HomeMy WebLinkAboutPermit Building 1973-5-11
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LANE COUNTY BUILDING PERMIT OR MOBILE HOME USE PERMIT
BUILDING 0 MH 0 PERMIT NO.
MAILING ADDRESS,
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81~73 '
PHONE
747-2056
PHONE
-
PROPERTY OWNER
Palmar, Rov M.
CONTRACTOR
1010 Doodea St.. Spfd.
MAILING ADDRESS
PROPERTY LOCATION - INClUDE POST OFFICE
1010 Dondea St.~ Spfd.
PROPERTY lEGAt...DESCRIPTlON - METES, BOUNDS
Meadow Green Estates. Lot I. Blk.
TWP RANGE SECTION
18 2 6./.3
"
APPl.
NAME loy H. Palmer
& 1010 Dondea St.
. TAX LOT NO.
tt:=7~QC)
CODE
CENSUS TRACT
35-152A
MAILING
EXISTING STRUCTURES ON PROPERTY
DweI ling
LEGAL ACCESS TO PROPERTY
Dondea St.
PROPERTY SIZE - FT.
WIDTH 80 DEPTH 120 AREA
ADDRESS Sprlnqfleld, Or.
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect' to Existing Sewage System 0
TYPE,CONSTRUCTION SQ. FT. # BDRMS
New System 0
VALUATION
Storaqe qldq.
128 (!il 2
256
,
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
$
OTHERO
<;,00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
o OTHER
MIN. SEPTIC TANK CAPACITY
'WITH DIST. BOX: GAl.
s 1;.00
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
...-"'\:.
TOTAL
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
Hold ten feet from the Droperty line and all parts of thedralnfleId with storage bldg.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
.~ J
D BI.DG.~SETBACKS -- FT. FROM CTR. OF ROAD RI,Q.HT OF WAY
Illd6:\.i!I.j'~De -s..e. VtJIoIDea. 40
FRON'-.u_5~ SIDE lNT, 5 SIDE EXT,
r AUTHORIZED SIGNATURE - DATE
d.SPjE R
REAR 4!5\
USE CLASSIFICATION
/s/ Boss by Harbauah
G.V. Gray, R.S.T.
DATE
5-11-73
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied.
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
".
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
FORM == <:55-13
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CLRTlFlED ~lAIL
I:r. ':oy Palmer
1010 Dondea Street
Sprinrfie10, Ore(on 97477
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I Il': Structur, in northeast (.orner of Your Lot that \las Started
I' ..ithout First Obtainine a Lane County Buildine Permit
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It i~ nOel over one month Dincc this depc.rtm( nt ;" fl a 3~op ..ark
Motice at your pl.ce. "'.S th, fram, of th, buildiU[ is Gtill
~toncanc, ic \:ill be n_ eded to ,ithcr Decurc a buildinr, p'rmit
or remOve tho buildint.
If you decide to tak. out a buildinf: p rmH, it \, iil be necessary
to move the buildin[ cnou[ h to meet the setback r' <,uirc.":\cnts.
Pl aGe take core of th~s problem within ten (10) days of rcc~ipt
of this letter so that no nurther action n,ed be tween.
Sincerely,
Jon: c. STONLR, n.s., Director
Buildin[ and 3antation Divioion
BY I CHAI\LI S HA!tBAUCH
LB6ildinc Inspector
CHI jrnh
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'RECEIPT FOR CER.O MAil-3D\, (Pl~~_
... SENT TO POSTMARK
OR 0" TE
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Roy Palmer
STREET AND NO.
1010 Dondea St.
P.O., STATE AND ZIP CODE
Springiield, Oregon 97477
lJPffOfuLltavlcEs FOAADofilO'NALFEES
RETURN ~ 1. Sllo'l7' to \Yllom and data CIUYlrOd ........." lS4
RECEIPT With delivery to addressee only............ 65,
2. Sh.". to whom, date and whorl delivered .. 35,
SERYICES With delivery to addressee only............ 85.
