HomeMy WebLinkAboutPermit Building 1979-7-21
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LANE C
BUILDING
NTY
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BUILDING PERMIT OR MOBIL
MH D
MAILING ADDRESS
IOME USE PERMIT
PERMIT NO
2012-75
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PROPERTY OWNER
. t4AIJR I CE: \1ARNER
CONTRACTOR
SM1E
PROPERTY LOCATION - INClUDE POST OFFICE
I NLAtJD WAY
PROPERTY LEGAL DESCRIPTION - METES BOUNDS
fiLBERT GROVE SUO ,TH ADDITION 10T,q & 54 DtOCK
TWP RANGE SECTION TAX LOT NO
207'1 I PILAND HAY
MAILING ADDRESS
SPR1NG,IELD OREGON
PHONE
4 ' ,
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.7 7-,,_'J,
PHONE
2
CODE
CENSUS TRACT
1&
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II
NAME
&
M. ~IARNER
EXISTING STRUCTURES ON PROPERTY
f.'i(IBI L E HOME
LEGAL ACCESS TO PROPERTY
I PILAND \JAY
PROPERTY SIZE - FT
APPl
SAME
MAILING
ADDRESS
WIDTH
DEPTH
AREA
FOR MOBILE HOME PERMITS ONLY
No of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to EXisting Sewage System D
TYPE CONSTRUCTION SQ FT :;:!: BDRMS
New System D
VALUATION
PW,lIT FOR TOOL SHED
22 II 12
264 0 'i."\0
loJno,:;.20
~:-i '101-74
SEWAGE DISPOSAL
1 ~26-74
.
OTHERD
14.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
3~SURCHAROE
TOTAL
SEPTIC TANK 0
PUBLIC 0
o OTHER
.
.112
14.42
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MfN SEPTIC TANK CAPACITY
WITH DIST BOX GAL
L1N FT
TRENCH WIDTH FT
OR SQ FT
5EVAGC DISPOSAL EXISTS ON OPPOSiTE SIDE
TYPE OF STRUCTURE
OCCUPANCY
lONE
PUBLIC UTIL EASEMENT
, 'iN
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BLDG SETBACKS FT FROM CTR OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT NA
SIDE INT l)' sIDe EXT
AUTHORIZED SIGNATURE - DATE
/5/ J. E. Boss BY HARBAUGH
REAR
10'PUE
DATE
PETRASEK/SANITARIAN
7/21/7'1
DLM
f3WG PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUIlDING - GREEN
SANlTATION ~ GOLDENROD
Call 687,4065 to schedule all reqUired mspectlons All construe,
tlon shall comply WIth Umform Buddmg Code, D E Q stondards
IMPORTANT for subsurface sewage disposal and county regufatlons coverrng
plumbing All bUildings require a certificate of occupancy before
being occupied
(See Details on Reverse Side)
rORM=C5513
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, OEPT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX 135 EAST 6th EUGENE, OREGON 9740J
BUILDING,SITE EVALUATION
(~ILDING PERMIT APPLICATION NO.
() SITE INSPECTION
c+r
-----
.;2-012 - 7.5
PLANNING DIVISION Not
Appl icable
1. Zoning Ordinance ComplIance: Zone 12/l-m#- ( )
2. Subdiv,sion Ord,nance Compliance ( )
3. Required Access ( )
4. BUIlding Site (Area, Width. Frontage) ()
5. Other (see comments) ( )
COMMENTS:
T
SUB
APPL I CANT
DATE
No Yes
()~ 6.
( ) (")
( ) (vr:
( ) (...,
( ) ( )
PLANNING DIVISION ACTION PENDING: YESt ) NOt ) APPLICATION#
BUILDING INSPECTION DIVISION
Not
Applicable
( J
( )
( )
( )
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Pla,n
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
App I , cab 1 e
(~)
:1
( I)
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II. Meets Department of Environmental
.Quality Standards.
12. Other (see comments)
COMMENTS:
No Yes
()TI
( ) ( )
( ) ( )
( ) ( )
No Yes
() TI
( ) ( )
R S TAX LOT
,ISION: Fr/.c.,rT 6r.'<. ~.I)/t,
LOT: ,-{';;to/S9' BLOCK: 2--
kJClrV\ P,V-
CK'D QV7_A;~. ,I&/JJ
Setba~=c/r of road:
Front ;J./A
Sid.;. IiH~':".-:....
Setbacks from Interior lines:
Side ~
Rear '0' P'c)~
CK'D By:~7Ia.dlh_/1-/&''''7!/
""V'7DAfE
CK'D
Byd~/
DATE
TO APPLICANT:
~03' Building / S,te Inspection:
~ ..-n Can be approved.
