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Home My WebLink AboutPermit Building 1975-8-7 U/1~e,1u..J , - Ii /l} l/ L( ( b - 7 :.;- , , ~ LANE COUNTY BUILDING 0 BUILDING PERMIT MH~l( MAILING ADDRESS Route B Box 563-K #76 MAILING ADDRESS OR MOBILE HOME USE PERMIT PERMIT NO , Ar~her. John A. CONTRACTOR Pleasant Hill MH 416-75 PHONE 747-126:; PHONE PROPERTY OWNER Scme PROPERTY LOCATION -INCLUDE POST OFF~ S. 2nd to H:>rbor Dr. to (1.,1. I'\d \In'! (2076) \ PROPERTY LEGAL DESCRIPTION - METES BUU~~;:) ~llhArt Grove Lot #2~- Blo~k #6 TWP RANGE SECT10N TAX LOT NO CODE CENSUS TRACT IS 01 r!' II 1500 APPl NAME & EXISTING STRUCTURES ON PROPERTY None LEGAL ACCESS TO PROPERTY MAILING Inland Hay PROPERTY SIZE - FT ADDRESS FOR MOBILE HOME PERMITS ONLY No of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to EXisting Sewage System D TYPE CONSTRUCTION SQ FT :;; BDRMS New System 0 VALUATION P.1rk Mobil.. norm (3) Insmll Scwllae DI5""581 Svstem Pr ;n r nnn!k""l\ 1 SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK o OTHERD $ ..l.ll..nnn L.nn FEES PLUMBING INSTALLED BY OWNER D OTHER NAME WATER SUPPLY PUBLIC KJ( D OTHER TOTAL ~n nn I? . 1 ~h. I' COUNTY BUILDING & SANITATION SPECIFICATIONS MIN SEPTIC TANK CAPACITY WITH DIST BOX GAL qOO DRAIN FIELD REQUIRED llN FT 150 TRENCH WIDTH FTdepth 3 OR SQ FT 300 / TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll EASEMENT 14(-1 BLDG SETBACKS FT fROM CTR OF ROAD RIGHT OF WAY RA-NH USE CLASSIFICATION FRONT c.n SIDE lNT t:;; SIDE EXT AUTHORIZED SIGNATURE - DATE It:! J I t: R^e!ol:. hu r f.4tlrhRIt{!h REAR 7'PUE J.H.Slwok DATE 8-7-75 slf BLOG PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING ~ CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687,4065 10 schedule all reqUired inspectIOns All construe, lIOn shall <omply With Uniform Budding Code, DE Q slondards IMPORTANT for subsurface sewage disposal and county regulations covering plumbing All buildings requIre a certificate of occupancy before being occupied (See Details on Reverse Side) '( -FOAM = r~~ 1, (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ,/, '10.00 . HI . t!lI..!2 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED lIN. FT 1;::0 TRENCH WIDTH FT.depth, OR SQ. FT,300 Call 687-4065 to schedule all required' inspections. All construe- ~~ tiDn shall comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require 0 certificate of occupancy before being occupied. \\ ,..~ ::.' ';: (S~,:etails on Reverse Side) (POST TJ:II~ERMIT-ON\MAIN\BlDG:. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX"J35 EAST 6th, EUGENE, O~EGON 97401 .) - -tl. I " t ~ ,r \ . ~, BUILDING PERMIT MH@)I MA!llNG ADD~ESS I : ~~ ... - .;.'!:... ~ - -- -- .... " LANE, COUNTY . _ --:r~ ~ BUI~[jJNGCE! ' PROPERTY OWNER ,"'Ghar:".k.bn A. CONTRACTOR .' ~~e PROPERTY LOCATION -INCLUDE POST OFFICE... /' S. 2nd to tllll'bDl' I)r. ta( h'fland Way AOPERTY LEGAL DESCRIPTION - METES, BOU.NDS'- ) ~VilbCll't 6mvlll l..<I'll m Block I#i TWP RANGE", SECTION (2Q16r\ - m 03 11 APPl. NAME & ~' "\ \1_',,---, " \,\ " MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT ,..' .,' li'.Jvtr C:rID lie 00r.D IlI'll'.llL'l i I ~~(,,D O!Il:!Q$a~ S'lIBtCllll Prlnl' cnnhvnB I .