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Home My WebLink AboutPermit Building 1975-7-27 I I j . . LANE COUNTY PERMIT e: PERMIT NO. 17:.;(,. 7" , ' :;.'. CONSTRUCTION [X)] MOBILE HOME [] PLAN REVIEW [J CHANGE OF OCCUPANCY [ ] DOwner 1-....1, "rno',,~,..,..,.. .. N)\ME-'- ADDRESS CITY ZIP COOE PHONE o Contractor '......f, PI'=''"'':I;'''~ --N~ME-I"".._1 ... ~=~2 ~;:Db~RE~;.r, ::r::t S:~;~-:CI'!J:~:;. ~-~:;:;IP ~~'b-~: TIlt"" .1"'! 'I . PHONE" OS R 1715 .. ego # Tw;, 17 RangeIJ3 Section 24 .,?, :<rax Lot /3 d13 Code Census Tract Subdivision V2r1l 021 h Lot 5 Bloc~ 3 Acreagp Width Access to Property (Road Name): i t./ 1I/P C:'llr.oa AII~nllE' Sorfna'i'hld. Oreaon Depth Existing Structures on Property: r40;1~ Directions to Property.. Address: lt~3r-; (I~lvc~ .~venua Sorincrfip-ld STRUCTURE (# BEDRODMS) n ""1 .1!""1on .-- ...... f.--'''...,..", ." SO. FT. "Ul7n ,-, 1&: 1n fin' ~ r:?n VALUATION I?) ,-, 1.........I.......^_... 1., '\7'-= (u'\ . . ,,_. - --- ') &:~,) "", - ,------ .,,, r:77'~ 7' .7,;7 SEWAGE DISPOSAL: PUBLIC [J SEPTIC TANK 1~\Jn::>'ci-{'H'ErR':PIii rz~uf rz::l --:;.-.---- PLUMBING INSTALLED BY: OWNER I I OTHER I I NIIME BUILDING PLUMBIN(; 3% SURCHARGF MOBILE HOMF WASTE DISPOSAl PLAN REVIEW t1~ nn ,1 nn ~ 1-11 }~ nn WATER SUPPLY: PROPOSED [ ] EXISTING [J [ ] PUBLIC XX] COMMUNITY. NAME: [ ] PRIVATE WELL [ J OTHER. SPECIFY' TOTAL 1';;Q.h? CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS. "nn MIN. DRAINFIELD 1J;n L1N. FT. MAX. TRENCH DEPTH 32 INCHES li1~'hll1 in 1-!H:l. :1rnV>f\\I"",.1 :"l~'" ,..oF v-;,o ,',,,C? !..^,n.~ ~~~:-;~_t~ ~~ ~::~ -?~~ -:-:.:'~:::'"': ~~;:-~:.:::::":'~ n'( tip ,1V";"linf;('llrf ~':."\I 1n f'~r.'It f'n"\m hnller.\ !\nrl I-'\I:I"(,H'H."I~\I 1.ft"lf'l 1.,;+h ~'1 I"\~-C-'" .....~ A....""!.l.....:;.-..;"w ,- .. STAY 100' FROMALLWELLS TYPE OF CONSTRUCTION ~'I GROUP I nnd FIRE ZONE USE CLASSIF. SETBACKS.. FT. FROM CTR. OF rfW: FRONT 0;' SIDE EXT. ". FT. FROM PROP. LINE: SIDE INT. REAR , I ::J ZON" ::1- 1 AUTHORIZED SIGNATURES: /s/ J.:::. Boss b'l Cl1crlcs fleraauah ISSUANCE DATE: 1'1\"''- t'I. ~...,'" R. c;. I"... ,1111 \I ';7 1 U7t::; BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD 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. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Delails on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) C~:l.13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 BUILOlkG SHE EVALUATION .G~ '(-. ~ BUiLDING PERMIT APPLICATION NO. () SITE INSPECTION / 1f? -76 PLANNING DIVISION Not Applicable 1. Zon i ng Ord i nance CampI i ance: Zone' It... \ ( ) 2. Subdivision Ordinance Compliance --.. () 3. Required Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: Tal /Rt!JSs S~N: LOT: APPLI CANT DATE No Yes T):z::f 6. ( ) t"1 ( ) """ ( ) SA ( ) ( ) PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICATION# BUILDING INSPECTION DIVISION Not Appl icable ( ) ~ 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Applicable ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No ~ T) () ) ( ) ( ) ( ) ( ) No Yes T)W ( ) ( ) ~~."t.. 2+ TAX LOT I~ .:t::: BLOCK: ~ CK'D --./)q.l 7-1'1--710 Setb~~'c/l of road: ~~ont~ ~' -. .4_ _. ...r Setbacks from Side Rear interior lines: ~ CK'D By;r]1! 7- P. '2- -7.~ DATE CK'D BY:#It/4. 7,~j.Zt ;' t7 DATE TO APPLICANT: Your Building I Site Inspection: \'J/./ u.-r Can be approved. 17- ~ ) Cannot be approved at this time as indicated on item NO. above. . ~,/ Questions and further information on items 1 through 6 contact the LANE- #110 COUNTY PLANNING DIVISION. Questions and further information on items 7 . I through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) Will be held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit ap'plicatIon fee is .bein.q.x~~u.,=-n.!l.d under seDa~ate CDve~~ DEPARTMENT Of' tt-lV I RONMEr/TAL AAMb~"'~N I 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ri"i"W""':~':""~~"'-'""' ,.~"""",..,,...-;.,'[;'..,, .- ._,.. ,~~,,, '.,.,,,......-.~~.,.~~.-.~"""""'"..,..~u~_.~-:-.t:.. .. ,. ; BUILDi~G S'lTE EVALUATION .'5 ~: 0- T _I 7 Rc)S S .tf TAX LOT I~o I r'" Ie v Su.JVISION' t (~? BU'ILDING PERMIT APPLICATION NO. /1 o? -J{, 'LOT: ~ BLOCK: ~ l'" . - t () SITE INSPECTION I [ ~ PLANN I NG D I V I S ION I I f \. f. 2. :" 3. 4. t 5. ;" APPLICANT DATE Not Applicable No Yes L\ l) () :r.::t 6. ,".() ()(""r () ()(--') ( /) :; dk:> ,(,)' () () ( ) Zoning Ordinance Compliance: Zone' Subdivision Ordinance Compliance Required Access Building Site (Area. Width, Fr,~n~~ge) Other (see comments) COMMENTS: . ,II<J , I ~\f' ( BUILDING INSPECTION DIVISION PLANNING DIVISION ACTION PENDING: YESl ) NOl } APPLICATIONH Can be approved. Cannot be approved at this time as indicated on item NO, above. Questions and further information on items 1 through 6 contact the LANE- COUNTY PLANNING DIVISION. Questions and further information on items 7 through 12 contact the LANE COUNTY BUILDING ANO SANITATION DIVISION, Will be held in this office until you can resolve the problems indicated. Is being returned. Your building permit ap'plication fee_ Is being r~tur:~.~d under seoarate cov.!'.r. DEPARTMENT or ENVIRONMENTAL HANAGEM~~I 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 1 r;. 7. ! 8, , 9. I ~ 10. ~. COMMENTS: ~ . f Not Applicable l ) ~~ ( ) ( ) Plans Submitted Soil Stability (footings) Flood Plain Other (see comments) r ~ l' WATER POLUTION CONTROL , Not !