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Home My WebLink AboutPermit Building 1974-9-24 8UILDING PERMIT OR MOBILl. MH 0 MAILING ADDRESS 591 WEST 10TH .OME USE PERMIT PERMIT NO. l'077-7Y 1877-74 pHONE EUGENE, OREGON 3ij4-5785 .. , ,..- ~ -- ....- '. ,OPERTY':'OWNER' 'FROSLEY, S. R. CONTRACTOR J SAME I PROPERTY LOCATION - INClUOE POST OFFICE " . 5TH ADDITION TO fiLBERT GROVE I PROPERTY LEGAL DESCRIPTION - METES, BOUNDS f 'LOT 52 BLOCK 3 I. MAILING ADDRESS PHONE ESTATES HARBOR DRIVE ., TWP 18 RANGE 3 SECTION ~ =.. TAX LOT NO. ?C~:!i}A-A /r.Z,Z ~ tr- c-/V(/ EXISTING STRUCTURES ON NONE LEGAL ACCESS TO PROPERTY ':;)oSJ-.. HARBOR DRIVE CENSUS TRACT APPl. PROPERTY S. R. CROSLEY NAME & 591 \4EST 10TH MAILING PROPERTY SIZE - FT. AODRESS EUGENE, OREGON FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT INSTALL SEWAGE DISPOSAL SYSTEM. ONLY WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. ~ BORMS New System 0 VALUATION ~ , .- . '. SEWAGE DISPOSAL t'RIOR PUBLIC 0 SEPTIC TANK 0 PLUMBING INSTALLED BY OTHERD BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER , FEES OWNER 0 OTHER: NAME WATER SUPPLY 0:;0.00 PUBLIC 0 o OTHER I MIN. SEPTIC TANK CAPACITY WITH DI$T. BOX: GAl. $--50...00 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED DEPTH 150 l TRENCH WIDTH FT. LlN. FT 'i' OR SQ. Ff1,OO TOTAL 900 f: .r>' ,...JIIit ...~~..::.....:.[ -.w, - ~.~~,., l. t, ~~. fENCE TO eE INSTALLED AROUND SEWAGE DISPOSAl SYSTEM AS PER ATTACHEO SHEET: -.~. TYPE OF STRUCTURE , '- BLDG\ SETBACKS __ FT. FRONT \ 45 t OCCUPANCY ZONE RA PUBLIC UTIl. EASEMENT FROM CTR. OF ROAD RIGHT OF WAY' 5" 5" SIDE INT. SIDE EXT. . AUTHORIZED SIGNATURE - DATE REAR 5 USE CLASSIFICATION /S/ J.E. Boss BY C. HAReAUGH J SHOOK/SAN I TAR II\~ATE9/24/711 BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN , SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections, All construc. tion sholl comply with Uniform Building Code, D.E,Q. standords 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) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97.401 . ORM = C55-13 II , . ~;k 5r~l=L \ berT G-'rov~ ~ A I L l~~lR -0 528 f}TAX LOT , ~ \l ~ CENSUS TRACT /677- ?'Y APPLICANT: ,.--i I Building Permit.Application No. b NAME (-.,...V()<;;e'1 It> LOI'~ Cf.-(7~7'f q;3b . AODRESS- Site Inspection . ~oW/ 0."pQ..- q-111 ';'/u Pre-Permit Investigation -, r " - .~ ~~ B(J~LilINI:i>J.i'ITE EVALUATION ,,-. ( ) ( ) ( ) Ii: OD PHONE DATE q-/th- '?V I. , Zoning Ordinance Compliance (Zone ) Subdivision Ordinance Compl iance NOT app I i cab 1 e () () (), ~0~\AX ~.((J () () () () NO YES NAME DATE LANE COUNTY P~ANNING DEPARTMENT 3. 