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Home My WebLink AboutPermit Building 2010-02-01Electrical Permit tion al'*fitofttl.', w 225 Fifth StreetlSpringlielil, OR97477 tPH(541)726-3753oFAX(54f )726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Cc*/,tZso 7- o tLl Oy Permit no.: z/, /,oDate: Zonngapproval verified? ! Yes E No Residential, per uni! service included:n Govemment n Commffsi21 1,000 sq. ft. or less (4)$i34.oo $ Job site address: Z7 7O S Each additional 500 sq. ft. or portion thereof $ 25.00 $ City:F StarcdL-zrPt??q7a I Limited enerry (2)$ 32.00 $ Reference: l7O ZZl Taxlot.: 03 7oc>Each manufactured home or modular dwelling service or feeder (2)$ 63.00 $ It f(r-r.-Services or feeders: installation, alteration, relocation 200 amps or less (2)$ 8r.00 $ 201 to 400 amps (2)$ 95.00 $ Name: , "/^^^)u, E 401 to 600 amps (2)$158.00 $ Address 601 to 1,000 amps (2)$2os.oo $ State: 7l fi Over 1,000 amps or volts (2)$469.00 $ Fax:tollaw $ 63.00 $Phone E-mail:ion Ce installation, alteration, relocation This installation is being made on residential owned by me or a member of my immediate 1 trs @r $ 63.00 $ properly is 47e.s40(t) not intended for sale,exchange,$ 87.00 $ n Umand4',79 1 ).for the $126.00 $ Center see services or feeders section above Branch new alteration, extension per panel Business name:a- Fee for branch circuits with purchase ofa service or feeder fee: Address:Each branch circuit It $ 6.00 $b6 City:.Stnte:ZIP:b. Fee for branch circuits without purchase ofa service or feeder fee: Phone Fax:First branch circuit (2)$ s5.00 $ E-mail Each additional branch circuit $ 6.00 $ CCB license no.: (BCD license no.:Miscellaneous fees: semice or feeder not included s license no.Each pump or irrigation circle (2)$ 63.00 $ Print name of Each sign or outline lighting (2)$ 63.00 $ Sigrrature of signing supervisor:Signal circuit or a limited-energy panel, alteration, or extension (2)$ 63.00 $ Each additional inspection: (l)$58.00 $ above fees rLLit Fee $58.00) (B) Enter 127o surcharge (.12 x [A])$ 772 (C) Technolory Fee (5% of [A])$ 330 TOTAL fees and surcharges (A through C):$77 z2 -8 wVg. NOTICE: THIS PEB[4IT SHALL AUTHOR]ZED UNDER TH COMMENCED OR IS 440-2584-t (9/08/COM) ANY 180 DAY PERIOD. CITY OF fTrilrffiTtI DEPARTMENT USE O}.ILY LOCAL GOVERNMENT FEE SCHEDULE Numbei of inspections per item ( )Cost Total costCATEGORY OF ea. LOCATION PROPERTY OWNER Crty: .fr,r, - -.{.*, v USE 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Qty of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2201000000000000095 Date: 0210112010 l:46:00PM Job/Journal Number coM2009-0 r404 coM2009-01404 coM2009-01404 coM2009-01404 coM2009-01404 Description Building Permit Heat Pump Add, Alter, Extend Circ Ea Add + lZ%o State Surcharge + 5%o Technology Fee Amount Due 58.00 17.00 66.00 16.92 7.05 Item Total $164.97 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check SUZANNE ECKERSON djb I t8 In Person Payment Total: $164.97re cReceintl Page I of I 21112010 sBmt{$FIsl"r[ Co*t,z-oo ?- O lqO.{ Job B1 731-09 iTruss I inr I llms FAN L Type otv Plv 1 Charles Eckerson 541-554-3803 R31077257 RalcoTruss, Hamsbur0, Ot. 9744A 7.210 s Nov 16 2009 MiTek lndustries, lnc. Wed Doc 09 10;05:56 2009 Page 'l 1,1H i314 t4-0192 M +&2 +3-11 1-1H 8{-0 solii 1. ll 7 4 r1 I GENERAL REPAIR NOTES 7rm - THIS REPAIR IS FOR MISSING VVEB MEMBERS FROM JOINT 5 TO JOINT 12 AND FROM JOINT 5 TO JOINT 10. ALSO, DAMAGED PLATES AT JOINT 5, 10 AND 12. 'f - INSERT 2x4 HF Stud/Std NEW WEB MEMBERS AS SHO\ N. 2- ATTACH 112" CDX STR.1, PLYWOOD GUSSET TO EACH FACE OF TRUSS WTH 10d NA|LS (0.148"X3.0") @ 6" O.C., 2 ROWS WTH THE MTNTMUM AMOUNT OF NAILS SHOTA'hI CIRCLED PER FACE OF EACH MEMBER. NOTE: 15/32 EXP.1 32116 SPAN RATED O.S.B MAYBE SUBSTITUTED FOR PLYWOOD LOADING (psf) TCLL 25.OTCOL 7.OBCLL O,O 'BCDL 10_0 LUilAER TOP CHORD 2x4 DF No.1&BlrG BOT CHORD 2 x 4 DF No.1&Btr GWEBS 2X4HFStud/Std PLATES MT2O GRIP 18il144 REACTIONS (lb/size) 2=1485/GH (min. G1-9),8=1485/0.5€ (min. G1-9) Max Horz2:54(LC 6) Max Upliu=-250(LC 5), 8*250(LC 6) FORCES (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less excepl when shown. TOP CHORD 23=-2835n86.3-'13--2500/184, 4-13=-2442t197,4-5:2503/260, S*2503/260, 6-1 4=-24421 197. 7 -1 4=-25Wt 184. 7€:2835/2E6 BOT CHORD 2-12*-217 12534, 12-1 5=-33/1 626, 1 S1 6=-33/1 626, 1 1 - 16=-33/1 026, 10-1 t:33/1 626, 8-10=-1652534 \A,EBS 5-10:68/1013, &10=-338/129,7-10:317/1s5,5-12=$8/1013, +12=-338t129, 3-12=-3171154 Continued on page 2 Weight: 132 lb Slructural wood sheathing direclly applied or3-S14 oc purlins. Rigid ceiling direclly applied or 10'0-0 oc EXPIRATI0N DATE: 06/30/10 BRACING TOP CHORD BOT CHORD ,[ ffe!*rrr .Ytrifu daign la'fic*6 dnd READ N)rriF ON tltls AnD llt?.UnAD XIrEI< RffF.RBITE PAOE ,tlII.717A e. rc.gA BEPORE L,6.E. Design volid fq 6e only wilh MileL c@rectds. lhir d$ign b b@d fiV upon pqometen shw& sd b fq on indvid@l buldi1g cmpdenl. Appl-icohritity ot dosign poErenlo6 ond props incdpdolis of componont i! rspoGibitty ot buidiig ddigrer - noi lrss d6lgM. BEcing .hown ir ?a{ htdol swpod at irdividwl web membeE onty. Adiiifid iampdsy bechg to iniue stoLifi, dulr€ coBtruclion ir th€ Bpomibillity ot the sector. Addlti;ml pem@nt bEcing of th6 dddl ilrrcl@ ls lhe rspmbility of tha building dsigrer- fd OeEol guidonc-e regqdlno fob.lcolid ordilv controL ilq@, deLvry, @ticn ord b.