HomeMy WebLinkAboutPermit Miscellaneous 1974-8-13 (2)
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.,:'. '. . 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
,,' '-',
.
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;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
- () () ()
( )" ~ ""
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() ()
() ()
( )
( )
( )
( )
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:
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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
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f"ORM = C55-1)
DATE
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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 \/ ~
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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
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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
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hr.aT~ 'Zf ~..pM o-J
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~(Y.,ocJ ~70' /'"U.CMcf) .
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. .~ 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