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HomeMy WebLinkAboutPermit Building 1978-9-14 (2) , ~ ... "1.--- , I:' ;"~TI " I " ,"' l," ~~ ,/ I \ \~G() JOB LOCATION .~ 1.., \ '", '\:)v \-\.~~;.\., / / ,..~ , " Acreage or Lot Sizp 1\ X \ ~')- Contractor's O,S. #, /Cf 4 '7';}' /, " LAN~ ~OUNTY PERMIT aJlt /tlJfIJ , 1 /' Partitioning # ,.,//4 () Completed Subdivision L~t,'f/l.se~N ~ b t ~'CI.; y.,QY" G.... ",'\-. 'PO '6 '( \,'3 LllO. 'S~oS\d '17,.p?hono f';<,b-{)S-~( (J .-=:-- _ . _ _ .-.' .. U Phon&> . ~. , \ -- Phone. ) Contractor, ( ) Prefer to pick up, Call (owner, etc,) when ready, APPLICANT'S NAME AND ADDRESC:: \,,.A yy\(j("'o,<'l.rr\ OWNER'S NAME AND ADDRESS v CONTRACTOR'S NAME AND ADDRESC:: Mail permit to ( ) Applicant ( ) Owner -~ /:" , \. ";,"':-{,:..... --- /~'- _..;, ",/1' ':--' ,". \.'.,r ~/4--1'1(,,-tZ... I TO: /' / / / . . FLOOD PLAIN MANAGEMENT Department of Public Works 125 East 8th Avenue Eugene, Oregon 687-4195 /PERmT PROCESSING PLMNING ' PUBLIC vlORKS SITE ADDRESS PERMIT VALUE IS A SUBSTANTIAL IMPROVEMENT. SITE IN FLOOD HAZARD AREA YES PERrm NUMBER 263'3 -78 PARTITION NUMBER SUBDIVISION OTHER YES NO . '. 1/ SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE WILL BE REASONABLY SAFE FROM FLOODING. ,: SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA. '. 1. MINIMUM FIRST FLOOR ELEVATION OF (M.S.L.) REQUIRED. 2. MINIMUM FOUNDATION ELEVATION OF (M.S.L.) REQUIRED. 3. MOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE HOME WILL BE PLACED ON IS BELOW THE REQUIRED MINIMUlt FIRST FLOOR ELEVATIOtL 4. SITE LOCATED lHTHIN A DESIGNATED FLOODWAY CHANNEL, BUILDHlG PROHIBITED. j; RECOMMENDATIONS: I~ I ~ . o Il' , ~ ~ DATE ~-11-18 NO ~ BY c-YJ1 c.. -< :Jo> >< c- o i LANE CO.V DEPARTMENT OF ENVIRONMEAL MANAGEMENT 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 c=J PLANNING DIVISION Partitioning' Parcel NO. Current !Onin9~ []pending [JCompleted FEE AVERAGE PROCESSING TIME , \ . .! Partitionlnq ReQuired Other. $ i , I! I l!l .. i:; " ~ '" " " ~ ~ < .. n ~ " ,. '" .. ~ ~~ ~ \. I '7-/.s--7P' \ W i ~~)l I ,~~} ~j I I ~t! \~ ~~ ~ t 9-;;77-7? ~ . ~ !J-:~!.!L ~ 9-/8-7/ ~I Minimum Elevation fJJ $ ~ WATE. POLLUTION CONTROL New Site Inspection(.) sos Construction g New Number ot Bedrooms. f ot Sitell o Repair ,.:? $ $ Commercial/Industrial - , ot Employees Othor 9,R-,;;J03! $ ..:2..."" CJ i) ~ CONSTRUCTION PERMITS AND INSPECTION FEE ~ (See above tor . of bedrooms/' of employees) [] ~cbl1e Home $ Total V!llu.ltion ~ Plumbing fixtures at ~ Sewer/W~ter Conn. ^t o Permanent o Temporary o Renewal ~/~dq;~,;;~t7 $ _ _ 7/'/9 tit) ~,'llJ ~/L) $ s $ $ 1/0.'170 $~r} $O,,()l) Each $' , 0 r3,/Jn each $ hl(l1"'J d96"/} '" $ '7. R9 L ~X"h $ Subtotal 4' State Surcharge Plans Check Fee Change of OCcupancy o .., TOT~L BUILDING PERMIT FEE Minimum atructural setbacks: ~~ From centerline ~;treet' ::::~~:::.:jf1 J~~;" From interior lot li~1de~,~'r~E' o Comm'l plans sheet to apphcant ~a~Plicant $~,~q , ~PUBLIC LANDS o o PUBLIC WORKS ~ o ~ Minimum Elev3tion Facili ty Permit Address Calh ENVIRON!'U;N~H ._ Ch.C~L~d bY~./ . $ TOTAl. $;7 f(/}, If, <! AFFIDAVIT: If this permit 1s for an agricultural building. I hereby declare that this building will be used for agricultural purposes as allowed by zoning and/or the State Building Code, and tor no other purpose. I further certify that the statements and other information submitted on this application are true and accurate, and that I have the following legal interest in the pr y: ~~r 0 r '-"~..:;,, ._~tract purchaserl lessee; holder of an exclusive option t purchasel~duly authorizeo-to a~t for a person wno-hae the TOIlowing legal interest: ~ ; or that the owner of record is knowledgeable of this .PP!lcatron~. _ ~ ~m no~ the owner. I f,urther agre~COmPIY with all apPliC3bje codes reIatin9 to t~per ~ Dat.r=-'") <;.. Applicant's Sig::ature ~ ~~. 