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HomeMy WebLinkAboutPermit Building 1977-8-5 '. l)IY~~ Dn,',/<<::..- . , 1/""''10 , I -" C:::;f. c! #~ JOB LOCATION , . j. . , j , ~;:.--i-:..~~~]::,.r.~ -', ~/ ,. '"'_, '- .-. ...,..r~ TRS, TI , -. .. 1'-/ ;'/7 If.;' i' ,_ 9 '.,h... I LANE COUNTY PERMIT ,. /.,1 A. __ .-.' ' .J-- Subdivision r I ( Lot ~ Acreage or Lot Si70 Contractor's O.S. # /S;I J/{' Partitioning # ) Completed APPLICANT'S NAME AND ADDRE~~ .1/ OWNER'S NAME AND ADDRES~ _ ._ CONTRACTOR'S NAME AND ADDRES~ Mail permit to ( ) Applicant ( ) Owner IP,... . '.. .,:.,'./ 7,/~ /. '-/ . .. >"....I'...._.<l.~//l...l/~.. ... /'/'; . " PERMIT #./It-(i- 17 ~/ / Blo~~ ~ ,I ... ~. . '.~ " . J Phonp7 q/> JJ6r:},J- , if ~. ) Contractor. ( L)'Prefer to pick up. Call -".1'1 to' '- ~. , Phono Phonp .' / ~,t.(owner, etc.) when ready. ..- Jf c~ ,'r::... ," . /;~~RO~M~3# PLUMBING CONNECTIO~S j{<. .c.... . 1..""" ~ r. ~ S I # /- '; . . I ~ . .STRUCTURES NOW ON THE PROPERTY - ""' L- /.7tJ~P.f . .-- / r:...., 1'-6 THIS PERMIT IS FOR.. J, L, J ".J It ,.- h Je/<_../ . )CX.J , , 1.,- ~ ... }~.)~.~,( .}. J '. .~ j j WATER SUPPLY . . I .~,t . . SEWAGE DISPOSAl THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY t/ ./J.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$ ")/"1'1./& :./,/-"(,-/ Signature rt/" ., ,'; .', Date' /. :',':'/ , ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION: ~ ~t: . (' SANITATION BUI,LDING Type of Construction Ilse Classification . Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Comments: Comments: -? .-1' c_- c ~~) /,.""- I~ ..-r,-l.' ....: /''', . ::_~4>- f':~ 1- ~. ;=.F. .r') -~-i ./ ;/ A ""'V' '< /:,~er) Group Fire Zone f'e,r.!~ (~-:/' /~ (:~/Jr.>r: . , ,~ .,~ - . . .I,. . ~ 4-Cr" 'f::: ;;.--,. '-"Jo ., -... .... . --- J.' <-0---1-7 h ,./('.( r' .,.. ,/:.'" I --- "'7c;' By: Date: By: ' . . . ~', . Date: ~ 'o' - PLANNING, REQUIREMENTS SATISFIED. By: r. k Date: .! Date Issued: ,:lllI-"j. 'I' ',11 ~ONE:(K-4- SETBACKS: ~ONT .J..I').SIDEFACINGST!!.EET'.... (FROMC/LlINT.SIDEYARD',' REAR _-O(FROMP/Ll LANE COUNTY DEPARTMENT OF ENVIRONMEN"-iA:'2-MA'NAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 C55.,3 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE , "'- ';'.1'1 J ~,'t ,/, .:.r- TRS, TI Q) JOB 0 T 0 . / n," 1. L CA I N .- ~V~.~ .- u ,- - r I LANE co~/t;;I tJ t .~ ~7 /Jl'l-,..- /4~': Acreage or Lot Si7P G-75}(.I I () Partitioning # . . ( ) Completed ~"Jbdivision '-;r; t: 1.J.t!A A:'At 1'1 ./ Contractor's O.S. # . Lot /.... Bloc~ ,.::J APPLlCANT'SNAMEANDADDR~~~ it.) ~A//:/'~" 4- /~~F /l/H2/u..oaf-~(,. 4')s,#.f..{r.~on07L/i-7-(-7;;l OWNER'S NAME AND ADDRF~C: Phonp CONTRACTOR'S NAME AND ADDRFC:C: II I. Phono Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. ( ~).Prefer to pick up. Call /}q fA - "s () l."l(owner, etc.) when ready. . , ~ .STRUCTURES NOW ON THE PROPERTY -?--- /J 1../7 ~ ~ ~t'::;;>l (.P--f ~!,..", ' THIS PERMIT IS FOR S,.~/) /..i/t/n~. C}/71/7 / ~r:J,<d . # BEDROOM~# PLUMBING CONNECTIONS /0 WATER SUPPLY II.; {,tf'. 