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Home My WebLink AboutPermit Building 1975-7-27 ..... .;'-:,' / ,:"" '> , . ~ LANE COUNTY BUILDING PERMIT OR MOBILE BUILDING Q MH 0 MAILING ADDRESS 1!.i'/:; cli':I:l:::J ~l,..,;;:~(J. MAlllNG ADDRESS " .. ~ f'J1,;..-/ ~E USE PERMIT odj-1. PERMIT NO, .. .~ . - PROPERTY OWNER :\: :;~L~~D L-:::J:-, CONTRACTOR ~ : :.1.~...~';" PHONE Cr(::"(;;) i1:L- ~^ : PHONE :a;Ll~~Z~ CU:1S~. CC. PROPERTY lOCATION - INClUDE POST OFFICE ::--';..1 ~~~! 11:::3:) ~..,a.!n~r-iol:::) ~lrc::c'.: PROPERTY LEGAL DESCRIPTION - METES. BOUNDS :):.::..::~r;~. t".l.-dttC:1 ~~ ~CW .lL:~~ :.~t G TWP RANGE SECTION 03 rl' "2 LJ '.v/oI. ,. )lnc:~ !j T AX LOT NO. # I 3. Z-... CODE CENSUS TRACT :7 ~('-~~1!:i~) EXISTING STRUCTURES ON PROPERTY APPl. NAME & MAILING ADDRESS ~~;.;~~ ~U r;:-:;:C~ ~~C:1() 1:';7:) ;:!,Jir.c;::> - LEGAL ACCESS TO PROPERTY !l:!' ftOGC PROPERTY SIZE - FT. :.:t!~~r.2Cl C,oeo;, WIDTH DEPTH AREA ...J :t FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT ,:::~ 11 L~~J ~c rc~~) at t. co i h:.j Frc=::l 177= ,) l~ i;~2 ~) ~.;j0 New System 0 VALUATION ?! ,~: Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. :# BDRMS .._....'_.~..'- ~;.:,~j~ r p~~O I i ~i:::j~DO J; SPOOQ I :,)yntc:1 1? Pl !~:.:)ina ;:1;ri:~7cn ~ :;2::;:;r (:0i1~18~t i 0:. C. ~ :>u::' i i c t~ntor ccnn~c~ f C;1 SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK ItiJ . OTHERO UJ.CO 20.00 3::.5J FEES OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC ~. o OTH ER TOTAL . 11:.;:.;0 COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY 1000 L1N. FT C~.)\:.I. lJiv~rt DRAIN FielD REQUIRED 270 TRENCH W!DTH FT. _ 2 OR SQ. .FT. ;')l;UY IV ru:;.:t rr........ 'Ill..! t;rl.I.)0r~y " :;~J rc:r7 ~rcin5 tG tile 5tr~3t. !,01 WITH DIST. BOX: GAL ~i )~(" '~~~c~;cr.~;u 1:0 c ~(~.. u~ml: :U..l t:ftl, ell ::crtr. c'" (rci:1flo!c'. (..~ ll;'):":~~; TYPE OF STRUCTURE ::; t: OCCUPANCY I r. ., ZONE PUBLIC UTlL EASEMENT BLDG. SETBACKS._ FT. FROM CTR. OF ROAD RIGHT ,OF...WAY I r.: I' ...:.... ~ . (;l..I:';, FRONT :':,;1 SIDE INT.:J SIDE EXT. ..;,'] AUTHORIZED SIGNATURE - DATE Ir;! J. ':.. DOG!:> ~y :k:r:)(~l':-::j USE CLASSIFICATION REAR 7' G. U. Gr~v. Ec~ltDri~~ DATE ;'-':'i-73 BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform building code and county regulations covering plumbing and sewage disposal. All buildings require a certificate of occupancy before being occupied. (See Statement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG: AT SITE) LANE COUNTY, BLDG, & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM:: C55-13 .', . .u~b;, T /7 R 03s c:20AX LOT C_~ TRACT ' ~~d?( ~ ./.-0 APPL~CANT:' (fj-s- Ni\M E 'uff ADDRESS ' 17 'ili~A-rlst "- PHON,E "- DATE 7-;2.3 -7;;> " " BUILDING,SITE EVALUATION Y Bu i I ding Perm i t App I i cat ion No. /4/.:<-:2.3 () Site Inspect ion () Pre-Permit Investigation .... LANE COUNTY PLANNING DEPARTMENT ............ I. Zoning Ordinance Compliance (Zone A.c=-,--) Subdivision Ordinance Compl ia;ce NOT app I i cab I e () () ( ) ( ) ( ) ( ) NO YES NAME Di\TE ( ...r- ~ , , 7-2..!.J-73 2. 3. 