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HomeMy WebLinkAboutPermit Building 1981-8-31 I tb ~ 31 , ,_ ,~- ' --" '. ~ -p.f) ( C\"A ' / .".- '- FOR OF~ICE Usc- Q',LY . i\!fCQI:jg~J]~q~,,'iOO~'!OP,L.~~I;l}4e~~r~:il~t'l~',' Q ""W,,~,O:J ":f~ C~A i':,",'lT32 ~ I j) .lD, . .\,"j y3b~f:aJ:.JJj ?F'ERlMeJ :'J\'.~", ,. . ',:'IOR' H\l;T~. ':1. ,,'Yffiud, ~~~~~?~"pn/1:5-GQ:i;;: Y3't) ~'. I .., )i!":JC'i;;;:_ Hf):r~3flG;H.'~~C I ':;llT0~j MIAVGA ~llOrl ;.s: T2c' \ .ill ':fO )\J~t'i11,-1., ,-"lO~ "~Two".::'c6pf~cs1bf' P}an'S'J:..-Lr t13t~J COHPLETE \TH'I'Sf.fBLdcK'~"C.,.lPI:iEA'SE 'USE::lBLACK~,tNK'AND' IPRiJ'NT.'. '" 0 i,no; '~D- ~1,,, ~Of""':, t t"'iil,.v'"h ,ll'V'a. - ...' - U4. .A.... r_.~ -" .': ..w.o. ,PBt...elsS,;?v..1tj ""~! >.,~,~n~~o-X -TOlvNSHIP .... it. ',Rf';~E 'A~3" - -" I" I S~CTION.2 I TAX LOT ,......;.J;JC:UT OF I DHechanical Checklist . Ie> ' '." 0 ' ,. ".. '02, ;.,), (; , 27f K f . . 'Dp'lurnbi;", Ch~'i:j!ii~~c:':;,q.", SU'B~I' ON/5RTITI~ ,(if ap -c Ie) I LOT/PAR~ BLOC,3.' ~TJ'~ \'1,0. .::t,1JrtlQ?l1._:.fHllllJQl;:; , 'I I, Plan 'Check~-Into"Slieet.- - i'n~+' - ',' ',- '~_.'ll-.; ...,. ~4.t.,q" :JlT4n" h,." M. '. ~.. ..c-t: ~ 1~..'f;I, " ,,' ..-. ,-, ._u. ..__. -. -- . L\OCIA~~~~RE..?.b<1~I~''':'- ;:.rP'l;::~~~"" "~""f~?"lq e~Ru,- :~, ,.I, CR'7;}'+.::.fIP') ',P.R~~USr;?~n~~;~~T~:', ;u:'. . ~J/_(-~ '-~!".- .U:Fl~::h-H__._I.\..LJ lLJ . \.) An.. ~!~ .'t[Y'Residentia~ "'ulndust.r~al... 5TRlICTURE .CUllir~;:.LY!. l~ \p, q}'E~T,Y....,;. ; "";..-J(t{~,. \; .!\' -{)~1r f.. ~. . ~. Ueli~.!.. ~J.'l- .:..~r:::tj!, :~_I ~~: ,~::,~I' r ~J_';'t'j 7;"'~':-:T~~l~..It". f~ "').i~ C'(! " jQ""Tqtj~IJ'.("t,.. ~ . - "..'~tut=ev1JIIJnfi~Jfl.1l:. ,El_comm~rY:lal'nn.[a~u}jJ-:1.:S1 . 11 _l,').,;. _ ..., .... . 0 . '-_'1'" ~~_ t._.L., ~ ~.^ DE~I ~I':-..~F;ROr.SE' WORK , A I ",/L ..11 L::-\.~;:';.'~',''''', \.~;~>I'['T~''i:-'",I,_s~, E, .....'~ (0 . ,~,z.,!,r 011..0.'" 1 C '"riJ((II,.)\(;-pr,'~":TVlf f";~oJthti\y"'! ~ ,0-, ~'" , _I G.!h,C,'" ., ," 'f,. 0 ;; OF ED DOBS:::'.. ",I:''':OF ST~ES ;-U-'l:,lc.]'!~'E~YEESI' {,Ilf.;lr,:w' 1 ',Ii1J--T~~ OIIJ.::':W~~.Q ~:~~'d ?,:' (J) , ,(L'J ,''-I-' . r )O>1'I,.~ ~XlStlng ~A~)'.'1Wi"l>t,;....;'.nl~ -"-''', '.