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Home My WebLink AboutPermit Building 1976-11-30 .' ~/tf()t) JOB LOCATION_ / ;)/,-,-.... 1/ PERMIT # ,? '.- /k' I : ~RS, T,--7 /..2,-c> t./." ;2. /'1 I , .~ LANE COUNTY PERMIT Acreage or Lot Si7~ Contractor's O.S. # Partitioning # ) Co mp leted . I Subdivision .././.: Lot Lf , Bloc~ .,. APPLICANT'S NAME AND ADDR"':C: OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mail permit to ( t.)"A!iplicant ( ) Owner .- .' J I _. , .I i I Phon~ Phon~ Phon~ (owner, etc.) when ready. ,. - 'I 'I . / ) Contractor. ) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY , - .'- THIS PERMIT IS FOR eATER SUPPLY. ' THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF ,...-' ,/ # ~ .. .-- # BEDROOMC: # PLUMBING CONNECTIONL- . SEWAGE DISPOSAl S.1. # ...1 .. ~/ .' - . PLUMBING BY .. i , 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 ( SANITATION Signature ) FACILITY PERMIT TO TRANSPORTATION DEPT. Dat~ ) SPECIAL PMT. AREA. MIN. ELEVATION: Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING .' - ,. 'v Type of Construction J,. .- f . - . . . .'. Ilse Classification I .-.."... ., Group :. Fire Zone Comments: Comments: e By: Date: By: " Date: . , PLANN ING REQUI REMENTS SATISFI ED. By: \..,1/, -- Date: J j. ,;:. I fc Date Issued: l-a - / - ;,:: ZONE: ,..J J SETBACKS: FRONT 4;-;:'/ ," ,::lIDE FACING STREET (FROM C/L) INT. SIDE YARD -.:.~ 'REAR _ '(FROM P/L) . _ I -7 '..' ., -('-' LANE COUNTY DEPARTMENT OF ENVIRONME.!'JTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 C55.13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE: BUILDING - GREEN; PLUMBING - CANARY: SANITATION - GOLDENROD: OFFICE COPY- WHITE ....... f~ /' .~-......-' ---j v .'7 I TRS, TI-; -- r3-.;; L.. JOB LOCATION /t./'1t/ l.>i?JA {y..L~ PERMIT # t5l/lotJ II., \ V}. .. ,f// AA....1L- LANE COUNTY PERMIT Acreage or Lot Sizo Contractor's O.S. # Partitioning # ) Completed Subdivision tdrA 0_, fJ-P-1!./..,IL/ Lot A7 Blocl<'~'" ',I fJ ."A .w_" ,....y , Phonp ;:16 - If V"d9 Phonp Phonp (owner, etc.) when ready. APPLICANT'S NAME AND ADDRE~C: OWNER'S NAME AND ADDRESC: CONTRACTOR'S NAME AND ADDRF" Mail permit to ( L)"A!iplicant ( ) Owner }6;-<;/"'.u!r;{;./;;d.'A.:J /?/iD ..Y'. A S.,U -yy:_~ ) Contractor. ( ) Prefer to pick up. Call .. STRUCTURES NOW ON THE PROPERTY THISPERMITISFOR .dhU,f)1.b~, q,. nt'.Vt.o. ~. :'5DS #BEDROOMC: #PLUMBINGCONNECTIONL- . (J/tJ u' eATER SUPPLY '11-11 '.(.~.J SEWAGE DISPOSAl _ S.1. # /5=-7S7 THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY. Ja (L \.0 '''!-''--'' /i....-/ I hereby certify that the above statements are true and accurate, and that I have the following legal interest iK'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 '\', '. 'C '___ Signature .........r\... ,.,r_ .'-....