4. Required Access ( ) ( ) ( ) ( ) u-- W-- ~ Building Site (Area, Width, Frontage, Setback) Other (see comments) ( ) 5. COMMENTS: BUILDING INSPECTION SECTION NOT NO YES NAME DATE appl icable - - 6. Plans Subm i tted \) ( ) )<! 7. Soil Stabi1 ity (foot i ngs) ((J ( ) ( ) i 8, Flood Plain ~ ( ) ( ) (1, 11 ~ 7- 2.t. 7.J' 9. Other (see CO/lVllents) pQ ( ) ( ) ,. COMMENTS: f SANITATION SECT! ON NOT NO YES NAME DATE appl icable 10. Sewage Disposal ( ) ( ) ~ II. Usable Area ( ) ( ) ( ) J1.IAJ. /(jtt<M! 12. Water Supply ( ) ( ) ( ) 13. Other (see Comments) ( , ( ) ( .) f/ 1-,~S/ U . COMMENTS: TO APPLI CANT: Your BuildIng Permit / Site Inspecti~ (~n be approved. 7-2&'-'7,3 S () Cannot be approved at this time as indicated on item NO. above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Quest ions and further i nformat ion on j tems 6 through 13 contact the Lane County Buildinq and Sanitation Division. () Wil I be held in this office until you can resolve the problems indicated. () Is being returned. () Your building permit application fee is being returned under separate cuver. LANE COUNTY PlIINN ING DEPARTMENT 136' ~1)Cth ~venu" Edit. Eugene. Oregon 97!fol rl1ONE: H2..131I F.kl. 231 LANE COUNTY BUILDING & SANITATION DIVISION 135' Sixth ~"ellue East. ["<jelle, O'"egon 971~OI rHllNl: :P/2-IJI. [liT. ~.I .. - ..--.-..-. .... ..... -," --.- -.-.-.---- MC;C;_'H~ ._4, .. LANE COU! BUILDING PERMIT ~R MOBILE aE BUILDING 0 MH 0 MAILING ADDRESS USE PERMIT PERMIT NO, PROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION -INClUDE POST OffICE I r PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT APPl. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION o . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 OTHERD PUBLIC 0 o OTHER TOTAL . MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED lIN. FT TRENCH WIDTH FT. OR SQ. FT. o . .\., '<' TYPE OF STRUCTURE OCCUPANCY. '{ - " ZqNE , . 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 BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform building code and county regulations covering plumbing and sewage disposal. All buildings require a certificate of occupancy before being occupied. (See Statement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) ~ LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 F'ORM == r~~_ tl . . .. ,....~.. SITE INSPECTION / ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR I REMARKS FOUNOATION INSPECTION ApPROVED 1 r 1 01 SAPPROVEO 1--1 DATE 0'..../;3- C} 3 INSPECTOR i? REMARKS FRAMING INSPECTION ApPROVED IJL:!:. DISAPPROVED 1 1 DATE 7'/).2.- l'J REMARKS~ 1f ~ f ~/i' ~~ V INSPECTOR ~ LATH OR SHEETROCK INSPECTION ApPROVED L-I DI SAPPROVEO / / DATE INSPECTOR REMARK S FINAL INSPECT ION 0 ApPROVED !E! DISAPPROVED II DATE/tJ'9~r.7 REMARKS '~Al../~~~'I J '73 ~'tI...&<-!"""r/- j~oMlIJ' ;M~/:::J.ut;<....Jf...-4j.N' ,:i,/, ,-/0',(' n ~~~~ /eJ-"l..-l'.:7 I NSPECTOR ~ ~ OJ' , ..: '/ /"z....._, CERTIFICATE OF OCCUPANCY REAOY TO ISSUE ~ NOT READY TO ISSUE ~ DATE INSPECTOR REMARK S /l ) // ./7 /II / ""~~7 1'//2-1:; /~ /(,~O f)~ .20-/~D ~ ~ft_ ;, .. FHA FORM NO, 2573 ') '- J...Y"~O~S, DEPARTMENT OF HOUSING AND URBAN DEVELO&T Rev, 10~O , 1 ') ~O>~r)" -; FEDERAL HOUSING ADMINISTRATION O~1~ {) / ) 9-~ HEAL TH AUTHORITY APPROVAL \\\I.I.