~:~:~I;..t,"llGG..2 t:'1 ~jti.~'r~:1I~6/7~"i,';~:'~ J:;;'I. ~~:HON~'~~-7~' ONT j/)"V). ,.Pt;zJ~i~k~: '~i" flC:ZW,':,yy ".V" ');,,-,ot('l.(),,<q ;:n<0-T~I'fi',i;\~ZEt~:j';;'~C) . .. JYmO. . ()'~{) nYVrruP;~ll;.-~ :Jj,.''':'1''':', ;" 'Y':~~':hi .,.'~ 1:--:1. ~'bhq fld uT '.~'.QJJ.<:.:L,'J.;~ 'z: CONTRA71'(-,S,:p~R #':'t:tI,':DI~'~T~Eh':l .~,.'.,. \it) .,~t>S..l')';'," ~h 'rf~~ _.1'1"0 gri '1'/::2' '~r;di. :1.,~.i1 2 Ifl. ,.~~ \ \Cj. !." .,0""" '.r. If-/'I('-)nL,,\ ".;f).J~il/y.)~ovW' Jr '," l'''!''I'Y'lt,' :;., '., 'FPV\''I)fY'. F"-' ,'" .f'":,,,. fg" IA:an~:~F~ \?l~~,1B./.t~:"(~~. 7i~ y. )~(){l'm"\ ~ ",~ , HAve CARfFp,~ YtE~fY:!1VeDi';':Ei CDMfW;,~q..,^'t,L;,J;;/~~~ P~m-11'!:;,' anp,d~ 1'Sii';~' ,~':'c,/y"t~'h,'ll !.nror~'q?", .h",'e~~' it,~ ':]r~, co:',";-' ,:;I f,,,tt,,," certify thilt~any dJal.r work-.~r~ormed shall be done inlaccordance w~th the Ordlllanccs of Lane County and the Laws of.~he'SUd~c of O}.'~'Jon !.etlall1IIHJ to the I>."orkd~sciib-"-ere.i'n:, aridtha"t rNO~oC'cmiANC'Y wi~l.i:!"be' ';;ade di aliy'r"sti-ucturr/iwi tl_~o'ut'tfi..;' 'pcrmI'i;~_ion'o;..the ~B'u'iidii1g' Di visi'o'n',l' I -'[urLh",r c'-!cti fy that, registrutlOn with'the Bu~lder>:Board is''inful~''fc~xceJand effect ~srequircd by ORS 701.055, tha.t'{f1exempt. the;)ba's'f'i fo;:'cxelnpti'on is noted hereon, and that onlytsubcontractors and employees who are ~nlcomph_anc:e wlth ORS 701.05510'111 be used on thlS prOJect'r I HA'lE,REl\.D AND CHECKED THIS I\.PPLICATION THOROU~GHLY'. ~1) ~ fl)r~ltllhJ(:lll n~Il'~ Or"l 19lUJ." .... .1. \ Hit..... III I. :I"J,' -' 1, ;(\~".u 1.0 .J.'.J r 'l'~ -\1..;il, ;n' - I'. ",tt' 2u-tJ:l.lr.;t:~"'_,,'2;r.OpO"!..~L"'f i(I'~lj,f ':~"("~;l;""': 0(, r!j;:' 9->....1r,.t'.,..~....'.:...~ Corl .' '.:i- ~:' .;'1 :':'';>'1, o IvrjZ,1d"l'tt'l1. ..t6_t l' i~ ~ ~-j Owner , XV'~~PP'Jv /-h/.~ ':';;"~~~~:l"~; ;-;:;;~",.a~ q>/,J .21/: i~JL, ,; qvzt :C'O ,;qcontr;cto: N"\.MEO'(pleascl,pnnt}-J "I ji! ::tJH':':j..;; YI-;:::SJ/.t,t...-'~ ~'f. ~SIGNATSJRE~l.' {; ~ 1f:71.~~ J~:DAT~ ~:! _~', ',0 Agent o PEANNINGy'ZONING,fl.drz'one K>. .Mfj .t4l-'"anr~til6W~# ~.. ~j~ f' " \, p1~6~1 ~j:' ,",..t"q ~n;' 'p:VZif'sJ.Z1mX /In . .. r I-l-- 'nfl'n pr.: v, D _ roJo-,.,r.,~......"