HomeMy WebLinkAboutPermit Plumbing 1976-5-28
:1:,1ol::1r-
O.O~-,:,,"~ f'-'-'7--~-'-.-
. ""
'1
"
." .~"..i
LANE COUNTY PERMIT FOR:
PERMIT NO.flllt 225-76
;. ,..
'"
.- ~'11
'-~ ~;'
.,t.
"',
.D Owner
CONSTRUCTION [] MOBILE HOME
Jo Ann Tucker
NAME
Same
NAME
[XX] PLAN REVIEW [ ]
1723 Mall ard
CHANGE OF OCCUPANCY [ ]
Eugene Oregon 747~5721
CITY ZIP CODE PHONE
ADDRESS
o Contraetor
ADDRESS,
CITY'
ZIP CODE
,PHONE
O.S. Reg. # Nil.
Twr 17 Range 3
Gameburg Vill age
Subdivision '
Section
22. 1.,2Tax Lot
,2200
Code
4-23
CenslJs Tract
21-00
Lot
1. Block
1
Acreagp .
Width
Access to Property (Road Name,):
Mallard
Pheasant.
Depth '
Existing Structures on Property:
Grocerv Shoo Gas Station
Directions to property -.Address:
1723 Ma 11 ard
EUQeme 97401
. lBe d:
l!lVALUATION
STRUCTURE (# BEDROOMS)
Pprmit for Mohile Home
.SQ, FT.
~.
r';}rAt~kpr MII~tbp 'rFmP-lAred
SEWAGE DISPOSAL:
PUBLIC [ J 'SEPTIC TANK [] OTHER [
BUILDING
. PLUMBING ,
3% SURCHARGF
<.MOBILE HOME
WASTE DISPOSAl
pLAN REVIEW
1210-73
PLUMBING IN~TALLED. BY:
: OWNER [] OTHER [ J 'NAMI=
WATER SUPPLY: PROPOSED [ J.
EXISTIN.G [J
[ j PUBLIC
[ J COMMUNITY. NAME:
:[ J PRIVATEW'ELL
: [ J OTHER. SPE.CIFY'
4.00
1?
':In nn'
TOTAL
~il. 1?
CONSTRUCTION PERMITS & I NSPECTI()NS AND:WATER Pc\LLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS MIN. DRAINFIELD L1N. FT. I MAX.TRENCHDEPTHINCHES
C'_..___ [)i!:;nn~al ~v~tp.m AnnF!~r~ to hp :fllnd:ionirlo dltisfi:lctIH'ilv .at' this time. . If'
li'rP;i'iffi pl (f ~hnllll fnil "rlt.'AVlV timp _ ill npmijt to - mnafv- .mm:,'!: hp - ano li pd 'for th rf.lUoh:
-fhic: n-ff'irQ STAY 100' FROM ALL WELLS
TYPE OF CONSTRUCTION GROUP FIREtZONE _.l)SE CLAS,SIF.
SETBACKS. FT. FROM CTR. OF r!W:
FRONT .1~SIDE EXT,
lll:;
,FT. F.ROM PROP, LINE: '.
:SIDE INT. 1;;. ,-.REAR
l?IPIIP ZONI=
a~T
AUTHOR IZED SIGNATURES:
/s/ J.' E. Boss by Full er
G. ~L Gtray/sanitarian'"
ISSUANCE DATE:
5/28/76 dlm
BLDG. PERMIT -'WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK' ,
PLUMBING - CANARY,
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687.4065 to':schedule all required 'constru'ction inspeciions.~ Call 687-4061 to schedule all required
IMPORTANT' septtc system tnspecttons All constructton shall comply With the State Buidling Code, D.E.a. standards '""'\
. for subsurface sewage disposal and the State Plumbing Code All buildings require a certificate of /\
. occupancy befor~ betng occupied " ' ,
, (See Details on Reverse Side) .
(POST THIS PE~MIT O~ MAIN BLD,G. AT SITE) . ~/rf;vru
LANE COUNTY, DEPT ,OF ENVIRONMENTAL MANAGEMENT
'. , COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
C55.13
. '.', ,j:. "''''J ':', ""'.. """"",..':: _,'/~~,kC" 'it-r-(---..'.:'.-,.I'.~~.<. ".j~. ~;2,/..1-s~ .'
, B'U'i LU ~:N~ S ITE .Ev,~,t.~~i {O~:' '.,,, .:,' ~:I..(l '.. . ~UBD IV r~1~:'~,~ S ' TAX LOT .~trl
'. ~'~oUILQ I NGPE~~H;,.~~,p~ ~ ~~i:~.~.:~"~:?;. /h IJ-- ~.2~-.... 7 b.. . ..', : >'., LOT: '. '.. BL~~K:;
( :>:, S'ITElNS'P'E'CTI ON,~';: . ""''-,> :: ,:.:.-, ',"./":, "." : APPLI CANT..':: '",,' ".> ..: '" ,,' ...
: ' .."' . .' "'. ........~".... . .. DATE- .;'"
PLA'NNI~G'DIVIS'ION . :.:':<'.:..."....... \"':'Not. ...~!.... ': ". ' .' '. " . . .
, .' '. ..'-.' . .!..' '.,..,}, . . ~.', ',' .App 1 i'cab fe', No Yes' .: ,.Ct< I 0 BY:'. ~ . /"c1I1!a.v; 7 t .
, 1..,: zonr~9...,9~?ina~c:compti~!1C,~.: }o~e.JJ1r(. { ),': T} ( )_:: 6~"'.~'S'etback~ f~'om pll of .r.oad: .' .
,,' 2.. ..Subdl V:1 s Ion. Ordl nance c;.ompl'lance~ . (,).: :': ,t.) (- }>,; '<"'':': ' Fron~. . I.'... ~ ~C
'.~:' .:ji~.1t~:~.if~s~(Area; .Wrdth,:F~~~ta.g'e) ~.":.~'L',:,}, ~.l.~:,::;~';.s;e:t~'ac.~~;~i~:t.r~~~~iQr. li;~r
:5., Other'(see.comments} ,,:: '. .."...: ,.'. . ,(:.}.:':,.:,( )'( },.:,,<:.'., .<"...,....Side.. ',:','...":\'.':.':~'
COMMENTS: ." : ~ r " Ii, it I ~~":1: . .:; .,..' .'~,:":".."~ear. .,,' '.', i~'
; -...... -. "..\~t~ I, .. :t. :"
.' ,
"'
, { ".
I' ~ ,':' .' :"
, ,;.' t ~".. ~
-,
.' '"
. .. ~;
'..,.:'.
. ",I",
. , ,
" .. e.,..
PLANN I NG 0 l.vl SI d~AttION'P"EJ~D'~N'~':"::y~S'C:'T . NO r."r~'pp[rC.AtToN# ..;; .-
. ,.j ;;. . _....' .', ,.' .. ~~' ,:"" , .,.'...~~, ,: '",,,-';. 1'. '". ,;'t ,,'~ -4: :,:",".' ..' .... '.'
