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Home My WebLink AboutPermit Building 1976-3-20 / ~. . . ~ -.,.' :' #>' . -.'.-1..... ~ .~' LANE COUNTY PERMIT FOR: . PERMIT NO. 457-/j [MJk..:. [ ] CONSTRUCTION [ ,~ MOBILE HOME [] PLAN REVIEW [ ] 31 /) Z. CHANGE OF OCCUPANCY DOwner n&bert f:i11 Build('!r Inc NAME 870 ~'~~t C~ntGnniul Blvd_ ADDRESS CITY Snrinofi~ld 74G-C~li ZIP CODE PHONE o Contractor S,\q' NAME '" ADDRESS CITY ZIP COOE PHONE 0.5. Reg. # ,Tw~ i:3 Range 2 Section 05. 4-2rax Lot It,] i\ddHion f.leado~! Green Estates Subd ivision Lot f.I Block ~ 0./10 - rv Codp Census Tract ':l Acreagp Width Access to Property (Road Name): I '=;1I~1 <:'+WIoOO+ Depth Existing Structures on Property: Nnno. Directions to Property. Address: l1nQ I n_~l ~+~oo+ ~~~~n~~~o~~ n~~2~n STRUCTURE (# BEDROOMS) fl:",,:~f~. f'nr ~i9g',Q i=':tmil\J nhfOl'inn ~;:'I"'i1n(3 SQ. FT. In>:&; r.1 ?1 An >:?A r.1 t; ~n VALUATION <<?":l n?n an 9 7~A Iln (~?" Ql Q ?f\ SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK (] OTHER ( BUILDING 115.00 PLUMBING ?? .00 3% SURCHARGE /1,11_ MOBILE HOME 75 00 WASTE DISPOSAL PLAN REVIEW fJet'j PLUMBING INSTALLED BY: OWNER r 1 OTHER I 1 NAMF WATER SUPPLY: PROPOSED [ J EXISTING [] [ ] PUBLIC [ ] COMMUNITY. NAME: [ ] PRIVATE WELL [ ] OTHER. SPECIFY: TOTAL 215.11 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS. Clnn MIN, DRAINFIELD TnC:+:ll1 1n ';-ho nnnrv'\\lnl'f ;)1f"n:ll l"n L1N. FT. MAX, TRENCH DEPTH ~:,:II INCHES -F"""m ~h/"\ ~'U'\IICn ~;'~1 ~~~^~n~"n vn nl^+ nl~~ - ---.", -- ,- - - - l"" --.. rlf'n._n~"..+" 1"ll'lo..... lo-f-l-:.t." ,:~~~~::~~~:l~: , . . ~ - C","""" ,,, -I!........<. ---0,1 .- .--- TYPE OF CONSTRUCTION 1:1' GROUP T ~.1 FIRE ZONC STAY 100' FROM ALL WELLS USE CLASSIF. SETBACKS, FT. FROM CTR. OF r[W: FRONT 3!J SIDE EXT. 5 FT. FROM PROP, LINE: SIDE INT. REAR 7' I'll!' ZONC n~ AUTHORIZED SIGNATURES: /s/ J. E. Boss by HarOBUqi, Grav/sanitarian ISSUANCE DATE: 3/20/75 dlm BLDG, 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 687-4061 to schedule all required septic system inspections. All construction shall comply with the Slate Buidling Code, D.E.a, standards for subsurface sewage disposal and the Stale Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) tp)JJ (POST THIS PERMIT ON MAIN BLDG. AT SITE) C55.1;J LANE COUNTY, DEPT. OF ENVlRONMENTAl MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6lh, EUGENE, OREGON 97401 BuiLD IRGc.S ITE' EVALUATION ~ A~~ JXf' BUI'~~ING PERMIT APPLICAH~. ~s7- '/ i () SITE INSPECTION PLANNING DIVISION Not Applicable I. Zoning Ordinance CampI iance: Zone ~ Q () 2. Subdivision Ordinance Compliance , ., . ( ) 3. Required Access ( ) 4. Building Site (Area. Width. Frontage) () 5. Other (see comments) ( ) COMMENTS: T ) ~ R cJ 2. S tJ' TAX lO; , SUBDIVISION: 7l1~~C<zX. lOT: Y BlOCK:_ '? ...... APPL I CANT DATE No Ye T) ( ) ( ) ( ) ( ) () ) () ) CK'D BY: U-fR.!l, d3lntU.7b Setbacks~om c/l of road: Front , q,':;- S.i.d<.. ""cerl or Setbacks from interior lines: Side ,~ Rear .L' 7 Iqe 6. PLANNING DIVISION ACTION PENDING: YESl } NOl } APPlICATION# BUILDING INSPECTION DIVISION Not Appl icable ( ) ~R ((' 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 ills T) () ) ( ) ( ) ( ) ( ) CK'D By:e.113-A'f-?6 DATE No Yes T) --rw: ( ) ( ) CK'D BY:. ,4!