HomeMy WebLinkAboutPermit Building 1978-3-8
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LANE COUNTY PERMIT
Partitioning # /VA- ( ) Completed
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APPLICANT'S NAME AND ADDR1=C:C:
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDR1=C:C:
Mail permit to (I..-)-Kpplicant ( ) Owner
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) Contractor
) Prefer to pick up Call
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STRUCTURES NOW ON THE PROPERTY 0 .
THISPERMITISFOR .:5 P.o ;Y7:?8', ,q,..-", ,t./,s0.Q, ~f/n.::;tuL~~~ROOMS3#PLUMBINGCONNECTIONS/~
WATER SUPPLY !J~ tIl::t~~- ~. S~WAGE DISPOSAL S I # 7<1 3o::f e,;z
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF . PLUMBING BY ~
, (I
hereby certify that the above statements are true and accurate, and that I have the follOWing legal Interest In the Droperty _owner of record,
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 owner IS aware.and approves of th,s action I hereby agree to comply with all aP?..!!5able Cod~s relating to this perl;:"t /
Feept,;;$ c:20r;.,.~ro (31;7cfs..~ Signature ~~~p--<c~~ Date 2.-//?o/7:Y
(Vi NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT ~SPECIAL PMT AREA MIN ELEVATION *'....... '
SANITATION BUILDING i=Looc> RLAIW AReA
/{J1:1O MInimum Septic Tank Capacity (Gallons) If N T e ~f Construction I Group .5 Fire Zon
,,(,/0 Dralnfleld Required. Lineal Feet . J Wet..L, /./(", Ilse ClaSSlflcatlo~
3D" Maximum Depth -+ t'.;r . Comments
Comm-;nts Jl"'l<.J::'4<<"- ",-"" ~ -:Rd.~ ~E.G NOTE? D4 FL.-fl./{'s
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By .4 ..4~__ Date .;l~?<f' By ..L~ f/U4T~< t.. V AT/OA./Daf? ~ fl~~kQ3'
PLANNING_REQUIRIEMENTSSATISFIED By LjCt.ru....;t:;' Date 0)-/'/-7% Date Issued .:;;-21-/,0
ZONE JGff SETBACKS FRONT&0' <SJ@"EtFJ':CINGSTREET - (FROM CILI INT SIDE YARDS; REAR-/ ~),(FRQM PILI
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401 PHONE 687\4394
POST THIS PERMIT ON MAIN BUILDING AT SITE "3-Sn~ 7 C- "~ ./ ('
C5513 SLOG PERMIT-WHITE, BUILDING~GR.EEN PLUMBING-CANARY SANITATION-GOLDENROD OFFICECO'l!"'Y-(,~E O.;::,~
Acreaqe or Lot Slle
Contractor's 0 S #
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JOB LOCATION / t'J 7 3 (~L t{) ~
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Partitioning # /l/ ft ( ) Completed SubdivIsion "/7-<--<.C {~./..-<J7't t;,A:lrJ_c;
Lot Y Block ~
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PERMIT #3'1fr-78'
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LANE COUNTY PERMIT
APPLICANT'S "JAME AND ADDRESS ~-^ -.I /' .,.
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESS
Mail permit to (L-l-Al'iplicant ( ) Owner
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If
) Contractor (
) Prefer to pick up Call.
Phone-:Lck, - 307~
Phono
Phono
(owner, etc ) when ready
If
STRUCTURES NOW ON THE PROPERTY ,r;
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THIS PERMIT IS FOR :s F/J /'-l2l?8') f}1JLA..., d~t..~. 1\j:7ncJ.!:I/jJ.~ BEDROOMS ~ "PLUMBING CONNECTION~
WATER SUPPLY kl/~p-no)I.D:rrl!-{}A'~' . SEWAGE DISPOSAL SI #Lc.J<=V?r)..
