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HomeMy WebLinkAboutPermit Building 1975-4-28 i'.. ~" . .... ...", .,,", ..... . "r :.; . 'NOT~:, jJrp~26_~tY;" . NO"PERMrr iULI,'- BE~ tJED UNTIL THIS APRLI CATI ON, JIA5 .~....~ _ _.>_".~' ,,;;r,'_,':',L'_ _ If. ,_~..-.,;'~t.-. to: 'APPLICAPON'.:FOR:", ".. ',,: PERMIT ii'J{;l;9'~ 7s APPROVED.,~ " ': ;' 1 '" ~ ~T .'. .' , .~ -: ~ EN ~ .'. ~ , . . A0 ;,. ,':>'CONSTRUCTtON I :~, I ",,' M6B~LE,HOME ,/ ' I' o'WNER' "~~~ ;_:", .:, 'Vi;",x.t"~;",'r YZ,','::~...... ' ,,' , ,,,, ';~,. ".~, , 'q".. '.,'" G::2~~'; /~//r./AJ ;3 9r:r"~-:,;",:,~~:,;:"/,, >' ~ ,'.'j..'?~/.l;:' ,7,'Y):-7~ ,. J " ,tI:.. Name, ,:,;1' :';, ,... Addres,s 17 '.c.~ty, ' " ,.', Z1p': ',,' p"ht:me > " " . I "CONT~CTO~" ~m ..: :'~:<,"< '/>, ~'.- J ;, ,.' ./ i ' , ,'c. -:,",' ~'."""'c1~Naine , )<r'..":,~",, Address ,:,;.,,__.,:'C.~~r>' Zip.:'';'':Phone;:'. ,'O~S~,:RE~<~f(,' .:(& 93 " ,-<,;,,;',<,:':', ..,." ';' , ," , ' , ;'p." ''{?f{ang: /j :~, :,s~:c{~~~S~;?//:''', ;.Ta~ ~(;i: ',}Yo:Cf" ":,: .c~d~"'~.JI,.:.;o3c~nsus~?~'~t.)jI,-- L6cTb', ,: :~s~~d;~is:ion ~,~, '. ",.' '," " Lot., Blo~k',:.; :,' 'PIZoP.~t{Y. 'Acr'e~age' . Width Depth '. ,':, ~~6ESS ~t~,"~R,;;EJiY:':;R9~d ,:N'am~)!.~:L'-//1:?f ,"5' r."'i /.913:' ..,' ~ ,,':' " ' , '1'': ..' .,'" ~:..,~~,~.~,,-"." ~: >. ,_... ;,-:'~"" "'~ \:.~_ - r:;,.., :.) ~ . _ '-. ".., 'r, .,: .:.f."".-;~.;' ';Existing,~~i-uctureS'9n:Propert~:' '';Y':r'0'~ ,",:, ,. , ,,: . , " Pr'operty to'J;~kn -"'~d~ress/~'i~~~;ii~~s\ 'r~~j?~~)u;"'~::'~'" /~ . .',! ~:_..~.,~:~'1. ~~;"..."J"..._,~,._ :-~ -',-:,,:.,_.~~"-...~.~.(;?i'~:~'~: ..' ~ "." .'~' ':..' : ~',", ~,.' ". / ~~. . AA.-.;:#~:,.' ~~, .." ,';;'r" I, , ' . : PLAN.,REVIEW ' ,I: .' 1-. ',' CHAl~GEOF bccup ANCY cJ I, .'.. ".~~~.t.;...;" ....'/"~. , , Below' 'fo i.', Of,f ice :Us e', OhlyXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX ,:' , , dIlt)ieg~A:J , . " ar1~q:?Q L \.. /, ...' '.', .';;.~~ ." , :Sq'.Ft.'c' /':J" IIBedrooms", ' :'//{//:;' (:~--: ,.l?/,!T() ',/6./t) , ~,':/:./ t:./ () P .1'" c::;- ( 3,0 " Valuation , ',l'gr;72~((J .'" '2 '53';2-,l()o' 2/ _02f/"In ~'.- .r~< ..' .,--,:.' .. _. SEWAGE DISPOSAL: , "', '''-f1'.'j', "1b"1'-'t,:, '" ,.' ",',' ..',.' ?ite In~~e<t;.Ym'ir'fYIA'-Cf7 ,;~ ',' JXi~:ing}~Wage,'DiS,POs:af::~y,~\~iii': ",,' :',1', .: or, Ne\i , " , ,'., , . ':; " Public, ,".l L--'-""C:', " ." ,;:': '" WATER Sup,PLY.., , , ..' .. ,. ,." y',,' , ,'. , ',' ',' Well' ' .' "':.' ",Spring ,p,the'r, "Conllnunity ","" V"',' N~iI1e of,:Colnmuhity: 'or ':, "~~.~'_v-',-,"~~'~' ,-~,.:.. ..," " FEES: , ' . . , :' ,', :PLUMMNG':,' . . ,r : 'j" ,,'() :.' :",~~,Iii.sta').ied,,\:)y Owner . Bldg. " ,,' 0.00, ,:- ,:.), ' ..:, ',', '~"\ ,.r.O; , ,'~.:..P~,':UM,.,,~BI~"F, EES:, ' ,Waste Dii;(p. , c/' u \;/, ',_ '-I '~' ,>. II of l'lumbing, ' ,~', .0 ~'" . TOTAL /'," )..;) ~i)-:,. -,:I,"'; CASH "/~..2. ?'l,,':',:.'1 ~'~~,' .... ~ - . -. J: ',- ,. - - ~ --". , FiXl:Ures,"j:.Z'" , !.. ' , ,,: T." " . '.' -, - .. - -. . . .' . . -..,. -.,. . .' ,I ~,l System Requir.ed ,,:', ;.,', ,,' .",,/'" "/ Public' .,Sys~em ,'": -,5. -,.":~ :,~O~her ' ~_."