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HomeMy WebLinkAboutPermit Plumbing 1973-5-29 I.... ....-.~ ...- to< ., \ .~, ..,..,- .. \ ;' .. i- ~, .,-'..-~ -........ ~"\--,,-4.,~. ~.,...., , ~ [ - " '- 't' '. '. ...--.-.... "~"-~'.' .... :.'" . ~, , ~.-. .,'. '. .'/ ... '"t;,:,>'~\:{i,',~: .:' - '>7:";', ~ "~""t'~ "I'" ,~ dh,' '.J-";~" 0 , L~,.#~: /./.~. ~~i '" " ,\,: ',I /' cL- / if?.:..e~: ,/'"cY . . J.'AN~~'COUf"J,n,~ JllpIN,GP-ERMIT- OR MOBilE, 'HOME USE PERMIT' : BUllD,ING' 0:' MH D ~J PERMIT NO, '" ",MA,ILlNG ADDRESS , ,.# ;",,',. 'lQ80 If,lit ST~HT. SPR I.NGt nn.D. GRI::GON MAILING ,ADDRESS .~, ' ~; ': .-".....:~ , . ',~i;" . J; '9 3~$.~~..., j' en,... 7'':{ PROPERTY OWN,ER ' PHONE AiiLCOM. "J.A. CONTRApOR , ,j~, H~ADY~ ,,11M:"" /:..,., ' ''pRORERTY 'LO.CATION,~ INCLUD,(POST:;<?FFICE MARCOLA , ON MOHA\"K (~J~ST'oi 42Nm); I)G~NXl}1tJ{ ROAD , PRO,PERTY LEGAl DESCRIPTION ,- METES. "BO,UNDS , ' 747...,4~6' ..' PHONE' ' , , !'"'. ~ ~",: ... k" : -ABOUT ,00 FT. ON SOUTH.: 5101':. WHITF Housi. <100 \ :-._:;;:1f? .'. ~.' ,_',. ._. ,1 ~' ~ODE ), C', CENSUS TRAq ',:,' , d g~04 I"; ','''' , '20- ED 1 '10 EX,ISTlNG STRUCTURES ON PROPERTY OwELL:'NG..OLO'SHAKE MILL LEGAL ACCESS TO PROPERTY MOHAWI< ROAD: 'r PROPERTY SIZE - FT, TWP 17' 'RANGE ':~ "6i:;2"'1 , SECTION "'{'=to I ,.TAX LOT NO, " APPL' J '!>,.,i . i,~~~. ~~-~ : ~~.: , ~;. 't':; ... "''1o...-Hii.';'., NAME', 'J.AJ'~BAlCOM::' " lQ8o.liJ1i StREET MAILING'; &" ADDRESS S PR I NGF I EL D.OREGON FOR MOBILE HOME P~RMITS ONLY No...'of. Bedrooms WIDTH i 'DEPTH AREA STRUCTURES TO BE BUILT THI,S PERMIT Connect to Exi~tihg Sewage System 0 T,,!~E CONSTRUCTION SQ, FT, :tt BDRMS New System 0 VALUATION " Rr;:'PLACf. SE\"IAGF.: DISPOSAL SYSTEM F'OR'EXISTING Dt-:/ELLlNG :OwELL ING TO ,BE "USED A~ SHOP ,(' A~r9 BODY' SHOP) (2) EMPLOYEES r' .p"'- . ,i. BUILDING 'WASTE DISPOSAL PLUMBING PLAN 'REVIEW , PARK TRAILER' , "~ FEES plUMBING "INSTALLED, BY OWNER 0' , ,OTHER: NAME WATER S,UPPLY I PUBLIc:; 'I}J){ 0' OTHER SEWAGE DISPOSAL PUBLIC ,0 SEPTIC TANK , . . OCI $ 'OTHERO ?t:'I m: ? (')(\' TOTAL, t ??'N\ COUNTY BUILDIN,G & SANITATION SPECIFICATIONS WITH DIST, BOX, 'GAL '7'10 ' , lIN: FT 1,0 , , , ~^:; . / ~ TRENCH WIDTH FT,:," t; OR Sq,,,F!-.-1 q ,00 " ',:' '1".!? J{ P , ,J , , niAN lOOp Ft.' ref UFlEEKEl'ANK ON EAST" No TtlE.