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HomeMy WebLinkAboutPermit Building 1975-5-20 '.1,;" ~t '1-'1-.;.1 , ~ '" ' ''i' .\r"~:,:~:~7?r:rv~~~:"(fkd6'~"",', LANE'c:OUNTY ""'IILD~NG PERM.ll OR. MOBILE BUILDING !Ki!: MH D MAIL!NG ADDRESS ...;" :'~-~,~' "t. , ';6"S3-~75'.:~ t. ~.......,. ,~- - ~ ',.' . '~ HOMF :~ISE PERMIT PERMIT NO, 101'i-7i5 PHONE PROPERTY OWNER , , '1 ' CONTRACTO,R '. MAILING'!'ADDRESS VJtS'rOVERCONST. . 40'14"fI.'tAIN ST. S;>R I&GF' IELDo ORE'GON PROPERJ:Y LOCATION::... INClUDE', PO.ST OFFICE' oJ,. HA'YDEN ' BR IOGlE ReAD' .~66'1 HAVPENBR I DGE ROAD. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS~ . - ': BR:aI'l e:: . Ae k .L'cf / ~ANGE SECTION' 02 ". ' 1 9. '-I. ZJ PHONE ..' 747-9971 17 8h>c.. k ~ TAX LOT NO, . . qt c:;- t, 00 2-10'5 EXISTING STRUCTURES ON PROPERTY . '.;..',' TWP' CODE. CENSUS TRACT .~-: APPL. NAME' & .' . MAILING ADDRESS . ' FOR MOBILE HOME PERMITS ONLY:. No, 'of Bedroo'ms STRUCTURESTO BE BUILT THIS PERMIT' ,.t RESIDENCE. GARAGE LEGAL ACCESS TO;PRO~ERTY PROPERTY, SIZE - FT, WIDTH . DEPTH AREA Connect to Existing Sewage System D New System D' , TYPE CONSTRUCTION . SQ. FT. # BDRMS VALUATION - ',-., . . "I .~ ~@2~80 441 @16.102q~7 1:')68 CA"f~PGRT , - CONVERT ING GARAGE INTO fAt41l:Y.:ROOM ,!n6~ , 6331- ; ; . ~ ' SEWAGE, DISPOSAL . PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING ; . PL'ANREVIEW .; . PARK TRAILER SE:E SlJPPLfM€N-r:'.',.' EX isrsi. OTHE~D:;' ho.oo :", ~ FEES PLUMBING:' U;jST ALLED BY '-"'. OWNER 0.' OTHER: NAME WATER SUPPLY' SEPTIC TANK :[IJ( PUBLIC '0 n OTHER " . TOTAL .t , .1~O:" 40 Ju:>,' , : COUNTY BUilDING &' SANITATION SPECIF'ICl\TIONS, .' .' 1DRAIN FIELD REQUIRED .'. .,- .. . i. MIN.. S~PTIC TANK CAPACITY. " ~ITH.<DIST,BOX: GAL. . ", ." UN, FT. TRENCH WIDTH FT: OR SQ, FT, .' 58 F'EET Or: QRAINf'If.I..P t4UST'~E:..R~PLACEr) If 42 r.EI::T Of' THEt~,~~~isTlillG DRAINFIELO OAN BE USED. " ".,.-. , jj "TYPE OF STRUCTURE , ,Q<:CUPA!'lCY ZONE' , . PUBLlCUTIL. EASEMENT,. F.jN, BLDG; S'ETBACKS __ FT. FROM' OR. OF. ROAD RIGH.T;dF..W.AX, SIDE INT, I) 'SIDEm.60.. - AUTHORIZ~DSIGt-lATiJRE:~DATE JOIHi SHE>OK/SAfflTARIAN '; J R-l USE- CLASSIFicATIQN FRONT 40' REAR, I:) DATE , .