HomeMy WebLinkAboutPermit Building 1975-4-3
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LANE .NTY
BUILDIN ~
BUILDING PERMIT
MH D
MAILING ADDRESS
1690 SOUTH A
MAILING ADDRESS
OR MOBl8iOME USE PERMIT
. PERMIT NO.
rj 70 7S
670-7~
PHONE
-
PROPERT'...OWNER
J/:Clt ~;EPHART
CONTRACTOR
SPRINGrlELO OREGCN
PHONE
SAME
PROPERTY LOCATION - INCLUDE POST OffiCE
V.RA DELLE E~T. 1421 DEL ROSE SPR1NGrlELD
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
VERA DELLE'" 1. f'j -j A R /l'2t;.fr
SECTION
24.3.3
OREGON
J
TWP
RANGE
TAX LOT NO. -
CODE
CENSUS TRACT
17
3
1ft.rVM
20-Eol"i0
EXISTING STRUCTURES ON PROPERTY
APPl.
NAME
&
MAILING
ADDRESS SPR I NGr! [LD
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
JACK KEPHART
1690 SOUTH A
NONE
LEGAL ACCESS TO PROPERTY
1421 DEL ROSE
PROPERTY SIZE - FT.
OREGON
WIDTH
DEPTH
AREA
STRUCTURES TO BE 8UILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :I; BDRMS
New System D
VALUATION
Ow~LLING
MAIN
1545 @ 21.eo
$33, 631 .00
GARAGE
500 @ 5.30
2,6';0.00
36,331.00
SEWAGE DISPOSAL
PUBLIC 0 PR I OR SEPTIC TANK 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
I%SURCHARGE
IKiOTHERD
. I .W FEES
50.00
34.00
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
Ul2
. 2.. .!l2
COUNTY
BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST, BOX, GAL 900
DRAIN FIELD REQUIRED
L1N, fT 150
TRENCH WIDTH FT.
3"
OR SQ. FT.
j~,
TYPE OF STRUCTURE
5N
OCCUPANCY
I & J
ZONE
PUBLIC UTIl. EASEMENT
BlDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
';ONT 45' SIDE INT, 5' SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/sl J. E. B055 DY C. HARBAUGH
USE CLASSIFICATION
REAR
5'
DATE
JOHN SHOOK/sANITARIAN
4/8/7"i
DLM
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 6B7.4065 to schedule all required inspections. All construe.
tian shall comply with Uoiform 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, 13S EAST 6th. EUGENE, OREGON 97.01
BU;,:D INa,SJ~E EVALUAT ION.
lJ....r BUiLDING PERMIT APPLICATION NO.
() SITE INSPECTION
~7/cl~
6?t?-7S"
PLANNING DIVISION Not
.~pl icable
1. Zoning Ordinance Compliance: Zone~1'1 ()
2. Subdivision Ordinance Compliance ( )
3. Requ i red Access ' ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
T -.7 R 03 S 2-=1' TAX LOT
SiWrViSiON : ~ '
LOT: BLOCK:
K:~hoyT
APPL I CANT
DATE
No Yes
T)N 6.
( ) (o.t"
( ) H
( ) (t..r
( ) ( )
PLANNING DIVISION ACTION PENDING: YESl J NOl J APPLICATIONH
BUILDING INSPECTION DIVISION
Not
Appl icable
( )
( I)
( )
( )
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COI1l1ENTS:
WATER POLUTION CONTROL
Not
Applicable
( )
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No m
T')
( ) ( )
( ) ( )
( ) ( )
No 1el
T')
( ) ( !
CK'D B~~~~
Setbacks from cll of roa~;
Front ~,
S;j" :..._. :~.
Setbacks from Interior llnes:
Side 5'
Rear .s .
CK'D BY:tf1a~./L.lA-?-J.1~
..-r v '7'TE'
CK'D BY:
')./7C
DATE
TO APPLI CANT:
/1~' Your Building I Site Inspection:
f1~ \ h~' Can be approved.
~ /(~ Cannot be approved at this time as indicated on item NO. above.
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.
( ) Will be held in this office until you can resolve the problems indicated.
( ) Is being returned.