-)BANic ON NORTH. No PARK I NG OR DR IV I NO MIN, SEPTIC TANK ,CAPACITY DRAIN FiElD REQUIRED, No, PART or SEWAGEOISPOS:NI.. SYSl'EM'TO BE CLOSER ,PAR,r;Of ,DRk,'I,NF'IIELiD TO 'BE~L.~SE.,R,'THAN,'~ g?\fr.~}O OV'ER'DRA"INF'JELD~ _ ':,', '", I {>'.".h, \ "'-\ I ' " ".;,; " ,Do '" V',{-' ,'b:V:\ft/~)\~- , ' .. ",.',' () I, " '~,l. '~,YPCOF'STRUCTlJRE ' " ; '::' ,." \s~bCCLJPANCY ',I ' ;".', ' , .' \. .~\ " ' ;', BLDG, SETBACKs'..,n FROM CTR: OF ROAD'RIGHJ'OFWAY,' . ..~,:. ,;.-:;, . ..,' '.' '. ,t:,'\'1\Y' ,."'t' ;','-', FRONT" " i, ,SIDE INT: ',' ;~'~IDE'EXT:'" AUTHORIZED SIGNATURE -:DATE ' , ' ,,;' ," , ./sIJ;'. E.,' BO$S;B Y CHARLES, HtiJRBAUGH ' ' ZONE" PUBLIC UTll.' EASEMENT U~'E, CLASS.fFICATION ,REAR , DATE , ' ,.JOHN 'CRUJ"CKSHANK. R~'S. '1/29/rio" 5S' BLD,G, PERMIT -' WHITE O~flc'E COpy "':'WHITE' ' COUNTY TAX -'PINK ' PLUMBING,~ ~ANARY , 'BUILDING -' GREEN , " ' SANI,TATIC1hJ,"":'GOLDENROD ' ConstructiolJ to comply with:,uniform'building code and county regulations ,covering plumbing and ,sewage disposal. All bu'ildings require a' certificate of occupancy before being occupied, " , (See Statement on Rev:erse Side) \.' /' .i- : '/~PQ~T 'nil~ rE~MIT ON;MAI~ :~~D;G'. A T ,~ITE)., , LAWE 'CQUNlY,:BLDG. & SAN, DIV" CO~RT' HOUSE, EUGENE, OREGON 97401 t,:'., . \;i ..' ",' \,;-, " , "~":""'.'" r', :'1': ". " - ,fORM # C 55:'.1,3 ' "; , _ . ,;J () \ \ \ \ ' \ \ ' \ \ \ \ \. ,\ \ \ j \ I \ \ F) y (;}"'" '!.. ;. . -,:i:~~ \ \ \ \ \ \ \ _. --\..c '\ \ \ ,\ \ \~ ; I ~~ \ / _ t" \~."\ -~"r----- -:~ ~j~C:,l\' \~ '\ "-0-- ':'>-, -.'. ,:. ' -w-'-'c-- -'. 6;~kl 'l~}Q~'J \ 0-. '. . -0 ,....1'" '" "'..." i \\. \ . . .," .. .,,;- - \ "b ' - i \ \ "';: ~:u;I;' -\ " \-?Y-""./' k ." J . \ J,' ..__, - ..~\.:_... e,en _~~,/ ./~ ...., ' -' . - ..' --,.. .. ~'-.,-,~,,~' L-~" "-.-~~, , ",; '~' -- '}-- ' - ....... '~.. ...... " ",l''' I . \' -- -, ' ,,-, ' "-:,.C"'I'.l, ' s::::... ".!..A f"'l. .." ,___.... .... ,... , - '"'liE;" 0... -9 '-3' ,4f...._ --~ 0 ' ..., '~":_-' , ".- A _ . . .. . ..''''--"'-:;'..!: ~:.'\~," , , "", ,; tC\' \ ...- , .- .. ...- . .-- . \ .~ .. \--- \ \ , , , \ ..\ \ \ \ \. , ... - -'I . - --- "I ~'! . I j" , J;,\._ ;,Y;\' I ~ ':>0;.. -- ~._-- I ( ~,Il), --.- ~ I ...,..,-' -- J I ,1 -- --- .~ i <,,;,--_.~,.-.,.- . . ...- ---~- ~ . .