~? / 1~/-ti..~o,L#I~DIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM ~';':,:; /VJ..I.-Ir PART I-TO BE COMPLETED BY FHA In.Jring OUice I FHA Case No.. I /l11~ ~NR FlIlJ""I> . r-""lvt'!ntlonar Lo"" "~ rfl/{,. Mortpgee - Name. Addres. and Zip Code Mortgagor or Sponsor: "IV, V J./.!:' r I KINNETT, Leon l&\oIillaMae -A.lTltD FI RST NATIONAL BlINK OF OREGON 1680 De1rOlle St.. '[Pr. Real Estate Loan DIvIs Ion Prop.rty Add,..., POBox 1786 Eugene, Oregon 97401. ~ I!.5IFO~jm'oved I.l( Btgoi!i"t l' 63-R0296 nry, fP t If?- ~ 7 ')' 1- ' ///1 "18/J IU/ ~ Springfield, Oregon 97477 Subdivision: Lot No. L -1 Second AddItIon to Del Rose Block 5 6 , TpTAL NUMSPJ:R , 'VINn ;'m~ I mo;nuo 'J;;tllU<l, BASEMENT U New Installation . Can Attic or other Area be made info additional bedrooms? (Ii yoa, ho~ many?) o Yes liD No SYSTEM DESIGNED FOR. 2 DYes 0 No WATER SUPPLY BY, [Xl Pu blic System SEWAGE DISPOSAL BY, o Public System D Community System o Individual No. of Bedrooms Garba2e Disoosal DYes d ,No. o Community System [Xl Individual PART II. - TO BE COMPLETED BY HEALTH DEPARTMENT HEAL TH DEPARTMENT INSPECTOR'S SKETCH BLDG. PJBMIT !~1?-13 ~= 1----- - --I , - --I 1-- ,-- c: -1===:==- 1- - ,- - c:::: _ _ __ ___J I ~~J -~ -, =, , ~: = = = : - - 1- - -- ----====F==:----- 1==== ,- 1---- 1---1 - --I ==j-- I :: :. -'= =: = = = = =,= = = =: = = f" I::: 1- - - - - ,- - - - - ,- - 1- - - - - - ,- - 1- - - - - - - I: : :::: - - - , 1- 1___ I Cu_" -,-..""." '...J.... . , , It is"llie opiiiionoftlie'--O State E1'County-Loca) Deoartment of Health that this individual water-6upply system .....a...is-EJ-is-not-satisfc:fctory-asfCd'o:mestic.water~suppIy for the subject property. ,- e: c===_________ 1- - -- 1- - -- :: ='='=I='='='-'-I-,f~, i=.:uh t-,-,-t+.-.-.-,-l-.-,-,- -'~I It is the opinion of the 0 State 0 County 0 with proper maintenance: CXJ Can be expected to function satisfactorily, and is not likely to create an insanitary condition DATE 'SIGNA19IU~ n j<^'~ 1O-1'S-7'~ ~ic~I!R~Il~'3"'~ R.S.l SUPERV1BING SANITAR,IAN NOTE: The health authority should complete the appropriate opnion statement above and affix dote, signature and title in the spaces provided. Use of the above grid for Health Depo'rtment Inspector's sketch as well as use of the back of this form is ot the opinion of the health authority. Local Department of Health that this individual sewage-disposal system o Cannot be expected to function satisfactorily . TITLE PART III. -FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the Individual water-supply system be considered 0 Acceptable 0 Not Acceptable Sewage disposal be considered D Acceptable 0 Not Acceptable. DATE ISIGNATURE o CHIEF ARCHITECT o DEPUTY FOR CHIEF ARCHITECT HEAt.TH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA FORM NO. 2573 Rev. 10/70 REPORT OF INSPECTION-INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMAl' TRIATMENT consists of i3c:Septi<: tank. 0 usspooJ. Septic T....' feel. Inside width C:01iC.RrTIl" Number of compartmcms_' "alluns. Capa<:jcy inlet companment ~allons. hJr. feet. Liquid de(llh, ~ fect. Distance from well. Total liquid capaci!y