HomeMy WebLinkAboutPermit Building 1975-9-23
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I LANE CC TY
BUILDING 0
ff) f/ -YC;t.-7) ~
PROPERTY OWNER
MR AND MRS ALLEN L~MB
CONTRACTOR
SAME
PROPERTY LOCATION - INClUDE POST OFFICE
-} 2012 Inland Way "
PROPERTY LEGAL DESCRIPTION - METES BOUNDS
5TH ADDITION fiLBERT GROVE
BUILDING PERMIT
MH ~(
MAILING ADDRESS
145 EMH 37TH
MAlllNG ADDRESS
OR MOBILE nOME USE PERMIT
PERMIT NO
K-l 496- 75
PHONE
EUOENE OREGON
PHONE
~
LOT 34 BLOCK 6
TWP
RANGE
SECTION
TAX LOT NO
CODE
CENSUS TRACT
18
0'1
2&11
APPL
NAME
LAMB
EXISTING STRUCTURES ON PROPERTY
NONE
LEGAL ACCESS TO PROPERTY
2012 INLAND WAY
&
SAIo4E
MAILING
PROPERTY SIZE - FT
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 0
VALUATION
PEnMIT fOR MOBILE HOME
3
2300-75
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
PLUMBING INSTALLED BY
SEPTIC TANK 0
.
FEES
OWNER 0 OTHER NAME
WATER SUPPLY
OTHERD
PUBLIC 0
o OTHER
4_00
TOTAL
$
':IO_M
y _ 1:>
':14_1:>
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN SEPTIC TANK CAPACITY
WITH DIST BOX GAL
lIN FT
TRENCH WIDTH FT
OR SQ FT
SEE PERMIT 21CO-7~
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL EASEMENT
MH
BLDG SETBACKS FT FROM CTR OF ROAD RIGHT OF WAY USE CLASSIFICATION
FRONT 45' SIDE INT 5 SIDE EXT REAR 7'PUE
AUTHORIZED SIGNATURE - DATE DATE
/s/ J. E. Boss BY HARBAUGH BURNS BY SHOOK 9/23/75 DLt4
8LOG PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SAN IT A nON - GOLDENROD
Call 6B7-4065 to schedule all reqUired inspections All construc-
tion shall comply with Uniform Budding Code, DE Q standards
IMPORTANT for subsurface sewage disposal and county regulations covermg
plumbing All buildings require a certificate of occupancy before
being occupied
(See Details on Reverse Side)
II FORM;;;; C55- \J
(POST THIS PERMIT ON MAIN BLDG AT SITE)
LANE COUNTY, OEPT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE OREGON 97401
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;j LANE COUNTY ENVIRONl
Name and Address of Owner
fAL HANAGEHENT
1'LOT PLAN
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 adj acen t 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 p.roperty, ~: well as t~e lo~~t~~n~,>-,!e n;~',~~i~it~,a~-i~t~;:;;~~ ~
~ ::: ~ ::: .. ::: :: ~ ~ r: :: ~ :: ? ~ ~ =: ~ ::- n U =l~ ~ co co :: ~ .. ..< = 2 ~ ~= :: ::
-. -- - .~. --, ... - - - -.- .- --- .- - I ,.
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----~~-:-.--
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. Applicant's
M74-99
Name of Applicant
Address.
Telephone
(if different from owner):
Interes,t: Buyer
D
Seller 0
Agen t 0
Hap
Tax Lot
Permit'il
/
~s!c)'r-T-L. _R c;g SoZ-3.:t.o.X LOT B/60
i!9( ?~ SUBDIVISION:
/lJI.I t? - r~ LOT: BLOCK:
.
BUILD1NG SITE EVALUATION
~~BUILDING PERMIT APPLICATION NO.
() SITE INSPECTION
PLANNING DIVISION Not
4001lcable
1. ZonIng Ordinance ComplIance: Zone ~ )
2. SubdIvision OrdInance ComplIance ,?? ()
3. Requ I red Access ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
APPL I CANT
DATE
No Yes
() Fr" 6.
()J:I:,
( )"\ }
( )-t-r
( ) ( )
~-
CK I D:. 9-(7-7.s;:"
Setbacks.f om cll of~~~:
Front ~
5 I L L__~. :_.
Setbacks from interio~ines:
Side .::::l
Rear ..., I J"'\:Ic.
PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICATION#
BUILDING INSPECTION DIVISION
Not
Aool icable
( )
(1)
~f>
7. Plans SubmItted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
ADD] icable
( )
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No y'fl).J/
r~ rr
( ) ( )
( ) ( ) CK I D
BY,() I; ~~(~
,lDATE ,
q-2.-e,.74
No Yes
() cyr
( ) (I.~
CK'D BY:~
9/711)'"
DATE
TO APPLICANT:
~o"!;!yBuildlng I SIte Inspection,
~) Can be approved.
~ ) Cannot be approved at this time as Indicated on item NO, above.
q 0~'1 Questions and further Information on items I through 6 contact the LANE-
/t/ COUNTY PLANNING DIVISION. Questions and further information on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
( ) Will ~e held in this offIce untIl you can resolve the problems indicated.
( ) Is being returned.
( ) Your building permit ap'pllcatlon fee IS beln9 returned-!!.~9li~ar"te covp.ro
"EPARTMENT OF tNVIRONMENTAL MANAGEMENT
135 SIxth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
l\ C55-28
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LANE COuNTY
BUILDING n
BUILDING PERMIT OR
MH I"It
MAILING ADDRESS
11:5 EADr 31TH
MAILING ADDRESS
MOBILE HOME USE PERMIT
PERMIT NO
(If: J lJ96- 75
PROPERTY OWNER
t'fl ,\tIll t,:Ru ALL IrtJ ll:::MD
CONTRACTOR
PHONE
Ii:U13!!~J;;: Onl!ootJ
PHONE
OAt.::;
PROPERTY LOCATION - INCLUDE POST OFFICE
2Oi2 inlolld t!DY
PROPERTY LEGAL DESCRIPTION - METES BOUNDS
~T~ ADDITION flLOCRT GnOVE
lov 34 Cl.OCII 6
TWP
RANGE
SECTION
TAX LOT NO
CODE
CENSUS TRACT
18
Ol
2&.11
NAME
&
lA~
EXISTING STRUCTURES ON PROPERTY
N01'lll:
LEGAL ACCESS TO PROPERTY
2012 IrJLMIO \lilY
PROPERTY SIZE - FT
APPL
s (,C1C
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to EXisting Sewage System D
TYPE CONSTRUCTION SQ FT :t:: BDRMS
New System D
VALUATION
~r::mT Vcr. t10DILC ~:O:>l11:
3
230~75
SEWAGE DISPOSAL
PUBLIC n
BUilDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
.
FEES
PLUMBING INSTAllED BY
OWNER n OTHER NAME
WATER SUPPLY
SEPTIC TANK n
OTHERD
PUBLIC n
n OTHER
lum
MIN SEPTIC TANK CAPACITY
~ru1fl
_1'
$_'tll.llP
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
TOTAL
WITH DIST BOX GAL
LIN FT
TRENCH WIDTH FT
OR SQ FT
SEll: Pcn~lT Ziao-7~
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL EASEMENT
tH
BLDG SETBACKS _ FT
FRONT 45'
/6/ J. E.
FROM CTR OF ROAD RIGHT OF WAY
SIDE INT 5 SIDE EXT
AUTHORIZED SIGNATURE ~ DATE
G.'l::Jtl BY HAI10AUGH
USE CLASSIFICATION
REAR
1'Pl.l1i:
BuR'lll flY SItl"A):l
9/23/7;
DATE
DU1
BLDG PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT
Call 687-4065 to schedule all required inspections All construc-
tion shall comply With Uniform Budding Code, 0 E Q sta'n'dards
for subsurface sewage disposal and county regulations covenng
plumbing All buildings requIre a certificate of occupancy b~fore
being occupIed \
(See Details on Reverse Srde)
\
(POST THIS PERMIT ON MAIN BLDG AT SITE)
LANE COUNTY, DEPT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th EUGENE OREGON 97401
FOf'M..:= C55 !}
. _,1,_
~
,
, , .
