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HomeMy WebLinkAboutPermit Building 1974-3-18 . ';z ...i 'LANE COUNT.' !UllDING . PERMIT OR MQ,BltE:HOI , PERMIT TYPE - BUILDING~ 'MOBILE HOME Dose 'REG, #~ ' _'"O""]e ~ ,'; "itt;."IJOD"SFO'Jl ", tttJ'~ ~~e. ,I!!f', MA",NG ADD"SS PROPERTY L,OCATION - INCL~ PROPERTY, LEGAL .DESCRIPTiON LOT - BLOCK '- SUBDIV." , . lWP RANGE J'1', '.3 W.b. APPLICANT 'NAME 'AND- MAILING , ADDRESS USE APPLI,CA TION' '~ LL ' , . PERMIT :#: 3S0-7J Rd '~.' ~(J'8'JJ tt:, tt7.3 PHONE ' , . , ~. . it ,... 'fr', .. ...... -" , - - ,- . .... . ':'";.;. . ..' ., METES' & BOUNDS DYES ATTACHED D NO , ,SEC:' "" ,Q1.,~'~'g:' . 'l:J. ;'" ..~~, TAX LOT # ' ' 3Sot> CODE CENSUS :TRACT ,'DESCRIBE EXISTING STRUCTURES \~N PROPERTY IF ANY L~G~~ ACCESSM~- RO PRO~ERlY';SIZE-WIDTH' , DEPTH AREA FOR MOBILE HOcME PERMIT ONLY,' Number ,of Bedrooms STR~~U, 'RES, TO BE BIJI,~S PERMIT ,l:v,~~pe~ r 'Ig-,'X.~~:~ . TYPE OF STRUCTURE \. ~ ff: ' ~EY ,- ,BLDG. SETBACKS "7 Fr:. FROM CTR~ OF ROAD ;RIGI'jT OF' WAY .t:;ZI\'iJ\ts-, i ~;~' '~"oi; -;':NN'":'" <Xl" - Do," (~I~~fJ.,f2Qhty , ~ .3-/~-:;>/ 'Clrectlons to Find P~operty: SEWAGE,DISPOSAL' PUBLIC D , SEPTIC TANK D -~,: 'BLDG, ' WA~TE' DIS, , PLW...,BING PLAN REVIEW PARK TRlR, '. ~. ,. , TOTAL b. ~'" " ",\IN, SEPTI<;: TANK CAPACITY - WITH DIST, BOX: GAl. ,Pwt ''n~+ , C()PY 1 - OFFICE COPY 2 - JOURNAL COpy 3 - AUDIT Form # C55 - 12 .: " Connect to Ex'isting TYPE CONSTR, UCTlON,' ijA" , ~ &,()) " -" ~- . 6)/ Sewage D' or ..'.# New System Req. D BEDROOMS VALUATION S~O System SQ, FT, ,~- :,... PLUMBING INSTALLED BY : OTI:lER n' -, 'o'WNER D' ,oT8ER D NAME FEESWAT~~ SUPPLY PLANS FURNISHED." ,FACILITY PERMIT './' /,' ,PUBLIC"." D OTHER YES ~ NO D ';-.YES .0: NO D ' PLUMBI,~:::::s" ., )(~;c7t: .' /~~~E' - . CASH 0 ' ~,,' ~' , ' , FEE,',., ~C~l/v.fg.,.BY " ~.-- A-t ~1, ^ Ii ' 'n'4. -'-'ll~A~7".,'V CHEC~ ~,ONNECTION FEE _ ,<, ,- G I ~ /:5' -, , . PERMIT #-' 7, ,'", " -',j PUBLlC'WATER CONNECTION FEE 'LOUNTY BUILQING & SANITATIOl'-jSPECIFICATlONS,/ ,,' :' ~:~I:T,FIELD REQUIR::EN'~H WIDTH FT. OR SQJ~RLr 'ro,w' 'V ':,~~,'~ (t/)b;Si'"~-It sLJS ~ ZONE P,UBLI,C UTlL EASEMENT REAR ,YARD I ' REAR' .s BLDG,INSP, 1 ' USE.'CLASSIFICAT:N,A f/PeJ'W ~~3- n-: '!(ot' , '. , .~...... '. J.~' ,- ,~,-,~",~,' ~, , ,~i1"~./ , ~ '~, ,Ii""" , /f,.'tL,\,..., ~~ .Ai.. :.~, 'Y!' ... ... -r;~' ,. 1,-;:'-' ~': ;. .....\' .} . .~,. I ~ . .