THISPROPERTYISWITHINONEMILEOFTHECITYOF - - PLUMBING BY (fhf~~
I hereby certify that the above statements are true and accurate, and that I have the following legal Interest m thp orope, y -_owner of record,
contract purchaser, -- potential buyer, _ realtor or agent I further certify tl,al (If not the owner) I am authOrized to act for the owner of
record, and that said owner IS awarynd approves of this actlor> I hereby agree to comply With all applicable Codes relating to this permit
Fee Paid $ ~0.b3..(r< (:!}1;7CfD Slgnaturo ~~~ Date "?-//V7~/
I ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT ( ) SPECIAL PMT AREA MIN EL,EVATlON
SANITATION
Minimum Septic Tank Capacity (Gallons)
Dralnfleld ReqUired. Lineal Feet
MaXimum Depth
BUILDING
Type of Conl,'tl uctlon
I'se Classlflcatlor>
Group
Fire Zone
Comments
Comments
By DMe
PLANNING_REQUIREMENTS SATISFIED By
?ONE Ie-:.. It SETBACKS FRONT
By Ddte
Oate Date Issued
SIDE FACING STREET (FROM C/Ll INT SIDE YARD REAR
(FROM PILl
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE 6874394
CS513
SLOG PERMIT - WHITE BUILDING - GREeN PLUMBING - CANARY SANITATION - GOLDENROD OFFICE COPY _ WHITE
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Date fflarC.h.. Zl~. 107'8
Permit No
:~'76-r /8
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached application has been fully considered by the Board of County Com-
miSSioners of Lane County, and It IS the opinion and ludgment of the Board that the said application
should be granted, and that a permit should be Issued, now, therefore, It IS hereby
ORDERED, that a permit be and IS hereby Issued to ~CJL..J-Ut., J 1348
~cu.wn-t" r- L..oJno,: 5.olu./Y"1CyriJLJ.ci" 0t0<;(bY'\. for placing, bUlldmg
or constructing the follOWing facility I U
Lr.v( 0: BLade.. Z i C'tJ '-fI'\s V.u-n~ &a+a_:tL~ 00'1.3 Ccnx..~)
upon the right-of-way of County Road No . Mile Post
In strict conformity to the exhibits attached hereto, and sublect to all terms, conditions, agreements,
stipulations and provIsions contained In the application and permit, the Rules and Regulations Gov-
erning FaCIlities to be Permitted upon County Road Rights-of-Way, as set forth by the Lane Man-
ual 50 190(2) any amendments thereto, and any other appl.cable regulations, law or ordmance
Special PrOVISions
Driveway WIll be constructed In accordance With the attached driveway approach speCifica-
tions (DraWing M9B-50)
2 Permittee will be responSible for the Immediate removal of all mud, dirt and debrIS from the
roadway and right of way caused by hiS 0 peratlon, leaVing the roadway and area In a neat,
acceptable condition
3 Sldewalks w1ll be constructed In accordance w1th the attached sldewalk
spec1f1cat1ons and draw1ng M98-49 The Standard Curb Type shall be
constructed unless otherw1se spec1f1ed
ThiS permit IS revocable at any time, and wdl be strictly adhered to and no work other than
that speCifically mentioned above IS hereby authOrized
ThiS permit shall be VOid unless the work herein contemplated shall have been completed be-
fore
~c..h..-
Z, I~ ,1912.
Expires
19_
Inspected and Approved
Approved by Board of County CommiSSioners
By
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Datf'
By
WHITE - OFFICE FilE
YEllOW - REAL ESTATE
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PINK - PERMITTEE
ORANGE - BUILDING & SANITATION DE'T C74-129
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For Orr.ce _tJ.41;17/./ _ II-/~
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.~ Use Only CT. tlumGcr
I:' Hcc!!Tvcd by' (ode Spccl,,1 Penn I t Area UrbilnlZlnq ^re~
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TillS IS A PRELIMIIIAI\Y,nrpoRT WIIICn1 Il ESAWT-'IIsURE TIlE IsSUAllC,E OF A FUTURE BUILDING PERMIT.
