The URL can be used to link to this page

Home My WebLink AboutPermit Building 1975-1-28 LANE COU UILDING PERMIT OR MOBILE USE PERMIT BUILDING MH fEl PERMIT NO. 159-75 PROPERTY'OWNER MAILING ADDRESS PHONE • ALBERT HANSEN 6i9 ..)TONE f SPRINUFIELD CONTRACTOR MAILING ADDRESS PHONE Doe BOLI'ID5 5711 ROYAL RD. EUGENE, OREGON 97102 688-F,1 PROPERTY LOCATION-INCLUDE POST OFFICE 619 al CK sT llF PROPERTY LEGAL DESCRIPTION-METES, BOUNDS TWP RANGE ECTI T X LOT NO. CODE CENSUS T ACT 17 03 23.3.4 12200 19-&4 21,104 APPL EXISTING STRUCTURES ON PROPERTY NAME HOLISE - LEGAL ACCESS TO PROPERTY & BLACK STONE MAILING PROPERTY SIZE-FT. ADDRESS WIDTH 8 DEPTH 1o6� AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewage System ❑ New System ❑ STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SO. FT. ,' BDRMS VALUATION ENCLOSINg COVERED PATIO INTO LIVING AREA AND FIREPLACE 72 @ 13.30 997.60 SCANNED SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC ❑ SEPTIC TANK ❑ OTHER❑ OWNER ❑ OTHER: NAME BUILDING $ 10.00 FEES WATER SUPPLY WASTE DISPOSAL PUBLIC ❑ 0 OTHER PLUMBING PLAN REVIEW _ PARK TRAILER _. t1. 10 TOTAL $ 10.10 - COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED WITH DIST. BOX: GAL LIN. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT 5N I _ BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. REAR AUTHORIZED SIGNATURE-DATE DATE /s/ A. Boss BY CHARLIE HARBAL/GH JOHN SHOOK SANITARIAN 1-28-75 Lam BLDG. PERMIT-WHITE Call 687-4065 to schedule all required inspections. All construc- OFFICE COPY-WHITE tion shall comply with Uniform Building Code, D.E.Q. standards COUNTY TAX- NK PLUMBIN G-CANARY MPORTANT: for subsurface ubsurfacesewa sewage disposal and county regulations coverin g BUILDING-GREEN plumbing. All buildings require a certificate of occupancy before SANITATION-GOLDENROD being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 FORM =C5S-13 BUILDINC*SITE EVALUATION �' T l R ® � SP23,3,4AX LOT L22cYD . is SUBD ION: ( ) 'BUILDING PERMIT APPLICATION NO. '6` 76 LOT: BLOCK: ( ) SITE INSPECTION APPLICANT s?Se DATE /-- i-- 7 j PLANNING DIVISION Not Applicable No Yes CK'D BY: 1 . Zoning Ordinance Compliance: Zone ( ) ( ) TT 6. Setbacks from c/1 of road: 2. Subdivision Ordinance Compliance ( ) ( ) ( ) Front 3. Required Access ( ) ( ) ( ) Side Exterior 4. Building Site (Area, Width, Frontage) ( ' ( ) ( ) Setbacks from interior lines: 5. Other (see comments) ( ) ( ) ( ) Side _ Rear COMMENTS: PLANNING DIVISION ACTION PENDING: YES( ) NO( j APPLICATION# BUILDING INSPECTION DIVISION Not Applicable No Y 7. Plans Submitted ( ) c) 8. Soil Stability (footings) ( ) ) 9. Flood Plain ( ) ( ) 10. Other (see comments) - (! ) ( ) ( ) CK'D B '!'Pl,f D ��/ ATE COMMENTS: WATER POLUTION CONTROL Not Applicable No Yes li . Meets Department of Environmental ( ) T) TT Quality Standards. 12. Other (see comments) ( ) ( ) ( ) CK'O BY: DATE COMMENTS: TO APPLICANT: Your Building / Site Inspection: rellY Can be approved. yol- ' n ( ) 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 held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building perm i t appl i cat i on fee is bei nq returned under separate coveE. DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon 971+01 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 BUILDING1SITE EVALUATION OP T S TAX LOT SUED I ION: ( ) '.BUILDING PERMIT APPLICATION NO. 1' 1 �J' LOT: BLOCK: ( ) SITE INSPECTION APPLICANT DATE PLANNING DIVISION Not Applicable No es CK'D BY: 1 . Zoning Ordinance Compliance: Zone ( ) 6. Setba s from c/1 of road: 2. Subdivision Ordinance Compliance ( ) ( ) Front 3. Required Access ( ) ( ( ) Side Exterior 4. Building Site (Area, Width, Frontage) ( ( ( Setbacks from interior lines: 5. Other (see comments) ( ) ( ( Side Rear COMMENTS: V 11 PLANNING DIVISION ACTION PENDING: YES( ) NO ) APPLICATION# BUILDING INSPECTION DIVISION Not Applicable No Yes 7. Plans Submitted ( ) TT 8. Soil Stability (footings) ( ) ( ) ( ) 9. Flood Plain ( ) ( ) ( ) 10. Other (see comments) ( ) ( ) ( ) CK'D BY: DATE COMMENTS: WATER POLUTION CONTROL Not Appli ble No Yes 11 . Meets Department of Environmental ) 7—) T 1 Quality Standards. i BY:CK'D V 1111 12. Other (see comments) ) ( ) ( ) CK ., DATE COMMENTS: TO APPLICANT: Your Building / Site Inspection: ( ) Can