+ ~. u..l C~.,r",;~"', '4~"'j...j., C - i rr.o:.r:... r,".' .(.Ii'" . ,'~ .,t.,''e.-~,c::::.''''''''''I'''_ D.,/ Ao./, WI- }1inimum1Sctback.s:.'J~a-L, front . .;;;;j"JI.-~,-Side"'.. '., .'.... 'lntenor":' '~",..l~.-- "'~\~~~~~:--;-:.r '. L...- co;;,~~nt~':RQf\'~r-;\r,.."271:~III'),(!S<"(}Y\l~'~" ,'J\Jk"J\;~IO": ',/, '- .q.,,,?'..r:';.r.1C~,f~ o:t~..,.; ;-u >,--;......I.....'.;';.~ c.'.'..:..~."u. ..-~.....IH~jU~,<j ,'.",. .;., ..;.J.::i"/";'~~"l ..... _.js:::. _. 0,..~. .~_~'f". '. , .. "---"\..~I".~ f......, ~. .' Date: (Jl .-./. ~"~,,,:.. .".'."')<1IE,DrllA/N>O::"',~/IZer:::>,(~,"");\'IOI,., ,:I'::J' ',,-,'t!Y', I.a U1 FLOODPliAIN.: ~ '" In flood ~lr~ are-af to Yes, see_aU .;l{ed's1i~. 'Date; '''J"r~.LCI~. jrnifRU,RAB~t.ADriRESSiI:.NG,:..t:-..;.,q~~DcqO~~INATI:; "._ ~N . ""' n~! -t}'. 1. e,l)!> ri. :trr;;. o'ate:-.I:r .-: -.~ ~ i:~"" 2.i'{l.-=' ,.1V@!JtI\ ....~.~l ..'J rp,i, 1'~1-I!:~~!hl,PI h;.i,~'')..::l;;HI'~:t.-;.. J:.:fU: .BI \;.I;i~.r;j::::K?...!.J~~ J;:;"'~' fHiliH1ll!~ 21 Ii;!,:": '1i.;'1] ..;.;1'....1 J.i-_ It,.i-t W Sl-..NITATION: 15',:"1. #,' -, ~B:CP,'tt'~~~~ 'j,.;Ins'tai1'a'tio'rPR"'e"c""ord;issue'd?IG~Yes.~0No"q~'~ '.1' 1. .....'.. "'''' ," _. ~...., ", . . I. lnstallati'on .. I .' Gai;ib~'Dr!TN r.{lti~:b~r .IJ!". :';.-f-..in~al?Feetl,: '~': _,~ 'f~HOq\:JHT I r:.f;'l 2~!i.a.?C_i_mll;m: Dept!"1'd1..... Specifications: Tank of DrainfieId of Trenches . '/1 ~ ""'/ '-A "''::T~~? " ,. :?I'l 3'1:;';1:'::/ "~ i: ,1 ""r., comment;-s;---4'/6t'fb ~ O.Al,. /J...A ,4-1 'l t . ...-?.A..A ~~;.-. . L ....- ,~I.' ,. ' JL t....~ 4' l' -. ,,-- ,~+ ? /+ ':\."::1. . If" {fl trft-;' "/I ' ;:~ ,'12.' ';),;..c 91.. h, , ~;.. '. ;V ,'"',.s e. ""., ',' " , "/\ '_'" , l!L_' ~ Arl'J"~~ ~1I /),.#... #.fl_ ~~---.o _ 'u ~ri]-:..':r;~v~' (ri'L2 ..~,c:'-'(J,:}H1T.~ $; r !::~ll'''''e-:t-fl9:;; ~ffi '"'...'(1(/-4 : I~~;~~ -:1:~.~. :J. ',.:n,{IO?-~:!:t-r~?,5fGcY/r '':t--. ~ -- .t r-~,'~.' ,.,+;.nt\"\ "","''1 ~.;-,_ . .~ "'r~,. '~, '!"....t ,...""n c.rlr r.....-'- F. ."'. .... '. ~..,. ',JDe::',~; ...""7.,,';;1' +...x/.,~. ._" ~. rr-iI'. rl.: h, {1""~:~,.... .,,"I.....I~ .r.~;.,-t.... . f. O'j; ~ 1... jet .