-'..... t A__ ~ - - ..' , <:> ~- . -.-.- . '-"-- ,~.._ __ _...... ,___dO" , _. - ~', ~~ Clt, C ~ ~ r ~~ ~\\.. , ~."\J <>, co.! __ _ _ . 1'~" .J - - - .......- ~ I 'I' I . .- ~'j .;-'t - ~-:::)' _ 'r...~_____..__:..n_. ~~ , \., .- - ~ ~.. .. - / '~~ : "~r" t-!,..~ ...,.~ ":t" 1> ... .;~:' !~';:,r;'~}~''''i..:.~...,. . .....\~.ti.".J..:-:t:""..(<"""-~-;"".'-?~~;~3f.:.~' .t,,~'Y':' ,'r-.. -, ~<>. -.. -v OJ. ~, t" r: ~T:'~ q ~ S ~ lAX LOT ,gtjQ) O',.tD.. .' C~__... TRACT :J(~-~n 'ls-6 , ' " 'cnr ,7 ~ ,APPL~C r~ ~ ,: No .~CJJ -, ,:5 , N/~ ~ " '~ 1<;,lJ4. , ADDRESS ' J. ". BU I LD ING SITE EVALUAT ION (~~Ui Id i ngPerm,i't App I i tat ion ,( ) '~ite Inspectior () Pre-Pe rll) i,t I rives ti gatlon , PHONE DATE , __I ' I ()/;}'lr)~ , ,f ' . .-..-..,~ ......-.. -,..... -," -~ r_.... ~__...__ ...._ .'___ DATE NOT apD I i cab Ie ( ) ( ), , () ( ) () , ,() LANE' COUNTY, PLANN,I NG DEPARTMENT ,," I . Zon i ngOrd inance CompJ i an<::e " " ',., (Zone.H..~) 2. 'Subdivis,ion Ordinance:Coinpl rance ( ). ( ) "'( ) ( ) 3. ,Requi red Access 4. Buil~ing, Site (Area"Wi'dth, 'Front age,. ,S~tba~k), Other (see co,mments)" ' ' 5. NO YES~; NAME "(K,'.." ~/lh (/~~I/y, ,. "~ (")' , ' ,,',~,:'... ~.;,. '.' , 5 ~ 2-2-:-]:;:' ( ) COMMENTS :' :~ '-, BUIL~ING INSPECTION SECTION ", ", DATE' NO "YEs NAME NOT app I i ~abl e <t ...( ) ( ) , ' , () ( ) (). (r '() 6. Plans Subm i tted ,7 ~ So ilStabll Tty' (footings) 8. Flood pia r n , , '9:. ,Other -<see Comme~ts) COMMENTS:, ' 'L ,( ) ( ), , ()' (J .&:I~L>.2J'-7J , v f' " SANITATION'SECTION DATE ,NOT 'NO ,,'applicable , ( ), ,() ,( )' () () () () ,,() eEl 0., Sewage o.i spos aT > , I J .Usabl e Area I 2. Wat~ r $.upp ,ly, ',)3. 'Other (see Comments)' YES NAME ,p<$ ", <4 ~ (J$~~' M- ," "i, , /, ' -t- ~~ ' ~.4, COMM E NTS :" ( ) ,'--- ' TO APPLICANT: Building P,~rmit.f S,it. e InsQ~czion: ' Can 'be approved.', KC- :s;~'l ' Cannot be approved at this time as indicated 'on item NO. ' " above~ Quest ions c3t:'d further information' on items 1 through 5, contact' the ,L~ne,. COUNTY PLANNING DEPARTMENT. Questions and further information on items 6 'through,13,colltact the Lane County Build,ing and, Sanitation Division. ~.', ,Wil I 'be held in t,his office until you can resolve theprob'Jems i,ndicate~.. Is being. retufned. " ," " Your building,permit appl ication fee i,s ,being retur.ne'dunders~p,aratec()ver. ~ ' , Your ~, ,( ) '( ,) ( ) LI.