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HomeMy WebLinkAboutPermit Miscellaneous 1974-8-13 (2) . ., , . ' {,\ ~~. i:./ 6", f'f {;;;j . ~yl' .w . .,:'. '. . i LANE COUNTY , . .1' BUilDING 0 . PROPERn.OWNER . CASKADE SWIMMI NG POOLS ~ BlJlLDING PERMIT OR MOBILE. 'MH 0 MAILING ADDRESS HO,llUSE PERMIT PERMIT NO. 1459- 7l+ //':;-(1 - '((/ PHONE CONTRACTOR EMERA~D EXCAVATING MAILING ADDRESS 3270 OREGON STREET SPRINGrlELD PREGON PHONE 747-721l5 PROPERTY LOCATION -INCLUDE POST OFFICE 1024 DIAMOND STREET, SPRINGF'IELD, OREGON PROPERTY LEGAL DESCRIPTION - METES, BOUNDS SUDDIVISION- DI'AMOND ACRES 17 03 J... (:J f 7 BloG k SECTION "TAX L.OT NO. 34.2.4 20JL . CODE J- 19-03 CENSUS TRACT TWP RANGE 3270 OREGON STREET EXISTING STRUCTURES ON PROPERTY 3 BEDRaoM HOUSE & GARAGE LEGAL ACCESS TO PROPERTY DIAMOND. STREET - SPRINGFIELD APPl. NAME & EMERALD EXCAVA~ING MAILING PROPERTY SIZE - fT. ADDRESS SPR INOFlELD, OREGON FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT REPAIR' SEWAGE DISPOSAL SYSTEM WIDTH DEPTH AREA " Connect to Existing Sewoge System I!I TYPE, CONSTRUCTION. SQ. FT. :; BDRMS New System 0 VALUATION SEWAGE DISPOSAL , FEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 OTHERD 1";.00 PUBLIC 0 D OTHER RAINBOW DISTRICT 'TOTAL . 1 "i. 00 COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN fielD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX:. GAl. lIN. fT TRENCH WIDTH fT. OR SQ. fT, DISCONT.INUE DRAINFIELD LINES rallE FEET rROM SWIMMING POOL AND'FUTURE OR EX.ISTING au I ~D I NG LINES. REPUCE AN EQUAL AMOUNT or DRA I NFl ELD ELSEWHERE. TYPE Of STRUCTURE OCCUPANCY ZONE PUBLIC UTll.. EASEMENT BLDG. SETBACKS __ FT. fROM CTR. Of ROAD RIGHT Of WAY fRONT SIDE INT, SIDE EXT. AUTHORIZED SIGNATURE - DATE USE CLASSifICATION REAR J. E. Boss J~ CRUCIKSHANK/SANITARIAN DATE 8/1,/14 DM BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections. All CDnstruc- tiDn 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) ~!".,' - It.. F'ORM -' CS5~1) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT" OF ENVIRONMENTAL MANAGEMENT , .-." COURTHOUSE ANNEX, 135' EAST- 6th, EUGENE, OREGON ,97401 . BlJ,ILD ING SITE EVALUATION ,,' '-', . ~v ;I 71 () Building Permit Appl ication No. F/6"r7Y () Site Inspection () Pre-Permit Investigation NO LANE COUNTY PLANNING DEPARTMENT I. Zoning Ordinance Compl iance (Zone ) Subdivision Ordinance Compl iance 2. 3. Required Access 4. Building Site (Area, Width, Frontage, Setback) Other (see comments) 5. COMMENTS: NOT app I icab Ie - () () () ( )" ~ "" ()@\' () () () () ( ) ( ) ( ) ( ) BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stabil ity (footings) 8. Flood Plain 9. Other (see Convnents) NOT NO YES aDDl i cab 1 e ( ) () () () ((~)~, () () Vy ( ) () () T !7 -.13 S 3'/ JA1.x LOT ~ 0 I C~ APPLICANT: NAME Ern erf1.( d p )(.(1~ IIfl.J.., 'via . ADDRESS r>. PHONE DATE '-'7--=>./-7{/ YES DATE NAME NAME DATE COMMENTS: " I.. 0.' t " , . '0 " . .... 'I' " : ..'J..... 'J 1 "!.'.o ~ . . Hot USE PERMIT PERMIT NO. ....\ , ;1' LANE COUNTY BUilDING 0 BUILDING PERMIT OR MOBILE MH 0 MAILING ADDRESS ~, PROPERT,,"OWNER ~'lir;~ClC~ CUt~...-lO~ P~~D CONTRACTOR r::;::.'l\~() 8tCIIVA'i'IC:O MAILING ADDRESS 12Tl' (t>(!CC:, :";v;;cmv S/~'~7nCt..a (bCCC~J PROPERTY LOCATION - INClUOE POST OFFICE Hr~~ ;),t\~c::) G7i::(!\I'i'. ~;mor~~I'ICi!:.O. O::CS~:J ; PROPERTY LEGAL DESCRIPTION - METES, BOUNDS "t::Ol17ICIC> [)1t\C::;;:> t.G"QO TWP ~i RANGE 03 SECTION ~~.C2.13 .> TAX LOT NO. rol CODE CENSUS TRACT 1'..03 APPL. NAME & MAILING EXISTING STRUCTURES ON PROPERTY 3 G:ax~ ~OI;JC (l C:\~t\8!I LEGAL ACCESS TO PROPERTY UlA"~~C U7QC!C'i' 0 S;JI~~Ir.bO f':::;:AI.D CltCIlIiAO a;:;J ~:jl) Clccc:J [,mCCi PROPERTY SIZE - FT. ADDRESS G;>;; or:::? 0 CWo C:C::::;J FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT C.C?C\:0 C:'l:.~C: OOO?C:Jt\\ G'10YGel WIDTH DEPTH AREA Connect to Existing Sewage System EJ TYPE CONSTRUCTION SQ. FT. <+ BDRMS SEWAGE DISPOSAL PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER OTHERO SEPTIC TANK 0 $ FEES ltl~' "j l.{;~r~' PHONE PHONE 7:) 1~(2'~ 'j " New System 0 VALUATION J'j.CJ o OTHER :l:'lL..'~~,1 ,;~::l.:~~ ( Call 687,4065 to,schedule all required inspections, All construc- tion sh~1I comply with Unilorm Building Code, D,E,Q, standards IMPORTANT: for subsurfaCe s~w;'ge disposal. and county regulations cavering' plumbing, All buildings require a certificate 01 occupancy before being occ,upied. (See Details on Reverse, Side) ~ '., j " " " ~ (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 PUBLIC 0 TOTAL , 'jl}.UU I MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. COUNTY BUilDING & SANIT AnON SPECIFICA nONS DRAIN FIELD REQUIRED L1N. FT TRENCH WIDTH FT. OR SQ. FT. A'".J:;i,~:.:;; c 'i\e::?I:;t,ll ,~a:;C,1 "me: VCGV O';-,-~' OtHe::W;:) 1'-':;-;1. II';::> V'UVCJ,' Cl C:lll'jJI'.i ,~iO~ ~)Hj ~~~';~~:. C:;:}:;.2LC ^.J CC:~'\t l\:J~::Ji C7 L..td~?'l;:SO !.a..oat::"'r(~c. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT BLDG. SETBACKS . FT. FROM CTR, OF ROAD RIGHT OF WAY FRONT SIDE INT. SlOE EXT. AUTHORIZED SIGNATURE - DATE USE ClASSIFICATION REAR ~J. 1..>. [~J J. em;;; o W::':10 c;::r/un 0 ~6:J II\:J BLDG. PERMIT - WHITE ~ OFfICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN ISANITATION - GOLDENROD J ,'t ., ,":--, , ... f"ORM = C55-1) DATE 'lfo',)' .:.i . .' J '..I . . . . 1- /, . - . " \ SITE INSPECTION ApPROVED CJ DISAPPROVED CJ DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED 1--1 DISAPPROVED ~ DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED 1 1 DISAPPROVED CJ DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L-I DISAPPROVED ~ DATE INSPECTOR REMARK S FI NAL INSPECT I ON ApPROVED' ~ DISAPPROVED ~ DATE INSPECTOR REMARK S CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE INSPECTOR REMARKS jl ~I {0:Pf \/ ~ ItIj~?-7r &Ud.ed ~~ /02V1.2:~-#~ r ~ f--/" // paSED SEWAGE DISPOSAL SYSTEM REC!. INSTALLER: Complete top part of form to signature and submit both copies with application:. PERMIT NO. /4,,9,:';7'/ PROPERTY ADDRESS J:C. /O:;JJ/- flutml!'>1d ~:r/7'AQ.A~ /d I~,. No. Living Units Bedrooms Baths Basement Water Supply " v~ Yes No Public Other-List ~, '. INSTALLER'S NAME Septic Tank: Ci.;ty~ Ft. from well Steel 0 Inside Dimensions: Ft. Length..s 'Width It>' Diameter OWNER e . NAME V??1~a./ d ~A? / -'4 ;t_= " -..../ Feet from HAILING ';/7//0 ()a:7d~o) WEll ADDRESS. Lot Line e u..-, t--y ~, ~or'(7'f1 ~ Front Len~th ot L~neS-ft.' [TrenCh, Total Sq. ,I Ft. Between I JO 2.Ltli3JO 4!tO 5.10 6, Widt"-~ Ft..