"7~11"'. () Cannot be approved at th,s time as indicated on item NO. above.
1'&/ " Questions and further InformatIon on Items 1 through 6 contact the LANE-
COUNTY PLANNING DIVISION. Questions and further information on Items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
( ) Will be held In this offIce until you can resolve the problems Indicated.
( ) Is being returned.
( ) Your bui lding perm' t app11 ca!J2,n__f-",~..Ls~eingX~t.u,t~,!l.d-"'!J.sIer_ separ5'te cov..r
vc?ARTMENT OF ENVIRONMENTAL MANl\ut.Mt.NI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
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BUILDING PERMIT OR MOBIL.
MH 0
MAILING ADDRESS
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LANE C "lTY
BUILDING 'OX
lOME
USE PERMIT
PERMIT NO.
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PROPERTY OWNER
, t"~t.!< let '01'11111.11
, CONTRACTOR
:":!it<fl
PROPERTY LOCATION - INCLUDE
It:LM,U ""It.,
; PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
~ fiLCf.F;'t GRove Sun 5TH A~;lITIOH
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PHONE
110 t..' ',\
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PHONE'
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<.'7,3 I!ill.AIlO \iu
MAILING ADDRESS
Sltr< I "'trttl.O Oiltl$li1-
POST OFFICE
.TWP RANGE
16 3 .
APPl.
NAME H. ~1"llNf"
& S~l"
MAIliNG \\ -~J
ADDRESS '~ \.......
SECTION
1..1)1'53 & 5b Illl\e>>.
TAX LOT NO.
2
CODE
. CENSUS TRACT,
11
It
EXISTING STRUCTURES-ON PROPERTY
......luc~ HOMr.
LEGAL 'ACCESS TO PROPERTY
,~.... ' . .t 1Il."W. \JI.\Y ,,::
:)\~~~~R9.BERT,Y..iSIZE':T;" F,!-;~,~. ~\.- ~';~' ~ \: "
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, WIDTI:l '. '\',DEPTH '~'" AREA
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FOR MOBilE HOME PERMITS ONLY
No. of. Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
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Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT, 4 BDRMS
New Syslem D
VALUATION
I. ~':'.'MI7 H)'! r~ ~''''fl,'
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<'2 X la
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26\ 8 5.30
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lit J'7;1..t'I:},
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:1 S}3-11.
SEWAGE. DISP9SAL .
. lj2t).7~
J
.
.oTHERD
J.J.~UO
FEES
PLUMBING INSTALLED BY
OWNER.O OTHER: NAME
WATER SUPPLY
. PUBLIC 0
BUILDING
~ASTE. DISPOS~L
PLUMBING
PLAN REVIEW
PARK TRAILER
, J....,~~H'(j-HA._
1
TOTAl
SEPTIC TANK' 0
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PUBLIC '0
o OTHER
PtTMA~r..I$A~IT..'.H
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DATE
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COUNTY
BUILDING & SANITA nON SPECIFICA nONS
MIN, SEPTIC TANK~'CAPACITY DRAIN FIELD REQUIRED
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'WITH DIST. BOX: GAL. "').. - UN. FT TRENCH WIDTH FT.
""'A~ Ot!~OSM. lXI~ CPPCJ.~1,\~j'it\--'<:J\
OR SQ, FT.
~
l.
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: TYPE OF STRUCTURE
: :i'"
,BLDG. SETBACKS __ FT.
1 FRONT I~
OCCUPANCY
J
lONE
PUBLIC UTIL. EASEMENT
FROM CTR, OF ROAD RIGHT OF WAY
SIDE INT. ". SIDE EXT,
AUTHORIZED SIGNATURE - DATE
Is! J. E:. BeIS IV' HARII4ueH'
REAR
iO'1'Ut:
USE CLASSIFICA~ION
.BLDG, PERMIT-WHITE
'OFFICE COPY - WHITE
:COUNTY TAX - PINK
PLUMBING - CANARY'
IBUILDING - GREEN
SANITATION - GOLDENROD
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Catl 687-4065 to schedule all required inspections., 'AI.I construc~~ !
lion-sholl.comply "(ilh Uniform B~i1ding Code, D.E.Q. slondards' t
for ~s~bstir.face~se.V'..age d.isp'o.sql a'nd county regulations coveringt .
plumbing. All buildings require a certificate of~ occupancy befor~~' ~
bei,ng occupied.
(Se'e, ;Details ori~ R~ver~~""~idei .
