HomeMy WebLinkAboutPermit Building 1980-9-15
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'LANE COUNTY ,.JUlBlLDING PIERMUT--
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POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT # LC 2160-80 MH
JOB ADDRESS: , 1863 Inland way;, Springfield, Oregon 97477
TRS, TL: 18-03-02.3.3, 4100
SUBDIVISION: 3rdaddition, Filbert Grove, Lot 34, Block 2
CONSTRUCTION APPROVED BY THIS PERMIT: Single-wide mobile home. Certificate
of Adequacy. ,
CONDITIONS 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 finish 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.
, '
The existing septic system installed under 2164-68 shows, no surface
sign of malfunction.' Mobile home p'lacement 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,S feet; rear property line, 7 feet P.U.E.
PERMITTEE: Warren Lunceford
DATE ISSUED: September 15, 1980
From:
Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
BY: John Smeed/Kathi Hiederhold/Candi Hart
DIRECTIONS ,TO, SITE: Main st. into Spfd., right
tQ subdivision', left on Inland \<jay to #1863.
~etDackS - ~u5surface Sewaqe Dlsposal
Septic Tank Drainfield'
10' 10'
10' 10'
5' 10'
50' 100'
on 2nd st., 1 1/2 miles
Existing or new SDS
specifications:
gal, min. tank;
feet of drainfield;
*************************************************************
max, depth of
trenches
SETBACKS AND OTHER CONDITIONS'OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION
CAN RESULT IN REVOCATION OF THIS PERt1lT, CITATION UNDER PROVISIONS OF LANE COUNTY'S
INFRACTION ORDINANCE, AND/OR OTHER REt1EDIES ALLOVlED BY LAVI,
WHEN READY FOR INSPECTION (see reverse side) call 687-4065. Have the following information
ready: Pennit number, jOb address, type of inspection, when it will be ready, your name
and phone number, and any special directions to site, \
Env i ronmenta 1 r--lanagement Department
125 East 8th Avenue I Eugene, Oregon 97401
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ii!~~~!::~::!!(~L~~~~t-::~~~~~~~~~ft\~
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Structures now on the property I D...,t.~"T> ~nV;1 \...p H. o.......'e
I!jfil~~~~!i~i~Ji.1fT~;:oriW;:ty,l ft1:~W~j~!i'm'~j! 0 [@If!i!~!:~jij1i '. 0 llW<l~ry~lEI!l'i! 0 ipUWj5~n
Affidavit: I. WAt?'O-e,J LvrJc.Et=bl'2:_J) - . here-by-certify that this information;s true and'"accurate.
IpJeaseWr,lnt}
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 purpose. I have the following legal interest in the property:
owner of record; contract purchaser; lessee; holder of. an exclusive option to purchase;
'\......... duly authorized to act fo"r the ownerpWho is 'nowledgeable of this application.
Si;;;;-..t;)re/Address hh,u"e~~-"" ..d_' /71'0 ;f,Uf- tJtl)/ C'--t~~ (}..-LQ. (ziol
Telephone 1'0 ~ 3/ (".1 or L/6/j/rJ/?u Olte
:~:/ermitl i1~atm,,:r%.~c~~~, 0 Contractor (zio)
CDntracto( A'//~).ftZ';';':'. - I'd. . (tio) Phone
/ Contractor s OSR# - '-# iq~ Plumbing by cfl{u 1Y11 /010 ,'fd '>f -J- (/ n
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OEPARTnEIH OF EI1VIROIll1E1HAl IIMIAGE~lU'
rSB, 12S EAST 8TH AVEIlUE
EUGENE. OREGON 97401
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Phone
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51 test holes ready
roW , p;is'd'ifiDflO;;!
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00 NOT-WRITE
# of employees
BELOWTHIS LINE
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Received bv " .
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Water SUPPI[ '~~/..4'7U-./:;!'''~
Proposed _ ,'. ~x.isting *: ,
Year Installed .. . .
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Total Valuation: $
$
$
Valuation Fee
$ ..,,/?
$<;L--/ ~O
$
S
$
each $
each S
1.. side
Subtota 1 S
4% State surcharge $
Plans check fee ~ /J $ -
r",n9' &' Z"7:r>!' ~$:iffL ~~ $g96~()
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Parcel size)C)/4S-
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int_ ,c::., ; real v. '7 (
Rcs
Parcel #
Zone } ~j~/
l-1inimum .etbacks: ~. front ~~ .
