Loading...
HomeMy WebLinkAboutPermit Building 1975-6-25 " r' LANE co~.h BUilDING D BUILDING PERMIT OR MOBILE OME MH D(X MAIL!!::!.G ADDRESS'M" (00 WEST 177;-J 3;;;5-15" \ (-. (u'r " . " USE PERMIT PERMIT NO t.-::-t 325-15 PROPERTY OWNER ~ a.1UCE FLETCHER SPR I NOFl EL 0 OC1EGON PHONE CONTRACTOR E~ERALO TRAILER SALES MAILING ADDRESS SPRINGFIELD 147_8111PHONE PROPERTY LOCATION - INCLUDE POST OffICE FILBERT GROVE SUDOIVISION SOUTH 2NO STREET TO HARBOR SPR I NGV I ELO 206& HA1'on Q IVI PROPERTY LEGAL DESCRIPTION - METES BOUNDS 41 5TH ADDITION FILBERT GROVE LOT BLOCK 3 TWP 16 RANGE 3 SECTION II, ::l. TA""T ;0. ~ CODE ::z. .: _.--'f7 ~~ EXISTING STRU6u~ -;'N NONE LEGAL ACCESS TO PROPERTY ~Olo(P HARElOR DR I VE PROPERTY SIZE - FT CENSUS TRACT 11-186 "" APPL NAME BRUCE FLETCHER PROPERTY & SAME , MAILING 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 :;:t BDRMS New System D VALUATION P.RMIT TO PARK MOBILE HOME 2 P.RtlIT TO INSTALL SEWAGE DISPOSAL SYSTEM SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK 0 BUILDING ~ WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER lj!SURCHARGE TOTAL ~ FEES PLUMBING INSTALLED BY OWNER 0 OTHER NAME WATER SUPPLY OTHERD ')9,00 4.00 PUBLIC 0 o OTHER ~o.oo , ,04 lj4,04 COUNTY BUilDING & SANITATION SPECIFICATIONS MIN SEPTIC TANK CAPACITY WITH DIST BOX GAL 750 DRAIN FIELD REQUIRED UN FT 150 TRENCH WIDTH FT 3DEPTH OR SQ FT 390 STAY 100' FROtt \tELL WITH ALL PARTS OF SOS: TYPE OF STRUCTURE OCCUPANCY . ZONE PUBLIC UTlL EASEMENT ~; -l SLDG SETBACKS FT FROM CTR OF ROAD RIGHT OF WAY USE ClASSIFICATION FRONT 45' SIDE INT 5 t SlOE EXT AUTHORIZED SIGNATURE - DATE REAR 5' /s/ J. E. Boss BY C HARBAUOH SPOOK SANITAC1IAN DATE 6/25-75 BlDG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - 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 covenng 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, OEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 .. - -... -- - ---~~ , --. - , - . . .. ^ , --- --- - ------ - ~ ~ -- - -.-.--,-.-..~....__...._~-... r....~ ~" l,i.., ....1 , ,~\, ''.Il "';~~\.;. ", " h I, ..\: ., 'I' j-tf(l/l;. 1ANlL ,'-tl ,\ 1~. ~ ~:~ . j~'"1 'f ,. ~;, '.. , ,t <}. ~;h\ c,: 'l"t l'. \~ . ,. - . 'll~,~~l \ '';;-1' ,I'- ~ , ~~ 11~ , ~t.;, ." ll'~ *,' '~~e I -,I & ...."" ~ ..H.lD'llol ~'l"!'&~ , ,rt1(;'i>..~' , '... . 1S!;~,f_~ . -'t:rt., , ;~ ~;'J'V ' , "~l' . l~l"t^\!.. ~ t~.to!;1"'~ ,,;;'f)~~. " l~'I"'!lJ' Jl I"",1\) Xi"-', ,I o:t \, t"~..",;:: /. ~"""''''''''';; ..,..~~' "tj~ "JI~' .... ~ ' 1~\t\. ;' \~? . .,1 ... lJ~ , ~\~I-.\~" I ,. ~~~'~~ ..\"'1-....... ,\..;.