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HomeMy WebLinkAboutPermit Building 1978-7-28 ",. TR~~TI ,.: 18.03-02.3.3 4300 JOB LOCATION , 18;11 INLAND HAY 2427-7~ "~ .' LANE COUNTY PERMIT . Acreage or Lot Si70 Contractor's O.S. # LESS 1 ACRES Partitioning # ) Completed S bd' . . FILBERT GRO VE U IVISlon -, Lot .)u B loc~ 3RD. ADD. ~ JEAN ADELL VANTUGE APPLICANT'S NAME AND ADDRE~C: OWNER'S NAME AND ADDRESC: CONTRACTOR'S NAME AND ADDRFC:C: Mail permit to ( ) Applicant ( ) Owner 1875 ~40HAWK Ph 747-8959 ono Phono Phonp (owner, etc.) when ready. # 79, SPRINGFIELD, 97477 ) Contractor. (^^) Prefer to pick up. Call. (r STRUCTURES NOW ON THE PROPERTY NONE \.. / -THIS PERMIT IS FOR CARPORT WATER SUPPLY SPR., NQF I ELD SEWAGE DISPOSAL # BEDROOMC:. SEPTIC # PLUMBING CONNECTION~ SEE 2234-78 -. S.1. # TH IS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF SPRIlINGFI ELD . PLUMBING BY I hereby certify that the above statements are true and accurate, and that I h,ave the following legal interest in the property: _owner ~f 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:t FEE TRANSFER ED FROM 2234-78 Signaturp Isl JEAN XlDELL VANTUGE Dato 7-28-78 ) NEW ADDRESS ( ) FACILITY PERMIT;BTO TRANSPORTATION DEPT. (X) SPECIAL PMT. AREA. MIN. ELEVATION: NA SANITATION J Comments: Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth . B"ILDING 11/1 VA..! rl ,. Ty.pe of Construction Group C.i4L/~7 "se Classification Comments: ? Fire Zone ;:; .---. .~' 1J'h B9L.;V~Y-up: Date: (-c.0- (0 (FROM CILl Date: 7 - zlB-7l Da~.lssued: 7 L..J.:iz?V INT. SIDE YARD.) REAR I . '(FROM PIU By: I . Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: KA~r'l1 SETBACKS: FRONT :JJ SUSAN KELLER SIDE FACING STREET LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT S'TE PHONE: 687-4394 C55-13 .BLDG. PERMIT -WHrTE; BUILDING - GREEN; PLUMBING - CANARV~ SANITATION - GOLDENROD; OFFICE COpy - WHITE .~ ., .. ,. LANE COUNTY ~ "PARTMENT OF ENVIRONMENTAL.~'I\NAGEMENT 125 EAS, d1H AVENUE, EUGENE. OREGON 9. ) c=J PLANNING DIVISION PartJ.ti~"dn9' . Parcel No. Current ?on'ing =-- []p~nding [JComp~eted ".'. FEE AVERAGE PROCESSING THlE .' partitioninQ Required Other. $ I I , I! Ii II Ii $ o HATER POLLUTION CONTROL . I at. Sites New Slte Inepectlon(s) 50S Construction [] New [J R~pair' Number ot Bedrooms I Commercial/Industrial - of Employees Other $ $ ~. CON"STRUCTION .PER.'-tITS AND lflSPECTION (See above for . of b~drooms(1 of employees) o :~obi1e ~om8' o Per~anent; o Temporary' _ 0 Renewal .. .!}ir~ctu:.e,' ....t-. Sq. Ft. Valuation ~/l, S6tJ(j{ ~,;l(/IJ . f. . I./.trn FEE I I I I, ~ ~ ~ " '" " C. t' H H <: +-3 () H t' ,. "'..... .... H "H g ~~ ~ \- t~~ ~I~ ,~~ \'J .N~ ~).J \ \ I\) ~~~ ~0 - r ;l " f:: $ $ Total V31u~tion $ PIU!llb-in9. fixtures at $ Sewer/Water COnn. At ~ $ ~tf., 00 $ $ $ $ $ i" , EllC.h r.ach $ Suot-ataI ., State Surchdrqe rlA~8 Check. Fee Chanqe of Occupancy $. $ , 't~ $ 7, ~h $ TOTAL BUILDING PERMIT FEE $3;?,/(r; o ., Minimum structural oetback.s: 6() / ,Exterior S'ida /J/ /t- Side~. Rcar:7/.jJ#F .. ~ppl1c.:ant. O'curh cut to applica.nt Address .