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(POST nils PERMIT ON MAIN 'BLDG. AT SITE)
..'., . LANE COU'NTY, ~DEPT;-"9F ENVIROJ'~MENTAL MANAGEMENT
, COURTHOUSE' A~NE~, -135 EAST 6th, EUGE~E, OREGON ~7401
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SITE INSPECTION
ApPROVED / / DISAPPROVED Cl DATE
INSPECTOR
REtJ'ARK~
FOUNDATION INSPECTION
ApPROVED;----Y DISAPPROVED 1 1 DATE INSPECrOR
REMARKS OA ~'L~~'/~)jz:;~~ 1~29 ,/6 (;;(
GI
DISAPPROVED ;---y DATE ~ / O'-j "~~SPECTOR
V
rO~~h
, ~
ApPROVED
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED;----? DISAPPROVED 1----1 DATE
INSPECTOR
REMARKS
FINAL INSPECTION ~ ~
ApPROVED ~SAPPROVED Cl DA';O-/ -' 7~SPECTO~
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARKS /1 /1;'1 //
... / / // // // J /
_______~~ tc~C'-::. /"",1-/~f[t.?~ ___
'<0/;2-7,) pfar~f~ . Ron fx4~~/J
~.J'r 07' (f3;z- b~c.{24 'j
. '\IOTE
NO PERMI
TILL BE ISSUED UNTIL THIS APPLl
PERMIT 11.::>20/,2-75
ION HAS BEEN APPROVED
APPLICATION FOR
7TRUCTION ~
~~<<ur(ct'
Name
MOBILE HOME c:::J
S Wb.rh~ '"
PLAN REVIEW
c:::J
CIl/u,GJ: OF OCCUPANCY c::::::J
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c0-/e....1
CHy
t./",..
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.s,phk/t r. .L I"
tip G 'Phone
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Address
Name
Address
Clty
l1p
? 1/ 7.2 fi'1
Phone
c=:==J CONTRACTOR
OS RCG It
T\;p J J Range I / Y'S Section~, S W. W1Yfax Lot
SUbdiViS1On(;/t.A'r7 c'''''1/~57 Lot>> of r'/ Block
ACCESS TO PROPERTY (Road Name~!& ~,.J c.J "-7
Ex~<;twg Structures on Property ~",hl/'" ~~_ -I ;'-L~6 eI....
Code
Census Tract
:2
Property Acreage
Width_Depth
Property Locatlon - Address/DireCLions
Below fo r Of flee Use On! vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXAXXXXXXXXXXXXXXXXXXXXXXXXXXXX
\ I Sq Ft ~/Bedrooms Valuation
Ion S~p r\ .;2;2 X 12- :](',l/~ ':)?, 0 13/jtf.,,;'()
H 1-+ SQ 3:.-7-/
WATER SUPPLY
Well
Spn.ng
Other
/-;;::2. {'O-7'i
I .
Existlng Sewage Disposal System ~ New System Requi~d c:::J
PubllC ~ /
Communlty c::::::J Name of communlty~publlC System
//
c:::JL
Water
Connectl.on
SEWAGE DISPOSAL
Site Inspect10n #
Bldg
Waste Disp
Plumb1ng
Plan Rev1ew
Jil. -
Owner ciJ /J Other
PLUMBING FEES A / I / -
l'jflJtret
FEES
PLUMBING
Installed by
Mobile Home
1% Surcharge
,t/2
(
C] CAFY"
~ECK
NS FURNISHED FACILITY PERMIT
~~' c::=J YES ~
S1gnature of App11c /#.1. ~~-... /:1 V("'. ! L
Fee Received By . ') . Date /-/C -7 ")
TOTAL
/ L/ cl/l
.
Min Sept1c Tank Capacity
s;;" ,-""/_ .dt,A A.A 0 _ fl
(J (/
Requ1red - Lineal Feet
o;#p"""';/ ~).
Maximum Depth
v
Type of Construction
,,-
<.. ~ IV GrOUPy--7
F1re Zone
Use Class1ficat1on
Bldg Setbacks -
Front4A
from Center of Road Right of Way
_. I
_S1de lnt ~ '€ilii3 EntsrrJt'r
Rear It') I Pu ~zone RA-fJ1 f-I
C55 12
".-------,<SANITATION DATE 1 rIz.:::fUILD /'Z- DATE ...
(~A,hj.LJ.,7.)' fi/J {;::It, 'Y~/~'" 'lJ
LANE COUNTY DEPAR1MENT OF ~NVIRONMEN;AL MANAGEME T '
PlANNING
r-j.. jr;:r 1/'11.~
DATE