HomeMy WebLinkAboutPermit Building 1974-7-25
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LANE COUNTY
BUilDING IKJ
BUILDING
MH 0
MAILING ADDRESS
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PERMIT OR MOBILE HOME
USE PERMIT
PERMIT NO.
, 1.. S(, - 7)/
1236-74
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PROPERTY qWNE~~'
-'Donald Hultl'
CONTRACTOR
PHONE
1008 Diamond Way
MAILING ADDRESS
Euqene. Orcqonn
A & K Builder Star Route Moh~k Sprlnqfleld. OrcQon
PROPERTY LOCATION - INCLUDE POST OFFICE
.. 1008 Dllamond Street
IpROPERTY LEGAL DESCRIPTION - METES, BOUNDS
PHONE
746-0221
TWP
Diamond Acres
RANGE
L-8, B-1
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17
03
.34.2.4
211 + 218 32-300
EXISTING STRUCTURES ON PROPERTY
home
LEGAL ACCESS TO PROPERTY
Dlalnond St.
PROPERTY SIZE - FT.
"
APPl.
NAME
&
MAILING
A + Il Builders
Star Route Mohawk
ADDRESS SJ!r I nflf I e I d. Ore~on
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;; BDRMS
New System 0
VALUATION
Addtlon Famllv room
600 ~ 16.10 (3) 9.660
bath. bedroom
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAilER
SEPTIC TANK MI
$
OTHERD
I;?OO
FEES
PLUMBING INSTAllED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC m(
o OTHER
llLon
.,
TOTAL
.
6R
';868
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
% surcharge
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
'iN
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
4'i
SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
7 PUE
1.1 J.E_ Boss bv Charle Harbauah
J.Sheok
DATE
. 7-25-74 bp
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all'required inspections. All construe.
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)
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FORM:: C55-1)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, D~PT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97401
BlI.lLD ING SITE EVALUATION
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() Building Permit Application No. 12.Sb-7j
() Site Inspect ion
() Pre-Permit Investigation
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PLN1NING III VIS loti :tln t
.. M'J)Jicab Ie
,. 1.' Zoning Ordinance 'Coml'l.i.aIH:e: ZoneA<C--T' ( )
\'. 2. SubdIvision Ordinance CumpUance ( )
3. Reqlli red Accc:,s . ( )
.., 4. . . JJll ild ill!; Site (Ar"". Hidth, Frontage) ()
5. Other (see comments) ( )
COHHENTS :
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TA R OssJ'LI.2Y'fAX LOT..?/I-f
cZs TRACT ' :2 / r
D/Qm61/d /IreS L- cr- D I
APPLI CANT: /lZ . ,<> /' '':'-
NAMEIIu;h / //--( k
ADDRESS /
PHONE
DATE
tin Yes
( ) '(j(J 6.
( ) (l()
( ) ()(i
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( ) ( )
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PLANNING DI VI S ION ^CTioli-p[~Ni)iI1G;-.Yi;sT")N6-~^PPLff:kfUjin----
,
BUILDING INSPECTION SECTION NOT NO YES
6. apPI(ic)able() ,J<
Plans Subm i tted f,\
7. Soil Stabil ity (footings) ~ () ()
8. Flood Plain }tl () ()
9. Other (see Convne"nts) ( ) <jJ ()
COHHENTS:~1~-o# ~
C) !( ,.'I;u,-
NAME
DATE
'1- 1-1;-111
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SANITATION SECTION NOT NO YES \~.Q OATE
aDD I icab I e 7/il7'1
10. Sewage Disposal ( ) )>0 ( )
II. Usable Area ( ) ( ) ty1 a-
12. Water Supply ( ) ( ) ('!J
13. Other (see Comments) ( ) ( ) ( )
COHH ENTS : 74Jd:' ( . -- r ;:1 . I .
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NQUJ rl ra ,::;.. ~, .'i ~ I klp"",,r'!
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TO APP LI CANT:
~ lJ1JY1 11)' r Bu i I c!i ng Perm i t / Site I nspect ion:
Y r.t!/ ) Can be approved. \ CI .., - I
1,1 Cannot be approved at this time as indicated on item NO. if/() above.
Questions and further information on items 1 through 5 contact the ~-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
11 . through 13 contact the Lane County Buildinq and Sanitation Division.
~ ~i(q ~ Will.be held in this office until you can resolve the problems indicated.
~\) y -1 () Is being returned. .
() Your building permit appl ication fee is being returned under separate cover.
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
C55-28
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
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LANE COUNTY BUILDING PERMIT OR MOBILE HOME
BUILDING lID MH D
MAILING ADDRESS
USE PERMIT
PERMIT NO.
In:.>-7",
'PROPERTY OWNER""-
PHONE
:nold Cluhl
lOOJ DI~1~ ~uv ~~r.c~~.
MAILING ADDRESS
tCu~() t1o!lc:.t S[;rln;jflold.
