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Home My WebLink AboutPermit Building 1976-5-10 ~ r LANE COUNTY PERMIT Fe , 1 PERMIT NO MH 168-76 - . -'" " . <, CONSTRUCTION [ ] MOBILE HOME [X}] PLAN REVIEW [J CHANGE OF OCCUPANCY [ ] 575 South A Street Springfield Oregon CITY ZIP CODE PHONE o Contractor Emerald Trailer Sales NAME Same NAME NA ADDRESS DOwner ADDRESS CITY ZIP CODE PHONE OS Reg # 18 Range_O~ Section 02 Tax Lot 701 Codp 019-02 Census Tract 35-400 Twn SubdivIsion NA Lot Block Acreage Width Access to Property (Road Name) South 2nd Street Depth EXisting Structures on Property None Directions to Property Address I ~ 1450 Harbor Drive Sprinqfleld Oreqon 97477 STRUCTURE (# BEDROOMS) SQ FT Permit to Park ~bile Home Permit to Install SeWdqe Disposal System VALUATION II 3 B~d moms SEWAGE DISPOSAL PUBLIC [] SEPTIC TANK [ BUILDING PLUMBING 3% SURCHARGC MOBILE HOMF WASTE DISPOSAL PLAN REVIEW OTHER [ ] 76-111 PLUMBING INSTALLED BY OWNER [] OTHER [J NAMC WATER SUPPL Y PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY 4.00 " "n nn ?o: nn TOTAL ~q 1:l CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY GALS 0""'---- MIN DRAINFIELD '~n L1N FT np(a~M;p r:tn iU"p.a f'nr r,:.nlArp;m;;nt of ~t:lIw.Ana. "np~ Anti Mnhil.. flnmp wii"h ti.."in-l'..ilA - MAX TRENCH DEPTH ~rn ~v nic::nnc::al ~\lC:"'Qm <::+:lIi\J In of'o.o.+ .f='Wlm n--.no",,+\I , , INCH ES TYPE OF CONSTRUCTION GROUP FIRE ZONE STAY 100 FROM ALL WELLS USE CLASSI F SETBACKS FT FROM CTR OF r/W FRONT 45' SIDE EXT 1. Mobl1e home mOst be located ? RA~~~UP ~ n~~r~l rilnnn ~~rl AUTHORIZED SIGNATURES /s/ J, E. Boss bv Full ~r FT FROM PROP LINE SIDE INT 5 REAR no closer than 150' from ordinary P~~al ;~ hoinn ~'Q~r~A 'i ZONC low water ( "---- RA ~ r,r~v/~AnitA~i~n_ ISSUANCE DATE ~/lnJ7" Alm SLOG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD ~ IMPORTANT Call 6874065 to schedule all reqUired construction inspections Call 6874061 to schedule all reqUired septic system inspections All construction shall comply With the State BUldllng Code DE Q standards for subsurface sewage disposal and the Slate Plumbing Code All buildings require a certificate of occupancy before being occupied t#PlV 4-,'Y' ) (See Details on Reverse Side) "" {/~ (POST THIS PERMIT ON MAIN BLDG AT SITE) - LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401 C5513 . c,v d p- No.mA 16f~7b BUI~OING 'SITE )<( BUILDING EVALUATION PERMIT APPLICATION () SITE INSPECTION PLANNING DIVISION Not #p Jicable 1. Zoning Ordinance Compl lance' Zone ( ) . 2. Subdivision Ordinance Compliance ( ) 3. Required Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) ~r/~ tJ _(7,0/' ~ lJ--,J:-~lA/f . PLANNING DIVISION ACTI6N PENDING: YESl ) NO( COMMENTS: C-e- BUILDING INSPECTION DIVISION Not Appl icable ( ) (\rY (v)' ( ....y 7. 