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Home My WebLink AboutPermit Building 1975-5-14 (2) --'~, . .... ..... \"~\ " . .....""--.. .!~-- / C 101 - 'J,5- , LANE COU. BUILDING PERMIT OR MOBILE BUILDING [J MH 0 u:;t.1r'61 MAILING AODRESS BUILDEfl 870 \I~$T CENHNt:IAL BLVD. MAILING ADDRESS .E USE PERMIT PERMIT NO. ",,'\" ,"" "1 ~OPERn OW.~R 2011~/lT n. HILL CONTRACTOR 5?F"D. 1012--75 PHONE i46"3~1G PHONE PROPERTY LOCATION -INCLUDE POST OFFICE "\702 C:;y,i: 5T. 3PFl waF" I no, OilEGOtJ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS hnH ACrJ MEADOW GClEEN L-7. Ei-3 TWP RANGE SECTION TA~OT~'3(J ..",COOE 18 02 06 . 't. c..... u CENSUS TRACT APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY rJON~ LEGAL ACCESS TO PROPERTY 3702 DU~E ST. PROPERTY SIZE - FT. WIDTH DEPTH AREA !)14HL ING Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :;; BDRMS 1092 (21.80 4811 G5.-:P New System 0 VALUATION "' , 23,jQj. fJ GA~A3E ,., ~rl- . - c:, J.)). ::---' %1:>,jjV.L... SEW AGE DISPOSAL PUBLIC 0 SEPTIC TANK BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER -( 4-9tl5 IX] OTHERD , lltl.OO <iO.OO 2<;.00 FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PU BLle 0 D OTHER \'11 LLM~ETTE Vi.WE,; TOTAL , 1.11'=1 1 ClIUI':t COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH 01$1. BOX: GAl. 900 UN. FT 150 TRENCH WIDTH FT. 3' OEPT'OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY lONE RA USE ClASSIFICATION PUBLIC UTIl. EASEMENT ~ &J BLDG. SETBACKS.. FT. FROM erR. OF ROAD RIGHT OF WAY FRONT 4~ SIDE INT. ') SIDE EXT. AUTHORIZED SIGNATURE - DATE JOHh SHOOK/SANITARIAN REAR ~ 7 J. E. Doss 3Y CHAFlLE5 HAI:OAUGH DATE 5-11)..'(5 1P 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 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) FORM:::: C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAl MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 . ~S/G \~ ..~.. B~QIN~ SITE EVALUATION " \ ~ BUILOING PERMIT APPLICATION NO. JO\2--1~ () SITE INSPECTION PLANNING OIVISION Not Appl i cab Ie gA () ( ) ( ) ( ) ( ) 1. 2. 3. 4. 5. Zoning Ordinance Compliance: Zone Subdivision Ordinance Compliance Required Access Building Site (Area, Width, Frontage) Other (see comments) COMMENTS: T lEA R o~ S OO-l./.~TAX LOT S~N: LOT: BLOCK: o p,l-hll APPL I CANT OATE No Yes () -:z:::r 6 . ( ) n ( ) ~ ( ) (.--) ( ) ( ) PLANNING DIVISION ACTION PENDING: YE5~ } NOl } APPLICATIONH BUILDING INSPECTION DIVISION Not Appl icable ( ) (,) ( ) ( ) 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Applicable ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes ()W ( ) ( ) ( ) ( ) ( ) ( ) No Yes ()Ur ( ) ( ) CK'D BY~\~~"" Setbacks from cll of road: Front ~ s.