HomeMy WebLinkAboutPermit Building 1978-12-06TRS, TL: 17-03-22-4-4 * 31oO Subdivision: Bu.tra vLrta' Lot 4' Block I
This permit for the referenced property is hereby appnoved. 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.
. POST THIS PERMIT ON MAIN BUILDING AT SITE
zBtB wnv Sroe LeNe &
JOB AbDRESS: 276O Wayslde Lane, Sprlngfleld, oregon 97477 CONSTRUCTION PERMIT +
Applicant/Address: Wllltan C. Sheppard Jr., 1665 East 27th, Eugene, Oregon Telephone:
Owner/Address: sane Telephone:
Contractor/Address: David Shellabarger dba SheLlabarger Constructlon, 1995 Augusta, Eugener ORlslsphone:
Contractor's OS +r 9319 Total Construction Value: $361787.00
{ nstruction approved by this permit: SFD Lnto duplex, Duplex at L1O4 sq f t; and carport at 272 sq ft.
Structures nov on property: resldence
I
Water Supply: Ranibow lrater dLstrlct + Bedrooms: 6 +r Plumbing Fixtures: 9 + Employees: na
3686-78
485-L937
I
343-2929
PLANNING DIVISION Zoning: RA Partitioning + na Parcel +
lVlinimum required structural setbacks, from: centerline of road, front:
side exterior: 45 ; interior property lines: Jt ;rear property line:
Special lnstructions OK for duolex. . r
{'ic"J"r'Z;+ wi - 4 5 t seo.',eA
687-4394, Donna Lee Melss
na Parcel Size:
45**; centerline of road,
5r ,
ruqysroc->
141335 * sq ft.
For information call
WATER POLLUTION
CONTROL DIVISION
Site lnspection + na lnstallation specifications: L20q gal. min. septic tank capacity;
45g lineal feet of OriintietO required; max. depth of trenchesl Sotf
Special lnstructions: Install SDS accordlng to BP# 2466-78. Reserve
Setbacks
nterior property lines
Septic Tank-86-'
't0'
5',
50'
Drainfield--lT,--
10'
10'
100'
a replacement area for the dralnfield.
I
I
I
For information call 6g74g6between 8:00 - 9:00 a.m., Greg Gray. R.S.
Edge of road right-of-way
Building foundation
Wells, other water sources
CONSTRUCTION
PE RMITS/INSPECTION
DIVISION
Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification: Duplex
]]1!trlcr!g$i Ltem to be submLtted. See the back of permlt for requlred lnspections.
II
I
For plans information call 6A7-j167 between B:00 a.m. and 9:00 a.m., Jln tsmb
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
Coburg Road to llarlow Road., along Harlow over I-5 to llayden Brldge Road, left on Waye
I *E'ARTMENT oF ENVTR.NMENTAL MANAGEMENT
By' Phl1 rl*leylLyL2-o6-78 ?rE.itrJr"r'r'-'flfll:.'r'3gi{: 8HHs.";;.;; )I
lane countvlde'61
!'--
l
if -*
Q.
4*G
^etrH -.-
a
)L-
ruKfrlryEL -+{r
I
I
I
T
I _-*
--b-
lar\E H/5bfa,fei H//affig-R^{AAY'
t -i{
\
N\
@
=>' a+* /4.fr?t2v1' ffA4rt ntl 4e€14'/ulJt a?< -a/^-tr /74xrt EAtrEP/'r
----- fl/rJ 4Y/D Ft//-l<ubLL LZTWJT"I - '-
:'-'fr?
.,_a_..--
@F fr+tv?et' :zzJ."\//i:
4t!/ fr4
dthfr4,
aD^.P Wa*-ADUQ /r./fArKIuai+e
\
$
I
I
a*ru-rb\a-+f;, fia.o
/N LAAT/A\,A*l-?!w E1' taE c?'
b'Flalm/Pd77aL1
FIAYET& bJJg #,>t
-_2/TE rLA^/-,t-*
,J I- -'--.J-- a/*-/1A t/)\, i /c'MNt4-
lul->WaU*vtt.
,\
A TE#
aaiiL,
/2
rv tr/ /^ /F" <s;prr I ft r. ATI Dh, /4
1. I .
I
-: trWel_. MF t/ zO fL4 4 T<?-.tfr
.-+ -
r E
*--IMraryatAY,
l" = IOO'
See Mop t7 03 Z? 4 I
-L
\ 83
\
o
?oo
.300
1400
E
o
tdz
J
SEWARD AVE.
