HomeMy WebLinkAboutPermit Building 1975-1-14
I..ei~(~(/"
. . - - ,,-. '"i"" .~. ';- /-,
,,'
" .
, :-:0-
"
LANE CO\..,
BUILDING c!JX
Y BUILDING PERMIT OR MOBILE
MH D
MAILING ADDRESS
1065 DEl:ROSE DRIVE
MAILING ADDRESS
'''AE USE PERMIT
J PERMIT NO.
3/- 7,r
31-75.
.. PRC1PERn OWNER,
SAMUEL,E LEFFLER
CONTRACTOR
SAME
PROPERTY LOCATION - INCLUDE POST OFFICE
1065 HAYDEN BRIDGE ROAD
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
~ 2ND ADDITION NDRT~100D
PHONE
SPRINGFIELD OREGON 746-7436
PHONE
"
EST.ATES
LOT 12
BLOCK 3
CODE
19..-04
EXtSTING STRUCTURES ON PROPERTY
DwELLING STORAGE BUILDING
LEGAL ACCESS TO PROPERTY
OELROSE
CENSUS TRACT
TWP RANGE SECTION
17 3 23.4.4
APPl. .,.
NAME SAMUEL E LE-FF'LER
"
& 106, Dn ROS E DRIVE
MAILING
TAX LOT NO.
4700
PROPERTY SIZE - FT.
ADDRESS SPR I NGF' I ELD OREGON
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
.wrOTH
DEPTH
AREA
CONVERT GARAGE TO LIVING AREA'
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :# BDRMS
650 SQ.F'T. @ 10.80
New System D
VALUATION
~7020. 00
'.
',~.t'11" .~T:-O;-;~;f'"
SEWAGE DISPOSAL
PUBLIC 0 NA'SEPTlC TANK O'
BUILDING <t
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PAR:r-TRAllER
'I"SURCHARGE
OTHERD
lflf.oo .
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY 1
PUBLIC D D OTHER
~
q.oo
TOTAL
8,
$~ 'l'I,,'i,
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH 01$1. BOX: GAl.
~RAIN FIELD REQUIRED
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
-
'.
,
TYPE OF STRUCTURE
. '5N
BLDG. SETBACKS __ FT. FROM eTR. OF ROAD RIGHT OF WAY
. OCCUPANCY
lONE
PUBLIC UTIl. EASEMENT
USE CLASSJFICA liON
fRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
/S/ J. Eo Boss BY Co l-IARBAUGH\
JOHN SHOOK/SANI TAR I AN
DATE
1/14/7'5
DL
,',
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD'
. , \
., .
.,
Call 687.4065 to schedule all required inspections, All canstruc.
tian shall comply with Uniform Building Code, D.E,Q. standards
IMPORTANT: for subsurface s-ewage disposal and county regulations covering
plumbing., All buildings require a certificate of occupancy before
being occupied..
(See Details on Reverse Side)
'i,
FOR.\\ == esse 13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
. LANE COUNTY, DEPT. OF. ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, E~GENE, OREGON 97401
.
, 10 wR.., 1-9'7r jS}L '.L
SITE EVALUAT iON ,- ..:..:J. 'II rr
.5/:. 7-<:'
BU KD iilG
,
( }
( )
BUILDING PERMIT APPLICATION NO.
,
SITE INSPECTION'
\
. PLANNING DIViSioN
Not
Applicable
( )
( )
( )
( ),
( )
I.
2.
3.
4.
5.
Zoning Ordinance Compliance: Zone
Subdivision Ordinance Compliance
Required Access
Bu)lding Site (Area, Width, Frontag~)
Other. (see 'comments) .
COMMENTS: .
'-; ...
T /7 _R D5 s2 3. Y.~T~X LOT 'VlotJ
SUBD I. .:d ON:
'LOT: BLOCK:
L&#r
i-Cj~ 7':::::'
APPL I CANT
DATE
-
No. Yes
T'-J TI. 6.
