HomeMy WebLinkAboutPermit Building 1980-1-30
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. ,JOB ADDRESS: 383 Game
POST THIS PERMIT ON MAIN BUILDING AT SITE
Farm Road, Eugene, Oregon
TRS, TL:
1i-03-22.4.1
CONSTRUCTION PERMIT #
LC-94-8o-TMH
Jl I.........
tt ,+OU,L
Subdivision:
na
This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed, Violation can
result in revocation of this permit, citation under provisions of Lane County's I nfraction Ordinance, and/or other remedies allowed by law.
Applicant/AddressPonald Hartwick, same as above***
Owner/Address: /
Contractor/ Addresi:
Contractor's OS # / Total Construction Value: /
Telephone: /
Telephone: /
Telephone: /
Construction approved by this permit:
.
Water Supply:
na
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
Renewal of TMH-39-79"" and SDS renewal
Structures now on property: SFD and MH
# Bedrooms:
na # Plumbing Fixtures:
na
# Employees: na
Zoning: RA Partitioning # na Parcel #
Minimum required structural setbacks, from: centerline of road, front:
side exterior: na nainterior property lines: na ;rear proplUty line:
Special Instructions: PERMIT EXPIRES 12/31/81.......
na Parcel Size: .39 acre
na ; centerli ne of road,
na
For information call 687-4394,
Site Inspection # na Installation specifications: na
na lineal feet of drainfield required; max. depth of trenches: na
Special Instructions: The hardship remains unchanged from the original application.
The existing septic system appears to be functioning properly
with no malfunction and no problems reported by the owners of the
house. Renew for two years or until hardship ceases, whichever
occurs first. Renewable if hardship still exists. Repair r~om is
687 avaiAbie...
-3966etween 8:00 - 9:00 a,m" Kathi M. Wiederhold
Setbacks Septic Tank
.erior property lines 1~
ge of road right-of-way 10'
o uilding foundation 5'
Wells, other water sources 50'
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Directions to Site: na
Date Issued:
01-30-80
C55-13
Roger Hollis
gal. min. septic tank capacity;
Drainfield
10'
10'
10'
100'
For information call
Type of Construction:
Instructions: na
MH
Group:
SFD/MH
R-3
Fire Zone:
3 Use Classification:
For plans information call 687-3760 between 8:00 a,m, and 9:00 a.m., Ralph Hough
For inspections (see back of this permit) call 687-4065 between 8:00 a,m. and 5:00 p.m.
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
8y:
JSS/1ky
/
bne county
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LANE COUNTY DEPT ENV MGT RECEIPT ~ 9480
~ APPLICANT HARTWICK. DONALD ADDR 383 GAME FARM ROAD.
"'TL~ 1703224104801 SUBDIV
~ NEW BLDG TYPE
. CODE APPL NO
E. BP
BP
~ BP
.BP
~ BP
.BP
..
PL
~ MECH
.SUR
.. PCK
MH
-'!. SDS
USE X NO BDRMS 00 NO UNITS 001
ACTION DESCRIPTION SQ FT UNIT
DATE 011480
EUGENE, OIi:EGON .
LOT BLK
NO STORIES NO BLDGS 001
COST VALUATION FEE: DAY..
.
.
NO.
CONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
5.00
4X
0X
.~
o
o
..
o :
o ~
-~
o ~
'12 k a
40,,00 CK ::. i
.~
~--=
NO. FIXTURES:
EACH =
LC
9480 TMHR
SDSX
15.00
25.00
"
-.
~
, SIFO CPI
1!.. TAKEN BY RLH
WPC
PLAN
ELEV ADDR FP
COMPLETED BY
ENVH
TOTAL FEE**
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.
6 ~
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2 ~
.
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<?;fj \ / '~~ 'OEPARTliENT OF ENVIRONllENTAL t1ANAGEM~
\\ ,,"'1 PSB, 125 EAST 8TH AVENUE ..
