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HomeMy WebLinkAboutPermit Building 1974-06-21IANE COUNTY BUITDING PERMIT OR MOBITE HOME USE PERMIT BUILDING [-.-] MH I PERMIT NO. '!RTY OWNER'..<,-MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY I,OCATION _ INCLUDE POST OFFICE PROPERTY TEGAI- DESCRIPTION - METES, BOUNDS ditlon Lo Haze lrood Bls€k L RANGE SECTION TAX N CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY 0wellirr,, APPT. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existi Sewo e TYPE CONSTRUCTION New BDRMS VALUATION m SQ. FT SEWAGE DISPOSAL PUBUC tr SEPTIC TANK n PLUMBING INSTATTED BY OTHERE OWNER WATER SUPPTY PUBTIC OTHER: NAME OTH ER F EESBU ITDING WASTE DISPOSAT PI.UMBING PTAN REVIEW PARK TRAITER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT-OR SQ. FT prtio until thc locrtlo dralnficld is datenlni TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT BI.DG. SETBACKS FT FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT SIDE EXT.REAR AUTHORIZED SIGNATURE _ DATE- '1: BI.DG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUITDING _ GREEN SANITATION - GOLDENROD call 687-4065 to schedule oll required inspections. All consrruc-rion sholl comply wirh Uniform tiuilding Code, D.E.e. stondordsIMPORTANT: for subsurfoce sewoge disposol ond coinry regulolions coveringplumbing. All buildings require o cerrificorl of-occuponcy beforEbeing occupied. (See Detoils on Reverse Side) (POST THIS pERMtT ON MA|N BrDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONATENTAT MANAGEAAENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu !1 655- 13 DATE 0se1r Nu(,NN v/h 6:I A oo( Sle /xE -- {3+ &-{ lwvWl#'A b tr J t N\9 I4{ T Ril l*;i'lt'P {i t't *d.,r&, f,r Jost *28) \s?A) \ ) <av'l? \ 7,PUE ) I I [dE,S E tw Hi] By JUN 1 ? 1974 LANE COUNTY ENVIRONMENTAL MGMT' tog>-7/ Record 6f Indl,vidual oewage Lltsposar Dysrcrn BY TNSTALII&* I PERM!T oyd f,mold Btilding pcrmitN--- lloiling SIffCH ltr Lrlrairrl: € \ f/ /4 fee t tite I -inches s i I ff, il o,Bo x = 4 .J fi E =ar.l-.5 too) C\f o !t SUrt TO INDICATT NOTTHfltY Srgnoturc roR usE or s^Nr^r,l4,ll Sptcm opgorcatly AIp ,MENT (a ONLY: 'AN IIARIAN {bitooc"red l. JZ.a-- nts / I r Totot aombcr: Uriag .oiJ Wotcr supply by: Prblk ladhirir''l Scatic toal: Dbtorc Feti. Totol hagtt \rYidth of trcach Totol {lon tootogc Dirtoncc bctrcco lir*:* TTpc of filtcr ootcriol: losement: Ycr D No unity system- of compcrt/e ridth - - ? ft. Lot line: Front fr. well Nd 4J L ft. Neorest I ft. lnside d .lr Totol liquid gol. Inside f- tt.Dnmctcr- - - ft. Uquid dcptl fih dirposol ficld:Ycr I tto51 kngth coch liac 7r:i'id ft. Dirtonce from: ft. toundotion Depth LO_ - feet Othcr- or.t 613 -a . inthrr.Dcpth o, filtrl mtrrbl I {-i d!s.)<ts t--- ) ) function sotisfoctofly, ond is therelore 2-/ /z- c so/ .trltDt{ lvlNlt{Noul^Nt AlNnoC 3Nbrt b/61 L T NNI [t8 fi$/il3CI U /,y' ,6-&t-Q 6 rAx Lor- CENSUS TRACT- ( ) Building Permit Application No' APPL I CANT:1sNA}1E ADD ( ) 5ite lnsPection ( ) Pre-Permit lnvestigation COH}IENTS: BUILDING INSP ECT ION SECTION 5. Plans Submitted 7. Soil Stabil ity (footings) 8. Flood Plain g, 0ther (see Conunents) Zon ins 0rd inance ??:i: "yfo ) Subd i v is ion ord inince Efrffiice Requ i red Access Building Site (Area, llidth' .