HomeMy WebLinkAboutPermit Building 1975-4-10
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LANE COUNT....BUILDING PERMIT OR
BUilDING D x.. MH D
MAILING ADDRESS
2416 DUMAS DRIVE
MAtllNG ADDRESS
MOBILE HO~ USE PERMIT
. PERMIT NO.
7~9-'75'
PROPE~Y OWNER
O. ~:. JONES
CONTRACTOR
SAME
PROPERTY LOCATION -INCLUDE POST OFFICE
SPRINGFIELD OnEGO~
729-75
PHONE
747-2879
PHONE
.'
DUMAS DR I VE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
3RO AOO'TION NORTHWOOO ESTATES
LOT 22 BLOCK 4
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17
3
23,4, <I
111
19-04
EXISTING STRUCTURES ON PROPERTY
l-IC'!lClC'
LEGAL ACCESS TO PROPERTY
DUMAS DRIVE
PROPERTY SIZE - FT.
20-Eo 150
APPl.
NAME
&
MAILING
ADDRESS SPR t NG' I ELO OREGON
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
D. H. JONES
2416 DUMAS DRIYE
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;; BDRM$
New System D
VALUATION
285.20
COVER OYER PATIO
14 X 6
8ll@2.eo
SLAB AL~EAOY PRESENT
SEW AGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
I%SU:lCHARGE
.
OTHERO
"i.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEPTIC TANK 0
PUBLIC 0
o OTHER
TOTAL
$_
.O"i
"i.O"i
COUNTY
BUilDING & SANITATION SPECIFICATIONS
DRAIN FIElD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIl. EASEMENT
5N
J
BLDG. SETBACKS h FT. FROM CTR. OF ROAD RIGHT Of WAY
USE ClASSifiCATION
FRONT
tlA
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
/S/ J. E. Boss BY C. HARBAUGH
JOHN CRU'CKSHANX/SANITARIAN
DATE
"'/10/75 OL~
BLDG. PERMIT - WH ITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 ta 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)
F'ORM :: C55-13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.
,LANE COUNTY ENVIRONMENT~AGEMENT
.
PLOT PLAN
~
Name and Address of Owner
Telephone:
The building being, cons tructed under this permi t will be used for
Date this property was purchased
Do you now, or did you ever own property adjacent to this tax lot? If so. please
lis t those tax lot numbers or draw those properties on the plot plan below.
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Indicate on your drawing the location of all homes (including mobile homes) now on
the property, as well as the location of the new buildin~.
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-----------------------------
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--r----------------
Name of Applicant (if different from owner):
Address
Telephone
Applicant's Interest: Buyer c=J
M74-99
Seller 0 Agent 0
Map
Tax Lot
Permit II
.
. _. . ,i
~Ull1lI~G S~TE EVALUATION .
~ BUilDING PERMIT APPLICATION NO.
() SITE INSPECTION
PLANNING DIVISION
1.
2.
3.
4.
5.
Zoning Ordinance Compliance: Zone
Subdivision Ordinance Compliance
Required Access
Building Site (Area, Width. Frontage)
Other (see comments)
COMMENTS:
~/L,tY
'/29-7<.
Not
Applicable
R-A. ()
( )
( )
( )
( )
T 17 _ ~ S 2Z~'t$AX LOT
SUBDIVIS~:
LOT: BLOCK:
APPLICANT 0, F. ,\7"\"tJ)~
DATE
No Yes
T) (:1;:: 6.
( ) (]...
( ) h
( ) (...,..
( ) ( )
PLANNING DIVISION ACTION PENDING: YE5l } NOl } APPlICATION#
BUILDING INSPECTION DIVISION
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POlUTION CONTROL
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
Not
Appl icable
(, )
( )
( )
( )
\
Not
Applicable
( )
( )
No m
T)
( ) ( )
( ) ( )
( ) ( )
No Yes
T)TI
( ) ( )
CK'D d1G;rri~-
Setbacks from c/l of ropd~
Front N /A
Side Exterior~'~
Setbacks from interior in8s:
Side
Rear
CK'D
By(jU~-J.'~
11 DATE
CK'D BY:
DATE
TO APPLICANT:
{_ ~or Building / Site Inspection:
~YA ~~Can be approved.
\ \,(J( ~ 10 /( ) Cannot be approved at th i s time as i nd i cated 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 ANO SANITATION DIVISION.
( ) Will be held in this office until you can resolve the problems indicated.
( ) Is being returned.
( ) Your buildinQ I?ermit aEpl ication fee is..bein.'l.x~tu~n.!l.d under SeD.AUltP. covP.r,
-OEPARTMENT OF ENVIRONMENrAL HllNAt;EMtNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
lANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
.
LANE COUNTWUILDING PERMIT
BUILDING . MH
MAILING AD~Il:ESS
OR MOBILE HO~ USE PERMIT,
. PERMIT NO
~/
PROPER~i OWNER
PHONE
CONTRACTOR
MAltiNG ADDRESS
PHONE
LOCATION -INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TW
RANL;f
Sf rlON
TAX, LOT NO
~o )E
:ENSU!' Tf~AC T
APPL.
NAME
EXISTING ~UUCTURES ON PROPERTY
LEGAL ACCESS TO PROPERTY
&
MAIL tNG
PRoplkly !fZE - h
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
SlftV<':+URES TO BE BUlL THIS PERMIT
WIDTH
DEPTH
AREA
c. .. to Existing Sewage System
nfpt Cb)..JSTRUCT10N SQ F1 :: BDRMS
New Sr.'tem r]
VALl ATlON
SEWAGE DISPOSAL
PUBLIC
BUILDING
WASTE DISPOSAL
PlUMBING
PLAN REVIEW
PARK TRAilER
PLUMBING INSTALLED BY
.
