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Home My WebLink AboutPermit Miscellaneous 1977-8-10 " PERMIT # .f';' " ,; , TRS, T' ' JOB LOCATION .' LANE COUNTY PERMIT / .,Il( -~.. Acreage or Lot Si7" f. '.. '. - Contractor's O.S. # Partitioning # ) Completed Subdivision Lot Bloc" APPLICANT'S NAME AND ADDR""" OWNER'S NAME AND ADD RES" CONTRACTOR'S NAME AND ADDRF"" Mail permit to ( ) Applicant ( ) Owner , ... .,' /7 , - ~ ""/ Phonp '. Phonp ,- Phon" (owner. etc.) when ready. .; ) Contractor. (, .) Prefer to pick up. Call. /~ , " .&TRUCTURES NOW ON THE PR?PER:Y ~HIS PERMIT IS FOR ~ . " . WATER SUPPLY / '. # BEDROOM" <'/ #PLUMBINGCONNECTIONS"/ . , SEWAGE DISPOSAL S.1. # , 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. , Dat" , Fee Paid $ '.;J: . ) NEW ADDRESS ( Signature ) FACILITY PERMIT TO TRANSPORTATION DEPT , rSPECIAL PMT. AREA. MIN. ELEVATION: 'mments: ' Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth BUILDING " l Type of Construction ..L Group . ' I',e Classification Fire Zone SANITATION Comments: By: Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: SETBACKS: FRONT By: '. Date: , -'7 ; " ';'7 ~ ,,t, I~ .~.f . .(FROM P/l.) .; SIDE FACING STREET Date: Date Issued: (FROM C/L) INT. SIDE YARD...., REAR LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST TH'S PERMIT ON MAIN BUILDING AT SITE PHONE: 687-4394 C55.13 ~-- BLDG. PERMIT - WHITE: BUIL:.OING- GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD: OFFICE COPY - WHITE ) ~ . . Water Pollution Control Division Environmental Management Department 135 East 6th Avenue Eugene, Dregon 97401 LOCATION: Twp, _/7 Range.--=? Complete Subdivision Name: Secti on IS Tax Lot # following if applicable . Lot # g%OO Blk,# I have no information that the existing subsurface sewage disposal system located on this property has ever failed by discharging sewage upon the ground surface or into public waters, by clogging or backing up, or in any other manner, If it has failed, the system has been repaired and has operated continuously since the repair without another fai.1ure, The. exi sting sewage di sposa 1 system consi sts of /lA:"- ~ I rl d~~ and last serve-d' a dwelling hav- ing [; it betirooms (include all rooms built for use as bedrooms though actually'used for other purposes such as for a den or sewing room); or employees for a commercial use on (Date), To the best of my knowledge the existing septic tank has ;?~ gallon capacity determined by ~~ ~~~-" (measurement, pumping record, etc,), The existing septic system was installed Z (Date), under Lane County Building Permit # I intend to connect a dwelling having addition onto the present dwelling of built for use as bedrooms though actually used a den or sewing room) or a commercial facility ~ bedrooms or make an bedfooms (include all rooms for other purposes such as for having employees. In the case of an additlon the new portion will be feet from existing drainfield, J' . _" // _/" J../. - ~ ..:2~~'~~, r"/~.A:-<7dL~ .