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Home My WebLink AboutPermit Building 1973-1-22 (2) ., , ":j i';', .. ;.; \'...,~:, " ,.~( PROPERTY '0 NER _ ... H Ill, Robert ..L-I,"C'/; /\ LANE CO~NT~ILDING PERMIT OR MOBILE BUILDING [! .. MH D MAILING ADDRESS ' 2324 Darnoch, Spfd. MAILING ADDRESS HoAusE PERMIT ..- PERMIT NO. (\~p.~/" -.........:. ~ 59-;'3 \) PHONE 746-9916 PHONE CONTRACTOR PROPERTY lOCATION - INCLUOE POST OFFICE 1160 Dondee St. TWP 18 RANGE 2 SECTION 6d.3 'a;/~ l _ TAX'LOT NO. CODE /1,;l.J~ CENSUS TRACT 3S-IS2A .PROPERTY LEGAL DESCRIPTION - METES. BOUNDS Meadow Green Estates, Lot 18, Blk. 1 2324 Dornoch EXISTING' STRUCTURES ON PROPERTY None LEGAL ACCESS TO PROPERTY Dandea St. PROPERTY SIZE - FT, APPL. NAME & MAILING AOORESS Springfield, Or. FOR MOBilE HOME PERMITS ONLY No. of Bedrooms Robert Hili WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. # BDRMS Wood 1094 Gl 12 3 483<P3 New System D VALUATION 13,128 1.449 I~,)II Dwelling Garcge - att. - unc, ~~w~r oonnec~lon - &.uu Install se~ogc disposal system; 6 plumbing fixtures ~ 3.00; ~ater connection - 1.50 SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK :0 BUILDING It WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER PLUMBING INSTALLED BY OTHERD ,:l.uu :lU.UU " .5U FEES .oWNER 0 OTHER, NAME WATER SUPPLY PUBLIC )b 0 OTHER Jock Jackson TOTAL <---roo. 50 COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH 0151. BOX: GAL. 1000 DRAIN FIELD REQUIRED lIN. FT ISO TRENCH WIOTH FT. 3 OR SQ. FT. 4so Maintain ten feet from the propeety line and house with all parts of the dralnfleld. Divert roof drains to Qhe street. TYPE OF STRUCTURE StJ OCCUPANCY & J ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS"... FT.IFRQM CiTRo OF ROAD RIGHT Of WAY l\~ PI;:, P O\; P <in FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE Isl Boss by Harb~uQh USE CLASSIFICATION REAR G.~. Gray, R.S.T. DATE 1-22-73 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 97.401 FORM::: C55-13 )4 N .c..K.. C '(1 Building Permit Application No. 59-1a I I SUILD'IIlIG ~ITE EVALUATION , Site Inspection ( ) Investigation " Pre-Perm i t LANE COUNTY PLANNING DEPARTMENT NOT NO aDD I icab Ie J. Zon i ng Ordinance Compl iance ( ) ( ) (Zone R h- ) 2. Subdivision Ordinance' Compl iance ( ) ( ) 3. Required Access ( ) ( ) 4. Building Site (Area, Width, ( ) ( ) Frontage, Setback) 5. Other (see comments) ( ) ( ) l~i~Jj()O~6~~,. Bc:,,- l~ T 1t1.R6Zs O~ fA-X.Lor,', . C~TRACT 5~-\52--A APPLI CAJil: _ NAME~"I ADDRESS \-I:ILL PHONE DATE I-I t;r I:> - YES NAME DATE ( ..r--' ?/k'.L/ /~/~-}..3 ( ..r---- I (~ (~ ( ) COMMENTS: BUILDING INSPECTION SECTION NOT NO YES NAME DATE aDDl icable ~ 6. Plans Subm i tted ( ) ( ) 7. Soi I Stabil ity (foot i ngs) (!/) ( ) ( ) 8. Flood Plain (j) ( ) ( ) . 9. Other (see Comments) (~) ( ) ( ) {tj~~ /..;.j,....?, . "" COMMENTS: , \... SANITATION SECTION NOT NO YES NAMli DATE aDDl icable 10. Sewage Disposal ( ) ( ) ~) II. Usable Area ( ) ( ) ( ) I'L V1 ~~ 12. Water Supply ( ) ( ) ( ) 13. Other (see Comments) ( , ( ) ( ) p COMMENTS: ~ , TO APPLICANT: Your Building Permit / Site In~ection: (/ Can be app roved. 1- ~ 713 f' () Cannot be app roved at ~ ~ ~ s t im~ as i nd i cated on i tern NO. above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questi,ons and further information on items 6 through 13 contact the Lane County BuildinQ 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 returned under separate cover. _ - __-,~ _Or ~._.~- '.. LANE COUNTY PLANNING DEPARTMENT ~ 135 Sixth Avenue East, Eugene, Oregon 9740~ , PHONE: 342-1311 EXT. 231 LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342- , 311 EXT. 411 M55- 28 ". ,,~. 01(,) ro~ie CE~-73 ("0' t;'"";';- . .. Date "nnunv'lI ?l\. lll71 . 11 , , 1011'1 7 PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Commissioners of Lane County. and it is the opinion and judgment of t.he Board that the said application should be granted. and t.hat a permit should be issued. now. t.herefore. it is hereby ORDERED. t.hat a permit be and is hereby issued t.o Robavt Htll for t.he placing. building and construct.ing of t.he following facilit.y: D1'tVOi::av opproCleh tI1~tl curb cut-COado" Green Estates-Lot HI aleck 1 1I1)~' UGllael.l ;)\;NIl" upon the right.-of-way of County Road No. 1016 . in st.rict conformity to t.he exhibits attached thereto. and subject to all terms. conditions. agreements. stipulations and pro- visions contained in the application and permit. the Rules and Regulations Governing Facilities t.o be Permitt.ed upon Count.y Road Rights-of-Way, dat.ed March 31, 1960 and any amendments theret.o. and any other applicable regulat.ion. law or ordinance. Special Provisions: nr1lJm1QY tltll be constructed tn accordance \:11th ,the! nttllchod dvtvGtfDY opproadl apactfteottons (D~utng ~m8-50). Porotttee ttfll bo I"Qsponstble ~ol" the t~dtate r'eD01I111 of all n:ud. dtrt and debris frc::1 tho roa~'1!IY and right of l:Iay caUlled by hill operatton. 100lltng tile rco~ay and arao tn a neat. acceptable condttton. This permit is revocable at any time, and will be st.rictly adhered to and no work other t.han that. specifically ment.ioned above is hereby aut.horized, This permit shall be Jonu&!'Y 24 completed beforf' void unless the work herein contemplated shall have been 74 . 19_, Expiref' . 19 Inspect.ed and Approved Dat.f' , , Approved by Board of Commissioners By , '. --- " /" .~.... - .. By :/ . LDirector of Public Works WHlTE . OFFICE FILE PINK. PERMITTEE ORANGE. BUILDING & SANITATION DEPT. GREEN. RESIDENT ENGINEER BLUE. ROAD SUPERVISOR YELLOW _ SURVEYOR Cg,I-S2 .,,::.-=:' ,". ... '. Date _e., /..::/ J . , '. ... ... .. ..~.,. .,;i! APPLICATION FOR FACILITY PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY .4_ ~.. /' ::.,.- . Your appl icant. ,', ' ' , hereby makes application under Rules and Regulations Governing Facilities tl ~e mitted Upon County Road Rights-of-Way, to construct the following facility: , Per- . // r /' /' /__./>"" Upon the right-of-way of County Road No. J (' J (... . at the following loca~ion: . .# ....;;.--;".~ as shown on ':h: :Xh ib;~: '~hiC~ ar~~:t::c~e; ~:r:to. 