~ From centerline'o! street: Pront From.interior lot lin~s: o Co~'l plal:'9' sheet 'to PUBLIC U.r;oS o Address . ~ ~ini~um .Elcv,H_ion /Mi,n t~~ ! . Elevat~on " t' ~ ~. o o PUBLIC WOR.l<S, D' f'l'Icil1t.y.Per-nit Caflh I Rec'd by ~~ TOT^i. $ 3:2, / 6-:-, 'W"~p' AFFIDAVIT: If this permit is for an'agricultural building; I hereby de~i~re th~t ~s buiiding will be used for agricult!-lral purposes 35 .-\tlo....ed by zoning and/or the State.'9':lildinq Code, and for no other purpose. lfui.ther certify that the statements and other inform,'ltion sUbmitted on this llpplic;...afion are true and acCUrate, and that I,h.we the follo....ing legal'interest in the property: ;$.-owner of ,reconI'i _._contr"ct purch,'ser; .~.:..c..l(~s~ee; holnet". of an exclusive option to .purchase; _dUly authorized to .let .(Ot. a person who hag the IOTlowin<) l,eqal..int.crcst: ; or th.>it the uo.mer of record is knm.ilr~d,.ic,'blc of thi9 ~:::~~~~~?if~;i:p:~':c:::~:. Si,:n:::::~ ~::::.~ Z~~l~t inq THIS .15 YOUR RECEIPT, AND DOES !'iOT GIVE; YOU PER."I1SSION TO'BUII:D. FOR ~NFOR."\ATION ABOUT THE PROGRESS OF YOUR r\prLIC^TI()~l. .CALI. r!~RMlT COf1TR9L, 687~4']'J7 (687-IlEt.P) Cneci . .EJN1RO:j......t;:.TAL /lEALTlJ ~ne county. ~ .- .T . ~ ';l ~ ~ o ~ ~ ~ < - - ~ ~ . 8 > :., ~ IJJ;;: Q~ ADDRESS CONTRACTOR'S ORE. STATE LICENSf ia ~ \\\. o ~I. COMPI.ETED PERMIT TO APPLICANT/Ol.'Nf':R/CONTKACTOK (CIRCLE ON:,KPRHER TO PICK UP. CALL 7 V'7-ff~"""" ~ ~ 1. PRES~T USE OF PROPI:::RTY (residential; type of (arning; co~rcial or industrial; vacant; etc')_?~7-.2.~ 6 fll> ~ ~ ~V~~~ (liJ1\'I ~ g~ 0~;\ d :;1' <, ~ 'lY ~~~ -\. \j ~, b ~. Q ~~i \)\$ ....n ", ,.,l(;<lt101" to. - ^ppolnrmo,nt [lhU'. ....",:" k"n('11 .-:~~.. OffJCt~ lls~ Only APPLICATIO N APPLICANT~'\;: JlrlO. \ L .W1W~*-. ~) PIIONE . "'14--7 _xqr'-1C( ADDRESS ( ) 1~ (C-., j\, ri/.1.(] , I )I>T Cl:v 51 P7i ZTP O\r.>ER \IF DIf"FERE.'1T) 'd'_.... .;~~ - plloNd)...... '- \. ADDRESS I ~.,RACTOR City ZIP PHONE 2. DmlJ~R2U'l1 'lJW&':3 ;?ERTY. ",n, AI". STlWCTURr.S TO BF. ~DIOLISIlr.n. . J(\ItW:DZ;;;NS.-oR T~.,:!,';>PERTY ('CHIS ~C^TlON) ARE, \i.II'!. i!J9~~~. :~;4 > ,'~ l-rAG~} l'~ ii~,<:::"'~ ". ./11~~-~'~~ I~~ _' Y 4. FUTURE PLANS: U f/ ..... 5. PLOT PLAN. Sk@tch (a) all roads (b) bound;Hie~ of property (c) eXisting/proposed buildings Cd) existingl proposed Se1.'age dh'pol'tal areas (d ('xistlnR!proposed ~ells (0 eXisting/proposed driveways (g) easements (h) drntrlilgcwayo. stresCl..'\, creeks, any other pertinent features, If cOlIlmercial or industrial, .show freestanding" signs, parking areas. INDICATE DlMEt:SIONS. : ; ::': I :~~I: :-:+,' ~~:f~: ::[1 :: : '~::: (: . "1>- :": : 'I :.: :'-("~T~~:'r::~c;..1 ::-~~'''~~i' T:: ':'::: '-:7:1 H T:: ~l"~::'~~~~;I: :.