, bLt2Q-1/LUX'.-c ""'-. ' ~
Comments Ah) ~~ _'I..__~r:~ ~
To be typed on pernll t
PER/,ll T PROCESS I NG
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Date
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CP&I Type
To be typed on permit
Group
Fire Zone
Use Classification
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,/For plans information call (area inspector)
Directions to site _r<\n~v'\ <:~~I/\-\-() S'I2-~rt, CVYn^'\.
_T'D S,,--hd:v,~jn.... _Lce.L+-....."
Plilr)S to: CPt.1 set(s)
WPC sel(S}
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Phone
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Oate Hold Slip
Reau ired t.n prr
Date
Date to
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~~~s~iddress:'i;"t,~~'!i~\,,-;l w,.,."~ lir ,': ,," ": ~ity' ..s:1...,~,.f.~ (eI
. Township: 'R'ange'Se~'ti~~ Ta~ Lot_ o/.e ~O'?!i.;..,(),d.,.. <> <-( / .ij19-/'J
.-..""_";> '//.ml,,"~ii::t.- /'1"'" ;/ ,'/ P/..,;" -o;--,'P/, ,// I
Subd ~v;s ;on,,~:~_'~~:>-/';'~~;.'" ..~:vr-\. .'. f.......',,:,....."r~~:~.f~ ~/",-~:':.~7.1JkQJ... ~ ~_,ry:- 81 ~Ck -----:-::. ..~l.".: ',:.1.
,.. .Appliea,tio". fO,r :_M" "'l:kiJ\;\:.;\"'''~-y7 {J \", r""lp,^+ ,Ro 1 'If'Cd(1\()A......' Ofl \ 1,)'_':.'
Str~~'tu"re~~.nci~ CiA':' the' p'~ope'rty,.!tl,: I f>...i. _~A. ,M..I;-A~n'J :k\'1~,,^- e' I _ .. .
. - - . .' .7'.',..... -.,'. "', " ".~. . ,'-,' '. . "': .".W .... . . . -', '
Proposed US~,Of p~i;p-crtt: ~)~[ Res.idential ',[/J:'CI Con-m'~;eia" ,(/ iridustri~l () Pub1 ie ", ,.'
, . ". - /.' ;'-' ,"- - .,' f '.,
Affida-'v;t:'-I'>-t,.,lA.'o'tJt~~A.JlL..}.vrJ;'''~~r''i:rZ:':1'>:t:,.- l',/lereby 'certify that this information is true and accurate.,
. t (please pr;ht-)~~. ' ' I ',J -' '"
If th i s app 1 i ca t ion ,h J~r, ,an la,g~ i c,u 1. tur'a J ~p.Li.tl q; ng i~ wi) .Jb~. used! .for purposes ~ 11 owed br. the S ta t~ .8u i 1 ding Code and
Lane County Code Chapter ,10: (zon1ng) and ,for. ng;other purpose",bI"have the fo;llow.1ng legal lnterest 1n the property:
owner of record ;,1" -, ; '1 '.contrac t~ plir.chajer;' . 1 es'see;:. ~ h61<~~.r of, an excl us 1 ve option to purchase;
'-'- / duly autn~riiedto:'act~for','the'ow.rler,t.:WhO is,.knowledgeable of this apPl,ication., ., .
Sig;;;.ture/Address\":::1.,J,/~;",-'f,;L<1'J~_.d;I,14l?i HII.>-~~.Cli.L'U .{';--1t?~, (}..u: (zi~)
. ,~ .; '.~)~1.JPh~, l':%:,10,;rql~:~" 'ior- '-:;h/~,(/I"'l/r?,..j Da'te
When pennitlis readY'noti7~:)~;'j(~~~li~,a~tt,i. /f.ow~)r~ I:; Contractor. I
Owner ,{'II 1'.kJX ;/~Ji.'~!rY\l . (ZiD) Phon.
Contractor/r' /./....//A~..~:;.."y,~..;I::..~.-,-:f:.,. 'i --,." '(z;p) Phone
Contracto/'s aSH,' "~~"ja~~:_:, riullIbing by ( VA!' It ~r\'d'JI/7 '-/t<') '?r'+ /1 J"-j'
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. ',e "'1- ",~ ."uDONOrwmrBELOW THIS LINE
.If Commercial: # of sto;.le~-':,/.,,~,",.,,:.fi. " ii*~'f"~mployees # of unit~ ______
Residential: # of bedr:o~,~.ts:r'-"!' '!':~'l" ., ~.~:'~: " 50S: 1.q,~E;!JJin9Q.BP
SI test h?l~,' ready'lJ' ";'" t /1/.,-PropDsed, SI
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Fee " -, ~ 1 - Sq Ft Dr . Unit
Code \ " : ':" '":'Oes~;ri p1t'i on ' . 'i ,. .'# '~f Sites 'cas t ,
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\:' , ' '", "Tota).-'Valuation: ' $
...II:I:.-r",lumb5ng..fix,.",tures at: $
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. '" I ~ '" Sew~ri\'l~.ter:,'c9nn. at', $
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o'EPARTllr.IH OF EIIV I ROlli1EIHAL IIANAGEHE:"
. PSB, 125 EAST 8TH AVENUE
EUGEIIE, OREGO" 97401 .