1/ hloA (1/1 SEWAGE DISPOSAl S.1. #;'-/-3 f ;L THIS ~ROPERTY ISWITHIN ONE MILE OF THE CITY OF PLUMBING BY ~(<:, , hereby certify that the above statements are true and accurate, and that I have the following legal interest in the pro.JJ1rty: _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 apwoves of this action. I hereby agree to comply with all applicable Codes relating to this permit. ,..., ____ -'1/ :3/ qe, u . 1'1- .:.J &7 - - /, -. Fee Paid $. :;:>l P T /. /r..~ ) 7 Signature V7/ /7.-.r4Ad -rr - '-I' Date J t/ / /~: /977 I ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. () SPECIAL PMT. AREA. MIN. ELEVATION: 4f.9~/o I i-:J- ~ / Del 0 D;')(i~ " D,"I'V~ , . , I61 7 -;{1 PERMIT # /'1&0- I , , , , Comments: l' _:A ,(_", ""t. . l'.'J1., ;-i -l .'~...'~ -..,- /, BUILDING _ :5 A) Type of Construction .T - J r,roup A .> A ' Ilse Classification (J:-u/.tV<~ Comments: / ,1}1 I}.e J - <<' #-r- ~e e.~... . 6- '-- ,.AI h .Lk1A_,j~ /1"' 7:J Fire Zone SANITATION '-fl-D :., ,..n 3.,..I:,1J Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal reet Maximum Depth . .:), . - .i C .,v/ b-t.'J...... ~. '~-f'c "-'" t7lJ F,F, .I!-~ '7 ~~ #- - ~~< i -r h. 4'a~o' .....~'..A..."'i _ ....:..J). ~.~, '.l't""t..." (/,.." ,.). : "-t'...."" .f, '," ./ \.. - - ,.....'" '.J-'. /' . ')/ / L7 By: ,,~ -" ... . __ Date:::; :l 7"7 BY:~ ;..,.,..-d-d f/'(d, \.~~ Date:, )?- Y 77 PLANNING. REQUIREM'ENTS SATISFIED. By: ~ tUA/ l.h.fJ~ Date: R- <;-77 (/' Date Issued: CtuCJ.. q!.. 'l7 ZONE: tf~ .4- SETBACKS: FRONT STJ'n.SI.QE FACING STREET I/S/ (FROM C/U INT. SIDE YARD '71 REAR S"'(FROM P/L)' . . U YXYM / 'T{)' . P(! I- - ~ LANE COUNTY DEPARTMENT OF ENVIRONMENTJO'1: MANAGEMENT, '25 'EAST 8TH AVE., EUGENE, OREGON 9740-' PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 BLDG. PERMIT - WHITE: BUILDING - GREEN; PLUMBING - CANARY: SANITATION - GOLDENROD: OFFICE COPY - WHITE .,' '. . \ . . ~C:B ~LOOR PLUMBING GROUNDWORK ApPROVED lJZJ D'SAPPROVED C1 DATE 8"/17/7'7 INSPECTOR I? k REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED C1 DATE INSPECTOR REMARKS ROUGH PLUMB I NG ApPROVED fEJ DISAPPROVED C1 DATE~/?7 INSPECTOR iP.L::' REMARKS ROUGH GAS PIPING ApPROVED C1 OISAPPROVED C1 DATE INSPECTOR REMARK S FINAL PLUMBING ApPROVED ~ DISAPPROVED C1 DATE j.j-d677 INSPECTOR REMARKS FINAL GAS PIPING ApPROVED C1 DISAPPROVED C1 DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE C1 NOT READY TO ISSUE C1 DATE REMARKS ". , ~' . INSPECTOR . Oat" ~'EA" q~ Ie] '71 . P IQc0D-77 ermit No. CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com- missioners of Lane County, and it is the opinion and judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby. ORDERED, that a permit be and is hereby issued to (,0. BI?IJ,.Ci'.J .')-1 x..' 1'34 '8 Cu-..AR.v.).A/...~~ LAt-JE. _ SPI?uJ6F, C I-D, D~llJ for placing, building or constructing the following facility: f 00QO Dlv.e, nr) Lrn--' b BJ...OCK:. Z -' 3~O ADo..1',CtJ ~ fi\.