.BU'tLDING.INSPECl-ION DIV1SION .' ~.:, ".Not'. '., .. '.'
" . '", ".. .',ApplicablEf'.No'.' Yes';, ,.,' . '..' ','
. "", ''C):c r};." Vf .: .
. '. . '. ". ('. '.' y . ,''', . '(")' " '(()' , .. '.." ' ....:
',VI',' ~. ~', - . - '.. '~,... <\.
... .." .... '.l%tJFp. .CK'D'~~eDS--~9-7'f
.~~. ..~. '. '.. '.::>' ~: '. ::.." . ;;.: ;".". ' .~' ~'.:'. .:.:~...- '. . . DATE '. '
7.
8~
9.
1 Q.
Pl aris' Submitted." .", .
. So i 1 Stab.i1 f ty' (.fo~.t i n'9'S)" .':'
:Flood Plain', "','
Other': (se.e <:9I11me.nt.sJ "
, - "'.' , .\ I: ~ ~'~~', ",' .
COMMENT.S.: ..
,'."
" . '..<,';."
.:;
.',
~.,: , .
',,~"
;',.. . _,.' it.
WATER POLUTION 'CONTROL.'
. ',': ,.' Not. ,. ;, '.,;-, .
...,;..,.. ..;' .,.:Applicable' No'. Yes' .
11. Meets D~partinen't of EnvJr6rlr~entat : . ". {'>,~'ff,(/)(D',. .,
Quality S tand'ards.' ..;'. ''':,:''
12. ".Other (see :c6mm~nts}.,",
. -' . ' " ....
., ..' I
3' '~:-'. .~: " "~;- .~'
.~ ,
1 'r'
COMMENTS:
j"
():. > ':~.!(;'.y.'( ):. . '-'..:CK".'D',)Y'~ At/. K, ". _v;Jy 7~
;, ..' .,;':, "J"".:" . ":, r ~-.-: "(/'. DATE
... . .
..'
.. -:.'
;>"'-'J,
~ ," .' : "
rf ' ~'.
,. .' ',- ,: .
'.. '. ". ~'"~,, . . ,l t j ..:,.
'..
'..';- .,
.' . t',
. . ,," ,'.
'. r,,'" '.
. ,':' '-,,".
, ~"
"
'" .M,
.~ ~, '
,~ '
TO":~PPLIC.ANT: '. ''".<:''':-.':.''::?; . .. " . ,'.' ..-,;. :', .,' ..c.,.. ",
:'. .:';~..:;.- ,.;"Your'.Bdfldi,rig',/ ,'S+tel.n.sp.ectio'n::i.., 1 .", ',~ 'r ",':"
: :.. :':'2:' . :Af"Can b~ '~pp'r~~~d;, ..-' ',' "'. '.,' '.: ' . - '. . '..
. :' "11i!." .' ( ) Cannb~' be ~~p'~ov~'d' at ~h i s,i:im: as ,i n~itate~f o,"'i"~em NO..;' . ,..., '.' "above.
'. f./~ . P-P, : -" .Q,ue,~tl.,?ns and,:fu~the,r. Inf,orma~lo.~. onl,te,ms) .thr,0~gh6. c~~tact t.~e,' LAN.E-..
j .. 'tlt . .COUNTY PLANNING DJV.ISIONoQut;!stlons andfurthe~ .Informatlon.on Items 7,'
.' ';~-:.,. ..'through 12 tOl'!taCt .the'LANECOUNTY BUILDING AND "SANITATlON D'-VISION~ .
. ( }.Will. be held'.iri.this.office,unti1.'you',can."r.esolve'th~. pr'oblems indicated.
. ..(.) I's .being' ~eturned,;'" " . ".~' ", " ,J.:. ".., .... .~. ..., ,
, '/ . .:::.;..::.{) ~Y6ur bu il di.ng, pe'(mi't. appl i ~~!j.2!:l:..)e.~l!t:..!?ein~: .~~tyrned under. se{!af'ate cover:"
. . DEPARTMENT . OF 'ENV I RONMENTAl .'MANAGEMENT ..',
"'135; S i~t'h'Avenue East Eugen'e: Oregql'l'S74.0,L ...' '
. PHONE :"687-4065 . ......:'.. .."....: :.: ': .
..' ,: lAfiE" ~OUNTY' PLANN I NG Di VI S I ON PHOt~E- :~:687;;.4t86
"'"
. .
>;' ,..;',
.:.,':
C55;.;?8....... ..
..
) ~ ."",
, . . .
,'~ .' "',.;.!
. .
. .
~ ,,';\: -
~~~~
. I l ~..\..
, ~I'...
,,,
_.~ '
\\..\..'( .
'~Crr.
~.... : ~-
April 16, 1976
Mrs. Jeanne Tucker
1723 Mallard
Eugene, Oregon 97401
Dear Mrs. Tucker:
Re: Temporary permit 76-40, Map 17-03-22-1,3, TL 2200
dne county
~
Please be advised that a mobile home used as a residence for a caretaker
in a commercial zone no longer requires review under the Temporary Permit
procedures or approval by the Lane County Planning Commission.
Effective April 7, 1976, the Lane County Zoning Code allows mobile homes
for caretaker situations provided the applicant makes application for a
temporary mobile home building permit. Permit applications are av&ilable
from the County Building Department, 135 E, 6th, Eugene, Oregon (687-.4065).
Upon receipt of this letter you have 30 days in which to make application
for a temporary mobile home building permit.
Should you have any questions please feel free to contact me.
Very truly yours,
J I ~ .'
(f-.{(;~ (/;;"d.-:v-
Harry lor:~~:r
Land e Controls Section
/jk
/II ,,-
I, 1
LV
.,
...~ l
, '.,'
"'~jr
y t7
yf I
/
/.
/
/
PLANNING DIVISION / ENVIRONMENTAL MANAGEMENT DEPARTMENT / 135 EAST 6TH AVE / EUGENE, OR 9/401 / PHONE (503) 687.4186
LANE COUNTY ENVIRONMEN .1......... MANAGEMENT
PLOT PLAN
Name and Address of Owner
Telephone:
The building being constructed under this permit will be used for
Date this property was purchased
Do you now, or did you ever own property adjacent to this tax lot? If so, please
list those tax lot numbers or draw those properties on the plot plan below.
Indicate on your drawing the location of all homes (including mobile homes) now on
the property, as well as the location of the new building.
, "
- -- -- - - - -.- - - -
- - - - - - - - - -- - - - - -- - - ~ --- - - - - -- - -_.- -- -- -- - - _. - -
- - - -- -- -- - -- r -- ,__, __. _ ,_ _ ___ .