-.....:.,- <\ -< c:' ': Date ) FACILITY PERMIT TO TRANSPORTATION DEPT. ( ) SPECIAL PMT. AREA. MIN. ELEVATION: ----Jt.. ,., iI.JI--- Fee Paid <l: (. ) NEW ADDRESS SANITATION "'-" Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth I . " ~?'f1!. '~.,-z.,-';'"J.:.~.f....... /0 r ,P-J'r,-, ......~/'-t~ BUILDING -- -r- L 5"1./ Type of Construction.2. P-..J Group ,/';u',' P.!'--"'."'... IJse Classification C~mments: I I .-/,- I'~.I:'" '/-~""1J--0r--<;' --',,.</,~-{!..--- . .3 Fire Zone "-.. Comments: e B . 1''/ "~;.I"" D I-Jc" ;" / B ' ':: ,;~{ ~ - . I.') : ,,' ;' D r/ y: ~- ,,' - - . ate: " '. ,- !r y: "",..,<, PL...........~ .~ >.IJ"^-_ ate: 1/-' S~-:; - ;'(.. PLANNING REQUIREMENTS SATISFIED. By: 1...."J,fJ...;:..(;C Date: /1-,;1.2.. '/(d Date Issued: ~ONE: R- J SETBACKS:. FRONT t,I,g1'"..........SJ};>E FACING STREET (FROM C/L) INT. SIDE YARD ~-'REAR ....:::, '(FROM PILI -. '0' ~(P"v- ',~ LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MA'NAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687.4394 POST TH'S PERMIT ON MA'N BUILDING AT SITE CSS-'3 BLDG. PERMIT - WHITE: BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY -WHITE . . ~ S LAB FLOOR PLUMBING GROUNDWORK ., . ApPROVED 1::::7 DISAPPROVED 1::::7 DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED 1::::7 DISAPPROVED 1::::7 DATE INSPECTOR REMARKS ROUGH PLUMB I NG c.~C~h\ DATE.Jl- '21..1 'L I NSPE ~-- .7tf/!.J..) ApPROVED ~ DISAPPROVED L:::7 REMARKS ROUGH GAS PIPING ApPROVED 1::::7 DISAPPROVED 1::::7 DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVED ~ DISAPPROVED 1::::7 DATE ~-/4' - '.) I I NSPE.uO~~.4b./..-;'c::(::../ - ..-- REMARKS FINAL GAS PIPING ApPROVED L:::7 DISAPPROVED L:::7 DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE 1::::7 NOT READY TO ISSUE L:::7 DATE INSPECTOR REMARKS I, ,r (-:1 ; ."'~ .1 "'5 ~R"3, T,"/7- 3-.;)lf, JOB LOCATION / t./"1I../ /; J? .ltcQ.J~ _ /) ,PERMIT # dPoo-7h U/)- (.,f'v~ ' LANE COUNTY PERMIT APPLICANT'S NAME AND ADDRESC: OWNER'S NAME AND ADDR"C:C: CONTRACTOR'S NAME AND ADDRESC: Mail permit to ( LkA'Pplicant ( ) Owner /:J;.LJ J-., ()/) -;- ;{D~; tb, k')) I , -- r It, 9D .,X. A S. I J1An 1l_,tJ~(1 ~ ubdlvision /Atl/t.......... J. }.(.!..v:-~ Lot k( B loc~ .3.: - .A1..o -I ,.-f) Phone 7'ib - IfV,;;9 - / /1 Phone Phone (owner, etc.) when ready, Acreage or Lot Si?~ Contractor's O.S. # Partitioning # I Completed SCZ/yy1 _lL- l Contractor. ( ) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FORdMJ,tJ.fj..&-~ a, , Qt.L\ n "'~. ~ (JS . (J./(j U / eATER SU\PLY ..ILt~ j--L....t' ) SEWAGE DISPOSAl S,1. # '75=-757 THIS PROP'~RTY I~ WITHIN ONE MILE OF THE CITY OF . PLUMBING BY \)12 cf_ Co (".&-t)'/t ..-' I hereby ceJtify that the above statements are true and accurate, and that I have the following legal interest ir(/the property: {~owner of record; contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner I 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. ,..:, , .U f\ . n C---,'> '-12 Fee Paid <l: '" . Signature ~.rl <"-""~vv-_ O"'-"-----Dat~ , v ----J-t..