HomeMy WebLinkAboutPermit Building 1976-04-19PERI,rrr o\oslb Y b-NOTE: NO PERMIT BE ISSUED I]NTIL THIS APPLICATIT,T.I HAS BEEN APPROVED
APPLICATION FOR:
CONSTRUCTION MOBILE }IOME PLAN REVfEW CHAI'IGE OF OCCUPANCY
OWNER
Name
CONTRACTOR
o.s. REG. ll
Twp
Subdivls
ACCESS TO PROPERTY (Road Name
Existing Structures on Property
ty Loca
ess
Address
Tax Lot
o
Existing Sewage Disposal tem
Public
Comunityo
Drainf
Fi
erry Acrease !J ia*f& o"pthlSc)
Qn
Name of Comnunity or Publ-lc Systen
Name
zip
1p
Census Tract
Phone
(,
r
rectlons:
Other
Site Inspec rion /l
WATER SI,IPPLY:
hre11
FEES:
BIdg.
Plumblng
3Z Surcharge
!{aste Dlsp.
Plan Review
Moblle Home
TOTAL
Min.lc Tank
0
Type of Construc
C)
SEhIAGE D
Spring
O
a,+)
tv---fu--
Sewage
Connection
Water
Connection
YES
Maxlmum Dep th s(
Use Classificatlon
for 1ce Use
PLI]MBING:
Installed by Owner
of
PLANS ACIL
YES
Fee Recelved By
Signature of
ed - Lineal
c55 - t2 IANE COIINTY DEPARTMENT
Zone
DATE:
.<z"rre ,Q* |
Bldg Setbacks - frm Center of Road Rlght of I,Iay:
Froat 45' side rnr. 5l :qrt6rr=fi0r'Rear
DATE:
ottrer f--]
--
IZ-\il
,ZZ *3c7 PERTVIIT #
JOB LOCATIO
LANE COUNTY PERMIT
Partitioning #-( ) Completed Subdivision
Lot Bloc
TRS, T
Acreage or Lot Size
Contractor's O.S. #
OWNER'S NAME AND ADDRESS
APPLICANT'S NAME AND ADDRE cc Phone-
Phone-
Phone-CONTRACTOR'S NAME AND ADDR
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready
WATER SUPPLY SEWAGE DISPOSAL s.l. #
THlSPRoPERTYlSWlTHlNoNEtVllLEoFTHEClTYoF.PLUlVlBlNGBY
I hereby certify that the above statements are true and accurate, and that I have the lollowing legal interest in the property:
-owner
o{ record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit.
Fee Paid $Signature Date
( ) NEW ADDRESS ( ) FACILITY PEBMIT TO TRANSPORTATION DEPT.- ( ) SPECiAL Pl,lT. AREA. UlN. ELEVATION
SANITATION BUILDING
STRUCTURES NOW ON THE PROPERTY
rHlSPERMlTlsFoB#BEDRooMS-#PLUl\4BlNGcoNNEcTloNL
lVlinimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Date:
Type of Construction
se Classification
roup ire Zone
' \.;omments:
By:
Comments:
By:Date
PLANNING REOUI REIVIENTS SATISFIED. By:Date lssued
ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L)
LANE COUNTY DEPARTTVIENT OF ENVIRONMENTAL IVIANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BU!LDING AT SITE
' j BLDG. PERMtT -wHtrE; BUtLDtNG -GREEN; pLUMBtNG - cANARy; sANtrATtoN - GoLDENRoD; oFFtcE copv -wHtrE
PHONE:687-4394
trce
Date:
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Written Directions
(u/') Building Permit
Acreage or Lot Size
Partitioning #- ( )ComPleted( ) Pending
APPLICANT'S NAME AND ADDRESS
OWNER'S NAME AND ADDRESS, if d if ferent m applicant's
TRS, TL
\TRACTOR'S NAME AND ADDRESS
ratl P ermit or results of site feasibility study to ( )
I z1P refer to Pick uP. Call
Location
n-f -
Applicant ( )Owner ( )tractor
( owner, etc. ) when rea dy
INFORMATION SHEET
) site Feasibility Study for septic Tank. Number of sites_
Test holes will be ready
Subdivision 4os Q'L/'Ll .
f
t\,
Lot ,/3 gpo.