-1 ~ENul-,J upon the right-of-way of County Road No. Mile Post in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements. stipulations and provisions contained in the appl ication and permit, the Rules and Regulations Gov- erning Facilities to be Permitted upon County Road Rights,of,Way, as set forth by the Lane Man- ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance. Special Provisions: 1. Driveway will be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98-50). 2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition. 3. Sidewalks will be constructed in accordance with the attached sidewalk specifications and drawing M98-49. .The Standard Curb Type shall be constructed unless otherwise specified. This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned above is hereby authorized. This permit shall be void unless the work herein contemplated shall have been completed be- fore nvcud ~ . i9-+S Expires ,19_. Inspected and~.pproved Approved by Board of County Commissioners By ..AI.. Del1Jc~ /BJ (A,}~ DatI' 8y Director ~ Public Works WHITE - OFFICE FilE yellOW - REAL ESTATE PINK - PERMITTEE ORANGE - BUllD'NG & SAN'TATION DEPT. C74-129 ~ :". ::;'.:.!! ., -,,:\fi P LA N <\~\~ -';1" -..--- --- ~ .'1(.1 ," . . ~i-4:I'>'~~' )} ~ I r~... . .~ > ~~'.~'l.:~ 'i"i':; :1' . . p,..(t " .- ..<:;}:.,~... , . ;i,'", f:'\~'~'::' '1. ,'t,<'i..;V j,J.,t: ~.:; . ~~:.. j ',,' . ''J~' :,t .I ~.' , .'~";~"': .~.:~" ::' , . t~, ',"'f'S .1' ..' ,:~,~>"'. 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F,'x aJWNER'S NAME AND ADDRESS, if different from ap~icant's -=ONTRACTOR'S NAME AND ADDRES~ '141 Rh"',(2. c.' " Mail permit or results of site feasibility study to '( ) Ap rant ( ) Owner ( ( VI Prefer to pick up. Call J.!tl. - 319 'Z..? owner, etc,) when ready, ( ) Bui Iding Permit ( Acreage or Lot Size _9 Ii Partitioning # ) Site Feasibility Study for Septic Tank. Number of sites Test holes will be ready Subdivision Jl-lf V<E-I-h/Jh E", fo- Ie.; Lot t. Bloc~ E... Phone.z~b- 307~ Phonp Phone I ( ) Contractor, Contractors O. S. #.41/2-. STRUCTURES NOW ON THE PROPERTY NI'J /7(L. {J l! P,p,1rron" 1 PROPOSED USE (this permit) ~ I WATER SUPPLY v~f(Q'l77fLlfd 'viI,..,. fa-I- SEWAGE DISPOSAL 5U:b-f..'r~ ~h/( 1 ' PLUMBING BY \"/0//_15 ?/LI/7T.6"//r/ ( v( PROPERTY IS WITHIN ONE MILE OF CITY ( ?;~ (existing or proposed well, etc, If public, na.me-of-system) (existing or proposed septic tan, etc.) S,L,;" ~_~~ Address .,,/ ~ / . *******************************************OFFICE USE ONLY BELOW THIS LINE *****************....*******************............. ( ) N~W ressl1c~sary ( ) Facility Permit Necessary' () Special Permit Area, Minimum Elevation: ,ZONE ,/ T . SETBACKS: Front ' Side Facing Street Interior Side Yard Rear , . (FROM CENTERLINE OF ROAD) (FROM PROPERTY LINES) To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section ResponsP' /' C55,12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 Division ,.' ,.,'. '~.. 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" " " " '!:.