'\~"\ ~ \ . EUGENE. OREGON 97401
Job Address ~ J?~ A4Ff'/ &J#/ ~ !li}:tI'!'~~"-:
(f6orniillli\I(R;iUi;iS\!(:tc'Ml:L'iakjEotl / 7_/?:? ---:<..2 ~ / "'#P.4/~
~>b~WP'ldl:i.n-~-"''lr'9''Y.A'~ """," '^-, , - ,"".' 6/ 'l'~W'"
.11 ""y,,~.g!!;""'v/A'.-?'" " ....".. 8 Ot.;
Application Dr /0,__',,,,,--/_~ ~ ,74'/#
Structures now on-th~ property -7-li?"?" ~
;'lriiM$ellHi$";;Ofii\ftl!P~ n~~ii;t'''''"ttll]j n '&If&1fitJ
?:~~~:::;~;"'I."':;r~~~'w. ...'.'.'w............. -'''"$'
~l '1lJ(@$!liPrlnt
If this application is for an agricultural building it will be used for purposes allowed by the State Building Code- and
Lane County Code Chapter 10 (zoning) and for no other plJr~ose. I have the fgJlowing legal interest in the property:
owner of record; ~ ~ontract rchaser; ~1 ; /holder of an exclusive option to purchase;
duly authoriz~~t f (er;~~~e ~,ot~ application.
Signature/Address ,tZ.."'") /.4 'A?~ ./ /r::;~.J/r' ~(ZiD)
'-'--~e~one/ /" _ /.I6r _ ~ate /~/'r ~~~'7
When permit is ready not,fy: CI {PPl icant CI o"k{ CI Contractor !!.t: CI mail CI phone
o"ner (ziD) Phone
Contractor (zip) Phone
Contractor's OSR# Plumbin9 by
7/P/7f-
'ikz:5jh~:a%T~":1V:i
{.C;V!'c.... ,..w ."
wow n ~. '. _. ~....m.m ~.y .,.
,,:.::, .".,...'~...n
:'Il~!i.iline.id'jijI!lPllnh
=
o 1l!\1l~*!r;m!n
o -l1['il1
, hereby certify that this information is true and accurate.
=
=
~:s~::::~:~:l)l~I~I~
SI test holes ready
DO NOT WRITE BELOW THIS LINE
# of employees
i~lttlq~;i~xisting,
CI Proposed.
1111
BP #
SI #
~Fie~ ~ >>"*, y , , '" ~ I~;f::,~~!:::\f~~i
~~;.:.;:. /##~ 3:;;'/'
~- " ~ _ t!'?.. J)':-. -,1_
~~..:~~ ~C',!fL "..u~~ .;,~- ~-~-~
Valuation
Fee .c-
$ .B":-
$
$
$
$
each $
each $
O!g~OOJij:;?4~/
KjC~K' /' ~ ~
Received ~I"~~
Water Supply ~
Proposed Existing _
Year Installed
Total Valuation: $
iP;llliitiilfTfJitiififSl at $
t.Fzil~~~!~~111 at $
Subtotal $
4% State surcharge $
Plans check fee / /// ~ #$
.LB."":" ^~ t'l"""p"n,.y~~//M'UtJIV~r $1Ii!~' -=--~
TOTAL $ ~
=
=
PERMIT PROCESSING Zone
Minimum setbacks: G... front
conments,&~r ~~dA:;V
To be typed on permit ~
Pa rL #
Parcel #
Parcel Size
1.. side
; int.
rear
CP&I
To be
Type~
typed on perm; t
Group
K.'~
,-
/.,2 - a/- 6'/..-----, /
-~~)./~ , -
By /,/fA.~'/~ /'i7" Date /~'=?r-~~
Use Cl ification ~ ~ / ~
- ,
~
Fire Zone
..,
By
9~-
~~)
. Date lr !J..Ff-Yl)
Phone ~ 7 - 316d..
For plans information call (area inspector)
Directions to site
CI SIFO
XL CP& I
'.0 WPC
CI Planning
CI Pub 1 i c Works
CI Elevation CI n/a
e} Address
/~/ Facility Permit
/~/ Environmental Health
Plans to:
CP&I
WPC
set{s)
set(s)
Date
Required
Hold Slip
to PCC
Date
Completed
(Ja te to
PCC
FOR INFOR~~TION about progress of your application call:
C74-171
Permit Control Center
687-HELP (687-4357)
l ~<6
\
PUBtlC N011C E
~~~
TEMPORARY MOBILE HOME PERMIT
APPLICATION # 91- J' 0
POSTING DATE j- / &, - g-" -/pi
f)A5V\~ ~JL
303''~ ~
,; (Address of Property where Mobil e Home will be Located)
.'.