PLANS OR EXPEND nURES ;MADE IN f).!;,!; I CE UPON TH I S REPORT ARE AT YOUR OliN RISK. I,
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l~l8 .3 R 2 W ,I)' b !1,..u.--<T. 1=.. v '~ No"
.Townshlp Range .Sect Ion Tax Lot No. Owner of Property , Owner's Consent
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'1/:5",.Ir-:((_ F,'){ , , :: No. of Sites la
;, Name L' i
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, Ii' ,~~ ' _ Cash
'7#6':'3072- x~ ..Y~-ce 71"'--V4<//-.7y'/check
,;i:eiephone Ii slgl1atur" of ApplIcant Date /- ,
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I" '~p'roposed Use , App I I cant I s I nteres t: Buyer
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Road'Name
EXistIng Structures on Property
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'I's Property IIlthln One Mile of
Yes y IIhat C, ty? c; 1'''[:'/
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Public V DIstrict.
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Property LocatIon (Illrect,ons)
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Test Holes 8e Ready?
HOLES IIITH OUR FLAGS
(Date)
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MAKE CHECK PAYABLE TO HEAL Tft MID SAN ITATION
MAIL TO LANE, COUNTY BUILDING fIND SANITATION DIVISION. 135 E
CS5-SS
6 th Ave., Eugene, Oregon 97401
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MAP
TO
LANE COUNTY PLANNING
~ CONSTRUCTION PERMITS & INSPECTION
c::, ME:..E.D
OTHER
FROM
SURVEYORS OFFICE - FLOOD PLAIN MANAGEMENT
DEPARTMENT OF PUBLIC LANDS PHONE 687-4195
SUBJECT
PARTITION NUMBER
SUBD I V I S ION
BUILDING PERMIT NUMBER 3Ib.le,
OTHER
RECOMMENDATION
THE ABOVE SUBJECT IS IN A SPECIAL PERMIT AREA
THE ABOVE SUBJECT IS INCLUDED IN THE H U D FLOOD INSURANCE AREA
,
REMARKS ~"..1\~ J:~O~ F' J:'-lA..Tlot-.l 'TO ~ 4&6..00. E",(Uo..SS
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C-AP 1"'-1. },JE, c::..ua.p., IZA.nILl~ of OI'lLIE:.. DI2. E.. c.oLE:... '-N~'<
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'I-L~":IU'T s.c.t.rr "\0 -n-w=;) ('%.t::\.c..~
DATE ~ - 2.1-1B BY c:::;,/J1c.....
) Building Permit
) Site Feasibility Study for Septic Tank
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INFORMATION SHEET /
Acreage or Lot S,ZP /n.Ooo
Oartltlonlng #
0'
Test holes will be ready
SubdivIsion /"7f- 110- N /- r,
!:s fryh.'..5
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--./ /7-cr-l=I. Lot
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Block 2.
) Completed
( ) Pending
APPLICANT'S NAME AND ADDRESS 1.{"wCr7 r < /=;./;:. C/-.-" ,
OWNER'S NAME AND ADDRESS, If different from applicant".
CONTRACTOR'S NAME AND ADDRESS
Mail permit or results of site feasibility study to (x,) Applicant ( ) Owner (
( ) Prefer to pick up Call (owner, etc ) when ready
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Phone /1/(. - 30'" -~
Phonp
Phone
) Contractor
Contractors 0, S
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"STRUCTURES NOW ON THE PROPERTY
/Ii r. /7 u
PROPOSED USE (this permit) Dwz./I ,~,y 1'17/3 t::J' G,,>'I-qdc:: /L8';::::
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~ WATER SUPPLY W /IC//77c7'fe. I"/dr-c I- Cc?
SEWAGE DISPOSA'
it RFDrrnmc::. 3
.(exlstlng or proposed well, etc If public, name of system)
lo"'stlng or proposed septic tank, etc I S I =1t1- 382..
