HomeMy WebLinkAboutPermit Building 1980-04-02TRS, TL:
POST THIS PERMIT ON MAIN BUILDING AT SITE
2833 North 20th' Spfd' Oregon CONSTRUCTION PERMIT +
L7-03-24 # 500 Subdivision: ffi
This permit for the referenced propeny is hereby approved. Setbacks and other conditions of approval must be strictly observed- Violation can
result in revocation ot this permil, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Lc-677-8O-MHJOB ADDRESS:
Applicant/AddressAnn D. Flsherr same as above
Owner/Address: s€rme
Contractor/Addres#merald Traller Sales , 575 South ttA" Spfd, Oregon
Contractor's OS + 02953500 Total Construction Value: I
97 477
Telephone: 747-5670****
Teleohone: aame
TelePhone: 747-4OOB
)nstruction approved by this permit
Water Supply:na
1980 Hlllcreat G 14 x 64 elngle wlde, and cert. of adeq. (MH REPLACEMENT)..........
Structurea now on property! noblle horne and shed.
+tBedrooms: 2 +Plumbing Fixtures: 2 aEmployees: na
PLANNING DIVISION Zoning: Agt Partitioning + na Parcel + na Parcel $i7s; 1.13 acrea
Minimum required structural setbacks, from: centerline of road, front: ZQ-dEmttOgGlmadf property llne
side exterior: na ; interior property lines: L5r;rear property line: 2Or
Special lnstructions: Old MII to be removed before placlng nen noblle home.
For information call 687-4394,Carol
WATER POLLUTION
CONTROL DIVISION
Site lnspection + na lnstallation specif ications: na gal. min. septic tank capacity;
na lineal feet of drainfield required; max. depth of trenches: na
Special lnstructions: System operatlng satisfactorily and no slgn of fallure.
Septic Tank
10'
10'
5',
50'
- PqeEr
*..nJerior property I ines
Edge of road right-of-way
Building foundation
Wells, other water sources
Drainf ield
-TO',-
10'
10'
1 00'For information call na between 8:00 - 9:00 a.m., Colleen Al1lson
CONSTRUCTION Type of Construction: uE Group: Iltt Fire Zone: 3 Use Classilication: SFI)
PERMITS/INSPECTION lnstructions: FootloBs and plers to corply rrlth 6tete fouadatlon lequlre €dts for r6br-le ho,rea or aB
DIVISION r".oae.-ded by the Dfg. 4160, provr.de sL,' tl!g 6s requited. You! 61te {s loc.ted t.lthln . flood hazard area.
A nldl.Eru flnlsb floor elevatlon ot 45L.97 feet .hall be certlfied per the flood P1411 !gnt. letter. Ilatell
Dblte hoDe frare tr'e donns Per €ncloaure, rhen requlled by flood Pleln DsdageEnt'
For plans information call 687-3760 between 8:00 a.m. and 9:0O a.m., Balph [ou8h
For inspect ions (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
hne countyDirectionstoSite: End of 20th St., on llayden Bridge Rd.'
04-02-80
DEPARTMENT OF ENViRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By: JSs/lkY 6l!'
-
7.
_ 5.._,
6
I
t0
t2
l4
20
26.. ..
2E
:s
t7
34
36
38
40
42.
44
46
48
50 ._
b?
1
t6
72
24
r nrlr- tnt-.tlr.I'T'1i 11i"l-.a' I-ilr.,' llr'?' 11r'rlt""l'i-,'r' ,il. ;'--:.r'?{:1r--1 Ii.."..'i'l::' .:1";a.-}r:1{:'r:i:---i-l!Vt'- l--.L.it--llYli !!:.!'l i:-l'i,J i':lr! t'ii::.L..i::..ii"! 1r {:!it{il:r i,'tlii-. l;,':i-il.'Jdi.J
i:ltllii:i i:rl:ri:'!. r\lii d:ri:i'l:!:[]i.i Iit::ijil!:ii.Fi'l:l:ii'i iir:i :::'J' l.ilil.lI tlijiil'UA!-LJ'ql'l:r-ll.i I'[.[i l:f]i'i'.li
L' t-_t
f-i !
