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Home My WebLink AboutPermit Building 1974-11-15 ".' I--) f pr'" r i; .J u t I( ,.' " I .2,S06--/,/ , LANE .NTY BUILDING 0 BUILDING PERMIT MH 0 MAILING ADDRESS 1690 SOUTH A MAILING ADDRESS OR MO. HOME USE PERMIT PERMIT NO. 2396-711 . H PROPERTY O'W'NER f:l:i':':M1T I JACK CONTRACTOR SAtl.E PROPERTY LOCATION -INCLUDE POST OFFICE 11;'35 DEL ROSE AVEi1UE PROPERTY ilLEGAL DESCRIPTION - METES, BOUNDS LOT BLOCK I . V~DF.LLE SPRIHorIELO, ORECO~ PHONE 746-1;.1;2) PHONE TWP RANGE 17 03 SECTION 21\,5,3 TAX LOT NO. .;I' </b tJ 0 EXISTING STRUCTURES ON PROPERTY NONE CODE CENSUS TRACT APPl. JACK I(EPHART NAME & MAILING 1690 SOUTH A LEGAL ACCESS TO PROPERTY DUROSE AVENUE PROPERTY SIZE - FT. ADDRESS SPRI NOf" I ELO, C:lECON FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT DwELLING WIDTH DEPTH AREA GARAGE Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :;; BDRMS 1508 @ 16.10 506 @; 5.30 New System 0 VALUATION 24,27/.1.':''0 2.. S51 .Cor. 26, ;;60.6.'1 P:1I0!1 ApPROVED Sua DIVISION: SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER I%SUilCHARGE SEPTIC TANK 0 . OTHERD 111S.DO 'i0.00 14.00 FEES OWNER D OTHER: NAME WATER SUPPLY PUBLIC D D OTHER RA I !JBOI, TOTAL l.'il ~O'V)1 COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. DRAIN FIELD REQUIRED 900 L1N, FT 150 TRENCH WIDTH FT, 2 OR SQ. FT. 100 TYPE OF STRUCTURE 5N OCCUPANCY ZONE PUBLIC UTIl. EA:;EMENT I & J RA USE CLASSIFICATION BLDG. SETBACKS ,_ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT 40' SIDE INT. 5' SlOE EXT. AUTHORIZED SIGNATURE - DATE /e/ J. E. Boss BY C. HARBAUGH REAR ')' JOH/! SHOOK/SAN I TAR I AN DATE 1111<;/7/1 .., M BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLDENROD Call 6B7-4065 ta schedule all required insp"ctions. All construc- 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 ~" ~jJC. \\-\\~l~ yt BUI~OINGSITE_ EVALUATIO~) :J5 C ~\ ~\:::om Wf'C I J -j c.; . 1I (~UIl.OING PERMIT APPL. N NO. Zso~-"14. () SITE I NSPEcT I ON r""'O ""t:> PLANNING DIVISION Not APDI icable I. Zoning Ordinance Compliance: Zone~ l) 2. Subdivision Ordinance Compliance ( ) 3. Required Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: ~.17 R 63 S &.4- TAX LOT S litiS ION: UP 1"'0.... JJ ./::.. LLP LOT: "/ BLOCK: / APPLlcANT_f:' .o#a0f- . DATE . i/ - f('- 7</ / cK I 0 B'C://:.Jr If Lft74- Setbacks from cll of road: Front ~' S "L ~..";.al:.i.Qflo Setbacks from interior .-Ufles: Side ~ Rear No Yes <)~6. ( ) (...y ( ) (~ ( ) (....r- ( ) ( ) PLANNING DIVISION ACTION PENDING: YESl } NOl } APPLICATION# BUILDING INSPECTION DIVISION Not Appl icable l Y, ( 1, ( ) ( ) \ 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Appl icable l } . ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: r) t9 ( ) m ( ) ( ) ( ) ( ) No Yes <)TI ( ) ( ) , -, ..... cK I 0 Byi!J$..i2M~L,'IJPJ~ I DATE :.....Lf'" CK'D BY: (~~ 1i/;3/7L . \)' DATE . TO APPLI CANT: YJj Your Building I Site Inspection: I ,I l' ~'. Can be approved. 