4. Required Access ( ) ( ) ( ) ( ) 2. Building Site (Area, Width, Frontage, Setback) Other (see comments) 5. COMMENTS: - 6. Plans Submitted NOT NO ~pl icable 1: :: ) () \ ) ( ) \ YES NAME DATE BUILDING INSPECTION SECTION 7. Soil Stabil ity (footings) ( ) ( ) ( ) ( ) /3 1/;4~ 1 t( --I t /' 9", J". --!... f 8, Flood Plain 9. Other (see Comments) COMMENTS: SANITATION SECTION NOT NO YES J 'ME DATE appl icable -'.~. 2fj2h~1 10. Sewage Disposal ( ) () ( " 11. Usable Area ( ) ( ) ( , 12. Water Supply ( ) . ( ) ( , 13. Ot he r (see Comments) ( ) ( ) ( t COMMENTS: TO APP LI CANT: ~11 .~.( Your Building Permit / Site Inspection: ~) Can be approved. ,() Cannot be approved at this time as indicated on item NO. above. Questions and further information on items I through 5.contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on items 6 through 13 contact the Lane Countv Buildinq and Sanitation Division. () Will be held in this office until you can resolve the problems indicated., () Is being returned. () Your building permit appl ication fee is being returned under separate cover. LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 -..- LANE COUNTY ENVTRONMENTAL MANAGEMENT 135 Sixth Avenue.East, Eugene, Oregon 97401 Phone (503) 687-4065 C55-28 ,. 4 · 'i;;' .:~,}t: .:t~cs.>;~'.": 'I ,..j}.-~.V '. 'T,;'.: \.... 't... ,:". iJ;.;p,-oPEpy 0, WNER .~~, ,..~. ':I:C-ONT'RA'CTOR "'" -...... 1'. ~_ ' . ll""'t<..~_ ~~...,,-i'_( ,.., 10 PROPERTY lOCATlON~ INClUDE POST OFFICE , 5'" A~t".~",,, .".,.irIlT GAcvr: (STUn PROPERTY lEGAlt DESCR-1PTl0N~METES. BOUNDS .' -'I' :.- . lOT 51 QI,.~" ...l....: .~ TWP ~ANC?E - J ';, F . SECTIO,N 18 .<!>=-.~ l!-11 ~ r..,.~....':). '-~""'-""> . LANE cc. !TY BUILDING [J BUILDING PERMIT OR MOBILE ..tOME USE PERMIT MH O. PERMIT NO. MAILING ADDRES5S91 WeST 10TH ,617-7" EUU14C, Olt-tQCm ~ PHONE . MAILING ADDRESS HAft.Oft DR 1\11 ,TAX LOT NO. ~ . CODE " " CENSUS TRACT . EXISTING STRUCTURES ON PROPERTY NoNt APPl. .. S. Ill. r-~"'''',pt \ NAME ~:::" ~' , .I.!. 5'1 Wuf 1~~,~ MAILING i ""'" ... AOORESS [UQENItI."CIIif~' FOR MOBILE HOME .PER,,\I~S ONLY No. of Bedrooms ". .... & .. LEGAL ACCESS TO PROPERTY HAl.." CatVI: PROPERTY SIZE - FT. "I' WIDTH DEPTH . . ~ ".~ ~:, . , 't~ ~""'"' C.onnec;t-.tq,,"'Existing Sewage System.. D T'(~.~~~o~.~~' SQ. FT. +; S-ORMS .'; ,. .. .~ '" . '-.; . .' - . . . . ..W ;.. .:Jr.. "-- ~. AREA ,....']. ..~.~.-. New System VALUATION 01) , , , ' STRUCTURES TO BE'BUILT THIS PERMIT INUALI. SCVMl1! 0..,.",1. 'YSTEN OtcI.Y . .1-. TRENCH WIDTH FT. .:~~~..'~ .a_~. , : "'~ ,.../J :'~t:. :~~..' ."'~. ~.;...' . \ ..~::.::\;. . ~.._......~d <.; ..l '~:~~~~:~~~~/v'''' ~~,:,-:(~ , P.LUM-BING~INSTjllED BY j~~j~_~~~"~~~h OWNER 0 _"'J. OIHEft:',NAM~,7*'",~;;" WATER SUPPly.... T~a;:~. .~, "';J~~,,: . PUBLIC 0'" 0 OTHERM!.~~~."\, . k, ~"~;1lI. .,7~..:, ,- '~~'-'~jI . .,.;-~~.q.;. . '-u!I:"'-( . . ,.' ~,:.~....;;.....:b~ ,;":; . ~...:. .