\ LANE COUNTY BUILDING l~ BUILDING : ,MH 0 ,MAILING ADDRESS 4410 FOB HoDl~1 Ro~d PERMITO"R"MOSILE HOME USE PERMIT PERMIT NO. j 350-74 , PROPERTjj~{;'WNER , ..Hen ry. W.A, CONTRACTOR Nobler aurges5 , PROPERTY, LOCATION - INCLUDE POST OFFICE Eugene~ Oregon PHONE 686-1473 " MAILING ADDRESS PHONE -" , PROPERri LEGAL DESCRIPTION - METES, BOUNDS, nvp RANGE I' 17 03 APPL. NAME W.A. Henry 1:. & ~ ,SECTION, TAX LOT NO" CODE CENSUS TRACT 27~3.3 3500 MAILING ADDRESS Fo.R MOBILE 'HOME PERMITS ONLY No, of, Begrooms 'STRUCTURES cO BE BUILT THIS PERMIT , EXISTING STRUCTURES ON PROPERTY Dw~ 111'n9 LEGAL ACCESS TO PROPERTY Menl~ LOOp PROPERTY SIZE - FT~ ' /', WIDTH 'DEPTH AREA 'Carport (Hl)( 12)' Connect to' Ex,isting' Sewage Syst~m 0 TYP~,::ONSTRUCTION SQ, FT, # BDRMS '26(;)@ 2 New System 0 VALUATION 520 J j,' i ,.~ '\ ,".', , SEWAGE DISPOSAL PUBLIC D BUILDING WASTE DISPOSAL 'P~UMBING PLAN REVIEW PARK TRAILER SEPTIC TANK D OTHERD t 6 .00 FEES PLUMBI,NG INSTALLED BY OWNER D 'OTHER: NAME WATER SUPPLY, "," ,PUBLIC D' D OTHER " "V;J/~' . t-/.. 'J -?tf ....:.:'~/.. . , 'j' TOTAL t '6.00 COUNTY BUILDING & SANITATION ,SP.ECIFICATlONS , DRAIN FIELD, REQUIRED MIN, SEPTIC TANK CAPACITY . _WITH DIST, BOX: GAL.,. L1N. FT TRENCH WIDTH' FT. OR SQ: FT. "Put no pc:lrt of new construction over Sewage Disp0sa1 System. I +-....... . , _..~- --' ',1 TYPE OF STRUCTURE OCCUPANCY J ZONE: PUBLIC UTIL. EASEMENT 5N BLDG, SETBACKS _ FT. FROM CTR, OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT 45' SIDE INT, 5 SIDE EXT. AUTH~R'ZED SIGNATURE - DATE , ~:"l l51 s~ Eo B0SS by C'.'liarbaugh R'EAR 5 'John Shook DATE J-26-74 slf 'BLDG, PERMIT - WHITE OFFICE' COPY - WHITE COUNTY TAX - PINK ' PLUMBING - CANARY "BUILDING - GREEN, ' SANITATION - GOLDENROD IMPORTANT: Call 687-4065 to sc.hedule all required inspections, All construc- tion, shall comply with Uniform Building Code, D.E,Q. standards 'I for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. ' , (See Details on Reverse Side) , \,.:....>-.:; .,.';,rt...... . .' .t~ (POST THIS PERMIT ON' MAIN BLDG. AT SITE) " LANE COUNTY, DEPT. OF ENVIRONMENTAL MA!'lAGEMENT ,;P"~ COURTHOUSE ANNEX, 135 EAST 6th, EUGENE,OREGON 9740'1~~ ~"'''' .~ FORM :tt C 55 - 13 , .. '. . ~ ; ',' . ' .'~' -"{-,'I' ", j'. ~. Sl ..EMENT TO BUILDING PERMIT NO. .... "''f"''-. "-"! Lane County, Oregon ..., c:-' ' --~/ ./ .5- _;J> 0 - ",.77 '-, ""~''l\ , .' "',,' '\ , ..... \ 19 tiftt1' "II" 1,) ~. 'f '~ , 1'\ "",#' "',,' 1/ ': >; "'OWNER ir/....e~!,../ ;2..c.1 t:i/ ,4 ;, , t:'7.'~ _ /' '. CONTRACTOR > ,/t~ A- r;' ,;~ < f MAILING ADDRESS .;' /'/1"')" "-7' .." ~ ,< if'..- L -;--- 7G~~' e I~' - ' 7 'f! ( ~;~ I L . " ,....t) q PROPERTY ADDRESS J UC',,'l,/} ,,,,, ./ "7,", /':-" -- '-1'7 .';? "":, . I). ,'." <;. . MAILING ADDRESS ,~-.~ ~-.(.){) o ADDITION: "', o CORRECTION: , ..<' ,)/ ;~' 7 J If,~ " J ';}~~~ ? ;;~~,l .- ,if j ') ",,>/(1, {; 0 ., ~; . CHANGE RESULTS IN: '0 REFUND OF FEE, OR o ADDITIONAL FEE: x .' I " ,. 1('1, , ,/,1' ,'I ;', I A _ I./ L/_.... -;it/ '" ' , . : ..' . Jj{, v -1//7' DatE" 7 ' ,_> - /;' C/ BUILDING ~ SEPTIC TANK SANITARY CONNECTIONS ." .