Inside length, 8 Cesspool: Distance from: Wdl. (eet. Material, 1000 feet; foundation. _feet; nearest 101 feet. Liquid' capaL'ity. o Sttpage pits. Other line at 0 front, 0 side, 0 rear. ~allons. LininK material f.... Inside diameter, fet.'1. Depth 51CONDAAY TRIATMlNT cnnsiscs u(. Ci Tile disposal lield. T.1e DlIpOMII flelel: Distance from: Wdl. feet; foundation, 10 feet; nt~.ltcst lot line at ~ from. []J side, 0 rear, 10 TO[al length of tile' line~~]O fttt. Number of Jines, ~ Distance between lines, ~ Trench width, 2 inches. Total effa:five absorption area in bonom of trenches. ,,40 L.rngth o( <:ach lin" qQ-qQ-qo fret. Depth. top of tile to finish grad" Type of filter material: ~ Gravel. 0 Broken stone. Oth'" Depth of filter material ~neath til" 6 inches. Depth of filter material over tile. ? f.... feet. StJuare feet. inches. inches. s..poge PIn: Numht'r of pits__. Distance from: Well. . Outside diameter. feet. Depth. feet. lining material feet; nearest lot line at 0 (ront. 0 side. 0 rear. f..., feet; building foundation Inspection mode by: 0 State. 00 Coumy. 0 Local Health Authority. Inspected b' Date of inspeuinn _.Au'" j Il~T .,h ,I9fr /s/ GREG GRAY SANITARIAN (nTLE) REPORT OF INSPECTION-INDIVIDUAL WATER-SUPPLY SYSTEM Dist:.lfi(e to nearest public water main. feet. Size of main. Incht's. Individual wells 0 art~ 0 are nut (ustmnary in neighborhood. Give most recent tl'Cord of failure of wells in immediate vicinity to furnish adequate supply of wat... Properties in nei.l(hhorhood 0 are 0 are not lot size: feet wide, Individual water supply (rom: 0 Drilled well. Distance of well fro...: Buildin,s,: foundation being developed with both individual w:uer.supply and sewa.l(e.disposal sysf'ems. feet deep. Dwellin~ set back (rom from property line feet. o Driven well. 0 Du~ well. 0 Bored well. cast iron sewer feet; tile sewer. (ett: cesspool, ,r..er; nearest lot line at 0 front. 0 side, 0 rein feet; septic tank feet; disposal field, feet; other sources or possible pollution, feet:. f..., f...; seepage pit. Well.. Diameter. inches. Total depth feet. Type of (asinJ:' Depth of casing, feet. Approximate depth to pumping level of water in well, fccc. Approximate yield, ~allons per minute. Sealed watertight to depth of feet. Exterior space around casing St:aled with: 0 Cement ~rout. 0 Puddled day. 0 Ordirury backfill. Well cover: 0 ConcrCte. 0 Wood. 0 Mcr:al. Openings in well cover watertiKht: 0 Yes. 0 No. Pump: 0 Shallow well. 0 Deep well. length of drop pipe, feCI. Pump capacity, ~allons per minutt'. located in: 0 B.'lsemenr. 0 Pumproom off basement. 0 Pumphousc above ground. 0 Pump pit. Pumproom properly drained: 0 Yes. 0 No. Pump mounting watertight: 0 Yes. 0 No. Type of storage: 0 Pressure. 0 Gravity. Capacity, gallons. Has bacteriolo~ical examination of water been made? 0 Yes. 0 No. If answer 'is "ycs." give dat~ 19_ Quality of water 0 is 0 is not satisfactory for human consumption. Instalb.tion 0 docs 0 docs not comply with approved exhibits. if any. Insp<<tion made by: 0 Statt'. 0 County. 