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HomeMy WebLinkAboutPermit Building 1976-7-22 17-{)3-27.1 TlJ.30'O 22.55 LAtlUST SPRDWFIELD 'O~ , , PERMIT # ~';",.",'" TRS, TI JOB LOCATION LANE COUNTY PERMIT \I' Acreage or Lot Si7P Contractor's O.S. # Partitioning # , T ) Completed Subdivision Lot Block SPll:NGFIID..U OllJtOO~ 91471 746-55139 , LW~, ~J::E;P!! 2255 LAt1U S~ft APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner ~lli Phonp Phonp - Phonp (owner, etc.) when ready, ,STRUCTURES NOW ON THE PROPERTY C~ll:'lt ,$IDnm: OO~Y: ) Contractor. ) Prefer to pick up. Call EXIStING llOO'S~ vALUE $1000 - WATER SUPPLY THIS PROPERTY IS WITHIN ONE MILE OFTHE CITY OF ~l~ # BEDROOMS BA # PLUMBING CONNECTiONs THIS PERMIT IS FOR SEWAGE DISPOSAl liA S.I.,# PLUMBING BY at\. I hereby certify that the above statements are true and accurate, and that I have the following legal i'nterest in the property: }~, owner of r~'cord; 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 owneJ is aware and ,approves of this action. I hereby agree to comply with all applicable.codes relating to this p~rmit. .,;...... Fee Paid $; , , - "~J. ',,- "" ';,.,,:: " " Signature " ,'l~, _,.../ ) FACILITY PERMIT TO TRANSPORTATION DEPT. , ...... __fI"'~ DatI" ~-', ." .'} " " ) NEW ADDRESS ( SANITATION ) SPECIAL PMT, AREA. MIN. ELEVATION: ._-.. _., -. \, ' Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction I Jse Classificati'on Group Fire Zone Comments: , '~,; :"~t',::r)' '(':r-%~:~',"'~~:~~f~F,~;,...t~,.<\<,~~~> ,~~.-1;:'.~'"''';{'''~':jp''' tA;; ~,r....,"!>"~,:;:;~~,~" ",~,t,'~-;;i..5'~~":,,,' ,,' ,1' a.f ;/'1 ~'.'"\:'''i.''' 'Comments: " ,..~ .( ,.',' By: Date: " By: " j' '. ." (:J;.' Date: PLANNING REQUIREMENTS SATISFIED. By:" 'i: Date:'\ \"" '; ': V \, Date Issued:~, ZONE: \. ''\ '....... _ SETBACKS: FRONT SIDE FACING STREET (FROM CILl INT. SID'E YARD REAR ". . .. . .....~.. .... ~. " ;'"\" \. -... .......... LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT,-l25 EAST 8TH AVE., EUGENE, OREGON 97401 '. . . ~~'f i~:/ ~",;..)-!:,~ ..~"1 -' : ',:-- (FROM Pill \ PHONE: 687-4394 '\, POST THIS PERMIT ON MAIN BUILDING AT SITE \ C55,13 BLDG, PERMH - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COpy - WHITE , , TRS, TI /7- ,~ - .;:17, / - /367 a Job Location ~~-4/-- ~~ INFORMATION SHEET ..l2~~ L~ r c~ eft ~~ -<\f'\ 97'//'7 Written Directions 75 (t.-113uilding Permit ) Site Feasibility Study for Septic Tank. Number of sites Acreage or Lot Size Partitioning # Test holes will be ready ) COniPle~ted ' .' SU~biViSiO } Pending, ' , ' ' APPLICANT'S NAME AND ADDRESS' .,:..+,U. '-.JJ1 ~ _ OWNER'S NAME AND ADDRESS,if different f~o~ applican{-s, II dd_~.s- ~./LA-4~ .