HomeMy WebLinkAboutPermit Building 1979-08-22POST THIS PERMIT ON MAIN BUILDING AT SITE
,, OrO*ESS:75 Nova Street, Sprlngfleld, Oregon CONSTRUCTION PERMIT +
TRS, TL: 1743-22.4.4 # 500 Subdivision: m
This permit for the referenced property is hereby slrPtovei. 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 lnfradion Ordinance, and/or other remedies allowed by law.
ApplicangAddrsss: c.ry Kooold, 2077 sh.dy Isne' sp .rgfr.e1d, otegoa, 97417 Telephone: 746-36A21746-242L
Orner/Address: aa@ Telephone: a6!e
Contractor/Addressl aal6 Telephone: "'!eComri"ior;r OS i ?1623 Total Construction Value: $60,441.00
LC-2533-79
Construction roved by this rmit:
Water Su
SFD: ltaln G 1288 sq ftlgarage G 576 sq ft/unfln" falllly room @ 329 sq ft;
and 1n8ta11 SDS. (tteat punpr he:,tlng systen)
Stnrctures now on ProPerty: noae
: Ralnbow Water +t Bedrooms: 2 +Plumbing Fixtures: 10 #E na
PLANNTNG DtVtStON Zoning: 8A Partitioning # tF385-79 Parcel # 2 Parcelsize: 141564 sqs ft
l\4inimum required structural s€tbacks, from: centerline ol road, front: 45r ; centerline o, road,
side exterior:' !a ; interior property lines: 5t ;rear property line: 5t
Special lnstructions: P.rtltrD[ corPlete.
For information call 687-4394, Roger llollls
WATER POLLUTION
CONTROL DIVISION
Site lnspection +r 79-599 lnstallation specifications: 1000 gal. min. septic tank capacity;
175t lineal feet of drainfield required; max. depth of trenches: 24-3otl
Setbacks
ETerior oroperty lines
Je of road right-of-way'Building foundation
Wells, other water sources
Septic Tank
10'
10'
5',
50'
Drainfield
-T0'-
10'
10'
't00'
Special lnstructions: Install an equal dLstrlbution system and reeerive replaceoent area
@ plot plan approved August 15, 1979. Llaes to be of equal
length and 30 lnches naxLurm depth.
For information call 687-3960 between 8:00 - 9:00 a.m., Xathl l{Lederhold
CONSTRUCTION
PE RM ITS/INSPECTION
DIVISION
Tvoe of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification:
f.,.t-"tionr. See reverse sLde of fernlt for requlred lnspectlons.
SI'D
For plans information call 687-3767 between 8:00 a.m. and 9:00 a.m., Ji-n Lamb
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
Directions to Site: Gaoe Fam Road to Nova # 83 Nova, on left hand slde OK Street, nert to red house.
Date lssued. 08-28-79 By: Kara Adans/ly
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT ,
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
hne countyo
t<R t-t{
4{
DEPARTI1ENT OF ENVIRONI4ENTAL I'IANAGEMENT
PsB, I25 EAST STIi AVENUE
EUGENE, OREGON 9740I
trrW 'ffis.l}ift.aw-
i.*teii:$*$$ffi
I
Phone
Phone
phone
Job Address
Appl ication for
Structures now on the ProPertY
er of record;tract purchaser;
for purposes alI
ve the following
hol der
ifr#.,F.fi $f dii$s#iit,#:[ffi$sfi t$iIi
\D
If this app l ication is for an cu ra ul lding it will be used
Lane County Code Chapter l0 (zoning) and for no other Iha
l'/* il 3 'z7i4+ Ta
iflstii .fit:fl$ki.
,i$ /--lrl:*#ii*jfi#{#..ii rlffi
hereby certify that this information is true and accurate.
owed by the State Building Code and'legal interest in the Property:of an exclusive option to purchase;
owner IS ble 'I i cati on .
d
own----du l
' purpose.
'I e
InowlEdgea
ssee;
y authori to {/
S i gna ture/Address
When pe rml
Owner
Con trac tor
T or Date
is ready notify:Appl i cant ry Owner /-/ Contractor !Y: l/ nail
Contractor's OSR# e I & e.2 Plumbing by
DO NOT WRITE BELOI^I THIS LINE
If Commercial
Residential:
: .{f..;.1$t;,,..eterii;**,;-
i.#rii.iu#i:i:.uttffitt 2 # of employees it!:!l!+-,f, :.ilrtlfi i!i#*ir:ri,
l:$s$iliif L-l Existins, BP #
/] Proposed, SI #SI test holes ready
.:F66'::
Gilrd€
iffiXiil:tEtX,.i.:turi
iiff :::.:Uf ..ri.$:lif#*i
/0
4% State surchargeffi*.%
uati ond
Total Va] uati on : $6a, ty'/ s$ru"*nat
at $.3. -
each
Su btota I
Fee L
I
/-/
ived by
l,Jater Supply
Proposed _
Year Instal I ed
Existing ,X
4Lk*
TOTAL
PERMIT PROCESSING Zone
Minimum setbacks' t
Comments
CP&I Type
Part. #
Q--3 Fire Zon
Parcel # oA Parcel Size.5/, side int rea r
By te
Use if ication 5F\>
To be typed on permit
By
For p'lans information call (area jn tor )
Di tions si te
/_/ srF1 Pl ans to: CP Da te
Requi red*frt
Hold Sl ip
to PCC
Da te
Compl eted
1 Kr:;y
ffetannins| / Publ ic Works- ffElevat.ion(r( ooot,'t
/ / Facility
d3-?-7
P
Permit
4 +-r
Date
Phone
tn
0
/_/ Environnental l'leal th
I,JPC
set(s)
set(s)
w
Affidavit: I,
Date to
PCC
lane county
HOLID SLIPLO
APPLicATToN #-?5A3-77
fil'--
Name
Address
p 0
The above applicatjon is being held by the Permit Processin g Section for the following
reasons:
7V-s7 74fuEtfu%
Di vi S 'lon:
Si gnature
Division:
Si gnature
?aPd+\N
t-
/
Date
7n
^Sa
-)7
requiredabovehasnotbeenfurnishe-cationwillbecancelled.
Fees paid for waste disposal systems (site inspections and/or applications to'installthe septic tank and drainfield) al€ nonrefundable. Sorne refund'ma.y be made on thebuilding and plumbing portion of your applicat'ion if cancellation is necessary.
In the event a Planni!g or some other long-term prob'lem exists over which you haveno control we will hold the permit unt'il the problem is resolved and we reteive wordfrom you as to whether to prbceed with permjt issuance or process a cancellatjon.
This appl i cation wil I be hel d unti I If the information
c74-L39
PERMIT PROCESSING SECTION - 687-4394
z-./rZE Z4?
i'--\
OLD SLIP
lone county6l!'--
rL
APPLICATION #
Name
Address
41
Zi p Code
The above applicatjon is being held by the Permit Processing Sectjon for the following
reasons:
Di v'i si on :
S'ignature:
Division:
Si gnature:
L'2 1.1
.y $'>$'1q
Date
€|*_-h Date
This appl j catjon wi I I be hel d unti Irequired above has not been furnishe
Fees paid for waste d'isposal systemsthe septic tank and drainfield) arebuilding and plumbing portion of you
v at ate your app ca(site insp ections and/or aonrefundable. Some refund
appl ication if cancellati on is necessary.
If the information
tion will be cancelled.pplications to install
ma.y be made on the
d
n
r
In the event a Planni!9 or some othe.'l9ng, term problem exists over which you haveno control we will hold the permi.t qrntil the problem is iesoivea and we-ieteive-worOfrom you as to whether to prbceea-witfr permit'iisuance or process a cancellation.
PERMIT PROCESSING SECTION - 687-4394
c74-L39
\oVA 4T,
l cii-dr>
+q-*Ot-p tte
&-r lc.trIVE*r
U\l
'l:
I
{
'.)
./ "i
\
r'--.,.
\r\
a
I-,.!
$
I-t
I ;l-1
1-r-
3
s
rn
i.l
$
dJ
=
ael ' orl
i
I
i
-/
f'ltl:!i- l1 .-lt
I :,' ,1. l-l' 'i I
)t--tt
fl.-r'
I
b v
0-
n
{{]
I
l
I(
-St
N
o
$
\l ?4"-
,t\'t -)-'"-&
1
I
I
i - t.;t Tt, ii. I it - + L t J-.it i/-. i1t'... lrr I.l-:-r-;. tL.tL.
E <.5i t ^*le. \ \
-
t4b'
C}t-t-.
(V\
7U>7
rLs 4w
4zfqN6f FleLD ,.>F-c.-
t-*rue <eUNrY
r1A.k,-.
v\-.
fl
B-
a
-l
\
I
I
tI
I
1
1
I 4t --ll
trffi*'vv-
lb e
\.ototrg
i*dl, -rl
,'z?
r{
t
(
I
I
I
gre
-'^-l
1 ,-1'
/o DEPARTIIENT OF TNVIRONI4ENTAL I1ANAGEMENT -
PSB, 'I25 IAST 8TI{ AVTNUT
EUGENI, OREGON 9740I
r.,-}r:r.-f)
s for an agricu tural bu lding it wi]l be used fo
/
,iut'::i '.gI:U(lki
7 igEm$r#:##l_l i*iftiu*jf#ffiffi /--l
hereby certify that this informatlon is true and accurate'
allowed bY the State Buildlng Code and
?
.{)Lo 'i)4-),r l0iJob Ad
tlhen
Owner
Con tr
5 .,t -t,
Appl icat ion for
Structures now on the Property
Affidavit: I '
If this aPPlication i
Lane CountY Code ChaP
owner of reco
---dulY authoriz
ter ther purpose.
or. lg
is knowledgea
I have
ssee i
ble
r purposes
the fol'low ing legal interes t in the Property:
hol de r-of an exclusive option to Purchasei
pp 'I i cati on
.\.
rd;s (-.'z1
S i gna ture/Address 0a te
Tel
is readY notifY:App) i cant
e or
f orner /]/ contractor ry: /-l nail phone
P nez
Phone
ac tor
Contractor's 0SR#
If Cornrnercial
Residential:
Plumb ing bY
2 r of emploYees -_----#,Af 'un,It*i,i-
SoCi'i:, , Existins, BP #
l7 ProPosed, SI #SI test holes readY
,,'Ete'
!de -r
Total Va.luation: $
at
dL
Va uation
('- each
$ Jf ': each
Su btota I
TOTAL
!E E.
9-
37j _/8_
)n/-/ 'Ei*h""il ctr*Y *-
6cuir"a uv
$ 2 7?,'L
$ //. /6iw
$382_4(
4% State surcharge
ffi;.:.: ,,%/l,later Supply
Proposed
--Year InstalIed
Existins X
PERMIT PROCESSIN6 ZONC
Minimum setbacks
Comme nts
CP&I Type
Part. #
Fire Zone
Parcel #A Parcel Si ze5/, side.int ; rear
By te
Grou p Use 'i fication
To be typed on permi t
By Da te
PhoneFor plans jnformation call (area ins tor)
Di tions si te
P'l ans to: C
l"1Pc
Da te
Requ i red
Hold Slip
to PCC
Da te
Compl eted
Da te to
PCC/_ / slF0
$
CP& I
l,lPC
P1 ann i ng
Publ ic [,.Jorks
fitr"uurron /--/ nla
M Aaoru*zl-_\
1_1 Factlity Permit
,i Invi ronmenta ] l'lea l th
liitl iNI0lll1ATI0N about progress crf -vour application call
.. ;!,.LJL
perr,i t Control Center 697-HELp (687-4357)
571 ,*TDlfu
set(s)
set (s )
+Job Location , mile
Subdivision
z"d ?e
Lot -{-t-TRS, TL
B lockYICINITY MAP
/)
Signature
FOR INSTALLER'S USE: Trench Depth ev"F iller
Tank Capacity /ooa Manufacturer €aAEttE s?nD au dfttv€l
lVeasured distance to well from tank llo u from drainfield Foglt'c
fl System Disapproved tl Needs Correction
Date 0
pth Below Tile L
FOR SANITARIAN'S USE ONLY
COMMENTS:
Sca le
Edrrttrn AoprovedgCI-'to(6'1fi
st
s\
\
lt*tTsf€Aa\,
+PI,,OT PLAN . ..,""J{aL
E ---t
rl
a 3q
s
\
\n
fr.
ln r$
.':
.t
&$ta-
J\
I
'.t
+
ulF
o
I!
d
(
o@
0)
E!
g)
.=
'(o
G)
E(oZ
J'
C(!
.9a
o_
L!trli-
Z(,
6
m
{\kqs\
t<t
{{
a
CF
I
(o
c
6t\})i
I
$
ml
fi,Nrlq
{l
u
+Lm
N>tz
I
/.o
t:}INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY
When signed by the County Sanitarian, this certificate is evidence as per ORS
isfactory completion of a subsurface sewage disposal system at the above locat
L {f sat-
>.d
Return this form to: Permit Processing Section, Department of Environmental lVlanagement,
Public Service Building, 125 East 8th Avenue, Eugene 91401DT c55-1 1
(
I<
ltt.tt nl dtd
I,
{
J
POST THIS PERMIT ON MAIN BUILDING AT SITE
.rOB ADDRESS: 7t laort Str.6E, Sprtuetli.ld, 0r.6oo CONSTRUCTTON PERMTT # ,S2I3!7,
TRS, TL: 17-i3-22.A.{ t 530 Subdivision: nc --,-
This permit for the rcferenced prop€rty is hereby sp?roe.i.l. Setbacks and other conditions of approval must be strictly observed. Violation can
r€sult in revocation of this permit, citation undor provisions of [rne County's lnfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS # Total Construction Value:
Construction a by this permit:
Supply:
Telephone:
Telephone:
Telephone:
+r Bedroonrs i # Plumbing Fixtures: + Employees:
PLANNING DIVISION Zoning: Partitioning +t 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,
Parcel Size:
; centerline of road,14r6&t r{! fG
- firY atbration olthe
, rdralconditions m
0re al$owO to-:tnet raln-
TEIo
gal. min. septic tank capacitfid
OIlEPmrsrnsm *--
tfls aPProval.WATER POLLUTION
CONTROL DIVISION
Site lnspection + lnstallation specif ications:
lineal feet of drainfield required; max. depth of trenches:
Septic Tank
T0-
10'
5',
50'
LfrXl
2*4ga
Setbacks
Special lnstructions:Irm*Il, s squst {frtrielrtloa *yrtm cod rt*am rryLu,rec srca1 $ia rttrchri tlrt Flrlr aw*ffi{ lr|n r 13, lllrt. I,,lsx cs b el r$rtLo$h d tO trohc. drr d*r&.or property lines
of road right-of-way
ing foundation
Drainfield--lo-
10'
10'
1 00'Wells, other water sources
CONSTRUCTION
PE RM ITS/INSPECTION
DIVISION
For information call between 8:00 - 9:00 a.m.,
Type of Construction: S-{,t Group: r..3 Fire Zone: l Use Classif ication:
lnstructions S+c rtrrtrt rfFt cf tad,t tm rad,nd tagorlmo
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 B:00 a.m. and 5:00 p.m.
