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Home My WebLink AboutPermit Building 1983-3-1 Lane County Authorization ~I~ tJ}niJu 'roWl<SHIP IB I RANGE oz- I SECTOG..4,z, J T~OO DOUT OF S:J8DIVlSIONiPOOT~N ~3PPliCable) 11;i~A;C) I BLOCK :iTI~I~NJ O~~' r~. ??PHm-~ " "-iLl;;f;:, %1~~~,}JJj~{~J(t~,Yu~~"'"' ~ d mJ-Q)1 (.J q~*'rOY\ ) f1L r~rio/Yl) _~~ 7ru}'h(;;;OPOSED WORK - BE SPEC'f\r~o:I0r- Ul@Jn ~ 1 ~ I. J I DE~LARED · VALUE , 'OF' 8E~S ~~L r · OF (7;YaES 10TI~~- [~Jl ~hl ~ O;'fl!'~~~ ADO~r ~. . t"'i..1 ;<:1 C3n \ t1~li TELE ONE NUMBER n'1raun ", Q~.llflllO . Iln r Lrhi'l1 0 ,L , A Y:''YILlO -:;J;!l:fo ~~:~' ~/~~~ Ll~ :.:::::: ,'/ I HAV8 CAREFULLY 8XAMINOD TH8 C~TEO APPLIC~~OR PERMIT, a~o hereby certl~that all inrormation her. on i, true and correct, and that r have the following legal interest in the property: [B'owner of record; 0 contract purchaser; Oauthorized agent with evidence of authori ty attached. I f'.:.rther certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the Laws of the State of Oregon pertaining to the work. described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I fur- ther certify that rcgistration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for cxemption ~~~~e~~;~t~~:7:r~~~:Pl~ees ~A~k~W>ll 00 used on th" proJect, I HAVE REM ~O NAME (please pnnt) / .- / SIGNA~ OAT8 - C;~ 7ldl for: FOR OFFICE USE ONLY APPlication/, a " Q ') Perm1 t # lJ,'-I'-C1- ....... OTWO Copies of Plans o Three Copies of Plot Plans DMech/Plumbing Checklist o Legal Interest Document D Plan Check Info Sheet ZIP PROPOSED USE OF PROPERTY ~eSide_ntial 0 Industrial READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS! [] PLANNING/ZONING: Zone Partition II: Parcel II: Parcel Size t'ln CH. (Jf'11 (, [] viOODPL~: C C . . t . trint '/~'k- ~eno: . f\{r\ ~()or in I JD nl nA.d. I ,..-. In flood hazard area? 0 No 0 Yes. SEE ATTACHED SHEET. I) ~1[mfJ';;> J.d \5 ~f)l IQZ3 aD Fl ~NITATION; s, r. # Installation ~ Gallon Specifications: --E...9rD Tank COM.'!ENTS, ,...~ (lA.;..a.,Q --;;-~ .;;1htu ---fi:.... i 4~ ~... 0, .r I~B(.,. P # Lineal Feet of Drainfield ~J.SS ~~ .~ ~(}._-g.,), Installation Record Issued? DYes 0 No Maximum Depth of Trenches _:;t:- /.. .I f~--rr q. o ~- Date: ~ - I-.P:...? [] PLANS EXAMINATION: Type Group Use COMNENTS: TOTAL VALUATION $ --IRUCTION Sq, DI AUTHORIZED BY THIS PERMIT Fixed Feel Floodplain Fee Unit Cost Subsurface Fees n Building J;ee H~ch/Plmbg Fee P'ans Check Fee State Surcharge DEQ Surcharge $ $ $ $ $ $ $ ()HJAd-nriPtion ~ O\Y*t.~Q ? Ft, TOTAL FEE $$ ,~tJ. _~ 1<....\. rt:-J~./;'? PERMIT APPROVED~J'BUILDING OFFICIAL/DESIGNEE (per ORS 456.8Q5(1}) . DATE LANE COUN'N DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061 \ 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR LNSPECTLON LNFORMATLON ~ ,- " I SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED, VIOLATION CAN RESULT IN REVO- CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTV'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW, WHEN READV FOR INSPECTION, CALL 687-4065, A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC- TION REQUESTS MUST BE GIVEN. Have the following information ready: permit number, job address, type of inspection, when it will be ready, your name and phone number, and. any special directions to site. BUILD~NG DIVISION: REQUIRED INSPECTIONS: 1. Foundation Inspection: To be made after trenches are excavated and forms,erected and when all mater~als tor the foundation are delivered on the job. Where concrete from a central mixing plant (commonly termed "transit mixed") is to be used, mater:lals, need not be on the job. 2;. Concrete Slab or Under-Floor Inseection: To be made after all in-slab O~ under-floo~ building serv~ce equIpment, condu~t, pIPIng accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing insta~led, including ~~7 subfloor. 