\- Frontage, Setback) Other (see comments) PHONE DATE NAI'IE OATE NOT YESNO () ) () I icable ( (l () () () ( ( 2 3 4 5 ( ( ()2. NO YES () (/0 NA},IENOT ,ppriseus-r)@i,^i4 () () ) (( () () ) () CO}IHENTS: SAN tTAT ION SECTION t0. il. t2. t3. Sewage Disposal Usable Area Water Supply 0ther (see Comments) ecab NOT app t NO YES ( ) () ) ) () () () () ) ) ) ) TE CO}4}4ENTS: TO APPL ICANT: .rYou r,+,,Building Permi-t / Site lnspection: Can be approved. Cannot be approved at this time as indicated on item N0.\above. ntact the Lane- at ion on i6; 5 n Division. V ,').w Questions and further information on items I through 5 co COUNTY PLANN ING DEPARTI-IENT. QUCST iONS ANd fUTthCT iNfOTM through I l contact the Lane Count Bui di and San i ta lo () () () t/ill be held in this of ce unt i you can resolve the pro ems I i cated. ls being returned. Your building permit application fee is being returned under seParate cover. I.ANE COUMY PI,ANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4L86 I.ANE COUNTY ENVIRONMENTAL MA\IAGB{EIIT 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4065 c55-28 B U I LD I NS1 s lT E, EVALUAT I oN Js/c LANE COUNTY PLANNING DEPARTHENT 4 ,4 DATE IANE COUNTY BUILDING PERMIT OR MOBITE HOME USE PERMIT BUTLDTNG {ut MH E PERMTT NO.,. PROPERTY OWNER llnriclro. Ernarl MAII ING ADDRESS ad PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION - INCTUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS Blo.k 3 Lot 12 RANG E SECTION !6 TAX LOT NO CODE CENSUS TRACT t7-t86 Htral EXISTING STRUCTURES ON PROPERTY &*rl I ingAPPI.. NAME & MAITING ADDRESS IEGAI. ACCESS TO PROPERTY Sragn Avenua PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existin Sewo TYPE CONSTRUCTION New slem STRUCTURES TO BE BUILT THIS PERMIT se FT l2 BDRMS VALUATION lsrr (Ftllv rw) SEWAGE DISPOSAT PLUMBING INSTALTED BY OWNER n OTHER: NAMEPUBI.IC BUI[DING WASTE DISPOSAI. PTUMBING PTAN REVIEW PARK TRAILER TOTAL SEPTIC TANK FEES WATER SUPPTY PUBUC ! tr OTHER COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEID REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OF STRUCTURE olcuPANcY z9NE PUBTIC UTI[. EASEMENT BI,DG. FRONT SETBACKS rT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE 3 BLDG. PERMIT _ WHITE OFTICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SAN ITATION _ GOI-DENROD Coll 687-4065 ro schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posr THrs PERMTT oN MAIN BLDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu*655-13 OTHERN SITE INSPECTION Appnoveo D Drsnppnove, D Reuanx s Dare I Hspecron FOUNDATION I NSPECTION AppRovEo Drsappnoveo Dar E 2 PECTOR Reulnxs FRAMING INSPECT Appnoveo Re uanx s Dr srppRoveo Darr 7-I xsprcr I LATH OR AppRovEo RENlnx s oo,, 4"2 3-- f(I Nspec ,oL,r /t FINAL INSPTCTION Ap pRov e o Reuanx s D oor._ ?'l/ - kDr sappRoveo I ruspec CERTIFICATE OF OCCUPANCY Reaov ro lssue REuanx s Nor REeov ro lssue Drre I usprcron l/001-7 7?oo a"7e J d' 4r/- Dt srppnoveod FT I.ANE COUNTY BUILDING BUTLDTNG [_-1 MH I PERMIT OR MOBIIE HOME USE PERMIT PERMIT NO. PROPJRTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE E7\ PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY I.EGAI. DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPI.. NAME & MAILING ADDRESS TEGAI. ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existin Sewoge System I New TYPE CONSTRUCTION SQ. FT BDR MS VALUATION m STRUCTURES TO BE BUILT THIS PERMIT SEV/AGE DISPOSAT PUBl.rC tr SEPTTC TANK tr OTHERE PTUMBING INSTALTED BY OWNER ! OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PI-AN REVIEW PARK TRAII.ER TOTAL FEES WATER SUPPTY PUBUC tr tr oTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIELD REQUIRED IIN. FT TRENCH WIDTH FT OR SO. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEA,TENT BTDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CI.ASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFTICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUII.DING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspections. All construc- rion sholl comply with Uniform Building Code, D.E.Q. stondords Ii,IPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering plumbing. All buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posr THrs PERMTT oN MAIN BrDG. AT SlrE) IANE COUNTY, DEPT. OF ENVIRONMENIAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih. EUGENE, OREGON 9740Ironu Jf 655- 13 -I /art'l--l€ffi=FL00R PLUMBING GROUND/ORK AeenovEo ruDrsappnovro Reuanxs oorrb4Y-?t I Hsercron GAS PIPING GROUND/ORK AP PRov E D REua nx s D DrsappRovro D Dare I nsprcron ROUGH PLUMBING AppRovro Reul Rx s DI SAPPRoVEDry D r*DL-ry-lrsprc ROUGH GAS PIPING Appnovco D Dtsappnoveo D REManx s DarE I Hs pr cron FI NAL PLUMBING AppRov r o RE MARK S y'?-2? APPROVED Da SPEC FINAL GAS PIPING Appnovro D DrsAPPRovE, D Rruanx s Dare I usprcron CERTIFICATE OF OCCUPANCY Reaov ro lssuE D Nor Reaov ro lssuE D Dorr- RE MARK S I xspectoR - Cr# -\.,---IANE COUNTY BUITDING PERMIT OR MOBII.E HOME USE APPTICATION PERMIT TYPE - BUILDING MOBTLE HOME I OSC REG. # ADDRESS PERMIT OWNER MAILING PHONE 7 co PROPERTY PROPERTY TOCATION _ INCIUDE POST OFFICE PROPERTY LEGAT DESCRIPTION I.OT-BLOCK_SUBDIV./5/'aatr 3r*METES&BOUNDSXYES ATTACHED NO '*2<RANGE SEC.TAX tOT CODE DESCRIBE EXISTI TEGAT CENSUS TRACT g(" APPTICANT NAME AND MAII.ING ADDRESS FOR MOBILE Number of Bed CTURES ON PROPERTY IF ANY PRoPERTY _ RoAD NAME OR # DEPTH AREA ERMIT ONLY Connect lo Existing Sewoge System or New System Req. E STRUCTURES BUII-T THIS P TYPE CONSTRUCTION se. FT. # BEDRooMS vAtuATloN 53 FEE RECEIVED PERMIT # FT, SEWAGE DISPOSAL PUBLIC SEPTIC TANK tr OTH ER FEES WATER SUPPTY PUBTIC OTHER PTUMBING INSTATI.ED BY OWNER OTH ER PTANS FURNISHED YES NOE SIGNATURE OF /2."u ONS FACII.ITY PERMIT NOYES BI.DG. WASTE DIS. PLUMBING PI.AN REVIEW PARK TRLR. PI NG FEES FIXTU RES / Q o.oo DATE TE TOTAL MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI. SEWER CONNECTION FEE PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION DRAIN FIELD REQUIRED tIN. FT. TRENCH WI OR SQUARE FEET <_ TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD PUBLIC UTII.. EASEMENT l/ BLDG. SETBACKS - FT. FROM CTR, OF ROAD RIGHT OF USE CTASSIFICATION RONT SIDE INT SIDE EXT,REAR PTAN N I Dqle Form # c55-12 Dote BI-DG. -H ions lo Find Property: COPY 'I _ OFFICE COPY 2 _ JOURNAT COPY 3 - AUDIT 27-:-@6- liPFl. ilELo CITY OF SPR OFEGO'V O EV ELO PM ENT S ERV I C ES D EPARTM ENT Springfield Police Departnent Springfield Fire Department Lane Council of Government 9l I Dispatch Lane County Elections Sanipac Rainbow Water District Springfield News 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 November9, 1998 Arlyss Silvius 3906 Osage Street Springfield, Oregon 97478 RE: Previous Address Change Notification