-- -- - - - - \- -- - - --- -- -
---
- - - "/" -____1-
: 1
i -- - i --
- - __ - 1-= .....- :...." ~.
- "-e-
-- - I
,l
. -'I
~=.=-~ :-=-,~:=---
-- ...=~~ -[---IJI- - ~- .--
~;~;.~:~~~~~~~=-
/ ,
--=::3S. ~r-- -=":,
. ---I::::i} i. c.
r-. , i
- -'l.--r;., i
--d.
___~-~~-- i_ _
- - --',--
, -- - -- - i -1- -
--i- - ;_._-;-
-'"
- 1- ,__ _,_
c.-
,
I: -. .
- -- (
.- - - -... - -- - ~ - r -) - - -
-,-- ------. - ~:::::;'k:J:=:-\,~~-~-,- J - -:--1---
- -- .t '-: -- : :-: ,'" -'- ',"
, _ =-' ~~~~~~:~;~~~~~~~~~:_~~~--[ --=-:-,-(~ '-
1_-'---1-:1- -------~--- -, !" -
I . I 1_ I - I
I 'i! . I
~'::_' ~~~-:.=--~.~~.-r~ If- ;: ~'--'~
',. - p'\r1 ;11 (,~: :, 1/1"C- /', -, "
-- i....
~
\
_._C~ _:_
roO .
- ___)____ -0 ____
--~;::~--
,- 'L-
- ,- :;:?.- \- - I -;
----- \, - ,
- 1-- i - - "
. ~'
~-~=~ ' - --- \ - --. :
'-
- -....-..;,
. .
1
--------~------------~----_._-----
, !
-~~~-~/
Name of Applicant (if different from owner):
Address
Telephone
Applicant's lnterest: Buyer L-J
C7Lf-99
Seller 0 Agent U
Map
Tax Lo t
Permit If
,
/
" I'
.' \:..
. ,-'~:;;.;.f#
LANE COUNTY PERMIT FOR:
PERMIT No.I~'~ ;J.i:5.,.1g
CONSTRUCTION [ J MOBILE HOME [l{)J PLAN REVIEW [ .J
J& Ann Tude't' 172~ ~11aN
CHANGE OF OCCUPANCY [ J
EU9€tne Omqoel 14,.""ti2l
.n Owner .
'O.S. Reg. #
NAME
$afl~
NAME
;qA
ADDRESS'
CITY
ZIP CODE
PHONE
~o Contractor
ADDRESS
CITY
ZIP CODE
PHONE
~Twr l7 Range Jl
. Q_bur~ tIn 1 ~~
Subdivision .
Section
~'~ 'I '~ .
.......'..r'Tax Lot
22'n~
Codp
~... .,.,
" tt..'lJ
Census Tract
21 ..J)~
Lot
1
B locI<
1
Acreage
Width
,Access to Property (Road' Name):
f/tal1am
Ph~a$tult
Depth
Existing Structures on Property:
Groc~rY SrlO:~ ~s Station
Directions to Property - Address:
112S Ma ~ 1 ard EU~itM
$)7~tn
'STRUCTURE (# BEDROOMS)
. P0~ii for HoMl@ n~Ttl
SQ. FT.
1 fled I
VALUATION
"
"
~;!rH)~illkt;,;r~%Jst $,)8 ren$\'led
SEWAGE DISPOSAL.:
~UBLlC [l SEPTIC TANK [
OTHER [1 11,:10",1'3
PLUMBING INSTALLED BY:
OWNEB [ lOTHER [] NAME.
WATER SUPPLY: PROPOSED. [ 1
EXISTING [(
[ ] PUB L1C
[ ] COMMUNITY. NAME:
[ ] PR IVATE WELL
. [] OTH ER . SPECI FY:
BUILDING
PLUMBING
3% ,SURCHARGE
MOBILE HOME
. WASTE DISPOSAL
PLAN REVIEW
4..00'i
.If
30 .00
TOTAL
34.12
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS MIN. DBAINFIELD L1N. FT.. MAX. TRENCH DEP.TH,. INCHES
Sflwa~ Ut5f)Q$A'. Systefll F~~'*llars to ~ funGt1'o:\1llg ~trUS.faetm11y at: tn~s t'H~. If
(~nUlneHt snt)ul~ fan at any 't1me, I !p&f'm1t WNpilalr rtilJSt DI}QP'Pnt"(J 'rof' tnrljJJ9n
tfll$ Offf\la. STAY 100' FROM ALL WELLS
TYPE OF CONSTRUCTION GROUP FIRE ZONF USE CLASSIF.
. SETBACKS' FT. FRdM,CJR. OF r/W:
FRONT q~SIDE EXT.
45
FT, FROM P~OP, LINE:
SIDE INT. .;) REAR
lZPPUE ZONF (/(1\GT
"-. .
\
J
AUTHOR I Z@ SI~G.,~~ TlUJi1ES,:~'1"l1I.w.
, .." u. \0,. ~h,,,..... V.I" J 'lRY [1\i,f~
hi .
G. W.~ra,y/:snrJ1tarian
",I'ltSSl"~,.~,N C E D AT E: ,..1' I,.i'
,oJ ~~\.{J '" . ~1I .
; . ... "'. :1-~,,~:: \?-,. ~'. .
(POST THIS .PERMIT ON MAIN BLDG. AT SITE)
Call 687.4065 t() schedule all required construction in~pections. Call 687-4061 to schedule all 'required
septic system inspections. All construction' shall comply'with the State Buidling Code, D.E.a.standards
for'subsurface sewage disposal and the'State Plumbing Code. All buildings require a certificate of:' ~
occupa.'1?~ before being occupi~.d. ,'. ~ .. \ ' , . \. \ :'\i:Jt ". "
';.. .' \ \ . "''\_'~ "j"\, "2see Details o~ Reverse Side) , . " 1 \ .....
. r'.. ,'~" ,'f / (.'~r",,,..1 .
J ,j- t J....... ,
.-: "oJ t'/ .
,~.., /,'. "'/
( ,,:'1-'
. "i d
BLDG. PERMIT - WHITE "
OFFICE COPY - WHITE
COUNTYTAX _ PINKIMPORTA[\IT:
PLUMBING - CANARY ~.... \. . \
BUILDING - GREEN ~~,.o.. ';;t., '<'i ..' ""',"
SANITATION - GOLDENROD ~'-_ '\~" ",-,J., l.. \ ,\
,
~;;'
'C55~13
LANE'COUNTY, DEPT. OF ENVIRONMENTALMANAGE'MENT .
. COURTHOUSEANNEX,1.35 EAST,~th, ELJGENE, 08EGON.97401
- -~:.:' :..... '.. . :.""_. ,,,', :_<'....>~. :
. -", ~ :" -'..~: ,. -,'
. l ~
-"-.,...'....'
,1;....__.::
-.
