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Home My WebLink AboutPermit Building 1979-07-19. 62 fu*r"*fposr rHrs pERMrr oN MAIN BUILDTNG ar strE JOB ADDRESS: b,<- CONSTRUCTION PERMIT # TRS, TL: Subdivision: This p€rmit for the referenced property is hereby setbacks and other conditions of approval must be strictly observed' violation can resuli in revocation ol this permit, citaiion undei provisions of Lane County's lnfraction Ordinance, and/or other remedi€5 allowed bv law' Telephone Telephone Telephone Total Construction Value Construction approved by this permit Applicant/Address: Owner/Address: Contractor/Address: Contractor's OS +t # Bedrooms: Zoning: Partitioning +r Parcel + lVlinimum required structural setbacks, from: centerline of road, front: side exterior: ; interior property lines: ;rear property line: Special lnstructions: +* Plumbing Fixtures + EmplWater Supply PLANNING DIVISION Parcel Size: ; centerline of road, WATER POLLUTION CONTROL DIVISION For information call 687-4394 Site lnspection + lnstallation specif ications: lineal feet of drainfield required; max. depth of trenches: Special lnstructions: gal. min. septic tank caPacitY; Setbacks I nlEiioi property lines Edge of road right-of-way Building foundation Wells, other water sources Septic Tank Drainf ield--10- 10' 10' 100' lo' 10' 5', 50'For information call between 8:00 - 9:00 a.m., CONSTRUCTION PE RM ITS/INSPECTION DIVISION Group:Fire Zone Use Classification For plans information call For inspections (see back of this permit) a.m. and 9:00 a.m., between 8:00 a.m. and 5:00 P'm. between 8:00 call 687-4065 lane countY Directions to Site: Date lssued: c55-1 3 DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 By o Type of Construction: lnstructions: SITE INSPECTION App Rov r o D D^',,8-(-7?D r sappRovro I xspecron R EuaRx S FOUNDATION I NSPECTION AP PRov E o RrNrnxs FRAM NG INSPECTION Appnoveo Rrurnx s DrsrppRovEo F-7 Dare 2/-??I Hspecton -t/,a( pt-r ?--7?d Drsappnovr o D oorr*fuZ/_--7f- l- o€ I Nspeclon LATH OR SHEETROCK INSPECTION AppRovro Rrxlnx s re/ DrsappnovE o V ,^r, 8-3/-??I xspecton FINAL INSPECTION APpRov Eo Reuenx s D onrh-iu{-*4D r sappRoveo I Nsptcron -L CERTIFICATE OF OCCUPANCY Reaoy ro lssue REuanx s D Nor Rrroy ro lssue D Dare I Nsprcron d a Lgz /* ldrp-ztq( POST THIS PERMIT ON MAIN BUILD|NG AT S|TE %4- coNSTRUcroN PERMTT # TRS, TL 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. JOB ADDRESS Applicant/Address: Owner/Address: Contractor/Address Contractor's OS + Construction a Water Supply T,on Value ts +t Bedrooms + Plumbinq Fixtures + Employees: PLANNING DIVISION Zoning: Partitioning # parcel +r lVlinimum required structural setbacks, from: centerline of road, front: side exterior: ; interior property lines: ;rear property line: Special lnstructions: For information call 687-4394, Parcel Size: ; centerline of road, WATER POLLUTION CONTROL DIVISION Site lnspection +r lnstallation specif ications: lineal feet of drainfield required; max. depth of trenches Special lnstructions Septic Tank 10' 10' 5', 50' gal. min. septic tank capacity; (Setbacks Interior property I ines Edge of road right-of-way Building foundation Wells, other water sources Drainfield 10' 10' 10' 100'For information call between 8:00 - 9:00 a.m., CONSTRUCTION PE RM ITS/INSPECTION DIVISION Type of Construction lnstructions: Group Fire Zone Use Classification For plans information call between 8:00 a.m. and 9: For inspections (see back of this permit) call 687-40G5 between 8: r00 a.m., 00 a.m. and 5:00 p.m lane countyDirections to Site Date lssued: DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 By:6l!'