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Home My WebLink AboutPermit Building 1975-7-1 '.- '- -.......,.....- .,' ~t ~. I ~,r . , #'- '"'"\ . ':i ~} _ ;./. ~ ' ...'. .j. I PROPER1\ OWNER . -:':::':,:"0; ";'i\'~~:>-;'. .";Y"fo~,..-_.(.,.,.'.,--,..-,,~~;--..~. '~.'" ;'---''-.~j:. ';C)";:-<-"'i'-.'~~'''..' '1:-1.:.-""- --, c:. l ' . .....,1 v-...... LANE' COUNeUILDING PERMIT OR MOBILE BUILDING 0 XX MH 0 MAILING ADDRESS :' =~,~ ...'" 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 ~ 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 . ~ro ros('j. G'r -<:CN J.-OIJ5C .for n.AtJ :~.?J. )('T{ . " ... ,. ~ "'-'j'l' ~ { h. \ ~:..., - l . , " i'}- ,. 'f ' 1--' 0\ .- I' ../ .. l . .. ,., . \ ./ . I I , . , . - v ' " . " r ,-, -, j t -j. -, >~ ',: (.: ~':::!.. .,' -- r .' ....r.. ",,- .-- 'In ' --.' ) - . '. .-, ", \ ~ .. '....' I .. . or '. > r i 1.- ') I ./ , c. ..- \\1/__ L: -/~ -, 7 I' . ' ," il \ ^ ,\ ' ,,:.\ \' . I'" - '.. ,. . , ',- I' /' .... t" .......; i-'\.(.. '. .' \. \,) I, "-;. .I~ '. . /' 1/" :~ y i' ~":'.< ::- .:, Ie .I 7 k-- - ~ I _ I ,,'uj."rl' I T, R es~J.uvc( G MP\1<7' ; , 30 . ! 13') I ~I ,./ I "- I i \ co"uere/ \ I I 'i'1I'PO r~' , I IYO . , &7 r ,/ .... \ \ \ \ \ \ \ ,:1..1) )..----- EST AT e I, .. , 'J. i' C.OUi'T ,. '.0' \ !!Up.DINt SITE EVALUATION . .... . .... ~<< /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 . . , '\ ...... ..... 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 ~ta I JJ ~ vJ4,~%.I -,{, /~~,'?I % P?/,f;' ~ Cj..;,. /'7f'!- ~dZ ~ /i)l ~ 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 . .. I /- (, -., /' /' 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 , '. ': .... .. .~>- 6' - ...: -....... Existing Sewage Disposal ~ystem I '~ '~ \< .,.." Public: , 1 ~ Community (=:J Name of " ."\ ~. ;". '.' .", 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 ,~W C5S.1Z