HomeMy WebLinkAboutPermit Plumbing 1974-8-13
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, . .1' BUILDING 0
. PROPERn.OWNER
, CASKADE SWIMM I NG POOLS
~
BlJlLDING PERMIT OR MOBILE,
'MH 0
MAILING ADDRESS
HO,llUSE PERMIT
PERMIT NO,
1459- 7l+
IYS-(! - '((/
PHONE
CONTRACTOR
EMERALD EXCAVATING
MAILING ADDRESS
3270 OREGON STREET
SPRING,IELD PREGON
PHONE
747-721l5
PROPERTY LOCATION -INCLUDE POST OFFICE
1024 DIAMOND STREET, SPRING,'IELD, OREGON
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
SUDDIVISIDN- DI'AMOND ACRES
17
03
J... (:J f 7 BloG k
SECTION "TAX L.OT NO.
34.2.4 20JL .
CODE
J-
19-03
CENSUS TRACT
TWP
RANGE
3270 OREGON STREET
EXISTING STRUCTURES ON PROPERTY
3 BEDRaOM HOUSE & GARAGE
LEGAL ACCESS TO PROPERTY
DIAMOND' STREET - SPRINGFIELD
APPl.
NAME
&
EMERALD EXCAVA~ING
MAILING
PROPERTY SIZE - fT.
ADDRESS SPR INOFlELD, OREGON
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
REPAIR' SEWAGE DISPOSAL SYSTEM
WIDTH
DEPTH
AREA
'.
Connect to Existing Sewoge System I!I
TYPE, CONSTRUCTION. SQ. FT. :; BDRMS
New System 0
VALUATION
SEWAGE DISPOSAL
,
FEES
PLUMBING INSTAllED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
OTHERD
1";.00
PUBLIC 0
o OTHER
RAINBOW DISTRICT
'TOTAL
.
1";.00
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN fiELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX:. GAL.
lIN. fT
TRENCH WIDTH fT.
OR SQ. fT,
DISCONT,INUE DRAIN,IELD LINES ,IIIE ,EET ,ROM SWIMMING POOL AND'FUTURE OR EX,ISTING
BU I LD I NG LINES. REPUCE AN EQUAL AMOUNT OF ORA I NY! ELD ELSEWHERE.
TYPE Of STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTlL.. EASEMENT
BLDG. SETBACKS __ FT. fROM CTR. Of ROAD RIGHT Of WAY
fRONT SIDE INT, SIDE EXT.
AUTHORIZED SIGNATURE - DATE
USE ClASSifICATION
REAR
J. E, Boss
J~ CRUCIKSHANK/SANITARIAN
DATE
8/1':1,/74 OM
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 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 an Reverse Side)
~!.'..' -
It.. F'ORM -' CS5~1)
(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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BI),I LD ING SITE EVALUATION
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T /7 _~3 S 3~lJA1.x LOT ~OJ
CENSU~
11 71
() Building Permit Appl ication No. ILj6,-7<j
() Site Inspect ion
() Pre-Permit Investigation
APPLI CANT:
NAME Ern ejr(J,J d
ADDRESS
P )(.(1l1lllfl +,' via
r-,,-
PHONE
DATE
'-1- '2./ - 71/
~
1.
Zoning Ordinance Compliance
(Zone )
Subdivision Ordinance Compliance
NOT
aDDl icable
() () ()
( )'" l\"'"
()@\\
() ()
() ()
NO
YES
NAME
DATE
LANE COUNTY PLANNING DEPARTMENT
3.
4.
Required Access
( )
( )
( )
( )
2.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
5,
COMMENTS:
BUILDING INSPECTION SECTION
6. Plans Submitted
NOT
;1 i cab I e
( ) () ()"
() (~""\\'
() ( ) \("Y
( )
NO YES
NAME
DATE
7. Soil Stabil ity (footings)
8, Flood Plain
9. Other (see Comments)
( )
( )
COMMENTS:
SANITATION SECTION NOT NO YES NAME DATE
aDDI i cab I e
10, Sewage 0 i spas a I ( ) ( ) <0
11. Usable Area ( ) ( ) (,4 #7Y
12. Water Supply ( ) ( ) (.J)
13. Other (see Comments) ( ) ( ) ( )
COMMENTS:
- =
TO APPLI CANT:
JAyour
~f\r11/M
( )
( )
( )
Building Permit / Site Inspection:
Can be approved.
Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County BuildinQ and Sanitation Division.
