;\ oa ( I -\ c74-L50 VLclnity Map N ! (owner, etc.) / 27k 71 TRS, T Job Location INFORMATION SHEET ( ) Building Permit ( ) Site Feasibility Study for Septic Tank. Number of sites-( ) Would like to meet on site. Call Acreage or Lot Size- Partitioning #- ( )Completed( ) Pending Test holes will be ready- APPLICANT'S NAI\4E AND ADDRESS OWNER'S NAIVIE AND ADDRESS, if different from applicant's CONTRACTOR'S NAIVIE AND ADDRESS t Mail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor( ) Prefer to pick up. Call (owner etc. ) when ready STRUCTURES NOW ON THE PROPER PROPOSED USE (this permit) WATER SUPPLY -t a-+n.t-rL Subdivision Lot- Blo (existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l. #-SEWAGE DISPOSAL PLUMBING BY Address () PROPERTY IS WITHIN ONE MILE OF CITY *.*firr oFFtcE usE oNLy BELOW THtS LtNE r*r.********* ( ) New Address Necessary ZON E ( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation lnterior Side Yard - Rear (FROIVI PROPERTY LINES) SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) To: Planning/Building lnspector/Sanitarian/Surveyor This applicant appears to have a problem Your assistance will be appreciated. By Permit Processing Section Respon By D E PA R TIV E N T O F E NV I R O N IVI E NTA L IVIANAG E IVI E NT Permit Processing Section 125 East 8th Avenue 687-4394c5s-12 tvtston p6on" 7 ttl - c,2 d:* Phone- Phone- ) PERMIT # TRS, T JOB LOCATION LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning APPLICANT'S NAME AND ADDRE ss CONTRACTOR'S NAIVIE AND ADDRESS IVlail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call ) Completed Subdivision Lot-- Blo ck Phon OWNER'S NAME AND ADDRESS Phone-.--- (owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY # B ED ROOIVIS-# PLUIVIB I NG CO NNECT IONS THIS PERIVIIT IS FOR WATEB SUPPLY . SEWAGE DISPOSAL ; , S.I. # Signature Date - Fee Paid $- () NEWADDRESS () FACILITYPERIVIITTO TRANSPORTATION DEPT.- ( ) SPECIAL PN/IT. AREA IVIIN. ELEVATION SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth Date BU ILD ING Tvoe of Construction se Classification By roup -Fire Zone Date Comments By PLANNING REOUIREMENTS SATISFIED. By Date Date lssued slDE FACTNG STREET (FROlvl C/L)INT. SIDE YARD REAR (FROM P/L)ZONE LANE COUNTY DEPARTI\,!ENT OF ENVIRONIV]ENTAL MANAGEIV]ENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687'4394 POST THIS PERMIT ON MAIN BIJILDING AT SITE c55t 3 I THIS PROPERTY ISWITHIN ONE TVIILE OF THE CITY OF PLUIVIBING 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 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. Comments: SETBACKS: FRONT SITE INSPECTION AP PRoV E D Re iranx s D t sappRoveo Drre I Nspecron FOUNDATION INSPTCTION D r sappRoveo a1-l 1.7?rHsprcronDlr e REuaRxs FRAM I NG A ppnov e o Reuaaxs I NSPECT ION z/ lJ-/ Drsappnoveo ,2 fuMDrrrI xspccron LATH OR SHEETROCK INSPECTION Appnovro D DrsappRovEo V Dar e I Nspecron RruaRx s FINAL INSPECTION Ap pnov e o Rruanx s D r sappnoveo Dare l usercron CERTIFICATE OF OCCUPANCY Reaov ro lssuE ReuaRx s / / Nor Reaoy ro lssue n Drre I rspecron -*.- Appnoveo N It<.4 t)TRS, ,TL Job Locatlon (Addre Permit Permit Permit #1 For For Pernlt # Permlt tl- Permlt For PI Forar'L For For Subdivisi Lot <) .--r-Block /')epL,t,he 5{re€t U4 r{( :L ; )tI ,\ I ! 