"LUMBING BY
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12. /"". t j"l-aP,
Address
) PROPERTY IS WITHIN ONE MILE OF CITY (_
t..I6T
.:;rAMPED
I ) New Address Necessary
ZONF
........it*****....*******..**********************.....OFFICE USE ONLY BELO\~::I..nlt..:
C - ) Special Permit Area
LINE "1-***..****..-11**"....***,..." ~
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) Facility Permit Necessary
SETBACKS
Front
Side Facl ng Street
(FROM CENTERLINE OF ROADl
I ntenor Side Yard Rear
{FROM PROPERTY UhESl
Minimum E:1p.vatlOn _ ~
/'7~CZF
To Planning/Building Inspector/Sanitarian/Surveyor
ThiS applicant 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
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2.3-78
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. MEMORKNDUM""
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lane c~unt/-'
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TO
FROM
SUBJECT
JOHN SMEED
GEORGE CURRIN
SPECIAL PER~lITS
DATE
MARCH 28, 1978
Mt Vernon Estates Thlrd Add1tlon 1S located 1n the Coast Fork and Upper W1llamette
Spec1al Perm1t Area as des1gnated 1n Chapter 11 of the Lane Code
The Lane Code 1n Chapter 11 510, requ1res th1S off1ce to determlne the m1n1mum f1n1shed
floor elevatlon prlor to the 1ssuance of perm1ts
Dur1ng the course of determ1n1ng the f1n1shed floor elevat10n for Perm1ts Number 466-78
and 467-78, 1t was found that t OW1n9 perm1ts were not referred to th1S off1ce
2857-77, 3464-77, 285-78 and 7 -78 Perm1t Number 2857-77 1S bU1lt and occup1ed,
Perm1t Number 3464-77 1S 80% f1n1s ed Construct1on has not started on the others
Th1S off1ce has checked the elevat10n on
that both are above the 100-year flood le
Number 2857-77 and 3464-77 and f1nd
Th1S off1ce would recommend that a reV1ew )f your assessor's maps and subd1v1s1ons be
made to assure they have been stamped as pec1al perm1t areas
If th1S off1ce may ass1st you ln ldent Y1ng these speclal permlt areas, please feel
free to call
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LANE COUNTY PERMIT
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APPLICANT'S NAME AND ADDRESC: ,,-),1 './ ,(!~-"
OWNER~NAMEANDADDRESC:
CONTRACTOR'S NAME AND ADDRESS
Mail permIt to (L) 'Applicant ( ) Owner
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) Contractor (
) Prefer to pick up Call
. STRUCTURES NOW ON THE PROPERTY --9- . .. . '.
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THIS PERMIT IS FOR ...d r- u > ~( ) '~'v<--v. ('~ (,-, "",,'. '....!. '-' # BEDROOM" -,,_c!# PLUMBING CONNECTION~'-
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WATER SUPPLY ./ VU,ff.J' ,. 1, - '/ ,:. _ ~ /~J (. "J SEWAG E DISPOSA' S I # / '-' --'....
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THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY - ....,>j'-"-,~- ,
I hereby certify that the above statements are true and accurate, and that I have the follOWing legal Interest In thp properly _owner of record,
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 owner IS aware. and approves of this action I hereby agree to comply with all appl~cable Codes relating to this permit
, ""/,/?/ 1:;;~/7r-c-'>) ......___.--,=-
Fee Paid c: - - ,'-- r ~., / ' -, -- ___ S,gnature.' 'Oatp
(~~ NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION OEPT ~SPECIAL PMT AREA MIN ELEVATION *.......
. SANITAn~~_ Mmlmum Septic Tank Capacity (Gallons) BUJ-L~I~~~ ~ 1;n~u~lo~ p '- ~rL~ ~ ~re~o~
,,, ( , Dramf,eld ReqUired - Lmeal Feet I ;./ f' , " Use ClaSSification
. ....\Pt ' MaXimum Depth Comments
Commen?srrHI:> PErMlT "'-JA$"I,~suet) IIJ e~!t~~ ~IWc.e
r~E PE~lT .I>.D NoT ItJCL IJCIa 1'U/i F'A}'SH FL.OO~eL.EVATIOIl/ ./~~- '-;.' ,': ." -
"e~lJlI~e.C>_FoIl.Ttle,S?ec.'Ac.: Pe~N\I'" A-ReA' ~ " fl. 8.