\pp\ icable l ) ( ) II, Meets Department of Environmental Quality Standards. 12, Other (se~ comments) COMMENTS: I I.. TO APPLI CANT: Your Building I Site Inspection: , t; V (y) . elk( ) " ;' /'\. 'j "., I'''''''' , ( ) ( ) ( ) t C55-28 ~,,,,,,-,",,,,. ....-..,.:. ~......". -",. No Yes () T{f ( ) ,( ) ( ) () f ( ) ( ) No Yes () Tff ( ) ( ) 'I I CKID&Y::J.krpi-ll(~ 7k. Setbacks' from cll of road: Front 4.C;' .S+de-Exter"i'or Setbacks from interior lines: Side 5'.. Rear ~, .. /11 /, . CK'D BY~<:: ,7- 2. .,. ~7 fr DATE '. .- CK'D By:..A1/J d... 7.0'/.71 r - C7 DATE . . ~~.\. .::.r '. ".; ~ . '~':~~'.f~,;; . ;"<" :\;:.: ~'~'. ."~~. ..:,,~..,.;J..~ 'i .1 .~,:.. ,/1,.: . ';"~>i~'"'l"L ".< ..... ...,,' '..' ". ~ ;l..t. ;~~...,,,I .&' "~t,, . ."1 ..,,' ... ..~. : "~" ....,r.:'..~,r.j..~.:-;:.~.~~f~...~;~"'A~~.' .;0' 0'11; I 't"'~' J +;. '. ,. ;j , " ~:. 1~ , ." ~' h. i\~; .. ~~ i i ", , \ 'j " , ; " ." 'f ;. .' " . " " , \ >'::, :. '\, ,. " \ '.~ , .. :.~ I'"' . {' \~ ','!~ , .' . -1' .:' ",; ~(/" \~ " ~. ' '. :', ):,~r~ \: ,~,}, '".' ~'F"i;~,.:.;,' i,'" '!" "."', . ~~"':p\.:~::. ,"'. .. .?:..~.~~r.~-\ ., \"\ ,'" ",",t. f: .! 'I; '.~ .1 , . . . " .r .' , PL 4(' _~i; ,', ~, " .. f . , "i. '- o. __.l '.'!.J,. ' " ) " .~ ~ -~ -, . C!.--: 1_~___ - -- ,. " " .: .. ~ .'" 'f ., ..; , . ';:1 .. .j'" ;,' 1'" ....1-t ,.*., S' : ". - (JI " o ?: I' '. , 1.)'; Iii. , .i:,.:!, ", ',.:', :, " . .I:!' I ,.; '. ~. ::. ~l\. ~~C ;f", oj <it . _. '4 ~", ,1<. '/ . ,,") ... . ,..:",:," . ~~ t> ,.. " !' , t; -, ,. ..: -, , r,~--' , . / . "~, -I ~ ., l' I "I~' " .. ..~Ji " ,.l'l',' ..... ,{:~ !} -- --.... !, f ~. , .'~' . "'1~ , DELF\OSE AVE, , ' ,- ~b': .' ,/,'. '1-".;, , .. , .. ., , ., " "j' " ... '- ,. ,,' . ,;.~' ',J .,of! .\' . " .' .' .\ '. . LANE COUNTY PERMIT e: PERMIT NO. ~ :;i!{)~7:; I, " CONSTRUCTION UU] MOBILE HOME [} PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] DOwner .1!"t"~1 ~~';}~)n'" N:A.ME ADDRESS CITY ZIP CODE PHONE 7f1~ .AlI>;:1 PHONE' o Contractor .'nl>~ ('t"'\t"'~D"" NAME O.S. Reg. # 11'1 G Twr 17 Range03 Section 24 Subdivision \'ora 03110 Lot ;) ~(~':":n <::"lro".M, ~f\n ~~W'\,......-:- c:;::r"lI'l'>4'1nf4,....1,.} n9V"l'1(\.., n'7Jl'7"P AOORESS 'CITY" . .. .'". 'ZIP CODE' Tax Lot Code Census Tract Block 3 Acreagp Width Access to Property (Road Name): !;:;1VC8 AVJrlt::! Si:lr111<1f~Qld" Oman Depth Existing Structures on Property: [:000 Directions to Property. Address' 1~6~ D9lt1oo AIJoms $Dl1nr;f~(l~d STRUCTURE (# BEDROOMS) I'\otf'lH"f' r,nmf!n> SO. FT. 107n '1 11; v, rJ)1,~ ""'(\ ~') M~""'''''''''' VALUATION 'i? (lW'; r-'"\ 9 r;f1? ,:,v~ 1)11 ~,'jfr-"'1~- 75-(:;;7 SEWAGE DISPOSAL: ^ Mnt--t Il"'f~.,.rr>~ r.:->.tjU'ro" PUBLIC [] SEPTIC TANK Inf'''OTH'ER't''] ..... , '" BUILDING PLUMBING 3% SURCHARGF MOBILE HOM~ WASTE DISPOSAL PLAN REVIEW !l1l.Cfl 3UIO ;;J.81 2l>.nn PLUMBING INSTALLED BY: OWNER [] OTHER [] NAM~ WATER SUPPLY: PROPOSED [ J EXISTING [] [ J PUBLIC ;Plj COMMUNITY. NAME: .