'i n' ~:ri:; '~~nfor;':i~~; :~e s;~fj' 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 (,'. ..6/ / .). J ,..."..( .,/~,~. ,"/.,- . l" ;. r-O 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. stip~lations and provisions. in Rules and Regulations Governing Facilities to be Permitted Upon County ROad~ights-of-Way. dated March 31. 1960. and any amendments thereto. and any other applicable regulation. law or ordinance. /(/'/ .. 11."\, ' (q , r---" .' ' . ".I r/rl-r , '- / " :' /._ ~". .,/ 7'~, /1,(,/<- Signature .o, <. ....,--... - -/ . .I - Address ~ ----.- WHITE. OFFICE FILE GREEN. RESIDENT ENGINEER PINK. PERMITTEE BLUE. ROAD SUPERVISOR ORANGE. BUILDING AND SANITATION DEPT. YELLOW - SURVEYOR ." Phone No. .4 ~ ~~I '5J-~ hfJ V H'ERBST~Marge jafnl'- -~ .... IN~ ~ rc:;'~.=:'NO'~' :I '~llol '7:>~_r'- q1''}-Y ~ VETERANS ADMINISTRATION 11\\ ~ - u [j ~ 1/1/ - ~~\ 'J?f; ~.- '')1 REP,ORLOf INSPECTION, INDIVIDUAL WATER SUPPLY AND SEWAGE.DIS.~OSAJ.. SYStJM oP ifIIit!!/J/!- (TOP SECTIOM TO BE FILLED 1M BY VA.) '- ~ v /o;){;) - \'~ Veterans Administration /"O'..1YAOO"'S ISUIOIVISIONNAMf1st Add tl ''', 11160 Dondea Street lAM. roU Meadow Green Estates A26 S,~', Stark Street Springfield, Oregon 97477 N:V HE.\,llloc,-!,oPT 110. NO. ,,~ort1and. oregon 97404 . i' 18 NAME Of BUILDER NAME Of LENDER CA$f NO. First Nstiona1 Bank of Oregon 64468 Real Estate Loan Division ~1Y"OFINS''''LATlON P,O, Box 1786, Eugene, Oregon 974 ih 1VI CJ N'W ~ ."STlNG If YES, HOW I WATER SUPPLY AND SEWAGE DISPOSAL (Check) ....NY? I I PUBLIC COMMUNITY INDIVIDUA.l WATER SUPPlY IY I X , l SEWAGE DISPOSAL IV X (Fill in be/ow information applicable to subject installation) INSTRUCTIONS: If new inslal/otion, inspect for 'compliance with approved uhibib and record any ob..,."eod information nol shown on, Of which vori.. from, ,h. oppro't'ed exhibih. If existing instollotion, 'furnish os much of the informatiOn as may be a't'Qiloble. As applicable Ule inlpedor'. .~etch on rever.e. Robert N. Hill TOTAL NUMBER I 8ASEMENT . CAN Amc OR OTHER AREA BE MADE INTO ADDITIONAl BEDROOMS? Om LIVING UNITS BEDROOMS BATHS 1 3 1 DNo Om DNo 'ART I-FOR USE OF INSPECTING OFFICIAL INDIVIDUAL WATER SUPPLY SYSTEM Distance to neare.t public water main, ,"to Size of main, inche.. Individual wells 0 ore 0 ore not customary in neighborhood. Gi't'e most recent record of failure of wells in immediate 't'icinity to furnish adequate supply of water PropertiM in neighborhood 0 ore 0 are not being de't'eloped with bath individual wateNupply and M1wage-disposol systems. lot size: f..t wide, feet deep. Dwelling set bock from front property line, feel. Indi't'idlHll water IUpply from: 0 Drilled well. 0 Driven well. 0 Dug well, 0 Bored well. Distonce of well from: Building foundation cost iron sewer feet; tile sewer feet; ceupool, I"",et; nearell lot line at 0 front, 0 .ide, 0 rear feet; septic tonk feet; other lOurces of possible pollution, feel; disposol field, feet. "et; "et; ..epage pit Well conllrudion: Diameter, inche.. Total depth, feet. Type of co.ing, "et. Approximate yield, Depth of ca.ing, feet. Approximate depth of pumping le't'el of water in well, gallons per minute. Sealed watertight to depth of feet. Exterior space around casing sealed with: 0 Cement grout. 