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App li ca t'i, ~Q:4f): ..
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As signed .Nurri~ers,,'-l '
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Valuation
Fee
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$ ,,"
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each $
each" $
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CI Check #
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Received by' . '~~." ".'~ . ':J '
Water SUPPly(;;)f1///.,r7~>;'~;/ ;'./,".~.,-,.. ,
P \......... ?'.. - .. (. \
roposed .,' ~;, Existing' ,I, l
Year Insta,lled'. .;.~.;;:;-", 'T'
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. :-t " J" ,~... .,., ~": ,. ~'" t .
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. Subtotal $
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4% State: surchar'ge,:',. .~.. $
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"PlanS;"CheCk;'fee.:~~: . . $, " .,'~ '
_Chang;:of..O~cup~ncx~ . (t-,,~,7~ $ <;<:'0, ci& '
: . - : ': ". ~er. 4lT.OJAl.' $~ /<:;'1-7,
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PERlm PROCESSING Zone' .i:~ij ;rAA U Part. -#'
Hinimum setbacks: J <1., fro-nt'" '~/ .~)~~. ''i.,side
-'J ;~ . ;' - --'-"'-' , .- , ...,., r '
Vh r /1 I' i [.1 ".'... . . /
C t '\-/ \":~':J ~lt, "':"+_' . I ''Y- ,.- , __4J:"_,,~. _,'~t__. )';
ommen s ~"i/...~ ,.....:..I;:'.i.~.-._,~flf&oJ _ 1"c.._~_, '.,1'
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; ,into
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Parcel Size:\{- /V / '}
~l reart Jl!iV'7 (
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Parcel #
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To be typed on permit
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WATER POllUTION CONTROL
Installation specifications: I gal. tank;'" , " ]t: of drainfleld, max. depth of trenches:
, '. '" :0 be typ~d on permit: f,Y/ -/J. ,lf16l(Yl f{ hIrY.l-;;r( ";j)'i/' + M/l'OI''f ())C,OI1C,.. "
':!hll ~ \/f~i 4.Pphr1 s,~ 1/)4L}.iii'U1~JJ~",- z (. /'AlI'I I-If'! v?u..lao./_
.\(, n &1 I'YI JIY1()(1..ffI. l/hfjl~fJ0j'iI1'1f/I1.f MP.fh /I... (.IM'It! a Ok ~O) 't.(lj~
, ,/, (/( ~-loa--M;)J1J'M7I1')' /11'.llliL....0 atJadr1!;,,((;, .l~II;I,Jo {];f- .0-l,!)j/!k1 \ rh/lof.:;:~
I ' ) ?I /Z."-Yre~lfonel ., ,4D<<2-( . By' . Jc.m/1! - ,Dat;I7.,<.pf'r'fJ;J~
Directions to site N\" "., <,..t- 'IL,-1-ri oo:;-....p".l. C...........'" f::f.I1,h,:"'''' l?,~......_ ')'~ .;-{... IJ.., ".....n../04~. .
-~,-"\ ,)t" h...l:.,;,,; ,... l.... I _""->.t-t:. .J", Lfi.oL~ ~ -J I J '\... IJ' .-h.... ..4-..L {!Pi. ...j -
CI Slro Plans to: CPi.I ---'-- set(;)' Date Q :lIo1d,Slip' Oate Oa,te to
'...,rPC ______ set(st". " Required < 1 toupee; Cnrnnlpt-;lrl D('r
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lane C6@nty
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Warren Lunceford
1790 Hwy. 99 N
Eugene, Oregon 97005
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RE: Application # 2160~80
T. 18 R. 03 S ,02.3 :Rix Lot# 4100
Dear Mr. Lunceford,
No
out on
action has been taken by you regarding "Hold Sl ip" sent
August 21, 1980 for the above application.
I
This Division is giving you five (5) ~orking days to comply
with the "fjold Slip" or we will have no other option but to deny
the application. If the five (5) working days lapse and you wish
to pursue development of the parcel a new application and fees.
will be required.