~~ ~',1~H~ OR SQ. FT. . ,'~"'" ~J ,~: .,='6 :':f;~ · f H ~.~".. ' f\.: ~;:, {-: .... ' fl!' <;;:~~ ~ ... . . ~U1LDING YtASTE DISPOSAL ~LUMBING' , I:'lAN REVIEW PARK TRAilER r TOTAL , . FEES SEWAGE DISPOSAL.... l ,.......... j PUBLIC 0 SEPTIC TANK D OTHERD '50.00 $ "lG.00 COUNTY \ MIN. SEPTIC TANK CAPACITY ~ WITH DIST, BOX:.GAl. ~ DRAIN FiElD REQUIRED 1,0 BUILDING & SANIT A T/Oi'! SPECIFICATIONS ~"'.n UN. FT 3' 4,;..- ~..' -- _!!!I~""'.Mtll!WlJllII"lI~nJ.-~:lII.~~-II. 'tr . '''.lIet 1!. .1 ,"'...Al.l.ca 1I1l0lHte 'I~~" OlSl'OU1 ....ITCM At 1'1" ~TTA'"~D .HCltT~, ._l j I. :';TYPE OF STRUCTURE OCCUPANCY ZONE ftA PUBUC UTIl. EASEMENT BLDG. SETBACKS._ FT, FRONT lJ5t /./ J. t. FROM CTR. f ROAD RIGHT OF WAY, SIDE INT,' SIDE EXT. , AUTHORIZED SIGNATURE - DATE eo.. .., C. .wt.AUlIH REAR 5 USE CLASSIFICATION J S"OOIC/,~,'t"'A!?ATE'/I'l'~ BLDG. PERMIT - WHITE OFfICE COPY - WHITE COUNTY TAX - PINK : PLUMBING - CANARY BUILDING -:- GREEN SANITATION - GOLDENROD IMPORTANT: Coli 687.4065 to schedule all required inspections. All construe. tion sholl comply with Uniform Building Code, D.E.Q. standords; for subsurface sewage disposal and county regulations covering ~ ~j plumbing. All buildings require a certificate of oCcupancy,- b.~fqrel being occupied. . ~: .\ "', (See Details on Reverse Side) I \.;'R.\l ~:~ sS:i~:~';:1<;~;_ :;<:';"'~:~"'':'~_ (POST THIS PERMIT ON MAIN BLDG. AT SITE) lANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COUR.THOUSE -ANNEX. 135 EAST 6th, EUGENE, OREGON 97401 .:.' -:irJ.;-',,'i"A.:..:, H~'i_";.:-. ;j . ....;.-G.~~~J.?t'~~. ,_,-. .~~ SITE INSPECTION ApPROVED I / DISAPPROVED Cl DATE RE'tI.,~:RI~S FOUNDATION INSPECTION ApPROVEO 1--/ 01 SAPPROVED L-/ DATE I REMARKS FRAMING INSPECTION ApPROVED / / 015APPROVEO /7 DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO 1--/ DISAPPROVED L-~,D7J ///1/ / / / 1/, . ,L; /{A...../ REMARKS FINAL INSPECTION ApPROVED Cl 01 SAPPROVED \ L _/ DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE Cl DATE REMARK 5 , ~I .. " , " .'. INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR r . .,,' .-' ,,~" .;,~, :,~,~;;. ,r~n '~' '107;;V . . '1'~-':~ PROPosr-.SEWAGE DISPOSAL SYSTEM .RECOR~ COmplete top part of fo. to signa~ure and .submit ~oth cc INSTALLER: :l~~Eii:~~ . ./No.. Living Units/ .Bedq)oms ~, 1/.. . t.... . Septic Tank: Ft. from well 1". 'PROPf.RhY. ADDRt,~:. '.. HARBOR DR IVE' Baths Basement Yes No , Water Sup~ly. . . . 'Rubl ic,)(. Other~List .Inside Length OWNER NAME Steel' D... '. C.on~rEite ~1XI' NO;, Compartments I Gal " :Capa'ci ty' ! OC'C'. Dimensions: Ft. .. , Tile qisposal, Field~ Y Width ,.{. Diameter . Depth .( Distribution Box: (Yes;/ . No 9th'Cr' 0 i stribut i on- Ty~e S. R' CROSLEY .lotal Sq. rL "&0 Feet 'from \/E11 .. .Lot Li ne.' 'Front' ,. I F,t. .Between. Lines.