Dear Mr. Silvius: I am writing in response to the previous notification you were sent regarding the pending address change for your property located at 3906 Osage Street, Springfield, Oregon, also known as Lani County Assessors Map Number 18020614, Tax Lot 08900. Following the neighborhood meeting which was held on August 25, 1998, a number of meetings were held between our staff, legal counsel, and emergency services. Fortunately, I believe, adequate resolution has been reached for all involved. Jasper Park Subdivision to the west of you will be addressed following the City's standard addressing policies, i.e., the even numbers will be on the north side of the street and the odd numbers will be on the south side of the street. The new street in the subdivision that runs north and south will be named Hazelnut Lane instead of South 39h Street, which will allow us to continue to use the 3800 numbers in the new subdivision. Although these numbers will not align with addresses in the outer vicinity of the area, they will maintain sequential continuity. The City's sequential addressing policy for the north/south streets will result in the odd and even numbers "switching sides" where the new suMivision meets with the existing residences. The Public Works Departrtent has agreed to place a sign at the City limits sating that the County addressing system will be in effect once you leave the City limits on both Pinyon and Osage Streets. I will be sending a copy of this letter to the following agencies informing them that your address will not be changed by the City at this time: Lane County Sheriffs Office Springfield Utility Board U.S. Post Office U.S. West Communications Northwest Natural Gas TCI Cable' United Parcel Servicc Register Guard Previous Address Change November 9, 1998 Page2 fication Again, I would like to thank all of you for comments and concems during this process. If you have any questions, please feel free to phone me at726-3790. Sincerely, Building Safety cc: Dave Pueng Community Services Manager Mel Obersg Planning Supervisor SPR! FIELE, September 4,1998 Arlyss Silvius 3906 Osage Street Springfield, Oregon 97 47 8 RE: 3906 Osage Street Reference Number 1802061408900 Dear Mr. Silvius: This letter is written as notification that the address change you were notified of on August 17, 1998 regarding your property referenced above is on hold until further issues can be resolved with Legal Counsel, Emergency Services, the Developer, the Planning Division, and serving utilities. As agreed at our meeting on August 25th, Dave Puent, Community Services Manager, will be contacting your neighborhood representative Tuesday to set up a meeting to discuss the progress to this point. I will be notifying the following companies and/or agencies of the hold by sending them a copy of this letter: ?fr, Springfield Police Departnent Springfield Fire Department U.S. Post Offrce U.S. West Communications Northwest Natural Gas TCI Cable United Parcel Service Springfield Utility Board Lane Council of Government 9l I Dispatch, Public Safety Lane County Elections Sanipac Rainbow Water Distict Springfield News/Register Guard I would like to thank all of you for your comments and concerns during this process. If you have any questions, please feel free to phone me at726-3790. Sincerely, Lisa Hopper