.- Telephone: Telephone: Telephone: SLAB FLOOR PLUMBING GROUNU/ORK Ar phov e o RrurRx s D r sappnovro 7-3/z ?^Dar e SPECTOR GAS PIPING GROUND/ORK Ap pRov e o Dr slppRoveo Dare I rsprcron RrltaRxs ROUGH PLUMBING Appnoveo /-fl DrsappRoveD Rexe nx s 7-/q-z y'*,Dare PECTOR /3K ROUGH GAS PIPING Aeenoveo D DrsappRovro D Reuaax s Drr e llrspe cron FINAL PLUMBING Aprnov t D Reurnr s D oorrrMlDrsappnoveo NSPECTOR s -/-[7 H- FlNAL GAS PIPING ApeRov r o REuanx s DrsappRovro Dare I usprclon CERTIFICATE OF OCCUPANCY Rraov ro lssuE Re ulRx s Nor Rerov lo lssue Dnre I Hsprcron P,tJ--. lane cour rr-y' DATE /-*o-r/ NAME: -zLqq4<r< ,&,T ADDRESS , / TA /a RE: PERMIT t &/,2 lzq Th'is letter is to inform you of the final inspection that is requiredunder State law. S-lale. Building Code Section 305(e)-6 Final Inspection: To be made afterfinish grading and the building completed and ready ror occupuniv. State Plumbing code lqqtion 318(h) covering and Using: No plumbing ordrainage system, building sewer, prjvate s6wer dispoial system or partthereof shall be covered, concealed or put into use unt.il it has beentested, inspected and accepted as prescribed 'in this code. State Mechanical Code Sect'ion 305(a): When a 'instal lation of a mechani-cal system is complete a final inspection shall be made. Mechanical sys-tem regulalgd by this code shal'l not be connected to the energy fuelsupply until authorized by the Bujlding 0fficial. Our records indicate that the following fina'l inspection at the abovementioned structure needs to be made and the structure approved for 0ccupancy. BujldinsW P1 umbi ns W Mechan i ca I Please call the Lane County Building & Sanitation Division (687-4065)within 10 days to arrange for the final .inspection. J0HN E. B0SS, Building Official Building & Sanitation Division MAP BY:f?"/*/ il-^/ rr/+ /,.7o. ryry BUILDING AND SANITATION DIVISION / ENVIRONMENTAL MANAGEMENT DEPARTMENT COURTHOUSE-PUBLIC SERVICE BUILDING / 125 EAST BTH AVENUE / EUGENE, OREGON 9740I /PHoNE ( 503)687-4065 a POST THIS PERMIT ON MAIN BUILDING AT SITE CONSTRUCTION PERMIT * Subdivision:1 ,1r JOB ADDRggg.490 Roan TRS, TL: 17-03-34.2.3 # 11L1 LCF2L24-79 This permit for the referenced property is hereby .PP!1ov6d. Setbacks and other conditions o, 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: c.rl !. Ttonton, 25810 Psrker L&c, veo.t., Oregoo 97487 Telephone: 935-2861***Owner/Addressi !t. Loe Telephone: /Contractor/Address: a.[. .r .ppLlc.lt Telephone: / Contractor's OS # 19054 Total Construction Value: 94446.00 Construction approved by this permit Encloee existlng porch to bath aad fan{ty roou @ 220 sq ft; Stnrcturea rxrr on property: house + Bedrooms: na +t Plumbing Fixtures:Water Supply: Publlc 3 + Employees na PLANNING DIVISION Zoning: na Partitioning + na Parcel + aa Minimum required structural setbacks, from: centerline of road, front: na side exterior: na ; interior property lines: na ;rear property line: Da Special lnstructions; Dot extendlng beyond e<letlng fotmdattou For information call 687-4394, Susao