0 Puddled cloy. 0 Ordinary bockfill. Well cover: 0 Concrete. 0 Wood. 0 Metal. Opening~ in well cover watertight: 0 Yes. 0 No. Pump: 0 Shallow well. 0 Deep well. length of drap pipe, f..t. Pump capacity, gallons per minute. located in: 0 Basement. 0 Pump room oH basement. 0 Pump hou.. above grnund. 0 Pump pit. Pump room properly drained: 0 Yes. 0 No. Pump mounting watertight: 0 Yes. 0 No. Type of storage: 0 PreslUre. 0 Gravity. Copocity, gallons. Has bacterialogical examination of water been made? 0 Yes. 0 No. If answer is "ye.;' give date Quality of water 0 is 0 is not satisfactory for human consumplion. Instal lotion 0 doe. 0 does not comply with approved exhibits, if any. 19_. INDIVIDUAL SEWAGE,DISPOSAl SYSTEM PRIMARY TREATMENT consi.ts of ~ Septic lank. Septic tank: Di.tance from well, Total liquid copocity, o Cenpool. feet. "01, CONCRITE Number of comportmenlt '101l0ns. 1 Inside length Ceupool: Distance from: f..t. Inside width gallons. Capacity inlet compartment f..t. liquid depth feet. Well feet; foundation feet. Dep*' feet; n~re.t lot line at 0 front, 0 side, 0 rear feel. Inside diameter f_t. liquid capacity, gallon.. lining moteriol_ SECONDARY TREATMENT consists of ~'Di.tribulian box and efTiledisposol field. 0 S_page pits. Other Tile disposal field: Distance from: Well leet; foundation, 20 feet. neorelllot line at 0 front, 0 side, ~ rear, Total length of tile lines, 150 feet. Number of I~e. 2 Distance between lines, 10 f..,. Total eHectin ablO"tiO:reo in bottom of trenches,. Ii). \quare feet. Tren~h width, ~6 inches. length of each IiM, 70 f_t. Depth, top of.hle.ta fiOlsh grade, IOche.. Type of filter material: I!J Grovel. 0 Braken stone. 0 Cinders. Ofh-o" Depth of filter mo,.rial beneath tile, 6 inche.. Depth of fil"r material o't'er lile,_':I Seepage pill: Number of pill, Di.tance from: Well, ''l,..l, inche.. Outside diameter, feet; foundatio", feet. Depth, feet. lining material feet; neare.1 lot line at 0 front, 0 side, 0 rear feel. If e.i.ting in.tallation, gi't'e 011 the following additional information o't'oiloble: Di.tance to neare.t; Public sewer feet. Community .y.tem, feel. Approximate direction of IUrface drainage of 10' . Approximate .Iope feet per 100 feet. Soil i.: 0 loom. 0 Sandy loam. 0 Clay. 0 Sandy cloy. 0 Coar.. IOnd or grovel. 0 Hardpan. 0 Roc.... Other Number of bathroom., . I. there a baMlmenl? 0 Ye.. 0 No. Bosement drain. ,... fixture. in ba..ment: 0 laundry troy. 0 Toilet. 0 Bathtub. 0 Shower. 0 None. 0 floor drain. 0 Sump pump. laundry waste ditpOlOl1 Direct to 0 Seepage pit. Other Througtl sump pit to: 0 Septic tonk. 0 Seepage pits. Is footing droin provided? 0 Ye.. 0 No. Drain. to: 0 Surface. 0 Dry ,*,,11. 0 Sump in basement. Other DownipOUlI or oreaway drain to: 0 Surface discharge. 