~~-jl~:' -: :~,~!:~~~:: I: ,:::.:: 'I' _..: ul:~ ;:: ~;~: >~: :'-,.1 :."1 .' . .. 'i: i" ..' ... ". .... :.:;" i " '., I ' .. . '1:"'1'::' .", ....1. , . I,.j .,. I ,", I .," . . . . .' .., 'j'. ,. I .'1 !' ...,.. ... i..':_. ...:...1..:.....:..:_:.._...:.......:_ ~___....__ _h__,.__ "h'_' _::..: ~ _. ',:.u ____:.:.__...:. . :..~...: _-.._ ....:....:..:..~ .'-.--_ _._1 . ii, ,.....1 + I .'1 I ' I I 1:1: .,.,::,1 1 " I..,!:.:., 1.1 "1' ..1, ...! '::::1 "', I "1: , .; ..' . . . i : . . I ., .: ..: i. . i .1' .1 :. .. I ' ; ; , I.. . " : .j . I : :. I ' I . I . I' :!. I . , J.. . : . I ' : : !: ; ~ ,: :::;:::::! ; hU'.~ j . ..: : j.: ~. '1 ' - ... --..... J .---J,., __.___ ___---;__ ~._: ; : rlr-~II"...~. h, --: ..:-:;.:-- I.. '.,.,-: :~.-;-I[.--:!:' :<;... ;:1 I 1 . I' t i . .. '! " I : . : : :': ;';! I ".Ii I I I' : i . i .I::j.:::.... 0''''1 i ,,-.... -.- ,-: i-'u..::" :'[.::. ::-:-:- -:'.-;-;- -:-:~.: ::f :Ii ,;:1.... .1.' ..!. '1 .. ,..1. ..... _:(,!:..::-,~i__L...__ !'ul~.__::: _~~ ';! 0" 1 I ! I :i:: .:;; :::. . " '! ,.., T 6. TOTAL LOT SIZE ORACiliAci- UO':toh~~'~"(7':-,sml:~c;j~~1~S~~~,:~~P1~;~)"':_'J,''^--':71~ 3. !1ETtIOD OF SI:I.'AGF. DI5POSAL I .~' ".I J (l / , / H d""~-) V /0' \ _, 9. PROPOSED WATER SPPPI.Y WELL_ si'k-iNG__ STREAM LAKE . PUBLIC: (1., ~ lr)ll r:l~ (nrrTI 1f?< (\j11'11r11. 10. EI.r.crRTClTY FtJR.'IJSIIED BY ~ II. I::,.:,:. (.: I. _..,:,,_1. i. I' "ATURAL (;,\5 BY 12. fiRE DISTlUt:T I). . SCIlOOL DISTRICT 14. PLUMB1:-\G BY *"'''''''*''''''''''''''''''**'''''''''**'''''''''u,''''''''''''''''''*'''''' 00 NOT l.'RITr. BELOW TilTS tINE "''''''''''*'''''''''''''''''''''''''''''''''*''''''*'''''''''**'''*''''''*''' BEfORE YOUR APPLIr~\nO~ CA~~ BI': PROCf:SSW YOU l'lUS'T fUIWISil: 8~xll PLOT PLANS _______LEGAL DESCRIPTION (DIMEN5IO~t:D) BY fl..\TE LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 Jj ~ !;I g i:: ~ o z ~ ... ~ ,~ m '\\ '- r '" ~r bne count,>, ~ --- ::.--::.;: ;... -( ,-~ . . TRS,-TI .'"P,-;>f';':', ---. .." n . ~,.~ ..: ,-':0 .~...:; ".,v-"'"\ '.'~.._.J JOB LOCATION '"'.?..... t .:.,w:~lD t"::".... . _.,/. ~ -l LANE COUNTY PERMIT Acreage or Lot Size_ Contractor's O.S. # 1.ese 1 .:ICn;;3 Partitioning # ) Completed F 'L[]~nY G;;:; \I;; Subdivision -, Lot .;IV B loc~ tJ 1'), S?C1I(.:cl' I ef.C, 97h77 3~~. ~ ~ ~~~). J:;:ArJ A.r;r:LL V:.t:YUSE APPLICANT'S NAME AND ADDRE"" OWNER'S NAME AND ADDR""" , CONTRACTOR'S NAME AND ADDRESC: Mail permit to ( ) Applicant (/) Owner , . ,:OlJlr STRUCTURES NOW ON THE PROPERTY_ 1875 ~,:;,>:!\~;~ . "'l~.., ".....r:::-- ("t~'"\;.; Phonp ( ~ ./..1, Phono Phono (owner, etc.) when ready.' ) Contractor. t") Prefer to pick up. 'Call TH IS PERM IT IS FOR CArn>O:lT WATER SUPPLY SPR H~(;l>' I[;!.