~ -~. 1 Plan Revie~ Mobile ',Home' ~ 1% surc~arr " " .. :'Wat~r ,"~'COI)~~'7~iOn FACI~:ITY PERMIT, ;. . . -', :" =~" .:..~.- ..- 'v. ~ ,1:;,f';'1 '~E~~' ":.1 ~,I':NO .....'\. -.s,. ,.. ,- , ~"~;b~t~:': -3 - 2<8 ":'-7$ ,'C '-~r :.'",~' ....j Min. Se~t~c T~~k Capacity~ q,O.D ~" ~ Dr~infi~ld Re~Ui're?',xrtn~!l1 Fee:t:' 11 c> d '",:~:- :Maxiniu~m '~~Pt'h '0; .9 . ," ,\..,,/," ", ,'.':'" ", -,:: Typeof'Cbnstruction ,]" :I , -!JCYV;':'::<:t6u~ /~ ~ . ."'>~.' , .- ~ .:: _ :r'. . n Fire ,Zorie~' . .... I. ,'_, ' 'Use;" Sl~~sification ',e. ..... ".' "~ '- ,r'., _ . -", 'I. _ .'. -~ ....._.c._ ,~-4."_'-'';' -_.-. . .....::- ,~'- i . IHdg SeJ;backs' -,'from '.c;ei1l:,eJ;,~6f'..Road ' Rig!J t..o f'. Wily : .Front "~" . ';Si~ilr;t,.:::,::,~~/. ..': f.'; -d~,,:,,' :;;tB~i8~ ." ", ." Rear !52" .. Zone ,'.R~. ' ' 1; ,', ~'. "~ :.. ':.-:" '~lANN NG: " '~, : ' "..DATE::,::'.:,:' ~ION: I _-~'I_'~k.~--', >~'.':.. :" ~ \ .l -/&-o/~L~_'," .... .~... , . . . _ -..r.~ ". : '..~" - ,. - . - 1., :. .' . C5S' 121:l\NE COUNTY 'bE ENT OF ',',I...,.' ":'D7~;E:,",' ""'t!i,"',..:.,"'."" I,', LbIN,G, ~"':'~"",,~,'," ,':D,'AT,E:, 't-J 7/ 7-r-- ' ,', ' , " {I, , ' '7. '.' .. ~, ' ' .. tKP<J ,,' ,fj" "t/ -<Zff- '/6 'EtWI~O~ENTA~,~: ' 'N~G~1EN~ " l~, '-':, :,' f,'. ", , , ~T,;,&iJl/{ft)~'~ ',,:':' ;'~., ',';,;,,7~"', "LANE COUNTY <:. '. jf" ';",., BUILDING fID< :: .-'. ~.RoPE~ni' O~~.~,~,:',: . " (L $.1 Ntil'llf,GH1T'S. ", 'CONTRACTOR:, . . ,'" ~.~ .~.' r" ,', . -" '"1' , T I" - . r,:","~ . . ~ ", MAILING ,J>;DDRESS '\3489 YOl.;'ANIM,' MAILING ADDRESS SPR tNGF ItL'D (i)REGON -.: ~ . ,.- "~-'f4~-:;'3~;~ iPt; ?... r ./ . 66907,5 PHONE 747~7892 ,PHONE fv\1'I 1G"PERN\lTOR MOBiLE HOME US" "ERMIT D f ,.,.IT NO. BUll ,;,' SAME PROPERTY LOCATION - INCLUDE POST OFFICE '. ,Lort"'EJIIT TO Rlt,aHousE "OPPOSITE UA I LOA ' PA~K; '.', I PROPERTY LEGAL DESCRIPTION - METES, BOUNDS "t. " :~~. . }\ " },,:: TWP RANGE SECTION 17 OJ 27,0'.1 " , " APPL NAME ELGIN KNIGHTS "-.. , , & 3489 YOLANDA ", TAX LOT Nci'~ CODE CENSUS TRACT 1800 ~" 19~03 21-400 EXISTING 'STRUCTURES ON PROPERTY 21~ lAJ:lRA' STREET LEGAL ACCE'SS,TO 'PROPERTY NONE . . -.~ /. I '~. k. MAILING, PROPERTY SIZE -FT, r.- ADDRESS SPR luon ELO OREGON. FOR MOBILE HOME :PERMITS GNL Y :~: . No. of Be'drooms WIDTH " DEPTH AREA ~' PI-Itl!.'l N!S', "".,' Conned toExisti~g JSe~age System 0 , New ,System 0: , TYPE CONSTRIJ,CTJ'ON' SQ, FT, # BDRMS VALUATIOI'! ,', 1161 @16i.1O -1', , ~~ f STRUCTURES TO BE BU',:LTTHIS PEClr;<1IT' ,) ',..'