Loading...
HomeMy WebLinkAboutPermit Plumbing 1975-3-19 r -,;l'~~._,.~~,:\~~~~~\: ~~~~;~~:~.~?L~~~~~~~:~'~~'c :. .T~. .~~.-,~, .,-~~.~ ~,~~,:>,.\~;;,>":~>7'~ ."~~ '~>~'~ ~,-~~{~~~(..:-.: ~~C~~ \ ~;..::-- \ .) '\. "" ,Y i,. ~ \. '. . . , ) liANE, CO, TY BUILDING PERMIT OR MOBILE )ME -USE PERMIT 96-7b " ! 'BLlll'oli'lG 0 ~ MH)0 PER_MIT NO_ t4-t :J PROPERTY OWNER MAILING ADDRESS J.' , 'r-I:~H~, DORTHY Z. 20Sl!- INLAND !;fAY ,SPRINGFIELD, OREGON /,'97477 CONTRACTOR -MAILING ADDRESS ,5000 PRAIRE RD. JUNCTION CITV, OREGOi4 97448 SOPTHELEAN, THEODORE 'PROPERTY LOCATION -INCLUDE POST OFFICE 2021 INLAND WAY SPR I NGF I ELD, 9o[JfA9~ND $T UP PROPERTY LEGAL DESCRIPTION - METES, BOUNDS fiLBERT GROVE 5TH ADD LT 45 HILL RIGHT ON HARBOR ST TO INLAND TWP aloCJ~ ~ SECTION. "TAX LOT NO. #'~/3,3 $6'~ CENSUS TRACT 17-186 ",- , RANGE CODE' 18 3 APPL NAME & EXISTING STRUCTURES ON PROPERTY , NONE LEGAL ACCESS TO PROPERTY 2021 INLAND WAY \ MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY' No. '.~of Bedrooms irROPERTY SIZE - FT. .~ WIDTH DEPTH AREA ; , " " Connect ,to Existing Sewage System D ',/ 'TYPE CONSTRUCTION SO.. FT. :;.t BDRMS STRUCTURES TO BE"BUILT THIS PERMIT PERMIT TO PARK MoSILE:HoME PERMIT,TO INSTALL'SEWAGE DISPOSAL SYSTEM , ( PR lOR A,PPROVAL SEWAGE DISPOSAL ~ \ '" PLUMBING'INSTAl~ED) BY... ~ n '\;' ' ----,,---' OWNER-D OTHER: 'NAME- WATER SUPPLY, '. PUBLic 0" BUILDING W ASJE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTic TANK )frm OTH'ERD , FEES ~ 50.00 '11.00 - o OTHER PUBLIC 0 y\( -;p.oo ..04' ,1:l1l"O!J-' COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED "\ TRENCH WIDTH' FT_ 3 OR SQ. FT. , TOTAL $ \ \ ' MIN. SEPTIC TAN!" CAP,AC-ITY WITH DIST. BOX; GAL. 900 150 lIN. fT. '- . '. TYPE OF, STRUCTURE OCCUPANCY t4-t 'BLDG'. SETBACKS __ FT, FROM CTR. OF ROAD RIGHT OF WAY. ZONE RA-M-l USE CLASSIFICATION PUBLIC UTll. EASEMENT FRONT 61' ,SIDE INT. J) I SIDE EXT. AUTHORIZED SIGNATURE - DATE /S/~. E; BOS$ Bv ~~ARLIE HARBAUGH REAR 7' JOHN SHOOK . BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION -,GOLDENROD PHONE 747-1384 PHONE 688-9750 - ; - New System 0 ,VALUATION. ;"['f/ .' DATE ,-19-76 LDM Call 687-4065 to schedule all required inspecti~ns. All construe. tion shall comply with Uniform Building Code, D.E.Q, standards for subsurface sewage disposal and county regulations covering plumbing. All buildings r~quire a certificate of(ocf'upan~y' b'elore being occupied, , / fV r', f'J (See Details on Reverse Side) IMPORTANT: ~ "' 1 "1 (POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX;. 135 EAST 6th, EUGENE, OREGON 97401 !' j..' { '. i , /};e'J. ~ /Jld/t 'J G FORM = C55-13' '. . , " Iv / , 0)''' v ,- "I,' ';1' '"~,,,.., , .~,' "t.' "/7'\~ , .1- '~ l' ' (t , / 0' ,,-0...- .., .,..,"- ':o.~ I.t_ . 0<\ \\. ' 6 . 'J ;.A~~;-.~ ., :,: ...._-::,~. ..- ---"---.-. -. "--, -/ ~'-'... "', :-~~~lj;:,.:-w~:;::'-:-'-;---;7~~~"-:I<' ... . ';.~: ----'::~-'...,., .': .