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HomeMy WebLinkAboutPermit Building 1975-4-28 . -/- ':., L~ ~-........ ' "-~~. t<f \ ..._ ---qq 10-,'15' ~\n:'C~T ~: IILl LANE COUNT.UILDING PERMIT OR MOBILE BUilDING [](X MH D MAlllNG ADDRESS 870 VES7 CaNTE~NIAL MAIllNG ADDRESS HOeUSE PERMIT PERMIT NO. OUILDER SPilltlGr IE LD <)46-7'1 PHONE 7"(-....S ~ { PROPERTY pWNER C"EGON CONTRACTOR S1!ItE PROPERTY LOCATION -INCLUDE POST OFFICE PHONE i}Ol DUI1C: STREE1' SPRINGFIELD OREGON PROPERTY LEGAL DESCRIPTION - METES, BOUNDS Iln1 AI)DITIO~l .0 t-1EADOW GREEN ESTATES TWP RANGE SECTION LOT 22 BLOCK 2 18 2 6J3 TAX LOT NO. ::jJ 92,1 t! CODE CENSUS TRACT APPL. NAME & MAlllNG ADDRESS SPR WGF I EL 0 OREGON FOR MOBilE HOME PERMITS ONLY "l'i-l'i2A EXISTING STRUCTURES ON PROPERTY ROBERT N \-I'LL BUILDER NONI;' LEGAL ACCESS TO PROPERTY 3701 DUXE STREET PROPERTY SIZE - FT. 870 (-lEST COITEtlN I AL WIDTH DEPTH AREA No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT # BDRMS New System D VALUATION f}..Jr:U.Ii'](,~ 10~< g 59<H) 16.10 5.30 lt16. ('11. ':ll' $ 3, J27.CO I~At1AGfr l'j,~ . OTHERD 92.00 2'}.OO 2'1,00 fEES PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY SEW AGE DISPOSAL PUBllC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 1~~SUnC'IARGZ TOTAL SEPTIC TANK 0 PUBLIC D o OTHER $ 1 17 11::\ ]"7 COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN fiElD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. C'AlO tiN. FT 1<;0 TRENCH WIDTH fT:'U: PTN ~ OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UT1L. EASEMENT '1~'1 BLDG. SETBACKS __ fT. FRONT I)')' IP.J FROM CTR. OF ROAD RIGHT OF WAY SIDE INT.,' SIDE EXT. AUTHORIZED SIGNATURE - DATE USE CLASSIFICATION REAR 7'PlIr DATE /s/ J, E. Boss C. HARBAUQl1 JOHN SNOOK/SANITARIAN 4/;>817'\ nl r~ 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:::!: C55- 1J (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENYIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EA.ST 6th, EUGENE, OREGON 97401 'Bui~ING~SIJE EVALUATION . 'jS/C ft . ~ ri- BUILDING PERMIT APPLICATION NO.,~46-7~ () SITE INSPECTION 1. 2. 1/ 3. '/ 4. s. Not Applicable Zoning Ordinance Compliance: Zone~~ () Subdivision Ordinance Compliance ( ) Required Access ( ) Building Site (Area, Width. Frontage) () Other (see comments) ( ) PLANNING DIVISION COMMENTS: T Ir"'A O'e. S ~11. TAX LOT SUBD I It itPI!'N: LOT: Q, i-h/J APPL I CANT DATE No Yes ()~ 6. ( ) n ( ) V1 ()v-r ( ) ( ) PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPllCATIONH BUilDING INSPECTION DIVISION Not Aool icable ( ) \~ 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POlUTION CONTROL Not Applicable ( ) ( ) II. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes ()~ ( ) ( ) ( ) ( ) ( ,) ( ) No Yes ()Tr ( ) ( A.. BLOCK: CK'D By:cJ..h.TW'Z.'f0- Setbacks from c/I of r~~d: Front i'~;-f Si~8 l!)(tflri2r~ Setbacks from interior lines: Side _"(' Rear -7' Pelt:. CK'D BY:~ ~m CK'D By.\\t~ If/M7f:: clJ\J~ DATE TO APPLI CANT: Your Building / Site Inspection: ~ Can be approved. ~L ~ ( ) Cannot be approved at this time as indicated on item NO. above. t,1-'~- 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 DIVISION. ( ) Will be held in this offJce until you can resolve the problems indicated. ( ) Is being returned. . ( ) Your building ~ermit ap'plication fee is beinR return~d under seoarate cover. ,,~rARTMENT OF ENVIRONMENTAL HANAGEMEN"f 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 lANE COUNTY PLANNING DIVISION PHONE: 687-4i86 C55-28 Dat" APR I L 28, 1975 . . 