( ) ( )
( ) ( )
( ) ( )
( ) ( )
CK'D BY:
Setbacks from cll of road:
" Front
Side Exteri or ,
Setbacks' from 'i nter i or 1 i nes:
Side
Rear'
i
BUILDING .INSPECjION DIVISION
PLANNING DIVISION ACTION PENDING: YESl } NOl } APPLICATION#
Not
App Ilcab Ie' No Ye.s
( }l)11)
(~).., ,'~( ) ( )
~(>. () ( )
,n () ( )
TO APPL rCANT: ..
. Your Bu i1 d i.ng f. S.i te I n'spect ion: .
~ M Can be' approved. '. ' '
\?:r'? () C'annot be approved at this time as indicated on .item NO. above.
,.... Q 0 Questions and further information on items I through 6 contact the LANE-
D.\' COUNTY'PLANNI'NG DIVISION. Questions and further:- information on items 7
through 12 contact',the LANE COUNTY BUILDING AND SANITATION DIVISION.
.( ) Wi 11- be held in this office unti 1 you can resolv~ the problems indicated.
. ( ) Is being retu'rned.. .' '. .
( ) Your building -permit appl iCi!!_l2!,_fe<::...j_~!?eing r~tur_~.~d under separ.;lte cover,
DEPARTMENT OF ENVIRONMENTAL MANAGt:.i'lt:.N'f
i35 Sixth Avenue East Eugene Oregon,97401
PHONE: 687-4065 '.
LANE COUNTY PLANNING DIVISION PH~NE: 687-4186.
,
7. Plans Submitted
8. Soil Stability (footi.ngs)
9.' Flood Plain
10. Other' (see cOf11!11ehts)
'COMMENTS:
" '
WATER POlUTION CONTROL
Not
App I i Cilb'l e
( )
()
11~ Meets Depar.tment of Environmental
,Qual ity Standards.. '
12. Other (see'comments)-
COMMENTS:
,
\ ,_.
'.
'.
'C55-28
CK'D
,
Bv.tfl15r~~H~-/7; 07'1,'
\ l DATE
"
,
No 'Yes
T) TI
( ) ( )
OK" .y~
I/ct/Z\
DATE '
, .
'''1<- '__"r__.-'...,-,.--
.,....... '-"".;-,- ~,-,,-."
'fC'- ,."
- ._'--:~'/ .,',~
USE PERMIT ~
31.'15 - ,
PERMIT NO.
;
-,
"'"
,
.
.1
"
LANE t. .JNTY
BUILDING ~X
BUILDING PERMIT OR MOBil rlOME
MH [l
MAILING ADDRESS
t06-) Ot:LROl>1l I)Il'JE
MAILING ADDRESS
PHONE
SPaIHGFltLO ~EQOH 74€-74J(
PHONE
PROPERTY OWNE~
SANIIEL .. LEl'rl.tll
CONTRACTOR
SAil(
PROPERTY LOCATION -INCLUDE POST-OFFICE
.,... ...', ..
100} HA\"CItN U/lllX".t ReAlf
. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
fr ZIlt) flGl)! TIIJH ~RTIfitOOD EnATls
l.eT 12
&OC:K 3
CODE
19-04
CENSUS TRACT
~ , TWP RANGE SECTION
"( 3 23.4.4
APPl.
NAME SAMUfL C l.lrn.(ft
& I06501I.~OU DRIVE
TAX LOT NO,
11700
EXISTING STRUCTURES ON PROPERTY
DweLl.ING STOft..t &uILOINQ
LEGAL ACCESS TO PROPERTY
OIL 110'.
MAILING
PROPERTY ~IZE - FT.
ADDRESS SPOil t 1111' It LO ~E:c.o..
