HomeMy WebLinkAboutPermit Building 1973-11-27
'. ..r ~ ~.. '_'(-"'?'l_,",-~lt.t:'-;'-/~.~ '-,. -.....y.;\.......iY~.~,
U"~ _, ~ - '''' ., ro
.-".",,-,
p.
1.. .:<.
. .~' . ....;~'
'1"1".....""'....-"--,.
... /
e}: Jj
LANE COUN...
BUILDING )ty]
PROPERTY OWNER
BUILDING PE.RAAIJ OR MOBILE
M~IL';~~ A~D;~ssl"
~tonTH '':It::i TH. PL ACI"'. SPIHNGn r::U:\~ OrU:GCN
MAILING ADDRESS-
HOlYlt USE PERMIT
PERMIT NO.
-----------.U,..."'....{~".,.f") rAM",,--rr;UI"" 4 n~.t
CONiRACioiC'
~i'\ACl
. _.
~3 f tl;,;j~~~r(.,~~it ",
PROPERTY LOCATION - INCLUDE': POST OFFICE
?70R rMI'f'fHHillr.lvqT~la..,.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
C:-1"'Cl:T Anl'lIT n~,\ Tn rnMT!;,,"'RIIR.V ""' AG.!: I BY
TWP RANGE SECTION
. :'../'
,8 ALOCI( 2
TAX LOT NO. .CODE
- #' .JtJ/.J?
EXISTING STRUCTURES ON
CENSUS TRACT
()';)
- '"
j)4~ ell
20-EO 1110
PROPERTY
17
I
APPL.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
IJ.,.C:"irn\-lr.r> rnMCl:Tn.llrT ION
f<Jl'lNr:
LEGAL ACCESS TO PROPERTY
r.lI.NtF" RAlIf\! V'. STRF'f:'T
PROPERTY SIZE - F.L
WIDTH
7Q DEPTH
lO~t AREA
Connect to Existing Sewage System 0
TYpE CONSTRUCTION SQ. FT. # BDRMS
STRUCTURES TO BE BUILT THIS PERMIT
r'h ...... . "-4......
"",...--- .....-
121k @ 12 (2)
Q:..~.~r::::~~~~':~ .1 ~~ ANV\ A":"'V'A'~!~~~
b8r:; @1 ~
t""""Thtl ^....I"t'.. ^t!" C: n c::
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC OlD( 0 OTHER
SEPTIC TANK '[!jr
OTHERO
t:h ""
-"'"--
?" f'\"
.,,, f'\/'\
.J---'--
,.
, '.
~
FEES
TOTAL
~
111:: t:t/'\
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL. 7~O
1f'50
TRENCH WIDTH FT.
2 OR SQ. FT.
UN. FT
Roar DRAINS TO TH~ STREET.
\.
"'''.: :.TYPE OF STRUCTURE
OCCUPANCY
ZONE
~:J. ..
~--p' ".~'-~~.. .'
~e:'::'-" l'-
..,'" ~)
r:: Ji ....... .
~~ -.---. --I.
22l1j-7-",
PHONE
747~q971
PHONE
New System 0:'
VALUATION
il~.o 1:)60
1 .1:.t:;r.:j
\
16. 02~
'.
"
300
PU BLlC UTlL. EASEMENT
1=\ rJ
BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY
MlO ,j
P.I
USE CLASSIFICATION
FRONT hI:;:
-"
REAR
7
SIDE INT. ~ SIDE .EXT.
AUTHOR-IZED SIGNATURE - DATE
1",/.1 t"
, ..,
ov
rJ..lAt:>1 I:'~ \.!AIil('l..M,.e.H
.. -
,JOHN CnUICR~HAl'm. R.5.
r~{\~",
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING- CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
DATE
1'-27~ 7~
ss
Construction to comply with uniform building' code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied.
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN, DIY., COURT HOUSE, EUGENE, OREGON 97401
FORM #. C 55 - 1.3
~UILVING ~iTE EVALUATiON
,:-t ::>.
.... . \(f~~Hr
v\J G ~l C,
App I icat ion N0. ODS-S -73
T J 7 R 9,3 S 02.. Y TAX LOT
CEa,S T"RACT'~. ' _ .,
e;, '-€~o/C/~ /s'~ff~L)
APPel CANT' L -8 L3 -;2..
N/\M.E LJ6!5rc;,Jd~,~r::-
ADDRESS
~
( )
( )
Bu i I d i n9 Pe rm i t
Site Inspection
Pre-Permit Investigation
PHONE
DATE . /J - aD -73
LANE COUNTY PLANNING DEPARtMENT
J.
Zoning Ordinance CompJ iance
(Zone 121 )
Subdivision Ordinance Campi iance
NOT
app I icab I e
() ()
() ()
() ()
( ) ()
() ()
NO
YES
NAME
DATE
?
.J .
Required Access
(-r
(-1'
(v)
(~
( )
c..JJ.
\
fI /? r)
.
2.
4.
Building Site (Area, Width,
Frontage; Setback)
Other (see comments)
5.
COMMENTS:
BUILDING INSPECTION SECTION NOT NO YES
app I i cab I e ~1
6. Plans Subm i tted ( ) ( )
7. Soil Stability (foot ings) >0 ( ) ( )
8. Flood Plain (I ( ) ( )
9. o t he r (see Comments) ~ ( ) ( )
COMMENTS:
NAME
DATE
.
6/ Z~L/I-;J..trY3
/
...--................--..
." ....