hiLJ I f" r:"I-r,:!/r L.ilJ 1'-1/.', l--lfi i alc:,f:'f'T .i,lvr'-i lil '1r:] *:
ML l'I.-t r*L t !-l-^-n! ! l'-4-l i:- l-- l-
i:! i I i;r i' r' ..1 "i'i:: 'i'! | tri ll t-J ,:i !::, f'.: i::' ./i 'i. -'i ..d .l
-ri i:ltl , F{t' i \i r'}'!' l.i,r tt
(. I\ {, i.r r-r f: l:, 'i' f1I:' fl I., !: r*!i.:
i.i
52
:]
64
t'tl--tl I'l_tt,.t .L I t.l r--, I .L'.L*lz'i::'l,l f{Y l',*n
l,t l-'t lr I L.\ lrl
t-. al ti l_i I i-'a'r' ,a a'r rJt-Itt'lrt r'tt-tJ rtl ! | t i er i i.. l-. 1.. ii..ts
;
9
a
1
6
5
4
54.
56
'E
t2
'n
l0
5r(oelgt
Name
Applicati on #MU{t t,)$\\-[
}TORK SHEET
Construction Pemrits & Inspectlon
}{H Type of Construction
Group
Fire Zone
M t4
3
.S trD _ Use Classification
Prnr"rr @pY -
o
Fnrlrt tttrzq aAr^ Dr r ra c r7?,\ r^,n.ltDt V r.rr'ril c-rA?d- Enrrr\lhnrrnnl
Rrar ttr?sM rrlrc F6lQ V\a,fl,r r E ilarvlF€ /.\fa ac. I?F .rNlNrTTJDET:
Py 'T.llr- fvrAhtr, Ep,".r,rpEP Pr?rrrr n d S,tlrcf rr\16 Aq RFrQrlr RFr)-
MrnJttvrrl Frurst{ FLooR -EtEtAT]rvl sp 1{1,?7 ranf SrlAr.r- cle
-C€BilF,,r r.l 9Fra ?uE Er.a.ra 9l Ar nt ,\^a A?^Eutart'f IETfER ^,NSrALL
Ma(atLE #antd FRAfliE rt E Dor..|\,ti peR En eLaEr. q6, ,,r{En, FlEqUtReiD
RV Fl-aao Pl,A t f,, lv\Ar,rn lsEfnE ntr
Date =11 3-2/_?O
7 4-t64 U ' signature
I
ylorr? srre rs ro<-qreo r^rr-H rht R ELooo l-lA-z{Ro {RE|A. A
NFPARTIIENT OF ENVIRONI4ENTAL IIANAGEMENT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
Job Address
^8
33 ,Vo d4" 70 #
.:$rij$L;i,-r-o3- a+ "T L a-oo
ii:r'nti.:l
Appl ication for \,,tt BiLg, t{tv^6
Structures now on the property
,g ii*rg,i,S ..,ti$ilr /--l i$it!!ffiffi:ljditii
*I]*$ei _
/_/i:$#$tsi.t#t#ijii ri$ilBxffi
hereby certify that this information is true and accurate
If this applicati
Lane County CodeV owner of
duly auth
slgn;;./eaa."r,
on is for an agr cu tura Id t will be used for purposes allowed by the State Building Code and
Chapter 10 (zoning) and for no pu rp ose. I have the following lega1 interest in the propertyr
record;ontract purchaser;CSSCE;holder of an exclusive option to purchase;
orl the owner, who is 1e of-TnTl appli t ion
74 rL
z1
Te1 ephone -? +-? ^sbT or Date 3'2O^
When permi ready notify: ! Applicant /_/ Owner
ing i
other
Con trac r !y: l-/ na|1
z1 7
& Phone
Phone -7+1-561O
Phone ?V'l^.V{,ltr
Owner
Con trac tor 0tc,e3 El:c,
Contractor's OSR# olqt3toO Plumbing by
: :#i:iiiUfr:i::$fu$ilist:
ii#i...utiiiffiHiffitt Z
DO NOT WRITE BELOW THIS LINE
# of employeesIf Commercial
Residential:
SI test holes ready
Existing, BP #
17 Proposed, SI #
ifis.ei.:
m#.f Sc$Sn*:rt.*sn.r
,*i.,,t:i$:t.i.,.::.U*l iUn:l[.,r#:ii{-fi::::*l:ttt:,. r,$ti$tr:Va l uati on Fee
$
o
Received by
Water Supply
Tota I Va.l ua ti on $
$
$
$
/_/
at
at
4% State surcharge
Plans check fee
each $--
each $
ZPO
Su btota I $
$
$
t{Proposed _
Year Instal led
Existing
PERMIT PROCESSING
Minimum setbacks x,
Zone Part. #Parcel #Parcel Size
fron a; t, side t<; rearint
Comments
To be typed on permi t
0a te
Grou Fire Zone tJse ClassificationCP& I Type.