SITE I NSPECT I ON
ApPROVED /
/
DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED / / DISAPPROVED /~ ,1
REMARK S--'!Uf-, d-/uJuh/.
/
DATE // INSPECTOR
t, " / Il- '7 t rv;
, '-
CERTIFICATE OF OCCUPANCY
READY TO ISSUE /
/ NOT READY TO ISSUE /
/ DATE
INSPECTOR
REMARKS
.....""'
!7 II ~J.S' 7b -Q-vr
/7).3 ?/J~'
. ..... ". ',(.- . I . ,:. .~.- ....-c ~."'- . ~:. _.4-:-~}- ,.~.~"
:~ .,~'~ .
, .~
/'~,
"-)
r'---'
LANE COUN~: PERMI~\ FOR,,-~ '
, . 'f'
PERMIT NO.~t}1 226",16
'.
.......
CONSTRUCTION [] MOBILE HOME [X)t] PLAN REVIEW [ 'yl-"CHANGE OF OCCUPANCY [ ]
, ". . ~
,:. J~r AVU"5 'iruckerr 1123 Mallard Eu~enm Oregon' 14.7",~.721
,i~.
. ,.-.
,
io Owner
O.S: Reg, #
. NAME
"S~m-
, NAME
Nil
ADQRESS
CITY
ZIP CODE'
PHONE
.""'t.:
'\0 Contractor
" '
ADDRESS
CITY,
ZIP CODE
PHONE
. , .~
"'"
~
Lot
22~1 "~ax Lot
1 Block
2200
Code
4..2~
. Census Tract
:n ""l}{L
.
..~
,Twr 11 Range 3
f @~b~rg ~il1Q~
,Subdivision
Section
1-
'. Acreagp
Width
pirections to Property : Address:
Mall lArd P~.eastl~l~
G~c~r.1f . ShOll) ees Station,
1723 MHa II &f'd [u11Jene g1d1.Gl
Depth
Access to Property (Road Name)'
'ExisJing Structures on Property:
I
'STRUCTURE (# BEDROOMS) '. .
~efMit ~~~. Mobile ~~
SQ, FT. ,
I'
VALUATION
. 1 Bed :
. Caro",&lke'l" . t~9t b!lrob1t:t{~d
( ,
SEWAGE DISPo.SAL:
.'PUBlIC [] SEPTIC TANK [
; BUILDING "
! l .
'pLUMBING'
. .: 3% SURCHARGf
,. ;
'.~"MOBILE HOMF
'WASTE DISPOSAL
. ,. ~ ,
PLAN REVIEW
OTHER [
~210..13
PLUM'BING INSTALLED BY:
OWNER [] OTHER []. NAMF'
WATER SUPPLY: PROPOSED [] ..
EXJSTI,NG' [ ]
"
4.00
012
30.60
[ ] PUBLIC
'[ ] COMMl!NITY" NAME:'
[ ] ER IVATE \l\(ELL
. [ ] OTH ER . SP.ECIFY:
I
I
TOTAL
3~.12
CO,NSTRUCTIOI~Lf>ERMITS & INSp"ECT'O~S AND WATER..POLLUTION CONTROL SPECIFICATIONS
'MIN. SEPTIC TANK~CAPAClfy':"': ~)>' -,,' "', -". .-.....'
GALS. "MIN.DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
. ~A;"n~ tl~a~o$al S.vf3%~fln ,Af;l~Qrro ~ ~&fUfO~io~1n~ m9t~sqot\:~v1ly {;It tt:rls 'g'!ti'ao 71
dnl1tWiQl~ G~ouVlQ <{[lil 141; \'An.v t~ma6" a ~eria1irr.;. to r0puirt!;.L1l5'}; r~Q'QEJ~H~d'for.r tn'l1"'O@(.JYi
thh ~171oo . STAY 100' FROM ALLWELLS.
TYPE OF CONSTRUCTION :GROUP FIREZONF USE'CLASSIF. .
" I
SET-BACKS. FT, FROM CTR. OF r/W: .
FRONT 45 SiD"EEXT.
4$
FT. FROM PROP. LINE:.'
SIDE INT, 5, REAR
..
. 121./PUEzONF
Am". ' :
I,
\
.. \' .. . '" '.
:" IS. 11: GV'il!Y/~Hmitariti~
"','/' pISSU~NCE DAT'E: '-q"",
!jJ It.f;jl hi ,... ~II'U
AUTHO~~Z~~ S~~~~T~}'1'oH([i~~
Is! : .
IC~5,-13
(POST THIS,PERMI,TOI\L MAIN .BLDG. AT SITE)
, "' LANE COUNTY,DEPJ OF E~~IRciN'MENTAL MANAG~MENT
COURTHOUSE ANNEX: 135 EAST 6th,. EUGENE, OREGON'97401
. . . .';"',\';"'.
Call 687-4065 to. schedule all required, constructian inspectians.Cal,1 687-4061 ,to. schedule all required ..~
septic'system iri,~pectians',AII canstructian shan'comply with the State B~idling Cade: D.E~Q. shmdards. )
,far 'subsurface . sewage dlspasal and the State Plumbing Cade. All bUildings require a certificate af,
accupimcY',befqre being accupied. .' . " ''';, ' .. '.. ,
" ':,' . (See Details on Reverse,Side) .' '. . ..} ....:
/ (, of' .
. /"U' . -'"
t;ldl/ .'
, '
.-:~"C:;:'\~."~';. .~,\
BLDG. PERMiT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK,
PLUMBING -CANARY
. ~ BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
r,
, '- . '\, "..~.'
::.J: .,.
,!'.... .
.'" .',
~\ -.
SLAB FLOOR
PLUMBING GROUNDWORK
--.. ApPROVED / / DISAPPROVED / / DATE
INSPECTOR
REMARKS
-'
GAS PIPING GROUNDWORK
ApPROVED / / DISAPPROVED / / I INSPECTOR
DAT:E
REMARKS
ROUGH PLUMBING
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
ROUGH GAS PIPING
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
FINAL PLUMBING
ApPROVED /\...-r 01 SAPPROVED /
/
DATE '7-/7"-% INSPEC~ ~
/' ,
REMARKS
FINAL GAS PIPING
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARK'S
CERTIFICATE OF OCCUPANCY
READY TO ISSUE /
/ NOT READY TO ISSUE /
~ DA TE
INSPECTOR
REMARKS
-'
.