8. 9. 10. Plans Submitted Soil Stability (footings) Flood Plain Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Applicable , ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: J~ 3 T R 6' S SUBDiviSION: LOT: -(/ '2---T AX LOT '/' tf I BLOCK: APPL I CANT DATE No Yes T) ()<)" 6. ( ) (>q ( ) ( ) ( ) K) ( ) ( ) CK'D BY: fM.t1<?- 2- C; tlp- 7' Setbacks from cll of roijCf;,t. .A Front 46' '81:> 10 tto'-f6'Y Side Exterior Setbacks from Interior lines: Side ~' Rear .s . / ~' I f,(,. ,/ /~ ~ ~~ 7 ;1 - (I ) APPLlCATION# /, n?olr;lle home. mlls{. be 11'Jc.a.-i-ed ;'Ill c-/c ~e.- 'f).,aJ? IS()' f!Y'om orr:/,'lI?dr" low No ~a..+el"" ( T) ("'1.... ~e~el"vQ. ~ i:V'~3 rod, ( ) () fa.vc..s.1 '~6 b.u~ ~t~ () () ,~~'c/h~ ( ) ( ) CK I D B.Y.;.Jt2"", ~L&) 5-~ 1-,& / ~/ DATE No Yes T)~ ( ) ( ) CK'D BY'/1u/~_ .g:.3~7{:. L - n. I DATE TO APPLICANT: , ^) Your~ldlng / Site Inspection: ~O I (~Can be approved. ~' ^rf.) If-/.ln() Cannot be approved at this time as indicated on Item NO. above. lJP' r,~r Questions and further InformatIon on Items 1 through 6 contact the LANE- II~ COUNTY PLANNING DIVISION. Questions and further information on items 7 ~ through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ~ ( ) WIll be held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permIt appllcati.9.'lJ_~<::.l.~being returned under seDM.i'te cover_ DEPARTMENT Of ENV I RONMENTAL MANAGEMENl 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ~ '. LANE COUNTY ENVIRONMl:. .L MANAGEMENT PLOT PLAN Name and Address of Owner Telephone The bUllding being constructed under thls permlt will be used for Date thlS property was purchased Do you now, or dld you ever own properLy adJacent to thlS tax lot? If so, please list those tax lot numbers or draw those propertles on the plot plan below " " Indlcate on your the property, as r drawlng the locatlon of all homes (lncludlng moblle homes) well as the locatlon of the new bUlldln ~ now on -I~--' - -:....--- - - - - __I ....-.. +- I H F t~ r f\n: ". S3 ~ (_., ~ 1. f -----------~--~-=====-~~-~-. " ,~)I'" ._)- i,} I '" git , t" I !.:- ..~ _ ;...- ) !1l _ I __.11 LlrlE ~1')L'flfY I:i'VRJlllvI~"l[fL rlCI\iT. ,1- _ - - _=-- I 'I Ii I t.>cr'.-7,(, - - 1.--_ I -- -T-- . - -- -. .......::.- .......-- - -- - --- I - \-1../ ; /; --c-1"-,..- I ", ~--=: _:::;:"" ~~S~Y~~1.;N [I .!(5~ I -~ --- -t.~'.1 t..;- - ---I - '\:..' r.-~~~---~ -~-~. ./ - ;~~~~~~;~~~r' ---., - ( ,- 1-''''~rl!t.('' , ' . 1 _J_~_u~__ I ~ I, ,-; ,/. '. ..... -- -:::::" I I / '-- ,~ . J,~ ~ i ._____L_. I n. J . , - - - - - - - - - --- ='==:.~=:.'=!_------- -~j-= ~ :. - - ..., .- '" - ---"7 - -- ~ . - ~- ,::J ;. i j y" j -I,~ ' I J-- .. , -=='-:i=:"~::::, .._...