SANITATION SECTION NOT NO YES NAME. DATE
app I icab I e
10. Sewage D i spos a J ( ) ( ) (~
II. Usable Area ( ) ( ) ~ 4~)]~
12. Water Supply ( ) ( ) .04
13. o t he r (see Comments) { , ( ) ( )
COMMENTS:
TO APPLICANT:
Your
{>4
( )
Building Permit / Site Inspect~~---"
Can be approved. //~;J7-73 7'"
Cannot be approved at this time as indicated on item NO. above.
Quest ions and further informat ion 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 d:ld Sanitation Division.
Will be held in this office until you can resolve the problems indicated.
Is being returned.
Your building pernl;t application fee is being returned under separate cul/er.
( )
( )
( )
..-
LANE COUNTY I'Li\NN I NG DEP/\RTMENT
136" :ii.xtll Avenue E<'I~t. tugene, Or~9ull 97401
1?11tlN t: ] IH -- IJ I I EX I. 231
LANE COUNTY BUILDING & SANITATION DIVISION
135' Sixtl'l r'l"'~lue East, EU~lell(" Oregon 97401
PI1LHJL: J42-1311 01. ~rl
- --
--.--.-..--. -_.'-_.~--
---M5S:::-2s---_.h._-_._-
~"
. f
J. PAT HORTON
""
"
ASSIST A"NT
DISTRICT AITORNEyl;
JACK A. BILLINGS
RAYMOND J. BRADLEY
DONALD D. DIMENT, JR.
KENNETH N. FELDMAN
DANIEL W. GOFF
JAMES C. JAGGER
JEFFREY M. KILMER
DARRYL L. LARSON
GARY R. LUISI
THOMAS I. MEEHAN. JR.
MAURICE K. MERTEN
R. SANDE TOMLINSON
SHELLEY P. SMITH
LUCY B. SCHAFER
~
DISTRIC-r- ATTORNEY
FRED A.. HARTSTROM
EXECUTIVE, ADM. COUNSEL
DOUGLAS L. MELEVIN
EXECUTIVE TRIAL COUNSEL
LARRY D. THOMSON
C~UNTY COUNSEL
LANE COUNTY DISTRICT ATTORNEY
450 LANE COUNTY COURTHOUSE
EUGENE. OREGON 97401
TELEPHONE (503) 342-1311
November 20, 197)
r":; ,(,r~.\
! ~:l ' J
l:_i !b
J!~"
I''''
L!:J
r{ \17 1~'J
I. G i,:"
~K.J
SPECIAL INVESTIGATORS
PAUL D. ALTON
JAMES L. SHARP
'''''' HOWARD L. WILLIAMS
j rr~~~
I , if
II) J
MEMORANDUM
1'\ I (J \:j'
~ ,_.I
~:'. n
'IC/-"~
.,) '.,'
TO:
JOHN SNEED
Building Department
Lane County Annex
, i'
";-'i
'-" :." ",'; ,I 1,,--
f":'j :,;r~
FROM:
RAYMOND J. BRADLEY, Deputy and Assistant County Counsel/'
RE:
TSSIMNCE OF I3UTLUTNG P'~:RNTTS RESPECTING CANTERBURY VILLAGE,
FIRST ADDITION.
Building permits may be processed and issued if they comply with
the Lane County Code. TIle pending litigation which temporarily altered
the issuance of building permiTs on the above subdivision has been
resolved in favor of the county.
Respectfully submitted,
J. P~ON' Di1;)trict Attorney
By Ra~~puty
Assistant County Counsel
and
RJB:bj
{)77
~--""I'" .- ::r.e-~-"~"";"--'-"'"'<i<l---V'" "-"i'-:T"~~";-;-
,.~> "'-">-:'L :;.~ .~,;.~'~-~~.~W'~~ ~":~...
'.":.:~-.:-...." '-~:-.."'
"~~.~'._~'~:'-f" r ~:,'~".=-:~"" ~ "'::' _--"_.:_'''''''',I-..n~_~.. '.-)I!"...<tt.... :~:...V': '.,"'" "
. . P-b2 5.5 - 7~
. \~
~. .
t.
.. . ..
Date NAwmtbt:r.. 3~. H17:\
.. .
~
..
P .t N - r'n..t~~
erml o.
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached appliCation has been fully considered by the Board of County Com-
missioners of Lane County, and it is the opinion and judgment of the Board that the said application
should be granted, and that a permit should be issued, now, therefore, it is hereby.
ORDERED, that a permit be arid is hereby issued to
wes. tCjl'VElt"t-ons 'tMllCtl011
or constructing the following. facility:
Oriv(;~t~jf al1Jpr(tach with ~uth ~t.
Z198 O.mt.erbUi"l Straet .
upon the right-of-way of County Road No. vlJ)dicatOO , Mile Post ~J.(tn left za.1~ ,
in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements,
stipulations and provisions contained in the application and permit, the Rules and Regulations Gov-
. erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the Lane Man-
ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance.
for placing, building
Specia I Provisions:
1. Driveway will be constructed in accordance with the attached driveway approach specifica-
tions (Drawing M98-50).
2. Permittee will be responsible for the immediate removal .of all mud, dirt and debris from the
roadway and right of way caused by his 0 peration, leaving the roadway and area in a neat,
acceptable condition.
This permit is revocable at any time, and will be strictly adhered to and no work other than
that specifically mentioned above is hereby authorized. .
This permit shall be void unless the work herein c'ontemplated shall have been completed be-
fore tco~nrbUJr '3GB , 19 74 Expires , 19
Date
.~ -
,
. ,.
Approved by Board of County Commissioners
By
Inspected and Approved
,",
By
~". '~'.' \--.,
Director of Public Works
WHITE - OFFICE FILE
GREEN - RESIDENT ENGINEER
PINK - PERMITTEE
BLUE - ROAD SUPERVISOR
ORANGE - BUILDING & SANITATION DEn
YELLOW - REAL ESTATE
C98-79
~.
., ,
i,
'; ~" .~' -, - '~"-i -
Date '
.111 '
Building Permit #
~6Q':?4.~
#
APPLICATION FOR FACILITY PERMIT
I,
~ . ....., . .~~~
(Applicant's Name)
hereby make application under Rules and Regulations Governing Facilities to be Permitted Upon
County Rights-of-Way, to construct the following facility:
rl,' .' .
Upon the right-of-way of County Ro?d No.
at mile post . ... .,.. .(, ,on the
I No." I So. J E. I W. I side of the road, or
(mark with X)
as shown on the exhibits which are attached hereto, in strict c<;>nformity to the statements of the
exact nature and amount of work to be done, and to the description of the facilities contained
in said exhibits. The applicant will .be the principle; owner of the facility as constructed, or other-
wise primarily liable and responsible to members of the public for its proper maintenance, repair,
operation and use. The applicant accepts all terms, conditions, agreements, stipulations and pro-
visions, in Rules and Regulations Governing Facilities to be Permitted Upon County Road Rights-
of-Way, as set forth by the Lane Manual 50.190(2), any amendments thereto, and any other ap-
plicable regulation, law or ordinance.
. t
,
,
~. '
:{.
~ "
~
i
r--
To
Permits Processing
Noted
Date
Noted
t
Permit Engineer
1
1
1
,<'y,,:' ..]
: ". l I '. ,.:\
..~.,.,....",.) '1
~r""" ..? _'~ r/ -f-"'.., ...;. .
. ,./1'./' n l~~:":'~: ..~:.~~~ si, JI'~' ""J_\~~)<r-
t.~;' _.-4.!'1-",", ...,-;....,..M<'tr... ~--o.~'t';o../ ...~"'.,-;;"......1......t., ._,_ " .4.'*.
Signature
~"
Director
r:..'.
Principal Engineer
Subdivision Engineer
't.,.
~
-\,,~, t
)~. .:~.~l(~;
1"
:;..;.., ",_,?4
Address"
,
h
Weighmaster
Zone No
J ~.
.r:7 ~,~-,'_~
,
~~- .
)'1-',
~'
WHITE - OffiCE FILE
GREEN - RESIDENT ENGINEER
PINK . - PERMITTEE
BLUE - ROAD SUPV.
ORANGE - BLDG. & SAN IT,
YELLOW - REAL ESTATE
Phone No.
r.'~ ~
rl,(t',.-t
J ";:
1 < ".'.?"}.
~: ,
~ -..'
"
~~ .
'.
...' , . .",
C98-78
.;. 1,..~l~,'._
. .:.,~. -,. ~ '> > ~
.....,,'..1.
.' ~,,:i.
. '"":. :,. \, ... ~ ....... .~, , . , '; ."':....,~- .'
'-,,'.
~r:-~~~f~~~~~~~
. , .
,," ~~t:~~~~~'.;"<~:~. .~.~~,.~~~~~:~,:~~;~.~..:f!:_',;~~.
...-....,:~..-.~".,. ........",..,,-:-. ",..;~~,.'~:1-_'........~_..,.' '......,...>!; '~~7,.~.,.~"",,~.,-.......t>.--:
.... -,. ~
. -
, . ~
f}/.
PROPERTY OWN'ER
i
LANE cbUN.. BUILDING.
BUILDING ilR! MH"O'
MAILING, ADDRESS,,,..
~~~- t~f\Q~':' 1!!'; Till.. PLllcm 8
MAILING tDDRESS'
PERMIT OR MOBIL~ Htnv\E ':tJSE':, PERMIT
. .. . . . ',.~~'" ~ . .'"
"~"'~";"'.:'.. '";:t..~.., ;"R~RMIT NO.
. "
"
..
.~, ,;.'
/"
I' !
~{i!1.i i W\!:',17H2L lnt"Q-!\!FrOOOO
~t~"lfry
lJl.c:.-.hrJf '1 .
PHONE .
, 1trlC1\\(;)~"il
PHONE
"
1~1nr::'r1AM~.('!>. t'o,illii:r"t'itilfl'1l'lfilM
cON''fil.A[TOif '
'"
PROPERTY lOCATION - INCLUDE POST, OF~ICE
't'?;~~;~t~~r~;~1~f"': '
~mJ\ f' 1\ "Wjrnr:l~h()\t ,c;.~nt'tr.1l' 'if
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
!rftt'll~? Ai't.l~Q,\" OM "1l'tll t:./lI':.lVI1'~YQ~1 W~.Q_t,tliml1!' Ll!'!l"i' 8 f&'L6e:tl~
TWP RANGE SECTION TA,'5- LOT NO.
F, .
CODE
CENSUS TRACT
1'1
APPL.
NAME
&
MAILING
. ADDRESS
FOR MOBILE HOME PERMITS ONLY
'No. of Bedrooms
n~
...
~b
~Q.:; 1m ll1iO
EXISTING STRUCTURES ON PROPERTY
1il1.t.lRIlr.
LEGA'L ACC.ESS TO PROPERTY
C^~V~~numv B?~~~
PROPERTY SIZE - FT.
Ml?~*,hVll'1"l ret<\~'lf'l')l6r.." I.OM
WIDTH
'1(1 DEPTH
~M AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System' 0
TYf'E CONSTRUCTION SQ, FT. # BDRMS
New System 0
VALUATION
., .
\ '../'0
\ ". .\ :~..... -\~..
121~ @ 12 (2\
(
!~Jli @1
~~.. 4lJ~l)
C'lJ...""t ft tMP.>
nil"" A ",,,,.....JI"'i!!"" I /1''''', I'lMft ^~'li'^"n.ll';' I!J>
~,~~q
n.~",""
lMOHl'^' . A,", .""",,, """",. e; A. <:
M~i> 001l:
$
OTHERO
t:!:t M FEES
-".. ..
<;l1lI'\t ~.1'll
M "'^ I"C
.,_.~ - ..,.
PLUMBING iNSTALLED BY
OWNER -0 OTHER: NAME
WATER'SUPPty
PUBLIC Olm' 0 OTHER
'" : '-
SEWAGE DISPOSAL
PUBLIC. 0
BUILDING
: WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK '~f
~ l"':"'.
"
-,,\. ";
"
.:I :
TOTAL
~
'l1tl:,~
CbU-NTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL. 1~.
UN. FT
t~o
TRENCH \^{IDTH FT,
2, OR SQ, FT,
500
, .E;:/(t}fW' OOMf-jS'i'1) ''il'Mtt $Vm~€T"
""""'~hTYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
t<i a a ttMt\ J
BLD-G, SETBACKS ,.FT. FROM CTR, OF ROAD RIGHT OF WAY
~B
USE CLASSIFICATION
FRONT hCi
SIDE INT. Oi SIDE EXT.
AUTHORIZED SIGNATURE - DATE
Itt/ ..I kr-. Pifflg~ nv ~Rll\nU1S w!.\(tJl7\macft,\~~
REAR '1
J_-iI1 Co-en(;!Utft'fJJ~s' R.$..
DATE
n.;21....11 $~~' ;:, .
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
. PLUMBING - CANARY
BUILDING - GREEN
SANITATION '- GOLDENROD
" f'~ "';:f. ,,~~ .. . ...: .
Construction to comply with uniform building code and county reguici}i6'ns ';.:
covering plumbing and sewage disposal. All buildings require .,a. certificate'
of occupancy before being occupied.
'. \
(See. Statement on Reverse Side)
(POSI;-THIS PERMIT ON MAIN BLDG. AT SITE)
". . ,
LANE COUNTY,.BLDG" & S~N, DIV"COURT Ho'USE; EUGEN( OREGON 97401
',' .FORM#' C55.13
. " :'_:~.' i:......... . ~ : '). '";-:~' .
4'
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED I
I DISAPPROVED I
REMARKS
GAS PIPING GROUNDWORK
ApPROVED I
I DATE
REMARKS
I 0 I SAPPROVED i_I DATE
ROUGH PLUMBING
ApPROVED
~>\I
DISAPPROVED
REMARKS
ROUGH GAS PIPING
ApPROVED I
I DISAPPROVED I
REMARKS
FINAL PLUMBING
ApPROVED /'X:I DISAPPROVED I
:f/ ....
REMARKS
FINAL GAS PIPING
ApPROVED I
I DISAPPROVED I
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE I
I
DATEI ~-.2Cj -J5
I
I DATE
'.
INSPECTOR
INSPECTOR
INSPECTOR ~/~
INSPECTOR
I DAT'~~~~7o/ I NSPECT i{!:~;'
. ,.1":-;
I DATE
I NOT READY TO ISSUE /
/ DA TE
REMARKS
INSPECTOR
INSPECTOR
~.....- ... ......~""':".-..:~.f~,-...,.,....~r.~:.wr;:-.rl'''~''~~~' ~ .,::......f..J7 ~IIM ~_... <.o'T" .TT.=. ~''''''....,.."l.'~" .. -,'-_.~ ...,.,
. ,,;;;J::"" "'~;:NE COUOLLO:NG PERMIT,OR M~BILrH_ USE PERMIT
., \:, BUILDING}~~, ....., :.t,\H t:r:'" '''l! PERMIT NO.
I'ROP'ERTY"OWNER\,., .~ . MAILING ADQ~~SS
,t.tIil...Mf,.... t'CI'lt!!!l."tUi1t 'f~ir~"!fti .-1~~' ~1I.. 'u"d. 'm\.*h~"U!t..t.I",. o..Mn
C6N"TRACTOR 'l'" ~ MAILING ADDRESS'
~..........,.. "'4"'-_
.~""....~~'"
.;,r; .,...: .il!
~~1'f'
PHONE
'11l1"".fjg11
PHONE
PROPERTY LOCATION' -INCLUDE POST, OFFICE
~?'(l8 ~~J*'II.e'R:~ !l\1i',eii~ji~t~~~, ~
. ,PROPERTY LEGAL DESCRIPTION ~'METES, Bo'UNDS
. a." HMIr'tA.r.rM..t'l' tiM 'ya t:,~IIf'tlt:Aa...yWU..f..~tlk Uti'" tl SLatflt;'Wt
TWP' RANGE SECTION TAX LOT NO,
-'"
'.'- I.
CODE
CENSU,S TRACT
'f1
.O'la
""
2~
ApPL.
NAME
&
MAILING
,ADDRESS
FOR MOBILE HOME PERMITS ONLY,
No. ,of Bedrooms
-~ ~
W'l.fil'l'Mi/i.'11I l:~+illtillt't IMI
" )
. \.
'~,'~ \' \'.
':.~, 0.; ~ '...
2O-ED1'lO
EXISTiNG STRUCTURES ON PROPERTY
IlicMrc-
LEGAL ACqSS TO PROPERTY
C....'tf!'R~_"'"StRfn.
PROPE.RTY .SIZE -FT.-
WIDTH. .
i:~, . .DEPTH
1M AREA
STRUCTURES-TO BE BUILT THIS PER.MIT
Conl'lect, toE){isti:ng'~ Sewage System 0
T\f.,E CON?TRUCT.ION"SQ, FT. # BDRMS
New System. 0: -'
VALUATION '.- ",..,
~JI'f t J-1iiIflI
t...........
\ ~ '
,,-~~ , . '...-
iil8~',;.I) ..li.lrW.&l'fti .
'--,.7'-'
\\.'Y _. ",_ V '
" ..;:--- . \.
'\ . ,
. o;~. ~. .:<, ~ ~~\ <.
'''-~ ~ I?)
'\.'j~
",',',->,".-.~ .~,'l'.,., . . ol, . ., .
~.,." ~ '\),:":~. :..~.'.:. ~~~ >:'."-.\,\,. \~\)"'. \'....~..
UiUldll t2 f!)
- /'
f
1~d: ';68
1., litSfIJ
, ~~~A\.~!_I~ltIi1."!,lj('oft
h.llli'h'. . .... 1M ,A~ lit. 1\, li!l: "
.. . ...;;:--~ ...-.,..,.........~...
,1'-02~
BUILDING
\'\
, ;~\:.:,,::~~~\~;,:~~~~\..~~.~~~P'~~~'~~
SEWAGE DISPOSAL '.n . ,,",. ","_ ""~''':-.'\ ' ., ">;':~'~."':- ~?-',,\":,,:,,\,,>,"~''\'l:PLUMBING;iNSTALL.ED'BY' '~'\ ~" ,~:~\
PUBLIC 0 t::~S~)~IC'T).;N'K~~r ~~THE~ ~\. ~~~ ~w.~c~i-'~iio.f.HE~~iME ~:;.
.. ~~.~, FEES ~\ WATER S~PPL\' \
. '~~~ ' PU~IC on 0 OTHER,
. ~X. ,c~~2~%:"~~~~j)Ir~ 2=1 ;7if}l
. COUNTY BUILDING & sANITATION SPECI,FICATIONS
. ~ II. .
, ~
. WASTE DISPO~Al;iil-,
PLUMBING '. ",.:.
. .,PLAN REVIEW
PARK TRAILER
:s
.,/;' TOTAL
., MIN. SEPTIC TANK CAPACITY
',' WITH DIST' BOX: GiL.. ~'"''''
~ . '~, ,
.. ~ t' \. '1 '2~~... ~,','- i
~JI' .~..f;OTH~-~till;tlt',' ' '\.~\ . r:"'\:.. ;
~'\~~~~~ ~~-~.~_~~,.\~\-.~t~\~~~, ~
'\ ~'~l\~'~~~~~~.~~~~-~\-~~~
", .
DRAIN FIELD REQUIRED
UN. FT
150
TRENCH WIDTH FT.
e
OR SQ. FT,
.)00
,\ ;
"'~:>'TYPE.OF STRUCTURE
OCCUPANCY
'ZONE
'~I,
USE 'CLASSIFICATION
PUBLIC UTIL. EASEMENT
,_ 4!S 'N I (l,Wt) wi
BLDG. SETBACKS n FT, FROM CTR.' OF,ROAD RIGHT OF .W Ay'
FRONT ~~ SIDE INT, '5 SIDE, E.XT. . REAR 1
AUTHORIZED SIGNATURE.-DATE
· Ja/.J.1!:.. 805$ .alt CHARUtS ,'S..........
J~i': t",in~'$-lItAtllt(if Ft. $,11 ,
, DATE
n...21.13. $.'$
, BLDG. PERMIT ~ WHITE
'OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN.
SANITATION - GOLDEN,ROD
Construction to comply with unif9rm buildi~g code a~d county regul~ti~)ns"
covering plumbing and sewag~disp6sal. All buildings require a certificate
of occupancy before being occupied. "
, ~ ~.. "[.
(See ,State'ni~nf on" Reverse Side)
l ;~"~# '" "
l, ..
'l. .' . . .... '. ' '\ . ",."'.r ..~. .~
(PPST THI'S PERMIT ON MAIN BLDG. AT. SITE)
LANE COUNTY, BLDG. & SAN. DIV" ,COURT HOUSE, EUGENE, OREGON'97401
~ I \'~'
-,
0\ .... 0
, l' ,-,'
I'~ .),
; '!
7.:.,
:<:. t" "'"
.:. ".
~
"-;~
~(..........,,-{;-!
'.
SITE INSPECTION
ApPROVED / / DISAPPROVED / / DATE
INSPECTOR
REMARKS
F9UNDATION INSPECTION
1//
ApPROVED / - / DISAPPROVED /
/ DATE /~-t- '13
,,,,,,,od
REMARKS
FRAMING 'INSPECT~"'I/)
ApPROVED / .I/f 01 SAPPROVED / / DATE/:'->~A ....-711'--,;.1 NSPECTO~'- ~--"-_/'
REMARKS~'~~~ l;J..w/8' tJt(/
~~. -+Q-:/V'7i~./.~. _~~
=-~ ~ /.d.2c.-"'~ ~ej-/i;'->:J
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
::::~v::SP~C2~~:',,:~'mo / / Om :J-?- 71/ ',,,mo' K
REMP!~vt#A.~ /-'1t) -7L/~. ...;J.-7'1'f ~-4tl> /ntL.
~~ ;1-/?- f,1({~/ 11-0 db JlAf#U ~-;lb~!tI I
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
./1} /J /J
. " ~J.~~ .
.z~r.r"-'1.) ;.I~ 0\ 79'8' ~ 2D -3W
/
/~
'I
C!...
c. 0 re R t::. c.. T I C-' J'..J 0'
M J :. S I tJ Co:. 0 AJ €
t) ETA I ~ Fe ra. r-e.
"S I 0 E C3. c, H 0(1...0
NO: .3 3 '2..
JO/~T ON '24 LOli c::.;./'''L F/AJIe.. .B-4/G,
,f INOlJSTRIE~- Pp. Box 2027- Whittier" Ca., 9061~, , PHONE: 213-945.1524 Add-. .
, ,pr,
..... 5' )::.
0_""tJ
~(J)~
(j)r-
<.-'C
b C
"-
..... \}l :::-;:
~f) f\)
itt -I ...
(~j 7\.
f\j
, :c. U
~ h r-
':: ...... -{.
(j ,. t
r:) ~ 0
U1 0
t)
V;
~
h
o
GJ
f\)
k
m
<) -
......
(j)
~0
t VI
( -
C>
5" (t)
'i ~
J:: ......
'l
~
~
C'
~,
())
......
6)
~
;>
'-
.h
-..
r-
(/1
.....
;,.
......
'~
J ~ 0 II
'.-
-J.
.
'. If!'!l (ff ~ff rfl "'
LA( . Ii I,~ "
'-. II ('t--l " -" Ij)'':'
(~, ,) t;l ,
'. i c.;i1 '873 . i
.;]/ . .~
~.l ;":,; '. ;/ '
. ; . '11
I,: ;..;',1;',1
;' I r .,: " .: .:.:. ~','~: JJ{ '.;
(1./ ., /"'~:/
.. ~'2 <>\i : i
. 9 (,.' ,,".:' ~ >-
.:: J '-,'~',~:t, ~ ~
. :1'< '".~. ~'~J> ~
o . ,
. .. ~.'. ':
.)
I ,-.-
"". "U- '"
.... L.t i ;-\1 ~'i
'..11,1, H-1
ti'lL ~H f'Il:'
(\) . WePT:
, .
o
::
~
~
~,
N. ~"
~
z
)>
r
UJ
~
fTl
f)
o
I
(\)
(]I
(\
f\)
LO
uJ
tAl
':(
CJ
"
~
......
(;-\
"""--'
"
-A
.J
~
~
-
o
~
~
t
{,.
~
. .. .~~. . . "?.MS-7.1 ~
FH'A FORM NO.. 2~~1' U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
Rev. 10/70 ~O' l~. FEDERAL HOUSING ADMINISTRATION
'IV ;1 . HEAL TH AUTHORITY APPROVAL
'?'c r'b/ ?,-. ,1l.},~o' INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYS
'\.~....J./ I~ Y PART I-TO BE COMPLETED BY FHA I
~ InSuvingpJA'C . FHA
~..~~ .
()~.p
Mo~t~rgee - Name, Address and Zip Code
I
I
Mortgagor or Sponsor: .........,..DIVF
LEE, George F. & Cee n.......1E/r1p
First National Bank of Oregon
Real Estate Loan Division
P. O. Box 1786
Eugene, Oregon 97401
2798 Cantebury Street
Sorinofield. Oreoon 97477
Subdivision:
.........fJEHM
Property Address:
Lot No.
L
~
FIRST ADDITION TO CANTERBURY VILLAGI: 8
~ln.ck ?
,--, Nit 11 t' Can Attic or other Area be made into additional'
LX-l ew ns a a, Ion bedrooms? (If yes, how many?)
TQTAl, ~V.MBER
..LDllNr. TTl:!lIT~ I HEllROOM~ H~TH~
BASEMENT
2
Ii
DYes Q No
DYes Q No
SYSTEM DESIGNED FOR
WA TER SUPPLY BY:
GJ Public System
SEWAGE DISPOSAL BY:
D Public System
D Community System
D Individual
No. of
Bedrooms
Garbage Disposal
D Community System [JiJ Individual 2
PART II. ~ TO BE COMPLETED BY HEALTH DEPARTMENT
DYes Q No.
HEALTH DEPARTMENT INSPECTOR'S SKETCH
BLDG. PERMIT 2255-73
I
I~
1---
1---
1---
1---
1---
:=== I
C: =__-L ::::::::::::
I
,-= ===== ====
1-
C:I
I
i~::: ::::: = *::
:-- :--1-+-:---1
--~==- [~~~~~~~~
-------~========F
----- 1-
--I] :=
1- 1_
1-
-------- --
~~~~;~~'~ [~;j~==c~~,
= = ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Ie =c =1=1
---------------------
, , , , , , , ,_, , , , ,_, , , , , , , '-,-,-, --:t=:, . , , , , , , -=:=~=--c~~--==llll
It is the opinion of the D State D County . Locl'lLD..e.partment of Health that this individual water-sup..P-l.y~tem
D-is [J is not satisfactory as a dom;stic water; supply for the Sl;lbje~-y;. . '. _....:.- ----
It is the opinion of the D S'tate. . U County D
with proper maintenance:
[!] Can be expected to function satisfact~rily, and
is not likely to,cre~an. insanitarY.c::..onditiOn
DA TE SI ~TU~ A () - {J}G;.L'
2-8-74 .. '~mIRf3Y' .R~S~
Local Department of Health that this individual sewage-disposal system
D Cannot be expected to function satisfactorily
TITLE
SUPERVISING SANITARIAN
NOTE: The health authority ~hould complete the appropriate opnion statement above and affix date, 'signature an~ title in the
spaces provided. . ' .' '.'..
Use of the ab,:,v~ g'rid for Health Department Inspector's sketch as well as use of the"back of this form is at the"opinion of the
hea Ith a uthori ty.
PART III.
FOR USE OF FHA OFFICE
TO THE CHIEF UNDERWRITER:
I have reviewed th~fore~oing and the pertinent FHA Compliance Inspection Report" and recommend that the
Individual water~supp'l):', system be considered D Acceptable D Not Acceptable .
Sewage disposal be considered. D Accepta1;>le . D Not Acceptable.
DATE
SIGNA TURE
D CHIEF ARCHITECT
D DEPUTY FOR CHIEF ARCH/TECT
HEALTH AuTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
FHA FORM NO. 2573
Rev. 10/70
REPORT OF INSPECTION-INDIVIDUAL 'SEWAGE-DISPOSAL SYSTEM
PRIMARY TREATMENT consists of IiJ Septic tank. 0 Cesspool.
Septic Tank:
Distance from well, feel.
Total liquid' capaciry,---tQOO
Inside length, ~i 7lfeel.
C...p_l:
Distance from: Well. feet; founda~ion,
Inside diameter, feet, Depth
SECONDARY TREATMENT consists of ex Tile disposal field
TIIe'Dlspasal FI.ld:
Material, CoNrD!Tr
gallons. Capacity inlet compartment
Inside width,Ji feet. Liquid d~pth, ~!
Number of compartments
1
gallons.
feet.
_ feet; nearest lot line at 0 front, 0 side, 0 rear,
feel. Liquid' capacity, gallons. Lining material
o Seepage pits. Other.
': .1
feet.
Distance from: Well feet; foundation, 15- feet; ,nearest lot line at O.from, iii side, IJ rear,--1fl
Total length of tile hnes,----t,c "feet.' Number of lines, ~ Distance between lines, 1n
Trench Width, 2)' inches. Total effective absorption an:a jn b,o.ttQm..oCtrenches. ?fJO
Length of each Ime, I)()-~ . feet. Depth, top of tile to tinish gra<!e,
Type of filter material: 6(l'GraveL 0 Broken stone, Oth,.r
Depth of tilter material beneath tile" ~
feet.
feet.
square feet._
. nches.
inches., . Depth of filter material over til,.
~ Ie',,'l \ i 1" 7 .' .
?
inches.
~page Pits:
Number of pits__. . Outside d'iameier, feel.
Distance from: Wdl,_ feet; building foundation,
Depth, feel. Lining material
feet; nearest lot line at 0 front, 0 side, 0 rea~
feet.
Inspectlan made by: 0 State,
',' \.
jt]'County. o ,Local Health Authoriry.
I' .
.,'
19~
Inspected b~
/s/J.H. SHOOK. R..S.
'lsiiiK.ixSxxC'Ii'N'ITAR~ liA",.
(TITLE)
Date of inspection
n:SRUARY ,:;-
REPORT OF INSPECTION-INDIVIDUAL WATER-SUPPLY SYSTEr.\
Distar'.le to nearest public water main, _. feet. Size of main, ' inches.
Individual wells 0 are 0 are not customary in neighb9rhood,
Give most recent rc'Cord of failure' of wells in immediate vicinlry to furnish adequate supply of water
Properties in neighborhood 0 are 0 are not being developed with both individual water-supply and sewage. disposal systems.
Lot size: feet wide,__ feet deep, Dwelling set back from front property line, feet.
Individual water supply fro~: 0 Drilled well. 0 Driven well. 0 Dug well. 0 Bored well.
Dlsta'nce of well from:
Bu ilding foundation
cast iron sewer
feet; tile sewer
feet; cesspool
feet; nearest lot line at 0 front, 0 side, 0 rear
feet; 'septic tank, feet; disposal field,
feet; other sources or possible pollution, feet.
feet,
feet;
,seepage pit,
Well construction:
Diameter, inches. Total depth, feet. Type of casinr Depth of casing, feet.
Approximate depth to pumping level of water in well, feet. Approximate yield, gallons per minute.
Sealed watertight to depth of feet.
Exterior space around casing sealed with: 0 Cement grout. 0 Puddled clay. 0 Ordinary backfill.
Well cover: 0 Concrete. 0 Wood. 0 Metal. Openings in well cover watertight: 0 Yes. 0 No.
Pump: 0 Shallow well. 0 Deep well. Length of drop pip" feet. Pump capacity, gallons per minute.
Located in: 0 Basement.' 0 Pumproom off baseme~t, 0 Pumphouse above ground. 0 Pump pit.
Pumproom properly drained: 0 Yes. 0 No. Pump mO,unting watertight: Dyes. 0 No.
Type of storage: 0 Press~re. 0 Gravity. Capacity, -...'. g~llons., ~
Has bacteriological examination of water been made? O. Yes. 0 No. If answer 'is "yes, ". give date
Quality of water 0 is 0 is not satisfactory for human con,sumption.
Installation 0 does 0 does not comply with approved exhibits, if any.
Inspection made by: 0 State. 0 County. 0 L<xal Health Authority.
Inspected by
.19_
Date of inspection
19_
(TITLE)
GP 0 900.682
.
.
---------
o .
--.. ~. ~
~ '.
.# '.
z;", ~ J2.
~~aller'S Name V-- ~
No.LivingUnits Bedrooms Baths
I ~ /
septic Tank:
Ft. from well Steel 0
InS1de D~ens10ns: Ft.
Length 7,1- Width ~ J-
Applicant
Name
WESTOVER CONSTRUCTION
Mailing
Address
?5R9 MnDTU ~5TU PI Ar~
~NDIVIDUAL SEWAGE DISPOSAL sysr RECORD
installer: Complete top part 0. iorm to
signature and returB bot~ copies to Lane
County Building Sanitation Department.
