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HomeMy WebLinkAboutPermit Building 1978-12-06TRS, TL: 17-03-22-4-4 * 31oO Subdivision: Bu.tra vLrta' Lot 4' Block I This permit for the referenced property is hereby appnoved. 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. . POST THIS PERMIT ON MAIN BUILDING AT SITE zBtB wnv Sroe LeNe & JOB AbDRESS: 276O Wayslde Lane, Sprlngfleld, oregon 97477 CONSTRUCTION PERMIT + Applicant/Address: Wllltan C. Sheppard Jr., 1665 East 27th, Eugene, Oregon Telephone: Owner/Address: sane Telephone: Contractor/Address: David Shellabarger dba SheLlabarger Constructlon, 1995 Augusta, Eugener ORlslsphone: Contractor's OS +r 9319 Total Construction Value: $361787.00 { nstruction approved by this permit: SFD Lnto duplex, Duplex at L1O4 sq f t; and carport at 272 sq ft. Structures nov on property: resldence I Water Supply: Ranibow lrater dLstrlct + Bedrooms: 6 +r Plumbing Fixtures: 9 + Employees: na 3686-78 485-L937 I 343-2929 PLANNING DIVISION Zoning: RA Partitioning + na Parcel + lVlinimum required structural setbacks, from: centerline of road, front: side exterior: 45 ; interior property lines: Jt ;rear property line: Special lnstructions OK for duolex. . r {'ic"J"r'Z;+ wi - 4 5 t seo.',eA 687-4394, Donna Lee Melss na Parcel Size: 45**; centerline of road, 5r , ruqysroc-> 141335 * sq ft. For information call WATER POLLUTION CONTROL DIVISION Site lnspection + na lnstallation specifications: L20q gal. min. septic tank capacity; 45g lineal feet of OriintietO required; max. depth of trenchesl Sotf Special lnstructions: Install SDS accordlng to BP# 2466-78. Reserve Setbacks nterior property lines Septic Tank-86-' 't0' 5', 50' Drainfield--lT,-- 10' 10' 100' a replacement area for the dralnfield. I I I For information call 6g74g6between 8:00 - 9:00 a.m., Greg Gray. R.S. Edge of road right-of-way Building foundation Wells, other water sources CONSTRUCTION PE RMITS/INSPECTION DIVISION Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification: Duplex ]]1!trlcr!g$i Ltem to be submLtted. See the back of permlt for requlred lnspections. II I For plans information call 6A7-j167 between B:00 a.m. and 9:00 a.m., Jln tsmb 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 Coburg Road to llarlow Road., along Harlow over I-5 to llayden Brldge Road, left on Waye I *E'ARTMENT oF ENVTR.NMENTAL MANAGEMENT By' Phl1 rl*leylLyL2-o6-78 ?rE.itrJr"r'r'-'flfll:.'r'3gi{: 8HHs.";;.;; )I lane countvlde'61 !'-- l if -* Q. 4*G ^etrH -.- a )L- ruKfrlryEL -+{r I I I T I _-* --b- lar\E H/5bfa,fei H//affig-R^{AAY' t -i{ \ N\ @ =>' a+* /4.fr?t2v1' ffA4rt ntl 4e€14'/ulJt a?< -a/^-tr /74xrt EAtrEP/'r ----- fl/rJ 4Y/D Ft//-l<ubLL LZTWJT"I - '- :'-'fr? .,_a_..-- @F fr+tv?et' :zzJ."\//i: 4t!/ fr4 dthfr4, aD^.P Wa*-ADUQ /r./fArKIuai+e \ $ I I a*ru-rb\a-+f;, fia.o /N LAAT/A\,A*l-?!w E1' taE c?' b'Flalm/Pd77aL1 FIAYET& bJJg #,>t -_2/TE rLA^/-,t-* ,J I- -'--.J-- a/*-/1A t/)\, i /c'MNt4- lul->WaU*vtt. ,\ A TE# aaiiL, /2 rv tr/ /^ /F" <s;prr I ft r. ATI Dh, /4 1. I . I -: trWel_. MF t/ zO fL4 4 T<?