3. Framin~ ~ Insulation Inspections: To be'made after the roof, all 'framing, fire blocking, and brac~ng are in place and all pipes, fireplaces, chimneys, and v~nts are complete and all rough electrical and plumbing are approved. All wall insulation and vapor barrier are in place. 4. Lath and/~ Gy~sum Board Inspection: To be made after~all lathing and gypsum board, interior ~exter~or, ~s ~n place-OUt betore any plastering is applied and before gypsum board joints and faste~ers are taped and finished. 5. Final Inspection: To be made after the building is complete and before occupancy. APPROVAL REQUIRED. No work shall be done on any part of the building or"structure beyond the point indicated in each successive inspection without first obtaining the approval of the building official. Such approval shall be given only after. an inspection shall have:been made of each'successive step in the construction as indicated by each. of the inspections required. NOTE: All building permits require in~pections for the work ~uthorized, such as but not limited to: A. Block Wall: To be made after reinforcing is in place, but before any grout is poured. This rnspection is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and approved. B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is compl~ Installation shall be in _accordance""'''with an approved, nationa.lly recognized testing agency and the manufact,urer 1 5, "installa tion' instructions. '. c. Mobile Home: An inspection is required after the mobile home is connected to an approved sewer or septic system for setback requirements, blocking, footing connection, tiedowns, skirting, and plumbing connections. 1. Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. 2. Mobile home minimum finish floor elevation shall be certified when required by a flood- plain management letter. 3. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec- tion within at least 30 days after ~cc~P!ncy. Tiedowns ~nd~skirting shall be installed per enclosure.. . D. Sw~mmins Pool: Below grade when steel is in place and before concrete is poured. Above -grade when pool-rs-installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS, THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAVS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION~ ANVONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK, SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SVSTEMS: ~. 1. Permits'shall be-effective for'one year from the date of'.issuance. 