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POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT #LC 1928-80
JOB ADDRESS:
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2764 Canterbury, Springfield, Oregon
TRS, TL: 17-3-24.4.1, 302~q
SUBDIVISION: Cantebury Village, first addition, lot la, block 2
CONST~UC~ION APPROVED ~Y THIS PERMIT: Addition to family room and add shower
to eXlstlng bathroom; 288 square feet. Relocate and update existing sewage
disposal system .
CONDITIONS OF APPROVAL: 50S Installation Specifications: 1000 aallon tank
existi~g; 150 feet tot~l ?f drainfields; maximum depth of trench~s; as
establlshed. Ke~p dralnfleld at least 10 feet from all foundations and
property lines and 100yfeet from water sources. Keep septic tank at least 5
feet from building foundations, 10 feet from all property lines, 50 feet from
all water sources, and 10 feet from edge of right-of-vJay.
Block old line and install new line to equal a total of 150 feet as shown
on the attached plot plan stamped approved and dated August 21, 1980.
Replacement area to be reserved between lines and in the front yard.
~1inimul11 structural setbqcks: from center line of roadt front, 45 feet;
side interior property lines, 5 feet; rear property line, 7 feet.
PERMITTEE: {harles and Shirley Janz
DATE ISSUED: August 27, 1980
BY: Roger t'1cGuckin/Kathy Wiederhold/Candi Hart
DIRECTIONS TO SITE: Off Yolanda, out 27th, left onto Canterbury. Dead end
street.
\~P 28305-5E-2
* * * * * * * * * * * * * * * * * * * * *
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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
INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION (see attached) call 687-4065. Have the following
information ready: Permit number, job address, type of inspection, when it will
be ready, your name and phone number, and,any special directions to site.
OTHER QUESTIONS? Call 687-4394.
EN'/lHCHJrvlLN 1 IlL MftN,'I,(iFMEN'! DEPARTMENT
l:?~j EAS T HI!-i AVENUf EUGENE. OREGON 97401
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'KE-PLACEJVlENT LtN~5
I A? :.) :' :,4 . A , t ' H ,~(:' '~~'~PARTr'IENT OF ENVIRONHENTAL r1ANAGEi~ENT
I PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401 .
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To~nship, RangE'~Section:;'Tax Lot 1"'7""/)""':;:':';;;~,:'tJt YoRl. I' ?'::~~ 7
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Application for~-7;'c;~~,'\., ~2~..;..->:..., ~\ 1~~7~~~._.iCA~ 2: ~LA'/""t;.1"";::6i!C; 0->2~'" """..~k:">
Structures now on the property !f'Yt:9.../'L.t~u ,J
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Proposed use of property: iC/'~Resioential /-/ Commercial
Affidavit: I, 'VG:qO l: (Y1r:U)~ \~
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If this application is for~n agricultural building it will be used for purposes allowed by the State Building Gode and
Lane County Code Chapter 10 (zor;ki'ii'g) and for no other purpose. I have the 'following legal interest in the property:
owner of record; \./ contract purchaser; lessee; holder of an exclusive option to purchase;
duly author1z~d to ,act for the owner, who is knowledgeable of this application. ,-- n
Signature/AddresS;-,r(~.rn'fI" ',,{', {YJr It .c" (Iii Lr f(~j';tl(,lI LD ..~j),j)lb(ZiP) {~;7l7,)
.~'-" J th,~hone )tl i ( ;11 ~ or D'ate If S ..
When permit is ready noti fy:Jr/ Appl icant /\//O~~er C/ Contractor Qz.: C/ ma il () phone
Owner L ho v /;'::'- <:\ ,-~ L . ~,I(:. (, '''7r ,1/' (zip) Phone 7'-1{~ -7 7.lr
Contractor '\(:'...~ '7 :J-' -..J......... ' (zip) Phone
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Appl ication ,ff
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Assigned Numb~rs
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, hereby certify that this information is true and accurate.