>t.:'J,'.;:,j';!'l \ ;~r~<)'"~"",, .... ". .,,~}~:.,; J' .!~.;\~;~r~';;;L_.." "~..\~ A ..,- C_'''''___ -- __\ .. , _ ____,:-_~ ---'n-- _ ~;~"t~\.;'::., ~.. .c \i:"+"" .. . "., --- ~'j.,':.,~.\~y,'~n, ~ ..:',.. ,-, : ';1t(\~~; - .c..;. h_, ,'. "'.",,"',~~_.. -,.:..~~,- -1>-,,;-' " 'I ...I r---n.- ',' _(\ b ~; --~.~!_;-..:.:' --,\";,/ ._--~--~ --'~"---~:'-f/'~;..J1',<~ ,'; ",> ~ . . "(,J ", ... ." .~;:~._. ,. >...-:~.::. ~':. <. ", ',I, . ........_ ,:",(. .\- .. . ._~=~-- ----- - .~;-.--;- --- "'U"__ '1/' ~ '. " ;!'~J '\ ~. _", /~ \~-- -": - --;- i ('"" . ~:,_._---~ ~. ->: :~~~~~~:41~;" Q-::...._~_..:..;;-:- c,.-'----~~~--- -~~,,:,~.:_;i.,:~~~_?i ;' --pO .t,," ,~:I' ~k " ~ I. .f . ^"V"~'r"':~(" . -':-. '--,: r ::'~~I~'.:!: 'i<' h",__~ ~:':'P"-,~~:--;---,-,-,--'-' . ":'~~~~~'~~I~i,:.:' J25f I ,-',,,,,-"'" \ ..., I:( .._,' ._ . ,_.' ,:,:..!:)<,~, ,,-';-- H----:~f.-.:..:_/j\J I -, I , i " 1..-- ,~y .. " _, ..'_____h_..,"'____(")'____ "':_~----_~:'_-l~:_ ..__ _ 1,___ "'--- _.._~--h---- -,}.ks___ '1' ~.-,;P~' .' i .-.",~.....:;.~:,.,~ _..-:;;;i: '"' .--;>-- "-'":' ......."'. ^ .--;;.;.-;..- ~.- ---- . -'-"'- m /7'-a-aICH.,},--- ,___ ___~'.".::--- .;/- If -.:., r"1 D "", .' '" I' ........ .--...;..j':.:~.::.~ . ,;,/ . ".--.."... .-h_..~-~..'..,- ._~~ - -. ._i~??~;,~,~:---. "'. ~.~. .'- I_ ~~' I/.-/i ., ''-:~+' , '... !-'".~ .._,'--.._--,:~- --'"-~,~ '-, c-. '.' ~""~ " ':;,~fj.:.};"c,ll~*~::,,~~:~'~,~;.": , ' - '."". ':i, :; ."".' ,~ , '" ~:y:!~-- ..-...~' ;':~[:.~--~-----_. .... \ /' J\'\ ,. / , ,\t',v \}I I? I!- ( .-- \ ' I -\ \ .: ,.: :. ~ :':.:\ ~..~~~ };.:'i..\:.~: -'---_...~-- ._- -"'" ~... , ir, . ,,'.:~::h,~~;:<~c"_~~~_-: ~ " . ,i , ..' ~. ~' ,i#;:'-~__ _ _.. //' ,. _:~:,_c_~__~ _ ..:..:__ _ ~.' // ./ / ./ , , ., - -'---_._._-~ ~-----'--..- ", .._--,~-~~ :_i-!:-i~~.:~;-:'..- :". ... . . .q":'-,'~.;t.:f.';; .~~..._--~_.c.t ,,':.i.:~~. :;...~~~;~rJ:~,.,;. ~.h...."'-_ _~._~. ._:_....__--;__~ " , t. " 'J. :'-, ~ '-';' N.:;.; '. -'-'---:~l..~=~~-~~ .'~~,~-,"sl~~\;.i;~;:~: .,JiJ fE,~, f~:~riE~3'~ "__, '~1 "-" ~ " ." . "';<::L' " fi61\' -I <:, 'IO-(r.,.. "-"-': .. .~_.__'__'n.:f.~~~_~~~~~_,_~.~ "_''---:_ 'n I rrhiJ[, COUNTY , . --, "NVIW'["!:{;f"rrl L'-"'GM' T --, ~..I,'8::r"\'..,--1;'i'l IVI .. I . ./';,",> __ /'1, '-I.,~.c; (,u:)v-:::'!_L_ ~ . :; ,:' ''',. f , I , -.--;...--.-.:.-------,-::."- .! I j '- P? /3o.jfr Y,?:!EISHf} LD!; Lf.jI':IL to.0)J./.8,1::' . ,_ 7 I.{..f. ~.J 3.:8' _L( ".,_ _____m SfJP./HtfP/6tO , _______u,,_ ----------.;.--';':-.,Cj-7y1 " ....'1,\.,..,. " .,', '\'-- '\, ,",' " 15at~ APR ILl. 197') ,;i:." -I" Permit No'- Mycih~7" . CURB' CUT '. P'E' R:,M' i T - IN TH'E 'SOARO;OF 'COUNTY COMMISSIONERS OF LANE' COUNTY _ :': 1 . t' - ~ . . - .. . . WHEREAS, thi,aftached'application has been fully considered by the Board of County Com- missioners of lane County, and it is the opinio_n and judgment of the Boara that the said ap'plicqtipn should be grpnted> and :that a -permit should be issued, now, therefore; it is hereby.. .. - . , ORDERED,.that a permit be and is hereby issued 'to KFNNFTH W,'; 1:1 .RK P. O. Box ?937 '~EUGENE; OREGON or constructing 'the' f,?l.lbwing' fqCility: for' plaCin~, building , .... F'ILBERT GROVE' SUBOJV,ISION LOT 4') BLOCK 2 F"ILBERT GROVE 'iTH ADDITION upon the .right-of-way of,~q~unty Road No, ,.'