.: 440 @ '5-30 " '""",; ;:;GARAGE i,> PR,IGR 610J4, , SEWAGE DISPOSAL PUBLIC 0, BUILDING WASTE DISP,OSAL , PLUMBING PL~N REVIEW' -PARK TRAILER 'l%SURCH:ARGE; TOTAL SEPTIC TANK 0 , ',t OTHERD lOt>.~OO, 50,.00. 31 ..00 FEES PLUMBING INSTALLED BY OWNER ,0, 'OTHER: NAME WATER S,UPPlY' ,PUBLIC '[] , n OTHER RA I NBO\>J ;; 1.31 It)2~ ,31-' ',< COUNTY.;BUILDING & SANITATION SPECIFlc;;'.A.fTIONS>' DRAIN FIELD REQUIRED " '3QO, ,UN, FT ....':1.,. ~'1 . i. ~: .. . ' " ' 'MIN, SEPJICTANK CAPACITY , , " :' '900- , WITH DIST, B9X: GAL.' : ,r/,r,.':' _1'"".., 2" , 'TRENCH' WIDTH 1=i.\Dl;:pnt OR SQ, FT" t. ~: " . I:" TYPE OF STRUCTURE ' '," :5N ,''oCCUPANCY '::IM' , ZONE PUBLIC, UTIL ,EASEMENT BLDG.. SETBACKS __ FT, FROM, eTR, OF ROJ>;D' RIGHT OF ,WAY' , : FRONT 50' O', ,SIDE 'It~T,' 5' , SIDE EXT. ; "AUTHORIZED SIGNATlj,RE:,..D~tE.;,' :,/,sf,J. ,[.' 60'$$', Bye. HMElAtJGH ,J,eHN >",: USE CLASSIFIC,t.,TION REAR' 5" SHOOK/SAN I TAR'iAN " 4/29/75 [~ATE I)L M. f. . . ;~. Cciu687-4065' t~ schedule all required inspections. All' co~stru,c- tipn shall'complywith' Uniform J~u.iJping Code" D,E,Q, standards '" "'IMflO~JANT: for subsurface sewc:ig~, disposalq'nd Ic'6unty regulatIon~ covering',: ,,' ,plumbing;, A,II buildings r'f!quire 'a certificate of occup'dncybefore, , ',1 . b,ein'g'occlJpied. " , " (See: DEitd\lsc:in Reverse' Side) . ..; BLDG, PERMITc:... WHITE ," "OFFICE COpy - WHITE , ,.COUNTY TAX"': PINK: PLLJMBIN<;' ';-CANARY' BUilDING :-"GREEN , " SA'N ITA TION '--;.pdLDENROD . ,.. ,', (POSY'TI-iIS:F'E'RMJT .ON~AIN' :BLDG.ATSITE)' , " ~Al':lE :COUl'-jTY. "DEPT. OF, ENVIRONMENTAL MANAGEMENT CO~RTI:lOU'Si: ANNEX; ,135 'EAST 6th; EUGENE;:OREGON,:97401 .... - ;:-,,-- )' . : . ,", . i'~..,j. ."r~l~ ';., h "'.~"~ .:, '-,-:' ~'. (~ EVALUATION POR DET~NING SITE SUITABILITY FOR DEVELOPMENT UTILIZING SUBSURFACE SEWAGE DISPOSAL METHODS LOCATION I Se~~ Twp. Range ' Are public sewers available or nearby? (Distance) Are there zoning or environmental'considerations? Size of propertYI Amount useable area Are other 'systems in area known to be" malfunctioning? Is there room for future expansion? Surface Feature considerations:' (Explain) Slope: O'/iOO') ('t) Flood plainl Plants: Rocks I Low ,areal Drainagevay: Streams I Cut bank, or slopel , Water Supply and Utilities: COlJ!Dllmi ty Water: No Individual Water: Exis t . LJ Proposed U Water Lines: Exis t. LJ Proposed U Gas Lines: Exist. LJ Proposed 0 Wells on adJacent , Exis t. U Proposed U properties I ~pec_,:,on * ,~/,Pf ~G9-7-~ Tax Lot # (Sketch in Plot Plan) .. /1 '} 'l'l" ~ "l.o; i- . ~ \ '. " W1.:' TE S, T : , H -OLE #2 ' T EST H 0 L E PROFILE Inch ; percbed water , ' hedlcted Obsetved Date ',] "'I PROFILE t Perched Water Pre~icted Observed !1' g-',:, Date in. I in. ;,J',. in ;!Inch . . I in. ~: 12~', 12.., .. ~atu:blted Zone ::~CL ~acurated ZoRe' Predicted in. 24., Predicted in. 24- , ' Observed in. Observed iri. Date Dete 36,. ; 36-i