HomeMy WebLinkAboutPermit Building 1976-4-22
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LANE COUNTY PERMIT FOR:
.',
PERMIT NO. 7't.7~76
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CONSTRUCTION
[xx]
MOBILE HOME [] PLAN REVIEW [ ]
CHANGE OF OCCUPANCY [ ]
DOwner Trans 14estem Iov. P.O. Box 2522 ElJoene .Qreoon n86~?:?OFl
NAME ADDFESS CITY ZIP CODE PHONE
o Contractor i.~o_dena Home~ Sa~
NAME AOO F ESS CITY ZIP CODE PHONE
O.S. Reg. # 1fiFl
Two, 17 Range
S bd' F0.mclGlle
u IVISlon
::I Section
'-"0
??.'I.Z,Tax Lot <J'
Code
CenslJs Tract
Lot
l: Block ')
Acreagp
Width
Access to Property (Road Name)'
,~,t:. r1~rmlf"l"''''
..--J-
Depth
Existing Structures on Property:
illnna
Directions to Property. Address:
llnnDI""~.
,~,(;;: r:l::1m-fn.!'n
C::n""'n""'''o'l'(n~.cnn
Q7477
STRUCTURE (# BEDROOMS)
P"....Ho {In.. 1b....11 inn
P~V'rni+ ~n,.. t::r.~::I"o.
D~b"m-f+ ~I\~ <:::I);,ol:.g.o nofl!I"'II"'c=-!\1 c;.~/!~'-'I'I"I
SQ. FT.
1 nnA til ?1 An
74R (il !i.::In
.,
VALUATION
4-", n"7A "n
.,.~ - .,-. .. .-
~ n~1I An
SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK I
OTHER I ]
PLUMBING INSTALLED BY:
OWNER [1 OTHER I! N"'MF
WATER SUPPLY: PROPOSED [ ]
EXISTING [J
[ ] PUBLIC
[ ] COMMUNITY. NAME:
[ ] PRIVATE WELL
[ ] OTHER. SPECIFY'
$25,938.80
BUILDING
PLUMBINr.
3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
"1; nn
?::> nn
4 11
::>1; nn
TOTAL
165.11
CONSTRUCTION PERMITS & INSPECTIONS JI.ND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. qno MIN. DRAINFIELD 1An L1N. FT.
InstGlll in aooroved area Stav 10 feet from
tJith all Darts of the drainfield. Res~r'..e i\n
Svsl:l>m:
TYPE OF CONSTRUCTION
MAX. TRENCH DEPTH
Pronprtv 11 np"
P1rPA fnv. mnl~r~~nt
::I1'i"
INCH ES
5N
GROUP
lRJ'
FIRE ZONF
nf C\A1>l.:lnA ni c:nnC:;11
STAY 100"FROM ALL WELLS
USE CLASSIF.
SETBACKS. FT. FROM CTR. OF rfW:
FRONT 50 Gilr SIDE EXT.
45 f.:lIin
FT. FROM PROP. LINE:
SIDE INT. Ii' REAR
I'i I P,,,, ZONF ~ll
AUTHORIZED SIGNATURES:
Isl J. E. Boss by Harbauah
G:iRav sAnitllrirln
ISSUANCE DATE:
Il/?? /7" rl1 m
BLDG. PERMIT - WHITE
OFfiCE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-40€5 to schedule all required construction inspections. Call 687-4061 10 schedule all required
IMPORTANT: septic systell inspections. All construction shall comply with the Slate Buidling Code, O.E.O, standards
for subsurfcce sewage disposal and the Slate Plumbing Code. All buildings require a certilicate 01
occupancy tefore being occupied. l
(See Details on Reverse Side) ~:~ 1/ //tf / /
(POST THIS PERMIT ON MAIN BLDG. AT SITE) W/lft/l/
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
C5!;.13
~'
EVALUATION . r {f' r f--T e.R
V V SUBDIVISION:
PERMIT APPLICATION NO. 7;.?~ 7 (; LOT:
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BU I LD I NG'.s ITE
. .