~SEWAGE, DISPOSAL PUBLIC D BUILDING W ASTE.;OISPOSAL PLUMBING PLAN REVIEW PARK TRAilER SEPTIC TANK D OTHERD . FEES 100.00 11.00 TOTAL MIN. SEPTIC TANK CAPACITY WITH OIST. BOX: GAl. 900 . TYPE.OF STRUCTURE OCCUPANCY ml I BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT !;O SIDE INT..5 SIDE EXT. AUTHORIZED SIGNATURE - DATE /91 J.n. eCG~ bv C.H!lrbcugh .. BLDG. PERMIT,- WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANfTATION - GOLDENROD .' ,..,,-. I" " FORM"=: C55-l] "C'.;"'-' OR MOBILE HOME USE PERMIT PERMiT NO. PleasiNlt HII' "- TAX LOT NO. CODE CENSUS TRACT lrieD " -'~ "\ EXISTING STRUCTURES ON PROPERTY tibno LEGAL ACCESS TO PROPERTY In hsnd 'Jil<V PROPERTY SIZE - FT. ",-, WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT ~ BDRMS (3) .\~.... r" \..~~ ;: '\ . ~ ~\ ~ ;( "~Mt-;)J\., y "'!", ., \, PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY IPUBlIC llit D OTHER ;,\"".....' .,!;..)\,....t. , '; , .1, ., \ , \ ZONE Ilt.."f;et PUBLIC UTll. EASEMENT REAR USE ClASSIFICATION ;1'PlJIZ J.tl.SMc!i: , ~; , , , ,.11 41fj;:.i~ I PHONE" ,. 147-ll":6:J. . PHONE '1_ , New System D.! VALUATION ,- I DATE Q..7-,:> l)B (, ,\, SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED L-I DISAPPROVED L-I DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED I I 01 SAPPRDVED 17 DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L-I DISAPPROVED ;----y DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVED Cl .DISAPP~OVED DATE REMARKS J111...;.f ~ <:{ ....q ~ 7.f J' , . INSPECTOR CERTIFICATE OF OCCUPANCY READY TO ISSUE 17 NOT READY TO iSSUE / / DATE INSPECTOR REMARKS , . ~ f II bu1: r D-{,-4. LeT ;2i -, T ~( S JSlJ{) ;3 (0 c.t:. -- tJ ' . ,?L(,9/ A i;) D ~16: s:; .2.0- 76 .1 'IJ lOA d) uJ~ 5'H- GulL - 1'?-S^lf:2-~ { ~ \f'- ~ Boo k, ~ (., P'''f q ~ IE C ~J · _~ 0' ~~ I <16 2" 0:-./ . , v J"'L~,LI.1lv LANE COUNTY 'lS1 ENVIR~MENTAL MGMT. ---- , - (Y1 L/r0-7S' ......, -<: ,.. ~>' ....J " --::: ,.. I, 0 - -- <15-/ (oJ /01 - I:) .,l:. v "" ,., I~ '.-.. I. IN (;> J~ -r:: Q:. * .__~ I I I;:. I - 78.76 - ~- INLAND wA'f - II=- '" " 13u I LD ING S,ITE EVALUATION ))lLtr NO-.&1l.1 l//~ - if <' ) ( ) BlllLDING PERMIT APPLICATION SITE INSPECTION ~ Not Appl icable Zoning Ordinance Compl iance: Zone.tfh4-.-uJl( ) Subdivision Ordinance Compliance ( ) Required Access ( ) BUilding Site (Area, Width, Frontage) () Other (see comments) ( ) PLANNING DIVISION I. 2. 3. 4. 5. COMMENTS: , ~ '2.. 11 T ) R 0.....5 ' TAX LOT SUBo1VISION' LOT: BLOCK: ft<<~/ APPLICANT DATE No Yes () Tlf 6. ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) PLANNING DIVISION ACTION PENDING: YES( } ND( J APPLICATION# BUILDING INSPECTION DIVISION Not Appl icable ( J (If ( ) ( ) 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POlUTION CONTROL Not Applicable ( J ( ) 11. Meets Department of Env,ronmental Quality Standards. 12. Other (see comments) COMMENTS: CK'D BY: ~ :7 - 3o-7.s:- Setbacks from' c/l of road: Front ~~ Side Exterior Setbacks from interior Side Rear 1 ines' f ?- r)wrtI ( ) ( ) ( ) ( ) ( ) ( ) CK'D No Yes ()0 ( ) (0 BYtt?t~~;,~ ~~ (I DATE CK'D ByJt#\l '(!d/lr V' DATE TO APPLICANT: Your Building / Site Inspection' /' ;~)'Can be approved. -:1...1':> () Cannot be approved at this time as Indicated on ,tem NO. above. ~,..., ~lf Questions and further information on items 1 through 6 contact the LANE- ~ COUNTY PLANNING DIVISION. Questions and further Information on items 7 through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) W,ll be held In this office until you can resolve the problems Indicated. ( ) Is being returned. ( ) Your buildinq perm't a\?Pl ic!,.!.,5'!'