1 ~ THIS IS YOUR RECEIPT, ANO OOESNOT GIVE YOU PERMISSI~ ~UILD' lOR INFORMATION ABOUT THE PROGRESS OF YOUR APPLICATION, CALL PERMIT CONTROL, 687-4357 (681-HELP) lane county ~ C74-170 u . APPLICATION. Ir (?~ '0. \ t. J A.J ~ ....., '~,~ ,CtI,-.C)p rllnJlr. _ ___.___.______ __ Clt, _.+_ +_._ . PMOH!: "' 7Zh~054-0 lIP Cf74'77 ""L1CUT AUlItS' OWN!. (I' DlrrtlLNT) .tJIlllrl'___ UltlTlAC101 "" fl '^^ .a..- 4.D:U,US COSTUCTOI'. 011. SUlI ltCDSl /t:;a 7? [k}*1i. COl'G"l,rno nIPtlT TO "rL1tANI/OW!'H:./C~lkACTl)l' (el.elf. ll~I)[J run. TO '1<:1 LIP. CALL I. 'llSZ)lT USl 0' 'lorun (r..t~11.1; I,,. of f.,..1"1; 1I:0_';:lel or 1....trt.11 ..cent: etc.) I.d: ,_._-~+, i .n_-X:l" ~. 0 ~__ " Duel III 5TRUctUUS *'" mI T'III J"luPUTY. t00 Y\ e- Nun A:;' snll'rTl'Ir.' TO It: 0[1<<)1.1 SIU:P. ]. lJOflDUTI PLA:.S POI nus 'Rorun 'O'~,,..Q..~, <2. Q,,, (THIS ArpUCATI,*) AUI CP'>V\... ~{. (' lAC. {. c..... sd"'-. oL-~I "J: /) C ~ (pp),......MV\ 4, n'TUIlI rL..UI$: \, 'WT Pl..AJI. ShIeh (e) all u~. (b) h"'a\Jarlu of f'lr"r~n, (e) ..IUlnl/rrnr..".d bulldln,_ (d) .Ihtlll" propo.." "'II." dl8poul ue.. (.) UIICIf\./pr"~d "'.11. (f) ..llllnl/pln,CWled 41rh.".,. (I) ......"t. (h) draln_i_."', .tn.... u..... !In,. uther ,ertln.uc '..lure.. U co_r~l.l ~ ~d..trl.~. ahGlll fr..~t.ndlnl .I~.. ,uk In, ....... INDICAn DIMDJ5I(JN5. ::J..: ]:1::;1 '~'~. --- ,- --~-T:-: ..I. , I , 'C'- 'T'-~~ --:,'- :: , I ' I . , :_:~h-.!._:.;,~~J_,:_,:l..:~ :iw::!;:: i : I J ,I I ,I,;,' "'I I . I I ! I : : : . I' : ! : ~ !... '1' ;.. ... .... ..... : 'I;,," 'I.. J, :!:I...,.., i... i --, Hi"~' ['- 'T ..-:-.. -, ']'::' -- -:-:-:--. " I" 1 ~ " " I I 1 I .: .. 'I !;:.:' ,.0. 1'''1 ............. ,..I .." ;::; : I 1,:,:1: :::! ,.., ..I. ..1. 'I " I .. ---. '-",-- , ' I :, " ,.. I'" :::1 .,., . t ~ ' --- :II! I'" ,.1, .... "., "" I ~ 1 ' .::! ,!., , .. dd.l . ~f.r.'L-1 I , I !.. ,I" I I' ., , " I 10aL 1.01 SIll o. ACIU.",Ilh91 X IU../f. .', 1'I111l0[! or Sf:\OACl DISJ'USAl ~..,fI -i-J-L_:-- . SITl ISJrtcTIl1N un Ull'..r.5 U.AOY (D"Tt) ~? -~O ~ n .---- .~':- ,1. ., '1101'0)10 WAfn' StTny wtLL srJIII(:; ll.lr:TUCITY FU~ISKU IY ~ \:-~\'j, II. )r;"Tl'lAl. (~S n :0. nlrAN P"'-'1A"- un P\:ll.tc: II, II, rill 1I1$TlICT "'0.......'O....~ SOllmL ,01:;1IICT ~ C-~,..J,.,~~-~ rO 1'Ll'1It~G n ""^ i/"""o.~... .. L:.....,. \,.t) ---"\ ' '" :lo. f \ , :~:.J, J '~-- ................................ 00 Nnf WITl .~LOW nus LINt ............................... Ilroll YOU' "'P'lICATIOS CA." It 'JOCUS(D YOU "l'ST n!~~IS": ~.II rLOT r~~ LtCAl D[SCII'flo. -(OJPOJISIO''tF,D) - --.--------- IY ...n LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 1;J5 EAST 8TH AVENUE, EUGENE, OREGON 97401 ::1 Ii}". a ~ '@ ii t S" 3' a r..1 ,~: '~ :', :>>./ ;, ).~ ~~)S ~~~' .\~\~ ~t~ll " \6 ~.~ ~~' ~ . Ii ~ g a a ~ ;t- ~ ,a a . cJa "\J ~ . ~ > - ,,~\\ ~ /l I " f..-:J' 'Il r _ i> p" '~r .~ \ L. >> A '" ';J , ~ ;;:. r-~ \ <> ~ ' ~D f t" ;t~ ~ . :;::. 1 - r '" J ble carty. ~ :j ~ 'b q-. "11 .J Y' '> . :.7F--,., / J /'1 ' C' .L J'I. ;7)(- d{/.' ~ TRS;n:~,.,,<-r~. ,'.::J /X(;(; JObL~cation J ,J-U.P...t'_ ~'yTjL~r?- . . , f) 1. ' j Written Directions ,p /.u,-f- /~ ~ / /Lo ,,'. .c A . '-/4J1. /.., .?.t, /Jdj /1" <;,../ Subdivision:, q./l tX. J'j/U (J CL6 t<.J >iju~/1 Q/'/- 13- c: I. .J- f'it ./ 50-" Jj /'1) / 7;;, //1/ / /;>{7 .