=_--t---- /./ .. S,j )- /0-:; '" l - Orl?' C ...' =~~~-~-~------------- -------- --- -----' ---!:::::.,... -" A Name of Applicant (If dlfferent from owner Address Telephone L Appllcant's Interest Buyer c=J M74-99 Seller D Agent 0 Map Tax Lot Permit II . . F LANE COUNTY PERMIT FG PERMIT NO r,;}! liill-76 CONSTRUCTION [] MOBILE HOME Emerald T~ailor Solos [Xll] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] &15 $ou~h A Stroot Springfield Oregon ADDRESS CITY ZIP CODE PHONE DOwner NAME o Contractor Sarna NAME OS Reg # I~A Twn 18 Range 03 Section SubdiVISion nA Lot ADDRESS CITY ZIP CODE PHONE EXisting Structures on Property 02 Tax Lot 701 Code 019-02 Census Tract 35-400 Block Acreagp Width SQutl1 2nd S~V'aGt Depth rlono 1450 Horh~r Oriva ~pr1n9rleIC urego~ ,;}/411 Access to Property (Road Name) Directions to Property - Address STRUC"(:,URE)# BEDftOOMSI bi1 .-el'L:h'o: to .-1ll'lt..O 12 tlOIl13 YQ~Jlt ~o !nn~BII ~0\10ge uID~u~ul SO FT g3 Bedrol);j's VALUATION ~Y51;om SEWAGE DISPOSAL PUBLIC [] SEPTIC TANK [ BUILDING PLUMBING 3% SU R CHARG e MOBILE HOMF WASTE DISPOSAl PLAN REVIEW OTHER [ ] 76.111 PLUMBING INSTALLED BY OWNER [J OTHER [) NAMF WATER SUPPLY PROPOSED [ ] EXISTING [] [ ) PUBLIC [ ) COMMUNITY NAME [ ) PR IVATE WELL [ ] OTHER SPECIFY 4.00 .12 :!o.on ?5.nn TOTAL 59.12 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY ".' GALS \'1M MIN DRAINFIELD 1r;n L1N FT MAX TRENCH DEPTH ';lei" INCHES RO!iorvo on oroa fol" roplocG;1lenf. o~ S~o!;O 0111DOSill SV'll~cm StOY HI fflot i'PllCl nrooortv l1r~$ and ~~b11o Mama \rlth dra1nyg1Yd TYPE OF CONSTRUCTION GROUP FIR E ZONE STAY 100' FROM ALL WELLS USE CLASSIF SETBACKS FIj;jF,ROM CTR OF rNV FT FROM PROP LINE FRONT SIDE EXT SIDE INT b REAR I. I'Illb1l0 ilCl::ID qst /J:l locoted flO c~osor t:ilon 150' y~;n ordinary 2. RellarvG n porcol alo~Q roncl PQrco~ ~o bo1n~ reloo5ed 5 ZONe 10\1 t'Jatmr flA ~~ AUTHORIZED SIGNATURES /s/ J. E. Bozo by FuHer Gruy/san1tal"1ano ISSUANCE DATE 5/l'lI76 Cim 8LOG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT Call 6874065 to schedule all required construction inspections Call 6874061 to schedule all required septic system inspectIOns All construction shall comply With the Stale Burdlmg Gode 0 E Q standards for subsurface sewage disposal and the State Plumbing Gode All buildings require a certlflcate of occupancy before being occupied (See Details on Reverse Side) /i,ylc> tT/f' - (POST THIS PERMIT ON MAIN BLDG AT SITE) e5513 LANE COUNTY OEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401 \ ' SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED ;---? DATE REMARK 5 GAS PIPING GROUNDWORK ApPROVED ;---? DISAPPROVED ;---? DATE REMARKS ROUGH PLUMBING ApPROVED ;---? DISAPPROVED / / DATE REMARKS ROUGH GAS PIPING ApPROVED .Cl OISAPPROVED .Cl DATE REMARK