~.; i .;.; ~-t-Cfr.; -r.: ~.,,("' - r,1. ::J '1,-.:;. . MI" ;. ;'_,'rf q~;)j .::/7,;. ~:r tr,', 1'.":' ill~PL~NS'1,E}{:A.M~N.t\TI.oN..: t1,:,J-'I~.l?!'!-"~~","'>iI~t..~r.?up. ",..~.'. ':n..ys'e.. . _ r:-r ...~."\........"'(j ./1.. .z:tfu" ;.J..h.;;....: rk..r:.,: r."'1l.;.~"~lif: JrIil1~" crtj ~l;:to!1 i,r;;' jll~l~'U;;t;!\O ~l,'j .;.rr. riH.::' .Lti/o .,",' .;tOI~ tso; Wlt:r'-,.... t,,') I~Cp...~~_nts,:..~......* ...,"'-:-...,~....;.;..,....".. ,...1........,....... -.":...'r-.:.'::!"'""-::.-....._.: ~ ." ~'~.........: ~;o.,. .....~+." ,;,.....~~ SEE:REvERS!'SIDEOFPERMITJ(ND;.." ,s,~ 1" n~t:!~rOf\ i 'c'~.t:,:,"J. ~,r' "jr","c-"y, c n',:j;', l:or"I';,O) r:"~W~""l;J FllR IIIST:':':"''f'r-'~ . ' REQUIREI\1ENTS., ~ [J ~ ,""-;-';r,'jd rii -'1,"1'1"';11 )I~r...,. . - j"~. ~: I' ',"I, """_~!2.I'/~I""'ij" ....-.... '.-~-Date:' . ~ ,/r:,. - ~'h___. o 't;,,. CONSTRUC'l'IONAt5THORIZED BY~~HIS PER.J.'1IT :1.3::' ~'~)': ~ '. ;l"; "JI '~:r.-, -. -.J~ 0:....., o;.t?lu5ol J, t, f. '2 ,-,,;,"I'Q' ." '~" CXt ,Ri?:ed Feel Floodplain. r~e:.~ ,". '.;... ;' $. _ . ~t') ')('Tj~4riP~tiOn . ~,~ ~--9I-MMw.unlt cos, t, ,'f" :~:::::~;~:~e~" '" $$$~'~~ ~ . r&'\I\lLl'Ira.t\111,. sewer/Storm:Drai~/Water. ~ . . ~. - "ftD?:'~A {t~ttJ.: -0:') ," ~,'~ verify ~I~'on:.,~, ,,' Me,:i1~~:;~".:~ ,?~i;'res, : w/'~){P~. .....;1. _. . ."P:lJ~I?-S~ Che,ck' Fe,e '..,. $ ",_ -'. ' I , . " ': ~; ,?t.ate~.surcha.rge $ t:; l'-1 (') ".:,~~'C). ,'iX'~J,(l{Jq2,~ ".,' :, '. TQ;~L:FEE-,' '$",13h~O.. '.'. " -, UL'VALUATlck)$, ., FEES~',yP,.~,I~IfC~_e.ck. Ocas~' "'h. " "PERMITS FOR ALL ELEcTRICAL WORK . ",' "". ( Vi t,JI _" -, . : SHALL BE SECURED FROM THE STATE' , , "i.. .:".. h Date :', -1/91 "'oF OREGON, DEPARTMENT 01: ,'-:,. .' , " ': ': I{ ['1, C.9M~ERCE. ELECTRICALSE~lon,~~,'.~,\ .,... ,',,' ',;1 Q'" '. ._"., ~ I:z. 110/ ' . ....,..0' .,... '-';""~.J.' i~.'.' C!Y~/h ~~R.'1,I~ APPR?'(ED~~Y BUILDING OFFICI-AI,;/DESIGNEE; (per ,ORS.456.805H)}'" > ~,.';' ,_DATE -. LANE COU'N'l'Y~, bEPARTMENT:'OF.ENV}RONMENTAL"~..NAGEMENT' / 125 kA~~;1-E':I'GH;~ 'AVENUE, EUGENE,.. OREGON 91'401 " . " . ~"-- ,e,' ." ',' ,'. . ::," ' . . ,', " . . . " C~4,~194 ' , . ' .. .'.' 'SEE REVERSE' ~t- ,; J , ' .' '. < ,\ ~,>!i'" ..,~, " . C :' ;.~ '':',' --.- :'" ~ " ;... .. ~ t .' 