Orc;c:lO
CONTRACTOR
., .; [~ D:lI ) dor (l~or
1 PROPERTY LOCATION -INCLUDE POST OFFICE
!cg3 O&~d 5eroc~
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
)'C"-J~j Acrao b-J,
RANGE SECTION
r,rcr.on
PHONE
...i:('>-02a I
.
D-I
, TWP
TAX LOT NO.
CODE
CENSUS TRACT
I,
03
:;4.2.t}
.
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ai' 9 aiD 32-308
EXISTING STRUCTURES ON PROPERTY
(1=
LEGAL ACCESS TO PROPERTY
DI C"'w.,:l l)~,
PROPERTY SIZE - FT.
, .
APPl.
NAME
&
MAILING
ADDRESS "Clrlo3vlald. OrCf,C~
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
A <I- It Dulldoro
Gte? r~~~o ~~~~~i
WIDTH
DEPTH
AREA
,
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. ;: BDRMS
New System D
VAL.UATION
C.C:cj;;IcH Fellly r=.l
C:JD () W.W' (;H (:,L~.,:
0C~:J bcdr ";_.l
SEWAGE DISPOSAL
PUBliC 0
BUilDING
,
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
. , j~ (iurchor~~:,)
SEPTIC TANK
Ei OTHERD
.< !J2,Cb FEES
"
'~." a0.~3
.~-.
PLUMBING INSTAllED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 1;31 0 OTHER
TOTAL
,
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W.w
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
t WITH DISI. BOX; GAl.
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
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TYPE OF STRUCTURE
,:1
OCCUPANCY
1
ZONE
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS. FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT ,..)5j SIDE INT. J SIDE EXT.
AUTHORIZED SIGNATURE - DATE
lu/ J.~. D~o bV C~Q110 r.07~CU~~
USE CLASSIFICATION
REAR
'I P(;l!
J.llhcclt
DATE
j-rSJ If} >,)
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
DING - GREEN
:\rION - GOLDENROD
:"-
IMPORTANT:
Call 6B7.4065 to schedule all required inspections. All construe.
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)
, '.
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th. EUGENE. OREGON 97401
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SITE INSPECTION
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED L-/ DISAPPROVE~ 1--/ DATE, M INSPECTOR
REMARKS~...(II.AluJ AC.?/r' ~
/ 1'1,1 .z;;;.~~ - : / /J
/(~.I:( u--r .Ar~~ 7-.::s v - "/ f,/ f.( ./
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FRAMING 'INSPECTION
~' r !/~ '''''It 4..:/
ApPROVED Lk/ 01 SAPPROVEO ~ DATE.> ,S -" /',.- I NSPECTO~
k.-~~'a4;/~
if c.l-Wll ,,'.I~}'~f/ q~/,1 "'Nfl
LATH OR SHEETROCK INSPECTION /J
ApPROVEO ~, SAPPROVED /I DATEI lJ-7- 7f I N~PECTO(l /
REMARK S
FINAL INSPECTION ~
ApPROVEO ~SAPPROVEO ~ DATE IO-7-7t(,NSPECTOR!U---
REMA.RKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE
INSPECTOR
REMARK 5
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LANE COUNTY
BUILDING IKJ
BUILDING
MH.D
MAILING ADDRESS
.
PERMIT OR MOBILE HOME
USE PERMIT ,
PERMIT NO. 122Ci-74
,
PROPERTY OWNE~/. .
Oooold Huitl
CONTRACTOR
PHONE
laos DI~d ~ev
MAIliNG ADDRESS
r:un:::no. Or~onn
A G ~ DulJdor Stor Routo Koh~ SDrln~~lald. Oro~on
PROPERTY LOCATION - INCLUDE' POST OFFICE
lao9 D~d Btreet
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
PHONE
7~-02:1I
TWP
DI I.'llnnd A~res
RANGE
l-O. 0-1
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17
03
34,2.ll
211 ~ 210 32-300
EXISTING STRUCTURES ON PROPERTY
APPl.
NAME
&
MAt liNG
A + It Bullclors
h=
LEGAL ACCESS TO PROPERTY
Star ncu~o ~ohewk
DIWClld llt,
PROPERTY SIZE - FT.
ADDRESS Sp.rlna1Iald. Ilronlll1
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
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Addt 1 on froll.; room
WIDTH
DEPTH
AREA
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,
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. # BORMS
New System 0
VALUATION
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600 9-16.10 (ll)
9.6(0
\loth bcdrCOl:1
SEWAGE DISPOSAL
.
OTHERO
"2.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY' \
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAilER
I 5~ !lUr~hllr!lO
TOTAL It
SEPTIC TANK 00
PUBLIC' ;1Q1
o OTHER
16.0ll
MIN. SEPTIC TANK CAPACITY
.61]
63.68
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
WITH DIST. BOX: GAl.
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
5(1
BLDG. SETBACKS __ FT.
FRONT 4S
FROM CTR. Of ROAD RIGHT Of WAY
SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
Inl J.n. DOS8 bv Charla Marbou~h
USE CLASSIFICATION
REAR
7 1'lJ[
, J . Shc:;~
DATE
7-25-7~ \lp
BLDG. PERMIT - WHITE
OffiCE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required inspections. All construe.
