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Home My WebLink AboutPermit Building 1978-10-20 . POST THIS PERMIT ON MAIN BUILDING AT SITE JOB , ~ --...::--~------ ADDRESS ~~ 1067, Cole Way, CONSTRUCTION PERMIT # Jasper 3l0s.:.78 - - TRS, TL 18-02-05-2.4 (J 900 SubdivIsion Mt. Vernon Estatea. 3rd adc!j.tlon Lot 12 Block 2 This permit for the referenced property IS hereby approved. Setbacks and other conditIOns of approval must be strictly observed Violation carl result In revocation of thiS permit, citation under provISions of Lane County's Infraction Ordinance, arid/or other remedies allowed by law Appllcarlt/Address OWrler / Address Contractor/Address Contractor's OS # Mt. Vernon Investment Co., 1340 Clearwater Lane, Springfield, Oregon Same Same 411 Total Constructlorl Value $48,125.00 Telephone Telephone Telephone , , COrlstructlOn approved by thiS permit ]!Y1!l.ex. Main 860 Sq Ft; 2nd 9S0 Sq Ft; garage 632 Sq Ft; Structures now on property: None (installation of SDS) I lli.l1mnil:'to:I':A WR"A'r r..o~ Water Supply PLANNING DIVISION WATER POLLUTION CONTROL DIVISION , Setbacks I nterlor property lines Edge of road right-of-way Building foundation Wells, other water sources CONSTRUCTION PE RMITS/INSPECTION DIVISION Directions to Site Date Issued C55-13 # Bedrooms # Plumbing Fixtures 746-3072 I I H. # Employees - A Zoning RA Partltlorllng # Parcel # DB Parcel Size Minimum required structural setbacks, from ce~erllne of road. front 61' centerhrle of road, Side exterior Da . interior property lines S' ,rear property line S' SpeCial I nstructlons None For information call 61h-4394, nn..nG l.ee Meige Site Inspection # 74-182 Irlstallatlon specifications 1000 240 lineal feet of dralnTleTd required, max depth of trenches 30" Special Instructions Reserve all of back yard area for dra1nfield and replacement aarea according to attached plot plan. I I I gal mln septic tank capacity, Septic Tank 10' 10' 5' 50' Dralnfleld 10' 10' 10' 100' For information call 687-3962between 8 00 - 9 00 am, Grell Grav. R~. 1100 Sq Ft. Type of Construction 5-H Group R-3 Fire Zone 3 Use Classification Duplex Instructions *Washer, dryer & hot water heater shall be at or above the mtnfrmftn floor elevation. (484.00') Required by flood plain management. * See back of permit for required called inspections. I For plans information call 687-3767 betweerl 8 00 a m and 9 00 am, J:lm Lamb For inspections (see back of thiS permit) call 687-4065 betweerl 8 00 a m and 5 00 p m By Phil F1nley/ly Cole Way off Dixie Drive off Jasper Road I 10-20-78 DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 ~ i' ,.fA g..:; h'" f} l~ ft-..J.. TRS,IL ,'S--;t.- 5 .~,'-t\-4.0-0 ~t Plan k Vl a 2 N ~ J As PE(Z. s~"\~~~ ~ . 8 ,~ 0,-1- ./ ~ 13"--, ~ ~~ \j) ,,~ \Jl \.9" ~ x~. ~ ~ -~lw -,j)~~ =:I ~ cl ~ -0 t:~ ~]' ~ .., ~ > c co 1 '" ..J- '" Q) { ~ "tJ Q "tJ "} <( 0 en c - '" 2 ~ ~ Q) E c '" S -- z ~ U '" ..... c ? C '" :f OJ .... a. ~ tf. a. .... <( ()C r-' I oC ..-d ~ ./ rC (}. ~o c.... ~ :!:: CO Job Locatlorl (Street mile post) \0 (g 5, \010' 00\ 'i,. 'S T 5 P F 6. 0' ee SubdiVISion fMJ- rJ~AI'lLlfv\/ ,_?,;7oLlttI Lot 17 - Block~ FOR SANITARIAN'S USE ON L Y ~ystem Approved 0 System Disapproved 0 Needs Correction COMMENTS Slgrlature ex::?'" ~ FOR INSTALLER'S USE Trench Depth ~O /, Filler Depth Belc&'Tlle 10" Tank Capacity 1000 Marlufacturer II II II a 1m pt-t;p . G ea.Y5roH-~ Measured dlstanc~ to well from tarlkY tiRuc from dramfleld 11 J A-rEoi- /~ "c 9~~~ "<' \ I .c~~ <]'I'V(~ . ; -'9 ~ ~ - -.T If> -V" - .' ,;;" ~ ?-...~ ...0" 19 I&- ,(f; ',..r~ ..... \j> - \ ' - , " ..... ') ..... " , / - , . /' I // , lD'O / <u1,../, /' / /. . / ,/ O~ /' '-V,,-/,," 0~' '-:::.., - /' ./" , '-r ~,/ _ .r / "\../" '" e. - Scale \ ' VO'-/" /'" - I TALLATlON RECORD AND C IFICATE OF SATISFACTORY COMPLETION When !l(grled by the County Sam an, thiS certificate IS eVlderlce as per ORS 454 665 of sat- Isfactory completion of a su urface sewage disposal system at the above locatlorl Return th~'~ . P;:lt Processing Section, Department of EnVironmental Management, 115 ~ Public Service BUlldmg, 125 Eas18th Avenue, Eugerle 97401 I \Zo TQ.~ \<. \\olLST I '7 Yz. 'F 120m \4OUSE D\S[ 'i3t>j. 5 I ~~Yn. Ta. n K / o0tle.t -/: - - /' \ '/ - " .J o. vv~LE'^ , \ , ~ N Date 6 ~/f-17 ~ 1000 5a.1 TO-Ylk COYle.. C55r--- I~ . POST THIS PERMIT ON MAIN BUILDING AT SITE CONSTRUCTION PERMIT # JOB ADDRESS "~.