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HomeMy WebLinkAboutPermit Building 1974-5-10 ,,~:,~. I HUIUEST FUH , i IE IIISPEC 11011 . S, I. /I 7'1-;)'1$ 2- 0' f I For Off'icc f7 41/l;/ .!L:./>l? . I , Us.c. 'On I y~ Yes 110 " . Hcctflvcdby Codc C.T. Uurnbc r 5ncc i.) I Penn; l ^rca Urban;zinq Area I THIS IS A PHELIMI/lAI\Y RErOn WHICJ?pj 0 !:SAWT IIISURE THE ISSUAUCE OF A FUTUHE BUILDING PlAUS OR EXPENDITURES MADE IN, ~Ehl CE UPOU THIS REPORT ARE AT YOUR OWN RISK." ' , 3rJ,~- PLEA S EP R IN T 8110(1-:25-;2,,) If Subdivision - Name: Mf 'la-i-noOr-, B/k2. ((- 11.)81Ii/(g''1,/Olot t/ E.J.L. i ,')/..(. L/ -iF 3 M !1l-urf7. E'v (v6S).) /10 Range ,Section Tax Lot No. Owner of Property Owner's Consent PERMIT , '~~ ," Block 1/ /85 R. Township "'~ " /11-<'/,,-:,,_ F,')( No. of Sites l.a Name ll'f-R r;/lZ-dl-lMdfrLl- LdhfL No. of Acres 4-- Ma i I ing Address ' ~bl-"'7dF.'a./'/ Total i 1 /7 ~ ' ' Cash Z#{,-jo~?- X ~ .h'"~ ~--Y4v.c'7f".,..-t't1eck Telephone 1/ Signature of Appl icant Date ,/- $ '"?7S.CQ $ $ :-52S, 0,-, V> s--- " -4 ;,1 r- .< ". ," Owner Seller Proposed Use of Property: I?a.s,'dd-trr,'cv/ Applicant's Interest Buyer in Property: Other (Specify): Rea I tor Property Size Legal Access - Road Name Existing Structures on Property , , , ~s Property Within One Mile of es v What City? ~.;:,/ No '/ I j Property Locat ion (0 i rect ions): tI 2.!!d. <I- iTd"'l <Z.t- If /' Sau;/ .C)~} S"A"';"'f<-3')-i+,'f'j~ .duu~~ J.t;.JP'A() City 7 Proposed Water Supply Publ ic V District: Spring Well Other (Speci fy): , ." :.~.)!;:; ""', .:.!;.... ~A //~/,j b/ ~ When Will Test Holes Be Ready? MARK TEST HOLES WITH OUR FLAGS (Date) 'll:;'l!' '!;h.Jt.ll 'II:: ;;,:.'.>;[.. "... ..... ... .' 'M__,. ';'f'~:",! II ~., " ,,~ <I " , "/i.:::: ',',.,1,,', Location of Test Holes on Property: / Draw diagram of property showing location of any landmarks and relationship of tcst holes to / these landmarks: - ,I' /" ;"b v ". I" I ' ',,', Ii [ '" T;~ ( ~i'#V. ~k~'t~) ,7--- ,;<,<,L" ',' {I I J ~t "I, < ' J:4TT,' 't, f , f<n(~~,i".:.roE, , ' '" !':'i"lil, <, ".'11- . :,., ,~ 1;"1 ":1 ""Ij " Ie" ,'" ,'I' 1-6'qD::,:'b'i~ \l- D'( MAKE CHECK PAYABLE TO: HEALTH AND SANITATION MAIL TO: LANE COUNTY BUILDING AND SANITATION DIVISION, 135 E. 6 th Ave., Eugene, Oregon 97401 C55-55, , . I ~ :-' ," . ,. . " '....1" dt l{? <f (0 ~ ~ ( ,..,,) Ji /1, ~ ~ <4.,-..;1 ~G(Jf~frYL ~,~~~~.~ ~~ 7k ~ ,~ k;; ~ "1 W .F1~I'~ ' . ' '. a tP '7 '8! '1 /0'. 110/--/.2 ci1 i!i.L...l'..<' ,;:j:Jt '~v-.p, /j-",/..1./ (J. . 1fUck~ ~~~,~.~rf4 ~tU.,. ff ~~ ~?-' ~I '-.. ~l~ /tJ '~ 7( lie In"e"~J"!-I-o" Lb4~ l{ ''iilo eI~ I <<,~ LJ I !31"'~ , cL.:.. ~ 197.5' oJ J.....'f' PeA; /(71 ~ ~ Yo>;;: ~-Z:tJ - !t~ cJ ~ ~ ~ ~J;!l:. ~4 r':rJ;~.4t;;:'f;~ tJi ~ ~ ~.;tb ~ ,./.N ~fJJ Y-, i~ I.~ o ~ ~ "v',l.. 0 ~ ~ ::( ;ZM~ IF~ ~ .;.. :' ::_~____I::Di_!L__BIA 2-1 ~- ff1 ~est lIole ~_....._._---- 0" '- 7.j LoCtVY\ 0" ---- -- ,.' , '. J..('\ f 2, 13/('-3 #1 ~est lIole ---'---- 0" - i(e- '-' ~Q.... . #1 ~est lIole -'---- 0" - . 1'1+ Ve f "6 '1 'Es-f,.:l".:, '/0 11"1'7Y " ~ .J. . TEST IIOLE m:SULTS - 1-0 -I-I(RJ-;;-~ #2 Test Ilole - to .L.{),. ~ -. TEST HOLE RESULTS ~y. .~' (l//, ~ # 2 ,Test Hole 0" ~ " . ~- 63- /..'0-.,.., TEST HOLE RESULTS #2 Test Hole 0" ~]: '-71- SA' '- 'I' 0" .0" , , hi /). -ill", l...- ,# 3 Tes ': Hole 70~ot1...., ,;.~./ , , , ":: " \j, 'I,' , :\':" , , #3 Test Hole - ' , #3 Test Hole 0" '::': , ' .... ,"J .:.1::' " ,".' " .1.0+ 'ii' ~ / , I ,~_L___________,______ " ffl Test lIole . -r----.:.--..----_____ 0"" .1 . ) . :'{,9 ",.(oq,.,,,,,R,;., ~c.k t=:, ( . ., ,_____~f _L.!I!k .J #l Tes t lIole ---.---- 0" I^" . . 11 - f1J Is.~o( i.J~ R"l"'-'II ---- -- I I . . -__~_L<J,3iLt.:- #l Test lIole ---- 0" - Zt' ___~ -.!::c9~", I I . M+ V.H" D r\ /0 "1.,u 7<( I ~, 'l. . TE5T /lOLl: m;SULTS 47 9 JPIt,--- #2 Test 1I01e ~ 0" - ~O L....~R.;.,R.;l.h11 -. TEST HOLE RESULTS ~t ~ ea, 2.- #2 Test /lole 0" J~ /I J u."....1- - 1..; ~fi';;'0 ' , _ llfl,\ . ,;./ TEST HOLE RESULTS j.",-/- f 8(/,,'1., "2 Test i~ 0" - IS'f l..OO-h! isJQ,jl"~ sI 7'-/ - 3lf y I 0" - <"0-/ /1l.fN I #] Test /lole to ()" L..... ~ e~~,'1f.../f " r,/. I I ~' I: ':1 'r' I \, L,J l ~j~ '1.- #] Test Hole -0" -75" I '<Oli.m 0" - ' , J." f-l ();y, t. ~ #] Test Hole ~ 10 ,"I-Otl , '>1, ".' "':': , ' '-. ...' :"J , " ..';:' , ~ LAND DEVELOPMENT RECORD Date /f) h.. T I t/ Development Name .... Twp~RangeJ- Sec,~Tax Lot Lot Size General Location I' f,op6rpj . 3~ Owner or Developer ..... fiX. 111 r!~,~t'" 1:3101" Census Tract Acreage Involved 1, Soils in Area (General) 7J"'~PDr'" a) b) c) d) Topsoil Type & Depth Depth to Impervious Layer Water Table nOflQ. -l'o'MlJ, 1..0""" -In no 11 ~ /..,,1. '" cd ).,,...f 6-D " Subsoil Type Mottling Suitability for Subsurface Sewage Disposal " -I- tJCC":f. ,;;.' -/';/",{) ,L~16" , e) Fill Feasibility 2, Topography a) Slopes G~ Ii'", ,,,j/.. f-Ia f 1 b) Slide Area s A...,., c) Soil Scientist Repor t' Requested? AA d) Geologist Repor t ,.-, J'l 3, Drainage a) Flood Plain b) Winter ProblEms Ye.:> rtlJ c) Distance to Bodies of Water cv:k. ,,<)13/7 -:t L..:.. ~ hI..4<,' , ;: 8 ? 16 (;.f{ t ) 4. Problems in Area a) Previous Site Inspections b) Neighboring Dwellings a.LIa.::. At' .s:.. ~ . , c) Environmental Survey? ..-,."~,, , d) Health Hazard Area? ~ 5, Proposed Water source~~/private) a) Projected Plans for Public Water b) Problems With This Source If Anv 6, Projected Plans for Public Sewers a) Distance to Sewers ..!: ~ Distance to City Limits ,.j. ~ 7, In Urban Service Area? a) Within Fire Protection District? b) Health Hazards in Area? ~.LJ y , , MSS-60 ~ .. '. .. J sJc It . BUILilNG ~ITE EVALUATION .. ( ) ( ) ( ) 'Building Permit Appl ication No. Site Inspection 7'1 - :S~2. Pre-Permit Investigation LANE COUNTY PLANNING DEPARTMENT NOT ao;;l icable I. Zoning Ordinance CompJi~~ (Zone ~) Subdivision Ordinance Compiiance ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) 2. 3. 4. 5. Required Access Building Site (Area, Width, Frontage, Setback) Other (see comments) COMMENTS: NO YES (} ( ) , ( ) ; ) , \ I T'" 02s 06' CENSUS TRACT f1f; Uerfl(M l?- 2 (L..