Contractor'~ OSR#
Plumbing by
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If Commercial:
Residential:
# of stories
# of bedrooms ,"P"')
SI test holes ready
DO NOT WRITE BELOW THIS LINE
# of employees # of
SDS:
un its
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L/ Existing, BP # Cj;4
/~/ Proposed, 51 #
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Fee
Code
Description
Sq. Ft. or
# of Sites
Unit
Cost
Valuation
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Total Valuation: $ $
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Plumbing fixtures at $ ..""\.......,.~. each $
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Sewer/water conn. at $ '",/ each $
5ubtota 1 $
4% State surcharge $
Plans check fee {2C1.tO(Cl"tL ....'c $
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TOTAL
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PERMIT PROCESSING
Minimum setbacks:
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To be typed on permit
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FOR INFORr,\ATION about progress of your appl ication call:
Permit Control Center
687-HELP (687~4357)
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APPLICATION #
LOCATION
NAME
ADDRESS
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ZIP CODE
The Lane County Water Pollution Control Division cannot proceed with
processing your application because:
1. Incomplete application (items deficient).
I Address and/or directions to application site.
l Proposed number of bedrooms in dwelling.
'IApprovab1e plot plan (see attachment).
L--l Notification of date test holes will be ready.
Verification of existing system required (memorandum
explaining this procedure attached).
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i~~. ~r:l till SIGNATURE
I \yCJOY \ OFFICE' HOURS
Two test holes (21X4'X5' deep) required for expansion
or repair of existing sewage disposal system in the
area of the proposed drainfie1ds.
Other:
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DATE
PHONE
If the necessary corrections are not made within
application will be denied.
days, the
6ne county
BUILDING & SANITATION / ENVIRONMENTAL MANAGEMENT DEPARTMENT
125 East 8th Avenue / Public Service Building / Eugene, Oregon 97401 / (503)687-4061
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KE-PLACC(Y/ENT LiNeS
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POST THIS PEmUT ON f~AIN BUILDING AT SITE
CONSTRUCTION PERMIT #lC 1928-80
JOB ADDRESS: 2764 Canterbury, Springfield, Oregon
TRS. TL: 17-3-24.4.1. 3029
SUBDIVISION: Cantebury Village, first addition, lot 10, block 2
CONSTRUCTION APPROVED BY THIS PERHIT: Addition to family room and add shower
to existing bathroom; 288 square feet. Relocate and update existing sewage
disposal system
CONDITIONS OF APPROVAL: SOS Installation Specificat,ions: 1000 gallon tank
existing; 150 feet total of drainfields; maximum depth of trenches; as
established. Keep drainfield at least 10 feet from all foundations and
property lines and 100 feet from water sources. Keep septic tank at least 5
feet from building foundations, 10 feet from all property lines, 50 feet from
all water sources, and 10 feet from edge of right-af-way.
Block old line and install new line to equal a total of 150 feet as shown
on the attached plot plan stamped approved and dated August 21~ 1980.
Replacement area to be reserved between lines and in the front yard.
Minimum structural setbacks: from center line of road, front, 45 feet;
side interior property lines~ 5 feet; rear property line, 7 feet.
PERMITTEE: Charles and Shirley Janz
DATE ISSUED: August 27, 1980
BY: Roger ~1cGucldn/Kathy ~Jiederhold/Candi Hart
DIRECTIONS TO SITE: Off Yolanda, out 27th, left onto Canterbury. Dead end
street.
vJP 28305-5(-2
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"M.UST BE IN BLACK INK " , form c55-11
Permit No, 1!J 2><- ~ D Twnshp..1..t ,Range -f1 ~ Section ~{41-'" ..lax Lot '30 2~
Standard Syste~lternative .fu'stem'" (~peclfy Type) t<P.)OLALt:- M~) r 1. jJ.Je:; FoR. AD b,
Job Location (St~ddress) ? 7/P zr C AAJ':rE:ie S ~ ~V
Subdivision/Partition #CANTJ;;RRDI!-Y [lit_Lit- 1~ AO~ Parcel Lot ) D Block 2..;>
DETAIL SYSTEM PLOT "~NAS CON~~lao.