.:-. P , Mi,le P';st ,'" J' ':'" in strict conformity to the' exhibits attached hereto, ai1-dsu~jei::f to all term:s; conditions, agreements, . stipulations and provisio-~s -contained' in the .appl ication and permit, the Rules and ~egulations Gov-- erning FaCilities,to be Permitted upon County Road Rights-of'Way, a~;set. forth. by the lan'e Man- - ual 50.190(2) anyamendrnents. t~_~reto, and any other ppplicable 'regulations, Idw Or ordinqnce. . , Special p'rovisicins:, '__ ' " .' , ;.. -1. Driveway will be,~onstructed tions (Drawing M9'-S-50),. . . - . , . . . ~ in accorpance.,.with tlie 'C1ttached" d'ri~eway- ~ppr';ach specifica- 2, Permitiee will berespopsiblefor the imm'ediat~-r~";'o,';'al of all mud, dirt ,,'rid.:debris from the roadway, and_right of way caused by his -operatian(leaving the roadway and areain,dneat, ' acceptable condition.- _' , . , , 3. ,S I DEWALKS WI LL- BE CONSTRUCTE DIN ACCORDANCE Y I TH THE A T'T ACHEDS I DEWALK . SPEC.IFICAHONS AND DRAWING. ,M98-49. THE STANDARD CU~B /YPE SHALL BE CONSTRUCTED UNLESS OTHERWISE SPECIFIED. , . .- . ;-'......: :."., '- -. ,"' " ~ '..~-.' .... i-fl. ,- , ..... , -, , that - , ~ This perm.it is revo'i:able atony time, and'will b'estrictly. adheretl specifically, mentioned above is hereby authorized: . -, "- tei 'and no wqrk other than ,This pe'rmit ~hdllbe void- unless the ,w~rk hereincon~en:;plated shall have be~;' completed be- forp-' APR 1 L.]-, '1976'_ , -76- 19.-------1, Exp'ires : ,19~. I~spected and Approv-ed :. Appro~ed by Board of, couiliyCommissioners ~, " . '& /a/~:-~~~ Di;~~tor of. Public Works. Date By WHITE - OFFICE FilE GREEN - RESIDENT ENGINEER ~INK - PERMITTEE -, BLUE -'- ROAD~SUPERVISOR ORANGE - BUilDING & SANITATION DEPT. YELLOW.- REAL ESTATE C9S:-79 ~L/~ c~ Ir/ R O~S 1/ TAX LOT \ ~,,'SION: " PERMIT APPLICATION NO. A4J1 :76_7.s-_/,rn- LOT: BLOCK: .~ APPL I CANT "FiSh.pr h-oo'k (fCW\. 'DATE I 'II" , q ,', ... BUILDING SITE EVALUATION " ( ) 'BUILD'ING 'w ( '> . SITE I NSPECTI ON PLANNING DIVISION Not Applicable 1.' Zon i ng Ord i nance Comp Ii ance: ZO,ne,9--A -"",II ( ) 2. Subdivision Ordinance Compliance --( ) 3. Requ i red Access . ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: - No Yes () N' 6. ( ) ( ) () ) ( ) ( ) ( , PLANN I NG D I V I S ION ACT I ON PEND I NG: YES l .) NO l ) APPLI CATlON# Not App I icab Ie' No 'i.!#,~ V . (I: () ~r~ '( ( ) ( ) , () () ( ) , ,() () ( ) CK I D BUILDING INSPECTION DIVISION ,7. Plans Submitted 8. Soil Stabil ity (footings) 9. Flood Plain' 10. Other (see comments) I , " "-.. COMMENTS: ---- ~ WATER POLUTION CONTROL Not Applicable ""( ) ( ,) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Y</S () () , ( \ ( ) CK'D BY:??