('. " " .1"- ",. ~ , " . '.. " .. . '~,:, ,~ y:ii '.' , , , .... , ~".s' : " ,"" " , ~ " " 'I " .~'.. ~ ~~~\ ,"\':1 " , , ?"~. " ". . .. ~ :.' i, c;f~&-~;2- ~dld4~6~ , ~fs, ;," /P-;2-S- Job Location (Str~et, mile post) /C) Po ~ .JO~ Plot Plan Subdivision ~ ~ A-oo, MT. \/B2'tJol-J FOR SANITARIAN'S USE ONLY: ~System Approved D System Disapproved COMMENTS: . By Lot Co Block z.. D Needs Correction RECEIVED Signature: ../1 ~ FOR INSTALLER'S USE: Trench Depth ~o" Filler D~Pt~ Below 'e t, II Tank Capacity ~()OO Manufacturer-111l LL 4m~ GetJ-iSlPfJr-=. Measured distance to well from tan~ R.>BLIL. VJ tt;. m rainfielrl ~o"'-E. CO~c.:e E;"tC. '5 c;PT'" TJ'\-.n<. Ut) Cf I l-IoeTIl O~ \\OuSE. ~O\J~o,qTIO'" At-IO 14-' VJe.5r OF u.re:.-5T eo clEo of t:> ft'"T \ 0 Date: 9 -7-77 SEPli21977 LANE COUNTY ENVIRONMENTAL MGMT, Cleq \"l ~OLlt-.. ) ~J ~ ~ <;t: Gc w a: ::> I- .. Z " V> , I 000 ~ llt-. , ,- -- I I ......... ~ ~ ,~,~' . '" ~ ~ ~ . ~,'] ~' i ~ ~,~ ~, ~ ~ '\1 ~ ~~h~ ~ ~ ~ . -: ~ ~ ; " '~~ N IOC\O 1)\)(\6 o~\Ve ~\ \1'6 '\> vJ ft i I Eo'k \60 Iq \-.lOe.Ttl ot=' FOUNOmq \) p<.\ E UIC\ VE Scale: 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," , ...~...~. . :;- " . TRS, TL , , ~ /$-;)- S JOB LOCATION D/Jt (ff ./ On.' v<.. ~. I" .-/- -0 .-. . - . /' . :"J,~i~. .'" [' 'J c........-o:>- 'LX:;. "'7'......, . /1 I' - il r .LU,' /,..... "I. /;.' ( L,;6--.uL -. 7 . 'j t.. -d..../.-.f-~r~.." ... 1'_ . LANE COUNTY PERMIT Ii -j--16! 1 I' j ) Completed=' Subdivision /i'i t: ,/J,' /' 'i /" ~/ Lot (", Block ...:; /3.l/? /}f.v:2/JL,/JaJ../:'t...,y';', -,SF/,l:on;7 LIt, :y, /.> - , v' - Phonp / , Phono Call '1&/(;' - -; r / ."..L(owner, etc.) when ready, , , / DCI 0 PERMIT #.11&-:0- 7,7 Acreage or Lot Si70 Contractor's O.S. # , )5 X 110 Partitioning # " , APPLICANT'S NAME AND ADDRESc; k /,/,,}//,. -'" 1?-;, OWNER'S NAME AND ADDRESc; II CONTRACTOR'S NAME AND ADDRESc; 1/ Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. (L.)'PFefer to pick up, ,_...... ,.-- .;STRUCTURES NOW ON THE PROPERTY, f ' ,-' THIS PERMIT IS FOR'::") n ') /..iJt/n4f. ~rJ&'1 /. ~,.;;;~C;d' // ;f'(. C' 'J II' 1. '(if! I' .., I' 'C rv:=:. .. JlI' ./ {p<..A "'"' U'--:;? , . ~ # BEDROOMS~# PLUMBING CONNECTIO:;.NS/O S,I, # 7'- - ~ \_, ..., SEWAGE DISPOSAl , , .,/ /' , THISPROPERTYISWITHINONEMILEOFTHECITYOF PLUMBING BY i.-<htll/~~ , I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the pro;:;lrty: _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 armroves of this action. I hereby agree to comply with all applicable ,Codes relating to this permit. Fee Paid $ P rf), 7? 3/. <'fer 'I Signaturp 'ff/ .... -': ,~f :1'; 'f Datp 1.1/ I". 1/77 , ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ) SPECIAL PMT, AREA, MIN, ELEVATION: ~5"6.,c.-: WATER SUPPLY l. SANITATION '. <...1 - . ". , , Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth BUILDING _ '; A./ Type of Construction.! . - \ /? ' Use Classification r.:roup Fire Zone - . ,'", f (".' Comments: Comments: ./Je-, <I:. ............. , tn-J ;=,,c. ,. -R h'1 uA C,h · e- ~4 -/a~ '-<- /!