~ It!"'''''' '" ~ c' ~~--.,. ~-"'-J _..H ,CD \..3170 ~~.__ Sr..(""2~7u TRS, TL l:}/~=':::~l.?otJ 0 s...~u SubdivIsion E~o \z:::~ [-::::~~~~ '::::::1 c:-~cQ.::;:) 'Zt:'-~ .R l} 1"-, r--." (I ThIS permit for the referenced property IS hereby -1 Setbacks arid oHler ~or{dltI6ris'Of approval must be S1r1ctly observed Violation can result In revocation of thiS permit, citation under pro~ISior;sorCane Courlty's Infraction Ordinance, and/or other remedies allowed by law Applicarlt/ Address Owner/ Address Contractor/Address Contractor's OS # Telephone Telephone Telephone 1':::.0 \.-"'.:::Q:::::::) lli......__~~ C'3oc- ~O ~-n. "--CC? 7~""-"'-'o C~-dtjo C..l~....--....J C:= f"'~_ '-----" ConstructIon approved by thiS permit iJlill Water Supply r,1'f1n, PLANNING DIVISION WATER POLLUTION CONTROL DIVISION . Setbacks Irlterlor property lines Edge of road right-of-way BUilding foundation Wells, 01her water sources CONSTRUCTION PERMITS/I NSPECTION DIVISION ZOrllng ~ Partitioning # Minimum required structural setbacks, from side exterior <:::l ,InteriOr property Ilrles Special Irlstructlons r.= p For information call 687-4394, "-_ .__ 'M~"_ --- -~.....- Site IrlspectlOn # """ "''''> Ins1allatlon specifications ~ U~~ ~~ lk~ lineal feet of dralnflela required, max depth of trenches SZ? Special Instructions f' '---' n'lll'. oft ~ ~~ C-""Q;:I fies a--~~&J c:::--1 t:".....;2~cc....-::~g c::....~ t......~~\)...fJ ~ C\,,!~~r'I~/.J. t:ill.c~ V~ I # ! r. r....-.....-"? ('I,...., Septic Tank 10' 10' 5' 50' ?('?::Ji12 f o . Total Construction Value :;!:Q;)I12S\aC~ I:::::711q, t::r:!:l ~1 rJ:::J G"~G ?~J \:D C::J rea ~~ GS2 C:;1 ~n ::;~~ZJ = c::l l.--''-',---'LV'' i.:= (~~,,'llO^"b 02 en) # # Bedrooms ^ # Plumbing Fixtures # Employees -, Q~ '-'-' Parcel # f"""\ cerlterline of road, front Sll- ,rear property line Parcel Size O! ~ ' centerline of road, .s~ ttCJ C~ :-~o ~ gal mln septic tank capacity, Dralnfleld 10' 10' 10' 100' r:"l;o~'5.between 8 00 - 9 00 am, ('~,.."., r-...,. For information call f""t_<\_ Type of Constructlorl ~ Group t:?J Fire ZOrle S Use Classlflcatlorl ~ Instructions c:::.:,~" O:i;~l]' c. b:::: "7:7 1:-. r"-n\l~ ~ a:=; or: c.::-",.;.l at:::! rlnf.,---, i?J2= C&:;:O&i'..:7.lo {(:~oe::Ja) ll.." >1)"""'" C:'i7 fnl,....."1 r~ ~. Q 0 C:::J ~~ oil I ,,, ;~ l?o:1 ~"'"1;::3 ('"",nil,..., ~_"'O---,o I For plarls information call eaZ6~V6v betweerl 8 00 a m arid 9 00 am, .!l:C::l ~ For Inspectlorls (see back of thiS permit) call 687-4065 between 8 00 a m arid 5 00 p m Co&o e::w oUr: r'<1~0 ttnvo o2l1 &-,r-' n:-::-::l I &Q>.~8 By lane county ca Directions to Site Date Issued C5513 \?-....ill! l.7iJcl.or: J'P;v DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGE~E, OREGON 97401 - TRS, TI / R-2 -.J,-. _9 d Wr~tten D1rect~ons #- ?t:X:> / (!J 6.5" colt' t.) 't Y /ob7 ( Job Location 'en/a. v/cv7 off /), .1':0:. 3(()5-~ DI-, Vc "r.Jff CfvSh<Zl- ~ / } '7, INFORMATION SHEET ) Building Permit ) Site Feasibility Study for Septic Tank Number of sites Acreage or Lot Slze.f.4-.t2/) /) Partitioning # Test holes will be ready SubdivIsion ? 1:;/,4,11 Mr I/ff~"" /~ E"" loT;, -; Lot /2. Block. E'- ) Completed ( ) Pending APPLICANT'S NAME AND ADDR ESS hI V<Z/-I7N7 7,..,yo_ < ..J/7'7'U71 OWNER'S NAME AND ADDRESS, If different from applicant's ' ' ETIiACfc;r:; r;,\M[ AfJD ADDRE:>:> -__ ~_ " Mall permit or results of site feaSibility study to (vt'J\pplll3a'nJi ( ) Owner ( Prefer to pick up Call _ ~ etc ) when ready r:;, \ '~_L\ ~ _ Phorle ;7/7=1. =?O'/('? O,\'p ro......U,.l CD-\. '-fl. \... L. h Phonp ~\'-/'-'-..... ~ ~._- ( A _ Phonp Contractors O. S. # # 1/ ) Contractor STRUCTURES NOW ON T'E p~ rJ PROPOSED USE (this permit) ~ fA I/) D' Gar, WA TER SUPPLY 'vJ: //0 rna.lfc_ W'O' ;-,7-1- r;,-J. 123.1'- D { H P,p(J rncms. II SEWAGE DISPOSAl (existing or proposed well, etc If publiC, name of system) .