~' \ 't~' \'vl\\ '<j~t'~:/: k : \ t.. \. JJ ..~t "j t,. ), t .. ,. { t ';, ... ~~ r , , ~~ ....\. <';)/~ !- ~~! "<t , '" ~ yf~lJ.~ij"... V'" Jl ~I' "" '1',j.~", " t ,) I , J.~.", 1 {ro....l.' r t' , ~ ~1:( ~!., ~1'~~" l' 'I 1\ ~ t t ',.. ,\10 .,..{~.t 'r 1>\11 J.. ' .,. ~ ~". "~~ I "':' H )~(~"Jf ~:,~ " , .. )jt.:,...1 )1 ,1 ~~~~"~(j, .. ~ ~~: hj"'{' 1. H .!-\.... t.~{J ~~..,j..(}'l' I ~\ I ,. I ~ I~ J'ltn'NI>-d"., 4-,/, " i" ~. '.,l.; 1 .h~l(~)~\. . ~ J4~J:U~I~:':."l, ~~..!,J\... J.iirJitl~b1~ ~ft",\: ~ \ ,., \ \~;""""~ . . .t...j~)~ '''', ',,; " ~ 15ft ',. 'Il ~ ", { W-!tl..."I ~"'l:::..{'" 'I. ~ .'f'P-, :t!l/;>"", I ,. '1~" ~ ( , 1 \;"'l ,~L1'>..;,~ I 1, ';l. ,~<, " ,,"m,I(;,,. , 11')1>''-'' It I 1lt ii!i:~" '~:, r <"-~I' .d...; I ". ~~{S~l~'t/jf 'i ':.... I '10 ..:Jr."t... f'\\';. ~Ii~il';';l" , \ ... .or ~ .... i ,.... ~~'f,.," p...~ . :1(.,,\ .. 'l{..~\ \'L.l.. E.l , ~. :':i 1 .I. . 0 I l '~t't""t!-;~~I' ~~l... ,,', 'U-r.."'~ ' } Sl~~~'l-..!X; j"~ \' ~}<l\:\i"'1:::"""",-,,,,, I"} 'Il;!'V~"""",,,,,h," ., (1 (J , ~'l!'~;,~'t-n".:, ':-1'~'..O (<,. , / "..j tr' ~ji :<'''1. , "\.' ,.. ,,('. ~ ...----- .0 ,"",-"l~:"'~''',r J~l,~j. 'ot> ""If;" ~'~~'I~'''''. \ '" , ..I h jf \~ (-n ,~ ~~1t\tfr~~ttt ~...\,/ '-, \1..-i'l1it"', l~)~~:hh:f ('1'" " ..'" " ~l~'l?) 4 ~;?-il"ft!A-:{~ l.).J . 1~ , "'1f. ..,,\I\,"~l"~. ~-s.p.. '-'~t"'~'~~Jil,t"" ~""i\~~~ \~}... , I f 'wi':1't.....~ 1: .........t8j,f ~""J<...... I' ~1 f, ......~ ... ,. I ''U'f \;J.;~I.t\. t"~"'..~~1 rl ~:t;..., ~ W \..wt.jt.lf 'r"~"-- (';, ,\it ,I"'~':.::.;'.>i-'l':' I"' ' l' .... I~ ..',: . . ft., f.;".....~:~, ~"!o . ..~.'" ~ 1 ' ):"~.J"" ~"\.Q.",~$.;'~~f::ii:;;r."'\ " ,~~ " ,( :1>1~',! ~./'~ j.~1~ r ~ "" .... III I . ~J I i I i ~.. ! , ~ I . , I I" ~,li i. -Wi .Ill'-' )j ;\1" i , , I' .' ~ I ' . 1 , i j I I j i I " I \ , .i,..... :1 , , . - .. - ! I \ L. /~ .t---'~[-----~--J "..'~~ l~ ;.7/0 " ~, Oft (/' ' , ~ , I I' ,I. :..~~.".~...S). . ,/. n' _ _",,,-- ~~ ..,j..It"'I~"'"",i..........! 'Vl'j; ~ ~...} -'I.. , " II I ':Vlill-JOJ/) S h () {) r-r-. I I I 1 ',I , I I" I', I I '. , , , , " .. >0' " , . , , ~ -'. , , 'f I ~ " rf<;", I i \~ 'f l., l.~~ " ' 1'<' . . .' J r,.,. "1' ~ ,..~ ,~ . " - , .' '. , , , .. , , ( J. f\ " f\ \ .~. :r ~ ! I, - .) ~ . ~M )'" ~. 'r' ,. ~- '. '2..0 'I- '?-. () (: a,1? Pi) t::'(' 1 I I I' ;20/.;1-0 ; 'I~ {. {" ' I V'1r(:t7( V ....... ~')' '1) ", l :),'11 ' R" ... 1, , , I ", 1.: ' 1..\ i J , I ...'....,.l ;;' .' .' ,- :.f~ , J,.-f. ., , ~ I ! i I I i , ,I , , , ,. f I , I I I I __ .1"._._ I j I " l- t 11- I 10 ClJ)vV I l ~ IJ \-.>~ \.. ~ , " I I i ~/..... ...... -t. --.-....