~ .. . . -. CONTRACTOR'S NAME AND ADDRESS Mail permit or results of site feasibility study to ( ) Prefer to pick up. Call Lot Blocl< .~,'(ttv~ 'lip ,- pr Phone '7d~-src%' Ph6ne.'7~h -:- r.rb;i Phone ' ~ ) Applicant ( ) Owner ( (owner, etc) when ready.- ) Contractor. ' Contractors O. S,. # WATER SUPPLY, STRUCTURES NOW ONTHE PROPERTY '~~--e..-- PROPOSED USE (this permit) ~' '- (l~.L/l./ /Y# ~ IYfJ * Bedrocin.c; 3 SEWAGE DISPOSAL (e'xisting or p'roposed well, etc. If public, narhe of system) (existing or proposed septic tank, etc.) S,I.:;= PLUMBING BY Address ( ) PROPERTY ISWITHIN ONE MILE OF CITY ( ********';'*'**************'**'***************:*'* OFFICE USE ONLY BELOW THIS LINE **********~******,******************** ****** ) New Address Necessary ZONF ) Facility Permit Necessary ) Special Permit Area. Minimum ,Elevation: SETBAGKS: . Front Side 'Facing Street (FROM CENTERLINE OF ROAD) Interior Side Yard "Rear ,(FROM PROPERTY tiNES) To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to hav"e a problem with Your assistance will be' appreciated. By .. Permit Processing Section , Response: C55,12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 '. nivision TRS"TI JOB LOCATION 2255 LAURAST SPRINGFIELIi OREGON ....~....... i 1'- ,-~'~' PERMIT # ,~.-)~~'-0' ~ ' ': 17-03-27.1 TL1300 LANE COUNTY PERMIT l:. , , Acreage Qr Lot Si7P Contractor's O.S.# , Partitioning #, ,( ) Completed Subdivision Lot Blocl< SPRINGFIELD OREGON 97477 74,6-5509 ~:, APPLiCANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner LEON KEEFE 2255 LAD~ STREET SJll'1E ) Contractor. ) Prefer to pick up. Call Phonp Phonp' Phonp (owner, etc.) when ready. - .; ;\- STRUCTURES NOW ON THE PROPERTY 'CEDAR SIDING ONLY: EXISTING HOUSE VALUE $2000 f WATER SUPPLY THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF NA SEWAGE DISPOSAl t-1A # BEDROOMS N'A # PLUMBING CONNECTIONS r.',. THIS PERMIT IS FOR '1. S.1. #, . PLUMBING BY NA ,:-'- I hereby certify that the above statements are true and accurate, and that I have the following legal i nterest.jn the property: ,')l);., owne~ ~of 'record; 'contract purchaser; potential buyer; realtor or agent. I further certify that (if not the 'owner) I am authorized to act for tbebwner of record, and that said ,own,er is aware and approves of this action. I hereby agree to comply with all applicab.le C0,des-~lating, to th,is permit. , te2 '--.. "' \ I I)" ,',' 4 ,", ,',.' .. ... ~-~ ~., -. ' . \.: .... . '" ~ 11." ,1'-"//- /- ,'~~" / " A' ~ "/~l-""",);--', ."..-.. .~H',\C.:-_' 1,'''',-_. . Fee Paid $ c.::.:J~.......) ~'-, (~ , ~<<'c:~~ '~'-:':::~ .