1'1' ~.) Cannot be approved at this time as indicated on item NO. above. II I 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 building permit aEpllcation fee Is beinq ~~tu~~~d under seoarate cover. vEPARTMENT OF eNVIRONMENTAL MANAGEMtNI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 CSS-28 r/ -" LANE .NTY BUILDING PERMIT OR MOBaOME BUILDING 0 MH 0 MAILING ADDRESS .', :: ~ ,,:.;::.::-;~ i' USE PERMIT ,. PERMIT NO, " ; PROPli.RTY OWNER PH9NE '. I ~ ~ , " ,I" CON,T.RAC.TOR MAILING ADDRESS PHONE PROPERTY lOCATION - INCLUDE POST OFFICE J. 1',j~:L~ : PROPERTY lEGAL DESCRIPTION - METES, BOUNDS .:,'.; 0 ',.'I"'~ ':,r,~ TWP RANGE sECTIO~". 1'-' TAX LOT NO. CODE CENSUS TRACT APPl. NAME & MAILING ADDRESS EXISTING STRUCTURES ON PROPERTY ~t.:.. :::.: - :".:. . '-,,,. ......... ,.:..,;:) ~ '; '~':i.: i.. LEGAL ACCESS TO PROPERTY ~-:t,r:::;):;- PROPERTY SIZE - FT. '\.. ,~. .,- '_1/. .,'. . ';:~ 3. :r:", V'~..;,; ,. ..",.... . \, ,....~ WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing TYPE CONSTRUCTION Sewage System 0 SQ. FT, :;; BDRJI,ls _~~'_ '.;). :1:) New System 0 VALUATION ,-.'- {'l' ...... -.1'" :.;.,j'-" <~ )"::'_,~"; :i:' ~ .' ;\ 7~i~.":~ ~ ~~ =----"._. ~ ._n..... SEWAGE DISPOSAL PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TR~ILER . OTHERD .. ~ ~ . ~ ' FEES PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY SEPTIC TANK D , . ~. (U' , . 0 .~ PUBLIC D o OTHER . ~Ct ~ ..' ~ 'J: . L '("i . . ~, ., ~ . .' I ~ TOTAL , " :: ~ 0 ~.' ; COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST, BOX: GAL ,'-...... DRAIN FielD REQUIRED -, " ~ .J''' J UN. FT TRENCH WIDTH FT. " (. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY .1 ZONE PUBLIC UTIL EA~,EMENT ~>~\ FRONT BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY '. ' USE ClASSIFICATION SIDE INT. ~'j ~ SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR ~j , J... J . . ,t d. .. .....:;',' :'. \,. . "_ '::'~:: ..:~ . ...., (". .,...../.'r ,'''', tr' ~, ., ~ ...",~.' .. - ~.. . . , !,. 01 _ ' DATE . ~/.: 'I ~ . BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 6B7-4065 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 covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) ~, rORM :::: (55-13 (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 REMARK 5 GAS PIPING GROUNDWORK ApPROVED ~ DISAPPROVED /7 DATE INSPECTOR REMARKS ROUGH PLUMB I NG //v DATE/- 3/-.? )INSPE9~/'T (j Y ApPROVED ~ DISAPPROVED ~ REMARKS ROUGH GAS PI PI NG ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVED IT! DISAPPROVEO ~ DATE_5--:JlJ. J JT:,SPECTOR ~4", REMARKS FINAL GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE /7 NOT READY TO ISSUE / / DATE INSPECTOR REMARKS .' '. OR MOBlaOME LANE aNTY BUILDING 0 BUILDING PERMIT MH 0 MAILING ADDRESS . , ,'l, ,. .' USE PERMIT PERMIT NO. ~.. PROPe.-RTY' OWNER 'J , CONTRACTOR MAILING ADDRESS PROPERTY LOCATION - INCLUDE POST OFFICE " .