Phone >{7 /"jta
Phone_ ,
Phone 7 y'7 ,t?t*t/
Contractors O. S. #26,6f^ a?"5zAeSTRUCTURES NOW ON THE PROPER
PROPOSED USE (this Permit)
SEWAGE DISPOSA
q # Bed s
WATER SUPPLY (existing or proposed werl, etc. rI pubric, name of system)
rstlng or proposed septic tank, etc.) S.l
PLUMBING BY Address
( ) pROpERTY rS WITHIN ONE MrLE OF CtTy
* * * r + *+ lC+ ** ** * * * * ** * ** * * * ** * +* * + *** ** * * ** * * Q p p I CE USE ONLY BELOW THIS
(
l_l[\f ****+*******************************+****+
( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation
SETBACKS: Front Side Facing Street
(FROM CENTERLINE OF ROAD)
lnterior Side yard Rear .-(FROM PBOPERTY LINES)
t( ) t"tew Address NecessarY
ZON
To: Planning/Building lnspector/Sanitarian/Surveyor
This applicant appears to have a problem with
Your assistance will be appreciated.
Response
DEPARTM ENT OF ENVI RONMENTAL MANAGEMENTpermit processing Section
12b East Bth Avenue
687-4394
By
By
Permit Processing Section
12
Division
,,<e
TRS, T
Acreage or Lot Size
Contractor's O.S. #
CONTRACTOR'S NAME AND ADDRE
PERIVIIT #
JOB LOCATIO
LANE COUNTY PERMIT
Lot_- Bloc k
AppLrcANT's NAME AND ADDRESS :' Phone-
OWNER'S NAME AND ADDRESS 'Phon
Phon
STRUCTURES NOW ON THE PROPERTY-
I Hts peRutt ts FOR- # BEDROoIVIL# PLUIVIBING CONNECTIoNL
p
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-
SEWAGE DISPOSAL S.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 lollowing 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.
Signature Date
WATER SUPPLY-
Fee Paid $
() NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT ( ) SPECIAL PlVlT. AREA. lvllN. ELEVATION:
-
SANITATION BU ILDING
Minimum Septic Tank Capacity (Gallons)Type of Construction roup ire Zone
Drainfield Required - Lineal Feet se Classification
Maximum Depth Comments
Jmments:
By:Date:By Date:
PLANN ING REOUI REIVlENTS SATISFIED, BY Date Date lssued
ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L)
LANE COUNTY DEPARTIVIENT OF ENVIRONT\TENTAL IVIANAGEIV1ENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1
POST THIS PERMIT ON MAIN BUILDING AT SITE
c55-13 BLDG. pERMrr - WHrrE; BUTLDTNG - GREEN; pLUMBTNG - GANARy; sANrrATroN - coLDENRoD; oFFlcE coPlr - wHtrE
PHONE: 687-4394
1i.
(owner, etc.) when ready.
SITE INSPECTION
Appnov E o
R ruanx s
D r sappnoveo Dare I uspecton
FOUNDATION INSPECTION
Ap pRov e o
Rrurnx s
D DrsappRove o Fl Dare I ruspecton
FRAM I NG
AppRov e o
Re t{aRx s
I NSPECT I ON
Drslppnoveo Dar r I xspecron
LATH OR SHEETROCK INSPECTION
Apenovro
Rruanxs
Dr sappnoveo Dar r I NSPEcToR
FINAL INSPECTION
Ap pnov r o
Reuanx s
DTSAPPRovED N5 P E CTOR
CERTIFICATE OF OCCUPANCY
REaov ro lssue
RrttaRx s
D Nor Rerov ro lssuE D Dare I HspecroR
D
\t LANE COUNTY PERMIT FOR PERI!1IT NO
I Owner
d
T ]T{STRUCTION [ ] IVIOBILE HOME t ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY t ]
NAME ADD RESS CITY ZIP CODE PHON E
tr Contractor
NAIVIE ADD R ESS ZIP CODE
Code- Census Tract
Acreage
CITY PHO NE
z,?Twp- Range-- Section r d 7ax L
O.S. Reg. +
Subd ivision Lot
Access to Property (Road Name)
f
B lock Width
Depth
Existing Structures on Property
Directions to Property - Address:
STRUCTURE (# BEDROOIVIS)SO. FT VALUATION
SEWAGE DISPOSAL PLUIVIBING INSTALLED BY:
owNER[] OTHER[] NArVrPUBLIC[] SEPTICTANK tl orHER[]tr
PLUIVIB ING
BUILDING
3% SURCHARGE
