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POST THIS PERl4IT ON MAUl BUILDING AT SITE
CONSTRUCTION PE~IIT 0 LC 2160-80 MH
JOB ADDRESS: 1863 Inland Way, Springfield, Oregon 97477
TRS, TL: 18-03-02.3.3. 4100
SUBDIVISION: 3rd addition. Filbert Grove. Lot 34. Block 2
COHSTRUCTION APPROVED BY THIS PERMIT: Single-wide mobile home. Certificate
of Adequacy.
COtJDITIOtlS OF APPROVAL: Footings and piers to comply with State foundation
requirements for mobile homes or as recommended by the manufacturer.
Provide skirting as required. .Your site is located within a flood
hazard area. A minimum fillish floor elevation of 449.0 feet shall be
certified per the flood plain management letter. Install mobile home
frame tie downs per enclosure. when required by flood plain management.
Tile existing septic system installed under 2164-68 sholls no surface
sign of calfunction. Mobile home placement meets required setbacks from the
existing septic system. No repair room is available. Refer to attached
plot plan stamped approved and dated Sept. 12. 1980.
Minimum structural setbacks: from center line of road, front. 45 feet;
side interior property lines. 5 feet; rear property line. 7 feet P.U.E.
pI:RrUTTEE: Warren Lunceford I ~~- 7(1 '(
DATE ISSUED: September 15. 1980
BY: John Smeed/Kathi lJiederhold/Candi Hart
DIRECTIONS TO SITE: Main st. into Spfd., right on 2nd st., 1 1/2 miles
to subdivision, left on Inland Way to 01663.
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FLOOD PLAIN MANAGEMENT
Department of Environmental Management
125 East 8th Avenue
Eugene, Oregon
687-4357
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PERMIT PROCESSING
PLANNING
PUBLIC WORKS
PERMIT NUMBER 2..1 (AU -80 M rr
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PARTITION NUMBER
SUBDIVISION
OTHER
APPLICANT'S NAME
SITE ADDRESS
IA/" A"" R r. u 1 I.J JUt" e. FORD
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JA.JI..d.A~n
WAV
YES /" NO
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PEm1IT VALUE IS SUBSTANTIAL 'IMPROVEMENT.
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SITE IN FLOOD HAZARD AREA
YES J/' NO
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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. MOBILE HOME TIE DOWNS REQUIRED.
.
~SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA.
1. MINIMUM FIRST FLOOR ELEVATION OF Sf:' r ,Bin!l(l.(M. S. L.) REQUIRED.
2.. MINI}flJM FOUNDATION ELEVATION OF eM.S.L.) REQUIRED.
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3. MOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE ~
HOME WILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST ~
FLOOR ELEVATION.
SITE LOCATED WITHIN A DESIGNATED FLOOD WA~ CHANNEL, BUILDING
PROHIBITED.
RECOMMENDATIONS:
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DATE /01 -/9 -8/J
C74-189
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OEP~RT T OF ENVIRONI~ENTAL I1ANAGEMENT
P S, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
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Job Address 1..r6;~ I.... \o..--l Wt!Ul(, '$ 'Cl!i; ie"'"~'1.f.~ (J
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AppllcatlOn for M,.,\>,I." ~{"J-wL-e .J)\...c~w\.;.V\...-t- ( 'IYY\<2.IhtJ
Structures now on the property tD"'- t;n /V-.o\;, \"" koV''-e.