1,1 ir ' . ;>1 " rr Ii 'j 11 .1 H II I . , ; i , , . hc 'LANE COUNTY ,DEPT ENV MGT RECEIPT 1 185681 DATE 082-~t APPLICANT HOLLEY,JAMES SDDR j672 HARBOR DR." SPFD.,' OREGON " TLI 1803023202700 SDBDIV FILBERT GROVE SUB. LOT 12 BLK 3~ NtW BLDG TYPE MH USE I" ,NO BDRMS 02 NO UNITS 001 NO STORIES 1 ,NO BLDGS 00' j CODE ApPL'NO ACTION DESCRIPTION SQ FT UN1T COST VALUATION ,FEE ChiS BF' ~ Bp i Bp, I ;; Bf:-, S BP ~ E~P , . ;; HH I..,C Hl~,60'i MH SINCrLE.JICE , 6;~~.,,';0 l",,~ HHpL NO. FIXTURES: - 'NO. CONNECTORS: ,15.00 EACH - 10.00 " <- HECHMECHANIC0L FEE ~ ~ SlJ!~ STATE SURCHARGE 4% 2&90 "~ 'pCK PLAN CHECK FEE 0% FF' SDS SCSC' CERT. at ACEQ; iO~()O 50.00 i;j o r-- r II I) -:::: C(lTG: (,('I" SEQU: (> T;'1K[N ,BY C(~D 1,(, FP 1 [ST. ~D~ SI PCK \:) 2 COMPLETION DATE 090jOl UTH I S:~; 3 TOT!,I.. FEE"~' 13:',.,<\0 c..c ex: fl~ ~ . I I,,: I " , , - .~. ,. v ' ../ .' ,I,' J . " . ' " . I ' . . -\' " 'W, LL/-/M &:TT r-;') ./'\ c: /< /VE"./<-. _, ~,.... .1 , VN0I111 C;~...O , !::L.-' l' ~ - - - - - ~ , 'Id,.. j~ J\ "",op.lI~li!' , l~ .>" ~ ,I \ I I' f)~ ~ ~l <;(1 I).'j 7 ')7 ~~Q JI /' II.. , fA... }...o I I . .,.: i' , _ f'" ',' (IG fl'/eL-) , ~ jl. l '.. I:"~~~~ I', . f\ I , I JE-q'~ '1'"" ',--, -, 10'_ ' ;- J, :"* - s:(o(l~ 1 " - -I I I I~- I I ?Op,~ 1: Cf.'(1.. lY... '; ,..), \\, -0...." \ 1 . 1 1 " I~ I~ "t Il I f \ i\ ' :1 \ I -', 'll ~- r , vJ-:. (I I I ,/ , I j ",l;~ -qb ~i\~ ~. ,~~ V /' ,: .L / 13'lo~, I t' f-' /0 A< f\ ILl' >t fl, ! . -I ( , -~,~ --t I .' ~ /' I.A/,\j 'C' --I (\VI - ~ iW^"( : -.. ~ V'- '- ~.(- · I I J' ----~ 1-d.. ~ . -. -- rJ ... 1~1 ~ \,.:. ...... 1l:1 ').1 .. \' ~- - .. ,~~' ~~- I I I I -~ - I/) I ' ~- - ',-- , [ 1 f\ ' , 1 - - - - .-1' )) . . I " .. ('I t~ 'I ? ~ ) 'tl t ~ '0::- ....,1 ~ i~ ~ '" t:....... ~ \() J () ~ '-0 ... 1P ~ I ~ . \... -tc ~ .!t :t I_'ll ,J..i '" ' I \)0> .' 0. ....., 1 I j, ~ ro. \I_~ L/L ' '-'~~ ,y~ .../." f/1. -Its.: /67.z HAI2.t3C:JR. DI2.II/E' t3LOCJ~.3 La-J /2 FJLJ2~J/27- r;;; 4- all t;Z ~ <:5"'_ l , .