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Home My WebLink AboutPermit Building 1975-7-14 ""--.--. _.--. ,. ~ """",~'-....r.~__.:""""... _.__....-~.......~.-_~..----.,.-.....~--c-_~.~._--...-.--- ~ --.-.--,--,----,.--- '.p' -7~1 ;;~l 7:;- ,. ~ LANE q_lTY BUILDING. BUILDING PERMIT OR MOBIL.OME USE PERMIT MH D PERMIT NO. MAILING ADDRESS 16;)0 Soutb "A" St.. ~l)rin<1ficld. Or. MAILING ADDRESS 1 ~;l;.4-i'5 PHONE .' .. ." .' " PROPHITV OWNER K~PH.\RT JUILDcih~ CONTRACTOR ,.md PROPERTY LOCATION - INCLUDE POST OFFICE 15U.. ;Jclrcsu Ave. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS 746-1;.42.. PHONE bbtu. V.:!ra ;:);:110 1st. Add. Lot TWP RANGE SECTION II 03 24,3.3 APPl. NAME Abovo & II Block I ;EliM CODE CENSUS TRACT 20-ED 1'>0 EXISTING STRUCTURES ON PROPERTY MAILING ilonw LEGAL ACCESS TO PROPERTY Del rose Ave. PROPERTY SIZE - FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH llD DEPTH 10C) AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :;; BDRMS New System D VALUATION 'lwd 11 nr: 5N 1700 f<il21.;:O (11 '17.1):,0 nc Gara.1e &;06 Q) Ii. ~O , ~ ;-;: ~ 1 _ :: I 39.741..:i.i SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 1~ surbhcr JO . OTHERO i57.00 7'>00 H.OO FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY Jccksan Rd. 75-2112 SEPTIC TANK m PUBLIC 00 o OTHER TOTAL . ~.Ba 272.8'; COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. DRAIN FIELD REQUIRED :';)n UN. FT IAn depth TRENCH v,:lDrH F{- ,I 860 '7.:' -::"'1J.yQ OR SQ. FT. .~~ TYPE OF STRUCTURE OCCUPANCY lONE fl re 7.onl' ~_ USE CLASSIFICATION PUBLIC UTIl. EASEMENT .;..:: I ,. J BLDG. SETBACKS n FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT '1-1<;1 SIDE INT. '1' SIDE EXT. __ AUTHORIZED SIGNATURE - DATE REAR J I ~)11: I sl J . ~. BOS':;. :JV. fl. rl~ I LSON. FUR IL~RaAUGH J. SHOOK. Sanitarian DATE 7-14-75 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 and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. .. (See Details on Reverse Side) F'ORM =C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th. EUGENE. OREGON 97401 ~ . ., , LANE <ifillllLNTY BUILDING PERMIT' OR MOBI.OME USE PERMIT BUILDIN_ MH D '. " PERMIT NO. MAILING ADDRESS fGuD ~;-';::BCJ ;~~~~:t ~c..OQ ~b7DG:/;G0i,;o ~~o MAILING ADDRESS c,.:tJ.,,7:; PHONE . PROPERTY OWNER .~:,.:-~::,~:~CJ ~~:';C2:,D,,, . , , , Ii -" -.:.o~,,~ ~." CONTRACTOR PHONE ~_:,) PROPERTY lOCATION - INCLUDE POST OffiCE . ; _.) ; '. ?~;J~ C-:"...i:':;o " PROPERTY lEGAl- DESCRIPTION - METES, BOUNDS ~ .^.---.., \'C.':;J'C' 'O"~ ",0 {'0'1 ~...J V .~l ., ~'- u""'o .-,,,..~o TWP RANGE SECTION . I..'~:':-~ on Ok:::>. TAX LOT NO:-.-) -$ b / /V CODE CENSUS TRACT '.;,1) 0'0 ~t)/3. j APPL ('''-'r.....~~'' NAME .-'-.JV & ,\ ( " MAILING \~ no,:) i:;J EXISTING STRUCTURES ON PROPERTY r ~..:: ::J lEGAL ACCESS TO PROPERTY ~,'~ rC:JQ ,,",-voo PROPERTY SIZE -:- FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH .~ -, DEPTH 0 C~; AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :0= BDRMS New System D VALUATION .. , . . ~ c.. , ... g~;::) r]D.CJ !....." IL)J/ ./J,<:. .; , \ i::::) ~ -\:)0:;8 ,. y, .\\' '- . " ,. .. ,> " h.:~..- .,. '" ,;~~..,...... .~' ~l"'-~ \,' ., .. \ SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER , _I,:)t 0' ,; FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY f..,,',e' (".. .~ ; v. t:'=::_ ~ i~;-),.-.r;I; SEPTIC TANK LJ OTHERO ,.. PUBLIC lB o OTHER ., -' ., ~ to', ., , . " ... TOTAL , ,. ) L.-ClJ .' COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. , '''\ , DRAIN FIELD REQUIRED tiN. FT '~:.... / (:-V>~") TRENCH WID'RI fT, ;) 0 OR SQ. FT. ., TYPE OF STRUCTURE OCCUPANCY ~ ~ ~) BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY ZONE '::".:.., / ~:,-~ ~) USE CLASSIFICATION PUBLIC UTll. EASEMENT FRONT SIDE INT. SIDE EXT. ro AUTHORIZED SIGNATURE - DATE >!,~O' 0 C:)J~)O ::~.10 no :'~H~I>,,:::)o ~>','.), ~:::~.~:!~':,::: ,. . I:., ~ REAR ;0 ;;::., t)o ,,::: ::10 G:-.:'_)UC :7! c:~ DATE , ,f, i '. ...-- C ~ 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 sholl 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 r . -" . y . SITE I NSPECTI ON / ApPROVED Cl DISAPPROVED Cl DATE INSP~.CTOR REMARKS ()I( c: .;( 4..4t> f~h~L{U~./(1!~ .d" ..//h":;,(;J( y,-.2 ',c;'. 7it- JI /<<f ~..) . (fY,,'l FOUNDATION I NS~~CTlON -' " 1-7 _ ;]/~-' ApPROVED I ,< I DISAPPBOV~_~ D,~ '7 2-.5 -/0 I '2:'1) TOR ,~___ , REMARKS f) /(6 _;;~ ~ '7-/1" 1.r & @I / J / I FRAMING INSPECTION - ," / ApPROVED IHDISAPPR.OVED /--:1 Dj1j.r"J..). ...> !':.~PECT~R/ REMARKS~~~ ~-"/,t-1~fI( if I , , ,/1 " LATH OR SHEETRO~NSPECTION ApPROVED ~I DISAPPROVED a:" t' , o7'- INSPECT R ~ <::E:.~' c? .' 1"'6- L-I DATE 7 --2. II REMARKS FINAL INSPECTION 'J t-j~ ApPROVEO REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARK S yj ,t? /~ - ~V /'1$/f'N~ f lo?), "JJ~ '^ BU ILD.lNG' S ITE (~LDI~G s:::f <S....... EVALUAT I ON .- ../ PERMIT APPLICATION NO. I'N~ 'lS ~ft () SITE INSPECTION PLANNING DIVISION Not Applicable I. Zon i ng Ord i nance Comp 1 i ance: Zone R.. A- () 2. Subdivision Ordinance Compl iance ( ) 3. Required Access ( ) 4. Building Site (Area. Width. Frontage) () 5. Other (see comments) ( ) COMMENTS: TaR o~ S~N: LOT: S :::.4- TAX LOT .I BLOCK: APPLI CANT DATE No Yes CK'D B~;/-7 hs. ~) (Ct-:6. Setbacks from c/l of road: ( ) (~~ Front 4:)' ~ ~ ~~ Setbac~fr~;i~~;~iOLJ ines: ( ) ( ) Side .s' Rear ")' PLl~ BUILDING INSPECTION DIVISION PLANNING DIVISION ACTION PENDING: VESt ) NOt ) APPLICATION# 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) Not Appl icable ( ) ( ) ( ) ( ) COMMENTS: WATER POLUTION CONTROL Not APDI icable ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes ~)U ( ) ( ( ) ( ) ( ) ( ) BY'Vfi1GL / 7/9/;;>..:r- . DATE CK'D No Yes T) rr ( ) ( J CK'D BY: JM~ 7fzizr- ry''''-- DATE TO APPLI CANT: ~o~ Building I Site Inspection: ~ ~ Can be approved. /1; () Cannot be approved at this time as indicated on item NO. above. 1/~ nJ) 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 appl ication fee is being..~~tuo:.n.