DELIVER TO ADDRESSEE ONly...................................................... 50,
'SPECIAL DELIVERY (oxtra foo roqulrod) .................................... -
'5 Fonn NO INSURANCE COVERAGE PROVIDED-
Ap', 1971 3800 NOT FOR INTERNATIONAL MAil
5-3-73
(SOD o'h,r aido)
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01 H3^1l30 lUOlj 941 UO H aSJOpuQ 'aass;:uppe 941 at };IUO paJ9A!ISP 91::l!1JI! a4~ tU2M 00.( JI 't
'OllSln01H Idll~lH NHn13M al'llle 10 IUOJ) asJOPUl "pua pawwn8
aul 10 ,ueaw Aq al'!lle aul 10 ~"q aul 01 Ii u"lI' pu, '1l8E WJOj 'pJ" Idl"" uml" .
UO SS91ppe PUI! aweu 100,( PUI? Jaqwnu l!ew.pa!J!pa::l all) 91pAA. 'td!a::HU UJnt9J e lUI!M no}; JI '(
'al'lp' aul I!'W pue 'ld,,"J "II U!'I" pue u"lap 'al'p 'al'!11e aul 10 aPI' ""pp' aul
jO uonJOd Hal 9lH ua qnls pawwn3 allt ~JHS 'pa~H?wlsod ld!9:l9J S!lIl lUI!'M IOU op no.< Jl 'Z
(alJJelp I!Jlxa QU) 'lapJeJ leJnJ Jno,c; all! pUl!'lIJO MOPU!~
9:l!AJ9S OJ:)!JJo IS00 e Ie 91::l!lJE 91111uaS9Jd PUI! 'pall:Jl!'ne adls:!aJ ;un IUIABaI 'aIJ!pe 941 JO ap!s
SS9Jppe 94) JO uOlPod Hal a41 uo qnls pawwn3 aliI ~:l!ls 'pa~J1~wlsod Id!9:J9J S!411UeM no,( jJ 'I
aUOJI aas) 'Sl3MHlS lYNOlldO OlUlllS ANY HOj Sl~HYH3 OHY 'lJj llVVi OlljlU13
'm'WI!' JD ""I' ISJU) 19V1S0d Hl^03 01 1131UV 01 SdVi'llS 1~V1S0d ~31lS
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" SEN~ER: 8e sure to follow In.tru. on other ;ide ,,_,.
PLEA~E FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S)
(Additional charge, required for theBs service,)
o
Show to whom, date and address
where delivered
O Deliver ONLY
to addressee
CERTIFIED NO.
RECEIPT
Received the numbered arficle described below
SIGNArUR 2;;;~~:in).
SIG-NATURE OF A~~fEE'S AGENT, IF ANY
REGISTERED NO.
527294
INSURED NO.
T
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BUIL~IHG'S'TE EVALUATION
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JI&'- 73
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~ Building Permit Appl ication No.
() Site Inspection
() Pre-Permit Investigation
T /A O:2..t' . j TAX LOT ~ ."
c'ENs"l\I!" TRACT B S - 152-
~'ZUo ~ 't:..d:. ,?{ I
APPLlrAN~ ~ /
NAME ~~ ,~.
AODRESS
PHONE
DATE_ ,3--,-f'- 7..3
LANE COUNTY PLANNING DEPARTMENT
NO
YES
DATE
NOT
aDD! icable
() ( )
( )
( )
( )
( )
I.
Zoning Ordinance Compliance
, (Zone ~ )
Subdivision Ordinance Cempl iance
: t
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( )
( )
( )
( )
( )
2.
3.
4.
Required Access
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
5.
NAME
4uA
5-9-73
, .