(exlstlng or proposed septic tank, etc) S I <: 7~- 3132- PLUMBING BY S II "'/7_ 1-" PI U /"7'7 h.' 1-71 Address ) PROPERTY IS WITHIN ONE MILE OF CITY ( ******* ********************* ** ************* OFFICE USE ONLY BELOW THIS LIN E *** ** **4***** **.. * **** ** ***.... ** ** * **"'l-*"" +* '1-""" ( ) New Address Necessary ZON~ ) Facility Permit Necessary SETBACKS Frorlt Side FaCing Street (FROM CENTERLINE OF ROAD) ) SpeCial Permit Area Minimum Elevation I ntenor Side Yard Rear (FROM PROPERTY LINES) To Plarlnl ng/BUlldl ng I rlspector /San Itanan/Surveyor ThiS applicarlt appears to have a problem with Your assistance will be appreciated By Permit Processing Section Response C5512 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687 -4394 DIVISIon 4 AVERAGE PROCESSING ~ TIME I. :) j ~j,--. LANE COUNTy DEPARTMENT OF ENVIRONMENTA~ MANAGEMENT 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 ~tANNING DIVISION Partitioning' '--~ Current ZonIng Dpenc:llng FeE Dcompleted Parce 1 No ~artlttont~Q P~~uiTed, Othert $ , /' ~NAT'R POLLUTION CONTROL I of Sitea New Site InBpectlon(~ 60S Construction ~New [] Repair Number of Bedroomsl '-\sQ I I I i I $ $ $ 'r-.\ ~~~ ~ ....... Qgmmer~lal/1ndustrial - . of Employees Ot~~ =-'L-Cl.. "- . ~' .... \::, ~~u:~::~~ Q~ CONSTRUCTION PERMITS AND INSPECTION ~ (See above for . of bedrooms/. of employees) o ~obile Horne o Permanent A.~_..dn._g 0, : RZ'em,:::ry ~ F~valuation YV-~~ ~ .('""100 ~ PC-O ~", CJ.p!-,r) L1. ,c::..'-\~$ (_<,n~C I,.,~" l\'14~ $~I\~ $ -~ Each $ )0 rach $ Subtotal '1 ~\p ~.S;. $ $ r P\\{ cO ~ Total V,lu~tlon ~ PlumbIng fIxtures at Sewer/Water Conn ~t U -_IoU \, \Q 'C:> ., ~~ ~~ ., State Surcharge Plans Check Fee Change ot Occupancy $ $ y~~ $ \,.,'1_ eo $ ':"...1.0A N:: ) PERMIT fEE $ C)~ ~(\q TOTJ\L BUILDING MinimWll .tructurlll aetbacks \ (", \ From centerllne of street Front Exterlor Side ~ From interior lot I1nes Slde~ R~ar ~ [] Comm'l plans sheet to applicant [] Curb C~to applicant c=J PUBLIC LANDS ~drcs. . ~nimum Elev.t'on tUBLIC WORKS ~ Fecllity Per....'.. ENVIRON"'U:NTJ\L HEALTH / t> / / Ca Ch.c~ IJ~O~c'd b~~"'\~TOTAl $ ( I '- ~~ l -"(" I') $ AFFIDAVIT If this permit ia for an agrlcultural bUllding, I hereby declare that this building will be us agricultural purpose~ d~ allowed by zonlng and/or the State BUlldlng Code, and for no er cpo e I further certlfy that the statements and other informatlon submitted on this p~'~n a e true and accurate, and that I have the following legal lnterest 1n the prope ty owne of record, contract purchaser, lessee, holder of an exclusive option to pu hase uly authorlzea-io act for a person wno-has the roIlowlng legal interest or that the owner of record 16 knowledgeable of thiS :~p~t~~~~I~ not the owner I further agree to com~~th all ~bl~ codes relatift9 Dat~," ". ,---i~ Applicant s Signature ~~~ ~~~~ ~ THIS IS YOUR REC~'PT' AND DOES 'OT GIVE YOU PORMISSION TO BUILD FOR INFORMATION ABOUT THE PROGRESS OF YOUR APPLICATIO~, CALL PFRMIT CONTROL, 687-4357 (687-HELP) C74-170 \ r '"1- l!l .. i';; '" ~ '" C t< ~ ~ <: .. () ~ t< .. J~'( r{y:. ,n t.,..,J ~r<P ;f , ~ & r t- '" .. " '" [. l~5 A~dr~s. II~ lO(tt. '" t< Minimum Elevat,on r \0(1- o .., bne county - I. Name _~r; I/E2~~ T~\......~_or"-~,t-,L.~ Cd - .. . I P\1gne 7.." &;; -:J d ? z. Appl1cation II 3/ d 5'-- 73" for L),vP~L;~ WORK SHEET Constructlon Permlts & Inspection ~~ Type of Constructlon ,R- 3 Group 3 Flre Zone ~.L.c,JC Use C1assif1catlon TO I\E TYPED ON PERMTT,..;J:.. Jt../-"'l.r.""~~, DR vF.P ../ #'7- <AJA ~d N~A;-...., ~ /' .,1 <;HA.J.~ d~ .or Ad Aa.,v~ "'7""n'E Jl-U"",_<J_ ~.L""dL ~ L ~V~T'r"'.J I"P~.",,,) IN . ~e&>u".vr~ R~ ~.L""_"" .-J ""_ _~.vA-;",,"_~A/r; r *__~~L" J'!(A-~ P"d.e 2.G~~.J/2EL) /.v5~G~77r4.v$. Date //:J//tG./?P 74-164 nM .l.A.-A / /f/'T Signature Applica tion ff 3/ () t' ~ ?? for }J;ft (j~ ~~&. WORK SHEET Water Pollution Control SITE FEASIBILITY REPORT Site c:J meets State standards; c::J does not meet State standards. SDS INSTALLATION Minimum Septic Tank Capacity (Gallons) Dra1nfield Requ1red Maximum Depth of Trenches I(JOO ~' '2-D q [Z] Equal D Serial D Other Distribution System Setback ReQuirements From: Septic Tank Dra1nfield Inter10r Property Lines Center11ne of Road (Front) Centerline of Road (S1de Exterior) Build1ng Foundation Wells, other domestic water supplies except public Stream. lake, ponds .s- 10 .C;- I() ,-jJ~ ~~ 6U~ AY/AAY' ~. f trL~&'~~ .?:r r~ ~ ~~~/ ~ ~P'Jo~ (1)<2 -70 Date ~/~0_ Sani tadan M74-165 . " FLOOO PLAIN MANAGEMENT Department of Publ1C Works 125 East 8th Avenue Eugene, Oregon 687-4195 TO v- PERillT PROCESS ING PLA,mING PERt1IT NUMBER ~\Or""-If) PARTITION NUMBER SUBDIVISION PUBLI C WORKS OTHER SITE ADDRESS PERMIT VALUE IS A SUBSTA~TIAL IMPROVEMENT YES NO SITE IN FLOOD HAZARD AREA YES ~ NO 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 