C.Ft..~O.D PI.AJIJ)-Tlili P6i2M/'J" HAS ~e-l:,AJ hMl;Albl:OIr f 'AJ'~F'l F LDfJ E:LE:IJAilO AI TO l:
AAH::'_AlIICA) IAJC,-V oes/T" He, M"NI,MUN\-FIPlISH FL.oo~ <\8~, 00'- B~ASS CAP IAJ IV. e. c::: vf(.8
~;:'~~~';t ~:~~ bR.i:c;.A~';,~;::'-s,~~oXtiIJTtA~W\ ~ ~'~ S>A Z J=~~ b)(' ~ DE tilE" a Cof..E Lv lIy
~jA)~~ ~~oo~~L:e,~AnOI\J- ~ /, By _ , "" c;;-...t;;"VJi:\TIOAJDaf?F.~.~.~~Q31
PLANNING REQUIREMENTS SATISFIED By / _, ,Date Date Issued
ZONE' SETBACKS FRONT' SIDE,FACING STREET (FROM CILI INT SIDE YARD.., REAR
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(FROM PILI
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401 PHONE 687\4394
POST THIS PERMIT ON MAIN BUILDING AT SITE "3-$ '7 ~ <:::::'I
C5513 BLOC PERMIT -WHITE BUILDING -GREEN PLUMBING - CANARY SANITATION ~ GOLDENROD OFFICE co~ :"{.~E Cl~"s
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Contractor's O.S. #
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APPLICANT'S NAME AND ADDRI=C::C:: ~
OWNER'S NAME AND ADDRESC::
CONTRACTOR'S NAME AND ADDR"C::C::
Mail permit to ("-)-Applicant ( ) Owner
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) Contra~tor. ( , ) Prefer to pick up. Call
S.1. # 7<1- 3g~
THIS PROPERTY IS WITHIN ONE MILE.OF THE CITY OF .. PLUMBING BY Li~~~.
I hereby certify that the above statements are true and accurate, and that I have th.e following legal interest in the propefl/ ~owner of record;
contract purchaser; _ potential~buyer; _ realtor o( agent: I further certify that .(if not the'owner) I am authoriz,ed to act,for the owner of
. record, and that said owner is aware,and approves of this action. I hereby agree to.comply with all applj3able Cod~s re~ating to this.permi(--: / '"y" .
FeeP{;d$ct20e:,.~(o (3~7cfS~ /' Signature < t""'7-"'" 7---- .;>--"'-Sr Date ""-:;:.//1..'/ ),1...)
(VI NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. AREA. MIN. ELEVATION>:; "
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STRUCTURES NOW ON THE PROPERTY \v . -
THIS PERMIT IS FOR ..:s F" 0 J Y7(j'UJ '(::}Ovvt/.,gt::/:?) 'V}6W'-c ~~~ROOM<; 3 #PLUMBING CONNECTIONS / d...
WATER SUPPLY k)U/b.-.nu1k.,.ifh..'i.ii d, '
SEWAGE DISPOSAl
~.
. SANITATION
,. ~:' . I ~ Minimum Septic Tank Cap' acity (Gallon. s)
., ~(U
Drainfield Required ~ Lin.eal Feet '.'