0 Dry well. Other Depth of house sewer below Ani'" grade at foundation feet. PART' (Continued on 1everse) V' FOAM 26-6395 JAN 10.. EXISTING STOCKS OF VA FOAM 2e_II'1 MAR. 1010; WILL lSE. USED " , , (OU:) o;SI-tl1t - 0 ust : 3;)LofdO DNl.LI>ill:ld .LN:a:WN1f3:AO!> 's "R<v>. " " :1 NOUJiS ".."-. c""-"_ ~'\V.uv""'1lo " DOg9~O %0 JDBS IBnOltB~ 3B~iq '1131.0 M:r'lI?l.J:.J,S. G noo~ _ ~~ oi a3 1 )1;0 '?'u....,... l'VaU",V ,CIIU~Cuw. ,VU\.L AUU .v.. c-... IlIlI'<W" 8IqoJdo:))o ,ON 0 8IQDlda:J)V 0 p8J8PISUO) oq wQlds IDlods!P"800MOS IOnp!A!pU! 8Iqoldo))o ,ON 0 olqDldD))V 0 pOJOP!IUC>> oq w~ds ..(Iddns J~DM lonp!A!pu! eli' IDYl PU8WWO)8J pUD fJodOH UO!f)8dSUI 8)UO!ldwo) y ^ IUOU!,Jed 8lfl pUD 6u!o88JOj 8~ PO"'8!"8J 8A0"4 I " NYIYYLINYS ~N191AY3dns JlljjO YA jO un IOj-1II1IYd I T~ tA~HI)l~OVCO~HJIH hyf"')/ "'0 ON''''' , V""" v' '- . 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NOililiH OWlOdJlil NOU'f'MI01lNI iHl NO OH'f'1 ~ ~ IIOdD 9NIMlIAlllYlll:UO lNJW11YdJO H11'fJH JH1 jO un IOj-1I11Yd NY'YYLINYS AlfH;J OWl) /9/ EL-lil-EI . ~Nl:1O 11"'0 3Ull 101:)USN1 J:)N'f'lldWOJ"'A 0 MJIOO ~NI1J;WSHI :K> ilfU"'~11 AilllOIUIlV H11V'H 1Y.lO' 0 AlHno, ~ ..... 0 I 'AI iO'f'W Wi,lSAS ...._ ...... :Io.;"..ll\iS l'f'OOIA1aNI ro NOIOUSNl HOUJilSNI :10 11"'0 I ruu lOOUSNI DHVI'WWOJ"'A 0 l'f'DUO !>NlDidlNl :10 iIIrll'ttrf!)lS AilllOIUIlV H1MH 1Y.lO, 0 AlHno, 0 "... 0 I IAI iQ'f'W WUSAI AllWOS Ill"'M l'f'nalAIONI iO NOI.&.:a.ISN I ('l!04.p W! .CU.DMp .~'!~ ., ~ .. '0lfI 1IO!lIfdo 110 WI "nlal Ao"lp!lfM p4lftOJ ..10 _'''PlIO) n 'lIO!fI)IIUOIU! ,IMU!...-d IOflMw.,ddn. "UD "lON' S1NJWWOJ _1_ LI - - - -I-~ ~'- - +::::I=':':'::j:::::=1=':+I==:=I=:::I::: ::::::: ::::::: - :::::::::::@':::: - - - -~ - - - - - -1- -" - * - - -1- - - -1- - - - - - - - - - - - - - - - - - ' - - - - - I- - - - - - - - .- -'-, - -.-,- - - -.- - - -r- - - - - - - - - - - - - - - - - - '- - - - - - -- -- - -, I -1+ ! 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" ,BUILDING' D 'MH D '., MAILING ADDRESS . . "(l'.I';"'-~~~'" ",,0" . .,:J~~.-:.:J~.t...,;)c~.o ...V".v. MOBI~i USE PERMIT PERMIT NO. .. <e' r ... ....... .J ;':~.'. PROP,ERTY O~.N~R :1t. ~ a 0 ..~:;.;~.;l ~ ....;, ',' , ' , . r .. .,PHONE "v..~~ " CONTRACTOR ~. '. {".' , .l MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST, OFFICE " . j ,- - " _,"N' . . f ~ ~ , : .1:1"--:....~.J !" ~.. :' .... . . " PRO':~~!.t.L.E?N 'p"E;.CR~PT~O~ - M~TES. l BQ~NI?Sl' .........Lv,h. ~. ,-_1 -'"~,<"...GU.,.. 8-'(J1.!o HJ.o , - I' 08~. 1 SECTION o TAX LOT NO. CENSUS TRACT 3;oll;l21., EXISTING STRUCTURES ON PROPERTY L~~~ TWP ~; j . .~ANGE' '. _' . .: ' . CODE APPL. NAME & . ......" ""Ill .., ......r'" ~'_',', ? "l'~" ~ . ..JC,-.) ~ or;:.-::~.J LEGAL ACCESS TO PROPERTY ~r.~q UC, MAILING ADDRESS ~::'Jt il':,ri'i?l(]. l1r.- FOR MOBilE HOME PERMITS O,NL Y No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT ;,,':-:~;~~~:J;: ' PROPERTY SIZE - FT, WIDTH DEPTH AREA Connect to Existing TYPE CONSTRUCTION ~ Sewage System D SQ. FT. # BORMS iij~ C 1:1 :; New System D VALUATION J~'. ~~ U~T::~':"l 0> L.:'~. Q UhC._ I,r" I' ., ~,J;; \.- .., . ;,.. "-.=;r;;':.!c ,.' .- : ..'