HomeMy WebLinkAboutPermit Building 1975-7-8
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" > 3' y. LANE COUN...
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BUilDING lUl
"
I PROPERTY OWNER
Richard McGill rev
'BUILDING PERMIT OR MOBILE HO,vIE
MH 0
MAILING ADDRESS
2054 In 1 and ~/llV
SDrlnqfield. Oreqon
. 1442-75 4
USE PERMIT ~~ \ I I L. '
PERMIT NO. ::"\~~.
PHONE
746-6046
CONTRACTOR MAILING ADDRESS
Bordon R0gers 1145 Falrwav Drive. Euqene. Oreqon
PROPERTY LOCATION -INCLUDE POST OFFICE.
PHONE
688-4758
South second to harbor drive turn left on Inland wav In Filbert Grove SubdivisIon
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
2054 Inland Way.
TWP
RANGE
SECTION
TAX LOT NO.
L-31 B-6
CODE
CENSUS TRACT
5th add Filbert Grove
18 r
03
11.2.2
1700
17-186
&
EXISTING STRUCTURES ON PROPERTY
'Moblle Home
LEGAL ACCESS TO PROPERTY
south 2nd.
APPl.
NAME
MAILING
ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
,
PROPERTY 'SIZE -"FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS
New\l,:System 0
'VAL'UATION
CarDort
,52 (0)2.80
q81;.00
. ..
Storaqe Shed'
1<;12 (olI;. ,0
1017,60
21 ~6tf
$2213~20 .
uncovered deck
14lYa11 .1;0
SEWAGE DISPOSAL
:' PUBLIC 0
BUILDING
WASTE. DISPOSAL
PLUMBING'
PLAN REVIEW
PARK TRA,llER
I
SEPTIC TANK
\
,
Dt
OTHERD
?u nn
FEES
PLUMBING INSTALLED B'f
OWNER 0 . 'OTHER: NAME
WATER' SUP.~lY
"
~..-
~UBlIC 0
o OTHER
TOTAL
,
?u
?u ?u
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
"MIN. SEPTIC TANK CAPACITY.
WITH 0151. BOX: GAl.
. UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
ti~ ,~'-
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
5N
BLDG. SETBACKS __ FT. FROM eTR. OF ROAD RlqHT' OF ~AY
J
fire 3
RA-MH
USE CLASSIFICATION
FRONT
45 SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE -DATE
John Shook/sanitarian
REAR . 7' Due
DATE
J.E. Boss by Linda Maxwell
7-8-75 bp
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE.
COUNTY" TAX - PINK
PLUMBING - CANARY
. BUllD[NG"~ GREEN
SANITATION - GOLDENROD
Call 6B7-4065 to schedule all required inspections, All construc.
tion 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
being occupied..
'(See Details on Reverse Side)
FORM:::: i:: 5S'c Fr .
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGE'MENT
COURTHOUSE-ANNEX" 135. EAST 6th, EUGE~~, OREGON 97401
eN'
T 113 R
SUBDIVI~ION:
lOT: BLOCK:
/'1 c- r;, 'f I rfl/ /e ()().(JfS.
/ / V -
.
BUilDING SITE EVALUATION
Y-!I;@P\
(L-}- BUilDING PERMIT APPLICATION NO. 1442.-7:5:
() SITE INSPECTION
PLANNING OIVISION Not
Appl icable
1. Zon i ng Ord i nance CampI i ance: Zone R"i~ )
2; Subdivis,ion Ordinance CampI iance ( )
3. Required Access ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
tl3 S 11-2..2fAX lOTI70l)
APPll CANT
DATE
No Yes
() 'P1'
() ~
( ) ~
( ) (....1'
( ) ( )
CK'D BY~~Aofr
6. Setbacks rom c/1 of road:
Front ~'
::~e E..;;'..., :_.
Setbacks from interior Jines:
Side ....E>
Rear ?' PU;;:'
BUILDING INSPECTION DIVISION
PlANN I NG 0 I V I SI ON ACTI ON PEND I NG: YES l ) NO l ) APPlI CATlON#
7. Plans Submitted
8. SoU' Stabil ity (footings)
9. Flood Plain
10. Other (see comments)
Not
Appl icable
M
COMMENTS:
WATER POlUTION CONTROL
Not
ApplI ~\,~le
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No Yes
() 'Wl"
() n
( ) ( )
( ) ( )
No 1,S
();
() )
CK'D
By:Ld/'/hI/Lv-etf7/8ks-
v DATE
CK'D BY)~ (/;/ 7J'-
\J' DATE
TO APPLICANT:
Your Building / Site Inspection:
( ) Can be approved.