--, 1 I '/ .- , '" , , , .'- I.U/r.J 0(})1 I I I . , I .~ I I I I I " .1 'j , ) I. ' " ,. /:<1 r ,- I I i I I , I I , .' , \ I "~I I 'I '. 'I I i I ! , I I I , ! '. i .. .......- .G ,/)J 6 , .... ~ " \ , \, )1...... \'-..../ r . I".. J' ..' '" " I '~.' ~l ,,' <-'" , " J , .' !.~ d .' ~ " " "I -. , ~ J ~ , , " , , , ,- -. ", -" l t "1 ,}~J:~ '" .! _"I' 'I'''' . .".. '< I, (', ,,~ 1J' -<, , ,. , ,to, _: , 'I I, ~, , , .. , f,1 'I.";." ~ , I 1 , ~~ J' . .?! .. " , ~,~~~~ ,'" ...~ . , ~ ... (, ,\..I J.: '1' It'" I! 1 ..., ~ , . ! "- ~ .., 1 . J I' ." : ,~...... '1-, < '- . , , I ,I I , II. , -. " . .,::: ..:<' , . .:',~! ;; , .. ,. ,_').1 f , " '. -.... ..~, . " ~.,' ~ ~ ' '"'J, ~r, '); ":"1 j ~{~ -l.J:.l\""- 1_-,,0 Vfilh'f" ~ ~. , ,~," ~. '{ .,rt!1' t:,,1 ,I , I' ,,' I, 'It ;..r~11 ' " " .. " ~ I ~ (II.... "t11t3~ ""',~ .I'~Sll~~'''kl AII<;,\,-,,;' ,.tf",.'t{#t!J.. .!:...:. " , I 1 / C'-I-f ~f!y/~\ T RO'3 S/\-"2.2..TAXLOT::e:4:>O SUBDlv~SION: NO. Mijjit2,<!S-,/ LOT: BLOCK: __ 'APPLICANT -\-I~-er DATE Not Aeplicable No Yes Zoning Ordinance ComplIance' ZonelfAL,~~() ~) 1 6, SubdIvIsion Ordinance ComplIance () () C) Requl red Access () () ( ) Building SIte (Area, Width, Frontage) () () V) Other (see comments) () (), . BUILDING,SiTE EVALUATION / ' ~.BUILDING PERMIT APPLICATION () SITE INSPECTION PLANNING DIVISION 1. 2. 3. 4. 5. COMMENTS: PLANNING OIVISION ACTION PENDING: YES\ ) NO( ) APPLICATION# BUILDING INSPECTION DIVISION Not ApplIcable ~ 1 d~ No ~e ~) ( ) ( ( ) ( ) ( ) ( ) 7. Plans Submitted 8, Soil StabilIty (footings) 9. Flood Plain 10, Other (see comments) COMMENTS: WATER POLUTION CONTROL Not App 1 icab 1 e ( ) ( ) No Yes ~) TT ( ) ( ) ]1, Meets Department of Environmental Quality Standards, 12. Other (see comments) COMMENTS: CK'D BY:d~~~ (1"\. h-s- Setbacks from cll of roa~ Front 46 S l"eIe-cA,en or Setbacks from Interior lInes. Side ~ Rear ~ CK'D Bytf;:l~t-.tf'?~ DATE CK'D BY~~ &(2)/~r l~ DATE TO APPLICANT: (Your Building I Site Inspection' ~ M- Can be approved, r,v~ 1-) Cannot be approved at this tIme as Indicated on Item NO, above, t) 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 bel ng returned, , ( ) Your building permit aEP1IcO!l!.i2!,_~fj"'.._,_~",in.q..returned under se'2.ill:i'te cover, IJcPARTMENT Of ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4]86 C55-28 . ..; Dote" JUNE 2') lQ7') PermIt No . CURB CUT MI-I ':)?~..,c:; ..... .,.~ PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attoched applicotlon has been fully considered by the Board of County Com- mISSIoners of Lane County, and It IS the opinion and ludgment of the Board that the said opplicatlon should be granted, and that a permit should be Issued, now, therefore, It IS hereby ORDERED, that a permit be and IS hereby Issued to SPRINGFIELD OREGON 97477 or constructing the following facility BRllr,::, 1:". .,.~,..u...." - - ;-8o-.JNS?T ~" ~:~.c~T for placing, bUIlding FILBERT GROVE 5TH ADDITION Lo T 47 BLOCK ~ upon the rlght-of-woy of County Road No , Mile Post In strict conformIty to the exhibits ottoched hereto, ond sublect to all terms, conditions, agreements, stipulations and prOVISIons contained In the application and permit, the Rules ond Regulations Gov- erning FacilitIes to be Permitted upon County Road Rights-of-Way, os set forth by the Lane Man- ual 50 190(2) any amendments thereto, and any other applicable regulations, law or ordinance Specla I PrOVISIons 2 Drlvewoy wIll be constructed In accordance with the attached driveway approach specIfica- tions (Drawing M98-50) Permittee will be responsible for the Immediate removal of all mud, dirt ond debns from the roadway and right of way caused by h,s operation, leaving the roadwoy and area In 0 neat, acceptoble condition 3. SIDEWALKS WILL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED SIDEWALK SPECIFICATIONS AND DRAWING M98.49. THE STANDARD CURG TYPE SHALLBE CONSTRUCTED UNLESS OTHERWISE SPECIFIED: This permIt IS revocable ot any tIme, ond will be strictly adhered to and no work other thon that specifically mentioned above IS hereby authorized This permit shall be vOId unless the work herein contemplated shall have been completed be- fore ,JUNF 2') lQ76 ,19_ Expires .19_ Inspected ond Approved Approved by 7'rd of C ~Zh 01 rector Doto By WHITE - OFFICE FilE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT YEllOW - REAL ESTATE c98-79 ! I n LANE CO....JY BUILDING'D " -:: ;f. ... ."-'F'. -. I.'. ,>; .1 . , ~U.I'L'DING Pi:~MITOR M~BlEaME ~ ~ wi D~'; . M:'ILlNG ~DRESS,.... 100 "G liT"". ... .!i '70 '7"".... ,.n:,,' . , ~. .''''''''''' r "\",' , . ,... . ~. '.'1 ... e,' .....i. I . ,. ..... -I / , /..- 'PROPERTY OWNER I &1tltCt fLUCK!/! USE PERMIT PERMIT NO. SP!!lINQfltLO t.tI~75 ~ I, ! . CONTRACTOR MAILING ADDRESS , ~ E~Il.1.O TRAILeR SA":U. '.: ,., ; PROPERTY LOCATION - INClUDE POST OFFICE I ftLeUT lOliovr 5UIlOIVIlIIO" SOU," 2lto "!!lEEf TO HAllnOO i PROPERTY LEGAL DESCRIPTION - METES, BOUNDS 1.7 5'" AoOITIO" f'LltftT Gft.~1 lOT. 8L.~K 3 SaoftI NGNi'LO Oltt_ 71l7~8711PHONE PHONE ,. . ,. 5"1l'II~F lno 2~ HAIUIO. !)lIVE . .. 