( ~.' BUILDING
.
() SITE INSPECTION
PLANNING DIVISION Not
Appl icable
I. Zoning Ordinance Compl iance: Zone I1il.A _( )
2. Subdivision Ordinance Compliance ( )
3. Requi red Access ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
APPL I CANT
DATE
No N
() 6.
() )
( ) ( )
( ) {\~
( ) ~ '\
BUILDING INSPECTION DIVISION
PLANNING DIVISION ACTION PENDING: YES{ } Nlll } APPLICATlON/1
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
flot
~icable
( )
()
( )
( )
\.
COMMENTS:
WATER POLUTION CONTROL
Not
ADDlicable
( )
( )
II. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COI1HENTS:
No ~
() A'\!
( ) ( )
( ) ( )
( ) ( )
No Yes
()Ut
( ) ( )
S
TAX LOT
BLOCK:
CK'D BY:~ y-/~ ~7 c:;;
Setbacks~-~/I of road:
Front Sf;#- o/e"'.. _'_
Side Exterior
Setbacks from interior lines:
Side ~
Rear ~
CK'D
By:8, I/. ,-/-). V -7(,
DATE
CK'D BY:~ldt'
Y-It(-7(.
DATE
TO APPLI CANT:
( >>fur Building I Site Inspection:
~~ Can be approved.
.1,.1.P'~'{l ( ) Cannot be approved at this time as Indicated on item NO. above.
I ~\ Questions and further information on items I through 6 contact the LANE~
COUNTY PLANNING DIVISION. Qu'~stions and further information on items 7
through 12 contact the LANE COUNTY BU I LD I NG ANO SAN ITAT I ON D I V I S I ON.
( ) Will be held in this office ulltll you can resolve the problems indicated.
( ) Is being returned.
( ) Your buildinq permi t appl i cat ion fee_ is belnq.~~1;.\l.t':'~d under seoaratp. r.nvP.r.
DEPARTMENT OF SNVIRONMENTAL MANAu~~~NI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANIUNG DIVISION PHONE: 687~4186
C55-28
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;,Date
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Anril 22
lQ7fi .
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Permit No
727-76
CURB CUT
.
PERMIT
IN THE BOARD OF COUNTY I:OMMISSIONERS 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 opiniM 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 Trans Western Inv.
P.O. Box 2522 Euqene Oreqon 97401
or constructing the following facility:
Ferndale Lot 5 Block 3
(Modena Homes)
for placing, building
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 ,]ppl ication and permit, the Rules and Regulations Gov-
erning Facilities to be Permitted upon Count)' 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.
Specio I 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 drawin9 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-
foro
Apr; 1 22
19 n.
Expires
,19_.
Inspected and Approved
Approved by Board of County Commissioners
By
Date
@
A'iJ./7" n ..., L
By
Director- of Public Works
WHITE - OFfiCE FILE
YELLOW - REAL ESTATE
PINK - PERMITTEE
ORANGE - BUILDING & SANITATION DEPT.
C74-129
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PEi'RMIT
permit'
7'J7 - 76
CURB CUT
5~'f
I
IN THE BOARD OF COUNTY C:OMMISSIONERS OF LANE COUNTY
WHEREAS, the attached application has1been fully considered by the Board of County Com-
missioners of Lane County, and it is the opinii>n a'no/judgment of the Board that the said application
should be granted, and that a permit should, be issued, now, therefore, it is hereby.
1,
ORDERED, that a permit be and is here~'y issued to Tra'lll \1entJI'7l in\l.