MOBILE HOIVIE-
WASTE DISPOSAL
PLAN REVIEW
TOTAL
WATER SUPPLY: PROPOSED t ]
EXISTING t ]
PUB LIC
COVIIVIUNITY NAIVIE
PR IVATE WELL
OTHER-SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
GALS.MIN. DRAINFIELD-LIN. FT IVIAX. TRENCH DEPT I NCHES
STAY 1OO'FROIVI ALL WELLS
TYPE OF CONSTRUCTION GROUP FIRE ZON USE CLASSIFE
SETBACKS FT. FROIVI CTR. OF rAV
FRONT SIDE EXT
FT. FROIVI PROP. LINE
SIDE INT REAR ZON E
AUTHORIZED SIGNATURES
/sl
ISSUANCE DATE
BLDG. PERI,/lT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANAFIY
BUILDING - GREEN
SANITATION - GOLDENBOD
IMPORTANT
Catl 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, D.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 ENVIFONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 'I35 EAST 6th, EUGENE, OFEGON 97401
c55.13
Butt-otNG pERlrr AppLrcATt0N No. 43-lb
SITE INSPECTION
PLANN I NG D tv ls l0N Not
{ppllqqb!e
r /7 _F_EZs_4 rAx Lor_
SUB0lVr-r0N:@eK,3 -
APPL I CANT
DATE
1 slcN
()
No Yes CKID
Setba6 rom c oI
2
3
4
5
Zoning 0rdinance Comp I iance: Zone
Subdivision 0rdinance Compl iance ()
()
()
()
()
()
()
()
fl()H.tvd
6d(*r
()
Requi red Accessguitaing Site (Area, Width, Frontage)
0ther (see cornments )
Front
-51de-€cttriur'
COI{HENTS:
PLANNING DIVISION ACTION PENDING: Y ( ) N0( ) APPLTCATI
BUILDING INSP t0N Dtvlsl0N
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
O. 0ther (see cornments)
Not
Aool i cabl e---Tr
( r)(,)
UI
No Yes
1-l fll() ()
() ()CKI D BY
COMMENTS:
WATER POLUT ION CONTROL
11. l,leets Department of Environmental
Qual i ty Standards.
12, 0ther (see comments)
Not
Appl icablet)No Yesr) rtr
() ()()CKID BY:
DATE
COHHENTS:
TO APPLICANT:
You r'1')
()
Building / Site lnspection:
Can be approved.
Cannot be app roved at this time as indicated on item N0.
Questlons and further information on items I through 5 contact the LANE-
PLANNING DIVI Questions and further informat ion on iteilET
above.
-\'c
c55-28
t 2 contact t e LANE C0UNTY B DING AND SANITAT 0N Dtvlsl
Bu.r Lo t.NB -!_!TE EVALUAT r ON
Setbacks from interior lines:
S ide 5/
Rear E-
Your bui ldin
ls being returned.it ron
135 Sixth Avenue East Eugene
pH9NE z 687_4065
LANE COUNTY PLANNING DIV!SION
Oreson 97401
PHONE: 587-4185
Dote Apri 1 22 ru76
ORDERED, thqt q permit be ond is hereby issued to
1690 South A Street Springfield Oregon 97477
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'ii is the opinion ond iudgmentof the Boord thot the.soid opplicotion
should be gronted, ond ihot o permit should be issued, now, therefore, it is hereby.
Permit No.643-76
CURB CUT
Kephart Builder
for plocing, building
or constructing the following focilityt
lst Addition to Vera Delle Lot 13 Block 3
.1469 Vera Drive
Springfield 0regon
upon the right-of-woy of County Rood No.
--,
Mile pe5t -----.-----,
in strict coniormity to the exhibits ottoched hereto, ond subiect fo oll terms, conditions, ogreements,
stiputotions ond provisions contoined in the opplicotion ond permit, the Rules ond Regulotions Gov-
erning Focilities io be Permitted upon County Rood Rights-of-Woy, os set forth by the Lone Mqn-
uol 5b.190(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce.
Speciol Provisions:
I. Drivewoy will be constructed in occordqnce 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 roodwoyond oreo in o neof,
occeptoble condition.