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED ;-; DISAPPROVED .c; DATE
INSPECTOR
REMARKS
GAS PIPING GROUNDWORK
ApPROVED / / DISAPPROVED ;-; DATE
INSPECTOR
REMARKS
ROUGH PLUMBING
ApPROVED C1 01 SAPPROVED / / DATE
INSPECTOR
REMARKS
ROUGH GAS PIPING
ApPROVED .c; DISAPPROVED .c; DATE
INSPECTOR
REMARKS
FINAL PLUMBING
DATJJ-'2.,'/j""'INSP~ ~
1- {/
ApPROVED ~ DISAPPROVED C1
REMARK 5
FINAL GAS PIPING
ApPROVED .c; DISAPPROVED / / DATE
INSPECTOR
REMARKS
"
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ;-; NOT READY TO ISSUE I / DATE
INSPECTOR
REMARKS
i'- ~ ;~ ., ,.r
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lANE cO\...rY
BUILDING [J
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I
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PROPERTY OWNER
t-lll A;HJ !~!l ~..!.crJ LlIMtl
CONTRACTOR
SAClr. ',,~,'
PROPERTY LOCATION - INCLUDE POST OFFICE
2012 Inland ~av
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
'.im ~Dl)l\'IClj vILCZl'JT (j:lOVlt
BUilDING PERMIT
MH @(
-MAIliNG ADDRESS
1115 p;,,6'1' 311'N
MAILING ADDRESS
.
r
. . (;
OR MOBilE '110ME
USE PERMIT
PERMIT NO.
y
~...' .~....
(.. ~ -.:.. t.;
PHONE
E\JGl!:t;r.
O"!'GO~
PHONE
~'.
LaT 5'1 GJ,.OCII 6
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
\3
03
~ & "
APPL.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
It!~!3
EXISTING STRUCTURES ON PROPERTY
NONE
LEGAL ACCESS TO PROPERTY
;":\)J<' Im..""~D t1:.v
PROPERTY SIZE - FT.
SA""
WIDTH
DEPTH
I
'AREA
I
Sewage System D
SQ, FT, :t; BD~MS
New System D
VALUATION
No. of Bedrooms
STRUCTURES TOBE BUILT THIS PERMIT
Connect to Existing
TYPE CONSTRUCTION
ri!r:;~,i I'on C400ILI; t.:CJI!:
3
~!OJ~ .5
(\ ,\
y.~,,~,~ \~t'\
\ '~ ~\\'c~~, r) ,""-h >~ >J\.
\ ~1'4 ~ 'J'-Jf\.. ,~J....
~ --'~~. " Pl.UMBING INSTAllEDB.y'\ 1
J I<. '''- . """. -y.~,..\. ~ .
. ,,-'ll\\.~ A ..OWNER,D OTHER: NAME
~EES \ '-...I~'YVe-TER SUP,f,LY~ ~,.,\.~ .
"\\\\~ 1\ ~,\~. PU',"C b 'Jj 1'[;]. ~.THER_'" \: t" ~..
.... ~1'!1 \."\3.1'\1
'-. "'\I V \. '-J .<
'~ ' '.
!.,
-
SEWAGE DISPOSAL
1>',.....
~ \ 'l, ,
, "~
-
,
.. \.
. .-
PUBLIC 0 SEPTlq TANK 0 OTHERD
BUILDING \\ ... '\,1'1 "\J~,~ '-Jv \\.\. \~
WASTE DISPO.SAJ [I, }.S" \ 1'J'''\J,^I.I--., '. ,:
. \ 'I '-', , ,-- .......'.
PLUMBING '~I . N~ .....'..[JU
PLAN REVIEW \
PARK TRAILER ~O_OO
.12
'111.12
COUNTY
,;
,.
"
,
TOTAL
I
" '.--,
BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
Gg~ P::;Cl/"111 2..'3QO"tn
)~
DRAIN FIELD REQUIRED
UN.:F.T..... ..\
/ "'(><</';7
~"~ ~-c< -D\ ~~\-
\
TRENCH WIDTH FT.
,
OR SQ. FT.
,
~,"- \-\ ~
\:
,\
. \
.',)
TYPE OF STRUCTURE
r~'
BLDG. SETBACKS
FRONT 1:5'
OCCUPANCY
ZONE
PUBLIC UTlL. EASEMENT
_ FT. fROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
E" e~~B 0'1 ;1QCOAUOH
REAR
7'RI!:
USE CLASSIFICATION
.....
/0/ .).