+- '::> J / r" /J, v' LOL..:J Block =' " ~ cJ ~ / SITE FEASIBILITY REPORT FOR SUBSURF~CE AND ALTERNATIVE SEWAGE D~~p6sAL~..I ~f c.(l , APPLICANT'S NAME AND ADDRESS ;: /} /} / ;:::/.' '}y;c. (;;rJ /;, /'L>/1 '" J ;)'} a '7 ;/{U..Il /u/ <<:/n."" Phone ?c/7 - /bO? < - - - - ..' I ' . - ~ / 'J -' 6fr'7 - 1/',7 Q , ( I /, Phone ) Prefer to pick up. Call, / (owner, etc.) when ready. / STRUCTURES NOW ON THE PROPERTY ./') - / .ROPOSED USE OF PR~PERTY S F /J /, WATER SUPPLY -!~b'?...J..~ WITHIN ON7E ~E OJ: THE'CITY OF,~~Y;L--() (NO)' , v -(I 1/ - I hereby certify that the above statements are true and accurate, and that I have the follo)"lng legal interest in the property: owner of record; contract purchaser; tential buyer; realtor or agent. I further cert'tY that (if not the owner) I am authorized to act for the owner of record, and that said owner is aware nd approves of this action. OWNER'S NAME AND ADDRESS Mail report to (l)-Aji'plicant () Owner * * * * * * * * * * * * * * * * * * * * * * * * * * OFFICE USE ONLY LOW THIS LINE * * * * * * * * * * * * * * * * * * * * * * * * * * * Signat rp, ~ 1L '1"J',).,:"< !:} 'Y!t1 (f1~ ~ ,.. , / Da'~ ) -.l. C( - 7 q TEST HOLES READY SITE: ISD MEETS STATE STANDARDS , . {J~ cU-~1.- d k ;:e/;:-, ~-"<>1 d'vt /tY.L.. //,/ { 4:~' ~4/ tf..{ /-(.: 7'W--a.':tv ~7::., ~ . ~!lC d +-/1 ( " /.... d.b'J. """H.4.(.v .7",~ 4-"'-<<'{ -;J!--a C';,.u.. ;. / . '1, ,,/ ,,~... <<-"-.v-..v tf&'i/ /'7YrL>"'-~" Acreage or Lot Si?~ Partitioning # Parcel # LAND USE COMPLIANCE !ten '1'(/ x I;:) I ' (TOTAL) ( ) Completed ( ) Pending DOES NOT MEET STATE STA ARDS, ./ '/I t.: ~"v >-0J-<.-- ~ /.~L~'d--V ' 7rw~~ f'"l/ 4t ~<-0 /lw..t<.L.- Zonin2 LANE COUNTY SPECIAL PERMn ' 1".... Division of Water Pollution Control N ENSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT, ANY PLANS OR EXPEND I. RE AT YOUR OWN RISK, IF SITE IS APPROVED, SEE REVERSE SIDE. , ----. I , , ----A(]/1t / /-; t/ AUTHORIZED SIGNATURE Permit Processing Section 125 EAST 8TH AVENUE,EUGENE, OREGON 97401 ?-1,,-7r DATE ~3-1- 7rP THIS IS A PRELIMINARY REPORT WHICH DO TURES MADE IN RELIANCE UPON THIS REPOR .' r,' '>/ " ;/..1"",///, AUTHOR'IZED SIGNATURE DAtE ~, LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT C55-32 687-4061 -- ......- . . " ~ .,' :....--- I OAR Chapter 340, Division 7, Section 72,020(6): This report shall remain in effect until issuance of a permit to construct, unless in the meantime conditions on this or adjacent properties have been altered in any manner which would prohibit issuance of a permit, in which case this evaluation report shall be con, sidered null and void. Technical rule changes will not invalidate any evaluation report issued pursuant to this section. Before construction is started bring this form to the Department of Environmental Management and apply for a building permit, Exact specifications for the sewage disposal system will appear on the permit, If the property is only a portion of a tax lot, a partitioning or subdivision must be approved before the permit will be issued, Only persons having a valid license issued by the Department of Environmental Quality under ORS 454,695 to install subsurface sewage disposal systems or an owner or contract purchaser or his regular employees may install subsurface sewage disposal systems. A certificate of satisfactory completion will not be issued if persons other than the above perform the installation. -' TRS~TL ",11' .,.01. 'C(c" Y,- t :___ .' Plot Subdivision /6<70 Lot 2 !PO<-- . L .., . , N '" Plan Block :r AU"'- f<oll.O . L ~ ~ a , ~ ~vll'L CT. ,~ rr .)