+de E}(tar i SF' Setbacks from interior lines: Side ~ Rear -r' / CK'D By:8,JI~k/i/.'I!' I DATE CK'D BY:~~~ 6-//'3/70 ~ DATE TO APPLI CANT: Your Building I Site Inspection: ~ l..:-Y Can be approved. l\) Cannot be approved at this time as indicated on item NO. above. ~1\~' ~ 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 held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit ap'plication fee is being ~~tucn~d under seoarate cover. uEPARTMENT OF ENVIRONMENTAL HANA~EM~NI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ~ -, /. I... . J -,.. , ,- .' LANE CO. BUILDING ill " L~'~s,~.)~ BUILDING PERMIT OR MOBILE MH 0 MAILING ADDRESS I' ~5i~ ~fmr; Cc:;;~c:~~ :nl. {J~VC'. MAILING ADDRESS eE USE PERMIT PERMIT NO. . :~. T1V r2.. CONTRACTOR ~~: ' r..~~~Uj::~; .E":!~. tjj)~2 '):3 PHONE 7.-~ ,- "I" . "'~0-~ I~U PHONE '''. PROPERTY OWNER PROPERTY LOCATION - INClUDE POST OFFICE 1~7G'~~ ]l~~r. '-.. C;r:.~ INn~ t ~:~,l'~ l:-~r(,:::K~ rpROPERTY LEGAL DESCRIPTION - METES. BOUNDS -,;'m I'.:D r:"I";I.:1 CllZllW t.~i. [~~3 TWP RANGE SECTION '. TAX LOT NO. CODE CENSUS TRACT liJ c;:> 13() APPl. NAME & MAILING ADDRESS FOR MOBILE HOME ,PERMITS ONLY No. of Bedrooms . STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY r.:a;J~ LEGAL ACCESS TO PROPERTY 3''{\J2 C;,;;:r, SV. PROPERTY SIZE - fT. WIDTH DEPTH AREA :;:ir:!.~. ~,~:i ", , -- Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. +: BDRMS '''''-'1 "')1 CO' ,..,...:c; \"'~4'. New System 0 VALUATION ('oj !,,,. C;J;,.,',J:; ') C-I\:\Y~:: h:llj f'C' 'JO 'tU' '<J'.:I'" __-1:~._;~.:' :~ c\.~,.....< . , ~ ,Q - I SEW AGE DISPOSAL PUBLIC D SEPTIC TANK BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 14-~~j 00 OTHERD $ J lOoct} rjtla~n (..=1.. 00 FEES PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY PUBLIC D D OTHER \71!..u,: C:1l?:; \.':\1.:) TOTAL . 1.1!';J 1<l4./)Q COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED lIN. FT 150 TRENCH WIDTH FT. 3. or.?yrOR SQ. FT. MIN. SEPTIC TANK CAPACITY WITH OIST. BOX: GAl. SOO TYPE OF STRUCTURE (l~' ...-!'" BLDG. SETBACKS.. FT. OCCUPANCY U J ZONE (C\ PUBLIC UTll. EASEMENT FROM CTR. OF ROAD RIGHT OF WAY FRONT 4:.-; SIDE INT. 5 SIDE EXT. AUTHORIZED SIGNATURE - DATE C,::n:;/[Jc;:: I?....n Il'lfl REAR tl 7 USE ClASSIFICATION -!O!1~) .t.E. C:crn DV Ccti\:J~r.o tl!\"JAwtJ DATE 'J- ~ 4.. T) c:' BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections, All construc- tion 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) fORM == C55.13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMEHTAL MANAGEMEHT COURTHOUSE ANNEX, 135 EAST 6th. EUGENE, OREGON 97.401 SLAB FLOOR PLUMBING GROUNDWORK . . ApPROVED / / DISAPPROVED ~ DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED ~ DATE INSPECTOR REMARKS ROUGH PLUMB I NG D'SAPPROVEO Cl DATE(-/g'-7)~ INSPECTJ^- ~ /,j.J ;:r-;C....... r- '7'""""-.- < r- ~ - /?-7S- ApPROVED };!S:J REMARKS ..)l/~ , . , ROUGH GAS PIPING ApPROVED ~ 015APPROVED Cl DATE INSPECTOR REMARKS FINAL PLUMBING Dml}-'J /.?)" lNSPECTO~U U ApPROVED ~ DISAPPROVED Cl REMARKS FINAL GAS PIPING ApPROVED Cl DISAPPROVED / / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE ;---? DATE INSPECTOR REMARKS " '"" ." . . , ;...