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)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97.401
.ORM = C55-13
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.
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVEO / / O,SAPPROVEO ~ DATE
INSPECTOR
REMARK 5
GAS PIPING GROUNDWORK
ApPROVED / / DISAPPROVED ~ DATE
INSPECTOR
REMARK 5
ROUGH PLUMBING
ApPROVED ~ D,SAPPROVEO CJ DATE1/-/6~',/ INSPECTOR
REMARK S
acA
ROUGH GAS PI PI NG
ApPROVEO CJ DI SAPPROVE-O Cl DATE
INSPECTOR
REMARKS
FINAL PLUMBING
DATE~ -J-/5 tNSPECT~
ApPROVED ~ DISAPPROVED Cl
REMARKS
FINAL GAS PIPING
ApPROVED CJ DISAPPROVED /I DATE
INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE CJ NOT READY TO ISSUE. / / DATE
INSPECTOR
REMARKS
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LANE COUNTY BUILDING PERMIT OR MOBILE HOME USE APPLICATION
PERt.\IT'r(PE - BUILDING D MOBILE HOME DOSCREG.# PERMIT:#: /.J..3t -7'1
n~ :i!i}.GA~~/~~. O/\J' PHONE
COftiRACTOR ~ ' A lIN DRESS "., . /~ '? PHONE
f/'f7L ~,'(,f..., _ _ 41utiru',~ ~_ _""'.,t:l~ 7'16'.221;:
~OPERTY loe I N - INCl~DE POST OFFICE (J;,--- ....ct.- 71
/tJoR LL,A"J~~ ~, . I
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PROPERTY LEGAL DESCRIPTION
lOT - BLOCK - SURD IV.
TWP RANGE
/'/- t1 j
APPLICANT .I'L. f-~. L2 //./J. . ._
NAME ~ ~
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TAX LOT #
.id/ f
J: y t:!JA(, I
METES & BOUNDS 0 'ES
ATTACHED &('10
AND
MAILING
CODE CENSUS TRACT
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DESCRIBE EXISTING ~RES ON PROPERTY IF ANY
/ftP- /7 -
LEGAL ACC;a1~~A:I!/;
PROPERTY SIZE-WIDTH ....DEPTH
3~ --h
AREA
ADDRESS
FOR MOBilE HOME PERMIT ONLY
Number of Bedrooms Connect to Existing
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION
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Sewog~ System D or New System Req. D
/ SQ. FT. 10 # BEDROOMS VALUATION
, ~I'1APit" (,,:1) 9' Ct, ()
-,/
<'""'"_....J
SEWAGE DISPOSAL
(
/
/
/
PLUMBING INSTALLED BY
PUBLIC 0
BLDG,
WASTE 0 IS.
PLUMBING
PLAN REVIEW
PARK TRlR.
J 070
.
SEPTIC TANK iK.
."'.2. (J tJ
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PUBLIC ~ .OTHER YES~ NO 0
Pl~MBING FEES / SIGNAT~RE OF APPUCA~/1
L FIXTURES' /.J. /. '" X .. 'U/ r. -ffit.~
CASH OAWER II _ ~__ ~EE~~_~_~D_BY.---
. a '8'" _ CHECK P CONNECTION~EE-~ . 0 0 ~
"" I ,/ PERMIT #
d PUBLIC WATER
t '(',~ D CONNEctiON FEE ';;.00 I..l. 3 , - '7 .;
\COUNTY/BUILDING & SANITATION SPECIFICATIONS
\ IIDRAIN FJELD REQUIRED
J UN. FT. TRENCH WIDTH FT. OR SQUARE FEET
. --::};:;;.:=]-(;..., Ll.. 1\
\
FEES
OTHER 0
WATER SUPPLY
OWNER 0 OTHER 0 NAME
PLANS FURNISHED
FACILITY PERMIT
YES 0
NO .R'
DATE
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DATE---- J
'/-,j-:"7y
/(;.00
TOTAL
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MIN. SEPTIC TANK CAPACITY
WITH DrST. BOX: GAl.
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r,.::J.,..~..
OK
'1~I L~.__--~'~ -~>
7 /).[;; /7L-/
TYPE OF STRUCTURE
~ 'i Ai
OCCUPANCY
J
ZONE
REAR YARD
PUBLIC UTll. EASEMENT
BLDG. SETBACKS - FT. FROM CTR.
,
L/f SIDE INT.
,
OF ROAD RIGHT OF WAY USE CLASSIFICATION
5' SIDE EXT. NIA REAR 7 I PlI.>;. ~
PLANNING C'\ 00" BLDG. INSP. ; /J Oti? ~ /)/51 Date
~OlJ 1-S.7t fj/T.J rw-(.. 7- '1-..f"''11J-
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COpy 1 - OffICE
~COPY 2 -JOURNAL
COPY 3 - AUDIT
Form # C55-\2