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Home My WebLink AboutPermit Building 1975-5-14 --'~, . .... ..... \.~\ " . .....""--.. .!~-- / C 101 - 'J,5- , LANE COU. BUILDING PERMIT OR MOBILE BUilDING [J MH D u:;t.1r'61 MAILING ADDRESS BUILDEfl 870 \I~$T CENHNt:IAL BLVD. MAILING ADDRESS .E USE PERMIT PERMIT NO. ",,'\" ,"" "1 ~OPERn OW.~R 2011~/lT n. HILL CONTRACTOR 5?F'D. 1012--75 PHONE i46"3~1G PHONE PROPERTY LOCATION -INCLUDE POST OFFICE "\702 C:;y,i: ST. 3PFl WGF' I no, OilEGOtJ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS hnH ACrJ MEADOW GClEEN L-7. Ei-3 TWP RANGE SECTION TA~OT~'3(J ..",COOE 18 02 06 . 't. c.... u CENSUS TRACT APPL. NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY rJON~ LEGAL ACCESS TO PROPERTY 3702 DU~E ST. PROPERTY SIZE - FT. WIDTH DEPTH AREA !)14r.LL INO Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :;; BDRMS 1092 (21.80 4811 G5.-:P New System D VALUATION ., , 23,jQj. fJ GA~A3E ,., ~rl' . . c:, J.)). ::---' %1:>,jjV.L... SEW AGE DISPOSAL PUBLIC 0 SEPTIC TANK BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER -( 4-9tl5 IX] OTHERD , lltl.OO Cj().OO 2<;.00 FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PU BlIC 0 D OTHER \-11 LLM~ETTE V!,WE,; TOTAL , 1.11'=1 1 ClIUI':t COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. 900 UN. FT 150 TRENCH WIDTH FT. 3' OEPT'OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY lONE RA USE ClASSIFICATION PUBLIC UTIl. EASEMENT ~ &J BLDG. SETBACKS._ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT 4~ SIDE INT. ') SIDE EXT. AUTHORIZED SIGNATURE - DATE JOHh SHOOK/SANITARIAN REAR ~ 7 J. E. Doss 3Y CHARLES HAI:OAUGH DATE 5-11.),-"(''3 1P BLDG. PERMIT - WH ITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 ta 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:::: C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAl MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 . ~S/G \~ .'~.. B~QIN~ SITE EVALUATION " \ ~ BUilDING PERMIT APPLICATION NO. JO\2--1~ () SITE INSPECTION PLANNING DIVISION Not Appl i cab Ie gA () ( ) ( ) ( ) ( ) I. 2. 3. 4. 5. Zoning Ordinance Compliance: Zone Subdivision Ordinance Compliance Required Access Building Site (Area, Width. Frontage) Other (see comments) COMMENTS: T lEA R o~ S OO-l./.~TAX LOT S~N: LOT: BLOCK: o p,l-hll APPL I CANT DATE No Yes () -:z:::r 6 . ( ) n ( ) ~ ( ) (.-0) ( ) ( ) PLANNING DIVISION ACTION PENDING: YE5~ } NO( } APPlICATION# BUILDING INSPECTION DIVISION Not Appl icable ( ) (,) ( ) ( ) 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POlUTION CONTROL Not Applicable ( ) ( ) 11. Meets Department of EnvironmentaJ Quality Standards. 12. Other (see comments) COMMENTS: No Yes ()W ( ) ( ) ( ) ( ) ( ) ( ) No Yes ()Ur ( ) ( ) CK'D BY~\~~"" Setbacks from c/l of road: Front ~ s.