HomeMy WebLinkAboutPermit Septic Tank 1988-03-17"5.9 g- /- t&'
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appl icable
,ION PROPOSED WORK - BE SPECI'IC
5 NAIIE AND a ,/t/
S NAT4E AND
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CIl'Y ZIP
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relry cctti,fy that all infomation hereon is true and correct, and thrt l
rave thc follffing legal, interest ra(::- prlrchaseri D ruthorized agene.I f:rther cert.i.fy that any and aI si:li th'l ardrDances of Iane Couty and the taws of the State of Oregonr rtaining to the {ork described herein, and thaC NO OCCUPANCY eill }E Mde of aLi'slructure uithoue the pemission of the Building Division. f fur-:her ccrtify that registraLion uith the Builder,s Board is in full force nnd ef fect as required by ORS 7O1.O55, that if exempt thc basis for exenpcimrs noted hereon. ud that only subcontractors ud enployee s vho are in coopliance uith OR.s 7Ol vilL be used on this project. I HAVA READ ANDAPPLICATION THOROUGHLY,
COTTPLETED APPLICATIOJX l'OR pERttIT, ar,J ,Io hr
in the propertr,,ffir.". of record; tr".,,,.I pork perfored shall bc done in occorda:rr:-
SICNATUR.E DATE
FOR OFPICE USE ONL,Y
SEC IUN
1c1 cJ OF/.t-oT
aLocK
FFOTOSED USE OF PROPERTY
nFto.ia".,ti.t n rnaustrial.
[.-l e,ru:.i"Cc,rrunercial
57r-L-'-d
DECIARED S VALUE
OF * ol:t{ATER 8Q"ropo..d
I rxi.sring
TEI.EPHONE NUHBER7</-t{tr
TELEPHONE NU14BER_-s1/ryF_
READ THIS SECTION CAREPULLY.
I preuurnc,zzoNrNG Zone
Hinimum S€tbacks:
CO!,I!IENTS:
cL, fro.t
YOUR AUTHORIZATION '{AS BEEN BASED ON THE FOLLOWING CONDITIONS:
'I
Partition I Parcel *ParceI Size
cL, sr interror rear
H s ANITATION: s. I. ll B. P. t
Lineal Feet
.ef t)r.rinfjeld
-'-'.
Date
)q"haximw Depth
of Trenches
rnstallation Record Issued? ! v". fl N"
Ins talla tion
Speci fications :
callon'
Tank _./'.-'., i\
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0 -i;Leu!' li*i*i,rib*,Use
COM}iENTS:
Datc:
PERMIT APPROVED BY BUII,DING, OFFICIAL/DESIGNEE (oer oRS 456.805 (l) )DATr'.
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
125 EAST 8TH AVENUE, EUGENE, OFIEGON 97401
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Lane County Authori zafirot:^ for,OF'FICE USE ONLY
}Jwl;SHIP.M,tT *M SECTIONp 3,3 TAX LOT
t
flour oF
I,OTIPARCILappr BLOCK
;RCPOSED USE OF PROPERTY
,F([."ia..,t;..t [-l rndustrral
fle,.,uri..Cc,rrunercial
CI,:'YTIO}J
ZLP
ON OF ED WORK - BX IFIC DECI,ARED S VAIUE
h/A}ER S *er"o""JI nxiitinq
TELEPITONE NUI"IBER7€ qF,S NAME ANb
TELEPHONE NWBER.c? -
F
DATE
CO4PLETED APPLTCATIODI I'OR
in the propertrrffin". .
