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HomeMy WebLinkAboutPermit Building 1974-8-1 ',' '" 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 .' , \~ ~, ' . .$'.. . - t,~ 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) '"':~.':_4_ '\ FO~M';; C 5'5~-; 3 ...__ ~ "A (POST THIS PERMIT 'ONMAIN-iUDG~ATSITEl LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COU~THOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97~OI ....~ I -.l - >,!~i:;}:::'. / '. jS c. t-. ) 39'1- ~, ~ ntl 1-JC{C( 'K.tfWlI5L-1 VW )'fC!Y~s. c..,...~ ~k)2- T I 7 R ~ S 2-:::- TAX LOT CENSUS i ~T ..".",,; BUILDING SITE EVALUATION . " () 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. '" ' Required Access NOT appl icable () () () fJ)( ,) i), ( .( )c--.., , ~) () () () 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 , r J:~ . ., ,r 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\ 'J. ".......-J\ ~~.~-' " 1 ... " ' "'...;;.'. '.: \\..' -:~<.:~<:~~'." ~~~~~~.~~~..v,' ''\''~'~.\ . , , . ~. ..~ ~" "\\"~,'~"'''-'''\'~' """,,,,:,, ..:;~,~ ~ .~.J~'_ '\l -;' n y \ .'" " '" ~..'.""\" v .Y{:~ \~ ) )','.";~ )5~~~,' ,~~~. :. \ . ,"" .." ,\, \ 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 '-. I ,. '---~-"'-"'~ .- 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( l , .. "I. ~.f . LANE COUNTY BU 'NG PERMIT 0 R MOBILE' HOME II APPLlCA TION . . - - , . . .-.:.~.._.~...,_.~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 ..--_.._._._._--~.- --'- - -----~---------- --. - -- --- ..------- ------- -------~---_._-~- uJ