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. USE/BLACK INK ONLY
FORINSTALLEFi'S USE: Trench Depth "5 .' Gravel Depth Below Tile
Tank Capacity":-- - Mar)ufacturer <O!:iJ(/~it
Measured Distance from Well to Tank From Dr fielrl
COMPLETE THE FOLLOWING IF A PUMP WAS USED ON THIS INST TION:
I (installer's name) . certify that a (Mfg)
and Mercury Float Switch (Mfg, and No:) .
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(Title as shown on DEQ license)
Total Length of Lines /50'
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Bonding Company
(Model No,)' Pump
have been installed with this sewage installation,
(Signature of Licensee)
If ~:ed By Owner-
~ature ofl~ ~ /
Applicant's Name & Address
CHMeLE3"S '~~~.
"Z 7h4 LA1\JT~~UeY 6v-:
6PFL-~ (J R;tf &r>A) q 7477
DatI'! 10-7-fD
Signature-
_ DatA .~
FQR.SANITARIAN'.S USE m(.~Y Y::. '_ ._ .)~' sys.tem APpro. ved . .0 System Disappr vl3_<!. '. 0 =.s Correc!p~.)
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, . 'DS te Co r cted DatA X _
System Capacity Y.8l gal./ day Signatur; . Date 1.;1'(~~ '
INSTAllATION RE,CORD & CERTIFICATE OF SATISFACTORY COMPLETION When signed by the County Sanitarian, this certificate is
evidence'as per ORS 454,665 'of satisfactory completion of a subsurface sewage disposal, system at the above location,
Return this form to: Water Pollution Control Div" Dept, of Enivronmental Management, located in the basement of the
Public Service Building, 125 E, 8th Avenue, Eugene 97401,
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,Plot Plan
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Vicinity Map
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. . ,-- ....OEPARHiENT OF EN,VIRONI1ENTAL r1ANAGE:~ENT . 'I
" f2..- TV\' ' PSB, 125 EAST 8TH AVENUE '\/ JvU
EUGENE, OREGON 97401 \:" Application #
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Job Address ~/ ~ V( &;/,?-:t;t:..~(>..:J/. City ~L/cI? As~igned Nu~be;s
Township, Rangriection,,;'lax LQt 17-ff?j;:~:,'1!{Y,,. /. ' / ,~~ ~ i
5ubdivi?ion t l:4.V(i!....p-/U,.~,'_ -!/~~./L//~pqJl) -- Block ~ ,J /",,/)
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AppllcatlOn for~~<.";(', ~ __> \ L'-.!-'-+' \.1 ~,~ Z.__---.L//6':'p;:.';'!iJ3:~1~.-".~f~C/-z--? _
Structures now on the property . ~.C;~ ...J ' 1
Proposed use of p'roperty: /Cj---Resid~ntial r/ Commercial C/ Industrial L/ Public
Affidavit: I, Tl2,qa LJ- Y)1nUJ-Q ~ ,'hereby certify that this information is true and accurate.