:el'l!PO$ed,:~s.e~~f J.,r1!perty,' )vf ll,efj~e[>11~1j 0 Eoi\!iierc\'1i 0 'IMjjifr~tij , 0 :l'\lblI2
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Aff,davlt I, WA~~elJ LVNc.E'~.ol2-t> .. herebycer~t1jy that thlS lnformatlon 15 true and accurate
, ("lease print)
~ If th15 appllcatlon lS for an agrlcultural bUlldlng ,t wll1 be used for purposes allowed by the State BU11dlng Code and
... ,Lane County Code Chapter 10 (zonlng) and for no other purpose I have the followlng legal lnterest 1n the property
owner of record, contract purchaser, lessee. holder of an exclu51ve optlon to purchase,
: ~ duly author1zed to act for the owner, who 1S jnowledgeable of th1S appl1cat1on '
,Sl9na;;-re/Address h h.",_< ~7" ~ ..d..$v,.,,;' / /<10 ;I~!/t/)/ c<-W'e.-<<-e... Gl..-LQ.. (m)
-;, Tele~ /"6'9.J:J/~ or <l6/-(j(,)I?rJ Olte
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Owner ~ J (Z10) Phone
f. ~ rl" Contractor. ~ I \ (z"to) Phone
~/:" Contractor s tl,~mb'ng bY>&{U JyY1tlt.o ,iO --:>t>-!- ap
!\ - t, OU NOt WRITE BELUW THIS LINE
:;'if Commerclal f"of $to;j'e$: # of employe~s,\ 'rO'rlllfiiit.....___ _ "/~
Res,dent,al , of,bedrootllll, ~.' ',SOS:, ',q-E~'n9"BP #~/~y...;::.
51 test holes ready .... l.L;,v'Proposed, 51 ~
Feec '- - :Sq, ft. or 1.rn'fi '
Code ll8$crlDtlon 'idlf Slt&~ Cost Valuatlon
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Fee
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Water SUPP1~ ~4'Af.'~~~~~
Proposed _____ EX1st1ng ~
Year Installed
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Total Valuat10n $
'Pl\lmblngrflxtllres at $
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,$ewer/Watet COn!!" at $
$
each $
each $
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Subtotal $
4% State surcharge $
Plans check ~ee ,/} $ .
rh'"3' af 8. t-.lfe.L ~//).r $ VO. t71)
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Parcel #
M10lmum
etbacks
'Zone :Y7~45J
1., front,~ ' 1., Slde
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PERMIT PROCESSING
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~ To be typed on perm1t
< .,; CP&I Type
To be typed on perm1t
Group
F1re Zone
BY('O~ .
Use Class1flcat1on
Date B- 7-~
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K;~ For plans lnformat1on call (area 1nspector) - r
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+0 Sk-h,./:"~~j()h. L...?+^,~ 'T,^I"~Ll)A*IT() .4=LIR',;,J
I-I 51FO Plans to CPSI _ set(s) Date II Hold 51,p
- WPC set(s) Requlred to PCC
Date :try~
Phone
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Date
Comp 1 e ted
Date to
PCC
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LI Plannlog
C/ Publ1C Works
tj!l E1evatlOn {MlI);/a
CI Add ress ij
I~I Fac1llty Perm1t
I~I Env1ronmental Health
C74-171
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INSPECTION RECORD
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Approved Dlsapproved
Date \ Inspector
1. Slte Inspectlon
2, F~lon,Inspectlon
3 Framlng Inspectlon
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Lath or Sheetrock InSpectlOn
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Slab Floor, Plumblng Groundwork, ;1 y'v"
7. Gas Plplng Groun ''fOrk ~I 1/ G _ 0 r .
8. Ro~gh Plumblng .J 0/" y / -
9. ROl!gh Gas Plp ng (" /'
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10. Flnal Plumblng ,/
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Fl na 1 InspectlOn
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11. Flnal Gas Plplng
Remarks
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_ ready to 1 ssue, _ not ready,
date,
lnspector
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':. ."LANE COUNTY, OREGOr\..J
) 'QEPT. OF ENVIRONMENTAL MANAGEMENT
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CORRECTION
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NOTICE
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CONSTRUCTION PERMITS
& INSPECTION'DIV.
DATE 7-.,.;)6' if'!
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BLDG. PERMI~/,b11J"'" r; C)
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RE-INSPECTION REGUIREO
Phone 687-4065 FOR 'APPROVAI:..,'r
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C55-73
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INSPECTOR:
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LANE COUNTY, OREGON
lDEPT OF ENVIRONMENTAL MANAGEMENT
CORRECTION NOTICE
CONSTRUCTION PERMITS
& INSPECTION DIV
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RE-INSPECTION REGUIREO ffJ I)
Phone 687-4065 FOR APPROVAL .---!NSPECTOR V, &.~-&t'
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