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Home My WebLink AboutPermit Building 1975-1-14 (2) ".~.. -'..,. ~. ~r.........~~"'--"~-~-,",,, ~ .. ~.(... "" " ,~",'. ~ -...~~,'. " '. :'OC' . 1. '; . ;.-, ~.. -7.,"," .. ., .' ,I. .p. ._. .' LANE COUNTY BUilDING 0 XX - ' BUILDING PERMIT OR MOBILE HOME MH [j MAILING ADDRESS 870 WE~T CENTENNIAL MAILING ADDRESS USE PERMIT PERMIT NO. :; ;2 .. "7 r 22-75 PROPERTY OWNER rlOC:ERT NHILL SPRINGFIELD PHONE OREGON 74C.<')C)H. PHONE CONTRACTOR SAME PROPERTY LOCATION - INCLUDE POST OFFICE orr 37TH+- JASPER ROAO 1180 DONDEA PRO~GRTY LEGAL DESCRIPTION - METES, BOUNDS jRD ADDITION MEADOW GREEN ESTATES lOT 20 BLOCtI TWP 18 APPl. NAME & MAILING RANGE SECTION TAX LOT NO. CODE CENSUS TRACT 02 06./,.3 .p:. q 2--/ ~ 3'>.-J"i2A EXISTING STRUCTURES ON PROPERTY ROBERT N.' HILL NONE 870 WEST 'CENTENNIAL LEGAL ACCESS TO PROPERTY DONDEA 'STREET. PROPERTY SIZE - FT. AOORESS SPR I NGF IELD OREGON FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA r Connect to Existing TYPE CONSTRUCTION 1098 @21.8o 484 e 5.30. Sewage System 0 SQ. FT. ;: BDRMS - !>..:!:.~: ~=: 3 New System D. VALUATION 23, 936.l10 2,565"fQ 26, '501. 6c GARAGE SEWAGE DISPOSAL PUBLIC P[j' OR SEPTIC TANK 0 OTHERO BUILDING . 110.00 WASTE DISPOSAL ')(l.oo PLUMBING 2').00 PLAN REVIEW ) PARK TRAILER 1.4':1 1j3SURCHARGE TOTAL . 1Q4.4':1 COUNTY MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. 900 FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER " BUilDING & SANITATION SPECIFICATIONS ORAIN F1ELO REQUIREO DEPTH lIN. FT 150 TRENCH WIOTH FT. 'I' OR SQ. FT. .'1 TYPE OF STRUCTURE OCCUPANCY lONE PUBLIC UTll. EASEMENT BLDG. SETBACKS__ FRONT 45' /s/ J. E. FT: FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. l' SIDE EXT. AUTHORIZED SIGNATURE - DATE Boss BY C. HARBAUGH USE CLASSIFICATION REAR 'i' JOHN SHOOK/SANITARIAN DATE 1/14/7') DLI1 BLDG. PERMIT - WH ITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 6B7-4065 to schedule all required inspections. All construc. tion sholl comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificote of occupancy before . being occupied. (See Detoils on Reverse Side) FORM::: CSS-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 l!J'. ;~.~_~"""n.,....~---,- --- -')--~--""'~-~'-~--''-'''-.- .-."",__~..'";,--J _"_J.<~____"""'-__"""""~'._.~"~-______"_ ---- , .'. , , ~ . __, ',. ~..1 . . V..' i _.f '-, . .. -<. ., ,,'It LANE COUNTY BUILDING 0 JUt BUILDING PERMIT OR MOBILE HOME USE PERMIT MH D PERMIT NO. MAILING ADDRESS 870 tJlt'~l' Ce tJV II ~~tJl /ll., ~ .. )J 22~75 PROPERTY OWNER r.O~IWT ri HILI. [lP:llC::lF I IlL 0 PHONE O:lCCC,lll;~:;:;I(' PHONE CONTRACTOR SA~~ MAILING ADDRESS PROPERTY LOCATION - INCLUDE POST OffICE O~? 