CROSBY AVE.
ALLEN AVE.
l
i -- tt'
a
a
a
La
7
o
a
4500
0
o
k-5l03
?/
Jr/-zar2 r- - .5-db.a-4,?..24,-' ,g?'r7'A
,s
I
5r02
JrA. aot6,
W.N.W.Cor.
Jocob Hol
'et.z i .
ROAD \fr rtmt:L
'iryL '
a$
p
u
0
0
hJo
v,
*
=
lt
'ooI
7900
so'L.439 o6
EoJ
N.1.
a t
/cl /2,460t
ot,
3 400
a
2
3300 3200
,,
3
!s'3too
!\,
4
3000
5
BU rN
2 s.2900 aA
6
2800
I
7I
t
!
7
,il
i 27c0
a
n
a
4:"ta 30
I
240|g^
ro
C
23m
a
il
oo
,ft'
a
5
'1
t
,,., 1) ,jm
4@
c
o
2l93
, . . ,.,
a
D
9'
300
2
3
D
a
2@
4
loo
b
5
.tI
;
600
;
27@
=
:
:
n
t
3800
iloo
\4
:)A
oo
5
o \,,900
6
j3 L
:t200
o
G
I
9r
r3@
n
2
A
r400
a,
3
01
l,. -"1
r 700
lr-
I
i
t600
-
5
t\a
r803 t900
c
,rE 9's 3' u
e. /r..r., lgOO
o
h'
2 o
2?OO
o
rd
b
r80r
oio
]1-c
D.L.C. No.47
l.78@
/2t.+'_{
)
1
5
r 500
n
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
PIANNIilc DMSION Currcnt Zoni
Prrtltloolng l_ [nending f]cornpleted
ParcGl No
Partl lon o \./
AVERACE PROCESSING
Uf
6
fi
0
t>
E
'or.
o
|t
IITTEB POLLU?ION CONTROL
llcr Slt. Insp.ctlon (.)
I of Sltec_oc
E'oH
Ho
Ho
€Fln
6DS Conrlructlon fI Neu ! nepatr
Nu.sber of Eedroomet
str I - I ol Ernpl e6
CONSTRUCTION PERHITS(S€e abovc for I of
E f.robll. nom6
tr permanen
e Tcrnporar
t
AND INSPECTION
bedroonrs,/l of enrployeea)
LADt--d* rr-lcr
FEE
s
Y b..-pt-i^.P !f] Renesal
{F lon e
G ?otal vtluntion S
\ Plumbing fixtures at S
-_- Sewer^{ater Conn. ^t t
Each S
Each 3
Subtota I t
s
s
\a . I
{t St!t. Surchargo
Plana Check Fec
Change of Occuprncy
ltlnlmlu! rt,ructural letbacka l
FroE centerlinc of atreet, Front
Exter
ENV I RON!.,I!NTAL
Ch.cL l_
AFEIDAVIT; I! thlsr*il.I be u
for nothls
TMAL BUILDING PENfiIT FEE
ior Slde \Ncr.\S
Rear +
-
Curb cut. to appl.lcant
-Tsv
ot,
5
tdtx
Fro(! intcrlor lot lines: side L.
I con-o'r plans rheet to "pprr"lF-[
t] PUBLTc rrNos ilL
Ca.h
Addre s s MinlmuJn Elevation
IC HoRxs Sp racitlty pernir
Foc'd by TO?AI. S
agr
permlt la for an agricultural building, I hereby declare that thls butldlnglcultural purposes as alloued by zoning and/or the State Building Code, and. I further certify that the statements and other information submltted ontruo and accurate. and that I have the following legal intercat in the
.; or that the omer of record is knowledgeable of this
a further alI applicable coder relatlng
of record; _conCract purchaseri Iegseer holder of an exclurlve optlon Iy authorize;fTo rct for a person wF6-hag the f6lflowing legal lntereet: bfy]
to c owner. I agree to comply /Jrth
/ _./'-"D.t.
tot INrOR!,IAT
c74-L70
Applicant'a Signature f^iltr fo< ta.c-,- ,v-
S IS YOUR RECE'--. MTO O6ES (* C'UE YOU PER}IISSION TO BUILD.
-J(-\t
^itAo
s
t
a->
S/
I
C
s
t *"{
\\3!-
s
Mlnlrnurr
\\
tion
e6
ABOUT THE PROGRESS YOUR APPLICATION, CALL PERMIT CONTROL, 687-I]57 (587-HELP}
county
I
I
:
I
I
I
I
I
lrt/i AP.
