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HomeMy WebLinkAboutPermit Building 1979-7-21 , " ',. , ~ , LANE C BUILDING NTY I'~ BUILDING PERMIT OR MOBIL MH D MAILING ADDRESS IOME USE PERMIT PERMIT NO 2012-75 " ~, ( 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 ' , 'I, ., .7 7-,,_'J, PHONE 2 CODE CENSUS TRACT 1& q 0 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 J 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) ~ I 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 r'" :~ ":.';;.-y -."..- "-,~~,~....,...,- ~. ,. -'-r......-----;~"~~Ji - ~ .5:I'.~'::'"'-""'"l~':7""~T......... r i y " -' ~;: BUILDING PERMIT OR MOBIL. MH 0 MAILING ADDRESS .~~,u~,:,,:...,....:.,..-< .,-_,~ ~., .' ..' . LANE C "lTY BUILDING 'OX lOME USE PERMIT PERMIT NO. i:~HA::'" :' ~. I 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 " , \ PHONE 110 t..' ',\ , . PHONE' . <.'7,3 I!ill.AIlO \iu MAILING ADDRESS Sltr< I "'trttl.O Oiltl$li1- POST OFFICE .TWP RANGE 16 3 . APPl. NAME H. ~1"llNf" & S~l" MAIliNG \\ -~J ADDRESS '~ \....... SECTION 1..1)1'53 & 5b Illl\e>>. TAX LOT NO. 2 CODE . CENSUS TRACT, 11 It EXISTING STRUCTURES-ON PROPERTY ......luc~ HOMr. LEGAL 'ACCESS TO PROPERTY ,~.... ' . .t 1Il."W. \JI.\Y ,,:: :)\~~~~R9.BERT,Y..iSIZE':T;" F,!-;~,~. ~\.- ~';~' ~ \: " . -- . , WIDTI:l '. '\',DEPTH '~'" AREA , '~ ~) ~\ -~~ ..\, FOR MOBilE HOME PERMITS ONLY No. of. Bedrooms STRUCTURES TO BE BUILT THIS PERMIT , " '. Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT, 4 BDRMS New Syslem D VALUATION I. ~':'.'MI7 H)'! r~ ~''''fl,' '\, ~~ ~,~'\ '" .....--- <'2 X la '~,'~ ,"t ,\ ~ '\l 26\ 8 5.30 ~. "J">:' ~,' lit J'7;1..t'I:}, , .C 1 I , :1 S}3-11. SEWAGE. DISP9SAL . . lj2t).7~ J . .oTHERD J.J.~UO FEES PLUMBING INSTALLED BY OWNER.O OTHER: NAME WATER SUPPLY . PUBLIC 0 BUILDING ~ASTE. DISPOS~L PLUMBING PLAN REVIEW PARK TRAILER , J....,~~H'(j-HA._ 1 TOTAl SEPTIC TANK' 0 " -' PUBLIC '0 o OTHER PtTMA~r..I$A~IT..'.H 'r I:? t/15 I I " i l' .~, ( i , f. I I {. : -:~1~ , . , ! I I DATE OUI I . . Ill!? 1~.It~ COUNTY BUILDING & SANITA nON SPECIFICA nONS MIN, SEPTIC TANK~'CAPACITY DRAIN FIELD REQUIRED "'- 'WITH DIST. BOX: GAL. "').. - UN. FT TRENCH WIDTH FT. ""'A~ Ot!~OSM. lXI~ CPPCJ.~1,\~j'it\--'<:J\ OR SQ, FT. ~ l. Ii : 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 '.' " ,~ . , . ..;, .. ""---' ~~9>....~"I""I',)"'" ". 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 . " 'i\, . . , ~.J ""'IMPORTANT: \. , , '0.. ''':: . "-l '~ , '. (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 'I I I , ," rd~M :: C'5-S -13, ',.", . '. 'j,. :-" , ',j-', ~ . " 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 ,;z IJ? j c0-/e....1 CHy t./",.. / .s,phk/t r. .L I" tip G 'Phone ~? '/7? 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