~,,; Signature ,/ / ,1./,-",1 4''<-~t'>nv ~~ c/-;'f~ Datp \ ~, ~.;;~~ \. 1\ \ ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TR'~SPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION: . J...', .';;:: SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction Use Classificatiqn Group Fire Zone '''''j Comments: ""l . ~ A I} () 1./ q:::-r~ ~:f~~~~;~ erv-f-r a.J2(J ,l ,I ~" A ". lj (" I ~;,<4)-l,', e- ~ l-u-"'~~,~ ......-:~-=>> ' '. .t~ Comments: A '~ ; , ,1 ,~, (~/'., /J By: Date~~'" (-=-----,.~ By: 9t'~~ S" ~-,;:i-;1''tl2..e.f/ Date: }- 2- z.--7~ PLANNING REQUIREMENTS SATISFIED. BY\1::"-~'-""{'1'-~'~_'~"^-_A /pate: '\ \ ~\ \ ~l--J\' Date Issued: ~ \ "...,'\\ \ '\ ....\\\ " ZCiKJ'E:--"'{--.......a.... _~ETBA<;;KS: FRONT _ SIDE fACING STREET~ (FROM C!L) INT. SIDE YARD REAR '\ "lFROMP!L) \ .. i,; LANE COUNTY DEPI\Ritr)NfITF'EN~~rJ~5;AL ~~N~&~~1~025'EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687,4394 POST THIS PERMIT ON MAIN BUILDING 'AT SITE C55,13 BLDG,P~H~,IT,-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICE COPY-WHITE ..-.~ ."..., - .. ......;,t-, " . , ,~,~- .~, '.-; ,:{:~~" SHE INSPECTION ApPROVED / / DISAPPROVED .I REMARKS POUNDATION'INSPECTION l DATE REMARKS /' DISAPPROVED / '/ DAT~ ApPROVED / FRAMING I NS,PECTION , A~PROVED, / I DISAPPROVED / REMARK'S ~- LATH OR ,SHEETROCK INSPECTION ApPROVED / I DISAPPROVED / REMARK'S, \ I / DATE ! DATE 1 NSPECTOR' ' INSPECTOR I NSPE,CTOR INSPECTOR FINAL I"NSPECTI/,,, ApPROVED: / <I': / 0 I SAPPROVED ' /' 'j. DATE 1t!J -.J -111 NSP,ECTOR REMARKS CERTJflLATE OF OCCUPANCY RE~DY TO IS~UE ,/ / NOT READY TO ISSUE / / DATE Rn.\A~KS , ", , ! ~,' v INSPECTOR '...... t, ,:/ ':'..:' J';:" Ilf/t/ :'fII'" "',,;. "~", \, (-l'fv t I. " ,,' .tIt//"', '.',,' '\ \",:\ l"'1-' 1;'iJ~;:r~, :.. ,," : ..;', "l <" .:.." " 't", kri~~ D(v,ision :,~.e?t;~~~,:->~~,i ;(9c9J~La~I~-}:xtension Service.- State Fo:estry_. " , ~~, g'i ona 1 Pl ilnn 1 ng\ , .,.~'';:~lt o/::ro .......q.i[~!T rans it Di 5 t t'i c t S ta te Highway Di vi s i on i W$f')a~ning'ReSear~h~~~~ Reg, Air P,Ol,' ~ut,h. _,__State Environ. Quality ,}onlng Enforcell1ent~' f16~ter Dlstnc:t, ~ :._,__State OepL of LM\ds 'iI""EnvironmentalHealth ,School District____,___,_, State Fish & Game Fire'District State Geol. & Mineral Indus. ~Boundary Coinrnission State Veterinarian Port of SiuslawDunes Nat'l Rec. Area ~Plan ,be~t ~ Siuslaw'Nat'l,Forest LCity of~vtcU-rL ,,' Willarnette Nat'l Forest EW~B ' ~ " -b Bureau of Land Mgmt. I' N.