{) SEWAGE DISPOSAl # BEDROOMC: SepYlc # PLUMBI NG CONNECTION5-- Dee 22}'l-78 S.1. # !)PHO;:JOY'lrLD THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF ,PLUMBING 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. I"!l:e taAtJC,E:C1lrO "0014 2234-"{3 S' t /5/ Ji::ACJ iD1RI.. VAiJWG! 0 7-23. 70 Fee Paid ~ Igna urp ato i"$A ) NEW ADDRESS ( I FACILITY PERMIT TO TRANSPORTATION DEPT. (n I SPECIAL PMT. AREA. MIN. ELEVATION: SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BYI1:.:)iING dA :;:. , ...."I.y.pe of Construction /"1 (;roup c..:,tr ... / Ilse Classification Comments: ? Fire Zone Comments: f)~ By: : Date: PLANNING REQUIREMENTS SATISFIED. By:___ ZONE: "A-"'" SETBACKS: FRONT .I" <:J J A Jtt'.-L..... . ~KL- .tV C{L~ Date: 7 - 2 8-7 if :)USAtl t\El.!.cm SIDE FACING STREET Date: (-<:0- (f,) (FROM CIL) Da!e, Issued: 7 M-.ff;t7Y INT. SIDE YARD" REAR I . TFROM PILI LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 C55-13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT -.WHITE; BUILOING - GREEN: PLUMBfNG - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE ~. " ~LANNING OIVISJON partitionin9 , LANE COUNT.,Y DEPARTMENT OF ENVIRONMENTAL MANAGEMEt'JT ~ I 125 E, 8TH AVENUE. EUGENE. OREGON )1 Current ZoninQ Of>('n~inq FEr ....VERAGE PROCE:SSWG Ttru:: Dcompletcd parcal tlO.~ PftrtltlonfnQ Required Otherl ~ HATlR POLLUTION CONTROL I o~ Sites $ $ i .;;:?,;J, ~ Ii $ $ !i '" .. 1.; " " '" '" '" 0. <' H. H < .. n H <' ~ '" H H 0 0 " z ~ \3 '-VJ ~ I "\j .~ NeW' Site In8pcct1~a) 5DS Construction ~ Ne~ [J .R.~~alr Number o( Bedrooms I ~ Commercial/Industrial - t o~ frnployec9 Other '7,f-- 7/ V $ rn CONSTRUCTION PE.R."IITS }l.ND II/SPECTION (See above ror t of bedrooms/lot employees) ~ ~~obl1e. HOIllG" ~ Permanent 0. Temporary _ ._ _ __ o Renewal ________ ~ Struet": _~Sq~t,_V'lu.t'iQ" $ _ ~ C7;~ -~-~:tA=::~);~Yd,~,~ ~'C>td_"""lU"tic>n , ~ '.-./--1-/ ,.,.- ~U',""",l~....:, V . C. Pll.L"Tlbinq fixtures at S Each $ //J Scwer!Water Conn. ~t ~ r.ach ~ ~ Subtotal $ $ /, ~ (.. $ '7. .:/0 $ FEE $ .3. /, .:)0 ....J .- // :~ .. '" ,. " '" ~\ 'State Surch~rge Plans Check Fee PU~LIC LANDS [] hJdrc5s J4 ~'inir:\Um Perr:lit t:lcviltion 'i9. 0 (." 0 .., $ II !i Address '" <' " IMinimurn Elevation I ! $ V'9 c' (., Change of Occupancy TOThL BUILDING PERMIT FEE Mlnim'wo .tructural oetbacks: From centerline ot 9trc~t: Front /Is- f d Side !-;-; Rl'ar' _~/. o Curb cut to oppl1cant Ex te r ior From interior lot lines: Side [J Co~'l plan~ sheet to appllcilnt I;lJ o o PUBLIC WORY.S ,LJ FncililY ElN I RO~l,".[:IT"L I![AL TII CQllh Ch"Cl I ,~c:5;>.3- Rc(; '1.3 by ~ /,r;" TOT^" AFf'IDAVIT: I[ this permit is for an agricultural building, I hereby dec~,1re that this building will be us~d tor agricultural purposes as .1110weJ by zoning and/or the State Building Code. and for no other purpose. I further certify that the statements and other inform,'ltion submitted on this application. are true and accurate, and that I have the following legal interest in the property: owner of recorJ: c:onLr:lct purch,lser; If'5see; 'hnlrler of i\n exclusive option to purChi\se;-__dllly authorizlJo-i.