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Home My WebLink AboutPermit Building 1975-4-14 , i., J.... :'...;' f ..... ,.' :. -_.( 75 :J-7s -- ~ PROPERTY OWNER I!F,)l I U~ I t1VEST. CONTRACTOR LANE COUNTY.J1LDING PERMIT OR MOBILE BUilDING iQ: . MH 0 MAILING ADDRESS P. O. DOlt 2276 MAILING ADDRESS 7'52-7'5 PHONE 746-42(,t) PHONE !J^ME PROPERTY LOCATION - INCLUDE POST OFFICE Nonnl 16ftl TO DEL ROSE TURN EAST LOT ON SOUTH S I DE Of STREET PROPERTY LEGAL DESCRIPTION - METES, SOUNDS I ]) t!? L ,g. 'i e .:l...lJd rJr/ d L I? -f ...- RANGE - SECTION TAX LOT NO. 24,3. 'f ,,.r /2..3 Q\L (p LT S TWP 17 1 APPl. REXIUS INVEST, NAME & MAILING ADDRESS EUGENE, OREGON FOR MOBilE HOME PERMITS ONLY No. of Bedrooms P, 0, Box 22711 HO~, SE PERMIT . PERMIT NO, EUGENE, OREGON 16~7 OELROSE AVENUE: CODE R/oc-..k L - CENSUS TRA~ 20mlO;0 EXISTING StRUCTURES ON PROPERTY NONE LEGAL ACCESS TO PROPERTY 1/6'1 DEL ROlltl PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. ;: BORMS New System 0 VALUATION DwELLING STRUCTURES TO BE BUILT THIS PERMIT GARACE U~COVE"ED DECKING 6 X 12 SEW AGE DISPOSAL PUBtlC 0 SEPTIC TANK 0 BUILDING $- WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER I):):J:JRCHARGE TOTAL $- MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. 1000 1559 @ 21.80 528 @ 5.30 72 @ 1.50 'B, g(;~,20 2,7~O.40 1 ('r1..Qn 36, [,r 2, G0 OTHERD 1'10.00 2').00 ,1.00 PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY FEES PUBLIC 0 o OTHER 1.70 :>n<; 70 COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED 4 150 DEPTH 2 tiN. FT TRENCH WIDTH FT. OR SQ. FT. ( 30( KEEP TRENCH~S NO DEEPER THAN 24" F'ROM THE EX I 51' I NG GROUND [LEVAT ION. 0, VERT THE ROOF' ORAl r;o 1'0 THE ST1~[T: TYPE OF STRUCTURE 5tJ OCCUPANCY Ic"J ZONE AGT PUBtlC UTll. EASEMENT BLDG. SETBAGKS __ FT. FROM cn. OF ROAD RIGHT OF WAY FRONT 4~';' SIDE INT. i. SIDE EXT. AUTHORIZED SIGNATURE - DATE /S/ ,I, E Boss BY C, iARBAUGI-l BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD FORM = C55-13 USE CLASSIFICATION REAR " JDH~ SHOCK/SA~ITA~IAI-l DATE 4/1/),/75 Ctlo; Call 687.4065 to schedule all required inspections. All construe. tian 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) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 '. . ~S/Gt+-- 7r..2.-7~ B~LOING SITE EVALUATION . 'I (~ BUILDING PERMIT APPLICATION NO. () SITE INSPECTION . PLANNING DIVISION Not Applicable I. Zoning Ordinance Compliance: Zonenl~/~~( ) 2. Subdivision Ordinance Compliance . ( ) 3. Required Access ( ) 4. BuildIng Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: T I/.OS S~ SUBDIVIS: ' LOT: ~eX\\.)~ APPL I CANT DATE No Yes T) fT 6. ( ) (~ ( ) r) () ) () ) PLANNING DIVISION ACTION PENDING: YESl } NOl.} APPLICATION# BUILDING INSPECTION DIVISION Not Applicable ( ) ( -) ( ) ( ) \. 7. Plans Submitted 8. Soil Stability (footings) 9. F,lood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Appl icable ( ) ( ) II. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes T) 11r ( ) (') ( ) ( ) ( ) ( ) No Yes T) TiT ( ) ( ) \ TAX LOT BLOCK: CK'D BY:~/ ~- 7-:?.r ~.. I . Setbacks from c/l of roa~ Front ~~'r" ;;:." Side Exterior Setbacks from interior , Side Rear I in8s: ::..c:""""' -~ CK'D BY:@~~(/"fI.i'r fATE. CK'D BY: J~~L/V2.S'Yt- 'f JI//7<:? ( DATE TO APPLI CANT: Your Building I Site Inspection: ( ) Can be approved. ( ) Cannot be approved at this time as indicated on item NO. above. Questions and further information on items I through 6 contact the LANE- COUNTY PLANNING DIVISION. Questions and further information on items 7 through 12 contact the LANE COUNTY BUILDING ANO SANITATION DIVISION. ( ) Will be held .in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit a,eplication fee Is being..~~tu~ned under seoarate cover. .c.rARTMENT OF ENVIRONMENTAL AANAliEMEN. 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 7~:- :,J- /..s- ~' PROPERTY OWNER " '.r'~:~~J Ic;\1l!O? CONTRACTOR LANE COUNTY..ILDING PERMIT OR MOBILE BUILDING g MH 0 MAILING ADDRESS P. G. Bell 2'lio MAILING ADDRESS HOr-a,JSE PERMIT . PERMIT NO, CliC~tm, U3EC6.J i:i~G'i:-j PHONE (1)t:-lE(:~ PHONE DA?~[ PROPERTY LOCATION - INCLUDE POST OFFICE 1<0;>7.1 H\T~l rc CEt 'lOGe yew ~~Il~V (.OT 011 Scunl SHlI': OF fll':WRT PROPERTY LEGAL DESCRIPTION - METES. BOUNDS 1(;'17 >w.I..Cl()s~ l\,,1"t;'.~, TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT II ',) 24 238wm EXISTING STRUCTURES ON PROPERTY ~c:~m LEGAL ACCESS TO PROPERTY ~l!I.~1I PROPERTY SIZE - FT. APPL. NAME & MAILING ADDRESS ~U~ftt~BJ O:acGtON FOR MOBILE HOME PERMITS ONLY No. of Bedrooms :leltHJ!l IrilJ€G'J. p, C. 0011 22;6 WIDTH DEPTH AREA 3t.rJll(\: Connect to Existing TYPE CONSTRUCTION 1~}9 (J 21.1]0 5:::8 €l 5.3D 7EU 1.;0 Sewage System 0 SQ. FT. :tt BDRMS New System 0 VALUATION '.''' r,:'(; ','f) 'i'1. ,<,' ... . ~ STRUCTURES TO BE BUILT THIS PERMIT ~~r.~L...GlO t: "'~l:..,.t) U::CCttECi€D D"Cfl we G j. 12 10::.\:" (. L"F) 'I) 3~:, ..r.;t..l, SEWAGE DISPOSAL PUBLiC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER l' '(~"'j ^ I" ~c~ ~j..JV~."" ~U,' .~ TOTAL SEPTIC TANK 0 O)'HERD , I~_'.\';:; FEES <!j.lJO ::I1.Ot; 1.1-Y PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLiC 0 o OTHER , 2m. ,71) COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN fiELD REQUIRED 2" I~J De?TH ~ tiN. FT TRENCH WIDTH FT. OR SQ. fT. ~:1D ..> MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. woo :t~e9 'l'1,CNC..::') t;C OUliPIlCl Ttl!\/-l 240 rR~ Tlllt El!lllTI~.ll a>iCUIl!D m.IJ"ATIC!l.JI f;CJl' TIlIl llOC7 ~Jt.!l!.i ~'C s :::': ~J'i. r:Uf!111 TYPE OF STRUCTURE 'j'J OCCUPANCY I 5. J ZONE AOY PUBLiC UTIL. EASEMENT BLDG. SETSAGKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY ,,,~ FRONT (<'i' SIDE INT. 'j SIDE EXT. AUTHORIZED SIGNATURE - DATE /0/ J. ~ l~OC>c) JV Co :AllilAUG.ll USE CLASSifiCATION REAR ':i JCHll EllocnloAUITtlCHAO DATE ~/I/.jh~, :~ -: 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) t FORM:: C55-13 (POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97.401 \ I SLAB FLOOR ~ PLUMBING GROUNOWOR~ ApPROVEO t~ / DISAPPROVEO ~ REMARK 5 GAS PIPING GROUNDWORK 4It " _ DATE ~~:{ ~--?