,~~'i::.~
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'ROY L.~BURNS;-R;S'.;DIRECTOR':''''
WATER POLLUTION CONTROL DIVISION
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WATER POllUTION CONTROL DIVISION I
125 EAST BTH AVENUE PUBLIC SERVICE BUILDING
ENVIRONMENTAL MANAGEMENTo'EPARTMENT
EUGENE. OREGON 97401 I 15031687-4061
---'--,... -
bne county
~....I
HOLD
SLIP
APPLICATION # ?Iu(')- 3D
LOCATION' Jf;(d...Jnj0J7<1,1 /) Jaa/
/j)fJj/)n-cj_-k/M/'< fJr~(/ NAME . 0
no;n H7/I1'< -V90 17)
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ADDRESS
07
ZI P CODE
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The Lane County Water Poll uti on Control Di vi s ion cannot proceed with
processing your application because:
1. 1---1 Incomplete appl ication ,( items deficient),
o Address and/or directions to application site.
D Proposed number of bedrooms ,in dwell ing.
r_l-Approvable plot plan (see attachment), "PlotPlai'l {)zj~~lj
o Notification of date test holes will be ready.
Verification of eXisting-system required (memorandum
'explaining this procedure ,attached).
Two test hol es (2'X4' X5' deep) requi red forexpansi on
or repair of existing se~age di~posal system in the
area of the proposed drainfields.
4. [./-'1 Other: SllhmlA () nLI)! O/rh4 d/!{jjli.. '7b
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() .&iJOl'll1/Jrf ' ,\~((}jo c:V j II ';:-~(1 / 0/ ) II::: 711 I/o-Aid
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~ !Mc!7/J}arli/fV1 /I:#r./wd /);jl1zdj,ollr 7) .fu!Jf)Of,/d flU';' ,
':?) t~j/J~11 (Y/l;,;.f/.LK(/C' (4t1 (f/IA,/; '1'/I_;YJI1v~61 tJJ./71lA../
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S1 GNA TURE
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OFFICE HOURS
1/ Au,;, 'ltl
DATE l}
!}iI7~CI()b/
PHONE
If the necessary corrections are not made within
application.will be denied,
j5~ days, the
cJ 0JSSep+-
BUILDING & SANITATION / ENVIRONMENTAL MANAGEMENT DEPARTMENT
125 East 8th Avenue / Public Service Building / Eugene, Oregon 97401 / (503)687-4061
.:
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FLOOD PLAIN MANAGEMENT
(
Department of Environmental Management
125 East 8th Avenue
Eugene, Oregon
687-4357
TO:
v
PERMIT PROCESSING
PERMIT NUMBER 2./ f.1? -)30 M H
PARTITION NUMBER
SUBDIv-ISION,
.'
PLANNING
PUBLIC WORKS
.
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OTHER
APPLICANT'S NAME
1.4/ A- R Ie F V 1 I.J Au' E F=OR n
_ ,..c'" _ SITE ADDRESS
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PEID1ITVALUE~ IS SUBSTANTIAL IMPROVEMENT,
if. j
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SITE IN FLOOD HAZARD AREA
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WAY
YES j/" NO
~,-t,_
YES
/ NO
~
SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA
PRECAVTIONS 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 <;;:-;:- 8f1nw(M, S. L.) REQUIRED,
2, MINUruM FOUNDATION ELEVATION OF (M, S. L.) REQUIRED,'
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 WAY CHANNEL, BUILDING
t'ROHIBITED,
RECOMMENDATIONS:
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c74-189
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~:.~-; ,'<"l~ANE CC;;JNTY j)Ef;;(' ENVtiGT' 'l~b::E:JT'T~. 216N!O f)'ATE '.(:)t,'d7f:'~~"
'. M'F'LIC(:,NT.jOHNSDN" 1:_Lj(~y' , . iWl!f':' 'i~3l;3 INLANlY \')rYY., '-.~F:i:-f) ,,',.CmEGON, ..
'TU~ 100302::\30410'0 SUBDTV 3FWM;D TO,FILfiE!'(1' CI~:OVE . ,.'LOT 34 BLK?
