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Home My WebLink AboutPermit Building 1974-9-9 r". ~;.;,.-'>-- ...- . \... - ",. l-tch.-:;;:r '-- _ ~,f..~' '~_;l\(r' I rl ~ I ..;,,;..... ([ LANE COery ,BUilDING 0 BUILDING PERMIT OR MOBILE 4t,ME MH 0 MAIllNG ADDRESS 12~1 FA IRV I Eli AVE/JUE MAILING ADDRESS ~lq SOUTH EAST USE PERMIT PERMIT NO, n'8~- 7'f ;";;4--?':: 11 1785-711 PHONE . PROPERTY OWNER . ROJa En SUA DDY CONTRACTOR AUEN JASON EUGENE. OREGON PHONE SPRIt",rlF'LO ORrGm; 74~-31~ PROPERTY lOCATION - INCLUDE POST OFFICE 1237 FAIRVIEW EUGENE TURN LErT ON MILL Orr Or CENTENNIAL PROPERTY LEGAL DESCRIPTION - METES, BOUNDS LOT 22 BLOCK 21sT ADDITION CENTENIAL TWP RANGE SECTION RUNS INTO tAIRv'rw' 17 01 nJ,;z. GARDENS TAX LOT NO. ~ /3s-" CODE CENSUS TRACT APPl. NAME & MAILING ADDRESS EUGEIIE., OREGON FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT ADDITION BEDROOM OVER GARAGE EXISTING STRUCTURES ON PROPERTY RODGER SHADDY 1217 FAIRVIEW AVENUE LEGAL ACCESS TO PROPERTY FAIRVIEW DRIVE PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. =It BQRMS New System 0 VALUATION 364 €: 21. &l 5860. !jo " SEWAGE DISPOSAL PUBLIC 0 i'IA SEPTIC TANK 0 BUILDING' ;'t,:-( It 'WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 1 j3suRCHARGE OTHERD ~6.00 FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER MIN. SEPTIC TANK CAPACITY WITH DlST. BOX: GAL. ,.1Wil $~jO COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED TOTAL UN. FT TRENCH WIDTH FT. OR SQ. H. TYPE OF STRUCTURE 51'1 OCCUPANCY I lONE PUBLIC UTlL. EASEMENT BLDG. SET4c)KS n FT. fROM erR. OF ROAD RIGHT OF WAY FRONT SIDE INT. 5 SIDE EXT. AUTHORIZED SIGNATURE - DATE /S/ J. E. Boss BY C. HARBAUGH USE CLASSIFICATION REAR 5 J SHOOK/SANITARIAN DATE 9/9/74 0:4 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: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) ~ RM :C55'1J l.) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97401 ';, ( ) ( ) ( ) -=:1S I I T6W R Ll.3,s 27 TAX LOT ~ tt C~ TRACT APPLICANT: ,if 2.2. BLk: c... Bu i I ding Perm it App 1 i cat ion No. /7<65- 7r; NAME (<::;iJn,.-J rI.~::;l / A II f" JA . . -r ("P~ q-4-7r1 1)...'..3tP ADDRESS r' Site Inspection I v uv 7 ~07n LQ,:)'P~q-6 ~7t/ 51 PHONE Pre-Permit Investigation 7 .. 00 DATE Q-<;/-77" , B~~L~'N: SITE EVALUATION 4It --"- LANE COUNTY PLANNING DEPARTMENT NOT NO YES NAME DATE app I i cab I e I. Zoning Ordinance Compliance ( ) ( ) ( ) (Zone ) (\ 2. Subdivision Ordinance Compliance ( ) ( ) ( ) 3. Required Access ( ) ( )6(d Y LZ...- 4. 