FROt1 FLOODING MOBILE HOME TIE DOWNS REQUIRED ~~ SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA I 1 MINIMUM FIRST FLOOR ELEVATION OF 4~1S... 00 (M S L ) REQUIRED / 2 MINIMUt1 FOUNDATION ELEVATION OF '1 F s-. ').s- (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 4 SITE LOCATED \.ITHIN A DESIGNATED FLOODWAY CHANliEL, BUILDHlG PROHIBITED ~ ." RECOt1MENDATIONS )J , ) ,~ o tJ1 I N I ~ > -j :>> >< r o -j DATE C:j '2.6 - - : e... BY Cnrl'lC- J) 8 C99-21 WATER SUPPLY SYSTEM REVIEW Penm.t #_."d." R' - 2L lane county The follow1ng informat10n has been forwarded to the perm1t process1ng section. If there are any quest10ns regard1ng the 1nformation below contact Lane County Env1ronmental Health, 125 E. 8th Avenue, Eugene, OR 97401 687-4051 ~A-b&2. ;MJ~42.p~';-(?f4.Name /3~f? t;/e.4r,~l4.te.~ -U/_ Address , '.../~M /')/' ~r-. r Z1p Code ~ COMMUNITY WATER SUPPLY A. 0 Approved [] No knowledge of 1nd1cated pub11c or community water supply system [] Pend1ng approval due to unprovements being made o Not approved [] Provisional approval B. ~ W1th1n water distr1ct c:J Not w1th1n water d1str1ct 1nd1cated, check w1th Boundary Comm1ss10n c=J Water Distr1ct cannot extend serV1ces to th1s parcel at th1s time C. [] System not adequate for more serV1ces w1thout unprovements c=J Exist1ng connect10n [] INDIVIDUAL WATER SUPPLY A. [] Perm1t on f1le (] No perm1t on file; perm1t required before installat10n from Env1ronmental Health B. [] Spr1ng or surface water supply needs variance approval C. [J Existing water supply not connected [J Exist1ng connection to water supply " , , , comments:J.di/l;t?I1t~ {filtU} fl./) I , , Environmental Health Mm;)~ Date 9-,;l-G;. - 7&'" ~ ~~~~ ..J.<ICII~ ~ ... WI< .-...A ~ f . A Receipt I OEPARTrlENT OF ENVIRONI~ENTAL r1ANAGEMENT PSB, 125 EAST 8TH AVENUE EUGENE. OREGON 97401 Appllcation 11 11L()g' -7g Assigned llumIl4!rs c"'iJ, f212-# WI . Job Address IOf",F)A IO?;7 ~_("}{-O, (1)-'0-1-" CIty ")<;(j9f)pJ- Township, Range, Sect,on:Tax Lot IR-O?-tJ-=) _ .:J.~ #'qnn ~~~' Subdivision ,3e.>? Ai>o {ff; tv\."!.~+l,< \/>'0121. V'l.~ \ lot J;;;l.. BTock ~ App1,catlOn for ./111 P!0;#: ~J '.C1(1., QLu/Y}'l~ Structures now on the prop~rty /)[LIlt I~m: (PropoSed \lSe of property. ~ Residential ,Cl Conmercfal CI'1 4ustrlat CI Publlc Aff,dav,t I, ~11t1/Yll tt?, '} a.. If , hereby cert,fy that th,s ,nformat,on 's true and accurate , / \ please pr(ntf. . If this appllcatlo~or an agrlcultural bUlldlng ,t wlll be used for purposes allowed by the State BUlldlng Code and lane County Code Chapter 10 (zon1n9) and for no other purpose I have the fol1owlng legal lnterest In the property owner of record, contract purchaser. lessee. holder of an exclu51ve optlon to purchase. l/ouly authorTzed t,o act for the owner, WhO,'S knowledgeable of th,s appl,cat,on 1Z~tI, A ~ Signature/AddressJu4_'~ 1.--1 !?- f7tt t/~ ,J:.Ad.~.,.....d e~ /UJ' flhM.L.Jd7.. ~ (Z1OL'f ?,fL ?: Telephone 74'" 30 71- or Date 1),'"1.-n _-'Y When penn;";"5 ready not,fx &f'App1 ,cant' C.I Owner CI Contractor i!l. l~a'l CI pho~e" -;. Owner'...L~-,- ~'% 1.~</5? (' /. ~nh I' 1CJ7 I"'" LA I. (Z1O)~ Phone -.W-.~tJ'7:2) Contractor '1Yrb 1__c"l11, ,,'JnI){'.';f'Cnf.Lnf, ~f) (z'o)~ Phone Contractor's OSRI A.J. A, P1umb,ng by ~ If Commerclal ReSldentlal , of stories 10 A , of bedrooM 4 51 test holes ready DO NOT WRlfE BELOW THIS LINE # of employees , of units tV A Ou-p~ SOs! I~ Ex,st,ng, BP I I_I Proposed, SI # kl.A IJA fee ~ 51 I P(l41= .441 Dr DescrlDtlDn Sq Ft or I of Sites unu' Cost Valuatlon Fee , 1fr s 4- (1.Lkl...t.hnrvIJ) nJ 111'r1ryfh:ll.... (!.lfft....Ac.#I'Jn';; s ,.. 'U IYklhtl.! s '( s PERMIT PROCESSING Mlnlmum setbacks Zone <t., front Part I , <t., s,de 4- Total ValuatlOn $ P1umb,ng fixtures at $ If'.!!. each Sewer/water conn, at $ each Subtota 1 4% State surcharge Plans check fee Change of Occupancy TOTAL Parcel I Parcel Sue t lnt rear $ $ /0.00 $ :* $ $ :JI:/! g,~::t , /3roL Rece 1Ved by (l~ j) W f I ER SUPPLY; PROPOSED EXISTING YEAR INSTALLED: COlMlents~O...=l}.~,(')g-'l7 JorrlArl1hrrral. To be typed on perm,t ()I By Date CP&I Type ~ - JJ Group rJ - < Flre Zone .3 Use C1asslf,catlOn S f:: D - . r . To be typed o;t:;' t . IJ 11 . I:: (' ~ Qfl D_, _ ~~_....:- f~A~'( j --~'~.: .... A ...._ jX.~' j~--~~A~~~~}l/~~ For plans ,nforma n call (area ,nspector) c::,.A -:_ J..., _#>- hone~??