(), d_ .:J-.:;s;7~ . - 1/ DATE TO APPLI CANT: Your Building I Site Inspection: ~)'Can be approved. ~~( ) Cannot be approved at this time as indicated on item NO. above. 3~. I~ Questions and further information on items I through 6 contact the LANE- /~v 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 appl ica!.~~.'!....fe~~bein.'l,x~t\l,o:.~.!'.d under seoarat,! cover. DEPARTMENT OF ENVIRONMENrAl HA~A~~M~NI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 lANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-2B . . . LANE COUNTY PERMIT FOR: PERMIT NO. CONSTRUCTION [ J MOBILE HOME [ ] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] L Owner NAMlo ADDRE~S ciH Zr~ cDUb PHONE DC."., .,."Jr I:iAME ADORESS CITY ZIP COOE PHONE O.S. Reg. # Twp Range Section Tax Lo' Code Census T ra~, Subdivision Lot Block . A. -'; J' Width Access to Property (Road Name): --_.~. ~ - Depth Existing Strl '., "'" on Property' ~ ~ Directions to Property, Address: ......... =----oI.M.I""--,, :....Iol.L"""-" .....L..I...o..l..J.........lr..-.....L.I....-~ STRUCTURE 1# : 'J . JMSJ SQ, FT, VALUATION _ L-.. ...... ~;""'-'.L..L-L""'::' L-....-..--~o......Ir.... .- ~ ~~~ ~ -... SEWAGE DISPOSAL. RIIlJ).IC (I SEPTIC TI\t'JK I BUILDING PLUMBING 3% SURCHARGE MOBILE HOMF WASTE DISPOSAl PLAN REVIEW OT)--lER I PLUMBING INSTALLED BY: OYY~ffj I J OJt-lER I ] NAMIO WATER SUPPL y. PROPOSED I ] EXISTING I J ( J PUBLIC I J COMMUNITY. NAME' I ] PRIVATE WELL I ] OTHER SPECIFY' TOTAL CON~TRUi;Tl9j\1 Pf~rv'lITS & INSPEi;TIONS AND WATER POLLUTIO{ll CONTR~~. SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS, MIN. DRAINFIElD '-- L1N, FT, MAX. TRENCH DEPTH --- INCHES ~ =--,L.:. ~---'..:oL..I..&..I.~ --. V'" 1 .'-----"""'--- .....L.... _ L.J.' _.~...... . ~ . TYPE OF CONSTRUCTION GROUP _ _~ FIREZON" STAY 100' FROM ALL WELLS USE CLASSIF, SETBACKS FT, FROM CTR, OF rW: FRONT SIDE EXT. FT. FROM PROP. LINE: SIDE INT. REAR ZONE Aun,v,',~':v SIGNATURES ISSUANCE DATE Ir,/ SLOG PERMIT WHITE OFFICE copy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING -- GREEN SANlT A liON - GOLDENROD IMPORTANT: Call 687-4065 10 all requlfJ' . Call 687.4061 10 schedule all reQUired septic system inspections. All, .VJn shalt comply with the Slate BUldllng COde, O.E,O . for subsurface sewage dispOsal and I~ Slale Plumbing Code All bu,ldHl~S reqUire 8. . 01 occupancy before being OCCUpied (See Details on Reverse Sidel (POST THIS PERMIT ON MAIN BLDG. AT SITE) ~!5 ., LANE COUNTY. DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97401 r . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ;---y DISAPPROVED ~ DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED ~ DATE REMARKS . INSPECTOR INSPECTOR ROUGH PLUMBING ApPROVED IV-I DISAPPROVED ~ DATE4I.