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HomeMy WebLinkAboutPermit Building 1974-5-22 " ""'T;"'Iy--", ,<;" -\.....-. ~, LAN 'NTY.ILDING PERMIT OR MOBILE BUI~~\ MH D PROPERTY OWNER r. I(", '\' ,flJ MAILING ADDRESS Hill, ROJERT N. ewiti1ff~;~:,~l<. 870 WEST CE~lTEN~dAL, SPRINGF"IELO, OR. CONTRACTOR ,'.) 0...;:,..;,\..;:,""- -#>" i,' MAILING "'ADDRESS SAf~E e,," ~1tJ ~1tJ 1tJ'" . ~ 'J-, fl. PROPERTY LOCA T1Qtj}~'IrcLlJ,\1b"bskP;f1CE 3684 DUKE;,"YT.",<I''';.,,,1tJ c,<:) }l' PROPERTY J~A,",Dil;li.RIPT~" f;w.n.ms. BOUNDS 3RO. ADn~~~Eb,~'niaIN ESTATES lOT 6 TWP ~ (;" ~~E SECTfbN 18 1tJ+ ~1tJ 02 06,4. Z-- ~ , 1 \ '----.. " , , HOMaSE PERMIT PERMIT NO. 'lL)s- 71 84 q- 7tl PHONE '746-9916 PHONE .' BLOCI( 3 W;~;V CODE CENSUS TRACT APPL. 17-186 EXISTING STRUCTURES ON PROPERTY NAME ABOVE NONE LEGAL ACCESS TO PROPERTY JASPER Ro. PROPERTY SIZE - FT. WIDTH 70.97 DEPTH 121. 94 AREA & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ. FT. ;; BDRMS VALUATION DWELLING 5-N 1557 @12 ~6 (j) 3 18,6811. 1,518. GAnAGE-ATTACHEO-UNC. 20,202. SEW AGE DISPOSAL v PUBLIC 0 SEPTIC TANK IE] BUILDING It. WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER OTHERD 77.00 'iO.00 Q1.oo FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER (/ TOTAL L..lJl:l.OO COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. 900 DRAIN FIELD REQUIRED 1r.n lIN. FT ..I'" TRENCH WIDTH FT. , ,;,1;2', OR SQ. FT. 300 \ . j . ~ .~ , TYPE OF STRUCTURE 5-tJ BLDG. SETBACKS __ FT, FRONT 1;5 I OCCUPANCY I i1../ FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. 5 I SIDE EXT. -- AUTHORIZED SIGNATURE - DATE ZONE RA \ PUBLIC UTll. EASEMENT " \ REAR 7' PUE USE ClASSIFICATION -" .. , \ . J , , lu/J.E.B06S, BY, C. HARBAUGH ...- , J. SHOOK, SANITARIA~ DATE 5-22-74 JB BLDG. PERMIT - WH ITE 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 being occupied. (See Details on Reverse Side) rORM :: C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 , . . : R [. FUN D o F F [ [ THE LANE COUNTY DEPARTMENT or [NYIRONMENTAL MGT. I HAVING REQUESTED REfUND or rEE TO:- OF NAME ADDRESS ApPLICATION FOR BUILDING PERMIT DENIED, AND NO APPEAL or SUCH DENIAL HAVING BEEN MAOE. ApPLICATION rnR BUILDING PERMIT CANCELED. APPLICATION FOR BUILDING PERMIT. OVERPAYMENT. ZnNING PETITION. APPLICATlnN FOR RESTAURANT LICENSE. ApPLICATION-FOR CERTIFICATE ~F SANITATION. APPLICATlnN FOR PRELIMINARY SITE INS~ECTION. FOR THE FOLLOWING REASON: AND THE APPLICANT DESIRING THAT THE FEE BE RErUNDED, THE DIREC,-R ~r FINANCE AND AUDITING IS REQUESTED TO RErUND THE AMOUNT or $ . (UNDER A~PLICATION NUMBER IN THE CASE OF APPLICATION FOR BUILDING PERMIT), WHICH IS THE rEE CHARGED. DATE 55-029-12 . I BU I ~D ING:S.lTE~.EVALUAT ION. . JS /c 1-/-- ~Eis~S 0 G TAX LOT I L /::(;,/15-3 3d Headtnu (jreeC1 (;;",,1-: No. r-//l? ,,,-71 ANAMPPlEICANt':, / ./) Building Permit Appl ication D'7~) /'11 /1 ADDRESS ( ) ( ) ( ) Site Inspection Pre-Permit Investigation PHONE DATE t;:: --I k---7 V , .