@hs, cmsul, A,l$fltll Qoolly Clffi, OSI{, oid !cl| luld.rg CdPor.if SOrtv t*omi*on ovoilrble ffi Tru33 Plofe kEtilule, 281 N. Lee Slst. Suite 312, Alexodrio. VA 22311 ffil#H; 7777 GB6nbact Le, sutle't09 Cilrus Heights, CA, 95610 csl TC BC WB (Matnx) 0.26 0.86 0.52 DEFL Vert(tL) Vert(TL) Hor.(TL) in (loc) {.51 1}12 -0.96 1G12 o.'t? I Udefl >709 >378 n/a L/d 210 180 nla SPACTNG 2{-0 Plates lncrease 1.15 Lumber lncrease 1.15 Rep Stress lncr YES Code lRC20O6/TP12002 MiTek recommends that Stabilizers and required cioss bracing be installed during truss ereclion, in accordance with Stabilizer December 9,2009 @i*. L;l I a , a-#o l 4 I - . I tr Cov^?Do ?- O (tlOL{ I e POWER TA PERFOFIM. Re: 81731-09 Charles Eckerson 54 I -554-3803 MiTek lndustries, lnc. 7777 Greenback Lane Suite 109 Cikus Heights, CA, 95610 Telephone 916/676-1900 Fax 916/676-1909 The truss drawing(s) referenced below have been prepared by MiTek lndustries, Inc. under my direct supervision based on the parameters provided by Relco Roof . Pages or sheets covered by this seal: R31077257 thruF.31077257 My license rene\val date for the state of Oregon is June 30,2010. IN 16890PE December Tingey, Palmer The seal on these drawings indicate acceptance of professional engineering responsibilify solely for the truss components shown. The suitability and use of this component for any particular building is the responsibility of the building designer, per ANSI/TPI-1995 Sec. 2. EXPIRATION q_L{ \-HTRS, T :),#3 Job Location (Street, mile post) / YI Subdivision Lot_ B lock FOR SANITARIAN'S USE ON LY: 'F SYstem COMIVIENTS: fI System Disapproved tl Needs CorrectionAoorovedZnt7r S nature: FOR INSTALLER'S USE: Trench Depth e Tank capacily /0 06 8o2 [Vlanufactu lVleasured distance to well from tank 71*-ru- INSTALLATION R RD AND CERTI FI When signed by the County Sanitarian, this cert isfactory completion of a subsurface sewage di /n LETION dence er RS 454.665 of sat location Filler Dept h Below Tile 6 from drainfield ?'?A-1-e* h Date: -0 C, tuF o 6- I Oo I\S S/ \IJ\ Fld -x s "i Ya-et tx SI \q Sq \ \' Es \ {T \l. \ s \,fi6 o( $- 1a \ 6$l iNl iN 0)lEI2sl:N(oN.e dt-3q \rl, , IJJ E.lF z @ S* I tc rf) Oo U J + o-o t* Sca le t -.> L G) GP@C m Return this form to: Permit Processing Section, Department of Environmental [Vlanagement, Public Service Building, 125 East 8th Avenue, Eugene 97401 rs g't a a"rt"47 -\ t I c t) ,4 (o r o l.t I bo' +I ,'{0' UuD d \r f Dr c55-1 1 ;+ loi 1 I t I il a t ',, oa&, a-o *J'$ ?aq $ aa 'A' 6 (o o)- o d \ 9 /a/l '(: a/,ru* r.i .-r l0 t) !at '* ! IG I I \ I I \ -.1s + gt I tor (' /0'lL ir' .ta -a x ?,5^o B.n G,llnohe- e-/t \ tv tl !. Spf l4 one uo!sl^!o lolluoc uollnllod JelBi/\ 6/6t s 01nt nlunoC auel a <a I \,t 7a r L8 q \s q -f >o {D T o cb 2{s F*et o{ x.J { &e/ teV /o<err e <J,oia f" lrt af- {t rt { P<r. nt if * fi{- 7 ? I \ HOLID SLIP he county Dated FINAL INSTALLATION RECORD FOR PERMIT # I nstal 1 er AddresS zip Your Certificate of Sat'isfactory Completion for the above referencedinstallation cannot be approved until the following corrections are made: I. INCOI"IPLETE FORI\,I Township, range, sectjon and tax lot descript'ion Address or street, road, etc. Appl icant's name/mai 1 ing address Instal ler's signature Distances from tank & drainfield to well Pump & switch specificat'ion statement on plot plan 0ther 2. INADEQUATE PLOT PLAN A. Additional measurements neededB. I11egib1eC. Must be in BLACK INKD. Other A B C D E F G N CONSTRUCT I ON Water level d-box Grout box(es) ( inside and out) Non-approved materials used in effluent sewer Trenches covered Incorrect grade on trench bottom and/or drainljne Incorrect trench depth 0ther If the necessary corrections are not made within -- days, the Certif jcate of Satisfactory Complet'ion w'il I be deniedl- A B C D E F G Signature Phone c. c. Appl icant B:00 - 9:00 A.M. . 0., '. THIS PERMIT ON MAIN BUILDING AT SITE JoB ADDRESS: CONSTRUCTIoN PERNIIT #ftlt st l6t 5, fe3 co5 !t, a LC-tti.!Fr9 TRS. TLr t{-'{ Subdivision:' l7<rlZ# ,700 lb.E Gldr This perniit for the referenced property is hereby Setbacks and€frd conditions of opproval must be strictly observed. Violation c€n result in revocation of this permit, citation under prf,9$ t$fune County's lnfraction Ordinanceirnd/or other remedies allowed by law. Applicant/Address: Owner/Address: E6ory e" ElX"Leoron ll2l H Llth] Sfct.astfu.fdr fi 9r4I? Contractor/Address: Irm Contractor's OS + !ffi* Total Construction Value: $641515'oO Construction approved by this permit: Water Supply Ttrr.0r34 * st$! ErI.o € l14E q ft, grregs fl 925 cq f,t, &l.cctl:l,c cotLl.ns bart" )Strurilmc sr oa DGqpGGtts B{EGo t # Bedrooms i # Plumbing Fixtures: + Employees: Telephone: Telephone: Telephone: F& PLANNING DIVISION Zoning: Partitioning + Parcel + Parcel Size: lVlinimumSdquired structural setbacks, from: cffierline of road, front: ss ; centerline of road, side exterior: ; interior property lines: ;rear property line: 6ilr Special lnstructisns; * #i6rrw l6frm For information call 687-4394, aa 90ffi q ft WATER POLLUTION CONTROL DIVISION 0wele ilet6e Site lnspection + (J-J9-9o . lnstallation specifr-cations: lineal feet of d6lrf,htGl$equired; max. depth of trenches: gal. min. septic tank capacity; t{po 'id*-'#"*"i**"**** q,ncil ,o ..qi dlGr re k r th. rttr.&.d Flct ffl^s. Erou rrr#rsmt crn ft" tb ihrlnffrld'. between 8:00 - 9:00 a.m., 2** Setbacks nter ior property lines Edge of road right-of-way Building foundation Wells, other water sources Septic Tank 10' 10' 5', 50' Drainfield -T0-- 10' 10' 1 00'For information call 68?