S FINAL PLUMBING ApPROVED Ii2 DISAPPROVED .Cl DATE 1-'J-91p REMARKS FINAL GAS PIPING ApPROVED .Cl DISAPPROVED ;---? DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE ;---? DATE REMARKS INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECT~ ~..4 , r ~ INSPECTOR INSPECTOR . INSTALLER: Complete top PROPOSL_ SEWAGE OISPOSAL SYSTEM RECORO part of form to signature and submIt both copies with application. PERMIT NO. MH 168-76 GG-, . .~ INSTALLER'S NAME PROPERTY ADORE" South 2nd Street " -r~D SOPT'ELeAN No. Living Units Bedrooms Baths Basement Yes No Water Supply Pub I, c V Other-LI st Septic Tank: Ft. from well Inside Length OWNER NAME DimenSions: WIdth Steel 0 Ft. Olameter Concrete 1l(I No. Compartments Gal. Capacity /000 Depth Tile Disposal Field' Distribution Box: Yes V No Other DIstribution-Type V'" Feet from WE 11 Foundat I on Lot Line Front / () Side /0 Rear I Ft. Between IFlller ..kIFlller Depth /Filler Below Lines / () Tvpe I ,. Above Tile .2. I n.trlle h In. Emerald rral1er Sales MAILING ADDRESS 575 South A Street Sprlngfle1d Oregon .ength 5{ Lines-Ft. I Trench. I Total Sq. $52.6 3. 4. 5. 6. Wldth2.1 Ft. ,'1tJO 'lot Plan (see Instructions): r-.UG\;o1975 LA~E. COUNTY ENVIRONMENTAL MGMT. .< , " W ( /;.Lf'. fV\ Fi TT F; ~ $~{ " ,,~{ 3 ~ Vr () ~ -(f',' ~l i;lo:.- ~ .' I PRl?fO$f1-D, 'l. /^, H, .. ~ I V!7/( ~- RECEIVED Sf J \....-. NORT~ ':, ,/ ~ ~, -; ::,.;' I " L2....~.,,; I 0 '\ ~7\' r ~. \l I 'r~ ~o " Ib ' \() \ , "='/P ., / - . / \'f HIt}P.. iJ 0 ~ J) R I v&: S I,Qnature 5fJ'1A,rec-.nJ A;pA'P.IR~, CERTIFICATE OF SATISFACTORY COMPLETION For Sanitarian Use Only: Oate' Q~S-7<-' In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate IS IssueM as evidence of satisfactory completion of a subsurface sewage disposal system at the above 1 ocat Ion. [](l Approved: System Installation conforms to current standards ~ DIsapproved: Does not conform to current standards Remarks' ------- ~- Oate.J..1 J Ii 2 - 7 I. C55 -11 /1. .A.... / Sanitarilan's Slgnatu~ LANE COUNTY (/ STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY .r " \ J..., . ~I~,:'- I ;.. .I~~""t' . . .,-RS, T' ,~/ Js) - I ~O" ' -'S - :< u...{j }O/ JOB LOCATION 1450-5b ci/rl&? ?fUI ~f, I PER~21 # ,,4,<2--!a. , v , J k '1- I / Acreage or Lot S,ZP Contractor's 0 S # LANE COUNTY PERMIT I~/l 0' It'!- ...,/ Partitioning 'if I /---''7 '7 ;('( L)'Completed SubdiVISion Lot Blocl< ~7,f dJ. APPLICANT'S NAME AND ADDRES~ OWNER'S NAME AND ADDRE"" CONTRACTOR'S NAME AND ADDRESS Mall permit to ( ,);Appllcant ( ) Owner (I (P . 40IJ /1 / n /J~. q. "i t') ,In...r /).(~ L 21 ,\ , ..-1<.1/. -,/;. ~ Phone I 7"" -~(,- '~l.;) Phone~-' '. ~ ;" Phone . (owner, etc) when readV<--\~::>-O~"" , , ) Contractor ) Prefer to pick up' 'Call I STRUCTURES NOW Orl) THE PROPERTY THIS PERMIT IStFOR (]4...