1\
(~'!ld(mll P.Offi'1s)
for placing, building
P.O. Bo~ 2522 EUp.~n9 nre~on 97~Ol
or constructing the following facility:
Forndele Lot 5 Block 3
,:
I;
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 clpplication 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: II
1.
i
Driveway will be constructed in accordance with the attached driveway approach specifica-
tions (Drawing M98-50). ,
"
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. I:
Sidewalks will be constructed in accordance with the attached sidewalk
specifications and drawin9 M9S-49. lThe Standard Curb Type shall be
constructed unless otherwise specified.
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2.
3.
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WHITE - OFFICE FilE
YELLOW - REAL ESTATE
This permit is revocable at any time, ,~nci will be strictly adhered to and no work other than
that specifically mentioned above is hereby authorized.
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,
This permit shall be void unless the work herein contemplated shall have been completed be-
'.
71'
.19_.
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PINK - PERMITTEE r
ORANGE - BUILDING & SANITATiON DEPT.
II
ADV'l1 22
Expires
19_.
foro
Inspected and Approved
Approved by Board of County Commissioners
By
Date
.I'
By
Director of Public Works
C74-129
--------
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. LANE COUNTY PERMIT FOR: .
PERMIT NO. n7-7J
.
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CONSTRUCTION ~l(J MOBILE HOME [] PLAN REVIEW [J CHANGE OF OCCUPANCY [ ]
o Owner
Tmr.!! l~$tllm lilV.
NAME
Mo~~\'!a HOO10$
NAME
P.O. (lox 2522
ADDRESS CITY
SOOO
ADDRESS
Eeca:-;.o Qroc;on
ZIP CODE
5~~2?03
PHONE
'0 Contractor
CITY
ZIP CODE
PHONE
O S R 160
.. ego #
,Tw~ 17 Range
S bd' FlJirn:.ln1e
u IVISlon
:1 Section 22
Tax Lot
Codp
Census Tract
Lot "
Block <1
Acreagp
Width
Access to Property (Road Name)'
1r.~1i (:'1"~n,.,...
Depth
Existing Structures on Property:
C'1nn
Directions to Property. Address:
toOD1ES!):
If>ll1 rI/!f.lim::a
S'Jl"'lr!1\\'ill'ld Ol"r'~"'\l
07fJ,77
STRUCTURE (# BEDROOMS)
P3l'1!lit. fol' ll\'lel1ipl1
P.1f'!'iH: fol' Gltl'c;f:e
"-'ll'lf.it: fol' ~ril'l flillornllll ~,rr;-;:"n
SO. FT.
1006 () i!l.lill
7110 C 5.S\)
':l
VALUATION
((:11 (),1Il r'l
':l: f:;!1 fi'l
SEWAGE DISPOSAL:
- .PUBLlC [ ] _SEPTIC TANK I J OTHER I ]
BUILDING 115.0!l
PLUMBINr. 22.00
3% SURCHARGE' 4. n
MOBILE HOMF 2f5.0l'l
WASTE DISPOSAl
PLAN REVIEW
,
PLUMBING INSTALLED BY:
OWNER [] OTHER [J NAMF
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ J PUBLIC
[ J COMMUNITY. NAME:
[ ] PRIVATE WELL
[ ] OTHER. SPECIFY'
\)26,r;::w.c::>
TOTAL
l:Ju.H
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS._ SJJ MIN. DRAINFIELD WD . L1N. FT.
.nst:uI I ln Rp)l"OVeO area ~tC\Y 10 r.:;ae Pram
,;1tn III i pans or &rnl arall;'I'HllCl. l:05Ell"VO an
, :rite:; ~
TYPE OF CONSTRUCTION
01'..
GROUP
Ibr
MAX. TRENCH DEPTH
~re')ort.Y 1fr.~!l
Grc~ for reDl a;erz:nt 'J7 SSl::~CQ fti 9~)(Jnl
STAY 100' FROM ALL WELLS
USE CLASSIF.
36';
INCHES
FIRE ZONF
SETBACKS5~T. ~ROM CTR. OF rfW:
FRONT ... a\l' SIDE EXT.
lib 1'1111 .