\NE COUNTY PLANNING DEPARTMENT I'Y;Sixth Avenue East, Euqene,. Oregon' 97401 l'II\lNI::111~-,I'll'l rXl.,?1 I LANE.CQUNTY BUILDING&,SANITATION DIVISION , 135~ixth Avenue ~ast, Eu~ene~ Orego~ 97401 PHONE: 342-13 II EXT. 41 1 . :::':.:-'::::::.::::~'::"~, _ :_:.::.~::'..~:~::~=::_:.:.'~::=.:.:~7"'"--~-- . . ~~ . "'r~"'.;l~-:"""~""- ,"'.~.~,>i'.c"":~ '''-'''. -~... ~> '.,. .; .""~""-'~~~~<\':;"~'~'~~'~1?""_;'1""'-""""-"'''''~1'''.-i*5'4''''' ''!f.l'''''-~,''~~ ~".'.:'f': v ,It ~ l' :!" ." . . .. "...;....-~/ LANE COUNT BUILDINGoQ ,U1LDING MH D MAILING ADDRESS PERMIT OR MOBILE HOME USE PERMIT PERMIT NO. i)'..~_1:;o PROPERTY OWNER .r...;'", f~' PHONE ,,1.61 ...i,u, .I,'! CON,TRACTOR ' j,,h(. ".1'" C'"'1'tt~t-,", 't'l>'nlffill', "'t1o" h\AILlNG 'ADDRESS ..-; t<, ~- {';.:~.j.~ lkl_~l'~{~ , 1 ., PHONE ;'.{).~.. t~"'I"... J.. !..\: -. ....,.:i;"~.::',,::~.-..,.. PROPERTY "LOCATION - INCLUDE i'OSif,'OFFICE;"1,' "", ",\ ' . lJ-'4.t1Jl' ~. ~'L;.k;\' ;",,1 \\;'lcfltU"li' (!J~''-;,T nr t~>ltl\ Iill~IJ;li.li.itoH, ..lIo'h'lHY PROPERTY LEGAL D'ESCRIPTION - METES, -BOUNDS f~flt~ - .~'T_ft ,1'\'-' 1l":;,(~'r~~f'~~. ~1,'~ fl':;". -' '~..:u t'~;:t" ~l"\'n:~'~' -" TWP RANGE SECTION TAX LOT NO, CODE CENSUS TRACT ~Jl ~:,j, v f1C)('l 1(i",n~ 2Q..iJj J~)() EXISTING STRUCTURES ON PROPERTY j,'ltvI~i. .t, Hle..nt i') ~HA,l\ I:'MH.l. LEGAL ACCESS TO PROPERTY APPL. ' NAME &' MAILING ADDRESS !>l"',~ t 'c~{.f' l t'L t). OIU~(aON FOR MOBILE HOME PERMIJS ONLY No. of Bedrooms, t.i~i\. f~Lt.~mt 1(k \,', t'J' S"tIU:~T MO,Wil',,:, i~{JA&::t ' PROPERTY SIZE -FT. WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System D TYPE CONSTRUCTION SQ, FT, it BDRMS New System D VALUATION P-rPilAft.: SnJACt.: tH!lPD!Ut.. 5VSffM ~fiR rMtSl'UU.ll nWFU.. UtO 12\ t~Ml"l trY-fri', ':hl:r:!;"L fi'H:; TO tl! \lSftO AS :mop ,( ..; rei tifOOv SHOP) SEWAGE'DISPOSAL PLUMBING INSTALLED BY PUBLIC D BUILDING WASTE DISPOSAL PLUMBING, PLAN REVIEW PARK TRAILER SEPTIC TANK m OTHERD , $- FEES OWNER D OTHER: NAME WATER SUPPLY, ?I:\ "'" '\ , ?,f\"1 PUBLIC [Xl*, D OTHER TOTAL t '~i~,~^ MIN, SEPTIC TANK CAPACITY WITH DIST, BOX: GAL. 750 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED,. UN. FT 1St} TRENCH"WIDTH FT. 