-.tfr .-+ - r E *--IMraryatAY, l" = IOO' See Mop t7 03 Z? 4 I -L \ 83 \ o ?oo .300 1400 E o tdz J SEWARD AVE. CROSBY AVE. ALLEN AVE. l i -- tt' a a a La 7 o a 4500 0 o k-5l03 ?/ Jr/-zar2 r- - .5-db.a-4,?..24,-' ,g?'r7'A ,s I 5r02 JrA. aot6, W.N.W.Cor. Jocob Hol 'et.z i . ROAD \fr rtmt:L 'iryL ' a$ p u 0 0 hJo v, * = lt 'ooI 7900 so'L.439 o6 EoJ N.1. a t /cl /2,460t ot, 3 400 a 2 3300 3200 ,, 3 !s'3too !\, 4 3000 5 BU rN 2 s.2900 aA 6 2800 I 7I t ! 7 ,il i 27c0 a n a 4:"ta 30 I 240|g^ ro C 23m a il oo ,ft' a 5 '1 t ,,., 1) ,jm 4@ c o 2l93 , . . ,., a D 9' 300 2 3 D a 2@ 4 loo b 5 .tI ; 600 ; 27@ = : : n t 3800 iloo \4 :)A oo 5 o \,,900 6 j3 L :t200 o G I 9r r3@ n 2 A r400 a, 3 01 l,. -"1 r 700 lr- I i t600 - 5 t\a r803 t900 c ,rE 9's 3' u e. /r..r., lgOO o h' 2 o 2?OO o rd b r80r oio ]1-c D.L.C. No.47 l.78@ /2t.+'_{ ) 1 5 r 500 n LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 PIANNIilc DMSION Currcnt Zoni Prrtltloolng l_ [nending f]cornpleted ParcGl No Partl lon o \./ AVERACE PROCESSING Uf 6 fi 0 t> E 'or. o |t IITTEB POLLU?ION CONTROL llcr Slt. Insp.ctlon (.) I of Sltec_oc E'oH Ho Ho €Fln 6DS Conrlructlon fI Neu ! nepatr Nu.sber of Eedroomet str I - I ol Ernpl e6 CONSTRUCTION PERHITS(S€e abovc for I of E f.robll. nom6 tr permanen e Tcrnporar t AND INSPECTION bedroonrs,/l of enrployeea) LADt--d* rr-lcr FEE s Y b..-pt-i^.P !f] Renesal {F lon e G ?otal vtluntion S \ Plumbing fixtures at S -_- Sewer^{ater Conn. ^t t Each S Each 3 Subtota I t s s \a . I {t St!t. Surchargo Plana Check Fec Change of Occuprncy ltlnlmlu! rt,ructural letbacka l FroE centerlinc of atreet, Front Exter ENV I RON!.,I!NTAL Ch.cL l_ AFEIDAVIT; I! thlsr*il.I be u for nothls TMAL BUILDING PENfiIT FEE ior Slde \Ncr.\S Rear + - Curb cut. to appl.lcant -Tsv ot, 5 tdtx Fro(! intcrlor lot lines: side L. I con-o'r plans rheet to "pprr"lF-[ t] PUBLTc rrNos ilL Ca.h Addre s s MinlmuJn Elevation IC HoRxs Sp racitlty pernir Foc'd by TO?AI. S agr permlt la for an agricultural building, I hereby declare that thls butldlnglcultural purposes as alloued by zoning and/or the State Building Code, and. I further certify that the statements and other information submltted ontruo and accurate. and that I have the following legal intercat in the .; or that the omer of record is knowledgeable of this a further alI applicable coder relatlng of record; _conCract purchaseri Iegseer holder of an exclurlve optlon Iy authorize;fTo rct for a person wF6-hag the f6lflowing legal lntereet: bfy] to c owner. I agree to comply /Jrth / _./'-"D.t. tot INrOR!,IAT c74-L70 Applicant'a Signature f^iltr fo< ta.c-,- ,v- S IS YOUR RECE'--. MTO O6ES (* C'UE YOU PER}IISSION TO BUILD. -J(-\t ^itAo s t a-> S/ I C s t *"{ \\3!