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Permit Building 1980-6-10 (2)
POST THIS PERMIT ON MAIN BUILDING AT SITE JOB ADDRESS: 4655 Jasper Road, Spri ngfi e 1 d, OR 97477 CONSTRUCTION PERMIT # LC 1168-80 RTMH TRS, TL: 18-02-05 TL 2201 Subdivision: na This permit for the referenced property is hereby approved 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 I nfraction Ordinance, and/or other'remedies allowed by law, Applicant/Address: Owner/ Address: Contractor/ Address: Contractor's OS # Dwayne Stow, same as above Ken Woolery, 4637 Jasper Road, Springfield, OR 97477 Telephone: 741-1754 Telephone: Telephone: Total Construction Value: Construction approved by this permit: Renewal of Temp, Mobile Home 1286-79 (Single Wide Broadmore 12 X 60 -1972) Structures now on the property: 3 Mobile~>Homes Storage ~hed. Water Supply: Well PLANNING DIVISION WATER POLLUTION CONTROL DIVISION Setbacks Interior property lines Edge of road right,of-way Building foundation Neils, other water sources CONST R UCTI ON PERMITS/I NSPECTION DIVISION Directions to Site: Date Issued: 6/10/80 , C55,13 # Bedrooms: 3" , # Employees: # Plumbing Fixtures,: Zoning: AGT Partitioning # Parcel # Minimum required structural setbacks, from: centerline of road, front: side exterior: ; interior property lines: ;rear property line: Special-Instructions: This permit is val i d unti 1 12/31/81,or Parcel SizES:. 57 acres: ;,centerline of road, until hardship ceases whichever occurs first. For information call 687-4394, . Candi Hart 5/6/80 Site Inspection # Installation specifications: gal. min, septic tank capacity; lineal feet of drainfield required; max, depth of trenches: Special Instructions: Connect to existing drainfield. Septic Tank 10' 10' 5' 50' . Drainfield 10' 10' 10' 100' between 8:00, 9;00 a,m" Corliss Kosty For information call Type of Construction: . Instructions: Group,: Fire Zone: Use Classification: For plans information call ' between 8:00 a.m, and 9:00 a,'m" . j? For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. ~~ ' ~ne county . ,-- DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 By: JSS/gb r II ~C-/6c::r-~CJ / f-t:Jd-oS# Z Z()-/ ;J::- {/ ;;<~o S- 4. V __;;~_.$;;O'--[-~ - #';; ;;;';"';-f:~:: ~,..--;~/ L - ------; ~;;;~~---- :1~ 7-;:~~~ ~~2 7:-',-- ~7<'2 03-7._-c'-/~, -$ ~~~_~~~- --- "-/-'~-"$-- - - ---::F '-;;J,. - "/'c::?3 ~ " '?;2.,/ S-V, ' ~, ;r:;.?~;i !-- _____~_____.m # ---~- ---:~ ~~-( --.---- _. ~.-- , . -- ,i~_~' _-:-_ _ _____ --- ...---:--'----~--_........._- -- -~_.