'a OR SQ. FT, ';;00 No PARt OF StWA.Qt UISPOSAl SY5'ttM to $t (;:~~$tJ;t 'l'tiA>> 1'~ "f. 're .~tt!'i ~~K::>>! tAttf.. No PA~'f Of' 02AfNftf;L.DTO $tt ct,.oetf.t 1'iiA;N 25 FT. to 'fUr 8~t4t\,(m HOftTU..' , No P~Ib:fUG vR t1RtVW4 oven OflA1NfJtA,i>. '. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG, SETBACKS n FT, FROM CTR, OF ROAD RIGHT OF, WAY USE CLASSIFICATION I'" ~ J [~ W, ..!C.. SIDE INT, SIDE EXT., ,AUTHORIZED SIGNATURE - DATE 6Q!lS l\J" tttARLt$ liAft.AU~H REAR FRONT DATE JOtlH Ctt..-ck&HJ.J.tK....' R.S. &i/~'lll1 S~~ BLDG, PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING "7" GREEN SANITATION - GOLDENROD Construction to comply with uniform building code and county regulations covering plumbing and sewage disposal. All buildings require a certificate of occupancy before being occupied. (See, Statement 'On Reverse Side) (POST THIS PERMIT ON MAIN, J~LDG., AT SITE) LAN'E COUNTY, BLDG, & ,SAN, DIV., COURT HOUSE,EUGENE, OREGON 97401 FOR" it C 55 ' 13 ~. , -'~'~ . '.j-\'" .""""- ',-. .; ..,:",.....~. .'~. '., ljllll' ~. ~ ~. " sl'TE I NSPECT ION ApP,ROVE.,D ,/ ,r-: DISAPPROVE,D /" ;" / ' DATE'- ';;'. REMARKS, , " "I' I 1 FOUNDAlI ON INSPECT, I ON ,APPROVED /' /" DLS.A~PROVED / / DATE ~EMARKS" 1 1 1 1 , FRAMING INSPECTION ,ApPROVE,D I ' l' DISAPPROVED' / / DATE:" REMARKS~ ".r; LATH OR SHEETRQ(K INSPECTION ApPROVED I . - . , / ,D,I'SAPPROVED' I ,/ D'ATE " REMARKS FINAL INSPECTION , ApPROVED I l DI~APPR7i1 /rD'T~ (/~ REMA'RKS, -"'. :f')~ 1 I 1 1 ,. CERTI.F,ICATE OF'OCCUPANCY 'RE'ADYTO I S,SUE '/ ' ,I ,NOT READY TO ISSUE L' I' :,~ATE .. ~. 'I, ,I I, I . -'".'''..,.... ,- ... '-:0...:.,.. ~ ......r .---:. , ~. "'"j' .. INSPECTOR INSPECTOR INSPECTOR, INSPECTOR " . INSPECTOR,' '..' INsptCTOR ...... " '. .-( . ~ . ""I-~ . :~ " .:.: . - ,,~~.,' . .','.,.,-. . '. " ,'. ' "." ",'; ~'!' ......:.."., ,,;i., ,.,1' ,,' , IND;rVIDUAL ~EWAGEDISPQSp.L 'SY ,1 RE~QRD:~, installer: "',' :domPlete/ top ,'p~rt',of'fo~ ,:to.'., , '.' s,ignatuJ;'e! 'and"~~,~urh ,bo~!1;~,6pfes :i;:o'Lbiite{i",," , 'County,Btii;J.ding . Sani:tatiori:.:,pepai:tme'rit :',:,' ~", ,'., };"" , .. pr9P~r~~ A~dfe ss~. "'1'"" . "'ip~TR::: ~;;r~~~~:13 " ,.MQ"1AWK ~9.AO', 'e' ' Baths': '-'".Base~ent' . .,.,".w:tte:r: sq~p>y'.o-' ',,"-,, "."," ".. ~ , , .';:"/ .; ';;,; '~X~s,: 0:' , '" No n :'! P~l:.i;q,:f7J/"Other.:.