HomeMy WebLinkAboutPermit Building 1974-9-5
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LANE COUNTY .LDING PERMIT OR MOBILE
BUILDING D ,MH D
MAILING ADDRESS
070 \"(5T CEtlTWtJ IAL
MAILING ADDRESS
HOME'SE PERMIT
PERMIT NO.
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11 (A) (liT tJ. li I LL
CONTRACTOR
BUILDER
SPRINOFI[LD
17~7;)
PHONE
OREOO~ 746-9916
PHONE
PROPERTY OWNER
SAME
PROPERTY LOCATION - INCLUDE POST OFFICE
1670 Dur.z STREET
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
SPRI~orIELD. OREOOtl
TWP
LOT 'i
18
rJl.OCII 1 ":IRD ADD I T 10,l TO
RANGE SECTION
02 6 .4,2.
APPl.
NAME
&
MAILING
ADDRESS SPR I tlor I ELD. OREOOtl
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms.
RODERT N HILL BUILDER
~tAOO~ GREEt! ESTATES
TAX~~~07!I CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
NOtlE
LEGAL ACCESS TO PROPERTY
3w'lC DUllE STREET
PROPERTY SIZE - fT.
870 WEST CENTEtlNIAL
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0 New System 0
TYPE CONSTRUCTION SQ. FT. :;:: BDRMS VALUATION
1236 G 16.10 19,899.60
5116 0 5,30 2, 893.80
O';JELL INO
GARAO[
22, '{93 , !jo
SEWAGE DISPOSAL
.
OTHERD
1011.00
"l),no
~1.00
PRIOR
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
1 }jSURCHAROE
SEPTIC TANK 0
PUBLIC 0
o OTH ER
PUBLIC
TOTAL
.
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COUNTY
BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
~
DRAIN FIELD REQUIRED
150
L1N. FT
TRENCH WIDTH FT.
2-3'
OR 5Q, FT. 300
Ii
FRONT
TYPE OF STRUCTURE
5N
BLDG. SETBACKS __ FT.
45
/5/ J. E.
OCCUPANCY
& J
ZONE
FlA
PUBLIC UTIL. EASEMENT
FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. 5 SIDE EXT,
AUTHORIZED SIGNATURE - DATE
Boss BY C HARDAUOH
REAR
USE CLASSIFICATION
7'PUE
J SHOO<</SANITARIAtI
DATE
9/5/74 0:1
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required inspections. All construe.
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 = CSS-13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th. EUGENE, OREGON 97401
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T /~ R 62..s 019 TAX LOT
CENSUS TRACT
3rct (Adq +0 vYlea.. do/J.) Qrt"{?11
APPLICANT:, I'd 0 c::;+-o-.-i-es.
NAME HI I B\,h t E''r~
ADDRESS ' , ,
I
BUILDlNG SITE EVALUATION
( )
( )
( )
Building Permit Appl ication No.
Site Inspection
PHONE
DATE
Pre-Permit Investigation
4.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
NOT
aDD I icab Ie
() () ()
() ()
lV Jif CL----
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() () .
NO
YES
NAME
DATE
PLANNING DIVISION
1.
Zoning Ordinance Compl iance
(Zone )
Subdivision Ordinance Compliance
( )
( )
( )
( )
2.
3. ,Required Access
5.
COMMENTS:
'-
on
BUILDING INSPECTION DIVISION NOT NO YES NAME DATE
aDD I icab 1 e {'A
6. Plans Subm i tted ( ) ( )
7. Soil Stability (foot ings) (,A'> ( ) ( )
8. Flood Plain O() ( ) ( ) ~ '
(l!7tf~~ \
9. Other (see Comments) (t) ( ) ( ) ?"/.f -7P
o~
----.... ,
COMMENTS:
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WATER POLUTION CONTROL NOT NO YES ~~w.vQ Kfh/7(
aDDI icable ,
10. Sewage Disposal ( ) ( ) ( )
11. Us ab 1 e Area ( ) ( ) ( )
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12. Water Supply ( ) ( ) ( )
13. Other (see Commen t s) () ( ) {L
- ' - -
COMMENTS:
TO APP LI CANT:
. ;l!~11 J
6J'~' f,
( )
( )
( )
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- \1\
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane Countv Buildinq and Sanitation Division.