~ J. E. SOSSSV C'HARi:i:;S, HARBAIJQH f)...20...71:j i3"l~ BLDG, PERMIT -.WHITE . OFFlq COpy..." WHITE CO'UNTY TAX.:... PINK, PLUMBING ~,CANARY BUILDING - GREEN SANITATION ;"C;OLDENROD , 0.' Call 687 ~4o,~5' t.6, ,,~:che'dule: all required inspections. ,All construc': tion shall comply" with; ,Uniform Building' Code, D.E.Q. standards for 'subsurface se~9Qe,disposal and county regulations covering pl~mbing, ~II:_ build~ngs requir~.,q~~r!!ficate .of occupancy before bemg oc.cuple8. ' , JSee Details on Reverse Side). . /'.'( , ..IMpORTANT: -) FORM ,it C55'I3, '(PqST...TH~S.PERMIT ,ON 'MAIN. '~LDt;7;.,AT :.,'SITE) , L.A;I':lECOUNTY;DEPT. .OF ,ENVIR9NMENTAL MA~AG~MENT COI.!RTHOUS~'ANI:'lEX, ,135 EAST 6th" EUGENE, OREGON 97401-. " :. ..;,'~' ,. ,. ,". ..}' ~' : .. ".', .., -. '.- -, ..' :~.' -, ,., . . . ,) .1 \ , , ". , . - ., .~ -.:''; . . .',;.", ._~--'.,'" .~ ,.0/ : , , " I" , '... MAILING ADDRESS .,l t! ./ .'~ .., '...~ ( iI/l... :# ,5tJ(C.{!)8RECTION: 1'" f. . ,'J!:qt;tI~'(. ,. . " CHAr;-jGl~fF(E:suCtS.. IN:. {j:rREFU NDOF :.!FEE,OR ':~F-;_r:\~,~~t;:-'::,~n;r~:.'jr:::' /,:_:~-' ~;:: ':> '. ~_ .i~;tit\(:-.;.t'!;;. ,",.'- \ <; o ADOitIONAL'FEE: ri1~;F)'~h',./.,. ".': .... ; BUILDJNG.;:':"d,L ,.~ SEP;te,:' '"""'~~j:)';1\i;~'",., IS, -. SANIT:A, .",p~.NECTl.ONS "/ ,...j:~~;~::~/(:,;:__~~;.i,L(ti~ ;Itr:'r~-:: ': . TO"T$LJY;LL ", '$ 1,~:4-n"'D DATE .FE~iL~Alb", ' .('.... 13.;tt~"i""': Cash t'i':'lf!~i~;r,:t,1l':!,;i;'J' ... . !t.' ,,' ""'t...n ........ .(, LANE'.~~~~~~~111~,~Pt~ ?F HE,6it-r.!'i:~::!~l~NI'T~rION ':;(;;~tt'.;._,:/-,/: . -- ~ 'I. '. ':\;';:1 Ik;~:4;:~[~'i:~~i~'~-;- ..,' _J_1 Supp"e'ri'iemt;':;"~.~NO!; ! ~'..,~.'.1.. ...9....4.6 . . .,.;, -"""~. ~"..q i ,.~. ,~:,ill;!r);:f.r';i'; '-F .. '.",-1:. ,i;~)/J, ,~ X ~..1~ ~/~atP ,', - ~ ,~~-~ ,', - ~. ~lf'lP'~ $m ~;ALUATlON '-"'>'0~Elf< ", T '. /7 ",' '02.-5 fhA~ LOT, , j \. oJ . '. :-.. ,~ ~ Ie '. ' . SUBD IV I S 1-(.1..; , ,/ ' . C) BU ILDING PERM'IT APPLlCATI,ON NO.' /0 73 -7,5"': ",' I' ,~LOT: ~.l BLOCK:! 1 '() SIT€-INSPECt'lbN,.~'; , ,f ", i' '.',', AP,PLlCANT" ~'tk~~;rr~7( , ' '. ,,) '. DATE : ,-, PLANNI NG 0 I VI S ION,.. . ' " 'J', ,App'l ~~~b1 e' f, No ~~es,:, ..' CK '. D' ~Y: ~ '5" _ ;1 ~ ." r '1. 'Zoning, Ordinaric~'Compl iance:Zonej'R -/;.;.;.J,) ,,[l- (u) '6~, Setbacks':frOm ell qf road: . 2. Subdi\lisiori'Ordinanc'e CompH~nce" 'I() ",() C),, ~'.~, Front.., ,'Ie' I", ~' 3'~. Requi're~ Access ': . , . '() ~ (>- J ,) ',' " " Side Exterior~' $~ 4. Bui1di,ngSite(Area, Wrdt'h~ Frontage) '()', ( ) c(,\>' S'etback: ,fr:pm interior 'lin,~s: '." .' 5.. rRthe'r (see ,comments); ., ( ) -:.' (.>, ,( )~Ide ,(' , ' "S- .:' /; R ar ' '. -- . I, "1;: '- e ' ' :..... l . ~ , COMMEN,TS: \ " ):. - i >. ,I . ''c , '"~I \ '" ., i . , r .1 ' . ~, " . .PLANN I NG 01 V.I S l(mAcT ION." PE.trDfNG: -YES (' T'NO't ,.. l AppCfcArfoN#' ,. "" / ',' .' . " ' ,.' ., .. ., ~ ::"':' i.: ,\ "r ~ ". ..' ")' .f',.<. . r, Nat./, Applicable No Y~ .. , ( ) '. r)' ( . (I) (. .), ~ ' ,()' .I (, ) . ( ) ~ .> ('), C) ',' '\ " . ~' "..). ", BUtLOl'NG'lNSPECTIONDIVISION ~ . ", , 7 .. Plans S,ubmi tted .,' J, '8".:, SoH Stab;il i.ty (footi rigs,) ". 9. ,Flood, PIa in'. ',., 1 Q. Other (see 'comments),>"; . .~ '; ...~) . ) 1....__ " -,. y. ,>' .>.' CK;b;~Y~ ~' " , ,"/ COMMENTS':' '. I " .' .... 1 " ".-. J , ' , , I ."~ . I' , i ...,. f :. I ~ 'I' /',' ' .." -- .I ' -, \ ( - WATER ~OLUTIONCliN~ROL ," '.' -, . ,AP~1 ~~~b,;'l ~ ~NY e.. '.~ (\'. '..'\.' '-if lil~..~. ."." 11.' Meets'Departmen'tof.En\lironmental ' , ,'( \) , .. M' .1 ~ \ . .~, ' , . \ Qua1ityStandards~\:' ,',' , , TW. J~!\\ I Ii. Other (see:c"",,,ents) ". __ -,'{)'. (f'n,\~'p B;: l~<!;//R!7<S;- \' , . , " 'j< " . .' . r , ' , ' . DATE 'COMMENTS+:~t'A.Q Col'~ J~'i',<'~~&l'n~'ei/ v\.;t~;:-" 'sLf';~\l~~,,+ r .", , fhlA. ' r<.-''2:Js. " . ~ h- L \ ~.,._.._-,,-_..._.--' . , ..~:.,), ,::,-:--,"~I""'" \ ".., , "\ ...' ,. -{" ;.f . I' ;'", i j , ", \ } . " , , , TO APPLlC,ANt: ,., . '. .' ',' , , (,'~our....Bu,il,ding,/,'S. he ,I~~pec~ion: '\.' .:::~("1..(~Canb.e app,ro\led ~ ' ,\" . ' . ....' .' , . . '\(~\" () Cannot'beappro\led a,t this tirne ~s iridi'cated,oni'~em No~;r ,'! above.' 9' :--" \ / Q.uesti.ons,..and.,J'f,ur,t,t1.er. in.f.ormation pn' item.s'l,..t~rOUgh 6 ..,cont. act,th~ LANE-,, . .... COUNTY PLANNING" OIVISION~ Questions and, further. in'fdrniatiC?n on items T ",: . " /,' 'through"12IGoritact' .the LANE' COUNTY BUILDING AND SANITAT,ION DIVISION. :,".' ", ( )(Will ,be 'held i,n ,this ,office uhti"l you,'can.f~sol\le' the proble~s !'ndicatec( . . '.(')1 Is being; retu(ned~. ' , .' '::' ' ,. ".' I I ' ,," (.> Your'bui1g.in~rpermit applic~!}2!l.Je.~.Ls'lbeinq returned und~r_sep'ari!te cov~. , . ' .. , "IJEPARTMENJ OF ENV.IRONMENTAL' MANAGEME~T; ,. l, : ,135- Si xth A\len,ue Eas't, :Euge!1'e'Oregbn' 97401- , .' PHONE:-687-4065. '" ,",' '. . ..' .~, LANE COUNTY' PLANN I NG' D I V !SI ON PHl;)NE-:687-4186 1".' _)',,' .' ;, (. 'J '..... ; 'C55-28 ' ..... ../ I I , , " . .;;..~.,..,. ( ~ i",tJ:.. , . i{~J ..{;,... . ro.IILDING 'PERMm. OR' MOBILE. HOMF 1 MH D MAILING ADDRESS .j' r {, " ';' J LANE COUNTY BUILDING 0:, "ISE PERMIT PERMIT NO, , . j;;::>' ,. "V' " . . . PROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS .. ~ .,~ ..1- '.