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Home My WebLink AboutPermit Building 1973-1-22 (2) J '" - PRQPEltrv OWNER OLSON;' PH I LL I P CONTRACTOR LANE COl" BUILDING I"! , BUILDING MH 0 MAILING ADDRESS ~ (- ;?, / ' (. <2< /( / / 1~ e.U7'/ PERMIT OR MOBILE' 'AE USE PERMIT PERMIT NO - -:: ,. I RT. I Box 1~7, SpqINGFIELO. OR'COW MAILING ADDRESS PHONE - 4' "(", I ~-Cl' , PHONE PROPERTY LOCATION - INCLUDE POST OFFICE ON JASPIR ROAD ~CROSS FROM CLEARWATER L,NE. PROPERTY LEGAL DESCRIPTION - METES BOUNDS '-t~~p-e-J TWP RANGE SECTION TAX LOT NO 18 02 0') 12CO APPL NAME PHILL POLSON & RT. 1 Box 1'57 MAILING CODE CENSUS TRACT 19-01 1~-&l0 EXISTING STRUCTURES ON PROPERTY DWELLING- FARM BUilDINGS LEGAL ACCESS TO PROPERTY JASPER ROAD PROPERTY SIZE - FT ADDRESS SPR I NGF I EL 0, OREGON FOR MOBILE HOME PERMITS ONLY No of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to EXisting Sewage System 0 TYPE CONSTRUCTION SQ FT # aDRMS New System 0 VALUATION FARM Bu I L D I "Go < OTHERD 10.00 FEES PLUMBING INSTALLED BY OWNER 0 OTHER NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 PUBLIC 0 o OTHER TOTAL , 10.00 COUNTY BUILDING & SANITATION SPECIFICA nONS DRAIN FIELD REQUIRED MIN SEPTIC TANK CAPACITY WITH DIS1 BOX GAL UN FT TRENCH WIDTH FT OR SQ FT TYPE OF STRUCTURE 5 N OCCUPANCY J ZONE AGT USE CLASSIFICATION PUBLIC UTIL EASEMENT FRONT BLDG SETBACKS _ FT FROM CTR OF ROAD RIGHT OF WAY 6c SIDE INT 15 SIDE EXT AUTHORIZED SIGNATURE - DATE REAR 20 DATE /s/ J E. Bos~ BY CHARI LS HAROAUGH G.~. GR~Y. ~ ~ T J-??-7~ ~', BLDG PERMIT - WH ITE OFFICE COPY - WH ITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply With uniform budding code and county regulations covering plumbmg and sewage disposal All buildings require a certifIcate of occupancy before bemg occupied (See Statement on Reverse SIde) (POST THIS PERMIT ON MAIN BLDG AT SITE) LANE COUNTY BLOG & SAN DIV, COURT HOUSE EUGENE OREGON 97401 FORM == C55 13 M 8",1",", //~r;5-<CY~~- / . . ( ( ( \ M,d".. 5'~d (5-1...., ,..) , I \~\o AJq'1l\I.\'U ~ f l .;j. ~,. ,fif( 0<-"1 ; (0 pt..; q ,n'S) __> S ,d' . M')os. ;,o.oJ)( I J .... eo-.:; f30,~ _ 2.01..." \Alo"k'sl.p /801 ,Y'I6.' J I (j fd I \ , I , 8('0';' I . ! V .' ~~ ~. ~ i\t.. , / , 1 tJOltJ/(. ~"'j->u." ,. /is -100,0 ~ . ~'\ .n1 & @ ~ n WI ~ T JAN 16 F:EC'l] j I.J\NE COUNTY HEALTH UNIJ /; ;L-77 I , (, / ..je,SF"" r. o. d -PI,: IJ? I~ cl~ t. J ~ ~/ i '" T OJs.~ (n; S,x IJ'J "v A.J>r.r"x '/ I ..3 & t5 ,'" _r:'D~~..~ ;1;",;. tJ...~ ,~~ BEFORE THE HEALTH DIVISION OF THE DEPARTMENT OF HUMAN RESOURCES In the Matter of the Approval of local ) Health Officers as to SUitability of ) lands for Subsurface Sewage Disposal ) Prior to Approval of SubdivIsions, land) Partitions or Plats or Plans Thereof ) and Prior to Disposal, Transfer. Sale, ) lease or the Agreement, Offering or ) Negotiating to Dispose of, Transfer, ) Sell or lease lots or Parcels of land ) ADMINISTRATIVE RULES Section I Section I I of this rule IS made a part of OAR, Chapter 333, sections 41-001 to 41~045 Section I I (1) No governmental body shal I approve any subdivIsion, land