NEVJ ,TiLtH;; TYPE'MH 'USE F!' NO I<N,~1:'" 00 ,NO-UNITS 00'; PO. :n,OHJ!''':' N(J 'BLDGS HO'l
CODE' iWF'L Nil' (,CTHiN '])ESCFdPJ.IONSf!'FJ UNIT GOST.\fr1L,m~;TION- .FEE DA
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APpLicati-on 11./2-' (PO - ~ for
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WORK SHEET
Construction Pennits & Inspection
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Type of Construction
Group'
Fire Zone
Use Classification
fl.],')",.};" ~ ATTA-CLA. 'PLOT PU:\!\J Tn THE" LNSPE,Tl"lRs;;;,
'PFRMIT GDPV-
FOR C.P~\ C"bMMENTS TYPE;':,
FOOil_NG,?, Mn 'PlcR,~ T{') r..QME1V I.,.a:tl ~TATI=.' 1=t"\\\(\)Dl=\.rtl')1\5
RE'AI1IREMEt.J-rs F='OF< ""I">P.I LE't/(')ME<:;; I"\R. AS. REC,(\MMF tJDEt")-
RY THE" MI=\J\)ILFAC-rURER. P~t:>VI'n,:" c:;.\UR't'"Il'J(;' Ao,. RE;"(f;)Ul Ri:D.
.>/:' YOt.l.R ~ IT"E IS Loc:..AT"e: D I.H,.H 11\1 p,. ~L.Oop 14A.-:l.&,RD Ak'fiA. A
MINIMU,M FIIllISH PLOoR ELEVAT1Q.4/',,€.c <\4Cf,0 f=/iIi:T" s,~. Gf!'
_~BTJ.Flen PeR THE ~/"";"'~ PLAlnl MAII3Jl~MEI\.I-r LE7:IJ!R. INSTALL.
~II...: 1+01"1,;" FFHIoME: ,., r; no~l'JS PER 6n.lC.LOSUJ:l~) WHEU.} RE(jlUl~BO
~FLO/")D eL.fllrJ f\l\A~{."E'M.j::'I'IIT_
Date
~ '35 f- 11
74-164
.,.... , .Signa ture
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"', ',SUBDIY~SION:.3ra:addition, Filbert Gr(jve;' Lot 34, Block 2-,.
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. "-', ,-: 'CONSTRUCTION ApPROVED,:BV THIS PERMIT:: r Sirigle~\~'ii:le mobile 'h'ome~ Certificate
'of Adequacy. '-"". -- '. ',.' ",' :
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. _.CONDITIONS OF .APP.gOVAL': 'Fc)otings and, piers ,to comply ~'ith State foundation'
;requirements -for 'mobile 'hom~s or as recommended ,by, the manufacturer....
~ Provide skirting as 'requ.1red; ~Vour site is located withinia flood
'haza'rd area. A minimum, fiilish floor, elevation of 449.0 feet- shall be
" certified per the 'flood plain mana'gement letter. Install mobile home
, '-frame tie downs per enclosure, when required'byfloo'd 'plain management.
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Tae'e'Xisfing septic,system'iristalled .under, '2164-68 shows no surface ,
_ sign of malfunction.' }lobile'.home plilcem'emt,meetsrequired' setbacks from 'the
,existing septic system. ' No repair room is avaHable.:- Re'fer ,to attached
" plot_plan stamped 'approved and dated Sept; 12, 1980. '
. .... . ".
;-; r'linimum structura']'setba2ks: ,.from center line; of road, front, 45"feet;'
; side i.nterior,property lines, 5 feet; rear property line, 7 feet P.U.E.
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"; .DATE iSSUED: , Septem!;ler 15, 1980 ,",,": '
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POST THIS: PERMIT ON MAIN-BUILDING AT'SITE
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',JOB ,ADD~ESS:' "1863 ,In1and,Hay, Spririgfie~d,,9regon~!477 "
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, DIRECTIONS TO SITE: "Main st. into Spfd~, right on 2nd
,:_ :, ,-::;", to subd)vision~' left-,on Inland l~ay to #1863.' '.'
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d ~ DEPARHlENT OF ENVIRONr1ENTAl f1ANAGH1ENT
PSB, 115 EAST 8TH AVEnUE '
,,,( ,,' ! : ; EUGEI,E, OREGOn 97401 " ,
'~o~ Address IJ(C,~ T" \a~,i, ,W,"--,,_ j/r Clty S{JV"~,J;:,;, (rI
TDwnshlp, Ra~;.>sectl.JQ;'..,;,~.x,\~~, /~J:1-C2'3K-O"'}'.. <" -:.s.-(/'?IJ-I')" ..c'",>,,'
Subdlvlslon ~f d:'~?~'" :::2-~/C..-f' ~ ~~J,r(ot. '2;t;t: Block 0 ',;".."