8uilding Site (Area, Width, ( ) ( ) ( ) Frontage, Setback) 5. Other (see comments) ( ) ( ) ( ) COHHENTS: BUILDING INSPECTION SECTION NOT NO YES ;1 icable cI> 6. PI ans Submitted ( ) ( ) 7. So i I Stab i Ii ty (foot i ngs) ~ ( ) ( ) 8. Flood Plain ( ) ( ) 9. Other (see Corrments) ~ ( ) ( ) - COMMENTS: , NAME DATE ........ /J, ... III (rJJ~ q'-9'--7// - ,. v SANITATION SECTION NOT NO YES (~\\~O_ DATE ;1 icable 9/Ih ,P' 10. Sewage Disposal (P ( ) ( ) II. Us ab I e Area ( ) ( ) ( ) '--/ 12. Water Supply ( ) ( ) ( ) 13. Other (see Comments) ( ) ( ) ( ) - COMMENTS: TO APP LI CANT: ( ) ( ) ( ) 8uilding Permit / Site Inspection: Can be approved. 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. 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. ~ Your t{_~.I1( )(l LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 LANE COUNTY ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 C55-28 \ . to' '. LANE C.TY BUILDING 0 BUILDIN(3 MH 0 MAILING ADDRESS F,,<\r' :1>:1,,, HlU (\\iC::.L::; MAILING ADDRESS ~~:~J ~;:::;3t1 fJLJV PERMIT OR MOBILE'OME' / . ,. . USE PERMIT PERMIT NO. "r<': .' '. -4 f''''' ,'> ~. PROPERTY OWNER PHONE ,,~, . __.,1" cc::o::::c, C. 'B::~':; CONTRACTOR ~t: . .~S PROPERTY LOCATION -INCLUDE POST OFFICE :-tl:.'.,,:::,) L:::c:"r; 1:,,'. !>C~". C', r,:I~1. C7V' C7 ;;';C::,1IrUII\!' rl:l',8 1:,18 G',Hr;\iO(';O: PROPERTY LEGAL DESCRIPTION - METES. BOUNDS ~;, .,,, . ;) U ;j"o' t\'~: C', ~S.. C~.;~(r~ ~~:, D:'JI!:::: TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT PHONE SCJ:') Q~-~::~' C (ri..~ C:?r.::C:; "',"" "" . ~:".. 'l ' . I" ,j) (-."~ " APPL. NAME & MAILING ADDRESS l': 'J~:' ::,,, G :C~'=:-.; FOR MOBILE HOME PERMITS ONLY No. of Bedrooms EXISTING STRUCTURES ON PROPERTY ~ '-':SJC--:: ~~'f~~_;V . "',"j Ii (:'---0; .,'Cl :")v 'Ct! ':.t:::Q:J:: LEGAL ACCESS TO PROPERTY ,'t)IS1IIWc! L:IIIC PROPERTY SIZE - FT. :~ ~ r......-;-, ." .A ~_" ., WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing TYPE CONSTRUCTION Sewage System 0 SQ. FT. :,.; BDRMS ....I"t, r 'J(' ~.., ~>.. \. C;J.,;~ New System 0 VALUATION ", ~. J' : ~~~ :-A."';'~' :);..1~;: :'.~'.'.":.')~: '. " '\" , \' ~''\. . \. , \ ~ , , " 1--. SEWAGE DISPOSAL ... -.'" ... FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 BUILDING WASTE DISPOSAL \ PLUMBING I : SEPTIC TANK 0 OTHERD " PU BLlC 0 o OTHER -' \ \.. PLAN REVIEW PARK TRAILER ) TOTAL $ &,'/ ' MIN. SEPTIC TANK CAPACITY WITH DIST. BOX; GAL. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED UN. FT TRENCH WIDTH FT. OR SQ. FT. I TYPE O~ STRUCTURE OCCUPANCY I ZONE PUBLIC UTIL. EASEMENT BLDG. SETBA~,KS _ FT. FROM CTR. OF RpAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTH~RIZE~. ;1~':lAT.