-... ~ ~ OlrectlOns to 5,te . c..) ~ ~ ~ ~ -Zt? _/y- ~SIFO Plans to CP&I set(s) Date' HOld. Date Date to WPC :=Aset(s) Requ,re to PCC Completed PCC CP&l" a o WPC -- CI Pl ann ,"g CI Publ,c Works CI Elevat,on CI n/a CI Address CI Fac, llty Permlt ~/ Envlronmental Health 14.. . , ~ i~IYJ)' C74...171 ~ ZOWS" lWJ1 (;e)l.o l"by" JJc:;p::? . V \ . I JOB ADDRESS I POST THIS PERMIT ON MAIN BUILDING AT SITE CONSTRUCTION PERMIT # ~Q'G TRS, TL !~2oQ 0 !;Grl SubdivIsion ~o 17~ w---ca&::Jo ~oj ~m!= ~ Jl.2 gV.Clfu 2 This permit for the referenced property IS hereby 1 Setbacks and otlier conc!ifions of approval must be strlc11y observed result IrI revocation of this permit, citation under pro~s,6nsor['arle County's Irlfractlon Ordlrlarlce, and/or other remedies allowed by law / Applicant/Add ress Owner/Address Contractor/ Address Contractor's OS # Violation can Telephone Telephone Telephone ~ Ii,","=-", ~~g ~o l!.~O Cl~li:c:? ~ ~cldo 0Zi:.v--l Oc::l l3= ()ml. , COrlstructlon approved by this permit '0 Water Supply 1'~12 I I Total Construction Value e-."Oo~oal ~C30 DfuJ OG3 8q t'l::B ~ reg G!:;J ~8 CIJll'C3Q mJ2 lJq ~8 l:)Cl;.. .uJ = CO ..'"'-........."'1I. t'= (ilc9lUJUo~ ..,g c::J) I # Bedrooms ~ # Plumbing Fixtures # Employees PLANNING DIVISION M<I'l\1~~n ~?':::? ~-'?_ U.J --- WATER POLLUTION CONTROL DIVISION ZOrllrlg i:lzl PartitIOning # Parcel # Mlrllmum required structural setbacks, from celffilrllne of road, frorlt side exterior ':!:) ,interior property IlrIes ,$0 ,rear property Ilrle SpeCial Instructions t::= For IrIformatlon call 68/'4394, . . """ Parcel Size (SA 'fl ' centerllrle of road, S" lm~ O;J 17~o ~-- ..,. ~ .....-.{I,-- -=---- ................ ~ Site Inspection # 17r.:,"rn Installation specifications ~ 24Ill1lneal feet of dralnflerCl required, max depth of trenches W Special Instructions r '--Vu al1 @li! h=3 ~ =:\ l<ez ~ildlCl =:1 ~~ ~ ~ ~ OR~c=1 VlloC p&~ I I I Setbacks Septic Tarlk I nterlor property IlrIes 10' O Edge of road right-of-way 10' Buildlrlg fourldatlon 5' ~ Wells, other water sources 50' CONSTRUCTION PE RM ITS/INSPECTION DIVISION Directions to Site Date Issued C55-13 gal mln septic tarlk capacity, Dralrlfleld 10' 10' 10' 100' For IrIformatlon call Fl1'lldil~~etweerl 8 00 - 9 00 am, ~ ~ no Type of Construction :Fa Group noll Fire ZOrle II Use Classlflcatlorl ~ Irlstructlons c:---,n~l> ~ (, bg c:J!::f:::? \'- Q::lll.l!. ho ~ 07r ~ lC1:o rlIrI9.,---, 1lJ!= olk..,. ., .;r=~ (400<>llaO) ~ r:w g~ plom ~' ,,0 So t=o~ oS? p::::l'l:::l2: 120l: ~ roUc:3 ~~o . I For plans information call C-91=~Y6il betweerl 8 00 a m and 9 00 am, J"ib Kc::) For Inspec110ns (see back of thiS permit) call 687-4065 be1ween 8 00 a m and 5 00 p m DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 By \ I , lane county - , . ....... Cello t:bV ol?rI ~ n::ri!.V'O ol?z J~........ n::od I l!.~2@=.70 t'8fi.1!. flWkJy!'A'v ~,' .. " . ,:....--- ~_.......- .. . ., JOB ADDRESS: lla5S. 1.(137 Cola Goy" " J=t)cr Sll!0co1oG ,.' TRS, TL: lC42-QS-11:4 0 901) Subdivision: rle. Vernon !bUtl:CS. :L"'d ~efml . ' inllig 12 D].Q;"J.; 2 fib . I b' d This permit for the referenced property IS hereby , . J Setbacks and ot er conul110ns 0 approva must e strict y 0 serve , result in revocation of this permit, citation urlder pro\;i~fbns.Ot ~ane County's Irlfraction Ordinance, and/or other remedies allowed by law. Applicant/Address: Owner/Address: Contrac10r/Address: Contractor's OS # Violation can r.c. V......""'" x..",,~g Co... mo Clc::l=1:a: Lana. Sp~ic1(l. (,..~ St _ ~ Telephone: Telephone: Telephone: 746-3012 L I ..s.~'J "411 / ,. Total Construction Value: ~a,,125.00 Constructiorl approved'by this permit: Water Supply: ~ , Dt;;?lGll. lli.in 060 Sq r?~; 2m! 1'50 Gq F~: anrOD:J 632 Gq l?l:; Se=toroo = on If'''''li''-''' ~ t:= (lllweollaUcn 02 ~) I " ' # Bedrooms: . # Plumbin~ Fixtures: - => # Employees: PLANNING DIVISION ".'1"J";':"""_~......... w:"........_ "".... . .i-~J WATER POLLUTION CONTROL DIVISION": Setbacks 'In1erior property lines Edge of road right-of-way Building foundation Wells, other water sources CONSTRUCTION \ PE RMITS/INSPECTION DIVISION ~ " Zoning: llA Partitioning # Parcel # Minimum required structural setbacks, from: centerline of road, front: side exterior: ~ ; interior property lines: 5. ;rear property line: Special I nstructii>1,s: Parcel Size: 61 'f1 ; centerline of road, S. U(lf) aQ I7~. .' r:DXl I For information-caI168'7'43~4;---,: -,' - . u.u-~ ~w co-.l~ ; ..' j I Site Inspection # 7P "'0;0' . Installation specificatiorls: 1000, gal. min. septic tank capacity; ~()O lirleal feet of draii'ifield.required; max, depth of trenches: j)l1P , "'~"'""';Jo ell olZ ~ -j:rpt:d = fer ~1eld <'l::1 ~ = (,~::ll~ eO otec..t,~ pl1o~ ?l!