( )'Cannot be approved at this time as indicated on item NO. above.
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 building permit aj?pl iC~!.l.9-,,_.f!,"'-,Is beinq returned unger ~arali' cnvef_
vEPARTMENT OF ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
lANE COUNTY PLANNING DIVISlqN PHONE: 687-4186 --
C55-28
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LANE COUN,
BUILDINGIDl
~ .fJ
'I 1\ ;.
J BUILDING' PER~m OR MOBILE HDME
MH 0 . ,I
MAIliNG ADDRESS
USE PERMIT ."
PERMIT NO_ t.
,__-:~!I
:.
PHONE
. .rYROPERTY OWNER
Alchard_McGlllr*V
1051+ Inland,iWa'{
MAILING ADDRESS
'",
1145 Falrwav Drive. Euqene. OreGon
Sprlnafleld.'Oraaan
746-6046
~"'i . ~CONTRACTOR
.-.} :. .on~on R-ogars
~">;; PROPERTY lOCATION,- INCLUDe POST. OFFICE
. I
'.". .
PHONE
688-11758
;!PROPERTY
!
".;
S~th second to harbor
LEGAL DESCRIPTION - METES, BOUNDS
drlvo turn left on Inland way In Filbert Grove SubdIvision
,
f . TWP
,.
20!i4 In hind WilY.
RANGE
5th..dd FIlbert Grov~
SECTION
TAX LOT NO.
L-31 8-6
. CODE
CENSUS TRACT
18
0)
I~
~
11.2.2
1700
17-186
APPl.
" i NAME
&
~ MAILING
EXISTING STRUCTURES ON PROPERTY
"
"lIbfle HaM
LEGAL ACCESS TO PROPERTY ~
south 2nd.
}'. PRqPE.RTY. SIZE -';. H:'~
WIDTH DEPTH
AREA
oj
-- -
Z,\'-iS -\-0'.
, "
,
" . \,
ADDRESS
I FQR MOBilE HOME PERMITS ONLY
f.:.r,'~.o.-:' of:'B'edroo.ms Connect to Existing Sewage System 0 New. System D~' I
r t STRU.<,?TURE;5 TO BE BUILT THIS,PERMIT TYPE CONSTRUCTION SQ.F;T. # ,BDRMS -VALUATION f I
td. C.rP<!lrt 352 i$2.1I0 "1eli_OOfn
.k~:-~ .,..." 1 ' ~ I
~- - I ',- '<, - _ < "'I
I' 'Stora~eSl\ed " I' 1'2 dllS.30 ,-'I.OI1.Wit
i1 ~ _,~" _-0 t',_~'''~~ ....__'.'..." ,..~~ _ -~;cf" I"~
t! " ulIGov.red d~k \ <J ->.. .(\ 0- Y ,~"-'"''''''':-_ ,'210:ao.'i
q ,,, ._"\, "\ '\ '~ _~,\, '\, " '. _ ,:'., \'" ",',," \ ~t~3;,~O~d.
l..j. - ,,,,,, ..." ' , , .~ _. ,_ ~,.
t-':.SEWAGE':~DIS~-O.~AL',":,i', ,;:-,'.," ,-.t. .-:,-;'" PLUMBING INSTAl,~ED!:BY. 'rr-:' ,~,-c .! ,-1) J
n~puBli~:':0',':h.~Ehbc:TANK'lt}) OTHERD OWNER 0 'OfHER:~AME' _ (,' ;;;,. ~..~~L~l,
':'f'~,~',~l~~lb"!:,~"Ht':;~~Aj~,,-'~-,,;::~:: :' "of:;;;" "24~ 00 FEES W.,~TER' SUPPLI.:., .,7~~: 4._,'.' . - ,::i: ,,' '.'i,"',,:;, ;If' 1
. _L,_.,:_j""~"~~~",.i,1<,...;, ,-' -'c" '.J < _:E::.f_....,"-L ~~~-;,
wrAsn~:lfi~,~"t';~1';i!{' f Pu.BLLCOQ!HE.", .;~::~,
~_I,ft,i"1-;~~S'~_~'~[:"" ~.~ .24' '):/' , i' + '~::;"", ',,',',.,';::,'~,,;_:_:~~.',' "fi~,;~,:,.,~,'.,,~,.,',t,.,.:,..'_'.:',~<,.,!,;:,,:,:,'.;1"'~1 ·