0 lex-al Health Authority. Inspected by Date of inspeaion ,19_ (TITU) GPO 900.682 '- , , " , " . '. .. '. permi~ Deitf' CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com- missioners of lane County, and it is the opinion a nd judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby, ORDERED, that a permit be and is hereby issued to / ,;: for placing, building or constructing the following facility: , ;. ,\.~ - ~., I ,-'. - I ~ ," , '--.-' , " /,' -(, ,. ~ \.'_.,-..d) , i' ': ,-;" 0./',,)""'\ ,----,......--..J ,\.," upon the right-of-way of County Road No, Mile Post , in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements, stipulations and provisions contained in the application and permit, the Rules and Regulations Gov- erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the lane Man- ual 50,190(2) any amendments thereto, and any other applicable regulations, law or ordinance, Special Provisions: 1. Driveway will be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98-50), 2, Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition, This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned above is hereby authorized, This permit shall be void unless the work herein contemplated shall have been completed be- ." fore '/It 19 'j(, , -' Expires ,19_, Inspected and Approved Approved by Board of County Commissioners By Datf' By Director of Public Works WHITE - OFFICE FilE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT. YELLOW - REAL ESTATE C98-79 , ..~ " . , ,I Date . v, ~ 1__ ,. .; ~ JVA' ./ ,,-/'/-, -'~'" . Itl/ ,. ) '.,;" .. .. " ..... APPLICATION FOR FACILITY PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY Your applicant, L E ( ..,I I;,), 1(" Ij I. < ',,1/,/6 '7 l. , hereby makes application under Rules and Regulations Governing Facilities to be Per- mitted Upon County Road Rights-of-Way. to construct the following facility: '.':....c l' I~ l I J I ;, ,;'. ,::.. I to: t.: ~ " ~ e.: ..... J.,<4 ,. Upon the right-of-way of County Road No. I { f ( J> f: It, > '; e /i &, G. . at the following location: ,. t . as shown on the exhibits which are attached hereto. in strict conformity to the state- ments of the exact nature and amount of work to be done, and to the description of the facilities contained in said exhibits, Your applicant will be the beneficial owner of the facility as constructed. or otherwise primarily liable and responsible to members of the public for its proper maintenance. repair. operation and use. Your applicant accepts all terms. conditions, agreements. stipulations and provisions. in Rules and Regulations Governing Facilities to be Permitted Upon County Road Rights-of-Way. dated March 31. 1960. and any amendments thereto. and any other applicable regulation. law or ordinance, , , '. . " , ' Signature I" , -; .-" '.#.' ..'~"" .- Address ,.' WHITE. OFFICE FILE . GREEN. RESIDENT ENGINEER PINK. PERMITTEE BLUE. ROAD SUPERVISOR ORANGE. BUILDING AND SANITATION DEPT. YEllOW. SURVEYOR , , ."..-"'! ." -..... . ~I ., , , Phone No, 'i c - , ' PROPERTY OWNER LANE courl BUILDING p~~~.;~ '~R MOBILE aE BUilDING D MH 0 MAILING ADDRESS .' . USE PERMIT PERMIT NO, PHONE ,', , . ..1\ ~'. ,'~ "'" "~,;"~ "'"... , " . ,I. "",.