HomeMy WebLinkAboutPermit Building 1973-6-28
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PHONE
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PHONE
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PROPERTY OWNER
ALAt4EDAtl! ~~ANUEP..
CONTRACTOR
LANE COU'Nn
BUILDING}OO
dUILDINq
MH D
MAILING ADDRESS
RT_._1~0l, 8~cJ
MAILING ADDRESS
PERMIT OR MOBILE HOI" .,_ USE PERMIT
PERMIT NO.
SPr.I~~r-IElO, OR~GON
PROPERTY LOCATION - INCLUDE POST OFFICE
1965lNLANO WAY
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
'LOi ~BLOCl< 2 r4LBERt GROVE~4' '(W,'APOITION
TWP'41" RANGE SECTION
18 03 02" "-'3. .3
TAX LOT NO,
$- ~~t7(J,'
CODE
CENSUS TRACT
, APPL.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
'No. of Bedrooms
35~4oo
EXISTING STRUCTURES ON PROPERTY'
l1ANUEl. ; AI.A\i'JEOA'
Ra.3 Box ti4-C
SPRIWGFIELO,OREGON
NONE
LEGAL ACCESS TO, PROPERTY
I NL'ANIl> \:JA Y
PROPERTY. SIZE - FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existin'g
TYPE CONSTRUCTION
FRAt/I!!:
Sewage System D
SQ, FT, # BDRMS
400 @ 2 '
New System 0
VALUATION
, CARPORT
Coo
STORA~E AREA SLOG.
180 G l}
~720
i520
"
1
SEWAGE DISPOSAL
~
OTHERO
16.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
, PLUMBING
PLAN REVIEW
, P~RK TRAILER
SEPTIC TANK 0
PUBLIC 0
o OTHER
.....;
TOTAL
~
16.00
COUNTY BUILDING & SANITATION SPECIFICATIONS
'DRAIN FIELD REQUIRED
MIN, SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
EXISTS
L1N. FT
, TRENCH WIDTH FT,
OR SQ. FT.
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STAY 'A MINIMur-1,or 10 FT. FROfl.l AL'l.: PARTS OF' DRAINVlELO VIITH 'NE\-/ CONSTRUCTION.
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.TYPE OF STRUCTURE
OCCUPANCY
ZONE
RA...I"\,rl
USE CLASSIFICATION
PUBLIC UTIL. EASEMENT'
5 N J
BLDG, SETBACKS __ FT, FROM CTR, OF ROAD RIGHT OF WAY
FRONT 45 SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/s/ J.E., BOSS,SY CHARIh:S HAR~AUGH
REAR
5
Q', VI. GnA Y, SAN I T AR~f.lN
DATE
6/28/7?, ss
BLDG, PERMIJ - WHITE '
OFFICE ,COPY - WHITE
COUNTY TAX - PINK
PLUMBING -CANARY
BUILDING - GREEN '
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require, a certificate
,of occupancy before, being occupied,
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
, LANE ,COUNTY, BLDG. & SAN. ,DIV" COURT HOUSE, EUGENE, 'OREGON 97401
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LANE COur~Tv HEALTH UNIT'
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US'E'ONE 3" CLEANOUT >.'LUGfOR, TRAp:C'ONNEC;TIOtLAND90
DEGREE: PL AS," I <:: A,~APhR liT GROUND U:VE'L'SC'REIo;ED INTO
" CL,EANOUT, BODY. CLAM.P,,'HOSESECURELY TO, THIS' ADAPTER
ANt) to ADAPTER 'UNDE'R, :TRAILER OUTl;ET. If'TRAP' ITSELf','
'IS AT~R.oUNO LEVEL" CL(ANOUTBOOY 1\"1'40,90 'DEGREE ."
.' "p~'ASnCAD'APTER MAY BE ,PLACED 1,1'4 TRAP WITHOUT USING
'PTENS ION' PIPE,.
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TRAJLER HOSE CONNECTION: ( READ tARE'FULLY :) :
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'''TRAILER SiWER HOSE MUST NOT BE.OV~~ TEN fEET' (101)
L,ENGTH. CONNECTioNS 'MUS TBE GAS.. AND WATER-TIGHT., '
MUST BE L EVEt.. AND CAN BE EX'TENDED NOT' O'(ER fl f"TEEN
,(t5'J fROM VENT. '
AU..SEWERPIPI,NG M.UST BE AT LEAST THREE: 'INCH (3")
blAMETER - MUST BE EITHERCASjjRON St~ER'PIPE
o~'A B S .:.. PLASTIC PIPE S C H ijoD W V OR
P V CpLASTIC PIPE SC H40 D W V.,'
FI TTINGS. ,AND TRAP ,MUST BE Of THE SAME
MATERIAL.
,MAIN'WAitR LINE ~AY BE GALVANIZED,
djPPER OR, PLASTIC PIPE. ,RISERSMUST:BE
GALVANIZE~OR'COPPER P~PE ONLY, ~SIN~ TW~
fAUCETS P~ACED SIX INCHES ABOVE GROUND~EVEL.
ONE TO CONNECT PER~,ANENTLVio TRAILER, THE
OT'HER fOR OUTDo.O~, USE. ..
SERVICE'WATER LINES MUST NOT 'BE, SMALLER THAN 3/4"
AND MUST ,BE PLACED, TEN Fe:ET (10' rF'~oM ,ANY PART OF"
SEWER L ,I NES AND 0 I S'POSAL SYSTEM~
(1 )
(2')
(3), 4" x4" C'[DAR POST 2i ,rfEt iN GROUND.
( q) ,'Two 3'! CL E ANOUT . PLU~S.
()') ; 'ONE 3"x 3'" WYE' A~OV'E' GROUND LEVEL. '
, (b) ',ONE 3" ,x 3" LONG"; TURN JE'EWYE'.
(7)" ONE 3" P-TRAP. ','
J8) ,ONE 3"':THRE'ADEDPLASTIC 9<> DEGREE ELBOW.'
"(9) Two 3/4" '(AuerTS. "
(10) ONE, 3/4" GALvANi ZED TEE'.
P1PE DETA I L FOR
, SINGLE, TRA'I LER CONNECT ION
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LANE,COUNTY BU I LD I NG AND
SANITATION.DIVIS10N;
ANNEX BUILDING
135 EAST 9TH
EUGENE, OR-EGON 97401,
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NOTICE: "
IrMOBILE HOME HAS
STATE OF,OREGON
INSIGNA SHOWN AT
RIGHT, THE TRA", 'AND
VEN~ wlLL NOT BE
, NECESSARY. ~NL Y A'""
~LEANOUT:BETWEEN THE S~PTIC
'TANK, AND TRAILER WILL BE'
REQUI RED.
. M55-01
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,NAME " ~.At f-~ ill -' ~ " ,
ADDRESS ' ",
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~:'B~ildin9 Permit App! icatiQn,No.
() 'Site Ins~~ction
( )' Pre-Pe~m~t Investigatr~n
LANE COUNTY PLANNING DEPARTMENT
PHONE,
DATE
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NOT ' NO
app I i Gab I e
'Llr~
J ." Zonj ng O'rd i nance " Comp 1 i an~e
(ZoneE~-Mti) ,
2 .Sub~ i vi s ion' Ord ina,nceCompl rance
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,J,. 'Requ j. red Acces s
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4.'Buii dingS i te {Area, Width;
" Frontage,. ,Setback) ,
5. O.ther (s.ee comments)
COMMENTS:
YES
NAME
DATE
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, BUILDING INSPECTION SECTION
DATE
",NOT'
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6. Plans Submi tted
.7. So il Stabi Ii ty (foot i ngs) ,
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8. FI~od PI~in"
9,. Other (see Comments)
, COMMENTS:
NO YE'S
NAME
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S~NITATION SECTION
, DATE
YES
NAME
NOT , NO
app I i cab Ie -:-
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JOi Sewage Dr~posaJ
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I I. Usable Area
12. Water Supply
]3. Other' (see Comments)
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, COMMENTS:
TO APPL I CANT:
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~uildrn9 Permit / Site Inspection: ' ,,'
Can' be app'~6ved. /JGc' fe Iy I'
Cannot, be app roved at' t his t i;J ~as irid i C;,ated on item N'O. ' above'.