E1JiU:D O'\' S!IOO'1
9/.'3/15 '"
DATE
Dttl
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
''\,
,
Call 687.4065 to schedule all required inspections, All canstruc.
tian shall comply with Uniform Building Code, D,E.Q, standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing, All buildings require a certificate of occupancy before
'- ,~ \ be!ng occupi.~d....... _ \ \. ' ..;- I \" '\
. / '- '" '" ~, \ (S I R S'd)"', . \
. ':"..,~ ~,:--_,--'\ "";.; '. ........;. '" e'e~ Detai s. on everse. I e ~ \
(POST THIS PERMIT\ON,MAIN iBlDG, AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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F,?RM = C55-13..
.
SITE INSPECTION
ApPROVED ~
DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED ~/ DISAPPROVED ~/ DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED Ii 01 SAPPROVED /7 DATE
INSPECTOR
REMARK 5
LATH OR SHEETROCK INSPECTION
ApPROVED ~/ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED ~
REMARKsj!1l/
DISAP~ DATE j)INSPECTOR
_J~ ) ct... ) - 'J 5 (lL
,-'
CERTIFICATE OF OCCUPANCY
READY TO ISSUE I / NOT READY TO ISSUE ~ DATE
INSPECTOR
REMARKS
If fllf,! tr<Jr
/'
tr:dt.~/Cfl. ! () I: rh-dd-~0f.(
"y.) Y ~5 &
...
/
CONSTRUCTION c====J
~ NI(Cf-/11I(f /}/.-UN L/?/'1g
MOBILE
APPLICATION FOR
HOME ~ PLAN REVU..W
14~
NOTE
NO PERMI
PERMIT iF
IILL BE ISSIJED UNTIL THIS APPLI~_LION HAS BEEN APPROVED
. .
Name
c=J
~W- E .n7H
City
CHANG!: OF OCCUPANCY c=J
ItJctN~
97#r <:I'IJ-d~/~
Address
Z1p
Phone
c:===J CONTRACTOR
Name
Address
CJ.ty
l1p
Phone
OS R!:G II
Twp /<1: Range 03 SectlOn () -f II Tax Lot
Subd1vislOn 5th F/ber-r '_ot ~L} Block
:201':2 :rJ fond
Code
~ Property Acreage
W~
'-'
Census Tract
Width______Depth
ACCESS TO PROPERTY (Road Name)
EX1~t1ng Structures on Property
Property Locat10n - Address/Directions
Below fo r Of f ie e Us e Onl YXXXXXXXXXXXXXXXXXXXXXXX}J{XXXXXXXXXXXXXXXXXXX}J{XXxxxxxxxxxyY~r~~r~r~'~rXK.{)<J{XXXXXKXXXXXXXX...v.u\.AXXXX
1'/1 1+ Sq Ft "r:;;r1 / Valuation
\ - /
/
/
SEWAGE DISPOSAL r):.<'oo 7C
Site Inspection /I eX-:') -...') Existing
tj-
PLUMBING
::::~M,:, 4/:L1' - \
I . eur1!S
! ! J
Other
Requ1red c====J
WATER SUPPLY
Well
Spring _
Other
----
Sewage Disposal System l.....::::::::: or
Public c=J
Communlty ~e of
FEES
Bldg
Waste D1sp
Plumbing
Plan ReVlew
Mobile Home
1% Surcharge
c2-
Water ;'7
Connectlon ~
3).-
,1..2
/) ..u<-
\
\Dralnfield~equired - Llneal
\~ 2-?VJ~/?/
~
\
"-
5 FURNISHED
I
/ c====J YES c====J NO c====J YES ~,
S1gnature of Appl1cant '/J1?A'<t41..11~1 ~
Fee Received By ]?f' Date LJ-.r:-7-S
FACILITY PERMIT
C:] CASH
~
TOTAL
,'?(j,I'1
M1n Septic Tank Capacity
Feet
Maximum Depth
Type of Construction
(VI H_Group
1
Flre Zone
Use ClasS1flcatlon
Bldg Setbacks -
Front~
from Center of Road Rlght of Way
51de Int -8 51_.0. =._
Rear '7 ( IVE.zonete/f-.;.n;lf
...erJr"--
c-K~ 9-1)-7"
DATE
SANITATl9Nl' f)~ DA~ /lt~.~mING. ,/J atf.TE .-
/~ I <fl.J/( 1/ !'1l7y 'ffJ tyU{fl4//~!' q~ 2. 7/7b
COUNTYv ~EPART!1E~; OF ENVIRONMENTAL J'NA~~1ENT I. .
C55 lZ
LANE