HomeMy WebLinkAboutPermit Building 1974-3-18
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'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 '
, .
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it
,... 'fr',
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METES' & BOUNDS DYES
ATTACHED D NO
, ,SEC:' ""
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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'
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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......
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(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 ,
..
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Sl
..EMENT TO BUILDING PERMIT NO.
.... "''f"''-. "-"!
Lane County, Oregon
..., c:-' ' --~/ ./
.5- _;J> 0 - ",.77
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19 tiftt1'
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': >; "'OWNER ir/....e~!,../ ;2..c.1 t:i/ ,4
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'. CONTRACTOR > ,/t~ A- r;' ,;~ < f
MAILING ADDRESS
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"-7' .." ~ ,<
if'..- L
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PROPERTY ADDRESS
J UC',,'l,/}
,,,,,
./ "7,", /':-" -- '-1'7 .';? "":,
. I). ,'." <;. .
MAILING ADDRESS
,~-.~ ~-.(.){)
o ADDITION:
"',
o CORRECTION:
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J
If,~
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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
. .,.;,,-
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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~~"
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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
"
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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~,
'.~
" \', -,
./
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':. ,
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OCCUPANCY
J .
"
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, ,
"."
~'."'" ,.....~"-
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.", "
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FORM it C 55 - 13
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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./~
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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 .~~
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