'j ;-""\ i TWP i It\ RANGE 3 SECTION 11 TAX:J.9:r~NO"" ," "'." .. . '#... ;~ CODE CENSUS TRACT 17-lt6 APPl. allUCf fLItTCII~R EXISTING STRUCTURES ON PROPERTY NON!: LEGAL ACCESS TO PROPERTY U.'U!Oll 0111 VI PROPERTY SIZE - FT. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ON~Y ',No. of Bedrooms.. .,~~ \..'~'~ .... -:;"' ~.,.\~. STRUCYURES_TO BE BUILT THIS PERMIT SAllE WIDTH t'-DEP.TH AREA " i '",',. "'" .. 7. -. Connect to Existing Sewc"ge System 0 TYPE CONSTRUCTION SQ, FT, ;; BDRMS N S D' ew ystem' .: VALUATION I Prll/lllT TO PA~1l MoSlLe HQtllIt ~ " I .,.PrltMIT T" IN$TALL Sf\lAlK DIIPQl5AL SYSTEM : I' " ,. , I SEWAGE DISPOSAL I PUBLIC D SEPTIC TANK I' BUILDING , WASTE' DISPOSAL , ~LU~BING , "PLAN. REVIEW I. o OTHERD $--" ,..00 ".00 FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY , 1 i It PU BllC 0 o OTHER PAR~TRAILER : l;t'lI_C:liAU. I TOTAL 3U.OJ .~ $ . QIJ.1J'f COUNTY BUILDING & SANITATION SPECIFICATIONS J.. . MIN. SEPTIC TANK CAPACITY I WITH DIST. ~'BbX; GAL I 750 DRAIN FiElD REQUIRED UN. fT 150 TRENCH WIDTH FT. 3~t"T" OR SQ. FT. 3'lO buv lOG' 'R'" lItU, II IT" M.LP""!~W $.: ~ " 'I ~"'L\ ~~ ~ -\~'\' ~ \\\\ TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. E~SEMENT t,~t -t t , f BLDG. SETBACKS __ FT. FROM CTR. OF. ROAD RIGHT OF WAY USE CLASSIFICATION I IFRONT "" SlOE lNT. , ~. SIDE EXT. REAR " , , I AUTHORIZED' SIGNATURE - DATE' . 6/.,.". 75 DATE , ! !f-I J. !:. 80s. .v C tlAflIIAt.I8I1 .S-t#Mlll 'A"ITA' I All tBLDG. PERMIT-WHITE IOFFICE COpy - WHITE ICOUNTY TAX - PINK PLUMBING - CANARY fBUILDING....;. GREEN ,SANITATION - GOLDENROp . i . Call 687.4065 to schedule all required inspections, All construc- . lion shall comply with Uniform Building Code, D.E.Q. standards, IMPORTANT: for subs,:-,rface sewage disposal and county regulations covering I plumbing. All buildings .require a certificate of. occupancy before I being ?ccupi~ . -'-, . I. '\ ~?ee. p~~~ails _ on, Reverse. Sid,e) :. \ I . I... . FORM:::: C55-13' (POST THIS PERMIT' ON MAIN BLDG. AT SITE) LANE COUNTY, DEfT, OF ~NV!RONMENTAL MANAGEMENT COURTHOUSE AN_NEX, 135 EI>:~T,6th, EUG~~E, O~E~ON 97401 . SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVED 1-1 DI SAPPROVEO 1-1 DATE REMARKS FRAMING INSPECTION / AP~/ROVED / / DISAPPROVED Cl DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED ~I DISAPPROVED ~ DATE REMARKS FINAL INSPECTION . ApPROVED ~ DISAPPROVEO till 1 DATE REMARKS 11 If Ad ~L~~' 'J - ;t y ~ CERTIFICATE OF OCCUPANCY INSPECTOR INSPECTOR INSPECTOR INSPECTOR /.