APPLIGATION
Jr.,ro*, 485-l-937
Eugene ztP.
o{z
I
.,
zo
!n
i
OWNER (IF SAIIE
ta t
l. PRESENT USE OF PROPERTY (re3identiql; typo ol lorming; commerciol or industriol; voconl; etc.)
PHONE-
ctrY_ ztP_
Str MA(" coMpIETEo pERMTT ro AppucANT/owNER/coNTRAcroR (crRctE or.rel !
Residential
!5
9
2'o
!
o
t
I
t
I
I
Eo2
l"
IN
Fl!
I
Ilxt\t'^t\
l$
I
I
I
I
I
5
r
Ir
I
Fr
It\
I
I
2. DESCRIBE STRUCTURES NOW ON THE PROPERTY. NOTE ANY STRUCTURES TO BE DEMOTISHED.Single farrily residence,3 BCrms.
nothins to be dennlished
add new 3bdm. addition
H{
Io(,
I
NJl.)
Ir
tN
rli
!r(
(,H.co
3. IMMEDIATE PTANS FOR THIS PROPERTY (THIS APPTICATION) ARE:
r. FUTURE PTANS:none other than stated above
5. pLOT pLAN. Skorch (A) oll roods (8) boundories ol property (C) existing/proposed buildings (D) exisling/p.opo3ed sewogc di3posol oroos (E) .xi.ting/proPosod
drivewoy3 (G) eosements (H) droinogewoys, itr6oms, creek3, ony oth€r perlinonl looluros. ll commerciol or industriol, show freostonding signs, pork'
ing oreos. INDICATE DIMENSIONS.
wvtJfr_-.
bo
6. rorAr.rorsrzEo*o.**o. 14r355t Sq. Ft. 7. srrErNspEcroNTEsrHoLEsREAD'(DAre)-
8. METHOD OF SEWAGE OISPOSAI.
9, PROPOSEOWATERSUPPTY WELL- SPRING- STREAM- TAKE- PIJBLIC:water di stri et
IO. EI.ECIRICITY FURNISHED BY
II. NATURATGASBY
I2. FIRE DISTRICT
r3. scHoor- otsTRtcT
BEFORE YOUR APPLICATION CAN BE PiOCESSED YOU MUSI FURNISH:
-8%xll
PIOT PIANS
-IEGAL
OESCRIPTION
(DTT ENSIONEO)
8Y
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
I25 EAST 8TH AVENUE, EUGENE, OREGON 9740I
c71-171
Willian C.
CONIRACTOR'S ORE. STAIE
PREFER TO PICK UP
p,
r-tHI
o
6
Ft
H
I(,
CTo
0)(<
o.
B
€
=I
z
9
n:o2
oI
c)o(t
Ejq
E
P
rto
!.e
'o
\
\
l.)!o\o
L-{
Bo t
71rI
i.HoHt
CI
I
'.rJ
i)r
0)iJI
Iq
&e Appllcatlon *366 *)S for
l.lORK SHEET
Water Pollution Control
SITE FEASIBILITY REPORT
Sfte f] meets State standards;does not neet State standards.
SDS INSTALL.{TION
Mlnimum Septlc Tank Gapaclty (Gallons)
Dralnfield Required
llaximum Dep th of Trenches
Equal
Setback REqqirementq
From:
Interior Property Lines
Centerllne of Road (front)
Centerline of Road (Siae Exterlor)
Building Foundatlon
Wells, other domestlc water suppl.les
except public
Stream, lake, ponds
/ 2&asa?
7so
Serlal tf 0ther Dietribution System
Septic Tank
---
-..--..-ir--
{a4
t-d{o
J)-
M74-L65
Date Sanita
/cs
1<)o
Drainfleld
(o
t/'2/'"/
e ?
.t^<
Name Shenrr* d-I Phone\r
Applica tion ii 3G86'78 for
I.{ORK SHEEtr
Construction Per:mits & Inspectlon
5tv
E-3
3
22e.J..e.
Type of Construction
Group
Fire Zone
Use CLasslfication
TO RF TYPED ON PERMTT c .IE >F.'., 1TA ,?F S' FT H'
-F2_* :f.2!Gr _.2/E arte.. aF Pc i- .,43 2€<,Ur.Ae /etre<.7.a..t
Date
7 4-L64
Signature
r /i
I
lone countyWATER SUPPLY SYSTEM REVIEW
Permit #3b7 Q *zv
The following information has been forwarded to the permit
processing section. ff there are any questions regarding
the information below contact Lane County Environmental
Healthr 125 E. BEh Avenue, Eugener 0R 97401 687-405L
I-Name
11" t,{ L 7 Address
Zip Code
:
A. comluurrr
'a. ffiAppt
OR PUBLIC WATER SUPPLY T
overl (Name) R&l'tr.^,l UrD
E ro record of indicated public or conmunity water supply system.