2. Upon completing the construction for which a,permit'has. been issued, the 'permit holder shail, notify the Lane County Department of Planning and Community Development by submitting the installation record form. The Department shall inspect the construction to determine if it complies with the rules contained in this division. If the construction does comply with such rules, the Department shall issue a certificate of satisfactory completion to the permiti holder. If the construction does not comply with such rules, the Department shall notify the permit holder and shall require satisfactory completion before issuing the certificate. Failure to meet the requirements for satisfactory completion within a reasonable time constitutes a vio- lation of ORS 454.605 to 454.745 and this rule. Setbacks - SUbsurfac~ Disposal ~ . Septic Tank From: Interior proP!t lines 10 I Edge of road t-of-way 10' Building founda ion 5' Wells, other water sources 50' C 14 _ 2 5 .' ');:"lii.o' '~'. ' . PRIMARY TREATMENT consists of REPORT OF INSPECTION - INDIVIDUAL SEWAGE-DISPOSAL SYSTEM o Septic tank o Cesspool Septic Tank: Distance from well Total liquid capacity, Inside length, feet, Material gallons. Capacity inlet compartment, feet, Inside width, feet, Liquid depth, Number of compartments gallons, feet, Cesspool: Distance from well, feet; foundation, feet; nearest lot line at Ofront Oside Orear Inside diameter, feet. Depth, feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of 0 Tile disposal field o Seepage pits 0 Other (Specify) feet, Tile Disposal Field: Distance from well, feet; foundation, _ feet; nearest lot line at 0 front 0 side 0 rear Total length of tile lines, feet. Number of line, , Distance betWeen lines, Trench width, inches. Total effective absorption area in bottom of trenches, Length of each line feet, Depth, top of tile to finish grade, Type of filter material: 0 Gravel 0 Broken stone 0 Other (Specify) ()epth of filter material beneath tile, inches. Depth of filter material over tile, Seepage Pits: Number of pits, . Outside diameter, feet. Depth, feet. Lining material Distance from well, _ feet; building foundation feet; nearest lot line at 0 front 0 side 0 rear Inspection made by: o State OCounty 0 local Health Authority feet, feet, square feet, inches. inches. feet, Inspected by Date of inspection , , 9--,- ITitle) REPORT OF INSPECTION - INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main, inches. Individual wells 0 are 0 are not customary in neighborhood, Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water Properties in neighborhood 0 are 0 are not being developed with both individual water-supply and sewage-disposal svstems, lot size: feet wide, feet deep, Dwelling set back from front property line, feet, . Individual water supply from: 0 Drilled well 0 Driven well 0 Dug well 0 Bored well. Distance of well from: Building foundation, feet; nearest lot line at 0 front 0 side 0 rear feet; cast iron sewer, feet; tile sewer, feet; septic tank, feet; disposal field, feet; seepage pit, feet; cesspool, feet; other sources of possible pollution, feet. Well construction: Diameter, inches, Total depth, feet. Type of casing, Depth of casing, feet, Approximate depth to pumping level of water in well, feet. Approximate yield, gallons per minute. Sealed watertight to depth of feet, Exterior space around casing sealed with: 0 Cement grout 0 Puddled clay 0 Ordinary backfill. Well cover: o Concrete OWood o Metal. Openings in well cover watertight: DYes ONo, Pump: 0 Shallow well 0 Deep well. length of drop pipe, feet. Pump capacity,_gallons per minute, Located in: 0 Basement 0 Pump room off basement 0 Pumphouse above ground 0 Pump pit. Pumprqom properly drained: 0 Yes 0 No. Pump mounting watertight: 0 Yes 0 No. Tvpe of storage: DPressure o Gravity, Capacity, gallons. Has bacteriological examination of water been made? 0 Yes 0 No. If answer is "Yes," give date , '9 Quality