-39Gl Fire Zone Gmg {irry Use Classification:CONSTRUCTION PERNNITS/INSPECTION DIVISION Type of Construction:Group lnstructions 3 For plans information call between 8:00 a.m. and 9:00 a.m., For inspections (see back of fiWeiliffft) call 687-4065 between 8:00 a.m. and S86 Fmii 9[ 13 sm rrr.rr fu clhd iupctlfir. $rD/crl lane countyDirections to Site: i:lerle*r ki to Gua Tsrl Bdr ltt rtr.ct tE r:lgbt (ftlrt St). Date lssued: e4-18-rs BE.ffill[=rg?F;JtySSHr.,A,Jtt MANAGEMENI Bv: sa.lrr uttltn/rJr C55-13 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 6l!'.- Special lnstructions: y't o0 t) :tTB rL00R PLUMB ING GROUND^/ORK ApeaovEo m Reurnx s Drslppnoveo ,^r, €-/ - 77 I Nsprcron GAS PIPING GROUNCIJORK AP PRov E o Rrulnxs D Drsrppnove, D Dare I Nsprcron ROUGH PLUMBING ApPRovEo m DrsrppRovro D RexaRx s oore -{ -/- lNsPtcro n ROUGH GAS PIPING A P PRovt o Rexrnxs Dr srppnovro Dare I rusptcron rINAL PLUMBING Appnov c o Rcmrnx s W Drsrppnovc, D irr: F-8'zg rc74I HspectoR rINAL GAS PIPING APPRovEo Rerrnx s Drsrppnovro Dete lrspe cton CTRT ICATE OT OCCUPANCY REAoY To lssuc REulnxs D Nor Rraoy ro tssuE C/ orre I xspfcron Ptrurnb rNos Cop 1l I ) , JOB ADDRESS: POST THIS PEfrMIT ON MAIN BUILDING AT SITE CONSTRUCTION PERMIT *&9{-77 TRS, TLi t?alTzz. Subdivision: l^cozrrrazn, G,rov-<-.Lr 5 This permit Ior the reterenced property is hereby - Setbacks and other conditions #appEial mlst be strictly obserued. Violation can result in revocation of this permit, citation under provisions of Lane County's ln{raction Ordinance. and/or other remedies allowed by law. ApplicantlAddress: Owner/Address: Contractor/Address: Contractor's OS + 'Onstruction approved by this permit Water Supply Total Construction Value: Telephone: Telephone: Telephone: A"A,"/lr +r Bedrooms + Plumbing Fixtures:+* Employees: PLANNING DIVISION Zoning: Partitioning + Parcel :r Minimum reouired structural setbacks, from: centerline of road, front: side exterlor: ;interior property lines: ;rear pi'operty line: Special lnstructions: For information call 687-4394, Parcel Size: ; centerline of road, WATER POLLUTION CONTROL DIVISION Site lnspection + lnstallation specifications: lineal feet of drainfield required; max. depth of trenches: Special lnstructions; gal. min. septic tank capacity; ( -c-tbacks .Eiiffiroperty lines Edge of road right-of-way Building foundation Wells, other water sources Septic Tank 10' '!0' 5' 50' Drainfield--T0'- 10' 10' 100'For information call between 8:00 - 9:00 a.m., CONSTRUCTION PE RMITS/INSPECTION DIVISION Type of Construction lnstructions: Group:Fire Zone:Use Classification For plans information call *, . i . , between 8:00 a.m. and g:00 a.m., For inspections (see back of thii piirmit) call 687-4065 between 8:00 a.m. and 5:00 p.m. i I Directions to Site: Date lssued: DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SEBVICE EUILDING hne county By 6L n TO PERTlIT PROCESSING PLAI'IN I NG PUBLIC WORKS FLOOD PLAIN MANAGEMENT Department of Public Works I 25 East Bth Avenue Eugene, 0regon 687-41 95 PERMIT NUMBER PARTITION NUMBER SUBDIVISION OTHER SITE ADDRESS PERMIT VALUE IS A SUBSTANTIAL 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 t^JILL BE REASONABLY SAFE FROI4 FLOODING. MOBILE HOME TIE DOWNS REQUIRED. SITE LOCATION iS WITHIN A FLOOD HAZARD DETAIL STUDY AREA. I 2 3 MINIMUM FIRST FLOOR ELEVATiON OF MINIMUM FOUNDATION ELEVATION OF (M.S.L. ) REQUIRED. (M. S. L. ) REQUIRED. M0BILE HoME TIE D0l,lNS REQUIRED IF GRoUND ELEVATIoN THAT 1'10BILE H0l4E WILL BE PLACED ON IS BELOl^l THE REQUIRED MINIMUM FIRST FLOOR ELEVATION. 4. SITE LOCATED I,IITHIN A DESIGNATED FLOODhJAY CHANNEL, BUILDING PROHIBITED. ! RECOMMENDATIONS: -lx ro -l DATE c99-2r BY q,$c:'J.{ Job Address Township, Range, Section, Tax Lot0 for now on the property Proposed use of property: ! Resldential /l Commercial Affidavit: I, easeIf this application is for na cultural buildi DEPARTI1ENT OF ENVIRONI,IENTAL I1ANAGEMENT PSB, 125 EAST BTH AVENUE EUGENE, OREGON 9740I Lot ng it vrill be used for purposes a ther purpose, I have the followi ti on # Ci ty Assigned Numbers-v lr="(- Ilowed by the State Building Code and ng 1ega1 interest in the property: holder of an exclusive option to purchase; -q L) ac-h p , Valuation Fee 1c3 Subdivision Appl ication Struc tu res Block /7 Industrial /-/ Public hereby certify that this information is true and accurate. owner of record; contract purchas,----duly authorized to act for the owner, who Lane County Code Chapter I0 (zoning) and for no o 5 i gna tu relAdd res s Tel When permit is ready notify: Descri pt i on Ownbr Contrac tor Contractor's 0SR# Plumbing by If Commercial: # of storie empl oyees Residential: # of bed c-:. er;ESSCC; geable o f-Erris appl icat jon. or Da te /_/ Owner /_7 Contractor !y: /_/ mail # of units SDS: /-/ Ex i sti ng, BP # ! Proposed, SI # Sq. Ft. or Unit Costof Fee c ( \cct Total Val uati on : $t P1 umbing fixtures at $ Sewer/water conn. at $ $ $ (:each each eck # I,Jater Supply Proposed _ Year Instal Ied Srtbtotal $ Existing _ 4% State surcharge Plans check fee Change of 0ccupancy $ pl icant Parcel # TOTAL r PERIVIIT P ROCESSING Minimum setbacks, t fron t Comments , side To be typed on permit I^IATER POLLUTION CONTROL Insta'l I ation speci fications : By \\ o f t. of dra-l n f elu i,1,.li ld le Da te Ll.J +,a Lomp I e led of trenc:res tt To