~~ 17 ~~~ ,.d' h .ti- - ~ ___~h. , I'~ h. E/f~, C:; ~ Date: By:.-...,-.:; / .- -;." I /-t-/ '-. "A:., Date: .- c-::. 77 PLANNINj3 REQUIREMENTS SATISFIED. By: ./0.'''';-; I' '> __ ~h-; Date: i; ~- 7 I Date Issued: al.lq. '7~ 'l7 ZONE: II~ ,4- SETBACKS: FRONT S{ J ~SJD~ FACING STREET '15'1 (FROM C/U INT. SIDE YARD'll REAR SL./(FROM PIll -. ~":I. y"'r~J - 'J(' nIl:- LANE COUNTY DEPARTMENT OF ENVIRONMENT1[ MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE C55,13 BLDG. PERMIT -WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE h.~--r', -:.. .." .~~., :~. I :~~.db ;"-1, ."; :.i~~~:".~ . '1"""','~"~';I' P L' A N ~,.~ .J'-\:). .... . 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" ,,' ":"",~"fA;:' .' ...,,' ',' .,P'" "..:,," 'CIVIc.. M""~ I I \_--- ,'.,' ,,~:,,: ~ ; :.j.,.... '" . : .,: ~' ,,- ," .r' .,,: (, . ~i ..~ DIX IE } ---- :::!.;~,.3. -" - ' , . ~..;.' " " \..... -''':'' d " \,,' ~~~ ,,~ " .. '... " '.. , ).,. ';, . ~ "" } . , . ... .. ," 'i ~ t., "<, ~ .\) '~ " ~Ih f;' '''. " ----~.. " "!".:..\.0 ',' ~.1 .: _ , , /00;0 DI1/~ JOB LOCATION ~f.."..u,'O<_ , -:- " - - :""! (1..& ~ 111-1 QA -' ..., ,,/, -(dJ;. LANE COUNTY PERMIT (112 ~ Partitioning ,. - - _ - ( ) Completed ~:tdiVision M.I-:: IlfA /l...11-1't ./ - - - Lot f~ Bloc~-'J /~t/~ (!//12/U.L.Jd:u. ~~~:on07 ~-~'\ 7::J Phono /, Phono "-j.Prefer to pick up. Call. /'}q fA - "') () / ",.I(owner, etc.) when ready. . , - C?/~. ,~\/ ./ TRS, TI , / i-:J- ~ Qs-'}( fin . , DJ1I'II~ ". ' PERMIT # 11&0-77 Acreage or Lot Si7P Contractor's 0,5. # APPLICANT'S NAME AND ADDRF<:~ it) ~///'t1-" 4.J OWNER'S NAME AND ADDRES~ - - /1 ' CONTRACTOR'S NAME AND ADDRF<:<: II Mail permit to ( ) Applicant ( ) Owner ( ) Contractor. . STRUCTURES NOW ON THE PROPERTY -0 .B' THIS PERMIT IS FOR S--/:/) /;Jt!n./J! J Cy1t/1 I t:),.:/.C:; WATER SUPPLY. IF ),'/.Jl. 1/)1'1./0/1 (111 11 1- /J <:' rvc::. ~l "=>1 U-iA .,.> ~3' 10 - # BEDROOMS # PLUMBING CONNECTION~ 5.1. # ;'-/- 3 r :J- ._ , .)_ A/J /. I THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF ,'. PLUMBING BY L,..(/~.~ I hereby certify that the :above statements are true and accurate, and that I have the following legal interest in the pro.p;!rty: _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 ap~roves of this action, I hereby agree to comply with all applicable Codes relating to this permit. . / 316ft:; J VZ - -- - ' FeePaid~ ;:::;~.//- ) 7 Signaturp 'M/ _~"-'1..(' Date .,J"I"" /~,1977 , ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ( ) SPECIALPMT, AREA. MIN, ELEVATION: . 4!f?tf.,O' ~~ 7 ~U;r(~ ./ ,? ;. '" ., - ",..;'fJ ~- D- - ~ ..... v . - . ~ ~ ?e.. 4L~/{)1 C:~Date:, X-y77 PLANNING REQUIREMENTS SATISFIED. By: ~ /2.f.A/ ~"/-ff' Date: g- q-7 7 t/ Date Issued: CLuq.. 0/'-'/7 ZONE: I!~ ,4- SETBACKS: FRO,,!T q J'^~IJ~E,F:ACING STR'EET ff" (FROM C/L) INT. SIDE YARD '7' REAR SU(FROM PILl , . uY~.1 .'10' 1'(,(1:- ' LANE COUNTY DEPARTMENT OF ENVIRONMENT-%t: MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE . SANITATION a'hO Minimum Septic Tank Capacity (Gallons) , t<W') Drainfield Required. Lineal Feet 3.,<,11 Maximum Depth Comments: J~.....t;y/ ,u~~ a.