Will be held in this office until you can resolve the problems ind;'cated.
Is being returned.
Your building permit appl ication fee is being returned under separate cover.
Y~r
(I')
( )
. DEPARTMENT OF ENVIRONMENTAL HANAGEMENT
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065 .
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
Dato
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Permit No.
CURB CUT /
'3 t;. ''fl.', ",[; IV/~
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the allached 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 and is hereby issued to
or constructing the following facility:
for placing, building
upon the right,of,way of County Road No. , Mile Post
in strict conformity to the exhibits allached 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 Permilled 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.
Specia I Provisions:
I. Driveway will be constructed in accordance with the allached driveway approach specifico,
tions (Drawing M98,50).
2. Permillee 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.
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This permit is revocable at any time, and will be strictly adhered to and na work other than
that specifically mentioned above is hereby authorized.
This permit shall be void unless the work herein contemplated shall have been completed be,
forp
19_
Expires
, 19
Inspected and Approved
Approved by Board 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
,,-
INSTALLER:' Complete top
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par~P~~~~ ~~W:~~n~~~~~S:~dS~~~~7tR~DcoPies with applica~i~. ·
PERMIT NO. t75'~7~
PROPERlY AI)I)RE~~ JS .
INSTALLER'S NAME
J!/::J ~ni~Jro~ :~a*s ..
;:3 \,
Septic Tank:
Ft. from,wrll Steel 0
'1/(JN~
Inside Dimensions: F!J
Len<;lth Wi dth .::> Di ameter
OWNER
NAME
DUKE STREET
Basement Water Supply
Yes No ~ublic ~her-List
ROBERT N. HILL
Concrete [J ~. Compartments Gal. ~apjlclty
~. ]f16\J
.. Tile Disposal Field:
Depth.:::l Distribution Box: Yes ~No
Other Distribution-Type
HAILING
ADDRESS
870 WaST CENTENNIAL
Feet from
WEll #0 t,N~ Foundation
Lot Li ne'
Front Side Rear
I Ft. Betweenr- IFi ller,. IFi Iler Depth IFlller Below
Lines JO Tvpel':zlAbove Tile~ inJrlle <.in.
It\/
SPRINGFIELOL OREGON
Leng;h of Lines-Ft. [TrenCh j.I Total Sq.
'.l~.~. 4. 5. 6. Width~l Ft.
;'lot Plan (see instructions):
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( ') I t\f6.\rJ l \' ~ e.
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S i Qnat ure :ri;r. "l;'ok,-t)5? ~ .
OF SAT! SFACTOa-{ ciil1PUiTiiN" - ,. "
Date: !O-21'-7Y
835. Section 214 this certificate is issued
subsurface sewage disposal system at the above
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Datelll - :"J,:';"!' '7U
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CERTIFICATE
For Sanitarian Use Only:
In accordance with 1973 Oregon Laws Chapter
as evidence of satisfactory completion of a
location.
~ Approved: System Installation conforms to current standards
c::J Disapproved: Does not conform to current standards
Remarks:
C55-11
fian's Signature
L N COUNTY
STATE OF OREGON DEPARTMENT OF ENVIRONME AL QUALITY
~-.,.
'H,. ~WNED
LANE COUNT~ILDING PERMIT
BUILDING MH
MAllINC ADDRESS
OR MOBILE
.
HOME USE PERMIT
PERMIT NO.