Building Safety Supervisor CITY OF OFEGO'U SPF"VGF'ETD, OREGO'VCITY OF D EVELOP M ENT S ERW C ES DE PARTM E NT Springfield Police Department Springfield Fire Department U.S. Post Office U.S. West Communications Northwest Natural Gas TCI Cable United Parcel Service SP'tINGFIELD Springfield Utility Board Lane Council of Governments 9l I Dispatch, Public Safety Lane County Elections Department Sanipac Rainbow Water District Springfi eld News/Register Guard 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX(s41) 726-368e August 17,1998 Arlyss Silvius 3906 Osage Street Springfield, Oregon 97 47 8 RE: Street Address Change Dear Mr.& Mrs. Cox, Due to a recent land use approval of a new subdivision in your neighborhood, the City must change a number of addresses on your street in order to allow for additional address assignment to the west of your property, and to provide numerical uniformity for Police and Fire Emergency Services. Your property located at Lane County Reference Number l8 02 06 14, Tax Lot Number 08900, commonly known as 3906 Osage Street, has been changed to3979 Osage Street, Springfield, Oregon. I will noti$ the following companies and/or agencies of this new address by sending them a copy of this letter: This change will become effective 60 days from the date of this letter (October 16, 1998). Please change your street address numbers on your home and on your mailbox by this date. I am enclosing address change cards for you, which have been provided by the U.S. Postal Service to help with your address change. I sincerely apologize for the inconvenience this may cause you. Ifyou have any questions, please feel free to phone me at726-3790. Sincerely, Lisa Hopper Building Safety Coordinator Ll -G 4-1 ePc< ,+ -t6!Lane Coun\fnaosLh y Authori zation for' r-ro fK 2rrzca Application/ @Permit L1 / ,/- OFFICE USE ONL} 8.{ d PROPOSED USE OF PROPERTY ! nesidential E commerc:.al f, lndr"t.:..t l-l puuric CIl'Y ZTP '-4>762 DECI.ARED S VALUE4tW* WATER ] n.-gpou.a {f,xisting +18'85sDATE YOUR AUTTIORIZATION IIAS BEEN BASED ON THE T'OLLOWING CONDITIONS ! PLANS ExA.ttINATIoN: rype VN "roun&L__ COMIENTS t Parcel Size .<-,/rea! Insta.Llation R€cord Issued? ! vu" ! n" zon"}A COM}lENTS Date s. r. f B. P. # READ THIS SECTION CAREFULLY. *interior col"[uENTs Lineal Feet of Drainfield !,taximun Depth of Trenches use I Office attached to S.F.D. Partition # Parce1 l* cr,, tr.,nn 4{ "", "id" E@NT,ZoNING: Minimun Setbacks: L PERMIT APPROVED BY BUILDING OFF'roRs4 LANE COUNTY DEPARTM ENT OF PUBLIC WORKS LAND MANAGEMENT DtVtStON, 687.4061, 125 EASTSTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION cL4-2s R* -4 s:IBDIVISION,/PARUTION (1t applrcaDle)LOI'l PARCIiL BI,OCK Ilstallation callonSpecifications: Tank o.... 4-lh@ J SETBICKS AND OTnER CONDITIoNS Or APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVo- CnTION OF T|lrS PERMIT, CITATIO:J UNDER PROVISIONS OF LAN-E Co,U:{TI'S INFRACTION ORDINANCE, ANO/OR OTHER RE,\EDIES ALLOWED .BY LAW' !iHEN READY FoR INSPECTION, CALL 687-i1065. A ITINII'IU}I OF AT LEAST 24 IIOURS ADVANCE NOTICE FOR INSPEC- ffiel.l-li.aiE_EfrE-ToIIowinginformationready:permitnumber,jobaddreg3,..t.yP€oi-ir"pi.tio., when it will be ready, your name and phonc number, and any special directions to slte- BUILDING DIVISIoN r REQUlRED INSPECTIONS: I. Foundatron Inspection: To