- s Mlnlrnurr \\ tion e6 ABOUT THE PROGRESS YOUR APPLICATION, CALL PERMIT CONTROL, 687-I]57 (587-HELP} county I I : I I I I I lrt/i AP. APPLIGATION Jr.,ro*, 485-l-937 Eugene ztP. o{z I ., zo !n i OWNER (IF SAIIE ta t l. PRESENT USE OF PROPERTY (re3identiql; typo ol lorming; commerciol or industriol; voconl; etc.) PHONE- ctrY_ ztP_ Str MA(" coMpIETEo pERMTT ro AppucANT/owNER/coNTRAcroR (crRctE or.rel ! Residential !5 9 2'o ! o t I t I I Eo2 l" IN Fl! I Ilxt\t'^t\ l$ I I I I I 5 r Ir I Fr It\ I I 2. DESCRIBE STRUCTURES NOW ON THE PROPERTY. NOTE ANY STRUCTURES TO BE DEMOTISHED.Single farrily residence,3 BCrms. nothins to be dennlished add new 3bdm. addition H{ Io(, I NJl.) Ir tN rli !r( (,H.co 3. IMMEDIATE PTANS FOR THIS PROPERTY (THIS APPTICATION) ARE: r. FUTURE PTANS:none other than stated above 5. pLOT pLAN. Skorch (A) oll roods (8) boundories ol property (C) existing/proposed buildings (D) exisling/p.opo3ed sewogc di3posol oroos (E) .xi.ting/proPosod drivewoy3 (G) eosements (H) droinogewoys, itr6oms, creek3, ony oth€r perlinonl looluros. ll commerciol or industriol, show freostonding signs, pork' ing oreos. INDICATE DIMENSIONS. wvtJfr_-. bo 6. rorAr.rorsrzEo*o.**o. 14r355t Sq. Ft. 7. srrErNspEcroNTEsrHoLEsREAD'(DAre)- 8. METHOD OF SEWAGE OISPOSAI. 9, PROPOSEOWATERSUPPTY WELL- SPRING- STREAM- TAKE- PIJBLIC:water di stri et IO. EI.ECIRICITY FURNISHED BY II. NATURATGASBY I2. FIRE DISTRICT r3. scHoor- otsTRtcT BEFORE YOUR APPLICATION CAN BE PiOCESSED YOU MUSI FURNISH: -8%xll PIOT PIANS -IEGAL OESCRIPTION (DTT ENSIONEO) 8Y LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT I25 EAST 8TH AVENUE, EUGENE, OREGON 9740I c71-171 Willian C. CONIRACTOR'S ORE. STAIE PREFER TO PICK UP p, r-tHI o 6 Ft H I(, CTo 0)(< o. B € =I z 9 n:o2 oI c)o(t Ejq E P rto !.e 'o \ \ l.)!o\o L-{ Bo t 71rI i.HoHt CI I '.rJ i)r 0)iJI Iq &e Appllcatlon *366 *)S for l.lORK SHEET Water Pollution Control SITE FEASIBILITY REPORT Sfte f] meets State standards;does not neet State standards. SDS INSTALL.{TION Mlnimum Septlc Tank Gapaclty (Gallons) Dralnfield Required llaximum Dep th of Trenches Equal Setback REqqirementq From: Interior Property Lines Centerllne of Road (front) Centerline of Road (Siae Exterlor) Building Foundatlon Wells, other domestlc water suppl.les except public Stream, lake, ponds / 2&asa? 7so Serlal tf 0ther Dietribution System Septic Tank --- -..--..-ir-- {a4 t-d{o J)- M74-L65 Date Sanita /cs 1<)o Drainfleld (o t/'2/'"/ e ? .t^< Name Shenrr* d-I Phone\r Applica tion ii 3G86'78 for I.{ORK SHEEtr Construction Per:mits & Inspectlon 5tv E-3 3 22e.J..e. Type of Construction Group Fire Zone Use CLasslfication TO RF TYPED ON PERMTT c .IE >F.'., 1TA ,?F S' FT H' -F2_* :f.2!Gr _.2/E arte.. aF Pc i- .,43 2€<,Ur.Ae /etre<.7.a..t Date 7 4-L64 Signature r /i I lone countyWATER SUPPLY SYSTEM REVIEW Permit #3b7 Q *zv The following information has been forwarded to the permit processing section. ff there are any questions regarding the information below contact Lane County Environmental Healthr 125 E. BEh Avenue, Eugener 0R 97401 687-405L I-Name 11" t,{ L 7 Address Zip Code : A. comluurrr 'a. ffiAppt OR PUBLIC WATER SUPPLY T overl (Name) R&l'tr.