Keller Parcel Size ; centerline of road, na WATER POLLUTION CONTROL DIVISION Site lnspection + na lnstallation specifications:na lineal feet of drainfield required; max. depth of trenches Special lnstructions: na n n gal. min. septic tank capacity; between 8:00 - 9:00 a.m.,as ,etbacks nte rior property lines Edge of road right-of-way Building foundation Wells, other water sources Septic Tank 10' 1o' 5', 50' Drainfield--lo- 10' 10' 1 00'For information call na CONSTRUCTION PERMlTS/INSPECTION DIVISION Tvpe of Construction: 5-N Grouo: R-3 Fire Zone: 3 lnstructions. See reverae slde of p'erult for lnspectioas.Use Classification: R€oodel For plans information call 687-3767 between 8:00 a.m. and 9:00 a.m., J1g Laub For inspections (see back of this permit ) call 687-4065 between 8:00 a.m. and 5:00 p.m. lane countyDirectionstoSite: out Ceontenial Blvd" rlght on Kellogg to Roran green aad whlte houseo 07_L9_79'ote lssued: ffir..ffillB=,Al?Er=JIygSWiJJtTMANAGEMENT Bv: Kara Adame 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 6l!' - ( ltlto (}.I tb /ro /a"-4,r.) --qRtrrrnt 0F ENVIRoNilENTAL mANAGEMENT PSB, I25 EAST BTH AVENUE EUGENE, OREGON 9740I ;:[Ufi:*$juok:: /_7ii{ffiiii r_riffi.i:tffi hereby certify that this information is true and accurate. rty: rchase; i cation. --42<rel., LC Appl icati on for Structures now on the property Affi davi I, Job Address If this applicati Lane County Code owner of ,Y-drty arth S i gna ture/Address Hhen p Owner Con tra Con tra u_r,$ fi:i .t,r-r /c Ul on is for an agricu Chapter l0 (zoning) record; con or c ral building it wi1 I be used for purposes allowed by the State Building Code and and for no other purpose. I have the following legal interest in the prope tract purchaser;I essee ;hoof this appl 'lder of an exclusive option to pu [nowTEEgeabl e O ae,4llyen) 7 or Da te the own Te1 ephone ermit is ready notify licant /-/ Owner 17 Contractor !y: /-/ nail kpnone Phone Phone L ctor ctor's 0SR#tqD* il Plumbing by (AJ DO NOT WRITE BELOW THiS LINE If Commercial Residential: :,,#iiiHfiii$.tfd.{ffiii .,.,,.,,!:!lil::i:i.::::l::il::!il:l!ii!:!i!:!:!'!:!.!!.:l:l:i!:: -- .!#iiffi .!;i:li$i!*idfr Ei!. :fiif,,#iir*!'j{**jii-- i$ i:l. Et'ristins, BP # U Proposed, SI #SI test holes ready ,:.lrE€,,', sgf* ggl,,':'91:1..'16;:,. ...[I,l.tt:..#:,',qf,,':.$it,t+g'. ,,S$,Fee Total Va,luation: $$2d at$ at$ sQO each $ each $/_t Rece i ved Water Supply Propos ed Su btota I TOTAL $ 67,V $ 4 4% State surcharge Plans check fee Change of 0ccupancy $ $ $Existing _ Year InstaI Ied PERMIT PROCESSING Zone y'fA cks t Comments To be typed on permit Part. # Da te t, side int Use Classification r€ rea r By CP& I Type 5-N Group a-4 Fire Zone To be typed on permit 5 By Da te PhoneFor plans jnformation call (area inspector) Di tions to site CP& I r.lPc Da te Da te Comp l eted Date to PCC/ / SIEO ,6r, / /VPC Pl ans to se t(s) t(s)Requ i red 1',; Hold Slip to PCC # of employees _ Va l uati on Parcel #- parcel size ZA I .-_. 7 3 4- 5 4. O0 4466 EACH "" 4?. 50u ENVH TOTAL FEE** 3r.00tt.oo 1^'7& r?.00 6 1 16.-^. IO l8 t2 t4 16 48 50 l1 5S , 6 5 { 3 , 6tl 1., l.,. 72 .- 20 52 T LANE COUNTY DEFT ENV I.{GT RECEIFT * ?134?9 DATE O?I??? AF.FLICANT THUNDER EONST./LEE ADDR ?5810 PARKER LANE , VENETA, ORE TL* 1 ?0334?3Ot t I { SUBDIV GARDENI,IAY F'ARK LOT t O BLK 5 NEt, BLDG TYPE USE R N0 BDRHS 0O NO UNITS OOt N0 STORIES l,ii-, i,it:.