be typed on permit tank; Da te Requ i red Tel ephone By Directions to site /-/ SffO plans to: /-/ cP&l / .l yJPc /7 Planning /-/ Public Works ay' Elevation /-/ n/a /7 Address /-/ Faci I j ty Permi t /J Env i ronmental Heal th CP&I l^lPC set(s) set(s) licld Slip to PCC Da le r:.. P(J' FOR INFORI,iCTI0N about progress of your application call Permit Control Cenie/ 68i-HELP $87-4357) SI test holes ready d /_/ Received by_--_--- b Part.Parcel Si ze lane countyHOLID SLIP APPLICATION #6?f-ry Name Addres s Zi p Code The above applfcation is being held by the Permit Processing Section for the following reasons:B fz.oq rt/%reA 6l!' - p lan)npo Dru. tfltrr k/a. Division: S'ignature: Division: Si gnature: Da." 4/€ Date Thi s appl i cation wil I be hel d unt j I ,7€r)If the information requ'ired above has not been furnished by that date your application will be cancelled Fees paid for waste disposal systems (site inspections and/or applications to install the septic tank and drainfield) are nonrefundable. Some refund ma.y be made on thebuilding and plumbing portion of your application if cancellat'ion is necessary. In the event a Planning or some other long-term problem exists over which you have no control we will hold the permit until the problem is resolved and we receive word from you as to whether to proceed with permit issuance or process a cancellation. c74-139 PERMIT PROCESSING SECTION - 687-4394 ? \ rt l t It_ I I lrAl* !c I a "%ft \)cr.l* \"-DEPARTI1ENT OF ENVIRONI.IENTAL I,IANAGEI.4ENT PSB, I25 EAST BTH AVENUE EUGENE, OREGON 9740I ',$lt!!#!:!za i$rii )-munki_ i*erilildfij#n'lr /-7 i$ffiffi$$ti: /-7iifffiit$it'r.i ii, /-/rffii:dii hereby certify that this information is true and accurate na cu ra lding it wi1 'I be used for purposes a ose. I have the followi 'llowed by the State Building Code and Lane County Code Chapter 10 (zoning) and for no other purp ng legal interest in the property: owner of record;con trac t purchaser;I es see lder of an exclusive option to purchase; Job Address Appl ication for Structures now on the property :i:Efgfi$.O. B$:r::rlf $ilii:r:S-.!:.:ii.ryfisE*'!if#ri.: 2( Affidavit: I If this appl ication is for Appl icant duly authorized to-ilT-To-r the own €F, Si gnature/Address Te1 ep When pe rmit is ready notify: Olner Con trac tor Contractor's OSR# ;24 22 f Plumbing by 0r Da te / Owner f7 Contractor !y: /-/ nail z1 z1 ble r; ho of this appl i cati on Phone Phone z1 74 7Y 7s-s phone If Commercial Residential: f employees .#ii!ri$f .rrlUfiliiitfi l.i.ll SI test holes t_/ Rece i ved l,Jater Supply Proposed _ Year Installed :::r:::::::r:i:::l:::::il __ " - :$ffitjirt l_l Existing, BP # /-/ Igrrrpcdq+r t Total Valuation: $ Fee \ e-€t-\OCI at $ afu each each 4% State surchahge Plans check fee Change of 0ccupancy Su btota l TOTAL Exi sti ng _ PERMIT PROCESSING Minimum setbacks ' t front Parcel # , side Cornments To be typed on permit CP&I Type To be typed on permit Gro 2 Use Class ification By te Phone teBy For plans information call (area inspector) -t Directions to site , Hold Slip/-/ SIFO Plans to:6 ffroc /- / et ann ing ':'Wii:^ /-/ nra Vf$66""r,_/_/ Facility Permit /_/ Environmental Health ?PCC Compl eted'{ 4< CP& I I^IPC set( s ) set(s ) Da r-e Date to PCC 7- /6 permit control center 687-HELP (687-4357) -q Val uati on Da teril")W d/7r I a FOR INF0RI'!\TI0N about progress of your application call:cY4-171 "\ \ \ a /8O ,V0 Ut POST THIS PERMIT ON MAIN BUILDING AT SITE JOB ADDRESS: OR TRS, TL: L7-I3-224+TL 37oo Applicant/Address: Benny C. Glllmoxe, 2L22 N llth, SpringfleLd, OR 97477Owner/Address: same Contractor/Address: sElme Contractor's OS +* 26228 Total Construction Value: 9441515.00 Construction approved by this permit Water Supply: Rainbow Subdivision: l'lossman Grove Lot 5 This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed. Violation can result in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law. CONSTRUCTION PERMIT + tC-835-79 Telephone: 747-8754 x Telephone: Telephone: na SID: main G 1148 sq ft, garage Q 925 sq ft. Electric celling heat. Structures now on property: flon€o + Bedrooms: 3 +r Plumbing Fixtures: B # Employees: PLANNING DIVISION Zoning: RA Partitioning + na Parcel + na Minimum required structural setbacks, from: centerline of road, front: 60r side exteriori na ; interior property lines: x ;rear property line: # Special lnstructions: * 6r pUE il 5r Pup Parcel Size: ; centerline of road, 9000 sq ft WATER POLLUTION CONTROL DIVISION For information call 687-4394, Site lnspection + 16-79-96 lnstallation specifications: Z4O lineal feet of drainfield required; max. depth of trenches 1000 30tt gal. min. septic tank capacity; Special lnstructions:InstalL an equal dlstribution system in the area as shown on the attached plot pLano Reserve a repLacement, area for the drainfield"Setbacksr;en-or property lines ge of road right-of-way Building foundation Wells, other water sources Septic Tank 10' 10' 5', 50' Drainf ield---ft,'- 10' 10' 1 00'For information call between 8:00 - 9:00 a.m., 3 Use Classification SFD/GARCONSTRUCTION PE RMITS/INSPECTION DIVISION Type of Construction: 5i{ Group: R3 Fire Zone: lnstructions: See reverse for calLed inspectionso \l For plans information call 687-3761 between 8:00 a.m. and 9:00 a.m., Jim Laub For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. lane countyDirections to site: Harlor Rd to Game Farm Rd, lst street to rtght (Klrk st). Date