HomeMy WebLinkAboutPermit Building 1975-7-1
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LANE' COUNeUILDING PERMIT OR MOBILE
BUILDING 0 XX MH 0
MAILING ADDRESS
:' =~,~
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H4 USE PERMIT
PERMIT NO_
I'~ C" <1-" S-
1669-75
PHONE
SPRtNOrlELO OREGON 141-~869
PHONE
, PHVLL 19 VANDERZAIIDEN
CONTRACTOR
.sAME
PROPERTY LOCATION - INCLUDE POST OFFICE
211 ESTATE COURT
MAILING ADDRESS
TURN NORT~ OrF HAVDEN BRIDGE ROAD ONTO CASTEE DRIVE
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
111D ADD McKENZ I [ MANOR LOT 4 BLOCK 12.
TWP RANGE SECTION
PROCEED NORTH AND TURN LErT ON ESTATE COURT:
17
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2~. ,::?, ~
TAX LOT NO. CODE
Jt;. ~7~
CENSUS TRACT
APPL.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
PHVLLIS VANDERZANDEN
EXISTING STRUCTURES ON PROPERTY
!>dELLING
LEGAL ACCESS TO PROPERTY
HAVOEN BRIDGE ROAD
SANE
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing
TYPE CONSTRUCTION
128 @ 2.&>
Sewage System 0
SQ. FT. .1t BDRMS
New System 0
VALUATION
$358.40
PERMIT FOR GREENHOUSE
SEWAGE DISPOSAL
PUBLIC 0 Ex I ST SEPTIC TANK 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARKdTRAILER
lpSURCHARGE
.
OTHERD
J.UU
FEES
PLUMBING INSTALLED BY
OWNER D OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
"
.05
5.05
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN fiELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH 0151. BOX: GAL
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
5N
OCCUPANCY
J
ZONE
PUBLIC UTll. EASEMENT,
BLDG. SET~:S __ FT. FROM CTR. OF R50,AD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/S/ J. E. BDSS BV C. HARBAUGH
REAR
USE CLASSIFICATION
7' PUE '
CRUICKSHANK rOR SHOOK/SANITARIAN
DATE
7/1/75
DLM
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required inspections, All construc-
tion shall comply with Uniform Building Code, D,E,Q. standards
IMPORTANT: ,far subsurface sewage disposal and county regulations covering
plumbing. All buildings require 0 certificate of occupancy before
being occupied.
(See Details an Reverse Side)
FORM = C55-13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHO.U5E ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 .
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!!Up.DINt SITE EVALUATION .
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/6t?-7S-
(>Q BUILDING PERMIT APPLICATION NO.
() SITE INSPECTION
PLANNING DIVISION Not
A~I?I icable
1. Zoning Ordinance Compliance: Zone Q~~ ( )
2. Subdivision Ordinance Compl iance . ( )
3. Requ i red Access ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
T lra ()2.,s f2?::>TAX LOT
SUBDIVI~: -
LOT: BLOCK:
I ) 0.. V\d.P (2-0. vJ.a'A..
APPLICANT
DATE
BUILDING INSPECTION DIVISION
PLANNING DIVISION ACTION PENDING: VESt ) NO( ) APPLICATION#
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
Not
Applicable
, ( )
~)
( )
)
CDMMENTS:
WATER POLUTION CONTROL
Not
Applicable
( )
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No YIIS
'['")W
( ) ( )
( ) ( )
( ) ( )
No Yes
'['") n
( ) ( )
6.
CK'D BY: . t/d-
Setbacks from cll of road:
Front h (j
Side Exterior
Setbacks from interior lines:
Side ~~
Rear ? /
CK'D Bye;;;'
(b> .~ -7J'
ATE
-
TO APPLI CANT:
Yo~ Building I Site Inspection:
~ ~ Can be approved.
~'l () Cannot be approved at this time as Indicated on item NO. above.
b/~ .~ Questions and further information on items 1 through 6 contact the LANE-
1.7~ 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 bu i I ding I?ermi t aEP I i ca!_tQ,,,...fe~-'-ue i nQ .~~t;.u.r:.n,~d und~~ ",o.RJ:R.te cover
DEPARTMENT OF ENVIRONMENTAL AAN!\ut.I1tNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
LANE COUNaUILDING PERMIT OR MOBILE Hce USE PERMIT V
, BUILDING MH PERMIT NO
. ~
PIl )PERT OWNER MAILING ADDRESS PHONE
t)NHA :1')11: MAILING ADDRESS PHONE
PROPERTY LOCATION INClUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
,N' " 11,1'.l " ,C <0 ,
APPl EXISTING STRUCTURES ON PROPERTY
NAME
LEGAL ACCESS T0 ROPFRTv
&
MAILING PROPERTY SIZE - FT
ADDRESS WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No, of Bedroo":"s Con nee' 10 Existing Sewa~e System New S'\tem 1
10 '" HIS 'ERMI T S , lM~ \i.<\1 liON
SEWAGE DISPOSAL
PlUM8INC- INSTALLED BY
PUBLIC
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK
OTHERr
.