-1 of,) &</1 + , - 1 ...., WATER SUPPLY '.- / /h, , t/- j THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF ,--'714 ~~_ ~~~&,tJ> i/ # BEDROOMS~# PLUMBING CONNECTION~ SEWAGE DISPOSAl SI # PLUMBING BY ,~ , I hereby certify that the above statements are true and accurate, and that \ have the followong legal Interest on 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 , r- record, and that said owner IS aware and approves of thiS action I hereby agree to comply with all applicable Codes relatong to thiS permit Fee Paid' $' r~,f j if Signature Datp /-';;;0 - 77 ( ) NEW ADDRESS (J ) FACILITY PERMIT TO TRANSPORTATION DEPT ) SPECIAL PMT AREA MIN ELEVATION BUILDING , 0. 2 ~ sf:: ;C .9 Ifl - o It) :r - SANITATION , ~{"., '"(!..--Mlnlmum Septic Tank Capacity (Gallons) . p,-&/ r Dr;lInfleld Required. Loneal Feet ,- MaXimum Depth Comments ~rl ..J;, ..;1.i;-..(J-tJ!..,.. ~j 1-......r4. J" f AN. ((I' t.x.~ 0,'1. I~-tt<; 'y d.'-~f.--r.ei.l~_~ RwuvA- ~ 'V<\W- 1i:-1. /', 1-d4~J:J. d-i (I v f) Lk~,....-,- Type of Construction lice Classification Group .Flre Zone Comments , / .4< ( L ~ h By ..0 .,L':..._,-, Date j-:Jr.''')' By .,~d: L/..-/rA'h,/..;/',--_ Date//,?'//?':i;:(_ PLANNIr--,[G REOUIREM(NTS SATISFIED By '~~3:r'Ji-j"'-<:- Date '/'-0/0-77 Date Issued ..:::.) \\-\ \ '\ k\ ZONE J::::A- fu 1-1: SETBACKS FRONT _rlni'l.,.vSIDE F'ACING STREET, (FI30M CIL) INT SIDE YARDS' REAR .<;:, (FROM P/L) DI(,/{';('ff fUZt'J U f"_~'~~"VL I/J'/' I r.'~ fl.!':', //'tu.<J"-:1 A --:-. '{..,( / '"t::4V / 't.ILI.4XJ :/'0{ 'II.- V/I rr-;--./L'I '-'t LANE COUNTY DEPARTMENT OF EN,\'lIRONMENTA[(,MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGO'N 97401 PHONE 687-4394 - ~ V V POST THIS PERMIT ON MAIN BUILDING AT SITE C5513 SLOG PERMIT-WHITE BUILDING-GREEN PLUMBING-CANARY SANITATION-GOLDENROD OFFICE COPY-WHITE ~ ., " . '\. . . {... SITE I NSPECT I ON ""~~ . INSPECTOR .....,V \. "-- C.~LL~-n \,,-\.,..~ \...., - "''"'''''''..... <:>~ 'ntt~ -r-* s\l.t~'" ...... (,~"\il"''\'' Io~Ac.s. ""'P....._ 'u FOUNDATION INSPECT N 01 SAPPROVEO 1--1 DATE 3-2/-"'9:>l REMARKS ~ AdLk ~~O_ /.......-"~, d' / I NSPECTOR Q~ (/ ~- 2- - 7'7 j)t,~ ApPROVED FRAMING INSPECTION ApPROVEO ~'SAPPROVEO 17 DATE~?~Z-/_ 7 f( INSPECTOR ~~ REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO 1--1 DISAPPROVEO / REMARKS ~~~ / DA TE INSPECTOR FINAL INSPECTION ApPROVEO ~'SAPPROVEO 1 1 DATE "3 -2 / ~ 7~ NSPHTOR $hr/ P' - . " REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE ~ DATE INSPECTOR REMARK S J TR;;, 't,~, /,(-3-,;;:2 --; rl - I) f/~' I fY7 p;c(- 7f,' Plot Plan . .3ubdivision Job Location (~dress) . Permit II / () l/- 7 7 For f?.0/?~..J-- Permit II ' For- [;, ' I , Permit II' F ' ' . or Lot Bloc"k , , i t-. 