[J PendinB approval due to improvernents being made
i-l uot approved (Name)
I l llot within water district indicated, check with Boundary Conunission
l_j Water District cannot extend services to this parcel. at this time
C. E System not adequate for more services without improvernents
I n*i"ting connection
fl rNorvrDUAL wArER suPPLY
A. E Permit on file
E ro permit on file; permit required before installation from
Envirormental Health
B. I Spring or surface water supply needs variance approval
C. E Existing \^,ater supply
Ccnmnent s :
Envirorrnental Heal
S an itar ian
{29 Date t t -/a-7r
TO
PERIIIIT PROCESSING
PLA|\.IN ING
PUBLIC t^JORKS
FLOOD PLAIN MANAGEMENT
Departrnent of Public Works
I 25 East Bth Avenue
Eugene, 0regon
687-41 95
PERMIT NUMBER
PART IT ION NUI\,IBER
SUBDIVISION
OTHER
SITE ADDRESS
PERMIT VALUE IS A SUBSTANTIAL IMPROVEIqENT.
SITE iN FLOOD HAZARD AREA YES
YES I\r0
NO
SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA
PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE llllLL
BE REASONABLY SAFE FROI{ FLOODING. MOBILE HOME TIE DOWNS REQUIRED.
SITE LOCATION iS WITHIN A FLOOD HAZARD DETAIL STUDY AREA.
I
2
3
MINIMUM FIRST FLOOR ELEVATION OF
MINIMUPI FOUNDATION ELEVATION OF
(M.s.L. ) REQUTRED.
(M. S. L. ) REQUIRED.
MOBILE HOME TIE DOt,lNS REQUIRED IF GROUND ELEVATION THAT MOBILE HOFIE
I^JILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST FLOOR ELEVATION.
4. SITE LOCATED I.,|ITHIN A DESIGNATED FLOODWAY CHANNEL, BUILDING PROHIBITED.
=
RECOMMENDATIONS:
--l
x
ro
--{
DATE BY
c99-21
POST THIS PERMIT ON MAIN BUILDING AT SITE
ADDRESS: CONSTRUCTTON pERtVilT +
,S, TL:
This permit for the referenced property is hereby
result in revocation of this permit, citation under
Subdivision:
Setbacks and other conditions of approval must be strictly observed. Violation canprovisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Telephone:
Telephone:
Teleph one:
3q ft.
Applicant/Add ress:
Owner/Address:
Ull"llrr C.
Ig
fnryelr{ fr", 166, Ilrt Z7Cl, nrrc, Orqm
EGructrcrl asr G trrop.rt t rsldryl
6&H,$3r
/Address:
OS+
Construction approved by this perm it:
Water
PLANNING DIVISION
# Bedrooms:+ Plu F ixtu res +E
Zoning: Partitioning + Parcel +
lVlinimum required structural setbacks, from: centerline of road, front:
side exterior:
Special lnstructions
; interior property lines: r iredr property line:
Parcel Size:
; centerline of road,1*rr*l + tq ft.
687-4394,
*pla.l ri i
For information call
l
WATER POLLUTION Site tnspection +
CONTROL DIVISION lineal feet of drainfi
. lnstallation specifications:
eld required; max. depth of trenches
Special lnstructions:
gal. min. septic tank capacity;
Ia*rll, St reordtry b tf, l*00-XA. Ecrnrr rril*mt rrr ter tt dr.fillnld.III
Setbacks
Inteiio-r property I i n es
Edge of road right-of-way
Septic Tank Drainfield---'10- --10-
ng foundation
water sources
10'
5',
50'
10'
10'
1 00'
CONST
PE RMITS/INS
DIVISION
Directions to Site:
Date lssued:
c55-1 3
Type Construction:
ns:Itc to
ca ll
back of
For information call 8:00 - 9:00 a.m.,
Group: Fire Zone: Use Classification:hrptu
I
For between 8:00 a.m. and g:00 a.m.,
call 687-4065 between 8:00 a.m. and 5 :00 p.m.
Aotwj lc*d
I
L&ohta
.JI
lane county6l!'