\.. , , PROPERTY LEGAL DESCRIPTION - METES, BOUNDS , , '. "':.".: I" ::.. '.... ~ . TWP RANGE SECTION . ., TAX LOT NO. CODE , '- EXISTING STRUCTURES ON PROPERTY CENSUS TRACT APPl. I>:,. h ~.\ ' " , NAME I' & I MAILING \ .) . \ ,.\.... ~' .~ ADDRESS ,., '~ LEGAL ACCESS TO PROPERTY :r-. ,:y jl,' PROPERTY SIZE - FT. ..;' WIDTH DEPTH ......' FOR MOBILE ~'?~D PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT . . ,. \, . " Connect to Existing TYPE CONSTRUCTION Sewage System 0 SQ. FT, :;:t BDR~'S 'j ~ i. .11 New System 0 VALUATION \ < ...., ... SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER PLUMBING INSTALLED BY OTHERD SEPTIC TANK 0 OWNER 0 OTHER, NAME WATER SUPPLY FEES . .1. ,.' .,. , D OTHER PUBLIC D. ~\. '. TOTAL ~- .1") ~ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WI,TH DIST. BOX: GAL DRAIN FIELD REQUIRED : " UN. FT TRENCH WIDTH FT. OR SQ. FT. .' .~ . \~ \. ).~ - ''\ " ~. ,~,' ; . \. ...... , , \ . TYPE OF STRUCTURE OCCUPANCY 'ZONE :~ ,'.1" . /" PHONE PHONE AREA .. j. Ii I'~ . .. II BLDG. SETBACKS, FT. FROM CTR, Of ROAD RIGHT OF WAY , I USE ClASSIFICATION PUBLIC UTIl. EA:iEMENT Call 6B7-4065 to schedule all required inspl!ctians. All construc- tion sholl comply with Uniform Building Code, D.E.Q. standards for subsurface sewage disposal and county regulations covering plumbing. AII' buildings require a certificate! of occupancy before being occupied. \) (Se~ D~tails on Reverse "Side) FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR , j:.., 1-' I' , . :." ^ BLDG. PERMIT - WHITE OFfICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: . " f"ORM == C55-1J (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th. EUGENE. OREGON 97401 DATE , . :, ~-- . . .- SITE I NSPECTI ON Amc r ~ -;-/ .::.JJROVED P /f"TE REM~KS_~ j J.jf./ifli INSPECTOR FOUNDATION INSPECTION ~ ApPROVED ~ ~ 5APPROVEO 1--/ DATE / - ~ ..J.16 v I NSPECTOR___':'." REMARKS O/r'?; 'tLg]4[/J;'t?A~&.Zi"~ /,.J.',U" 7ii/! ;fl,I,. (lJ'/u;.~~{rj:.~ l'lI';!{~ ~ r...~ FRAMING INSPECTION (fJf~-1 ? - ./ -'.--" {./,. ApPROVED J:lZJ OISAPPROVED CJ DATEJt- -17 -1"5 INSPECT ~!fJ/I :.:;f/~~~ -t'1.t//l; Iff Jv/it "N' f1 / CEil, LATH OR SHEETROCK INSPECTION ~~ ApPROVED ~ISAPPROVED CJ DATE;?' /0" 76"' INSPECT~ e / REMARK 5 FINAL INSPECTION ._ ' /(;J/ ApPROVED DI SAPPROVE~ 0 DATE ;:./- 0:- 7,) Y"'PECT~ e, l REMARKS~~~-;ttJ~7~tf.... ~U-.JI). -101'('" CERTIFICATE OF OCCUPANCY READY TO ISSUE CJ NOT READY TO ISSUE ;---? DATE INSPECTOR REMARKS ,R.7o{....7 'I ,i}(l,~;" ' I{y/~ (f{ 1,,- t2eA-(~ INSTALLER: , Complete top PROPOS.EWAGE OISPOSAL SYSTEM RECORD . . . '. part of form to signature and submit both copies with appli,:atio:.. PERMIT NO. 2106-74 INSTALLER'S NAME PROPERTY ADDRESS DELRDSE Basement Water Supply Yes No Public ~ther-List JS i!?