lane countyDirections to Site:
Date lssued: Bv:
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDINGC55.13 125 EAST 8TH AVENUE, EUGENE, OREGON 97401
6l!'--
\
-?
-:
,q
\\!
.,1
t\\$
"rr-
I
:
vi
\
I
-..,'
:.)
.\
E <,3* r6q \,^.Je- \ \__.___<rJ _
t4b'
-/
l':il:ll i: ,-
'i . r". l'i' 'i I
.ri l-ii .- 'l
I
I -,J.
lr!6.1-..d
tb 5<-
bb
it
I
:
1
I
!
ri:. -.'t',, I
i
I
- rl-tl
NI
,.1
r()
4lt-
v'DL
\
I
I
i
I
(
,
I
I
I
(
d
fr
NI
,1r
N
0o
Q
=,
IL
#
{J
-:
o \e
t;
-'-i.:i I.rr'.lil- j It/'f ,.r'r1'
I r i t.:-,_i. ii.iL.
't
.),1l\-r
1\vt'e,q
trLoT l=1rAJ{
fL + i*>c
4?rRlNqFleLD ,,i.F-c.-
tJNe €rrU|.lTY
rf'l''
I'F-. -r ';. i'r;
[ :-t '* il. :-l l.] t=.
t
I
1
I
r:,
K
I
. POST THIS PERMIT ON MAIN BUILDING AT SITE
loi Roonrss: coNSTRUCTIoN PERMIT +
TRS, TL: ,, Subdivision:
This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed,
result in revocation of this permit,'citaiion under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law'
(
Violation can
Applicant/Add ress:
Owner/Address:
Contractor/Address
Contractor's OS +
Construction approved by this permit
Total Construction Value:
Telephone
Telephone
Telephone
Water Supply + Bedrooms + Plumbing 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:
Parcel Size:
; centerline of road,
For information call 687-4394,
WATER POLLUTION
CONTROL DIVISION
Site lnspection # lnstallation specifications:
lineal feet of drainfield required; max. depth of trenches
Special lnstructions:
gal. min. septic tank caPacitY;
Setbacks
nteraor property lines
Septic Tank Drainf ield--10-
10'
10'
1 00'For information call
ge of road right-of-way
ouilding foundation
Wells, other water sources
10'
10'
5',
50'between 8:00 - 9:00 a.m.,
CONSTRUCTION
PE RIVIITS/INSPECTION
DIVISION
Type of Construction:
I nstructions:
Group Fire Zone Use Classification
For plans information call
For inspections (see back of this pe
l6li between 8:00 a.m. and 9:00 a.m., J{r.t 1"er'b
rmit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
Directions to Site
Date lssued:
c5s-1 3
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
lane county6llr-\-
By
SITE INSPECTION
D oor, *--al-??Drsrppnoveo I nspecroa
FOUNDATION INSPECTION
APPRov E D DarE I Hspecroe
Rrltanx s ?9^<
FRAMI NG
A PPRov E D
ReNanx s
I NSPECT I ON
E/ Drsappnov* D o*rf zg-??I Hsprcron
9^r<
LATH OR SHEETROCK INSPECTION
Appnovro R Drsappnove o V oorrlO-.!_0*?Z-
Rexrnx s
lxspecron L0h^\g
FINAL INSPECTI
APpRovEo
Reua nx s
Drsnppcove, D DorrJl_.- /e_J?I Nsprcron
CERTIFICATE OF OCCUPANCY
Rerov ro lssue
Reurnx s
/ / Nor Rcroy ro lssuE Dare I rspecron
Ap pRov r o
Rruanx s
D DrsappRovr o Fl
\
-t
-:
a(\
.1
r\'t
,-l. r
-/-
<r
f:
,l
')
.t ';
:
\
E <.5* rrq t^*le. \ \_____<_)_
t4b'
/
f,:..\
-*l
(i
,-ir
(l
-/
zll'':'l
,,.al 'i-i"
'1
L t J''l r/r
. I i.iL.
r\\a
4l-'.ti
L<1.<-ttr
\
:
.i
I
t.'.)..
I
I
.1
I
III
r
'1--)
{
I
I-.:
.t.i
l'
I
I
I
I
i
-o
)il
jt
'6r
N
0
$
z.
s-
*{4J
I
I
i.F
C l-rT
(
-.- i:l I-l ;,'1 ll - .l
I r I l:-''{
I
a
Yt,-*1-\
TLoT
1-L* icec+fflNqFlELD,-F.ti-
L*He cpUr{rY
I'i--t 'rr)
[]r._ti.L-l1,.,'-8.
\5fn'l
Yffi-*:wd-
:
I
I
I
'rA'f -.
),a!
, ADDRESS:
TRS, TL:
This permit for the
result in revocation
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS +
Construction
POST THIS PERMIT ON MAIN BUILDING AT SITE
}?C [d,
CONSTRUCTTON pERMtT +
Subdivision
referenced property is hereby -. setbacks and other conditions of approvalof this permit, citation undei provisions of Lane c;il'l;;raction ordinance, and/or other
must b.e strictly observed. Violation canremedies allowed by law.
El.! :i
Telephone:
Telephone:
Telephone:
,4n-3faef?w*2
8IEilr*t rll4Tota I con st ructio n Va I u e :
approved by th is permit
l.t
Water
+ Bed + Plumbi Fixtures:+ Employees:PLANNING DtVtStON Zoning:Partitioning +Min imum requ ired structura I setbacks, fromside exterior:; interi
parcel +
centerline of road, front:or property lines ;rear property line:
parcel Size
; centerline of road,
Special I nstructions Lt{Da omptrote.