lssuedt O4-L8-79 By: Itrans Etrl_in/Ijf DEPARTMENT OF ENVIRONMENTAL MANAGEMENTcs5.13 ?r?'ffSro.l,rt-ti'iJ-ttf 3,ilXLTSHLtBSorr*, \61\t\- LenqSoS.l. # TRS, TL -0 -az Job Location Nova Sr. eruo Krnx Ave.. EuGExE Written Directions orr or Henlow Ro. ato oowu GeuE FaRu Ro., 1sr. srREEr ro R tcHr. Subdivision:t,CISSMAN GRoVE B lock SITE FEASIBILITY REPORT FOR SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL AppLICANT,S NAME AND ADDRESS Berunv C. G rulr,ron e 2112 N. 11 rn Sr. , Sen rNGF rELD, 91\11 Phone PhoneOWNER'S NAME AND ADDRESS lVtgil report to 64 Applicant ( ) Owner STRUCTURES NOW ON THE PROPERTY 7Il7-t 535 Saue ( ) Prefer to pick up. Call 2 uxErlu BUTLDTNGS AND puMp HousE To BE REMoVED. (owner, etc.) when ready, rrtOpOSED USE OF pROpERTy REs r pEN Ar- WATER SUPPLY a?WITHIN ONE MILE OF THE CITY OF NA (No)_ I hereby certify thrt tho above statements are true and acc|lIate, and that I have the following legal interest in the property: - owner of re@rd; - X)L contract purchas€r; - potential buyer; - realtor or agent. I furth€r cenily that {if not th6 owner} I am authorized to act for the owner oI record, and that said owner is aware and approves of this action. TEST HOLES READY z/26/19 Signature /r/arruuv c. cTLLMoRE Date 2-20-19 * * , oFFtcE usE oNLY BELOW THIS L|NE * * r SI LAND USE COMPLIANCE RAZoning or Lot Size (TOTAL) Partitioning NA ( ) Completed( ) Pending Parcel # NA THIS IS A PBELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE BUILDING PERI\4IT. ANY PLANS OR EXPENDI TURES MADE IN RELIANCE UPON THIS REPORT ABE AT YOUR OWN RISK. IF SITE IS APPBOVED, SEE REVERSE SIDE. '?17-27 JEAN OFSTHIXN z/rg/19 AUTHO IZED S RE DATE AUTHORIZED SIGNATURE Permit Processing Section DATE Division of Water Pollution Control LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT c55-32 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 c 687-4061 6-),*-\'c'r--a- .--Lot D q-- g. C( OAR Chapter 340, Division 7, Section 72-02016l: This report shall remain in effect until isuance of a permit to construct, unless in the meantime conditions on this or adjacent properties have been altered in any manner which would prohibit issuance of a permit, in which case this evaluation report shall be con- sidered null and void. Technical rule changes will not invalidate any evaluation report issued pursuant to this section. Before construction is started bring this form to the Department of Environmental Management and apply forabuildingpermit. Exactspecificationsforthesewagedisposal systemwillappearonthepermit. lf the property is only a portion of a tax lot, a partitioning or subdivision must be approved before the permit will be issued. Only persons having a valid license issued by the Department of Environmental Ouality under ORS 454.695 to install subsurface sewage disposal systems or an owner or contract purchaser or his regular employees may install subsurface sewage disposal systems. A certif icate of satisfactory completion will not be issued if persons other than the above perform the installation. ( ( #*Dt pARTtlE r{I 0r Eilv I Roril,?t ti TAL tl.r,.{i.Lt t|E NI PSB , I 25 EAST STlr A7t rluE .,--\ tuctNi, 0nt00t'J 9/r0l q Pe:e Int I .r,,b A.idrcss $_ Clty Iovnrhlp.-a3- eL SuMlvlrl 0locl i,,rpllcatl trucIure! now on thc p I,rotor.d us. of propcrty: f& nrr tdsnilrl / /rclal /l Industrtrl , heretry certl fyrotc Pr n I f ttrls appl lcatlon lg for an a 9r cul tural bui ldln g lt rlll be used for purposes r /c: I,ffrCrvit: l. /./ tubut thrt thtr lnf I loved by thei omutlon ls true rnd lccurltt st.te Bulldlng Code andterest ln the propel.:rrr Cuunt;, Code (hapter l0 (:onlng) ,rnd for no o ther purpose. I have tlre folloni ng legal ln ._ ._._ _ovrler of record; X --__ rluly authorired to aTf-Io contract purchiserl 'lessee iolder of an excluslve option to pu rty: rchase;r the owner ls [idilEdeeable 0 f thirs appl lcatlon. 5l9no ture/Address {-l Tel or Da te lihen perml t,.,ls ready notify:Appl lcant /-/ Uacr /j7 Contractor [: fl rrotl Grrrer ,/ phone 'L Phonc PhOneI on t rac tor (0ntractor'5 oSR, lf Co,nnercirl: Res ldcnt ir I : a42.zt 'l 'r Plumblng by , ot rtort.r I of bcdros Sl test holes ,of I of unltr S05: /]/ Exlstlng, BP f /-7 Propoced, SI I frc !.dr . Ft. orI of Sltcs hlrg!!.!Valuatlon tee I, Tota'l Yaluatlon: Pl rnbt n9 f lrturcr a t Seyer,/xatar conn. at 4t State surcharge Plans check fee Change of Occupancy t each 3 ,each $ Subtota I t t i_/o\o,, Reieived by t t I $ TOTAL I AI{IT PROCTSSING one ilrninrunr setbacts, t, f.ini Part. I Parcel ft, sr lnt Group ,--- _- __ F i re Zone___--- Ure Cl rss I f I cl tl Parcel S'l .L re! r P\cr,,r1 .- ():ttllen t S :,) t)e typed on pr'rmi t 0a r l'& I Type I o Lc t_vped on perrni t L )k-.\I By 0a tel\r l,lJrl5 irtforrrrJ orl t't'l ttrSirrrC tOr ) Pl.nS to t ions to si ( ' / slr0 . / ct'il CP& I h'Pc -_ set Da te Requ i red Hold Sl lpto PCC 0a te Cunpl eted Oatc to PCC._ set lannrng i_.1 ?ub1ic l,lorks 1 / t levailon /-/ n/t /--/ Addre55 /-/ f tclt t ty Pennlt [/ tnvtrorxtrental he.] th C7tt-17I L 14 7 t^'J, - t 'i, f sI# / /r -?Ll/ /7-10 #Z EST HOLE SITE DOES DOES NOT MEET M]NIMIIM STANDARDS. ADMINISTRATIVE RULES REQU]RE A MINIMI]M DEPTH OF: 36 inches to an impermeable layer . 