NOTE:
PERMIT {f t1 1.f2257b
NO PERMIT W1LL BE ISSUED UNTIL THIS APPLICATlv~ HAS BEEN APPROVED
APPLICATION FOR:
I MOBILE HOME J-\,-r PLAN REVIEW ,
~ 2<( OWNER =J aAl:.::-" (l- ,k ~.plr t::::;S /';1a / fa I'd !,[ 0~'? ~
CONSTRUCTION I
CHANGE OF OCCUPANCY I
,7',7%/ 779'cJ7~,/
Zip Phone
I CONTRACTOR
Name
Address
City
Z1p
Phone
O.S. R1G. II
Census Trac~l "/::;;e;-o
~ Twp.~/ J ,Range 0 3 SectlOn .;z~..1 ~ Tax Lot. 7 .7 00
SUbd1vis1on'-(~GflleMf4 ed(ce ~ ~I Block /
/( ACCESS TO P:;ERTY (Road Name)~}/11 f'd - PI, ft-aS{( 11. f A' h
I ~ .7 , ~
?(;nst1ng Structures on Property: Groc,d.JY V - ~ h 0 tJ ' -, a -5 c;$ q 10 Pi
,\ Property LocatlOn - Address/Duecbons: J-1t./ /Q y d ~ 'fh a, 0. S {i n' ; w, 4~ 111(l, -f4. I/' m ;(>d
('7 a.J /77aLLtYJ cf zf q 7 '-/n ,I
Below for Office Use ~~~~~~~~~~~~~~~~~~~~~~~~~~~
M l-r Sq. Ft./ IIB(1)ms Valuation
I
Lfh<~ TA~f-R- '~mu~r;j rff1'PeJJed
SEWAGE DISPOSAL:
Sit. In".w=' l02f()-) <' EXbtin~ Sag. D':'O' 1 Sy"~ lr ~ '0' N~ Sy"~ Requi,.'
W1dth
Depth
Bldg.
Plumbing
3 % Surcharge
Waste D1sp.
Plan Review
Mobile Home
Lf. -
.17_
PLUMBING: ,
Installed by ~ner
PLUMB:~
Name of Commun1ty or Public System
,
4/~~
WATER SUPPLY:
Well
Spring
Other
FEES:
Other I I Name
Sewage
Connection
~._ ~:~~:ction ~
~O, -
I CASH
~
j
PLANS FURNISHED
FACILITY PERMIT
TOTAL
:Jlf. 17
I I YES I I@OIIYESI\NO
S1gnature of Appl1cant: c. '~Z4b/tL./ /~, ,~
Fee Received By: GO Date: 5u/7 ~
Mi,n: Septic Tank Capacity Drainfi:ld Req~1red - Li eal Fee; ~ximum DePt~ ,
:illS', ~ At ~ ~~ ~ _ y ~ ~..J. JL
k~ ~ 4u~ #-/J~ Q. fA1>~ ~4
~"..I 6v ~J1~ j$~ oL/k";' '/
, fJ . , ;'p ., - .
Type of Construction
Group
F1re Zone
Use Class1f1cation
Bldg Setbacks - from Center of Ro~d R1ght of Way:
Front , r . ~Side Int~- cr- Side Exterior
Lf") /" '-'
if ~....- Rea r
f
I c2 tpr)F Zone
kP1
---
ifji/' \q ty1~ 1~DATE'
C55rJ LANE
AJi~. f:;f;lt./~~~ITJ
~. (L - 7/~' .
COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
DATE:
.c;--:;; '1-1) ~
"0.,."
. : ,'" ~ "",+
" 'P~~
j"'-"':'-" ."
..r;,{'
'. I
, \.
!l,
;r",',-- '- - .;t-, /
\~. -I '
_/"I" ' ,-,;.-./' z:
'. ~-: :;--Z.-t: . e:.- ~--<fc...",::..,
I LANE COUNTY BUILDI~G -PERMIT 'OR MOBILE
BUILt?ING 11J_ MH 0
, MAILING ADDRESS
''1723 MAUARO, F;U!S.ENE,. OR
MAILING ADDRESS
,..:,.;"..:.,,01..',,:- I
~ .:~....., .,(,......t, -.... I
. ..,..,;,'1,'., ".';.
"!!
"\
* 1t1
".-\..- ,I;!
Ho'ME USE PERMIT
PERMIT NO,
/
.1-,\
PROPE~TY OW,r':(ER
'T u,,~r.;:J~ v> JEM-JNtt
, CONTRACTOR , ,
. : '~." ~; t: . ~ "..l
PROPERTY LOCATION - INCLUDE POST OFFICE'
GAME 81 RD t4MtKET
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
GAME' BIRD VILlAGI:: LOT 1 Blocl<l
TWP
RANGE
SECTION
TAX LOT NO.
CODE
:4-23
CENSUS TRACT
17
03
22. 1. 3
2200 (
21--200
APPl.
NAME
&
'MAILING
ADDRESS 'EUGENE, OR.
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
EXISTING STRUCTU'RES ON PROPERTY
: GA~1E Bum MA~I{ET
r .LEGAL ACCESS TO PROPERTY
f. MAUl-.RD
JEANNE ,TUCKER
1725 MAllARD
PROPERTY SIZE - FT.
WIDTH
DEPTH .
I
'-r-
,
Connect to Existing Sewage System 0
TYPE' CONSTRUCTION SQ. FT. # BDRMS
STRUCTURES TO ,BE BUILT THIS PERMIT
ONE HOUR FIRE WALL
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANK 0
, BUILDING ~
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK .TRAILER
OTHERO
,.00
FEES
PLUMBING ,INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC ~
o OTHER
TOTAL
$"
5.00
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN, SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
1~IO-73
,1210-73
PHONE
7~'-1-5721
. PHONE
/
~
AREA
New System. 0
VALUATION
450.
,
/
ZONE
C-2
PUBLIC UTll. EASEMENT
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD .RIGHT OF WAY
FRONT SIDE INT. . SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/s/ ~,E. .BqsS, By: HARBAUGH
USE CLASSIFICATION
REAR
J;C~UICKSHANK, SANiTAR1AN
DATE
6-29-73 JH
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
, COUNTY TAX - PINK
'. PtuMBING - 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)
(PPST THIS. PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY,BLDG', & SAN, DIY" COURT HOUSE, EUGENE, OREGON 97401
,,-, ~ .
. FOH~,,"", CS5." 13 ,
_._C""---- ,
/4"'!~
-.i."f,e .~ ~~~~~"-J'"\.. - .--
. .......w'.
L ".
, "-A. '
~ \illi'-' ') '''; _
~~)l.....~~~'
"~
LANE COllN-iY DISTRICT ATTORNEY
450 LANE COUNTY COURTHOUSE
EUGENE. OREGON 97401
503/342.131 f. EXT 260
Nay 29, 1973
\\<<\E~~n~l
, MAY 3 0 1973
lP,NE CO\JWY I-~':.~LTH DEP1,
Mrs. Jean Tucker
1723 Nallard
Eugene, Oregon
Dear Nrs. Tucker:
It has come to my attention that you still must apply, prior to living
in your mobile home, for:
(1) A permit to park you~ mobile home. (LC 10.195-10).
(2) A building permit. (Chapter 11, Lane Code).