=o "~ Special I rlstructions: 'lI:-..;,;lo. I I I Septic Tank 10' 10' 5' 50' Drainfield 10' 10' 10' 100' "'.. Nl'll..<l...".,betweerl 8:00 - 9:00 a.m., ""-_ "-- ---.... ..--" For information call Type of Construction: SJ.J Group: !l?3 Fire Zone: 3 __ Use Classification: Dq;l:ll:m Instructions: o."""n~-=.~:p' 15 1:0~ t.'"::l~~ !!enter ch:3l1 ho tl~'.orr ol:::r:1o ~ MIln1r-,,...,, fwr cl.617ll~1t.Jn. (484.00') tlclpiIz'ed by flmllil plain a:ma"'.........!t~ ~ Sc:l baeIt or pell'Oit for ~ca ealled 1oop-eel:1ono. Fof plans irlformation call 6lJ7~3'l67 be.tyyeen 8:00 a.m. and 9:00 a.m" J:ft:l ~ For inspections (see back of this permit) call'687-4065 between 8:00 a.m. and 5:00 p.m. ','. . t):,le ~y off DUio tid.\7S off .ro~ ~ I llil-:W-18 By: lJne county ~ ..- . Directions to Site: Date Issued: i:\_ C55.13 1?MJ. ~/!"l DEPARTMENT OF"ENVIRONMENTAL MANAGEMENT COURTHOUSE I p"UBLlC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 . ----.-., .-\ ...J "":, # =-~ "'1 ! 4 / '. SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / y/ 01 SAPPROVED .C/ DATE INSPECTOR REMARKS ;[). J ~ oL.t. /..J .':;9. 7tf'RJJ- f~ ; AF-i...J4. ~ /'. ~Jf_ h-/ y. 7~ /?il <~ ,.,,/,/ / .,/ "'74 ~;[ ,.-- I , <v~. ,. .I~ GAS PIPING GROUNDWORK , ApPROVED ;---? DISAPPROVED .C/ DATE INSPECTOR REMARKS ~ ~~JIo_~_~ ~ ./ '?-<J".Ja.. 3' ./...;..~ 4_/~. '7,. iP.l,I I .,. r ' ,,- I ROUGH PyGMBING ApPROVE, ) Iv! DISAPPROVED .C/ DATE f'-~'7'1 REMARKS '\. '--f ROUGH GAS PIPING ApPROVED .C/ DISAPPROVED .C/~ DATE REMARK 5 FINAL PLUMBING ApPROVED LE 01 SAPPROVEO .C/. DATE J> - ? '7Q REMARKS FINAL GAS PIPING , I ApPROVED .C/ DISAPPROVED / / DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE .C/ NOT READY TO ISSUE / / DATE REMARKS INSPECTOR INSPECTOR tf;/- I NSPECTOR ~ J.J.---, INSPECTOR INSPECTOR I) L. 1'1 ''\/ .,J- it} yo//< ~,,-) \-.)UPfu~NT :No2 nnc4~'1 OWNER ^ ~ -( l) f k!IJOloJ o ~ ... CONTRACTOR 134g ~ui"_'b-(,M. 'C~...( r address Q., I- 'C.Ar-~ W ~ f-12-- add res s BUILDING PERMIT 3\ Of) -78 Co. phone L-Ar-J'2. phone PROPERTY ADDRESS 1r'lt,6 -.l> IOf?7 , Cmo, (.L Ju..y( ... u ) Pn or ( ) X6-5-PU-- V (BUlldlng Valuatlon) ReVlsed( [~ddltlon []correctlon adrt d (01.o..1...J Bldg. . Waste 01 / I rnbA t".'Y Plumb lCo ,00 _ / I I, - U ) Pl an R f( .or) / /J ,L( Vt'IJI5lS 1%sur, -.~ (// \,) ";.\;A, r 4c6)"f&ftlQ. TOTAL I!-:JJ/o.~ amt pald '6 amt. due- Q.r./.W; - '.1,( - 9 . -- Slgnature of Appllcant "I~~~"J~A-'1t'!.Date n .hJr?? ~ Fee Recewed By (!~ Datej;1-.;b-7:(]cash [~]check 19hi LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT km;~1I PROVIDE APPROVED PRESS. REllEr VALVE, DRAW AtJl PAN nm HOT \1ATER HEATER.CAlL rim C74-119 ROUGH IN PLUKaIf\'G IN5PECllHO~. ,. [~]a'mt. due []refund /ftJ,I)O: rf'. Of). .&/1 . . .'~ '('",' " .... ~. --- - - . POST THIS PERMIT ON MAIN BUILDING AT SITE K , ''''~OB'';-'ADDRESS: lOGS, 1':::37 c...,lc ~'C17o ';.:l!JJ;lcr CONSTRUCTION PERMIT # SllOO-7G MIN, FLIP, fELEV. Subdivision: 1ft. Vernon EGtatea, 31:d ai!Mt!on Cf/<:. /2.- ~- 7g Lot 12 Block 2 b . I b d V' I . This permit for the referenced property is hereby aw.:c,;,~.:. Setbacks and other cOrlditions of approval must e strict y 0 serve. 10 atlOrl can result in revocation of this permit, citation under provisions of Larle COUrlty's I nfrac1ion Ordinance, and/or other remedies allowed by law. TRS, TL: 18-92-05-2.4 () :;00 Appl icant/ Add ress: Owner/Address: Contractor/ Address: Contractor's OS # /' Mt, Varnma :l:1J.V:JGtQ;mt Co., SIr.no . ~ Sane 411 746-3072 I I ._~ COrlstruction approved by this permit: Wa1er Supply: 1340 ;Clca=tC!' Lane. Springfield.. Olro5O!l Telephone: Telephone: Telephone: ,,' To:i:al Construc"tion Value: , ~ . $46.125.00 .:! y Duplex. ~1n 860 Sq Pt; 2nd SlSO Sq ft; sar4ge.632 SQ }1t;. '.S~t;urcs now on 'pJ:Operty: None (1nstallat1Dn of SDS) I # Employees: # Bedrooms: # Plumbirlg Fixtures:. . . . ......... . PLANNING DIVISION f.'..r'1................._ 'Ct.......