('<j: PRIVATE WELL i>(OTHER . SPECIFY: TOTAL 159.G2 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: \ t.. '. -- "'2 GALS OC!) MIN. DRAINFIELD 1::(\ L1N. FT. MAX. TRENCH DEPTH -- INCHES IRfotl111 1n ti::l m~DroVfi~ 1lJr-l1'l nf 1:[1(1 i'c;"t 1>l\1"<1. r.""",,,,, nn M'"'' {On.. .7,,.:>,,,,,, ,",,,,1 N'."""'"'' Or t:IO dl"<lirl'?icld. Sta1f HI frs\': fro;: nm.,so eiJr1 m"(>~r::\I lkA I1Hr, "n rr.r-'" n~ d",,111,t/f"l1r1 STAY 100' FROM ALL WELLS. TYPE OF CONSTRUCTION Ii"" GROUP I C'lCl 'FIRE ZONF USE CLASSIF. SETBACKS. FT. FROM CTR. OF r/W: FRONT 45' SIDE EXT. (j' FT. FROM PROP. LINE: SIDE INT. REAR ~. .) ZON~ [<-, AUTHORIZED SIGNATURES: /sl J.E. [Joss ')y Chl'lrles l!llr.:lClI!'il CroP, tJ. Gray. n.S./t'1r ISSUANCE DATE: Ju1" 27. 1('176 BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY , BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687.4065 10 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 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) IC~~.13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 IIIIIII!"""'.~'- ~'" ~ ,~~"......,.", ........ I" -""""'-'i SLAB FLOOR PLUMBING GROUNDWORK . " . .. , ApPROVED / / DISAPPROVED ~ DATE INSPECTOR REMARK S GAS PIPING GROUNDWORK ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS ROUGH PLUMBING ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVEO /......-r DISAPPROVEO ~ DATE/~-AIt- '7(~ INSPECT~.--./!;~ . - .r REMARKS FINAL GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE INSPECTOR REMARK S " " , J PROPOSE_WAGE DISPOSAL SYSTEM RECORD . " part of for 0 signature and submit both cop with appl ication. .' PERMIT NO. 1786~76 Greg W. Gray . . I~STALLER; Complete top INSTALLER'S NAME PROPERTY ADDRESS (l ( ~ /- A /R &.4>.; J-r /t/t,(., No. Living Units Bedrooms Baths Basement Yes No 8~f~ Water Su!?P~ Public ~Other-List Septic Tank: Ft. from well Inside LenQth OWNER NAME Dimensions: Width Steel 0 Ft. Diameter Concrete ~. Compartments J' Gal. Capacity Tile Disposal Field; DeDth Distribution Box; Yes ~ No Other Distribution-Type /"'. r.' r~ Jack Kepha rt HAILING ADDRESS 1690 South "A" Feet from WEll Lot Li ne Front 1Ft. Between Lines It> Foundation Spri ngfi el d, Oregon 97477 Length of Lines-Ft. [TrenCh I Total Sq. tfl'J2f{13. 4. 5. 6. Width". Ft. 1,f9() :'Iot Plan (see instructions): Side IFiller...L IFiller Depth TVDe / 'J_ Above Tile 2. Rear IFiller Below inJrile/.t In. J.i ~ ... '-J ~ r; ':."?'? 