be made after trenches are excavated and forms erected and when all materra.Ls ror rne f6indation are delivered on the job. tt'here concrete from a central mixing pii.t t"o*o.Iy termed ',transit mixed") is to be used, materi.als need not be on the job. Z. concrete slab or under-i1oor Inspectim: To be made after alI in-slab or under-floor building ffi.qtIp^-r;-.dAfir, pfFfE-;;EEssories, and other ancillafy equipmenL itens are-in pLace but-beiore any.o..ritl is fourea or floor sheathinq i.nstatled, including th-e subfloor. 3- Framinq 6 InsuLatton Inspections: To be made after the roof, all franing, fire blocking, add i;ffi ira-;-p: afrdt-t-I-FIFes, firepraces, chimneys, and vents are cohPrete and all rough electrical anci plumbing are approved. A1l wall insulation and vaPor barrier are in place. 4- Lath and,/or cvpsun Board fnspection: To be nade after aI1 LaLhing and q!'psum board. inCerior" #.#;-.ifin pf*.-Eut-EETGe any plaslering j.s applied and beiore gypsw board joints and fasteners are taped and finished. 5. Final Inspeclion: TO be nade after the bui"lding is conplete and before occupancy. AppRdvAL REeurRED. No uork shall be done on any part of the buildiug o. sutr.uore beytnd ttre ioint indicated in each "u"""r"ir. i-nspection uithout first obtaining the ipproval of the building official lr.ir-ippi"".r shall be given cnly afler an-inspecrion shall have been nade of each successive step in-tr,.'i"n"a."c!ion as indicated-by each of the insPections required' NOTEi AlI building permits require inspections for the lork authorized, such as but not limited tor A. Block vlall: To be made after reinforcing is in pl,ace, but-before any grout is.Four.ed..- This ffi"p*f i"-i"q"li"a for each bond beai pour. There ui11 be no approval until Lhe prmbing and'electrical inspecLions have been made and approved' B' ldood stove: To be made after completion of masonr:r (if apPricable) and.wllen lnstarrati'on is ffi:.ff'rn"t"ii"ti."n shalL be in accordance witi: art apbioved, nationally recognized testing agency and the manufacturerts installation insrructions' c. Mobile Home: An inspecti-on is required after the nobile hone is connected co an approved ffr "fr".pti" "V"t^"* ior setback requirements, block j'ng, footing connection ' tiedowns 'skirting, and plmbing connecci'ons' 1. Footings and piers to comPly with State foundation requiremenls for mobile homea or as recomended bY the manufacturer. 2.Mobilehomeninimumfinishftoore].evationshallbecertifiedvhenrequiredbyaflood- PIai.n managenent letLer. 3. Mobile hone Lj.edowns, when required, and skirting shatl be inslalled and ready for insPec- rion ui.rhin.;-i;;"i'30 days ifr". o"crpan.y. Tie,iowns and sklrting shall be inslalled per enclosure. Pool: Below grade when steel is in ptace and before concrete j's poured .-lE-installed Sep tiq TankE Drainfield fnterior propercY lines Edge of road riqht-of-way Buj.l"ding foundation Hells, other water sources Above gradeSwtming uhen Pool APPRoVEDPLANSMUSTBEoNTHEJoBSITEATALLaT!'{EsDURINGtIoRxINGHoURs.THISPERI,IITIIILLEXPTRE rF woRK DoES NOr BEGrN wrrHtN r8O DAYS, oR rF woii rs susPENDED OR ABANDONED EoR.Ia9I!_lElI 119^Plrs' ..SUSPENSTON OR REVOCATIoiI MAY oCCUR IF THIS PERMIi'I'{*5-ISSUED ON THE BASIS Or INCO!'IPLETE OR ERRONEOUS INFOR},I.ATION. t ANYONE pROCRirprNc pAsT THE POIN? Ot REQUIRED IOSPECTIONS WIL! DO Sq AT THEIR OWN.