:;0" Maximum Depth
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Comm~nts: J..,P~14.-:t",-/.:t. ~<'\. .*f~f..--~~:.6VA'/ .<.~~J~~"
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BUILDING
1;' N Type of Construc~.ion I
I L N"LI /1/1_ Use Classification
Comments:
. ,
"'roup
1 Fire Zone
~G- NO:] E.,? DV F"lvV.s
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By: J\.,;J I-~L~Yztl
PLANNING.REQUIR'EMENTSSATISFIED. B.y: '-/CV~ . Date:O/-/'l-I'd" _ Date Issued: .a.-;c./- /15
ZONE: JGII SETBACKS: 'FRONT(;9&' C~L(!)EtE..6CING STREET - (FROM C/U INT. SIDE YARD..5V REAR-/ .:0,(fRQ,M PILl
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. LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 . PHONE: 687-4394
By:
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Date:
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Date: <:,. :70. 7Y
C55-13
POST THIS PERMIT ON MAIN BUILDING AT.SITE
BLDG. PERMIT - WHITE, BUIL"DING -GREEN; PLUMBING--': CANARY; SANfTAT'ION - GOLDEN~ODj OFFICE COPY -.WtHTE
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SITE INSPECTION /'
ApPROVED ~ DISAPPROVEO
INSPECTOR
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CJ DATE t, -2-71
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REMARKS
FOUNDATION INSPEC ON
DISAPPROVEO 1--/ DATE /0 -1/-7% INSPECTO~
REMARKS y;:t;;..... I'7K *-> ~ /. -'2--7Y Ok~
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ApPROVED
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FRAMING INSPECTjPIf' , .J
ApPROVEO iD DISAPPROVEO / ! DAToE //-3 -101 NSPECTOR
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LATH OR S~EE::~INSPECTION
ApPROVEO DISAPPROVEO II DATE //-/.)'-7gINSPECTOR ,t)/<.S
REMARKS r-./: -~..-rZ~ - OK" 4
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FINAL INSPECTION
ApPROVED ~OISAPPROVED
I
CJ DATE
~ :2-f./-7'lINSPECTOR Qd
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REMARKS
CERTIFICATE OF OCCUPANCY
REAOY TO ISSUE ;---7 NOT REAOY TO ISSUE I / DATE
INSPECTOR
REMARK 5
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ADDITIONAL INFORMATION REQUIRED
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Subffilt the follo~ng items to the BUlldlng Official at least ~ weeks prior
to lnstallatlon. Return tlus form ylith tv.u coples of all required information.'
Jl1AN U~;tJ~ ~(j,j5 P€SI l:lN5 ~ 6:At:.~ PI r::~€ebtT
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Btnldlng PerllU t No.
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Job Locatlon Cc'-€ WAil
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Bmlding Inspector .J L
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Date (I'flU",
~;l .--1 , 1')78
Permit No.
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CURB CUT
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PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached application has been fully considered by the Board of County Com"
missioners of lane County, and it is the opinion and judgment of the Board that the said application
should be granted, and that a permit should be issued, now, therefore, it is hereby.
tC:iI'tc I' C.. 4 \~ v. 13 y .)
ORDERED, that a permit be and is hereby issued to ,
,{ I UIt ( ua.-U r- L{1 \ '(',. ~::-:1.L.tI"U.. 1',.(/ C J (''l .. O("'-:-'h'Y\ for placing, building
or constructing the following facility: ..J J (J.
Lr,.., r). l/)(od.:.: 2". OL t I ,c. v'~J'non f - INk .., } (ID'/'':) C'C1l.2..lJ..~') ,
..._"" .I
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upon the right-of-way of County Road No. Mile Post ,
in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements,
stipulations and provisions contained in the appl ication and permit, the Rules and. Regulations Gov-
erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the lane Man-
ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance.
Special Provisions:
1. Driveway will be constructed in accordance with the attached driveway approach specifica-
tions (Drawing M98-50).
2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the
roadway and right of way caused by his operation, leaving the roadway and area in a neat,
acceptable condition. ,,-._,
.....: '.~r-"" ,- ":. 6 ..
3, Si dewa 1 ks wi 11 be constructed in accordari.d with...the attached -s.i dewa 1 k
speci fi cat ions and drawi ng M98-49. The Stani:lard ....Curb Typ..e .sha 11,. be
constructed unless otherwise specifie(L~ -'':\.;;, ~', ../' tr--<:
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This permit is revocable at any time, and will be strictly cidh~ed to dhd:>"o)work other than
that specifically mentioned above is hereby authorized, ,- '.. \~.;;
fore
This permit shall be void unless the work herein .contemplated
-)')\o..cl,", ;?..ivi" ,19'(9. 'Expires
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shall have been completed be-
,19_.