l
~
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qttt
(APPLICANT)
ff-JJ '
HAS REQUESTED A TEMPORARY MOBILE HOME PERMIT FOR A PERIOD OF ONE YEAR AS
)q A personal, but not necessarily financial, hardship exists
'whereby it is necessary to have someone living on the same
. P'::"::,::,::':h::':,::0::':::I::P1,O"," d,,"i'9 0' mobil, horn,;
o
o
The mobile home will be used for the applicant's personal use
during the time a conventional dwelling is being constructed
on the premises, after whi ch it wi 11 be removed;
/
The mobile home will be used by an employee of this applicant
for bona fide agricultural, forestry management, or mineral
extraction purposes;
o
The mobile home will be used for residential purposes for a
watchman or caretaker, in co~~ctio~ with a commercial or
industrial use. ~;1Af~
a(l~
----
~p~
oPP4
ANY NEIGHBORING RESIDENT OBJECTING TO THIS PROPOSED USE MAY CALL THE
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT FOR FURTHER INFORMATION. IF NO
WRITTEN OBJECTIONS HAVE BEEN RECEIVED WITHIN TEN DAYS FROM POSTING DATE
AND THE PROPOSED USE MEETS OTHER CRITERIA THIS TEMPORARY MOBILE HOME PERMIT
WILL~Br-TSSUEO FOR A PERIOD OF ONE YEAR, RENEWABLE ANNUALLY.
'DEPAP.TM~NT.OF ENVIRONMENTAL MANAGEMENT/LANE COUNTY PUBLIC SERVICE BLDG/687-4065
,
"
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ie
lane coonty
.,'
December 31, 1979
.
.,
Donald Hartwick
383 Game Farm Road
Eugene, Oregon
RE: Renewal Of Temporary Mobile Home Use Permit No. MH 39-79
A Temporary Mobile Home Permit is valid for one year only, and must be renewed
annually. The above listed Temporary Mobile Home Use Permit was issued on
1-10-79 and wi 11 expi re on 1-10-80
If you wish to renew this permit, please sign this form and return to Lane County
Department of Environmental Management with the renewal fee of $40.00. An additional
letter of explanation of the need for a Temporary Permit must accompany this renewal
if any circumstances regarding the Temporary Permit have changed during the past year.
The Renewal Fees are as follows:
Building Permit Renewal Fee is
Septic Evaluation Fee is
Tota 1 Renewa 1 Fee is
$15.00
$25. 00
'$40.00
Please renew Temporary Mobile Home Use Permit No. MH
39-79
v
No change in circumstances during the past year.
The changes indicated in the attached letter regarding
Permit have taken place during the pa~ year.
"
Signed: '
Please make check payable to:
Lane County Environmental Management Division
Permit Processing Section
125 East 8th/P.S.B.
Eugene, Oregon 97401
687-4394 Or 687-4395
ADtv.lNISTRATIVE DIVISION
I
EtNIRONMENTAL MANAGEMENT DEPARTMENT
125 EAST 8TH AVENUE I EUGENE, OREGON 97401
15031887-4071 OR 1,ID452,6379
','
,
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.EPARTnENT OF EIIVIRONI1EiHAL I\ANAGEI'lENT 'e
PSB, l2S EAST 8TH AVENUE
EUGEnE, OREGON 97401
Job Address ::3'R54~/ ,&;~/~--/ City g/..-/
Township, Range, Sectifn, Tax Lot /7' /l;(' _ 2-7 4/'/ dpa,)/ ,/
Subdivision ;7.(/# _ "_....; E I' ...... ~ . .. _'" ,L,P't . ~ i/ Block
Application fo{ ~__h~X,::P ~ //0" ft
Structures now on the Ip~~p~;ty y:~J?t?-Y' ~/
Proposed use of prope~ty.. I-I ReSident~'al 1/ Commercial
/. - -f7
Affidavi t: I, /1'~.;pL/, _ _ i? g",,,y/ :~
q ..., --..... ~ -(p"leas-e priiit)---.... - f6J....
If this application ;s for an agricultural building it will be used for purposes allowed by the State BUilding Code end
Lane County Code Chapter 10 (zoning) and for no other pur?ose. I have the following legal interest in the property:
owner of record; ~ contract purchaser; les~; .A'Older of an exclusive option to purcha~,e~
duly author;ze~to-a~t~for~t~own~, .~t~ ~ledgeabl~?f ~~~~application.