FT. FROM PROP. LINE:
",
SIDE INT.:/ REAR
l' Pue
ZONF
r>n
,~.
AUTHORIZED SIGNATURES:
/sl J. E. BoS!! t.y HlIrbeugl1
(.;(:!lI.lY Da.'11t~r1<!;)
ISSUANCE DATE:
fJ/2i!/"iC ~lc
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)
-- //1
t 4/1/,. \./
/
eS5.13
(POST THIS PERMIT ON MAIN BLDG. AT SITE~'J.
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401
SLAB FLOOR
PLUMBING GROUNDWORK
.
ApPROVED / / 01 SAPPROVED ~ DATE
REMARKS
GAS PIPING GROUNDWORK
ApPROVED ;---? DISAPPROVED ;---? DATE
REMARK 5
ROUGH PLUMBING
ApPROVEO I!;;;EJ DISAPPROVEO C1 DATE_ v'l/-?~
REMARKS
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
FINAL PLUMBING
ApPROVED
~5APPROVED
DATE..!]-=..2 - ., ~
~
REMARKS
FINAL GAS PIPING
ApPROVED C1 DISAPPROVED C1 DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE C1 NOT READY TO ISSUE / / DATE
REMARKS'
.
INSPECTOR
INSPECTOR
INSPEC~ ~{J;J
, ..,
INSPECTOR
I NSPECrq:2 ~&iJ
/' ( .
INSPECTOR
INSPECTOR
,
.
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P~ED SEWAGE DISPOSAL SYSTEM REC. ~
part o~orm to signature and submit bot opies with application.' .
PERMIT NO. 727-76....
GG
IN~TALL2R: Complete top
INSTALLER'S NAME
Perrco
No. living Units
1
Septic Tank:
Ft. from well
PROPERTY ADDRESS
Bedrooms
3
1616 Flamingo
Baths Basement Water Supply
2 Yes No X Pub Ii c X Other-Li st
Steel
,
D
Concrete EJ No. Compartments
1
Ga I. Capaci ty 1000
Inside Dimensions: It.
Lenqth 8 Width % Diameter Depth 5
OWNER
NAME Trans Western Iv.
Tile Disposal Field:
Distribution Box: Yes X No
Other Distribution~Type
Feet from
WEll
Lot line
Front 100
1Ft. Between
Li nes 10
HAILING
ADDRESS
P.O. 80x 2522
Eugene Oregon
length of Li nes~Ft. l Trenc'h I
.302.503504505. 6. Width2
'lot Plan (see instructions):
Total Sq.
Ft. 360
J
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0-
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~
10'
~
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(y
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~
Date
5_L'(0
Foundation
10
Side 10
IFiller IFiller Oepth
Tvpel-?;-R Above Tile2
15/'
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Rear 10
IFi Iler Below
inJrile 6 in.
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\ RECEIVED
~\~~ -MAY061976
LANE COUNTY
[Nytf:lQI'l~fNT 1\ I.J."'''T
Siqnature LLOYD J. PERROTT u_
CERTIFICATE OF SATISFACTORY COMPLETION
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For Sanitarian Use Only: Date: ~-'1-7'
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.
[)tl Approved: System Installation conforms to current standards
c=:J Disapproved: Does not conform to current standards
Remarks:
4~--
Sanitarian's Sign~re
lANE COUNTY V'
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
C55-11
II
.
..
. LANE COUNTY PERMIT FOR: .
PERMIT NO. t..'.,.;
.. t ~
CONSTRUCTION f""] MOBILE HOME [J PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
DOwner
'i r;..v~~) ~:,~~'~~:'.J ;'.:vo
<l .i. . ~ '- " ....
~-~ r;'{~~
.t -~:;-: -:~~-' '-.1
NAME
ADDRESS
CITY
ZIP CODE
PHONE.
o Contractor
~ .J. .; J
Sc~
NAME
ADDRESS
CITY
ZIP CODE
PHONE
O.S. Reg. #
l;"',' ,
'\,. '/
Twn ., Range SectiDn Tax Lot Codp
f '.~. "--", ~!