/ L L A !ZAnY No. Living Units Bedrooms Baths Septic Tank: Ft. from well Inside Len9th OWNER NAME Dimensions: Width Steel D Ft. Diameter Concrete ~o. Compartments / Gal. Capaci ty /tfl t:J10 Tile Disposal Field: Depth Distribution Box: Yes L-- No Other Distribution-Type JACK KEPHART Total Sq. Ft. )&0 Feet from WEll Lot Li ne Front 1Ft. Between Lines 10 Foundation HAILING ADDRESS 16QO SOUTH A SPRINGFIELD OREGON Len9.th of Li nes-Ft. I T~ench I 1:7^~7h1. 4. 5. 6. Wldth2. Plot Plan (see instructions): Side Rear IFiller.J-.IFiller Dept~ IFiller Below Tvoe!2 Above Tile.:.L, In,ITile ;; in. /JEL(<P5I -, ../ 1/11 ---- - /- I l- hOr..)-)r; J tIO(-/ . ~> Jt1i}--/ fA- Iv t<./ t:- l!rr~T . 0'1 ~: ~ Ic?ff ~ ~: $ {{r( Date "' - -~ - 7Ar' SiQnature a-s.-.-.-.' /'J.S./7~'" CERTIFICATE OF SATISFACTORY COMPLETION ~ For Sanitarian Use Only: Dat~1-1-75 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 location. ~ Approved: System Installation conforms to current standards c::J Disapproved: Does not conform to current standards Remarks: ,--/ r{\\.J -, \:> ~.';~' \,,~0. O\J"'~~C'~"'\' ,~~~~~)'\,\\,-\- \$~\'~" C55-11 ~ \ ~Ap~'\~rianls Signature L'1uYE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY "..- PLEASE PRINI' PROPERlY LOCA: . . PERMIT1F .2. ~Oh -7if \\\\ Buildi.ni!; D~ OF ~= MANAGEMENl' Mobile Hare APPLICATION FOR BUllIlOC PERMIT OR MOBIlE HCl1E USE -'-<Ht; ))~l:~:~S:: tmtil;:i~a~ica~:;-:een,;pp;~1' r11L . /' ~&.Q 1WP /? RAi'GE IJ 3 SEC. ~ ~ TAX LOT II CODE CENSUS TRACT LOT NO. q BLOCK J SUBDIvrSION l,/p.l," ~~. , ,,/\' / -,;. PRoPERlY SIZE "- ACCESS TO PROPERT'l./ }pJ2/oJL_ ~ WIDTH--S~EPlli ?~OR AGRE/CE DFSCRIBE = S1W~? : _=i /h flhR - APPL~r }~k., ~ ~-"-~O <m~':A/~ffiHCNEjlq. ('-~St2-7 OONl'RACIORy ~ MAILIN:; . r~. _ NAME _') "'Y" I."f1 .l.!JL/ L AulJ=S <:A _ PHONE ., BELCW FOR OFi'lCE USE ONL~........ .......... ............ ...._" ",,-- .................... ..................... ............ ......AAAAA AA A:.....:.:... :Jtructures. to be built/Mobile Home sq. fl;... 1!bedrooms valuati9I) ~1lP ;J.//nc" J s,,~~ 1t,,/(7 (3) ,:};..j. 27J(.K (J "11eu-...a.. ~ {) SOb @ .''-,:;In ~ ,>- n ,71) _ f'l~~ ~-;',7'00 t., a.. ~ewage JJisposal: P(lO~i:JJ.u1" Site Inspection II~ Existing sewage disposal system 0 or new system required 0 Water S~ly: to.' , Public.l.l\t District NanE ~~J./ J Well 0 Spring 0 Other Bldg. _I / y, Q...I') Fees Waste Dis. . "(I , on PlUllbing Installed by CMner Other Natre: ..JacK \ TAcj<,)?>fI Plumbing J^I, i'J1rl Plumbing Fees ~ ,00 Sewer connection Water connect~on Plan Review /0 II of fi.xture~ .~spection fee inspection fei. . 1I?l Trailer 1% surcharge /. 5 / ~ ~;~~b~Shed it. ~a~~~~t Signature of Applic5IDt / _ dateJI-i'-7'! TOl'AL ;LO _~ ,5/ Fee received by_ 0.nIP-->, ~- - r Min. Septic tank capacity Drainfield reCJ.U!:red cl ~p~ with dist. box: Gallons Cf(')r, Lineal Feet /f::n TrenV !l... or Sq. Ft. JOb ../ . Type ot Structure0 N Occupancy ~ Fire Zone Use Classitication Blgd. setbacks-tt. trom center ot road right ot way Front do' Side Int. 5 Si.1o F"h'r;ryt" Rear ~ Zone R~ Pl~ date S~". t, tion / dj}t~ Building./ date r-ifa:r 1//8/74- )/ /3/7'/ /YU ~~I'6.!' j'/~/(/~ ?lid , '. . f I C55-12 J