Quest ions and further informat ion: on i,tems f through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Quest ions and fur,ther infor.m'at ion on items '6 ,:.,..,..>.:
through 13 ,contact the Lane County'Buildinqand Sanitation Division. .;,.~:~j
Wiq be held in this office until 'youca:n reso,lvethe,'probJems indicated.'"
Is, be i ng returned. " ' , ,
Your building'per'nli.tappHcation fee is ,being returned under separate cuver.
Your
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If\NE COUNTY PLANNING DEPARTMENT
IJC; Si)(th /\'venue East, Eugene,: Oregon 97401
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LANE 'COUNTY BUILDING ,& SANITATION DIVISION
135 S"i xth Avenue East, Eugene, Oregon 9740 I
PHON!:,;: 342-13 I I Ext., 41 I
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BUILDING'4 PERMIT
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MAILING ADDRESS
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LANE COUNTY
BUILDING J@J
OR MOBILE HOMe US!=~PERMIT
PERMIT NO.
... ..:~
,PROPERTY OWNER
At".a+t~o~, ~~Hltt.
CONTRACTOR
MAILING ADDRESS
)~;~~t~~\tr~jt '~:.
PROPERTY LOCATION - INCLUDE POST OFFICE
"',V\? hlf...M~tI ':JJ~ "I
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
t~:P1ff f)t,oc" c; ::::Et~r Ct't~Vt.. S::CT;~t:NMI1HnON TAX LOT NO,
~-;~S ~Ji:: . ~:,2
t')'
CODE
CENSUS TRACT
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APPL.
NAME
EXISTING STRUCTURES ON PROPERTY
~N!
,LEGAL ACCESS TO PROPERTY
t.\,4N'tl ~}iWY ,
PROPERTY SIZE ~ FT.
,HM~ftt.. !{t ~t1)A
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'J ~\t~ l' :utiit' t t,t. t', t>n lr. O-%i'!
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
, No. of Bedrooms
WIDTH
DEPTH
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PHONE
'{If-7'''5667
PHONE
AREA
Connect to Existing
TYPE CONSTRUCTION
tt'H~~
Sewage System 0
SQ, F Tj #' B)JRMS
}Li~ .~
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New System 0
VALUATION
I:~;n
STRUCTURES TO BE BUILT THIS PERMIT
y:;'/- }~:P(t~T
:::;;'))V6)':, ,~,i~ir~ i!~t.r,tHit
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SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEPTIC TANK 0
~ .,.,O:T1:IERD
l\,4W
FEES
;:
PUBLIC 0
o OTHER
TOTAL
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COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY
WITH DIST, BOX: GAL. ~ 'I. tX ~'l:.tf
\ :J'ti'li\,l {~ ~UUJ!VH (f~'. rr~ ~l~i.
DRAIN FIELD REQUIRED
L1N. FT TRENCH WIDTH FT, "QR SQ. FT.
[:'~'z\$:-t~~~~IiVH;~.fl tnu~ ,j"i',1f C..I~Tft.u~~A'Wt.
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TYPE OF STRUCTURE
~ N:
OCCUPANCY
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ZONE
tJJ{*f,tli
PUBLIC l:JTIL. EASEMENT
BLDG, SETBACKS n FT, FROM CTR, OF ROAD RIGHT OF WAY
i1jr" r;' '
::1 SIDE INT. :;I' SIDE JEXT,
l'illJ.":~ 1~~iiI I,~;f t~~~.C.D?1~~~~~~ft DATE
FRONT
REAR
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USE CLASSIFICATION
(i1.~,~j'fGRAY, SAbJllr4~.ut-ll
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BLDG, PERMIT - WHITE'
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENRO,?