( $/T/i. '''' U~(r",., La r . C74-1S0 Vicinity Map Job Location (Address) II r;,::r'1 cF.,.,,r" Permit f,7r - dO :6For Permit IQ.!---KJLL For Permit /J / , For ~ N * 7f.ST tiO~j t..o~..r 7"0 n o~ ~v,jva Permit (J Permit (J Permit (J l. '~ j.;. '" ~ 47 ..J1',e,N(",EI..O For For For j - ~ <> 7;! '" ,q "/:;lAl('E.. " ~"4.l!.E'" ~ ~ - \ ~ :; 30.- "' ". ,-- 'J " . , Q , _ 1!.t2t..02. ~ !~ N " ~ ;,! .. w . ' '" ' Q . :,:t ~.- ?J......., ~ ........1. . . " - * ~, ~ \ " " .,; ~ /'J?,o- ". jJ ~'.", . I.. , It ~ / . . SI# 7f'-,) 03 SITE EVALUATION WORKSHEET PROPOSED USE: AMOUNT USABLE AREA: cf" I'J) PUBLIC 0 INDIVIDUAL I I LOCATION: I~ RANGE J..... TWP. ZONING: SIZE OF PROPERTY: WATER SUPPLY: COMMUNITY D SUBDIVISION/PARTITION SECTION 6,</ TAX LOT # /JOi:> LOT BLOCK PARCEL IF SITE MEETS STANDARDS FILL OUT: Type of structure and approximate sewage flow: Single Family ~ Multi-family gpd Industrial Connnercial gpd Institutional MINIMUM DESIGN REQUIREMENTS: Length of disposal trench required Distribution Method: Equal ~. Curtain drain required: Yes 0 Other: J.ro1;#- Serial D No ~ ~ '1-' \. '. gpd gpd gpd /150 gal. SPECIAL SITE CONSIDERATIONS OR VARIANCE OPTIONS OR OTHER ALTERNATIVES: NAME: A~A~ f7 C74-126 DATE OF EVALUATION: j -10 -7r ~ . # 1 T EST H 0 L E 1,' " PERCHED WATER PROFILE ! Predicted in. Inch . .' Observed in. , Date ,J srja "/tf-.2d '( TE"T HOLE # 2 PREDICTED WATER PROFILE Predic ted Observed Date in. Inch in. 12- S:L. ' 12_SL. SATURATED ZONE SATURATED ZONE Predicted Observed Date in, in, 24- Predicted Observed Date in in 24 - 36. 36. Restrictive Layer ~in, Impervious Layer in, Mottling in, 48 - Restrictive Layer'}?~in Impervious Layer in Mottling in 48 - SLOPE L % 60, SLOPE 'L. % 60 - ./ SITE DOES ~ DOES NOT D MEET MINIMUM STANDARDS. ADMINISTRATIVE RULES REOUIRE ~ MINIMUM DEPTH QI: ON YOUR PROPERTY THE DEPTH ~: '"'.J D 36 inches to an impermeable layer 0 30 inches to a restrictive layer 0 60 inches to a permanent water table 0 24 inches to a temporarily perched water table OTHER REASONS FOR DENIAL inches inches inches inches Drainage or pond i 1 , !: j " . ' I " j !:b.Q! PLAN: Stream '-,--" , " I --....-1.-- .,_.'---~". -'--'---~------'-'----'-'-'-~-r" . 'I, : ;. (' t 1,1. t . . 1 , IF' .. ... , . . ~ '. \.. ..: 'I I ., I. ,i 'I 'I 0,', :~,~':, 'i ~ 'I ..!(..: ~-~-~ --r~-:;~----: +--r-~-;-- T"- +----'- _c.+ ~ I' ....."t.......,. Road --..-- Test Hole c8) +---- ~ % Slope ;..j.. '1' I , , . , . I j f' I I' Cu t Bank , , ,,~ ", Fence --- ---- -....- . --..........------"-.:._--, . .-+- -4 . , , I ._~._.:_l-..._,_!__ . , f, ;.-- '. .- , . ,1'1 I I ,,' ~, . i' i I /' ;K-K-X , . -..j -!;:. j T , I' , I .. ' '. . , dra? 1f 'TRS, TI JOB LOCATION LANE COUNTY PERMIT , . " I P j, or. ,'., Acreage or Lot Sizp '\ Contractor's O,S. # -').. of - // Partitioning # ) Completed Subdivision! I . Lot -, t..--.. I , , Blo("/"'~-' '"'_." APPLICANT'S NAME AND ADDRE"" OWNER'S NAME AND ADDRES~ CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner , \ \' 1- o' '_. '" ~ .-: I ,~ , , . \ ' . PhonD PhonD Phon'D (owner, etc,) when ready, ", . " , ) Contractor. ( ) Prefer to pick up, Call STRUCTURES NOW ON THE PROPERTY ~ I ,) <_ . THIS PERMIT IS FOR , . ...., . ~ ' , , ~ , \ '.~ '. -, # BEDROOM<; .' ~ # PLUMBING CONNECTION5.......!-: ' <, 't._ " .,~ , /.' WATER SUPPLY THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF ~, <\ SEWAGE DISPOSAl , .