--:J'A... · # BEDROOMS_# PLUMBING CONNECTIONL- (' I NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. I SPECIAL PMT. AREA. MIN, ELEVATION: SANITATI0N ./.->.,;, ,'" Minimum Septic Tank Capacity (Gallonsl Drainfield Required - Lineal Feet Maximum Depth //./1 ,(),_/, I<-'U-"/ '-,;:;.(--,,/-""'V~__ j J . -- 10" f'Z-fn', t BUILDING _ ~ ~ ,)A/ Type of Construction -'-'" "" Group ;-r:""j~ ~ I ~ /, .{'A_ ~./ I Jse Classification C~'~ments: ;' /1 /j -/-. /';',p-<4/'- ~"".h fk-:P"/:2; ,a~ ' 3 Fire Zone ~ I' . Comments: e ,f .. ~~::- _ .<- ~ I/-,?(j ,->, 'I ,." . t~ /., . j By: .,.--;-;..J ~:-. :/./ Date: I'..... I'~ By: ~. :"".":~:TJ;~"d' t;.f_!:~ ':i.d,iu\.. Date: 1/-- :;~t--; - <<_~, PLANNING REQUIREMENTS SATISFIED. By: \"f{)A...0C- .' Date: 1 j-';;,;z- '70' Date Issued: ZONE: P -- I SETBACKS: FRONT L)$'1.-1.....~E FACING STREET (F~M C/LI INT. SIDE YARD -.S 'REAR -S - '(FROM PILI <, n / t;.'l-I'fl/l '" cr.c- LANE COUNTY DEPARTMENT OF ENVIRONME!}JTAL M~NAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERM'T ON MAIN BUILDING AT SITE C55-'3 BLDG. PERMIT - WHITE; BUILDING - GREEN, PLUMBING - CANARY; SANITATION - GOLDENROD: OFFICE COPY - WHITE r, . . . SITE I NSPECT I ON ApPROVED fi2!] D'SAPPRDVED Cl DATE 1-11- 77 INSPECTOR~~ v REMARK 5 FOUNDATION INSPECTION -' APPROVEO~ REMARKS ~ DISAPPROVED ~I OK.. /-//--)7 .r~b~ ..,tz,~ I DATE ..:)- :J-:J-77 INSPECTOR 9'A~ o"d {/ , - /- JJ . 71 \)r,,! v FRAMING INSPECTION ApPROVED I m DISAPPROVED Cl DATE::z.--;z..'1,77 INSPECTOR 9" ~ REMARK 5 LATH OR SHEETROCK INSPECTION ApPROVED 'L:Jz=:! REMARKS DISAPPROVED ~ DATE ?-2-77 I NSPECTO~ r--/ t/ - FINAL INSP~C:;~ ApPROVED DISAPPROVED Cl DATE !- f? -111 NSPECTOR ~ r/ - I' REMARK S CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARKS TRS, TI . Plot: Plan Job Location (Street, mi Ie post) Subdivision C) .vli I'Q4.11t... (t.!7t! f/) e ( ~O'" e.. Lot Block FOR SANITARIAN'S USE ON L Y: f/J System Approved 0 System Disapproved 0 Needs Correction COMMENTS: d.~ Date: 1;"'11- a Signature: ~~ " Filler Depll' BeleN;; Tile 12 fI r=..(I~f'''(J <;.J4JLu, 'l\-- (J,v,PJdfJI FOR INSTALLER'S USE: Trench Depth Tank Capacity 1000 Manufacturer Measured distance to well from tank from drainfield e .... f2,'t /P' - .. qo' - .,,- 19' (,0/ - lJI ~-- ~ ~ ~ .... '" ~ ~ ~ ::: ~~ Q.- ::v~, ~~ '" > c co '" . ~ ~- :g ~ 11 ~ <!~ _ '=S 0>' "- .~ 'S _'lit' . - -..{) ~~ - 10- ~ ,~ E~ ~~ ~ ~~ ~b~ -~...... . '" Il'-' ~ ""_ <;;:, :S: 0 :.= ~ ~ {~~ a. ""'" '-Sl \I' "" a. _ c.. <! co - I Scale: ~ ~ N INSTALLATION RECORD AND CERTIFICATE 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 form to: Permit Processing Section, Department of Environmental Management, Public Service Building, 125 East 8th Avenue, Eugene 97401 C55.11