~ 1'1_ ~ / WATER POLLUTION CONTROL DIVISION :) Setbacks Interior property lines Edge of road right-of-way Building fourldatiorl Wells, other water sources CONSTRUCTION PE RMITS/I NSPECTION DIVISION "~--; Directions to Site: ZOrling: M _./ Partitioning # Parcel # Mirlimum required structural setbacks, from: celit"erlirle of road, front: 5' ;rear property line: side exterior: " ; irlterior property lines: Special I nstruct~s: llooo < I For information call.68'7-4394, '- Parcel Size: 61 ~ ; c~,~~erlirle of road, 5' 1100 S'll 17~. -", - ----. - . .......-~-~,.. Site Inspection #: , InstaJlatiorl specificatiorls: 1000 gal. min.'septic tank capacity; 240 lirleal feet of d7!iiifi~id required; max. depth of trerlches: 30" I Special 'Instructions: ReserVe all of back yard arC{!> for ch'a1nf1old and . / replaee=t eG%ea accord1l18to att:achOO plot plan. . I' . ./ 7 I . I Septic Tank' 10' 10' 5' 50' , Dcairlfield 10' .~ 10' . 10' .. 100' ";1l7_"(,.I;~between 8:00 - 9:00 a.m., For informatiorl call t:!_.....ft~... D a --..-- Type of ConstructiQrI: 5-N _~' Group: R-3 F!re Zone: 3 . -Use Classificatiorl: Dut>ilb Instructions:. *W~~har, dryer' 6. hot miter hoot?r shall bo at oriwovo tho m1n1.J::l:un f1oor. ~,:' elovatfDE. (484.00') Required by flood pln:ln =..~t. Q Stl9 back of pomit ror 1I:'GtlUircd c",Up-'l l1Jmpect1cmo. I .' . For plans information call 687-3767 between 8:00 a.m. and 9:00 a.m., Jiu Lsab For inspections (see;back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. Cole t10y off I 16-26-713 Date Issued: C55-1 3 \ .' bne county ~ ~ . Dildo -Drive-"off .Jasper Road , . c- " '. By: Pbi1 Pinley/ly DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 .\ . . I , , . '. SITE INSPECTION ApPROVEO ~'SAPPROVEO C1 DATE 1/-?~f'5l" INSPECTORy~L/ REMARK 5 FOUNDATION INS~TION ApPROVEO ~I DISAPPROVED L-/ DATE _..;.~ t";~7C; INSPECTOR , 9tL REMARKS r-,;t:;;;> /J K -h-, ~~ rl- .<f:':.u:. 1/:"4;:'. -V Ail' po FRAMING INSP:~ ApPROVED / DISAPPROVED / / REMARKS~ - ~. ~.--: LATH OR SHEETROCK INSPECTION / ApPRovEo L..!!../ D,SAPPROVEO ~ DATE .~-/1-7 'T INSPECTOR ~ " REMARKS FINAL INSPECTIOY ApPROVED G DISAPPROVEO / / OAT Eg-2/ -7rINSPECTOR~ REMARKS~/_ ~8-~-""9 ~ CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT RrADY TO ISSUE ! / DATE INSPECTOR REMARKS . ..-~ o o " , FLOOD PLAIN MANAGEMENT . ~ --- Department of Pub11C Works 125 East 8th Avenue Eugene, Oregon 687-4195 TO v-- PERilIT PROCESSING PERt~IT NUMBER ::, \r-,~~- I::' PLA,mING PARTITION NUMBER SUBDIVISION PUBLIC WORKS OTHER SITE ADDRESS PERMIT VALUE IS A SUBSTMTIAL I~lPROVEMEtH YES SITE IN FLOOD HAZARD AREA YES V- NO NO . \ SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE WILL BE REASONABLY )AFE FROM FLOODING MOBILE HOME TIE DOWNS REQUIRED ~ SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA I 1 MINIMUM FIRST FLOOR ELEVATION OF 4f.....s". (""C) (M S L ) REQUIRED 2 MINIMUt~ FOUNDATION ELEVATION OF , (M S L ) REQUIRED -, I ::... " os- 3 MOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT ~10BILE HOtIE lvILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST FLOOR ELEVATION 4 SITE LOCATED \1ITHIN A DESIGNATED FLOODWAY CHANI~EL, RECOt~t~ENDATIONS BUILDING PROHIBITED ,,; -0 , , " -'- -:, ., , , , >- " -, '. " I 1\) I '- I, oj-> , .l DATE '4 -'Lb Ie"} BY (- nrll C. ~ C99-21 " , , ,', -l :P >< r o -l " ~ _R v Xl p , v. ~ LANE COUNTY, OREGON , DEPT OF ENVIRONMENTAL MANAGEMENT CORRECTION NOTICE CONSTRUCTION PERMITS & INSPECTION DIV JOB ADDRESS (1 ~, lA/a...- DATE ? - ?-7'1 - # -' (7 I , TO _~ 7"'~ ;;Z ~h BLDG PERMIT 0(40TE/{f) A~f~1 ~ &?) "/;;;~ ~ /A d-y-r ~ j ~", - {it><::'.- .!~ .~ 7i ~2'fi-.:<)~]f;;-.-r /_o..~.2!AI. OK-r-'@ ;;~:~ ~~~ E-'~t. ~- ~ '>-<"'Y h~.n-J~J ~~, )(.../, /..... >.h;L a . /0// _/31 /,,1/!,<,7~.p~~ ~ c/o .'-'~ r; L ~ , .:. ) ~) (1/1- ~/ .,- # tf 1/ ~/.(J-r:/-,:..;:-;,..1:':/J'o::r~~j,=~. -J ~,- .. . ;1,/ - / ft('fl-( ~P//! ~ ----;;P- ~~'-.... .~ . I Of(- @ .Rff7Z..,,-....9' ~ ~ ~J Af1~_~ It: 7M' /A '''<1..d../~, <1:r I~ I ~) n.-, tr-<~ ~ C55 73 ~ RE-INSPECTION REGUIREO n. 1 L # Phone 687-4065 FOR APPROVAL INSPECTOR '7'; )OJ~1''''..er-' ~ , LANE COUNTY, OREGON DEPT J} ENVIRONMENTAL MANAGEMENT fO.- Y CORRECTION NOTICE ~OBA~ ~ I./)~_ TO .~.?/ ~____.. c;r___BLDG PERMIT !~OTE t1'~~~-'~.-...... ?-~..- ~O'...p*, ,pH. ~ ~ ~AL~.t./ ~ ~ c:/~ -' CJ'e ~ ~_. -- ~ /....:it ~ 7 ~- - .-. I CONSTRUCTION PERMITS & INSPECTION DIV DATE J?