FOR MOBILE HOME PERMITS ONLY
I No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
i tAn\llllT GAUGe TO LIVll/ll AltlA
.~
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT, I: BDRMS
650 lIQ.,-i. . 10.&1
New System D
VALUATtON
.?Oal. ()'l
"
~ ,
\ ~"""',
"
,
\
. fSEWAGE DISPOSAL
. t ~ PUBLIC 0 M..SEPTlC TANK 0
J BUILDING <t
, ,
WASTE- DISPOSAL
i ~LUMBING
PLAN REVIEW
PARK, TRAILER
""SUltCHUOI
OJ HERD
'I4t . Ul)
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
.'
_! I
,.00
I
TOTAL
I
1 MIN. SEPTIC TANK CAPACITY
"
~ WITH DIST. BOX, GAl.
.
.)3
'3.'3
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
UN. FT TRENCH WIDTH FT.
OR SQ. FT.
1
I
I
I
"1
r
I
'0.
........)::::i
~~ ," ,',
- \ ~. 'Ni
"
'I,
.1
TYPE OF STRUCTURE
')"l
"
I
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
.,': 1,/ J. L. Boas .v C. I1ARIlAUQH
USE ClASSIFICATION
..
REAR
JoHN SIlO"!U"IT~fll.1t .
DATE
1!lV75
,
, ,
'!ll-
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION -.GOLDENROD
IMPORTANT:
"
Cdll 687.4065 to schedule all required inspections, All construe..
tion\shall comply with,.Uniform Building Code, D,E,Q. standards;
for_sLbS'yrJ'Oc:e~ se~cige '~isposal and county regulations covering__"
plumhing. All buildin"gs- require a certificate of occupancy before;
being occupied',
. (See Deta\ls on Reverse Side),'"
FOR.M -= C55.13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT: OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th,. EUGENE,' OREGON 97401
j
~
I
~.
S!TE INSPECTION
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED /
/ DISAPPROVED / / DATE
.f42~N
-/ .
REMARKS
INSPECTOR
INSPECTOR
,
~
~ . '7 .~ 0
ApPRDVED 17 DATE .)--/ r- -II. INSPECTOR~
REMARKS ;''.K, P~,~,';lCl-IfJte
, LATH OR SHEETROCK INSPECTION
ApPROVED;----? DISAPPROVED L----/ DATE
REMARKS
FINAL INSPECTI~
ApPROVED lZ7 01 SAPPROVED / / DATE tI- '2.7.)
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE ~ DATE
REMARKS ~'
;' ~-.} i
I /:r"- ,: -, .~,I/f _ J' .,' /
.I 1.,.(;.:///1 :>": ,~,:'
;.,
/II ,,/~,
j()bO" ~
.,.....,,. -'/,....
_/) ,.., ,", 'J
" t ,...
'T..;1 <,I,..
I'-.tt/K-/n,,',,'
,;'/./ .
INSPECTOR
INSPECTOR
t
INSPECTOR
J... ":. r':: i'" /{' :c
- ~'iT- '~""-"~f'- -.. r-:,,--,'___n~~',--,,,_,;~_,,,,,,_.,,,,,,,"'7""-'_--;- ,. ',- ~
"
LANE COt>
tI\f
BUILDING ~"
'( BUILDING PERMIT OR MOBILE
MH D
MAILING ADDRESS
I~-' {}:;LGO;:;!,: C:ll VI:
MAILING ADDRESS
''AE USE PERMIT
PERMIT NO,
.':"/- )j-
3i~7j
'!':.. '~
PROPERW OWNER
6L1~il:l. Ii: Lll,"vl.Et'l
CONTRACTOR
51\elZ
PROPERTY LOCATION -INCLUDE POST OffiCE
10&;; HATo:tll B."lI~~Ra1lD
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
~ 2ND AgOITIQN Woav~ooo E5TAT~8
PHONE
SPRI~:vltLO ORCQOtl 7~743~'
PHONE
',.I.I....'../:r..
l.OT 12 ELOC(~ 3
TWP
RANGE
17
3
SECTION
23.4.4
T AX LOT NO.