-o ,H:t fOl' '" person ....h-O-h,'!1 the roIlo....ing le',,,,l interest: ; at' th.'t the U"-'T1f?r of record is k.no'oJlr~,lqe.'blQ of this :lm not'lii',~ o";r;c-r~i: flJrther ~;J./. to comply With_illl apPlic:ll"ll:.' C e.on~rlC' r tinq ~f,plie^nt's 5i,]n"'ure ,//--e'd!'_~?ZP'$ d---7~-'~. ~ '7 - .~ ' ~ne county appliCdtlon, if I to this pt.!rmlt. OHe 7. ~7- 7 X TillS IS 'tOUR RECEIPT, A.ND DOES ~OT GIVe YOU PCR.'1rS510N TO BUILD, FOR INFOf'-"tATIO:-.l ABOUT THE PRuGRE~S Of 'lO!!R APrLtC^Ttt)'l, CAL!;' pr':RMtT cornROL, 6B7~4)57 (6a7-!l~LP) ~ ~ c ~ ~ ~ ~ " .C' ,z " IjJ"~ I~;~ 11)>,;1 [3~ "1) ~ ,Q l-:yt . ~ 'l>' I (\\D~ ~g ~~ ~~~!: CI\ It 0 ... ~ ~~ ~ H ~ ~ 'l! '. rleils~ f'rint - Return Af'pltcation to k"u'ptj{lni~1 "'1('n Cl'JlIrlt~"'l'd . ~ Appolntmt-:.nl TJHtl'. .. APPLICATUON APPl.lCANT-="5.:7CU\i\ (1 clQL.l L tW1/V\.+, L0.\--LJ ADDRESS ( ) t/)r{~ ~\ (j /1n '.' )lh""::It: }7"'1 O'or."ER (IF DlFFERL'U).-/ . ( Dffjce 1!8e Only PIlONE J "'14--7- XCfL:JC( Clty">tL7i ZIP ~)-~ . PilOSE. ADDRESS ~\lJ'..R.ACTOR Citv ZIP PHONE ADORF.SS COl/TRACTOR'S ORE. STATE LICENSE o M,,\~ COMPLETED PERMIT TO APPLICANT!O\.;':H:R!CONTMCTOR (CIRCLE ONE)[J PREFER TO PICK UP. CALL 1. PRESt>:T USE OF PROPERTY (residential; type of fan:dng; cOl!:lllerc1al or industrial; vacant; etc.) 1. DESCRlliE STl\t1CTlIIU:S' NOW ON TlIE PIWI'EIlTY. rw'!'!:: AN\" STIWCTURES TO liE [}1:}!OLlSHEfJ. l.,\ m-IEllIf'TE P".AIIS FOR T~I'.IPROPERTY (TIlIS APPLICATION) ARE, (l)n5+n!-1 ~. D., ::r I \0 ()\rli .~ (!, V O'YI\..CL.J l~1 n'7<i (7 J C Jt do, I. U fJ, c ,. FVTURE rLANS: s. PLOT PLAN. Sketch (a) All rOil!!s (b) bound".rles or property (e:) existing/proposed buildings (d) existing/ proposed BeIoIBge disposal areas (c) (,l';lstlng/proposed ....ells (f) eXisting/proposed driveways (g) easements (h) drlllnilgeways, streslII!I, creeks, any other pertinent features. If commercial or- indu.'itrial, show freestanding" signs, parking areas. INDICATE DlMEr:SIONS. '-~:" !:--l ;r~r'~ i" ',' r'''1 ,.~:-!". ..,....j .,,--r-..'. r";~~r :..:-:-~!~. .-1'.- ,~- --~'-'- ----.'- --,-.- ).--- ...., '''1'_ -- .. . "J" ,1. ... "1" ... .... "" J >1 il!.. :::. t~J~L._L_i _._1_1 ,!-.-._~~-!,.JL I' JII! ! Ii!,:! i,1 I i 1,'1.1 .".1 'I ". ':1. I" . I.. ," 'I::' I J 'i,... '~ll : --: '-'":1 '':']--i :.- Uj" .. I ! ' :. J. . I . . . I . I . I : . , ..1. ;. "' f. I i ......1:... Ii ; !I : I . '--- 'I ~:I J , . i . I I. I .1 I ' I. . i " ,. I ~-I' . I ..-1 :;::1 ::::i ---i:"j f' .1., ,[ ":1 .::1 ! ~ ~ ; -~----I , . , , I ,j" ""j ..., .:.., I "1: : ~ !: :: i : "., j." ...---.J.. _~.~_... .,1, ..".....,.