work perfomed ii,a\f u" ,
u
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I HAVE CAREFULLY EXAMINED THE PERMrr, arid iro hrreL\, cettif), that arr. info*ati.on hereon is true ad correct, and that Ithe following 1e9a1 inlerest of record;q(,rirra1;lj prrrchasef ;I f:lther certify that any and aJ-l authorjzed agent.done in occoldalt,;,, ritl, tLe OrC!!)ances of Lane Comty and the Laws ofpertaining to the work described herein, and that No the State of OregonoCcUpANcy will be nade of 3r.i s?r,rctther certify that registration 0i ure without the pemission ofth the Bui.lderrs Building Division. I fur-Board is in full force dnd effect asis noted hereon. and that required ORS 701.O55. that ifonly subcontractors ild exempt the basis foremployees who are with ORS 7Ol be used on thisAPPLICATION THOROUGHLY.Project. I ITAVE READ AND
Date:
rnstal-Lation Record rssued? fl r"= f] uo
DaLe:
r
t/2
Use
COItri'lENTS
T
Parcel
of l)rai ield of
s. r. #B. P. *
.IAS BEEN BASED ON THE FOLLOWING CONDIUONS:
CO!1}lENTS
Parcel, #
intertcrr rear
coI&UENTS
Lineal Eeet Maximm DepthSpeci fica
calIon
Tank
READ THIS SECTION
I pr,axnrnc,zzoNrNG:
llinimurn Setbacks:cL, front
Zone partition #
C L, side
ffro*r*orro*,
Installation
CAREEULLY. YOUR AUIHORIZATION
BY
LANE COUNTY
IGNEE ORS
OF PUBLIC WORKS LAND MANAGEMENT DIVISION,
25 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATTON
687-4061
cL4-2s Rg+
izi'^ii i*"lfld:-&7
(/
BU]LDING DIV]SION:
:
sETB;,.KS AND orilai cc:;Dirro:ts oF APPRot'rAL llusr BE sr;1:crl"r'oEstR\"'D' \'roLATror'cA:{ Rl:suLT IN REVo-
C:'TID:,i oF T]lIS i,i::]}1Ii, C]T;TIc:; L:],:D5ii ?RoVIsio::S oi Lns. '-JL::;t'.] ]\FR;CTICN oF.Di:i.l:ic!, irl-D,/oR oTllER
RiiIEDTES ALLOViED BY LAW.
!{HEN READY aoR I).lsPac?IoN, CAL:68r--.106i. A tlINIlluil OF nT L:;\ST 2i IIOI-FS iDV'\::'E lJoTICS FOR INSPTC'-
ffi,vi..fr.',".noiotlolir9in:cra3t:on.e3dy:icrnitnumber,]obaddre5s,lypeof i-nspecrron, uhen it urII be reagy, your "*n u.! !l:or. ,:un5er, and:anl s?ecibl''dtrcctions to'site-
NIQUTN:D lISPECTICNS:
I. lorlgatfe! Inspectlon: To be made afte! trcnchesl are exEavated and fQrms erected and Uhen all
natcrials aor affincotron are aiarlvered on tire lob. ;i-nere corcrete ircn a certrar nixing
plant (comnonl'y ieimea "iransit mr:<ed") is to be u;ed' naterrals 'eed not be on the job'
2.concreteslabtrUnder-:.loorlnsPection:Tobemaieai}.eraLlin-slaborunder-floorbuilding
re?v]:e "q-ulPment, conourt, ptpt^g utt"ttoii"t' u"a otner anclllar!'equipment items are in
pLace bur ir.ro.u-lny-"o"...ti, i. por."a-o. iioor.i.euti.i.9 installec, including the subfloor'
3. Framing & Inilration Insoections: To be made ar tpr !he roof, arr iraning, frre blocki'ng, and
bracrng .r. ,^-tri*# ilffi".,-iitIoi"..r,-.iion.1r", ..i1 .r".t" are conplete and all rdgh
;i::;;i.;t ";;;iiili^g-.'"-.i,pl""la.--eii ruri '..ur"iion anc vapor barrier are in place'
4- Lath and,/or gIj)sum Board L!!!SSffga: To be made after aII lathlng anc q)'Psum board' interior
and exterror, ,?gi"ffi.ffi.."i pi."i"ii"g is appliea a.d b"ao.. g)'psm board joinLs
and lasteners are taped and finished'
5. Final InsPection: To be.nade after the'buildinq is complete and befora occupancy'
AppRovAL REeurRED. :lo work shalr be done on any part o!'-he building or structure beyond the point
indicated in each successive r.spection withouL',first obteinrng Lhe aPprovar-of rhe building-official-'
such approval sn.rr [J.-ii"e" cniy -rt.r an inspection shaII have been nace of each successive steP
in the constru..ron i! i;;;;";;;'bv each of thl :ns;ectitns re:uirec' .