( ) Your buildin,! permit ap'pl ication fee is being ,~~~,u,,=-(l.~d un~seoar"te cover.
--DEPARTMENT OF tNVIRONMENTAL MANA~t~tNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
"
.
"+-'-
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LANE .,NTY
6UILDI~
BUILDING PERMIT OR MOBIAHOME USE PERMIT
MH 0 ,., PERMIT NO,
MAILING ADDRESS
It;:> ~;c;;'fH !'1 [;Piltt;(ll'lflO {)n!'G:J~
MAIliNG ADDRESS
670.-/<;
PHONE
V'
.'
PROPERTl'/O,WNER
JAGU i::~:1A~lT
CONTRACTOR
PHONE
SAUl:
PROPERTY LOCATION - INCLUDE POST OFFICE
lIellA [MllC E!l'i'. 1~<2I DEl Ros& SI"(.jlt.:CFlElO OllltGOld
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
VEfl.l\ O;;r.lE ,..
TWP
RANGE
SECTION
TAX L.OT NO.
CODE
CENSUS TRACT
11
3
24
::J..E:ol'iO
EXISTING STRUCTURES ON PROPERTY
~!OHP.
LEGAL ACCESS TO PROPERTY
1421 [;~L r:C~~
PROPERTY SIZE - FT.
APPl.
NAME
oJA(;/( KE",AIlT
1690 50tJTH II
&
MAILING
AOORESS SttIlIN..rtEI.O
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
Olll;QO'.J
WIDTH
DEPTH
AREA
MIlIN
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;; BDRMS
I~C2'.~
5GC C :1.::;0
New System 0
STRUCTURES TO BE BUILT THIS PERMIT
VALUATION
~Ct.lIIlQ
(\'H, C" _ i .c:.:
Ct...","!
2,c~j~.~:;
3(5.331.::;"
SEWAGE DISPOSAL
PUBLIC 0 PH lOR SEPTIC TAN" 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
ir_:';:';'CMAfiQ1':
I"OTHERD
. I V.W FEES
"",.W
j",W
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
MIN. SEPTIC TANK CAPACITY
WITH OlSl, BOX: GAl. 900
1 . t:.2
. r.:~~.tm
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
TOTAL
UN. FT
150
TRENCH WIDTH FT.
3"
,..
OR SQ. FT.
3(Y.'l
TYPE OF STRUCTURE
5~j
OCCUPANCY
!(l.J
lONE
PUBliC UTlL. EASEMENT
BlD'G. SETBACKS __ FT. fROM CTR.
45'
OF ROAD RIGHT OF WAY
...
sloe INT. :J SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/D/ J. (. BOBS G' C. HAR9AU~H
USE ClASSIFICA liON
FRONT
REAR
S'
JOH~ SHOCK/SANITARIAN
DATE
4/811'i ~l.[.l
BLDG. PERMIT - WHITE
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 8uildiog 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
INSPECTOR
REMARKS
GAS PIPING GROUNDWORK
ApPROVED ;---? DISAPPROVED ~ DATE
INSPECTOR
REMARKS
ROUGH PLUMB I NG
APPROVED".K1 DISAPPROVED C1
REMARKS
DmP-;2 2"-/:JINSPECT(X\ .....- 'fr
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARK 5
FINAL PLUMBING
ApPROVEO Jj?':J DISAPPROVEO ~ DATE~-2 ,)-JjINSPECTOR~/<
REMARKS
FINAL GAS PIPING
ApPROVED C1 DISAPPROVED C1 DATE
INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE C1 NOT READY TO ISSUE ;---? DATE
REMARK 5
INSPECTOR
o
, ,
~
:.~
~
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LANE _NTY
BUILDI..J
BUILDING PERMIT
MH D
MAILING ADDRESS
OR MOIlA HOME USE PERMIT
,. PERMIT NO,
-
..-
~
PRUPER\y, OWNER
"
PHONE
'"
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY lOCATION - INCLUDE POST OFFICE
PROPERTY
LEGAL DESCRIPTION - METES, BOUNDS
L-. ").. f) 1
....:..
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
.... '
APPl.