The hearing before the Board of County Commissioners only allowed you
a temporary permit under LC 10.325 to locate your nobile home in a zone
l..hich d..ces not permit mobile homes. I v:ould suggest tha~ you corrtact ilr.
Merle Neilson or Mr. Jack Boss at 342-1311, Ext. 411, for their assistance.
Very truly yours,
J. PAT HORTON, Dis tric t Attorney
By
Raymond J. Bradley
Raymonc J. Bradley
Assistant County Counsel
RJB:bj
ce. Merle Neilson, Building and Sanitation
Jerry Hendricks
Attorney at LaH
777 High Street
Eugene, Oregon 97401
LANE COUNTY DISTRICT ATTORNEY
450 LANE COUNTY COURTHOUSE
EUGENE. OREGON 97401
503/342-131 f. EXT 260
Nay 29, 1973
w~~\EU~\E'J
,,' MAY 3 0 1973
C"\I~'~\1 Ilcl\LTH DEPT.
L~,N~ A! j\~ I r_
Mrs. Jean Tucker
1723 Nallard
Eugene, Oregon
Dear Hrs. Tucker:
It has come to my attention that you still must apply, prior to living
in your mobile home, for:
(1) A permit to park you~ mobile home. (LC 10.195-10).
(2) A building permit. (Chapter 11, Lane Code).
The hearing before the Board of County Commissioners only allowed you
a temporary permit under LC 10.325 to locate your mobile home in a zone
whi.ch dc..es not permit mobile homes. I Hould suggest that you contact Hr.
Merle Neilson or Hr. Jack Boss at 342-1311, Ext. 411, for their assistance.
Very truly yours,
J. PAT HO~TO~, Distric~ Attorney
Raymond J. Bradley
By
Raymonc J. Bradley
Assistant County C~unsel
RJB:bj
cc. Merle Neilson, Building and Sanitation
Jerry Hendricks
Attorney at La",
777 High Streec
Eugene, Oregon 97401
;-
~- ~ ~
- - - ~ -+ J r - -i.e,
~,,'" ~~_._,,-I ""'-:- t ~.t' _ '_' _~ ,,>:.:;; ..~;,.. '-<-:;';:": ~ 't' ...~~-t;;,r
""i ...,
~, ;" ,:;;.>,
, ,
,-'I> "'_; ~{ "" ~~~,.; ~, ~~
R[PLY FROl1: J. E. BOSS, Chief Bldg. Insp.
A review of the Jeanl~ucker case involving the parking 08 a mobile home in a
C-2 Heighborhood C~umercial District reveals the followine violations:
1. A mobile home is not a permiteed outrieht use in a C-2 zone.
2. Hobile home parked without the benefit of a building permit prior to its
beinR located on the property.
3. The present location of the rnobile home on the property violates the Lane
County Building Code.
a. The present construction of the commercial buil iur and the mobile home
\'iould require a minimum of thirteen feet (13') . ctween the two struc-
tures. At present only a five foot (5') separat on exists between the
t\.;o structures, also there exists an eIlclosed "ct connection between
the m~bile hame and the co~ercial stru property
north of the mobile line is about five feet (51).
a. Hove the mobile home
\-ihich c"nnot be done because
the situ-
The only solutions to the
atiol1 conform T,lould be:
the mobile home ,,\lay
~hirtcen feet (13') sc~~ration,
have enou[h lot area to Qove
bu EdinE.
b. building and storare
stall a rated door a
of the cumncrcial
10c.3.tcd and in-
b.
would require memovin~
install in[3 SILl!
placing
install
stallin8 a
home.
. c. Install a 4" block wall next to the exterior of the buildin[; to
extend above the roof eve height of 113" and install a rated door assembly
leading from build~nr, to mobile/home.
If they choose to do it~n c~ they could place the mobile home closer to the
buildinr than its present location.
Procedures would be as follows:
1. Resolve the zoninr problem.
2. Obtain a permit to park the mobi~e home.
3. Decide one of the solutions to the location of the mobile home.i If eicller b
or c is decided upon, a building permit would be required to do the work.
.e buildinc to the mobile home. This
from the outside of the builring and
next to the studs and re-
the> interior.remove existing \J~ll finish .:lnd
e:etrock then replace the \',a11 finish plus ins~
door assembly at the building entrance to mobii~
cc: HErle Neilson, Zoning Officer
... ~- , -.".. ~~:>}... ~...~~ '}'" "'''. "
,'" ~ 'f'
~ r1.~
. It 7-..
l"
~{ I"
,,'.- i'
i .
,;
R< I-' '="\ c-:::.J ~ ' - :-=
D '::I I~ :""J ' , ,::=
lL- I\~_- ~:::' ~,' ~
J\..1 - - - () 'C-')
~, ' 1
- ,0 ' '-'
~
Ll
,_J
- ;t-""1:' r1r--TT'\-7"l
j_.:.:..l~--I ,-,,\J...~-'" --
....1 r. ,...11'--"-'..... ",,--., r:T.'
;;' lL...'HJ.4\.;l v.: r _v......
\
IN THE BOARD OF COUNTY COMMISSIONERS ~ LANE COUNTY ~ OREGON
o R D E R 73-4-4-9
)
)
)
)
In the Mattel' of An Appeal. by
Jeanne Tucker from a Denial by
the Lane County Planning Commission
of a Temporary Permit
THIS MATTER coming before the Lane County BOa:I'd of COrm11~ssioners pursuant
to L.C. 10.325 from a denial, by the pl,anning Corrmission of a temporary permit to
tocate a mobi Z-e home on the app Ucant ' s property,
AFTER A PUBLIC HEARING and receiving testimony from Mrs. Jeanne Tucker,
various members of the puhl,ic~ Mr. Jack Boss and Mr. Vern Del,k~ it is hereby
deter.mined that the decision of the Lane County Pl,anning Commission is reversed
for the reason that the granting of a terrrpora:I'Y permit for a three year period
7JJil,Z. be compatibZe 1;,>ith and UJiU not adversely affect the UvabiZity or appropri-
ate devel,opment of abutting properties, nor 1;,>ilZ. it be adversely affected by the
aevelopment of abutting properties,
IT IS HEREBY ORDERED that a tempora.....-ry permit shall be issued to Mrs.
Jeanne Tucker for a period of three years..
IT IS FURTHER ORDERED that this temporary perrnit is sol,ely for the
applicant's personal, use and shaU be automaticaUy terminated if it is transferred
to any assignee, donee, grantee, renter, or any other person other than the ap-
. pZ-icant.
IT IS FURTHER ORDEP.ED that this order constitutes only the issuance of
a temporary permit and the appUcant must stitZ comply with aU crdinances relative
-to ob~a.i"'!7.:n3 ~ bu_'Z- Z3iY!,:; !!AY~nn:t,.
DATED this 4th day of April, 1973.