Subdivrs'ie;n Lot Block :1 Acreagp
Census Tract
Width
Access to Property (Road Name):
1(:~ ~-~r";~lil 1
Depth
Existing Structures on Property:
~~.
~...' '''-'
'\ \. ....
,':~~':' .'
'. ~~;'
':-'
Directions to Property. Address:
!'.T" :"Sf):
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STRUCTURE (# BEDROOMS)
- ", "~- '; ,-'"
,",';r
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SO. FT.
~ ~l':~ ') :'1.: 1
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VALUATION
"(V~ - r-" ,- ~
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,.., ". '-\"', ::1:,:::' :"1" ~~~i:~'::--- .1 v"
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SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK I
BUILDING 11 ),
PLUMBING :.. ":'-."
3% SURCHARGF '" : "~'~" , \
MOBILEHOME-, \:' ~l"_''':~~
WASTE DISPOSAl
PLAN REVIEW
,
-' \~ ,. PLUMBING INSTALUiD ',BY: .
] ';,'-'. ~'\.,""" >OWNER'( ]":'otHER I 'J'NAM\
,~ .
WATER SUPPLY: PROPOSED [ J
EXISTING [J
:~T
...;.i
..
OTHER I
'.\" t', ~ \ - "'\
\}.~'\)r;\- \i
[ J PUBLIC
[ ] COMMUNITY. NAME:
[ ] PRIVATE WELL
[ ] OTHER. SPECIFY:
-",,\
~-
TOTAL
I.
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TAI)IK CAPACITY: ..,,'
GALS. MIN,DRAIWIELQ .' ,. L1N. FL ~ MAX. TRENCH DEPTH INCHES
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:~~If-".' i':: (I>'. '.r:4'''~'.;!''''~'~' I ) ::",.
~;.:' .4 G ,.
TYPE OF CONSTRUCTION GROUP
') ,;~ "...... ><':. " .', -~,-
,., ;. FIRE ZONF
.,'., .STAY100'FROMALLWELLS
U.SE CLASSIF.
SETBACKS. FT. FROM CTR. OF rfW:
FRONT ' - " SIDE EXT.
',.i
FT. FROM PRqP. LINE:
SIDE INT. REAR
1"1 .,
, .
ZONF
AUTHORIZED SI.GNATURES:
, ~'.'
Isl .. - , . ,...., J
;
.F;:::~:!:: I
':~;;n) :~;~. I~(.:i)/'>~:~
ISSUANCE DATE:
I:.t:.: :,,'1',',
.1
BLDG, PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN ....
SANITATION - GOLDENROD .
IMPORTANT:
Call 687-4065.10 schedule all required cons'truction inspections. Call 687-4061 to schedule all required
septic system inspections. AII'construction shall comply with the State Buidling Code, D.E.D. standards
for subsurface sewage-'disposal and the State Plumbing Code. All buildings require a certificate of.
OCcupancy before being occupied, .. \ '" . ,
\ .~'". 'i. . , (See'Detail~ on'~everse 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 I NSPECTI ON
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED / / DISAPPROVED 1/ DATE _ INSPECTOR
REMARKS!);\' Z;./J~/~ t!"=t./~706L-
f If
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FRAMING INSPECTI~
ApPROVED ~ DISAPPROVED
DATEJ: Z/~7{ INSPECTo/R &/
/ /
REMARKS
LATH OR S~E;~ INSPECTION /J1
ApPROVED 01 SAPPROVEO ~ DATE ,t: ^ '7. 7lJI NSPE'-fI(. e, I~.
REMARKS
;
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-~ Y&INSPECTo!L &1
~~g~.!)/-'7~6G
V
FINAL INSP~~
APPROVED. ~)?'DIS
REMARKSe~
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARK S
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