EXISTING STRUCTURES ON PROPERTY
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms -..:l ~ 1:'~
STRUCTURES TO BE BUILT THIS PERMIT
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
{. ~~
\:.
,
...... #- ,... ~>..' ~ . ....'
. -Connect -to:' Existing \Sewage System 0
TYPE CONSTRUCTION SQ. FT. :; BDRMS
New System D
VALUATION
l. .. ~
" ,
( ,
,.
'-..
."
. -.:.\ 'l"'~' \"" ,;" 1:-(
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
.
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER, NAME
WATER SUPPLY
SEPTIC TANK 0
OTHERO
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
. \
" .,\
"
~, , ~.
- ,
PUBLIC 0
o OTHER
j'"
TOTAL
.
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
"
.~
"
DRAIN FIELD REQUIRED
,
"
WITH DIST. BOX: GAL.
\>i)
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
,
, ,
~ -< \
-~
'c\ .\ \:~
',!
"
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
DATE
<
" r' ~<. 'I' ,~,,",'
" ,
.: .
BLDG. PERMIT - WHITE
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' ana county regulations covering
plumbing, All buildings require a certificate of occupancy before
being occupied,
(See Details an 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
SITE INSPECTION
INSPECTOR
.
I
ApPROVED CI 01 $APPROVED
REMARKS
FOUNDATION INSPECTION ~
ApPROVEO LJZf'~'SAPPR,!VEO 1-1 DATE, r-/LlY76't..sPECTO~d.
REMARKS f)/( ti .4/dMp~ ~ ~/- i J "76"-
-;I I
,~ - /' /}, . _, ,l
/) Ie t.J 1 h.JY l#..!< tH:.t(,:u II- - J" ~.. ',n ( ~L_
1/
FRAMING INSPECTION /~ ,
APPROVE.'r''''''?t = . DA~E.J""~~~ ,/,;- INS~ECT9Rl~
REMARKS "t.~ 4~;f.! ~ .tf.h:A.,f)J ~/~ 21. 7\~ ~
MA ~/J4t, /.I.lq.q,fI.' '
I . '1 . I
LATH OR SHEETROCK INSPECTION
,i" /
ApPROVEO LKI DISAPPROVEO
If DATE J-:"-Il'l.r
cJ.
""
INSPECTOR"..... .#
REMARKS
FINAL INSPECTION ~~
ApPROVEO ~PPROVEO CI DATE 7-/7' 7S- I NSPECTO(~
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE CI NOT READY TO ISSUE / / DATE
INSPECTOR
/\ /J/J.
I-/~/. _~J~
{p 70-?6' ~ '/ r(:Z1
REMARKS
;U~
@(
( (.;,. /
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~;.../.
r:'
_4' '
-.,
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,
~
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"
PROPOSEr&AGE OISPOSAL SYSTEM RECORD .. ,
part of for~~signature and submit both copiPwith appl icati"""..,
PERMIT NO. 670-75
JS
"
INSTALLER: Complete top
INSTALLER'S NAME
PROPERTY ADDRESS
~/~L
No. Living Units
/?I<A-D>'
Bedrooms Baths
1421 OEL ROSE
Basement Water Supply
Yes No Public Other-List
Septic Tank:
Ft. from well
Steel
o
Concrete ~ Compartments I
Tile Disposal Field:
Distribution Box: Yes
Other Distribution-Type
Ga I. Capaci ty /'
/dlt:PC9
Inside
LenQth
OWNER
NAME
Dimensions: Ft.
Width Diameter
Depth
No
IAr", I(~DALI"DT
MAILING
ADDRESS
1690 SOUTH A
Feet from
WEll
Lot Li ne
Front
1Ft. Between
Lines /~
Foundation
SPRINGFIELD OREGON
~e gth of Lines-Ft. [TrenCh.....! Tot~ Sq.
. I!J2Yt?3. 4. 5. 6. Width,,;{1 Ft. 'f(?&
:. ot Plan (see instructions):
l' ~e>r L' IV e-
ll) Ff
Side
IFi 11 eJ~IFi ller Deptjl
Tvpe/' .2... Above T i I e2
Rear
IFIIler ~elow
inJTile /,,,in.
r -
-
o
fp.1\
I
/~
l(J) r-T
-6y~f) ~
MAY 30797' ___ "7
~~!;kJDN~ ~
.~Jnf)Nf:-- /~ rr.---7
---=.
f-
-
J
I
H(j(;(.~tr
',-
-
~t!