~ INSPECTOR 1S/~ READY TO ISSUE / / NOT READY TO ISSUE Cl QATE INSPECTOR REMARKS 11)1 3JF1.5 ~ 47- )6-:1- f zL~ ff~~"p~ . ,. ,Dot~ ~ , I , -' '\ ) -' Permit No CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the ottached applicahon has been fully considered by the Board of County Com- missioners of lane County, ond It IS the opinion and ludgment of the Board thot the sOld application should be granted, and that a permit should be Issued, now, therefore, It IS hereby ORDERED, thot a permIt be and IS hereby Issued to for plaCing, building or constructing the following facility upon the right-of-way of County Rood No , M,le Post , In strict conformity to the exh,b,ts attached hereto, ond sublect to all terms, conditions, ogreements, shpulohons and provIsions contained In the oppllcatlon and permit, the Rules and Regulations Gov- erning FacilitIes to be Permitted upon County Road Rights-of-Way, as set forth by the lane Man- uol 50 190(2) any omendments thereto, ond any other appllcoble regulahons, law or ordlnonce SpecIal PrOVISions Driveway will be constructed In accordance with the attached driveway approach speclflco' tlons (DraWing M98-50) 2 Permittee will be responsible for the ,mmed,ate removal of all mud, dirt and debns from the roadway and right of way coused by hiS operation, leaVing the roadwoy and area In a neat, occeptable condition ThIS permit IS revocable at any time, and wdl be strictly adhered to and no work other thon that speCifically menhoned above IS hereby authorized ThiS permit shall be vOid unless the work herein contemplated shall hove been completed be- forp , 19_ Expires ,19_ Inspected and Approved Approved by Board of County CommiSSIoners By Dah' By Director of Public Works WHITE - OFFICE filE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT YEllOW - REAL ESTATE C98-79 .' " ;1/)j-1' < .. LANE C. BUILDING )NTY n BUILDING PERMIT M H n{)\ MAILING ADDRESS,MIt 1i;ll) t.'i!01 '", OR MOBIL~ HOME USE PERMIT PERMIT NO Spnlt~ClI'" 1ti:I..D 0:1,0(.;) i'(H 3E5-"D PHONE PROPERTY OWNER O!lU~(t F'l..eTC~e:n CONTRACTOR ~~cnAlD TPAIl..l!R SALaQ' MAILING ADDRESS I 7"1_.n711PHONE CP~tI t~Oll' II!:LD 'f -U PROPERTY LOCATION -INCLUDE POST OFFICE tlLDEQ. enOVi SU~DIVIOION SOUTH 2~D OTGuEr TO HAqOoa SP;HtlO~IEL" EOG6 11A!:CO~ D-Hllt: PROPERTY LEGAL DESCRIPTION - METES BOUNDS .. 5TH ADDITIQ~ fIL9~RT GnovE Lor ~1 lJLCClt 3 TWP 18 RANGE 3 SECTION 11 TAX LOT NO CODE CENSUS TRACT '7 '8~ 01 d "" APPL NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No of Bedrooms 8~UM rLevCHal'l EXISTING STRUCTURES ON PROPERTY NONE LEGAL ACCESS TO PROPERTY HA"lOQ:l O;llvr PROPERTY SIZE - FT , SA~C WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to EXisting Sewage System D TYPE CONSTRUCTION SQ FT :::t BORMS New System D