For information cal I 687-4394,I
WATER POLLUTION Site lnspection +r
lineal feet ofCONTROL DIVISION drainfield requ
I nsta I lation specif ications:
ired; max. depth of trenches:
gal. min. septic tank capacity;
Special lnstructions
Setbacks
Inlerioi property lines
Jge of road right-of-way
duilding foundation
Septic_ Tank Drainf ield'lO' -T0--
lrE{i0€&d f}tr*rr! 30 {eGIr
10'
5'.
50'
10'
10'
1 00'Wel other water sources
CONSTRUCTION
PE BM ITS/INSPECTION
DIVISION
For information call
on: Group:
between 8:00 -9:00 a.m.,
Fire Zone: Use Classification
Type of Constructi
lnstructions 8rE t
For plans information call between g:00 a.m.andFor inspections (see back of th rs perm it) call 687-4065 between
9:00 a.m.,
8:00 a.m. and SDirections to Site:
Date lssued:
c55-1 3
r,lane countyrFrli
6l!'.-
flqffi#iif=,Hi*iffi tI3!LAffi:,T"
00 p.m
By:
&rroo*
PLUMBING GROUNU/ORK
Apehovro El DtsrPPnovro I NSPEcToR ?- /J'
I HsPecron
I Nsprcton
I Ns ee croR
I Nspecton
I NspEcron
door, ?-/3
ReHa nx s
GAS P 1P I NG GROUNDI'/ORK
t
Dr srPPRovEo
D r saPPRovEo
DISAPPROVEO
Dar E
AP PROV E O
Reuanx s
ROUGH PLUMBING
APPROV EO
Reuanxs
ROUGH GAS PIPING
APPROVED
RrtleRx s
FI NAL PLUMBING
APPROVEO
ReManx s
FINAL GAS PIPING
AP PRov E o
Re ltlar s
E Drsrppnove o D 'o" 7-J/-7?
DATE
I Zf Dt srPPnoveo o^',, //J6n?
CERTIFICATE OF OCCUPANCY
Reaov ro lssue D Nor Reaov ro lssue D Dare lNSPEcroR-
Reulnx s
D Dare
CONSTRU TION /PtecEMENT
PERMIT
FOR OFFICE USE ONLY
illiii"ii"d srra -ao
Wfwo Copies of Pl,ans
l-l'two Copies of PLot PLans
Ir.rechanical Checktist
Ietlr Ui.rq Checklist
flllan Check lnfo Sheet
COMPLETE THIS BLOCK. P
s osR
I HAVE CAREFULLY EXAJ"IINED THE
t(ot*.touO
NAME (!lease print)
USE BLACK INK AND PRINT.
{a
PERMIT, and do herot,y cerLify that a1l informatiorr is true and aoirect and I frrrthcAPPLICATION
certify that. any arld aII work perfolmed shai.l be done in accorclance with Lhe Ordrrranccs of Lane County and Lhe Lails of the st.tte of oreqcn,)erlainin.lto the work described herein, and that No occuPANCY wj.11 be nade of any structur. without the pemission of the Building Diwision. r further certifythat. registration with the Buil.der's Board 1s in fu1l force and effect as requircd by ORS 701.055, that if exempt the basis for exenption is notedfereon, and that only subccntractors and enployees who are .in compliance with oRs 701.055 will be used on this project. I HAVE READ AND CHECf.ID THISAPPLICATION THOROUGHLY.
SIGNATURE
Nov t2
DA
-ft-o,,,u,
tel Be I conrractor
! agent
TOI.II,JSHIPl'r o7RANGE SECTTON224 +
LOTIPARCELZ B],OCK6SUBDI
LOCATION ADDRESST5 N6\ffi Z+ , &rxe;r,a- OTf,ot ZIP PROPOSED USE OF PROPERTY
K Residential
I commercial
flrndustrial
Irrruric
S VAIUEZnza4 oF BEDRodl'4sl
N. A/# OF STORIES
Cn^4-
#oF EMPLOYEESq Proposed
Existing
TEI.EPHONE NUMBER
74t.,-?A7>Z
TEI;EPHONE NUMBER
DIRECTiCNS TO SITE
IY,r^a- Qarrn Rd +,rl Krlr lo O'e, +o
f] pr,annrue,zZoNrNG:
itlrrrimum Setbacks , CL, frcnt
Partition #
, side Atfnterror L I re ar
,.- rr*"\9XW
J)
Zone Parcel #
CL
FLOODPLAIN:In flood hazard artaz E no ! ves, see attached sheerfl nunar ADDRESSING: GR]D COORDINATE
N
fi sanrrarroN,
Date:
Date:
Dat-e:
m
Installation Record rssued? [ v"= f] rl"
Conmeots !
Insra Ilati.on
Specifi,cations:
Z
E
B. P. #
cal lon Lineal Feet
or Drarntae].d
Maximun Depth
of Trenches
Comments:
Date:w3
ffi pr,aNs EXAMINATION:"r,on-AAJ ".o,-,n A,z1- I Use, &fAAu,?p+,tre
CotTments:
ffintl-Q-tu
CONSTRUCTION AUTHORTZED BY THI
Sq. Ft
Fixed FeelUnit Cost
S PERMIT
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
_Plunbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
TOTAL FEE
$Description
t
$
s
$
C
)
$
$
[lcrrect<flcasrrTOTAI VALUATION $FEES PATD BY:
By:
Date:
PERMIT APPROVED BY (per 456.805 (1
LANE COUNT'Y DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH
C74-I94 SEE REVERSE
DATE
VENUE, EUGENE, OREGON 9740I
Tt6 q.50
v
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED VIOLATION CAN R-SULT IN REVOCATION OF THIS PERMIT,
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTTIER REMEDIES ALLOWED BY LA}l.
WHEN READY FOR INSPECTION CALL 687-4065. A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BEGMN. Have the following information ready: Permit numberr job address, type of inspection, when it wil l be ready,
your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS
1) F0UNDATI0N INSPECTI0N: To be made after trenches are excavated and forms erected and when all materials for the foundation
ffioo.Whereconcretefromacentra]mixingp1ant(common1ytermed''tranSitm.ixed..)istobeused,
materials need not be on the Job.
2) C0NCRETE SLAB 0R UNDER-FL0oR INSPECTIoN: To be made after al'l in-slab or under-floor building service equipment,
ci11aryequipmentitemsareinplacebutbeforeanyconcreteispoured
or floor sheathing insta'lled, including the subfloor.
3) FRAMING & INSULATI0N INSPECTIoNS: To be made after the roof, a1l framing, fire blocking and bracing are in place and
sandventsarecomp1eteandallroughe1ectrica.landp1umbin9areapproved.A11
wal'l insulation and vapor barrier are in p1ace.
4) LATH AND/oR GYPSUM BoARD INSPECTI0N: To be made after al'l lathing and gypsum board, interior and exterior, is in place,orbeforegypsumboardjointsandfastenersaretapedandfinished.
5) FINAL INSPECTIoN: To be made after the building is complete and before occupancy.
APPR0VAL REQUIRED. No work shall be done on any part of the buildjng-or struc_ture_beyond.the point indicated in eachjr.i"trir" inspection without first obtaining the'approval of the uuilding official. Such qpproval sha11 be given only
iii.. un.inspett.ion shall have been made of 6ach sutcessive step in the construction as indicated by each of the inspect'ions
requ i red.