u6ts: A11 building Permits require j-nspections for Lhe uork authorized' such as but not linited to:
A. Block I'lal-l: To be made after reinforcing is ta place' but before lny qrout is poured' Thi's
InElEctlon i" i.Iiiili-r"i-"u"n u"na b;;;;;".. -in"r"
"ir'r be no approval until che prumbinq
andeIectrj-car-ii"p."ti"".havebeenmadeandapProved.
B. ilood St'ove: To be made after completion of nasonr'r' (i'f applj'cable) anC uhen installation is
ampretn rn.iuii.tion shaLl be in accordance witt an approved, nalronall-y recognized tesLing
agency ani th.";;;;;;;;";eiis instatration insLructions'
C. !1obi1e Hone: An inspection 1s requi-red after the.Toq]lt h"T: is connected to an approved
Sewer or '.p.'"-..i..!*-io.
u"t;u"i ruquiie^ent., bloiking, iootinq connecticr, tiedownS,
irirting, and plwbrng connections'
1. Footings and piers to co.mply'with State founCation requi-rements for-mobil-e'homes or as
recomended bY the manutacLurer'
2.-Mobilehomeminimumfinishf].oorelevationshallbecertifiedvhenlequi'redbyaflood.
Plarn nanagement Ietter'
3.ilobilehonetiedowns'whenrequired'andskirtingshallbeinstalledandreadYfcrrnspec-
tion ai.thin at least lo days arter-l."rpu.cy. Tiedowns and sklrtlnq shall be instarl-ed
Per enclosure.
D.swiminqPooI:BelowgradewhensteelisinplaceandbeforeconcreLeispoured.Abovegrade
;nm Eoo=f -lE-instaI]cd '
nPPRovEDPLqNSyUSTBEoNTHEJoBsITEATALLTIMESDURINGWoRKINGHoIIRs.THISPERyITWILLEXPIRE
rE woRK DOES NOT AsCii wirrtrN r30 DAys, on rr wonr rs susPENDED oR ABiNDONED FOR iloFE TIIAN 180 DAYS'
SUSPENSION OR REVOCAiiON ilAY OCCUP' IF TII1S PITTiT.WES ISSUED ON TI{E BA51S OF INCO}IPLETE OR ERRONEOUS
lNFORMATION.
ANYoNEPRoCEEDINGPASTTttSPoII;ToTREQUIREDINSPECTIoNsWILLDosoATTI,IEIRowNnISK.
SUBSURFACE .\ND ALTERNATIVE SEI^IAGE DISPOSAL SYSTEMS:
I. Pernits sha1l be cffective for one year from the Cate of issuance'
2.UPoncompletlnqLheconstructionforwhichapcrmithasbeen_issued,chepermitholderShall
norify rhe "..3
;::";;";;;;;;;;.';; pir""i"g',"a comuniLy De-velopment bv submj'ttine the
instaLlatlon record form. The Department sh;LI inspect the cdnstrlction to determine if i'l
compries wrtn ii:e-iures contained i. tni.. Jiri.io".' rf the constluction does comPly with such
ruIes, the Department shall issue . "a5trri..i. oi satis!actorv completlon Lo the Permit; holder'
, If rhe construcrion .loes nol io*pry ,rt-i-urbn t"r.r, tne"odpartilt''rrr"ii "tt:ry t'he pormit ". '
holder and shal"l requrre satrsfactor)';";;i;ti;;-;;fore issuinq the certific'1te' Fdilure to
neer rhe requrremenLs for sariif4cL..y;;;li;ai;n.rrthin a reasonable !ine constit!tes q v.1.o-
Iation of ois 154.605 to 454 '745 and thi's rulc'
Ser'backs - Subsurfacc q:fllg Sf!-t'e:3f
scptic Trnk SI-rlnry-l-q
: ron: Ixlcrror properti' lincs i9: l9:ECte o: roa(i rr:lrt-of-w'ly Li'
IlLrtloinq foun(latjot L0'
itclls, other sai{lr sources 30' !00'
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(i},,**ACTIVITY INFORI|IIATION SHEET
LAXO M^N^c.MrM O'vr((nbo.rr,t*^r ril rlnih wrr.