^,l UrD E ro record of indicated public or conmunity water supply system. [J PendinB approval due to improvernents being made i-l uot approved (Name) I l llot within water district indicated, check with Boundary Conunission l_j Water District cannot extend services to this parcel. at this time C. E System not adequate for more services without improvernents I n*i"ting connection fl rNorvrDUAL wArER suPPLY A. E Permit on file E ro permit on file; permit required before installation from Envirormental Health B. I Spring or surface water supply needs variance approval C. E Existing \^,ater supply Ccnmnent s : Envirorrnental Heal S an itar ian {29 Date t t -/a-7r TO PERIIIIT PROCESSING PLA|\.IN ING PUBLIC t^JORKS FLOOD PLAIN MANAGEMENT Departrnent of Public Works I 25 East Bth Avenue Eugene, 0regon 687-41 95 PERMIT NUMBER PART IT ION NUI\,IBER SUBDIVISION OTHER SITE ADDRESS PERMIT VALUE IS A SUBSTANTIAL IMPROVEIqENT. SITE iN FLOOD HAZARD AREA YES YES I\r0 NO SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE llllLL BE REASONABLY SAFE FROI{ FLOODING. MOBILE HOME TIE DOWNS REQUIRED. SITE LOCATION iS WITHIN A FLOOD HAZARD DETAIL STUDY AREA. I 2 3 MINIMUM FIRST FLOOR ELEVATION OF MINIMUPI FOUNDATION ELEVATION OF (M.s.L. ) REQUTRED. (M. S. L. ) REQUIRED. MOBILE HOME TIE DOt,lNS REQUIRED IF GROUND ELEVATION THAT MOBILE HOFIE I^JILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST FLOOR ELEVATION. 4. SITE LOCATED I.,|ITHIN A DESIGNATED FLOODWAY CHANNEL, BUILDING PROHIBITED. = RECOMMENDATIONS: --l x ro --{ DATE BY c99-21 POST THIS PERMIT ON MAIN BUILDING AT SITE ADDRESS: CONSTRUCTTON pERtVilT + ,S, TL: This permit for the referenced property is hereby result in revocation of this permit, citation under Subdivision: Setbacks and other conditions of approval must be strictly observed. Violation canprovisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law. Telephone: Telephone: Teleph one: 3q ft. Applicant/Add ress: Owner/Address: Ull"llrr C. Ig fnryelr{ fr", 166, Ilrt Z7Cl, nrrc, Orqm EGructrcrl asr G trrop.rt t rsldryl 6&H,$3r /Address: OS+ Construction approved by this perm it: Water PLANNING DIVISION # Bedrooms:+ Plu F ixtu res +E Zoning: Partitioning + Parcel + lVlinimum required structural setbacks, from: centerline of road, front: side exterior: Special lnstructions ; interior property lines: r iredr property line: Parcel Size: ; centerline of road,1*rr*l + tq ft. 687-4394, *pla.l ri i For information call l WATER POLLUTION Site tnspection + CONTROL DIVISION lineal feet of drainfi . lnstallation specifications: eld required; max. depth of trenches Special lnstructions: gal. min. septic tank capacity; Ia*rll, St reordtry b tf, l*00-XA. Ecrnrr rril*mt rrr ter tt dr.fillnld.III Setbacks Inteiio-r property I i n es Edge of road right-of-way Septic Tank Drainfield---'10- --10- ng foundation water sources 10' 5', 50' 10' 10' 1 00' CONST PE RMITS/INS DIVISION Directions to Site: Date lssued: c55-1 3 Type Construction: ns:Itc to ca ll back of For information call 8:00 - 9:00 a.m., Group: Fire Zone: Use Classification:hrptu I For between 8:00 a.m. and g:00 a.m., call 687-4065 between 8:00 a.m. and 5 :00 p.m. Aotwj lc*d I L&ohta .JI lane county6l!' - .r€as trrslor ortr t-5 te Hrlda rrtdp trd! rrf* c Hryr DEPARTMENT oF ENVIRoNMENTAL