partitioning or plat or plan thereof within the state of Oregon and no person shal I dispose of, transfer, sell, lease or agree, offer, or negot late to dispose of, transfer, sell or lease any lot or parcel of land within the state of Oregon without having first compl led when applicable with subsection (2) of this section (2) When the proJected, Immediate or future use of any of the property referred to In subsection (1) of this section will necessitate facI! Itles for the disposal of sewage or for the prOVISion of domestic water. a proposed method for providing such property with sewage disposal and domestic water shall be stated In writing to the governmental body, or to the transferee, offeree or proposed transferee, as the case may be, and In the case where the proposed method for sewage disposal IS by subsurface means, the particular method for d.sposal shall first have been approved In writing by the local health officer having Jurisdiction In the area and a representation that such approval has been obtained shal I be Included In the statement to such governmental body, transferee, offeree or proposed transferee (a) A local health officer shall approve a proposed method for subsurface sewage disposal as required by this subsection only If the particular method proposed would, based upon the health officer's or his authorized representatIves' Investigation, meet the requirements of the statutes and rules of the state of Oregon relating to the sub- surface disposal of sewage (OAR, Chapter 333, section 41-001 to 41-045. ORS 447 140) If approval IS denied, the health officer shall afford the applicant In Writ lng, served either personally or by registered or certified mall, a statement as to the reason for denial. a reference to the rules or statutes reI led upon for denial and a statement of the appl ,cant's opportun.ty to a hearing upon request before the State Health D,vlslon pursuant to DRS Chapter 183 (3) Any person who has been denied approval by the local health officer under subsection (2) of this section may request and be granted a hear.ng before the State Health Dlvl~lon pur.uant to the provIsions of ORS Chapter 183 ., , 6~~0 T I~R 0'1- S-p~ TAX LOTJ200_ ,US TRACT-'0 -AQC APPLI CA!iT . I N/\ME OLSON 'ADDRESS , Pl.t, (.U. P BUILDING SITE EVALUATION }XJ Building Permit Application No.-'2-13 () Site Inspect Ion () Pre-PermIt Investigation PHONE DATE 1-IG:I-7~ 2 -. COUNTY PLANNING DEPARTMENT NOT NO YES NAME DATE app I I cab I e :j .) B- / /-;:;; 7~ Zon I ng Ord I nance Comp II/J-ce r ( ) ( ) . (Zone tI ) SubdivIsion Ordinance Compl lance ( ) ( ) ( ) ( ) ReqUired Access ( , BUilding Site (Area, Width, ( ) ( ) ~A Frontage, Setback) Other (see comments) ( ) ( ) LANE 3 4 5. COMM ENTS . - BUILDING INSPECTION SECTION NOT NO ~ NAME DATE aDDI icable 6. Plans Submitted ( ) ( ) 7 So il Stab ill ty (footings) ('/> ( ) ( ) 8. Flood Plain (1) ( ) ( ) (J:/;~ 9. Other (see Comments) ('6 ( ) ( ) / -- Z 7!- /J ~ COMMENTS: V SANITATION SECTION NOT NO YES NAME DATE aDDl icab Ie 10 Sewage Disposal W~ ( ) ( ) IT. Usab I e Area ( ) ( ) ( ) ) /J~ 12. Water Supply ( ) ( ) ( ) ;juJ ~ ~ ~ 1//0/1 ci- 13. Other (see Comments) ( \) ( ) ( ) COMMENTS -,.