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HomeMy WebLinkAboutPermit Building 1974-9-5 - - .. '''~ ,~ ~ I. ' '( . tr"'~ ~ ..,) 'I _ / -t . ~ ;';" LANE COUNTY .LDING PERMIT OR MOBILE BUILDING D ,MH D MAILING ADDRESS 070 \"(5T CEtlTWtJ IAL MAILING ADDRESS HOME'SE PERMIT PERMIT NO. ~, ,'f" . .. 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 . 1. ." lBjl;,,:!,> 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 ,~,,".o Wi'q:'" .- . . :j5/ / cff~ /755-7/) ~ V\O~O 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---- ~) () () . 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: n' --",- WATER POLUTION CONTROL NOT NO YES ~~w.vQ Kfh/7( aDDI icable , 10. Sewage Disposal ( ) ( ) ( ) 11. Us ab 1 e Area ( ) ( ) ( ) '-./ 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 . . / . 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. Ol(t~ cuA7 ~Jk J /-3-7,,- 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 v ~' " 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): ') <z-__1> ( ') I t\f6.\rJ l \' ~ e. 1~-io(VC/ If!, I: ~Q(d-.lfJ /<-- '~-:n '" + 'Ii 7\~. 5 , I S~+ 1-, N--t ~'AJ-e <- ~J[/ \ /\ I ~ ~("'1 _ "'-'" kifVe '- J 1 ~ .1' 10) d "~ ) ~ ........ ~~ ~ r 6..JJ c ~ \ /~ ~, }, ~ .! h-M$ " 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 - - H6v..~< Datelll - :"J,:';"!' '7U , . . 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 c.... ) '", T " . . ~ ( '" '. S!TE INSPECTION AFPROVED Cl DISAPPROVED Cl DATE INSPECTOR REM!.RK~ /~'.r \ ., /' FOUNDATION INSPECTION ~ ....0"'0 L.JLi' o"....o.~z !ft-lH ( '~'nO' REMARKS 19/( ~A q~ /7-71/~ e j c' AP.PROVEO TEU- ~-7t( INSPE~TOGf? (9/ FRAMING INSPECTION ..+tr. AJI~ -.4IJ....#J .J#JJ~ V) / / ; ~ .. ~ 1! /-0' (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/~ "// "'-: - ' " r , . 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 I' . . .. -. . 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 ~t0~ ~~ . ~-j~/,fl dd 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 ~ .. '~CJ / _ ~ ~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 . fO . I (I -/ C55-12