-X'-"79 - C55 73 RE-INBPECTlON REIlIUIREO Phone 687-4065 FOR APPROVAL INSPECTOR ~)4-Lr-- . , '/: -, . . CORRECTION NOTICE -r:J (Iv>) z.. ~~ LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT .....- ~ _ A'" cf~' Construdlon Permits & Inspedlons DIVISion (jA""- ~ r-- EUGENE, OREGON -ft:J ~j/V/r T~s budding or structure does not conform to Lane County budding regulations, ordinances or codes ~oted below oIL- UL,-(2~' 4.~~ _/-'~__J /J~---/f.-L,~ , ;,Ie; 7"J;? U4-P-' #1-? \t /rJ !/7" J.. ,_r~/, _ ____ o#J..j t--r"jfJ '[. ( ~~_ Lj- It' /(--<>_crr- k, -,( 12.- ~ h ,~. ""J r dA~~~~~' ,(ll/~h.. ~ Q5=W-~.~;~~~~i-~~-=~_~~~~'-~7:. ~~~d-' C55-73 RE.INSPECTION REQUIRED FOR APPROVAL Inspector C):i~k- Date~t/.-2t/;-7f BUilding Permit # ~ J ~, " ~jl-cJ\~, 'i'- nntl.t!l.1 .,: :... /ji-J/ '. / .( - · ,SUPPLEMENT ~O1) OWNER M.:f l) f ,,zb...)()W ~tH'27-("M ~!J...-( ( address Q.- \-~A.4? W~f....~ address CONTRACTOR 1348 Ii , 1(j~6~ 1007 C.M/'l .- PROPERTY ADDRESS (BUlldlng Valuatlon) ReVl sed ( [,,]a"dd 1 t 1 on []correctlon ) Prlor ( ct- ~.J ~~ BUILDING PERMIT 31 Of3 -7'8> G phone LA.IJE phone ( J... JO-M<" '" Xc...~ u V [~]'mt due []refund 7J!ctd.lJ:..( ('}no.lJ Bldg J -; L . Waste nJ ll/h...b, Yl"'Y Plumb. ItA.OO ~/ 1In,()() , Y'-h ' v_ J Plan R. 1l'.a1 / 'II tf'.OO ,JI.-.....1.....~.../ kit 11 n 2-- 9 A%sur -.rAt (I/ .G4 l) 46.J-44OQ. ~OTAL t:J.Jf.~ amt.pald ~ amt due /.:JJI,6A - Slgnature of Appllcant ~;~ ~.....Lu..1't'.Date 11' 'boJ-l? I' Fee Recelved By (O~ Datej.;2-;?o--7J]cash [~]check (3~~ LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT ,;,a::;::"llillt PROVIDE APPROVED PRESS. REliEF VALVE, DRAIN AND PAN FOR HOT WATER HEATER CALL FOR C74-119 ROUGH IN PLU~aING INSPEC~IO~. M~b/ .~ :i\~ I \ ~ ~tIC~ ,.z.. 6..'18 FLOOD PLAIN MA~AGEMENT DEPARTMENT OF PUBLIC WORKS 125 East 8th Avenue Eugene, Oregon 97401 687-4195 CERTIFICATION OF FIRST FLOOR ELEVATION APPLICANT NAME V'\'I't- \l........ >'\0..... ~V\'^.....~.,.".._,:\. SITE ADDRESS \0l.'5.1.., ~e. \1)""0' .....\~Q..'1"" REQUIRED MINIMUM FIRST FLOOR ELEVATIOrl (INCLUDING BASEMENT) 4'2:k:. s..s. ' MEAN SEA LEVEL REQUIRED tmnMUM FOUNDATION ELEVATION (INCLUDING BASEMENT SLAB) Jy?,r.. 7.. ~ ---P[AN SEA LEVEL ELEVATION CERTIFICATE I, (13;2~//LL€ r;J ~}J(-,?,cc.- , A REGISTERED PROFESSIONAL~_-- ~L",~,e IN THE STATE OF OREGON, CERTIFY TO LANE COUNTY, THAT I RAN AN ELEVATION CIRCUIT FOR BUILDING PERMIT Nur~BER ~Iob hie, ,AND CERTIFY THE FOLLOI,ING THE FOUl'lDATIOij ELEVATION (Jtttttj&lIffi-&A5EM8-1T-S!::AB) IS +~z-z (t1 S L (M S L (tl S L 2 THE GROUND ELEVATION THAT 110BILE HOHE WILL BE PLACE"D ON IS 3 THE FIRST FLOOR ELEVATIO,j OF r~OBILE HarlE IS AT I CERTIFY THE ABOVE CL-u, --183, ':73 p;//c! 4<lc/ ELEVATION viAS VERIFIED USING r1EAtl SEA LEVEL BENCH t1AR~ DATUr,' i] /77 {8UtJJ CPr) iel /"-, /J/7:tP/"/')t)/7 b6.r1d, r REGISTERED PROFESSIONAL LAND SURVEYOR ../ R- ,/ / (!:::tIf~ // " DATE l/~;, /t!-. /97\/ OREGON M'\Y 13 19bO ORVILLE 0 CASI/I/ELL 494 , - ("()O~'"'I') 3: :t> " CD r\ ~. r'l ;, <..' ~} f'~ , "- -r -j :t> x c- o -< Il -- 0 () -I :'<J~~~"'7>;:'i.~";"". 'i~ -'J-dU:L<:':,.""':C". ';'.J'~}';.:";"";: \11.. '~~;;:!~it~jf'>... ;\:;;:<f~'j, ":.:'~',; '- .~L~J.\ ,!~4-, .~ -1 \ . . . ,'~' ;-'SU~J}EMENT :NOQ nnll.11 BUILDING PERMIT 3\ OfS -7-B , -"~i .- OWNE~' M.;( l) F.eun,J r[..':lH'7r1''''M ~i.J;.-\ ~. ( address 1"34 8 O...~~~W~E..~ addre:ss phone ~: CONTRACTOR L-A.t..JE phone , , / ,. . 06..S~ . 1;:: . ' .~:;- PROPERTY ADDRESS IfiC,6....\:> 1007 \ Revi sed ( i [~]:ldd it ion []correction Cm~. h.J~... - u ) Prior ( .) [~]~mt, due [Jrefund (Building Valuation) .c;f2-.. ' ~. .I .'1 . rfucld..L.-t.( ono-LJ Bldg. ~ L..} r' j U . ~. Was.te r:"" $)111.lYY"lb~x..,y'. Plumb. ((".00 ~/ /6>,IJ() :.: }~L '" M t 11_" r(~? . ..~~~~r~' ~.Zi /;~I ~.~. I '\ A. C -:.j; 11(10 't. r . . V -rr6J"f~- TOTAL .:J~.,* amt.paid I~ amt. due 1'J.f/.,tA. '. - Signature Of'~PPlicant ~~JJo..n...LdeDate P . "t)-7? 1< ;ee Received By_ (P~ _DatejOl-;O-7![]cash' [~]c~eck 19~1 ,'. LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT ' "tWlfIaH PRQVIO.E APPROVED PRESS. RELI~F VALVEI\, DRAIN AND PAN FOR HOT WATER HEATER. CALL Fffi .C74-119 .' ROUGH' IN PLUMBING INSPEC11110N. ' . ...' \;"t,~~r"?',_::. - ..' r". ../1;: <...L:/A:;,. ~. .;..: '. <:'!~': 'f -' . ...,,: '::;"""~""::~"_\< _",' l.:~ ~;,:t:..~;;;t.'.~.:::~;,' _1,'..:t.. .'.. ;,:;' " . .", ',". 'y~J",:~;' .;;.d'~,,,-:! :"'~''-' ;:.1' ~~, .~ '0 ._'~'.,' .;~.~':., " <