3. S'idewal ks w'il I be constructed 'in accordance wi th the attached sidewal k
specifications and drawing M9B-49. The Standard Curb Type shall be
constructed unless otherw'ise specjfied.
This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thqn
thot specificolly mentioned obove is hereby quthorized.
This permit sholl be void unless the work herein contemploted sholl hove been completed be-
fore
Dote
April 22 w 77 Expires 19_.
Approved by Boord of County Commissioners
By
lnspected ond Approved
zl c
By
WHITE _ OFFICE FILE
YETTOW- REAI. ESTATE
PINK _ PERMITTEE
ORANGE - BUILDING & SANITATION DEPT.
Direclor of Public Works
c74-L29
Dote Permit No
CURB CUT
PERMIT
!N 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 contoined 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.'190(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce.
Speciol Provisions:
l. 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 roodwoyond oreo in o neot,
occeptoble condition.
3. Sidewal ks wil I be constructed 'in accordance with the attached s'idewal k
specifications and drawing M98-49. The Standard Curb Type shall be
constructed unless otherwise specif ied.
This permit is revocoble ot ony time, ond will be strictly qdhered to ond 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-
fore 19--.. Expires 19-..
lnspected ond Approved Approved by Boord of County Commissioners
By
Dote
By
PINK _ PERMITTEE
ORANGE _ BUITDING & SANITATION DEPT.
WHITE _ OFFICE FILE
YELLOW _ REAL ESTATE
Director of Public Works
c74-129
n
r-
LANE COUNTY PERMIT FOR PERI!1IT NO
CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
n Owner
NAIVIE ADD R ESS ITC Y ZIP CODE PHONE
n Contractor
NAME
O.S. Reg. +
T
Subd ivision Lot
Access to Property (Road Name)
ADD R ESS CITY
Acreage
-
ZIP CODE
Census Tract
PHONE
Range- Section-Tax Lot-- Code
B lock Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOIVIS)SO. FT VALUATION
SEWAGE D ISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER [ ]
PLUIVIBING INSTALLED BY:
OWNER[ ] OTHER[ ] NAM E
BUILDING
PLUMB ING
3% SURCHARGE
IVIOBILE HOIVIE
WASTE DISPOSAL
PLAN REVIEW
TOTAL r
WATER SUPPLY: PROPOSED t
EXISTING t
PUB LIC
COIVIMUNITY. NAME
PRIVATE WELL
OTHER-SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS IVIIN. DRAINF IE LD-- LIN. FT IVIAX. TRENCH DEPTH- INCHES
TYPE OF CONSTRUCTION- GROUP FIRE ZONE USE CLASSIF
SETBACKS- FT. FROIVI CTR. OF r/W
FRONT SIDE 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 - GREEN
SANITATION - GOLDENFOD
IIVIPORTANT
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, D.E.Q. standards
for subsurlace sewage disposal and the State Plumbing Code. All buildings require a certificate ol
occupancy belore being occupied.
(See Details on Reverse Side)
POST THIS PERMIT ON MAIN BLDG. AT SITE
LANE COUNTY. DEPT. OF ENVIBONMENTAL MANAGEMENT
COUBTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401
c55.13
,l
STAY 1OO' FROIVI ALL WELLS
SLAB FLOOR
PLUMBING GROUNU/ORK
Ap enov e o
Rr urnx s
D r sappnoveo Darr I ruspecton
cAS PIPING GROUND^/ORK
Ap pnov E o
Reurnx s
Darr I ruspecton
ROUGH PLUMEING
Appnovro -M D r saepRovro
Reua Rx s
D Dart6 -?-qc, l^*r.,@
ROUGH GAS PIPING
Ap pnov E o
ReManx s
Dr sappRovro Drre IttsPEcrOn
F I NAL PLUMB I NG
APPRovED M Dtsrepnovro
Re ulnx s
DartTVl-?-V( lHspe
FINAL GAS PIPING
Ap pnov e o
Rrulnrs
D r SAPPRovED I NSPEcToR
CERTIFICATE OF OCCUPANCY
Rraov ro lssuE
Rruanr s
D Nor Rerov ro lssuE D Dare I Nspecron
D Drsappnoveo D
D Dore-
a PROI ED SET,'AGE DISPOSAL SYSTEM RECORT
I NSTALLER:Complete top part of rorm to signature and submit both copies with app
PERM IT NO
licat i on.