946-7') CURB CUT . . - .' . Permit No, PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached opplicotion hos been fully considered by the Board of County Com- missioners of Lane County, ond it is the opinion 0 nd 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 and is hereby issued to 870 WEST CENTENNIAL SPRINGFIELD OREGON or constructing the following facility: ROBCRT N. HILI for placing, building 4TH ADDITION TO MEADOW GREEN ESTATES LOT 22 BLOCK 2 370! ~ /....J upon the right-of-way of County Road No. , Mile Post , in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements, stipulations ond provisions contained in the appl ication and permit, the Rules and Regulations Gov- erning Facilities to be Permitted upon County Road Rights-of-Way, os set forth by the Lane Man- ual 50,190(2) any amendments thereto, and any other applicable regulations, law or ordinance, Special Provisions: 1. Driveway will be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98-50), Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition, 2. 3. SIDEWALKS WILL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED SIDEWALK SPECIFICATIONS AND DRAWING M98-75 THE STANDARD CURB TYPE SHALL BE CONSTRUCTED UNLESS OTHERWISE SPECIFIED: This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned obove is hereby authorized. This permit shall be void unless the work herein contemplated shall have been completed be- forF' APR I L 28, 1975 ,19_, Expires ,19_. Inspected and Approved Approved by Board of County Commissioners By 4/ b/':-L/ - ~ - Director of Public Works Date By WHITE - OFFICE FilE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT. YelLOW - REAL ESTATE C98-79 " . . Dot~ Permit No. 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 soid application should be granted, and that a permit should be issued, now, therefore, it is hereby. ORDERED, thot 0 permit be and is hereby issued to for plocing, building or constructing the following focility: upon the right-of-woy of County Rood No. , Mile Post , in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements, stipulations and provisions contoined in the applicotion and pelmit, the Rules and Regulations Gov- erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the Lane Mon- ual 50.190(2) any amendments thereto, ond ony other opplicable regulations, low or ordinance. Special Provisions: 1. Driveway will be constructed in accordance with the attoched driveway approoch specifica- tions (Drowing M98-50), 2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadwoy and right of woy caused by his operotion, leaving the roadwoy ond area in a neat, occeptable condition. This permit is revocoble ot any time, and will be strictly adhered to ond no work other than thot specifically mentioned above is hereby authorized. This permit shall be void unless the work herein contemploted sholl hove been completed be- fore ,19. Expires , 19 Inspected and Approved Approved by Boord of County Commissioners By Date By Director of Public Works WHITE - OFFICE FILE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT. YellOW - REAL ESTATE C98-79 ... . LANE COUNTAuILDING PERMIT BUilDING ,., MH" MAILING ADDRESS OR MOBILE HOeUSE PERMIT PERMIT NO. PROPERTY PWNER PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, aOUNDS TWP RANGE SECTION TAX LOT NO CODE CENSUS TRACT APPl. NAME & EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY MAILING PROPERTY SIZE - fT, ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewof\.e System New System_Cl TYPE CONSTRUCTION ~6 FT :: BDRMS VALUATION , FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER. SUPPLY SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 OTHERO ~.!!-l~_ o OTHER TOTAL I COUNTYBUILDING & SANITATION SPECIFICATIONS DRAIN fiELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH OISl. BOX; GAl. UN. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIl. EASEMENT BLDG. SETBACKS FT. FROM ClR, OF ROAD RIGHT OF WAY USE CLASSifICATION FRONT SIDE INT. SIDE EXl. 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 011 required inspections. All construc- tion sholl 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) (POST THIS PERMIT ON MAIN BLDG. AT SITE) lANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 61h, EUGENE, OREGON 97401 ~o~'" = C55 I) SLAB FLOOR ~ PLUMBING GROUNDWORK . ApPROVED / / DISAPPROVED ~ DATE REMARKS GAS PIPING GROUNDWORK INSPECTOR ApPRO~ED / / 01 SAPPRQVED ~ DATE REMARKS ROUGH PLUMBING ApPROVED ~ DISAPPROVED L:::7 REMARKS ROUGH GAS PIPING INSPECTOR DATr& ..-/?- JJINSPECTO~ r ApPROVED ~ DISAPPROVED ~ DATE REMARK 5 FINAL PLUMBING ApPROVED JX1 01 SAPPRDVED ~ REMARKS FINAL GAS PIPING INSPECTOR DATE?-21" /~ - I NSPECT~ ,M (/ ApPROVEO ~ O'SAPPROVEO ;---y DATE REMARKS CERTIFICATE OF OCCUPANCY INSPECTOR READY TO ISSUE / / NOT READY TO ISSUE / / DATE REMARK 5 INSPECTOR . . , .. APOSED SEWAGE DISPOSAL SYSTEM RrAD :.. .'". INSTAllER:' Complete top part""form to signature and submit blll'copies with application. /7 PERMIT NO. .~-75. I NST.tJF~R' S NAME /./ .! PROPERTY ADDRE~~ 9~~ 7.S riP_'ll Ill~. 170t DUKE Sr. No~ livi,g Units \B~d~oms Baths Basement Water S~IY ftf 1 Yes No ~ Public Other-list Septic Tank: Ft. from well Steel 0 Concrete rn No. Compartments / Gal. Capacity /(ltf})'?J Inside Dim~ions: F;- ~I ~ile Disposal Field: .~ lenqth ~J Width4'~j Diameter Depth 7tJ1 Distribution Box: Yes I' No OWNER' ROBERT N. HILL Other Distribution-Type NAME HAILING ADDRESS 870 W. CENTENNIAL lengj;h .oj.. Li nes-Ft. 'Trench I .1.r27.s3. 4. 5. 6. Widthz" 'lot Pla~(See instruct.ons): ~ ._-w \ Total Sq. Ft., -? DR> Feet from WEll lot Li ne Front 1Ft. Between Lines i 0 Foundat ion /0 SPRINGFIELD, OREGON Side / 0 Rear / P IFilJ,l.r#L/I'iller Depth IFiller)lelow T~IIAbove Tile 2. inJrlle t, in. IV RECEIVIED ~-_. JUN 11 197~ I~~\- ~ ~~ COUNi1' I ~NVI~r1MOOAb MGMT. p 2yi; \ t~~~~S;Ji, f.)o~' I H=t',',E- ..- .JJ~ i ~_r I /0#:' ., r- ~~ I I I r, l.r~ () /I () -4.. r Si9nature It ~ ~ If)';P'L.~1 CERTIFICATE OF SATlSFACTORVtCOHPlETlOpjl QI / 4&:: For Sanitarian Use Only: V Date: 1",-1 - (-J In accordance with 1973 Oregon laws Chapter 835. Section 214 this certificate is i sued as evidence of satisfactory completion of a subsurface sewage disposal system at the above loca~ ~Approved: System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks: \ r ~ - ~ - ,- .----- Date (" ..... in - I 1..1 - I C55-11 ;,;~' ~ .IL Sk4 nltarlanfs sfgnature ANE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY PROPERTY OWNER LANE COUNTY.M,UILDING PERMIT OR BUilDING . MH - MAILING ADDRESS MOBILE HO.USE PERMIT PERMIT NO, t/ PHONE CONTRACTOR MAILING AboR(~! PHONE LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL o~~CftIPTlON - MET1~ ,6UNOS Twe ~A~G~ Sf TlON TAX LOT NO C ""lOE ENS IS TRAC APPl. NAME EXISTING STRUCTUd!~ O~ ~(OPERtv LEGAL ACCESS TO PRO~ERTY & MAILING ADDRESS FOR MOBilE rJbM~ ~UMlg ONly No. of Bedrooms STRUCT IRES TO 81 BUlL THIS PERMI'I SIZE - FT WIDTH DEPTH AREA Connect to Existing S Ty'PE :ONSTRUCTION I., 'Il System FT New Srs1em r 1 lH.:IHMS VALl ATlON SEWAGE DISPOSAL PUBliC rl BUilDING WASTE DISPOSAl PLUMBING PLAN REVIEW PARK TRAILER PLUMBING INSTALLED BY FEES QYf~1B r1 OTHER, NAME V/Altll' sV'~LY SEPTIC TANK rl L. ~ ' ..." I PUBLIC l J OTHER: TOTAL s couN--f'r' ~UI\~\N~ a. SANITATION SPECIFIC.I..T10NS ohlN F el~ IraUIRED MIN SEPTIC TANK CAPACITY WITH OIST. BOX GAL lIN. FT TRENCH WIDTH FT. OR: SQ. fT TYPE OF STRUCTURE OCCUPANCY lONE PUBLIC UTlL EASEMENT BLDG. SETBACKS FT. fROM CTR Of ROAD RIGHT Of WAY USE ClASSIFICATION fRONT SIDE INT. SIDE EXT AUTHO~llED SIGNATURE - DATE REAR DATE BLDG. PERMIT - WHITE OFfICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 ta schedule all required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface . : e disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, _ _ _ I 97401 o ," C~' 11 ":--- - . e ., SITE I NSPECT I ON ApPROVED ~ INSPECTOR REMARKS FOUNDATION INSPECTION ~ APPROVED/~V ~ DISAPPROVED~! DATE~..;'1~rf INSPECTDR~. ' REMARKS', /f''(;Ad~n,&.Z~O: 7'-70 ('::%( &./1 ~.. Ivv~1 I _ 1 Il . n /1 ,1 . II /1 /)b "'1,/ I vir L?J ~ dA-U-t"'tltl c~'%()< o€4J/2/t,"zidll,-II- (.tJl.% ('::. . r 1/ J FRAMING INSPECTI DISAPPROVED /7 DATE-k' ~/ / u ~NSPECTOR ~ ~I ~~l,~t1,,'1f I I ApPROVED REMARK S , LATH OR SHEETROCK INSPECTION / ApPROVED~! DISAPPROVED " ./ L-! DATE/> ..;2 :J ,. :IIJ /) /. Iv - INsh~O:-: ID I l.___ '. ',Ii REMARK S FINAL INSP;;?: /)# ApPROVED DISAPPROVED!! DATE ~ IJ-7J' INSPECTOI!;ill:: REMARKS/X,,;J;'4I1#141. t2 Iiaa.UI-I~~J'4.</ .7<A.r-7KM - (LI/ q ~ . CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE ~ DATE INSPECTOR REMARKS rl/~-7S' - 6/1 /f)/I' ~/ ~~~ ~7 76d/ J 70/ i)~ - ~ r . . PERMIT lft...!.l..!i.c, -7.1 NO PERMIT WI E ISSUED UNTIL THIS APPLICATI.S BEEN APPROVED -- ~ APPLICATION FOR: ~ CONSTRUCTION ~ MOBILE HOME c:::J PLAN REVIEW og. OWNER~..Ld /'1 J..fdt!' ~zl..) 2'70 'b./. Name Address [=:::J CONTRACTOR~ 11. ~ ,g~L AJ Name Address NOTE: c:::J (l~~_,:L. Ciy C?/p_fl City CIUiliGE OF OCCUPANCY c:::J 77Y77- Zip , Phone 7t/~'9'1/C. Zip '/c/L-4<;/6 Phone O.S, REG. 0 S) I Twp. / tf Range D .:2--section (') (; fuJ!Lf!t{f-j; fl1LcL'J /t~. ~ Lot Tax Lot Code 3c: /; ;. I Census Tract ~."J, .-/....J.- ; Widt~Depth liP ::J;:L ACCESS TO PROPERTY (Road Name) il), J'. ..J~,.r Existing Structures on Property: ~~d~ Bloc k ..:;; _3701 Property Acreage Property Location - Address/Directions: 3? 0 I f)J..J .Jtvd, +-ii"Y/' 01,.../ A~ rg.A?A~& 0 U /j .. ~ -~- .:....!'-...o:i:' -"1. ~ ' r J ~ for Off ice Use Onl vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX:xxxxx:XXXX:XX Sq, Ft. (i)J/~. (IJ OBedrooms Valuation /IJ. ~'L _:"' _ ~-~ / I. c'"3 j, 3(7 ~o le1 v ' v - ' , VEt! ~/:;7,'1t} -.' < I p-,,~. ~r) , i,,'''';,) , Below SEWAGE DISPOSAL: Site Inspection # Existing Sewage Disposal System Public cz:J Community rKJ c=J WATER SUPPLY: Well Spring Other or New .System Required c=J / / #'11 ....J" Name of cOmmunity or Public System 1:J)A.l~ / Other ~ame ~::::;,,~ .:), ~ tI FEES: PLUMBING: c; ,2,00 Installed by Owner c=J BIdg, Waste Diap. ;;),);" () PLUMBING FEES: Plumbing ---",-.r. J) 0 7 n of Fixtures Plan Review Mobile Home 1% Surcharge /./7 0 CASH TOTAL II?'-IJ ~C~ Wa ter Connection -.2. PLANS FURNISHED FACILITY PERMIT ~ES c:::J NO Signature of APPlicant~~ Fee Received By ~ A--.. --/ I2J YES c:::J NO :J?~7J, dUe 1 ' , Date: ~-.2.. ?-:?.';,- Min. Septic Tank Capacity qoo Dr'ainfiell Required - Lineal Feet ./ tS-o I I L/ Maximum Depth :'4 Type of Construction 15 AI Group I t.:p''V Fire Zone Use Classification Bldg Setbacks - from Center of Road Right of Way: Front 45"" Side Int.-.-5 Side Exterior I Rear 1 P()tE. Zone 1<A.. PY'C,7~ 1I,l.Ik cJ, '1('., DATE: ~NtON: D~~E~~ if fa li17.,- tM~/ kLUr:~6' ..!;~ OF ENVIRONMENTAL a;.N~:~ENT / . CSS-1Z LANE COUNTY