To be typed on permit
By Da te
PhoneFor plans information call (area inspector)
Directions to site
7- 37
L/ srro
,{cpar-il,,
/-/ Planning
/-/ Public Works
/vl Elevation
| 1 Address
CP& I __ set (s )i,iPC set( s )
/-/ Facility Permit
/l Environmental Health
FOR INFORI'IATI0N about progress of your application cail
c74-l7r
Hold 51ip l)a -'-t:
i r: ,r Iu.it(itc P[(
Pl ans to Da te
P.egulr.d-
Date to
PCC
W
Permit Control Cent-er 587-HELp (687-4357)
th.tit-tvta. S #A
Affj dav i t: I ,*-l/,vtlr.n Fi shri(",
-eftangerffi'etpncy egil
av -(blol=-3-Z,O -XO
-----E,r:_-
TO
FLOOD PLAIN MANAGEMENT
Department of EnvironmenEal Management
L25 East 8th Avenue
Eugene, Oregon
687 -4357
PERMIT PROCESSING PERMIT NIIMBER
PLANNING
PUBLIC WORKS
PARTITION NI]MBER
SUBDIVISION
OTHER
APPLICANT' S NA},IE '4/L{l
SITE ADDRESS
PERI"IIT VALUE IS SUBSTANTIAL IMPROVEMENT.YES NO
SITE IN FLOOD HAZARD AREA YES- NO-
SITE LOCATION IS WITHIN A PLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA
-PRECAUTIONS
MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE I,IILL
BE REASONABLY SAFE FROM FLOODING. MOBILE HOME TIE DOWNS REQUIRED.
SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA.
MINIMI]M FIRST FLOOR ELEVATION OF tlt1
2
3
MINIMTIM FOUNDATION ELEVATION OF
(M.S.L.) REQUTRED.
(M.S.L.) REQUTRED.
MOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE
HOME WILL BE PLACED ON IS BELOW THE REQUIRED MINIMI,ru FIRST
FLOOR ELEVATION.
SITE LOCATED WITHIN A DESIGNATED FLOOD I^IAY CHANNEL, BUILDING
-PROHIBITED.RECOMMENDATIONS :
FO
H
XroFl
DATE I
c74-LB9
BY
Scction24Tl?B R3WYfl.
LANE CqfiTY
l"'o'
t.r I.t It O! ll
_i!
i-r
t.r ,
T
d
r(
iti
&aE I,U
=>k=1; i)
O :-l
l--'-c!,':
e; '-
c.i "
C ;-i
)"-lrl
li):'l
;i
:1"
.-l
:
"- a':
ra r3
2t z1 T_
at
I
Rtv
Lol 2 ar+
oo4 -'1
ilc
*tri
J
z
-- i_
a-<)*
=i-
a i:-!
Ir\,8.
o-
tAX LOTTE D ON T AP 17 03 13
eR
IC
ri-'--r--
I
gY
CKE
:.:::,i{i/.ir-: r?..
j..j;lY.**Yjt )r :{i::itr''r ':;r
NZI E
ll
1'9:ij"'sri'-
o:
C,
roo
I
o
F
o
I
rAX LOITEO ON l923
26
,
)
I
37. !5
ra x
ISt?