= Zoning Ordinance Compliance (Zone~ ) Subdivision Ordinance Compliance NOT ;1 icable () () ( ) ( ) ( ) ( ) NO YES NAME DATE LANE COUNTY PLANNING DEPARTMENT I. /./""J1f h 5-/&-74 ( 3. 4. Required Access ( ) ( ) ( ) ( ) : t ( \ 2. Building Site (Area. Width. Frontage. Setback) Other (see comments) ( ) 5. COMMENTS: ,-- ~ BU I LD ING INSPECTION SECTION NOT NO YES ;1 icable ~ 6. Plans Subm i tted ( ) ( ) 7. So i 1 Stab i Ii ty (foot i ngs) rf ( ) ( ) 8. Flood Plain ~ ( ) ( ) 9. Other (see Comments) ( ) ( ) COMMENTS: NAME DATE C${~'f...z..;'''J-1I . - ~ , SANITATION SECT! ON NOT NO YES d~\i~ . DATE app I i cab 1 e ~/td7r- 10. Sewage Disposal ( ) ( ) (I) II. Usable Area ( ) ( ) ( ) 12. Water Supply ( ) ( ) ) 13. Other (see Comments) ( ) ( ) ) COMMENTS: l TO APP LI CANT: Your Building Permit / 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 5 contact the lane- COUNTY PLANNING DEPARTMENT. Questions and further information 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. LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Phone (503) 687-4186 Oregon 97401 LANE COUNTY ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East, Eugene, Oregon Phone (503) 687-4065 97401 C55-2B ~ r t LANE COUNTY.ILDING PERMIT OR MOBILE BUilDING MH MAILING ADD~!~~ HO.SE PERMIT PERMIT NO . " )\ 'NI 'HONE c )NTUITn~ MAlll"L. AbD~m PHONE pp )PERlY l.XXrlON INLlUDE POST OFFIc.:E ~~dpt'NTY LIGAl )(SCRIPTlON METES, Q'ULJ~l)~ I\'l '" l,,J 'lO APPl. NAME , , RES l!I~AI A '. PROPERTY & MArLING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of BE'drooms PROPERTY sin - FT. WIQTH DEPTH A~F~ " C.onnect t.o Existinl? SeW.oQe Sy~lem " ''"1~ N~"l Sys~~: SEWAGE ,...,t PUBLIC BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER Plu'M~)'NC' INSTAll,b' ~~ SEPTIC T ANI( OTHER[ 1 $ FEES ~Yftifj OTHER: NAME tyAt~1 SUPPLY PUBLIC OTHE~ MIN. SEPTIC TANK CAPACITY $ . ctll)Nfy AllllPINQ ~ Mt"IT'I rlOr! ~P!llFICA .J ~ dlXm /IElD IrMI~!D TOTAL WITH 015T BOX: G"~ UN. FT T,)'~r~ WIDTH IT, pR SQ, FT, TYPE OF STRUCTURE , ICY ZONE )U811( UTlL. EASEMENT Blnc- 5E18,6,1:1<5 FT FROM. CTR OF ROAD Ii!lGHT -d~ WAY USE l.lA5Slfl( ATIt)N "Q~T ~'l>J INT ~lJIf EXT, AlIiH('j~lh~ sle\<AfU~l- DATE R~R DATE Bl 'fDMIT WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING CANARY BUIlDING '. SANITATION - GOI Cell 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 97401 ~ . SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVEO ~ DISAPPROVEO L-/ DATE REMARKS FRAMING INSPECTION ApPROVEO / / DISAPPROVEO Cl DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L-/ OISAPPROVED / / DATE REMARKS FINAL INSPECTION . INSPECTOR INSPECTOR INSPECTOR INSPECTOR ApPROVEO Cl DISAP~E~ DATE INSPECTOR REMARKS ;&~A?