6 1,ff tl/ i I (\ c( ( y'1/E/ / c74- 150 Vlclnity Map N u I I I O - s.r TRS, TL Acreage or Lot Size- Job Location SITE FEASIBILITY REPORT FOR SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL Partitioning ( ) Completed( ) Pending Subdivision: ( ) Would like to meet on site. Call- Lot- Block APPLICANT'S NAME AND ADDRESS Phone- OWNER'S NAME AND ADDRESS Mail reportto ( )Applicant ( )Owner STRUCTURES NOW ON THE PROPE PROPOSED USE OF PROPERTY WATER SUPPLY I hereby certify that the above statemen contract purchaser; _ potential record, and that said owner is aware and a TEST HOLES READY * * * l( * * Je * * * * * * * * r( * tt J( * * re * *.t( JF l( * * * lf * SITE: E MEETS STATE STANDARD ()to pick up. Call owner, etc.) when ready. Phone- ,} t1 tl ()THlSPRoPERTY|SWlTHlNoNElVllLEoFTHEClTYoF- d accurate, and that I have the following legal interest in the property: -owner of record; realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of is action. Signature Date xxxx Qpf ICE USE ONLY BELOW THIS LINE **.,(**r.*************J(*r(***x**********r(*J(r(.n** ES NOT IVIEET STATE STANDARDS. L ,r-; ZON ING By AUTHORIZED SIGNATURE DATE Date TH IS IS A PRELIIV] INABY REPORT WH ICH DOES NOT ENSUEE TH E ISSUANCE OF A FUTU RE BU ILDING PE RIV] II ANY PLANS OR EXPEN DI-TUBES MADE IN RELIANCE UPON THIS BEPORT ARE AT YOUR OWN RISK. IF SITE IS APPBOVED, SEE REVERSE SIDE. LANE COUNTY DEPARTTVIENT OF ENV I RON tVI E NTA L IVIANAG EM E NT Division of Water Pollution Control 125 EAST BTH AVENUE, EUGENE, OREGON 974O1 687-4061 are true Yer; c55-32 + I *l(** , OAR Chapter 340, Division 7, Section 72-020(6lr: This report shall remain in effect until issuance of a permit 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 [Vlanagement 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 the permit will be issued. Only persons having a valid license issued by the Department of Environmental Ouality under ORS 454.695 to install subsurface sewage disposal systems or an owner or contract purchaser or his regular employees may install subsurface sewage disposal systems. A certificate of satisfactory completion will not be issued if persons other than the above perform the installation.( ^a*?'--- *.1i.'>-i ,< ttt 77- ()tl, i' *- !-7-l I i - - . ::::l&:=E;::::F lO' x 73'L DRTvEwAY ia--F. ;+:-6Rn ,1; -"t s .e --,q* ._ Jf' _+-_ I )o m og \r ] xaq 3.a u,zl g &,o A h} .15 trl 5 z l,! UJz 3 FL L-Li - vI tll , )J U \) ;J r *c lst tsl lo' st. Flt-BEAT Gnoue yn,bt, 7 ADb r??oN S2 Tt|s R3rs u!,rrt.lrral€ C6uNl-y, Ot4€66A{'nlr. 'LoT.J1oa LOT 3 B I Sen''c T11N,( m o B ruE HOv"' € LI 24x ** rc 58" - aJix- 17nr.- ,3 ltt= tot 5 A./ I I I :f I , .5' Ilu 3lJ I Ito ,-l\uvi I I I i. . r X 'i i ! , I i i I I 1 O,v{s ,.'i ,1; :.2- :\-,. 'lo ,. >a/: LocArroN: rwp. [( neucr 03- sECrroN O'2- SITE EVALUATION WORKSHEET PROPOSED USE: TAX LOT #)7 ao WATER SUPPLY: COMMI]NITY PUBLIG IF SITE MEETS STANDARDS FILL OUT: Type of structure and approximate sewage flow: Mrlti-family Cournercial MINIMUM DESIGN REQUIREMENTS : Length of disposal trench required ZONING: SIZE OF PROPERTY: Distribution Method: Curtain drain required: Other: AMOUNT US$LE AREA: Single Family Industrial cpd gPd cpd 8Pd cpd Ins titutional lm> a OrP /750 gaL. Equal ].K]-u-T - Serial No lv Yes SPECIAL SITE CONSIDERATIONS OR VARIANCE OPTIONS OR OTHER ALTERNATIVES: L NAME: c74-t26 DATE OF EVALUATION:J:Z&]Z l= TNDTvTDUAL [_] fl -A 4,*- / #T TEST HOLE #Z TEST HOLE strictive Layer _in 1n 1n L2 1n t-n 36 60 24 48 PREDICTED WATER SATURATED ZONE tt 