I--:-~-- -~-- ~-
MP;.J'""1 . --' , ,
. . \.J ',' '- ~~ ." -I 0 F' - .
I~ :..; r,:;: l,'-~,\,1
I DATE_~~f-ti
~~~~/~ , /. /
, {-:-k.~{1- Ch~, /J:;~(~
,,yc; '-. I r,u,.. -~r
. .~ "JI:.!...(/
LAllE COUl/'l'Y BO/iR:; OF CO:::,fISSIO:/J:.'RS
Lf4 }-; J-!
By / L{j~u Ch-, Ii;})' / I)~~/ (I) (1/ c::
. . 1./ v COlTJ1ii S 7.,C'!:e l~
/'/ ,/ c:: /) ./ ~/ t/
By ~ // /~/(> ('" J'" ///7-;~( /{, /' t '-
... _L. .
COTr"'li'l. S S <.-Or1C r
R ---/~ ...,/ /J <;..--; /? ' . '/ /
'LJL~;-;-:'--:c /? ~ {(; r /I.~ J ";-'~_
CO;;uJ7!.-S& l-CnCr
BUILDJNG SITE EVALUATION
~L--
9Q Bu'i I ding Perm i t App I i cat ion No. /::J-/ 0 -l3
() Site Inspection
() Pre-Permit Investigation
1 . R cJ3 S='o? , .t-<rAX LOT 0;;:>.::). o-iJ
Cb'l;)US TRACT
APPlICA~
NAME ".... r
ADDRESS
J.
Zoning Ordinance Compl iance
(ZoneC-2- )
Subdivision Ordinance Compl iance
NOT
app I icab I e
() ()
(r ()
Lv ()
(~ ()
() ()
NO
YES
PHONE
DATE b hS-
~.. -- -;' ,
.- ,._--.......--
NAME DATE
c.-,,"~ ~ (-z...("..-I,':)"
LANE COUNTY PLANNING DEPARTMENT
3.
4.
Required Access
(-Y
( )
( )
( )
( )
2.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
5.
COMMENTS:
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
apD I i cab I e ?0
6. Plans Submitted ( ) ( )
7. Soil Stabil ity (footings) Yi ( ) ( )
8. Flood Plain (X) ( ) ( ) lcJ,/1~ v/.2.7~7J
9. o the r (see Comments) (V ( ) ( )
COMMENTS: V
SANITATION SECTION NOT NO YES NAME DATE
app I icab I e
10. Sewage Disposal ~) ( ) ( )
11. Usable Area Cf) ( ) ( ) ~ ~h3
1.2. Water Supply yJ ( ) ( )
13. Ot he r (see Comments) ( , ( ) ( )
COMMENTS:
TO APPLICANT:
( )
( .)
( )
Building Permit / Site Inspection: f~
Can be approved. K,C; I.~ 1
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 cuver.
Your
~
U\NE COUNTY PLANN I NG DEPARTMENT
Ij~ Sixth Aven~e East. Euqenp, Orpgon 97401
t'llllNI \1,1-- I ~ II r XI. 711
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Olegon 97401
PHONE: 342-1311 EXL 411
,
,
~
rl
I
!
I
)
" ~ ~ L2:n.-L~-..-L
LANE COUNTY BUILDING PERMIT 9'i(" MOiitE HOME'
PERMIT TYPE - BUllDING~ MOBilE HOME DOSC REG # PERMIT #
PRO~ O~t-IE~ ~' MAILING ADDRESS '-" ff 4
~~~ . . /7 ~ 3 . :J:?:?~~
CONTRACTOR.) MAILING ADDRESS' - - ,.-,
~~ ..-'2_ e.-
- d? ~ ./
PROPERTY LOCATION-INCLUD~ ~/ ~ /P~_~./ Y
PROPERTY LEGAL DESCRIPTION ~ . /? . JJ } / ~ // ./ /...... "J / METES & BOUNDS 0 YES
LOT - BLOCK - SUBDIV --.~ ~ /~ VLe:e-d~, > ~/ /C'J ~ ATTACHED 0 NO
TWP RANGE SEC . TAXlOT # CODY - - CENSUS TRACT
t1 ~ 3 . 02 ;l. ~/, .3 ~ ;&ot1 7L.2 -3 :2-/ -.;;J- Cl d
AP:L~~:NT ~ DES~UCDJ~/
AND LEGAL A~~i~ OR #
MAILING PROPERTY SIZE-WIDTH DEPTH
-.:'
,
AREA
ADDRESS
FOR MOBilE HOME PERMIT ONLY
Number of Bedrooms
'iiJ;;;o ~~RMI~:
,/
Connect to EXlstmg Sewage
TYPE CONSTRUCTION
System 0 or New System Req. 0
SQ FTy ~EDROOT1?;;N
u/a.//-
SEWAGE DISPOSAL
PUBLIC 0
PLUMBING INSTALLED BY
BLDG
WASTE DIS
PLUMBING
PLAN REVIEW
PARK TRLR
ot.
SEPTIC TANK 0
<~I tJ Cf
OTHER 0
WATER SUPPLY
FEES
OWNER 0 OTHER 0 NAME I J
-::1tJ~U3t'..!:~E~ c::f'; ~ ~/irMI'L1TY PERMIT
OTHER / YES~~ YES 0 NO 0
lV(r SIGNATURE OF APPLlC,A~n /DAT,/
/y y1./Ne-.J ?:v- ~h ) 6- /~/73:.
, ( ,FEE RECEIVE!> ~- 7~ .px7/7?
'-" PERMIT / /' .
I ..::J.. / n .- 7.-:)
COUNTY BUilDING & SANITATION SPECIFICATIONS /
DRAIN FIELD REQUIRED
PUBLIC 0
PLUMBING FEES
FIXTURES
CASH 0 SEWF~
CHECK n~ECTlON FEE
TOTAL
,<"'rOc)
PUBLIC WATER
CONNECTION FEE
MIN SEPTIC TANK CAPACITY
WITH DIST BOX GAL
L1N FT
TRENCH WIDTH FT
TYPE OF STRUCTURE
OCCUPANCY
" /
V
ZONE .,
~QEAR'.y ARb
I.. ...._--~
PUBLIC UTIL EASEMENT
BLDG SETBACKS - FT FROM CTR OF ROAD RIGHT OF WAY
FRONT ~...~
(thITAR~ Dale PLANNING
~~) f7.m LL1D~
Directions to Find Property.
SIDE INT
SIDE EXT
C-L
USE CLASSIFICATION
Dale REA:LD~ JrJJ ft# 3
- ;2. .? ,- fJ
iI!-z...,~b!. ~ _' / (,
Dale
COpy 1 - OFFICE
COpy 2 - JOURNAL
COPY 3 - AUDIT
Form # C55-12
~-\'r{' ~
'1~1i' ,
-;-t
..-.---....-f""''t','OI-~ ~...