Signature/Address /L~ ~A ff 4-~ 'lr;:j;;:j .J./JT. (zio\
~feJ";ptrone/- --/ ';-'9f Date /~/o/-4~'
is ready not,tf c/ A~pl icant" c/ O,m&/ C/ Contractor !?Y: C/ mail () phone
(zio) Phon~
(zio) Phone
~~
Appl icatio,.l~
u:' - 9l~--c1V
ASsig~e~NUmbers
I
i
,
I
() Industrial
() Public
. hereby certify that this information is true and accurate.
When permit
Owner
Contractor
Contractor's OSR#
Plumbing by
=
If COlM1ercial:
Residential:
# of stories
# 0 f bed rooms
DO NOT WRITE BELOW
# of employees
THIS LINE
# of
SDS:
units
C/ Existing,
C/ Proposed,
BP #
SI #
SI test holes ready
Fee Sq, Ft. or
Code ~ Description # of Sites
~/./" /7 / " -...-->
,/~~~~M7~ 7t ,~~~ __ . ~t:~_n ~(
~: _~/ .-,..------i.. ~__~ _~~ ~
/~'- -- . ,. . ,-~ 1... -
Unit
Cost
Valuation Fee ....
$ Z-?:-
$
$
$
$ $
$ each $
$ each $
:- --/
-..,.. ~...-~-
'.
/ / Cash ;I.//02-!--;/
~Check # /".-/ 4
Received bV~"~/IZ!
Water Supply 0-
Proposed Existing
Year Installed
Total Valuation:
Plumbing fixtures at
Sewer/water conn. at
Subtotal $
4% State surcharge $
Plans check fee / /// d ;:.V
Chana. nf...D=J.=-~~~";-1 $ _.?.-f;..!:lf-
TOTAL $ ~ P
=
PERMIT PROCESSING Zone Part, # Parcel # Parcel Si ze
Minimum setbacks: G.., front 1, side ; int.
/", -:7 /J, / ./ ---"- /?./
_ Comments /~-(,c./,",'/,L-,,_(' /-#~//"'..A'/~'.7r) _~///
To be typed on permit ,/ / ~. ~/' ~
By '~7~P/~ Date
WATER POLLUTION CONTROL
Installation specifications: -- gal. tank; ft. of drainfield; max.
Tq be typed on permit
a;
rear
/_2).-zfV
C/ SIFO
r:::)'(cP&!
/!9~PC
C} Plannin9
C/ Publ ic Works
C/ Elevation C/ nla
Plans to: CP&I
WPC
set(s)
set(s)
Date
Requ ired
Hold SI ip
to PCC
Date
Completed
Date to
PCC
C/ Address
/:/ Facility Permit
/~/ Environmental Health
FOR INFORi.tATION about progress of your appl ication call:
Permit Control Center
687-HELP (687-4357)
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-
..' .....
)/1 s--
\vS
(\l1-4
--..-.. . '-'j".
PUBLIC NOTICE
~~JJ
TEMPORARY HOBlLE II()H~: PERMIT
APPLlCATION 0 3- '/ - 7 J . ~L1-
fJ1 POSTING DATE/-/~---7" If,.......-
JLh~ J~/V+Gf/('C/C.
/' 3 (; .s kL~.Av'-"-- ;:;;u.<-,. ; .
(Address of Pro!'erty wh~t'P ;""h ile Home will he Located)
.....
,1'-
....
,.....
~... ''I. _ _I (,.'..,~_""L
-
.-~ -.~. '-'" - ~-,
re
.
'.
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, ,(APPLICANT),
~.
HAS REQUESTED A TEMPORARY HOBILE \lOME PERMIT FOR A PERIOD OF ,ONE YEAR AS
PROVIDED BY LANE CODE 11.100-10(4):
~
o
o
D
A personal, but not necessarily financial, hardship
exists whereby It Is necess~ry to hsve someone 1ivin~ on
'the same premises that support the applicant's dwelling or
mobile home;
The mobile home will be used for the applicant's personal
use dut'in~ the time n conventional dwe11in~ is being con-
structed on the premises, after which it will be removed;
The mobile home will be used by an employee of this applicant
for bona fide aRricultural, forestry ManaRement, or mineral
extraction purpose8;
The mobile home will be used for residential purposes for a
watchman or caretsker, in conjunction with a conunercia1 or
industrial use.