fEES
9Wl"ER OTHER, NAME
WATER ~UPPl'
PUBliC OTHER
TnTAI
,
MIN SEPTt\ TANK CAPACITY
COUNTY BUILDING & SANIT A nON SPECIFICA nONS
DRAIN FiElD REQUIRED
WITH Ot51 BOX, GAL
UN. FT
TRENCH WIDTH FT.
o~ SQ FT
lYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBlIt UTlL EASEMENT
8LDI SETBACKS FT FROM CTR Of ROAD RIGHT OF WAY
USE ClASSIFICATION
FRONT
SIDE INT SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
DATE
BLOG PERMIT - WHITE
OFFKE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILOING - GREEN
SANITATION GOlDENROD
Call 687-4065 to schedule all required inspections. All construe
tion shall comply wilh 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. 13S EAST 61h, EUGENE. OREGON 97401
.
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SITE INSPECTION
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARI~S
FOUNDATION INSPECTION
ApPROVED~! DISAPPROVED!
! DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
,
ApPROVED C1 OISAPPROVED /7 DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED I I DISAPPROVED I I DATE INSPECTOR
REMARKS
/
FINAL "";/
ApPROVED 1 DISAPPROVED r::J DATE INSPECTOR
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE r::J DATE
INSPECTOR
REMARK 5
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NOTE:
NO PERMIT W1~BE
_ PERMIT if /b69-7.5
ISSUED UNTIL THIS APPLICATI~S BEEN APPROVED
.
~STRUCTION ~
~ OWNER f l" '( I..L~~me
c==::J CONTRACTOR
SHf
Name
0.5, REG. U
APPLICATION FOR:
MOBILE HOME C=:J
V AJJJt~ZAlJJ'iI ;l.'f fSTArr CT.
Address
PLAN REVIEW
C=:J
CHANGE OF OCCUPANCY c=J
5DrllJi fl'LJ
City "
q-('f77
Zip
II 7 1./7 \ IUj
Phone
Address
City
Zip
Phone
Twp. ,.., S Range 3 W Section 1. J Tax Lot Code Census Tract
Subdivision ~-rc:L M~7,'P t~crr;;t i./ Block I::z. Property Acteage Width_Depth
ACCESS TO PROPERTY (Road Nsme) ff~ ILu~LPJ -'I (AS"lL~ ()~ ~ E n~H (O()~,. (CH J-f fAC)
Existing Structures on Property: R.l>~IJ-Ill(,..{l:
\ Property Location - Address/Directions: T.tiA-,,^ A.I~ ~~ 8~LJ(J -:t. ~ D~
P~N.nd. ,..:t.v- 1b en-. f~/ ~_
I
Below for o~e Use Onlv,~xxxxXXXXXXXXXXXXXXXXXXXXXX~~XX~LXXJ{xxx~::'r,,,,,,~,vXXXX~~;X:XJXXXX
l 'Tl'P.pV\hrfr,l~ IS2T 1I1~ o.c:PV :<,-'5'6. '-10
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SEWAGE DISPOSAL: '7 C / I
Site Inspection U --:In -!? .
WATER SUPPLY:
Well Spring
FEES:
Bldg.
Waste Disp.
Plumbing
Plan Review
!'!{-
Mobile Home
1% Surcharge
,0:'
TOTAL
SM
Min. Septic Tank Capacity
,
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6'
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Existing Sewage Disposal ~ystem I
'~ '~
\< .,.." Public:
, 1
~ Community (=:J Name of
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'.' .",
Other
-- /
or N~tem Required C=:J
Community or Public System
PLUMBING:
Installed by Owner
PLUMBING FEES~
I
Wster
Connection
,
~PLANS FURNISHED FACILITY PERMIT
/ L...21 'YES ~O C=:J YES C=:J NO
/ Signature of Applican a-~hfiA..&l r~~
Fee Received By: ',. ' '-'~:::~?.r.:;:?5
Maximum Depth
ield Required - Lineal Feet
Type of Construction ,J1 d Group ~
Bldg Setbacks -
Front_ j, 0
Fi re Zone
Use Classification 4G. r;
Side Int.
from Center of Road Right of Way:
"')'.
Side Exterior
Rear '7' -P/JE-zone
fZA
6-!-"f-7r ~ ~..- ~~g,,;;-~
LANE COUN~ ~cW'~IRONMENTAL ~f;~NT
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