FEES
9\Vt'E\r1 OTHER, NAME
Iv Atlll 1:11')>\')
SEPTIC TANK
PUBLIC I]
J OTHER
TOTAL
$
C~UNTY bUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN SEPTIC TANK CAPACITY
WITH 0151 BOX GAl.
UN. FT
TRENCH WIDTH fT.
OR 5Q_ FT
TYPE OF STRUCTURE
OCCUPANCY
lONE
PUBLIC UTIl. EASEMENT
BLDG. SETBACKS FT FROM CTR OF ROAD RIGHT Of WAY
USE ClASSifiCATION
FRONT
SIDE I~J. SIDE EXT
AUTHORIZED SIGNATURE - DATE
REAR
DATE
BlDG PERMIT - WHITE
OffICE COPY - WHITE
COUNTY TAX - PINK
PlUMBING - CANARY
BUilDING - GREEN
SANITATION - GOl.'
IMPORTANT:
Call 687-4065 to schedule all required inspections. All.. IC.
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
~" C IS II
.
SITE I NSPECTI ON
ApPROVED Cl DISAPPROVED Cl DATE
REMARK 5
FOUNDATION INSPECTION
ApPROVED L-/ DI SAPPRDVED L-/ DATE
REMARKS
FRAMING INSPECTION
ApPROVED Cl DISAPPROVED /7 DATE
REMARKS
lATH OR SHEETROCK INSPECTION
ApPROVED L-/ DI SAPPRDVED c::J DATE
REMARKS
FINAL I NSPECT ~
ApPROVED W DISAPPROVED Cl
DATE t5'...) I / 76'
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
REMARK 5
( i-/ 7. &~f
O~
7~9~7.) r2t1 /6- i)~ /)~
.
.
,
'.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
I NSPECTDU
~
INSPECTOR
.
NOTE:
PERMI T iF
NO PERMIT WIreE ISSUED UNTIL THIS APPLICATIO.S BEEN APPROVED
APPLICATION FOR:
7:27.'15
~
CONSTRUCTION ~
MOBILE HOME [=:J
PLAN REVIEW [=:J
CHANGE OF OCCUPANCY CJ
~ OWNER
- ~ CONTRACTOR
.D 1-:/, 'JO;V~
Name
<. r a,c
2Wb j?V;11~ Pf?.I(C= r('p().wo/~....o cj;:>
Address City . Zip -
Phone
7l.{'{-a79
1
,
I
t:: SG'/I ~y:e '5 Section 2-")
LdiViS;}.;d aWfJ,-e. r1lw,oJ) fi-r;?7(: Lot
I
iACCESS TO PROPERTY (Road Name) /) J m I9-S
I ~
~xisting Structures on Property: ~tJ-f~
,
! Property Location - Address/Directions: ~/ /')"7 A<.
C.
Name
Address
City
Zip
Phone
Tax Lot
/11
Block 'L/
,
Code
I 'j-IJ,-/
Census Tract ~ J - r
2..'2--
o ;r< ~~;:
-
Property Acreage
Width______Depth
OR.-E
.'
,
Below fo r Of f Ie e Use On! vXXXXXXXXXXXXxXXXXXXXXXXXXXn'lO".xy.Y'(l1'XXXXXXXXXXXxxxxxxxxxxxxxxxxxxxxxxxxxxxx,.,"r~":"'OOCXx:xxxxxxxxxxx
rrn~\ O\r{>r-' CXA4-tO~~X-Z-Sq. Ft. gL/COJ _;)dr;r; V$:r~,)O
~
nl rfb cy
Q..\(;\ ~
I
~Pi~
SEWAGE DISPOSAL:
Site Inspection #
Existing Sewage Disposal System
Public rz=J
Other Community ~
~ or New System Required [=:J
Name of Community or Public System 1(0 I'V\. .kr.i)
.
WATER SUPPLY:
Well Spring
J
Other [=:J Name
FEES:
Bldg,
Waste Disp,
Plumbing
Plan Review
Mobile Home
1% Surcharge
f),-
PLUMBING:
Installed by Owner
PLUMBING FEES:
-
Sewage "
Connection
/
PLANS FURNISHED
Water
Connection
FACILITY PERMIT
,DC;
Drainfield
~/Y~S [=:J
Sig~ture of Applican
F~ Received By:
/
Re~~ Lineal Feet
:~
CHECK
. ,
TOTAL
fS. D~
Min, Septic Tank Capacity
Maximum DeJh
Type of Construction
,<('" N
Group \~"..
Fire Zone
Use Classification
~baCkS - froms~::t:~.Of Road Righ,t Of""~~~::..._._~_ _ .4
- ,) fR ,C 10 Soo'11--)/\
Rear I rur;;- Zone' M.,.
P~jRlING: i/'
r/;j?#~7~
-err'? '1
DATE:
~ fi~ " /
SAN nON: '. "BUILDINl/02' DATE'.
u21f. 1lC'<(t, ;.~~ 117,"'. .L ~('".1'cfP!/~"<,' tI~ f. J;J
co Y DEPARTMENT OF ENVIRONMENTAL'MANAGEMENt'
C55-12
LANE