~/o. '. Fo.u.ndation. MAILING ADORES S . '591 'WEsT .10TH ',' - EUGENE. OREGON. Length of L ines-Ft. 75 .l1~enc~1 1. l:2J. 3. 4. 5. ..6. W,dth,..... Plot Plan (see instructionsl~. I '. f(i II i~./(" . . Side /6 . IFiller; . 'Filler Depth Type /.Jc' Above Tile 1 Rear IF iller. Be I OI-/" in.trile I" in.. ,;;-. ~, . '" . , .~. '..' ~. ..' L.- ',' . . ~ ' '~. - .. "';~.' , - .;:-,. . . ~ :, . > r " . - ~ "r / '. r _': "f' ". l!2fftl~1 .~@g' i~ ' . '. " ';, ,I , , \ J ';:X;' ..:.,. . . .1'. ~.;~, ~ c ... '\7. ." .~ .... J-' . . . .... /;/v \ :. '" . if. Vnin/1. f) () wi: ,.,x .. Date '/"?,..-/;c. -"- 7?f .. Si~inaturc. .\{,:";;>", I{A.-,/:...k' For.SanitarianUse Only: . ..GEJlT!F:ICATE OF'SATlSFACTOR.Y!r~ETI0N: .... .. .Date: /0".-<-( ,.7'f In accordance with 1973 Oregon Laws Chapter 835. Secti6{214'-'thi"s certificate is issued.. . as"eYid~.nce of 'satisfacto~y cOmpletion ~f a subsur.face ,s!"wage. disposal system at the above 10ca~'A~pro~ed~ System Installllt;on"conforms to 'cu~.r~ntstan.dards . o Oisap.proved: Does..not conform to. cur.rent standards' ,.' , Remarks:.' . .,.... ,~ ~ ~, r ',' ,. . .-." ,. :', . :STATE .01' ORE(JON . ' '. .s~n \~}an ,. s . . . Lfi.'::! COUNTY . DEPARTMENT OF ENVI RONMENTAL QUALITY ~ , . ;~ .;: - . 5 i gnature' ... C5Sill-. 'I }.\~"7 .I, . \ - '. . . .,..., . PERMITiF ./g77 ~ 7C/- ~ lANE COONlY Building DEPAR'IMENT OF ENVIROl'MENTAL MANAGEMENT Mobile ~ , APPLICATION FOR BUILDIN; PERMIT OR MOBILE HCME USE No permit, will be issued until this application':has been approved, , , NOIE: PLEASE PRUIT PROPERlY LOCATION GV()VL L 6 r.r2 tJ?, IF) !"it .J S ...: b d " V ,1 j " ..... S6i /7/d.' 7'.'.~ l'o/':JAuT ...._~ TI-JP /'1> . RAN:;E .~ SEC.::2. L II TAX LOT if CODE LOT NO'. . 0~ 2.., BI.OqK '3 SUBDIVISION r/ / b (J' .7' c..:... J- () v { . II " ProPERlYSI~ ACCESS TO. PROPERlY 1+~W>llV [)y IlM..,;WIDTH !: oS" DEPIH. / SO OR ACRElGE DESCRIBE EXISTIN:: STRUCIURES ON THJ;: proPERTY ,N " 'k....... APPLICANT " MAlLIN;. : NPME .:5 f? 0#( 8<.. /i.v (JL';OS fey ADDRESS ; <;9 /w -/ 0 f"(..",_.~00E .3crr-s7Rs-- CDNTRAClDR . t.. / MAlLIN:; i ~ NPME ADDRESS PHONE ,., BELCM FOR OFFICE USE ONLY.~ noon ;.00 noon 0000 "0000 00"0000 :.00 """00 0000"00 .:.. :.00 0000"00 0000 :~;~nnnn........ ..........00 ....00.. ,.,.,... ,.:. ..:..... :.:.,. .StrUCtur~s to be ?tflt/Mobile HcJme sq. ft.. 1ftbedrooms valuation ib4 l.. k . ,_ if."", '--. ~~.J,l , ~ OS. ("Tn l ! ^' " CENSUS TRACT 5+11 :ss -400 AId .. ::iewage JJisposal: Site Inspection if o.:-wv .Existing sewage disposal system 0 or new system required. 0 Water Ssply: Public I6J District Narre .well o Spring 0 .Other Bldg. Waste Dis. Plumb,ing . Plan Review Trailer 1% surcharge , "iV Fees. Plumbing Installed by CMner Other Naire : Plumbing Fees Sewer connection . Water connection if of fixtures inspection fee inspection fee n <3sh' .. Plans ftnnished Facility Permit : 'd2fCheck. . Yes~ No 0 o~ ~s 0 NoD i . <I:. Signatur. e of 'App,l}.cant:..:.:</' ( ,( ~~ . date9 y''{-7y TOTAL .. 'f" 5D,. Fee receiveg by!C.Wt.U)(!Y) . te1-llr'7Cf . Min. Septic tank capacity. Drainfield required ( with dist. box:. Gallons ,9oC Lineal Feet-.l:;;;.-a' Trench Depth& :3 or Sq. Ft. -30 () h>no.. +0. ~ Jf.--rl-a/!J M",^-~{i ,s;-n~. OS J-P.r q/laJ,.e,/ s-4J- / Type ot St=ture Occupancy fire Zone , Use Classitication ~~~~i: se~~s- t\i~~~:n~ I?t roadsI~~L~~r7~~. (~;II; Rear,$'" Zone /l)..A _ A4.u ,. . ~-It -~;6~_Sl ~/h/7;r~ ';'-11;~;; Plaming ~ .C55-12 ! - ,', . .. .1.. . ~ . '.~ ~ .. "-. _w '.....-....,'."........F....,.../lJ.......-.'f/..... .'3" .s.... /"-...7.' 5"' ". - -~-..,........-...i,'''''...v~\~..--,'--.'.... J'''-' "... ' . '. . ,. . . OR MOBI.LE,' '''ME USE PERMIT PERMIT NO. . tldi i'H-7'5 '-- . \~" ~"~~jS.\lCiLANE COl'''lTY . .;. .. i' . BUILDING Lj I PROPERn. OWNER / S. R. CROSLE.Y CONTRACTOR "SAME . BUILDING PERMIT MH D:X MAILING ADDRESS ~91 WEST 10TH PHONE EUGENE, OREGON MAILING ADDRESS PHONE . . PROPERTY LOCATION - INCLUDE POST OFFICE HARBOR DR IVE FILBERT GROVE ESTATES PROPERTY LEGAL DESCRIPTION - METES, BOUNDS. 5Tli Aoo I T I ON FILBERT (>ROVES . LOT 52 2092 HARBOR DRIVE -' " BLOCK 3 ~.. ~ TWP 18 , RANGE CODE CENSUS TRACT 35-400 APPl. NAME & /!;l,:J:J;. tF7;j!;NO S. R. CROSLEY 3 EXISTING STRUCTURES ON PROPERT.Y NONE. ..SAME LEGAL ACSESS TO PROPERTY !'lARBOR DR.\ VE MAILING 'ADDRESS FOR MOBILE HOME PERMITS ONLY No,. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT PERMIT FOR PARKING MOBILE HOME: PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existin'g TYPE CONSTRUCTION,' Sewage System 0 :f s~. FT. :,.; BDRMS New System D VALUATION ~...... #1877-74 SEWAGE DISPOSAL .'" PUBLIC GX I ST!SEPTIC TANK D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 1% SURCHARGE TOTAL t! I " PLUMBING ',INSTALLED BY . I , ~ OTHERD OWNER 0 OTHER: NAME PUBLIC . FEES WATER SUPPLY .', PUBLIC 0 0 OTHER 4.00 ',' .. ".'_'.''1' , , iO.OO .04 i4.04 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED '\ MIN. SEPTIC TANK CAPACITY WITH DIST. BOX; GAl. L1N. FT TRENCH WIDTH FT. OR SQ, FT. .00 NOT DR IVE OR BUILD OVER Sn/AGE 01 SPOSAL SYSTEM. ,-.- TYPE OF STRUCTURE MH OCCUPANCY I' ZONE FIRE 3 USE CLASSIFICATION. PUBLIC. UTIl. EASEMENT BLDG. SETBACKS_. FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT 454 SIDE INT. 4;. SIDE EXT. AUTHORIZED SIGNATURE - DATE /S/ J. E. Boss B~ NEILSON REAR 5' SHOOK!SANITAAIAN DATE 7/31/75 DLM BLDG. PERMIT - WHITE OffICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Coli 687-4065 to schedule oll.required inspections. All construe. tion sholl comply with Uniform Building .Code, D.E.Q. stondords IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. ' (See Detoils on Reverse Side) rORM == C55-13 (POST THIS PERMIT ON MAIN BLDG.