Date h -
7_Of " 7"f Signature (~-~4......{' d-5../r..A~
CERTIFICATE OF SATISFACTORY COMPLTIION ~ ~-2~-"I~'
For Sanitarian Use Only: Date: u ~
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
IOCt\3.
Approved: System Installation conforms to current standards
Disapproved: Does not conform to current standards
Remarks:
C55-11
\\\~
S'f'l.,!'Aa" an's Signature
LAlI~OUNTY
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
r
..
NOTE:
NO PE.WILL BE ISSUED UNTIL THIS APpATION HAS
PERMIT jF\o~C)-'\S-
BEEN APPROVED
.
~ APPLICATION FOR:
\:S,CTION, MOBILE HOME c:J. PLAN .REVIEW c:J.. . CHANGE O. F. 0 CCUPANCY C=:J
c:JO~Q.\ . ~~ \~qO_~_A ~.j''^^'Ql~
Name "Address City n.. ~~"""'GiP "Phone
c=J CONTRACTOR Q...,- .. 0 _ V.-O~\\G. -\ ~u~.\.
~ ~ Address City Zip Phone
O.S. REG. II~ \\r, \
1'wp. ~ Range~f_Section :::?\ Tax Lot
Subdivision '-.) ~ ~ e.. \\r Lot
-
ACCESS TO PROPERTY (Road Name) \. "-\ d \
Existing Structures on Property: ~ "__
Property Location ~Address/~irections~
\... J-€'" CL ~E' \ \'E' ~ < -l \ 1-\ ~ '- ~.(;> ~ ~<Q"'-1'
-. ~~" , "'-.~ ~-, F' \ J ~fl'.
~el0W for Office Use OnlYXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxx.xxxxXXXXXXXX~XXXXXX~XXXXXXXXXXXXXXXXXXXXXX~.
Sq. Ft. I1Bearooms Valuat1'on 'cc;>
1....:_ ...~\..\..___ - \\C\c,"'~ . \S~c....- Q\ ~\_8a ~\c,Rl.--
~f">. ,c- ...'- ~ . \.... ~.., ro;--, ~ ""'-n.. ~. I,.-.,,,,--U.: q2.
- <
Code
Census Tract :ZO-f-OIS!)
r Block Property Acreage
~""\ ~os.'-
Width______Depth
.~
FEES:
PLUMBING:
\ >\ f\, ~ Inatalled by Owner C=:J
C, C:> 0 a PLUMBING FEES:
~'-I. ~ \.6 ~.........,~ of Fixtures
Other
..0
~t.-.~\. -
c=J or New 5y,Lm Required c=J
/
Name of~unity or Public System
~ame
/~
Sewage ~
."
"""
SEWAGE DISPOS~~
Site Inspection /I ~~~-T"l
,~
WATER SUPPLY:
Well Spring
Existing Sewage Disposal System
Public C=:J
Community C=:J
Other
Bldg.
Waste Disp.
Plumbing
Plan Review
Mobile Home
1% Surcharge
\. p..:~ C=:J~
~ '<2, -~=- 4,.4' CHEC~8 "")(
I Fee Received By:
Drainfitld Requ red - Lineal Feet~
/
,,~, /[,i n,. ~~
----, ""'
Water ~
Connection
c:J
TOTAL
Min. Septic Tank Capacity
CfOo
\.-
I
{MaXimu'm Depth
.3
Type of Construction
/
t; /1/
Use Classification
Bldg Setbacks - from Center of~R~a~ Right of Way:
Front ~I Side Int. &\ _w_~':' ....~..-.:;.............
,
Rear A
-
Zone
12.1+
;;1(lT~/Z8,k
C55.12
DATE:
'\~
COUNTY ~RTMENT OF
L/h~r JPt5~~111~:6' :>6'
ENVIRONMENTAL MAUAG~~NT -.;. ,
LANE