/?? ;;j-IV -?$" Setbacks'from ell of road: Front It: / I Side Exterior Setbacks from interior lines: Side .s- Rear "'7 By:;f'Z~/s./1"7,{ /DATE \. CK'D BY: ~~_ ~~ . cJj'M , DATE TO APPLICANT: Your Building I Site, Inspection: ,C ~an be approved. ' 1<6~ ( ) Cannot be approved at this time as indicated on item NO, _ above. ~ ~ Questions and further information on, items I 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. ( ) Will be held in this office until you can resolve the problems indicated. ( ) Is being returned. _' ( ) Your building permit applic~~lon fee_is beinq-returned ,under ~eDarate cov~r . cPARTMENT OF ENVI RONMENTAL MANAGEMENr 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 r";--.-. -,-......."..:-.--"....-'Il,.~-r-~_~ ''-''''-,- . ~ -......,..... _...-~ ~,..~.----.-.;.' ,- ~ ,.;.;;..... -~.-... A.... ....,.., ~. ...~.~/.. .-.-..... . ' .;!!"..._~. ~-............ ... .- ..-~'._....., -,.... ',,_..... , New System n: vALuATro.N 1 n . I '"Jl . ,;fIJ JLI .,-'. '-D' TE' ' ',f-I "_"/' ..A . J'.;'_.i }.l9>o71" I.Dl!i5 :1 Call 687-4065 to schedule 011 required inspec;i';,n;, Aii construc" .'-1 tion sholl comply with Uniform Building Code, 'D,E'Q, standardsl .i 'I IMPORTANT: for: subsurface sewage"disposall and county reguldtions covering. :l pl~mbing. ~II buildings rE~~uire a certificate of occupancy befor;:~ ' ~ "f"....::.:.,..,...?e\ng occupied. > - :".,' 1'"'' ;. I .~, f .,.1 -..'1 ~: (See Detai!s on Reverse Sid~) ~ , .. '\ .',j 1 .\;.~ . 'j 1 it . ;M','; ~' ~ 96-7; ~ \ LANE COL, _, Y BUILDING PERMIT OR MOBILE ,. ",ME USE PERMIT , I I \ BUilDING D MH rEi PERMIT NO, I ~<PR~PE.RTY ,?WN, E.R MAILING ADDRESS \: F""'it:lII, ~TH( 2. 20:)4 I"LA'" WAy . S"It'14.rII:1.3, Otle"lOK :- -CONTRACTOR-- --- -~. MAILING ADDRESS 04';' ! I $OPTHl:LO.... TIiEOOOllC ')Ol.t'P~AIIU RI. 'JUIlCTlON C,l'v, OllEMN ~ ,PROPERTY LOCATION - INCLUDE PO.~T OFF.I.q JD'" r A- I I 2021 I~LA"D W4, s~Ri~r'ElO, ~2NO .r UP M'~1. ftlGHT ~ HAfteO~ aT TO I~LAND I > I PROPERTY LEGAL DESCRIPTION - METES, BOUNDS /J ~h 1 r I L "tll T Q!ton 5TH .u..o L f ij5 p:v'-'I"-...'::l.--, TWP RANGE SECTION . TAX LOT NO. 16 Itt PHONE 1117-1381> PHONE 68e!-9750 97lm 97448 CODE CENSUS TRACT 11-186 :3 11 APPl. NAME EXISTING STRUCTURES ON PROPERTY NOte 1---';- LEGAL ACCESS TO PROPERTY 2021 hl~AIio 10M. v & ...,; I i I MAILING I' ADDRESS , FOR MOBilE HOME PERMITS ONLY I ,LNo. of BedrOo,ms STRUCTURES TO BE BUILT THI!? F;~,~MlT '~ -,. ....' ~ ~. . .'-, PROPEltTY SIZE - fT. "~' .~ WIDTH DEPTH AREA .. Connect to Existing Sewage System D TYPE CONSTRUCTION, SQ, FT. ~ BDRMS t t .. f ' . ~IUI"r 1. -I"1lItl< MiIlltlU BOIoll PER~IT TO IM8T~LL $E~QE D"~OSAL IV"tM OTHERD PLUMBING INSTALLED. BY OWNER 0 OTHER: NAME WATER SUPPLY :,f, . F.EES ,7:-'.~ ...~ PUBLIC o ' "D OTHER .,i;~'b . $ }JtJ.Vtt ,V" A' . 0'1."'" '.:.: ~' COUNTY ,!~,,;'~~'d~i~~,..~~.'i.. ' :ft "',-'."'~"-i.' ;. .'