30 inches to a rest.rictive layer 60 inches to a perrnanent water t,able 24 inches to a temporarily perched water table OTHER REASONS FOR DENIAL ON YOUR tr{AS: PROPERTY THN DEPTH inches inches inches inches #t TE.ST PERCHED WATER PROFILE Predicted Observed Date 1n Inch Il^, L2 24 36 48 60 SATURATED ZONE 7S'n9 Predicted Observed 1n 1n Date Restrictive Layer tn rfl IN tu- W'+1Impervious La t Mott ling SLOPE w PREDICTED WATER Predicted O!served Date IfI o 1Oo SATURATED ZONE Predicced Observed Date l-n .n Restrictive Layer a,*< Impervious Layer ,l_n flott 1 ing 1n sLoPE ,pakzT-- PROFILE Inch 124 24- 36= 48- 60.- &L -t PLOT PI,AN: Stream ,^-/\rb Drainage or pond al.'lr..a a.. rart t Road ---- Test Hoie @ \ % SloPe Cut Bank ,f t l7-lf- Fence lf - X-, 4--- {'\, "OLE. tr tr **f ! c lC- 77-?0 SITE EVAIUATION WORKSHEET LOCATION: TWP.t1 RANGE f sEcrroN L?.- {* TAX LOT #/r*f ZONING:PROPOSED USE:Sra SIZE OF PROPERTY: i'IATER SUPPLY: COMMUNITY PUBLIC SUBDI VI S ION/PART IT I ON IF SITE MEETS STANDARDS FILL OUT: Type of st,ructure and approximate sewage flow: ltulti-f ami ly Conrnercial MINIMUM DESIGN REQUIREMENTS : Length of disposal t.rench required Distribution MeE,hod: Equal tK Curtain drain required: Other: AMOIJNT US$LE AREA: S€O LOT BLOCK PAROEL Single Family Industrial 3Da Institutional @ cpd gB$- 8Pd gpd 8pd / 750 'gal. SeriaI Yes NoIZL SPECIAL SITE CONSIDERATIONS OR VARIA}IGE OPTIONS OR OTHER ALTERNATIVES: J- 7- 7fNAME: c74-126 DATE OF EVALUATION: ll TNDTvTDUAL l_-1 tf ,ry Z*"--_T / 3 ,/.{ 0' r{0 'JJ. \o) I t'l I ( : \/' /(-, ... /\q,/0i 1t Gi , Os N t\ 90r.'/I I I I ! I ( I c o '!, '5 '0 R oo r'1 a' l- J -;o'; - a 2 7 ,6 8t (-\ \-., v ,,,.\,.\- \./ \ /S '.-J\ t1 '14 ?(( t,<o3r ,, { ,o - -0t -: t l'Y:i yo"a- -r 0-t 6e,t 4, l/rro,, q z//z l/ tt Ll sl /U P,e P/o,.Vy77 r-j:_ ?- o (nia r.l*l n 1 FEt'u { crt C-i(oY!-(o v ,o rOof c. .) , ., ) _.K 1., ;nbr-T\q--:)f.-r1 t-jjr, ,, j ?,5-o /flunoC eue-I uors,Alo lo.r1u69uollnllodrele4^(,6/6t r\Z 0 I n f 1-o *\r'$ "7c € aa '-,'l (5 ' .!' tO ' ,dt \')'I -- _-9 , tla t 0 tot /o/*t I 0G I I \ I t I -.ts + gr-t t tol (' /o / lL l,' $_\ I t,t , 6g q \s q -f\\a rb T o4 B*n G,llrnorg r//t M tl ! 5 p{ I 4 o ne 2{s Eet a-J \ Feef tuV to, o { <l.oi n {" lrt .urr.rf €tl { 7, P<r m if * t)f-7 ? on't-g I I gfcK6llL-- -;- La,ne County Authori za,ttott for,FOR OFFICE USE ONLY ApplicatiPermit # sEjEj9!2 4?f /'-/' ,Air.( E: PROPOSED USE OF PROPERTY ffrres.idential l-l Industrral PubIicCc,lrunerc i a 1 ?I]I']'Y ZIP (. EZLZ76 DEScRrprroLL olq pnoposrb woRK - ac specrriC:frZ;=zn ruzaab -Sral€ 7 DECI,ARED S VALUE # OE STORIES//4/4= OE BEDROOMS,,az/*Proposed Existing WATER SUOE AND ADDRESS TELEPHONE NUMBERfl-7zq-IS NAME AND I HAVE CAR-EFULLY EXAMINED THE COI"IPLETED APPLICATIoN POR PERMIT, atrd rlo hcreL,; certii, that all ilrfoimat.i.orr hereon is true and correct, and that I have the foll.owing legal interest in the propetty,.f,orn"r of record; f]cot.ra,.t prrrchaser;ffiuthorlzed agent I f:rther certify that any and all work performed shal-l- be done in accordair',i qitl-, th, ordr,Fdn-ces of Lane Coulty and the Laws of the Slate of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he macle of artj strl:rrcture without the pemission of the Building Division. I fur-ther certify that registration with the Builderrs Board is in ful1 force and effect as re tlL SIGNATURE DATE cluired by ORS 701.055. that if exenpt the basis for exeEpti. J7_ THOROI'GHLY. C*r (ao ^- APPLICATION wi-th ORS 7Ol 11 behereon, and thaE only subcontractors ad enployees who are on this project. I HAVE READ AND cor.,.rlENrs : 5AA 4rftVLL+e ruL p@Utpg:MAOfS . IZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS I Parcel # interi" or Yes Date: u,oU)MD A@!E NoD n frontcL, fl q4r.r1ter1pu: s. r. *B. P. # V-AIPLANS EXAMINATION: &l- trbL lkl6, cord sued? re ar Partition # Installation Date: fl pr,aNtlruc,zZoNrNG : Mi-nim\m Setbacks: COF$1ENTS Lineal Feet of itr:.:i.nfield Installation Gallon Soecifications: Tank Parcel Size C.L, srde "r*rffi- READ THIS SECTION CAREFULLY. YOUR Ilaximum Depth of Trenches lo, PERMIT APPROVED BY BUILDING OFPIC r ORS DATE LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INI'ORMATION cL4-2s R* ,u""r"rr,/ 7 COM}IENTS: D SETB|ICKS AND OTIIER CCIiDITIO},IS OF APPRO!.'AL }IUST BE STRIC"LY OBSERVED. \'IOLATION CAN RESULT IN REVO' CATToN oF ?!rIS ?CnltlT, cIT;TIoli UND5R PROVISIONS O', LANE CoU)-TY'3 INPRACTION ORDI:|iNCE, AND/OR OTHER REIIEDIES ALLOV,JED BY LAw. lIHEN RE.1DY FOR INSPDCTION,mE of inspection, uhen it wil BUILDING DIVISION: REQUIRED INSPECTIONS: Foundation _Il:ps$:gl: To be nade after crenches are excavated and forns erected and when all ;Br&fuffd;-TEe Eundation ale delivered on the job. l'rhere concrete from a central mixing planc (comonly termed "transit mixed") is to be useal, maleriafs need noL be on the job. concrete Slab or Under-lloor Inspectiont To be made after all in-slab or under-floor building EEinfc*,iufpmer-r;-t6-duic, pfpli{-EEE6ssories, and other ancilLary equipment iiens are in place buc before any concrete is poured or floor sheathing installed, incLuding the subfloor. CALL 687-1065. A IlINII'lUll OF AT LEAST 2.1 IIOURS ADVA!.;CE NOTICE FOR INSPEC- xl-liaTE--EIE-?ollowing i.nfor$ation ready: permit number, job address, type I be ready, your name and phone nunber, and any special, dircctions !o sj.te. t Framing & Insulation Inspections: To bracing are in ?Iace aad aLI pipes, f electrical and plumbing are approved. Lath and/or GvDsum Board Inspection: aad exLerroE, rs rn Place bul Detore and fasteners are taped and finished. be nade after the roof, all framing, fire blocking, and , and