-. " I I '1" " ",. .., [I ,. ., 6. TOTAL LOT SIZE 'OR-A~RE;'(;E'- (ji.'[)S . i SIn: ~E1"HOD OF Sl:W,\GE DISP()SAL~f)h('t4.C'lJ~Or1: l'1.:arOSE/) \.J,lTf/l .sUI'f'U' \.JELL SP~~NG STI/f:AM Et.tCTRICITY fUR.'HSllED BY I . ~1. . I I' .,., :.., ,... ._ _.L.: ;_~ : ~.:__. : : :: . '. . I, ".. !I" :::!' 1 .t. ','I 'J" INSP[CTlO"r'ES~-;;;;~;'; .;';:;~'C;;~;;)"':'~I($- "':-11~~ l.AKE PUBl.IC\drH'}Od.. ("07 rf"xl 'r)JrY\rYl : ; : ~ ;.1 , ''-'1 ::i: .,:i :::i ..,1 i I , , :.,_I~. j 3. 9. 10. J I. l\ATURAL ",\5 BY 12. FIRE llISTHlcr_ n, SCllOOL DISTRICT 14. I'I.Umn~{: llY ....."''''.'''.....''''''...'''............ DO NOT WRITE BELOIJ TillS "INF. .*u-",*",.........",,,,,,,,,,.,,,,,,,,,...,,,..,,, BEFORE YOUR APPLTC\TIOl" CMl BE l'ROCf.SSED YOU MUST FUI{NISII: 8'~xl1 PLOT PLANS ~LEGAL DESCRIPTION (DI/1ENSJO:-:ED) BY n,\TE LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 "' ~ ~ " ~ /; ~ !: ~ "' o z z o .i . , , . i .,::! c ~ ::J H o Z ~ ~ o ~ o ~ ... o ~ ~ H o ,z i ':1 ~ H ~ ~ bne county. ,. ';/ 43JC I r',",,/ JOB LOCATION_ Jf . /i_iJ..flto.lJ - 11 fI- '. ,,-,,~---~' 1 . TRS, 1"1' 12-03-~-3:> ., ,.. 'i . { fA..l /f '/ LANE. COUNTY PERMIT Acreage or Lot Si7Q Contractor's O.S. #. L-e::lS 1 Partitioning '!.# ) Completed Subdivision Lot Pilbert Grov~s Jrd ad~tic" ..111' B loc~ L .' APPLICANT'S'NAME AND ADDRFC:C: OWNER'S NAME AND ADDRESC: CONTRACTOR'S NAME AND ADDRESC: Mail permit to ( .) Applicant ( ) Owner .lean ~dol1 Vcntur.;e. :1.675 ~~hevk {} 79. flprin!jfiald, Orceon' 91fhb~a. 747-8!>S9' Phon~. Phon~' ) Contractor., ( ) Prefer to pick up. Call (owner, etc.) when ready',', STRUCTURES NOW ON THE PROPERTY none THIS P~RMIT IS Fb~-~Ca~~) I!l::ltall sns. MooUe .&= :3ine!Gui<1o "- .-- # BEDROOMS~# PLUMBING CONNECTIONS-- 'WATER SUPPLY pt!hllc SEWAG E D ISPOS,lI1 proj?Qoc(1 S.1. # 10= 71l:. THIS PROPERTY ISWITHIN ONE MILE OF THE CITY OF PLUMBING BY I hereby certify that the above statements are true apd 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 $ ,99.06 Signature /a/ JCCtl Adell lJllil~C2GQ. Data 7/12/73 .( )NEWADDRESS ( )FACILlTYPERMITTOTRANSPOHTATIONDEPT (Xl SPECIAL PMT. AREA. MIN. ELEVATION: .' ~ SAN 1:r~T,ION I"f.../ C"')V c:.""l BY1P,ING L' /' -:t.. Minimum Septic Tank Capacity (Gallons) . '~....'/ '.Jypeof Construction. -: "roup Drainfield Required. Lineal Feet rv.t.t ",-,', Use Classification . Maximum Depth r ~ Comments.7t.10orr.;; : If."",." f~",\.lf\ 7'.~ Ic,<.:..t. h,.......-:;:. ; . ('{'. ,. .,: jl t; 't,1, " t. ....' ~1;'. ". _ . '--.. .,-. . Comments: \j)......~....l~,_V ~ -(....Lr..-: (~!.c.::J:l:...'"\,.(..~'JJ.-&.'\0f"4 ':-~t/j' .&'....,.......... ; ...::""'^...........lltJ;.:;..bl>!~,y......~:.ot... T" j~_.~- (:.'''"",", hit J f ,_-~;'i'"" I....','"....I.~ . le-! \".('(~A t"}} ,} /. (".J.___I ....";7 ; A.1....,~.'.l,..... c7_)'1'!;,~ f-_'.!.c,.!.,..;(.,ll., ~- ..".'>;~' _..... ,..,~,\ '. "1,......, U '.,~.~,\ ,_0' :::"..--. -,"1-.4'~?""' ;!~"'.:-__~~ ..- ,_ ,~ . .. ,'" ., - t r 'J ,- ",., -- t ~ ..., \. ~.', 1.,,,,1 I' t' _.1.. ff,:; f- tll ~ ."r.::.!". 'j'--. ") ._: ..~,. lr::.. !' ....- \0:,.'...,., ,- ('...;..... .!..Ct'.io l:.+-~ . ..r-.t! 1" ,.'}L .1J.-:-i~-/L.kt:..!.~.,QI'>...I\ -' l>.,-~.' ~.." ""'-J i '. -;'.'.... 1''( .. ;.M ,'" '. #R 'n"~ :' I I, (1; .~-,-.-- . "'" t.J j Fire Zone jlr,'C'o . ':1 '~ ',./ ~...--- . I.t-._- By: ,.... ,- ", ',"PLANNING REQUIREMENTS SATISFIED. By: '-."u':,,'-': "ZONE: SETBACKS: FRONT 4:>' Date: 712. 7,' ;\ c I By: k '1 P... ,1; . f "" ,...--, ;- . .! '-. t.J(.f....4~ II.~;:'I Iv Date: -/ .. :::._ ""J .... , . . '. ' KOf:;a1' uo.!..!.:u: Date: Date Issued: (FROM CILI INT. SIDE YARD S' REAR S' i (FROM PILI SIDE FACING STREET "" LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401. PHONE: 687-4394 POST THIS-p'ERMIT ON MAIN BUILDING AT"SITE' C55.13 BLDG. PERM1T -WHITE; BUILDING ~ GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHlT"E .-. PG-at; Plan .' SUbdiVision_~IL..&ll.-r ~u~ Lot ..3C:. Block:z-. Perm1.~ 0 PelnllL~ , Penl1.~ , \ Permi.~ , Perm1.~ , Permi~ 0 For For Par For For For . . \~ ~ ' )it - ( < I I ( ( ( {~ I ('i!( ( \ I I ~ ( ~ t I l~ J ( I I t'" ' "\ , '! \ ~I i ! I ~.,~ .. \ \ ~. ~~ I 01 ~"- I I " ~~ ~I I 6' ~ . ~ c ~l I. t'1-<-- ,~ II '" - . \.J"o /' i - , lI\ V\. ~ '-a' J ~44/~;""d'~ ~r- ~ -- - ..'. Vli:1IUty Map N ~~ fRS, 11 J ~-"O 3~a.3 j/",? 0 0 Plo't Plan f- ~f-!~ -'_~ - - ~-: I ---. I -l .' '- . . 30' J I 1,\ a - .~ --""" , ;bo-''(' ~ .....') '''' , . ~ , )oj . ." '<.1"" ~o. ~- \ ~ '" ",. \).. I- ....w ';l;: I'- ~ ~'" 0 ~ .1\ x '-.\.l ~ V\ . (~ l! I~ w ~\ ~ ~~ 1\~. ~.~ ~ ~ co ... '" '> c '" .,' I I ... ~ 1 c::. u.:.<~' /" . ~I. : ~ I~..' ..' ~.~: ,~ .... ,.~' ... I :-;- '.' I . '.' ,/",,, . 7'1 1 ",.;,,'l. ""n;... I h1jli.j . '.. 4 .... "0' I . ~>; g, ~s:"--- -: ;l'v '" '" Q) ~ "0 "0 <l: ~. .~ . ~-~ .~. ". 'Il. ~ 0\ '-01 . ",! "'-I '-J! ~, G;): . I ~: ~l', g' .;:s! ~I'~ '" ~! ~ '-. \"- :;;: ....,'..;i;::, LL:'. I ~ ~ .;. ~ ~. ~ A:: " ~'ci ~~\-, ~"' \3 ~ ~ ~ c. \l ~ \..::;> '"' ~ \';] '" V) fu Job Location (Street, mile post) ly'91 :tA/i./f}--,lJL. Subdivision:J 1/P/J-./.d, 'i::.t..h~Ad"~411-v4' f.-J4y , . Lot .3 t{;. Block~ FO R SAN ITA R IAN'S'USE ON LY: ~hJ.ty.mAPpr~ved. ~System q.isappr?ved.. 0 .Needs Correction. CqMMENTS: ... . //flt;IJfJ~ . ". .' . Sighature: ...A<'7~t: D'ate:cr?!2? FORINSTALLER'S:USE:, Trench Depth ,~~il"... Filler Depth Below T-rr.{/.. ,/ v , Tank Capacity./l1Otl t"19-1 Manufa'cturer '1i./,'IIAIJI;II~ (,:...~~",' . . OJ "" Me~~ured dist~'nce to:;'1I f;om tank. . '. froml~rai'nfiel" ~ ~ _.( 'OfL'rrt :'1> '.. ./' O.h,9t.. - ..... 1:. _ ffi,,.! i. ". y, t..\ " () 7' .' ',-- _ - -=l.__ ---- ,:-1~ .J.i..~.".... t] -~-~~~ -------,- -~.~I/"1lU6'O t " \ ''It _ %/ "J !9"9 ' "2 . (J,. ,.,. '-/r', ,.. -"~ ~ \~\. '~~ 0.' '" {;./-:: 1_. ~ .