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Home My WebLink AboutPermit Building 1977-03-04\\- c>B-a'{5HU ts{\s\-TRS, TL Job Location Acreage or Lot Size irresular Partitioning #- ( )Completed( ) Pending APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicant's CONTRACTOR'S NAIVIE AND ADDRESS Mail permit or results of site feasibility stud 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 Vera f)e le First Addlt{on tt ,r BP BBt)7 loc STRUCTUBES NOW ON THE PROPERTY t{O'gF yto ( )Applicant ( )Owner ( x) Contractor( ) Prefer to pick up. Call ( owner, etc. ) when ready. PROPOSED USE (this permit)Bulld a home. WATER SUPPLY Publlc--Ralabov rvater D!,strtct (existing or proposed well. etc. lf public, name of system) SEWAGE DISPOSA proDose dse ot lc tank (existing or proposed septic tank, etc.) S. I L PLUMBING B Jack Jackson Plumbino Address I't55 Oaean Street Errgene, Or?gon (x ) PROPERTY lS WITHIN ONE MILE OF CITY ( sprtnsf rela I t6 *****.* oFFICE USE ONLy BELOW THtS LtNE **.,******r*, ( ) New Address Necessary 1 3NE- ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROI\N CENTERLINE OF ROAD) ( ) Special Permit Area. lVlinimum Elevation I nterior sto" vrro \t S4d* (FROtVI PROPERTY LINES) Tor Planning/Building lnspector/Sanitarian/Surveyor. Thisapplicant appears to have a problem with- Your assistance will be appreciated. By Permit Processing Section Response By D EPA RTIV] ENT O F E NV I RON TVIENTAL MANAG EIVI ENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 Division (x)BuildingPermit Phone ?\6-\,+zgPhone- Phone Zb6-1il+tg ,3, z 41 5/PERTVIIT # B LOCATIO LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot Blo ck TRS, TL Acreage or Lot Size Contractor's O.S. # APPLICANT'S NAME AND ADDR OWNER'S NAIVIE AND ADDRES Phon CONTRACTOR'S NAME AND ADDRESS Phone-MaiIpermitto()Applicant()owner(}Contractor.()Prefertopickup.call-(owner,etc.}whenready. nePho STRUCTURES NOW ON THE PROPERTY- ,HlSPERMlTlsFoB#BEDRoolVlS-#PLUMBlNGcoNNEcTloNL WATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTYlSWlTHlNoNEIVllLEoFTHEClTYoF.PLUIVlBlNGBY 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. Fee Paid $- () NEW ADDRESS () FACILITY PERIVIIT *y'/,rtf Signature TO TRANSPORTATION DEPT Date ( ) SPECIAL PtVlT. AREA. lvllN. ELEVATIONi - SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BU ILD ING Type of Construction Use Classification Comments roup ire Zone \ jomments ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LAN E COUNTY DEPARTMENT OF ENVIRONIM ENTAL |\4ANAG ElvlENT, 125 EAST 8TH AVE., EUG ENE, O R EGON 97401 PHON E: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG.PERMIT-WHITE; BUtLDtNG-GREEN; PLUMBtNG-CANARy; SANTTATTON-cOLDENROD; OFF|CECOp\/-WHtTEc55-1 3 trce Date:Date: PLANN I REOUIREMENTS SATISFIED. B Date:Date lssued: *, tr / L*) .r 'rL-*, RESIDENCE FOR-- .MR & M RS IIOWARD MAP,T BU I LDER JACK KE5 l-{F I, P AN R I Ii, I I !j I I t-? tt: lre,o I4 I"TT,TT,. RE?LAEE'{E/'T flELD { ( { I \ n \ .c6i/.rc.',FR?o -73 lrru ( I'l q li /41 I $ \\i \ \ ,t \$ \ \ ,... : 'i. !.. "gi !:" coflc.J+Peecd I 2 ., 5T]l STREET f1' F ,I i j .* !r: I ,; .'* t ,;. ,-1 ; a 1 I i .i r1 d : N. { .l' ' lt/PERIVIIT # TRS, T Acreage or Lot Size Contractor's O.S. # JOB LOCATION Partition ing LANE COUNTY PERMIT ) Completed Subdivision Lot- Block- APPLICANT'S NAIVIE AND ADDRE ss nePho OWNER'S NAME AND ADDRESS Phon CONTRACTOR'S NAIME AND ADDR Phone- Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PBOPERTY dlsPERl\4lTlSFoR#BEDRooMs-#PLUlv]BlNGcoNNEcTloNs- Date - WATER SUPPLY SEWAGE DISPOSAL-s.r. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the propefty: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (i{ 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 S-Signatu re NEWADDRESS ! FACILITY PERIU IT TO TRANSPORTATION DEPT.- ! SPECIAL PMT. AREA. I\4IN. ELEVATION: - SANITATION BUILDING Comments Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Type of Construction se Classificatlon roup -Fire Zone ( ,rr"nt' B Date:B Date Date lssuedPLANN ING REOU I R EIVIENTS SATISFI ED By Date ZONE: SETBACKST FRONT SIDE FACING STREET {FROlVl C/L} lNT. SIDE YABD REAR (FROtVt P/L) LAN E COUNTY DEPARTI\4ENT OF ENVIRONM ENTAL MANAG EM ENT, 125 EAST 8TH AVE., EUG ENE, O R EGON 97401 PHON E: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANTTATION - cOLDENROD; OFFICE COPY - WHTTEc55-13 tatF--sr=*B FLOOR PLUMBING GROUND/ORK D D r saepnovto Drr e -0*I NsercronAPPRov Eo Rrxanx s GAS PIPING GROUNU/ORK Appnov E o ReMaRx s Dr sappnoveo Drr E I xspecron ROUGH PLUMBING Appnov e o RrxaRx s E D r sappRoveo Drr E W ^,?1 r,",,I ROUGH GAS PIPING AP PRov E D Reurnr s DI SAPPROVED Drr r I Nspecron F I NAL PLUMB I NG APPRov E D Re Nrnx s @ Drsaepnovro D o*,^ilJ34-I xspEcron FINAL GAS PIPING AP PRov E D Rruanx s D DrsaPPRovE, D Dare I Nsercron CERTIFICATE OF OCCUPANCY Reaov ro lssuE Re uaRx s D Nor READv ro lssue C/ Dere_lxseecron_ ' L-ru 6- g Plaaazu^P'zL-' TRS, T Plot Irlan REOElUEffi BY i Lili 3 :, 1!7'i I,ANE COUNry gnvthOtttvtENTAl MGMT. N Job Location (Street, mile Post Subdivision Lot- Block FOR SANITARIAN'S USE ONLy: psystem Approved fJ system Disapproved fl Needs correction COMMENTS: Si nature Date L D ? FOR INSTALLER'S USE: Trench DePth F iller hB Tile Tank CapacitY IN€1 [Vlanu lVleasured distance to well from tank from drainfield- Sca le: ulF o \: q \ \qq o) EE o, =(E =CIJ E C!z .U,p C CO CJ oo lF co o GP0c \ INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETlON 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 8th Avenue, Eugene 974O1 + CLo \ IFt\i r,3 q/ :r *, \ "s \ 3 \.\ 10 tlo' It' $ J a_<+ 9-,fu*rl N c55-1 1 I SITE INSPECTION AppRovEo n R Euanx s DrsappRoveo D Darr 41a1 I Nspecron FOUNDATION I NSPECTION AP PRov E o Rrulnxs Dr sAPPRovEo I Hspecton FRAMING INSPECTION APPROvEO Dr saepnove o e/oote 1-9 -11 Ixsprcron Qr,(Lv- Re ltanx s LATH OR SHEETROCK I NSPECT I ON DrsappRovEo C AppRovro Rrltrnxs D oarc 7 - lf -11 I HsRrcton FINAL INSPECTION Dr SAPPRovED Drre 21-I NsprcronAP PRov E o REuaRx s CERTI FICATE OF OCCUPANCY Rtrov ro lssue D Not Rraov ro lssue D RruaRr s Drre I NsprcroR d D Do',)-{1-L -L D PERTVIIT # TRS, TL JOB LOCATIO Acreage or Lot Size- Partitioninq LANE COUNTY PERMIT ) Completed Subdivision- Contractor's O.S. +Lot Bloc APPLICANT'S NATVIE AND ADDR FSS Phone Phone Phone OWNER'S NAME AND ADDR trqc Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY CONTBACTOR'S NAME AND ADDRESS THIS PERMIT IS FOR # BEDROOIVIS-# PLUTVIBING CONNECTIONS ( WATER SUPPLY SEWAGE DISPOSAL-s.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEclTYoF.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 (iI 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 PERTVIIT TO TRANSPORTATION DEPT.() SPECIAL PIVIT. AREA. IVIIN. ELEVATION SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction ' ' . Use Classif ication Comments: roup ire Zone Comments B Date B Date PLANNING REOUIREMENTS SATISFIED. Bv Date Date lssued LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT-WHtTE; BUtLDtNG -GREEN; PLUMBtNG -CANARy; SANTTATTON GOLDENROD; OFF|CECOp\/_WHtTEc55-13 PHONE: 687-4394 ( ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L)