Pleaso complete alt ltems above dotted llne FILLING our * LTNES wtLL GET you tNFoRMATtoN oNLy
I
*DATE r7__l .t _leN-
*PERSON
MAKING
REOUEST
ADDRES
TEL
*pnopeRTY ADDRES
OR
MAP & PARcEL Nuuaen (0n tax maps in the Assessment & Taxation Dept.)
ACIUAL
PROPERTY
OWNE
ADDBESS
CITY
TELEPHONE (BUS) (HOME)_
STAFF WILL DETERMINE
-
orrO{Q,p-{7/'2y'
Townshlp Range Section Tax Lot
Township Range Section Tax Lot
Township Range Section Tax Lot
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
*REQUESTlaescribe what you want to
Zoned
Zoned
Zoned
Flood Plain
Flood Plain
Flood Plain
A aca------ES
Directions to site
arratrartrrrarrrrrttstaff use onlytttaarraarrarraa.aa,
Com ments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 6g74061
-
SW i,'4 3W z'4 Sec llr i .,,,. ,.. .. i. r'r l./i
LANI (,OUHT Y
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L.ANE: CfiI.JNTY DEf:,I' HNV },16T TiH(:HIF.'T + 5O6T}g DATE O3O1S$
AF'F![.ICAN1' HII]H-TON, CEI--II.. AI}DR ?O34? HIt-l." RD., SFRINGF'IEL.D, ORE6ON
TL* 1?0?1?330{ ?O0 SUBt}rV LoT BLK
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NE:u Ert-Dt; TYF'H L'"SH X ITDRHS 0 UNIT,S O0{ 5T0RIE.S *trLD6S 001 FH0NE 746 :5S5$
fiI,INER I.II"IU HICKSON, CECIL. ADDH ?0342 HII.-L TID., SF.EIN6TIE:LD, OREGON
{]NDH AI]F.L NO ACT'ION DHSCR.IF,TIilN SQ FT UNIT[$,S'T VALUAT]:NN FEH DAYAT
FFlr=
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F L- '$t.'I X./BATH : SlalFt : FT , tlTR : F]' . RA IN : f:"1' i
TK.CH HE.CHANICAL F'EH ;SUR ST'ATE SURI:HARGE 5i{ ':)
I.,CK PT.AN CHECK F'K.E i;$DS LC 506tl$ SDSS t ?0.00 $SpEQ 5.OO s
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(Dam,,ACTIVITY INFORI/IATION SHEET .:
Pleaso complele all ltems above dotted llne
' il"'"::*f;f,Yii1 ?I:1f -
FILLING our * LTNES wtLL GET you tNFoRMATtoN oNLy
*DATE ,1--lJ--l-eE
*PERSON
MAKING
REOUEST
ADDR
CITY
TELEPHONE
ACTUAL
PROPERTY
ADDR
CITY P-
TELEPHONE (BUS) (HOME)_-
Eae
*pnopeRTY ADDRES s
OR
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
Townshlp Range Section Tax Lot
Townshlp Range Section Tax Lot
Township Range Seclion Tax Lot
STAFF WILL DETERMINE
-
Zoned Flood Plain
Zoned Flood Plain
Zoned Flood Plain
TOTAL CONTIGUOUS PROPERTY !N SAME OWNERSHIP:
*REQUESTlaescribe what you want to do
b o.r.t
Directions to site
ataarrarrrfrrfr:rattstaff use onlytttrrraarrr.r..aaaaa
Com ments:
Land Management Division, Public Works Depanment 125 E. 8th Ave., Eugene, OR 97401 phone 6874061
HCTIT SIIP
ff*
Lane
Countg
APPLICATION #
LOCATION J)Fr
NAME
ADDRESS
The Lane County Building and Sanitation Division cannot proceed with processingyour application because:
1. n Incomp'lete app'lication (items def icient).