,
PHONE
CONTRACTbR
MAILING ADDRESS
PHONE
LOCATION INCLUDE POST OFFICE
lE~Al DESCRIPTION - METES, BOUNDS
"
;t ION
<\, LO" NO
"
,
APPl
EXISTING STRUCTURES ON PROPERTY
NAME
lEGAL ACCESS TO PROPERTY
&
MAILING
PROPERTY 5111 fT
ADDRESS
~bR MOBILE HOME
f\lo. of Bedrooms
WIDTH
DEPTH
AREA
PERMII~ l5f.1l~
Connp.ct to EXisting SewoqE Systf"m
'f rc IL
I- 5 ,RMI
T'F
FT
New Sy'tem
I'M, u l(l~
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
I
FEES
plllJMelN" "..!;T..UJ w
O>Y~i~ OTHER, NAME
wAre SUPPLY
SEWAGE C ~,
PII~'1,
SEPTIC TAf'lK
OT~~W
PUBLIC
OTHER
!..01Al
s
MIN. SEPTIC TANK CAPACITY
~Ol.JNTY IlVI~PJNG & SANITATIQ.N SPECIFIC"nONS
alAllJ ",lo .,qulRlo
'yVITH 0151 BOX: GAl.
LlN, FT
TRENCH WIDTH FT.
OR SQ. FT,
TYPE OF STRUCTURE
OCCUPANCY
mlJ~
pUBliC UTlL. EASfMfN\
BLDG SETBACKS H FROM eTR OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT SIDE [XT
AUTHORIZED SIGNATURE - DArt
REAR
DATE
BLOC PERMIT - WHITE
OFF1(E COpy -- WHITE
COUNTY TAX - PINK
PLUMBING .- CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedulE; all required inspections. All construc
lion sholl comply with Uniform Building Code, D,E.Q. standard,
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of OCCl 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, OREGON 97.401
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S!TE INSPECTION
AFPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REM!.RK~
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FOUNDATION INSPECTION ~
....0"'0 L.JLi' o"....o.~z !ft-lH ( '~'nO'
REMARKS 19/( ~A q~ /7-71/~ e j
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AP.PROVEO
TEU- ~-7t( INSPE~TOGf? (9/
FRAMING INSPECTION
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(0 I" U'
DATE I/- ;LJ. -J L/ INSPECTOR! 6,)
lATH OR SHEETROCK INSPECTION
ApPROVEO ~/ DISAPPROVEO I
I
REMARKS
q'
. . J J .1/ /' ( /" (~./ '
ApPROVEO ~ISAPPROVEO Cl DATE /-.17 71 INSPECTOR _ "L' & J
~~~_~~.J.
, '~/- -
. '
FINAL INSPECTION
CERTIFICATE OF OCCUPANCY
READY TO ISSUE
C:~EAOY
~
TO ISSUE Cl DATE
INSPECTOR
REMARK 5
17,fS.l711 J-j':d/ J6 '71) tl/~
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LANE COUNTY
BUILDING
.DING PERMIT OR MOBILE
MH D
MAILING ADDRESS
f
HOME . PERMIT
PERMIT NO,
,/
5
PHONE
.
PROPERTY OWNER
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
RANGE
SECTION
TAX LOT NO
CODE
CENSUS TRACT
APPl.
EXISTING STRUCTURES ON PROPERTY
NAME
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 Sewage System l
TYPE CONSTRUCTION sa FT :: aDRMS
New System [J
VALUATION
SEWAGE DISPOSAL
I
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBliC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
OTHERD
PUBLIC 0
o OTHER
TOTAL
I
MIN. SEPTIC TANK CA.PACITY
WITH OISl. BOX: GAl.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. fT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
BLDG. SETBACKS FT. FROM (TR. 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 all 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 0 certificate of occupancy before
being occupied.
(See Details on Reverse Side)
ro~'" = (55-I]
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th. EUGENE, OREGON 97401
.
.
SLAB FLOOR
PLUMBING GROUNDWORK
.
ApPROVED / / DISAPPROVED ~ DATE
INSPECTOR
REMARKS
GAS PIPING GROUNDWORK
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
'..