Inspected and Approved
Approved by Board of County Commissioners
-By. \ ,
r'L I,r-u \Gr ;' r).;. Gt\L.)
Director of Public Works-~
Dati'
By
WHITE - OFFICE FILE
YEllOW - REAL ESTATE
PINK - PERMITTEE
ORANGE - BUILDING & SANITATION DEPT.
~.,
C74~-l29
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CORRECTION
NOTICE
LANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT
Construction Permits & Inspections Division
EUGENE, OREGON
This building or'structure does not conform to lane County building regulationsr ordinances or codes
as noted below:
A )l '/1 ^ ,'1
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U'A. 2.'''//'-'' = / /7/L 'f. _...._J ...:;;pc~=::. //fL /i c-ud~~---b..,," - / R.... ...;.i.. .,. ..J.
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C55-7.3 RE"INSPECTION REQUIRED
FOR APPROVAL
Oat'"
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,
,
CORRECTION
NOTICE
LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT
Construction Permits & Inspections DIvIsion
EUGENE, OREGON
J~
/J
This buddmg or structure does not conform to lane County bUilding regulations, ordinances or codes
as noted below
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C55-73
RE-INSPECTION REQUIRED
FOR APPROVAL
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BUilding Permit # .-/::1" 'V
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.;;(Ai3 FLOOR
PLUMBING GROUNDWORK
ApPROVEO I vi 01 SAPPROVEO C1 DATE 7' -;2& '#1 NSPECTOR
fP ;/- -
RntARK 5
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GAS PIPING GROUNDWORK
ApPROVED / I DISAPPROVED C1 DATE
INSPECTOR
REMARKS
ROUGH PLUMBING
ApPROVEO fLj D,SAPPROVEO r; DATE //-,;)-71'-
INSPECTOR
If;./-
REMARKS
ROUGH GAS PIPING
REMARKS
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ApPROVED
m
01 SAPPROVED C1 DATE J -~;;). f'l1\ NSPECTOR
FINAL PLUMBING
ApPROVED C1 OISAPPROVED C1 DATE
INSPECTOR
REMARKS
FINAL GAS PIPING
ApPROVED C1 DISAPPROVED r; DATE
INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE C1 NOT READY TO ISSUE r; DATE
INSPECTOR
REMARKS
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OWNER'S NAME AND ADDRI=C::C::
CONTRACTOR'S NAME AND ADDRESc::
Mail permit to (\..)-Applicant ( ) Owner
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LANE COUNTY PERMIT
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Contractor's O,S. #
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) Contractor.
) Prefer to pick up. Call.
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Phono 1:;4(:'" ~ ~ .. Ol.
Phonp ;'
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Phono
(owner, etc,) when ready.
.'
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STRUCTURES NOW ON THE PROPERTY"-'
.,-. f :j "" I 4' './' f. ,,' ~2J.j..J <:? / ::J "
THIS PERMIT IS FOR";;' . U J ( 70' -0) /'i~ L/-r-!?fo ) .\. I' 'yU!:::", # BEDROOMS =) #PLUMBING CONNECTION~~
, j )' fl, --rl ", '/ " /'i ' ",/i., 0:)
WATER SUPPLY lI/Ul;'u,r,t,,' t.u~, j OIJ!,A.,.. C3. SEWAGE DISPOSAL S.1. # /L -' 3o...x.
,-
-. / ') .., /! ~ ,
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY lJl"OJ, ,L-<--h~ .
.. t~
I ,hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property': _owner of record;
contract p,urchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I, am authori"ed to act for the owner of
-record, and that said owner isaware,and. approves. of this.action..Lhereby agree. to comply with.all.applicable_Codes,celating to. this permit. _ . /. ,
/ '. ..., //- '2 / (;:;471"- '\ ' ~.,. ,-.,- " ! , //
Fee Paid.~ ~ ~V;-" d~O ~) -J.-/' Signature ',. / 'r Dato. .