~;Natural Gas ' Soil ton~ervation Service Pacific N.W. Bell .'Pacific' N.W. Power :Tri-Agency Dog Control i , : 1 . LCDC' J ' So il s Da ta Flood Management ~}ransportation Planning )<. Assessment & Taxati;on , - Parks'Division Lane Real,Est~te Di~. I Lane Public Safety Lane Public Lands Lane Lega,l' C~unse 1 , .,__,Hous i ng & COlnm., _Dev., I, , ...:..._..Neighborhood Group: " " 'i" From: ,", # "o::nli'lilIJiiiI'--'1'il!iI' "-T M"I'~'llll"!~""- , i:ih; I',j J.- h ~t;,~r Da te __6' ~ ?_-3._,.. Corps of Engi neers Fed. 'Aviation Authority, Fed. Communications Cornm, Other Other LANE COUNTY LAND MANAGEMENT DIVISION 125 Eas t 8th Av'enue, Eugene, Oregon 97401 Phone: ' 687-4061 A request for land use action, as described on Data SUJ111i'WfY and attached schematic has been received by the Planning Division. If signifi~ant impact is evident, please ,send co~ments to LdFldManagement Division by ~- 3/ ' '. ' , , Specific concerns of your agency ,should be addressed in additio~to adverseimp~ct$ on general livability of the area and its future developl1]ent." " For additional information, contact ",~~,;~', ., " , ' DATA SUMMARY:, Journal No.l'i!.e- ~....tf9 'Zon'e District~L1Llj -7> f(p APPlicant__~~~ ____". ___ ", ~ot size"T'"'___: ,_. '~:-,-~, Property Address~~S-S-, ~,_s.~ " 'MaP:,.l7-a,_.3~~7:L ' PROPOSAL: tJ,o .A'- ."_,, . '-~P;'1j'a----2'2Yl7""Tax )"t.:;c.L~<2-~ ~1Yt:~ ~ - ~ ,,-~-gg,~ , -,------- ,I ,_, .~ ~__,~~____.____~_~_,___,___,____, _ COMMENTS (Reverse Side May Be Used): ~ tU~--tL~~@~~ d6. ~~~~~~~~(S~~ 1r11::~M-~If,..~, AI ...... (:9.,~~~,~uJJ2,..okg 041. f~~~,' ~. ~..t4"~.. "?f...I!I.pLf2~~ ,I I, ,~ .' .~,~>.. , ' , '. . f~ .. I :>,,:L ',flf " ' 'I' ,! , 'r:i ',I v' .. .\~ ",...~,...~..~,/',i.~,.,.. uvrJ-.K1f~0, Im'~,. ~.' ~":kM' f~ I, " av% ~ ~~ i__.IJ ' ,,', ':'f" ' '" ,~ ~ ~ l...".LL/~ J;,l,.,:~'J~k,- "~:,: '{r" ," /lUI8/1'~) _..L _,~ d R -+- '~:l '., : ,',. \:) , 4. 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". 1 .......".11.....1..1......1.0....,1.11.1,.....,..'.1..la.sRs..........I...SI....q.........,.......e......,1I.I....,......I.:...~ : if, ::; 'j . Fo'R ANY WFORi:1ATIO~1 ON THE PHOPOSAL CONTACT TIlE PLANNING DIVISIWI" i ; '; ,H,o,US,E PUBLIC SERVICE GUILOP;G/125 [.'\::;1' ;riH;~\JENUE/EUGE:~~E:. UREt;~)N '17401/PflO!jC'(Sf)'; fi27-41S6).;: ' ~1 ~:, J ~ ;11 ~ I, :; . ~ ; . [ ,l " ' ,! " " ,:' ".., ~"I'~f'i:Ili';f' I' 1~ ". /' l ;:: /'. , . . it~~mgs Official Pu" Hearing Tilne;. Date: Place: 'Applicant: Location: Pr6posa I: ' , I HA~LOW- HA~ DEN B R tDlrE RD, ,\ l?ooo r . r j 'I -r?A -4~ ;,1 :. ,',1, I.' ' ~ ! I: ' , ,1" /0 1(00 tl /100 4903 1~o2' ~ /u l" ,A i' '~49DO ~,t>.~ri' DR", f,' 4BOl " . , , , ' 3 00 I' ! 4~OO , Lane County !. , f ::1 ",' :, . , ",. I {~ . ~1;':'~' ~'l:.; /\ ;:' ;TLbf1~ ~i'-~~,t,\,~: .~j~:,:;::,:::,~:,_L<~'_ \ ;.':""'K' '. 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