-"I.1SK.'.. suBsuRFACE AND ALTERNATTVE sEl{AGE DTSPOSAI SYFTEUS: i-1. t;ia""stratt ue effective for one year from lhe da'te of issrfince' 2.Uponcomplelinglheconstructionforwhichapermithasbeenissued,thepermitholdershallnotify the r,.n. cor.ty o.fa.t-"nt of planning'and comunlty Develooment bv submittinq Lhe instaltation record form. The Departsent sh;II inspect thl constrirction io detemine if it conpli€s witir tne iuies cone.ined'in this division. If lhe construclion doe! conply with such rules, Lhe Departne;a ahiit i""uu a certificate of satisfactory compretion to.lhe pernitiholder' tf the construction-'Joes-n-r compfy wltn iuctr rules, the Departnent shall notify the Permit holder and snalt require satisf;ciory "o.ti"tion bifore issuing the certj.ficate. Failure to meec the requiremencs for saEisfactoty ""i[i"ii"" within a reasonable Lime constituces a vio- ).iiio" ot oRs 454.605 to 454.'745 and this rule' Setbacks - Subsurface Sewage Disposal la 10 5 50 From:r0' 10' 10, 100 | +<?--v- D. heccurty ACTIVITY INFORMATION SHEET COMPLETE THIS SECTION. INCOMPLETE FOR}IS t.lILL BE REJECTED! D*ru D€RfuN 3i eb--OSAGA'IilqrtlnG' no'oRE"sS hob @srM-E- l,rhrfrNE Aobn'ESs ??EUM q"q79 *et*b FLet$ 0 rz ?7?7q C ITY 7?6 -s,z/ STATE ZIP CODE C ITY 74A's33 / STATE ZIP CODE 7/C'776?7/6 A7C4 ffi HO-MTTELEPH(]NE # BUSINESS TELEPHONE # HOME TELEPHONE # 2 PROPERTY ADDRESS ( rF DrFFERENT rnO 3 marr c FAHoTL NlJMarFt (from tax maps in Department of Assessment and Taxation R UIRED INFORMATION)or frorn tax statenrent)8?0 olb MINSFIF oz mm ob,l SMTTM ,l W I AL ZONING MENSH.IP AMGE SEETMN o0leo ffi ffi ZONING MMNSH-IP MNGE SEETTON TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ZON ING ACRES 4 SUBDIVISION (if applicable)LOT BLOCK 5 REQUEST (s;tate exactly what you plan to do) ttVk_S-[...&n'o 4n/O m*6, /T A/ DFtre€ - 6 DIRECTIONS TO SITE:sz .?t ro 5. 2-I,AU (EtrT ru LD 7D <4 sr h?u-r€ O^/ 2J4zt€ ** FOR STAFF USE ON Y** zoNE/LAND USL BY : - DATE:- TIME I N:- OUT:- ,3vo NUMBER DATE -t7 l./1 d LAND MNAGET-IENT DMSION / 125 E. 8th AVE., EUGENE, 0R 9740'l / 687-4061 I DnN HeN>s€-sort PROPERTY Ol,lNER ,/-?*{ TRS#-op_-o ENTS FRONT DATE ISSUED: t{- I 5' PERMr *1 LUMB REAR .' SDS APPROIIA.L REQUIRED 3 I ,,{.- TE TIApproved Date I NTER I OR Correcti on Date L SIDE *t LE T Insp ector I ZED PLUMB I NG ROUNDWORK INSPECTION Approved Date Correcti on Date Inspe ctor UNDE PLBG. tr PLBG.PECTIONApproved Da te Correction Date Ins p ector OTHER INSPECTIONApproved Date Comecti on Date Ins pector ROUGH P rNG (TOP oUT)I NSPECTApproved_Date ION Correcti on Date I nspector Correcti on Date 7-f,-B{ inspecto r ROUGH M I CALApproved Date Comecti on Date I nspector EI Da te ?-4-s{ /Correcti on Date Correcti on Date Ins pe ctor App U roved Da Ins pector FINAL ME I CAL n /w00D s E Approved Date Comection Date I nsp ector FINAL PLUMBI NG INSPECTIONApproved Da te e Date Correcti on Date Comecti on Date Ins pe ctor Inspe ctor CERTIFICATE 0F 0ccuPANCY n TEMPORARY CERT FICATE OF OCCUPANCY Approved M74-t97 Date Date Ins p. -.1 LANE COUNTY INSPECTION RECORD te Insp. Approved_ L}NE COUNTY, OREGON DEY>T. OF ENVIRON M ENTAL MANAG EM ENT CGIFIFIECTIGIN NGITICE JOB ADDRESS TO NOTE: CONSTRUCTION PERMITS & INSPECTION DIV. DATE BLDG. PERN/IT d./J)DAJ o \ t cs5-73 ECTOR FlE.INSPECTIclN EIEOUIFIEtrl FclFI APPFIOVALPhone eiE T-4OE