i 'Restrictive i;ayerSb " in. ~L Ilestric~ive Layer in. , - ,Impervi ou S Layer in. 48." Imperviou's Layer in. 48.' Hotding .'1. (;, .. ;: in. HottUn~ in. ' i f~ SITEOOES 6o-~lai '~SITE DOES NOT " 60-, 41 Meet minimum standards for individual waste disposal. IF SITE DOES ,NOT HEET STANDARDS SPECIFY BASIS OF DENIAL: - Administrative Rules Require- - Your property fOund to be Deficient - " IF SITE MEETS STANDARDS FILL OUT: Type of structure and approximate sewage flow: ,Multi-family GPO, ,Commercial GPO, Single Family Industrial Institutional GPD GPD GPD NOTE: ': Soil absorbtion area in square feet 'Area necessary for sewage disposal systemS ARE ALTERNATIVE SITE LOCATION, DESIGN OR MODIFICATION AVAILABLE, DESCRIBE: NAME ~~ DATE OF FIELD EVALUATlON.'(I.2/ /7 r ~ ')5 {>rr T/7 _R~;,;_":,-~ i1~1 TAX LOTtS~u .L/'V i SUBDIVISION: ... 'fe;b'~7~'------ LOT:, BLOCK:! ,'~' APPLICANt~,\'G>:'\\t~' DATE \) No 'Ves, CKI'DBV~jt:::lY~)z..e; /7s:' 0) (w1"" 6. Setbacks Hom c/ 1 of road: ' ( ), (t;J , , ' Front" ~ ' ( ) (...r Shk~o.;'b,:U. - () (~' Setbacks from inter i o,r 1 i nas: ( ) '( ) Side" ...dttf' Rea r ..&:"" ,. BUj.LD I.N~ SITE EVALUAT ION (~B",~IL~DING PERMIT APPLICATION NO. ..... I () SITE JI-4SPECT I ON " ~, . PLANNING DIVJSION Not .;, 'App li cab 1 e I.' 40n i og 'Ord i,nance 'Comp 1 i ance: , Zone /rt,# (), ~2. Subdivision Ordinance Compliance () 3. ,Requi red Access: ""\" '() , 4.', Bui lding Site (Area, Width; Frontage) () 5. Other (see comments )' ( ) COMMENTS: -.; BU tLD I NG I NSPECTI ON' i> fv IS ION: , PLANNING Dly,ISIONAttroN PENDING: VE:sr )N()( .. r ApP[i'tATION#", 7. Plans S~bmitted 8 ~ So i I Stab i lj,ty' (footings) 9. Flood Plain 10. Other (see cOrhments)- , ,r Not App 1 icab 1 e ( ) '(f) ( )- ( ) \ COMMENTS: '." WATER POLUTIONCONTROl Not Ap'p 1 icab 1 e ( ) ( -.) . . 11. Meets, Department of Envi ronmenta1. ,Qual ity Standards. 12. Other, (see comments). COMMENTS: No VI?J.: ,rr J') , ( ) (,), (,) (). ,( ) ( ) ') cklo ~BV~~'~;;'fi~'l5 /, OAT E 'No .y~s ' 'T"> ( ), ( ) ( , 'CKID By;'~1hJ ~ \J'v " ,I DATE TO APPLI C,p,.NT: ' , " " Vo'ur Bui 1 di ng I 'Si te I nspecti on: :}(r' Can be :approved. -( ) Cannot qe approved ,at this time as indicated on i temNO. above. . Questions ahd, further information on iteQ1s ,1 through 6 contact the LANE- COUNTY PLANNING DIVISION. Questions and,f..urther informa~ion on ,items 7 ' through 12 contact th.eLANE COUNTV BUILDING AND SANITAT'ION DIVISION., " ( ) Will beheldin"this office until you can resolve the problems indicat'ed. ( ) Isbe,'ing returned.. "",' ( ) 'lour building perrrlit appl i~~..tt.2!l_}e_eis beingretYriled\,unger, sep'ar~te ((over. , ut::.t'ARTMENT OF ENV I RONMENTAL MANAGEMENT- , ,135 Sixth Avenue East Eugene Oregon 97401 PHONE: -68]-4065 ' LANE COUNTV PLANNING DIVISION PHO~E: 687-4186 .w~ 4-'1 ~. C55-28 / '.. " ~ LANE COUNTY BUll' 'G PERMIT OR MOBILE HOME US'" 'lERMIT B,UILDING ~i{ 1v". LJ ~ ,IT, NO. MAILING ADDRESS 34&) '!f~A,t~~ MAILING ADDRESS '.. -, (.