\ S,I. # ' ~-t., I) ,- , PLUMBING BY I hereby certifv that the above statements are true and accurate, and that I have the following legal interest iri 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 ,?w"!er is aware and approves of this action, I herebv agree to comply with all applicable Codes relating to this permit. Fee Paid $ .-"1 i_~':'~ ~..) Signaturp ~ - r.' ':., ,I. ~ Date , . ) NEW ADDRESS (, ,) FACILITY PERMIT TO TRANSPORTATION DEPT, ' , , , (,.-(SPECIAL PMT, AREA, MIN, ELEVATION: Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth BUILpING' " Type of Construction ,,' I Ise Classification Group Fire Zone SANITATION Comments: " . Comments: By: Date: By:' . Date: PLANNING REQUIREMENTS SATISFIED. By: ;'J'~,: ,\', ',t..C' Date:"! Date Issued: ,. ZONE: SETBACKS: FRONT" :-11 ", SI,DE FACING STREET (FROM C/L) INT, SIDE YARD :.",!.. REAR' i' i(f'RGM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTA[ MAt;lA,GT:MENT, 125 EAST 8TH AVE., EUGENE, OREtb'N '97401': 'PHO~E; 687-4394 , ( f-.q7 , j C55,13 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT -WHITEj BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE . . v(l1~" ~FLOOR PLUMBING GROUNDWORK ApPROVEO LEI DISAPPROVEO Cl DATE 11-;:J/-7f INSPECTOR N- REMARKS GAS PIPING GROUNDWORK ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS ROUGH PLUMB I NG ApPROVED ~ DISAPPROVED c:J DATE 9-t - 79 INSPECTOR rplL REMARKS ROUGH GAS PIPING ApPROVED c:J DISAPPROVED Cl DATE INSPECTOR REMARK S FINAL PLUMBING /PIL ApPROVED LZf DISAPPROVED c:J DATE 9-..:J-9CJ INSPECTOR REMARKS , FINAL GAS PIPING ApPROVED c:J DISAPPROVED c:J DATE INSPECTOR REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE c:J DATE INSPECTOR REMARK S ~ ,~ TRS TI , $I -D'L.- ft, .4. L , . w f- <( " -f '" ::> <l ~ J E ~1 ~ ~ '" - ~ > c: a:l p- ~ r ~ ~ )I 0" r~ eO "'-I ~ n~ (Y) , Cl ,- _ ~ ,,, -' a"", := - '<J '" f' ~ :;., , E<:[t.c: .M ~ \: c:: <=t rI) i~~':t1 ~ N ;!>'oo Plot Plan 1 c o '.... Job Location (Street, mile post) 3((-, , (f') u u... \c.... Subdivision, 'N\.er.,()~I., G.-"..~ ~s.~{..,..s:. <7ff& ~ s-b. . . 2- Block' .3. Lot = FOR SANITARIAN'S USE ON L Y: ,0 System Approved ~System pisap~roved o Needs Correction COMMENTS:r.~ ~~~~,.....;...~-~~, L.. tJf~ tz..L. x:o -<---- to' ~ ~ 4.A.. ~ ~ Signatu'!:. <:>/J ~.~ __ Date: /--2 -3' - 71 Filler Depth Below Tile ~ FOR INSTALLER'S USE: Trench Depth Tank Capacity I (Y)o r.a. l Manufacturp' Measured distance to well from tank~~' from drainfield~. ~ ~ 1 -- -V') 't' - . 7.~' , - Cl \ - , ,- v r 6 \5 - (j - '" - I ,..p ;1 :11 p I it roI I :.t t'l\ I I . ,1;>-Z L....- ,. I"" \ -+ ,e J ...... .=k'~~ I i, '0 ,~,,, 1"';;'- 1 ~ ~ f e,-",. INSTALLATION RECORD AND CERTIFICATE OF SATISFACTO & OM~LETION ' When signed by the County Sanitarian, this certificate is evidence as per S 4At663 qJ~t'.8 r> \-1 , isfactory completion of a subsurface sewage disposal system at the abov~tib'(l" v 00\1.,+;00 , '1~ater r' I ~ ,...; Return this form to: Permit Processing Section, Department of Environm llifaodallement, 'I Public Service Building, 125 East 8th Avenue, Eugene .. - - iT. /11 91 "/,, 1._ '., ( TfiS, TI JOB LOCATION LANE COUNTY PERMIT Acreage or Lot Si7~ Contractor's O,S, # , iI '\ 1 i . ,1 Partitioning # ) Completed, / < , Subdivision i' , ',' .. Lot i ..j . ./ " ~-'~ of B 10cV' ~1: , ~ L1 ,/ .. - .~-::.. APPLICANT'S NAME AND ADDRFC:C: OWNER'S NAME AND ADDRES~ CONTRACTOR'S NAME AND ADDRES~ Mail permit to ( ) Applicant ( ) Owner .