'i C;. ~- Vicinity Map ~ N :-:'r~' - :. 50 cJh,//~ Ut; ~'~ j {J Permit II ' For ~'. Permit II ' F' . . or Permit II F ' , or P , '~ CJ?.,c.e..Q= I 9'-1' c..... ." " .. <; ,:-, =' --. t I I ,I ,-,-_::' ': ~ 1: , ; r/ ,- I "3(:' , .;', c, ," .' - " ... ..f ,: (, , , ~ ._/....----- ,/ / 1 1 / > '''"'--:. . ..--.4. '-. --- JOB LOCATION ILf5D I ,: '< PERMIT # log. 77 , , t " ~Xv.. /' . .- ....;... , TRS, To' , ,- : < -) f?~ .;2. ') :.,~ / ~ ,t''''J:./'..' "-~/'.. -._~ Acreage or Lot Sizo Contractor's O,S, # LANE COUNTY PERMIT " .".:/~.' 1/ Partitioning #!..!. 1_. /111'( <-) Completed Subdivision Lot Blocl< I '') APPLICANT'S NAME AND ADDR"C:C: (.. OWNER'S NAME AND ADDRESC: CONTRACTOR'S NAME AND ADDRESC: Mail permit to '(_)-Applicant ( ) Owner ,', t" -h-~{. ~ .~ /' .,(..,,'.' ~ 1 .j /. 1- ". ....... J'....,--- . / ...}.;./. ,J .1,. . !' ,.r~-t 1'.!;'<e...t.rJ .......: if ll/~- )/;"J(- Phonp l II;:. ..;:..{.--t.. .J Phono Phono (owner, etc,) when ready, ) Contractor, ) Prefer to pick up, C~II STRUCTURES NOW ON THE PROPERTY . ~ ~",." ~'-~'" ~ THIS PERMIT IS FOR , .,/1 /} _;' .i- _ (J(./ \iJ ..r".1 i -I .......-- ~ . J ." " .1.,..-1. . .. r _, c;. _ '/, .i , # BEDROOMC: l~ . ' # PLUMBING CONNECTION&...-- WATER SUPPLY. . ~. ..-' ------1' ./ .:. .L-.' I' :' ... SEWAGE DISPOSAl S,I. # - THIS PROPERTY IS WITHIN ONE MI LE 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 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, Fee Paid $ "';:;t./7,.';;~ ~N,;2.> Signature Dato 1--:-.: ,':-'- } / ( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ) SPECIAL PMT, AREA, MIN, ELEVATION: ~. Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction 11se Classification Group Fire Zone SANITATION Comments: t ,_ iL,' ,/_1/ / _-J",~" ,.('.J.,i....., ,). ... 1"...',,--, -~...;.. Comments: ~ ....... I c. :. '- . _t. ~. ..-.... ., ~'. ." . ~ ..' !t.. !!.y: ~/._-~ ;'?/. Date: .- By: ..~ ,( " '"f ,/ / A_.. /(,-/rA.< . .~~- /"---, I ~ 'ry Date: //.:..//.... r 1-<;)' /., PLANNING REQUIREMENTS SATISFIED, By: i//flJt:;l~ 3//?-7 7 Date: 1_,.:;'(," 77 Date Issued: ZONE: 1\ 'I:J I',\;,+, SETBACKS: FRONT ~!:f!g,;// SIDE FACING STREET, (FROM CILL) INT, ~ YARD ')'~ REAR ..,./7"'._~,,:-i,.f ,'.!....~....:...~.y.-id.. ../i{.A...",.(/.I".... ~J :L../ .:,r . F , "..- . ..~...,.,,~..... .""-~'.r-'t C,', LANE ~NTYDEPARTMENT OF,ENVIRqNME~lAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE:OREGON 97491 ~-ZO ~~ POST THIS PERMIT ON MAIN BUILDING AT SITE C55-13 ~ BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE I S'(FROM P/U PHONE: 687-4394 '" , ,~.. " "", '-'1' - .. I',' APPLI CATION # SLIP 1()L/.-77 . 105- 71 lane county - BOLD C. (! ,-f/J.lc;, 19&n);--<J) n _ ,1 Name q. C:;-D .-=11.).//1..J,k,--;"h) .I JA JA'.