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HomeMy WebLinkAboutPermit Building 1974-6-7 " ,.',J .' , r' il__l ..- . ~ , ~; -..~ " LANECOUNT-Y' illDING.'PE~MIT OR MOBILE HOM. ',':PERMIT TYPE':' ~QJ~DtNCi:cY':t~,,; ~OBIL'~'!~OM'E D()SC REG. ~.: (fEe~ " ~L/;'. " ,0!?}RDD~~~.~_ CONTRACTOR ~ . , ,~:;," ;:. MAILlN<:;ADDRESS '. , ;: ,- --. -c'~ '. '},.l _, ",,;," ~~', i~' '.. _ . ~~... . .. ,.". r : JSE ,APPLlCA t!.ON . PE'RMIT~#:' '~d1S- ;7-9" ~~-"~.' c~ "".:"'-~7;;o;E:7j?dJ/ .../ "." .' .' ".... PHONE .-. " . ~.; .. ,..,. , '",' " ,- ~ '.. ~, , " ,'. ~ . ., - ,~ " - ' , ~4" . ',PROP~LJCt~OJIN~LUDE../.OST'PF1JP.E'/, .' '.' ~L6C.L/~x:3. ~y,- ~ ... ~ . . - ~" ,', ,- PROPERTY LEGAL DESCRIPTION' . , ;. i.i' , ,'. LOT, -BLOCK ~ SUBDIV, ".. , .. , .. '. T'<<P' , . RANGE. \, SEC. '.< ' . TAX LOT # CObE. CENSUS";TRACT ...../7:: , /13... . ;: ':28 ';8,'';<..>, .:~ ~t'J~' '. ;', .,';':" '.- '. .', '., . APP.L1.~ANT '4. ~':~=X~~~.':'r .~,': ~BE:4;;;~~'~:;;RTYI~~,NY,. NAME ~ -- ,d . '.:'. ',' ~./1 . LE.GAr?C~ES,.~C T.O PROPER'I'Y AD i~Arg'-# "'AND d9/~/2b~~ ,~U..#h ..~)n/~. ., MAILING'. ., ,'A' ' . ' , :' . ' . PROPERTYi'SIZE-WIDTH DEPTH" ,AD.DR,.ES.S....l~. 0.'.~.'.V~4,Z " .,...II~....'.....,...../J4i0~. ~" .".' :,i.?6. /. )/'/29'./" fOR MOBILEXOME PER~NLY',-",:~:~~-, .'./! " -. " '. ,.' . Number; of Bedrooms . ., .. .' " 'Connec,t 'to'.E~.istin'g' S,eyVoge SystemO' STRUCTURES' TO BE BU}LT THIS ,PERMIT . TYPE' CONSTRUCTION SQ, FT. METES, &: BOUNDS '0 YES .: ArrAGHED 0 NO AREA' or New System ,Req. D' # '&EDROOMS. VALUATION. ):/~7'~D';M~ , " . ".~. .~ .', -(/?..~, ,I '..,"- ;., ',',' .,'. ../7 -'\.,.j (~~ ~~~_'~-41'" " ..~.. ~",&J' ., , .'" C'!'-', . . f: ? , '. ;', WASTE '.DIS: ,PLUMBING' P.LAN REVI~:^, PARK TRlR.' .:FIXTURES CAS'~ ~E'WER' . . .' CHECK [l"CONNE!=TI'ON FEE , .PLUMBING,]NSTALLEDBY ..~. /'O,0NER' d o'f8ER [j NAME PLANS 'FURNISHED ',fACILITY PERMIT 'YES i~, '.>NO,~'YES D NO 0 SIGNATURE ,OF APPLICANT' ,', .,' , . 'DATE . :..~~~" ". '~~'~'.>, '6:/~.j7Y" ~. cr:;.~ I,,;, c r _.~ -/'= 1'.. - '~h~.';< .'F.ErRECE,IVED ,rL/n~', ,.,.~~Aa'ff ,< /- :-, '" PERMIT' #' . " . ~,PUBLic WATER . .,:/- . C) /..c- ....-?~ ',_ . 'CONNECTION"F'EE ~//2~:j' . '71'~~,.":"' /7 C,Q'UNTYBLJILDING & "'SANrrATlON'SPECIFICATlONS' .. ',DR'AINjlHD REQUIRED'::;" " , L1N:..FT., TRENCH-:WID.TH FJ:i" .' SEWAGE DISpbSAL. 'PUBLlC . D BLDG:' S~PTICTANK' 0 . . '$----4."5";'{]0 . ,.OTHER~: [j . ., FEES" 'WATER SUPPL,Y: ';~<."'PUBUC 0 ". . , .:., PLUMB.I NG FEES OTHER" ,'.. . TOTAL ~1;l'j(J -, MIN, SEPTIC TANK CAPACITY . , . .: ; -"" ~ ' :YPE6FSTRU~!Y;R0;:;~:,;t:': ., '-:<~.;;:,;~ycv...',;,' " . "--,'t:A-: >: ,:/:'YAR~.