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Home My WebLink AboutPermit Building 1973-03-05IANE COIINTY BUITDING PERMIT OR MOBtl' 'OME USE APPTTCATION MAITING ADDRESS o PRO P PROPERTY LEGAL DESCRIPTION LOT-BLOCK-SUBDIV. TWP RANGE PERMITTYPE-B rtNG LocA'TION _ INCIUDE POST OFFICE MOBILE HOME MAITING ADDRESS TAX I,OT PERMIT 3r'.2- PHONE PHONE METES&BOUNDSIYES)ATTACHED CODE CENSUS TRACTa ,tD DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY NO SEC "'%-*t'2 APPI.ICANT NAME AND MAITING ADDRESS NAME oR # PROPERTY SIZE_V/IDTH DEPTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to isting Sewoge m or New System STRU PLUMBING INSTALTED BY OWNER OTHER PTANS FURNISHED YES NO &ED €v 5.s- OR SQUARE TEET VAI.UATION 3 77r rsPosAt PUBI"IC BTDG. WASTE DIS. PTUMBING PI.AN REVIEW PARK TRI.R. TOTAL MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. TANK FEES cAsH E CHECK OTHER tr WATER SUPPTY PUBTIC PTUMBI IT OTHER DATE a-7 3 -4-..23 DATE PUBI.IC WATER CONNECTION FEE COUNTY BUILDING & SANITATION IFICATIONS DRAIN FIETD REQUI TIN, FT.HWt FT b TO BE THIS PERMIT TYPE SQ. FTON TYPE OF STRUCTURE BIDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF OCCUPANCY NE REAR YARD PUBTIC UTII. EASEMENTIw\ USE CLASSIFICATION rnom ( IAN SIDE INT SIDE EXT. €REAR Dole BI.DG. INSP. Form # css-t2 ING Dqle reclions to Find Properly: COPY I - OFFICE COPY 2 -JOURNALCOPY 3 - AUDIT I-EGAI.TO PROPERTY ( BUITDING PERMITtAl.lE BUILDING o- MH MAIIING AD l690 s. ,rA,r,fd OR MOBIT - IOME USE PERMIT PERMIT NO.!, PROPERTY OWNER 7 CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCI.UDE POST OFFICE*+J*frvcrc-{r. /y'y'y' PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS t7 RANGE SECTI ttt, J,Z E;Z;CODE CENSUS TRACT 20-ED I 503 Jeckson C. Kcphert EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING ADDRESS 1690 S. rrAlr St. TEGAT ACCESS TO PROPERTY Vera Dr. Sprlnfflcld,0r.PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System ! New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION hrel I lng ll94@12 , ll+,328 Garagc-@l'led-att.508 @ 3.5 t.778 t6r l05 SEWAGE DISPOSAT PUBHC ! SEPTTC TANK !OTHERE PLUMBING INSTAILED BY OWNER E OTHER: NAME Jack Jackson BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAIIER (-60 ?0_0n $__ WATER SUPPTY PUBLTC n n oTHER FEES TOTAT couNTY BUTLDTNG & SANTTATTON qPECTFTCATTONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT.3 on so. rr. 4q0 TYPE OF STRUCTURE OCCUPANCY IEJ ZONE PUBTIC UTIT. EASEMENT R-l BTDG. SETBACKS FT. FROM CTR. OT ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT,SIDE EXT AUTHORIZED SIGNATURE _ DATE REAR DATE BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD Construclion to comply with uniform building covering plumbing ond sewoge disposol. All of occuponcy before being occupied. code ond county regulolions buildings require o certificote (See Stotement on Reverse Side) (POST THIS PERMIT ON MAIN BIDG. AT SITE) IANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronru * C55- 13 %,,*',lTY 1< PHONE N BU ILD ING S ITE E VALUAT ION Bu i lding permit Appl icat ion No. S ite lnspect ion Pre-Permit lnvest igat ion LANE COUN TY PLANN ING DEPART}4ENT r /7 CENSUS TAX LOT 4--21-4ALtc NAHE ADDR PHONE DATE NA}I E DATE () () NOT NO YES CO}I}1ENTS: BUILDING INSP ECTION SECTION 6. Plans Submitted 7. Soil Stabit ity (foorings) 8. Ftood Pl a in 9. 