- ......._~ ___,.1- -......... --. -: Eugene C, Ch' E, & Eldon W, .ilhert 4681 Jasper Road Springfield, Oregon 97477 Kenneth L. & Jean M. Woolery 4637 Jasp~'r Road Springfield, Oregon 97477 Bobbie L, Wright R.J, & Margaret Wright 4821 Jasper Road Springfield, Oregon 97477 Howard R, & ldella lIinshaw 4801 Jasper Road Springfield, Oregon 97477 Elmer V, & Margaret L. Gardner 4705 Jasper Road Springfield, Oregon 97477 Elmer V. & Margaret Gardner 541 North 6th Springfield, Oregon 97477 Ronald N, & ~hirley A, Scott 4709 Jasper Road Springfield, Oregon 97477 Harold M, & L,A, Macauley 4757 Jasper Road Springfield, Oregon 97477 Isaac W. & Mora L. Jollnson 4724 Jasper Road Springfield, Oregon 97477 Miriam J. McVickar % Raleigh M, & B,J, McClatehley 941 South 47th Springfield, Oregon' 97477 Jane Marie Wilther Leona Mangham 6413 Hes t 80 th Los Angeles, California 90045 Harry ~.- Martin 170 S n 42nd Street Spri~~field, O~egon 97477 Orville S, & Marie W, lIeadlee 4579 Jasper Road Springfield, ,Oregon 971177 Larry D. & Sheila E. 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On ~." 5u /p0, a 2-year tempora~y mobile home pennit will be ',<oN '~'_d ,. ~~':'~2d~'bil'ty ,'w."" foe . .' %~~A/A/rci/ If you have reason tO,believe ~ (l)~he family member d'isability claimed,is not valid, or (2) if you have evidence that the septic system is failing and' creating a health hazard; you may appeal issuance of this permit in writing by submitting your letter to the undersigned. Appeals must be. received by 5:00 p.rn, of the issuance date noted above. Please be advised that it will be up to you to prove the validity of your objection. If your' appeal is accepted, an appeal , hearing will be scheduled before the Board of County Commissioners and all property owners within 300' of the subject property will be notified of the ( date and place. . V'ery truly yours, ' DEP RT~ T OF EN:IRONMENTAL MANAGEMENT ~ ' Permit Processing 687-4394 ENVIRONMENTAL MANAGEMENT OEPARTMENT ADMINISTRATIVE OIVISION . /, 125 EAST 8TH AVENUE / EUGENE, OREGON 97~01 / (503)687-4394'OR 1-800-452-6379 L (!.. - TP # //b cf-~o MAILOUT NOTIFICATION On ~-/9-cYo , Notification of Intent to Issue was mailed to property owners within 300' of the property on which this temporary mobile home will be located. A copy of the mailing labels is attached, Mailing Date &/'-0'0 (5/~~P?.JtP.o. _ Appea 1 ed Issuance Date , , , DEPARnIENT OF ENViRONI1EIHAL'I1ANAr PSB ,125 EAST 8TH AVENUE "EUGENE, .OREGON 97401 T, " . ,-- }~~~~ .". ~...'.. '..:g~;';:;;iir, ' . /~"'~;~~ i~~$~tt~~~' , . '.;:. ,",' .' h. .. .' .,..'. .-' . ... '.. ' ~ . ~ .~(;t~A~,~{j;;f. ~:~l;~ai;;~'fOr' ,;f?-rff/Y~<: , ," ., ',/ ',4 . Stru~tur~s 'now~n -~e:propertY, :..3 /?l. J7V';,.44' ~_ ~ a' " " , i~~:~:9~g;;~f~~:!J~!~~te ~;~2W~~@:~;II~/~~;:~~:':~~~: :th{~hiS ;nforma~;on ;s true~nd accurate, .' ,.,' , ,tpl(l~~!tPlMOH ". ,:, "'.' . If this application',iS for.an"agricultu:ral building it will'. b'e used for purposes al,lowed by.the State Building Code and Lane County C6de~ Cha'p~e;: 10' (zoning)a~Q:for no -'other 'purpose., 'I ;have the fa 11 bwi,P9 ';lega 1 interes t ; n' the property: ' . owner of. r:'e~ord; . '. . contract. purch~ser; , ,Jessee;', .'. hO~der..Of;;zan' excl sive ,option to purcha~e; . L- .-Cu~yauthO:1Ze~.ac.:~~::the oy.'