~d und~ separate cover. DEPARTMENT OF ~NVIRONMENTAL MAN~~~M~NI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 ~C55-28 -,. - , .. . LANE CcATY BUILDING 1!" II PERMIT OR MOBIL.ME , . I . '., BUILDING MH D MAILING ADDRESS IG:';D (J~utCl "'1" MAILING ADDRESS USE PERMIT PERMIT NO. ~ ~~)a 75 PHONE ,~",.[>!\';;'1 PHONE PROPERTY OWNER tCC:,,,'I:l'i' l)::I~C):-:l1g CONTRACTOR Se.. G~rIQ~9Iol~. Or. Dc..!8 PROPERTY lOCATION - INCLUDE POST OFFICE i~G~ DolrC5Q Ave. PROPERTY lEGAL DESCRIPTION - METES. BOUNDS i3t~ ~oro Dalla lot. A~~. 1.(;11 11 Olod1 1 TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT 17 OJ) al) ltG-rm 1'10 EXISTING STRUCTURES ON PROPERTY r~4)rm lEGAL ACCESS TO PROPERTY /}O!f'rnJO Cll1o. PROPERTY SIZE - FT. WIDTH 0-1) DEPTH J (1() AREA APPl. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms t'!:Jo>ro STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System D VALUATION &>;0 II illfl SfJ 171'\00'1 J:O ~I)\ t!1 J;:~"L (::; llcro.,8 (;~5 () 'i.10 5)J~-:a_c~ . ;)0~70! .!~:J SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 60 s\Jr~;~crV0 . OTHERO lS7.Cll 7'i.113 ,7.c:J FEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY Jr.d<flOO IbI.b 7Sa~!~2 SEPTIC TANK I!J PUBLIC IE o OTHER TOTAL . ~.ffi 272.00 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED ~<Y.ltfl UN. FT I ~O TRENCH Vo!IDlH ',T. ]' OR SQ. FT. ~"l MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL ~tt"l TYPE OF STRUCTURE OCCUPANCY ZONE "Ira :t01l8 ~ USE CLASSIFICATION PUBLIC UTIl. EASEMENT Safl I ~ J BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT ~'5 I SIDE INT. ~ f SIDE EXT. __ AUTHORIZED SIGNATURE - DATE REAR 7' PUr. lo/J.a. enos, av, .1. r:mILS(l~, vim tt.'\RDAI>il!l J. U!r:::t:., Sarli tori on DATE 7al/,).,7!3 .111 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 and couiity 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 ;---? DIS~PPROV[O ~ DAT~ INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS ROUGH PLUMBING DI SAPPROVED ~ DATff -/2 -:},- I NSPECf'lR --~X u--1?,+-ev- ~e_<,/~../J-~~~ APPROVED. ~ REMARKS .~~ ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS FI NAL PLUMB I NG ,"...."'''0 = '''v',J -I r- / ~--;"'''"ov<:/~ ApPROVED f71 REMARK 5 FINAL GAS PIPING ApPROVEO ~ DISAPPROVED ;---? DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE L:::7 NOT READY TO ISSUE / / DATE INSPECTOR REMARKS . . PROPO~SEWAGE DISPOSAL SYSTEM RECORD. . INSTALLER: Complete top part of f~to signature and submit both c s with application.... PERMIT NO. 1944-75 INSTALLER'S NAME PROPERTY ADDRESS JS A I/.. /, Living Units . No, 13 I< A- !/}1 Bedrooms Baths Dimensions: Width Steel 0 Ft. Diameter 1509 Delrose Ave Basement Water Supp~ Yes No Public ~Other-List Concrete ~to: compartments' / Gal. Capae! ty I (J (fj> fP Tile Disposal Field: Distribution Box: Yes ~ No Other Distribution-Type Depth Septic Tank: Ft. from well Inside Lenqth OWNER NAI1E Kephart Builders HAILING ADORES S 1690 South "A'1 St. Feet from WEll Lot Li ne Front 1Ft. Between Li nes..1' /;) If) f Foundation Sprinqfleld. Or. 97477 Length of Lines-Ft. [TrenCh I Total ?q. '(.