...J...} I (please print)'
If this appl ication is foran agr)/:l:Jltural building it wi 11 be used for purposes allowed by the State Building Code and
Lane County 'Code Chapter 10 (zofJ,ing) and for no other purpose. I have the following legal interest in the property:
owner of rec,ofd; \/contract purchaser; lessee; holder of an exclusive option to purchase;
duly authorized to act for ~he owner, who is knowledgeable of this application. ~ /1
Signature/AddressCrOFt141Al ~J.i!/1 LI?/ L.c\ /c~n"',p b L,{). .Jo-r/b (zip) Q7q))
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U lie M:;phona, , 74 7- <- (':J I ~ ~ or Oa te
When pe~it is ready notify: VC/ AP~ C/ Contractor Qi.: C/ mail A.77Phone
Owner "-.ha......lp"-. Q <::;/"1",/01, \(",vi/ (zip) p~/7'1~-77..?(l
Contractor .<)e -7 ~. . -:..J v - " ...., (zio) Phone
Contractor's OSR# Plumbing by ~)P I,{..: / r)U)/IIO .\,.--
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If Commercial: # of stories
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Residential: # of bedrooms )
51 test holes ready
DO NOT WRITE BELOW THIS LINE
# of employees
# of units \
SDS: C/ Existing, BP # OiA.-.?4
I
/~/ Proposed, SI #
Fee
Code
Description
Sq. Ft. or
# of Sites
Unit
Cost
Valuation
Fee
$
r~(1(~ I -{ irr(,\ ('));. {-1O!Yn L l I./';{ h ()7JY'(') (It)(1 n tHIn :~, Stir {r'Ph l $
,~(': C \/ \ ~~tl /'''(~ . r"Yl+J/'.~lH M,")') I - -.. - $
I .... -( , ') ..QBf') U1 (0,) ::v ~-B"2) $
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Total Valuation: $ $
$ p:',.A\I' '\ $
Pl umbi ng fi xtures at /VIJ each
Sewer/water conn. at $ ~ each $
Subtotal $
4% State surcharge $
Pl,", check foe e~.cd:t- . $ r r J
Gl:la,r+ge_GJ...OcGupa.l"c:y U:' .:,lXtL ~.1;), ~,'$ ::;.r:::'{:K;..
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TOTAL $
C/ Cash
C/ Check i
Received by
Water ~UPP1Y P'O Irr\};((\.,( 1'') (j 'b.tQ..s-
Proposed'".I)l~):ktCF Existing\r
Year Installed
1., side
into
Parcel Size \0.4x"!C)
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PERMIT PROCESSING
Minimum setbacks:
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Part. #
Parcel #
Comments
To be typed on permit
By (i n rrrl , Date 7-I(~-)<{)
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Installation ~:~t1i;ltions: <f.y'JI-17n .Jal. tank; Ic;n,' (]VJtP. ft. ,Of drain!ield~xjlePth of trJnches:
-CtS-eSfn Jotl . To bo typo' eo por it t'1 0 Id J ~M.d (/Yla7Ua iL/UJ!I ~. ./
~') -,-'QJiJiilq . JS'b1 'r; ~(J0~). o~d vJ,f'fkBfa-p./
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,Telephone lff).&J F..'-' ,.' "J""" Da~e ~
Oi?~tions to siteOi-d-~/()}(~.O{yvj(1.....-()?rt",r,_"J7.i'h,_,~,,-, l,..oJ-t-' (/(yl(") C(I~/H~t07f",',,_,"))i(Dh 1.1
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/_::'j 's I F;- - Plans j:{'" CP&I) '-" -set-( s)-T/) \ Oa t~ '.. .. Ho i d~ Sl i ~ Date Oa t~ to-n-
WPC set(s) .Required to PCC Completed PCC
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C/ Planning
C/ Publ ic Works
I~/ Elevation /~/a
C/ Address
C/ Facil it)' Permit
C/ Environmental Health
WATER POLLUTION CONTROL
FOR INFORt-1ATlON about PTogress of your' appl ication call:
Permit Control Center
687-HElP (6~7-4357)
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INSPECTION RECORD
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Approved DiSopproved
Date
Inspector
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l 1. Site Inspection
3. Framing Inspection
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2. Foundation Inspection
4. Lath or Sheetrock Inspection
6. Slab Floor, Plumbing Groundwork
7. Gas Piping Groundwork
8. ROUgt1 Plumbing
9. Rough Gas Piping
10. Final Plumbing
11. Final Gas Piping
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5. Final Inspection
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Remarks:
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ready to issue; not ready;
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inspector.
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12. Certificate of Occupancy: