HomeMy WebLinkAboutPermit Building 1974-9-26
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LANE COUNTY
BUILDING D
Sut;tC3rp Gary Eo
CONTRACTOR
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BUILDING PERMIT OR MOBILE HOME
MH 0
MAILING ADDRESS
1495 HDrb@r
5j)Fin~ii e i u
Orive~~~DR&f oregon
USE PERMIT
PERMIT NO
1506..74
,
PROPERTY OWNER
PHONE
]47-31$)2
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
South on south 2nd to H~rbor Dr.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
Filbert Grovo lot 4 Block 2
TWP
RANGE
SECTION
TAX LOT NO
500
CODE
, 19..02
CENSUS TRACT
18
03
203 2
APPL
NAME
8.
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
EXISTING STRUCTURES ON PROPERTY
LEGAL ACCESS TO PROPERTY
Harbor 0," i VO
PROPERTY SIZE - FT
WIDTH 93 I x 172JEPTH 129. X30~REA
Connect to EXIsting Sewage System 0
TYPE CONSTRUCTION SO FT # BDRMS
I
New System 0
VALUATION
Care>ort
20x30
630 @ 2.80
1 90t.) 0 00
€I
8 Se6 Supple~ent
SEWAGE DISPOSAL PLUMBING INSTAllED BY
PUBLIC D
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK D
$
OTHERD
20.
fEES
J
OWNER D OTHER NAME
WATER SUPPLY
PUBLIC D
D OTHER
TOTAL
<t
020
20.20'
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN fiElD REQUIRED
MIN SEPTIC TANK CAPACITY
WITH DIST BOX GAL
UN FT
TRENCH WIDTH FT
OR SQ fT
Uo part of now construction to be over SDS
TYPE Of STRUCTURE OCCUPANCY ZONE PUBLIC UTIL EASEMENT
5..." J RA...f'.1t1
BLDG SETBACKS_ fT fROM CTR Of ROAD RIGHT Of WAY USE CLASSifiCATION
fRONT 15 SIDE INT :; SIDE EXT REAR 5 I\cceSSQry
AUTHORIZED SIGNATURE - DATE DATE
Isl J E. Boss by Charlie Harbaugh J. ShookfS~nilarian 912.6/7!~ I(t]
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 Budding Code, D E Q standards
IMPORTANT for subsurface sewage disposal and county regulatl~nli ,cg'(enng-
plumbJng_~AII_bulldJngs- requIre -a certlflcate- of oc"cupancy before
-- - being occupied
(See Detads on Reverse SIde)
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(PO"- THIS PERMIT ON MAIN BLDG. AT SITE)
E COUNTY, DEPT Of ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON
FORM=C55-13
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SUPPLEMENT TO BUILD~NG PERMI~ .No. /.9..f)6 - 7Y '. ,-
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. Lane Cou,nty,Oregon
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OWNER (;a.\"'y:, F. 51 :T'TEt<
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MAILING ADDRESS /'-/q5 HaVI{J0 ~' Dr.~ .'.'
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MAILING ADDRESS .<-;; Jl 'I V\ (', -+. 1(- Irl .
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CONTRACTOR.
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~/ADDITION: .....
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~~ CORRECTION:
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( ;< "'., it' 1.0 (') if'" +
1?3 i ':)..0{300 (:;);;< .<;~O
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CHANGE RESULTS IN: 0 REFUND OF FEE, OR
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D,ADDITIONAL FEE:
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BUILDING
SEPTIC TANK
SANITARY' CONNECTIONS
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TOTAL.!l: ".1:. fA .. -4.12 0 CJ "'-','
DATE FEE PAID' Cash Ch~eck, :
LANE COUNTY DEPT. .OF HEALTH & SANITATION.
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Supplement N2
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OFFICIAL RECORD OF DESCRIPTIONS OF REAL PROPERTIES
OFFICE OF COUNTY ASSESSOr! LANE ':OUNTY. OREGON
CODE
NO
OLD NUMBER
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NUMBER
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TOWNSHIP
. SECTION
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BLOCK
NO
LOT
NO
ADDITION
LEGAL DESCRIPTlON'~
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I INDENT EACH NEW I
COURSE TO THIS POINT
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Tr,e l\;O:-t"l ;00 feet leasure~ ;.:10 "~; tre E~st ll~le
~'f t'....c fcllcl~f,J:"r..~: to- :::..."(,- Be8-::1_'r1. 1'- ?-:' J.
C"f~lr:s cr\ t i1 o~.........,- "",",0 ~7 COY'jlP"'" O. +~;: T\l~d~
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rf1::~ of Se~tl Jr 28 of Trip 195, ~l i:. T~l." arc.. :'U:1rl~g
the~ce j
: ;:ef't 4.14.1. CD:.llPS to t.1e .......ldrlle of the CCUE,"tJT
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forth ~10~~ S~la E3st J:D8 17.76 ~~2~~3 ~c
the plEl,cc;of r)e:::l::-.:"'::"~.:; ll. ::":':18 Ceclr.tj', O~S~-:;[\.
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DEED RECORD
DA.TE OF ENTRY
DEED NUMBER
196?,.
1965
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R251/74541
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T J<b R:3 s:<.?" 2TAX LOT 060
CENSUS TRACT
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BUILDING ~ITE EVALUATION
( )
( )
( )
Building Permit Appl icatlon No.
10 toP~ q-~o-"14
SIte Inspect Ion
~om /.vpc.. q -~3-7y
Pre-Permit Investigation
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APPLICANT:
NAME :=::\ I ,1-1 e r
ADDRESS
.-"'"
~~t5
PHONE
DATE
C/ - Iq- 7C/
LANE COUNTY PLANNING DEPARTMENT NOT NO YES
appl icab Ie
J. Zoning Ordinance Compl lance ( ) ( ) ( )
(Zone )
2. SubdivIsIon Ordinance Compl lance ( ) ( ) ( )
3 Required Access ( ) ( ) ( )
4. Bu I I ding Site (Area, Width, ( ) ( ) ( )
Frontage, Setback) ( )
5. o t he r (see comments) ( ) ( )
COMMENTS:
NAME
DATE
(11) I\J E
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
aDD I i cab I e CA/i,y- h t!. J./.,~ iA.~ ,
6. Plans Submitted ( ) ( ) ~) qA.# 1711
~14~ ,
7. So i 1St ab i I . t Y (footings) '1> ( ) ( )
8. Flood Plain i1) ( ) ( )
9. Ot he r (see Comments) t1 ( ) ( )
COMMENTS:
SANITATION SECTION NOT NO YES \~ DATE
aDD I I,cab I e 9153!7t(
10. Sewage Disposal { I j ( ) ( )
II. Usable Area ( ) ( ) ( ) V
12. Water Supply ( ) ( ) ( )
13. Other (see Comments) ( ) ( ) ( )
COMMENTS'
TO APPLICANT:
I
-
aJI!!: Your Building Permit / Site Inspection
~~ Can be approved.
i1 /)~ Cannot be approved at this time as Indicated on Item NO. above.
~~)U 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 Build.nq and Sanitation DIVision.
() Will be held In this office until you can resolve the problems Indicated.
() Is being returned.
() Your bUilding permit application fee is being returned under separate cover.
LANE COUNTY PLANNING DIVISION
135 S1xth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 S1xth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
---.......
C55-28
% l'~Tif /9tJt: -?/
lANE COUNlY BUl.lding /
DEPAR1MENT OF ENVIRONMENTAL MANAGEMENT Moblle Harre
APPLICATION FOR BUllDJN; l'~T OR MOBILE HCME USE
No pemt Wlll be lssued nntll this application has been approved
b-I A R"f\ (') ~ _ -n 1~ Sf) R I ^' C- Ie:. l tc.. L Al>. .<-\,... 0 L.JA O-!::!
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SEC-?," '-:.1t~~../.fd~ if ~{J (3 CODE I cr-O:.l .CENSUS TRACT 1"'11Z-~T,
~ SUBDIVISION iF, '- 1:5 r:.~ "r d KOt.Hz
PRul'lli'IY SIZE I
ACCESS TO PROPERTY_ V J""<' U lZ.. -u A'I . WIDTH fl!<f J 7:V<< nI I:J Gt ~ .~t ACREtCE
DESCRIBE EXISTIN; STRUCTURES ON THE PRul'l:iliTY M () r'\ J, '- 64 D M. ~ t /4. ." ~ A '- ~I c... D .
APPLICANT MArLIN;
-
NAME ~A ~y lL. .<> u '-"'1L.~ ADDRESS I <I q 5 J4. A"R f90 N""D R PHOOE 7<f7 - ~ [q-;z
Q)NI'RAL;lUK MAILING
NAME 5 A. M.. a:.- Au1J~SS
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NOlE
PLEASE PRINT
PRUl'lli'IY LOCATION '-<l:t oS
50 U 'LeA :l />.fr) JI"J
-J;.AO IVl I s-r ~-r
TWP ( ;r( RAN;E 3
wr NO ~ BLOCK
BELOW FOR OFFICE USE ONLYidbb~cl~~~h~h~~AA~~~~~Ah;d,~~AJ~b~k~~~A~~~~bbh\h~~h~i~A~~~~~~~~h~~~A~A~~h~b~
PHONE
Strucwres to be J:>uilt/Mobile Horne
( 'r~;;f- ,:::2/\ )( 3,V
I - /
sq ft
h rzo rc;;_
ifbedrooms
~ ,<;<0
valuatlon
!q ntf. 00
Sewage Disposal
Slte Inspection if Existmg sewage disposal system 0 or new system reqUlred 0
Water Supply
Publlc 0 Distrlct Name Well 0 Sprmg CJ Other
Bldg ----:2 t? , 00
Waste Dis
Plumbing
Plan Review
Traller
1% surcharge . -:J-.7)
TOrAL 90 ;;2()
Mm Septic tank capacity
Wlth chst box Gallons
ND prH'+ J;' n€<.<\
Fees
Plumbmg Installed by <Mner Other Name
Plumbing Fees Sewer connectlon Water connection "
if of flXtures ~spectlon fee ~spectlon fee
n Cash pafurnished Faclllty~e' t
o Check Yes No 0.-- j Yes OJ ti
Slgnature of licano( A'J~r_.AJt.A -$-_ pateq~/~-7~
Fee recelved by_.~ ~e q_~~
Drainfleld required
Lineal Feet Trench Depth or Sq Ft
rAr->.'i t 1-0 b e. (5U e r )'l/),.
Type of Structures u Occupancy ,-1 Flre Zone .3 Use Classlficatlon..4~.iJ?
Blgd setbacks- ft from ~~i!.-:: road rlght of way
Front /< Slde Int ~ ~r-
Plarnnng
.t-tr 7';(917#
; , (
C55-12
Rear 5" Zone R 4-;12#
BUlldlpg date
c;,";&;!''''-;,( rASf71 .
date ~Sfl~~on/) .;:..! date
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