Lol I
ON I'APLOTT
.oo
Coarrito !l
I
I
I
rI
I
T
I
I
SEE IAP :7 O!It
9,
702
I
I
I
I4fl
S- Ie 17 O!
oi3
17 ql 3
t7 @214?
i
I
top 2<
0324l
SE€
C,9-JC
25 j'11.9;01 o. .. .sr. iloP 17 03 25 S.. l{op t70325 I
25 r 30
17 03 e4 l'.''$s
A INDEX
a
g
.t3 ra
304
oo
DFPARTI1ENT OF ENVIRONI4ENTAL IlANAGEMENT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I Appl ication #
Job Address
Township, Range, Section, Tax Lot
Subdivision
Appl ication for
Structures now on the
Ci ty
Block
/_/ Industrial /-/ Public
hereby certify that this information is true and accurate.
*"*., -rr*.t
Lot
Proposed use of property: l7 Residential
Affidavit: I,
Si gnature/Address
If Commercial: # of stories
Residential: # of bedrooms
SI test holes ready
Code Descri pti on
Commerc iaI
ease pr
If this application is for a na gri cu l tural building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter l0 zon i ng ) and for no other purpose. I have the following legal interest'in the property:
D n
owner of record; contract purchaser; lessee; holder of an exclusive option to purchase;-----du1y authorized to act for the owner, who is knowledgeable of this application,
Telephone _ or
When permit is ready notify: /l Applicant /-/ }wner /7 Contractor !y: /-/ nail /_/ phone
Owner
Con trac to r z1 Phone
Contractor's 0SR# Plumbing by
Da te
Phone
# of employees _ # of units
Fee Sq. Ft. or
# of Sites
SDS Existing, BP #
/ / Proposed, SI #
Unit
Cost
w-flr7a
Valuation Fee
Total Va'l uati on: $
Plumbing fixtures at $
Sewer/water conn. at $
each $
each $
Subtotal
TOTAL
$
/-/ casn
/_/ Cnec|
Received by
$
$_
$_
$_
$-_
4% State surcharge
PIans check fee
Existing _Change of 0ccupancy
l,Jater Supply
Proposed _
Year Instal'l ed
PERMIT PROCESSING ZonC
Minimum setbacks t , front
Part. #Parcel #Parcel Si
|.L, side int.rea r
Commen ts
To be typed on permit
Da te
hes
WATER POLLUTION CONTROL
Instal I ation spec'i fications ga I . tank;ft. of drainfielo;depth of
be typed on permit
Te l ephone By Date
Di rect i ons to s i te
L/ s.Fo Plans to:
1-/ CP&l
/*t wec
/_7 Pl anni n9
/ / Public |,Jorks
/ / Elevatioa /-/ n/a
/l Address
/-/ Facil ity Permit
/-/ Enuironmental Health
lr'.1
5e L
5eL
Da te
Requ i red
Hold Sl ip
Lo POC
CP&I
l,,lPC S
i),r'-a Da te toLorrrpleted PCC
FOR INF0RI1ATI0N about progress of your application call permit Controt Center 687-HELP G87-4357)
(zip)
$
$
$
By_
u
a
tl,:r
l'? q.62.
t
Ir-E
i
I
I
I
I
rIJUld!-zo -..
il,1(v:d a*.
It'
iy:]Zt(*\$ i-
t1@
t-1- O3- 2S
'j-. L. 5 00
L.+
II
I
J
L?
t-
.9ci
i.:
p)
f2Of.{
*?
'J,
u;A
fl^4t^(oL.t FS--*-----
to5I
i
l r., lrt L
rrvArtLc
ylrlrvr,l lT
5du';-1. * Jf
S[:F,r t'f t(:.1L,
I:;,9t'r,i1
T
I
POST THIS PERMIT ON MAIN BUILDING AT SITER}(
I
JOB ADDRESS:CONSTRUCTION PE RtVl lT +i
TRS, TL Subdivision:
This permit for the referenced property is hereby , Setbacks and other conditions of approval must be striclly observed, Violation can
result in revocation of this permit, citation under provisions of Lane County's Infraction Ordinance, and/or other remedies allowed by law.
Applicant/Address:
Owner/Address:
Telephone:
Telephone:
Telephone:Contractor/Address:
Contractor's OS +
,bnstruction approved by this permit:
Tr:tal Construction Value:
I$fi} It{J,}.er€{rt.6 it l. rt rtnry}e tlda, **rl cf,r{r of adoq. (}g ffiI.AcffiHfCI:r.i}.cr..