~INSPECTO~~ , V . '. ApPROVED ~ DISAPPROVED ~ DATE REMARK 5 ROUGH PLUMBING ApPROVED ~ DISAPPROVED L:::7 REMARKS ROUGH GAS PI PI NG INSPECTOR 4-~3-?S- ~~ DAT8 .iJ ,~ INSPECTIi'R'"' ..:r":. _ t/ ApPROVED ~ DISAPPROVED ~ DATE REMARKS FINAL PLUMBING ApPROVED IYJ DISAPPROVED ~ REMARKS FINAL GAS PIPING INSPECTOR DAT"-~J/..7.r INSPECTO~~ ApPROVED L:::7 DISAPPROVED ~ DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE / / DATE REMARKS INSPECTOR Call 687-4065 to schedule all required inspections. All construe. tion sholl comply with Uniform 8uilding Code, D.E.Q. standards for subsurface sewage disposal and county regulations covering plumbing. ~II buildings require a certificate of occupancy before being occupied. (See Details on'Reverse Side) . <' -.,. '-.;:.' LANE COUNTWILDING PERMIT OR' MOBILE BUILDING [J MH 0 MAILING ADDRESS HOtAJSE PERMIT ,., PERMIT NO, PROPERTY O\yNER CONTRACTOR MAlllNG ADDRESS PROPERTY lOCATION - INCLUDE POST OFFICE " PROP~TY ~AL DES:RIPTlON - ~~~ijyBOU~~ ~ d7aM/. ~6-~.,6 TWP RANGE - SECTION TAX LOl_' NO. CODE CENSUS TRACT APPl. NAME & EXISTING STRUCTURES ON PROPERTY \', -, \ LEGAL ACCESS TO PROPERTY " , , .. MAILING '. PROPERTY SIZE - FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT DEPTH WIDTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. +t BDRMS " -.-, . ' " n-\ '\ ~ -~ ~ '" , ,~ <..~) . . :. SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL \ \ , . PLUMBING : \ ,',- PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 OTHERD . FEES PUBLIC 0 , o OTHER '\. '..... , " '~ ~ .' PLAN REVIEW PARK TRAILER TOTAL . MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED lIN. FT TRENCH WIDTH FT. OR SQ. FT. ., '" " " TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT BLDG. SETBACKS. FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. ,j SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLDENROD IMPORTANT: "J ... , , FORM = C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97-401 " . , 1 ~ PHONE PHONE New System 0 VALUATION DATE , . ~f}J. . . ... SITE INSPECTION )( DATE INSPECTOR ApPROVED Cl DISAPPROVED Cl REMARKS FOUNDATION INSP~:;ION . ". @ ApPROVED L#- DISAPP:OVED / / ,DAT#-;'o/~ 7...f INSPECTOR ~ REMARKS. ON~/k~/~d~I/-It.-~~-t!?A: ~ I " FRAMING IN~~?: &- .- ApPROVED , ~ISJPPROVED /7 DATE(~ ~/Jr~ 707:SPECTOR(~' ~,;: REMARK 1J1r~~'fLJa,,-;}!/.'].q. r.t ft6 . /Y~1i/1l.~ , ~~~~{ li- ~,~~ r..=::..L LATH OR S~E~~INSPECTION ApPROVED ' DISAPPROVED v( INSPECTo([l;J~,/~ 1/ DATE6..J J ' REMARKS FINAL INSPECTION ~~ ApPROVED ~ISAPPROVED Cl DATtJ;.;2.t.-1.fr- INSPECTO{X ell( REMARKS~J .Ilk~9.db:atJ! (., . 2<J "7?-~ 0/ , CERTIFICATE OF OCCUPANCY REAOY TO ISSUE /' / NOT REAOY TO ISSUE J:::J DATE INSPECTOR REMARK S ."'J .., if') ///( . ,- _ ~ .t{~ A:..t.4j' 7.J J. . 75" I~ J-n,..~u.d !{,J 7 1J.e.P~ . .OSED SEWAGE OISPOSAL SYSTEM RE. . :_. INSTALLER: Complete top part form to signature and submit b copies with application~'. ".., PERMIT NO, 752-.75 ~LER'S NAM~ PROPERTY AOORE~~ JS If./) fJl It!; DEL ROSE No. Livin7g Units.,# Bedr90ms Baths8asement 7 'f- \1' Yes NO~ Sept i c Tank: Ft, from well Steel 0 Concrete ~ No. Compartments I Gal. Capacity 1t7{J/C) Inside Di~nsions: Ft. ./ ,Tile Disposal Field: V Lenqth 1.:[ Width~,.j Diameter - Depth~.J' Distribution Box: Yes 1'\ No OWN#ER' Other Distribution-Type NAME REXIUS INVEST, Water 5.l.!p,ply Public )\ Other-List EUGENE, OREGON L~9,9.th of L i nes-Ft. l Trench I '/J 21..,(3, 4, 5. 