--:Jc.Q LE ~v ..T.w. f{oL.LEy / 11 ~ /0 ) ~ ""Z-) T ,)' ()./1A-~:,:,.;::C;~-~-~'-/i~-~-~~-6~' ,3~,';:;;~;'5(jC5 c;(~/c, ~!f ,: ' , ' . - ,,:;; ',' . '." LANE COUNTY'" ,INSPECTION' RECOku OWNER'S NAME 1//. /J/J ~~ ,,(/aef/ rJ/A WNrRi';rrj)'R' S NAMED' \. "'" ,,...??t~ SET BACK REQUIREMENTS #PLUMBING FIXTURES CL, FRONT ,.y~-sCL. SIDE INTERIOR ,..,- REAR //) ;O//F \'IORK AUTHORIZED BY PERMIT j) /J VI _~ _ /J ---.L m~tJ )(//1lJfrl 7"iJ'rOYf't.llM-j'///y,r DIRECTIONS TO SITE ':1.L' n.. J... ~ - '...7;;' - ~ ~..bI ,....),o:x. OJ /t AV/ fw? V)/l (M 1/ ; _ () .I t/ />/ /14-/ /~ ~ ~ Y h/,l k.d v)// c..c:;:a:ld SITE ADDRESS - I' () FOOTING / FOUNDATION INSPECTION OD~OBIL~ET UP INSPECTION Approved j/' Correction Disap~) u':~~ Date '1- ~FJ Inspector k.. ..0- a)< CONCRETE SLAB / UNDER-FLOOR INSPE~fIO~ Approved Correction Disapproved I' , " PHONE NUMBER ') ~~ "~/\"''::> PHONE NUMBER r-.J '" \X/,lr/Y// r-v/ ') , "../ /9 ~/ -R / PERMIT NUMBER . I?;/- Date Inspector UNDER SLAB / PLUMBING GROUNDWORK INSPECTION Approved Correction Disapproved Date Inspector ROUGH PLU~1B I NG INSPECTION Approved Correction Disapproved Date Inspector FRAMING INSPECtION Approved Correction Disapproved Date Inspector INSULATION / VAPOR BARRIER I NSPE CTI ON Approved Correction Disapproved Date Inspector LATH / GYPSUM BOARD INSPECTION Approved Correction Disapproved Date Inspector ~INAL PLUMBING INSPECTION ~v:~~ jorrect~~~is~ro:~ ~. O::;,~~~:.,l?~ FINAL WASTE DISPOSAL SYSTEM INSPECTION Approved Correction Disapproved_____Date ,..-r-- "" FINAL INSPECTI~N BUILDING MOBILE HO ,/ Approved ~ Correction 0 approve Date~/_~~~Inspector ~/J-- CERTIFICATE OF OCCUPANC~-fi'r ~';, ~ ~E~~';:Y 1E~~~:~r;/odd?AN?v.'?;-.P1' ~ Approved Correction Disapproved Date Inspector Inspector ;jJ~ 9- .. _ 6'1 hf";:L Inspector ~, *f(OOD~P~\N., . ___:.t.., o.'iO\I?,tirm Form C74-197 LANE COUNTY, OREGON DEP1', OF ENVIRONMENTAL MANAGEMENT CONSTRUCTION PERMITS & INSPECTION DIV, CORRECTION JOB ADDRESS I;;' , 7 j _ JJ?'-V'vL\.... -l~ TO. ~\-a/l""/'LJl..., 'lLr....e...L-tV C/ V NOTICE DATE / t5 - .;)3-- rf I BLDG, PERMIT! ?_ '1% -:>r / v NOTE. ,--7. fl -r /, ' , !I I, j -J- V'-' ' C'Y./I,,(J/I-U A.--t,,-cfr'-' /,/) ../) ./1,..&--, ~f M ~-".A/L ~,/( d ..j '~JtLI ~I-V; -lAAl.--U./l, ,iJ~ & U /J rJ."~) ./'LJ;t~J,i..r -:r_JL<J -elL.I /1.u-~'t1{~ / c?