- ~tl-~ INSPECTPR~-pitJ:) REMARKS ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE REMARK 5 FINAL PLUMB I NG 0' ApPROVED ~" DISAPPROVED ~ DATE '7- 9'-"7;" REMARKS FINAL GAS PIPING ApPROVED ~ DISAPPROVED / / DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE / / DATE REMARKS INSPECTOR INSPECT~~~ INSPECTOR INSPECTOR . . p '7 ~ INSTALLER: Complete top /) Z~R'y;/~ No. living Units /1redrooms Baths / (JIJ' I Septic Tank: Ft. from well Steel 0 Inside Dimensions: Ft. len2th _ Width Diameter Depth ~~~~R l~ t~fl;1- ')J;/ t?i/r, ke HAiliNG ~x, ).,J ~;/)zA/H/~/' ~~~~ from ADDRESS 5fl< 11I1C-f. e. L d.l cf},.e, '7'7 f/7 7 ;~~n~ i ne length ,~Lines-Ft. [TrenCh L-Tota) Sq. I Ft. Between 1('27,13. 4. ,5. 6. .Width'VT Ft. 30~J Lines /b '-IW~ian (see Instructions): " N \~ 1f ~ PRO"D SEWAGE DISPOSAL SYSTEM RECOR~ . , '.' .' part of form to signature and submit both copies with applif~t~n~~J PERMIT NO. ~,[ f?~/,~ PROPERTY ADDRESS .~ c;: Ho~~ ' Water S~ply Public ^ Other-list . Basement Yes No 'i "\ No. Compartments I Gal. Capacity /,Ot!!J (J) Concrete ~ Tile Disposal Field: X Distribution Box: Yes " Other Distribution-Type No Foundation If) Side, 10 Rear 10 IF it} blrV..IFi Iler Depth IFi lie} Below TH'a...,.JIAbove T i I e VI n Jr i 1 e c... in. 8) ~~~EIVElJ MAY ua 7976 MM ' gIyVIReN~COUN7Y ".~/Y/"lL MG" ..,T. RECE~VED By f4AY v3 19/0 LANE COUNTY n EN~I NMENTAL MGMT. f' j, J ~--1 n ' Date 4- --5 () _ / /f. Si~nature {t~ Yt: .I.',Q/7~' fH-if , , CERTIFICATE OF SATISFACrO}tY COMPlgPION ~ E:- r- For Sanitarian Use Only: Date:, d '~~7~ In accordance with 1973 Oregon laws Chapter 835. Section 214 this certific e is issued as evidence of satisfactory completion of a subsurface sewage disposal system at the above locat ion. ~ Approved: System Installation conforms to current standards t::)'Disapproved: Does not conform to current standards Remarks: C55 -11 //.. <2v", Sanl~~;'s Signar" e lANE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY I ' · LANE COUNTY PERMIT FOR: . ~ . PERMIT NO. CONSTRUCTION [ I MOBILE HOME [ I PLAN REVIEW [J CHANGE OF OCCUPANCY [ J Owner NAME ADDRESS cllv ZIP CODE PHONE Contractor NAME ADDRESS CITY ZIP CODE PHONE O.S. Reg. # Twr Range Section Tax Lo' Code Census Tract Suhd ivision Lot Bloc~ Acreage Width Access to Property (Road Name). Depth Existing Structures on Property: Directions to Property Addrecc. STRUCTURE (# BEDROOMSI SQ, FT VALUATION SEWAGE DISPOSAL PUBLIC I I SEPTIC TANK .,." . nTHFR I PLUMBING INSTALLED BY nWNFR I 1 OTHER I I "AMF - . . BUILDING PLUMBINr. 3~" SURCHARGE MOBILE HOMF WASTE DISPOSAL PLAN REVIEW WATER SUPPLY PROPOSED I I EXISTING I I I ] PUBLIC I ] COMMUNITY NAME I I PRIVATE WELL I ) OTHER SPECI FY TOT A L CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS MIN,DRAINFIELD L1N. FT. MAX, TRENCH DEPTI-' INCHES TYPE OF CONSTRUCTION GROUP FIRE ZONE STAY 100' FROM ALL WELLS USE CLASSIF SETBACKS FT. FROM CTR OF r rw FRONT SIDE EXT FT. FROM PROP, LINE SIDE INT. REAR ZONF AUTHORIZED SIGNATURES: ISSUANCE DATE s. SLOG PERMIT WHITE OFFICE COPY WHITE COUNTY TAX PINK PLUMBING .. CANARY BUilDING -- GREEN SANITATION GOlDENROD IMPORTANT: Call 687-4065 10 schedule all reqUired construction rnspectlons Call 687-4061 10 schedule