-::-""'t"'""'---; \~~ .........'
~-~-i.,
~
./
v,.
, ':~
, "'~
. i,"
.~ .~~,
LANE COUNTY BUILDING 'PERMIT OR MOBILE
. - . I ~ . J
BUILDING [J! MI+ D,J ,
MAILING ADDRESS
Jro KtlJ.i~i~i';.. E>:I"'l'~I' t
.. MAILING ADDRESS
Ii "
HOM.:':i.JSE PERMIT
. PERMIT NO.
l?lO...n \.
PHONE
7~7"5721
PHONE .,
: \
.:1I
!.i;
PROPERTt OW~ER
'hf:.;q;... ~ J1;.N~~
CONTRACTOR
~ q~Z~\>}).~ i:jtJ.
PROPERTY 'LOCATION -INCLUDE POST OFFICE
:'i),t4i;SrRO ~~~K~;f
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
;t(~!( 11, ~l.'l . 'II P~'::.A(.,~U),f 1 8L1),~ti t
TWP RANGE SECTION
. l~p,
\
.'
t'~~J "
:>2.1.. :3
TAX LOT NO.
:~'r:'()Q
CODE
h,~<.:1
'"
EXISTING STRUCTURES ON PROPERTY
, . f~tMI; al~. MMl"",..
.LEGAL ACCESS TO PROPERTY
%\:"':'i-An-O
P,ROpERTY SIZE - FT.
..i \\ .-.;. ~. '.~ ,", 'j
WIDTH DEPTH
CENSUS TRACT
~'l..Z00
APp,l.
NAME
.&
""""
J~.l>INt 1\;;:.."1:'
I MAILING
'!' -r;'" '*i.', . '- ~~
i, i" '!i.-c.", ,'" '-~l .i>"
. . .'~ .1; .. -. ,'" ... " '- .
~~
ADDRESS 1:: (,lot ;iil:~ ..
FOR MOBILE HOME.,PERMITS
t-lo. of Bedrooms
.. ..ST.RUCnJRE~ TO !3E..!?_~_ILT THIS PERMIT
ONLY
t' ,:,~. f'~ ,.
." 1,.... :."-. \\
, ,
. .I
AREA .'
Connect.~sr .Existing Sewage System 0
TYPE CONST'R'UCJION SQ, FT.,,, # BDRMS
~; t~>o..n~ r )'~:H;: '~~~1..,~
:..:j.,.
<.....
New System 0
VALUATION
q ~;(} ,
-:.::, ~"'.""-'-""r' "".,---< '.-.
.,/.-
.~/
'\1~.L\...~ ~~~~\N\~ ~\~.'~~ ,~.~~~_.
,; , - -' v -. -- - - ~ "\ \ _~ - . .
,~~i:.~_\~",~~~~~ ~~~
." \ PlL/MBING INSTfLLED BY J!l' C ~ -'1\': ~ \ Y"-'l ~\
OTHERO ~v.'\ \.1.; ~'"'' ~:--' OWNER O"\'OTHER: NAME'; . \ ,..,' .
FEES WATER SUPPLY
SEPTIC TANK 0
'SEWAG~ DISPOSAL
PUBLIC 0
BUILDiNG
WASTE DISPOSAL.
PLUMBING
PLAN REVIEW
PARK TRAliER
~
~).~
. .~ PUBLIC EJ
o OTHER
, "
"
"'~"':''''';'';h~
~"'-'~ ~
'-'~.:~~
TOTAL
~
::j. 00
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
COUNTY BUILDING & SANITATION SPECIFICA nONS
DRAIN FiElD REQUIRED
lIN. FT
TRENCH WIDTH FT,
OR SQ. FT.
, ,
I
"
"
.\\. t',,' ,
.)
. . \.1,
TYPE 6F STRUCTURE
OCCUPANCY
ZONE
C.~:;~
PUBLIC UTll. EASEMENT
/
I
'.
BLDG...SETBACKS __ FT. FROM CTR. OF ROAD 'RIGHT OF WAY
. t,
FRONT ,':
.'
USE CLASSIFICATION
':''r.'''''
:
Ji,.....,.,
) \- ~ ;,
.;.. .
SIDE INT. ' SIDE EXT.
AUTHORIZED SIGNATURE - DATE
. L' e<.(,,; ':" U t "t" '" I If'U .
(.J~~~. fJ.J! }',,"~'f~ ,~.";-:. t-"t-f1t' ,.l,\tJl..IfJ
REAR
r C';'::,!~,""'f.,:1p'~;1'r:
:;.f, .\.,;1t\4't'lJv~ ~'.""1:
:.1rH'l'Ajo\' A~I
..' .' DATE
'~',~ ~ '~:~:r'~. ?~~ .1,":
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING- 'GREEN
..SANITATION - GOLDENROD
,,-.
-)
- \. ~'2 ..~ '-I.' ~~-"\
.. .I',~.. ~'~" ',...1'\.
(~OST THIS p,ERMIT ON MAIN
~'
~,1.\,:" .- \ '\-.. ~.':, ':x \.;
'-N'''' ~<~AJ ,
Construction' to comply. with 'uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before be,[ng b,ccupied, ". .
I 'i.:.~~~-~i'.'-..",." ..t:.;~
(See St,~~emen~,.~~~
:" ') , .~ ',. . '\
j !-.", '.',.~'11......,-:-.""';
BLDG. AT" SITE)
Reverse Side)
~ ; -' :"'"'- f t'\ .
, \. '\
" -". \ r,\ .
LANE COUNTY, BLDG. '& SAN. DI~., COURT HOUSE. EUGENE, OREGON 97401
.-'r
FORM # C55 -13~
r'
SITE INSPECTION
ApPROVED /
I DISAPPROVED I I DATE
INSPECTOR
\~7
REMARKS
FOUNDATION INSPECTION
ApPROVED /
I DISAPPROVED /
I DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED / I DISAPPROVED / I DATE INSPECTOR
RE;ARKS~~. f'~;J"J{" .
~4rk ~U~~~~/f/",:J.;;2-'7A ~
1~11~'i'~?,)~ . r~, ~ . 1~-'fI-7J
~_/-/'t.'oIC",aur..v./~J..i1 7~-"-1-1l{ .C,1tti.;l. _
LATH OR SHEETROCK INSPECTION
ApPROVED /
I DISAPPROVED /
I DATE
INSPECTOR
REMARKS
ApPROVED
/ I ~~ISAPPROVED I
V
I DATE 7,/ J{)~/'I
""E"OR~
FINAL INSPECTION
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE /
I NOT READY TO ISSUE / I DATE
INSPECTOR
REMARKS
/
r ~.1t~/~tr _ O'
I J,./ 0 - ~'J.~ J&tJW.U rsJtJ+ ,,2/-/tJ 0
~",