-
.r€as trrslor ortr t-5 te Hrlda rrtdp trd! rrf* c Hryr
DEPARTMENT oF ENVIRoNMENTAL MANAGEMENT BY:
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
(
"LrZ
Total Construction Value:
For plans
JcoD \--
3t*8 FL00R
PLUMBING GROUNU/ORK
Ap pirov E o
ReManx s
\
E Drsappnoveo D oort9 - / a I xsprcron
GAS PIPING GROUND^/ORK
Ap pnov r o
REurnx s
D DrsrppRovro D Dare I ruspecron
ROUGH PLUMBING
Appnovro m DrsaepRoveo
Relt a nx s
3-/e-7r F*Dare I Nspecron
ROUGH GAS PIPING
APPROvED
Reuanx s
Dl sAPPRovEo DATE I rusprcron
FI NAL PLUMBING
E DTSAPPRovED D o^,,31-/Z- ff 4, c*4,I NSPEcToRAPPRov E o
Reuanx s
FINAL GAS PIPING
DATE I usprcroRAp pRov r o
RExanx s
DTSAPPRovED
CERTIFICATE OF OCCUPANCY
Rerov ro lssur D Nor RcADY ro lssuE D
Reulnr s
Dere I NsPEcroR
D
POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS: CONSTRUCTION PEBMIT #
TBS, TL: Subdivisioni
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.
rfl
Violation can
Applicant/Address:
Owner/Address:
Contractor/Address
Contractor's OS +
onstruction approved by this permit
Total Construction Value:
Telephone
Telephone
Telephone
Water Supply:+ Bedrooms + Plumbing Fixtures:+ Employees:t*{ r
PLANNING DIVISION Zoning: Partitioning + Parcel +
lVlinimum required structural setbacks, from: centerline of road, front:
side exterior: ; interior property lines: ;rear property line:
Parcel Size
; centerline of road,
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
I n te r-io r p ro perty I i n es
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic TankIC
10'
5',
50'
Drainf ield---10-
10'
10'
1 00'For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PERTVIITS/INSPECTION
DIVISION
Type of Construction:
I nstructions:
Group:Fire Zone Use Classification
ernlt
For plans information call between 8:00 a.m. and 9:00 a.m.,
For inspections (see back of this pbrmit) call 687-4065 between 8:00 a.m. and 5:00 p.m
Directions to Site:
Date lssued:
c55-1 3
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SEBVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OBEGON 97401
lane countyilIr--!-
By
SITE INSPECTION
Appnovro
Rruanx s
Dr srppnovro Dare i- 3 f- 7,;'*-,-/-'I Hspecron v-
FOUNDATION INSPECTION
Ap pnov e o
REMARK S -\
FRAMING INSPECTION
Appnovro
Dr sappnoveo oorr- -3:?€ --?1 lrspecron %6
-e4
Dr slppnovEo oart J *29*77 I xseecton
Rruanxs €/-
LATH OR SHETTROC PECT I ON
Appnoveo
Rrxanx s
Drsaepnoveo D Darr /- C-7? rNspecron
FINAL INSPECTION
D r sappnoveo oarr 6'7-77 I NseEcron qu<Ap pnov e o
Reuaax s
CERTIFICATE OF OCCUPANCY
Reaov ro I ssue
Reuenx s
D Nor Rerov ro lssuE D DarE I NsPEcroR
rel
d
C}
TO
PERI'lIT PROCESSING
PLAi'IN ING
PUBLIC WORKS
FLOOD PLAIN MANAGEMENT
Departrnent of Public Works
I 25 East Bth Avenue
Eugene, 0regon
687-4r 95
PER}4IT NUMBER
PART IT ION NUI\iBER
SUBDIVISION
OTHER
SiTE ADDRESS
k\.\
PERMIT VALUE IS A SUBSTANTIAL IMPROVEMENT.
SITE IN FLOOD HAZARD AREA YES
YES r!0
N0 ,--/
SITE LOCATION IS WITHIN A FLOC)D HAZARD APPROXIMATE STUDY AREA, EXTRA
PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SiTE t^llLL
BE REASONABLY SAFE FR0M FLooDING. MoBILE H0ME TIE D0t^lNS REQUIRED.
SITE LOCATION iS WITHiN A FLOOD HAZARD DETAIL STUDY AREA.
MINIMUM FIRST FLOOR ELEVATiON OF (M.s.L. ) REQUIRED.
MINIMUM FOUNDATION ELEVATION OF (M.S.L. ) REQUIRED.