~~~~.4~~ r / H J/ _I-?_J/!':/ jrl I~ C/ - CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE REMARKS ~ ,;) ---- ~.{~.:~ (L/~~ IJ 7I~ 3(, '?ti f)~ 81/3-7t/. l INSPECTOR " .......,;, , \ \ , ~ . LANE COUNTY ,LDING PERMIT OR ,MOBILE HOM.~PPLlCATlON PERMIT TYPE - BUILDING' MOBILE HOME nOSC REG, # PERMIT :#: rO"luR . 6 ~AllING ADDRESS ,b _ ?J ci/J../L; ~1L;(4 ' .-77.4 ~ a- --i:;:;;,;J ) "'__ <i>",,>. CO~RACT, ~ MAILING ADDRESS ,,...,;1)/. 't <i> < '~ ~'" ~. +",.- Od"'~" ,,_ PROPERTY lOCATlON7""'rCL~ POST OffiCE 0 _ /I ) v o? ~(,O". J1:: (-~ ~~/ '?tC J?t/ ob'<<.K~- /If ,All . Jdtf/ tlu 0,>, ''>0 (;>(;> " "", 1(;>0- PROPS/"Y LEG~ DESCRIPTION -? -" ',..,,, I{~ ~ .I ~ I ~r J c J -.L(;>'<., >ISo;" ":(,~T~S & BOUNDS 0 YES ~&rBLOCK~ SUBDIV, ~d'-...1..-~~.I-~ ~ ~~~ ~4t./ G,/.:" r:T:::, ~Q". 'O^ I)~ t.ATTACHED D NO TWP - RANGE SEC. AX LOT # CODE CENSUS)JRA<;]'.;'Q' ; I /g 2.' /7 -1~G ....... (;>. ;r ~~JA'f9,. APPLICANT Y / DESCRIBE EXISTlNG')jRUCTURES ON PROPERi;fJC'F~Y ....-~ NAME .J?{(t?<<' -' 0:. I O~ f/1__~ ~rn.Il...,... . ~ \'''oS(Y)<:JYLP /~EG~ACCESS TO PROPERTY-ROAD NAME OR Y C'..s - AND {/ '7 n _ <] '7 V /..:2 I. 'i'</ PROP~RrY Slt~WIDTH DEPtH I AREA -? , I.. . ~'13-7Y PHONE 7Y~~ 7 ~ /'C PHONE MAILING ADDRESS ,y FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUilT THIS PERMIT . . Connect to Existing Sewage TYPE CONSTRUCTION S-N System D or New System Req. H' SQ. FT. .3 # BEDROOMS VALUATION /~,<;7'e /.)ICb l~bg'1.00' _ h..LIV)Ul( /7AP"", 17 (?1'1A~R / - SOL. ',0 ::\,()r\. 1"5' J <l . Or.; ?"1t!)'"> 00 ; SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BLDG. WASTE DIS. PLUMBING PLAN REVIEW PARK TRLR. SEPTIC TANK 0 .. ""'7 7~O(') ~t1. Or") ::<: I ,..,,..., OTHER 0 WATER SUPPLY PUBLIC 0 PLUMBING FEES J FIXTURES CASH 0 SEWER CHECK "....--CONNECTION FEE OTHER t1 (!, '3 .tOO 1.00 OWNER 0 OTHER 0 NAME PLANS FURNISHED FACILITY PERMIT YES V NO 0 YES 0 NO rn-- SKl'NATURE ~CNT , / r~.4 DATE ~ -K...I. //.)u.o::- FEr RECEIV~u BY .... ....4:/ A?? DATE FEES PUBLIC WATER CONNECTION FEE 2 .12f2.. COUNTY BUILDING & SANITATION SPECIFICATIONS PERMIT # -">-/5"-7Y TOTAL /5~.cOO MIN. SEPTIC TANK CAPACITY Q06 DRAIN FIELD REQUIRED tiN. FT. ) ,<\() TRENCH WIDTH FT, 2. OR SQUARE FEET ~ D 6 WITH DIST. BOX: GAl. , ..... TYPE OF STRUCTURE ..6" J/ Ob~ ~A. REAR YARD BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF ,fAY 7 "uE USE CLASSIFICATION ~~D4D SIDE INT. ~ SID'I"'_ -REAR Oo~.c.\, - ;:~ -.J~" PL I ~/ Dal. BLDG. INSP, .A- 'fI7 ~ ~/_ , !-.7U t u lfa-?'I ,'(f ^'~ r~6' - -.-. / ~ .. . Do ections to Find Property: V' PUBLIC UTll. EASEMENT Date Z. ......71./ COPY 1 - OFFICE COpy 2 - JOURNAL COPY 3 - AUDIT Form::: CSS-12