31TH & JAODlln RJAD 1 '80 DONDltA .... PROPERTY LEGAL DESCRIPTION - METES, BOUNDS j(lD ADDITION ~AOG~ G~lt'll~ [OTATEO I.OT 20 6l..otn 1 18 RANGE SECTION TAX LOT NO. CODE CENSUS TRACT 02 06. I, 3 .If. q 2/ ~ ':\:;"'"I2A EXISTING STRUCTURES ON PROPERTY ROGEtlT N. NILL l'b:JE TWP APPL. NAME & MAILING 810 HerDT CENTll~NI~L LEGAL ACCESS TO PROPERTY DoNDitA Sma:I!:T PROPERTY SIZE - fT. ADDRESS SP>JH~flllLD. O:ltIOCr4 FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA ~"'.I'''''''' Connect to Existing TYPE CONSTRUCTION lW.,8 0 21.80 IJ84 0 5.30 Sewoge System D SQ. FT. # BDRMS 3 New System D VALUATION 23. 936.to GAllAOQ" OJ (~~ r-., "11 ...U).L.(, ----.--.-"'" c:~. ~D' .cj SEWAGE DISPOSAL F PUBLIC d O(l SEPTIC TANK 0 BUILDING It WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER l~UilCllAllG[ TOTAL PLUMBING INSTALLED BY OTHERO Ilt'.OO 50.00 E5.00 FEES OWNER 0 OTHER, NAME WATER SUPPLY PUBLIC 0 o OTHER . 1.4, 19~.1J':\ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. sao DRAIN FIELD REQUIRED lIN. FT 150 Dl!PT~1 TRENCH WIDTH FT. 3' OR SQ. FT. " TYPE OF STRUCTURE OCCUPANCY lONE PUBLIC UTIt. EASEMENT BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT t].5' SIDE INT. 51 SIDE EXT. AUTHORIZED SIGNATURE - DATE /0/ J. E. BO~3 DV C. HAROA~QM USE CLASSIFICATION REAR 5' JOl;;J SI10(l.'t/OANITAIlIA'J DATE 1/11)/75 cu. BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Coli 6B7-4065 to schedule 011 required inspections. All construe. tion sholl comply with Uniform Building Code. D.E.Q. stondords IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Detoils an Reverse Side) rORM ::: CSS-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th. EUGENE. OREGON 97401 . . . ~ SLAB FLOOR PLUMBING GROUNDWORK I !i '.." , '" ApPROVED / I / DISAPPROVEO ~ DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED ~ DATE INSPECTOR REMARKS ROUGH PLUMB I NG DATE,J-/Z-/J INSPEC~# t/ ApPROVED ~ DISAPPROVED C1 REMARKS ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE INS~ECTOR REMARKS FINAL PLUMBING DATE~- ~ -;?r INSPEC?", r~ ApPROVED ifX!J DISAPPROVED ~ REMARKS FINAL GAS PIPING ApPROVED C1 DISAPPROVED / / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE C1 NOT READY TO ISSUE C1 DATE INSPECTOR REMARK S ~ . l-ouJev_' --' "C;,v' IiUILl~ING SITE EVALUATION' \ '')7. \1 . ... . . (~UILDING PERMIT APPLICATION NO. 2-z-;-75 ~"\~(t) () SITE' I NSPECTJ ON PLANNING DIVISION' Not AIlPllcable Kff l) ( ) ( ) ( ) ( ) 1. 2. 3. 4. . 5. Zoning Ordinance Compliance: Zone Subdivision Ordinance Compliance Requ i red Access . . Building Site (Area, Width, Frontage) Other (see comments) COMMENTS: .. T--'.f; R OZ S 0,," TAX LOT <?ZI'b SUBDIVISION: LOT: U11l BLOCK: APPLI CANT DATE No Yes T)rn ( ) ( ( ) ( ) ( ) q) ( ) ( ) '1-"1:>....' t.. j CK'~I/e~ 6. . Setbacks "from c11-'of road: Front <?.s-t ...... . .)...'t. ,-^"C::IIUr Setbacks from Side Rear Interior lInes: -f5,1 ~ PLANNING DIVISION ACTION PENDING: YESl.