~ . ", , ' ,- TOTAL $, t [kJ1~ [ld.,.-.-- DATE FEE PAID ~.,;"- " Cash Check LANE COUNTY DEPT, OF HEALTH & SANITATION . .,.;,,- j ("') AI' If -;, - t"; Supplement N2 _ 1616 5 By ./ ~.,l:.~/:..~:/! :'/'L~ ;I BUILDING SITE EVALUATiON "f_ J~S; /Crff. I' .Co, ( l' No. 6-'/)'D-7 y/ I~)' I APPLICANT: Ni\ME ADDRESS .X.:B~"ild~ing Permit Application .~~. () Site Inspection () Pre-Permit Investigation P HO N E DATE L/\NE COUNTY PLANN I NG DEPARtMENT I. Zoning Ordinance Compl iance (Zone ~ '7'1 ) Subdivision Ordinance Compl iance NOT app I i cab I e () () , (~ () (-~- ( ) ( ) ( ) NO YES DATE 4. Building Site (Area, Width, Fr6ntag~~ Setback) Other (see comments) , ( ) ( ) (-~ ( ) ( ) (~ ~. ~~...~ ( J :3 -).9-7 Y 2. ') ..) . Required Access 5. . ::.-_.~ - COMMENTS: BU'I LD ING INSPECTION SECTION NOT NO YES app I icab I e ft 6. Plans Submitted ( ) ( ) 7. Soil Stability (foot ings) ~r ( ) ( ) 8, Flood Plain <)f ( ) ( ) (see Comments) / 9. Ot he r ft; ) ( ) () . COMMENTS: NAME DATE Cf/ f/ ~d:v~~.-P'1r-IIf~~ ...It" '"" NO ' , SANITATION SECTION NOT YES NAM[ JJ).; TE app I ri cab! e . ~~\UJ-. ~()/rT'I- 10. ' Sewage 0 i spos a I 1; ( ) ( ) 11. Usable Area (' ) ( ) / 12. Water Supply ) ( ) ( ) ~j 13. o t he r (see Comments.) ( ) ( ) , COMMENTS: TO APPLICANT: Your Building Permit / Site Inspection: CJ h~ '~Can be approved.' , ' _;:i'/ '1) Cannot be approved at this time as indica,tedon item NO, above. 5~ Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENL Questions and further information on items 6 through .13 contact the lane County Building <:I:IQ Sanitation Division. () Willbe held in this office until you can. resolve the, problems indicated. ( ) 'Is being returned. () Your building permit applici.ltion fee is bieing returned under separate cuv'er. LnNE COUNTY PLANNING DEPARTMENT 136' ~j)<thA"enUe Ec't~t, Eugene, Or~glln 97401 r"t10Nt:" 341.. I J I I EX I. 23' LANE COUNTY BUILDING & SANITATION DIVISION 135' Six tn flv~lue Eas t, ~'I~leIH:, Olegon 9740 I PlllH-IL :" 3.Lj 2-/3 II fXT. 4 ~ I - - --.---- .----- "-.---"-- -_._.~ --M'S-S:'2S-..'-'------ "?'~',/"i:-=-;i~~" - ,..,~- ,a"-c' tf-I-1t/~ OR' MOBILE HOME USE PERMIT PERMIT NO, 350..74 I I' LANE COUNTY BUILDING PERMIT ~; t BUILDING}~' ....'-MH D ' ;~~. 6~/! .. ~'lOM~:G"";.~E: I\oed , ~':~:CT~:-'-,.i5ii tffI4,l~ /MAILING ADDRESS PROPERTY LOCATION - INCLUDE, POST OFFiCI '(~eru',t Oreg,Ql') PHONE 686-llt.;t3 / '.' PHONE 0, .. - PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWI? ., APPL. NAME & ," MAILING " ADDRESS RA'NGE SECTION TAX LOT NO, CODE CENSUS TRACT 0' 21.'.$ 3SCO " '\ ~ ,\,", .." EXISTING STRUCTURES ON PROPERTY Qwe\Hug LEGAL ,ACCESS TO PROPERTY, Me1'Jltl loop \PROPERTY SIZE -:F,T: \\'.