-.;,i~;"r . ';'- ';~ ,..}';.,:~~~~-4. '~~'i BUllDIi':iGj'&' 5ANITATlON SPECIFICATIONS DRAIN FIElo)!'REQUIRED -t~ UN. FT ~ '. ,,,~ ,"-'" T~ENCH WIDTH FT, .3 olf\Q:~'FT, . , 'l!',,' ':' ~' ~~~.: ': <"i:;'!i _ i~'''' i-*.' ;\ ..\ . ~. '":1 ;'-,'ro": PUBL!C.UTIL. EASEMENT:"_t. .. '..",--,.., O(CUPANCY:.~ \~ I ' ZONE F1A-'tt FROMCTR. OF ROAD RIGHT OF WAY SI'DE INT, ..,' SIDE EXT. AUTHORIZED SIGNATURE - DATE .._ 8'1' Ct.MtL I t: HA".~UifI" USE CLASSIFIC,ATION ',,,",,,or ~'fj"'..:~. REAR "Y' ': [,>/./ J, r. } i-BLDG, PERMIT-WHITE' ,IOFF,ICE, COPY - WHI,TE <iCOUNTY :TAX -:c Plf'./.K IPLUMBING- CANARY 1BUllDING:-:--GREEN',' .., : SAN ITA TION' ....;',GOLD~ENROD , i . --,.- .-. ~N ~OOIl , (POST THIS PERMIT. ON MAIN BLDG, AT SITE) .LANE COU",TY;-"DE~T."bf:ENVIRONMENTAl MANAGEMENT CO~RTHOU~E 'AN,HEX, J3"'S, EAsr"6th, EUGENE, OREGON 97401 rOR~l_= C55 .13 ' ~ >:,:. I \ i. t, .j. Ii ~ , t j,l i ,f .;.:- i jj." ." ;...~:\; s~ ""t' '-.-.'9: ~- -. " "I -"i;'.r~ ,""\', " ~I ~.'.~:~t.;' J ~.1 M :~J " :~ 1!l:,1 ,:. ,-j S!TE INSPECTION ApPROVED D DISAPPROVED CI DATE INSPECTOR REMARK-S / FOUNDATION INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARK S FRAMING INSPECTION ApPROVED / / DISAPPROVED /7 DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPRDVEO~! DISAPPROVED ~ DATE INSPECTOR REMARKS _FINAL INSPECTioN ApPROVED CI DISAPPROVED ~ DATE REMARKS PI It,Ai cPr..-r-i.:"TLf- j 1:', ,->/ '.,- 1'/ /., ,-'f~ INSPECTOR CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE /7 DATE INSPECTOR REMARK 5 ~/I r~~7" fi4.v 1f:zr~~ ~ 1/-.5- ~_;'.-'.....,.___---r~~~:Fr<tf~_-";,~__:~~)~~~~.~.......~_~- 1 ) \ ' , .' ' ")". -... \, \ ", ,"--', ' ..J LANE COl jY BUILDING PERMIT OR MOBILE ,--_)ME USE PERMIT ,... BUilDING D MH'~ PERMIT NO_ MAILING ADDRESS :ro54 l!ltAIIC \:lAY, SPRINOF'II!LD, Oilltao~ MAILING ADDRESS .,_...,.___-.~_..~.-__r~_ -. Call 687-4065 to schedule all required inspections. All construc. tion shall comply with Uniform Building Code, D,E,Q, starydards for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Detai~~ or _ Reverse Side) PROPERTY OWNER , 'y". CHEn. (lcQIlTHv Z. CONTRACTOR 97477 97~ SOPTHELI!AN, TH~OOORE 5000 PnAIRE Ro. JUNCTION CITY, OQttCON PROPERTY lOCATION - INCLUDE.;.. ~P~~,,8!.FICE J lJ ~ r ^ rt11~"';J ")~~~!' 2021 INLAND 11M ~pni~'I&:Lo. ~l'lO ST It> tllLL fliGHT all MARoon llT 'T(f IULAND PROPERTY LEGAL DESCRIPTION - METES, BOUNDS' F'ILIlIIIlT G~-tOVE 5TN ADO LT 45 TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT J7-'86 EXISTING STRUCTURES ON PROPERTY NO~ J8 3 11 APPl. ~ .- NAME & ..,I LEGAL ACCESS TO PROPERTY 2021 hlLAIJO VA\' MAILING PROPERTY SIZE - FT. ADDRESS FOR MOBilE HOME PERMITS ONLY No_. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Conn.ect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. ~ BDRMS PenMIT TO PARtt r~O'LE Ht~E PER~IT TO INSTALL aE~AeE DISPOSAL SVGTEM PRIOR APPI?OVAl. SEWAGE DISPOSAL PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBtlC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER SEPTIC TANK ;0 OTHERD FEES I :>9 .00- '1.