$ttsstrr*r no*rlot ps*lF rtyt ucbtlt }ffio e$d dmd.
Water
PLANNING DIVISION
+ Bedrooms + Plumbi Fixtures:
Zoning: ,r.rt
lVlinimum requirbh
Partitioning +Parcel +
structural setbacks, from: centerline of road, front: ;:*;
side exterior: .l
Special lnstructions
; interior property lines: a ;rear property line: i
+r Employees
P;rr-cel Size:
cen terline of road,
OLd :ffi t$ Le sarnosn{ b*f*ra FL*e$$g uq sefuf.X"& h*rsts,
i
I
I
i
WATER POLLUTION
CONTROL DIVISION
For i rnation call 687-4394,
Site lnspection +
lineal feet of drainf
;i:r lnstallationspecificatio
ield required; max. depth of trer
gal. min. septic tank capacity;NS:
Special lnstructions:l*eg rd'f$$-lr:rqr,flyutm *etj,p[a#C$trr.1y r#
^gtbacks Septic Tank
,nI-erior property lines -- -
Edge of road right-of-way 10'
Building foundation 5'
Drainf ield--lr"-
10'
10'100' For information callWells, other water rces 50'hetween B:00 - 9:00 a.m.,
CONSTBUCTION Type of Construction; Group: Fie Zane: lJse Classification:
PER[/]lTS/INSPECTION lnstructions:
D tv ls loN
}x*a pt.tlo :rmsmpr**"For plans information cal
For inspections (see back
Directions to Site:
Date lssued:
t)r 687 between 8:00 a.m. and
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDiNG
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
5:00 p"i'n.
lane county
c55-1 3
Hy;trLt r_._-aq|Ilz
between B:00 a.m. and 9:00 a.m.,
SLAB FLOOR
PLUMB ING GROUNOATORK
Ap phov e o
ReMaRx s
/ / Drsappaoveo f]Dare I ruseecton
GAS PIPING GROUNU/ORK
AP PRov E o
REurnx s
D DrsappRovro D Dar r llrspe cron
ROUGH PLUMBING
Appnoveo D DrsrpeRovrD D
Rru anx s
Dare I rspeclon
ROUGH GAS
Ap pnov r D
RtuaRr s
PIPING
Dt sappRovEo Darr
FI NAL PLUMBING
AppRovro m Drsaepnovro
Rr urnx s
,^rr-*i?-fu I NspEctoR
FINAL GAS PIPING
Appnov e o
Rexrex s
D r sapPRoveo Drre I Nspecron
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
Rrunnx s
D Nor Reaoy ro lssuE D Darr I Nsprcron
I usercron
'JoB ADoRESS:
POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT +*
Subdivision:
This permit for the re{erenced property is hereby Setbacks and other conditions of approval must be stridly observed. Violation can
result in revocation of this permit, citation under provisions of lnne County's Infraction Ordinance. and/or othe. remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address:
Contractor's OS +
-onstruction approved by this permit
Total Construction Value
Telephone:
Telephone:
Telephone:
Water Su ly:
PLANNING DIVISION
+ Bedrooms + Plumbing Fixtures + Emp ees:
Zoning: Partitioning + Parcel +
lVlinimum required structural setbacks, from: centerl ine 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 I nstructions:
Septic Tank
10'
10'
5',
50'
gal. min. septic tank capacity;
ltbacks
'
irEiio-property I i nes
-Ed(F of road right-of-way
Building foundation
Wells, other water sources
Drainfield--lo-
10'
10'
1 00'For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Construction
lnstructions:
Group:Fire Zone:Use Classification
For plans information call between 8:00 a.m. and 9:00 a.m.,
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m
Directions to Site:
Date lssued:
c55-1 3
ot itutl
s
lane ccunty6l!'