MOBILE HOME TIE DOI,INS REQUIRED IF GROUND ELEVATION THAT I'IOBILE HOI4E
l^,ILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST FLOOR ELEVATION.
4. SITE LOCATED I.IITHIN A DESIGNATED FLOODWAY CHANNEL, BUILDING PROHIBITED.
I
2
3
=-1'
RECOMI4ENDAT IONS
-.{x
r'o-{
DATE l''t
c99-2t
BY
-lgega'**
^EtrH
e.
KE*=ZDfrVE -1tr
l6r'E H/50ratP ru-lzJAtu17R^zAAY''
Wa*/-AOUru /LlfARTUEiiA)/.
L-
x/AYet# /)A/9
__gJ
--b-
-i{
\
\\\
tu
---- flt^J 4Y l2 fr)u1/rJA/J- .ETUZrTH ' -
'''''fr? @trAtY/Mr
7)..r'.-.' jTZtKJ;\b -
7> | y4Z /A4e/zZ.J' ff:ntr4r, *,gt 71]Jb C/x. *r;,li P' 4x/j EN4EErr
D: t
*--7M.,ANE\AY,
$t,
,ll a*'fiL1b\tL+fi frA-A
,N /A1f/dV frd,,/?,Zx'i*t'-er4 Ey tb\E u7.{b'fta,tm/,t/ilXl4\J
4x1r tuf
athfr4,
re,2t
ffi* MF t/ 2o rL4 + I+ryrywaermgffin
-__?/TE TL-AAJ /'d
?T+_- Ni A/A<.r,/L\lllcMNc4.a,q/Lih
_VL'MKHN\/Z,
if -*
..+(#tz r E
ffiIl @ tilPltl-(J t0--
-4@7; €v C. N,/JTJCUe/LE . -U'Z A PH9 f'LY TP 4/IFZ' ., ,/Ntt/-E MN,E ,t2t7J/ lCr4Z /^/'tr/ /^ lG" z-)/-+/,/f//.ATlDh, /a
\_
.t
Z
I
1
I
CORRECTION NOTICE
IANE COUNIY DEPT. OF ENVIRONMENTAT MANAGEIIIENT
Construclion Permits & lnspections Division
EUGENE, OREGON
This building or struclure does not conform lo Lone County building regulolions, ordinonces or codesos noted below:{i _-/-+oe.-,4r**
E-<U a.)
/
o/_I /2-
RE.INSPECTION REQUIRED
FOR APPROVAL lnspector r/il /-*4.4<Date-c55 -7 3
Building Permit #
e
TRS, TL
A-o5'J ,r/,q, sfuoI a7(tr 7760 Upost
T.;-4,)tot f/ Block /Plot PIan
'8
Tq cLn
FOR SANITARIAN'S USE ON LY: { SVrt.. Approved fl System Disapproved fl Needs Correction
COMMENTS:
S nature:Date
FOR INSTALLER'S USE: Trench DePth Filler Depth Be ile 6"
Tank Capacity I )oo N/lanufacture
Measured distance to well from tank c.lJ r.'"f rr from drainfield -
z-+
Xcy tact ,trtt I
4rct
Aq,B.q$z
{Lrr-r rd
t
3:L6:t
I
l
F
o
T?-nK
tit
t,
rtl
ol\]t\lNl
x
d
$
\
(
U'0
o)LEE
o,
E
(o
o)
E(Ez
-oPc(,
.9a
a-
a
m
!
L
o)
GP@c
Txpcxl :
u.c c\ttr;lirrr ,
C rr-I.r
I
I
I
C-drn
a.f.ocl
a O, Odat I
N I
p qo'-tt -t
Fcn,ce
trra5s, Jc Ln
INSTALLATION RECORD AND CERTIFICATE OF SATISF
When signed by the County Sanitarian, this certificate is evidence as
isfactory completion of a subsurface sewage disposal system at the
Return this form to: Permit Processing Section, Department of Environmen
l/
ar7ro?.