Address and/or djrections to app'lication site.
roposed number of bedrooms in dwe11ing.
Approvable plot plan (see attachment).
Notjfication of date test holes will be ready.
tr
tr
q
1
I
2
3
Verification of existing system required (see attachment).
Two test holes (2'x4'x5' deep) required for expansion or repairof existing sewage disposal system in the area of the proposed
drainfields.
4 tl oth er:
,2
r o{)ffito!@?
J-
-J ?\fJ from to
OFFICE HOURS PHONE
If no response has been received in regards to this matter by
the application will be denied.
M,
LANE COUNTY ENVIRONMENTAL HEALTH SERVICES
Courthouse-Publjc Service 81dg. / 125 E. Bth Ave. / Eugene, 0R 97401 / 687-4051
/
-W 'A-'*--*S IGNATURE c
DATE-
T IME-
TAXLOT L1021e33 200
a4 DECSN
LAND MANAGEMENT DIVISt3N/PLA{NING PERHIT PROCESSING SYSTEH
HTSTORY OF PLANNG ACTIONS HARDCOPY
JLB OI1B8
011 8 84
01 1 884
G!"f c
JLB
011884
c11884
C,.lf'{ P
C,fMP
r.1Mp
4 B
** TOTAL RECORDS IN THE CATEGORY (TAXLOT L1A21933012001 =5
STEP.NR R EF ERR AL
ARF A
DATE
RECVD
TAK EN
BY
D ATE
C OIIPLD
DA YS
TAKEN
ACT I ON
TA(N
03
05
05
06
2
0
0
0
4
I
APLPD 013084 GMC a20384 C ]MP
o l)a teaTO:
. Land Di vi sion Sect'ion
*&eglonal Planning
--rFlrnntng iesearch
-Ioalng
Enforcenent
_Envi ronrental Heal th
lltlater Pol I ution Control
_*Soils Data
_Flood Management
_._Transportation PI anni ng
-.-.- Assessment & Taxation
_Parks Division
-__Lane Real Estate Di v '
_._.Lane Publjc SafetY
__Lane Public Lancls
_- Lane Legal Counsel
- _ _ llous i ng & Conuit. Dev '
. . - [-rlrlt I xtt'lts iott 5t't'v icc
*,_..Lane I r.tns i t District
. J_Lane Reg. Ai r Pol . Auth.
/ l,later' 0istrict" B,r-tNtgu+)
_X_scnool District t* 11
(_Fi re Di stri ct__ SpE/4t6.F!€to
_ -Bounda ry Commi ss j r:n
___Po rt of S i us I aw
*_ Plan Dept
X I jty of SF_EtN44'€z?
.- Et,lEB
__-N.[.l. Natura"l Gas
-{ Pacif ic N.l'1. Bell
-X- 5. t--t . B f/F(lrz /'c'
__ Tri-Agency Dog Control
LCDC
,l .r l.r' I tr t t, , l. l'y
itate lli ghrray tii vision
State [nvi ron. Qual tty
"tate Dr:[rt. of [,rndS
'; Lcr t (, I r ., ii & Gatrrg
t t.r tc tleo I . & Mi neral I n,
5tate Veterinaridn
Dune:, Nat'l Rec. Area
Siuslaw liat' I [,"rrest
l,J i I I .rrrrc. L|"e Na t' I Forest
ilLrreau of L arrd l"lgnrt.