~&-q/.2. J-"Jr"'1 1L),-v09 ,j~{P; I f} /. U - ~ _A C55-73 , , '\ j) (I , RE-INSPECTION REGUIREO I !..k!., Phone 687-4065 FOR APPROVAL INSPECTOR. i- d. ~ n I I Jh- ")fA- x bLe:V, O/C- - n E \...)UU.1/"-.,)'S .!-?:i;: (.,i' .il ~GJ':'-,' II, 'l ~,\ '1". ~ l t;.~ I ,.~. ..', i "" ,# L,.. " I '. FLOODPLAIN ~1ArIAGEMErH Management/125 East 8th 687-4357 By i-'cA Ave., Eugene, Oregon . Department of Environmental Date To: ~ Permit Processing o Planning o Publ ic Works . , Permit No, I;;'" Partition No, Subdivision No, ,~,. '- JIM HOLL.E:'1 IcQ72.HAR&OR. DR, SFI<.lWGFIE:.\_t:} SFD AG @) ADD, COMM, FII..Se:1?r 61::<:,\,1(; LlJT /2. 8L, :3 [] Approximate flood hazard study area, extra precautions may be appropriate to assure that the building site will be reasonably safe from flooding, ~ Detail flood hazard study area, Data Source JR] Mob,!}!;..~?!I1e t.ie downs_,!:~qu.i.!~d: [] Substantial improvement, [] Site in regulatory floodway channel, building prohibited unless it is demonstrated that the cumulative effect of proposed development will nvt increase the base flood at any point. Contact Floodplain Management for more information. lRl BASE FLOOD ELEVATION + l' = ,14. -;.n' ' (t1SL) , Certifi cati on at or above this elevation required as checked below, Applicant Name Address of site **************************************~*************************************************************~ o OTH ER 'g] ; [] 'fR1' A~... 'Xl' ,0, o o CERTIFICATION OF ELEVATION I, DOI..)ALO L. BR.A.t>JCH , a Registered Professional SUR. V E'f 01'2:.. in the Sta te of Oregon, do hereby certify to Lane County, that the following elevation represents a survey made by me or under my supervision, The foundation elevation (including basement slab) = The ground elevation that structure will be placed on = The first floor elevation = 447.82. '(MSL), The elevation of the top of floodproofing = Other 3: '" '0 -- O:l I , (r~SL), ~ 445.32. ' (~'SL). I o N , (MSL), ~J (\I Reference Bench Mark No, Location I '17..11 D/A. gc..~5S CAP //>..,) TOP O~ C ucB AT S.€'. --CofH.n:,~ of_ Hi:>o.f:(:,oR DE....$ k.R~(V)ol-Sl A\J, l' ./_ .' /.... -' ..,/J !> Signature ~.7A:"'J .N......-:\~.. d::/,. ..