ANY NEIGHBORING RESIIlENT OBJECTING TO THIS PROPOSED USE MAY CALL THE
DErARTMF.NT OF ENV I RONl'IENTAL I1ANAGENENT FOR FURTHER INFORMATION, IF NO
WRITTEN OBJECTIONS HAVE BEEN RECEIVj::D WITHIN TEN DAYS AND THE PROPOSED
USE MEETS OTHER CRITERIA THIS TEMP! AARY 10BILE HOME PERMIT WILL BE
ISSUED FOR A PERIOD OF ONE YEAR, RINEWAB E ANNUALLY.
QJ; luil ? ~ ~b-
yv~ _~ ) ~ 6 {J/
,,~ - I
.
#,://11U 'd:-~ 12.1
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
LANE COUNTY PUBI.lC SERVICE BUILDING
687-4065
TRS, Tl:
, '17_-<13-22.4.1 fJ toMl
ThIs permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed,
r~s"Jh in revocation of this permit, citation under provisioriSr6f€r!ane County's Infraction Ordinance, and/or other remedies allowed by law,
,.
, ,/ Applicant/Address:
I Owner/Address: Dcnald Hartwick. Gmie as ocwec;:,a
l Contractor/Address:,
Contractor's OS # /
Construction approvtd by this permit:,
'"
)OB ADDRESS:
~r SUPp,ly: ,
PLANNING DIVISleN
WATER POLLUTION
CONTROL DIVISION'
Setbacks
Interior property lines
Edge of road right-of-way
.ng foundation
. ,other w?ter sources
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
POST THIS PERMIT ON MAIN BUILDING AT SITE
383 Ga::le ram ''O'l<1. Ihgene. OreROn
CONSTRUCTION PERMIT #
~o-94-3(;-7.:.1ti
Subdivision:
tm
Violation can
Total Construction Value:
Telephone:
Telephone:
Telephone:
/
/
,
/
(
l1eaeol or Ti::I-39-79~ BI1d SDS ren~
Stroef:uE'eS ncv on prop:JZ'ty: S1'D ll!ld 1m
# Bedrooms: # Plumbing Fixtures:
# Employees:
~a
ws
III
Zoning: Partitioning # Parcel #
Minimum requireRtrtructural setbacks, from: cemerline of road, front:
side exterior: ' ; interior property lines: ;rear property line:
Speciallnstructio~: na ua na
l'1mMI'1' ...........".. 12/31/31.......,
For information call 687-4394,
. -
L'.occr Hallu
Site Inspection # , Installation specitications:
lineal feet of draimeld required; ma~, depth of trenches: n:a
, Special Instructions:, no _ chsn(;:1<1 fro:m 1:ha ori!;1tU1 applicaU.o:l.
.... Ybe hardship __WOl UIl' 1:6 to bo fUI1!:ttou1nn Droperl)'
Septic Tank Drainfield 'i'he extst1ng septic !!lr:~ a=ens ll'c'1Ortcd by ~lls o;.-r.;",rs 02 the
10' 10' tilth ED l!'a1ft:nctioa a!l no p or un~tl ~rdll!l:!p _. Whiehavez
10'1 100; l1ousc. "P.=1. awl: f~~~!^r:a~ hudOOip sUll mdBW. Reva1[Jo1(};a 10
5' occurs" n. ~...~,"" ~,Il"""" ."".
50' 100' For information call /;n7 between 8:00 - 9:00 a,m" :,-=~_" oz4".,f_lmld
:SYtw
Fire Zone:
Parcel Size:
m; centerline of road,
[;12
Wl
.39 acre
gal. min, septic tanR capacity;
Type of Construction:
Instructions:
Group:
Use Classification:
:I
OT.>/:m
R-3
:-ID
=
Directions to Site:
For ~Ians information cal" . between 8:00 a,m_ and 9:00 a,m" Ralph EmIgh
For inspectIOns (see back of thl~p""'1'ilt>1!'Ca" 687-4065 between 8:00 a,m, and 5:00 p,m,
Date Issued:
C55,13
",'l
bne county
.
l'1-30-80
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By:
J~/lr:,
.
e.