5oi I Corrservir ti un Service
f.lt'p1, O{ [:rigilteCrS
I r-,d. AvraLron ArrLhor ity
I r-' d . Contrn ltrr i L- ir t. t o rt s Cornil .
n oLher-- R*tr-4g-t- A.aaa€ss.
Utlrer'
From:
LAT{E COUNTY LAND MANAGEI"IENT DI V I S I ON
125 tast 8th Avenue, Eugene, 0regon 97401
Phone: 687-4061
A request for'land use actjon, as described on Data Surmrary and,ittached sr:hernatic has been
received by the Planning Division, If significant inrpact is evrdent, please send cornrents
to Landlhnagemnt Division by- ,/: !3-A1-
Specific concerns 0f your agency should be addressed in addition to adverse impacts on
general I ivab'if ity of the area and i ts l'uture clevelgpment.
For addi tional information, contact- GeaZAg Cct/zEr,'-/
DATA SUI'IMRY: Journal No. O Zone Di srr i<. L - A_AT_./ +t___- _
Appl i cant_ EZ a/Z_-.--&.lEF_-S4.t\1-Lot size
P rope rty Addres s-g S ZA-ZJ. /- {W Ma 1r - l -7:: e. 7 :" / 9.3:**-
-.*Ezr{_48_€14-M_g7477 l'irr I ut M lzoa
PR0P0SAL ?r tt PE-4-_ZA, q2.f- I ?,1,€€€L t4,4 4- 1Z/ 2Aa-d-.
- *xZ - - - l ^d / -1--1 E -4/ - z?'t'< €: <'_'-
COIS4ENTS (Reverse Side May Be Used): -_!.arc-e_1-_{l-_[a_s q,btai-ned an exjs.tjng -system.gVql-Uq!iq.n-.
report and plot plans (O-tg-gq) Parcel #2 has been approved for sewage disposal (84-21
Public tlater is ayailable through Ra'inbow Water District. M. l.'liller March I5, l9B4
.___..t{e i ghborhood GrouP--.--_
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1LANEY, OREGON
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16,125 gF( O.37Aa)
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PARTITION t{o. 0-t4
OT 3 THOf,PEOI . IIC.
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207 A SInEET
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SAN/TAT/ON PLOT PZAN FA<
FLAY5 ELLEFSON PROE,PTT
/lAP /7-oz-n-3 TAX/oT ZSoo
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/qE4.tevbPt-*v,l/tN*co^lsaLTMlrszol q. STRE€T
SPrU,YAFtatb, e.(.. q74V
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YOLAUbA STR.EET
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#ffiMtt.,GrF-
Lane County Authorization forr
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CITY AIP
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Q}I PROFERTY
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ED
'{ORK-.
BE SI'ECIFIC
rlAt{ii osR f
(:Atfirv$,Ir! a(ird)nrffo Tns @{prrErED App,&ICA?IO|{ F$R ptsRl'tlT. and d* hereby certify that all" lnfofe.tlon hdrcor} ls truG 6nd eorrcct , ard thnr I
..:.cwirg lag4l irltirest in the property;L-l*.ut of racordg n c$trrct purchaserl autihoriasd agcnt sith ,vld€nce of auth$rl$I.{ttachcd.trr:;:li.(y:i.hat,*n{ and {li rork porforn€dl ohall be dono ln rccordinee lrith the Ordl nancee of li&nc Corr$ty arrd thr Lars of,*hd 6ta*i ef OfeiofiE) tlli- rjatE 4or€rlbcd hrroin, anit that HO OCCIJpAI{Cy wl]l b6 mad* af any e truetu!'e without the perniselon of tha Buildin! Dlvlf,ton. t fur-,, :Jrat yeglst$ction vith thg Builderrs Board is in full force and effect
r:i:4$, &wl tlt&t mly Eubcontrr.ctqrs an{ ctlployere vho arG ln coorlianco wl
, , i: n|Fi,ri:iitl{s; Tt*oRDuGHLv.