- .----- TO APPLI CANT' o YOur~,ldlng Permit / Site Inspectlon~, (\( ~~n be approved. J- :2:2 - 73 ~ () Cannot be approved at thiS time as Indicated on Item NO above. Questions and further ,nformat,on On Items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further Information on Items 6 through 13 contact the Lane Countv BUlld,nq and Sanitation DIVISion. () Will be held In thiS office until you can resolve the problems Ind,.cated () Is being returned. () Your bUildIng permit application fee IS being returned under separate cover. LANE COUNTY PLANNING DEPARTMENT 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE 342-1311 EXT. 231 LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE' 342-1311 EXT. 411 M55-28 ... .- ~ LANE COl , BUILDING '0 ( BUILDING PERMIT OR MClBI~E ~E MH 0 MAILING ADDRESS "-f ,..1 '.::;1. i~lfi ',';. C.>..!. ~':7:'.. MAILING ADDRESS .. j ',', > USE PERMIT c PERMIT NO': . ,./' PROPERTY OWNER I.--t.'-- J.1) :...' I. I,~ .' \~ ' ., ,: ~l. t ,~:: J .' ,~. PHONE CONTRACTOR . PHONE , . - ~ . PROPERTY LOCATION -INCLUDE POST OFFICE ,':: ~;-,:.. 1, .;l).'J .tl\l~: t' C.;'] \:r....--:,.~;,,~r; ,-l ~,';'.'" .; ". PROPERTY LEGAL DESCRIPTION - METES, BOUNDS '. TWP l,;; RANGE U;.; SECTION 0:;' TAX .LOT NO. : l ..1) CODE .li,.1) ~ENSUS TRACT J'~ ~~'..J. APPL EXISTING STRUCTURES ON 'PRQPERTY ''fiLl ,P' :;;!..!I~:-; \:J\, '.t 1(':0.... 1"'.,,-: G:~l":':jt-('J~ NAME & MAILING ADDRESS .r. I ;}r)11 PJ7 LEGAL ACCESS TO PROPERTY ~j-' .1::"" :O,~i PROPERTY SIZE':- FT. :\',': :~.~,;..~ I' :"0.1 (::l::CO'~ WIDTH DEPTH _AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System. 0 TYPE CONSTRUCTION sa: FT. # BDRMS New System 0 VALUATION r '.l.~l i~)ill.i) l.;i1 . 1'...1.'-'," FEES PLUMBING INSTALLED BY OWNER D. OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 .. OTHERD PUBLIC D D OTHER .,.'jl TOTA.. . MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIElD REQUIRED L1N. FT TP.ENCH WIDTH FT. OR SQ. FT. " TYPE OF STRUCTURE )1 OCCUPANCY r ~ ZONE PUBLIC UllL. EASEMENT "(rl BLDG. SETB.Af:KS __ FT. FROM CTR. OF ROAD RIGHT OF WAY J; USE CLASSIFICATION 1...-::1\' L ~ SIDE EXT. SIGNATURE - DATE .1, ,!_I"~:C, REAR -~ "'~',..' ,'r....1 I.', I.... .. :~Ct. ,~.) J. SIDE INT. AUTHORIZED DATE ,. FRONT C",.!', C';",:. .... BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - 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 BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM == C55-!3 SITE INSPECTION APPROVED.Cl 01 SAPPROVED .Cl DATE REMARKS FOUNOATION INSPECTION INSPECTOR REMARKS ApPROVED 1--1 01 SAPPROVED 1--1 DATE INSPECTOR FRAMING INSPECTION REMARKS ApPROVED / / DISAPPROVED ;---y DATE INSPECTOR LATH OR SHEETROCK INSPECTION ! DISAPPROVED ;----? DATE INSPECTOR ApPROVED / REMARKS FINAL INSPECTION ApPROVED ~ISAPPROVED .Cl DAT~ -,il8"-77 INSPECTO~ REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE ;---y DATE REMARKS ^"' ...:-h _ 11 'QA7( I _ &;2-73 i3~ INSPECTOR t. /" /; 1'7 // /1//, /,/~ ~-~ J J- -16')..A ~ ,.