1- ~ /f'> J;t? r f, I p/ p~ "'~ /l.{Tr 'tf-T /(~t-Y J,'~' oJ,-. I~ _ ~ I"" D.n~Jt.A;YMry I ~:(Jr., ~~~7~Dv ( bAMt COUNTY " ~..NViRONMgNTA\.. MGMl /Til u &) I.f II ~ VA l' I tt-l,!-T 7r--.-- - I () F 1"' ~ "-- ~ -J ~ f9- r 'l. ~ I c I:i ,\ I iJ ,Ll -yo Y ~ ~ lJ G t- A (P S ~ ruJ<M~~ --, Date 7_? ~ - "'7/ Signature 1<.___ _ /(,,_,.......'" _ /. '- . -CERTIFICATE OF SATISFACTORY COMPLETION' ./ . For Sanitarian Use Only: Da'te: ''('3,7-6 In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is issued as evidence of satisfactory completion of a subsurface sewage disposal system at the above location ~APproved: System Installation conforms to current standards c::J Disapproved: Does not conform to current standards Remarks: .---..- C55-11 sani~~ature LANE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY .. NOTE: NO PERMarLL BE ISSUED UNTIL THIS APPLeTION HAS PERMIT iF ) 7f-C -?b' BEEN APPROVED APPLICATION FOR: CONSTRUCTION t=J OWNERs....,/ rV CONTRACTOR_If eN-ne ~ 1- fame O,S, REG, II {I)I L, Twp,~ 7 ~nge 13 Section ~ ,/' Tax Lot Subdivision IIn~ A ~ l)~ {)~ Lot L' Block ACCESS TO PROPERTY (Road Name) '7)'l..I2j,llL-<. .4JK' Existing Structures on Property: ,itftJ:t 0 CJ ~",I- ,)~ ~ fJ~A , Address PLAN REVIEW CJ CHM,GE OF OCCUPANCY CJ tt-? ~1"- City Zip /670 c.oAA" <VI ~ '1'1 'f 1/7 City ./-,r;-"- Zip . Phone /7 'I=h- ~L.9' Pho"ne t Code Census Tract ~ Property Acreage Width______Depth Property Location - Address/Directions: /If f.t, I. /)..f!t/;{', ~._- y/,f -1 ./ Below for Office Use OnlvXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxxxxxxxxxxxxxxxxxxxxxxxx~rv,"v~ryy.,r'1JOCXXXXXXXXXXXXX Sq, Ft. (jI /1. ./0 IIBedrooms Valuation 10?0 . C~;) 1/97~/OO H'9'/~S..f" dt;D.2.3tJ_ d V~.7-1 y. -~ (>- A~ ~A~7~ SEWAGE DISPOSAL: Site Inspection U 7S-- 7S7 Existing Sewage Disposal System Public CJ WATER SUPPLY: Well Spring _ Other Community or New System Required( L ~ CJ ~' 1>7"1/ /~e of Community or Public System _ ~ ~ Bldg, Plumbing 3 % Surcharge Waste Dlap. 9~/oO 31,00 .3.~f .J c:: 0-0 PLUMBING: ~/ Installed by Owner I . ~,y Other PLUMBING FEES: / ~ # of Fixtures // ,; II ;'/ / ~ Name :J=~ FEES, Sewage Connection ,;), Water Connection ~. Plan Review FACILITY PERMIT PLANS FURNISHED ~ YES CJ . . Signature of Applican . Fee Received By: 7/:/4'/'/&:; . I / "p M.i'}J S~c... Tank Capacity_ q~ _ _DrainfiiJd Required - Lineal Feet Jso , ~xim~m Depth 3-i7" r~..t: A~~~ .~ ~ aL:ttZu ~.;/ ~_ /~ ~;n~;-::'-A(;Q' ~<:7~(j~;;-~ _~~~rf.(l ~, -5- if' Group 1 '-Y'...::r Fire Zone ---. - Mobile Home o Y~ 1S-'1. ~ ::J- TOTAL Type of Construction Use Classification BIdg Setbacks - from Center of Road Right of Way: A...-' _, Front ~ Side Int.~ __ "'.6...._ ..:........"'