~ ~" '~':', 'BLDG,' SETBACKS-' FT.',FRo-McTR. ,OF 'ROAD" RfGHT. OF WAY ) _~":" ;/:'. '. USE CLASSIFICATIO,N ,FR~~T 4~:sib~',.:INT:' .i';~~~:;,:ti~f~~;';';:uc' ~;~ REAR.:D '~,/:. - "" . '<'\~RIL~ !~,,!;jr.D/;Jf&!,~.I~. ~ _~'Da e~ '';:L4'',',~:/r:. f)JfBc;~~. ~';1"'1 tJDaie C2:~~:;i/.t/...~r,,;.PJ"~~,',,_ o&,~'.~,:.'V!.'.~._-~.'.X'A:../. ' ..,..~.'~~.J:4-?7av;;j~~ , ,'. ~ .,,(L.T/UV.ua~. ////A'~. "' ~~/?~~~.77? _-#~J ~~. COP~ 1 - OFFICE(,*~~.:.j{%;;');:':.:,)~ 9-' ~A)~ 0~- " . . COpy 2 -JOURNAL....... ^' ;' f~':;, COpy 3'-AUDIT : /. " .,' , :., ~ ,~ '~ -i.'< " , OR SQUARE, FEET ,. :',' "'~; \;)1(' "/f j!'-,;-,' :<,7..,1 . ',' ~ ~ .- . " WITH ,DIST. B'OX: GAL., . Pvtf" Y\o --, ) Cl ~~ .~, 't>;:.t2:>~~~-e~. J' ',_.':;'" ..-'. ) . ~' 'C~~ :d.(. . ..t:)v.ev;)"(),S-. ~ ....' PUBPC UTIL. EASEMENT ',- . "1 ; ~) ~ Form # C55"12 ,,. ~~"""4>:~_,,.. ",,:.' {..:.'. ~r' -~; ~ .J "' '..,. " ~ ~. ,.~"":':-"\ 1 , .- ;.,CO" ..,.. :~.. , ,It,,,- ~ :~;'\ LANE COUN, BUILDING []t BUILDING MH D . MAILING ADDRESS . , 2918' MANOR 9R:..; $PR I No.r I ELI))" ,O~. MAILING ADDRESS ,,""" PER~IT OR MOBIL~~L':: ~~~~~'~ :': PERMIT NO. 965- TJ~ PHONE 747~"7961 J , ., . r PROPERTY OWNER 'll GHT/IJ[~rEAI. CONTRACTOR SAME .\ .- "1 I PHONE '1 . .. - _II -- ~'.. PROPERTY LOCATION - INCLUDE POST OFFICE. . < , ~, COBURG ~D.' TO HARLOW RD.-CBOSSTRACI{S-2NO. ROAO\.TO.tHE l.E:rT;;'~4ANOR DR.~'BLUE ~ HHI1'E HOUSE. PROPERTY L~GAL DESCRIPTiON '- METES, BOUNDS' \ ~ \ .., \ 'TWP RANGE . SE;CTION TAX LOT NO. ' t. 600 ~\ co;~~rl: . CENSUS. TRACT 17 . 23~3.2 ADDRESS SPR I NGF I ElD; OR. . FORMOBI~E HbME PERMITS ONLY' 'No. . of Bedrooms STRYCTURES TO BE BU'ILT THISp,ERMIT '. 91477 EXISTiNG. STRUCTURES ON PROPERTY. .DWELl. I NQ- GAR AGE: LEGAL, ACGESS TO PROPERTY MAN~'R .DR. , PROPERTY SIZE -'- FT: ' WIDT'H 8G.' , 'DEPTH . 124 ' AREA APPL. NAME & MAILING " ~ ' ." S:ri5'R'AGE: BLIt. ",-' , . ., " Connect to 'Existing Sewage System D TYPE CQNSTRUCTrON SQ. FT. :if BDRMS . 5..t~ ' . .New System 0 VALUATION J.1 oj ,_,' I 'I. <~ ~ ~l\~"""'-"='-: , ...,. )t . i:; , FEES .PLUMBING'INST ALLED BY OWNER 0 "O!HER: NAME WA~ERiSUPPLY " ;PUBLlC; n ',: 0 OTHER; . . ,.r" SEWAG'E DISPOSAL PUBLIC D. BUILDING WASTE DISPOSAL PLUMBING PLAN 'REVIEW '. PARK TRAILER SEPTiC TANK 0 $ ; (HHERD 5.eQ '\ ~?~1 .,'.. TCH AL t 5.00.. ".C,OUNTY'SUILDING & SANITATIoN ,SPECIFICATIONS DRA}N, FIELD. REQUIRED '.. . . ,I. . MIN. 'SEPTiC' TANK CAPACITY' WITH DIST. BOX: GAL. ;,', L1N. FT ,TRENCH WID:rH~ FT.', ." OR SQ. 'FT. , ! . , ' , NO' PA,n OF" NE~/' COSrRUCT(\l~N 6VE;RS~PT i C S,YSTE.M ( . ~ . I TYPE .OF STRUCTURE O~~UPANCY ,5..N BLDG. SETBACKS __ FT. FROM CTR, OF ROAD RIGHT, OF WAY , ,..' FRONT- 45". .SIDE INT.5",'SIDEEXT.:' '..,.... AUTHORIZED SiGNATl!RE,- DATE . Is/,J. E.. BOSS; 13Y-; Cit HARBAUGH' ,8 ZONE,. .RA:' , USE. CL{>.SSIf,I~A T/(:5N PUBLIC UTIL. EASEMENT REAR . 51: J~ SHOOK; SANI TA.1ll IAN . DATE 6"'~1-7~ JH. BLD.G, P~RMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK P~UMBING - CANARY BUILDING - GREEN :.'.SANITATiON'- GOLDENROD' Call 687-4065 to schedul~ ail required 'inspections. All construc- ' Hon shall comply with Unifor.m Building Code, D.E:Q., standards. , IMPORTANT: f&' subsurface sewage' disposal and county regulations' covering " plumbing. . All buildings require a certificate ofoccupa'ncy before being occupied., " . (See. Details on Reverse Side) '. -,', ',(~QST 'THI~,:PE~It.. q~. MAIN BLD~.A! ~IT~l, ..LANE. C<?UNJY;, DE~T. OF, ENVIROl'<!MENTAt MANAGEM.ENT: ' " ':C.()UR.THOUWANNE?<,.;.1~5p:ST '6,th;, EUGEt:'lE, OREGON. 97401. ' . ,~;, " ,,~ ..', ; 'i ,. ; " , " 1'_"'L'-L~__'> J~,,,,.r . ,. , . ,'.' ,. " ,,-_., F ~ C55 '13 ' ,.:.,._......~.,.,:..'~,..','i.."..,.,.:.:..., .-,"" ,.~~~,*, >.:c,:,<.,."" , '.' i,.-;; J S/c!f' 965-7( ~ t il7 "\~s2g. ?LJAX LOT 60-0 CENS\._ TRACT !S';--AOD H~~e-- HAN~ A".PP~lCANT:. L I A / '. c 7 - 51 Nl\ME. ",' I () 111'1';- AD~R~5S (J BUltDJ~G SITE EVAL~ATjON .., () Building Permit Appl~cation No; () Site ~n~pection ( ) .Pr~-Permit Investigation " PHONE DATE h- ~":"7y , LANE COUNTY PLANNING DEPARTMENT' NOT NO YES NAME: DATE app I i ~ab I e ./UJ ~, ~.:- '/>} r I.. Zoning Ordinance Compliance ( I'J ( ) :( ) (Zone~ ) -' ,,~ 2. Subdivision Ordinance Comp Ii ance ( . ( ) () <,;" i, ,Required Access :1\ ( ) ( ) !' 3; 4. ' Bu i ld i ng Site (Area, W idt h, ( ) ( ) Frontage, Setba~k) 5. Other (see comments) ( ) ( ) ( ) , COMMENTS: BUILDrNG 'INSPECTION SECTION 8. Flood Plain , ' NOT appl icable ( ) ( ) () , C) . I \ , NO YES NAME DATE 6. PlansSubmitt~d () ~' ( )( ) () () () () 'N76~J2 t-7~7~' - A (I 7. So i I Stab i I i ty (foot ings) 9. Other, (see 'Comments) COMMENTS: " SAN ITAT I ON SECTION' NOT NO YES .iIDJL DATE app I i cab I e " cf) b/~J7'L 10.. Sewage Disposal /(1) ( ) d~ * , , 11. Usable Area ( ) ( .) ,C) 12. Water Supply <. ) ( ) ( ) 13, o t he r ,(see Comments) ~,,' ) ( ..) ( ) '1; Ii COMMENTS: TO APPLI CANT: ~ Your Building permit'/,She Inspection: Can beapproYrd. \ /\'0'" 1~ ' . -N Cannot be approved at t.hi 5 "me as ;nd ;ca~ed on ;tem NO. abolie. () Questions and further informat ion on items I through 5 contact the lane~ COUNTY PlANN ING DEPARTMENT. Que~t-ions ana further i nformat ion 'on items 6 . through 13 contact the lane County Buildihq and Sanitation Division. (-) Will be hei.d' in'this office, 'until you can resolve the problems indicated. () Is'being returned, " () Your building permH appl ication fee isbeing returned under separate cover. LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 LANE COUNTY ENVIRONMENTAL MANAGEMENT .135 S~xth Avenue East, Eugene, Oregon 97401 Phone'(503) 687-4065 C55-28 .:j." . .~..:'..:..... ly' r ;, , -' .. ~- " 'r /'. " . .... , f LANE COU~ BUILDING 131 ~t : . , "BUILDING PERMIT ,OR MOBILE . MH D MAILING ADDRESS _ 2910 MAItG1t 0.., S~'H4tli...., ~. Hl.,t1E USE PERMIT PERMIT NO. . ~1' PHONE 7-'...196' ~ -': . PROPERTY OWNER 't. 'GHTNlRj [.1. '~. r ' ,I' I CONTRACTOR ':5.N( I. f . PR9PERTY LOCATION - INCLUDE POSTOFFicL, ,,',tHtt1*G Ru.. ,. H,,'u..w Roo" caS. l'p!Ab..-t.. I. PROPERTY. LEGAL DESCRIPTION - METES, BOUNDS .l{ , f" ITWP . MAILING ADDRESS PHONE ...orOTNlI..fi:'T...MMUlffOJl,...&,Ui . 'WHITt MeU$I. RANGE SECTION TAX LOT NO. WJ CODE CENSUS TRACT ! .'{ ; APPL. 03 tt3~3,2 . . " (.C~ t..i:-Ntlt 1918 "NOR OR. ~, ,,',. ' ~ j , 1" J~it... IEU3; 'Ott. 91\77' >' 0 ,FOR MOBilE HOME PERMITS ~ON~ Y '. \ No. of Be.drooms . .I ' '. SifRUCTURES TO BE BUILT THIS PERMIT l 'tSnte".. ...~ .~ 1 t '''". '.' :\ L' ':4 :1 t 'f': . J i r ; SEWAGE DISPOSAL'" .f\~~~~~IC, 0 '.' "S.EpHC TANK }. BUILDING;". :',V : "A,dh DIS~OS~'t:' l' ~OlUM.~!Nb:.}?;\, , P'LAN "REVIEW. l.p AR'!( TRAhE'[~ ::!' " . fOTAL ;;~~ I"'" I '1 M(N.SEPTl~t~"r!<<~tAPACI}Y i ... " ''''::,~;;'~ ,")_,;-_':;_tt!.ii~j:)'Y:,,~;, ;~>~;.~" 'WiTH DJ.s;r:' BQ)(~L9}L. .:if' ! . , . & EXISTING STRUCTURES ON PROPERTY OWtu. I tII.... 'AM.a.-. LEGAL ACCESS TO PROPERTY MA..oR Oft. ! 'NAME " MAILING .,." ll,'. "").. . J ., ~ PROPERTY SIZE - FT. WIDT~ eo' " , 'ADDRESS DEPTH ll_ AREA Connect to Existing Sewage System. D TYPE CONSTRUCTION SQ. FT. . # BDRMS New System D VALUATION ,..... 1l0l \, , '.~\I.l'.,,\;. ',~~' .'~~' ~ \ '- ..,......,. \, ~;::> 'j\>;'. \\. . ~\\" -~"f . \ \ L, \. . - ~ " - ~~ ~\..,~*\ PLUMBING INSTALLED BY , -.. '. ~.\jl. OWNER D' OTHER:' NAME 'WATER SUPPLY PUBLlC.~;Q ',..':@Y~PJ,I;lE~ FEES. '. ,.