~ ,~ LANE COua- BUILDING 0" BUILDING MH 0 MAILING ADDRESS PERMIT OR MOBILE "E USE PERMIT PERMIT NO. 7" t'ROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OffiCE , " 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 Bedrool1)s , ~TtU_Cj.URES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY , PROPERTY SIZE - FT. WIDTH DEPTH AREA A Con~ect to .~xisting Sewage System 0 TYeE CONSTRUCTION ';...,\.: SQ. FT. :;; BORMS \\' . New System 0 VALUATION \:.... \ \\ \ " SEWAGE DISPOSAL PUBLIC 0 BUilDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER , FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 OTHERO )..' d PUBLIC D D OTHER ';", '. . ~ ..... TOTAL , MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED L1N. FT TRENCH WIDTH FT. . OR SQ. FT. -,' ,.1._ -' , - .' , , I.." TYPE OF STRUCTURE OCCUPANCY ZONE PU8L1C UTll. EASEMENT BLDG. SET8ACKS . FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR :: ." - DATE (, 8LDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections. All construc- tion shall comply with U~iform 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:: C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEeT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 . . .. 1 - "-... ...... . SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS /)A"(; ~i/_ FRAMI NG . I NSPEC,.fclN it / "{i[.JIJ;r.J ApPRovEO DISAPP///;EO ,/7 DATE ,.....ol~ /'1/1 REMARKS {J A)d.III}~ VJ-u-7S- ~ &"n"0 ;-;.n. .-i-l/AMr(~E-r.~ " - :z J - 111 B / / I . FOUNDATlO~ ~T10N a. ApPROVEO D,SAPPROVEO L-~:)~~ '1..1;' INSPECTOR.6VJ REMARKS 0 I( 6/~~ "?/'!-'~ (s. /, ~ , (I . /1/) Cf//?"U/aC1kI '7~1 7'/'7.'1 C::-< II . -. , (?~J ' INSPECTO~ LATH OR SHEETROCK INSPECTION ApPROVED ~DISAPPROVED /I DATE trJ.lr'?r {!1- ./ {// INSPEC 0 ,et/. REMARKS FINAL INSPECTION ~/ ApPROVEO 6DISAPPROVEO Cl DATE ;-:Ji,r-.:.'lf,- 'INSPECTO~ e. .L REMARK S CERTIFICATE OF OCCUPANCY REAOY TO ISSUE / / NOT REAOY TO ISSUE /7 DATE INSPECTOR REMARKS A /I II - /} /f ' ~ ~.{tt ~/~~ I () / l. .. 'I f_ 11;:;; '3 '1 () ;?. ~~ ~D SEWAGE DISPOSAL SYSTEM REr~ : .', top part'~m to signature and submit b~pies with application. PERMIT NO. ~ 7'1 It) t'j- JS """'7'\" 10\ ":'\~ ~-co.I\~ () I n tP r ' Signature II r1\--~ l1/J/t ~ ' CERTIFICATE OF SATISFACTORY tOMPlETI For Sanitarian Use Only: D : (",_1 t,-"D In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate i issued as evidence of satisfactory completion of a subsurface sewage disposal system at the above location. ~ Approved: System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks: . INSTALLER: Complete INSTALLER~S NAME, I~ ///2./1 m _ No.- Living Units Bed~s J ,3 Septic Tank: Ft. from well Steel D Inside Di~sions: _ Ft.- LenJ1th 7,.1' Width ~/J Diameter OWNER . NAME Rn~t'"c)T N 1-l111 HA It ING R7() \.'~C:::T rt'"MTr"H..II AI ADDRESS L<;Jl~h Qt. Li~~~~1'C~' 'Vt;~~d;' I .1(J 2.(j"[3. 4. 5. 6. [Width J./ 'lot Planr(see instructions): . '" ~ ....