MANAGEMENT BY: COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 ( "LrZ Total Construction Value: For plans JcoD \-- 3t*8 FL00R PLUMBING GROUNU/ORK Ap pirov E o ReManx s \ E Drsappnoveo D oort9 - / a I xsprcron GAS PIPING GROUND^/ORK Ap pnov r o REurnx s D DrsrppRovro D Dare I ruspecron ROUGH PLUMBING Appnovro m DrsaepRoveo Relt a nx s 3-/e-7r F*Dare I Nspecron ROUGH GAS PIPING APPROvED Reuanx s Dl sAPPRovEo DATE I rusprcron FI NAL PLUMBING E DTSAPPRovED D o^,,31-/Z- ff 4, c*4,I NSPEcToRAPPRov E o Reuanx s FINAL GAS PIPING DATE I usprcroRAp pRov r o RExanx s DTSAPPRovED CERTIFICATE OF OCCUPANCY Rerov ro lssur D Nor RcADY ro lssuE D Reulnr s Dere I NsPEcroR D POST THIS PERMIT ON MAIN BUILDING AT SITE JOB ADDRESS: CONSTRUCTION PEBMIT # TBS, TL: Subdivisioni This permit for the referenced property is hereby . Setbacks and other conditions of approval must be strictly observed result in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law. rfl Violation can Applicant/Address: Owner/Address: Contractor/Address Contractor's OS + onstruction approved by this permit Total Construction Value: Telephone Telephone Telephone Water Supply:+ Bedrooms + Plumbing Fixtures:+ Employees:t*{ r PLANNING DIVISION Zoning: Partitioning + Parcel + lVlinimum required structural setbacks, from: centerline of road, front: side exterior: ; interior property lines: ;rear property line: Parcel Size ; centerline of road, Special lnstructions: For information call 687-4394, WATER POLLUTION CONTROL DIVISION Site lnspection + lnstallation specif ications: lineal feet of drainfield required; max. depth of trenches: Special lnstructions: gal. min. septic tank capacity; Setbacks I n te r-io r p ro perty I i n es Edge of road right-of-way Building foundation Wells, other water sources Septic TankIC 10' 5', 50' Drainf ield---10- 10' 10' 1 00'For information call between 8:00 - 9:00 a.m., CONSTRUCTION PERTVIITS/INSPECTION DIVISION Type of Construction: I nstructions: Group:Fire Zone Use Classification ernlt For plans information call between 8:00 a.m. and 9:00 a.m., For inspections (see back of this pbrmit) call 687-4065 between 8:00 a.m. and 5:00 p.m Directions to Site: Date lssued: c55-1 3 DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SEBVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OBEGON 97401 lane countyilIr--!- By SITE INSPECTION Appnovro Rruanx s Dr srppnovro Dare i- 3 f- 7,;'*-,-/-'I Hspecron v- FOUNDATION INSPECTION Ap pnov e o REMARK S -\ FRAMING INSPECTION Appnovro Dr sappnoveo oorr- -3:?€ --?1 lrspecron %6 -e4 Dr slppnovEo oart J *29*77 I xseecton Rruanxs €/- LATH OR SHETTROC PECT I ON Appnoveo Rrxanx s Drsaepnoveo D Darr /- C-7? rNspecron FINAL INSPECTION D r sappnoveo oarr 6'7-77 I NseEcron qu<Ap pnov e o Reuaax s CERTIFICATE OF OCCUPANCY Reaov ro I ssue Reuenx s D Nor Rerov ro lssuE D DarE I NsPEcroR rel d C} TO PERI'lIT PROCESSING PLAi'IN ING PUBLIC WORKS FLOOD PLAIN MANAGEMENT Departrnent of Public Works I 25 East Bth Avenue Eugene, 0regon 687-4r 95 PER}4IT NUMBER PART IT ION NUI\iBER SUBDIVISION OTHER SiTE ADDRESS k\.