APplicat\~n for -Mr, \t;:I:!a,hln......"i)\... r... "'\~",,:,,-+. .{R.P ~~l"',f?/\'\~ 0.1\-\ tl";":.c'i~i~
Structur.es,row on the proP:,r~y " _~. .} ,?-.J. ~ ,~,!tfh'\n' \~ ~tl'\,^^-e ~. -..- . -..; j'_ >,
Propos~~.--'_use\Of property: )if{ Re~;idential:'.~~:"L/ cOmrri~fCial L:; Indust.rif ":' 1_~/PUbl ic
Affidavit: I), W... DU+=:O ulL\}Nf' EPt'ii'Z2b . ;1:( I " _hereby cerqfy:'ttlat~ this information is true and accurate.
I (p,lease print);:' T~ 1 , , ) '-"!-,;, '
If this application is..f9r. an lagr;c,u1t~ralbJ,ilding it wi:l~ be used!for purposes_~'l~'?we.d"py .the St?t~~,uilding Code and
Lane County Code Chapter..10' {zoning} and for no1other purpose. ~~, h9v,e the follow,lng~'legal "'lnterest ln the property:
owner of re~ord;:.., ,i C:9,ntt:'~ct:.p<Lir~~a~e~.~ . ress<e;:;.....~.... '. ho~q~,~.o,f<\ an ~,J\<;:Jusive Qption to purchase;
,...... duly authorlzed'to act for the owner, 'who IS knowledgeable of thlS app,l1catlon. ,'" I, .
Si~ture/Address .th'::;..j~"'7'~;;.; )/~..i? I,i/NI? H~.C1d.')F:'C<-td~n-AJl (zip)
, , T~le'~"-lo9<JJ ,,;t, I ' : or 46/j/,.-,/?Ai olt~,
, When pennit/is ready notify.:,r: l~'-"l~pp.l'~ant L,~I ;O,m-''Yj\ CI Cbntractor <1,' ',_', ~,
;'Dwner All ('~ r ^^~./: ! r:;io): Phone
, contractor{ 0-/ /' ../>LJ/p, ----<-', - .' \ ':": "'r:,ZiP),, ' , Phone
U/ Contractor"s OSR# '-* !~Plumblng by; (~~~_rvvl/'1/(i;_ ~'?f'-J- tIp
'r',' . "~ I . DU NUT WRITE BllUw IHIS LlNl i " /. C7
If Commercial: # of storlie$:' ..., ~--~!f;/ . #-,of' employees 1 # of units ...,,- /' /"06)
-;' Residential: # of bedroo'~1 ',: ! " \ sOS:g~xiSting-DBP ~~~~::::~
SI testnpi'es' re~dyq- t' II"'~osed. 51 .>__
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Fee '.;> ~';';'" I.,',. .... \ "'.. Sq. Ft. or
Code " ,~;t:~_Descr1 pt,l on '\ '-#"of"Si tes
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Assigned Numbers
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Valuation
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Sewer/wate~ c9nn. at".$
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CI Check #
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Year Installed ," ~
4% State S~~~h'~r'ge\"
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'PERlm PROCESSING 'Zo~~ ~/j"AA 4 !la~ #,
~ .Minimum setbacks: 't,.front '/ ,~)~V'; i., side
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Comments /1/.....1 ~__...t..~.... .._.....71;_<1.. /"f'~ /1 .,.""~_.M_Mu.
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To b.e typed on permi t
Parcel !#
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Date
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WATER POllUTION CONTROL :', "''''...
.i lnstallatlon speclflca~l,ons~ gal. tank; ~ " ~t:.,~f. 5ifalnfleld; max, depth ~f trenches:
, TD be,typed Dn permit m f.!- If] llifCtJ ff hl!'J(,(!o(f DIY/it/' ...k bI/1/YIA''f- MWOhcp
jJhil OVUNIIi/i/JI ,r:~."" "-,Ijd()~ I/lFI-IlR.ih:!,~;hd.lA 7i:_ ,;i"- -t,lh(,ut'r h.,,--w,l~
, ~ iIYIol)fj.;1Idu1I/I t1//,H. ~ofipI'PfJ1i>'1li MPfl\ ;1.fl<<(,u7,,/I.\1:.!1Jot!.cp . i\i,O) etJkn"
.. \~; of, Clr~)I)/JjLJtl.ur iJ:t.DIJ'rV1 ,G, at!ad/),':} W;_L-! rY/l.!do' __ " . _ 1/1,' c r/;
,V (YlfAlPd triAd.. i;{flfiZl /Z~. ~one ' ,4D1f2(. C By! ; 4011.,'1: " .' ~Oa!e.l?__ '!'T. _
~. .DlrectlOns to slte M.t1 U^ ~~ ~ ,,,+r') ~y'")fA. ~V''''''.N\ r::,. ~"'".. ~ 17~ ~ .__ 'J ~ ~-+. 1.J"..-.1..A 0,;'<
'I '+~ ~)l..lhj:'l:";""l", I wot...t-......v\ .T"L~U\~l.t'\r'U -1-", .4=L1R'?'J ",
Plans to: CP~,] set(s-)' Date Q Hold Sllip ,..... Date "Date to'
WPC ;set(s) Required to PQG Completed pee'
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I~I Environmental Health
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1. Site Inspection
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2. Foundation Inspection
3. Framing Inspection
4. Lath or Sheetro~k Inspection
5. 'Fi nal Inspecti on :
6.