\, , I i Phon~ Phon~ Phon~ (owner, etc,) when ready: ) Contractor. ( ) Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY ",. ...... THIS PERMIT IS FOR .' . '. \. \. , # BEDROOMS .,> # PLUMBING CONNECTIONs.......L ... -'~;I.,# i: THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF . PLUMBING BY, t.:. I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -1Lowner of record; contract purchaser; _ potential buyer; _ realtor or agent, I further certify that (if not the owner) I am authorized to ~ct for the owner of record, and that said ow~er js aware and approves of this action, I hereby agree to comply with all applicable Codes relating to this permit, Fee Paid <l: ' " ", ',: ~ ': .J Signatur~ t ~ ,\',' Date ' . : ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, '; -' \' \ SEWAGE DISPOSAl " " , e: WATER SUPPLY , ,. (!,'I'SPECIAL PMT, AREA, MIN, ELEVATION: Minimum Septic Tank Capacity (Gallons) Drainfield Required, Lineal Feet Maximum Depth BUILDING Type of Construction Use Classification Group Fire Zone ;) r, ,-~ SANITATION Comments: Comments: D ".'\ , I . , ....~_./j By: Date: PLANNING REQUIREMENTS SATISFIED, By: ."., ". ~\\, ZONE:, SETBACKS: FRONT 0:2' ,',;,'SIQE FACING STREET By: Date: , n I Date: f Date Issued: (FROM C/U INT, SIDE YARD :,v REAR .~ .~,' '.lr;,R~M P/U . . ( V' . ..~.. ...... . ~ i ~...' .-_ .~ LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401 '" "PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE C5S,13 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE ............ ,/3- ;}~,?\. oo~2l:~:t ) ~ . ~.. T;~. T' j", 0'- O. k ~(;;';J~~ Written DirectiomtAI~,<::r A.r1'iR. ~OAD TO 'c.~tJ4Vl, Sr-, R.,~"" ~'" ';:,.o,uOtA, fU INFORMATION SHEET DUK'<.. .f- 1:,dtJll~ S'r..{ ( v(Site Feasibility Study for Septic Tank, Number of sites "Z- Test holes...willjl.e ready /lJOvJ/-{ ~~:s Subdivision_~ Ma A_f'lru J ~ Lot...:;J ) Bui Iding Permit , ~18ou ?I,~ )Z.z..' Acreage or Lot Siz~ "J.~D1..- /Y2.~ I/~' Partitioning #_/7/0 -77 () Completed \H'Z.~o'Z.- (v1Pending APPLlCANrSNAMEANDADDRESS EAlL'- L, f'I\((.L>-l,....y 2?9? OWNER'S NAME AND ADDRESS, if different from applicant's ~- CONTRACTOR'S NAME AND ADDRESS Mail permit or results of site feasibility study to (v') Applicant ( ) Owner ( ( ) Prefer to pick up, Call (owner, etc.) when ready, ,s,U2.L.,NG,'D,oI .-4L1E, S'PI'Q. OIL Ci7',7'7 ) Contractor, COntractors O. S. # . STRUCTURES NOW ON THE PROPERTv Ai O~ L PROPOSED USE (this permit) WATER SUPPLY SfFO ~ A..'EPitOcI-hI No"'<;;,/ d.L l! RPr1rrnnc; 3 01' 807* ,-orJ U" ~'';''f /l. oAl\... Bloc~ 3 / <<1,'-'<- Phonp 7 <,oP-/t. I!- J/68 ""/70 Phonp Phonp (existing or proposed well, etc, If public, name of system I SEWAGE DISPOSAl .<;;'E-Pi"< """""'k f-M"opo~eD I~xisting or proposed septic tank, etc,l S,I. # tJ, A , Address PLUMBING BY ( v( PROPE RTY IS WITH I NONE MILE OF CITY ( S Prz. ,N (, F. de'-'/) ) Special Permit Area, Minimum Elevation' ......... ** ** ..**... ** **... ***... *** ** *...* ** ** ...*...** **... **... 0 FF ICE USE ON L Y BE LOW TH IS LI N E ***..... ** **...... *.... **...... ** *............... ** **............ ** -11-"''''''' * * *... ( ) NAdd~CeSSary ( ) Facility Permit Necessary ZONE~, ,- SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) I nterior Side Yard Rear (FROM PROPERTY LINES) I I, 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 Y}t 5q:;- '1?:. l nivision TRS' TL I k -01... -O{~ - "I't , , Plat Subdivision :I ~"O Lot :2 100<- "".' l. '" . . N ,., :r A.OVL. Plan Block Il.o..o I- ~ ~ . . ;, ~v.".r_ t"'r. iY=-- iX $/'T"/i. INU~Cr,.", Lor' C74-1S0 Vicinity Map Job Locati12-9 (Address) 1I"'J"'Acwr Permit 08 -do .;5For Permit 1(2%- r:K'JL[' For Permit IJ I , For . N *' 'TE!T tlO~j '-0;-..( ?-~ 12oS- A..vOV'.['''''' .s/',e,NvF,E,'-C Permit IJ Permit IJ' Permit IJ' For For For l '~ ~ '" ~ q ~ o ,q 'bIAKE. " .s:l'-4.I!.~,. ~ ~ - ~ !~ ?l ",",Goo,J!, > ~ O\l " " * \~ ~/8o * ... * _ I~o "1 ' /: '41.(;,,-::-----' '" -,If-I ' -> ~ I . ------ ~ ~ ~ ; I :.~ '.I I ... , o , - ~2~o2.. I .~. /'I?,o- l' ;II ~ "~ /' ~ \ ,.. .. .,; it . - ~~/~~..~J#e?<~~3 , ~--~~~ CZ-/-#<1~~ ~~.~"" ""vI! ~ '::;;;"f-n.s-y~ CONTRACTOR _ ~ .f!a.-- :_ address PROPERTY ADDRESS :3 ~ / t. 4~~.oR../;' M~ ~ Revised( ) Prior ( []addi!ti,o~' ,\ 1 "2 . /f() ., []corre~tion ~~'~-rd~'/'_Bld9' ' ~ / Vlaste- V Plumb. Plan R. , ~ 3%sur.-' ~~ r cyS.. TOljAL ' !JJ )(" Signature of APPliC~ '"'! Fee Received By ~ Date' D LANE COUNTY DEPART ENT OF ENVIRONMENTAL phone (Building Valuation) Mamt. due []refund /s-- amt. paid /<'-:>- amt. due V- _ - r:9d" ~ Date ///,~/7 7 ]cash ~heck ~~~ MENT / C74-119 ~ 1 -;. J -. .. ~ -;. o. " -. " ". .. -. ". J ". " -... ". '1:-\ . ... . .. LANE COUNTY DEPT ENV MGT RECEIPT . 283378 DATE 100979 _.'J~,I';~ I'"",:..r,,(, 1 Eli ..",Dr, PO BOX 'I..:i48 SF'F:INGFIEL.D 97477 _34. N~w . i;:_:~" I ~+~ E. - . - ~. ,~:~ -. :\~"~\~;~rl::.':~"'\=- l~';':'~ ~= M'" . ,>w ~., _.,.~~~. . CUDL H~PL NO ACTION DESCRIPTION SQ FT UNIT COSI VAL.UAllON Bf" -",elF' be A. t(F' , e'f' -r f~F' ~'.'L MFCH .' SUR .'CI< ." BP ,". NO. FIXTURES: NO. CONNECTORS: MECHANICAL. FEE STATE SURCHARGE PLAN CHECK FEE L.C 283378 REIN FRAM REIN/PLAN AP " . " SIFO CPI ;~ .'AI<EN flY SAG " .. '" f'. i.: . WPC PUiN ELEV r~DDR COMPLETED BY FP . 5.00 Er~CH ,.. 4/: 0% ENVH TOTAL FEE** . FEE 25. 0~) 2~L 00 CI< . . t. i . . . Ii . . . . . J . .. --'" - . Dr-IYS . . ,.. ,I , .. 0.~ o (l 0.- o . o ~ 0.j '12 . ~ ::.i t...~ . . 6 ~ ".~ 4 0 J 1 . . c ~ i . UWE COUNTY DEPT ENVMGT RECEIF'T ~ 283378 l)fl'(E i 00'779 APPLICANT MORGAN. TED ~ADDR FO BOX 1348 SPRINGFIELD ~7417 TLO 1802064201800 SUBDIV MEADOW GREeN ESTATES LOT 2 ~LK 3 .NEW BLDG TYPE USE NO BDRMS 01l NO UNITS 00'1 NO STORIES NO 3LDGS 001 . CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS BP .IP BP BP .IP r,,:, ~iJ '1 .:L NO FIXTURES: MFCH .'UR .'c~1{ . . . . . . . . H , . . . ~ I~' L" ~!U::13-13 r~CJ. 11 FRAt; NO" CONNECrOR~: NECH"lNICI',I_ FEE rU'\TE SURCI':'1RGE PL:,N CHEC;( FEE f1EIN/F'LAi': Ill" 25.00 5.00 EACH '.' 4% 0% . . i tl ' J I C CP:C I',) .f ,., BY SI-\G . \ ?L~," ENVH TOTAL FEE'H vJl"C C::L.EV A))Dr; FR C0I'1i-'LE1[1) BY \ 25.00 CK \ \ . . . 'e - ~ i , . . . .._6-. ." . . ,u . . . . l' ! Lt.' . . . Il . i '. ). () '" o. o () o. l H . .", '. .... . ~ . LANE COUNTY, OREGON 'O'EPT, OF ENVIRONMENTAL MANAGEMENT . CONSTRUCTION PERMITS & INSPECTION OIV. '.', ~1Q)fg][?J~~'jj"OIQ)INI 1NI(Q)'jj"O~~ JOB ADDRESS TO: 3bl6 ~ DATE q - z - 80 2-%'33-7 R' ~4~~ NOTE@ ~., ~ e/r--"- -@ \!:j~L;_ > Ate~J -#g. ~'l' k7~' /'~) ~'-:- ~- --1JP- ~~---. fi:~,~ ~~' e~::t~~ ;~ ~ ~d ~ ~ " _........~_ _ . ,~, ..,.".-4-<j J? . ~_' ~~..J1- q//. (j-J ~ ~.-c..r- c.',..L err ~J1Il-rfJ_~. ~ r4~,... ~ ("k____--.P..r-' AJ!;;1'..e,; _@ (o.~ ~- 6-P..." - ~/'~ ~ ~ 0)on 1-/ x t/. ~ ~ ~ A<rrr'-<, C 5 5 73 . ,41E-IN61J:1lIECYIDN II'IlIEC<lUIII'IlIED I - lJ2lihlCClIl"\lCEl 1Ei1Sl#,-~(QJlSi!5 t=DII'Il AIJ:IlIJ:llIl'llDVA!.. INSPECTOR: e ~ 7':;, 1J BLDG, PERMIT: I ~J ~./'-- ~_.I ,iANE COUNTY, OREGON ""DEPT, OF ENVIRONMENTAL MANAGEMENT '!;?t?.A. /0 5t..J /J ~ CORRECTION . . CONSTRUCTION PERMITS & INSPECTION DIV, NOTICE 3 ~/6 7Jv~E.. DATE /n-z..?_1'9 4dL)~;C.;A-A/ BLDG, PERMIT 2.$?~3-7a . NDTE:@ ,W5l..ILA rjA"JA/ LlE 1=~.1=r' -rO~.5 MIT<-'- (j ):: . ~ ,Jf:?-.I /") /::. /.(' 7Jd!.,o .e: ~ A- '/ ~ "e / AL-. /= E. L r PI9P~~> - <'-Ad'L./EO t1/~..,... A--t:~r.F:prA-.8LE- (i) of-AI' <;' r A-f___C nl lG T .co /L A A-r 4- tI= A-J s (j) Gl<eJu"r A-LL !