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Home My WebLink AboutPermit Building 1974-4-12 /' J ,lJ(i..!JnVJ,/ (~Vfr~~;f""{,t.., r . (6J"'~+' \" L/Cf)' 71/ I -- '- ~. jJ -- ~ ~~ \~ LANE COUNTY buiLDING PERMIT OR MOBILE HOME USE PERMIT BUILDING [KJ MH 0 PERMIT NO. MAILING ADDRESS lv92-74 . PROPERTY OWNER -:.'. '}ustcv~r Construct ion CONT,RACTOR ..I '4034 Ma I n , MAILING ADDRESS 't'Sprinqfle1d PHONE 747-9971 PHONE S6ma PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS 1st add to Canterbury L-6. B~3 TWP RANGE SECTION 03 24,t.f./ TAX LOT NO, CODE t 3033 CENSUS TRACT 17 21-1433 EXISTING STRUCTURES ON PROPERTY APPl. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS , ONLY, No. of Bedrooms Westover Const. CantElI'burv St. LEGA~ ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH 38 DEPTH 1 02 AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ, FT, # BDRMS VALUATION . --.' 973t!Di2 (3) 11,676 t.'joi n seGond floor 608@>~ 5.L~72 GcraQs. att. unc. 5'28G:D3.50 1.945 10.993 SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK !ill BUILDING t WASTE DISPOSAL' PLUMBING PLAN REVIEW, PARK TRAILER OTHERD 71 _ 00 11:; no.. ko ClO FEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY' , PUBLIC ;[;Jt o OTHER " MIN, SEPTIC TANK CAPACITY, WITH DIST, BOX: GAL 900 t, .146 : 00 COUNTY BUIlDING' & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED LiN. FT 180 TRENCH WIDTH FT. 2 , OR SQ, ,FT. 360 TOTAL Roof Dri:llns, to street. TYPE OF STRUCTURE OCCUPANCY ZONE , PUBLIC UTll. EASEMENT 5N & J BLDG, SETBACKS'~ FT, FROM CTR,'OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT ~O REAR 7 SIDE INT, 5 SIDE EXT, AUTHORIZED SIGNATURE'- DATE. '5/S J.E. Boss bv Charlie Harbaugh J.H. Shook DATE 4-12-74 bp BLDG, PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOlDENROD Call 6?7,-4065 to schedule all required inspections. All construc- tion shall comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and' county' regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse,Side) . ....I.'r..'t ..~x,...; FOR~ it C55 -13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEpT. OF ENVIRONMENTAL MANAGEMENT: COURTHOUSE ANNEX, 135 EAST'6th, EUGENE, OREGON 974Ql Call 687-4065 to schedule all required inspections. All construc- tion shall comply with Uniform Building Code, D.E.Q. standards for ,sub.surface sewage disposal and county regulations covering plumbil1g. All buildings require a certificate of occ,upancy before being occupied. (SeeQ.e.tail~ '~n "R>ey.~(~e Sl~7) . PROP_ERTY OWNER LANE COUNTY 'BuiLDING BUILDING D MH D I~ MAILING ADDRESS PERMIT OR MOBILE HOME USE PERMIT PER~...\IT NO. ~tOJ::JtRA(;:,l0R Ccna;t;ru\j't' rn .!t '. ..... ""0" _,' ~~MATL'I'NG1"ADD'RESS' '::.pr' 'l:}T :' \.: ~ ,~~ .. 'P.1l0PERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ~T<'y.{P a<.:lu to (;\jnt~!.A/Ng;Lc;ry L-O~ t!"~'ECTlON ., /4./ ,,~ CENSUS TRACT TAX LOT,NO, CODE 7 -!) it 50 ~5 EXISTING STRUCTURES ON n<< ... J,~-l~'a PROPE'Rfr .... '{~ -. i APPl. \I,j NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms ... ..... Pio. LEG'l\f~A'Ct'E'SS''tb P'ROPERTY weStvve::.-' LCln. \: PROPERTY SIZE - FT. '., . ~" \ WIDTH IV'>, DEPTH. c," AREA :"'~J VI t_t" STRUCTURES TO BE BUILT THIS PERMIT . Connect to Existing Sewage System D TYPE CONSTRUCTION 5Q, FT, # BDRM5 'MiD~n " , <!JIt..'~d"'" ,~, '...r'>~l't~~ \~-'f \\ '\, ~\'>\)S' ~ , \ '~4,,'V'~ vtW,~...._.j,. ~!llt'-:i'I!3 ~ Hint' " '.. \;.I'l.t~,~, ~tU,. W1C:. ' Atl..""", 11-"-' ~.. ~,."-'~' ~ . ,1 f.,,~ SEWAGE DISPOSAL PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER PLUMBING INSTAllED BY OWNER D OTHER: NAME WATER SUPPLY OTHERD SEPTIC TANK D ~~ t FEES il.\I~J 3~~. OIJ 4tA.OfJ PUBLIC D ..."'" D OTHER TOTAL t, MIN, SEPTIC TANK CAPACITY WITH DIST, BOX: GAL. ~...<tcH)'NTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED TRENCH WIDTH FT, I} ''> OR SQ, FT. fe,H;; L1N, FT t ;,1.... ~ "",.~'J 1';., .... ;,)$'.. !,,f ~.v 7.H.lf'~q.t.. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT . BLDG, SETBACKS n FT, FROM CTR, OF ROAD RIGHT OF WAY #' ,. .... .. USE CLASSIFICATION FRONT SIDE INT, SIDE EXT, AUTHORIZED SIGNATURE - DATE REAR " "1. '..u ., ..,.-.., 1 _~..._ ..._ ..-.l.._ ._.......0.. li-., ~ ".7~'i. ..~~}3~ uy '_;.;t-:.;';\" v t! IW ,'Q, V~....:;)t. BLDG, PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOlDENROD j U 4.:'.~.~~w.'..iI ,,~ .',... IMPORTANT: ,\,,~:::-: '~.:, " '. (POST~THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. 9f ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 "EAST 6th, EUGENE, OREGON 97401 FORM # C55 ,13 ".~' PHONE 'PHONE New System D VALUATION j '\ Oft. ," ,!- , ;to" DATE ;;... ~~f4, t " ,i . I J~ I SITE INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED / ,. ~/ DISAPPROVEO~ / lTE, 5" ;2)...1Y REMARKS ()J(~kt/~cJv ,,'II{ , I I INSPECTOR VL ~I FRAMING INSPECTION ':H;- /J II? ","OVEO I y rD',^',"OVEO I . I D'TE ?~ZI{-7'1 'NSPECTO, ~ c!-/ REMAR'h~' ,~~*R?~r~^- ~ ~. 'A/k1'Y~ r;!r-:2'I..t-'7'(~ (/, - V' -- LATH OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS FINAL INSPECTIO~ ApPROVED Lj:L( DI SAPPROVED / / DATE 7-//.. 71( REMARKS INSPECTO& e.l CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE INSPECTOR REMARKS 'I'ClJ-7!' ~ !t~~;r.g N, (j L4Wi/ .~ ,.. 1 .. . LANE COUNTY BUILDING 0 buiLDING PERMIT OR MOBILE MH D MAILING ADDRESS HOME USE PERMIT PERMIT NO. PROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE SECTION TAX LOT NO, CODE CENSUS TRACT APPl. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ, FT, # BDRMS New System D VALUATION t. FEES PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK D OTHERD PUBLIC D D OTHER TOTAL t MIN, SEPTIC TANK CAPACITY WITH DIST, BOX: GAL COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED L1N, FT TRENCH WIDTH FT, OR SQ, FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT BLDG, SETBACKS __ FT, FROM CTR, OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT, SIDE EXT, AUTHORIZED SIGNATURE - DATE REAR DATE . , BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOlDENROD Call 687-4065 to schedule all required inspections. All construc- tion shall comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) FORM ft C55 -13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 r SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ~ DISAPPROVED ", REMARKS GAS P I PI NG GROUNDWORK ApPROVED / / DISAPPROVED / REMARKS ROUGH PLUMBING ApPROVED / V / DISAPPROVED / " REMARKS ROUGH GAS PIPING ApPROVED / / DISAPPROVED REMARKS FINAL PLUMBING ApPROVED / J(j DISAPPROVED / REMARKS FINAL GAS PIPING 'ApPROVED / / DISAPPROVED / REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / DATE ~-J-/4 / / DATE / / DATE'5'""'.;J O"/U ,~. / ~> "X /f ./1 / f I l V - I ,. / / DATE INSPECTOR INSPECTOR INSPEC"fOR INSPECTOR ~~ ~ I DATE 7- /- 77/ I NSPECTOR /Ii t9- ,. I DATE I NOT READY TO ISSUE' / / DA TE REMARKS INSPECTOR INSPECTOR ",' I OUILUINb ~llt tVRLUAI1UN .;, 'D7S. le,l/, B~1 J ding Perm i t App I icat ion No. t/92- 7tj (N ) ,\. ( .) ( ) ( ,,) ,~ite Inspection ~) , pre-Permit Investigation, L/\NE COUNTY PLANNING DEPARTMf;NT NOT app I icab I e () () ( ) ( ) ( ) ( ) I. Zoning Ordinance CompJ iance (Zone-:BG- / ) Subdivision Ordinance CampI iance ( ) ( ) ( ) ( ) 2. ") ..) . Required Access 4. Building Site (Area, Width, Fr6ntage, Setback) Other (see comments) 5. COMMENTS: ..~_. ~.... -- ...,. -- .~ . ... ..,- -,--,- DATE BUILDrNG INSPECTION SECTION NOT NO aDD 1 ;cab I e () '() ;0 () f(: () ~ () 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Plain 9. Other (see Comments) T 17 R ()g S ;2 'I,l/, /fAX LOT CENSUS TRACT Iff' tadrr/x//"V t..-6 /;< :s APPLICANT:, Q ~ Nf\ME tr)errc:J0t7/ C~Sr: ADDRESS P HO N E DATE NO YES 's/-3<! Y NAME DiI TE (~ffi71~ 'pi (,~ (I~ (~ ~.~-~ ( ) ..__n_.. ~ ~ "" .""---'~, cy - 7'-:;; t.f YES % ( ) ( ) ( ) NAME {!.1t~~1/-1(-1cI ; COMMENTS: NO ~/ (t~~~~ DATE ~ C~J ... . SANITATION SECTION 10. Sewage Disposal II. Usable Area 12. Water Supply 13. o t he r (see Comments) COMMENTS: NOT aDD I i ~ab I e () () () () () () (, () ( ) TO APPLICANT: L-/~tI eit' ~r ( ) Building Permit / Site Inspection: Can be approved. Cannot be app roved at t his, time as i nd i cated on item NO. 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 Building a:ld Sanitation Division. Wil I 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 cuver. ( ) ( ) ( ) lt1NE COUNTY f'Li\NN ING OEPI\RTMENT 13~r :)i,JItl'i Avenue Ec'I~t, Eugene, ()"~9lln ~7401 f?tWNt:' 341-- U II EX I. 231 ~ LANE COUNTY BUILDING & SANITATION DIVISION 135' Six th f.lv~lue Eas t, E\I~lenc, Olegon 9740 I PI1LHJL: JlI2-/3 U fXT. to I M55-28 """-, i PROPOSED SEWAGE 0 I SPOSAl SYSTEM R~,.O ~ ...'}., . part of form to signature and submit both copies wi: application. ~y PER IT NO. J./9';; -7 , - , PROPERTY ADDRESS . ({~A tUfi~/ ' ' Basement Watef S~pply Yes No~ Public ^ Other-List' JS / ~~STALLER: Complete top . I . TALLER'S NAMJf/'1 \ ", IJt i{ I .. l 't/j d h . l1V'l9 UnlV Be rooms Bat s \-1 I Septic Tank: Ft. from well Steel r=J tnside Dimensions: Ft. len9th '%J- Width 4J.......Diameter OWNER . NAME MAILING ADDRESS SPRINGFIELD, OR. 97477 Le!,gth,p f l,i,'ines-Ft. ," T~enc~l Total/Sq. 1&02,b03.604. 5. 6.. Wldth;t1 Ft~(1J e; Plot Plan (see instructions): WESTOVER CONSTRUCTION 4034 MAIN ST. Concrete tvl No. Compartments llU ' I ./ ;;1=-: I.:. :Hsposal Field: X DePth~J' Distribution Box: ' Yes No Othyr~~u:~on-Type Feet 'f~oJ' '" jJ i WE 11 IV 4 u J'?' /, (/ F oundat ion lot Line ' Front 1Ft. Between Lines J 0 Gal. Capacity I (}(PO, It) Side /0 Rear / t) IFi 11if'J.-Filler Depth .Fi ller BeloW , Typ~to,..~/J Above Ti I e vi n. Ti Ie l, in. . . - -- Jo~ _._~I " [poi.- (].k l{-t-', , -i 1t'~U-' '- - --;',';te ~~~ I 1&6 I I ff I I RECEIVEf) By JUN 2 Ll1974 f1 LANE COUNTY ,I " Iff7 / ) 17 n_ ~IRON~ENTAL MGMT. Date l? -/ h ( ./ I 'J ~ Si qnature A ~ II: /)') /1?r V"'t...-q . ." ! . CERTI F I CATE OF SA'TI SFACTOrfyt COMPlElifi)N~ A /'. A: 'D // /:.. , F or San I ta rI an Use On I y: (/ ,(Jate: 'r.Z- 71'~r In accordance with 1973 Oregon laws Chapter 835, Section 214 this certificate is issued as evi.dence of satisfactory c'ompletionof a subsurface sewage disposal system at the above location., ' '~Approved: System Installation conforms to current standards ~ I {D i sapproved: Does not conform to current standards Rema'rks : I ) cs's -11 \~~ UJL Sa;t"tar i an I s S fgnature lANt COUNTY .. STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY I ! / / / \ ') - to... \ . 'PLICATION \ tj 9 ~'lI- , ~ 7l/'7"r~7/ PHON\,- L< \ ~t.-~b..'7 s r. '>.,Pd~ t I ~ / I ' p '../- METES & BOUNDS ~ , =-- 'Cta.d,.. (..:_-4",""'- f~6/.(,vv ATTACHED Qi TAX LOT # CODE CENSU,S TRACT, \ 62 ~ Ill'! R \ DESCRIBE EXISTING STRUCTURES ON PROPERTY IF"'ANY \ t:A-... T~t--bw.,v ' 5t-r LEGAL ACCESS TO PROPERTy'" - ROAD NAME OR # PERMIT # 'LANE COUNTY BUILC PERMIT ,OR MOBILE HOME USE PERMIT TYPE ~ BUILDING Y MOBilE HOME Dose REG, #31/1/1 PROPERTY OWNER \ MAILING ADDRESS WLstDtllN' ~"s'1: eo t;tJ 3q ?7?c2n't S/;I-h~~a CONTRACTOR MAILING ADDRESS ,,, - PROPERTY LEGAL DESCRIPTION LOT - BLOCK - SUBDIV, TWP RANGE 17 (( PROPERTY LOCATION':"" INCLUDE POST OFFICE I ,d-.." 4 Jd 1; &"I/f~bw" y 1-01-6 !J I( .3 SEC, 2"'/ , '-I- ~ 5 '1;,i./b f;.)~ ,: ( 75't , ~~ PEPTH .I 02, 1./'1 03 NAME iJ,o.;" f;vJ-v t.ro3~ '10.-. v 'fL & APPLICANT mu .'1-.' MAILING ADDRESS 5 /')-; "Yl.~.viL- FOR MOBilE HOME PERMIT ONLY Number of Bedrooms ST.fuITU~ES TO BE BUILT THIS PERMIT :MQ \ A. ' ' :J,U\A/-Pl~ ~~-e-' 0..t~-'~ ~, AND PROPERTY SIZE-WIDTH AREA PUBLIC' 0 BLDG, WASTE D,IS, PLUMBING PLAN REVIEW PARK TRLR, FEES OTHER 0 WATER SUPPLY ,PUBLIC ~ PLUMBING FEES -12,;...."IXTURES ((V/ g OTHER _ Connect, to Existing Sewage System D or New System Req. D TYPE CONSTRUCTION SQ, FT. # &EDROOMS V ALUA nON Q'7'?, ((i2/z- I I, 67b " ~ 6 D~ Cf !52.~ (i), ~;b all' /' / I' OWNER D OTHER 0 NAME /' PLANS FURNISHED /' FACILITY PERMIT YES"'g NO 0 YESk( NO 0 .::!ff:URE APPLICo/ ~ ' ~ ~ ED~ ,PLUMBING INSTALLED BY 5.lf72 I. "tiS , It", Cjqg SEWAGE DISPOSAL t SEPTIC TANK 7/. --31:(, 40. - }{ DATE TOTAL I t.f~~ CASH 0 ~- CHEC~ ~ONNECTION FEE PUBLIC WATER CONNECTION FEE ''3b: ~ 2-' DATE COUNTY BUilDING & SANIT~TfON SPEC(;IICAJlONS MIN, SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED WIJH DIST, BOX: GAl. q OD lIN. FT. J cg 0 TRENCH' W,IDTH F~, ' , OR SQUARE FEET RDl S~ {XtJO/'c/M//JS lb' sb~.I)- ,'5,h o ,4 / /. / ' ,. _~ __ _;_;f TYPE OF STRUCTURE <fAr OCCUPANCY It::! ZONE REAR YARD PUBLIC UTll. EASEMENT BLDG, SETBACKS - FT, FROM CTR, OF ROAD RIGHT OF WAY ~~O~~T R~, r< \\ \\ SIDrE/N~at~~SID~ EXT, \J:::::,W Jf/'1/7L/ ~~ Y - Y-7 t/ , ! . . .~ I - ' Directions to Find Property: USE CLASSIFICATION Date REAR " ;? BLOC;, INSP, ~~~IiILH=I!o1~ if (- V I Date COPY 1 - OFFICE COpy 2 - JOURNAL COpy 3 - AUDIT Form # C55-12