~~~~ - DATE ,/( '. t. .r. :'-"..J. REAR ,. . ~ ,. {> J ','...,,' .!~~ lir I ^'J ,",,", ..~", l/_..' .. H. I . -< DATE " / BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections. All construe, tion shall comply with Uniform 8uilding 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 an Reverse Side) ~\ FORM:=C.5S-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 PERMITif n % '5-7 cj . lANE COONlY . Building DEPAR'lMENr OF ENVIROa1ENrAL MANAGEMENr Mobile Home APPLICATION FOR PliIIDIN; PERMIT OR MOBIlE HCME USE No pennit will be issued until this application has been approved. r/ ~~ NOIE: PLEASE PRINT PROPERTY LOCATION /3. 3 '/ _'17. ",1'1 &...F t- otf f=l4.......J. ~w ra/,.,,,iew MIlJ ofF E UJI LoAf -e. ~ l-<....- () . "",F- C'LWN'h""04.,L J-'ov.<lS , ,t AI" 7'0 1WP , I RAN:;E D ~ SEC. ~..;PTAX wr if ~ CODE CENSUS TRAcr - . '- ~ h:>clcl wr NO. -'=- '2 BLOCK "- SUBDIVISION C' .e.- ~ '" _~ ,(' Y1 \ r.: D G-a .....r.l (0 t1 C , PROl'EIt:r\' SIZE I ACCESS TO PRut'lliUl Fa i /} f J.i D J II f'1All.M.J WIDTH J ? C DEPTH / 0 ~ OR ACRElGE DESCRIBE EXIC;'T'nr C:'T'RTT("{'!lRES ON WE PRut'lliUl AFPLI . 0 '''i~ Mtill., IN; ''-i1? FII.""V,(l,J.,4I NAME O~,y- SI1r!-d"tf-v ~ ADDRESS F",-c.~ i u-z.L- PHCI'lE CD I )' ~IN; '1q(~ Sc:o..o.Jti. ~ , I ~(ou 11/{t!J-! _ ~u=S Sf:"'''''4r-.~#- rnP PHONE ?"'IP - ?/5fr BELCM Fl!llR OFFICE USE ONLYA A;,A ;,A ~......;. ..;..,**,.. .... ........ .........ckkk;..-. '-.'-.'-.'-.'-.'-.'-.'-.'-..-. 'iddd.;.;. ...... A;,A AJ.. A;, A;,AU)..;, ~tructure~be buil~ ) sq. ft. ifbedrooms valuation ~ 4><". C{O ~ -~ txJJJL~y~(04. ~ .;2/Srt,,; 'L:f1.1t:"'.:-~ , ,(. et ~ JMo;:;/!Ife...) '11(/, - ;115"'" 1Q f;ct lAi~~ ~ewage J)iSpo~ '-' , / Site Inspection if ->> It Existing sewage disposal system 0 or new system required 0 Water :Supply: / Public 0 District Name A/A- Well 0 Spring 0 Ot;l'1e'r Bldg. Waste Dis. Plumbing Plan Review Trailer 1% surcharge $,,~ n ";1;t!r 'l!P> ./I 3IR..3.b TOrAL 'tI' ~',"J "~I Min. Septic tank capacity with dist. box: Gallons lH- F~s / Plumbing Installed by ONner Other Narne : Plumbing Fees Sewer connection Water connection if of fixtures inspection fee inspection fee / date san~~ '\ ('\ f-f-~t/ ()~V~_ o ~ Plans :ft.frmf!JJs Facility Pennit jd01eck Yes..la""No Yes 0 No:Et- &61, L_ Signature of Applicant, ~'4~te.'lt!u.lt Fee received}'y):....n 1.1W1rri1 date Y-4-7L( Drainfield required Lin71 Feet ,// / / / ! .' Type ot Structure <5 IV Occupancy II Fir'~ Zone I / Blgd. setbacks-tt. trom center ot lioa,Q right ot way Front I/o Side Int. .,- V Side Exterior _ C55-12 Trench Depth or Sq. Ft. Use Classitication Rear