- AT SITE) lANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX,' 135 EAST 6th, EUGENE, OREGON 97401 , . "--~ .:.' -:;:~ . -' ( ~ ~ ~ 3./<2. .~/ /.=Y /8-0$-02. 1.,/ ;z5V 7c--;~Z- \ !.to Uq, . .' - I I _~!5fD . 'ct/ no s.:-i /..--NLL ?l'~:~~ .~Mo. II .... '- o \2) ~I () "- ....... - rY I .if.. (). . ,pQ ~" ~'f " J. <:;)<0'1 , . ~)-- ..~~~.. t . V1 - v PD ;S'o; 't. J-Ae.-~O ~ Oe-CUtS ..... () ~ , ~ f"' - . ------ --------- , . .(~ BUILDING PERMIT APPLICATION ~s '/ IY T_' ~_R ("),~ Sf'l7.,-I.ITAX LOT~ . l,/r-r SUBDI.,SION: . . APPL I CANT DATE Not Applicable No ~~ 1. Zoning Ordinance Compliance: Zone~-mHl) ~r(' 6. 2. Subdivision Ordinance Compl iance () () (. 3. . Required Access () (), ( .J 4. Bui Iding Site (Area, Width, Frontage) () () ( ~ 5. Other (see comments) () () e~ ." BUtLOING SITt EVALUATION ( ) SITE I NSPECTI ON Cvn<IP,/ CK'D BycJJa;r/IZhI7< Setbacks .from c/i of road: Front ~ PLANNING DIVISION Siae-Eyt-orinr COMMENTS: Setbacks from interior lines: Side ~, Rear ..!5' /'.>c'i-> P fC.c.:)u Pn- ,.,...., ~ I\:) IE "V 0 . c;.., L~ p.,~~ 1/ . A. /1~.,/l..-n~'~ JIJ?, ~ / /1 li)i/;V",n-.;...c.. ~V'/ T ~ '7IM.J17>.. ~ l i PLANNING DIVISION ACTION PENOING: YESlV'f NOl ) APPLlCATlON# .lf2r.v "7S:--I~'7 V~I~c..s;;:... r.?_e-O, 'I'~, BUILDING INSPECTION DIVISION Not Appl icable ( ) ( ) ( ) ( ) No Yes (k) TIpl""r ( ) ( ) ( ) ( ) (>Q ( ) CK'D .dJ ".,-1/ 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: I S 'sS'T I'a.Af"'''''- f:> E 'P '" " n> F ~ I BY";)h1 . Q;UCJ ~ J ,; bATE '7 - 9... - '>s . WATER POLUTION CONTROL Not Applicable ( ) ( ) No Yes T)(i) ( ) ( ) CK'D BY~ \L 711 /7r () , DATE 11. Meets Oepartment of Environmental Quality Standards. 12. Other (see comments) COMMENTS: TO APPLICANT: &~u Building I Site Inspection: ~ Can be approved. I ~ Cannot be approved at this time as indicated on item NO, above, /J\J~ uestions 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 ANO SANITATION DIVISION. ( ) Will be held in this office until you can resolve the problems indicated, ( ) Is being returned. ( ) Your building permit applicationfee_ i,s being ~~t\l.r:!).!l.d under separa,te cover, l)cPARTMENT OF ~NV I RONMENTAL HANillit.l''1tN I 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING OIVISION PHONE: 687-4186 C5.5- 28 , i i , . MOBILE j// .10ME USE PERMIT PERMIT NO. MH EUGUIG:, OREGON , '~. .. , . , ~o;7~75 l -..- ." r LANE C<' HY BUILDING D BUILDING PERMIT OR MH D1:X MAILING ADDRESS 591WCST lOtH MAILING ADDRESS PHONE PROPERTY OWNER ,t. S. R. C..ELfY . CONTRACTOR SAM!: ... ~ . . .PHONE PROPERTY lOCATION - INCLUDE POST OFFICE H~ft.oR DRIYE flLBtRt GROVE .ESTATEI 2092 HARBUR ORIVI ,PROPERTY LEGAL DESCRIPTION - METES, BOUNDS . 