<!.CJ'r't.iti~ ..::z;:-, oJ,.'t p.~ ;:',)M..u-'--- r~ 4.......- "'''{ '::.i)J, ~ r.<c' ~~ ~Lfk,~ ",J rf._~' , :Y,";..I-.....A I /' -I ,:J<~-4>.-~......,..S. ::r I. [.MJI,f).. vjd:l~ By: / .- .; ..........4-.___ :;f-:;l-'7'7 -.,..:.., Date: C55-'3 SEWAGE DISPOSAl BUILDING '_ '),() Type of Construction I - J r.roup A - , A.4 I ,Use Cla'ssification ' t:.~~~ Comments: 1 ,If ./Je.<" 4 ~~ e..---{j- t-- ,I? ;;?:',.J ~ '5 Fire Zone t7LJ F,F, ......-, v1 By:(JJ:, /~ ~ BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE ,.' , . . . SITE INSPECTION ApPROVED ~ O'SAPPRDVED CI OATE S:::,/2- 711NSPECTOR ~ , REMARKS FOUNDATION INSPECTION ApPROVED m DISAPPROVED c::::; REMARKSd'~ :...... h~L--dk' / f ' DATE 9~"Y3'?7 INSPECTORQL - v 5?-:y~ - '7-'1 9'AI~ FRAMING INSPECTION ApPROVED / /( D' SAPPROVED CI DATE 9'--?--r ~ 7? I NSPECTDR~~ REMARK S LATH OR SHEETROCK INSPECTION ApPROVED / /' (' DI SAPPROVED c::J DATE~/- - 7? 1 NSPECTOR ~ REMARK S FINAL INSP;CT;~ ApPROVED D'SAPPROVED Cl DATE/:J ~:;z.o ,771NSPECTOR ~ REMARK S CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARK S . (.-~1 ~'~.'/ lC)il ,."-"') 1,..._/ Permit No. ICl (--:>(l-77 CURB CUT " ' , .' "- " Dat" ,. ~l-o<r q~~ V ~ , .' " PERM1IT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com, missioners of lone County, and it is the opinion and judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby. ORDERED, that a permit be and is hereby issued to t J.). AI? 11 ('1', _,') 1)( : I 3Ll 'h t:U"AR~/.I".~ LA~E., 'SPr?llU(,tlE-L.D. ()t2li~J for placing, building or constructing the following facility: (Inq() IJ'"loE.. DI?) LM b 6L..OC~ :2 . 3l?P Al)f),,('(ltJ{ ,.:\\1 U?! NCl\:,. upon the right-of-way of County Road No. , Mile Post in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agree'Clents, stipulations and provisions contciined in the application and permit, the Rules and' Regulations Gov. erning Facilities to be Permitted upon County Road Rights,of.Way, as set forth by the lane Man- ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance, Speciol Provisions: 1. Driveway will be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98,50). 2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition., ' . 3. Sidewalks will be constructed in accordance with the attached sidewalk specifications and drawing M98-49. The Standard Curb Type shall be constructed unless otherwise specified. This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned above is hereby authorized. This permit shall be void unless the work herein contemplated foro rl, J n lJ:-<f' q t:l-l" ,19 7"1-.. Expires J ~ Inspected and-'Approved shall have been completed be, 19_. Date Approved by Board of County Commissioners By jjL i')/?l LIP-Ii.. /J.:.;y ( \ {) By Director 9{ Public Works WHITE - OFFICE FILE YELLOW - REAL ESTATE PINK - PERMITTEE ORANGE - BUILDING & SAN'TATlON DEPT, C74-129