l{A!!lE {Illcase print)
as required by ORS ?O1.055, that lf fixes!)t tho baBlg for rdelq)tith oRS 701.055 vill bo usod on this preJ€et; t HAr/f *fe$ }.tED
SIGNAflJN'$ATE
POR 0rrlcE usg oHty
Applicatlon/
P6rm1t I
T$ro Copies of Plane
three Copies of Plots Fl"anp
Mechr/Plumbing Checktint
Lega1 Interest, Document
Plan Check Info $heet
NANCE SECTION TAX LOT [our oF
t&tlPARcEL BIPCK
[f]Residential
.H
I commercta]
fJ xndustrlal
f r*rri*
PROPOEED USE OT
OF E!
ting
11; 'i ',l)IS $ECT:IOH CAREPUI,IJY. YOUR AUTHORIZATION IIAS BESN BASED ON THE TOLLOWIMG CONDITXONS,
Zon6 Partieion il Parcel, *
1: r!rN1?*j I
In flood hazard areaa fl ro [l ves, SEE ATtACHED sHEEr
Date:
Date::-.}lJr
F'I;l l,',X?I$Ilt S. I. *B.P.*
." Il.a r ir:n
;. f, ira e "'ons I
Gillon
Trnk
Lln.rl Faet
of Dralnfiald
Install-at,ion necord Issued? [ X"q fit!"
l.laxl&wa Depth
of ?renshes
l:j ,: , r.;;i Ax;'illli}lTIOH : IVp€
Date:
Buildinq Eee
!'1e*h/Plmbg Fee
P] ans Check Fee
state surcharqe
DEQ Surcharge
TOTAL TEE $
.-'l!:iqT$:
ueie!_*_. *LJ
CONSTRUCTION AUIHORI ZED BY TI{IS PER!{IT
Deccriptlon Sq. Ft.
fixed Eee/ flsodplsin feeunlt' cost subgurface Feeo
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|ANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEME|'IT OlvlSlON, S874.0e1,
125 EASTSTH AVENUE, EUGENE, OFTEGON 97401 :
INFOR.MATION
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OR REPLr4c-tulENT bR+tN 47*;z-i.. -qREr+E _
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RAINBOW
WATER
DISTRICT
*"Proudlg seruing North and West Springficld.
February 20, 1984
Mr. Harry Taylor
Land Planning Consultants
209 'Q" Street
Springfteld, 0regon 97 477
SUBJECT: Water service to property of F]oyd Ellefson, Bop # 17-02-19.3.3,
tax lot .l200, partition # M-8-84
Dear Mr. Taylor,
Rainbow l'later District, a special service district operating under Chapter
264,0regon Revised Statutes, will 'instal'l the water mains and service lines
to the above referenced property. l,later service lines will extend to the
lot lines of each lot.
Rainbow Water District is responsible for the maintenance of the lines and
will furnish domestic water to this property.
The installation and provision of water is subject to al1 charges, rates,
rules and regulations of Rainbow Water District.
Si ncerel y,
RAINBOt,, tilATER DISTRICT
Timothy Ha ey
Superi ntendent
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1550 N.42nd St. . P.O. Box B o Springfield, OR97477 .5031746"1676
2lson &lhorpsrln, lnc,
Engineering Surveying Planning
FebauatA 23, 1984
PRO?ERTY OESCRIMTON
FOR
FLOYD ETLEFSON
PARCEL I
Beginning a"t a. P.K. Na,i-L tha.t .U South 0o 05' Ea,st. 2894.46 {eet and
Ea,st 9.90 $eet (nom the Nortlwe,st Cotne.t o$ the Felix Scott Dona,tion Land.
