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Home My WebLink AboutPermit Building 1975-3-18 ----.,~~----..~...-~,. ......... ..~.. ...'.... __~_,"l"'I"",.,.._~,...-;-......-:--:r.":'::"'""'~J,~.';'-~7""!. ......~ t:':'~'-V-~".J'7~ ;oo,,-.~ .........,.,.,....~~' ,.....,...,-.~._ -.-.... {...~'~...,....-.I-_ . LANE COU. BUILDING PERMIT BUILDING 0 MH 0 MAILING ADDRESS ROAO / COUOREOATION 0, JEHOVAHS WIT~ESSES TMAI~ING ADDRESS 1~55 HAYOEN BRIDGE OR MOBILE 50s .aE ~'531 USE PERMIT PERMIT NO. ba.VV\.l.- ~r' V'Yl 579-75 PHONE . .\ " PROPERT~ OWNER ~... I',AME FAI114 CONTRACTOR CHARLES EASTBURN SPR I /lOr! E:LO OREGON PHONE 71}(;.-5921l PROPERTY LOCATION - INCLUDE POST OFFICE EAST ~~~ 0, BELTLINE TURN RIOHT ONTO GAME FARM ROAD PROPERTY LEGAL DESCRIPTION - METES, BOUNDS GO SOUTH 3/4 MILE: 1 OLOCK NORT~' TWP RANGE SECTION TAX LOT NO. 17 0, 22.4.4 '5100 APPl. NAME CHARL ES EASTOURN & 14')') HAYDEN BRIDGE ROAD CODE CENSUS TRACT 19-01 EXISTING STRUCTURES ON PROPERTY CHURCH LEGAL ACCESS TO PROPERTY GAME FARM ROAO MAILING PROPERTY SIZE - FT. ADDRESS S PR I NOrlEL D FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT OREGON WIDTH DEPTH AREA , . Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. := BDRMS New System 0 VALUATION PERMIT TO REPAIR SEWAGE DISPOSAL SYSTEM SEW AGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 OTHERD 1').00 PUBLIC 0 o OTHER TOTAL $- 1').00 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED UN. FT 200 TRENCH WIDTH FT. DE PTH 9 OR SQ. FT. MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. 750 TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIl. EASEMENT BLDG. SETBACKS n FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE JOHN SHOOK SANITARIAN 3/18/75 DLM BLDG. PERMIT - WH rTE 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 an Reverse Side) FOAM == (55- 13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ~- ,. . " .. BUILDING'SITE EVALUATION ( ) ( ) 'BU,ILDING . PERMIT APPLICATION NO. 5"71 SITE I NSPECTI ON PLANNING DIVISION Not Applicable ( ) ( ) ( ) ( ) ( ) 1. 2. 3. 4. 5. Zoning Ordinance Compliance: Zone Subdivision Ordinance Compliance Required Access Building Site (Area. Width, Frontage) Other (see comments) COMMENTS: T _ R SUBD I vWfON: LOT: APPLICANT DATE No Yes T) TI 6. ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) PLANNING DIVISION ACTlONP'[NDING: 'fE'S'li"NOTJ AP-PLlCATlONN BUILDING INSPECTION DIVISION Not Applicable ( ) ( ) ( ) ( ) 7. Plans Submitted 8. 50il Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Appl !cable ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes T) TI ( ) ( ) ( ) ( ) ( ) ( ) No Yes T) (T ( ) ( ) S TAX LOT BLOCK: CK'D BY: Setbacks from ell of road: Front Side Exterior Setbacks from interior lines: Side Rear CK'D BY: DATE OK'D "'J ~ 3/r;/:s- TO APPLI CANT: ~ou Building I Site inspection: ?; Can be approved. A.~ ( Cannot be approved at this time as indicated on item NO. above. ~~\\ () Questions and further information on items I through 6 contact the LANE- 7 ~1~ COUNTY PLANNING DIVISION. Questions and further information on items 7 1( 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 beln~ ~~tu~n~d-Ynder senarate cover. ..crM,I1ENT OF tNVIRONMENTAL HANAGEMHlI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ~. ~- . .. 11 'BllIL~'ING~17E EVALUATION. (). "BUILDING. PERMIT APPLICATION NO. .' .!' () SITE INSPECTION PLANNING DIVISION Not Applicable ( ) ( ) ( ) ( ) ( ) I. 2. 3. 4. 5. Zoning Ordinance Compliance: Zone Subdivision Ordinance Compliance Required Access Building Site (Area, Width, Frontage) Other (see comments) COMMENTS: Ta'R SUBDlvWfO'N: LOT: '; . S' . " hXI'LOT'" J.. Z.-1 . I' BLOCK: APPLICANT DATE No Yes () TI 6. ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) CK'D BY: Setbacks from ell of road: Front Side Exterior Setbacks from interior lines: Side Rear PLANNING DIVISION ACTION PENDING: YES( ') NO( 1 APPLICATlON# 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 5tandards. 12. Other (see comments) COMMENTS: No Yes () TI ( ) ( ) ( ) ( ) ( ) ( ) CK'D BY: DATE No Yes () TIT ( ) ( ) ! 1\~ \. \ "'- BY:" I n\)'- '1 .. \ t CK'D I / 3/1117\--' DATE , TO APPLI CANT: your Building I Site Inspection: (.J Can be approved. ( ) Cannot be approved at this time as indicated on item NO. above. Questions and further information on items I 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'pl ication fee is being..~~1;u{ned under seoarate cover, vEPARTMENT O~ ENVIRONMENTAL MANA~~MtNI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 . LANE COU4BUILDING PERMIT OR MOBILE BUILDING 0 MH 0 SI.;:i) MAILING ADDRESS I rC::c.:;;CiWIC:l W JL:;::J~H:) tJOVrJi;SJ,;CO HA USE PERMIT PERMIT NO. /. I ~. ( PROPERTY IJWNER f >.C::: Vc.;::,J ::'~_'Lia CONTRACTOR ("f:.')~~~r:t' rtl~:'1r::j~n 57f)~ (:; PHONE MAILING ADDRESS 1j1;~) 1U\\iD:m D:1II:1:':: 3PiJli::lVICLO U.,ef:J:J ,PHONE, r" ((L~')..'r"J PROPERTY LOCATION - INCLUDE POST OFFICE \ C;f)fl [,"0 C~. 8.:;~Yt.e/':;: ;~r,~C';~ ~:':'C~'jT C:JTO Gf~::: Ft:1:J h0~U Gl ::OU70 3fli cm.c I ~ r.LCC.Cl ~:c:l'\r0 PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE 03 SECTION 112.1).1: TAX LOT NO CODE CENSUS TRACT ii 5in I~C3 EXISTING STRUCTURES ON PROPERTY (;e-:C:lC;l APPL. C::~rl1.CC Lt;:.,'C'C:l;;m NAME & 1t~7.:j ~'~T1VO~": :;:H~C \~~A~ LEGAL ACCESS TO PROPERTY (!t:':2 r l';~~:J r::)~O PROPERTY SIZE - fT. MAILING ADDRESS ~~.,,:.~:::~l~r.,~O FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT :~::;~~:HY VL ~~::-:PA~;~ ""~~tJ;".{'.:~ :-):r-r-OCt..t CvOTG:~ Or.~G';~J WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. ~ BORMS 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 OTHERO '::loW PUBLIC 0 o OTHER TOTAL , ;:.I.Ii') COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED ['!; f)~'1:1 0 UN. FT TRENCH WIDTH Fi. OR SQ. FT. MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. (:,3 " I TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS. FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXi. AUTHORIZED SIGNATURE - DATE REAR ~-:;:-:~~ S;~~~~~~ r.~rHYaiHA~J 3/1L/75 DATE . I~"', I BLDG. PERMIT - WH ITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN ,SANITATION - GOLDENROD IMPORTANT: Call 687-4065 to schedule all required inspections. All construc- tion shall comply with Uniform Building Code, D.E.Q. standards 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 " . SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVED c::J DI SAPPROVEO L-/ DATE . REMARKS FRAMING INSPECTION ApPROVED Cl DI SAPPROVEO /7 DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L-/ DISAPPROVED ;----? DATE REMARKS ../I/J ./ //'/ /'1 /e.'./ /' /' .?:<I / 'n /1 / \.....