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HomeMy WebLinkAboutPermit Building 1975-4-3 V-ZP\~~~ \- , '. " ., ~. #" ,- 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 " . "+-'- y- \ 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 , , ~ :.~ ~ \ 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~ @( ( (.;,. / ') , ~;.../. r:' _4' ' -., ~,i , ~ -, r' " 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