-,. ...;,.. ,. MAltlNG,AOO.ESS 1;:, /) - - t)~~/'./I/4 ,1-3-7'=5 PHONE CONTRACTOR PROPERTY LOCATION - INCLUDE POST OFFICE ,-..1 ~'",' ~; J ~ ~" PROPERTY LEGAL DESCRIPTION - METES. BOUNDS , . " >')": :: SECTION :) ~ ,~:...:: :; TAX LOT NO. CODE CENSUS TRACT TWP RANGE :'Ii APPL NAME & MAILING 1";' ~,. , ('-. ,'.'.1 , ' ( .') " ~ v' EXISTING STRUCTURES ON PROPERTY ,,,,, : ~;- ::::':~:':::. .., ~: ;i:~ C--"l\,n;, :"'} 'LEGAL ACCESS TO PROPERTY :~. . f', !:~ ". , PROPERTY SIZE - fT. ADDRESS {'on ~~.~, , WIDTH DEPTH AREA . ~.' ., FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :;; BDRMS New System 0 VALUATION r:',-~---::: "" . "II.' , !,,, ., ; t. c~;::. C::t .~,.., <. '1 ."'...." .,'. , v "J d, __\i~ (...~."'..:~ :'.":'~::::'~ ~_:>:::~~;J %~~- '''~~.:'~ ;:::~:--::7:''''' ~ ",........~. .... ~ ,..""",,,, --.. ,j ~:: -)~ ~~ .- .....^"., "~U..~J "':~::~:.,-:~;:. :' (':l SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER , OTHE.O ;J.liJ FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK tJ .'" ('-' t."."'" ;;~_,. ~jJ PUBLIC G~ o OTHER TOTAL . '..;.:.J COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED :::1 L1N. fT TRENCH WIDTH FT, . 2 OR SQ. .Ff. ,. "'I ~: I . MIN. SEPTIC TANK CAPACITY "tV' WITH DIST. BOX: GAL. . ~''- .., . .' j ,:r: ~JJ ~:~ i~.'~ > :~-'G~) ( ~; ?(:~::~'~cu:..:. ~ ., _.; c-. .. :)~tf,-XC ): C/ ..v ,,~,~~. '." \~. ~.~~, ,,' 7;;~;Q ,:~'.:;B:::; e.,) ~:~:: (:~:?c;-:(:. TYPE OF STRUCTURE ..' OCCUPANCY ~ C~ ,~ ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS~. FT. FROM CTR. OF ROAD RIGHT. OF.WAY~ r.",: . - . ,.-.., '\ FRONT '<-' SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE USE ClASSIFICATION REAR " DATE t' .~1 ~. -- . . -.. . ; ",jCJ ,....iJ ~..,~.:, ~:; ,h '. ~'. C....Ci~ J"~::{~~~J':l'.~ , /L'. D BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform building codE~ and county regulations covering plumbing and sewage disposal. All buildings require a certificate of occupancy before being occupied. (See Statement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM =CSS-13 . .,. . . SLAB FLOOR PLUMBING GROUNDWORK ApPROVEO .[2{; 01 SAPPROVEO 17 DATE J' -3 -7.3 I NSPECTOR h'J.~ REMARKS GAS PIP I NG GROUNDWORK, ApPROVED Cl DISAPPROVED / / DATE INSPECTOR REMARKS ROUGH PLUMB I NG ApPR?VEO f1;J 01 SAPPROVEO Cl DATEb~-'J 3 REMARKS INSPECTOR ~./ ROUGH GAS PIPING ApPROVED Cl DISAPPROVED Cl DATE IN~PECTOR REMARKS FINAL PLUMB I NG ApPROVEO LZl D,SAPPROVEO Cl DATE/D- q.;>? I NSPECTORA/~ REMARKS"v6 .('.=oll;;n J i7tF O~p;.l<> 10 .~_?7 .:-IJ-I . /I ' r '{'l V I, - c I / ~J 11 ., C\/~ FINAL GAS PIPING ApPROVED Cl DISAPPROVED 17 DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE 17 NOT READY TO ISSUE / / DATE INSPECTOR REMARKS ~DIVIDUAL S~i.'OlSPOSAL SYST~CORD ~staller: Complete top part o~rm to signature and return both copies to Lane County Building Sanitation Department. Ins!5l,lehs Nam.e. . I Property AC1C1ress ~ 1- (--' ~.2: .v~~5" _ KIUlll 1680 Del Rose No~vingVnitS IBeC1roo~sIBaths I Basement I Water Supply I 3 2.--- Yes 0 No B-1 Public m--" Other-List P<~I.'T Nn. 141'_7~ Gray Septic Tank: Ft. from well Steel 0 InS1C1e DunensJ.ons: ,tHI:.. Length ~ Width c.;~-..