COMMENTS:
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
app~f)able (~ <ti?I
6, PI ans Submitted
7, Soil Stabil ity (foot ings) (j) ( ) ( )
8. Flood Plain ( ) ( ) ( )
9. Other (see Convnents) (\) ( ) ( ) (:; 11~ b-- //-73
COMMENTS: V
SANITATION SECTION
NO YES
DATE
NOT
appl icable
(~ ()
(I) ()
() ()
( , ()
( )
( )
( )
( )
10. Sewage Disposal
II. Usab I e Area
12. Water Supply
13. Other (see Comments)
COMMENTS:
TO APP LI CANT:
NAME
/1) ~
_W, r V
:Y IO~ u
)fou Building Permit /~i e lspectjP~',:\,
Can be approved. )/ 73 ~ '
) Cannot be approved at this time as indicated on item 'NO. ' above,
, Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING. DEPARTMENT. Quest ions and furthe'rinformat ion on itemS 6
through 13 contact the Lane County BuildinQ and Sanitation Division.
() Will be held in this office until you can resolve the problems indicated.
() Is being returned.
() Your building permit appl ication fee is being returned under separate cover.
U\NE COUNTY PLANN ING DEPARTMENT
IY; Sixth I\venue East, Eugene, Oregon 97401
l'IIIINt: \":'-1:; II Dl. 131
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East. Eugene, Oregon 97401
PHONE: 342-1311 EXT. 411
.
.
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LANE COUNTY
BUILDING
BUILDING
MH -
MAILING ADDRESS
PERMIT OR MOBILE HOME
USE PERMIT
PERMIT NO,
OWNER
PHONE
CONTRACtb.
MAILING ADDRESS
PHONE
PROPERTY LOCATION -INCLUDE POST OFFICE
I LEGAL DESCRIPTlOf.J - METES, BOUNDS
TWf
~.I.IJol!
SfCTION
TAX LOT NO
CODE
c..ENSU~ TRAC T
APPL.
NAME
EXISTING STRUCTURES ON
LEGAL ACCESS TO PROPERTY
&
MAiliNG
ADDRESS
FOR MOBILE HOM~ PERMI~~ ONLY
No. of Bedrooms
STRUCTURES TO B[ BUILT THIS PERMIT
..,'~...:". SIZE-FT.
WIDTH
DEPTH
AREA
Connect to Existing ~ewa~e System New System [1
TYPE. CONSTRUCTioN ~Q FT BDRM~ VAl I AlION
PUBLIC ,
OTHER
JAsPER
r
I I y-
.
" II.
, ~
J
,
SEWAGE DISPOSAL
PUBLIC
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
.
FEES
PLUMBING INST ALlEe BY
OWNER 1 OTHER: NAME
WATER SU~PlY
SEPTIC TANK
OTHER""
TOTAL
I
MIN SEPTIC TANK CAPACITY
WITH OISl. BOX: GAl.
COUNTY BUILDING & SA}JITATlON SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. FT
TRENCH WIDTH FT.
OR SQ. FT
TYPE Of STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
BlOG SETBACKS FT
fRONT jtff-=-
fROM CTR OF ROAD RIGHT OF WAY
SIDE INL SIDE EXl.
AUTHORIZED SIGNATURE - DATE
.,7r/J 1"'-'" I't',ftPE
REAR ~J.,-
CLASSIFICATION
DATE
BLOG PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require 0 certificate
of occupancy before being occupied.
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN. DIY., COURT HOUSE EUGENE ~..._...._. 97401
0"0.1 = C~5 13
.
.
.. .
SITE I NSPECTI ON
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED ~/ D,SAPPROVED ~/ DATE
REMARK 5
FRAMING INSPECTION
ApPROVED Cl DISAPPROVED /I DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED ~I DISAPPROVED c::; DATE
REMARKS
.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
DATE~/L/ -1'1 INSPECTOR.q:
ApPROVED
CJ
REMARK S
....~ ..