-/" -:/ -- FINAL INSPECTION ApPROVEO Cl DISAPPROVED Cl DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE REMARKS . i- , INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR . INSTALLER: Complete INSTALLER'S NAME iJdll /~-' No. Living Units Bedrooms PRAED top part o~rm SEWAGE OISPOSAL SYSTEM RECO. to signature and submit bot pies with appl icat'i~n. , PERMIT NO. 57<3-.7[> PROPERTY ADDRESS JS '. Baths Game Farm Basement Yes No Rd. Water Supply Public Other-List ~~~A") tI/~_IJi.t.r Gal. Capacity I'tfJ,{)() Septic Tank: Ft. from well Steel 0 Inside D)mensions: Ft. Lenqth,V)1' Width r Oiameter OWNER NAME CHARLES EASTBURN Concrete 121 No. Compartments / 11,' Tile Disposal Field: Depth.f K Distribution Box: Yes X Other Distribution-Type No HAILING ADDRESS 1455 Hayden Bridge Rd. Feet from ....' WEll -- Foundation oS Lot Line I rr / r, ( Front 4'1 t Side '7 t Rear 4/tf' I Ft. Between, IFi lle~ "IFi Iter Iieptt>. IFiller~Be'ow Lines //$ TVPfY%., Above Tile.f inJrlle/ in. AI . '" t'r .. if. ~'-,,- ,'-a '~ rlJrf . "., I '< " OIl , '/-t;;;:;..pt ' /" __ . '-r-l ,1\ '7_ "' Springfield, Or. 97477 Len~of Lines-Ft"~lTr~nch(1 .Total ~9' '. f2~ 3. 4. 5. 6. Widt~ Ft. ~~ 'lo'i Plan (see instructions): S) al ~ , ~ I q',f' I , , , ....,~/6".7 ~ " '-/6- r ~/"'7 . ~ r \ '- ~ -r l .~ K w dU..eH /e..-l. .... 8//1- .... ...... ... - ~ .. f> <:> i? ill r. ~ f ~ 1- oS 4';-? #, Date oV-/(J- 7~ CERTIFICATE OFS~~~~~~~~T~~~iJN7 ~~~ For Sanitarian Use Only: Oate: -=1--11-75 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 loca~. Approved: System Installation conforms to current standards c:=J Disapproved: Does not conform to current standards Remarks: C55-11 ~- sa~~~'s Signature LANt-"tlOUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY ~tl?t. ~ ~ ~ ~ 4/~~~#J~&4&\IT iF 579-7!5 NOTE: NO PERMIT. BE ISSUED UNTIL THIS APPLICA S ~::;7.0VED APPLICATION FOR: ~ . ~~. CONSTRUCTION tQ: MOBILE HOME c=J PLAN REVIEW c=J CHANGE OF OCCUFANCY CJ ~ OWNER GaWl-{' FrA~ (:?J. ('~IfO~.j,~ 0 ~ r\ph.n\ll:r~s. LU:~-eSse~ ~ ~7Name & ~~rw.... \j tt~s: 'Sv-a. q'-,yO I 7W, ~ '59:tl/ CIt~~S r::=::J CONTRACTOR - IJ G;erJ.~;"'1 Name Address City Zip Phone 1 Block 19a ""..e H:l""" ~ Existing Structures on Property: Ch\ Nt .k Property Location - AddresS/Directiorbii" .. pV\..A__ ~ &0 \+\ 11/\. €- ~k^ n ~~ Rc-\ c:j<-> S'o,~ 3/,./ vv-.. O~ ~rlerv.J ~.. , Below f~ ........0:< .....,'" V".1. Y ,<:lfJ,-yYXXXXxxxxxxXXXXXXXXXXXXXXXXXXXXXXXXX}{xxxxxxyymr,..,nrv:XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Cf\t,rN- D+ ~\lc:. -=-J,q. ::V,,1'l~,VV\t~~~ Valuation- L!? y2C ~O ,~-,-,/I,)C .::>/. t.7,?_- \ ~ -;z!~ ..J.t..::zJ -3 .'7'') f) .:r. i <1.7. ap Existing Sewage Disposal System ~ or New System Required c1J ~?ef, g<'l.20 Public c=J / .(i;) I _ " Community b.. Name of Community or PUb}k' System ~ ~~ I / O.S. REG. II Twp. " Subdivision Range h S Section Q;) . 1./.1 Census Tract Tax Lot .~~ I Cf-o s Code Lot Property Acreage Width_Depth ACCESS TO PROPERTY (Road Name) WATER SUPPLY: Well FEES: Bldg. Waste Disp. Plumbing Plan Review Mobile Home 1% Surcharge TOTAL 4-t~ M QJ ,^~4-,. ~ .~od-=:- ^~ , ~ -- ILL 'H.....r""'\ ,............,....- Spring Other /~/.. - }<- PLUMBING: Installed by Owner / PLUMBING FEES: qi Ter ~ Name Fix.J.'e 7 __..age / T connecr PLANS FURN ED ES c=J F e Received By: Riuir"! Lineal Feet 'l 0 C) FACILITY PERMIT YES kx NO ~ r/.J-_/~ Date: ~--.f1::25 Maximum Depth ~ II of Wa ter Connection ,...., ......r> J-'I---tlV ~,,;:,~ 15.. ~ASH CHECK Min. Septic Tank capacity~~ Drainfield {/ Type of Construction Group Use Classification Fire Zon€"_ BIdg Setbacks - from Center of Road Right of Way: Fran t Side Int. Side Exterior Rear ZOne PIANNING: DATE: !!' ~!t;h;;:- BUILDING: DATE: D. R1M~NT OF I . 05-12. LANE COUNTY ENVIRONMENTAL MANAGEMENT