L6tl^,
rtorS?ofl,
,r+r'(4
}l,
.S
t.o
\t\
I
\
$s
\s
{t)
+o-m
#cqse
1F
\g?g
NloET
R @,of
IY Public Service Building, 125 East 8th Avenue, Eugene 97401 c55-1 1
I
Job Location
,1, , posT THts pERMtT ON MAIN BUILDING AT SITE
JC5'ADDRESS: 3rI0 raii,ii'Lffit sDrtr3frd{, srrp 9ffi7 CONSTRUCTION PERMIT +r
t
TRS, TL: t7r,{}3-rl.*-4 , 31gA Subdivision: kran \|ltt , Lot 4r EloGt I
li
This permit for the referenced property is hereby rpF,rrgrtd. Setbacks and other conditions of approval must be strictly observed
result in revocation of this permit, citation under provisi6ns of Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
ilhta fhrX,ldrr:ffr g1 ffffrfrrlrr GbGrGsr-, ffg5 rnnrtrr Snr, gx;Telephone:
tut Total Construction Value: S!6.rtr.m
t6l6-If
*lltqllll?Itt -t ift
Violation can
Applicant/Address:
Owner/Address:
Contractor/Address
Contractor's OS +
Construction approved by this permit
.E
3fD hE drolcr hSlG .t ll0a rl ft3 od arrpore .t lTll { ft.
8t[*frE-FtFGttl l.CJc.
Water Supply E?.rE *{rir'{rr # Bedroomsl 6 +r Plumbing Fixtures: e + Employees rra
PLANNING DIVISION Zoning: ll Partitioning + r Parcel +
Minimum required structural setbacks, from: centerline of road, front:
side exterior: 45
Special lnstructions
; interior property lines: tr;rear property line
Of fcr aryfa.
For information call Aal-qsgq,
Parcel Size:
centerline of road,
llot3:I + r1 tt.rl
.,C:tt
WATER POLLUTiON
CONTROL DIVISION
Site lnspection + r-;ri;;;iil"i ot orPrnt
. lnstallation specifications: gal. min. septic tank capacity;
ield required; max. depth of trenches:
Special lnstructions tnal'f E moaalrf a [f l{64-tlt. Irs;
r rftroffi rtr for h &rldtrltIII
Setbacks
lnterffiroperty lines
Edge of road right-of-way
Building foundation
Septic Tank----T0r'
10'
5',
50'
Drainf ield--lo-
10'
10'
1 00'Wel other water sources For information call 8:00 - 9:00 a.m.,
Type of Construction 5-t{Group: tr-j Fire Zone: , ,.. Classification UqLr*
I nstructions:trtn ulr h rdrilttrso ta; & Lcl of tr1il,G trr rrqrll,ni frr;*tlrrrr
rorttrn, information call between 8:00 a.m. and 9:00 a.m.,
For inspecti ons (see back of this permit)call 687-4065 between 8:00 a.m. and 5 ,6th.hP
CONSTRUCTION
PE RM ITS/INSPECTION
DIVISION II
lane county
Directions to Site:
Date lssued:
6o&ryf le.d e lhrtcr Ered.n rfr€ ilrrtrcr snr l*S Go H.gld6 *r"fil1r In {, trft m thtrld..
I DE'ARTMENT oF ENVTR.NMENTAL MANAGEMENT
By: lhll rkrryIry1'q{6-Is ?r?'flJ'"t"'*=l'ty^?r'f P58XLt'l 3H'}3So'r*,c55-1 3
6l!'--
.;
-?;yry'r-fat*
I
i t'---- EULJ 4Yl9 HJI-I1.: . Jx-/At// t-a+-ZtTt/-:''.-
,:' i-
: ''frO EaTftAYlMr
i1,/.-..- ffi/(.,,&.t:
7
rlt
4//r frz{
4thtu4,
-lEX'@nV, <m@.EJ Jts
1
d
^EtrH
,nx,(
laiE H/(_.@
{4r*
^/AYCT*
LAN?
,E6,{-3 ft,.dfu,,F-
fr^Et^aY'
b'F(AJ . .tuu@rrrt"
tur{
\
\|\
: yr4i ra474e4411' r?-At1/tl1l 14K,€
74t glrb orx- -E/^i cP
4w? &ffef*:t
#a,2t
U
- W,eermg
-_?/TE fL-ANl ,t'd
U I' --E-1- (rvaerlA JLt\, : lcMrYz4.
_1*-MKHAA/4,
ur-€A trNO
I ?9
(*u,
/-_':Lr/NAl *,
tA() t,
rv tr/ /t, /F. ?)#/ I tt r. ATt Dx /a'
7HD *.f
YN
,
r
*-'743tRryesY,
TRS, T JOB LOCATIO
LANE COUNTY PERMIT
Acreage or Lot S lro Partitioning
Contractor's O.S. #
OWNER'S NAME AND ADDRE cc Phon
PhonCONTBACTOR'S NAME AND ADDRE ss
Mail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call- (owner, etc.) when ready
) Completed Subdivision
Lot- Block-
APPL|CANT,S NAME AND ADDBESS Phone-
P
<TRUCTUEES NOW ON THE PBOPERTY .