CERTIFICATE OF OCCUPANCY
,
R~ADY TO' ,ISSUE Cl NOT READY TO ISSUE -Cl DATE
REMARKS
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INSPECTOR
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LANE COUNTY BUILDING PERMIT OR MOBILE HOME USE APPLICATION
-,
. , PERMIT TYPE - BUILDING EL MOBILE HOME OOSC REG, #
f3?t7-'M": 1<- R 0'-/ );1, - MAI7~A/aS ~
rcONTRACTOR ' I MAILING ADDRESS
PERMIT ;#:
~ ~u_u
</('10-13
PHONE
7~1-.20,r{,
PHONE
,l
.
PROPERTY lOCATION - INCLUDE POST OFFICE /? '7"
/f) I D I) ~ .....e-7.
/~f ~~
PROPERTY LEGAL DESCRIPTION ..&P7_. _ /7 ""- ~./ ~ /' METES & BOUNDS 0 YES
lOT - BLOCK - SUBDIY. /?'r~ rt ATTACHED I::Hr'NO
~~ RANGE ,/ 0 .;.l-- SEC, Ii:? _ . T~~ LOT # CODE " CENSUS TRACT J7
~ v~ ~if,--, ..~ .&. _"~_:... :~ ,3' s- - /r~ If-
APPLICANT , 7'~CRIBE EXISTING STRUCTURES ON PROPERTY- IF ANY
~"'-/
LEGAL ~O:W,OR #
PROPERTY SIZE-WIDTH DEPTH
/~
~,
~
NAME
AND
~~
MAILING
AREA
ADDRESS
YO
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BE BUILT THIS fERMIT
Connect to Existing Sewage
TYPE CONSTRUCTION
j,J-rtU-<9 C' _d_ -'"'-'Z..
System 0
SQ, Fl,
or New System Req, 0
# BEDROOMS VALUATION
~-R.-JU6j? .
Yi-I(.
, (j i1--
/.;;.y
;2.0'(;
FEES
./
PLUMBING INSTALLED Y/
OWNER 0 OTHER n NAME
PLANS FURNISHED fACILITY PERMIT
.--X.I:S ,~, ho 0 YES 0 NOJl'l...,
~':.OF~~ crO:;--73
)!f. RE~EI~D BY DATE
~ f#-:::a-
/ PERMIT # ~/ (:, _ .73
COUNTY BUILDING & SANITAji(ON SPECIFICATIONS
DRAIN FIELD REQUIRED /
UN. FT. TRErilCH WIDTH FT.
OTH ER 0
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
BLDG.
WASTE OIS.
PLUMBING
PLAN REVIEW
PARK TRlR.
~ I~
~, ~~-
$
SEPTIC TANI:
,r;o II
l?L
PUBLIC ~
PLUMBING FEES
~,
OTHER
_ FIXTURES
-"
CASH ,8-.sEWER
~_ CHECK R CONNECTION FEE
,"0
,. PUBLIC WATER
_ CONNECTION FEE
TOTAL
MIN. SEPTIC TANK CAPACITY
.P.d'~
;;r;:~ fd: f,.rn.,-- -14' F~~~r; ~I'.I / ~ a If
Ar J ~ 1"'?~1 n.lf' , ~~?' /J1-
TYPE OF STRUCTURE .!J-,~ OCCAI ZONE REAR YARD
,_lllD9,_SE.!!ACKS-FT',~~m, OF ROAD RIGH1~m -.l.A.~~ USE CLASSIFICATION
~~~A, 4c:.u~-l>"'j.:;&me INT S SIDE EXT, 4- 0 REAR 4,$) /) _
;;;d;~ S-(Q~;~ P~ s_9.;e~BLDG, ~ ~ & r- / /w 73: Dale
Directions to Find Property:
WITH OISl. BOX: GAL
OR SQUARE FEET
~
,fUv.L <i
PUBLIC UTIl. EASEMENT
COPY I - OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT
Form # C55-12