'TH 40I)lTI._ 'ILUItT GItOI/IlI LOT 52 8L OCK 3 TAX LOT NO. 52 CODE , TWP 18 RANGE 3 SECTION 2~.1 CEN3,~400T EXISTING STRUCTURES ON PROPERTY NoliE APPL S. R. CIIOSI.EY NAME & , MAILING SAlle: LEGAL ACCESS TO PROPERTY HAII.OR DltlV[ PROPERTY SIZE - FT. ADDRESS FOR MOBilE HOME PERMITS ONLY. No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT PCR~IT fOR P^"~IN6 MoIII.! HOMEI WIDTH DEPTH AREA , , Connect to Existing Sewage System 0 TYpE CONSTRUCTION SQ. FT. .;or BDRMS New Syslem n VALUATION t III5H~14 ; SEWAGE DISPOSAL , .. rpUBLlC O.XJ,rISEPTIC TANK 0 , , ~ BUilDING I WASTE DISPOSAL , PLUMBING ,. PLAN REVIEW I PARK TRAilER I 1~'"""Il""Sr. . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY I"U'I.IG OTHERD '1.00-- PUBLIC 0 o OTHER I TOTAL ! $ )0.00 .011 ]4.0'1 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED : , , i i .f f. ~. .I." S,' .j .1' ", .f. , f: .' "j ~-M]N. SEPTIC; .TANi<>CAPAClTY '. '-' . WITH D1ST. 'BOX:, GAl. I UN. FT TRENCH WIDTH FT. OR SQ. .FT. :'j,' ,-:'" 'p'p_~T D\tIVt 0,. 8\.11LO (}vU S!WA&t D.II''''.'' SVUG:M I TYPE OF STRUCTURE /I<tf OCCUPANCY I ZONE F"IRt 3 , PUBLIC UTIl. EASEMENT I j BLDG. SETBACKS n FT. 451 /$/ J. E. FROM eTR. OF ROAD RIGHT OF WAY II' SIDE INT. SlOE EXT. AUTHORIZED SIGNATURE - DATE Ben Oy MElLseN REAR " USE ClASSIFICATION FRONT BLDG. PERMIT - WHITE OFfiCE COPY - WHITE COUNTY TAX - PINK ,PlUMBING.- CANARY . BUIlDING --: GREEN SANITATION - GOLDENROD IMPORTANT: I Coli 687.4065 10 schedule all required inspections. All construc'l lion shall comply with Uniform Building Code, D.E.Q. stondords, for subsurface sewage disposal and county regulations covering! pl~mbing. ~II buildings require a cer'tificate of. occupancy b;efore J .. ~be,~g occupied, _ .... .~.\ ....._ " \.j. -, . (S~e Details on, Reverse\Side). ,-\ ,\ I t 7/31/75 DATE t. I' ~OO~/'AN'TARIAN OI.M ", FORM'~ C55-13. (POST THIS' ~ERMIT Otol MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRo.NMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 \\ , __.-"._..':"-.'-"Io.,.f._.... i . SITE I NSPECT I ON ApP~O.vED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVEO;----? DISAPPROVEO ~I DATE REMARKS FRAMING INSPECTION ApPROVED / '; OISAPPRQVED / / DATE REMARKS LATH OR SHEETROCK INSPECTION I APPROVED.c=7 DISAPPROVED ~I DATE REMARKS FINAL' INSPECT ION \...1 ApPROVEO I I DISAPPROVEi\ Cl DATE [)) R[.MA,RKS4j{A~ 'f~AL _ <[ - ~'6 .7,~ 1"iA" - < .', . , CERTI F I Gi\TE OF \ ~. OCCUPANCY INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR REMARK,S READ~ ~O ISSUE ;---y NOT READY TO ISSUE Cl DATE INSPECTOR " ~ ." I1/-1Jj7~ .;7. 0 r; ,it( $" ; . .f -.-. 70~ r;JJ . , - " r ...: .:? . .;:~I' ".-. \, LANE C( .!TY , '-'" . -~ :'BUllDING 0 . /1'/ fl ? '.) 