Slab Floor, Plumbing ~roundwork
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Gas Piping Groundwork
Rough Pl umbi ng
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Rough -~as . P-i pi ng
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9.
10. Final Plumbing
--, n. Final Gas Piping
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Remarks:
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12. Certificate of Occupancy:
INSPECTION RECORD
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AUTHORIZATION NOTICE REQUIREMENTS
Oregon Administrative Rules 340-71-205 requires an Alteration Permit or
an Authorization Notice before any existing system is placed into service,
or has a change of use, or has an increased projected daily s,ewage flow.
Lane Code Chapter. 13.075 states that when a division is to be served by
individual sewage disposal systems, there shall be furnished reasonable
proof that each proposed pgr,cel or lot can accommodate an individual sewage
disposal system and at least'one acceptable replacement area which meets
the criteria estab1-ished by OAR Chapter 340-divisions 71, 72 and 73,
In order to meet these code requirements for land' divisions or use of
existing systems the following is required:
1) Obtain an Authorization Notice
2) Submit plot plans
Authorization Notices are always required on those systems without permits
of record.
At the time the Authorization Notices are appl ied for you will need to have
the tanks ~nd distribution boxes uncovered for inspection. You may be
required to have the tank pumped if necessary, You also need to determine,
the location of the drainlines and have them staked prior to inspection.
If the 1 ines can not be located easily by probing or there is a possi bil ity
of setback difficulties it may be necessary to uncover portions in order to
locate the ends. After verification of the l,ocation of the drainlines plot
plans need to be submitted showing the existing septic system and replacement'
areas meeting all the setback requirements.
The Authorization Notice may be applied for at the Permit Processing counter
in the hasement of the Public Service Building,
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crITLE ~ GESC/{OW
COMPAl'{JES
Key Title & Escrow Companies
Att.n: Connie
190 E. Eleventh Ave.
Eugene, Oregon 97401
'.
190 E, Eleventh
P,O, Box 1456
Eugene, Oregon 97440
(503) 345,4145
March 27, 1986
Report No: 30-953
Your No: 29-520
Johnson/Burk
PRP,LIMINARY REPORT FOR:
OWner's Policy $15000.00
PREMIUMS:
Owner's Premium $150.00
We are prepared to issue a title insurance policy in the form and amount shown
above insuring the title to the following described land:
Lot 34, Block 2, THIRD ADDITION TO FILBERT GROVE, as platted and recorded in
Book 54, Page 30, Lane County Oregon Plat Record~1 in Lane County', f_?regon.
VESTED IN:
THOMAS A. JOHNSON
an estate in fee simple
Dated as of March 24, 1986 at 8:00 a.m.
Subject to the except.ions, ~xclusions and stipulations which are part of said
policy, and to the following:
1. Taxes for
Tot,al Amoun't,:
Map No:
Account. No.:
Code:
"
Taxes for
Tot,al(/\mo~nt,:
A.ccount No.:
.>/{:
Taxes for
Tot,al Amount:
Account No.:
. "<"
Taxes for
Total /\mount,:
Account No.:
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the fiscal year 1985-86"
$378.27, plus interest, unpaid
18 03 02 33 04100
580728
19-02 '
the 'fiscal year 1984-85, delinquent
$398.39, plus interest, unpaid
580728
the fiscal year 1983-84, delinquent
$363.44, plus interest, unpaid
580728
the fiscal year 1982-83, delinquent
$405.03, plus interest, unpaid
580728
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Otffces in: ALBANY. ASTORIA. BEND. COOS BAY. CORVALLIS. DALLAS. EUGENE. FLORENCE. LEBANON. LINCOLN CITY
NEWBERG' NEWPORT' REDMOND' SALEM' SEASIDE' SILVERTON . ST_ HELENS' T1LLAMOOK' WOODBURN
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2. Covenant.s, conditions and rest.rict.ions as shown on t.he recor-cleo Plat., as
follows: "No duplexes shall he built. on single lots as created by t.his
subdivision except on the exrress approval of the Department of Health ann
Sanit.at.ion. No residential struct.llre shall be const.ructed wit.hin t.his
subdivision t.hat. has a finishe,i floot:' elevilt.ion less t.hat. 448.0 feet."