of water 0 is 0 is not satisfactory for human consumption. Installation 0 does 0 does not comply with approved exhibits, if any, Inspection made by: o State OCounty 0 local Health Authority, Inspected by Date of inspection ,19_ ('lit/e) ... U,S,GOVE""'N"RlNnNGOmCE. ""-361-48813547.. ~. .. .. Form ApprovM:l OMB No. 2906-0088 VETERANS ADMINISTRATIONIU,S, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATEII-SUPPLY AND SEWAGE-DISPOSAL SYSTEM HUO/FHA OR VA CASE NO. Hue/FHA OR VA OFFICE IMPORTANT -This form should be completed and riled as required by existing law 38 V.S.C. 1804 and 1810. PART I-TO BE COMPLETED BY HUD/FHA OR VA ,MORTGAGEE NAME AND ADDRE~S (/nchJde Z/PCode) MORTGAGOR OR SPONSOR PROPERTY ADDRESS SUBDIVISIDNfLDT NO. LIVING UNITS BEDROOMS BATHS liS THERE A BASE- MENT? I,OYES ONO IS THIS A NEW INSTALLATION? CAN THE ATTIC OR OTHER AREA BE MADE INTO ADDITIONAL BEDROOMS? (If "Yes, "how mllny?) TOTAL NUMBER DYES ONO DYES ONO WATEA-5UPPL Y BY: o PUBLIC SYSTEM SYSTEM DESIGNED FOR o COMM'UNITY SYSTEM o INDIVIDUAL . NO. OF BEDROOMS IGARBAGE DISPOSAL SEWAGE-DISPOSAL BY: o PUBLIC SYSTEM 0 COMMUNITY SYSTEM o INDIVIDUAL DYES ONO PART II-TO BE COMPLETED BY HEALTH DEPARTMENT OR COMPLIANCE INSPECTOR INSPECTOR'S SKETCH (TO REPORfAS.BUIl.!.. Dl:'VIA!IONS ~RO!tf APPROVED PLAN) I I , 1- --- , I " I i I I '-- , ,- 1---- ...L -- , 1- - -- It is the opinion of the 0 State 0 County 0 Local Department of Health that this individual water-supply system 0 is 0 is not satisfactory as a domestic water-supply for the subject property. It is the opinion of the 0 State 0 County 0 Local Department of Health that this individual sewage-disposal system with proper maintenance 0 Can be expected to function satisfactorily, and is not likely to create unsanitary conditions 0 Cannot be expected to function satisfactorily. DATE I SIGNATURE ITITLE NOTE: The health authority should complete the appropriate opinion statement above and affix date, signature and title in the spaces provided. NOTE: Use of the reverse of this form is at the option of the health authority. PART III-FOR USE OF FIELD OFFICE I have reviewed the foregoing and the pertinent Compliance Inspection Report and recommend that the individual water.supply system be considered Dacceptable 0 not acceptable and that the sewage-disposal be considered 0 acceptable 0 not acceptable DATE SIGNATURE TITLE o HUD ARCHITECTURAL SECTION CHIEF OR DEPUTY CHIEF o VA CHIEF APPRAISAL SECTION OR DESIGNEE , ' ,-'~ VA FORM 26-6395, APR 1982 I HUD FORM 92573 " . SUPERSEDES VA FORM 26.6395, OCT 1976, WHICH WILL NOT BE USED. " bne county SHEET . ~ l.::L?->L-~ .. PLANNING & COMMUNITY DEVELOPMENT ACTIVITY INFORMATION , COMPLETE THIS SECTION, INCOMPLETE FORMS WILL BE REJECTED! 1. GO~/)ON: t1/ YtJ/VJ(J PERSON MAKING REQtlE~T //87 /A.u!ft:L AcJ -....... . MAILING ADDRESS \ V"f)FI...D c~ c;?Cf77 I CITY STATE ZIP CODE ) _7~6-2-5oG 7'17- B~o~ BUSINESS TELEPHONE # HOME T~dUSINESS TELEPHONE # 2,. PROPERTY ADDRESS I=:::. , (IF DIFFERENT FROM MAILING ADDRESS) " ...";)~"14E PROPERTY OWNER MA-I LI NG ADDRESS CITY STATE ZIP CODE HOME TELEPHONE # (from tax maps in Department of Assessment and Taxation or from tax statement) . Jig O')()bilf:l ~ ~OL TOWNSHIP RANGE SECTION ~lS) OR PARCEL # 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) TOWNSHIP RANGE SECTION TOWNSHIP' RANGE SECTION TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) 5 REQUEST (state exactly what you plan to do) ~/~ 6 DIRECTIONS TO SITE: I I ** FOR,STAFF USE ONLY ** -- ZONE/LAND USE: BY: DATE: TIME IN: OUT:' .' ~ TAX LOT{S) OR PARCEL # ZONING TAX LOT{S) OR PARCEL # ZONING f / ~ ACRES LOT BLOCK lt1o.AA ~r/~ NUMBER - :<> V> DATE' . -i ,I"'; . TRS. TT Plat Subdivision Lot J? . . Plan Block # C74-1S0 Vicinity Map Job Location (Addres..!?) Permit 0 For Permit 0- For Permit 0 For ~ N ~ <;t ~ ~ ~ ~ "- ~ //8 '/ L?lv~EL AO.t.