__~~J..s beln9 returned under separate cQYer. DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ./ ! " J , r- . , BUILDING PERMIT MH :Iilllt MAILING ADDRESS Rculic n Do~ 563-[, me, MAILING ADDRESS LANE COUNTY BUILDING II PROPERTY OWNER A~~br. .....~n A. CONTRACTOR Sr..l'Tn PROPERTY LOCATION - INClUDE POST OFFICE S. 2nd to tWrbo~ n~. eo 'nlend Wov (2075) PROPERTY LEGAL DESCRIPTION - METES BOUNDS Flibart Grolle loe fi29 Blcef~ iN> TWP SECTION TAX LOT NO RANGE 18 II 1500 011 APPL NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Perl< Ir'.ol-:>ilo I\<~ Dnsttl U I SOt::lClO ElIDO:>90U SvotCUl Pr lor r...",h'WD I S~EWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 OTHERO . FEES tOIl.no 1&. on TOTAL tlA.1llO ,ill . nil!., I' COUNTY // / ( 'II,' ~', - I , OR MOBILE HOME USE PERMIT PERMIT NO PloOOC!!1It HilI CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY ~:ln<l LEGAL ACCESS TO PROPERTY Inlend UtlV PROPERTY SIZE - FT WIDTH DEPTH AREA Connect to EXlstmg Sewage System 0 TYPE CONSTRUCTION 50 FT ;:;: BORMs PLUMBING INSTALLED BY OWNER D OTHER NAME WATER SUPPLY PUBLIC '[j~ D OTHER MIN SEPTIC TANK CAPACITY WITH D/ST BOX GAL !Z.!l1iJ DRAIN FIELD REQUIRED BUILDING & SANITATION SPECIFICATIONS UN FT i50 TYPE OF STRUCTURE OCCUPANCY ~lM BLDG SETBACKS FT FROM CTR OF ROAD RIGHT OF WAY FRONT "i0 SIDE INT t; SIDE EXT .. AUTHORIZED SIGNATURE - DATE REAR Inl .1. IE. !'n<11'l rw 1I:.I>JcirhClOGh TRENCH WIDTH FTdcvth:3 OR SQ FT 3"0 ZONE PUBLIC UTIL EASEMENT ell) ml l)i(5..75 PHONE 1~7"i12G!l PHONE New System D VALUATION DATE 8-1'..1$ 9H BLOG PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 6B7,4065 to schedule all required IOspechons All construe tlcn shall comply With Uniform Building Codet DE Q standards for subsurface sewage dIsposal and county regulations covering plumbing All buildmgs requIre a certificate of occupancy before being occupied (See Detads an Reverse SIde) IMPORTANT r,A"C11l USE ClASSIFICATION 7'PUE J.M.!l~h (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th EUGENE, OREGON 97401 FOR':'1 7 C55 13. ~ .., <{, ,,. .,," ~. . SLAB FLOOR PLUMBING GROUNDWORK "- ApPROVED ;---? OlSAPPROVED ~~,,~ATE REMARKS INSPECTOR GAS PIPING GROUNDWORK ApPROVED ;---? DISAPPROVED ;---? DATE INSPECTOR REMARK 5 ROUGH PLUMB I NG ApPROVED / / DISAPPROVED ~ OATE INSPECTOR REMARKS ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVED .;g;; REMARKS "",,,"0",0 = ",,('-2:J - .) J~ ..,,~;// FINAL GAS PIPING ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE I / DATE INSPECTOR REMARKS -~ At/~'\ . , application. j ',~ NO. MH416-75 I NST4LLliR: PROPO SEWAGE DISPOSAL SYSTEM RECORD Complete top part of form to signature and submit both copies with PERMIT INSTALLER'S NAME BILL /J1?4/?Y No. Liv,ng Un,ts Bedrooms Baths Not 1 isted PROPERTY ADDRESS Inland Way JHS Basement Yes No Water Supply Pub 1, c I/'Other-L, st Septic Tank: Ft. from well Inside Lenqth OWNER NAME D,mensions. Width Steel 0 Ft. Diameter Concrete ~. Compartments ~ Gal. Capacity Tile D,sposal Field: . ~ Depth D,stribution Box' Yes t;' No Other Distribution-Type /000'_ John A. Archer MAILING ADDRESS Route 8 Box ~63-K #76 Feet from WEll Lot Line Front 1Ft. Between LInes ./'<7 Foundation Pleasant HIll. Oregon Len~th of L I nes-Ft. IT rench, I T ota I Sq. 74'21'4'3. 