} NOl } APPLICATIONH BUILDING INSPECTION DIVISION Not _ APDllcable l ) ( ) ( ) ( ) 7. Plans Submitted 8. Soil Stability (footings) .9. Flood Plain 10. Other (see comments) COMMENTS: \.. WATER POLUTION CONTRO~ Not I ADDl icable l ) ( ) , 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes r)W ( ) 1 ) ( ) ( ) () ( ) CK'.D By:t?~~/;-/Oi:.' . IJATE No Yrs r) TT ( ) (,) CK'D BY: ~~ //o/hK "y - DATE TO APPL~ANT: . ~ Your Building I Site Inspection: 'IfY' .f<r Can be approved. \/ '/.f!} () Cannot be approved at this time as Indicated on item NO, above. .~ Questions and further information on items 1 through 6 contact the LANE- COUNTY'PLANNING DIVISION, Questions and.further Information on Items 7 through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) Will be he I'd in th i s off I ce unt II you can resolve the prob I ems i nd I cated. ( ) 'Is being returned. ( ) Your building permlt.aEplication fee Is belng.x~tur:!:l.'ld-!!nder seoarate cover, DEPARTMENT OF ENVIRONMENTAL MANAuEM~NI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-2B ~,. ." y c...~'^_-: ~, -.........=---.-,;;-.f~~--;~~~'('..- ..,.....,--; .,......:, /,.r LANE COUNTY BUilDING 0 lm BUILDING PERMIT OR MOBILE HOME MH 0 MAILING ADDRESS C70 tfC:DV CCtm:flfJlt.1. MAILING Al?DRESS USE PERMIT PERMIT NO. ,-' .--~~7~ ;:.t.'{5 PROPERTY OWNER ~~OJ~nV CJ n~L'" CONTRACTOR ~,!'..:~S PROPERTY LOCATION - INCLUDE POST OFFICE or. 37.n ~ JA07Cr.'(.j~o flf':lIC=:;v I GLD PHONE " .., ~.... ,,' \,;.J~CCt. (" ....~I,)lf PHONE 11lJo DcIlD;:A .1 " I PROPERTY LEGAL DESCRIPTION - METES, BOUNDS J"J IlD!iI Tlot: r';:;i\C::; t:::llEU COrAVIIO loy ZO D.OC/l I TWP ltl RANGE SECTION TAX LOT NO. CODE CENSUS TRACT <rl 06 ?i-o 1121\ EXISTING STRUCTURES ON PROPERTY i'~O~iE APPL. (~:J3ll:CY n. tllLL , ' ,.:;.' & \ G7~,11ItO'f Cct-7UCJmf..l,. MAILING '-J '\ "- ADDRESS .\\ gGt~3VI(jI.o'~,"r,O:1 FOR MOBilE HOME .PERMITS ONLY No. of Bedrooms ~('" ST,RUCTURES'T08~ BUILT THI~ PERMIT '1,'- ..J '-'",- ~ '" -.. ..,J \ - ~ ".--.." ,,...t. NAME LEGAL ACCESS TO PROPERTY Oar;D~A SV;;CtIV '- " . PROPERTY SIZE - FT. , ' , . WIDTH. .'"- DEP.TH AREA {;'~~~~-"~'''~'':\. ~~.,.. ""'\&\ ,". CQnnect to Ex.i.sting Sewage'System 0 ~~_~YPE CONST'Wf,J"io\:, " SQ~"FT.;~ BDRMS ~~~ ~~t,~{1"Y" ~~ ~\;; '\ '1' ... ...."..... '~ .... . ....." \ ,,'\;. ' '. \ .~ iJttJ () 5.30 \ ,. ~~-......." ',~. v, I New .System D. VALUATION :;--' f'" --' ...\... Q..,.:n,., \ . l:',: '" [ ) (,t~J" --,,", ,.....' ;:.; t: iI ., ,"I , ~ SEWAGE DISPOSAL i'H\,;1 PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING SEPTIC TANK" 0 ~' OTHERO Y Iv.YU FEES );J,~ ,~ l'.;).{,~C\ - ~ ~ - C _.~~ - ~'-'\' ~\;'-~~!:"\ PLUMBING INSTALLED BY \ : '\ OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER "\ PLAN REVIEW 1'~ \ PARK TRAILER , t~<~~~C~1t.