-.1'i":i ':i.r i CT}DE AFPL NO ACTICIN DESCRIFTION SQ FT UNIT COST VALUATION FEE DAYS BF ENCLOSE EXISTJF FORCH "I'O T'ATH BF & FAI.IILY R00H 130 1?0.30 4466 FP JF trP 5 3 BF' .,L r.rEcH SUR .rcK L{] 21?.479 REPR NO. F IXTIJEES :NO. CONNECTORS: HECHANICAL FEtr STATE SURCHARGE I}LAN CHECK FEE ELEV ADDR FF COI'IF.LETED BY s I F0 cl-'r AKEN FJY SK u o 0 fjt f:t /rt t e el : El : T i L'F'C FLAN 67.76 CK ] i"t qJ trt -.t 0\,\----1_ Z o % S'l.ntlo,,(t*t: c"K-o ,ft.Js /,,J/ W* feo \,e) eP ')J ll 0 v il p.+Uw z0t ioo elL rlu'. , f[ti' alL u .*p {J lu Zr' I)/"3L tL/ 2 e_ *a* ) I lqa rZ",.utt*t ,51, d $v, s It ,Utl @ 5C ) 4jo -,-C e SI ( TRS, TL Job Locatlon (Add Permit /f Permi xlt Permit For PernLt /l PermLt Permit rf--For ForPlcrt Plan For For For Subdivision Lot Block c74-L50 Viclnlty Map ( N {,\LANE COUNTY PERMIT FOR:PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] n Owner NAI\,1E ADD R ESS C ITY ZIP CODE PHONE tn Contractor O.S. Reg. + Subd ivision Lot Access to Property (Road Name) NAI\,1E ADD R ESS CITY ZIP CODE PHONE B lock Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUMBING INSTALLED BY: OWNER[ ] OTHER[ ] NAM tr BUILDING PLUIVIB ING 3% SURCHARGE- IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t EX ISTING I PUB LI C COI\4IVIUNITY. NAME PRIVATE WELL OTHER .SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS I\,1IN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPTH I NCHES STAY 1OO' FROM ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZONE-- USE CLASSIF SETBACKS FT. FROI\4 CTR. OF r,Afl FRONT SIDE EXT FT. FRON4 PROP. LINE SIDE INT R EAR ZONE AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PERN4IT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUI/BING - CANABY BUILDING - GFEEN SANITATION - GOLDENROD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, O.E.Q. standards for subsurlace sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 c55.13 Twp Range-- Section Tax Lot- Code- Census Tract- LANE COUNTY PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] n Owner NAI\1E ADD R ESS C ITY ZIP CODE PHONE tr Contractor NAI\,1E ADD R ESS Range- Section Tax Lo CITY Code Acreage - ZIP CODE Census Tract PHONE O.S. Reg. + Subd ivision Lot Access to Property (Road Name) t B lock Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NAIVI tr BUILD ING PLUIVIB ING 3% SURCHARGE IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL PUB LIC COIVIVIUNITY - NAIVIE PRIVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IV]IN. SEPTIC TANK CAPACITY GALS IVI IN. DRAINF I E LD- LIN. FT IVIAX. TRENCH DEPTH I NCH ES TYPE OF CONSTRUCTION- GROUP F IR E ZONE USE CLASSIF SETBACKS FT. FBOIVI CTR. OF r/W FRONT SID E EXT FT. FROIVI PROP. LINE: SIDE INT. - REAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANABY BUILDING - GBEEN SANITATION - GOLDENROD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 lo schedule all required septic system inspeclions. All construction shall comply with the State Buidling Code, O.E-O. standards Ioi subiurface sewage disposal and the State Plumbing Code. All buildings require a certificate ol occupancy before being occupied. (See Details on Beverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY. DEPT. OF ENVIFONI\4ENTAL i,4ANAGEi/4ENT COUFTHOUSE ANNEX. 