~.e~,.w )S kn.oWledge~~t~'s ~pp'llca~'on'.: . " . . Slgnature/Addre~s e" ) .e><:x~4'. 6/~ :d ~ IZlP) '17'-1>17. cTelephone .74 '../?SL/ or" Oate" S - to -,po When pe~'.~'; s rea~y~{';, ' 1ii-:"'.Jll11~i cant ' () Owner 0 Contractor, ~:, /3-rna-il oA. Erphone : Owner ~ /4/~ \i (zip)',': ,Phone Contrk r ,.' ... - .'~' , "",- . C ,to . ,'~:~('z;p). Phone ,J ~q~tractor"~~.,~~~l' , " ..,j " " :~.~.urnbirig by . ',. ',.. l . ~:, . . ,~. ~:s ~::i~:~~,ll~illllllll'i ' ~.,' . '...; .~) t~st 'holes re?dy " '.#~f' ~~p~~~e::JTE BELO.W ~~~~~~~~~~~J~(, .' "'sb~ii;;;~ing:BP # .'; "" " I-I Proposed,SI # - i' _ ~.,) , ,,' .,,', ;~~~ '" t~ ,f Di$crlptlon -:: .-:':'~. ....-:.'-.,,;;......., - . ;;';',~ '. ~ . '... ,"-!/A), 'd~~~, : .' ~ / ~ y[.... 6 ',. -'~7 (;J ,'C',-C-:' . , ,.-, . ~ "', , ,,' Ilil; Valuation' . Fee '; . '" '$ , $. '$ $ ", 't, --tvyyvlO'". , /Lt/J1iAJ.~,: :/ZXb-7r .' . ' 'I.. ,',", ~ : , ' '~.. I : '.' Total VaNat; on:. $, llliiilililifi'til.ifUtlW at $ ~,I~~l'llII~,~I~~ at' $ ;- ,~~ch each $, $ $' $' $ $. '~ $, ip r9?), 0;/ , , ;~v~' . ..., _ .',pr~p'bsed ,',' ._Exist'ing ~ . .~'.I' " ~ .~' ..,'.' .'--;"" . . ~ ~}~?-~ Installed. ' " Subtotal i: , , 4%'St~t~ surcharge 'Pl ans .check fee' .-"". " Change of Occupancy , . " J '~' "', ~~_r'., .~ .',' ':'" .r... .,' : TO,T AL . , ~ to '~ - ,'PERMlT'PROCESSING" zon'~' ParL# ' Pacce.J #'" .," Parcel Size~"'). Minimum 's'etbac-ks:"., 'l1., fro<< :,.".' ..' ; 1., side ' '" ',' ..1' ~ ...; in"t.' i rear 'c'omment:~M'v~:%?/1~ ~_'4a.J'~Yf4,~_,A~~~ /ff~,', ,,' ;'"1be ':YP"d p~ 04-mit,,~. 'j,<:> fl/..~.'~..//; ~~ '/l~.jP-d. ~/2.-~/-R/ dG-7~' , '-f1M.LbIU/l fl/~ "I//-d/~,b;.<bt - ~.i4' ~.dBY, L k~.e:if'A ' "bate,~/("(' .' . CP&I . . r/6e, ".-, !;Gq)UP~' ~ '. Fire Zone ..tf, '. '~: t, "Use- c\ass;fi~~'t';on ~ .' To ~e~typ'ed ,on per:tnit "~'~ '. " " ,. j t: I, ,/ ," :F6r:,_.plan.~ fn'formatipn ca1' '(area' inspecto.r:-) . >~:r,~e'c.:;:nS.'...,to ~;':~ans ,to CP&I_ se:(:1 ~)1 WPC'., .:.........:... ,seth I ,,~,.-.,:, ,', ',,-,,' , , C/ Pl annin , " "el ,Works'. .,{j eva ti'on; /~/ "n/a ,', By, f/' ~;;.~ Date' G --//---rf"cJ Phone " ,.'t. , " "',1 '':;-, " ,. : I' .:>' ',-? 'I' ,.;; " T " Date . "'Requ ired , " .. Hold S11p ,to PCC , i' Date: .Completed. ."" -, " . Date to PCC '.' '. J , . ( " , \ ..'. ~-/ Address t;/ Facil i.t:y Permit Env.ironmental,Health , .. " ' " .': 0, . .....-. , ;"'; ...." .-~ \ .' : l ~'-.'~,'l:, .. " 'l.. ,. j ,'. . .. .;. ~~~ . ' . FOR INFORt.1ATlON about'. progress C74-17i ' '" '. , .,.. 'of:,:your.application ca.ll:', , . Per~it Cont~ol Cent~r 687,HELP 1687-4357) !:~. '.' :. ., " " ~ .:; -- .,.... " ~" ' ',' ~ .-'f'~'.-d ,.;. " cff-/ C) ."...- "'f' , - Job 'Address ~!r r:;[ -' rti .' 7 . /.,"-' ~I 7 tJ ~t" ,2. [1<:: 0 ( /l\'-Oa- 0<-'::' C i,/ Ii Ci,ty, );/7'{ t.-.7" - d.-JC)Y ./ (if? ,KrW1#' ~-- ~tJ1i~)7t::?rJ; Assigned Numbe~s. OEPARHlENT OF EIJV I RONI1EiITAL PSB, 125 EAST 8TH AVEnUE EUGENE, OREGON 97401 Township, Range, Section, Tax Lot Subdivision ....., .