~~ .~jl '1..~,-0./ '': - . ~ '. \ ,.", . ! (~':' \. \.:-;,.......... . I~. . '- ~... .' . l~' ~ f ... ~ I i I-i ~ .... t.~ .... . ~ )> .. , ~ ~ ... '" ~ , ~ ; , ~ , I ,., ..... ~ ~- lJ .. .. .- .. .... r .' I(-,~ ~"'#. ... I . I I I' I ,. ., i , , " " :-.......-:-- - - ".. Scale: \ t"Yib."le I , 1M., ;" . (..Q''4I, '. ..'y.......:. f-~-~Ofi3/~1. '.f'o l I. ~ ''ii'. .j, . i. - - - --'":'1 "'7r ~ - _ -'- _ .--' -.l__ -:: _ .IOS, #~- - N' INSTALLATION RECORD .AND CERTI FICATE .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 fo~m to: Permit Processing Section, Department of Environmental Management, . Public Service Building, 125 East 8th Avenue, Eugene 97401 C55-11 TRS,C~I . . ~..f; . . " 5 '?~._'}'O:-..~~_ :,L.'j -~- .... - '.. o 4:n3 .' "I r~.' j j.. t.-' I"~ ~. . j" 'j )11/ \'" 'l"'l' _;,.t JOB LOCATION ~, Acreage or Lot Si70 Contractor's 0 .S.' #.~ ~$O 1. Partitioning # LANE COUNTY PERMIT ) co~~ed :-, ,&~l?~iv,isi9'2-_ (.,' \.--,., Jo ..#.... ~ Lot F!1her-.: C'rov:l'" 3zo mdM.iiJl,=,., ..hJ Blocl< ,. APPLICANT'S NAME AND ADDREsS OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner Jc:.-.:l AC0.11 voot.c.soo 1J;75 ~=::1:"'Cj~ i- It n~ S,'l?1.;:)rfio3.:l. Orer:c;\ 97477 Phonp Phone 17 Phonp .---K(owne...~::;;t6:) when ready. / ;r-- 7/1/-',jr-.." . , -"'~ _/ J .'1' 1/ - ':~ I,' ,1/-" , ) Contractor. ( ) Prefer to pick up. Call STRUCTURES NOW ON T.tII PBOPERTY . THIS PERMIT IS F6R ('''''!:pOrt', tn.ai:.'lU GDS, >ccbl1lo cona ?!~ ;"~l:::;::r~(;o .~-~'" # BEDROOMS~# PLUMBING CONNECTIONS U -. 'WATER SUPPLY' \:lQb1.1e SEWAGE DISPOS.I'I propoz:o(l S.I. # 7....n.4 THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY .- I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: _owner of record; contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid :l: 09.C6 Signature /0/ J= t!.o:c!l \1~et:GCtJ Datp 7/r;,/TJ I NEW A'6DRESS ) FACILITY PERMITTO TRANSPORTATION DEPT. (XI SPECIAL PMT. AREA. MIN. ELEVATION:.. SANITATION + .-' " ; Comments: , I ~ , , , ,. , / f ~ ~ . ~~(_... '.;- BlJ I ~D,ING I _ ,. Tv.pe of Construction ' ;\ f' . Ijse Classification Comments: 1f'" ''.l; ~i'$:' : ....~ i 1+.. '. ,:re.: ',..,.. ""p.. .4t-~., i, Group Fire Zone r -....... ...' . '. Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth ; ~'\ '-l.J, .~' i. ,/-....: . . ~ "';.. {\- ." '- o " - ...-"'.. , .-."\ " ' /. . ,..~ ........ _ _-.-4._.';:. , ,. " ~~; , . .~..:'/i" '" .'~ , l:-~'l- '~i -oS .L , :' .~-t ~>\ ! :... ---- .~ , By: .~. ~ Date: - PLANNING REQUIREMENTS SATISFIED. By: ZONE: SETBACKS: FRONT . Date: --:-...u....u,o:- ::';UA,&;U; Date: :/'&411'-> i~;) SIDE FACING STREET (FROM CILl Date Issued: INT. SIDE YARD :;. REAR j' (FROM Pill LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 C55.13 POST THIS PERMIT ON MAIN BUILDING AT SI.TE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE " .