The URL can be used to link to this page

Home My WebLink AboutPermit Building 1976-9-21 - ~ r-,; " LANE COUNTY PERMIT F PERMIT NO 204?-76 , CONSTRUCTION [,X] MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] DOwner ;Jim Ellis NAME 1455 Cheek Street ADDRESS Sorfnaff~ld Oreaon 97477 CITY ZIP CODE PHONE o Contractor Freedom Home Inc NAME ADDRESS 4980 Hillside Drive Euaene Dreaon 343-7321 CITY ZIP CODE PHONE OS Reg # 9243 ~f/33 Twn 17 Range_~ Sect,on iiIr Tax 2nd Addition to Swank Estates Subd,v,s,on Lot Lot It) t' Code Census Tract 15 Bloc, 5 Acreago Width Access to Property (Road Namel Cheek Street Depth EXisting Structures on Property HnmA Dlfect'ons to Property Address 1455 Cheek Street Sorinaffeld Oreaon 97477 STRUCTURE (# BEDROOMS) Permit Tn~ Additinn R~milv Rnnm l/?R~th ? Plllmhinn I=i "tll~A~ SO FT ~I;n ~n fall; 1n VALUATION t~70j; SEWAGE DISPOSAL PUBLIC [] SEPTIC TANK [ OTHER [ ] PLUMBING INSTALLED BY OWNER [] OTHER [] NAMF WATER SUPPLY PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY BUILDING PLUMBING 3% SURCHARGF MOBILE HOMC WASTE DISPOSAl PLAN REVIEW 36.00 6.00 1.26 TOTAL 43.26 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY GALS MIN DRAINFIELD L1N FT MAX TRENCH DEPTH INCHES Replace drainffeld which will be taken 011 of usP hv additinn ~nn~nYim~t1"v 7c;f""t TYPE OF CONSTRUCTION 5N GROUP I FIRE ZONE 3 STAY 100 FROM ALL WELLS USE CLASSIF RES: SETBACKS FT FROM CTR OF rlW FRONT 45' SIDEEXT FT FROM PROP LINE SIDE INT c; REAR c; ZONC 1:1_1 AUTHORIZED SIGNATURES /s/ J. Eo Boss by Nei 1 son .1~n"t Mr l(;lV ISSUANCE DATE a 1?117;' rt1r, SLOG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT Call 687 4065 to schedule all required constructIon inspections Call 6874061 10 schedule all requIred septIc system inspections All constructIon shall comply wIth the State BUldllng Code DE Q standards for subsurface sewage disposal and the State Plumbing Code All buildings reqUire a certificate of occupancy before bemg occupIed (See DetaIls on Reverse Side) ~ Bit{ (POST THIS PERMIT ON MAIN BLDG AT SITE) C5513 LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401 .' Ij ,J'" ~ ~ .. l. ;',SUPPLEMENT NO OWNER Jl~ Ell is ~JJ BUILDING PERMIT ?1A,_7 145J Cheek Str~et address l,4JP f,h~'~ StreeL SpringfIeld crreso'l .~ . Jt) {( , Revlsed( :;fJ.2C ) Pnor ( 4:J.2~ ) :['jaddltlon []correctlOn \ Slgnature of Appllcant ,\,("v...t- Fee Recelved By '0:111ill~~.JJQiC!s Date 9/ ;C/7{]cash , LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT CONTRACTOR Fr.?edoTil HO':les PROPERTY ADDRESS (BUlldlng Valuatlon) SJpplew2nt for ~doitional Bldg Waste Plumb Plan R 3%sur, 5DS ,01 tCrE~L1on TOTAL " 1".:' I C74-119 Spri:1gfi:1d 3r~go~ ~7~7J phone 4!.liJO !:::s\. Hillside Drive address phone Ellg;;l'e Or(~9or; []amt due []refund 3:;,00 25.31: ffiUl: 36.00 ?'i rroj 6.'10 1. ~ j f ..::t, _1"''''.:: amt, pa 1 d '.:l. ~ -' ;/ t, f~~-, amt. due" C;).IJL Date Cr/IL/?!, " Ib]check - . -;;' ,) 7i ...~' , BUI~DI~G. SITE EVALUATION ~~ ( ) .BUILDING PERMIT APPLICATION NO.~~-"~ () SITE INSPECTION PLANNING DIVISION Not .-p-pr 1 i cab 1 e 1. Zoning Ordinance Compliance: Zone ~- () 2. Subdivision Ordinance Compl iance ( ) 3. Requ i red Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: T '7 R03 S z.4 TAX LOT SUb_. vtsi'oN: LOT: /~ BLOCK: .~ APPL I CANT DATE {oJ m~s 6. ( ) ( ( ) ( ( ) ( ~ ( ) ( , PLANN I NG 0 I V I S ION ACT ION PEND I NG: YES \ ) NO \) APPLI CATI ON# Not Applicable No Yes Environmental. () T) n ---(~ ~~./ ~,~ -r /' - t.____ ../' ~'1.~~o(. u / T~{lLlCANT~' .~ u Building I Site Inspection' ~ Can be approved. 1P( ) Cannot be approved at this tIme as indicated on Item NO. above. Questions and further information on Items I through 6 contact the LANE- ~ COUNTY PLANNING DIVISION. Questions and further Information on Items 7 \ through 12 contact the LANE COUNTY BUILDING AND SANITATION OIVISION. q \0 () Will be held in this office until you can resolve the. problems indicated. ) () Is being returned. ( ) Your bu i1 d I n'l perm It aEP Ii ca!J2!!..Jee::. is be I n9 returned .ultger se\1arilte cover -DEPARTMENT OF ENVIRONMENTAL MANAGEMENT ...- ... 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE' 687-4186 BUILDING INSPECTION DIVISION Not Applicable ( ) ~~ ( ) ) 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL 11. Meets Department of Quality Standards. Other (see comments) 12. COMMENTS: .;J.-utf- . C55-28 No Yes T) 1X! ( ) ( ) ( ) ( ) ( ) ( ) CK'D ~ .~ 8-/~.&. Setbacks from c i of road: Front J5"' ~..L rr;..tr-:,..... Setbacks from Side Rear interior lines ~ ~, CK'D BY:J1~'t /....~~-/. %h~ DAff' CK'D BY: Cf-IO-76 DATE .s:~1t' ~-II,-)h U4 '" . .~ ,~ , , . . " \~/ " ~~m~f. ~ i!;~.sI",~",.J'I~,' F 2M2-Ie - ~ LANE COUNTY PERMIT' ,,\.-.-J PERMIT NO CONSTRUCTION :[.ll] MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] DOwner J1r.l Ellis NAME frcodolll Ilo..~ I~c NAME ADDRESS 4gS0 Hfl1afdo Qr1VQ E~o~nQ O?DC6n ~3-71?1 CITY ZIP CODE PHONE .. t o Contractor OS Reg # 9243 Twn 17 Range 3 Sect,on , -:nd Addf~1ofi '00 Stl0tlk Eotatos I Subd,vlslDn Lot Access to Property (Road Namel Ex'stlng Structures on Property Directions to Property - Address . 'STRUCTURE (# BEDROOMSI PormH for Mclfltfam ~lr11v Rao~ lJ~entb 2 Plur.-MllfJ ~btHi"CI<\ SEWAGE DISPOSAL PUBLIC [J SEPTIC TANK [ llG.OO G.OO 1..!o OTHER [ ] BUILDING PLUMBIN(; 3% SURCHARG F MOBILE HOME' WASTE DISPOSAl PLAN REVIEW TOTAL l)3.iflj 1455 ~3Qk stroot' ADDRESS SDrfnof1eld Oro~n 97477 ' CITY ZIP CODE PHONE ... , " J 21 Tax Lot II1R Code Census Tract Hi Block 5 Acreagp W,dth Cho::!< Street Depth H();iIO 1463 ~CQk StrQO~ SDrfaQf1eld Oro~o~ 97477 --- ~ 'sO FT " ' VALUATION ::ll1n'ln 1il1l;~ tn <l;1l;701'. PLUMBING INSTALLED BY OWNER [J OTHER [] NAM~ WATER SUPPLY PROPOSED [ ] EXISTING [J [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTH ER SPECI FY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY --j GALS MIN DRAINFIELD LlN FT MAX TRENCH DEPTH INCHES 1{0191acc cJffi~\l?~old ~llfch tI111 130 ~iltmn Oll of tlElO 1)\1 ndtiH:1oi'l IlD[)m1l1o,~~lnv 7"~,,,:.,jJ- ,/ I' ) Call/SS? 4065 to schedule all requIred construction inspections Call 6874061 to schedule all required IMPORTANT septic system inspectIOns All construction shall comply With the Stale BUldllng Code DE Q standards " t for subsurface sewage dIsposal and the State Plumbing Code All bUildings require a certificate of , ) occupancy before being occupIed -rr \~ (See Details on Reverse Side) ~ '2t J 1.J ,\)1) (POST THIS PERMIT ON MAIN SLOG AT SITE) I TYPE OF CONSTRUCTION bU GROUP SETBACKS FT FROM CTR OF r/W FRONT 45' SIDE EXT AUTHORIZED SIGN~TURES Isl J.I'r~' \JOllG by Nollson / 'r . .. SLDG PERMIT - WHITE OFFICE COPY ~ WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD '- C55 13 A 3 STAY 100' FROM ALL WELLS USE CLASSIF Rl:5: FIRE ZON" ,~ " FT FROM PROP LINE SIDE INT fi REAR ZON~ "_1 Ii "UilO!: 11c[!(l1f ISSUANCE DATE o/~tn.. "tn LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401 l' ~/Jt( l,.-.A,/1 .. ...-- SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ;---? DISAPPROVED ~ DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / I DISAPPROVED ;---? DATE REMARKS ROUGH PLUMB I NG ApPROVEO ~PPROVEO I I DATJe -/ -?& REMARKS ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE REMARKS FINAL PLUMBING ApPROVEO ~'SAPPROVEO ~ DATV/J - .y. '16. REMARKS FINAL GAS PIPING ApPROVED ~ DISAPPROVED ;---? DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE / / DATE REMARKS , . . . INSPECTOR INSPECTOR INSPE~P;/#;) INSPECTOR INSPEC~.~~ INSPECTOR INSPECTOR I PROPOSEr -~WAGE DISPOSAL SYSTEM RECORD INSTAllER: Complete top part of fon .:> signature and submit both cop INSTAllER'S NAME Q 1-1. Ly Ons No. livIng Units -.. with application. PERM IT NO. ,z04---:z., . PROPERTY AUURE~~ 1<1-55 CheeK $/-, ~fJ...l"1r;'etJ (Or-90/4 qN77 Bedrooms Baths Basement Water Supply :z- IY:z.. =- Yes eNc;) ~, Other-l I st - Septic Tank: Ft. from well Steel 0 Inside Dimensions, Ft. length p.' WIdth 3'8" 0 I ameter OWNER NAME Jtme,S )2. Ell,s MA I LI N G I Lb-':j"$' Cite e K- $f, ADDRESS /.. 'J $fJr/"ft7'ela Orzc;Oi1 17'f77 len!jth 'If lines-Ft. 'rTrench~ Total Sq. 1.50'2.5113. 4. 5. 6, WldthZ Ft,300 Ilot Plan (see InstructlonsJ1l(' e...) Concrete [71 No. Compartments Gal. Capacl ty ~ f6C: Tile DIsposal Field: DePth~~' Distribution Box' ~~ Other Distribution-Type Feet from WEll lot line Front 1Ft. Between lines !Dff, No Foundation /0 Ii, Side 101ft Rear 17#. IFlIler" IFiller Depth IFiller Bela.t TvpelJI.'KJ,Above TlletZ InJr,le 6 in. (Nt,.}) (/Ile..J) (Nt..J) Ji"ve,{q 0i<L /OhJ7h Signature ~~. /2:'.'1.:.'1[;'" , 1 CERTIFICATE OF SAT I SFACTOR . fiMPLETION For Sanitarian Use Only: In accordance with 1973 Oregon laws Chapter 835, Section 214 this certif'cate as evidence of satisfactory completion of a subsurface sewage disposal system location. ~Approved: System Installation conforms to current standards ~ Disapproved: Does not conform to current standards Remarks: Re6lde,,~ ar N"S5 t!ft.cek S/-; rom' /y kbe"., I IIddrl.cn 10 I "'.L~sePh< E)u~"Q :<0' v":tr, -ra.,k. , I /391< I<<$,'d~ , i t.:: ~ - - - 18' --'- SO' t!a.f~J off/flo /O~O~1 tl~ 3. iifA'sk,t1 lJt'~..,,,uI,'Ot1 w'.te. 'Yo' ~ , t 10' ~ " .>1 .} ..:t' . " ~ c{ _10' - Ilk", P/5!,.ih,J.,()I1 t./rlL 'SO' " 17' ~ Date ,. ell . _ ......l_ . " . , . -''', ~ , -, I -"-~Y~ Date: /fJ'"5-7f:, is Issued at the above I 04YJ~ saifYiarlan'~Slgnature lAIIt COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY C55-11 . . CONSTRUCTION l, ] LANE COUNTY PERMIT l'I'.. PERMIT NO MOBILE HOME [ ] "', t" " , ,} ~ .1 ('~.V"""~ ('_. ] , . " \' 1 - " ; , vh , CITY ZIP CODE PHONE " , -~ f:~d '}~':V ' ( ,; . .] , , CITY ZIP CODE PHONE CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY GALS MIN DRAINFIELD ~).-.~ J~ '~.) ,~,,,,, ".JJ~; '~i!' DOwner t4 ~-;4 r J I: r:J NAME , o Contractor ~,~ ~ :11'): .? ,'. .....- NAME OS Reg # (-- , Tw~ ", " r. )1 I (' ...-, '-' ~, t.. t " , Sect,on r,'"'~Jt.rn Range ~r:~ Ij" ....3 Subd,vls,on Lot Access to Property (Road Name) Ex'stmg Structures on Property Dlrect'ons to Property Address STfJ,UCTURE (# BEDROOMS) I """ ;" ,~. ~. {.." /'V.., w \ " I,..... w / V . , r . . ':f '.., " I"l ::.;-'1L SEWAGE DISPOSAL PUBLIC [] SEPTIC TANK [] OTHER [ ] BUILDING PLUMBING 3% SURCHARGc MOBILE HOMF WASTE DISPOSAL PLAN REVIEW .,~ :<> : TOTAL .l.... TYPE OF CONSTRUCTION GROUP SETBACKS FT, FROM CTR OF r/W FRONT SIDE EXT AUTHORIZED SIGNATURES I ; ....... IJ'l Is/ '0. )(1. '-:'d~ III ,1 SLOG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ADDRESS ..,...... ADDRESS Tax Lot Codp Census Tract r I' Block Acreagp W,dth . , n .., ~i). ~ '-" ~,J Depth V , ) r . " ;:j~i;~C~ , ",- "~..L' " I ! ; ~."('Irc jt/ ~ r I SO FT VALUATION .., ~ ... fin "~I; (: .. ';j ~ > > .1 . PLUMBING INSTALLED BY OWNER [] OTHER [] NAMC WATER SUPPL Y PROPOSED [ ] EXISTING [J [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY LlN FT I I~ , . MAX TR ENCH DEPTH fi ]f", 1 ;1':1 ',; -.:':1\ 'c C 1 INCHES n _, " >. . , (. STA Y 100 FROM ALL WELLS USE CLASSIF FIRE ZONE FT FROM PROP, LINE SIDE INT REAR ZONF n] ISSUANCE DATE .., ':-1'1, , ., ; Il~/ulJ I I"~ Call 687-4065 to schedule all required constructIon Inspections Call 687 4061 to schedule all required septIc system inspectIons All constructIOn shall comply WIth the Slate BUldllng Code 0 E Q standards for subsurface sewage disposal and the Stale Plumbing Code All bUildings reqUire a cerllflcate of occupancy before being occupied (See Details on Reverse Side) , I r (POST THIS PERMIT ON MAIN BLDG AT SITE) C5513 LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th, EUGENE OREGON 97401 SITE INSPECTION ApPROVED /I 015APPROVED C! DATE REMARKS FOUNDATION INSPECTION ApPROVED;:r;z::7 DISAPPROVED L-/ DATE 1~71?"?7 -r ~ -r=eu> Iii>> REMARKS F">,/IP ,uS &.K FRAMING INSPECTION ApPROVED / / DISAPPROVED / / DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L--/ DI SAPPROVED L--/ DATE REMARKS FINAL INSPECTION ApPROVED C! DISAPPROVED C! DATE REMARKS f;/J . I'" ....,.LLed !.. . INSPECTOR INSPECTOR ~ , 'T;I~ :J./~ Ie "'"t.-;,fJu INSPECTOR INSPECTOR INSPECTOR /'~ /I ~ t!J~ /-~-7? ~ CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE REMARK 5 INSPECTOR PERMIT lid (J'-\ cl-1~ fION HAS BEEN APPROVED PERM~ HILL BE ISSUED UNTIL THIS APPL~ MOBILE HOME I=::J 1<J-.,s;- Cl'\<k-k. Sp,z:..,r<;;{!( lel C;7,/ 77 Address City Z1p +{:~J::~ 'Tlt>.,,- 't1(),>vl<"-~ EO-\', 4<iJb Ili, 41 IlsuQ, 'G.- ~~"D &:- ~{J'IU" S ~I- ~ -;'D( Name Address City if l1p Phone Secnon :::J\--\ <" lA.x festot Cl\~k <;'/ tftr>1 L9- \ ,,\'S~ Code / propert7ge C' } '" e e\<j 'S J.:. ""c, ~'E'\(~ (\.)-<=- , / ~w for Offi~e Use OnlYXXXXXXXXXXXXXXXXXXXXAlO.XXXXXXXX XXXXXXXXXXXX}Q{X1,KXXXXXXXXXXXXXXXXXXXXXXXXX~_. XXXXXXXXXXXX \,,~ (\ ~ \ ' s'\:: :.t, / IIBedrooms ~ )aluation (" "'N'..:-'\ ?\ C'> --- '0... a-c\, .' /"0.____ ~aCi ~q ({El ') \.l.n - ~ ;::) ~q ~ ~QxY\. \ \~ 'Y-00,V"A. \ /";:;l ~CLo..\h / ~ ~ ~ ~"Lt '^^ l.o :;).. : " -\, u" .. c... l /- / ~ CONSTRUCTION ~ DO ~ ,"'- , ~\'^-'''- OWNER Name CONTRACTOR C/2 '/J> o S RE.G II ,,\ Range 3 Twp Subd1vis10n .;;.:1/FiJf, *' ACCESS TO PROPERTY (Road Name) EX1st1ng Structures on Property APPLICATION FOR PLAN REVnW I=::J CHlu,Gr: OF OCCUPANCY c:::::::J c:; l\ ~ s Phone Tax Lot Census Tract I-~ ~ Width______Depth Block Property Locat1on - Address/Directions '-\ '\ l-\ '-\ \ SEWAGE DISPOSAL Site Inspection II-y, J k- s.-\ WATER SUPPLY Well Spring _ FEES ~\'"' ~, 00 C\ C"\ :=:> l '" Bldg Plumbl.ng 3% Surcharge Waste Dl.sp Plan Revl.ew ~~'<' "" or New System Required c====J Other Name of Communl.ty or Public System Communl.ty '''~Ji ....0 PLUMB1NG Installed by I=::J Name "PLUMBING FEES Sewage Connect1on Water Connection FACILITY PERMIT PLANS ,URNISHED Mobile Home ~ : L/~ ~ I=::J YES I=::J NO I=::J YES c:=::J NO TOTAL ~ \-\ '--~. ;..) \r-, CHECK /iI' I./-'0 S1gnature of APp~nt _ \(~i ! :_~lo" " . ~ ! /B.~ Y / \ Fee Received By ~rn~~'-~~;;~~""- Min ~tic Tank Capacity Dramheld RequHed -\ Lmeal Feet Manmum Depth ~ fN..nhlrp _ ",b.. 41-^",,"p/of ~.kJ. W.;{ 1li ~ ~ ~ n v:1, /J y O(.P(P!T.; .r. ___ ~.. ~ ~~L~ "'75' I ., 0 - ~ - ~'V ,-~ -- -71 ~ Type of Construe non a- A/' ~ "'Bldg Setba~ - 1rom Center of \ont ~c:: S1de Int \~~~J~..rJ;:TE _,,\, LANE Group // Use ClaSSl.ficatlon~~~I.1J"J/. FIxe Zone .:> -' Road R1ght of Way ~, '!~__ _..0.". RearC' Zone Ji?- I ~AN TATION pATE /7 ~~UI~NG ~"d ~? ( L1.. q-tO-~ ~~ T /.x?/?/~e:. COUN DEPARrniNT OF ENVIRONMENTfL MANAGEMENT -