-List, ,,<,," ,". ~ '-"', h ,.'. .;17' Ib:,,';j ';;, ',': 'IFU./~:~"l (Jdr-j(/'~', ,_', ins~allei~. ,,~~e '::' ", " ,., d . . No. Living UnitE; Bedrooms , , ' '" SeptJ.c Tank::' " ',' ,t 'Ft:': from:wer:I';" S,teel.O ,ii', InsJ.de 'DJ.InenSl:ons: Ft. , .7': Leng,th"?(~',,.wi'ath ,,' -6 ~p'-pl.icarit '- v':, 'I , . - 2 ,\ 'Name : 'J ~ A":: 'BALCOM ., ..;'-. , . . '..",1 '.. ':'i,~ .-. ,-..,<~'! ;, "_, 'conc~~e:te ,~' N~~' 'comp,a:rtments, , ~ '."" ". -. . , ~;p iam~te,1i' '~~"~f)#.W~~':;f~).,~~:::,~:" . , ~ ',,;/,:;, . ,19R"~ "YI~TCO::l;"T ;. _ ]r .~' l .. ,~Ga~.: Cap.acttY':./6GC> " ,Ti;t.,~'Di'~posal.F;ieTd:i , " , 'Distr.ibiit;i'or?-:B0X :Yes ~'NO '0 ':,: :~t",h~,r",Dis;~rip,~t:!-Orf- Type" :, '1':., . ".. ;. MaiJ-ing . "~ . '-.~' . f' " ~., ,J' .... '. .~ , '\ ' \, . ':Y:" . ,:1}~d~',70~t..., '; Feet from\"., " ' Well' " ':' ~'Foundati'on ...,. Lot '"Line' '. - . '" ".,.Frortt', ",'Side:, "R~a~, '-' ~"o~a:J.:, 'S,q., FI'~" be, t, w,' ~ee:h .,.,F.i~l,:er.,.." ::,p,.i1,ler,' '~:.de, Pt.. ~. Fil..l~r ,:<:1, ~Pt, fi,'. ,ft<j~{5'o !ines_:.:' <;:r' 'T~p~';' /1;. } , ~f~~e:i 'f~?:: ~!t~W'ft.':::, i~. ",' "":1: :;;" '., ',.-"x,' " -, ;' X':...., " Address, ,,'. " ," , '. , ' .\ ' " " ' " C::D~.Ull."r I rl .r\ ~. ' ,C . g!nifJ~~ ,~J?~ 5.Ft., 7'1: ;i ',~~:~~{ , " ..:~n:ei'Cflr(~-_~".6~udi:J.u,,~)~ - ~',," :; _.,~> )j:/ .:: " .. . .. .: ~.' .~ . , "'~' ...:. '.. .-~- -"iQ.. .! .J. ,;.,:0, .f,". i"1 . . '\" ,";!:'.... :. ~ .... ..;;..c.', . . "" ,,';"';":' :", 'J" Y' .'/TlW ~~i: . 'J...-., ," "'.r , ' '. t.' ,., ','".,:,1. ,,:" . .~ '. i~/:"": ,"' ;::, ~ ."" ", -"j" :,'f r, -.-:-, .-.," , '''', T" .,' .1...... ~ r. " . ","\. , ' I l 'fl' " "~ ~1 f ," .,.," "..." . ~ ~ \ '. ....:.- J. . !J. 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" ' 'r.:;':,,'" ' . : ,..,.." '.. . ' j ... .... .( .. ' . ~ , Lan13 , ,C.9:p'ilt~ , , , I, . .' . .' "\'. '. .l't. Building,& , 'I' -" , , " ,.' ,".,""1'''' .;...',:;,(;1. ,,:, Sahita:~i'on"[)ep~:,~: ' . ,1. . . : . :/::~~],-r~~:. t .. / . /fd." 'Y}'.. ,',',' ,Jb~t,'E}:,t' "~',:3' f .'.' .~;i,.:-"" : .": ',"; ;'. -..' '.. "_. ~ . - t _~ t',.~_: t'r ";:-,.: ~ J" -;..... ''';'' ,"':'.1; " ~ ~ '1. . ,~~ . J. .~': ",,'l. , ,- -,. .:. ' ~' /"';<4. :,.' ~igna:t:ur~" .- '-':j~;?/,:~'.' .. ., . ;...rr;.. tl