vents are complete and all roughirep AI laces, chihneys 1 uall insulation and vapor barrj-er are i.n place To be made after all lathlng and qypsum board, i.nterior any plastering is applied and betore gypsu board joints NOTE: A. 5. Pinal Inspeclion: To be nade after the building is conplete and before occupancy. APPROVAL REQUIRED. No work shall be done on any part of lhe builating o!.Structure beyond the point indicated in each successive inspection wiLhout fj.rs! obtaining Lhe approval of lhe building offrcial. Such approvaL shall be given cnly after an inspection shall have been naCe of each successive stepin the consLruction as indicated by each of che inspections required. A11 building permits require inspections for the work authorized, such as buL not Limited to: BLock wall: To be made after reinforcing is in place, but before any grout is poured. ThiB ii--prcffo-i'is required for each bond beam pour. There siII be no approval until the plunbing and electrical inspections have been made and approved. Nood stove: To be made after completion of nasonry (if applicable) and when i.nstallation ismpletn- Installation shall be in accordance with an approved, nationa.l,Iy recognized lestj.ng agency and the manufacturerrs installation instructions. l.lobile Hone3 An inspection is required after the mobile hose is connected to an approved sewer or septic system for setback requirements, blocking, footing connection, tiedoxns,skirting, and plwbing connections. Foolings and piers to comply with Stat€ foundation requirenents for nobile homes or !r recomended by tbe manufacturer. Mobile home minimun finish floor elevation shall be certified when required by a flood-plain management letter. Mobile hone tiedowns, when required, and. skirting shall be installed and ready for inspec-tion within at Ieast 30 days after occupancy. Tiedowns and skirting shall be installedper enclosure. D. Swiming PooI: BeLow grade when steel is in place and before concrete is poured. Above gradethen pqrl Is installed. APPROVED PI,ANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORXING HOURS. ?HIS PERUTT WTLL EXPTREIF woRK DOES NoT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR tirORE THAN lS0 DAyS. SUSPENSION OR REVOCATION I4AY OCCUR IF THIS PERIYIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OT REQUIRED INSPECTIONS WILL DO SO A1 THEIR O!{N RISK. SUBSURFACE AND ALTERNATIVE SE[.'AGE DISPOSAL SYSTEMS: l. Pernits shall be effective for one year from Lhe date of issuance. 2. Upon complecing the construction for which a permiL has been issued, the pernit holder shallnotj.fy the Lane County Departnent of Planning and Comunity Development by submitting theinstallation record form. The Departrent shalt inspect the construction to detemine if itcomplies with the rules contained in this division. If the construction does conply with suchrules, the Department shall issue a certificate of satisfactory conpletion to the pernitiholder.If the construction does noc comply with such rules, the Department shall notj.fy the permitholder and shall require satisfactory conpletion before issuing the certifica!e. Faiture tomeet the Iation of requirements for satisfactory completi.on within a reasonable time constigutes a vio- ORS 454.605 to 45,1.745 and this rule. Setbacks - Subsurface Seuage Disposal septic Tank Inherior prope!ty Iines Edge of road right-of-uay Buildinq foundationlieI1s, other sater sources I 2 3 Drainfield IO'I0' 50' l0 10 10 100 ) / 0 ^ CUMPLETE THIS SECTION. -"4 - 'f ,if"*grurt $ ;.st ACTIVITY INFORMATION SHEET lane ccxnty 3 hn-ilI' - INCOMPLETE FORMS t,JILL BE REJECTED! Arrtl &D GrL''--C I a,r 6t- I EST PROPE AZ*o l"rMq sf-2z {6 /t77/a-- tt MAILING ADDRESS Y //Z r7i/'4 a@.-Q6L 77-tll</m >zl- ct42>_ 7? 933y' BUSINESS TELEPHONE #BUSINESS TELTPHONE-F FOM_TTELEMONET 2 PROPERTY ADDRESS ( TF DTFFERENT TnO 3 rvlae B PAFIeEL NUMBEn ( REQUTREp INF0RI4ATI0N) (from tax maps in Department of Assessment and Taxation or from tax statement) t 7 03 2'z- TOWNSHIP RANGE SECTION ,? 03706W MNING TOilNSFTP NANGE SEEM-N MilNSH-]P RANGE SE-rCrIOn TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: W ZONING W ZON I NG o OO ACRES 4 SUBDIVISION ('if appl jcable)LOT BLOCK /2/-navft" t/,;5 REQUEST (state exactly what you plan to do) B*-J l^ralt/r^t- 6 DIRECTIONS TO SITE:kl KJ-fl,/ P/oJ nt/fl t1 k ,htro - lcr7/zr,J NTrt&ll-I o ** FOR STAFF USE ONLY ** DATE:--*TIME IN:-- OUT:_ NUMBER DATE -ln U1 -{ l-ZONE/LAND USE: BY LAND MANAGEMENT DIVISION / 125 E. 8th AVE., LUGENE, OR 9740I / 687-406I ? MAILING ADDRESS lane county wooD srovE o? 2gl+.a5 offn 6D -- ** A COPY OF THE MANUFACTURER'S INSTALLATION MUST ACCOMPANY YOUR APPLICATION L /:o I ,vff+St I NSTRUCTIONS 7 - e3) r 7ADORESS FOR INSTALLATION NA,ilE OF l- NAME and/or tlUf4BE f"ttl NOIE:UNITMUsT BEv€NTtNq,&#r--*EFcl DI r'trilS IONS: Answer the following, fill in number of lnches in diagram I. Side of unit to protected watt d/a-11ches(unprotected ,rn ?