>,'...._ / / Lot. Block-~' Application for K7777TT , ,./ / ./? Structures now on th'- property ..3 //J !y.' ~ ,/./~( _a-~ c:::r Proposed use of property: IP"'Residenti~l. I-I Commercial O/c-/ Industrial I~/ Publ ic Affidavit: I,' rf) W ;Li}1~(.. S'-r- tJ;V , ~erebyl~ertifY that this information is true and accurate. v Ipleaseprint) If this application is for an agricultural building it will be used for purposes allowed by the State Building Code and Lane County Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property: owner of record;. contract purchaser; lessee; ,holder of an excl,usive option to purchase; :..... ~duly authorize1:::t9 act.for the owner, who 5s knowledge..3;ble Q~~ this applic,ation. V/;'~A ','" Signature/Address c,'f'~ r.Q)-v.P2..vn"l. -tA'..6JAtJ j:>/....4!!f/i!-c.../ -d::':;.;7 ~~~Q... (zip) 17 !..FI ? Telephone I' 7/.../1 'I?S'-I or Date ,5-& - J"U When permi'( i s readyrioti fy: /i:/....Appl icant /-/ Owner () Contractor' EY: /=/"ma il -)..... /er phone Owner 7\b/'1 //..)...Jf..~/Z/./-... - (zio) - Ph;;'e 'Y-I // Contractor ,P (zip) I : ,i... ,,:,'''i(W1il~ I' ~..':""'.~!:" 1 Phone ./ I Contractor's OSR# Plumbing by 00 NOT WRITE BELOW THIS LINE If Commercial: # of stories Res1dentia1; # of bedrooms ~ SI test holes ready # of eTployees # of units "..t.. ,~ SOS: /.!!'Existing, "C/ Proposed, BP # SI # 1 ~ - ,- Fee Code! Oesc'ri ptl on Sq, Ft. or _----h- # -of Sites -;, tA./YVl./jU , /U//f-&f""U--o /L.. Unit Cost Valuation Fee .4 . ~l/. b/'#.:C-,d::/-ij #;.'Cz ,-- . / ~ ,?/~ () ';iC;? '7 .::L-. -, , il Subtotal $ $ $ $ $ each $ each $ $ $ $ $ $;:::;: rR) " ~ I Z k b - '/'CJ / C~CaSh F //).... q , 1"/ Check # Y ("r/f ~celVed by ~7 ~ Water Supply < /W<< Proposed Existing ~ Year Installed T,hal Valuation: $ Plumbingjixtures at $ Sewer/water conn. at $ 4% State surch~rge Pl ans' check fe~ Change of Occupancy TOTAL PERMIT PROCESSING zone?0"'"7- Part, # Parcel # Parcel SizeO _ :.J /' f~inimum setbacks: 'to frorft' ; 1.. side ~.J ; into _. ,; r.ear /+-;o /.' ," ,rl / .4 f ',_ /' ,df-17+~;; .=~4'~YAjA ~.?-, J' '~/ Com.m>hts )W.t:{;~{J.'A".%.tf'P:I-$-/hd',pR:lt'YiM~tf!~iN!.a:7'./.d'~'....... ,b.<<.,/.....P?. T//lY. To Se'{JP;:d;~/Wrn;-;t'-'1 ' - ,(/ By(/kfid'.5 oate.<:::;/t ~ r ~,. I WATER POLLUTION CONTROL Installation specifications: To be typed gal. tank; on permiC~~ '1:;-" ft. of drainfield; max, depth of trenches: -'~!...J- ,.:.,..".,. A- ^ ..,. ~~^- L...3.d _ f...! \J \ --1,,{_ /'n'~ --'" ...__..' ..... .' ~>. Tel ephorie BY~' LJ.- ",\J. - s:- ..\,~ (,:;> - r' ,.. - ,fa oate-.:;'\ -=l- \, 'KO Direct ions to site .d II!I:s I FO i-';-CP&'(' C/'i{Pc CI o Pl ans to: CP,&I v,lpC set I s) setls) Date Required Hoid Sl ip to PCC Date Completed Da te to PCC " " C/ n/a C/ Address CI fac 11 i ty Perm1 t /~/ Environmental Health -I.' " ", ,:. " ~ '. '"" ....,~.FOR INFORl,tATION about progress of your appl ication call: Permit. Con,Ual Center . G87-HElP (687-4357) " ,