REMARKS
ROUGH PLUMBING
ApPROVED ~ DISAPPROVED C1
DATE/" -11/'7~. INSPECT~.L./
(/
REMARKS
ROUGI1 GAS PIPING-
ApPROVED', Cl ; DISAPPROVED C1 DATE
INSPECTOR
REMARKS
'F.I NAL PLUMB I NG
0"....0"'0 = om),l/.-X ,",,,mf
ApPROVED P
REMARKS
FINAL GAS PIPING
ApPROVED
C1
. ,
!,l
DATE
INSPECTOR
DISAPPROVED
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE C1 NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
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. PERMITf} / lor:- 7 if
lANE COONlY Building
DEPAR'IMENT OF ENVIRON1ENrAL MANAGEMENl' fubile Hone
APPLICATION FOR BUIIDIN:; PERMIT OR MOBIIE HCME USE
NC1I'E: No pennit will be issued until this application has been approved.
PLEASE PRINT /J / .J.+- ..L
PROPERlY LOCATION '3 C 7 11 ~.~ JM.uL
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t: TAX wr il. COOE CENSUS TP.PCrS.J' -j..s-~
SUBDIVISION~~ acl.t.do M/D.'/",..., ~ ~
PROPERTY SIZE
ACCESS 1D PROPERlY JJ.uL .Mal-. WIDlH 70.9:;' DEPlH !.,;Lj,yyt'OR ACREPGE
DESCRIBE EXISTIN:; STRUCIURES ON 1m: PRur=.J.i '-h ~ / _ ~ _
APPLICANI' /J Mn..ILINV ~"'-
NAME III ~7J' lid g~tivADD'W3S 9'7cJ t-J fl?,~:dPHCNE ?'/6'r 7~ /k
wl'U~R II MArLIN:; \-'
NAME ~ AuJJ=S c:J~ PHONE
BELCM FOR OFFICE USE ONLYi....-,.-, .-..~,..-.,.,..-, .-....-. kki,.~..'-. '-.'-.'-u. ....*1. ........................................ M........A...... ........ i.... M....A.-rl<
~tructures to be built/Mobile Hone sq. ft~ /C / D 1Fbedroans valua.1~'
~_tJ~/-Z~~---' /";.7~ ..: 19'r'T'f.&o
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_ ~ ~6 -'2, ?-9'.?, K'o
:;;~.:;" ''>'1'3. </.9'
/
1WP I~ RAN;E {);;J- SEe.
wr NO, ~ BLOCK.3
::iewage J-lisposal: ,IDAA~ /.'
Site Inspection 1Fh....- - 'V Existing sewage disposal system 0 or new system r;cruued &
Water ::iYE:vly: , . ~,d _ _ 7'J-7'- /
Public ~ District Name j,J~ Well 0 Spring 0 Other
/
F~s ~ ~ /
Pltnnbing Installed by ONner Other Name: ~
PlUJIPing Fees Sewer cormE;ction W:l.ter cormechon
'7 f} of fixtures inspectidll fee ~ inspection fee .:L
/
Plans :furrlfshed Facility Pennit
Yeq,.~-~~lD Ye~No 0
Signature of Applicant date'~~A7
Feereceivedby~,,... _ date ~-?9-?'1 '"
Min. Septic tank capacity Drainfield r~red / ("
with dist. box: Gallons qOo Lineal Feet 16() ,Trench Depth }-:) or Sq. Ft.3 0 (\
\ /
_ f .,..... I /
Type ot Structure (/ Al Occupancy 1'b<.I Fire ee/
Bldg.
Waste Dis.
Pltnnbing
Plan Review
Trailer
1% surcharge
I @ J./, Of}
.">7/.0(;1
_~ /. 00
Ii 36
neafr
@dieck
1UrAL
I y',:JS
Use Classitication
Blgd. setbacks-Ct. tram center ot road right of way
Front "':/ ~ Side Int. .~ -Sl& E.Et,:,~m" Rear '7 I "f'0E"_Zqp.e ~
Planrrl.r}g date S~~on(\ ;JJh date~'lcling LL' date .
~.IS 8"2-'?-7c..L~. U. ...M... q if /t /U/t!:i/;/et-/..J-?/I
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C55-12