\ PERMIT VALUE IS A SUBSTANTIAL IMPROVEMENT. SITE IN FLOOD HAZARD AREA YES YES r!0 N0 ,--/ SITE LOCATION IS WITHIN A FLOC)D HAZARD APPROXIMATE STUDY AREA, EXTRA PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SiTE t^llLL BE REASONABLY SAFE FR0M FLooDING. MoBILE H0ME TIE D0t^lNS REQUIRED. SITE LOCATION iS WITHiN A FLOOD HAZARD DETAIL STUDY AREA. MINIMUM FIRST FLOOR ELEVATiON OF (M.s.L. ) REQUIRED. MINIMUM FOUNDATION ELEVATION OF (M.S.L. ) REQUIRED. MOBILE HOME TIE DOI,INS REQUIRED IF GROUND ELEVATION THAT I'IOBILE HOI4E l^,ILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST FLOOR ELEVATION. 4. SITE LOCATED I.IITHIN A DESIGNATED FLOODWAY CHANNEL, BUILDING PROHIBITED. I 2 3 =-1' RECOMI4ENDAT IONS -.{x r'o-{ DATE l''t c99-2t BY -lgega'** ^EtrH e. KE*=ZDfrVE -1tr l6r'E H/50ratP ru-lzJAtu17R^zAAY'' Wa*/-AOUru /LlfARTUEiiA)/. L- x/AYet# /)A/9 __gJ --b- -i{ \ \\\ tu ---- flt^J 4Y l2 fr)u1/rJA/J- .ETUZrTH ' - '''''fr? @trAtY/Mr 7)..r'.-.' jTZtKJ;\b - 7> | y4Z /A4e/zZ.J' ff:ntr4r, *,gt 71]Jb C/x. *r;,li P' 4x/j EN4EErr D: t *--7M.,ANE\AY, $t, ,ll a*'fiL1b\tL+fi frA-A ,N /A1f/dV frd,,/?,Zx'i*t'-er4 Ey tb\E u7.{b'fta,tm/,t/ilXl4\J 4x1r tuf athfr4, re,2t ffi* MF t/ 2o rL4 + I+ryrywaermgffin -__?/TE TL-AAJ /'d ?T+_- Ni A/A<.r,/L\lllcMNc4.a,q/Lih _VL'MKHN\/Z, if -* ..+(#tz r E ffiIl @ tilPltl-(J t0-- -4@7; €v C. N,/JTJCUe/LE . -U'Z A PH9 f'LY TP 4/IFZ' ., ,/Ntt/-E MN,E ,t2t7J/ lCr4Z /^/'tr/ /^ lG" z-)/-+/,/f//.ATlDh, /a \_ .t Z I 1 I CORRECTION NOTICE IANE COUNIY DEPT. OF ENVIRONMENTAT MANAGEIIIENT Construclion Permits & lnspections Division EUGENE, OREGON This building or struclure does not conform lo Lone County building regulolions, ordinonces or codesos noted below:{i _-/-+oe.-,4r** E-<U a.) / o/_I /2- RE.INSPECTION REQUIRED FOR APPROVAL lnspector r/il /-*4.4<Date-c55 -7 3 Building Permit # e TRS, TL A-o5'J ,r/,q, sfuoI a7(tr 7760 Upost T.;-4,)tot f/ Block /Plot PIan '8 Tq cLn FOR SANITARIAN'S USE ON LY: { SVrt.. Approved fl System Disapproved fl Needs Correction COMMENTS: S nature:Date FOR INSTALLER'S USE: Trench DePth Filler Depth Be ile 6" Tank Capacity I )oo N/lanufacture Measured distance to well from tank c.lJ r.'"f rr from drainfield - z-+ Xcy tact ,trtt I 4rct Aq,B.q$z {Lrr-r rd t 3:L6:t I l F o T?-nK tit t, rtl ol\]t\lNl x d $ \ ( U'0 o)LEE o, E (o o) E(Ez -oPc(, .9a a- a m ! L o) GP@c Txpcxl : u.c c\ttr;lirrr , C rr-I.r I I I C-drn a.f.ocl a O, Odat I N I p qo'-tt -t Fcn,ce trra5s, Jc Ln INSTALLATION RECORD AND CERTIFICATE OF SATISF When signed by the County Sanitarian, this certificate is evidence as isfactory completion of a subsurface sewage disposal system at the Return this form to: Permit Processing Section, Department of Environmen l/ ar7ro?. L6tl^, rtorS?ofl, ,r+r'(4 }l, .S t.o \t\ I \ $s \s {t) +o-m #cqse 1F \g?g NloET R @,of IY Public Service Building, 125 East 8th Avenue, Eugene 97401 c55-1 1 I Job Location ,1, , posT THts pERMtT ON MAIN BUILDING AT SITE JC5'ADDRESS: 3rI0 raii,ii'Lffit sDrtr3frd{, srrp 9ffi7 CONSTRUCTION PERMIT +r t TRS, TL: t7r,{}3-rl.