-
DEPARTMENT OF ENVIHONMENTAL MANAGEMENT
COUHTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By
I
TRS, TL:
SITE INSP[CTION
Ap eRov e o
Rruanx s
Drsrppnoveo Dare I rspecron
FOUNDATION INSPECTION
AppRovto
Rr ulnx s
D Drsaepnove o 77 Drre I rusprcroa
FRAMI NG
Appnov E o
Rruanx s
I NSPECT I ON
Drrr I nsprcron
LATH OR SHEETROCK
Ap pnov c o
Rrxrnx s
I NSPECl'I ON
Dr sapPnovro Drr e I xspgcton
F I I.IAL I NSPICT ION
AppRoveo H
Rrua nx s
Dt sappnovro t^-tFD I ruspecroRDarc
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
RrurRx s
I Hsprcron
n
D f)r sappnovr o D
C/ Nor Rcaov ro lssuE D Dore_
FLOOD PLAIN MANAGEMENT
Department of Environmental Management
L25 East 8th Avenue
Eugene, Oregon
687 -4357
PERMIT PROCESSING PERMIT NIIMBER
PLANNING PARTITION NUMBER
PUBLIC WORKS SUBDIVISION
OTHER
APPLICANT' S NA},IE t{*
TO
{* 77 *$N
fi;.F' t *'*
)-l
--.
SITE ADDRESS
PERI"IIT VALUE IS SUBSTANTIAL IMPROVEMENT. YES ] NO
SITE IN FLOOD HAZARD AREA YES NO-
SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA
-PRECAUTIONS
MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SI'iE i,ILL
BE REASONABLY SAFE FROM FLOODING. MOBILE HOME TIE DOWNS REQUIRED.
SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA.
I. MINIMI]M FIRST FLOOR ELEVATION OF (M.S.L.) REQUIRED.
2. MrNrI{UM FoUNDATTON ELEVATTON OF_(M.S.L.) REQUTRED.
3. MOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE
HOME WILL BE PLACED ON IS BELOW THE REQUIRED MINIMIIM FIRST
FLOOR ELEVATION.
SITE LOCATED WITHIN A DESIGNATED FLOOD I^IAY CHANNEL, BUILDING
-PROHIBITED.RECOMMENDATIONS :
L
FU
DATE ,E'*&g **{-,ty"' ,W rl
H
F
troH
c74-L89
BY
a
3
Ys
?JgN
-lr'
r 't 4. 62-
+
I
?)Lr
^,o
ft
f
H
q
rt\,
J.:;-:o-
LDIvr LYa).
llj.,t *q
iy:lzt<1r
\,J {-
Jt,,€tIr,2
T
arlo
r-1- O3- 2Y
]-.L. 500
Eti W.
I
I
lrl
t'.
.9rl
\4F._-t
pl
0O.1
t^I
E?
r)
IL
a)
tt
oel
,t/
al*Acor-* p5'-+----'--i
I.- ro5
<.€.r?eirt, trt L
c ttY!r,{r€{.
il>
it,tirrcJ 3T
Sou'rt. $.5f
45r
5 Pxt | :: F- te.L !)
lrl
I
&l
g
t,
FLOOD P[.AIN MANAGEMENT
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
125 East Bth Avenue
Eugene, 0regon
97 40L
687 -4357
CERTIFICATION OF FIRST FLOOR ELEVATION
APPLICANT NAME Ar-^!u t). Fr5uera
SITE ADDRESS 7S35 i/r,aTr-r 7c
REQUIRED MINIMUM FIRST FLOOR ELEVATION ( INCLUDING BASEMENT)
REQUIRED MINIMUM FOUNDATiON ELEVATION (INCLUDING BASEMENT SLAB)
I f
MEAN SEA LEVEL
MEAN SEA LEVEL
ELEVATION CERTIFICATE
, A RESISTIRED PROFESSIONAL
IN THE STATE OF OREGON, CERTIFY TO LANE COUNTY, THAT I RAN AN ELEVATION CIRCUIT FOR
BUILDING PERMIT NUMBER , AND CERTIFY THE FOLLOWING:
1. THE FOUNDATION ELEVATION (INCLUDING BASEMENT SLAB) IS (M.s.L. )
,i.. THE GROUND ELEVATION THAT MOBILE HOME WILL BE PLACED ON IS :(M.S.L.)
3. THE FIRST FLOOR ELEVATION OF MOBILE HOME IS AT M.s.L. )
I CERTIFY THE ABOVE ELEVATION WAS VERiFIED USING MEAN SEA LEVEL BENCH MARK DATUM.
.b,
DATE / zr:
M74- 188
ul (
c