&fd/. Address 'v Zl p Code The above appl1cat1on 1S be1ng held by the Perm1t Process1ng Sect10n for the follow1ng reasons C If, ~T 0- (' {j c- ' o. ~ {Jj~ riirA-.'-: / d~/l ~ ~ /2 A- - m 1-/ ;3 IYI1-Z..- 7h.u..-<2 r /-U/ p ( Q:. (!jL ~ ern) TJ.~G /d. Q/l/ ~ OJ 0/~ f> () j2L'I/ ~ D1 V1 Sl on ~<, /71-,'.-C f.) rf--c....'/.2~/1 Q~ Sl gnature (~Ifl-f<[f ,I- /7/a...:J.JZ../ Date 1- cb,y 77 V tt;~;:::rz D1V1S1on Sl gnature Date Th1S appl1catlon w1ll be held unt1l If the 1nformat1on requ1red above has not been fum1shed by that date your appl1cat1on w1ll be cancelled Fees pa1d for waste d1sposal system~ (slte 1nspectlons and/or apDl1cat1ons to 1nstall the sept1c tank and dra1nf1eld) are nonrefundable Some refund may be made on the bU1ld1ng and plumb1ng port1on of your appl1cat1on 1f cancellat10n 1S necessary In the event a Planmng or some other long-term problem eX1sts over Wh1Ch you have no control we w1ll hold the perm1t unt1l the problem 1S resolved and we rece1ve word from you as to whether to proceed w1th perm1t 1ssuance or process a cancellatlOn PERMIT PROCESSING SECTION - 687-4394 C74-139 . - ~" I~ - j _~ i_ , . ..f1' ,A> ~ 'M:;',' d 'jd' \ (,.r,,,, . t ...".. A } t,,! , , r / EmeralCl Traller Sales 18 03 02 701 / Surname Twp Rrtnge Section Tax Lot Receipt No Date I Owner 3-8-76 A 11 en 76-111 019-02 Code Census Tract OWr'\ers Consent Yes X No PEQUEST FOR SITE FEASIBILITY STUDY THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK' Name and Addreso Em""rald Trailer Sales 1 $ No Sites $ No Acres TOTAL $ 75.00 575 South A Springfield, Or. 97477 Existing IAPPllcants Interest owner I'Legal Access - Road South 2nd Street Structures I Sprrnq In Property I Proposed Use of Property dwell ing Name ISpeclal Permit Area I Urbanizing Area Yes S No Yes No X Is Property WithIn One MIle of a City? What City? Yes No X Other X Speclfv Telephone No 741-8711 Property Size Proposed Water Supply Publ ic District Well Property Location (Directions) South 2nd Street adjacent to Filbert Grove APPROVED XXXX NOT APPROVED The area of the test holes can be approved for se~age dlsposal system. A replacc~ent area must be reserved for drainllnes. Submlt a dptailed plot plan wlth bUllding permit applicatlon, BEFORE CONSTRUCTION IS STARTED brIng thiS form to the Department of EnVironmental Management and ~ake application for a bUilding permit If the property IS a por- tion only of a tax lot, a metes an~ rounds description of the parcel must be fur- nished Exact speclflcatlo~s for the sewage rll5posal system will appear on the bUilding per~lt Two sets of bUildIng plans and a plot plan Will be reqUired LANE COUNTY DEPT, OF ENVIRONMENTAL MANAGEMENT 135 EAST SIXTH AVENUE, EUGENE, OREGON 97401 G W. Gray Authorized Signature April 23, 19/6 Ite joe C55-32