643-76
GG
V ng n ts rooms Bat
Vera Del I e
asement ater Su PPYes No Publ i c ther-L i st
ePt c
Ft. f rorn wel I Steel n Concrete No. Cornpartments Gal . Capaci ty
lns i D mens ons:
D i ameter 0 h r5
e sPosa e
n h t.,idth ribution Box Yes No
t er str ut On-
Ke hnart Builder
t
NAME
HAILING
ADDRESS
l6 S
S rin
Feet
}JEl I
Lot L
Front
ro{n
ne
Foundat i on
rtificate i
al system a
er ovu
rS ide
th
0a si n
C IF EO
For Sanitarian Use 0nly:
ln accordance with 1973 Oregon Laws Chapter 835, Section 214 this ce
as evidence of satisfactory cornpletion of a subsurface sewage dispos
I ocat i on.f-'|fl Approved: System tnstallation conforms to current standards
I-l Disapproved: Does not conform to current standards
Remarks:
ate:s isst the
ile
ued
above
L to-zt
ntn
er ePt
ove Ti I
Li s-Ft.
6
renc
trid
I sq.'do Ft. Between
Lines /d
ns t ruct onssee
d, Fr
la
lo'$lo
A*
K T
F
{6{'t
F7
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1rr
oe 6x
rot
I
,g
ftow$€
tipT
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c55-1I --55n i-t5ai'fnra ii g-ariiie
LANE COUNTY
STATE OF OREGON DEPARTHENT OF ENVIRONMENTAL qUALITY
t
I
)
I IJr F
Sf
*^
tr Owner
LANE COUNTY PERMIT FOR:PERIVIIT NO
CONSTRUCTION [ ] IVIOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
ZIP CODENAMEADDRESSCITY PHONE
n Contractor
NAIVIE ADD R ESS CITY ZIP CODE PHONE
O.S. Reg. +
Tw
Subd ivision Lot
Access to Property (Road Name)
Tax Lot_- CodeRange- Section Census Tract
B lock Acreage
-
Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOIVIS)SO. FT
SEWAGE DISPOSAL PLUIVIBING INSTALLED BY:
OWNER[] OTHER[] NAMPUBLIC [ ]SEPTICTANK [ ] OTHER [ ]E
BUILDING WATER SUPPLY: PROPOSED t ]
EXISTING t]
PUB LIC
COVIMIUNITY NAIVIE
PLUIVIB ING
3% SURCHARGE
MOBILE HOIVIE
WASTE DISPOSAL
PLAN REVIEW
TOTAL
PRIVATE WELL
OTHER-SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTI ON CONTROL SPECI FICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS IVI IN. DRAINF I E LD-LIN. FT MAX. TRENCH DEPTH I NCH ES
STAY 1OO'FR OIVI ALL WELLS
TYPE OF CONSTRUCTION G ROUP FIRE ZONE USE CLASSIF
SETBACKS- FT. FROI\4 CTR. OF r/W
FRONT SIDE EXT
FT. FBOIVI PROP. LINE
SIDE INT REAR ZONE
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
BLDG. PEBMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING _ CANARY
BUILDING - GREEN
SANITATION _ GOLDENBOD
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, D.E.O. slandards
for subsurface 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 ENVIBONMENTAL MANAGEMENT
COUHTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401c55.: 3
VALUATION
SITE INSPECTION
Ap pnov e o
Reuanx s
DrsappRoveo Dare I Hspeclon
FOUNDATION INSPECTION
Appnoveo
ReMaRxs
D I S APPR
0
OVED D TE I Hspecton
fr-tu
FRAMING INSPECTION
Appnoveo
Re uenx s
D r srppnovE o F1,, Dar - tr . 76,n,,,
6-
/
,l I
LATH OR SHEETROCK PECT I ON
,b-iL ,'7&c,/DrsappRoveo V Dar lHspAppaoveo
Rrtt rRx s
FINAL INSPECTI
Ap pRov E o
Reuanx s
Dt sappnoveo o*,/ -J1,lf/ ,c,I Nspecr
CERTlFICATE OF OCCUPANCY
Reaov ro lssuE
REMARK S
64J-7b ry6/
L
D
-r
D Nor Rrrov ro lssuE D DorE_lNSpEcroR_