~~~:;"""!'~ r '::i~:':'~i", 'rJ~t~& {:.:' ~.~ li~-;:-~fNA;~;,r'~t:'?'..::)1. ~:J;,'tIfUOfi ."..., PROPERlY i.6CATioN'- INClI.iDE POST OFFICE PHONE ;~;i\4~'*"~.1~jrl l':".:;' q,}, ~q--'i~~'~\ ;y\':-'c_::r.",n.:' r':~_~-\"_.i ~ti;,ji$>r~~' 'P~ES~R~"'ION':':':'~UND~ TWP / . ~ SECTION r~_'l1 ,~~~: f! f~ ,~?tn ~r~ -1_. /'" .,-- A. / c::hYr I /..ij<. . .,. TAX LOT NO. CODE CENSUS TRACT .~ . " ~~1'"1; ;.t~ r {)~~~~.J;'~~ EXISTING STRUCTURES ON PROPERTY APPL. ".:f.:t\ ;'tU:HCi': 4. GA H: ~;;;'lr LEGAL ACCESS TO P'ROPERTY ~ ~ ~. ,~~ ~. "'- ,,~ ''''--, \\ '" -'~ . \ ~, MAILING ~~)~, .~~~~"s~S:'> .I~~~~~~E.!~P)5.JZ~~.'$~.:"~~~~,.~~~\ ':." ADDRESS " '/., ~ ~~-'~'-~'<~~~("'~!QJ;I-!~'~"\ _~.I?ml;l~~tl,..~AREAN.~h, FOR MOBILE HOME PERMITS ONLY'., ' '" '\ \ - \ No. of Bedrooms Connect to Existing Sewage System D New System D STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION NAME & ",' t1r_'i,,~ "t _t~":tt'.,, ..\~ ..... " ~~.\ ."t\~..\ .L~,~ :: ':,~J::' t,E~;~",~ fn 1 ' ,. .'I"').t1.~.. t " ,. '~ . , .. ' ,....,',. '.. ...~ ", ." ~ ::)",1'''1 "" ..;'_ ~,~,S'~~ \~\,s... . ~\ .iiJfl Ii'- '~/. ~~ " >1~ "'.;t1,.\ ~" ." . I) .. - . -," '" ~~~~-~\ ~~ ~~'\i..~~~~V\ \' ~\ ~~ (~('PC r: HI"':~? -;. J,,;:;;t.t . SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK Ch BUILDING $ WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 'H'fft OTHERD, f:'t~ en fEES PLUMBING INSTALLED BY. OWNER 0 OTHER, NAME WATER SUPPLY PUBLIC 0 o OTHER '.. :' TOTAL $.J 1w~ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX, GAL. .'1:Jr:L'~;; :'~~ , \ .\j\ .~ :;,.;,;, ~"*>{}ifi,.!} DRAIN FIELD REQUIRED L1N, FT TRENCH WIDTH FT. " OR SQ, FT. '-, "- I\lt .~ :i~}' ; ~'i\i t;<),+ i "Jf i n. t' Cl\h t'l-' . ~p..;' , ,.,. .~ I: ,~;., 'i .: ~..' i . tk":iJ'~1* ~,~~t ~ ":'_.\ \', ,\ . r,t.4,>'(;~i' H'" l'~? r~.il:r- Qf' ': ;,.tf: TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTlL. EASEMENT ", ,;f,l BLDG. SETBACKS __ FT. FROM CTR. OF. ROAD RIGHT OF WAY FRONT SIDE INT, :'j SIDE EXT, ((;i AUTHORIZED SIGNATURE - DATE J ~?;,.t USE CLASSIFICATION REAR ~S ~' ,- ",. - ~r;.:;;1 ~.:lA<t ~.A'!!j. JX.f.:,t1h~ $\f ':J~,\;.l),1';~} l~~:if~UHP'j". DATE ,...~~7~ 't I:; j.\~ 'i. \.... 1 \ . \'\ ,,\.,. ~all 687-4065 to s~~edule. all. requ~re~ inspections. All construe;- , ~~~~. . \~ .,' ~.... "",\-....'t~on shall ~?mpIY.,~lt~ U,n,form Budding Code, D.E,.Q. standa~ds .1 \ " - ~'JMP~R,fANT~fOr\S,I!.