\ .J.., _.r~ . ~"V" PROPERTY OWNER ~',r: ,~l*.l' i',\'li:1J'l'~ CONTRACTOR HVti"~ [l~:;"ln.l) Of%l:rfit)~ "~" , 0:,)',"" PHONE 4.t;.' 1..... VCq ~ r .) ~ , fl-'./C:, PHONE (- .H:~rlf~ , ".. ,I PROPERTY LOCATION - INClUDE POST OFFICE :,m'~~i' ~1 !{',. ~tf.::;~ !hlUllt Qfti;~ff~H'f' 'l~l(..H..lm ~A2Ut I PROPERTY LEGAL DESCRIPTION - METES, BOUNDS , , ;' i;' TWP ~ ) t ; RANGE tj.~ SECTION ~rt. 'i! TAX LOT NO, ,----"-- - t800 CODE, CENSUS TRACT NAME i;l.~ilf~ K~H~f1r0 r 'l~r-'- ' ~j...1tOtJ EXISTING STRUCTURES ON PROPERTY ~'.13 t,lWf~~ S1'~tU:l' LEGAL ACCESS .TO PROPERTY ~~l{li: I APPl. ~~ 'tot '~i\ju~ , . j , '; 'I , \ ,"",- -) ~.""~ .1" \ ADDRESS ' :;;')~ tl~4F' U"&,,U G~rQi}), FOR, MOBILE HOME PERMITS ONLY No, of Bedrooms & MAILING \ .~~ '\ ,}.~ ')J\ ,'> . ~ :?: .. r~O PERT,T.. ,sJ z~~ -'- 'n., - ... -'. ,'WIDIH 'DEPTH 'iY . AREA STRUCTURES TO BE,BUILT THIS PERMIT , . ,:d:," .' Connect to Exi's'fii1\g;, ~~\yage System 0 TYPE CONSTRUCTJ"ON ,SQ, FT, # BDRMS ~6..10 .. '" New System 0 VALUATION ~ (t r i'lit','( ~ .",' I" ,) 'J')~:, ., IV .~, :~J.~ ,L:;:~ 1 t61 ,;; ..... \'10' . \ ,', ..)'\ ,'\ \ '-- . ~'\ .~ ~ " '........:l \ " ;-~ \ '. , '{I " ~ '{ \; \ \' ~"ii. c.:... '.....d " r~~n :,:;;.._~ , '.." .' :~.tX',~,~,' " ',''V''', 1;;.. 'l,:....~~" ',-' ..".,.,...,,-p ."~ v....,_ 'r~,...;~.j! ". 2? f;O~ 4. " .,' ";-'!i t;;~')l~1 . SEWAGE ~ISPOSAL PUBLIC D BUILDING WASTE DISPOSAL , . -, " \ 'PLUMBING ' PLAN REVIEW PARK TRAILER i, ::;:,~flJ;h;1^llt("~ , " OTHE~D l\;l'ih'iofi,:j ~? ~ r:)i,' , ~j ~.~,1O FEES PLUMBING INSTAllED BY OWNER D OTHER: NAME WATER SUPPLY PUBLIC D D OTHER HA.t~'~1't5 VAti!:':! '1;'" TOTAL ~, . '.$' 1(~..jJ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN, SEPTIC TANK CAPACI!,~Y ~ ? '. \.\ WITH DIST, BOX: GAl. ,'\.., ~,\ DRAIN FIELD REQUIRED :300 t \' -~~~ lIN, FT ~7*"l. TRENCH WIDTH 'FT, f.')~P1t!;t g., OR SQ, FT, '" TYPE OF STRUCTURE ~~~f OCCUPANCY , t<.;;&,J ZONE PUBLIC UTIl. EASEMENT BLDG, SETBACKS n FT, FROM CTR, OF ROAD RIGHT OF WAY FRONT ,'Q'll SIDE INT, 5t SIDE EXT, AUTHORIZED SIGNATURE - DATE i:-;l ~:;" t[,., tJU>>$ ij'l' (.. HAf\!~m;.!)i 'USE CLASSIFICATION REAR ,. JOtfflt SK~~/:~AN''fA~l^~t-, , "ft).911~~ DATE ~Va BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING ~ CANARY BUILDING - GREEN SANITATION - GOlDENROD ~- , c) Call 687-4065 to, 'schedule all required inspections. All construc- ,,tio.n sheill compl,Y' witp Uniform Bl,IIIding Code, D.E.Q. standards IMPORTANT: 'for 'subsurface sewage ,dispos:d(: anc;l<;',county regulations covering pJumbing, All buildings require a certificate of occ;:upancy before being occupied. " ' j << '-.' 'N '~!S~~:-l?eJ.eIl~, \o.n,"Rev~r~,e \Sidel.. \ \ '>"\'\'-"~~' .r\., v',}., ).)