135 EAST 6th, EUGENE, OFEGON 97401 WATER SUPPLY: PROPOSED I ] EXISTING t] STAY 1OO' FROIVI ALL WELLS SLAB FLOOR PLUMB ING GROUND^/ORK Appnoveo Ret,trRx s D r s appRoveo I rs ee cron GAS PIPING GROUND/ORK D DrsAppRovEo D Darr I ruspecronAppRov E o Rsi,t a nx s ROUGH PLUMBING AppRov e o Reua Rx s D I SAPPROVED ROUGH GAS PIPING APPRoVED Re MaRx s D DrsrppRove, D Drr r I NsprcroR FINAL PLUMBING APPROv E D RE uanx s DrsrepnovrD D Dart Q-2D-?(^ lNsPEc r I NAL GAS Ap pRov e o Rruanx s PIPING D r SAPPRovED Datr I lrs pr cron CERTIFICATE OF OCCUPANCY Rraov ro lssuE ReuaRx s D Nor Rraov ro tssuE D DarE I NspEcron D Drre- D oorrJ-//-76-,**rr@ // 0 t* I I I I I -)i.\ ) { I 54 t4l -)v I t N \\ \ \ N \) ,\\ $\ ! \ \ 1 {r0 47o Er*n''-,{- d14"1 Q/"ft'""l. B,,tLL"n 2417 JVootf, tstfi .Street Spzirgfirld, r9z 9T4TT 9llorr 747-2243 tol /c 8t 5 / 5j Aar, C4rt o&ru L'/a/{)-o tz It/o t'*€ 9 - ,--' ll I ff - BU ILD INC. S ITE EVAI.UAT ION (x^BUTLDtNG-PERHTT APPLICATI0N N0 " 1l16-7Gwc*rll SUBDIVISION: ,*-z,uax LorJJl- L0T:_ BLOCK:- ( ) srrE rNsPEcrtoN PLANN II'IG D IV IS ION APPL I CANT DATE A Not I icable I 2 3 4 5 Zoning 0rdinance Cunp I i ance: Zone No YesT,A()n () (/)()a () () CKID6. setb Setba F ron S ide cks f Side Subdivis ion 0rdinance Compl iance Reoui red Accessguitaing Site (Area, Width, Frontage) 0ther (see conments) ) ) ) ) ( ( t r Rear CO,{}'iENTS: - , - - a, PLANNING DIVISION BUILDING INSP toil Dlvlsl0N 7. Plans Submitted8. soi I Stabi I I ty (footi ngs) 9. Flood Plain O. Other (see conments) rNG:N0(TEPT-ITA'-f' Not Appl i cable ) ) ) ) ( ( ( ( No Yes fl 8() () () ()CKI D BY -/-7 b COHHENTS: I l. l'leets Department of Environmental Qual ity Standards. 12. 0ther (see comments) Not Aool i cabl e No Yes--Tr r) w () () () WATER POLUT ION CONTROL CK'O BY tr-z6 DATE TO APPLICANT: v'iw .Your Building / Site lnspection: \/7 can be approved.-( ) C"nnot be approved at this time as indicated on item N0" bove. Questlons and further information on items I through 5 contact the LANE- COUNTY PLANNING DlVlSlON. Questions and further information on items 7 t. ()t.,illbeheldinthisoftheproblemsindicated. ( ) ls being returned. c55-28 Your buildin ermit a lication fee is n AL 135 Sixth Avenue East Eugene Oregon !/40r pkone: 687-\065 LANE COUNTY PLANNTNG DlvlslON PHONE: 687-4186 or c0t{ilENTs: PROPOSED SEWAGE DISPOSAL SYSTEM RECORD INSTALLER: Complete top part of form to signature and submit both copies with app licati PER},I NO i No.v ts t c v 0ther-L i st Ba s t ter Yes No Publ ic Ft. frorn well Steel tr lns t NA}'IE I.IA IL ING ADDRESS For Sanitarian Use 0nly: ln accordance with 1973 Ore as evldence of satisfactory I oca Remarks: Concrete No. Compartments / Gal . Capacitv 7 OeA No r str u On-ol^??o "tt tl hl , /d Feet fromil 'oundat i on 5 P ft L nl C F, e.U,, /n'7 1'l 7 ot ne SideFront IS gon Laws Chapter 835r Section 214 this certifi cornpletion of a subsurface sewage disposal sy r Oft,il tn Date: 7-27^7Le is issued stem at the above Fffi'ororoved: System lnstal lation conforms to current standards u oisapproved: Does not conform to current standards ions: t.Jidth D i ameter Yes e sPosa e Distribution Box 6 i nes-Ft . 4 Trench tJidtb,e Total Sq. Fr.