~ 0 '.. q 01 (l__.__ _____,_^._.~ .... "",~ ~j''''''''' ~..:;:d;! I: ;"'):1 tiiCi'~::;.'''1 0\,1>(;00 G !:,ltc-",lrKJ f-lll\:U?QO 0 ~.COj t;'oCOIi" r;)!11'l8CC ion - 1.3:1 SEWAGE DISPOSAL ,.' '2_1 SEPTIC TANK EJ , ..;'OTI:tERD .J............ FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY Xl PUBLIC 0 0 OTHER Jc~::x ~; ,~"".'1 .., t'~"'~""""',_~.......,~ PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . ,_~.t",.1 0"o!/oJ . "..W....<.? TOTAL f COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DISl. BOX: GAl. "i~:) ORAIN F1ELO"REQUIREO ~ i)Q.J UN. FT TRENCH WIDTH FT. J OR SQ. FT.. 1::,( ~. .! :J?t~ e ;J:~'..'~ J '~\_,;l;. HC::. ~k:'(J>Ii"c:;~(ty 1 61~J c;;;6 ,n:;co tJi~h 01 B pCIi"~O r.;v 1:['::' (lrt.I\;:'Qic:c'. , .' .::t..':r~; rc..--;;] (<7t~r' ~o c::::: nCl7c::t. TYPE _ OF STRUCTURE 1 OCCUPANCY Co oJ ZONE PUBLIC UTlL. EASEMENT BLDG. SETB1>:CK~-~" tT:,fR9'tlCTR.l0F ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. f:'/ "'......"., "\' '1"r.~u:rt:t9RIZED SIGNATURE - DATE 0" l,"""....u "..' . --' '.~~..4 . USE' CLASSIFICATION REAR G.t:. (jrc,,:o ~~.S.Y. ... ,......DATE 1_,,',.. ' .. 'I 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 ond sewage disposal. All buildings require a certificate of occupancy before b~ing 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 '"~ io . . . ..". .~, S LAB FLOOR PLUMBING GROUNDWORK ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARK S GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED I:::J DATE INSPECTOR REMARKS ROUGH PLUMB I NG REMARKS . I:::J t/.P. DISAPPROVED I:::J DATE? ~ f'} -? 3 I NSPECTOR .Al'1../ (;I' h(' t::'.AI/ -p",,,. . ApPROVED /?/c '5'), ....-I '.,. ",C,jt:' -'" J;1 ~ " ~.. c .,.., "'14 ~- 'J.. '7 _ r)"J. --<7 i.../ ROUGH GAS PI PI NG , - f,j';$ I INSPE~TOR'-~# ~ ApPROVED I:::J DISAPPROVED I:::J ~- D~r" <- '''I ?'1i REMARKS ~ _~b r,.,. ~/ FINAL PLUMBING ApPROVEO I:::J DISAPPROVEO I:::J OATE~-I:"_/1. INSPECTO~~ REMARKS N?\ /" fd// -0", '-' ~jJA ~~ :h~ ~ fr&.' ......... ./ t1 ' CO-'p/T'" " ~ i OL.j{' I!!A.( FINAL GAS PIPING ApPROVED I:::J DISAPPROVED I:::J DATE INSPECTOR REMARKS . CERTIFICATE OF OCCUPANCY READY TO ISSUE L:::7 NOT READY TO ISSUE L:::7 DATE INSPECTOR REMARKS .;;:::".. .~ ,~." . LANE COUN.UILDING PERMIT OR MOBIL~ H. USE PERMIT BUilDING 0 MH 0 PERMIT NO. , /""AILI~? ~~~-.~~ss f,~ /_ ~ '\,' 2;1",) l~f._,_.o ,.~"-. /. ~-~ \ PROPERTY OWNER to j ~ .u 0 :..:;:_:27~ PHONU ..,....' CONTRACTOR MAILING ADDRESS ,:r " PHONE PROPERTY LOCATION - INCLUDE POST OFFICE j ~~.:.:; !::}1~-=,J Gt;.. TWP 10 RANGE il SECTION o //' , (j9:t/2c:i{~u/) CENSUS TRACT ~,. rr-r. ~ 'I Ide',,' , I <..... . ,/ ~. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS, :::J~:~3:-; ~~7:::::r ....,S~OCCDo l'jC, Jk.\O UH~o D "~'k~~a :~ I'! 1 EXISTING STRUCTURES ON PROPERTY C:3l::l , APPl. NAME & MAILING ADDRESS '. \ \, , . , \ LEGAL ACCESS ~ TO PROPERlY _ L:~~D b~. -\- I t. PROPERTY SIZE - FT. / ,~---- '- ~"n'" ."'..>, t;lJ!..,LJ L..t!)72".....~'"~ '. Gp"",,:.,q~cMo Or. WIDTH DEPTH AREA FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT =~::JI' fn" , Connect to Existing TYPE CONSTRUCTION L.