VALUATION P~~IY Tn P~RU MC01L~ HO~E 2 PC'DrllY TO I tIDTllf L SE\1AOI1 Ol!1P03AL SYSTE::lIJ SEW AGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER ';:)3U:lCilt\rlCI! TOTAL . FEES PLUMBING INSTALLED BY OWNER 0 OTHER NAME WATER SUPPLY SEPTIC TANK 0 OTHERD 'ie.oo 4.00 PUBLIC 0 o OTH ER '\0.00 .04 t:Q.O!l COUNTY $ BUILDING & SANITA nON SPECIFICA nONS MIN SEPTIC TANK CAPACITY WITH DIST BOX GAL 750 DRAIN FIELD REQUIRED lIN FT 150 TRENCH WIDTH FT 3DI!:PTH OR SQ FT 3GO STAY 100' ll'~O~ \1CLL ~lr~ ALL PAnTO OV SOE: TYPE OF STRUCTURE OCCUPANCY lONE PUBLIC UTIL EASEMENT t-~~ I BLDG SETBACKS FT FROM CTR OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT 45' SIDE INT 5' SIDE EXT REAR 5' .' AUTHORIZED SIGNATURE - DATE DATE Isl J. ' , &oss QV r. HAROIlUGI'l S.t.oo~ DIHHTAlllAfl 6/* 1'3 BLDG PERMIT ~ WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLDENROD IMPORTANT Call 687-4065 to schedule all reqUired inspectIOns All construc- tion shall comply with Uniform Budding Code, D E Q standards for subsurface sewage dIsposal and county regulatIons covering pl.Jmbmg All buildings requIre a certIficate of occupancy before being occup,ed (See Detads 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 "- " \ . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED 17 01SAPPROVEO / / DATE INSPECTOR REMARKS .... GAS PIPING GROUNDWORK ApPROVED 17 DISAPPROVED 17 DATE INSPECTOR REMARKS ROUGH PLUMB I NG ApPROVED / / DISAPPROVED 17 DATE INSPECTOR REMARKS ROUGH GAS PIPING ApPROVED ~ 01 SAPPROVED ~ DATE INSPECTOR REMARK 5 FINAL PLUMBING REMARKS DISAPPROVED ~ DATE_9'-.J ,/-), INSP(CTO~~ (/ - ApPROVED .!l(?:J FINAL GAS PIPING ApPROVED ~ DISAPPROVED I / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO lSSUE 17 NOT READY TO ISSUE / / DATE INSPECTOR REMARKS . .. ,- PROPOSl ,EWAGE OISPOSAL SYSTEM RECORO , " ~". INSTALLER: Complete top part of form to sIgnature and submIt both copies with applicatian. . . PERMIT NO. MH 125-75 INSTALLER'S NAME PROPERTY AUURESS SHOOK TB'O SOP rf5J. fi.A N No. LIvIng UnIts Bedrooms Baths HARBOR Basement Yes No DRIVE Water Supply PubllcV Other-LIst Septic Tank: Ft. from well Inside Len9th OWNER NAME DImensions. WIdth Steel D Ft. Diameter Concrete ~ No. Compartments Gal. Capacity /()(j() Depth Tile DIsposal FIeld. Distribution Box: Yes ~ No Other DIstrIbution-Type RRIJCr~FIF"Tr:HrR ~PPlh~~I~1 n npr~~l Length of Lines-Ft. ] Trench 5020503,fo4. 5. 6. Width.l. 