4700
CODE
19-M
CENSUS TRACT
105~ OtLROCF. DRIVe
EXISTING STRUCTURES ON PROPERTY
~aLLING SvcnL\G~ GuI~DI~O
LEGAL ACCESS TO PROPERTY
D:!LQOllE
APPl.
NAME
&
SLlt;lUl!L E L~r"LlIn
MAILING
PROPERTY SIZE - FT.
....
ADDRESS SPll tr.:O\' II!:LO O:1Il:COtJ
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
CO~"ERV GAllACll TO LIVI~O ~aca
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;:; BDRMS
650 GO.vv. e 10.80
New System D
VALUATION
Ciozo . r.r.
SEWAGE DISPOSAL
PUBLIC 0 NA SEP.T1C TANK 0
BUILDING .ot
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
l))(lCflCl1t1llGIt
PLUMBING INSTAllED BY
OTHERD
tlLl.OO
fEES
OWNER 0 OTHER: NAME
WATER SUPPLY
j
o OTHER
PUBLIC 0
9.00
TOTAl
,
.'5'i
5'i8i
COUNTY BUILDING & SANITATION SPECIFICATIONS
DR~IN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH OIST. BOX: GAl.
UN. FT
TRENCH WIDTH FT.
~(
\'
OR SQ. FT.
/
TYPE OF STRUCTURE
SN
BLDG. SETBACKS._ FT. FROM CTR. OF ROAD RIGHT OF WAY
OCCUPANCY
ZONE
PUBLIC UTIl. EASEMENT
USE ClASSIFICATION
FRONT SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/0/ J. E. Bosc OV C. HAQOAUGU
REAR
Jowu StlCOr./oAell'l'AFlIAtl
DATE
9/113/7'3
Ol.
BLDG. PERMIT - WH liE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PlUMBING - CANARy
BUIlDING - GREEN
SANITATION -.GOlDENROD
Call 687.4065 to schedule all required inspections. All construe.
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
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED ;---? DISAPPROVED ~ DATE
REMARKS
GAS PIPING GROUNDWORK
ApPROVED / "j DISAPPROVED ;---? DATE
REMARK 5
ROUGH PLUMBING,
.
INSPECTOR
. INSPECTOR
ApPROVED
~ ,DISAPPR9VE~
~
DATU~/:l.~2~~
'INSP~~/
. 'f/ i
REMARKS
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED .~ DATE
REMARKS
"
FINAL PLUMBING
ApPROVED K:J 01 SAPPRDVED ~. DAT.E~
REMARKS
/1/0 r
(" ~ VIA .4 I~,L "t!'
/
,4:i?t!c::
- ---
-
FINAL GAS PIPING
ApPROVED ~ DISAPPROVED / / DATE
REMARK 5
CERTIFICATE OF OCCUPANCY
I NS~ECTOR
-J 0 -' /1',1 N~P[CTOR~~
'<~ 2"'"' 7'" ,'!CL/
.J - / - 4". --~-p-' ~'"
INSPECTOR
READY TO ISSUE ;---? NOT READY TO ISSUE / / DATE
REMARK 5
INSPECTOR
/ 'e<<!(,fJ;t: wkiV e~tfy. .,.,.
" "NOTE: NO'.PERMI~ ~L BE,ISSUED UNTIL'TH,is 'APPLICA
:
CONSTRUCTI(lN . c:::=J
, .
... ~>
;,
"
,3/ - ?5
PERMI T ift
'N HAS .BEEN" APPROVED
't
~:~:' .
,.'
APPLICATION C FOR:'
'-MO'BILE ,HOME .:c::::J
-... -
'- . ..
iCl'w,~GE OF'.O~,CVPANCY c::::J
PLAN REVIEW' c::::J '
, .
t22l. O~E~~( F J..~-f-flefr' !tJ&5> De{'vo~ePv" ~-?YI;~c;{;elc/'97q.?7
. . '.' " ,". Name. . "." '. Address '. .tC:ity.<~t/. .'Z1.P.'