be approved. ( ) 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 held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit a2plication fee is being returned und�,r separate cover_ _ VI DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 LANE CO BUILDING PERMIT OR MOBILE USE PERMIT v BUILDING ■ MH ❑ PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE a , "I: 'r HAL. ti.4 6t, BLACK JT'bwt , ' CONTRACTOR MAILING ADDRESS PHONE ' tV., a.C a�7 I 1 ' c _1 (,f}r' f r:.4, PROPERTY LOCATION—INCLUDE POST OFFICE PROPERTY LEGAL DESCRI�TI�MET „t}QUNDS TWP RANGE -– S ION TAX LOT NO OD CENSUS TRACT 3 :'3.i.I 12.r>t i 1,11.,/,_‘0. "1.1V4 APPL. EXISTING STRUCTURES ON PROPERTY NAME _ ,1 - : C LEGAL ACCESS TO PROPERTY a. 111LA -K F-T,`Drr MAILING PROPERTY SIZE—FT. ADDRESS WIDTH 76I DEPTH ;0,j_ AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewage System I_j New System ❑ STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SO. FT. BORMS VALUATION - '1.," +E P Pats I O 1`I'ITh. L 1 V ' , A'i Y A A..0 t i:7( .: . 3;It :, 13. p SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 11 SEPTIC TANK ❑ OTHER❑ OWNER ❑ OTHER: NAME BUILDING 10,,f)) FEES WATER SUPPLY WASTE DISPOSAL — PUBLIC ❑ El OTHER PLUMBING PLAN REVIEW PARK TRAILER lC TOTAL $ ` I_ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED WITH DIST. BOX: GAL. LIN, FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT I BLDG. SETBACKS . FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. REAR AUTHORIZED SIGNATURE—DATE DATE I , IN H, • 11 I ., •. ;1 ..I j , i , 1 • – . BLDG. PERMIT—WHITE Call 687-4065 to schedule all required inspections. All construc- OFFICE COPY—WHITE tion shall comply with Uniform Building Code, D.E.Q. standards COUNTY.TAX—PINK IMPORTANT: for subsurfaces sewage disposal and county regulations covering PLUMBING—CANARY 9 p y g g . BUILDING-GREEN plumbing. All buildings require a certificate of occupancy before SANITATION—GOLDENROD being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 r OHM = C55-11 • Ar SITE INSPECTION APPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS FOUNDATION INSPECTION �APPROVEv �-- DISAPPRDVEO / J DATE .� � ��1 INSPECTOt,,, k _ lc REMARKS FRAMING INSPECTION '' APPROVED /� DISAPPROVED /---7 L DATE � .I' INSPEOTOR~ r REMARK S LATH OR SHEETROCK INSPECTION APPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS FINAL INSPECTION APPROVED DISAPPROVED DATE INSPECT /s) Z.) REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE /---1 DATE INSPECTOR REMARKS (1414/7 /Cr* V.0681044e6yee p/114 /1-114//A'lfl'i PERMIT ° -7-lS ��j ■ .OTE: NO PERMIT BE ISSUED UNTIL THIS APPLI HAS BEEN APPROVED i 40 I, APPLICATION FOR: f 1 * CONSTRUCTION MOBILE HOME r----] PLAN REVIEW I I CHANGE OF OCCUPANCY /{ 'NS e 1.4? IOWNER !a..,l�ya -..L.....' ...0...-!A. Lif Name Address City Zip Phone L'_ CONTRACTOR -C7// ae-e 8-0,a vie-- 97 yD I- ‘81Y-F/2,53 Name Address City Zip Phone 0.S. REG. # 7-2 4 Twp. / 7 Range Section ? 3,3r yTax Lot 074.26 0 Code /Q-O 4/ Census Tract 4/ -/O y 1 Subdivision ,li�_ / d� CX t Lot Q Block Property Acreage Width 2 Depth . o C ACCESS TO PROPERTY (Road Name) 1-0/.1 t Existing Structures on Property: hie t- S' 4 Property Location - Address/Directions: a/9 __Aa;?-e,,,coe Below for Office Use On1yXXXXXXXXX XXX XX}IXXXX]gIXXkXXXXXXXXXXXX7IX}IXXXRXl ODLYXXXXXX• • • •iO( XXXX Sq. Ft. O Bedrooms Valuation WI/ If"" F - - SEWAGE DISPOSAL: !` Site Inspection # Existing Sewage Disposal System_ or New System Required I 1 WATER SUPPLY: Public 1----1 6e-cd-L-74 ) Well Spring Other Community Name of Community or Public System FEES: PLUMBI Ins talle by Owner _ Other I Name Bldg. / i 0 D Waste Disp. PLUMBING FEES: Plumbing _ /1//, # of Fixtures Sewage Water Connection Connection Plan Review Mobile Home PLANS FURNISHED FACILITY PERMIT 1% Surcharge • l0 CASH YES I NO YES ,_ NO TOTAL /0 1 /40 f----I CHECK Signature of Applicant:J( •/ Fee Received By. Date: /f:-2A/)ij` Min. Septic Tank Capacity Drainfield Required - Lineal Feet Maximum Depth Type of Construction L( Group / Fire Zone Use Classification Bldg Setbacks - from Center of Road Right of Way: Front Side Int. Side Exterior Rear Zone PLANNING: DATE: i. . I \ION: DATE: WILDING: DATE:,ix CSS-12 LANE COUNTY DE RTMENT OF ENVIRONMENTAL 1 MANAGEMENT