'lot Plan (see InstructIons): Total Sq. Ft.5oo Feet from WEll Foundation Lot LIne Front I 0 Side I 0 1Ft, Betwee.n IFlllerl IFilier Depth LInes / f)-J I Tvpe I---?. Above Ti I e1- Rear IFi Iler Below InJrl1e t, In. MAILING ADDRESS 7Rn \.J'~T M / e~ , , , ~ \ Lo1 '17 '1" IS if / QS c:J <:> J;:J .so D ;::r · lJvf><T'if - -< :r ctJR9 oX '" - .-. , Date ,JUt-V sr -"7,'7 SI9nature .,./f'4.-{~uN A.........,-:t,;;7'~ / CERTIFICATE OF SATISFACTORY COMPLETION. I t1 hl//! For Sanitarian Use Only: Date: / 1,17, 7~ In accordance with 1973 Oregon Laws Chapter 835, SectIon 214 thIs certIfIcate IS issued as eVIdence of satisfactory completion of a subsurface sewage disposal system at the above locat ion. ~Approved: System Installation conforms to current standards r==J DIsapproved: Does not conform to current standards Remarks' STATE OF OREGON DEPARTMENT OF f\ \J\~k ~arianls Signature AN COUNTY ENVIRONME AL QUALITY C55-11 ~ p~-~~ /"'~ PERMITtfI11-!-?2S75 . . NOTE NO PERMl /ILL BE ISSUED UNTIL THIS APPLI, <1O"S BEEN APPROVED ~ APPLICATION FOR CONSTRUCTION c=J MOBILE HOME c:a- PLAN REVnW r=J CHMGE OF OCCUPANCY C=:J ~Aau- ;::It:-kAl'..e.. 1rfo tt'~~/f.Ji- ..;;f,R/J14J1dd 97-171' CJ CONTRACTOR F~L~~~:: ~~7~; fk- :-~2:!1/l) OS R1G II ACCESS TO PROPERTY (Road Name) Twp J f Range iJ Sectwn II Tax Lot SubdiviS10n J-2k7~/p. ~tf Lot ';'1 /ld.,(2~ .:#~ dol)t; Code Census Tract 17-/<[-b Block 3 Property Acreage Width______Depth Exist~ng Structures on Property Property Location - Address/Dnections h/~eif a~ ~/.,#17YJ - ~~ 2 .d- ..PI- h ~ ~/L/~ hddU ~<?()(,.., b ffc,.,-h7)"- t7v Dr-r\~ / 'v B.elow fo r Of f lC e Us e OnI yXXXXXXXXXXXXXXXXnXXXXX1.XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX~XlXXXXXXXXXXXXXXXXXXXXXXXXXXX1. }./{ ++- -t~DS Sq Ft liB~~) / / / Valuation / / SEWAGE DISPOSAL Site Inspection # WATER SUPPLY Well -, Spn.ng EXlstlng Sewage Dlsposal System r=J PubllC ~ Other CommunJ.ty [==:J or NeC~System Required"-t:::::::! o~unlty or Public System - Bldg Waste Disp Plumbing Plan ReVlew t:=)Q. - l/. -- i~~~NrG1ib ~er [==:J PLUMBI ( F It of Flxtures Jf 4- ~ <.- FEES Sewage Connection ~ Water Connectl.on <.. Mobile Home 1% Surcharge & ---;- ,nl/ TOTAL / ~'/Oy f - pANS FU/ED ~S c:=J Sl.gnature of Fee Recel.ved By FACILITY PERMIT Min Septic Tank Capacity ~/~ Drainfield Requl.red - Ll.neal Feet J <;:D ~c:=J NO ~~---1 Date -I.. -1/- 75 Maxl.mum Depth ~ Type of Constructl.on /'itt: Group / Fire Zone Use Classl.ficatl.on B1dg Setbacks - from Center of Road Right of Way A,-{ ~, Front ~ Side Int;;::) Sl.':~ :.::;..~~..~..... Rear r--.:c,_ ~ Zone eA--M \~ PI1NNJ;ll!i,- ~ e'lnh< r .. DATE ~TION DEQk~~N-; / I DAtE. ___ j ,AUILDIN9! ///. DATE (4/23111 /f/Y.JO-UM,0f h ~~ 6--75 I ,.{ . I ENVIRONMENTAuVMANAGEMENT C55 12 LANE COUNTY OF