~ Sewage System 0 SQ. FT. ;: BDRMS CU.,;...) (..2 .li New System 0 VALUATION :;)0 ~; " (:C;\:?~J Q ,.e.e. 0 '-~""O L;2.;j C. ~ , .., c.~r--"7 ;!',' . ~u ," 0.--..__ ___ ...._.....-.'"> _"" 'lV\ ,,:~~,;J1l [;;:-~~? cl!QO::Jo~ 'JVO\:O; G p!c:::::J!rJ)J C'Cn\>ta:o (' )).0; t!o~CIi' :::;.:-.::~;~,(;" '" 1.:;(1 ,,,~...- ~^ ~ ...~...o,q-v An "'r~ ....... Q.,.,'" feES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY .- .. PUBLIC 0 D OTHER J-:::;::l cDc~::r:-c~: SEWAGE DISPOSAL t: PUBLIC 0 SEPTIC TANK 0 BUILDING t; WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER , ,()THERD """'"' ,....... ......""lJ-.1.... TOTAi.. s COUNTY BUilDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY ~ I~ DRAIN FIElp~~QUIRED WITH DIST. BOX: GAl. \ ". UN. FT TP.ENCH WIDTH FT. ,,' r" t-~ "1' 'C.,, """ '>'h'-'~', .,....., "'~"..,,-,'.,.J.." 'll" ;-''''0 "'1"'" 01 I I","r"o .\~,,,,,,,-.I..~tll,\". l"--.;..,.,\,ICL..., ,l).J.-..-.V'lf""V".......... I.,~ 1;.~~l..:-"" ...___.....,... IN'MJ ......_ tI. '" . ~ ' \ . .~....... J ... \ "-) i)r~n .,:;'tavti~t!o'l~l)r\W~q..?~~,.lJll'~ -:::}, \."1 "'?'i." '....\~',:~,~,~'f\ " " ." " ""- ,"". ~.... .\\. '.\ a 1...;0 OR SQ. FT. OV -t[~~ d{{c)'nDJoO(. " "~.'\,J-- TYr~ ,OF STRUCTURE ,,;,'h a c,O<;,CUPANCY ZONE PUBLIC UTIl. EASEMENT BLDG. SET8A~KS'l._ f.T.~ FRO~)CTR.:OF ROAD RIGHT OF WAY FRONT SIDE.'INT: SIDE EXT. 101 ro...,,),.. ')V v~r'AUTHORIZEO SIGNATURE - OATE ,,~, l} '. . J I~_""'v~j USE CLASSIFICATION REAR G.t!. ri? 110 ~ ( . --, '. ,,_ . 0 I ",,'\DAT,E Or, ,-"{'J 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 974101 FORM:: C 55 ~ 13 ~rt" . SITE INSPECTION ApPROVED L::::7 DISAPPROVED L::::7 DATE REMARKS FOUNDATION INSPECTION ApPROVEO ~ D'SAPPROVEO ~ DATE ,2~/3 -7J REMARKS FRAMING INSPECTION ApPROVEO d D'SAPPROVEO L::::7 DATE;2-/3 - '}7 REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO 1 I D'SAPPROVEO L----I DATE REMARKS . .' '.' INSPECTOR INSPECTOR ~ INSPECTOR Y INSPECTOR FINAL INSPECTION ~ ApPROVEO LlZf' DISA.PPROVEO Cl DATE.}}' /./7 ~ ,.~ I NSPECTOR('!;:fI. REMARKS ~ #A~ ~ J-)f?:- 'lJ R- Al?lu. - J .-) ~-'7j f! -dD-?JY #-;;L,IJ :;,V -~ . CERTIFICATE OF OCCUPANCY REAOY TO ISSUE I I NOT REAOY TO ISSUE ;---y DATE REMARKS /,/} /; ./J It.... ~ -1(-'-C~~-!r/ 0'7-7') 1'6.Jg / /(,{) lJ~ INSPECTOR 3.j-:"/.j"). 4 ') -.... ,.NDIVIDUAL SEWAGE DISPOSAL SYSIRECORD nstaller: Complete top part orm to signature and return both copie to Lane County Building Sanitation Department. , . t- ..... . '. " ~ ... ". ..,- ... , . 0..;.... P'RMIT Nn, 59-73 GG I Property Aaaress IJJiO Oord~'l St. I Basement Water Supply Yes 0 No jZI Publi~ tia' Other-List Feet from I Well Foundation 2. 0 Lot Line ( Front - Side - Rear 10 ITotal SqjFt.betweenlFiller I IF~ller dePthlF~ller aeptn II ' /.' II. above below / ft. ..,50 l~nes '" Type Z- ton" 2.. in Hlp f.-, in (-----"- I \ \ 'VI l\)l I \ I \ \ I~ I \10 +_1 10' Signature ~_ ~.P ..