1 ing PROFILE Inch redicted ate served Predicted Observed Dat,e s Layer in in Restrictive Layer _inImpervious Layer in L2 24 36 48 60 1 1 Mottling ,n .n 1n 1n f4N4--- in PERCHED WATER SATURATED ZONE PROF]LE InchPredicted Observed Date Predicted Observed Date vSITE DOES DOES NOT MEET MINIMIJM STANDARDS. ADMINISTRATIVE RULES REQUIRE A MINIMITM DEPTH OF: 36 inches to an impermeable layer 30 inches to a rest,rictive layer 60 inches to a permanent water table 24 inches to a temporarily perched wat,er table OTHER REASONS FOR DENIAL ON YOUR PROPERTY THN DEPTH I,IAS: inches inches inches inches PLOT PI,AN: Stream ;A-*\.Lb Drainage or pond la r.irt.aa aa. ra, I a Road ---- Test Hole @ \ 7. SloPe Cut Bank tf t Ir/ Fen.ce w ry tl- X-X trI trl :ti:r*r" --.2 -4 ///t ' .'.i'l:-) c/"tt''>"'- rlTi Lrtl Ll a{...,'-5- :r_I I i - -^::'.,^ G*'--:- ' ..--jty----=: . _- i:.lo'x,73' 6RA Ji L DRrvE wAY 1a *-:-=- I;-, '9 U ? -h I u.lJ z Ut LrJ Z 3 - L! z. X t- 'Jl 7 d /5t 5' ?/ UJt ,J) V) UJ 7 =):'t15 r *c Lb \r,,zl Ira \t.}Vy 1o ta rsl Flt-8EF.f C'n0U€ fi.r ) ADb rnoN < 2- T tOS R 3 t^r ur,nt'i nd€ cour.rly, Oyt€6oN'- .'.*[-uT ]tla. Lo73 \r sET ak{ - ilnre- '4, -, S€Pt]c T'( ^/ ( lrroBru€ Hovry'€ tF Lt 24x *t . : i-- |4r' r't-- tot S, o)/ ..:-_ ..,:;' ,;: f:;.t ': +lI I I t-: ..; I , I I I )( I I I : I I Il_ i -+-::'-- =-H-g-s-,1*'' TRS T r .L-Ioo /F-03-o)--Job Location 3o 4fu L ( ) guilding Permit INFORMATION SHEET ASit" Feasibility Study for Septic( ) Would like to meet on site. Call k. Number of sites 7 Pnone 7'(b^94Lh pno""-=vtt-1v* Phone z4?^ 4048 Tan toart-tll (owner, etc.) Test holes will be ready l^,t t LL C&LL- Subdivision FrL6€&r @-We unlr . slrB J 4d&Lot 3 Block---S-- 2t Bora Da r ut lr L9 LJt cLvtnnraz q1 G(Jr-rz- Acreage or Lot Size Partitioning #- ( )Completed( ) Pending APPLICANT'S NATVIE AND ADDRESS *- OWNER'S NAIVIE AND ADDRESS,if different f rom a licant's CONTRACTOR'S NAIVIE AND ADDRESS Mail permit or results of site feasibility yto ( )Applicant ( )Owner ( )Contractor. ( N ) Prefer to pick -Iu,.rrr.*"t!up. Call ?{?-{(owner, etc.) when ready. STRUCTURES NOW ON THE PROPER NO N€ A-'t/t^- pr t€, PROPOSED USE (this permit)FoA t/vlotsr c€ ttffr E - Dd-qg(€ uJtD€ WATER SUPPLY F (N4FI€L5 utBcr ( SEWAGE DISPOSA 5f-pt1< r&NE { Oe*rN FI€Lb P&olDoEeb ?PLUMBING B existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l Address (IN GF,eLb( l<) PROPERTY IS WITHIN ONE MILE OF CITY i****** oFFtcE usE oNLY BELOW THIS LINE ************r ( ) New Address Necessary ZON F ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) ( ) 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 Your assistance will be appreciated. By Permit Processing Section Response By DEPARTIVIENT OF ENV I RONTVIENTAL IVIANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 lvrslon ! n 77" (2 .{:r :;*:,- :;:----': --e....n 1#i'*-.t''.-' - *: --.^:_:*.!]55::+=-+.. .4.* lO' x -13' - ::i -1&- ..- -, . .-:.-a ."-_-_:i:"_ -.::l_+-*-2--" E ;J +I :: .:'';;r.*r-- 11-- tc Jag tr :t xa{ a.1 Uzl 7 t-c uodA -h:) \9 rd 5 zt! LTJ Z 3t- o- LrIz :1 , lr fr, A qC rl t5' F,LBEAf C'Rove yh.H. SrrB) ADb rnoN<7 Ti*NE l0S R3tg tltt,trttcouNly, On€eal{ ell.l.t<LtArC. ,t' X )o i i I i I I I i I i i 1,t Senc TrtiJ t( rn o BtL€ HOtm e 24x 11 NC 7aL 'LO"]10a LOT 3 B o,v(s10 5 E" oo, ttt-- tol oll .:.- - a-* I 6Rn -.j:.. I ,5' Iru 3lJ I Irqt IF .\Av)l I I I I P 7. tl,t U Vl UJ 7v 7:'\J r I I tsl S,