, ~J1: _ n~ '1 '_ ' ',' 2'''.2'' ;' ,:,/~.~,~:,:,;,f:'~,-, >,.'. " 4: ,.f -'_'"'
~'"~~T6TA'L>_7:.-~t~;~..~~w;l:. ; it ....... , ~. 0-':" '-'~"~_:~1. '~~~'~--"-']l;,.,4J~;;:"J~~l.-
~:'_:;!i~.: ,;~~gp~:~Tjl~J~~:-.,,,r, J'~' :"-,.~' ',; 'COUNTY ,BUILDJ.~tl~&:;:i$;~NITATJ().N 'SPECIFICA TIONS'.-i. ':t~f;' i~f:~'!f '~::'. ~,,:;.~{t':_;<H.~' :-;':L~>>..]r._~:;
'.:f~:M'!.N.:'?,~~-~.W~:f~t~~~(,~{2~,:t~j;G<~<_', DRAIN 'FI,E~'.~:~R~.~qLRED, '- ,,' :!.,;.'..~)t~.~; l:' ',:~ ~.~ '~~;\ i~
l' r~;,T~:~~ST,i!BOX;"~Al'>,<' ~:.'" " lIN, FT' '" ':; TRENCH WIDTH FT. ;XOR,SQ, FJ'+,', ,>' .Jl ~,5]l!,~~
'f}~:,':~;;:~~~i~'~~';~_?"':'l' '..' ?J-~\:1~~'~'%Ji[)~' ",~~;,;;L!~ '~:,
Ii .', :" ,:~:I-~i~;~~:;" , r.'f-!l~J!'ti!!'; ,,: . i;~';'~:" , Jr~ ·
!:~,~y,rE,~F,+,;,i!,;~~f, ;i;~~,'_,'~, occue;';~~J;;;!:~";:' ZONE , ':PUBlIC 'um:, EASEMENT' , ,,!~t ':.,,;i 1
I'1<'",.,, ","',;",;',',i!l~:>".~\;:.,i ',<~L:",Sf!~" 3~' RA-"H .:)~ '~"ii",,'~ ,i. J
,. 'BLDG,..SETBACKS'" F.T,":FRoM'cn OF ROAD RIGHT OF WAY 'F'" ".- US';;ClASSIFICATlON:;,~y,.,,"- ".~:',) 'I'
T !F-R~N';. ,'~~~~"~~:';:~.~:}It;~r'1'~n:<~ 5 SIDE EXT.~TRt~~f.' 7-1' pue.' ":'Jr' .. J " ~;q: .t'"
..>..... 'AUTHORIZED SIGNATURE-DATE ' ,Ii' ~ ~ *" "DATE" it t. ~'
J~}"j;lshOok)'....itlllrl.n . . J.E. 80.s by LlndalUxw.ll ',: 1~".75,' b\'9.t ,;
I BtDG. PERM;'i'~:Vv~:i'l1f --~; . Call 687-4065 to... schedule all r.equir,ed inspections.' ~~AII i.~nst~.}u\'c'1, 'I
1. i.ofF!CE COpy ..:.."..vlHl"rE[' . ('\. , , ... ~ ~:f:' ~~ "
'COUNTYTAXC. P1f;iK ' '" ~tion sliall~mp'Iy'-'~ith Unifo,m\ Building Code" D,E,Q. standcirasj
t ~IPlUMB"ING"'" (,-ANA, RY~ -, IMPORTA_~lt;~foF.~ti~;urfa~'e t!iwdge\<qi,~~~s~I,~~~~co:U'~ty. ~egulqtions -;~'bve~~g,~ ~.
BUIlDING"":",GREEN " .' 0.-,,\ . plumbing. AII-lJuildings require'a ce~tificate of occupancy;j; ef~orel 'II
;SANITATION""': GOLDENROD b . -"'\d ~ 't':' , ' l> "
t " " emgtOccuple. .\........ -.. '~ '\" : - :./' 1 ~
,I I ..... .', ,1.' \' . '. 'i:\",\, 1 ,:,~ "1\"). ;". S"d ),' \ - '1:", , ",;'" 1,
,. _.r ;Jt~ .\ ~,~, -t-~,~\. \. \' \J ~;. \ ~::.~,~~}B~e~-.?I Sl:~,\~, Reverse _I ~e \:l \,~ ~ ;~~. 2;; '; i"
q (POST THIS PERMIT ON 'MAIN BLDG. AT SITE) '~'_-;.<;
rj;~~2X' '~~~~T~~~I:~~~i~TiIE:1?:~::~6i:~,M6;~~~~~i:o~, ';',;:..~~~..t f~'.i}
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...,.