~V,',"~ , " \..'\...~..":L"~I' . ~. (POST ,THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT i COURTHOUSE ,ANNEX, 135 EAST 6th. EUGENE, OREGON 9i401 \ FORM # C55 ,13 'l~ .<.~,--;~{~ " . . ! ,..- . 1''" '''',-. ~' . .' .. ",. /'. " rf(-", ' ,', ' : 'C- - ' , - , . . ! ~ - ~ -:. . .~.' .{ SITE" I NSPECT ION' ,; " ~, . ApPROVED ,/. / .".J iNS PEe T-O.R / 'D ISAPP.ROVED' DAT[' REMAR,KS ' :v .' ."," .... -.."- '~ ,,' ;., .,~ .:;1 . .".~,"., .J... ' '" ", ~ j .. ::~:::::O~<,~7C::~:",ov';o / ... (0.:,,5-"- ~1~'NS'~'TOifl'iH . 'REMA~KS.JJj( tiJ' ~,--iu~t~~l~, 3o.i '7~~.: ' &~t / "fI' , ' "',. . '.' _i -. .,,-, ". ; ~' ,,,FRAM!tG..." ~SPECT/r' " " "",, : ,APP~OV'~O'. LtZI 'DISAPPROVED I C~bATE ~J. 3,-.76 .~;" ~ys'tHjrt/J.44-1~f .IL/~i/~,j'~16"1!~'~~ ': _'Tr-~~ ~/~((>;U4Jl \!J--'/l!~t'-U: , ,.',', /;j:?f INS;EC~%' , .. c5!,! ($,,./ , " .LATH!;O~,',SHE:ET~NS~ECTION ., ,ApPROVE'D I II DI SAPPROVED :I REMA'~KS , I'" ," , " .,.,/f))I' IDATEV~h -'Jr:rINS~E~/ '(EJ.,; , ,', ,.-./' F I N~L INSPsCTY ApPR:OVED ,/' /DISAPPROVED .! " ", , L'iJ!"'~ . ' ,,;em{.', /DAT'E ~t~ 76'..' REMA"RKS .~ '. t. ,. -:" .; , " CERrl FI CAT~OF OCCUPANCY RE~J~,Y TO ,ISSUE I 7 NOT READY TO I SSUE 'I I,DAJE I NSPEC.TOR REMARK S /1 ,,,1' " f)" ////..., : .'-!.,/, - j-f;v/, 't/ /,,{ -1/";., , V..... ,;Ii'.,. ,- ....'"Vi V, ') - , ' '.~~ < ~~ . . :1" '., ~ - . .j' , te[?, c;-rJF /~~ ',~ ' '-'/~- . \> " i' ' ..~ ',I ",- I' j' . I:' '" L", - :.-; -~: -~.~~ "; r,. c.. ."..... c. _.;_ ,l"~"', I ';'!-' ". '" ""I'.." ' -,. " ,;.;.. I, " " '1' .- .. '., . --"........ LANE ~bUNiY BUILDING rn~t ......"....." BUIr' >G \ " tv"/D MAI(ING ADDRESS JJbt'kij V1C",,-m;i3V.Q. MAILING ADDRESS , ' , PERMIT OR MOBILE- HOME US"-",ERMIT ; l F-, -",IT NO., , PRQPERTY" OW.~}R (1t.~ n fr'vtca nJ~'fil CONTRACTQR 9t>~ PRQPERTY LQCATlQN - INnuDE PQST QFFICE R;Oi/&"'<;;1f'4i,i' 'i"~ ft'.ilJ;6;l ,~jOtit:l\!t OCJIP@O n~ VmiI. U.QJ~ Pc..Qi:i: PRQPERTY LEGAL DESCRIPTIQN - METES, BOUNDS ~;C>(?'~~Gfi' 0 e:~~D: O~r,OO~ j;'~r ,....~... Ij~,~'!) () PHQNE h " '{\:<> 7,,,,, ~i'l;(.;2 ~ # ~ PHQNE TWP RANGE SECTION n ~~T;OQ<~ CENSUS TRACT 21""~!G.lJ @!l ~l~V ,TAX LOT NO: l~OO CODE APPl. NAME ' ~"mHj C,tj Ot]WV$ EXISTING STRUCTURES QN PRQPERTY eZ~3~ l4tl::1A~;rF\!bG'il LEGAL, ACCESS TO. PRQPERTY , OCU~!cr. PROPERTY SIZE - FT. & MAILING ADDRESS .,: S>{}~ oc~n (tP..O 1f}.::lltQ$rJ FOR MOBILE HOME PERMITS ONLY No, of Bedrooms , , ST~:~CTU,RES T(:\,B,F~UILT THIS PERMIT ~el!.l!.'n~o "'", ,,'J' , ]~9VCt.AtJOA WIDTH DEPTH AREA .., Mgl@ Connect to Existing TYPE CONSTRUCTION ,6.. 10 S~:$O Sewage System 0 SQ, FT, #, BDRMS New System 0 VALUATION ~f:;. fc?8f:) ~n I.., \fi;;bf;r '., 8tH'U\G(! 8;lro @ ("> I'l"'<;) I,'\Y'. t.i: '1' ~1 ~l. (C,. I) 'W/~J ~;..::k-~,~....~ -~ ~....- _,,-~.'