HomeMy WebLinkAboutPermit Building 1974-8-1
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I PROPERTY OWNER
~ l '(1'.JCH~ 130B
CONTRACTOR
[';1 I ,Ne-&tttl I! I. OR
PROPERTY LOCATION -,INCLUDE POST OFFI<:E
2290 B~AOl~Y WAY
-"
L. ...DING PERMIT
MH 0
MAILING ADDRESS
2290 Bl'IODLEV WAY
MAILING ADDRESS
2431 NORYH 1l1VH
OR MOBILE HOME
.IE PERMIT 1}1399c4
PERMIT NO.
SPRINGV'lELD OREGON 1~<t,~E703~
SPRINGrtUO . OREGON 1~%':'..11595
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LANE COUNTY
BUILD,ING 0
SPRINGf"It.EO
(}REGON
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
'LOT 6 Bl@CI( 12
ADD
RAMBLING ACRES
TWP
17
RANGE
3
SECTION
~5 ;;(, (
TAX LOT NO. CODE
-# 63CJtJ
CENSUS TRACT
APPL.
'Boa LYNCH
EXISTING STRUCTURES ON PROP.,ERTY
,.NAME
,&
MAILING
2290 B~ADL~YWAY
LEGAL ACCESS TO PROPERTY
BRADl.EY IvJAY
ADDRESS S PR liI1G.... It. E o ORE ~ON
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
PROPERTY SIZE - FT.
WIDTH 95
DEPTH
...60
AREA
DECK
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT, # BDRMS
;. 5N 396 e i:!LGo
J 1 38 @ 1.50
New System 0
VALUATION
8632.00
207.00
OOj~ . t(..'\)
, If AM II.. Y ROOr4 ADD I" I Ollt
'ADD OVER.GARAGE:
. h..~:
~,EWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
. PLAN REVIEW
PARK(1.TRAILER '
I ;9SUIlCHARGE
SEPTIC TANK 0
$
o.Tt!.ER[J~
"TV .vv
FEES
PLUMBING INSTALLED BY
OWNER 0, OTHER: NAME
WATER SUPPLY
PUBLIC n
o .OTHER
1tC/.fig , .
-'v . ..'W'
TOTAL
$'
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. FT'
TRENCH WIDTH FT.
OR SQ. FT. .
TYPE OF. STRUCTURE
5N
OCC1UPANCY
ZONE
PUBLIC UTIL. EASEMENT
"
BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT; OF WAY
FRONT SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
6/S J.E. 60SSBY C. HARBAU~H
USE CLASSIFICATION.
REAR
J.SHOOIt!SANITARIAN
8jl1tll .' D~4
BLDG. PERMIT - WHITE
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
bein~ occupied.
(See Details on Reverse Side)
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~ "A
(POST THIS PERMIT 'ONMAIN-iUDG~ATSITEl
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COU~THOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97~OI
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T I 7 R ~ S 2-:::- TAX LOT
CENSUS i ~T
..".",,;
BUILDING SITE EVALUATION
.
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() Building Permit Appl ication No.
rl Site Inspect ion
() Pre-Permit Investigation
APPLICANT: / /
NAME, . L- YJ1~h-
ADDRESS
PHONE
DATE
/ - ..:< s- - 7Y"
'-""11:.-__'':11_'_'_-':.--'
3 .
4.
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Required Access
NOT
appl icable
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() ()
NO
YES
NAME
DATE
LANE COUNTY PLANNING DEPARTMENT
I. Zoning Ordinance Compl iance
(Zone )
2. . Subdivision Ordinance Compl iance
~--
Building Site (Area,Width,
Frontage, Setback)
Other (see comments)
( )
( )
( )
( )
5,
COMMENTS:
'BU I LD 'NG INSPECTION SECTION NOT NO YES NAME DATE
appl i cab I e ~
6. Plans Submitted ( ) ( )
7. Soi I Stab i I i ty (footings) ( :) ( ) ( )
8. Flood Plain ( . ) ( ) ( )
.
9. o the r (see Comments) ( \) ( ) ( ) (!f. 11 AAt/~/t 7-'30"'?1.I
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PRO'PERTY O'WNER
LANE COUNTY l ..DING PERMIT/ OR MOBILE HOME
BUILDING D MH 0
MAILING ADDRESS
~IE PERMIT
PERMIT NO.
c:---
PHONE
CO'NTRACTO'R
MAILING ADDRESS
PHONE
PRO'PERTY LOCATION - INCLUDE PO'ST O'FFICE
~..