NOTE: A11 building permits require inspections for the work authorized, such as but not limited to:
A. BLoCK WALL: To be made after reinforcing is in p1ace, but before any grout is poured- This inspection is
required for each bond beam pour. There-wi'l'l be'no approval until the plumbing and e'lectrica'l inspections
have been made and aPProved.
B. W00D ST0VE: To be made after completion of masonry (if applicable) and when installation is comolete.
Installation shatl be.in accordance with an approved nationally recognized testrng agency arrd the manu-
facturer's insta l lation instructions'
c. l,l0BILE H0ME: An inspection is required after the.mobile home is connected to an approved sewer or septic
system for: setback requirementil-iioiLi.g, tooting connection, tiedowns, skirting, and plumbing
connecti ons.- (f) Foot.ings and piers to comply with State foundation requirements for mobi'le homes or as recommended
bY the manufacturer(Z) UoUiie trorn" *ini*r* finish f]oor elevation shall be certified when required by a floodplain
manaqement letter.(3) Mot;i;';;.'ii.io*.t, when required, and skirting sha'll be installed and readv for inspection
wiltrin ai teast 30 diys uit.r'o..rpiniv. Tiedowis and skirt'ing shall be installed per enclosure'
D. SWIMMING p00L: Below grade when steel is in place and before concrete is poured. Above grade when pool
is installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS' THIS PERMIT WILL EXPIRE IF I'IORK DOES NOT BEGIN
I^IITHIN 'I80 DAYS, OR IF I^IORK IS 9qSBEryQ.qP. OR ABANDONEq_IqB UqtsE^THAN 180 DAYS' SUSPENSION OR REVOCATION MAY OCCUR IF THIS
piiriiT ri[i isiuEo-rin'iH'i-riasil oF-iNcorrplrrE 0R ERR0NE0US INFoRMATIoN.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTiONS I'JILL DO SO AT HIS Ol'lN RISK
. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(r )
(2)
Permits shall. be effective for one year from the date of issuance'
uDon comp'leting the construction for wh'ich a permit has been^issued the permit holder shall notify the
DeDartment bv submittins-thi-irituilation...5"a ro-. rne oepariment sha11 inspect the construction to
deiermine .if it comp.rili!,iiir,'it'.'ili;;-;";;;;nIo in ir,rr airiiion.- it tne construction does complv vtith
such ru.les, the Department sha'll issue a.d.iiiiiut. oi satisfaciory ioqprelion to.the permit holder' If the
construction does not comply with such.rrJt,'inl-o"pu"t*.nt ttruii ioiiiv the permit hoider and shall require
satisfactory comptetioi-'uEi"o.e isrrrng ttr"-li"iiii.iia. Fairure'to meet'the rbquirements for satisfactory
compret.on within u "Ilriniiii time ionst:t;;;;';'rioiition oi oni +sq.o05 to 454.745 and th'is rule'
Setbacks - Sub surface Dis
Septic lan!Drai nfi el d---]Tr-
From:-mt'I 0'
5',
50'
t0'
l0''100'
Interior ProPertY f ines
Edge of road right-of-waY
Building foundation
llelIs, other water sources
PARTITIONER:
NAIIE: /VR
I
lane cou nty
C ,57 /< /VF Y
PHONE:
INTERES
(Indica
optlon
ADDRESS t 8/ A/o u,4 -37.
Eab A/ € , O,fZ Q740 1
O*7+
T IN PR0PERTy: __e_<p_N .*--r<_te one: o\4rner, contract purchaser,
holder, other)
C.INER OF RBCORD:
NAME:SP..?'z €45 zfie'4u €-
ADDRESS:
PHONE:
.qP za
FLLE No: llage-79 MAP PREPARED BY:
Brown, Wagnon and Associates, Inc,1065 High Street Suite #4
EuEeaa, Oregon g740l
Phone: (S03) 6g?-9345
I^IATER SUPPLY:
PERMIT /I:
SEWAGE DISPOSAL:
S.I. #:
ELECTRIC SERVICB;
ZONING:
k
)
HOOE'IAX LOT: 4€ao__ MAp #: /7- 03 -ZZ -44
rrie rn ity &&,XDma.
a
c,
\'
,E a-4 D
'trLANNlNG DlVlSloN / ENVIRONMENTAL MANAGEMENT DEPABTMENT / 125 EAST BTH AVE. / EUGENE, OR 97401 / pHoNE (503)6gz.areo
DATE SUBMITTED:
RECEIVED BY:
FEE PAID:
HEARING DATE:
1-lZ-1al
*ee
5r
for office use only
LA-171I
Lb":
a,ptr}r!CIT/a,
Date
BY
M?
-1Acting Chai.ruan, Land Deve purent Review Comrnlttee
77 7
'l/+-15 el.-.'f '! ..r 1
.s aF:> 7'/ C-
1a- <aaI t -' , I
l7a
9-
MINOR
}IAJOR pa,rt it i
"E
lone county
/(/'qK
AVE
50.oo'
:ICAIE: /"=50'FILE NO:
I.ANNING DIVISION / ENVIRONMENTALN4ANAGEIVlENTDEPANT\4EI'IT / l25EAST8THAVE, / Et]GENE,OR97401 / PHONE(503) 687.4186
Sheet 2 of ?
(n
o
q"
-\
\t\
ht
\>n
\
h
h
b
F"-
o
. . ::za$' a9',
$
(-!)
$>t
a
o
p.
,/O7,9/
//3."P/,'q
-atrP/.@
\l_
s\
\
$
o
0.
-N 85'Z3 ,4 o"€
P4RCEL )
/,5 353 s&'FT' L
+
e.
s
b)s
I\J
u
s.
a6':l*t,
_F2 d'F*<'e
7/&7
ro*'?zre
tA /./A "2€AA/<'IN
B
P,q/<CE L Z
/*b64 Sa''F7:t
FO //Z- Pl'o€-
..-. -.. /4 F€/<'/€€ CO'€'
s
$
S
t\
G.
s
s
o
o
./ 74. //
\s
\
>,
I
(n
\
h
\
lh
-1
\
\
o
$
tl
Urq
0o
s
I
6.e€A/c6 P/'LJ
So-W e.oO'
'30 ,,yv'a3sas
3c.r ,ear
tU Ol" 3b'
+
0q\
\
\N
\b
$
$
h \Fhb\
l\tn
\
\.
W
xu
N
I
frt 1R/c,79
m,
I
IATTTITIONER:
NAME: NORA STICKNEY
I
lane county
ADDRESS:8l NovA sr.
EUGENE,oRE. 9Tl+01
PHoNE: 726-7lr
INTEREST IN pROpERTy: Owner
WATER SI]PPLY:prnurr /l:
SEWAGE DISPOSAL:S.I. #:
ELBCTRIC SERVICE:
ZONING:
(Indlca te one: owner, contracL purchaser,
optlon holder, other)
CIJNER OF RECORD:
NAI'IE:NORA STICKNEY
ADDRESS: 0r NovA sr.