.J ~U/)~1~, ,,~@ PRWfl' ~i@1~j SEWAGE DISPOSAL :t 9THERO , UtHJl4IE-$V ';)11 "~Jl;J ~~,fW FEES PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY PU'BlIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK, TRAILER ~r..::J~Qet~&Oar;: SEPTIC TANK D PUBLIC D ,D OTHER RAtC~$~4 tJ^V~P OWV", ' TQTAL $ ';\1 '{!-l ,~ ';,l n~Q:Jl, ' COUNTY BUILDING & SANITATION SPECIFICATIONS , DRAIN FiElD REQUIRED lIN. FT'~" TRENCH WIDTH 'FT. tJ."2PW3 tt'J 0;' s6. FT, MIN, SEPTIC TANK CAPACITY. WITH DIST, BOX: GAl. 5'00 TYPE QF STRUCTURE 5~4 BLDG, SETBACKS__ ,'fie QCCU,PANCY . ~ ib!i ZQNE PUBLIC UTll. EASEMENT FRQNT FT, FRQM CTR, QF RQAD RIGHT OF WAY SIDE INT. ~t SIDE EXT. , "AUTHQRIZED SIGNATURE - DATE leI JQ,~. 0@oo O'Y toO MAQOAOOW REAR ,(?~ 'J US,E C'LASSIFICATIQN J~~J Dt!tlIT"..tl D,~~V v A~ itJv:J , b/f'f!JJ!7tj DATE O~~ BLDG: PERMIT - WHITE 'QFFICE CQPY - WHITE CQUNTY 'T AX ~ 'PINK PLUMBING - CANARY BUILDING - GREEN SANITATlQN - GQLDENROD .. ",,";<:,' 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'andicounty regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. " . , (See Details on Reverse Side) ~'j'\ _'" (POST, THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF'ENVIRONMENTAL MANAGEMENT COU~THOLisE ANNEX, 135 EAST 6th, EUGENE, QREGON 9,7401 FORM:::: (55,13 ','.' .,.....'" ..l.....l'. :,_ J.,l., ~. :..... ,",..,_. , , ., .,,{. . S LABJ: flOOR' " " PLUM~ ING GROUk"., ?R~' ,>.: , " , . t't ..._~ ~f: .: .'. "~ . ApPR?VED I . ~ / 'grsAPPRovED:1 / : DATE !NSPECTOR 1~ . REMARKS .:' ,'''.0: , ~ ....' __'. l~' ~{ . r '. , GAS PI pfNG 'GROUNDNORK , ".- .-' }:' . ~. '... Jl , ApPROV,ED / ' ,';' l'::b IS'A PPROV E'D / IbAT'E [NSP'EcTOR , .' .... , .R'EMAf<K S ~ ~ ';:ROUGH PlLlMBI NG :App,R,!)VED: ,(/I "'DJsAPPRovED 'I I DATES~11-7) I~SPE'cmf~ '" ,,' (/ , '" :' 1~ REMARKS' J-j." ..: ... .'. -~ "ROUGH GAS PI PI NG:~ t , ' . r., ~'. 'APPR"OVED r ! DISAPPROVED lA, /, b~TE I NSP'~:~TOR ", . I ' REMA'RK S' Ii !.-" -'i" ""..'$- ,..y" ,- "-- ::: '(1 NA;LPCUMBI ~G ApPROVED I'y::'/ (' ,,-.,,:"C ""'.' " .", DISAPPROVED I '/"'" ',' ",?A~E 1.- 2tfr> J'(NSPE~~: ' REM~:RK S T I N~L GAS P I,PI NG ~, '" ~ - ~i - ApPROV.E.O I / 0 I S,APPROYED ' I / DATE I NSPECT,OR -, REMARKS, .. ,''I ~ '''~ ....." ';;-."' ,~ . ~ , I '. .:': ," ,,":~ ....: . ..... '~f-' "'c[I3~ If fCAT['OF,'Oq:UP~NCY [" 1....; '! "REA9Y :r0 ISSUE, I ! NOT,RU:OY, T9"I"sSl)'E I I DA IE IN'SP~t,C/OR REMARKS ~. ~~~" ;' -3, -; , ;..~': "~ ;.:~...,., -:. .4....'..:.- ,.-; ,. :~- . " '. L,.;, ':~':J}:~',~~"~, ',;'::: ".., '..." ,,; :", :.".: ',' ' "..:= " ;~,\"'\,,' ',;, ". -C'~ .. 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"I n:,~,q~or~'ailc~;'~i ~~:/973':: o.r:e,~o~ ;~aws ~ Ghagter 83~~~""~~e~'~ ~'?n, 'f~ ~ t,h"~,s', :C:,e'r.~jti cait~'.:':i's ':i"s~~e~~ :>: :f:'" ','-" , 'as" evidence, 'Of isat.~,s(~~.tory', :coop 1 et I on/.of: a, ~~~~~.r~'ace '~~~age',d I sposa lsy.,ste!!l:. at;:~.'~b:~~ab<:>".