3. An easement. created by instcrument., including t.he terms and provisions V
t.hereof,
Dated: October 20, 1968
Recorded: October 23, 1968, Reception # 42855 of
Lane Count.y, Oregon.
In favor of: Lane Count.y, 0reqon
For: public utili t.ies
Affects: Bast 7 feet
4. Mort.qage, inclUding t.he t.erms
indebtedness with int.erest thereon
therein.
Da ted :
Recorded:
and
and
1315, Reception # 8437562 of I
~rJ1
Amount.:
Mort,qagor:
Mort.qaqee:
September 21, 1984
September 21, 1984, Reel
Lane County, Oregon.
510,000.00
Thomas A. Johnson
Oscar H. ,Johnson
5. A judgm~nt for t.he amount herein stateti and any ot.her amount.s Que,
Case No.: 16 79 10927
Entered: November 21, 1979
Jag. Card No.: 6299 79
Amount: $188.24 plus interest., COgt., disbursement.s F,lnd
attorneY'8 fe~s if any.
't'l1oma!=; .1ohn!=;on akr1 Tom Johnson
Professional Credit Service
De ht,or ,
Creditor:
NOTB: We find no jlldqment.s or Unit.ed St.at.es Int.ernal Revenue liens against
LindsayL. BUl.-k or T.JaDonna Burk.
KEY TITLE COMPANY
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Deborah A. Piquet, TitlB E~aminer
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3 CC - Key B.crow Co.
2 CC - Bill Medforn Real E.tate
Att.n: Dorot,hy Ziebert
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FLOOD PLAIN MANAGEMENT
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DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
125 East 8th Avenue
Eugene, Oregon
97401
687-4357
CERTIFICATION OF FIRST FLOOR ELEVATION
APPLICANT NAME
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REQUIRED MINIMUM FIRST FLOOR ELEVATION (INCLUDING BASEMENT) '1S2, 0=
MEAN SEA LEVEL
REQUIRED MINIMUM FOUNDATION ELEVATION (INCLUDING BASEMENT SLAB) ~A
MEAN SEA LEVEL
ELEVATION CERTIFICATE
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, A RE::;ISTERED PROFESSIONAL 'S.u~ ':'/0 g, ,
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IN THE STATE OF OREGON, CERTIFY TO LANE COUNTY, THAT I RAN AN ELEVATION CIRCUIT FOR
BUILDING PERMIT NUMBER '2-+'='0 - go. AND CERTIFY THE FOLLOWING:
1, THE FOUNDATION ELEVATION (INCLUDING BASEMENT SLAB) IS NA
L, THE GROUND ELEVATION THAT MOBILE HOME WILL BE PLACED ON IS IU,
3, THE FIRST FLOOR ELEVATION OF MOBILE HOME IS AT
L\:S- }'84
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I CERTIFY THE ABOVE ELEVATION WAS VERIFIED USING MEAN SEA LEVEL BENCH MARK DATUM.
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M74-188
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FLOOD PLAIN MANAGEMENT
Department of Environmental Management
125 East 8th Avenue
Eugene, Oregon
687-4357
TO:
~ PERMIT PROCESSING
PLANNING .
PERMIT NUMBJ:;R 2..L!.t.O -;:)0 ~.J:t
PARTITION NUMBER
PUBLIC WORKS
SUBDIVISION
OTHER
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YES /' NO
PERlUT VALUE IS SUBSTANTIAL IMPROVEMENT, :
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SITE IN FLOOD HAZARD AREA
YES V NO
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SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA
PRECAUTIONS ~~Y BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE "IILL
BE REASONABLY SAFE FROH FLOODING _ NOBILE HONE TIE DOl-INS REQUIRED,
VSITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA,
1, ~lINI~lU!1 FIRST FLOOR ELEVATION OF _SF F BE.7.oW<N, S, L _) REQUIRED_
2. t"!INDIUM FOUNDATION ELEVATION OF (N, S, L.) REQUIRED_
3 - ~lOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE
HmlE I.JILL BE PLACED ON IS BELOW, THE REQUIRED NINIl1UM FIRST
FLOOR ELEVATION_
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SITE LOCATED WITHIN A DESIGNATED FLOOD WAY CHANNEL, BUILDING
PROHIBITED,
REC011MENDATIONS:
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BY
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C74-189