*'rl^"n"rl 2. Rear of unit to protectedvanNf*.uches(unprotected watl /3 ,incrres)-llEA6llpED 3; Ftoor prorection at side of unit / 2 i6.6u, lD P,EA?. Ve IG 4. Floor protection in front of unit /8 inches 5. Length of wall protection at rear of unitllfutncnes 5. Length of wat I protecrion dr side o, unrrTllrnrnu, 7. Heighr of watl prorecti on lClatnrt", -8. Edge of wall protection to nearest door or windowlA/a-lnche, 9. Air space between wa'll protectlon ana ulJ N/&lns6s5 'lO, Diareter of chinney and vent connector___:[_inches X'llii*"' fflI-tolii,*"t'E'kt^tr. 6-yr4 _Cqt ro-/ -L c. The wan protection.ril u",f,li!!:::'.Tll,*ilf f *:f;- Zl;(X,.P") ,PTAN I PLAN 2 ffi0ther(descrt be ) O. Type of chimey:ffiFactory chi 1u.,".v[ff;;,r,9;]] D 0ther(describe) E. Type of ven F. Hill be usi notnu", see attached l_o*' ,Hrr'/J" E LEVATION 8th Ave., Eug. 0R 97401 (503)687-4061 NOTE: Not all units are approved for corner installations or reduced clearances with wall protection. outside Air Inlet:Provlde_!n-outslde air inlet, a mlnirum of 3,,0 to supply nir forproper fuel combustion. This inlet sha'lI be closable idimper)from the buJlding interior. Th€ alr inlet supply auct strait beincombustible and continuous from the interior inlet to theexterior of the building. The lnlet shal.l be located throughthe wall (near the flooi) or floor within 24,, 0f the stove orf i rep'lace. a,t " : ?.6 ,6: - ;l-:' 919 e . @ IF YOUR INSTALLATION DIFFERS FROM THESE EXAMPLES, PROVIDE A PLAN AND ELEVATION OF YOUR INSTALLATION LAND MANAGEMENT DIV. / PUBLIC I.IORKS DEPT. / 125 E. _o chi nney TpLrr rz o cgrsTRUCTI0ti: A. The unit is risted rr,Fl E,^r* @o*",tn"^4fl_Q_1)4 t B. The floor protection i, l/{;nrn", thick and wiil bc:l---lAsbcstos n,rlll,a.rrd7- ''- ""' "''l lcoverec wrih r(!:al t1 06Bl -SPE ,l.7So-Nou+ JOB ADDRESS: ++ Applicant/Address: Owner/Address: Contractor/Address Contractor's OS + Construction approved by this permit POST THIS PERMIT ON MAIN BUILDING AT SITE CONSTRUCTION PE RIVI IT + Subdivision:TRS, TL This permit for the referenced property is hereby . Setbacks and other conditions of approval must be strictly observed result in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law. Violation can Total Construction Value: Telephone: Telephone: Telep!9ne: Water Supp ly:+ Bedrooms + Plumbinq Fixtures + Employees PLANNING DIVISION Zoning: Partitioning + Parcel + lVlinimum required structural setbacks, from: centerline of road, front: side exterior: ; interior property lines: ;rear property line: Special lnstructions: For information call 687-4394, WATER POLLUTION CONTROL DIVISION Site lnspection # lnstallation specif ications: lineal feet of drainfield required; max. depth of trenches: Special lnstructions: gal. min. septic.tank capacity; Setbacks nter tor property lines Edge of road right-of-way Building foundation Wells, other water sources Septic Tank---lo- 10' 5', 50' Drainfield---T0-- 10' 10' 1 00'For information call between 8:00 - 9:00 a.m., CONSTRUCTION PE RIVIITS/INSPECTTON DIVISION Type of Construction I nstructions: Group Use Classification For plans information call between 8:00 a.m. and 9:00 a.m., For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. Directions to Site Date lssued: c55-1 3 lane county6l!' - DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 By / Parcel Size: ; centerline of road, Fire Zone: SITE INSPECTION App nov e o REmanxs d Dar r /- r-- -7 T rNsPrcroRDTSAPPRovED FOUNDATION INSPECTION Dare I ruspecton *ZAPPRovEo Re urnx s FRAM I NG Aprnoveo I NSPECT I ON LZ/ DtsappnoveD I i-tz I NsPEcroR O^rZDareT Re lrenx s LATH OR SHEET I NSPECT I ON Dr sapenoveo Dar E 6'lr- 7 7 tNSPEcroRAPPRovEo Rru aax s FINAL INSPECTION NApeRoveo Dr sappnoveo Reuanx s CERTIFICATE OF OCCUPANCY Datt3l ofrZf l*rr..ro^4^j -?7g4< Rerov ro lssur ReMrnx s D Nor Reaov ro lssuE D Dore-I rspecron Drsappnovr o 77ryl TO PERI'IIT PROCESS ING PLAi,IN I NG PUBLIC WORKS FLOOD PLAIN MANAGEMENT Departrnent of Publ i c Works I 25 East Bth Avenue Eugene,Oregon 687-41 95 PERMIT NUMBER PARTITION NUMBER SUBDIVISION OTHER SITE ADDRESS /sufr S /, Fq'.(,r? I 2 3 PERMIT VALUE IS A SUBSTAI{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 tdlLL BE REASONABLY SAFE FROM FLOODING. MOBILE HOME TIE DOt^lNS REQUIRED. SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA. MINIMUM FIRST FLOOR ELEVATION OF (M.S.L. ) REQUTRED. MINIMUI4 FOUNDATION ELEVATION OF (M.s.L. ) REQUTRED. MOBILE HOME TIE DOt,lNS REQUIRED IF GROUND ELEVATION THAT IqOBILE HOI4E t^,ILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST FLOOR ELEVATION. 4. SITE LOCATED I^JITHIN A DESIGNATED FLOODI,JAY CHANNEL, BUILDING PROHIBITED. RECO]'4MENDATIONS : = ! -.{x t-o-{ DATE 1 c99-21 BY TRS# 17-0s-22-4-4 3700 DATE ISSUED: 1O/11/85 PERMI T#85 NU CTOR N S C L E UiR 342- LUMB 7- 8334 XTUR FRONT SIDE I NTER I OR REAR TH SDS APPRO\IAL REQUIRED i HARLOW ROAD TO GAME FARM ROAD. ONE BLOCK TO KTRT (ON RTGHT ,) TO NOVA, AT FAR NORTH END OF NOVA. SiTE ADDRE S TI NG Approved Date N Correcti on Date I n spector PLUMBING GROUNDWORK INSP ECTI ONApproved Da te Correcti on Date Inspector UNDERS App roved Date Correcti on Date ins pector OTHER INSPECTIONApproved nate Correcti on Date I nspector ROUGH PLUMBING (TOP OUT) INSPECTION Approved Date Correcti on Date Ins ectorp FRAMiNG INSPECTIONApproved Date Correcti on Date Ins pe ctor ROUGH MECHANICALApproved Date Correcti on Date I nspector INSULATION / VAPOR BARRIER INSPECTION Approved Date Correcti on Date Inspe ctor LATH / GYPSUM BOARD INSPECTIONApproved Da te Correcti on Date Inspector Fi Approved Date cti on Da te I nspe ctor FiNAffiIONApproved Date Correctjon Date InsPector- FI Approved a/OME /AG PLACEMENT /Correctjon Date InsP ectorDa te CERTIFICATE OF OCCUPANCY EApproved Date PORARY CERTIFICATE OF OCCUPANCY E Y74-t97 Insp Approvedi_Date Insp. LANI COUNTY INSPECTION RECORD OI^INER'S /UNDERFLR PLBG. T INSPECTION tr