~;Or. \ '. TOTAL q'.. ..... \ MIN. SEPTIC TANK CAPACITY WITH 0151. BOX: GAL .1.".' J "'...I) .. . ~ \.... \ ." . , Y0.4L COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED C "PYI1 Sr'im UN. FT I~ TRENCH W;OTH FT. 3' OR SQ. FT. TYPE OF STRUCTURE . "\ .. \,'" ) ,\~ . . ...... ... ~ -~" ,', ~ ~~~"J'~J~~'-b,~*\~~~~ ", ~ . OCCUPANCY Z~E " PUBLIC UTlL. EASEMENT ::>~ .,~ c ~. ~ .........:........~. ",. '--...... ", 't~~ \""\.~'7" ,~.. ,..." BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION r---:- t (~I yJ SIDE INT. .1 SIDE EXT. I AUTHORIZED SIGNATURE - DATE h oJ, 1::, C-:'JU C'I ,', I'N;,-,r.;t~'1 t." ....~l,~. ~~-.. FRONT REAR :;' JCK~ GHo~/Dt~''fAnOn~ DATE 1 /1 ~:/I'J , l;~ ~ . BLDG. PERMIT - WHITE OffICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Coli 687-4065 to schedule all required inspections. All construc- tion sholl 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) FORM:: C55-1) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401 ~ ~...;-.. . .' . SITE INSPECTION >~PPROVEO ~ O'SA,::,ROVEO Cl DA~~ ' REMARl<s ~.,f!1.. _7r'~6~ INSPECTOR FOUNDATION I NSPECJ,ION (j ./ ,., J' ~' ApPROVED L!::..../ 0' SAPPROVED 1---/ DATE j-/ -7' 7 INSPECTOR C RE.""",$J}.!f'~/ ~ .~ 2. -/.i-?f'P/ ,,/. "" I~ -.L' -1f"~j 4JA-I'L-~'2 -:1.7~. ~A , - i;f. .h~"" "3..~~'i"'!,;r-~ j . / _ _ ..-/1f -~U~hoff.' -.. ti~,(~ '0J-f5P''''{!!,c!, F A~~G}f~P7 ~ ~ I. -u 8 ApPRoVEO D'SAPPROVEO C1 DATE /1 -/1- ;7() I NSPECTO~ _ -:.f:f.-- (f r/. REMARKSr1f/d,;~ uil1J'!n..utl4V' ';1.. i :r~7,}'-<! ~,{2L1f~./~''f- 1(/- 7F {D,,j : ~" ..., "rn " ';';?:"'''''''" ,0 J/ APPROVEO' 0' SAPPROVEO c::J DATE rb"-l q- 7'5"::.SPECTOIX- REMARKS t)r(,~~dL ..(..t-,~A~~1~,/!?Ju;P4~; . ~ . fHf41 - ~--<.iJ2r4-1<. ~ .e..z..~: ..-4~./-. ~-U, n'J 1 <,"M'''t' '/-JI/II-'1,.;5 / / qt FINAL INSPECTION ApPROVED r.- CERTIFICATE OF OCCUPANCY REAOY TO ISSUE Cl NOT REAOY TO ISSUE Cl OATE INSPECTOR REMARK 5 A AI / / // J/ / ~., A V //A :. ~ ....... .~\~""P/ ;;';<-76" 11~ f/ // 3'0 (J.V~_ " . '. '. . . PROPOS EO SEWAGE DISPOSAL SYSTEM RECORD INSTAL'lER:'Complete top part of form to signature and submit both . . . copies with appl icat'ion. ' 10', PERM IT NO. 22-7')' JS \ I INSTALLER'S NAME ~. PROPERTY ADDRESS f)Re6IJAI d2t~ dG" ~DONDEA STREET No. Living Units Bedrooms Baths Basement Water Supply Yes No Pub 1 i c ')1 Other-Li st Septic Tank: Ft. from well ;VO ttlf;i( Inside Dimensions: Lenqth Width OWNER NAME Steel D Concrete rl h~h4('<lJ Ft. Diameter No. Compartments ::l-. Tile Disposal Field: Distribution Box: Yes Y Other Distribution-Type Gal. Capacity /~O Depth No RnR~~T N 1-41 t I HAILING 870 WEST CENTENNIAL ADDRESS Feet from "" // , WE 11 A/[jt(J~L-- Foundat i on I () Lot Li ne _ I _ I ~, Front .4:'1 Side ('1 Rear 0 1Ft. Between IFill1)j IFiller Depth IFIller Below Li nes I () I Tvpe/r?lfL Above T i 1 e (" In Jr 11 e c.. in. SPRINGfiELD OREGON Length of Lines-Ft. lTrench'l Total Sq. -f) l21 3. 