-?~~
,PRO'PERTY LEGAL DESCRIPTlO'N - METES, BOUNDS
TWP
RANGE
SECTION
TAX LOT NO,
CODE
CENSUS TRACT
APPL
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No, of Bedrooms
EXISTING STRUCTURES ON PROPERTY
.. '::- -
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System 0
VALUATION
. ,
\
\.",
- ',- \\
. .....s~ !
~~~
o ,
: -'-_\~
- 'c". >~~:
, \' \
\. \
"
SEWAGE DISPO'SAL
PUBLIC 0
BUILDING
WASTE DISPO'SAL
PLUMBING
PLAN REVIEW
PARK TRAILER
\, ",II' .', \ ..\\ ~""I';' . 0 "h' ,;,,'"' \," \..,..;, \\ ~~~'~. ~ l'\.',,; "rJ"~';~ I "~" '>'1'\'
'.~';\ \.,.~ .~~\.~-'~ .'.J''l,Yj\.--, -''J...........~!.. ~\-,-\" ~ oN"
PLUMBING INSTALLED BY
SEPTIC TANK 0
O'THERD
;:
FEES
O'WNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
q
TOT AL
~.
MIN. SEPTIC TANK CAPACITY
WITH DIST. BO'X: GAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
lIN. FT
TRENCH WIDTH FT.
O'R SQ. FT.
'.
TYPE O'F STRUCTURE
~. ~"" '", So .:,\.,~ \ ':J\
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\ It.o ,_~', ~,~.~\ .,..... "<... ~}.::.~.,';--.::- 1
. .,',"": 'OCCUPANCY
..;;:'. ~- -....,
ZONE
"
:\ .~ \.) t-. -.:..........'\ . ,-\__..'
'~ , - \'. 0": .. ~OBL:ic>;UT'lt. 'EASEMENT
BLDG, SETBACKS __ FT. FROM CTR. O'F ROAD RIGHT O'F WAY
USE CLASSIFICATION
I FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
"
DATE
BLDG, PERMIT - WHITE
OFFICE CO'PY - WHITE
CO'UNTY TAX - PINK
PLUMBING - CANARY
'BUILDING - GREEN
SANITATIO'N -.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:!:f:C55-13
(~OST TIHI~S IPfE~~T ON MA~N BLDG. AT S~1lE)
LANE COUNTY, DEPT. OF ENVIRO'NMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, O'REGO'N 97401
'-.
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.-
SITE I NSPECT I ON
ApPROVED / / DISAPPROVED / / DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
. ./l .'
i0----
INSPECTOR
FRAMING INSPECTION ~~
ApPROVED / V7DISAPPROVED / / ."fATE IV~ 7tf
":J:t,:e;;~ 'N~~7<~ ~_ . ,
/1tIJ ~.... J 0 ~ Ji;JJ:l.1lIiu.f:"'-IIll i ,~jJ" 'JJ/;/I
L I v.,
el
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DtSAPPROVED /
/ DATE
INSPECTOR
REMARKS
~
CERTIFICATE OF OCCUPANCY
READY TO ISSUf / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
(~ /J /I~
r/A~~~ #~7t'
CJ ~l
~ ~~9t) 7.J
'; b(~ ~/2
~
13 r~'71(
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. LANE COUNTY BU
'NG PERMIT 0 R MOBILE' HOME II
APPLlCA TION
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.-.:.~.._.~...,_.~E~~I!.!Y P~n~=-__~~~~~ ~~g,r:; .....:...,.., MOB ~~~_~~0~.}JC?5C ,-R,~<;~::~._.. ...__.__.~......_~E~M IT #
,PROPERTY OWNER ' . MAILING AD~RfSS , ,
J3-c~ 'L ~ l-b..c.ch..__-~_,~,g-Q...._~. ' :'Cod~~_JJ. ') CU \ S" QY' t -v'\,~,,--~~~j_ "
CONTRACTOR MAILING ADDRESS0 ...)' ~ 0 '
\'\ '.~ B_~<:hdo~___~_~L3J' (\) 17 ~ . <6.~Y' \ ""'J,C- ~ t"".1r""\ '
;O;R~~AHON;:::\\:O~'C'l.. )r-" ' , . '3, ~V'\"",,,\~,..,J.J,<') y-~
PROPERTY LEGAl DESCRIPTION ' -...) .....j, U 0 ' . (\ METES & BOUNDS' 0 YES
LOT - BLOCK - SUBDIV. . . Lot- <0 B\CG\cL~' "'!tV) RJL\'\ fl.""", \:,V, '<\J \Ir,\('~.c:;. " ATTACHED 0 NO
TWP RANGE' SE~ TAX LOT # .' CODE CENSUS TRACT
.~ 3 ~~' .