~s...~rfflfe~~sw.. ,a<9~.h ~z~.~~~,al' l;lpd. '. county regulations coverlng./ . '\ 'pl~mbing. ~II b'uildings."require'a)ce'r;tificate of occupancy before / \ I, '"" ,.' ., being .occu~l.e~. . '~:O;'~ (" '\.; -.,,', ".' ,,\ \ \ \ ! .., """,:'i,~,,, ,'" ""; '~:'\';," .~, (Se~ .D_etoilsJol1"R~l"Y,~rse' S\ide~_. \ '., \ I' ...."--..' ... ' ':, BLDG. PERMIT - WHITE OFFICE COPY - WHITE ~, h' "" COUNTY TAX - PINK --.J"t-"""-r-J...Jt PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD ,~l:~'" I '\ \' (POST. THISj, PERMIT ON MAIN BLDG. AT.SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL. MANAGEMENT COURTHOUSE ANNEX, 135 E,6,ST 6th, EUGENE, OREGON 97401 \ tj \ / I FORM == C55-13 " i'<' " .~: ~" " ,SITE I NSPECT I ON APf_~,O'V'ED / / __.D'?APPROVED I. j, DAT,E INSPECTOR: , REMA~K'.S' ". -" FOUNDAT I:ON, I NSPECT I ON " ' -t\~'PiWi/(~~;r."J DIIJPPR,~V:D I /~ DA~jr_:,',,~#" ~NSP'[C~/ ,~;f:,.,,~fP'~ ./~WI:..~?~~ .. i.. ',.' ','~~e-r~_~~t4;M~7~/p~l~--'76"2f '. / ". , I ,. ";'/ iY, - ,jJ .,' . ,'- ~ '.1 "RAM1NG_ "NsPECTION ' ' .d' , , ,::::::~::~~;'~_V;:;:bN,""To,(;fL Af , ;.~ . '": . ., .; -'t- .... LATH OR SHEETROCK INSPECTION " ApPROVED / j ,DISAPPRO~ED / / DATE INS PE C TO'R REMARKS. jl NAL,tN~\ECT~- ApPROYE,D LLf"D', SAP['ROVED, I / DUE C<lfR::",1~' INSPECTOR, IJ~ REMARKS' " . ,~ -~.~ ' -'., .' .,"' . CERT I rfcME OP OCCUPANCY. ~ . I ~ RE!lO\'TO I'SSUE._: Ie: / NOT READY TO ISSUE ,'j I DUE I NSPECTOR.-. REMARKS: ,-' . , ',./ /) '. /1 4" -;I' ""'7'\ ., ~ F udYj (' (/ ~ ~ Ai //dt' ~AJh A.1A'-'f '4 ~ "i) -- t .----.;(,7f!d'.~ V ~v--' : rJ.. V', '.' I _ ') , /{)'1;F7f%~ 3c-?3 ~~~Y37f~ , ..:; ~ a-UtL S " . ".L'- ". j . . ..-".: - . . . ": .'~' ~ . '.. ~'. ~... :..-~ '. '. "'.....>- -~"c.l_.""~",,-:'.~"-'-'-. ,- .'. _ ~. _''_.~-. , ... ":. ~q'." '.'_" '_," lPgS~O."~EW~GE:.,:q,!',~}~OSAL: SYSTEM RF W:',:. . .,' .,. :_-"l;~1~"i".~';.. , INSTALLER:., COl!lpl~"te,~op paYi.,A'form to'!;i gnat'ur.~~;.and s"Libmi"t;., bv...h~i:dp'ies' .w:j:~,happ 1 i cat i on ~:' <','~: ,', '. '. .. .... :-~'. . .,< .'j.; :./-.(; ...,".';. ',' ::.:,.;."'C,'" . ':- ro':" . PERM!;"" NO.'~'/C/.3;- ?,.j~' . I NST~ ER · 5 NAME ~ /. .',.; ~PE~"'~DDRESS ". p:" A t{0'h ..c-?, . -' . . . '.. . .. _21/ R-d-l;1{~. ,>~';/,.ilj.ifi[;I,j"j/kdil~;3 ~-'l;t . NO~~ :.Li vi ng .Ul:it.s.~;~".~':';~9~~S,:; >~a}hs. .':~:,~.:;e~~.~~t;:.~' -::'~'~~~~~6~j:P.lY1bt:hJ:~2tj~t~ --, '. . 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