4. 5. 6. Width;U Ft.3tJld' 'lot Plan (see instruct,onsJ: Side IF'ller IIFiller Depth Tvpe/"3 Above T ,1 e ') Rear /Filler Below in.lrilet: in. L",,.. Lrtl/~ :]\ ~, " , 1~ . ]7".............., ~'" \ \' 5'<!>)<. '{-~ ~ '" ~~ '\ ( - ----------- _12P-,i VLY.4)' ~ " - --.. , ~ :l> '<:: "- \ l'- I> "\ "- " ~ RECE~VED tjlj '" ~ ~ '< AUGl Gig!:) , -~ ., "It --< lJM~f COUNTY j;NYJRONMENTAL MGMT. ~ rlV .1 ,.U 1 ./. Q) '/ S 19nature 41"l. -<-f.-~1i-<: . ,,~ CERTIFICATE OF SATISFACTORY COMPLETICl'N _ For Sanitarian Use Only: Date: 6-ls- Z~ In accordance with 1973 Oregon Laws Chapter 835. Section 214 th,s certificate is issued 'J as eVidence of satisfactory completion of a subsurface sewage disposal system at the above location. ~ Approved: System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks: Date t;J_ //- 7"'; C55-11 ~~A. Sanvrlr,ah's S'gnature lANEJCOUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY .~ R~f;f; NOTE' ;:Y FBE ISSUED UNTIL THIS APPLICA APPLICATION FOR CONSTRUCT! N C=:J MOBILE HOME I ><:-1 PLAN REVIEW C=:J CJ .Jr._ h '^ A, OWNER Name c:::::::::J CONTRACTOR Name o S ReG II /A Range ~ IN HAS ~{i/1/0-7S BEEN APPROVED A <rrJ,p.v' CfUU'Gt OF OCCUPANCY c====J 97'/-01 Rf- ~ R(),("'i(,..,?,/(-#71n ~(p~ Hill Address CHy Zip 7J./-7 - 1.;LIaS Phone Address Cl.ty l1p Phone Sectwn J , Tax Lot J 5 0 0 " Census Trac t Twp Subdiv1swn r=, Ihp v-J- C!vrH'p~ ,~ot ACCESS TO PROPERTY (Road Name) ::r: /11 I a.. ",01 Exist1ng Structures on Property It ) /) '" e- Property Locatl.On - Address/Directions .st"'l u....l-k_ (2.01 /" ") -c '^-I t1~ I, ) (l..u <r Code / _proper~€age hfr..v Ir,,,...... I / :()V l ,) e +-r) :J..q /1 )'d- I~ W1dth______Depth Block .:1 '^ n\ l-o Below fo r Of f ice Us e On! vXXXXXXXXXXXXXXXXXXXXXX::o..xxXXXXXXXXXXXXXXXXXXX)Q{XXXXXXX}Q{XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX \.In/lkiil M.~ IiJ 'f.c/ ...1LU I"YU :t-, , SEWAGE DISPOSAL Site Inspection II r)1.,( A'.Ul 0 WATER SUPPLY Well Sprl.ng ______ FEES Bldg Was te Disp Plumbing Plan Review Mobile Home ~ /) fl ()_ --- 1% Surcharge I J.- _' n n f'l 0- d()O , TOTAL _' ~ 4~ Min Septic Tank Capacity Cfo 0 Type of Construction M'11 SqFt/ / I If Bedrooms (;;J.,) Valuation Existing Sewag~ Disp sal System c====J o;a---' C=:J or New System Requir~d C=:J Other ;I~~blun1ty PLUMBING _II Installed by ur.wer C=:J PLUMBING FEES Name of Communlty or Public System Other C=:J Name If of Fixtures Sewage Connection ~ Water Connection ~ c=] CASH ~CK IP~ISHED FACILITY PERMIT Pr tS C=:J ;;eo m 'oS=", L,rJ_ NO Signature of Applt\antl c:I\ ~ Fee Received By "1- Date "'7-,'=3fj-7,<::) 7-=- / (:;'0 Drainfield Requlred - Llneal Feet ..3 Maximum D~pth Group / Flre Zone Use Classlficatlon Bldg Setbacks - from Center of Road Rlght of Way Front S-- 0 Side Int r Slde Exterior Rear 7 I r:u. r;:zone f?71-M h' PIA~ ? ~ -r;; _ ?.r S~~\ LANE COUNTY DEP~ENT OF ./\ - 1l//'/7~ tfrt"5~// E~IRO~NTAL tN~G~ENT /,..... 7P~ - ? .T ~ r C55 II