Construction to comply with uniform building code and county reg,iJlations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied,
,k
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN, DIV" COURT HOUSE, EUGENE, OREGON 97401
,.F.ORMitrc;,t;-l\
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FINAL,INSPECT7. '
ApPROVED j' I blSAPPROVED' I
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
I 'DAl t 7 --/ 0.,1 J ' INSPECTOR
,
REMARKS
'CERTlf I CATE OF OCCUPANCY :
READY TO ISSUE /
/ ~OT READi TO I~SUE / I DATi
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INSPECTOR'
REMARKS
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,;; .~ANE' COUNTY ,BUI.LDI~~, PERMiT 0 R MOBiLE~ HOME \JSEAPPLlCA TIO~, '/ / ~ r - '7 cfl
PERMIT TYPE,-: ,BUllQING M' ;'. '. ~OBllE HOME,.DoSC,REG. #; ,', 'PERMIT # ~~
P~Oa2::#j}A~','.~~JJLlN~,W, 3~J14~(!;'~'CMLLL db ,j4;:'6~h7
, CONTRACTOR ; :'../"~ '-' MAILING, "ADDRESS' '." ' ! -,./ -, PHONE
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PROPE,RTYLo.C.A.rION -INCLU[)E}Q,STOF.FICE .'
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PROPERTY LEGAL ~ES~~IP!IO~ . ( LJ ), ;;t/ ". ~:'A,'~. '~ it // ') '//." r jji-~'~' j ~
LOT - BLOCK - SUBDIV. ' 3r"~ 7/ ' ~:.;;2.~ -P~-P..A:T'~ ;?'"'~ L~
, TWP RANGE SEe. ' . /"TAX LOT "# CODE' " C,ENSU(S TRACT
'/j1~' GJ,:?j ::' o.,;;z, '~:,' 35' -~di7
DESCRIBE EXISTING ,STRUCTURES ON PROPERTY IF ANY, "
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, , .., ,":'".. , ' LEGAL ACCESS TO ,PROPERTY - ROAD NAME OR #, ,
',~ ~.,,~&;2x(~-C ,..'; '~A~.f 'Z<J~ ,"
I, 'PROPERTY SIZE-WIDTH ", DEPjpH " ,-'AREA, ..'
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Sewqge System d, or New System, Req. 0
", ',' SQ, FT.' # ~EDROOMS VALUATION"
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:/f/xu >tV!/Jt?4" , 72-0
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METES & BOUNDS G YES
ATTACHED " D NO
.;. "
':APPLICANT.
,NAME
'( .; ,
" AND
, MAILING' "
ADDRESS
" Conned 'fo Existing
TYPE CONSTRUCTION",,:
'FOR MOBILE, HOME ERMIT'
,Num~er of Bedrooms',
STRUSTURES TO BE BUILT THIS PERMIT
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PLUMBING,INSTALLED 'BY
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WASTE DIS.
, OWNE~ 0 :, OTHER D NAME
PLANS FURNISHED ' FACILITY PERMIT,
YES ~'....-'-> 'NO n ,: YES 0 NO D
," ,:,~~~R~APPL~T DATE ;/
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.. ,,; CO,UNTY BUilDING & SA~ITATlON SPECIFI.CATI()NS ' ".".. ~:/"
:~~ S::;\:X~KG::'^"" f ~ k _) . ;,:';T"",,'QUI'::ENCH WIDTH ", . .- 6"Q~"RE ;EEr/'
-Jf~rf':'- %k~;_~'~- rAi0 ,l:e'{c~"Jj~i
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, I'~d,") D
OTHER ~D '
WATER SUPPLY
FEES ," '" _
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, PLUMBING, fEES
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PUBLIC 0:"
OTHER
, PLUMBI.NG
PLAN REV fEW
PARK TRLR,
,FIXTURES
TOTAL,
')In.DO
CASH D ~ER,
CHECK ~ CONNECTI~N ~~E
, PUBLIC WATER
, , CONNECTION FEE
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TYPE OF STRUCTURE 6 d ,"',,' ,~ '
'BLDG. SUBACKS -FT. FROM CTR: OF ROAD RIGHT Or WAY. ...,
F~ONT"4.S! " SIDE INf: ',' S ,\' SlD'e, EXT, "
,dlt1'):L~. t'.?;:;3PU:~
Directio~~ to Fi~d' Pro~~rty:
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'PU'BLlC ,UTfL:" EASEMENT
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COpy 1 -'OFFICE
COpy 2 - JOURNAL
COpy 3 - AUDIT
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