- b-I z) B-3 APPLICANT: 0_1 lLO'-/D' Q 'Z.szJ N/\ME F/x I,;) 0 ~ ' , ADDRESS t TAX LOT I PHONE DATE CI-Il,-7Y NAME DATE 4- 17-71 "YVl'9---, BUILDING INSPECTION SECTION NOT NO YES NAME ~ -, - app 1 i,cab I e 6. Plans Subm i tted <p ( ) ( ) 7. Soil Stabi I ity (foot i ngs) ( ) ( ) ( ) '1 8. Flood Plain ( ) ( ) ( ) e(Jt~ 9. Other (see Comments) ( ) ( ) ( ) .6""'/3 '7Lf - COMMENTS: , , " NOT NO YES ao;;~ i~able (1~('f~~ () ( ,) ( ,) () () () () () () SANITATION SECTION 10. Sewage Disposal II. Usable Area 12. Water Supply 13. Other (see Comments) NAME DATE ./ ---- / .._ __ _~.. A.A ,_ , ., . _._n COMMENTS: TO APPLI CANT: Building Permit I Site Inspection: Can be app roved. tI /, L Cannot be approved at this time as indicated on item NO.""" DIS above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on itemS 6 through 13 contact the Lane County BuildinQ and Sanitation Division. Will be held in this office until you can resolve the problems indicated. Is being returned. Your building permit appl ication fee is being returned under separate cover. 5/,'S~t J:f ~ ( ) ( ) ( ) LANE COUNTY PLANNING DEPARTMENT 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-1311 EXT. 231 C55-28 LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-1311 EXT.411 . . I" .. ;. , , ~ Twp, Section " liurname Range Tax Lot Code Receipt No. Date I Owner " ',", ',. ~ Census Tract Owners Consent Yes; , No REQUEST FOR SITE FEASIBILITY STUDY THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK: Name .'!:!~~~:: I;: and Address '. t:.~ ~:l:.;' t:':. \\ ;. ~'if~~ ."l~),'Jil!l;':~ lc.i~ :!j:l~n $ No, Sites $ No. Acres TOTAL $ " ' " Proposed Water Supply Publ ic .;;; District Sprinq in Property I proP,~~~~\~S~i~f Property Name ISpecial )ermit Area I Urbanizing Yes No Yes No Is Property Within One Mile of a City? What City? ~:)rrllt~Yj(~ld Yes; No Other Specifv Area Telephone No. ':". ': .:.; L~f:; ~ Applicants Interest Property Size Legal Access - Road Existing Structures Well " Property Location: (Directions) Gi: t.:!.. :'~)Il ~;~:i;"rtt!~i1: ell ,"1''::::1 ,-, I .:~: i L:~ _ T.... APPROVED NOT APPROVED '.::';." ~:o".-',Il~ 1:-. y~ '.';ncf~ i ,-,.it! lc~ 1 0\7 l..l~ocl( ~ t:(n:l;'J~; i;:. '-_;'::."~;v:' ','I" -:. ::~j ..:)' !:l::J!lt'j';'!t;~~ BC:--!'T~; ":!G:~:-:n,'l ~cccu:H.: \':il~'~;{: ,;-'~:..~l '..t, ::'1:: i .' r '. I:.::., ::'-:'.;:.,.~:,j:I,I.l"u! 12 uf block ~ ,md lots '5 iJr..!?oS o~';h('" ~:~. c:~~:::..:"" ..;:~~; d~1" t:1:: !i13~;:'1 :,..~j=:l O'{ :;l'~~~:'l'f::::~ 5~~;,~:' ", " p' ...:' j, ,/ BEFORE CONSTRUCTION IS STARTED bring this form to the Department of Environmental Management and make application for a building permit. If the property is a por- tion only of a tax lot, a metes and bounds description of the parcel must be fur- nished. Exact specifications for the sewage disposal system will appear on the building permit, Two sets of building plans and.a plot/pl,an will be required. /',J .. ~"''C.J' .of' ".. . ,,":-$:' ,,:::/,' '!. ~ .~: " LANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT 135 EAST SIXTH AVENUE, EUGENE, OREGON 97401 Autho~ized Signature ~ C55-32 Date