~J,I.i5' Lines /0 1 'lot Plan (see instructions): Concrete N \ No. Compartments Ga 1. Capacl ty /,0 tJ (') Tile Disposal Field: Distribution Box: Yes X( No Other Distribution-Type Depth , Foundation 10 Side 'KO Rear If::) () IFi llerrl IFi lier Depth IFlI'ler Below Tvpe~4' Above T i 1 e..o... in JT i 1 e /..:Li n. J ii 01 I~ 4,\L -) o ttt\\\\',~)--- ~~.f)'ii" nv Si 1\'0\;. ,- CO\.l~~G\olI\: \.f>.~'C..\olII:.~\r-.\. 1:.~\j\~O~ . ~ I o C II' "" Tl Tl ~ .., 1l cP o u l> --\ :> <lL!J _ ... <> - i' T\ >Q :> ~"'. - ... 0, & :>, F " , .111 , -p 1<90 I A (C>~...~. C>,. Si!l!lature,..-,r~-14''''-:~~~ .z.."'UJJ'~~4!' CERTIFICATE OF SATISFAC~RY COMPLETION .. For Sanitarian Use Only: Date: 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 focat-ion. 1:21 Approved: ...system Installation conforms to current standards c:=J Disapproved: Does not conform to current standards Remarks: Date C55-11 q~ R.t;L~", . S~.tar i an IS Signature LI>.NE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY ." 1'. p-;)-(> -'7 Y ~-. R(f ~ '7n~dv ~ U~ ~ -..:/-uLd.- ~cZ~ ~ 7-/0-7</- . '7 IJ. /J - _ (J../'r-I c:I 'Y.u-, J' ~ >,...& ,'C..<---'d ." hr.aT~ 'Zf ~..pM o-J ~ ~ <D-wa-y ~(Y.,ocJ ~70' /'"U.CMcf) . " 0/ {~y ~L ~7C-/ LL~-,U: ~d. J=:u , " " . .~ PERMITfF / 459~ 7<1 lANE CXlJNlY ' ~ U Building , DEPAR'IMENr OF ENVIR.ON1ENTAL MANAGEMEi;o Mobile Horne APPLICATION FOR !lUIIl)OC PERMIT OR MOBILE HCME USE N<Jl'E: No permit will be issued mtil this application has been approved. PLEASE PRINT , I , PROPERlY LOCATION~ Oll\...h'l.(ll\.\~ ,<;-rR~F'-r. SrV'\ Vl-&FI\"IN, (\h>~(l"\ .' 'M' -----LL RAN:;E C -z, SEe, 3 tj. ~,'Itvr, 1m fF '20/ COOE I ~-o3 CENSUS TRACl' wr NO, ~ BLOCK I SUBDIVISION Q~m~..J AN'~ I PER1Y 'tlZE I ACCf.'3S TO PROPERlY OIl\..'1'I\t"IN ~<"~WIDIHJO) DEF'lll~a(') OR ACREI>GE DESCRIBE EXISrm:; STRIJCIURES ON 'lliE PRur=.1 i Tl-l ~E E g r: D~ M M J-I fJ/ )" ~ + (.;.ARA G-F APPLICANT 'I MAll.----m:r J 'NAME ~A, C.1(/lQ..F ''rIlIYnmJAIc:.. o..nlcADDRF15S, ~I)n Or-e()OI\I .<:;T.~--'2.l,lI)~ '),9~ CDNl'RACl'O t>Aa,; ~ I . . MAII.JN:; . ... .;r. NAME F me f"1I._.1 ~ E yeA I) Ail n.g AulJ=S PHONE BEI..rn' FOR OFFlcr USE Offi..Y'f.:.:.:. :..-. '-.:.:. :.'-.:.:. ,". ,-.'-..". .". .-..-..-..-. .-..-. .-..-..-".-. .-..-..-..-.nn.'n.... ....nnn..nn.".., """".... .on'" .......................... roo. ,....^..,.,;m sq, ft, 1,Ibedrooms valuation ~tructures to q,e built/ljQl2ile Horne g(f')_~ t r ~,nS Sewage lJisposal: Site Inspection fF Water S~ply: Public LJ District Name Existing sewage disposal systan ~new systan required 0 kh;n~~} Well 0 Spring 0 Other Bldg, Waste Dis, Plumbing Plan Review Trailer 1% surcharge Fees J5, C)'(J) Plumbing Installed by CMner Other Name: Plumbing Fees Sewer cormection Water cormection fF of fixtures inspection fee inspection fee "-...rJ Cash Plans furnished Facility Permit ~Check YesO No~ YeSD~' Signature of Applican fl ~, . e TOTAL {f[. IDrl! Fee received by R n _ te 7-:~1..::7 Min, Septic tank capacity Drainfield required with dist, box: Gallons Lineal Feet Trench Depth or Sq, Ft. ])it;?I"JIft;t'>1Lo(' dmfh-fJ,y'!, }/""",- -h're fi:.et...:li.a:-- '3iai!,).....Jt1c: pb/ a"J.~ orekt~ hUf)J;'>::J 1r"'Cb, B~n' 14I retu6} tLnWcA1"(: of' ct:/'r{/eIrf ep4b-C.- 'type ot Structure Occupancy Fire Zone Use Classification Blgd, setbacks-ft, from center of road right of way Front Side Int, Side Exterior Rear Planning date ~i~a~Dd;;f'hf7t/ date Building ~ I' Zone date C55-12