+de E}(tar i SF' Setbacks from interior lines: Side ~ Rear -r' / CK'D By:8,JI~k/i/.t;{ I DATE CK'D BY:~~~ 6-//'3/70 ~ DATE TO APPLI CANT: Your Building / Site Inspection: ~ l..:-Y Can be approved. l\) Cannot be approved at this time as indicated on item NO. above. ~1\~' ~ Questions and further information on items 1 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 office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit ap'plication fee is being ~~tucn~d under seoarate cover_ uEPARTMENT OF ENVIRONMENTAL HANA~EM~NI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 lANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 \ LANE COle BUilDING BUILDING PERMIT OR MOBILE eE MH n MAILING A6~)<ESS USE PERMIT PERMIT NO. ~. ~.. ;,bmlY OWNER J\lONE CONTRACTOR MAILING ADDRESS PH'6NE PROPERTY LOCATION - INCLUDE POST OffiCE - - PROPERTY LEGAL DESCRIPTION - METES. BOUNDS .~ TWP RANGE SECTION TAX LOT NO CODE CENSUS TRACT APPl. NAME EX!STiNt; or.ULTa~'" 'ON PROPERTY -- - LEGAL ACCESS TO PROPERTY . MAILING PROPERTY size - FT. ADDRESS FOR MOBllEHOME PERMITS oN!. \ No. of Bedrooms S"(t.fll'L:T.J"L:':' _ 'sE BUILT 'THIS PERMIT XliP'M DEPTH ,A.~f~ Cqnnect to _ Existin5J ~eW~Q~ System New System Jl Ty~l co~~;IA'Uc-TION ~tl~,.!: BDRMS VALUATION rl!J}))" 0 BUilDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK _rJ OTHERO , (It) PLUMBINGI~\TAlLED BY OWNE'!....Q... OTHER; NAME WATER SUPPLY SEWAGE 61SPOSAl . PUBLIC 0 o OTHER TOT'~ \ . ,.~ COUNTY ~)JI~L?!NG & ~At':lIJN\\lIi~f,,\, _,~T101'l,5 ~nM,\lt~ REQG,m - MIN, ~'b>T1C TANK CAPACITY W!l~ P)ST. BOX. GAL UN. FT TRENCH WIDTH FT. __OR 59, 'J, TYPE OF S~~'OCTURE OCCUPANCY lONE PUBLIC urll, EASEMENT BlDG. SET8..4.~'R~ FT. fROM eTR. OF ~hAD-RIGHT OF WAY USE CLASSIFICATION FRONT SID' II'JT SIDE f~l- A'iA~JL\..';) ~i,IUNATURE - DATE ,~~~ DATE BlDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GRE\I" SANITATION-G.'.. . Call 687-4065 to schedule 011 required inspections. All construc- tion shall comply with Uniform Building Code, D.E.a. 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, 13.5 EAST 6th. EUGENE, OREGON 97.401 rOR'~ :: C ss. 13 SLAB FLOOR PLUMBING GROUNDWORK . . ApPROVED / / DISAPPROVED ~ DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED ~ DATE INSPECTOR REMARKS ROUGH PLUMB I NG D'SAPPROVEO Cl DATE(-/$-7)~ INSPECTJ^- ~ /.".J ;:r~....... r- ~-.- < r- ~ - /'J-7S- ApPROVED };!S:J REMARKS /l/~ , . , ROUGH GAS PIPING ApPROVED ~ 015APPROVED Cl DATE INSPECTOR REMARKS FINAL PLUMBING Dmf}-'J /.?) lNSPECTO~U U ApPROVED ~ DISAPPROVED Cl REMARKS FINAL GAS PIPING ApPROVED Cl DISAPPROVED / / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE ;---? DATE INSPECTOR REMARKS ,. """ ."' . . ~ LANE coLIA' BUilDING ,., BUILDING PERMIT MH MAllINt ADaRESS OR MOBILE ~E USE PERMIT ,., PERMIT NO. /. , OWNER PHONE CONTRA/,'hlI MAILING ADaRES~ PHONE I LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTIO"" - MtrES, 80UND~ TW' RANl;E SECTION TAX LOT NO CODE. 'E.NSI'!; TF 4CT APPL. NAME Eil~\ING STRUCTURES ON PROPERTY LEGAL ACCESS TO . MAILING PROPERTY SIZE - FT. ADDRESS FOR MohllE HOME PERMITS ONLY f'lo, 9' Bedr90mj ~1~Uc-1'u'tfts TO BE BUll T THIS ~'tlh.llh WIDTH DEPTH AREA Connect to Existing S , 'TvPE'CONSTRUCTION -' . .?ystem New System [J 5Q FT adRMS VA,lt"'TION stWAGE DISPOSAL PlUMBINlJ INSTALLED BY PUBLIC q BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER SEPTIC T ~."'~ 1 $ n\~Rrl FEES ," ~rl O\~~., NAME WAh) SUPPLY PUBLIC ! OTHER TOTAL . MIN SEPTIC TANK CAPACITY WITH D1ST. BOX, GAL. ---r,q,O}iH >{ll~'Mi ~~~~~'JAW)J'I SP,C;)jICATIONS UN. FT TRENCH WIDTH fT. OR SQ. FT. TYPE OF STRUCTURE OCC'UPA~CY lONE PUBLIC UTll EASEMENT BlD~_ SETBACKS FT FROM CTR OF ROAD RIGHT OF WAY USE ClASSIF leA TlON fRONT SIDE I"'~ AI 11)1~ EXT . ._:> SIGN Ttf~~ - DATE REAR DATE BLDG PERMIT - WHITE OffICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOI. Call 687.4065 to schedule 011 required i . . ::ms. All construc- tion sholl comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface : disposal and county :.. tions 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 _ _ . I. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th. EUGENE, OREGON 97401 R" = (55 lJ . . .. 1 - "-... ...... . SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS /)A"'(; ~J/, FRAMI NG . I NSPEC,.fclN it / "{i[.JIJ;r.J ApPROVEO DISAPP///;EO ,/7 DATE ,....ol~ /'1/1 REMARKS {J A)d.III}~ VJ-tl-7~ ~ &"n'0 (;.fl., kl/AMr(~E-r.~ " - :z J- 111 B / / I . FOUNDATlO~ ~T10N a. ApPROVEO D,SAPPROVEO L-~:)~~ '1..1;' INSPECTOR~J REMARKS 0 I( 6/~~ "?/'!-'~ (s. /, ~ . (I . /1/) Cf//?"'U/aC1k{ '7 ~I 7 "'7.'1 C::-< II . .. , (?~J ' INSPECTO~ LATH OR SHEETROCK INSPECTION ApPROVED ~DISAPPROVED /I DATE trJ.lr'?r {!1' ./ {// INSPEC 0 ,et/. REMARKS FINAL INSPECTION ~/ ApPROVEO 6DISAPPROVEO Cl DATE ;-:Ji,r-.:,'lf,- ' INSPECTO~ e. ,L REMARK S CERTIFICATE OF OCCUPANCY REAOT TO ISSUE / / NOT REAOT TO ISSUE /7 DATE INSPECTOR REMARKS A /I II . /} /f . ~ ~.{tt ~/~~ I () / l. .. 'I f_ 11;:;; '3 '1 () ;?. ~~ ~D SEWAGE DISPOSAL SYSTEM REr~ : .', top part'~m to signature and submit b~pies with application. PERMIT NO. ~ 7'1 I tJ t'j....- JS """7'\' 10\ ":'\~ ~~I\~ () I n tPr ' Signature II r1\--~ IJ/J/t ~ ' CERTIFICATE OF SATISFACTORY tOMPLETI For Sanitarian Use Only: 0 : (",_1 t,"15" In accordance with 1973 Oregon laws Chapter 835. Section 214 this certificate i issued as evidence of satisfactory completion of a subsurface sewage disposal system at the above location. ~ Approved: System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks: . INSTALLER: Complete INSTAllER~S NAME. I~ /112./1 m _ No: living Units Bed~s J ,3 Septic Tank: Ft. from well Steel 0 Inside Di~sions:, Ft.- lenJ1th 7,.1' Width ~/J Diameter OWNER . NAME Rn~t'"c)T N 1-l111 HA It ING R7() \.'~C:::T rt'"MTr"H..II AI ADDRESS l<;Jl~h Qt. Li~~~~1'C~' 'Vt;~~d;' I .1(J 2'6[3. 4. 5. 6. [Width J./ 'Iot Planr(see instructions): . '" ~ ....-( RECEIVED @y {j JUN1319;S ~~ ~oUmY ~ymOOMMAL MGMT. I ..A ,-- Date C, .- I /, /' I I C55-11 . PROPERTY ADDRESS 170~UKE STREET Baths Basement Water Su~ly I Yes No '>< Pub! ic 1 Other-list Concrete IRI No. Compartments I Gal. Capacl ty )Ftle Disposal Field: ~ --- Depth ~I Distribution Box: Yes No Other Distribution-Type 1(Jt9o Feet from WEll lot line 971{77 Front Tota 1 Sq. I Ft. Between Ft..:? tJIJ Lines /0 '7 j / -'l J.nJ / Foundat i on.,J~ r- - ,;n:'U'd'IO I / Side /10 Rear J t? IFi/l)~~iller Depth IFiller}Below T~IAbove Tile vinJri!e {., in. , - l' w _ .J;_ t?-~ l~ :: :, ~-~' \/:w : I I r \ D _ _f r _ _I ~'~ a -narianTs Signature l N COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMEN QUALITY . NOTE: NO PERMIT ~ BE ISSUED UNTIL THIS APPLICA~ HAS APPLICATION FOR: PERMIT {f\D\~ ,\;~ BEEN APPROVED ~ . ( " ~ CONSTRUCTION MOBILE HOME c:::J PLAN REVIEW c:::J CHANGE OF OCCUPANCY c::::::J d/.d~ 4,.!LM 27tJ 'kJ, ~,.,;:~_,'J ~7 Address City Zip Phone 7</1t' .i?7/~ ~ Property Location - Address/Directions: h. Name [::=J CONTRACTOR~.,....n . Name- Address o.~. 9 J-=,~~ ~ Tw . 'Range~ectiOn f2ll.p ---tax Lot Code Census Tract 'f,'!5--(!5;J IJ Subdi on 41--4 O;/di;:.. /J!p/1~/f){.I)t... Lot .7 B10Ck-,:-:? Property A~age "Width~Pth~'f ACCESS TO PROPERTY (Road Name) .A2b.t_ ,_,.,J4~ DC\D ~ ~. ,~~ Existing Structures on Property: ~~ :.?n~,..2 fj.. L.... ~:I- ~..; ~ .~.:d/ OOZR - I' YI;1' City Zip Phone OWNER " Below- fo r Of f ie e Use On! vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXyv.r"'y"'r'.'r-ry"""'rv'....',ooocxxxxxxXXXXXXXXXXXX Sq. Ft. '" DBedrooms ~O ,Valuation ~C --A~ \c.'l<\ ~ ~<> 11 r t\\\ ::::>\. / ::\2., fa..~.::- ~ " _ kI..., \C ::::y~, K rl.. ~ \..l..'2 ,>I-\. "~\./l').' f<\ ') ~,~ ;::;) ~1,.,C::- . ~ ~ ~ -...... , \,.... ~ TOTAL 1'1..l~ CJ \~~,\..,\~ [::=J _.-.L 'l~ ;::- --.............,. ~~a~" SEWAGE DISPOSAL: 'LJ. I n. 0 e. Site Inspection U '.\ N - ""\..r'}",:::) Existing Sewage Disposal System WATER SUPPLY: Well Spring _ Other Public c::::::J Community c:::J ~ of "-- J- ~ ._\. c... ~= PLUMBING: Installed by Owner c====J mmunity or Public System ~ "l=.. ~~ V- FEES: \\..F\OO. ":'--r Co "-' ". ") :?::::JSUU Other Name Bldg. Waste Disp. Plumbing Plan Review Mobile Home 1% Surcharge PLUMBONG...!EES : '-1 IS:) ) ~ of Fixtures , / sewage~~ Connection ---- Water~~ Connection FACILITY PERMIT CAS ~ CHEC~"\ '0 I Min. Septic Tank Capacity ~l) () Draint fuired - Lineal Feet YES c::;J 3:0_ Ifi=) YES NO Signature of APP1~~~ ;r ~ ~ \ I ,....- Fee Received By: ~\r... ~ Date: .~ \ -:-~ ~':::. /,,"'0 Maximum Depth .3 Type of Construction ,Ii IV Group I ~ Fire Zone Use Classification Bldg Setbacks - from Center of Road Right of Way: Front 4r!;;' Side Int. ~' , ___ ~..__~.....v,[ I Rear.'t--f Zone RJIt PIA!l'IING: '.-1... '-__ r!-f/1'.r ~/b I A)' . , 1_ CSS-1Z DATE: ~U:N: D~~~ENT s-il~/71,P;~'.r7.d~0/.4~E/ Ifo / I /7.1.J1 I - OF ENVIRONMENTAL MANAGEMENT ! V.f LANE COUNTY