all f6QUlf9d sepllc system Inspections. All construction Shall comply with the Stale BUldling Code. DE a standards tor subsurlace sewage d'SpONlI and !he Stale Plumbing CCXle. All bUlldmgs r~Ulre a C'M't.tlcale 01 oc:upancy before b4!lng OCCUPI Kl (See DetaIls on Reverse Side' (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY DEPT OF ENVIRONMENT.A.l MANAGEMENT C0UATHOUSE ANNEX 135 EAST 6th, EUGENE OREGON 97401 r' . . SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARK 5 FOUNDATION INSPECTION ApPROVED L-/ DISAPPROVED L-/ DATE REMARKS f} j(i[~At1C"Z:jynJ / / / , I NSPE~ &/-/3 - ~tlc:l~ . - FRAMING IN~~N ApPROVED DISAPPROVED I NSPEcrtY! ./' ./.Afl Cl DATE!J -,6 /lltJ REMARKS Om 5-}4"11, ,",,,ff ,~;/.5 '"" 1- 0 -' :/{/ f~/l1 r~f41lt./t .a'~ - (; ~ .'10'."7,:, , FI~Al INSPECTIOY , /)/} ApPROVED IE! DISAPPROVED Cl DATE 7-&~ft, INSPEC~ LATH OR SHEETROCK INSPECTION REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARK S /ffJ-7' /1-/ /1)-(7",. /? tf/f;e.~ $:if~~;()'1 ~ . ';.-1 @.f. ell) e;; &// . NO PERMIT WILL BE ISSUED UNTIL THIS APPLlCATl'HAS LfS"? - -J / PERMIT il {J<::7 BEEN APPROVED APPLICATION FOR: MOBILE HOME c:::::J PLAN REVIEW c:::::J CHANGE OF OCCUPANCY c:::J >( CJ OWNER~f'l\'trt \~. \\'," ~LI.:~..1Ne." ~JO \.1.), te...tI'.Nl\li;\\ ~\bt S~~11&R.f..-"I7qll ; 7</1/'11/ L Name Address City. ip Phone" c=1 CONTRACTO~obo<t 'M.l\'I\\'~h:U,~~,g7D to. ~ ~loJ .$.D"i'~Il.c.. "Il1(11j 7'1b,qQ//P Name I A#dress City ~" Zip Phone O.S, REG. D '< lWp. ~~!?t,w:J- Section to Subdivi on ~""UI E",'t"tos.Lot <. ACCESS TO PROPERTY (Road Name) kl1.1l. t.1 ,(. Existing Structures on Property: '-.bN f:' ~ Property Location - Address/Directions: \ \ ~ C6 LG\.u.fl. 'i...\ Tax Lot Code Census Tract Wida../ Depth212 <;) $-t Block ~ Property Acreage / ,471 I Below for Office Use OnlvXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX /l;,s-'h 1()02 t. roffByrO~~ ) it:) ;;. Po .5, 3 '-- ~i', ~ , v djj;f:Jf;~~ tf .. ~ Valuation .23 02..0.g'1) ~, 7"1'7. d7), .., <!- X>I G ") '0 - -..;, I ~ Bldg, Plumbing 3% Surcharge Waste Disp. Plan Review 1/.5":0-0 ~")-Y'A-J'} /j.t;.t / Existing Sewage Disposal System Public c::::::J or New System Required c:::::J SEWAGE DISPOSAL: Site Inspection D WATER SUPPLY: Well Spring Name of Community or Public System FEES: PL ING: In talled by Owner c::::::J ING J2ECJ 3 I/JUOf Fixtu ,- c::::::J Name Sewage Connection Water ~ Connection ? Mobile Home PLANS FURNISHED FACILITY PERMIT OJ/h, II :::,.:~.'^~->#;Uif · Fee Received By, ' .~" ~ Date:. ~-/7-7 ~ MiI}J Septic Tank capacity~ A/1 ~. D~alffield Required - Lineal Feet /Sf),;, "1~m Depth .;Jf." ,j~~ ~~ ~-:>.~ l7Ml.A/1 ~/ij ~./t.-Jf- u ~ lOP- .f---- ~~UAb~~;~~- ~- . -> ~~H TOTAL Type of Construction . / ~ /1/ Group,I r.-y Fire Zone Use Classification Bldg Setbacks - from Center of Road Right of Way: r () Ii r-" ./) Front ;, ~ Side Int. ~ Side E~ Rear 1 ("VLJ:::zone /<. g.. PIANNI,I~N: ^,." M Nl1!P DATE: SANITAT~ DATE: ~UILDING'lf ~J./J DATE: \Jr7 ....,I'IP" ...dUJ. cCZ1A .3,,;So7f (jo~/~'3-:z q-1/J LANE COUNTY ;EPAR1M;NTa- ENVI~ONMENT~ ~AGEMENT / ' CSS-1Z