~ COUNTY BUllDING/&;:.SANIT A TION Sp,ECIFICA TlONS ~': '\. '-';,'~h{:,'.".' i\\~;, '" : '\.\\'lI DRAIN FIELD':R'EQulRED I~' ';.. UN.. FT TRENCH WIDTH FT. ~ .... OR SQ. FT, ....,;, , _" "'Fo' ~ . ;N..,..d+",,;~ '.:. t" ... ' ',_,"+_' ''.<:-...:,:::~_r-=~:~ . '- '~;, " '~. *l,.ft.'~ ;.~~...'\I. ': '. - \\~,~:\ .' , OCcTJ~ANCY<' . ; , ZONE itA ,~ 'k .,... <~,ti-:' "'~1'~..~) '"""e um. EASEM4::j~{~;.;<f~ , ,'" , ~ :.~ i 't I ',f' '\~':;~~~~f~~i~ }:;~ . r f ;"~:~rt:~::;~i;Y:' : TYPE OF. S':RO()UR'E~:i;, l 1~.M' :' -\{c f.;. ' ".; BLDG, SETBACKS.. F:[.FROMCTR. OF ROADRI<:;HT OF WAY .:1 lFRONT ." . " SI~r'INT. 'J SIDE EXT. - . ,;: ,.' ", ,..".:.AUTHQRIZED,~~'SIGNATURE-DATE /S/J.[."ltIItf'~ (.HA$WW i -. -' '.,' ,) ,USECLASSIFICA TlON 'REAR 5' J. SHOOk. ''''BfA'... DATE ..:.. ;, .'tH: 6-l '';''1-:'' ...i} "';'+' ", "'fn~ Call 687-406,5 to sched,ule all requiredinspecti6ri~i:~~AIJ construc-] ;:~ tion shall c6ii1ply with Vnifo~m Building Cadell P,;~:Q~r'stCJ.nd9rqsl ''] for subsurfac~~sewage disp.osal and county reg~JCJ.,Hons' c6.verfrig; .1 plumbing. All bui~dings .require a certificate ofo'~cuRancl:~.ef6~~i being occuflied._, ,'~..\" . . I '1''''~,~'Cf_-,~ <;\~!;i:,~;-~,'jf~;".r,r~ ,. '() \ \," "-'(~ee 'Del-gits::qn.'~Rev,~rse s'id~) ). .~,ii';' , II'] , . ,y "~'. : :.' '!,BLDG. PERMIT:- WHITE .1 OFFICE COPY'-' WHITE I '!cOUNTY TAX - PINK i ;PLUMBING- CANARY '1' !BUILDING - GREEN ' . ;;~ ~'SANITATION - GblDENROD I ' IMPORTANT: '~. "'\";:"..)\:'~-- _J '........ " ',,: f',' .~ '.....:.. .... , . \" .'^ ,\,,,^,. \" \, .',' ," '...... . '.\ (POST THIS PERMITQN MAIN BLDG. AT SITE) .' LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EASt 6th, ~EU<:;ENE, OREGON 97401 j, ' ; ,I i, . .t~RM ".~. C 55 - 1:~ " , .....;.....;_.._'_"'_A.' SITE INSPECTION ApPROVED / I DISAPPROVED / / DATE ! 'REMARKS .... INSPECTOR /1 ,t!-- -I FOU~D,ATION INS~ION J ',.' " J ' ApPROV~D / j/ / DISAPPROVED / / DATE 1-:-/7-72/ INSP,ECTOR REMARKS ~It fi, ~~Ih:1i/Ji~7~/"':?'l I I FRAMING INSPECTION ApPROVED l //f' DISAPPROVED / / "DATE REMj-RK~//t<)rUt4 <j./~1~ . ,1 '. '. ~ %- ~ <;;-I'~'--7ij' ri!:tr.. C:.l :' LATH OR SHEETROCK INSPECTION ApPROVED./ / DISAPPROVED ! / D-,!TE REMARKS F I NAIL' '1 NSPECT I Y APPROVED I r/ DISAPPROVED / ~ . / ~.- ~.r,I' 74''5'" '0' " ~ , , ~ INSPECTOR / DA~E/OjJ.LI.jll/ f . INs.mo:~ REMARKS CERTIFICATE OF OCCUPANCY !: REMARKS READY TO ISSUE / / NOT READY TO ISS4E /1 ,DATE I,NSPECTOR /;, /1 /I I // II - 1/ ff"tJV /. . '\/f Llf \.. f." , VA . I cf2rl;~/ll~~ fl..) ...', ' rx/~,' (\ .. '....;