~ Permit 0 Permit 0 Permit 0 f4!td' 'TTy'V For For For /.AVecL. - C7y,RO H/b/'"/ --- -;;oo--'A ~ //87 L4U~c~ Dw j} f..L( J.j y /~O/Y)/0 aeJ~~w 78/ S/2K~ i2adL. JA~I:; t- OcA ?;ON \~\ 70 /Y) Y /) "-nfW'/ cdyc ? ;V 0 ~,pp7;^" 7 /;IJ'Yk ce..r. . . .\ . " J . . . . ld . . . . II! . , . 0 , ,. '! " ~ e~., .Ii~ j';J (0 < ;; . . , f~ 0 ~ . '0' .' , " I " ,~ " . . ~ ~ ~ , . I . . , I \ . . . ~ ~ , , t . LANE COUNTY DEPT ENV MG T RECE I PT' ~ 126483 DA TE 0725~ :. APPLICANT TRUMP, GORDON AD DR 1187 LAUREL AVE., SPFD. OREGON ' I TL~ 1802064200400 SUBDIV LOT BLK I . NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 746 2506. ~ OWNER NME TRUMP, GORDON ADDR 1187 LAUREL AVE., SPFD. OREGON '. II; CODE APPL NO ACTION DESCRIP'rION SQ FT UNIT COST VALUATION FEE DAY~ r ' . BP . jC € BP BP . BP , BP Jj/ . PL MECH SUR . PCK SDS SUR . . CATG: SEQU: .. TAKEN I. I . APP o BY CAD -~ FP SDS SI PCK 1 EST. COMPLETION DATE RA . OTH ISS 2 TOTAL FEE** . 50.00' 5~00 55.00 .: " .~ . . l '" . . ",9 CK . . o RA' N Fl e:: (fJ plA N L 18 7 t...AuR.~ t-.A VG tRUMP, GORGO,,", vJ .4'~H 1 - ;2..8' ~3 - )( \ , ~ ~.~ ~Q'i , ~ ~I ~ ~ f 1\ ! "'~ 5.T 1;'/'1 \) ~ '\)'0)(.. .... ~ -~ ~ l\i . '~ - ~ 0 ,'it - ~ /81 J ~ 0 'l' I~ . K--'. . ~ ~-~ ~~ -.(,1 Ol?. E"/<f1~L //AJ r ~12~~,e.7 ,0/:?'tcl'-ocA feel ~/ !Jtftf'{. of ~ (s ,,- ..tc::- ^-__rc LU ~ t-L w tLL be:: R.~rc.~ce-cJ 61 pubc..M:. wATc!L OWcEt.t.IC> T A2a..v. u) I 'l",-"".;7 To: (.,tJ tA 7' <:f" L /': c:Ll ~ . It <a "7 Co. . IN ~LL l~ t..:s oT ~ \ :/ f--A u~f5 L ~ FAc'1O R- ;)GAK~ ~v6{fC ';;J WA"ki'lL.lS AVA\~u.; A~O I)C040ClM6Ji"'OIlW . Muse 6 G (NsTArt {.;:q .A;C'CQ,eal~ 1 to r- ~A /'1'4 (,15 G>tJI,Qc!;g)Ac.""'N"lS- l .' ! WEt....f.... we lA b6 06~ue/Jt-c5'd Te:. I ~ ,Q.Ay""TI d ~ ~ t. r . I.) iA z... 1JGW \o\os.;- b (ts I (J. L @J . -=--' "-- --- _._- "._---, - - I~ ~ I ' .... fiNANCE CHARGE is computed by a "Periodic Rate" of (1.5%) per month which is an ANNUAL PERCENTAGE RATE of (18',) applied to the balance of the account on the billing date. If the current new balance is paid within one month from the current billing date no further FINANCE CHARGES will be added. Terms: Order No, Pnone No, 747-82011 Bill to: GOI<OON TRUMP Dote: 7 / 27 /83 Address: 1187 Laurel Ave. , Springfield, Oregon Job Addre 51: . . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Septie Tonk Cleoning Y-/} t1 ~ _ t/ -fr~ k:. ~ 7. tJ cJ Labor & Serviee .:2... 4 -yt.. , ,-If). t7 c> ~/ f 7--;;;- Sewer/Drain Cleaning Machine Charge Sewer Cleaning, Derooting /~ ~of:~""""" ~.s rC ~ /J,,c: 6~ ::._.'...;.\ #< r.v ~........ ~ C,'/ Comments /' S- ,,?/.~ _ r<6t-V s LJv_ .....,.~- (J ,;h -<!J ~ ,f-. .;, _ <.,,) /) "V'# .c> ......... /', /" /- ,/ .. ---7:77 () / ,j--r " _ ~J) .. ~~-/. ..,..". tr .. .. P. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ./ :'LEAS~ PAY ON THIS ~T.~TE~.~[rJT Mel Cristensen Owner.Operator 2637 Wayside Ln, THOMPSON SEPTIC & ROOTER SERVICE p.o, BOX 636 SPRINGFIELD. OREGON 97477 746-4224 . , I' Ii II ! ...' '~lt . I ! ._:~:~/tfJifJ~r:~- ~