~ D OTHER PUBLIC 0 TOTAL $ 3l/.U!J .0,. ~.oq COUNTY BUilDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED 150 OR SQ. FT. WITH DIST. BOX: GAL '900 UN, FT TRENCH WIDTH FT..;3 TYPE OF STRUCTURE. ~ OCCUPANCY I ZONE RA-Mi USE CLASSIFICATION PUBLIC UTlt. EASEMENT BLDG. SETBACKS __ FT, FROM eTR, OF ROAD RIGHT OF WAY FRONT 61' 'SIDE INT. 5' , SIDE EXT. AUTHORIZED SIGNATURE - DATE /S/ J. E. Boss By CHARLIE HARBAUGH' 7,' REAR JOWl. SHOOK BLDG. PERMIT - WHITE OffICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: rORM :;;: C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MAt-!AGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 .~ ......, \ '-, 1-';1 96-79 PHONE 747-13fl1,l PHONE 6138-9759 New System D VALUATION DATE 3-19-rri I..O=!. \ " i \ \ SLAB FLOOR PLUMBING GROUNDWORK " . ApPROVED / I DISAPPROVED rt DATE I NSP['CTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / I DISAPPROVED rt DATE INSPECTOR REMARKS ROUGH PLUMBING ApPROVED / / DISAPPROVED rt DATE INSPECTOR REMARKS ROUGH GAS PIPING ApPROVED Cl OISAPPROV'ED / / DATE INSPECTOR REMARKS FINAL PLUMBING .J~/ DATo( - t;-t:;- INSPECTOR t?(7 ~ (/ ApPROVED !.J<:. / DISAPPROVED Cl REMAR~? FINAL GAS PIPING ApPROVED Cl DISAPPROVED / 'J DATE INSPECTOR REMARKS CERTI~ICATE OF OCCUPANCY REAn'V TO rSSUE rt NOT READY TO ISSUE I I "DATE INSPECTOR REMARKS '-':.'. .;...... " ~ .~ ,," ..J .> INSTALLER1 S, -NAME::': '.. r. . ,'" 1'f,l~OD'Ofl.~ :~' 0 p,-r6t:.'i;,~fl , No" L i vi ng-:_~_~i ts - .Bedrooms;' ;Baths:- " - - _ , ',::~R,OP ",0 'SEWAGE'. DISPOSAl':,SYSTEM RECORe' - INSTALLER: ',Compl.ete"top'-parLo(-__, vrm- to's i gnature,md'(subniit both cop ies 'w ith applica,tion-:-- . ~=---, '.' - :' ;~':'-: ,- -', ", - " ,'-'- "--' ,.~ -,'" '. 'PERMiTNO. /M-i"Qh_7"i " ' /C~,JS'-=:Y"_': . ',~ . , PROPER1YAOURE~~ . . .~' ;. '. '" 2021 INLAND ,'WAY'-' ',''- " ..... ,Basement Yes, No 'Water Sup~ly : :Publ ic V, Other';'Lisf': Septi c' Tank;:-':, , ," " _ Ft,' fromwell,s~ee.1 tT:conc:ete~ 1,I1side Dimensions':, .Ft~ ,_,': _ ': -' Ll.oqth"-' Width ,,--".D'i~m'e'te~: ,', :Depth" OWNER " , ,', NAME_ DoniRY FISHER , , , , No., ~ompart~ents ' "',: Gi31,. C"pacity HIe Disposal Fi-eld:, - ' '_ D'is'tr.lbuti-on:Bo"'; , Yes - ~ 'No, Other O}stributi:on-Type __ IODat,G-~~ .. -" ' . , HAI~ ING -ADDRESS 20')4 i~L~ND WAY::" Feet from WEll ' / - .. Founda'tl on: . ", Lot L i lie' g7477 ,:;", Eront-' ,.." '-~Side Rear;' Total;,Sq., .I,ft,-Between-':IFi'lle~ IFiller Depth, IFill~r ,Belew Ft~/~VQ:Lines'lO+_ ',TVDe/,z., IAbove Ti'le2- in.lTile 6 in;, SP~I NGF; ELD, 'ciRE-~iiN" ,Len'.lth-of_ Li nes~Ft .-t T~.~ncl)., I I ,8S2,.6$ 3. 4. 5. 6. Wlath':41 'lotPJan'-,(see ,instructions'b .:~ ;;, , ,~.~-;:' -, -' ., "'.-." ~ -..'. ~ ~ " ". :'-." ,'.. . , > :"- .' ",;,-~ , 3"1 -" - - .... . "-".' ~., - ." , ; \.~ r' '\ , tJti,RTI-I 0__ ~.. '--i.... , -, .. ....... '. , {, " ," '."