-/\.... S~L REGISTERED '\ r - , '<:/. PROFESSIONAL Date "VO{( C;; / r:;<:9/ ~LAND SURVEYOR ' rJ '" I ' : -. .. O ' '1 b t' f' d d t d t L C t " . " /', 'J rl gl na to e cer 1 1 e an re urne 0 ane oun Y L__~. ..'.....; -;r': ---'S. '0 Floodplain Management /..:,7~'"",~,~ ";/f>::-~\....s' 1st copy with application/inspection SgT~M~E~2P'~7 2nd copy to app 1 i cant DONALD l. BRANCH 3rd copy to Floodplain Management '1137 / -I /-' "" . J, ...~,,~ ~,~, ;<-. ........ ~;!-(<. " " , FLOODPLAIN ~1A!JAGEMEln ' , ManagemeQ.t/125 East 8th Ave.', Eugene, Oregon 687-4357 "_, I By' I-Ut:. Department of Environmental .' \ To: Date &-:3/ - 131 ~' Permit Processing 0, 0 Planning o Publ ic Works Permit No. Partition No. Subdivision No, Applicant Name .JAM'€: 5 W. I-(OI...L~ . Address of site " /(072 1/4 _",p,/>{z, , DR, ,SFD AG ~r{1["') ADD, COMM, /6% -BI be appropriate to flooding. ,\ Certification at or above ~**********~***~************,************************************************************************* .... .~~~" Uc'..l ~ D , , ,I}g. , ~ '0 D ~ \ o o ~ ~ o o Approximate flood hazard study area, extra precautions may assure that the building site will be reasonably safe from Detail f,lood hazard study area, Mob.ile, home tie downs required. S~bstantia}-impro~ement, Site in regul~tory floodway channel, building prohibited unless it is demonstrated that ,the cumulative effect of pr,oposed development will not increase the base flood.,at any point, BASE FLOOD ELEVATION + l' ~ 447,0' this elevation required as checked,below, , a Registered Professional in the State of Oregon, do hereby certify to Lane County, that the following elevation represents a survey made by me or, under my supervi s ion" The foundation elevation (inc,luding 'basement s;ab) ~ ..;( , The ground elevation that structure will be placed on ~ The first floor e}evation ~ ' (~SL). The elevation of the top of floodproofing ~ Other , U1SL). OTHER, ~ 'CERTiFICATION OF ELEVAiION I, Reference Bench Mark No; Location Signature SEAL Date (Original to be cert,ified and returned to Lane County '\ ~Floodplain Management ~ 1st copy with application/inspection 2nd copy to applicant 3rd copy to Floodplain Management 3: '" ,"0 <;l\l \) VI ., (r~SL), 0 . , "(~lSL). " (:. , (MSL): Vol r -l r N ..", IJ ()