Will be held in this office until you can resolve the prob'lems indicated,
Is being returned,
Your building permit appl ication fee is being returned under separate cover.
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
C55-28
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,
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LANE COUNTY
BUilDING
BUILDING PERMIT OR MOBILE
MH
MA.1LJNG Aot)l!:fSS
HOt USE PERMIT
PERMIT NO,
,
)'-1 'NEt'
1>HONE
lNTR.tl TO~
MAILING ADDRESS
PHONE
PRopERly lC' AllaN - INCLUDE pOST OFFIc.:E
PROPERTY LEGAL
METES, BOUNDS
APPl
NAME
&
EXISTING STRUCTUII:F$ ON
LEGAL ACCESS TO '.
MAIlINC
SIZ! -FT
ADDRESS
~O1l MOBilE HOME PERMITS ONLY
No. of Bedrooms
WIDTH
DEPTH
AREA
III .I~ 'I R I
Connect to Existinq SfwaqE System
T 'PE~: t
I'M!
New :'"
,,/\,[ !. h ~
"I 'A.L >151 J~~l
PLUMBING fNSULLED BY
JBUl
S ~PTl( TAN~
OT~f"
$
FEES
)w....,r
W,
:HHEP' NAME
RUllDIN(
NASH DI~ 'OS4.l
PLUMBIN(
PLAN REView
ARk H'A.ILH:
LY
PUBLIC
QJHER
TOTA~
$
MIN SEPTIC TANK CAPACITY
couf.lWBUI,~~INlJ ~ MNIT(\TION SP"CJFIr ATlON~
D1AIN lma ~~QUI~!b
WITH 01 i1_ IJOX. C Al
lIN FT
T~ENr):,j WIDTH FT
9~ 59 FT,
TYf' O~ 5TRUCTURE
OCCUPANCY
ZONE
UBU. Ot1\ EA5lMI"
1)( $ET8AD::S FT FROM 111: Of ROAD RIGHT OF WAY
USE :lAS51' AT ')N
FR;DNT
SJD' Itr
~}~, EX,
) SIGNA{[J'RI: - bATE
~JA'
DAn
BlD(~ PFRMIT - WHlTf
Offl, [ COpy - W tlTF
COUNTY TAX -- PINK
PLUMBING CANARY
BUllD1NC. - GRfEN
SANITATION GOl
Call 687-4065 to schedulE: all required inspections. All construe
tion shall comply with Uniform Building Code, O.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of acCl befor..
being occupied
(See Details on ReversE Side)
(POST Tt'lIS PERMIT ON MAIN BLDG, AT SITE)
LANE .. , DEPT. OF . t;.EHTAl MANAGF.MENT
COURTHOUSE ANNEX. 135 EAST 6th, EUGENE OREGON 97401
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SITE INSPECTION
ApPROVED CJ DISAPPROVED CJ DATE INSPECTDR
REMARKS
FOUNDATION INSPECTION
ApPROVED 1--1 DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED 1 1 DISAPPROVED CJ DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTIDN
ApPROVED L-I DISAPPROVED ~ DATE
INSPECTOR
REMARK S
FINAL INSPECT I ON
ApPROVED' ~ DISAPPROVED ~ DATE
INSPECTOR
REMARK S
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE
INSPECTOR
REMARKS jl
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paSED SEWAGE DISPOSAL SYSTEM REC!.
INSTALLER: Complete top part of form to signature and submit both copies with application:.
PERMIT NO. /4,,9.:';7Y
PROPERTY ADDRESS J:C.
/O:;JJf flutml!'>1d ~:r/7AQ,A~ /d I~"
No. Living Units Bedrooms Baths Basement Water Supply .' v~
Yes No Public Other-List
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INSTALLER'S NAME
Septic Tank: Ci.;ty~
Ft. from well Steel 0
Inside Dimensions: Ft.
Length..s 'Width It>' Diameter
OWNER e .
NAME V??1~a/ d ~A? o'....'" ;t_=
" --..? Feet from
HAILING ';/7//0 ()a:7d~o) WEll
ADDRESS, Lot Line
e u.-, t.-y ~, ~or'(7?1 ~ Front
Len~th ot L~neS-ft.' [TrenCh, Total Sq. ,I Ft. Between
I JO 2.Ltli3JO 4!tO 5.10 6. Widt"-~ Ft.,~J,lX Lines /0 1
'lot Plan (see instructions):
Concrete N
\
No. Compartments
Ga 1. Capacl ty
/,0 tJ (')
Tile Disposal Field:
Distribution Box: Yes X( No
Other Distribution-Type
Depth
,
Foundation 10
Side 'KO Rear If::) ()
IFi llerrl IFi lier Depth IFlI"ler Below
TVDe~4' Above T i 1 e..o... in JT i 1 e /..:Li n.