-;.-;, .-t. :(vf-' ',~_ ",p'II",e "::~cr\-, ',;,..'< , , ""0";,,, " t'll-I", (.c1--6- " I (..llZ, ' -i .. '. <.' "' .:- ~ . -. , Date ,3,-~~~ '15: u_ ,: CERT;~'I,CATE"OFS~{~~~~~~~'~RY'CO<<~.rU' A,~f...~ _/~ -'1,~ For Sanitarlan- Use Only:, ,,-, , " ' , ,,,' " . ,-_ Date: ,,0,---:';;:,: in accordance with'_'1973'Oh~gon "t~ws Cha,pter.--S35. Sectfon,:214 ,~~!s_~ce,rtificate is issued ' as' evi derice Of - sati sfactor,y_ coop let) on', of <l subsur.fac~ se,,::age 'dlsposa 1- sys~em, ,at' the above lOCil;:'~'APpr~v~{SY5te'!l'} ~s ~~nil;t i on~>con~orms~b c'u:re(l'i stilnda~ds 0,0 i sapproved:- ',Does not conform to current "standards - " 'Rel1)afks:, ,- .. ',' " "::,:~\\ .. -; r~~ia-;"s 'S'i'~nature , ..,,, COUNTY" Di:PARTMENi~'pF'ENVIRONME~TAL QUALIT.v : - " .,' " . ",-. C_?,5o~1 . "- '. .,. ~. .-, . '.-~. " ;: STATE ,OF 'OREGON "-:...-. ,..I _, ., " '.','" .' APPLICATION FOR': .t . -.":': ," . ,'; ...... , '.., CONsn(uCiloN L:J ~O,B,I_LE HO~,'~ PLAN'-~EVIE~'.b; '- CHANGE' OF 'oCCUPANCY CJ " - . '~'- -, '_' '. ; - oJ:i~- :, {CJ D~NERI)()~b>:.~~a!.' j::/:rHF-~ ','-,~,O~fre~:It~NiJ WfiY '_~~:JN:;If;~O ~~l{77, 7J~7-13cf'l- , ~ C~NTRA~TOR I H'~OD IJ jq i.,r'op Tffl-iP,N J,-() 9~P/fA;ff.c!?/J J, c ~;;.rl t:1-7'flft," ~ % f-1.z>o J' " Name , ". ._ -Address '. C1ty . ,> Zip . '. Phone ,. ".- . - . ~ . O:S" REG' II . '" -II" .' " " -'. '. n:,p', " \P,~ :Range~' Sectio~'~" 'Tax Lot '~Code 'Cerisus "Trac't :"')7-/7:'-6 subdiVis~....\\o..e.~ '~~o'/~, ~~ -~i~CK Proper~y Acreage Width~D~pth " -' '.". , ' . 'S...,......'Q 9? - ACCESS, TD PROPE,RTY ;(R~".d Name)' ' '~e:,~\:'~~ \Q:~,-~ '-U~ ' . 'E~is_t~ng S-tru"ture. o~.p;opert?:-' "~'~ 'c<' ",; :' . - ,: '\ I pro~erty Locatio~ - Addre5s/Dir~".tioris: ,~;~ ~ \b~'(.:~, or-. ~" 0<:--.4 ' . , \L _ <..~~ .->----P_. "",-,l.:h,-, s::.....".., -l,:,~ ';:::-"~ L~, ~\.\:(\ : \-Z'p \\ *-'('S"-~ \l.~c;,r<d ~-t_'-:=~(-,'_::O-k,~'\.n '-\J~' Below"\to r Off- ice Us e' On! YXX~XXXXXXXX~XXXX2tXXXXXXXX:XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxyvvyvY'rvxxxxxxx~ "'" ,~-.'" ,_(,', _\ ':~\. (,.Sq..F~,.",\\".' -IIBedrooms, Val~ation- , ~'8""""'~ -----'c;) "'-.-=y",,,<-: \\\f'\.~, ,r/-."" '.. ~,oC,~,',~ <:::::+\.~ ..A.~~':'<LQ -~C::.. ;'/ ' / .. . ~"' ,,~ . J ). :, ~ _ '" .' ~LANS FU:RNISHED FACILITY PERMIT ~I , I, 'CAS~_ . - " ct 'I" V0ES c:=J.l NO ',0 YES c==J, NO .. ... "":~1;,3"""""'" O'''''k'O(.:Jh~J~ . ~ ;. ~~. ~ Fee.ReceiVedBY:~~\l\J\.._ D~te: ~4:3..-C\ .!. ," . q 06 Dni'iniield Requi!ed - L"in~al ~e,et . t~::tfJ . Max!mu-p Dep,th . . ~ , ' ....:.....,. NOTE: NO PERMIT ',A' '. '. ( SEWAGE DISPOSQ ,,- Site InspecFion~ ..... \ c...Slo WATER 'SUPPLY'- Well Spring FEES: Bldg, " 'N),r"0 h\,(~ Waste .Disp. Plumbing .' Plan ~eview'" Mo"bile. Home' ". ,1%, Surcha~ge ~~C'Y:>, C-\....( , ~>-\ ;C'r':\, TOTAL i Min; Septic Tank Capa~~fY . " ., , . . ,1 < .'.-t PERMIT~ ~-:; BEE~ APPROVEDm~ a.