.. ,~.. ;
Property Address
rANT~~R~~Y ~T~~fT
Basement Water S~PlY
Yes 0 NO.~ Public ~\ Other-List
Concrete ~ No. Compartments ;'
Diameter __ DePth.~ J--
P.RMIT No. ??~-?3
CRUICKSHANK
Gal. Capacity / C; 0 6)
Disposal Field:~
ibution Box:Yes ~ No 0
is. . b1.'ltion- Typ,e
Feet from /
, Well Foundation l~
. Lot Line
~,. ront Side /0 Rear /0
Fil .e .i:t:..--V Filler depth FHler ~ePtfi
,above '1/ below
Ty, .Aar~ tile 1/ in. tile. iJ4
~~rl~1 n nDr~nM
Le~th ~ L~nes - Ft: T:ench Total sq.F~.between
1.~02.6r:?3.j~. 5. 6. W1dth V ft. 300 hnes If)
, ske~ (See instructio~s):
. f., ~
I
I
AI
~ 1
J'.
Olr' '"
\I,~(
rl,l/
\) ~o1- ff;!;-t..
I
I
Date
/-JIJ -/f.7V
/-
~o
I
-~
I
fo I
n-
Conforms to Current Standards Date: 1\ Ir/ r
to Current Standards ~~
Signature
, ,
For ~itarian Use Only:
~Approved: System Installation
o Disapproved: Does Not Conform
Remarks:
.~.~
~~tarian'S Signature
Lane County Building & Sanitation Dept.
C55-11
~
LANE COUNTY
'lDING PERMIT 0 R MOBILE HOM'
iE APPLICATION
PERMIT # -?:).s-o--73
. PHONE
7Yl-997/
'.- PERMIT TYPE - BlJlLDING ~ MOBILE HOME Dose REG. #
PROJE!T~ ~W~.E~/l/ J~ A1 /1' ,:... ~~ING A~~:: ~." O.
VU~r (VC/~ ~~, ~ (Y'-J~ 7.. ~, 3s-rn ;c., ~pio
CONTRACTOR MAILING ADDRESS
PHONE
PROPERTY LEGAL DESCRIPTION
LOT - BLOCK - SUBDIV.
TWP RANGE
I 7 tJ3
PROPERTY LOCATION - INCLUDE,/?ST ()~ICE
:J 798 C;QNt-~~ 01t
,
L":':- ~ . /I ./7' -A ~.d. ~f~/ / / Q 13 '7 METES & BOUNDS
~r rf.Do c.;,r#V1~veH (/~~ /--0 -A.. ATTACHED
SE~/ TAX LOT # I' CODE , CENSUS TRACT
C) 'i .2c9 -10- (510
, DA~~ STRUCTURES ON PROPERTY IF ANY
LEGAL ACCESS TO PROPERTY - ROAD NAME OR #
/1,4d-~~ .:5~
PROPERTY SIZE-WIDTH. / DEPTH (
7'1 I IQY
o YES
o NO
APPLICANT
NAME
AND
MAILING
AREA
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
~. STRUC_TURES TO BE BUILT THIS PERMIT
'-.L.)(c)~~
~..;-UN~_~
Connect to Existing S~wage System 0 or New System Req."
TYPE CONSTRUCTION.. SQ. FT. ~,~EDROOMS VALUATION
102 14 @ 1';;;' ( 2) /(/t~ c-.. ~
\....--/ ., --
7"~S-@3 14 s-~
-------.::--
./ /gcbl3
,~. ,
~ :5.D>(
SEWAGE DISPOSAL
PUBLIC 0'
BLDG.
WASTE DIS.
PLUMBI,NG
PLAN REVIEW
PARK TRLR.'
SEPTIC TANK ~
~. &; S I Ot:.;:;i
'::>0. tOO
3f9,~
OTHER 0 OWNER d' OTHER 0 NAME
FEES WATER SUPPLY PLANS FURNISHEP . FACILITY PERMIT
PUBLIC 11(' OTHER YES M . . . NO 0 YES,.R[ NO~
PL~I~:T~::S ~ 7.,Cge)XJ;~PP~)~ ...,. ? 1*75
CASH 0 SEWER ~~~ ---- DATE
CHECK 'V( CONNECTION FEE rO..,<!:.le::> ~. .JL~ t (-;;;2<rJ -73
r ... , _ PERMIT #
! 1.C),.s-O ~~~~E~~~FEE 1_8 0 ~
PLUMBING INSTALLED BY
'Po< ,.\ ;. ," .
TOTAL
"
./
COUNTY
BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
L1N. FT. /:> U TRENCH WIDTH FT. ' A-
/
//
OR SQUARE FEET .:sera
./
\/
MIN., SEPTIC TANK CAPACITY
750
\
\--126of dYl'-u'h3 t6 strAIt:.
\
WITH DIST. BOX: GAL
v
TYPE OF STRUCTURE
J..<? lit. I OCCUPANCY &
, \ -D IV Jeffr::r
ILDG. SETBACKS - FT. FROM CTR, OF ROAD RIGHT OF WAY
\ l r- ~
~NT L.J:5 SIDE INT. ~ SIDE EXT,
'~lJ~ 1i1.' f'l f"I ^ late PLANNING
'r/ltEtlytJi.;tttJi!:) 1,,)-(f7~lL~
, J J
ZONE
REAR YARD
PUBLIC UTlL. EASEMENT
itions to Find Property:
'R-I
I USE CLASSIFICATION
REAR ? '. ..p
Date BLDGfI1;1 " ff) 42~/
U-{z.o .......~(~/jO,2t, d
:' (
Date
'7'.Y
\
\
I
!- OFFICE
',- JOURNAL
\- AUDIT
55, \2