*-4 , 31gA Subdivision: kran \|ltt , Lot 4r EloGt I li This permit for the referenced property is hereby rpF,rrgrtd. Setbacks and other conditions of approval must be strictly observed result in revocation of this permit, citation under provisi6ns of Lane County's lnfraction Ordinance, and/or other remedies allowed by law. ilhta fhrX,ldrr:ffr g1 ffffrfrrlrr GbGrGsr-, ffg5 rnnrtrr Snr, gx;Telephone: tut Total Construction Value: S!6.rtr.m t6l6-If *lltqllll?Itt -t ift Violation can Applicant/Address: Owner/Address: Contractor/Address Contractor's OS + Construction approved by this permit .E 3fD hE drolcr hSlG .t ll0a rl ft3 od arrpore .t lTll { ft. 8t[*frE-FtFGttl l.CJc. Water Supply E?.rE *{rir'{rr # Bedroomsl 6 +r Plumbing Fixtures: e + Employees rra PLANNING DIVISION Zoning: ll Partitioning + r Parcel + Minimum required structural setbacks, from: centerline of road, front: side exterior: 45 Special lnstructions ; interior property lines: tr;rear property line Of fcr aryfa. For information call Aal-qsgq, Parcel Size: centerline of road, llot3:I + r1 tt.rl .,C:tt WATER POLLUTiON CONTROL DIVISION Site lnspection + r-;ri;;;iil"i ot orPrnt . lnstallation specifications: gal. min. septic tank capacity; ield required; max. depth of trenches: Special lnstructions tnal'f E moaalrf a [f l{64-tlt. Irs; r rftroffi rtr for h &rldtrltIII Setbacks lnterffiroperty lines Edge of road right-of-way Building foundation Septic Tank----T0r' 10' 5', 50' Drainf ield--lo- 10' 10' 1 00'Wel other water sources For information call 8:00 - 9:00 a.m., Type of Construction 5-t{Group: tr-j Fire Zone: , ,.. Classification UqLr* I nstructions:trtn ulr h rdrilttrso ta; & Lcl of tr1il,G trr rrqrll,ni frr;*tlrrrr rorttrn, information call between 8:00 a.m. and 9:00 a.m., For inspecti ons (see back of this permit)call 687-4065 between 8:00 a.m. and 5 ,6th.hP CONSTRUCTION PE RM ITS/INSPECTION DIVISION II lane county Directions to Site: Date lssued: 6o&ryf le.d e lhrtcr Ered.n rfr€ ilrrtrcr snr l*S Go H.gld6 *r"fil1r In {, trft m thtrld.. I DE'ARTMENT oF ENVTR.NMENTAL MANAGEMENT By: lhll rkrryIry1'q{6-Is ?r?'flJ'"t"'*=l'ty^?r'f P58XLt'l 3H'}3So'r*,c55-1 3 6l!'-- .; -?;yry'r-fat* I i t'---- EULJ 4Yl9 HJI-I1.: . Jx-/At// t-a+-ZtTt/-:''.- ,:' i- : ''frO EaTftAYlMr i1,/.-..- ffi/(.,,&.t: 7 rlt 4//r frz{ 4thtu4, -lEX'@nV, <m@.EJ Jts 1 d ^EtrH ,nx,( laiE H/(_.@ {4r* ^/AYCT* LAN? ,E6,{-3 ft,.dfu,,F- fr^Et^aY' b'F(AJ . .tuu@rrrt" tur{ \ \|\ : yr4i ra474e4411' r?-At1/tl1l 14K,€ 74t glrb orx- -E/^i cP 4w? &ffef*:t #a,2t U - W,eermg -_?/TE fL-ANl ,t'd U I' --E-1- (rvaerlA JLt\, : lcMrYz4. _1*-MKHAA/4, ur-€A trNO I ?9 (*u, /-_':Lr/NAl *, tA() t, rv tr/ /t, /F. ?)