~\\S j"'''' " -LL BE'ISSlJED UNTIL THIS APPLIC' ON 'HAS "'.' "- ." Ex~'sti~~_.sewa'ge ~isp~sal" sy~te~."J 'q( 'or ~New' Sy'~tem Required 0 - 0zPUbliC 'c=J" J' ", oi.he~ -" :.: '_ ~ ,,', . "'. CO~I.11i_i~,; __~' '.. " Na';'e, of "c~mmunity or'-'Pubiic S~stem .- "- '- '-:\' --\- . " . --.:.....:..:....... .'c'Q'''' , ."'~a..~ PLUMBING: ~ . ~ - ------. ::::::dF~:t\nger, I : I " th~r c:::J '. Name .':,' . .' . ". ~. of Fixt es ~::t Sewag~.'" '. . .. .' . Connec tion ii;,) Water' "Connection '~'1' .,- .~.-' " :1: .' .,' , - ;~ " . "rv:/1.'- l.:.J ._ ,~.ro.up , " " 'Type 'of Cons truc don BIdg Setbacks Front ~ /' . from Center- 'o'f Side In f. . \ , PlANNING: ~7 , DATE: }3'-; V-7r ,) .~;:Use Classification Fire .Z~me , , Yo-', .' J , Ro~d' -~ight ~y-i- of'W~y: . -". .S~-de'Exteri6r / ~. Rear"<7 j'ClE-:zorie ~ _ /14. H- .... ., S," ~~: DE~ENT OF ~(lr/!~#r~~~E:/ ~.?J:, ENVIRONMENTAL(/MANAGEMErT ,/ . '., . , . C55-12,' LANE COUNTY .-,,"~''!OV"'""~, -: ...~"",,-...._,......__,..,F.,,:..,J:.o: "--:~~~,,,~~-,,,,, ......~....t'~'..:,-,,_~"""---..-:.:~, ~:~"'~';/. .~. ~':;r:;;,;.-_, ......, fo_~"f'-"',_"'-'~'-""-'~ ",,'-""''''. /--.., (~ ~ LANE C~ )TY BUILDI~g PERMIT OR MOBILE" __ . BUilDING 0 MH'I"'I PROPtRTY OWNER MAILING ADDRESS ,j:' t S!tllll& DOIIT"? Z. 20)11 IIu..4111l \My 1 S1'3tflar I no, OIltl/lOJa CONTRACTOR MAILING ADDRESS BQPTHll.l;Ar~, T"SOGO!!II ~ Pll"'"! Ro. JIolf'I:TIOIt CITV. &lIOON PROPERTY LOCATION -INCLUDE POST OFFICE .so~ r A 2Ol?l It'lLAwtl WAl' !JlIlIl>\ll"U:I.O, ~)r2Il1l) n "'" tllLI. allmT QOl HU.301l Of fO h;I.IoIIO PROPERTY LEGAL DESCRIPTION - METES, BOUNDS "'I LU11l1' G.'lOVI: 5TH Aoo I,.T ~5 TWP RANGE SECTION IS )ME USE PERMIT PERMIT NO. !+l 96-70 91'm 97'~ PHONE. 747t"'I~1 - PHONE 1e8,.97::::> TAX LOT NO. CODE CENSUS TRACT 17-186 3 J1 APPl. NAME & f EXISTING STRUCTURES ON PROPERTY 110M: ..,i LEGAL ACCESS TO PROPERTY 2021 kU.i1lO taT MAILING 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 0 TYPE CONSTRUCTION SQ. FT. * BDRMS New System n VALUATION PEl':[,lIY ~O 'AIIK !ilbOIU Holt!: PU~~17 VQ InGTALI. SrWAGt O,$PODAI. 6TarE~ I'll HI:! IIPI'IIQVIIl. SEWAGE DISPOSAL , FEES PLUMBING INSTALLED BY OWNER n OTHER: NAME WATER SUPPLY PUBLIC 0 BUilDING WAST~ DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK lEj OTHERD ");I.- to. ~_ 't.IN PUBLIC 0 o OTHER TOTAL ;:!J.VV - ^- .\)" r\ll. _.. U"t,t,,.a:;;: , COUNTY BUilDING & SANIT A nON SPECIFICA nONS WITH DIST. BOX: GAL MIN. SEPTIC TANK CAPACITY 900 DRAIN FIELD REQUIRED 150 UN. FT .. . TRENCH WIDTH FT. , OR SQ. FT. TYPE OF STRUCTURE ~41 OCCUPANCY I ZONE nAwlfl PUBLIC UTIl. EASEMENT BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY 6t. ,. FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE I rJ .i. E. DoSlll a., CliAi11.lG: GfA/l()A~:;" 7' REAR USE ClASSIFICATION JUltU ~htOOI\ DATE ",l9~ 19- ~t::1 BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBI NG - 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 on Reverse Side) FORM == C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401