@lJ?a. 4. 5. 6. Widt~ Ft. f &0 :'lot Plan [see instructions): Side /0 Rear IFillerl~IFilrer Depth (Filler Below TvpeJ~, Above Tile.%. inJrilet'JUn. ., ..'. ....~. It\ jf ,..,. 4\ I"r:r -4, ~-- '0 ~ ~ t; ~1" ,l,~ ""I' ?--< I f.:.. ~, ~ ~ I I lc':r ~1 RECEIVED .' '" ..,. ~ ~ -....-... J 7 JUL3 01975 j I' ,I I ~E COUNTY ( H-CUA- S r; ~V!R9N~ENTAI: MGMT. '- , ..vtJ , P #' t tJ..tJ ~ ~- A> to?' b . 7-- 2~ .;,5 p ,;:;!K Sl~qnature Iii." '.~ ~ d!......,.,_~/~ CERTIFICATE OF SATISFACTORY COMPLETION ~ ,~ For Sanitarian Use Only: Date: e3 _<1- 1...; 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:JrDisapproved: Does not conform to current standards Remarks: Date C55-11 (f;; If() tJ STATE OF OREGON DEPARTMENT OF ~- Al ~n ~rianls Signature L COUNTY ENVIRONME AL QUALITY . NOTE: 6 If . PERMIT IF NO PE~LL BE ISSUED UNTIL THIS APPL ION HAS BEEN APPROVED APPLICATION FOR: /1 t/C/-7'S /~ . CONSTRUCTION cjtJ MOBILE HOME c:J PLAN REVIEW c:J CHANGE DF OCCUPANCY C:=J c;n OWNER \<'P"\.~"1--.\. \2-.:.\.\.......5 \ Name CONTRACTOR .s ;:,. ~ "- ::.-. 5 Name \ \....'\0 Address S. "A" 5:n-' \J.. city ~ 1,\11 Zip l.~\'-L/~:L~ Phone c:J 0.. \niNe_ Address City Zip Phone O.S. REG. 0 \ '1 \ "'" I I Twp. /7 Range 03 Section Q / \ o.A- I Subdivision \\, ,.r^ Clo\ \ " Ad Jot ACCESS TO PROPERTY (Road Name) -0, \..~ <.." Tax Lot Code Census Tract ;;2u-f301F-D q 1 r Width~'oepth \ 0"1 \ l Block \ Property Acreage ~.}P "'.......... Existing Structures on Property: Property Location - Address/Directions: \ S"'n " '\:) Il_ \ VU',S.,. C. l.P ,..... € Below fa r Of f ie e Use Onl vXXXXXXXXXXxxxxxxxxxxxxxxxxxxxxxx~.,r~r~r'nr'TIOO{XXXXXXXXXXXXXXXXXXXXXXxx.XXXXXXXXXXXXXXxxxx..uuuuulilXXXXX l7eo@2.PlD OBet;,,\ 1:7-;'bO. - . .t:bb ~S gV - :.?f./"q: t. >W OuwlliAa (~ ~~~-.: WATER SUPPLY: Well Spring _ Existing Sewage Disposal SYSr~m c====J Public ~ Community C:=J Name of Community or Public System , ! :'2., Of J /'7/. lSO . , or New System Required ~ SEWAGE DISPOSAL: C ' /<") Site Inspection # ,--;:J-r2 '-to< Other FEES: Bldg. Waste Disp. Plumbing Plan Review Mobile Home ::ll. Surcharge -'67 . 7,'1.- /?7- PLUMBING: Installed by Owner C2J , PLUMBING FEES: @:3 I' /I of Fixtures Other c=J Name Sewage /) Connection 0<::... Water Connection ~ . Min. Septic Tank Capacity e;oo Drainfield Required - Lineal Feet IP:S~, FACILI~ YES c====J~ L-<=:::::l. YES c====J NO Signatura of Applicant 3.:\..<> O.eL,\'- ~ ~ Fee Received By: ~ Date: \t7 -, ~ r (....!.:..J 1 2(0 Maximum Depth f< . TOTAL 3.55-6 CJ~ fi;,;. n ~ CHECK Type of Construction ~.L/ Group /0/- "::') Fire Zone =t Use Classification A'flr:J I ~ , . .;;. Bldg Setbacks - from Center of Road Right of Way: Front ~ J Side Int.,s .,)~..OO- .....~'-'-..-'-u.. to Rear / 'fOE Zone N ()N~ . :F1h h5 CSS-1Z DATE: ~ \lTA\ION: -J /. J-J'ATE: t: BUILDING: -u-. Il 7 1<- . J~_ ~, ktL DEk: l1MENT OF ENV~RONMENT L MANAGEME;T --- ~j;>9 LANE COUNTY