#/ I tt r. ATt Dx /a' 7HD *.f YN , r *-'743tRryesY, TRS, T JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot S lro Partitioning Contractor's O.S. # OWNER'S NAME AND ADDRE cc Phon PhonCONTBACTOR'S NAME AND ADDRE ss Mail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call- (owner, etc.) when ready ) Completed Subdivision Lot- Block- APPL|CANT,S NAME AND ADDBESS Phone- P <TRUCTUEES NOW ON THE PBOPERTY . THIS PERMIT IS FO # B EDROOIVIS-# PLUMBI NG CONNECT IONS WATEB SUPPLY I ' - SEWAGE OISPOSAL I S.I. # TH IS PROPERTY IS WITHIN ONE IV]ILE OF TH E CITY OF_-. PLUI\4BING 8Y --=-- I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner oI rccord; -contract purchaser; - potential buver; - realtor or agent, I further certify that (it not the owner) I am authorized to act lor the owner of record, and that said owner is aware and approves oi this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid S Signature Date NEWADDRESS { ) FACILITY PERM IT TO TRANSPOf,TATION DEPT. ( }SPECIALPI\4T, AREA. MIN.ELEVATIONI- SANITATION BU ILDING Minimum Septic Tank Capacity (Gallons)Type of Construction roup -Fire Zone Drainfield Required - Lineal Feet se Classification Maximum Depth Comments Comments By Date By Date: PLANNING REOUIREMENTS SATISFIED. By Date: i Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.pERMtT-wHtrE; BUtLDtNG-GREEN; pLUMBTNG-cANARy; sANrrATroN-coLoENRoD; oFFrcEcoPY-wHtrE PHONE: 687-4394 LANE COUNTY ^.:PARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAS ' dTH AVENUE, EUGENE, OREGON 9, I PIANNING DMSION Current Zoning Partltlonlng l_ lnendrng f]compleced ParcsL No._ Part I tlonl nd I red Other r AVERAGE PROCESSING rDul ) 6 P- s s tr rATEN POLLU?ION CONTROL U6Y SltG Ingpectlon(e) I of Sltec_ s t g ;Ho I t,r. l" ,rt,6b(/!.o'- t{HSDS Conltructlon n Ncr, I nepatr Nultb€r of Bedroons r I Industr Permanent Temporary Renewa I l- I s Emp sg. F Valuatlon \seq\Coarr\AJ CONSTRUCTION PER.YITS AND INSPECTION(See abovc for I of bedrooms/f of empl.oyeee) t] .'rlobile tto:oe S ?EE I # tr rl tlStructura Total Plurnblng fix uation S at $- Each at l- nach Subtotal - Seuery'.rate Conn {t Ststo Surchargc Plana Check Fee Change of Occupancy TOTAL BUILDING PERHIT FEE ltlnlmura atructural aetbacks : Proro centerlino of strcet: Front Exterior Sid€ Froo lnterlor lot lines: Side_ Rear_ f[ Cor:ro'I plans sheet to appllcant fi CurU cur to aPpllcant I "lyLg 4 I B s s PUBLTc r.AriDs tr Address tr PUSLIC woRKS D Facillry pernit EIryI ROIIX.EX?AL IIEALTII(}BS Mininm Elevrtion 'Yl Ca ah AFFIDAVIT: will be usefor no th 1e Pro[)eto pu app cat onto th DatC pe Chcc L Rcc'd by If thls permit is for an agricultural buagricultural purposes :rs allowed byI further certify that the st re true and accurato, and that I h con tr,1ct pu rcha se r ito act for a person ; or that the rm not lie-5incr-. -i f urther rgr TOTAT. s ilding, I hereby declare that this bul.!,dlng' zoning and/or the State Building Code, and atemenLs and other information subnitted on rave Lhc following legal interest in thel<'ssee; h<;Ide.r of an exclusive option wh-d-ha s thc FoJlowing lerla I interest : owner of record is knowled.teab Ia of thr8 codcs relat 1n9 lane county to irll I ir:.r Applicant I a Siilnature TIIIS IS YOUR RECEIPT, AND DOES IIOT E YOU PERMISSION TO BUILD Address Minimum Elevation POR INPORJ,IATION A.BOUT THE PROGRESS OF YOI'R APPLICATIO}I , CALI, PIiR'.IIT CONTROL, 687-4]57 (587-HELP) 0\'-- tI ( L t.