( V) NEW. ADDRESS ( ) FACILITY PERMIT TO T~ANSPOHTATION DEPT, ( ) SPECIAL PMT, AREA. MIN. ELEVATION:
.,
,.
Comments:
,
Minimum Septic Tank Capacity (Gallons)
Drainfield Required. Lineal Feet
\,- Maximum Depth
'}'4"1~l 1.. ,/,{". .... \ _" -;'.r",(,..iJo;..l
BUILDING
~ Ar Type of Construction I
I ." ;r: I~( Illi~ Use Classification
Comments:
(:;roup
'.. Fire Zone
)' SANITATION
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,t'~__. Date: """.,,' _ J By: -' k.;-vI. /-", ~~ Date: ". 'cc. 7;/
. I PLANNING_REQUIREMENTS SATISFIED. By: '/0 f":,.,.....C Date:d-/'j-/'.,r' Date Issued: .:;)-t:./-/6
ZONE: Je.... rr SETBACKS.:"FRONT (&'tC . <SLEl.EtEACING STREET - (FROM C/U INT. SIDE Y ARD.:v REAR' I; JF RQ,M P/U
(-""" I V-;-'lC~--1_ J. \.A C-
o LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE' 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
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C55,13
BLDG. PERMIT ':"'WHITE; BUILDING - GRE~'N; PLUMBI!'JG.- CANARY; SANITATION - GOLDENROD; OFFICE COPy'- WHI}"E
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Job Location (Street, mile PO,STI, 1073 C.D1..-B <:: LJ...:A>::)
SubdiVISion .~eo ndr:iJ_.:t.ICTr\.) .zo ALL .\fQmr'1'\"\ ~t '3
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FOR SANITARIAN'S USE ONLY
COMMENTS
$ SY;;::;Jroved
o System Disapproved 0 Needs Correction
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FOR INSTALLER'S USE Trench Depth '30 ,. Filler Depth Below T-;!; G:, II
Tank CapacltylGOO Manufacture' UJ \ LL II t7l EO r:n;:; (; e A V~'1CJ III F=:
Measured distance to well from tank l'usu c.. 'vJJ9-f~alnflelr1
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INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPtHION
When signed by the County Sanitarian, this certificate IS eVidence as per ORS 454 665 of sat.
Isfactory completion of a subsurface sewage disposal system at the above location
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Return this form to
Permit Processing Section, Department of EnVironmental Management,
Public Service BUilding, 125 East 8th Avenue, Eugene 97401
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JOB LOCATION
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LANE COUNTY PERMIT
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APPLICANT'S NAME AND'ADDRESC: . t: iJ:.r, .
OWNER'S NAME AND ADDRESC:
CONTRACTOR'S NAME AND ADDRESC:
Mail permit to ('-)'Applicant ( ) Owner
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(owner, etc.) when ready.
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STRUCTURES NOW ON THE PROPERTY
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THISPERMITISFOR'- , -' ..
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WATER SUPPLY'>' ./. .! ;);i;:
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SEWAGE DISPOSAl
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
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I hereby certify. that the above statements are true and accurate, and that I have the following legal interest in the property: _owner of record;
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 owner is aware.and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. -- -
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Fee P~id $ "J'; t I,r" ~.."..to '. - /. . ....~, -- Signature' ',- DatA
( 11; NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DEPT. I SPECIAL PMT. AREA. MIN. ELEVATION:
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Minimum Septic Tank Capacity (Gallonsl
Drainfield Required. Lineal Feet
Maximum Depth
BUILDING
<: lei . Type of Construction I
!J. _/l:.I-I. ,\}J(~ Use Classification
Comments:
Group
Fire Zone
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SANITATION
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Comme,nts:
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POST THIS PERMIT ON MA.IN BUILDING. ATSiTE
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BLDG. PERMIT -WHITE; BUILDING - GREEN; .PLUMBING - CANARY; SANITATlo.r:'J ';-~GOI".DENROD; OFFICE COPY - WHITE
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