4. 5. 6. Width:> Ft. 7?oO {'lot Plan (see instructions): C'(..nV~vS 7e4~ 3J-- .I!>-;z..A- .fo.-- - \" - " I "I -.-GJ 1/00 i\ I -tv of I ~O ~!E(cE~V~D . L~l ~- &J- p- f30~ ( M/.\R ~ 41975 1~~ IO~ I - ( ( jtJ "> ~~, COUNTY Yr ~VliW~M~TAL MGMT. I ( II d I \ - ( -, Date }1 fO D()nJ ()cft .g~ a UJ/?//~-/ S i qnature - ~ CERTIFICATE OF SATISFACTORY COMPLETION -..... . For Sanitarian Use Only: Date:,3_2..'i? -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 1 ocat ion, ~ Approved: System Installation conforms to current standards c::J Disapproved: Does not conform to current standards Remarks: C55-11 \~~ S~~~rfan's Signature LA~COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY NOTE: PERMIT IF"'.) - /\- NO PERMIT WILL BE ISSUED UNTIL THIS APPLICATION HAS BEEN APPROVED . ~ ., . APPLICATION FOR: CONSTRUCTION ~ MOBILE HOME CJ J'"7o 'h) PLAN REVIEW CJ U-~.L City CHANGE OF OCCUPANCY c::=J t.lZi 1lWNER .tfn [JGR.r /II J//LL Name CJ CONTRACTOR-4/)......'} Name Address JP>.~'/,II- 7C/t~9f/(' I 7ifiP Phone Address City Zip Phone O.S. REG. /I Twp. I Y Range ().). Section () c" S~&'iM{{o~'.I"'d ~ &!-.J;;;, Lot ACCESS TO PROPERTY (Road Name) JJ()-t1 ,t .,J Existing Structures on Property: ~A4>'J'__ Property Location - AddreSS/Direct~ons:fl# 2r;?f. .J.. ~.J P......,I"" >1"/ Tax Lot Code Census Tract.3S--/.j-.::! It Width.r"~th.Li.J..?J ,.:}j7 J-t, .-;-L Block I Property Acreage - //RV A~..-' Below for Office Use OnlyXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX \ Sq. Fe. ~r:J/. g-O (IBedrooms Valuation /u9/P_ _. C:3 ) :3 "=? en,;.. vb IJ~'IIB/':>'<JV ~ .~.......... >r ~ !'l ~~,.. ....1") _C) ~ ~ / /. "!. _ !l.-~....... J::. ~~-',1 . d~ o.l/ . c7 SEWAGE DISPOSAL: .n _ ,~ Site Inspection # ~ WATER SUPPLY: Well Spring _ Existing Sewage Disposal System Public CJ Community~ CJ or New System Required CJ Min. Septic Tank Capacity Cf()f--.. nrainteld Require . / i I I j I / Fire Zone I I I / ~d, Right Of:1t.~"___~h / .' Name of Community or PU?_SYBtem A/~ Other r="1 Name bj4- - LA...---J ~ Il //~.. Sewage (/ /' Water connect~~ Connection ;J. PLANS FURN)7' FACILITY PERMIT !S2r t.s/ c=J NO f) )71 YES P NO Si ~,(:. of APPlicant:~ ~. !ld4~1l~ 7Received BYJs'~ Date:~/5(/7.j- - Lineal Feet ,) ~ Maximum Depth ~ ./ , Other FEES: Bldg. Waste Dlsp. Plumbing Plan Review Mobile Home 1% Surcharge 1/?/JtJ ,,-0.00 ::2..r. 0 0 PLUMBING: Installed by Owner CJ PLUMBING FEES: j7 U of Fixtures ~ \ j,43 . o CASH TOTAL /9#. V3 ~ CHECK Type of Construction Group Use Classification BIdg Setbacks - from Center of Front~' Side Int,. Rear F:.' Zone Rob.. ~/1hS C5S-12 DATE: \\r~ON: ;ft/7J DEP~TMENT OF ENVIRONMENTAL Pd'::J~ff7:"I'p-}t{ JAG~ENT / LANE COUNTY