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED ~ DISAPPROVED ~ DATE
REMARK 5
GAS PIPING GROUNDWORK
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
ROUGH PLUMB I NG
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
REMARK 5
FINAL PLUMB I NG
I
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
ApPROVED ~ DISAPPROVED ~ DATE~'-fo INSPECTOR
REMARKS
FINAL GAS PIPING
ApPROVED ~ DISAPPROVED / / DATE
REMARK 5
CERTIFICATE OF OCCUPANCY
REAOY TO ISSUE ~ NOT REAOY TO ISSUE / / DATE
REMARKS
INSPECTOR
/PI/-
INSPECTOR
~.:::.~"
. ..
POST THIS PERMIT ON MAIN BUilDING AT SITE
'JOB ADDRESS: 383 G&uc Fm:o t'.ccd. llu.'3cne. Ol:egon
L<P!;4-3o-TI,m
CONSTRUCTION PERMIT #
TRS, Tl:
17-03-22.4.1 0 4801
en
Subdivision:
This permit for the referenced property is hereby Ql"'~"v.:::d. Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of lane County's I nfraction Ordinance, and!or other remedies allowed by law,
Applicant!AddressDo=1d l'!!lZtoielt. 0= 00 olw<1o':'.,-m
Owner! Address: 1
Contractor! Address':
Contractor's OS # i Total Construction Value: /
Telephone: /
Telephone: 1
Telephone: /
.=C_onstruction approved by this permit:
i.)
~-::/
Water Supply:
..."
PLANNING DIVISION
WATER POllUTION
CONTROL DIVISION
llcn=1 of 'n::;}=o:3!>>79~ cud S!)S ~=1
Stli:Ucl:u~co t'Arv on p~Ol'CZ'ty: BPi) and M3
# Bedrooms:
# Plumbing Fixtures:
TP'\
# Employees: "'l
nn
Zoning: M Partitioning # ~!l Parcel #
Minimum required structural setbacks, from: centerline of road, front:
side exterior: t1!l rminterior property lines: DB ;rear propl!Hy line:
Special Instructions: PmtllIT EXPl!lI1S 12/31/81.....u
no Parcel Size: .3!) llcrre
I!a ; centerline of road,
Ill!
For information call 687-4394,
RI"lI7""'P R...114n
.>
Site Inspection # t!(I , I nstallation specifications: lID
-aD lineal feet of dralnfield required; max, depth of trenches: Ill)
Special Instructions: Tho ~dDMp ~=in:J lSilclu:m(lOd fr= the oriflin~l application.
'iha cm10Unn o.."Pl:ic oyOI:= O!?POOi'S to be f=ctionmn p:ropczly
IJitlt I!l) C3lfuncticn and no pN'h1= zepl>~tcd by tho GVilOlt"O of tho
buoo.. Rc::ilm1 fOIr tt;l) ycoro or until h~dohip 0000=. t1l11chevar
oecuro fjL~ot. R=c-Jablo il! bOll"doMll ol:ill =weo. fu:~l1: ~:l 10
681 ~\ml11:\lle... '
For information call -3c:lI,@etween 8:00 - 9:00 a,m" l[nlth1. 11_ Hicd<>rMl"
gal. min. septic tank capacity;
Setbacks Septic Tank
_~-~ terior property lines 10'
\ ge of road right-of-way 10'
~Building foundation 5'
~. Wells, other water sources 50'
CONSTRUCTION
PE RMITS!INSPECTION
DIVISION
Directions to Site: IlL!
Date Issued:
01-3o.-nO
C55-13
Drainfield
10'
10'
10'
100'
Type of Construction:
Instructions: na
Group:
Fire Zone:
:3 Use Classification:
SP'D/t,m
R-3
MIl
For plans information call 687-3760 between 8:00 a.m. and 9:00 a,m" Ral[lb Kough
For inspections (see back of this permit) call 687-4065 between 8:00 a,m, and 5:00 p,m,
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bne county
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DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By:
JSs/1cr.y
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SITE I NSPECT I ON
ApPROVED Cl
REMARKS
DISAPPROVED Cl DATE
FOUNDATION INSPECTION
ApPROVEO L-I DISAPPROVED L-I DATE
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FRAMiNG INSPECTION
ApPROVED I / D,SAPPROVEO Cl DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED L-/ DISAPPROVED ~ DATE
REMARKS
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INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
F II<AL I NSPECT I ON
ApPROVED ~ DISAPPROVED L::-~ DATE ~ INSPECTOR
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CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE I / DATE
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INSPECTOR