EUGENE, ORE.97lror
PHONE:
rAX Lor: 41c,c ItlP /i: l7oZ-22 ,41
PLANNING DIVISION / ENVIRONMENTALMANAGEMENTDEPARTMENT / 135EAST6TH AVE. / EUGENE,OR9T4OI / PHONE (503) 687-4r86
3
G.
U
I
T'T
+
DATE SIIBMITTED: .1 I T .1,)'
HEARING DATE: 'l ! (r - 1 ,
for offl ee use only
FEE PAID:
RECEIVED BY:
;i ;0't
(X c
appro\7a,1
Date
BY
Acting Chalrman, Land Development Review Cormittee
rricinit 5Z rn a,p
(irLAu<3i1g
PAHTITION
CONDITIONAL APPHOVAL
JUL 2 6 1979
LANE COUNTY
PLANNING DIVISION
L+w [s"' t'-rt
FILE NO:\'4-'T7 MAP PREPARED BY:
314-15 Sheet L of 2
Y)
SCALE:
I(i v K A\,{
-c
Pa,rt it iore
t a7'
I
lane county
PARTITION
CONDITIONAL APPROVAI-
JUL 2 6 1979
_ LANE COUNTY
PLANNING DIVISION
MINOR
I'IAJOR
\
'i
\
C-
U
-t-
,y'.*r--*
7>
t)(,
r..
Rn\.
0v ,/t/tr l
co
I
I
t6t ,//ow
t14
FILE NO:Irt -\ttL..11
1 / PHONE (503) 687"41869740
,LANNING DIVISION / ENVIRONMENTAL MANAGEMENT DEPARTME NT / 135 EASI 6TH AVE. / EUGENE' OR
ryT
\
\
\
I
I
s.l. #77
TRS T q Location
B lock
-
SITE FEASIBILITY REPORT FOR SUBSURFACE AND ALTERNATIVE S
Subdivision
Lot
APPLICANT'S NAME AND ADDRESS
EDI
9/
Phone-
(No)--
OWNER'S NAME AND ADDRESS o
Mail report ," (y'lApplicant ( ) owner ( ) Prefer to pick up. Calt (owner, etc.) when readY
OTRUCTURES N
PROPOSED USE
WATER SUPPLY
OF PERTY
OW ON THE PROPERTY
o
-r)WITHIN ONE MILE OF THE CITY OF
I hereby certify that the above statements are true and accurate, and that I have the lowing legal interest in the property: ------:-.owner of record;
contract purchaser; potential buyer; realtor or agent.I further that (if not the owner) I am authorized to act for the owner of
record, and that said owner is aware and appro-ves of this action
rESr HoLES a*ov "7- ,3O' 7 Q
LAND USE M ANCE
7,(TOTAL)
* * * * * * * * * * * tt * * * + * * * * * * * * x * xQfFlCE USE
ature
Y BELOW THIS LINE ** * * * * * * * * * * * * **'lt* ** ** t+ * * * *
SITE: ff TS STATE STANDARDSMEE
Ylus -t/4lutt
dl4?"t4!0y19-
DOES NOT ME ATE
,/N// tullhr; /6D/Vru
\Y-UL 4t e,4
DS.
Zoning
'A"r."g" or Lot Size
./1"Ud fu-Partitioning #
"ll,fr\{het Parcel #
( ). Completed
D(Pendingot-
A/UAa*,,LF/- Atrul
il,M,
%u)7rrood,llddb V/u"QP,lt/Ud/-
RELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSU ANCE OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDI-
TURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RI SK. IF SITE IS APPROVED, SEE REVERSE SIDET
r
AUTHOR I D SIGNATURE
Division of Water Pollution Control
LANE COUNTY DEPARTMENT OF ENVIRONIVIENTAL IMANAGEMENT
c55-32
AUTHO IZED TURE
Processing Section
ATE
125 EAST 8TH AVENUE, EUGENE, OREGON 97401 687-4061
,nr "TAAz-7/7/
,rr" Z/ea/Z ?
r\
OAR Chapter 340, Division 7, Section 72-020(61: This report shall remain in effect until issuance 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
for a building permit. Exact specifications for the sewage disposal system willappear on the permit.
lf the pioperty is only a portion of a tax lot, a partitioning or subdivision must be approved before thepermit will be issued.
Only persons having a valid license issued by the Department of Environmental Ouality under ORS 4b4.6g5to install subsurface sewage disposal systems or an owneror contract purchaser or his regular employees
may install subsurface sewage disposal systems. A certificate of satisfactory completion will not be issuedif persons other than the above perform the installation.
r(
(
t# 19-ffi
'()
q'
LOGATION: TWP. IJ
zoNINGr €A
SIZE OF PRoPERTY: fR y t -tLl
gpd
SITE EVALUATION WONTSUTTi
RANGE O.L_ secrron_!f11,.!TAX LOT # 1SOO
AMOT]NT US$LE AREA:
WATER SUPPLY: COMM1JNITY PUBLIG
SUBDI VI S ION/PART IT I ON
IF SITE }METS STANDARDS FILL OUT:
Type of structure and approximate sewage flow:
Mr l ti- f ami ly
Corunercial
cPd
MINIMUM DESIGN REQUIREMENTS :
Length of disposal trench required
Distribution Method: Equal
Curt,ain drain required: Yes
INDIVIDUAL
LOT BLOCK PARCEL Z
a E]
Single Family
Industrial
8Pd
gPd
8pdIns titutional
,i;u-GXIW
/150 gaL.
Serial
No E
Other:
SPECIAL SITE CONSIDERATIONS OR VARIANCE OPTIONS OR OTHER ALTERNATIVES:
)('
NAME:lZ A,t " 11
c74-L26
,tnut)DATE OF EVALUATION:Jt
PROPOSED USE: -Si=(.)
EfI
I
sr#
DOES NOT MEET MINIMI]M STANDARDS.
ADI,fINISTRATIVE RULES PJOUIRS 4 MINIMIJM DEPTH OF:
36 inches to an impermeable layer
30 inches to a restrictive layer
60 inches to a permanent, wat,er table
24 inches to a temporarily perched water table
OTHER REASONS FOR DENIAL
ST OLE
ON YOUR PROPERTY THE DEPTH
I^IAS:
inches
inches
inches
inches
#t IEST ^-;LE #z r \r/
SITE DOES
PROFILE PROFILE
Inch Inch
L
Fc*fi*s;.
4,f s;l*L
lxf,,i
dsL
Yl,A5;L
l,tgfi)1-
ieldu
(f'{
48
60
t2
24.
n
36
L
12
48lfl
60
24
z1
36
PREDIGTED WATER
Effii"
strictive Layer
tWQ 4n 1A in
sLoPE ,l,w 0 y"
I
/ina.lLrI
tt I ing
111+ in
SATURATED ZONE
redicted
ate
served
s Layer
l_fl o
in.
Predicted
Observed
Date
SATURATED ZONE
Restrictive Layer / i"
rmpervious Layer Tin
rrtb\ht'
+1n
)r-
Zt
E /o
hin
1n
Mottling
PERCHED WATER
Predicted
1n
1n
Predicted
Observed
Date
Observed
Date
PLOT PI,AN:
SEream
-.-----rfi.
Drainage or
pond
Road
Test Hole @
\ % SloPe
Cut Bank
-./t (rr
Fence
)(- X-X
tr
tr
tr
S
t
*i- ..
TRs, TL /FJa z-?-2- $/ - 4 so o
Flot frlan
Job Locatton (Addr
PeraLt #
Pernlt #-
PermiE
For
For
ror
/)/) i1 t "
tl
6*, , r )rr--"
-ttg c t,L
t r tu -.'t\
7
Permlt #
Permlt
Perntt
7D
.-1 L
/rArt
( t
-t/ 4
Ns s 'f t-t L'
l i-"- |
.lG.
-t a,L'
For
For
Subdivision
Lot
p
d'#-
S'
\-S
N
*
*
I
#t?t
/ci
\t.
1(tB K
{\
N
\fN
.],1
ttN ,V't $
:J)
V1clnlty Map *jr
L,A
C-nA-UZ---,re
--F
--ts
\
$-
(
lane countyHOtI' SIIP
APPLICATION #
Name
Address
Zip Code
The Lane County Water Pollution Control Division cannot proceed
with processing your applicat'ion because:
l. incomplete appl ication ( items deficient).
f,l
Address and/or directions to application site.
Proposed Number of bedrooms in dwel'ling.
Approvable plot plan (see attachment).
Notifjcation of date test holes w'ill be ready.
Verificatjon of existing system required (memorandum
explaining this procedure attached).
Two test holes (2'X4'X5'deep) required for expansion
or repair of ex'isting sewage disposal system in the
area of the proposed drainfie'lds.
0the r:
2
3
4
M74 - 181
WATER POLLUTION CONTROL DiVISION /I25 EAST Bth AVENUE / PUBLIC SERVICE BUILDING
ENVIRONI4ENTAL I,IAIIAGEMENT DEPARIMENT./ EUGENE, OREGON 9740I bU/-4UbI
DEPARTIIENT OF ENVIRONI4ENTAL I1ANAGEMENT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
x Job Address lA*o3'2e-4Y s-l
':liuti:Appl ication for
Structures now on the prope rty
::*l $Bd.:...$$c.,:,:g#:,,,$repCr?ti{iti ,if,{- ii
Affidavit: ,, l/O frra , Wd#,*1#n# E/ , hereby certify that this information is true and accurate.
If this application is for an agricultural buildin( it will be used for purposes allowed by the State Building Code and
Lane-.County Code Chapter i0 (zoning) and for no other purpose. I have the following 1ega1 interest in the property:
_-J(-owner of record; contract purchaser; lessee; holder of an exclusive option to purchase;' duly authorized to aaa Tor the owner, who is kno-w]edgeabte ofTfrTf application.
Si gnature/AddresiT z1
Hhen
Olner
Contrac tor
Contractor's 0SR#
permit is ready notify
Tel e
SI test holes ready
or Da te
Con trac tor !v: t-t mail / phone
z1
z1
Phone
Phone
a44* 2<t. ?#
ing byx
If Commercial
Residential:
: j:#iiiiuf.iiji$t "uil:en:,_,#t,,,ia.f,,i,n +.t ::
-
# of employees _#j$,,,#ilr$ffiii,
,i$$.*,fii' , Existing, BP #
17 Proposed, SI #
::J:.i:i::'! !.
::ESe.
SE$ErtFfifufi:.
,$ctiii:,,tiilili:.,ur,: ,,ffit,t,,
,#,,:r+fi,,..S.:SUf:,: ,'S{$ti,Vai uati on Fee
$
$
Total Valuation $
$
$
at
at
each
each
$
/_t
Rece i ved
Water Supply
Proposed
Year Instal led
Existing _
4% State surcharge
Plans check fee
Change of 0ccupancy
$
$
$./20,4
Subtota l
TOTAL
$
$
$
PERMIT PROCESSING Zone
Minimum setbacks ' t , front
'4-Part. #p6p6"1 6 -A eu"r"t s:re 87 X l-/Y
, side i nt.rea r
Comment s
To be typed on permit
(
Use Classification
By Da te
CP&I Type
To be typed on permit
Group.Fire Zone
By 0ate
Phone
For plans information call (area inspector)
Directions to site
/-/ srFo Pl ans to Date
Requ i red
Hold Slip
to PCC
Da te
Compl eted
CP&I _ set(s)
t^/PC _ set(s)Date to
PCC,ffi
/7 Planning
/-/ PuOtic Works
/-/ Elevation /-/ nla
/7 Address
/-/ F aci I i ty Permi t
/,/ Environmental Health
FoR INFoRI'IATI0N about progress of your appl ication cal'l
c74-L7L
Permit Control Center 687-HELP (687-4357)
Appl i cant
I
l(n K
,*r,., TL / f -^ t<-?a ' '(l at $'o o
Plcrt Plan
Job Locatlon
Pernlt ll
Permlt
Pernit
For Pernlt #
Permlt
PermLt
lf For
For
For
For
Subdivision
Lot Block
f ,dMo
n.
s.
Nt
N t,,'= J.eo,,
/+frbE /-
r4/
l0 L
r
a
E*t sTt,trc
boo54
tl uatA
Fft,, A E L
h
t{'
frr-le
I
7o
4E
c74 - 150
Vlclnlty Map
NOV fr ST
(
$
a?
v
(o
lone
! I-J.
Water Polluti.on Controlfft t Q9o.^.)
Surveyors
_Soi1 & Water Conservation Distrlct
Subdivislon Engineering Transportat lon Operat ions
. Constructlon Pennits & Inspectlon Real Estate Acqulsitlon & Ilanagement
- Transportation Engineerlng Environmental Health
- Transportatlon Planning Communlty Development
__Eugene Water & Electric Board Pacific Northwest Be11
Paciflc Power & Light Company Northwest Natural Gas Company
P.U.D Light & Power Oregon State Highway Division
Soil Conservation Service I'ire District
Water District School Dlstrict
:-:., Cltv oftc--
FtrICf IW:
U
Comments:
Lane County Planning Division, 125
Courthouse/zuU1ic Service IJuilding,
East 8th. Avenue
Eugene, Oregon 97401 (phone: 687-4L86)
Subject: Dtvislon of Property
The Land Development Revj-ew commlttee will consider the attached (minor) (rziotr)(partltion) (sur'*r#roa) f or (prelimlnary) (#ia*I) approvar on
Date
Name of Plat:
Section. ))-q.Ll TLII:Ll cl On_q <'co
w Send written recorunendation to the Subdivider and the Secretary of the
-Larre
County Planning Commisslon at least two (2) days prior to the meetingdate noted above.
Please check easements, make any changes necessary and return one copy toLane County Plannlng Dlvlston.
A dwelllng exlsts on Parcel /11 Parcel /12 meets DEQ standards for SDS
ci4- 18
see SI 79-599. U. Miller August 20, 1979
/
tt
PAh- ..IONER:
l
lane county
NA}TE:NORA STICKNEY
ADDRESS, 81 NovA sr.
EUGENE, oRE . gll;01
PHONE:726-71+9J+
IMEREST IN pRopERfi: Owner
(Indicate one: owner, contract purchaser,
option hol"der, other)
CX.INER OF RECORD:
NAME: NORA STICKNEY
ADDRESS: 0r NovA sr.
EUGENE, ORE. 97lrOt
WATER STJPPLY:pnnurr //:
SEWAGE DISPOSAL:s.r. //:
ELECTRIC SERVICE:
ZONING:
'.4)b
PHONE:
TAX LOT:cO UAP #:
DATE SuBMTTTED: '1 t L ?'7
RECEIVED BY: 1,-
HEARTNG DATE: -l ' ':(.' -71
,l
.f a
.?/-,(t:cFEE PAID:
for offlce use only
Acting Chairman, Land Developuent Review Cormittee
4,Q
r'<e f
appr(}va,I
Date
BY
rric init y llra,p
KirLAu<>i t<-
lk^,lug^t l'-{(
FILE NO:*1:>v,
I I'{AP PREPARED BY:
PLANNING DIVISION / ENVIRONMENTAL MANAGEMENT DEP.ARTMENT / 135 EAST 6TH AVE. I EUGENE, OR 97401 / PHONE (503} 687.4186c14-15 sheet 1 of 2
---J
I\A
- 22 .44
,
I
l(i v K A\,-r
Ti MryT
I ORN
MAJOR Pa,rt it ion lane county
I /,u/,g evi& aa
%"oe/ *a 4*"y'orbp
\
\
\J
?C-
a
-l-
on ///
t 11'
t14
,/
/7 -a-e,. t<2
*,
u
fi5 Sr
, t (Sas \Sre rsz )g,q{ Uryeft '(9|''{"0'/?Y
h=
?ttw),,/
f"
E
It)<)
I 6l l9 .5wb,c\
*^
Qhr,5
+
6
SCALE:FILE NO:vlln- \-'tL
,LANNING DIVISION /ENVIRoNMENTAL MANAGEMENT DEPARTN/ENT / 135 EAST 6TH AVE. / EUGENE, oR 97401 / pHoNE (503) 687-4186
{
\
I
I
LAi..'*E COU NTY, O R EG O N
) EPT. OF ENVI RONM ENTAL MANAT.--rM ENT
CONSTRUCTION PERMITS
A INSPECTION DIV.
GCIFIFIECTICIN NGITICE
JOB ADDRESS DATE
TO (-BLDG. PERIMIT
NOT RA
c55 73
FIE-INsi
Phone EiElT-4OEiEi AP
FIEGIUIFIED
INSPECTOR
CORRECTION NOTICE
I.ANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT
Conslruclion Permits & lnspections Division
EUGENE, OREGON
This building or struclure does not conform to Lone County building regulotions, ordinonces or codes
os noted below:
RE.INSPECTION REQUIRED
FOR APPROVAT
lnspector- Date-
Building Permit #
c55 -7 3
L,ANE COUNTY, OREGON
DEFT. OF iJNVI RON M ENTAL MANAG EM ENT
CONSTRUCTION PEBMITS
A INSPECTION DIV.
CGIFIFIECTIGIN NGITICE
JOB ADDRESS DATE
TO BLDG. PERIVIT
NOTE:
css'73 ,.E-rNsipEcrtcrN FrEorJlFrEE
Phone 6,El7-4o6,5 FoFl ^APPFlclvaL INS PECTOR
CORRECTION NOTICE
TANE COUNTY DEPT. OF ENVIRONMENTAT MANAGEMENT
Conslruclion Permits & lnspections Division
EUGENE, OREGON
This building or struclure does not conform lo Lone County building regulotions, ordinonces or codes
os noled below:
I
;
I nspectorC5'-7 3 FOR APPROVAT
Building Permit #
,u"/l-/*-fr
II
,
adt/-tL-, t
l,,l
,I ,A a I lt.{"t
v
REQUIRED
i)
,
k/K PARTIiENT OF ENVIRONi,IEi,ITAL I,lANAGEI'1ENT
PSB, ]25 IAST BTH AVENUE
EUGENE, OREGON 9740I
Assigned Numbers
/
Appl ication #
Job Address
Township, Range, Section, Tax Lot /7-03"""i4,1 Ta
Subdivision
Citv _
Lot Block
Appl ication for
Stluctures now on the property
Proposed use of property:Residential /7 Commerciai /_/ Industrial /_/ Publ ic
hereby certify that this information is true and accurate.
ses allowed by the State Building Code and
D
Affidavit:
If this app
Lane County
o ease n
'I ication is for an ag ricultural build 'i ng it wi1 I be used for purpo
ose, I have the foCode Chapter I0 (zon ing) and for no other purp 1 lowing legal interest in the property:
rd ; \1 contra
to T&-Tor ttre r-nowl edgeau le
ho 'lder of an exclusive option to purchase;
I ication.
e
Phone
Phone
ct purchaser;I essee
owner,'ls S
S i gna ture/Add res s
ne
l^lhen permi t i s ready noti fy:/_/pl icant
or
Owner /7 Contractor !y: /-/ nail
z1Owner
Contrac tor
Contractor's 0SR# Pl umbi ng by
If Commercial
Residential:
Code
# of stories
i of bedroomt ;..
# of employees _# of units
SDS: /-/ Existing, BP #
/_/ Proposed, SI #SI test holes ready
Fee Sq. Ft. or Unitt Fee'l/
Total Val uation:
/'0 Plumbing fixtures at
.3--Sewer/water conn. at
$ d'{}, #y'/' $
pt
*
*3p $- each
$ each
Subtotal
$__--
$
$
/-/ Casn
/{cnecu *7'Received by
Water Supply
Proposed
--Year Instal led
Existing =-_-
4% State surcharge
Plans check fee
cfinrEt..ur.tceupa''t t A''/i1'/
TOTAL
PERMIT P ESSING Zone
Minimum setbacks, t t
Comments
I,JATER
Instal lation speci f ications
It
Part. #
gal . tank;
, side
Parcel # .?-Parcel Size
int </; rear
Da te
ft. of drainfield; max. de pth of trenches
Hold S)ipto PCC
By
To be typed on permit
Te ne
Di ti ons site
/_ t stro Pl ans to
Permi t
Hea I th
CP&
l^/PC
set
set
(s)
(s)
Da te
Requ i red
Da te
Cornpl eted
Date to
PCCLt ceat
/-/ y/Pc
/7 Planning
/_/ Pu]lic t,torks
/'./.{levation-'/ / Address
/-/ Facil ity
/-/ Environmental
-Et-
a
FoR INF0RI'IATI0N about progress of your application call: permit Control Center 6g7-HELp GB7-4351)
" .t/\ k
4
r -\J (zip)
tt e*h: fo
(zin\
} DO NOT WRITE BELOI"I THiS LINE
Valuationts @vd;
!/(/
# of Sites,'a88 b
(
To be typed on permi I
2-Ll