.:....0L c:t(r17"J~/t/- ~ DATE: (7,..-\ -Sj,NF3TI _ DATE: AfS BUIIJJI~: /I d ...,nATE: "Ir/ ~/ ~ 7;..2/- 7L flf) ~U!4: 7 .:2.2 /~ COUN~ ~EPAR'IMEN OF ENVIRONMENTAL I~NAGEMEtfr Rear_O" Zone C55-12 LANE \4\q~ ""DEL1l.o9E' . ~....u... \)~<...,. LANE COUNTY PERMIT e: ~ PERMIT NO. ., CONSTRUCTION [] MOBILEJ-lOME [] PLAN REVIEW [ ] U"'..... \.<<.A.~\vJ.n..s. (O~lf")d / / ,d) _ i7.._ DOwner " /"7vl.P ~ NAME ADDRESS ' CITY NAME AODRESS CITY CHANG E OF OCCUPANCv",r 1%0 %t:1 _lAIf, , .'. ZIP CODE PHONE '. 7I#1-'11~.ll.Sf. ZIP COOE PHONE . ''4\~o-vve-lr ,1'\ C T ~ ~O". < '"'; ';':h CO" ~ ~ Depth o Contractor O.S, Reg. # Tw~ Range Section Tax Lot Codp Subdivision Lot Block Acreage Access to Property ,(Road Name}: '-~' "" . . . Existing Structures on Property: Directions to Property. Address: . "co. ... . . ~.~. . STRUCTURE 1# BEDROOMSI SO. FT. VALUATION /'-<:\ SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK I BUILDING PLUMBING 3% SURCHARG" MOBILE HOM" WASTE DISPOSAL PLAN REVIEW OTHER [ PLUMBING INSTALLED BY: OWNER \] OTHER [ I NIIMF WATER SUPPLY: PROPOSED [ J EXISTING [] .r.] PUBLIC [,,] COMMUNITY. NAME: [ ] PRIVATE WELL [ J OTHER. SPECIFY: - ..c t;'- (\' TOTAL ~ CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION. CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES J o e TYPE OF CONSTRUCTION GROUP FIRE ZONE STAY 100' FROM ALL WELLS USE CLASSIF. SETBACKS. FT. FROM CTR. OF r/W: FRONT SIDE EXT. FT. FROM PROP. LINE: SIDE INT. REAR ZONF AUTHORIZED SIGNATURES: /s/ ISSUANCE DATE: . , BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANIT A liON - GOLDENROD IMPORTANT: Call 687+4065 to schedule ail required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the Stale Buidling Code, D.E.D. standards for subsurface sewage disposal and the Stale Plumbing Code. All buildings require a certificate of. occupancy before being occupied. . - ~ (See D,etalls on Re....erse Side) . ,} ~ ~ (POST THIS PERMIT ON MAIN BLDG, AT SITE) \ ~ , \ C55.13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 . . SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED ~/ DISAPPROVED L-/ DATE ?-/;2 -7~ INSPECTOR~a,.J , REMARKS FRAMING INSPECTION ApPROVED W DISAPPROVED /7 DATE~~b REMARKS INSPECTOR~ vi LATH OR SHEETROCK INSPECTION ApPROVEO L-I REMARKS >>-'" DISAPPROVED L-/ DATE I'.-U.ud /.dA' .A..f? (/ INSPECTOR FINAL INSPECTION, rL.IJ~BltV~ FI"'~ O~ 1I-Z."- 'gz.. ~ ApPROVCD d OISAPPROVED Cl DATE 'K-21,,-s:f2 INSPECTOR 9ArIZ.- REMARKS hA /~J /__ ~ - ,t,/p- ? ?-71 a.rf \\~- \,.,6...1.----S-"'-tID\..o~.-t"'-"'M . - ~ "........-.....~(S ~A~;~ \\. CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARK 5 /1) . /f/J. IJ /.40-1' ~ k7/f.t'7; 118/;-7G); /~~r;. J)~ J