/L V~/3 / A,/fi . - rJp ~U /lir-; S' #.J F L ~~-7t2 / AJ r. t.. {.) L) / If/~ 77::J 13 7"" ,Q;4C. JOB ADDRESS TO: ~ RE-INSPECTION REGUIREO Phone 687-4065 FOR APPROVAL INSPECTOR: (]~ ~~ A- )""'Uf / _ C55-73 ." \ ;~/,J ", i 1'''\ (I) CORRECTION . NOTICE LANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT Construction Permits & Inspections Division EUGENE, OREGON This building or structure does not conform to Lane County building regulations. ordinances or codes as noted below: Pc2(')( }/lv-,; (" rv 1 dTl/ Aq'J;1CVI3...., . A'/ 17 'u1-=< /7 711 S4/,L-Y'/7/1-</ 4 JCC-(,') i)~ //./,<j)~,y.//,;,:/ ~ ----.... C55-73 "RE.INSPECTION REQUIRED : FOR APPROVAL / Inspector Building Permit # -f.J:' Au - L_ ~ -=-,.:;"> , i c"" l........:, ( I /' G " ;..1 (.~ ',(~V....:n ,-, " ~ Oat'" '--1/ - ,. " "- LANE COUNTY PERMIT .;. vP /' . '. TRS, TI JOB LOCATION Acreage or Lot Si70 Contractor's O,S. # ~ "., /,' , Partitioning # ) Completed Subdivision ' Lot, Bloc~ APPLICANT'S NAME AND ADDREC:::C::: OWNER'S NAME AND ADDRESC::: CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner , Phonp Phono Phono (owner, etc,) when ready, ) Contractor. ) Prefer to pick up, Call STRUCTURES NOW ON THE PROPERTY " " . THIS PERMIT IS FOR , ~ . WATER SUPPLY \, "- " "',1 \ ,'_ -'t ". \'_ -' "\ ~':, ':' i ~,. ' , _.' _ _. SEWAGE DISPOSAl # BEDROOMS~# PLUMBING CONNECTION~ ' ;;. If . . \; ..:~ 5.1. # < THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF I..... , ~ ;I PLUMBING BY,' I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the propertv: _owner of record; contract purchaser; _ potential buyer; _ realtor or agent, I further certify that (if not the owner) t am authorized to act for the owner of record, and that said owner is aware and approves of.this action, I hereby agree to co.mply with all applicable Codes relating to this permit, Fee Paid :t , - " .Y' Signature -.;.. . ' .-, ". , Dato ,) NEW ADDRESS ( ,) FACILITY PERMIT TO TRANSPORTATION DEPT. (Jf'SPECIAL PMT, AREA, MIN, ELEVATION: SANITATION . Minimum Septic Tank Capacity (Gallons) Drainfield Required. Lineal Feet Maximum Depth BUILDING I ' Type of Construction . 'A , /) '.' Ilse Classification ; Group Fire Zone Comments: ," Comments: .. . - ~ Date: By: .', ' Date: / PLANNING REQUIREMENTS SATISFIED. By: . c' Date: I Date Issued: " ZONE: SETBACKS: FRONT' SIDE FACING STREET (FROM CIL) tNT, SIDE YARD :.':, REAR LANE COUNTY DEPARTMENT OF ENVIRONMENTAL. MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGo'N 9740;' .. ,.;i . -, : / of _/11.,- . (FROM P/L) 7 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 " " . . I , I SITE INSPECTION ApPROVEO ~'SAPPROVEO CJ DATEr:-Z-~ .77 INSPECTOR~l ~ (/ F- REMARKS FOUNDATION INSPECTION ApPROVED r----? DISAPPROVED / / DATE REMARKS ~ OK "" LJ.- __ '3_ 2.'1_ 7? 7fi - r -. (7.5;Q!.,. - ., /.' .J:"A t. - u~ INSPECTOR C)~ /6'- _~ - 7'3" 7_ I~ - 5fr:) . ' ,ht:)u t-, ~ I"~ Y YIAL tV. " FRAMING INSPECTION ApPROVED ~'SAPPRDVEO CJ DATE/""~2.t/-J( INSPECTOR REMARKS o/~/7r . L , ~A:::, A fl'<' ,I'lL") - - ~ ./,jf:. ~IIUd'J _ ,I{,H<;ez,p ~d 2-10 . _'11-' 17 r:. _'lilT -4:'}' - ~~_ ~"....- J",., -Lq.-Z'7 ).I!<f"C I //--1-7"1 ~ r----? DATE/LJ- ~t? -7'7 I NSPECTOR~ REMARKS ju,;1,J,h" - ~ ~H_ ..;?~ '5~ ~ I -' _ , -""\.. "4t(,,4...~. /...1 -30- /"7' .H?JIP ~h jL~ f/ ~ LATH OR SH~: INSPECTION ApPROVED / ~ DISAPPROVED i~ ~'-fJ.Y..I' ,~ l; FINAL INSPECTION ApPROVED lZf' 01 SAPPROVED CJ DATE q- f?..8'~ INSPECTOR , !..#' -;; -~_ t:7- L -5l/J ~. , <l~ , REMARKSc..I- /': CERTIFICATE OF OCCUPANCY REAOY TO ISSUE ;---y NOT READY TO ISSUE I / DATE INSPECTOR REMARKS