~ Conforms to Current St~ndards Date: "'3 -:21_ 7.3 qIJ, to Current Standards .I} LftJ. ~ ~ Sanitarian's Sig~re Inst,ller's Name t IjX !V>_ /,"'1 (? Ee-IV No.L~v~ngUn~ts IJe~roomslBatns / .:s / sept~c Tanx: Ft. from well _ Steel 0 l.ns~ae uunenS1.0ns: ,t"l:... Length Width Applicant Name Robert Hill Concrete li1! No. Compartments Diameter Depth Mailing 2324 Dornoch Address Springfield, Or. 97477 Length of Lines - Ft. I Trench 1.802.703. 4. 5. 6. Width S Sketch (See instructions): t111~" kl WIO') j~\"" lI~\O " ~ -,'I ,'I'rI\\\ , " ~~ ~.:;:'-', ~ _..;,. , . 'Io~' , \ :I 0 '2.\ [j~ \I 21 e::J ~, \ l o r\ovS( Date -< -/7 - 73 FO~ ~itarian Use Only: !B' Approved: System Instaflation o Disapproved: Does Not Conform Remarks: i Gal. Capacity. JfI() () Tile Disposal Field,' Distribution Bo,,:Yes f"f No 0 Other Distribut~on- Type I 30 I 2B' - -- ~"""'I 1,0' f I t '2.0' - -I -~l -, \ I - ,. 10_ ~~ . Lane County Building & Sanitation Dept. C55-11 , ~ LANE COUNTY e>ING PERMIT OR MOBILE HOME. APPLICATION PERMIT TYPE - BUilDING 'tr MOBilE HOME 0 -:::II=- 5? I PERMIT:# s7'-7...-f ~~NE P /_ ..L ' MAILING ADDRESS /7 _ _ _ ./ "./,' PHONE _ ~ .;::J6;)r./'Jf/~ 7r6-::-77~ CO : ACT~ ' P'~-,,~,p MAILING ADORESS ' / PHONE ~ERTYLo- 1~1-;i:!'POSr"021FI-E - / 16 d --1/. / ~I,c,Lr.:V(1 ~/ $ ~- { 4fl!t> PROPERTY LEGAL ESCRIPTlON',/'Y7' / d #! , : / /7 ~ET;S-" BOUNOS 0 YES LOT - BLOCK - iY, /' /'Co' A" ~ ......~-JoV',..~ /' d ATTACH EO 0 NO TWP/, 1/ RANGE~. ~. TAX L<)T # CODe CENSUS TRACT 3 -- c..<=' 3b'--':.. J~'-'~4 DESCRIBE EXISTING STRUCTURES ON PROPERTY iF ANY . t7~ APPllCANT NAME ~~ LEGA~~_:,ROA~;;;;~R # PR6~ERTY SIZE-WIDTH DEPTH AREA ANO MAILING ADDRESS FOR MOBilE HOME PERMIT ONLY Number of Bedrooms STRUCTU~" BE BUILT ~H.!7'~RMIT ~1///,g---:, ~Lw/.::l/-/~o ./ Connect to Existing TYPE CONSTRUCTION t, ~ tf-~ ;' ,. /./A'-4.4P--,L~ Sewage System 0 or New System Req. 0 SQ. FT, 6'--1 B~O'1S VALUATION /Of?Y' ~(~J /=?; /~R' ft3 ~ J> /. #'47 ~ /~. S77 J s~/ /~/ PUBLIC 0 SEPTIC TANK MOTHER 0 BLDG. $ ~9,,') d' FEES WATER SUPPLY WASTE DIS. ;;,~ ,/}, r.JtJ PUBLIC 'isV PLUMBING ,q, / ,,<::;V PL'6'NCf ~EES PLAN REVIEW _ E,lXTURES PARK TRLR. CASH 0 ~ CHECK pt'"CON-N-eCTION FEE PLUMBING INSTAllED BY OWNER 0 OTHER 'IZ1' NAME PLANS FURNISHED ~ YIS V NO 0 O '>( SI6~TURE OF APPLICANT /R: t? I FEE R:P;;CEIVED ~,?Jr1 . A-W/.-'" ./ PERMI #' ~ ./ PUBLIC WATER ~ ~ CONNECTION FEE /,.s (J ...-. _ '7 COUNTY BUilDING & SANITATION SPECIFICATIONS / DRAIN FIELD REQUIRED / ;""/')7) lIN. FT. / S'(,) TRENCH WIOTH FT. 3 OI'SQUARE FEET sir-a 7Il....~) -;1~ fr I-" ,(4,,~. .IM.<'( h/J L~_ ",iN, aU>- ~~..:fi) 'i;dn JMf~' D~ ~ dltA'~ :aVtLvalA;;# OTHER ~~ /' FACILITY -PtRMIT YES f>(' NO 0 DATE /-/5"'-7-3 DATE / -/J:' 7...3 TOTAL /C) cJ ,,sCJ MIN. SEPTIC TANK CAPACITY WITH OISl. BOX: GAl. TYPE OF STRUCTURE J JI OCCUPAN/~..f BLDG. SETBACKS - FT. F~~... 9R. ?F "O~D~ R,IGHT 9F WAY fRONT ~~I~IDE EXT. REAR ,;jJt~. I _/8~O;3 PLANNING '/ /_/&, -7 ~Ole :LOG. INSP. 1/ tJ ~RL I" J1,. -I) 1 Direction~to ad Property' #'J:J ~-=3"7 ZX ~-~,/~~__ ~ ~ /-/ ~ ZONE REAR Y ARC PUBLIC UTll. EASEMENT USE CLASSIFICATION Dote COpy 1 - OFFICE COpy 2 - JOURNAL COpy 3 - AUDIT ~' Form # C55-12