-( RECEIVED @y {j JUN1319;S ~~ ~oUmY ~ymOOMMAL MGMT. I .A ,-- Date C, .- I /, /' I I C55..11 . PROPERTY AOORESS 170~UKE STREET Baths Basement Water Su~ly I Yes No ">< Publ ic 1 Other-List Concrete IRI No. Compartments I Gal. Capacl ty )Ftle Disposal Field: ~ --- Depth ~I Distribution Box: Yes No Other Distribution-Type 1(Jt9o Feet from WEll Lot Li ne 971{77 Front Tota I Sq. I Ft. Between Ft..:? tJIJ Lines /0 '7 j / "l J.nJ I Foundat i on..,J~ r- - ,;n:.1-lf /0 I / Side ....10 Rear J t? IFi/l)~~iller Depth IFiller}Below T~IAbove Tile vlnJTile {., in. . - l' w - -.Ji_ t?-~ l~ :: :, ~-~' \/:w : I I r \ D _ _f r _ _I ~'~ a onarianTs Signature L N COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMEN QUALITY . NOTE: NO PERMIT ~ BE ISSUED UNTIL THIS APPLICA~ HAS APPLICATION FOR: PERMIT {f\D\~ ,\;~ BEEN APPROVED ~ . ( " ~ CONSTRUCTION MOBILE HOME c:::J PLAN REVIEW c:::J CHANGE OF OCCUPANCY c::::::J d/.d~ 4,.!LM 27tJ 'kj, ~.,;:~_:J ~7 Address City Zip Phone 7</1f .i?7/~ ~ Property Location - Address/Directions: h. Name [::=J CONTRACTOR~.,....n , Name- Address O'~' 9 J-=,~~ ~ Tw ' 'Range~ectiOn ~p ----tax Lot Code Census Tract f,'!5-(!5;J IJ Subdi on ,if;--4 O;/di;:.. /J!p/1~/f){.I)L. Lot ,7 B10Ck",,:-:? Property A~age "Width~Pth~'f ACCESS TO PROPERTY (Road Name) .A2b.t_ ,.,.,J4~ DC\D ~ ~. .~~ Existing Structures on Property: ~~ :.?n~,..2 fj.. L/ ~:I- ~..; ~ ,~~/ O'ZR - I' YI;1' City Zip Phone OWNER " Below- fo r Of f ie e Use On! vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXyv.r"'y"'r'.'r-ry"""'rv'....',ooocxxxxxxXXXXXXXXXXXX Sq. Ft. '" DBedrooms ~O ,Valuation ~C -A~ \c.'l<\ ~ ~<> 1l r t\\\ ::::>\. / ::\2., fa.-~.::- ~ ,..., _ ~.-, \C ::::y~, K rl.. ~ \--l. ,'2 '>'-\. "~\./l').' f<\") ~,~ ;::;) ~1,..,C::- , ~ ~ ~ -- " \,....~ TOTAL 1.1..l~ CJ \~~\\-.,\~ [::=J _,-.L 'l~ ;::- --.............,. ~~a~" SEWAGE DISPOSAL: 'LJ. I n. 0 ~ Site Inspection U '.\ N - ""\..r'}",:::) Existing Sewage Disposal System WATER SUPPLY: Well Spring _ Other Public c::::::J Community c:::J ~ of "-- J... ~ ..\.c... ~= PLUMBING: Installed by Owner c====J mmunity or Public System ~ "l=... ~~ V- FEES: \\..F\OO _ ":'--r Co "-' "'"- ") :?::::JSUU Other Name Bldg, Waste Disp. Plumbing Plan Review Mobile Home 1% Surcharge PLUMBONG...!EES : '-1 IS:) ) ~ of Fixtures , / sewage~~ Connection ---- Water~~ Connection FACILITY PERMIT CAS ~ CHEC~"\ '0 I Min. Septic Tank Capacity ~l) () Draint fuired ... Lineal Feet YES c::;J 3:0_ Ifi=) YES NO Signature of APP1~~~ ;r ~ ~ \ I ,...- Fee Received By: ~\r--.. ~ Date: .~ \ -:-~ ~':::. /,,"'0 Maximum Depth .3 Type of Construction ,Ii IV Group I ~ Fire Zone Use Classification Bldg Setbacks - from Center of Road Right of Way: Front 4r!;;' Side Int. ~' , ___ ~..__~.....v,[ I Rear.'t--f Zone RJIt PIA!l'IING: -.-1... L__ r!-rl'.r ~/b 1.0- . , 1_ CSS-1Z DATE: ~U:N: D~~~ENT s-il~/71,P;~'.r7.d~0/.4~E/ Ifo / I /7,1..J1 I . OF ENVIRONMENTAL MANAGEMENT ! V.f LANE COUNTY