~~ ~~~~~'WL~~' ~!-c,;~ APPLICAtlT hA ~z...c DATE: g-I- ~ RLB/ gr M74-127 TRS, TI /1- 3-/b-3'd'O-o Written Directions / 8;;' e Ie. ..v.. r./-)' - :f?/ CY~77 Job Location t, 7 /JR~~h-r...,/l~.._..:.; iF: ~'~~...e. kc-s-I 0/ &s-l enc/ ilell/n~ Rd / /97C?ol INFORMATION SHEET y.() Building Permit ) Site Feasibility Study for Septic Tank. Number of sites / , Acreage or Lot Sizp /7S X;7;) V . Partitioning # ( ) Completed Subdivision ( ) Pending j 0 APPLICANT'S NAME AND ADDRESS ~(l11 T4' L, T a rCl ~ t!J 0 OWN ER'S NAME AND ADD R ESS, if different from ap6Iicant'< S' a >?-7 f". (' CONTRACTOR'S NAME AND ADDRES" s~ a"""" e.. Ail permit or results of site f~sib)lity ~ty'f;ly to ( ) Applicant ( ) Owner ( ) Contractor. ~ Prefer. to pick up. Call ,if" -3 l? 09 (owner,,et'll'.) when ready. STRUCTURES NOWON THE PROPERTY N 6US e - c.t cPr-eo e PROPOSED USE (this permit) AcIr-..I-'f, '()V) Ie,' f:. j, e.., '='d /7 / /1 ~ r 06 h'"I I //, / I} '_ ~;l1b"W LJez-le.- i:;J,'.<! . WA TER SUPPLY "P r; .; CJ r-~ - Dub; c dUO' / O? l>"€. (e "(existing or proposed well, etc. If public, name of system) I / eX;.r /"'/'7 ts.. c...:.. Test holes will be ready Lot Block 07 AaAAlA/>/~_-!/A"<;J.Pt Phonp 7"1(, -3,p~ 9 Phone Phone Contractors 0, s. # ~ 1:1: R~rrvTl'lC' ~ SEWAGE DISPOSA' /i~7-bg , (existing or proposed septic tank, etc.) S.1. 1= PLUMBING BY 0 W n e V' ('Xi PROPERTY IS WITHIN ONE MILE OF CITY (S-J I/r/H6 /"e lei , ~ Address ...... ......* *..** *....* ** ****** *.. *..* ** ***..:*** *****.. OFF I CE USE ON L Y BE LOW TH IS LIN E **.. **.... **........ **.... ** ** ** **.... ** **.... **.... -11-" 'l-......... 4t) Ne", Address Necessary ( ) Facility perm:t Necessary NEtfl'71X' SETBACKS: Front 50 Side Facing Street (FROM CENTERLINE OF ROAOI (~pecial Permit Area. Minimum Elevation:_ Interior Side Yard /K Rear."a..t!J (FROM PROPERTY LINES) To: PlanninglBuilding Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section ResponSP' 055.12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687.4394 Division '.---. . . . I Z5iJ1 :. /S-' (, · /\. , ~ IS -7 33' lo'l ~ \ I . . \1 /1 ,,," (. ',~~'-\ 9A\lS\2.00;;; 19'1 ~Q {'>, "~lYY\.~~~.~\..~~ ~..&"" .... 'E-\v-..~ ~~..lL" CY\l Q... ~ (J "'- ""] ~~ - ~ 'b ()~ [ wi I N /. : , , i .! 1~ , I <. ' - , / if' 4 " '.' . r' . (jIJ. /' ,\ " , \ 'I , (}ar.t:z,c. ~'1' t" Ad) ~ 'JA ~ l.L 7' 9~" 'II , .) J// 9 'I /' ,57' ~&l 'l , "<':-/~' ~ 5s' I I ..sa. 81e. / ":: It " , " ........ / /75" j)~61~ ~ " .. ~ , ""V '\ /--7_ ./. _ /.~'_ ~,.; .7....;/...j TRS, TI ' /" . .' ~, .' '''; ,- (/ JOB LOCATION ..-: ;/ ,-,' " - . ,',/ ~. ",;:~.:7,"''':>;; .Jr'lC -:.:.-' -.f~//4,J..,,~t-, 1 {/ PERMIT #~-:~/5 -}-:.. /./ /J'-' ~ -/ ''.../ ),-_4--~ I ~..._~.. ~ 1'-.; . , .. LANE COUNTY PERMIT Acreage or Lot Si,,, /'/'-S-/ )( ::}, )f?/ Contractor's O.S. # - '.. .-' J APPLICANT'S NAME AND ADDRES" ,-;y72u/~, /,;f~,;:"'6;'-,", '''-;/'.7 OWNER'S NAME AND ADDRES" ,-'5-';"'-.:;a,_'!.