J ii 01
I~
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CERTIFICATE OF SATISFAC~RY COMPLETION ..
For Sanitarian Use Only: Date:
In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is issued
,as evidence of satisfactory completion of a subsurface sewage disposal system at the above
focaHon.
r21 Approved: .,.system Installation conforms to current standards
c:=J Disapproved: Does not conform to current standards
Remarks:
Date
C55-11
q~ R.t;L~..,
, S~,tar i an IS Signature
LI>.NE COUNTY
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
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. .~ PERMITfF / 459~ 7<1
lANE CXlJNlY ' ~ U Building ,
DEPAR'IMENr OF ENVIR.ON1ENTAL MANAGEMEi;o Mobile Horne
APPLICATION FOR !lUIIl)OC PERMIT OR MOBILE HCME USE
N<Jl'E: No permit will be issued mtil this application has been approved,
PLEASE PRINT . I ,
PROPERlY LOCATION~ Oll\...h'l.(ll\.\~ ,<;-rR~F'-r. SrV'\ Vl-a-F1\"IN, (\h>~(l"\
.'
'M' ---L'Z- RAN:;E C -z, SEe. 3 t.j. ~,'Itvr, 1m fF '20/ COOE I ~-o3 CENSUS TRACl'
wr NO. ~ BLOCK I SUBDIVISION Q~m~..J AN'~
I PER1Y 'tlZE I
ACCf.'3S TO PROPERlY OIl\..\'V\t"IN ~<"~WID'IHJO) DEF'lll~a(') OR ACREI>GE
DESCRIBE EXISrm:; STRIJCIURES ON 'lliE PRur=.1 i Tl-l ~E E g r: D~ M /VI J-I fJ/ )" ~ + (.;.ARA G-F
APPLICANT 'I MAll.----m:r J
. NAME ~A. C.1(/lQ..F ''rIlIYnmJAIc:.. o..nlcADDRF15S, ~I)n Or-e()OI\I .<:;T.~----'2.l,lI)~ '),9~
CDNl'RACl'O t>Aa,; ~ I . . MAII.JN:; ,',' ,;r.
NAME F me. f'1I._.1 ~ E yeA I) Ail n.g AulJ=S PHONE
BEI..rn' FOR OFFlcr USE Offi..Y'f.:.:.:. :..-. '-.:.:. :.'-.:.:. ,". ,-.'-..". .". .-..-..-..-. .-..-. .-..-..-".-. .-..-..-..-.nn.'n.... ....nnn..nn.".., """".... .on'" ..........................
roo. ,....^..,.,;m
sq. ft. 1,Ibedrooms valuation
~tructures to q,e built/ljQl2ile Horne
g(f')_~ t r ~,nS
Sewage lJisposal:
Site Inspection fF
Water S~ply:
Public LJ District Name
Existing sewage disposal systan ~new systan required 0
kh;n~~}
Well 0 Spring 0 Other
Bldg.
Waste Dis.
Plumbing
Plan Review
Trailer
1% surcharge
Fees
J5. Cy(J) Plumbing Installed by CMner Other Name:
Plumbing Fees Sewer cormection Water cormection
fF of fixtures inspection fee inspection fee
"-...n Cash Plans furnished Facility Permit
~Check YesO No~ YeSD~'
Signature of Applican fl ~. . e
TOTAL {f[, IDrl! Fee received by R n _ te 7-:~1..::7
Min. Septic tank capacity Drainfield required
with dist. box: Gallons Lineal Feet Trench Depth or Sq. Ft.
])it;?I"JIft;t'>1L<' dmfh-fJ,y'1' }/"""" -h're fi:.et...:li.a:-- '3itIi!J).....Jt1c: pb/ a"J,~ orekt~
hUf)J;'>::J 1r"'Cb, B~n' 14I retu6} tLnWcA1"(: aT ct:/'r{/eIrf ep4b-C.-
'type ot Structure
Occupancy
Fire Zone
Use Classification
Blgd. setbacks-ft. from center of road right of way
Front Side Int. Side Exterior Rear
Planning date ~i~a~Dd;;f"hf7t/ date Building
~ I'
Zone
date
C55-12