/~
J
.7
SITE INSPECTION
,~\
ApPROVED Cl
DISAPPROVED Cl DATE'
"
INSPECTOR
REMARKS
;,
::::::::O~;7c::::P~ROVED~! ~~~[ $4- cr-7t:sPECTDR~ / rt2
REMARKS () /( ~ II-JUG'/{~i:~1!./f; Z;;;1~ ? - .2 V ).'J-' f!}{./ (~,; (
d
FRAMING INSPECTION
ApPRDVEO ("! DISAPPROVED ! ! DATE I
REMARKS~.Pr, 'if~r;;-.1-eo..J7&'/
/ i
INSPECTOR
LATH OR sHEETROCK INSPECTION
ApPROVED~! DISAPPROVED /
( DA TE
INSPECTOR
REMARKS
"
DISAPPROVED / /
DATE~-r:- 7()'INSPECTOR r:?
ApPROVED
REMARKS
CERTIFICATE OF OCCUPANCY
READY ,TO ISSUE / / NOT READY TO ISSUE 17 DATE
INSPECTOR
REMARKS
/[)_ -l-/~ ~,,:~aJ, ,/./
I~ur~' ~ ~ ~/
/(J/Nf?;/c~ :2VO'l~
NOTE: . NO PERMIT.wI' BE ISSUED, UNTIL THIS APPLICATI
-,/(jL/~-: 7J~
PERMfr ~ .
,HAS BEEN APPROVED
. j -
APPLICATION FOR:
CONSTRUCTION [gJ,
MOBILE 'HOME c::J
PLAN'REVIEW c::J:
CllANGE OF' OCCUPANCY C:=:J
~
D
OWNER]?;a,/2J'd~f'(;jA-;-/ jll'i''-/ Inlnnd M,,,
. . me . Address
CONTRACTOR (;.nJ<{lm-, Rrt' ;/,' ir"-):I7/;'W/, lJ~
Name ->'"0:- - Address .
'". ..
l ,~
J'~/~~iz;/J:. . 9>L/?7
1 CiV>' .' " -Zip
~;Y># 9,7ft,V
, 7y~ -~/Jf'~
{h~ne
,/;,fp- i/'J,-<--:!!::,-
Phone .
c::J,
O.S, REG, II'
';"p, ,., /~ ;J;~e (/ 3 Section /0/;:2,:2. Tax LoJ70 ~ ,
,Subdivision ,,,> ~ ~~ :3 I Block &
Code
Census ,Trac t
)7-/1,h
Width~DePth<;'c.;' .
Bldg,
"
cidcr6
E~isting' s\wage D spasal System
. P lie c::J
Otner _' ~mmuni~Y ~ N~~e o~ commun~ty or Public
',PLUMBING: " - f; fp
.Ins;alled _~y. OWner. L..=:J' Ot r .' Name.
PLUMBING FEES:
fI- of Fixt~re~
, ,=k:;,I- r ..:::> -
~New 'System Requi~ed' c::J
SEWAGE DISPOSAL:
Site Inspection- ,iI
WATER SuPPLY:
Well
Spr,ing", ~
Sys'tem
FEES:
Waste Disp.'-
Pl~bing <
Sewage
Connection
Water
. Conne;Ct~on
..
Plan Review,",
. Mobile Home
1% Surcharge
-,
TOTAL
, ,;J- tl
;....../ti,;). iI'"
I I~
c
PLAN~: ~RN~SHED FAC-ILITY ~ERMIT
"~D'ND-"c:J YES ~
Sig~atu~e ~f',~" -ca t: ''/;'4pWA~ _
Fee'Recei:red B' .J ;_~e:_(..-.::r-- Cj:'-/f
{. - ';. , ,
_CJ CASH,-
~'
. ','
. Min. ,Sep.tic Tank Capacitv
,r '.
'Drainfield Required- Line~l'Fe~t
~aximum Repth
"
~
Type oft Gons t'['uc tion \I '"
Group A
Fire Zone "2...
~
. Use Classification ,-
Bldg'Sethacks - from Center ~of Road Right.of ,Way:
Front. - 4~ I Side ,Int. ~' ...._____ .lm___y_
f.
'Rear~f~
Zone RA.-M~
CSS-12
DATE: S~~:', J/DATE: ' BUILDING:" DATE: {'
. lJ V~ '.7/1 fir :5~r~~ b~ Ll~ ffi",,;,.rP.lL 7!tf2J ,S
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL, MANAGEMENT
PlANNING:
r-I-.lpTCJ, 110 hs