- <7" v CONTRACTOR'S NAME AND ADDRES" .- Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. (v)'Prefer to pick up. Call '7ij'~ - 3:._lj':::79 , . / STRUCTURES NOW ON THE PROPERTY firkp4L.~~Q'_.A~#'A~-, erHIS PERMIT IS FOR /2'{d;.;;;Z';"p(j~jZ1#~->/.; c.!--.$/J'u':.b-7 d@nv # BEDROOMS 1/ # PLUMBING CONNECTIONS /../ ''t) 0-dL t7 /' -:.. .- WATER SUPPLY )\ a SEWAGE DISPOSAl ~.!/......~/'?.-u:' s.1. # '. . /1'. / {/ THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF. vf/OA/"-;"'~f;fd. PLUMBING BY . I hereby certify that the above statements are true and ac~urfte, and thft ft/ 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 $'" rt Cl,.::.... Signaturp -\ A (', \ I.. \::,1. r~, \.u. Cl.. ,,00 Dat" IJ- ;;'1.;' - j -' ../' . ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ( l<')'SPECIAL PMT. AREA. MIN. ELEVATION: Partitioning 4' ) Completed Subdivision Lot Bloc~ .. 67' /0/' &>>l.&n J -;l;t-VUl .13~ Phon" 7.(/?-:-::;-;::z; 5' (/ J?~,~;U2- Phon" v?'7!$r. /. Phonp (owner, etc.) when ready. ".r'::',,1,<l/ /'/' .mments: .;;.'') Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth BUILDING 5 A / Type of Construction ,r\1- -& I __4 ~Use Classification v':::./""'-""-"-~l Comments: Group ? Fire Zone SANITATION : '__hi ~'-. .-::;:-::::- -- ........ ""!""~(.Cnc.../_ ,. IYI ~'r' .1-:..' (. r ". }<"-1'-...~,:/L. ~ tt......,..;., /,,- ..~~~~:bLY~..~ -:;,...J{v,4.u{ ":'"n-d -;~/ ..,,/..... .. - + ,.~.. // /71'/ /...; / ~ ~":/ .( .' ......";"/. ~ , ~~.~- .... y.'.' ~: .:J./.....::..( . "Jo';r.ct.-'4 // /-"7./ _.... , / /".)': By: r.', ~.: _ Date: ,::',~"';:7 By: C'"'~ ;;:'.,">--1__""'" ,r.'., \:<L:" Date: ....('/, :;--77 PLANNING REQUIREMENTS SATISFIED. By: ,-:1;'/'l<'.-,..r~ (/ Date: -;?-:'2 -:; - 77 Date Issued: ('I, u?_ JO-?'J ZONE: ,'1;,,,,//';" SETBACKS: FRONT~I'?/ SIDEFACINGSTREET (FROMC/L) INT.SIDEYARD/,,::;"REAR,5J,O.'(FROMP/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILD'NG AT SITE PHONE: 687.4394 C55.13 BLDG. PERMIT -WHITE: BUILDING - GREEN; PLUMBING - CANARY: SANITATION - GOLDENROD; OFFICE COpy - WHITE . . SITE INSPECTION O'SAPPROVED C1 DATltJ - Y? -71 INSPECTO~ V ApPROVEO ,pI' REMARKS FOUNDATION INSPECTION ApPROVEO ~D'SAPPROVEO REMARKS Yh_ /I DATE,M-U -7? INSPECTOR~ ~ fJ-r>-~ ,f..::../o - 7_7 ~ # v n// FRAMING INSPECTION ApPROVED /~O'SAPPROVrD C1 DATE/O-~-7J?INSPECTOR ~ REMARKS .i LATH OR S~EE~~INSPECTION ApPROVEO DISAPPROVEO J::::J OATEL/-/t/- 7?INsPECTOR Q~ ,. REMARK 5 FINAL I NSPECTI ON ApPROVED ~ISAPPROVED L:::7 RrMARKS 7;'..-?d_',j"!, /?"_-""'f ~ ...- OATE!J-2--79 INSPECTOR Qw~--- "-/ -IL -7' Y Or-. rR v - CERTIFICATE OF OCCUPANCY READY TO ISSUE C1 NOT READY TO ISSUE L::::l DATE INSPECTOR REMARKS PERMIT #::2/s-f- 7'7 f/fTRS'TI ? - /.;- -. :::' . " JOB LOCAT~::E COU:~:/PERMIT /:'d.c--/\-1'."",-," ()C Id S ... Acreage or Lot Si'" Z~ M ?_-' Partitioning # . omp ete ubd,v,slon Contractor's O.S. # Lot Bloc~ .>" '...- ,L;,,,:,.4 or", :;I';J' -'7.(,/' -'D,-:'" APPLICANT'S NAME AND ADD R 1=';" '-///,.:,..,.0..... .