~ . Of' \~' y.l;IDTH,. DEPTH i W.A. Henry ~... '.; ,'~,. , ,..::.~~ '-. ',' ~L' AREA FOR MOBIL'E HOME PERfy\ITSONL Y;' ,', 'No. of Bedrooms, ':' ". " ,<:~ STRUCTUi;lES;TO BEB~ILT THIS'P~RMIT " '.~::_~:}' . ~. \:--'~ . .. , , Carport (18)i.; 12) " ,'Connect to Existing' Sewage System D TYPE CONSTRUCTIO~ SQ, FT, # E3DRMS ' , 260 ~ ! New System D I VALUATION \. S10 I' ;.to" . \ :- . , ...., '\- \" "\-,,:\\. ~t" 't \- . SEWAGE DISPOSAL PUBLICO \. BUILDING, 'HASTE DISPOSAL-- PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 OTHER'O ~ f).eo FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER MIN, SEPTIC TANK CAPACITY WITHD.lST, BOX: GAL $ ',00 COUNTY BUILDING & SANITATION SPECIFICATIONS [)RAIN FIELD REQUIRED TOTAL - UN. FT , - TRENCH WIDTH 'FT, OR SQ, FT, P~t: Ill;) pf1rt of f\eW cOlUtrucHol"l Qvor S__~ t)15PO~81 Syst~, '.~ " \', -, ./ ~ :. ':~ \. ':. , ~ -;; . } OCCUPANCY J . " "\. ../ \: 1 -",.t~ , , "." ~'."'" ,.....~"- TYPE OF STRUCTURE Sf; Zo.NE PUBLIC UTIL EASEMENT BLDG, SETBACKS n FT, FROM CTR, OF ROAD RIGHT OF WAY , FRbNT 4S SIDE INT. : 5 SIDE EXT, AUTHORIZED SIGNATURE - DATE , 1$1 J.~. boss \ by C> H.rlt.\Jgh .',,_ 'BLDG, PERMIT - WHITE J.j...."..~,'" ,~'. ,- ',' ,\.:)~,,-, ',- OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBiNG - CANARY BUILDING - GREEN SANITATION - GOLDENROD REAR s USE c:LASSIFICAHON John Shook .... ... ,. ~~ " <;\-:"...:q "'. 'S, \ \', A;,:\ \l>,'," Call 687-4065 to schedule ail ~~quired inspections. All constr0c- \ ti'ons..h..aJl__cp~ejx,~with,';l,Jnif.~ni ~~....~i1,di,rw, Coqe, D,E.Q. standards IMPORTANT: for slJosurface" sewage disposal arid; county r~gulations covering plumbing. All buildings"require a certificate of occupancy before '. . being occupi,ed, ... \" ,..... . . !- . ......"'':.:., ..,,~ \,', .' ' : (See \D~tails 6rf'~R'everse Side) _. . " , DATE )..26...14 sH ~_. , ','<( (POST THIS PERMIT-">ON'- MAIN BLD~':"Al'~,$ltE) " _ l~l::lE COUNTY, DEPT. OF ENVIRONMENTAL MAN\GEMENT COURTHOUSE ANNEX, 135 EAST 6th.,EUGE!;lE,_ OREG'ON 97401 t.", " " ,~' ",;'// FORM it C 55 - 13 "r"- .< ,!* " ... f~ SITE 'INSPECTION " ApPROVED' / t, DI'SAPPROV:ED'.'j / DIITE INSPECTOR REMARKS FOUNDATION INSPECTION ;,... , INSPECTOR LATH QRSHEETROCK INSPECTION ApPROVED / / DISAPPROVED / / QA T,E INSPECTOR ,REMARKS , . ,,' '1 FINAL INSPECTION r/f!(;it . ApPROVED /, / DISAPPRo.~:-/ ~ / DAlE; R'"~~;:t~;I-~I~~ ~V7rrlM5 J ~#-nrfrr-t~...:'ll./~ ,! ' ,; .' I" , /} ~- Jl-~'f ~ INSPECTOR , , , rr" ,) '. CERTI FI CATE, OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE I NSPECTOR .of ',", "'/J. ~", ' I "~' {/.:~"., ,,', ,. /1.// ,REMARKS"C'_.l-.zD..(,~ -/UL ~, . . ~~ ,/, .2/ r fJ. 1/. I).(' .,(:it':lHAJ7 ','~:- I' , 1/. ' r. - .1 ';JSO-1l/ V3~ 1/77 .~~ . . t?A. '1If~~ ~'