CLa,im No. 52, Township l7 South, Rangz 3 Weat o{ the Willnnette Metr.i-dian;
nun thenee South 88o 55) Ea,st 1109.46 {eet; thrznce South 0o 05' Ea,st 30.00
{ezt; thence South 88o 55t Ea,st 80.00 {eet to a 5/8 inch itton ttod ,set on the
Southetlq night-od-LntJ ol Voland.a Sttteet, ,said. Inon rcd al,so being the Tnue
Point o( Beginning; nun thenee along the daLd Southe-tlq ttight-od-unq South
880 55' Ea,st 101 .14 de-et to a 5/8 inch iton nod rct on the Ueatettlq nigltt-
o{-utaq o( 31 ,st Avenue; tJtence along ,sald 0)eatenlq nigttt-o{-unq Sot,-th 0o
03' 10" East 159.50 $zet to a 5/8 inch i,ton ttod; thencz Lea.ving aaid 0)e,stenl4
ttight-o(-unq Nonth 88o 55' Oe,st l0l .05 $eet to a 5/8 inch itton nod; thencz
Nonth 0o 05' \le,st 159.50 (ezt to the Ttue Point o{ Beginning, in Lanz Count4,
)negon.
PARCEL II
Beginning a.t a ?.K. NaiL that ia South 0o 05' Ea,st 2894.46 (eet and
Ea,st 9.90 (eet dtom the Nonthwe,st Connett o( the Felix Scott Oonation Land
Cla,in No. 52, Toum,thip 17 South, Range 3 \le,st o$ the Ulillanette Metidinn;
nun thence South 88o 55' Ea,st 1109.46 (eet; thence South 0o ls'East 30.00
(eet to a 5/8 ine.h itr-on nod,set on the Southetlq night-o$-unq o( Vo.Lando.
Sfueet and nattzing the Tnue Point o( Beginning; ttun thence South 0o 05' Eoust
15q.50 ,[eet to a 518 inch iton tod; thence South 68' 55' Ea,st 80.00 {eet to
a 5/6 inch.iLton nod; thence Noath 0o 05' 0)e,st 159.50 (eet to a 5/8 inch itton
ttod; thenee Notth 88o 55' tle,st 50.00 {eet to the Tnue Point od Beginwtng, in
Lone Counttl, )tegon.
207 "Q" Street a Spri ngf ield, Oregon 97 477 a 503/726-5104
FOUND PK. NAIL WHICH 15
PEPORTEO TO BE SOOOS,E
2894.46' A EAST 9.9' OFrHE N'f CORNER OF THE
FELTX SCOrT D.L.C. NO.52
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YOLANDA STREET
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EASIS OF EEARINGS
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SW 4 5EC.I9,TI7S, R2W, WM
LANE COUNTY, OREGON
APPROVALS
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THE pUR?OSE OF TH\S WAS TO COMPLy W|TH rHE CONOtrrcNS 9F A?PROVAL EO? P4RTIT!_OII __
No. a-ai. iiE Ctoxr-or-iir FoR yoaANDA srREEr wAs DEn€RMWE? fHR!.l rHE REcoUsrqtrr'
rott-oF suRVEy-u6.z2orl a lsr srREEr BY su1!/Ey NO-2_36_O1. _rHE g_ALANCE_-OF rHE
eoUubairEs- weiE bETeauwEo 8y oBSERT|NG REcoRo EEAR|NGS A D|STANCES.
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12,760 5.F(o.29Ac.)
PA RCEL II
WELLA PUMP HOUSE
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UNKNOWN ORIGIN
t6, 125 S. F ( O.37 Ac. )
PARCEL I
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tot.05'
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HOUSE
PARTITION No. 8-84
COISUT.TTIG EIGIIEESS & SUSUETOEE
207 A STBEET
$GILE: -l" = 5O'
dlOB I0:673
503/ 726-5104
DITE:FEB 28, 1984
DBIWI: L. oLSoN
0r & THoInPsor, lfc.
GflELo, 0BEGo!{ 97477
TEbEPHONE :
-