-fi."; 0/ /~~;?./J""7 ,,, /' /, . ,(' /.,f')??/'<,-, -;/.:{111'/ .I2'/-, Phonp/o/'< -'"J'..,''9/ OWNER'S NAME AND ADDRES" .->, ;rJv'- ,.7' c/ ' :/:f>/.,c> /- Phonp CONTRACTOR'S NAME AND ADDRES~ ' ..' 7"f,/,:>/ Phonp .ail permit to ( ) Applicant ( ) Owner (f ) Contractor. (I--"rPr~~er to pick up. Call "'7ijt?,-3'j~.'X,.~.' (9wner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY ;l,tc('/./-7~"_ V-.....~, Ia, <'-?~/---- . _ - THIS PERMIT IS FOR "/;'4./.7?~'./- fi~'A.h':'/ ...;f--,~7~...~~4/l4[?/1/ # BEDRO'OMS!rV #PLUMBING CONNECTIONS /1 , , h' /7, Jt.l. ' . I' /,,' 4'1 (./ /. - J' WATER SUPPLY, /,'1'.'/.0 ,SEWAGE DISPOSAl _.r'"V. ',~-7 '/ S.1. # ;" , "'. 1,1 /.... ,L,,,(/' THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF ,...1f). J/ c.' ~/"'>"/>-'C . PLUMBING BY' , . to' / . '. f' 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 .t. 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. - /, ",//;0,,/ .' " - - ;, ','7 J Fee Paid S-'-' C/', !/,-:, Signaturp ,," '-k ";:)" ~'-~...., .,,) DatP'''''''''' , .. , . ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ("")--SPECIAL:P~T.,AREA. MIN. ELEVATION: J' ,. " , -- ... .,' ,-, SANITATION ".' - ~._- " /~'-;' ......... Minimum Septic Tank Capacity (Gallonsl Drainfield Required. Lineal Feet Maximum Depth BUILDING '.. .--: r.; A / Type of Constructio.~ - '~ Group ~, j, . /.l. "se ClassifiCation t/ - '-"" --7 Comments: ./ ~ ? Fire Zone Comments: '4 , -, J " ......_ .,/7 , ,,~, ~ ..:::!.-....c.(. .' . . - . . ,.. ---- -..- I' 1 ...J / .{:.'-'-i.--- .. !~. . ,~:. ....A,:.C-'\.- "':' - <,. :-/ .....-.. , 1_ .' "'-- -' (, , " ) . . B .: / d. ,f;.- '(. /D . " --- .,-, y. ...f~ -,,-r:--J -<--,~ .0..../..-' _.j'f~...... ate. C"-,. ~ - ,9 . Date: '7"-.'" "/-7.:7':.1 Date Issued: (iJV)~ !:.J-77 (FROM C/L) INT. SIDE YARD/5"REAR.;:?O"-(FROM P/Ll ~ . _ Date: . -"'77 PLANNING REQUIREMENTS SATISFIED. By: /.f//..,A " c- ZONE: //.-./-:- SETBACKS: FRONT."..:i-.,1 SIDE FACING STREET ./ , LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE. EUGENE-OREGON 97401 , I _ I ~ POST THIS PERM'T ON MAIN BUILDING AT SITE" PHONE: 687-4394 055.13 BLDG_ PERMIT -WHITE: BUILDING - GREEN; PLUMBING - CANARY: SANITATION - GOLDENROD; OFFICE COPY - WHITE . . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED L::::l DISAPPROVED C1 DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED C1 DATE INSPECTOR REMARKS ROUGH PLUMBING ApPROVED /V- / 0, SAPPROVED C1 OATEI O~";>~-711 NSPECTOR t?.9J.- REMARKS ROUGH GAS PIPING ApPROVED C1 OISAPPROVED C1 DATE INSPECTOR REMARKS FINAL PLUMBING REMARKS :+. ~ DATE ~r2- {'--f l+..SPECTOR ,;} 5c:;;::. .M... a..._ ~.f} .,':tk_LJW ~ ?J{ ....~ ' ----- -'"' \ ~ ~ ,~='d. :.. _'t?:~ ~~,c;;:~ ,....., 1.1"~ '" /7 I' ,__-..-_-...-.. 'l J . ....., ApPROVED C1 DISAPPROVED e..'_' II ,q FINAL GAS PIPING ApPROVED C1 DISAPPROVED C1 DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE C1 NOT READY TO ISSUE / / DATE INSPECTOR REMARKS