6, Width2 ;'lot Plan (see instructions): bJ !'- ( Total Sq. Ft.d-dV Feet from WEll Lot Line Front 1Ft. Between Li nes /0 Foundation /ttJ Side. 10 Rear /0 IFiQeP"t1Fi ller Depth (Fille9 Below Tf~~.IIAbove Tile Z,inlrileh in. MAILING ADDRESS P.O. Box 2276 g ftiJ~~,\j[~ ~- I. I I I ,....( E I '--I I I I r I 1,s' ,,,..:. 2..," N II :. SI "..,,~{;1 }..-&" ~ I CERTIFICATE OF SATISFACTOB'Y c'OMPL~(lN /I For Sanitarian Use Only: VOate: 1-'}..7-75 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 I oca~~. Approved: System Installation conforms to current standards Disapproved: Does not conform to current standards Remarks: STATE OF OREGON OEPARTMENT OF \~ . s~a~ Signature LA COUNTY ENVIRONMENT L QUALITY C55-11 ~ 'to NOTE: .... PERMIT iF 7S.,2 - ;;s- NO PERMIT WIeE ISSUED UNTIL THIS APPLICATIlWAS BEEN APPROVED APPLICATION FOR: . . CONSTRUCTION ~ MOBILE HOME CJ PLAN REVIEW CJ CHANGE OF OCCUPANCY CJ CJ OWNER !PEAl us rtll)~d; Po/Box 'J.;).lb If. .,Q-- P. cr?io?- 7~ b'~J..b9' , " Name Address C~y Zip Phone C::J CONTRACTOR \"'511 Il1 G:. Name Address City Zip Phone Twp. 17 Range 0,5 Settion ;) f../ Subdivision rf)~ L R b '$.E r1 PLot - 1 ~ D 6. L R-oS r;;. Existing Structures on Property: ~ Property L~ation - Address/Directions: /}//_, I b ~ ~ y~ 0V1 ,), --'- '--00 i ~ Below fa r Off ic e Use Onl vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxxxxxxxxxxxxxxxxxxy,r,.,',rv,',rxxxxxxxxxxxxxxxx () Sq. Ft. ta-,;l/-8V UBedrooms ValUatiOn, .Jy.IA..f.~~.. / /.~:-~ (3) 3.12? ..:20 ~.J:L- -r.Jvt(j<)o.:l.'JII .:l:J';~' yo ~~ ~~ ex/V - 7.2(Y /_6-U /oi',OO FI "2 4.c;..9'~ O. or New System Required ~ ,/ O.S. REG. II Tax Lot Block_ b ACCESS TO PROPERTY (Road Name) SEWAGE DISPOSAL: Site Inspection # Code Census Tract o?O. Property Acreage r. -I' ,..', .A, Width-2.D.Depthl /1..{. ,oLf- ~ )p~ ~ /C,,)'7 Ap~ ~, ~, Existing Sewage Disposal System CJ WATER SUPPLY: Well Other Public C=:J ,~ Community rf.><'l_ Name of Community or PUbli7~' ./~ Spring FEES: PLUMBING: / '13", 6 '0 Installed by Owner C=:J Bldg. Waste Dlap. .2.); 0 0 PLUMBING FEES: Plumbing ~~/,IJ 0 iJ U of Fixtures Plan Review Mobile Home 1% Surcharge I, 7'1 CJ CASH TOTAL f)o svr ~ Other C=:J Name tJ tP /./ .:;.. /~ / ,. Sewage , Connecti~n" ...., t><:. ,. Water Cannee t 10n .:<. PLANS FURNISHED ;.....---' L-=:J YES CJ FACILITY PERMIT Y~ DatJ~ Maximum Depth 2- c/ .. I - . ,~Lo.7.~ <'VU~. ,/ vi / Fee Received By: Min. Septic Jank Capacity /07JtJ Drainfield Required - Lineal Feet / S-o l(d.e/ /;;o.AA.(~ ",. c4-~. ~- ,J </~~~. ./4€. ",-f.,L-'I , JJ..~j~ ~~~. ~ 7/~ ~7.;.J Type of Construction ..j ;/ Grouo / '+ ,;;[ Fire ZonE'. BIdg Setbacks - from Center of Road Right of Way: S-c ..r:"'~ Front 1I.!r 'U, Side lnt. ~ Side Exterior PLANNIN,J> : ;;;::-- ./ ./ DATE: f/. ,,- 7.- ,J Sl.uli)JfJZ: COUNTY D~~RTMENT OF C55-12 LANE Use Classification Rear :s- Zone A~T (,/?""" .~,?: / ]U.!j.DING: -DATE: 7,////7~- . /t1(< ,y/.' ""1ri~{ ije .'Ji..I$' ENVIRONMENTAL ~GEMENT