- Applicant Name Leon Kinnett Mailing Diameter Depth j" ~ / Gal. <:apaci ty. / <tQv r~ile Disposal Fl.eld: Distribution Box:Yes ~ No 0 Other Distr:,bution- Type Concrete liJ-" No. Compartments If:~ C'l.,.....:_",.r- , J Feet from Well Foundation jt) Lot Line . Front I 0 Side /0 Rear ITotal SQjFt.betweenl Filler ~F;illeI' depth I F~l.l.er depth rd 'I I/~ above below / ft...;> TO l~nes t:> Type"" tile 2-- in. tile b iu.. Address ,f.....,.."'nn. nI:.G.('''n Length of L1.nes - Ft-. I Trench 1.902.903.904. 5. 6. Width 'Z..- Sketch (See instructions): t ~/,i.;..... : " --. -,i., , ~ Jd-- t - - - - - -- \ ( I I I I I I I' ~~ .. ~ 1.-_ L -L--Y - - - - Date e-ltJ- 7~ Signature ~ tfA WP1..-voff" For Sanitarian Use Only: ~Approved: System Installation b Disapproved: Does Not Conform Remarks: Conforms to Current Standards to Current Standards Da te: rr.,;L <I- '7 ~ Lane County Building & Sanitation Dept. ~~~ - sanltariaif'Signature LANE COUNTAIJ,6ING PERMIT OR MOBILE HO.SE APPLlC.iHION PERMIT TYPE - BUILDING'iZ' MOBILE HOME Dose REG, # PERMIT =;: JC//2- 7"3 PROPERTY OWNER - \ MAILING ADDRESS PHONE ~;tvvV'rr ,.Ltfl-L>rV /.<>70/ .cL~,'.-v5.;J ~ 9'~~ 32-E-~ COtK~AC'TOR - i MAiLING ADDRESS V - PHONE ~'!-I~f'r7 Wv{.7, C'i), PROPERTY lOCATION - INCLUDE POST OFfl/CE /. f) /} ft70 v /J/f PROPERTY LEGAL DESCRIPTION t? ~/LA'.f L A -~ ~O.f~ LOT - BLOCK - SUBDIV. t::7" ~ o/V 'PC< TWP RANGE SEC. TAX lOT # /7 03 ,;2Lj ~ ~/ - ~~..ft-d. L -{p Ll-s ~I~ ~r-ES & BOUNDS DYES V ATTACHED D NO CENSU:j TRACT . ,..:} /J - CD J '5.0 DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY CODE APPLICANT NAME " VOv...... LEGAL ACCESS TO PROPERTY - ROAD NAME OR # &~ ~f'7=~- PROPERTY SIZE-WIDTH DEPTH AREA AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES/If BE BUILT THIS PERMIT ~-W"U .I;',JI. I cer~ - - ~(J6i-1' ~ Q.f'><//1 Connect to Existing TYPE CONSTRUCTION Sewage System 0 or New System Req. ~ SQ. FT. # BEDROOMS VALUATION i 77.1' fb,'!("L. d).1.33c6 , , I /,j7 y (p 2... t/J "3t!L L ,/;iL,(?1 d../tJ A SEWAGE DISPOSAL - 7_ 7 ,t}.,----3 I PUBLIC D BLDG. WASTE 015. PLUMBING PLAN REVIEW PARK TRLR. . SEPTIC TANK ~ Rl,ob. , -2CJ.,~) ,<<?~ OTHER D FEES WATER SUPP~ PUBLIC .er"" OTHER PLUMBING FEES 11.... FIXTURES 3(.., 00 CASH D s..mR CHECK rlY'"CONN-ECTlON FEE Z. ,J :J PUBLIC WATER /. ~ CONNECTION FEE PLUMBING INSTALLED BY OWNER 0 OTHER 0 NAME PLANS ~HED FAC'L1TY~.IT ~E if NOD YES~ NOD IGNATU~RE ~~''t:'''''_~!:l..L DATE ~L ___(7~~~;;;l'-' 7- 2 '3-7 J FEE~E'e'E VE BY DATE DI-I 55 7- 'Z ,}-7J PER T # /4 /~ -,/" '=1 TOTAL 1'/2.. G COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED / () oD L1N, FT,~() TRENCH WIDTH FT. ::L ~ ?W~L.'4-} ,::<5: ~ yl' -YY"1u.- "'fl.}." '~-t..... r~l ~1J _~(J) oJ .~~- ~ /7ff~N~~ tJ{ '"t,J1J;./ (J.,;~p ~ ~~ ~ #-u~. / TYPE OF STRUCTURE f ~ M OCCUPAN/~( ZONE REAR YARD PUBL/IL. EASEMENT BLOG, SETBACKS - FT, FROM CTR, OF ROAD RIGHT -E WAY ~ USE CLASSIFICATION ) , Fki:::IT 46' SIDE INT. .s- SID~~ REAR '1 ( f/ SAN2R!A~ Dote P~~~~ Date BLDG. IN5PA~ _ _ . A _ .. /'J( Date L./.t(J. . ,23' IJIl/S 7-2,'cI--1":'., JrY.5 ~~ ,,- Il.{" -7.3 (/ , , WITH DI5T. BOX: GAL OR SQUARE FEET Sc?c) Directions COPY 1 - OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT Form # CSS-1Z