~::;:".,>", , : ,loccfti on.' ",'.J, ~:~:~t, :J:-:~(,~,;c":~',~>",' ;:', ,~> ,;;,: ~ ~" ''--i:",,'~:,:5,,:>, :~' "":,"',2:'; ,,:",." ,'.-,':',' ,,:-,'; \,' " ,~,~,,:?,,:,' '<...',:~ : ," ; , , ;' "'- "~:App.r'6"'ed;:'i'.>Syst~m,:.lnst'allat,i.qn: coofornis':',to;:;cur,rent,standarc;l~' "r~':':,;.;:'" ': "~':',' .R:~~~kS,:,,';.Di':~~.~ifr7~t.i~c ~:~~t;~;~q~;:, ~'o~"~~r.;(~'~:.;~it~,;n't:::csP~~:~,~,r.d:~~::;:",, ":.::,':~.:,>, ,'~~'? :',:':~:' .. ~ ':-: i> ~ . , ~ . . .,: '. ;.. : ,. .: :"',.; ~.~ . ..... ~,..._-- "~.:~- ; ,: . ',,', ::, ::'~~KJr' i_' ,"~ : <;:: .,' "," -'" '.ot :", "~;"~>~_>.:,'", .~ ' .':,"~~ni~'~!'~"ii-,g~~t~~~. ',-:-:, :~, . ,'," ,'" ::: :}:,~ :\c;'" ;-', }A,:::~,' .' ,: '';~''~.: :', ',", {A.N~~~~ffY( '>~" . '~.>.;' ,::':' ,:'.STATE' OF :ORE'G()N:'DEPA'RTMENT';OF ,ENVIRONMENTAL:,:QUAL'J,TY= " ", .~~:: ...' '". "," ":-':)~-i;-~.~:~:~~~~~::':'I~~': 6.- ~'-" ~.' ,~ . ......."~. ~~,' '--'.-,,' :':~;,:~- '.. . " .-' - ',~ ' ',1 '- ~., . :. ;~ ' ,~ -.;.- - . t . ,. ~,.. ~.~ _ ,t ~ "; "~ 'cj:S.~l,l :: :,~. .,' , . "; i" ..-- '1~. -HOLES ARE IN. "1',': -- .... '~RECE,I PT ~Jo.-6lO?~ ~....: ... # - '.~ r.. J ,./~' , ..... -. . ~ ~ . " ....~,.:'-.....~.,:.:s.~.>~- '-f) REQUEST FOR SITE INS~ECTION r 17 RANGE 03 5EC.27-1 TA^ LOT NO. 1800 CODE DATE 3-3'-70 TEL. No. 31.t4-9016 / Euaene, OreQon . ~ 51Z, OF PROP. 66' . UO' tEGAl ACCESS? laura St.Lt . Is PROPERTY CONTIGUOUS TO ANY CITY LIMIT? Next to ~e Springfield City Limits 11;)0 Svlvan BY Meteor Builders. Inc. ,MAILING ADDRESS OWNER OF PROPERTYKAight_Elgh~ CONS ENT OF OWNE R? Y''lf' EXISTING STRUCTURES ON PROPER.TY SOURCE OF WATER SUPPLY: PUSL I C X SPRING WELL: DR I LLED DR'I V EN DUG DESCRIPTION OF SITE (DIRECTIONS, LANDMARKS, HOUSE, OR BOX NO., IF ANY): 14th lot on East side of laura Street. PROPOSED USE OF SITE (E.G., NUMBER OF DWELLINGS, COMMERCIAL OR INDUSTRIAL USE, SUBDIVISION): Future Dwelling (to be moved) /JI URBANIZING AREA. I I SPECIAL PERMIT AREA. RD/kc RESULTS OF INVESTIGATION: TEn HOLES INSPEeTEQ "/CRE ON WRONG LOT. INSPECTION OF NEW TCST HOLES ON A CORRECT LOT NOT REQUeSTED AT THIS TIME: (APRIL 22, 1970). RO THIS IS A PRELIMINA~Y REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK! BEFORE CONSTRUCTION IS STARTED BRING THIS FO~M TO THE BUILDING AND SANITATION DIVISION AND MAKE APPLICATION FOR A BUILDING PERMIT. If THE PROPERTY IS A PORTION ONLY OF A TAX LOT, A METES AND BOUNDS DESCRIPTION OF'THE PARCEL MUST BE FURNISHED. EXACT SPECIFICATIONS FOR THE SEWAGE DISPOSAL SYSTEM WILL APPEAR ON THE BUJLDING PERMIT. Two SF:TS OF THE BUILDING PLANS AND PLOT PLAN WILL BE REQUIRED. LANE COUNTY BUJLDIN~AND SANITATION DIVISION: BUILDING INSPECTOR ERNEST J. GARRETT SANITARIAN G. S. DEGiU:( APRIL 22, 1970 DATE THIS REPORT IS NOT COMPLETE WITHOUT THE SIGNATURES OF THE 'BUILDING INSPECTOR AND SANITARIAN. c'~09'1-07