\JoP) Ft. Between L i nes ,/D re tPvoveTe n s t s Al -J I Er!U E \J C,|o REC o +> Ey 0;t I JUL2 i9i6 IfL O t0 r-r:,, l-ArvE ENVIRONM ,Rd UNTY At MGMT.n:I l I o Si nature an ar an LANE COUNTY STATE OF OREGON DEPARTHENT OF ENVIRONHENTAL QUALITY c55-1r gn I s n Owner LANE COUNTY PERMIT FOR:PER|\il IT NO CONSTRUCTION [ ] I\,IOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] CITY ZIP CODENAIVIEADD R ESS PHONE tr Contractor NAME ADDRESS ZIP CODE Co Acreage CITY PHON E O.S. Reg. + Tw Subd ivision Lot Access to Property (Road Name) Range- Sectio Tax B lock Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOMS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: owNER[] OTHER[] NAIVI BUILDING PLUIVIB ING 3% SURCHARGE - MOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I ] EXISTING t] PUB LIC COIVIVIUNITY . NAIVIE JPRIVATE WELL OTHER .SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATEB POLLUTION CONTROL SPECIFICATIONS tVIIN. SEPTIC TANK CAPACITY GALS MIN. DRAINFIELD--LIN. FT IVIAX. TRENCH DEPTH I NCH ES TYPE OF CONSTRUCTION GROUP FIRE ZONE- USE CLASSIF SETBACKS FT. FROIVI CTR. OF r,AN FRONT SID E EXT FT. FROIVI PROP. LINE SIDE INT R EAR ZONE AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG, PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUILDING _ GBEEN SANITATION _ GOLDENROD lMPORTANT POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY. DEPT, OF ENVIBONMENTAL MANAGEMENT COUBTHOUSE ANNEX. 135 EAST 6Ih, EUGENE, OREGON 97401 Call 6g7-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required ieptii system inspections. All construction shall comply with the State Buidling Code, D.E.O. standards ioi srU6rrtac" sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Oetails on Beverse Side) Census Tract - STAY 1OO' FROIVI ALL WELLS SITE TNSPECTION Ap pnov r o Reuanx s TOUNDATION I NSPECTION Ap pnov e o REuaRxs t Dr srppnovro D Darr D r s appnovro Da I ruspecron I Hspecton FRAMING INSPECTI Appnoveo Rr uaRx s Drr e /t r4.,,() Dr snppnovro T LATH OR SHEETROCK CTION AppRovro Rrlr n nx s Dr sappnoveo D DATE "/ r-'/ L ,.,,,,(9 r, FINAL INSPECTION Ap pRov e o RrueRx s &I NsercroaDrsappaoveo D Darr CERTIFICATE OF OCCUPANCY Reaov ro lssuE RrmrRx s D Nor Reeov ro lssue D Drr s I Hsprcron / //{-7c 7O /A-e'* / D PL1JMBING: lnsta11ed PERMTT +_/l/f26 BEEN APPROVED "- A?PLICATION FOR: CONSTRUCTION MOBILE }IOME o.s. REe. /l oa Address 3 Lot Sq. Ft Pub1lc Comunlty Oraner CHAI.IGE OF 0CCUPANCY Acrea OWNER CONTRACTOR Name Clty Ctty Code z aa Exlsting ess e /,e /J /Z 7{7- 224 t Census Tract fl t]nt lO Deptt.to- *,. /7 ,n"r,g"--l--.|s""tion Subdivls ACCESS T0 PR0PERTY (Road Existing Structures on Property: Property Location - Address/Dlrectlons: Below e SEWAGE DISPOSAL: Slte Inspect 1on /l o re C3 a Name of Community or Public Systen Name I,rid Valuatlon Water Connection FACILIfi PERMIT YES I oo WATER SI'PPLY: Well FEES: Bldg. Plunblng 3Z Surcharge Waste Dlsp. Plan Review Moblle Horne TOTAL Mln. Septlc Tank f7{-oo3u.oo d,6t/?a, ao -iV 3;7q / Sewage Connectlon Sprlng Other ,L (P qs/r NO ao/, PLANS IIT'RNISHED YES NO Slgnature of Applicant : Bee Recelved By Drainfield lred - Lin 'eet go ( Type of Construction Zorre Use Class lflcatlon_ Bldg S Front etbacks 40 I AEfuftS"'of Road Rlght of Way: . r Side Exterior al Dl5 ,.fr446nlD Rear € DAIE:PIANNING:DATE: c5S- l2 /l Side IJ.NE COT]NTY DEPAR OF ENVIRONMENTAL Zorre -f, + NOTE: NO PERMIT WILL BE ISST]ED I]NTIL THIS APPLIC,ATION PLAN REVIEW - Disposal System l---l or New Systen Requlred f-l ottrer f-] of Fixtures