0ther (see Cornnents) COIlI-lENTS: () NOT NO YES appl icable(l_-( ) () () () () () () zoning ordinance compl iagce ry(Zone [/ -l ) subdivis ion ordinance ffif*;e ( ) ()F 2, 3. 4. 5. Requ i red Access Bu ild ing S ite (Area, Width, Frontage, Setback)0ther (see comments) () () () () () () ) NA},IE DATE () () ) ( / SAN ITAT I ON SECT l0N 10. Sewage Disposal I l. Usable Area 12. trlater Supply 13. 0ther (see Comments) COH}IENTS: NOT NO appl icable() YES w Vw () () () () () ) ) ( TO APPL ICANT: Your Building Permit / Site lnspectLqn.: t) can be approved . 3- 4-7S(ss I ( ) cannot be approved at this time as indicated on item No Quest ions and further COUNTY PLANNING DEPAR info THENT above rmation on items I through S c6iEEl-ilifLane-. Questions and further information on i6; 5 through 13 contact the LEne Count Buildin and S an i tat ion D iv is ion.( ) h/iil be held in this o( ) ls being returned. ce unt i I you can reso ve the problems i cated. ( ) Your {r-tging permit appl ication fee is being returned under separate cuver. t ^N[ COUNTY PLANN ING D llr, Sixtlt i\vt.ntt. l.ast, l'll()Nt ; 3,r?-llII t:X &*n*r0,1^ f ur1ent., 0\gonr. 2P | ),, LANE COUNTY BUlLDING S SANITATION DIVISION | 35 S ixt h Avenue Eas t , Eugene, 0 r'egon 97 40l PH0NE: 342- r 3 il EXT. 4l l 9740 I A- e-\{ 3<a-Jg R -- ,//, NAHE DATE t JaLe No. PERM IT IN THE BOARD OF SOUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached appllcation has been fully considered by the Board ofCounty Commissioners of Lane County, and it is the oprnion and judgment of the Boardthat the said application should be granted, and that a permit shouid be issued, now,therel'ore, it is hereby ORDERED, that a permit be and is hereby issued to and constructing of the following facility: for the placing, building upon the right-of-way of County Road No. --- -, , in strict conformity to the exhiblts attached thereto, and subject to all terms, conditions, agreements, stipulatrons and pro-visions contained in the application and permit, the Rules and Regulations GoverningFacilities to be Permitted upon County Road Rights-of-Way, dated March 31, 1g60 and any amendments thereto, and any other applicable regulation, law or ordinance. Special Provisions This permit is revocable at any time, and wiII be strictly adhered to and no work other than that specifically mentioned above is hereby authorized. This permit shall be void unless the work herein contemplated shall have been completed before Inspected and Approved , 19-. Expires , 19_. Approved by Board of Commissioners By Date By- WHITE . OFFICE FILE GREEN . RESIDENT ENGINEER PINK . PERMITTEE ORANGE BLUE - ROAD SUPERVISOR YELLOW Director of Public Works BUILDING & SANITATION DEPT SURVEYOR c98- s2 Date- APPLIGATION FOR FAGILITY PERMIT IN THE BOARD C)F SOUNTY COMMISSIONERS OF T.ANE COUNTY Your applicant, , hereby makes application under Rules and Regulations Governing Facilities to be Per- mitted Upon County Road Rights-of-Way, to construct the following facility: Upon the right-of-way of County Road No., at the follorruing location: as shourn on the exhibits which are attached hereto, in strict conformity to"the state- ments of the exact nature and amount of work to be done, and to the description of the facilities contained in said exhibits. Your applicant will be the beneficial ornrner of the facility as constructed, or otherwise primarily liable and responsible to men$ers of the public for its proper maintenance, repair, operation and use. Your applicant accepts all terms, conditions, agreemelts, stipulations and provisions, in Rules and Regulations Governing Facilities to be Permitted Upon County Road Rights-of-Way, dated March 31, 1960, and any amendments thereto, and any other applicable regulation, law or ordinance. Signature WHITE . OFFICE FILE GBEEN . RESIOENT ENGINEER PINK . PERMITTEE BLUE. FOAD SUPERVISOR ORANGE. BUILDING AND SANITATION DEPT. YELLO{V . SUBVEYOB Address Phone No. (-----sy'd H EATTH AUTHORITY APPROVAT INDIVIDUAT WATER SUPPLY AND SEWAGE DISPOSAT IT form Approvld ludgot Duroou No: 63-R296.8 EMSYST U. S. DEPARTMENT OF HOUSING AND URBAN DEVEI FEDERAL HOUSING ADMINISTRATION FHA Form 2173lcv. July 1958 BITTED DATE ART I.-TO BE CO'IIPLETED BY FHA APR :i rr 1973 \No rxirjiiiuoh --re;Sprilg4eLd, Oregon First Natlonal Bank of Oregon A.IORTGAGEE DFPT sERrAl. No. I MOITGAGOR OR SPONSOF Kephart Builders Andrew A. 0de11 , purchaser PROPETIY AODRESS +445-'Vcra-'tr'rtve ngffeld, Oregon 97477 /y'//)2,u4; Sprl SUIOIVISION NAME Vera Delle ltocK NO. 2 toT No. 6 rotAl NUtltt: TIVING UNIY3 ltDtoorl IAIXS E^SE^AENI L 3 2 fl ve' E *" x New installation Ccn olllc o: othor oroo bo modo lntooddltlonol bodr.oornr? ! v.' fJ *o (ll Yo4 how mony?) SYs?:T D:slGNrD ?OT[f e"utic sysrem [-l c-o--uniry system n tndiuidual WAIII tUPPlY IY: xo. ot tDtrs-G TCAOC Ot3zos^t [-l c-o-m.rnity sysrem l-Tl lndtvidual Ev.' I*o 5-8-73 DATE PART II.-?O BE COiIPTETED BY HEALTH DEPARTTIENT HE^I.TH oGI^RTMENT tNspEcroR's sKErcH B . P. - 342-73 xIt is the opinion of the n s,",.County ! Local Department of Health that this individual sewage-disposal sys- tem with proper rnaintenance: I Can be expected to function satisfactorily, and is not likely to create an insanitary condition ! Cannot be expected to function satisfactorily rs not SIGNATURE TITTE RICHARD A. KIRBY, R.S.SUPERVIS ING SANITARlAN NOIC: ?hc hcolth outhorlty rhould complrtc lh. oppToprl.lo opinlon 3tot.m.nt obovc ond oftir dotc, slgnoturc 6nd tltic in th. rpoccr providcd. Ut. of tho abovc grld for Hcohh D.poilm.nt lnrpcctor'r 3k.tch or wcl! or urc of lhc bock ol thir lorm ir ot thc optlon ol tha hoolltr outhorlty. PART III.-FOR USE Or FHA O;FICE IO Tru CHIIT UNDCRWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the Individual water-supply system be considered E Acceptable I Not Acceptable Sewage disposal be considered E Acceptable fl u"t Acceptable. n cxrr ARcH,rEcr I oerurv FoR cH,EF ARcH,rEcr SIGNATUREDATE otllY a!.FHA Iorm 2t73 lov. July 1958IXDTVIDUAT WA?tt 3UPP]Y AiID SEWAOI DISPOSAL SYSIEM 3lSlAOl DISFOIAI tYr ! euui. system REPORT OT INSPECTION-INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PIIilAIY flSAfmtNI cansists ()f d SePtic tank. f] Cessgxrl. 3.ptlc fonk: Distance from well,-feet. Material,Concrete Numbcr of compartmen,, I Total liquid capaciry I 000 gallons. Capacity inlet compartrnent,-gallons. Inside length,-8 f".t. lnside *i.lth. 5 f'eer. Liquir.l depth, 5 feet. Corepoo!: Disunce fr,m: Well, feet; f<rundation,--feet; nearest lot line at I front, I side, I rear,-_-fect. Inside rliameter,--...-fect. Depth,-feet. Liquid capacity,-gallons. Lining material StcONDAry rtIAttf,NI consisrs of fll Tile disposal tield fl Seepage pits. ()ther flb Dlrporol fbld: Distance from: Vcll, feet; fountlarion;-feet; nearest lot line at I front, I side, f, rear,--fect. Toel lengh .6 ,;1. 1;n"s, 150 fe.t- Number of lines,--- ?- - f)istance between lines,R Trench wi.lth, 36 -inches. Total effective absorption area in bottom of trenches,---450--square feet. Irngth of cach line 85-65 feet. Depth, top of tile to finish grade,-inches. Other--TyJre of tilter material: S tirauel. Depth of filter material beneath t I Broken stone. 6ilc inches. Depth of filter material se61 1itq. 2 inches. 3eopogo Phr: Numbcr of pits--. . Outside diameter,-feet- Depth'feet. Lining material - Distance from: Well,----feeti buikling foundation,-feet; nearest lot line at 0 front, ! side, I reat,-feet' lnrprctlon modc by: fl State. I G>unty fl Local Health Authoriry. John Cruickshank R. S.lnspected by Date of inspettirxt 5-3-7 Sanltarlant9_(rtrLE) REPORT OT INSPECTION-INDIVIDUAL WATER-SUPPIY SYSTE'N Distance to ncarest public water main,---feet. Size of main,-inches. tnrlivi.lual wells ! arc I are n()t custotnary in neighborhcxxJ. Give most recent retord of failure of wclls in immediate vrcinity to furnish adequate supply of watet properties in neighbgrhrrxJ ! are ! are not being developed with both individual water-supply and sewage-disposal systems. Lgt size:-feet wide,-_----feet deep. Dwelling set back from front property line tnrlividual water supply tiom: I Drillcd well. fl f)riven well. I Dug well. f] Bored well. Dl3toDG. ol woll lrom: Building foundation,nearest lot line at fl front, ! side, I rear casr iron sewer,---feet; rile sewer,--fbet; septic tank,-feet; disposal 6eld,.-_- s€epage pit,-feet; cesspool,-feet; other sources of possible pollution,-ieet. Woll conrtrucilon: Diameter,-inches. Total dePth,Type of casing,-- Depth of casing, -feet Approximate depth to pumping level of water in feet. Approximate yield, -gallons per minute. Sealed watenight to depth of (eet Exterior space around casing sealed with: ! Cement grout. I hrddled clay. I Ordinary back6ll. \flell cover: I C.oocrete. fl t!g"od. I Maal. Openings in well cover watertight: I Yes. E N.. pump: f] Shallow wcll. I Deep well. Lengh of drop pipe,-feet. Pump capacity,---.gallons per minute. lncated in: I Basement. ! Pumproom off basement. ! Pumphouse above ground. I Rrmp pit' h,rmproom properly drained: o Yes. E No. h-rmp mountinS watenight: 0 Yes. o N.r. Type of storaSe: I Pressurc. I Graviry. Capacity,-gallons' Has bacteriological examination of water bcen made? [ Yes. D No. tf answer is "yes," Sive date-' 19- Quality of water E is D is not satisfactory for human consumPtion' tnstallation ! does ! does not comPly with approved exhibits, if any' Inspection madc by: ! State. ! County. ! L<xal Health Authoriry' Inspected bY Date of inspection 9.(rrrLE ) feet, feet; GPO a78 471 LANE ( ;NTY BUTLDTNG fl BUILDING MHE PERMIT OR MOBI. HOME UsE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII-ING ADDRESS PHONE PROPE? TOCATTON - lNCl-uDE POST OFFICE PROPERTY LEGAT DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAII.ING ADDRESS LEGAT ACCESS TO PROPERTY PROPERIY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge System TYPE CONSTRUCTION SQ. FT New 'slem BDRMS VA LU ATION SEWAGE DISPOSAI. PUBr.rC E SEPTIC TANK tr OTHER- PTUMBING INSTATTED BY OWNER n OTHER: NAME FEES WATER SUPPTY PUBr.rc tr N OTHER BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAITER $ TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BTDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT, USE CLASSIFICATION REAR DATE BLDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY EUITDING - GREEN SANITATION - GOTDENROD Construclion to comply with unif orm building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THls pERMrr ON MAIN BI.DG. AT SITE) LANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu tg55-13 AUTHORIZED SIGNATURE _ DATE SLAB FLOOR PLUMB ING GROUND4'ORK AppRoveo REuanx s D Drsappnove, D DrrE I wspEcton GAS PIPING GROUND^/ORK Ap pnov r o Rruanxs D r slppRovrD Darr I rusprcron oore 4L La:7 I rusprcron ROUGH GAS PIPING AppRovro D. Drsappnoveo D REurnx s Dar e lr.rsprcron FINAL PLUMBING Appnovso N Drsrppnovro Rr uaRx s oortQ- 7a -2 1 I Nspeclon FINAL GAS PIPING AppRoveo REttanx s Drsappaovro Dare I Nspgcton CERTIFICATE OF OCCUPANCY Rraoy ro lssue Reurnxs ROUGH PLUMBING Appnovro ry DrsAppRovEo D ReuaRr s D D Nor Rraoy ro lssuE D Dare_lNspEcroR_ I.ANE BUILDI \ /NTY NG T] BUITDING PERMIT OR MHE MOBI._. HOME USE PERMTT PERMIT NO. c.l PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PRO PERTY I.OCATION - INCTUDE POST OFFICE PROPERTY LEGAT DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT APPI..EXISTING STRUCTURES ON PROPERTY NAME I-EGAI ACCESS TO PROPERTY& MAITING ADDRESS PROPERTY SIZE _ FT. WIDTH DEPTH AREAFOR MOBILE HOME No. of Bedrooms PERMITS ONLY STRUCTURES TO BE BUILT THIS PERMIT Connect to Existi Sewoge TYPE CONSTRUCTION New m B DRMS VALUATIONse. FT I l-+J u*l SEWAGE DISPOSAI PUBTIC N SEPTIC TANK OTHERE PLUMBING INSTATI.ED BY OWNER E OTHERT NArt E BUITDING WASTE DISPOSAI- PTUMBING PI.AN REVIEW PARK TRAILER TOTAI- $FEES WATER SUPPIY PUBLTC n tr oTHER $- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT. h ar I \\\i.N'"S".rdt \ \\l TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT,. SIDE EXT. USE CI.ASSIFICATION REAR 'TAUTHORIZED SIGNATURE - DATE DATE d BI.DG. PERMIT - WHITE OTFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING - CANARY BUITDING - GREEN SANITATION - GOTDENROD Construclion to comply with unif orm building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) TANE COUNTY. B!DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I FoRM =C55-13 a SITE INSPECTION Appnov E o Rettanx s I- DrsappRovro n Datr1, I HspecroR FOUNDATION INSPECTION APPROVED DI SAPPROVED D D*, L/_/ tr'rs I Nspecron Rrltanxs FRAMING INSPECTION APPRovEo l L{ DtsrPPnoveo Rrxanxs Dar E I NsPEc LATH OR SHEETROCK INSPECTION D Dr sapPRovr o FI DorE-I NSPEcToRAp pRov r o REt'trRx s FINAL INSPECTION Ap enov e o Reuanrs Dt A PPROV E O 0-L-7 0 I NsPEcroR tDare 1 CERTIFICATE OF OCCUPANCY ReaoY ro lssue RsMaRx s Not REaov to I ssue I NSPEcToR 3 ?J ///6 Dare ao-/do l,/ dru D