THIS PERMIT IS FO # B EDROOIVIS-# PLUMBI NG CONNECT IONS
WATEB SUPPLY I '
-
SEWAGE OISPOSAL I S.I. #
TH IS PROPERTY IS WITHIN ONE IV]ILE OF TH E CITY OF_-. PLUI\4BING 8Y
--=--
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property:
-owner
oI rccord;
-contract
purchaser;
-
potential buver;
-
realtor or agent, I further certify that (it not the owner) I am authorized to act lor the owner of
record, and that said owner is aware and approves oi this action. I hereby agree to comply with all applicable Codes relating to this permit.
Fee Paid S Signature Date
NEWADDRESS { ) FACILITY PERM IT TO TRANSPOf,TATION DEPT. ( }SPECIALPI\4T, AREA. MIN.ELEVATIONI-
SANITATION BU ILDING
Minimum Septic Tank Capacity (Gallons)Type of Construction roup
-Fire
Zone
Drainfield Required - Lineal Feet se Classification
Maximum Depth Comments
Comments
By Date By Date:
PLANNING REOUIREMENTS SATISFIED. By Date: i Date lssued
ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55-1 3 BLDG.pERMtT-wHtrE; BUtLDtNG-GREEN; pLUMBTNG-cANARy; sANrrATroN-coLoENRoD; oFFrcEcoPY-wHtrE
PHONE: 687-4394
LANE COUNTY ^.:PARTMENT OF ENVIRONMENTAL MANAGEMENT
125 EAS ' dTH AVENUE, EUGENE, OREGON 9, I
PIANNING DMSION Current Zoning
Partltlonlng l_ lnendrng f]compleced
ParcsL No._
Part I tlonl nd I red
Other r
AVERAGE PROCESSING
rDul
)
6
P-
s
s
tr rATEN POLLU?ION CONTROL
U6Y SltG Ingpectlon(e)
I of Sltec_
s
t
g
;Ho
I
t,r.
l"
,rt,6b(/!.o'- t{HSDS Conltructlon n Ncr, I nepatr
Nultb€r of Bedroons r
I Industr
Permanent
Temporary
Renewa I
l- I s Emp
sg. F Valuatlon
\seq\Coarr\AJ
CONSTRUCTION PER.YITS AND INSPECTION(See abovc for I of bedrooms/f of empl.oyeee)
t] .'rlobile tto:oe S
?EE I
#
tr
rl
tlStructura
Total
Plurnblng fix
uation S
at $- Each
at l- nach
Subtotal
-
Seuery'.rate Conn
{t Ststo Surchargc
Plana Check Fee
Change of Occupancy
TOTAL BUILDING PERHIT FEE
ltlnlmura atructural aetbacks :
Proro centerlino of strcet: Front
Exterior Sid€
Froo lnterlor lot lines: Side_ Rear_
f[ Cor:ro'I plans sheet to appllcant fi CurU cur to aPpllcant
I "lyLg
4
I
B
s
s
PUBLTc r.AriDs tr Address tr
PUSLIC woRKS D Facillry pernit
EIryI ROIIX.EX?AL IIEALTII(}BS
Mininm Elevrtion
'Yl
Ca ah
AFFIDAVIT:
will be usefor no
th 1e
Pro[)eto pu
app cat onto th
DatC
pe
Chcc L Rcc'd by
If thls permit is for an agricultural buagricultural purposes :rs allowed byI further certify that the st
re true and accurato, and that I h
con tr,1ct pu rcha se r ito act for a person
; or that the
rm not lie-5incr-. -i f urther rgr
TOTAT. s
ilding, I hereby declare that this bul.!,dlng' zoning and/or the State Building Code, and
atemenLs and other information subnitted on
rave Lhc following legal interest in thel<'ssee; h<;Ide.r of an exclusive option
wh-d-ha s thc FoJlowing lerla I interest :
owner of record is knowled.teab Ia of thr8
codcs relat 1n9
lane county
to irll I ir:.r
Applicant I a Siilnature
TIIIS IS YOUR RECEIPT, AND DOES IIOT E YOU PERMISSION TO BUILD
Address
Minimum Elevation
POR INPORJ,IATION A.BOUT THE PROGRESS OF YOI'R APPLICATIO}I , CALI, PIiR'.IIT CONTROL, 687-4]57 (587-HELP)
0\'--
tI
(
L
t.