, ..~, . .
c::::J' CqNTRACTOR
TwP..:,) 7 Range . '-:2, . ~e'ction' ~3~.'1~'fra~ ~ot
..' .Sea,wl IlJd/fii"" 1V~I':t/,":_A.Jor;;,t'$.r/ .2
SubdlvislOn " . ~
.ACCESS TO PROPE~TY (Road Name) J) pi;'';; <: e. by,
." Existing Struct1.!~~S on"Prop~rty:.-. ',', a yip.
., /005
'eiJ. '.
Property Location - Aadress/Directions:
Jll1!j'iJ~' g~7cP~t) ,
~ ~, .
blame
O.S. REG. II
7:1'-(, 7<1-3 G.
Ph<?oe
Address'
~ity' .
:: Zip
Phone
;., .
. ,...
,
--.' ,-. /
if, 706
Block . :~
C;de /'7 - (; i;- .
Census Trac.t
Width~Depth ~;r
'Proper.ty_ Acreage
. cIe'
$rdfc...t-I.:l'"
Pe) e.d: e.
gljJ~
'f7e-711e /
.j'..
, ,
'l'
oP'1=
/
/
Below fo r, Of f ic e' Use Onl yXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXx.:OCXXXXXXXXXXXXXXXXXXXXX
., ~q~r;~p' ; >-"....'7",L'!lf',e;.O~.:.I.D./cr--.. Val~at,!;~..,...,.~
C-o-""~Jeer Qa.tULN..p:,~ C;:;:., )..'U'Ai Hr.<-'-r .. ~IP r... Ii'-' /C/"'-U
G,...
!
'"
SEWAGE DISPOSAL,
Site Inspection #
iv/it,
Wf'TER SUPPLY:
Well
Spring-_~ _
"~ l.
"FEES.,
Bldg.
~ ';Wa~te Disp.
. PIU1!lbing
,PI,an Review
Mobile Home
1% Surchcirge
'i-fi-f
,C{'
Q.
'" ; 5'.3
TOTAL' .
'-f.s.s~55
MiiL: ~eptic: Tank Capacity,
Type of Construction ".
./tJ/ ,
. ,.~,
Other
,
Water
Connection
Existi~g Sewage Dispo~al Syst~m, c=:=:J
Pub li c . c::::::J
C9mDlunity 'c=J,
.or'New,System Re'qutred d
Community or Public Sys~em
<
PLUM.Jl}NG :'
..Installed by;. Owner c=J
Other
Name
PL~ING FEES:
" $'
It of Fi:xtures' .
Sewa,ge'
C.onruk tion
'" .
",-
./
P.jNS FURN,ISHED' '.' . FA~ILITY PERMIT
,~, "c=J NO .r=], Y,ES ..~
;, /Si~natUie:~f A~plicant: <:~~~,jJe.'iC'--/~;'" .
" :fee Received By" ..-r; Date:..!1-~-:; '75
..l~ ' . . -.' .
<'Dfainfie\d',ReQUirei- Lineal Feet "Maximum Depth
\ 'j
l/.
~ir~ Z6ne'
- <;;, -;.>- ~
[==:] CASH
~EC~
GFriuP~1
'~~e' Class~fication
,-
Bldg _ Setbacks
'f~om' ce~te~.~~ .- R?,~'d~'Ri'ght::6:,- W~y:'
Side Int.'.. ';;Side Exterior
Zone'
f!,2nt
~.
PlANNING:
DATE:
C55,- \2
LANE
. ";-~'
, '
,
. Rear
"
, ;.~\~ION: '1!~/7~', k:;Y;;G:rP/;~/J~T};(
COUNTY' ~.j-AR~ENT OF 'E~IRONMENT{ ~NAGF;lE;( " . . .