APPLICANT DESCRIBE EXIST,. ~IN),G'J,.';'; ST, R ~.vU';.,CTUI ';.,I\CR, E",S ON PRO. PE,RTY IF ANY.
, NAME ~~ '.c-' ~ It,"'. U""'. '. )O/-()~,
"j LEGAL ACCp~ TO, PROPERTY-~ ROAD NAME OR # /
AND' .2, d 0\ () · ts 1r' c-.l \ ~ l0 C~L\ ~<""' CI.-d \ce~ U ~ . /
MAILING . -J -.....J PROPERTY SIZE-'<i.J.WH ,-...DEPTH 'j"
~~DDRESS . ~ ~;::)."\\.(,, Y-\ <::--\ c\ L) V' r- . , q:...c:- "/. 015., .'
FOR MOBilE 1-fOME P~MIT ONLY / . I
Number of Bedrooms Connect to Existing Sewage System 0 or! New Syste'm Req. 0'
STRUCTURES TO BE BUILT THIS PERMIT ' TYPE CONSTRUCTION SQ. FT. r.. BE(DROOMS VALUATION .
~~uh4h,~ ~d'" . '5t.J. '3l/~.(tiJa/.g().'l("'32,~
/-&./ - ~~~::::t..O-'7'i /b't,;g ;.':'0 207
~ @/fA, ~~) ;/
seWAG'D"'OSA! '!UM"NG INSTALLeD" . {"
PUBLIC n SEPTIC TANK d OTHER 0 OWNER 0, OTHER 0 N~ME
BLDG. ,~..c:/r,C_ OC), FEES WATER SUPPLY PLANS FURNISHED " ,// FACILITY PE~MIT
WASTE DIS. PUBLIC 0 OTHER YES'W"' NO 0 YES 0 NO.'~
- :~~~B~:~IEW PLUMBI~:T~E::S NIL-: ~::::: A~PP(fj~T 'L'~ / DATE
PARK TRLR.CASH 0 SFJ.'1~'R ' (,\ 1 II FEE RECEIVEOY. -,'I".': DATE
./~o .tf cJ ,,:q'g', CHECK I\l/'ON-NECTION FEE UV f~ " 7- ~ ;}.~~., 7. 7 j/
, 'N~" . PERMIT #, '/" 7'
/ /4, 4(// PUBLIC WATER
TOTAL '7' If b CONNECTION .FEE
(21 q~ 71/ .
pHoN'E
73G ~7(93CY
PHONE '
"?%
R's ~~
AREA
. 'l~ 31. ~o
MIN, SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
COUNTY BUilDING & SANITATION SPECIFICATIONS}
DRAIN FIELD REQUIRED I '
,7 SQUARCm,
I
L1N. FT.
TRENCH WIDTH ,FT:
TYPE' OF STRUCTURE , . ~' ~ OCCUPANCY
-SlDG-:5'ETBACKS - FT. FROM-:c.TR~~ RIGHT OF WAY'-~---
\
ZONE \.
USE CLASSIFICATION
REJR YARD
PUBLIC UTlL. EASEMENT
SIDE,INT. SIDE EXT.
7-A~' ~,Ie PLANNING
, . )'~~~. .
. , ~ , .
REAR
Dale BLDG. INSP;
.I
16 Find, Property: ,-__'
~-----------~------
, .
COpy 1 -OFFICE
, COPY 2 - JOURNAL
COPY 3 - AUDIT
..--_.._._._._--~.- --'- - -----~---------- --. - -- --- ..------- ------- -------~---_._-~-
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