7 MOBIL~,. .OME USE PERMIT PERMIT- NO. JIOi .,')7-75 /- , .../ ... -~4 ,. . . .t"'d~/J",\ "~:-. . BUILDING PERMIT OR M H DJ:X MAILING ADDRESS 591 BUT 10TH MAILING ADDRESS PHONE -...; ., PROPERTY OWNER S. R. CROSLU CONTRACTOR SAf4E EUGENE, OREGON . " ",-,. \,t.t"':..~~.... '. PHONE PROPERTY LOCATION -INCLUDE POST OFFICE HARBOR OnIVt FILBtRT GROVE [STATIO PROPERTY LEGAL IDESCRIPTlON - METES, BOUNDS 5TH AOOITIO~ rlLBERT GROVtS LOT 52 2092 HARGOD ~'IVI 3 SECTION .. 2j.l BLoclI: 3 .TAX~LOT NO. CODE ':,(~. CENSUS TRACT 35-400 TWP 18 RANGE APPl. S. R. CROSLEY EXISTING STRUCTURES ON PROPERTY NoNE NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms SAf4E LEGAL ACCESS TO PROPERTY HARGOR On lYE PROPERTY SIZE - FT. WIDTH '- DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT PrR~'T FOR. PAR"ING MOGILt HOMES Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. ;r: BDRMS New System 0 VALUATION I"~ 1J1877-74 SEWAGE DISPOSAL PUBLIC o;lllSTSSEPTlC TANK 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER lj:l !lURCIIARor . fEES PLUMBING INSTALLED BY OWNER D OTHER: -NAME WATER SUPPLY PuOLIC OTHERD 1..00 PUBLIC D D OTHER TOTAL '10.00 .04 '14.04 COUNTY BUILDING & SANITATION SPECIFICATIONS . MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL DRAIN FiElD REQU!~ED lIN. FT TRENCH WIDTH FT. OR SQ. FT. 00 NOT CalVE OR BUILO OVER SEWAGE OI!lPOSAL SYSTEf4 ".- .__."-"----~._~-,-~-"" ., TYPE OF STRUCTURE /f.H OCCUPANCY , ZONE rlRt 3 USE CLASSIFICATION PUBLIC UTlL EASEMENT BLDG. SETBACKS n FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT 45' SIDE INl. II' SlOE EXl. AUTHORIZED SIGNATURE - DATE /5/ J. E. Boss BY N~ILSON REAR 5' SHOO~/SAN'TARIAN 7/3-1/75 ['1" DATE Dlll BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687-4065 to schedule 011 required inspections. All co.n{;ruc. tion sholl comply with Uniform Building Code, D.E.Q. standards for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occuponcy before being occupied. (See Details on Reverse Side) \ FORM = C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPl. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 "'"'" SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ;---? DISAPPROVED ;---? DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / ~/ DISAPPROVED ;---? DATE REMARKS ROUGH PLUMB I NG ApPROVED .c7 0 I SAPPRDVEO .c7 DATE REMARKS ROUGH GAS PIPING ApPROVED .c7 DISAPPROVED .c7 DATE REMARKS FINAL PLUMBING INSPECTOR INSPECTOR INSPECTOR INSPECTOR ApPROVED ~ DISAPPROVED .c7 REMARK 5 DATEf'- J '-/ - ?~ INSPECT R I FINAL GAS PIPING ApPROVED .c7 DISAPPROVED / / DATE REMARKS CERTIFICATE OF OCCUPANCY READY jo ISSUE .c7 NOT READY TO ISSUE ;---? DATE REMARKS j i INSPECTOR INSPECTOR . ~ , " c ., r-' .~. II ,NOTE: NO PERMI~ "ILL BE ISSUED UNTIL THIS APPLI( [ON HAS CONSTRUCTION CJ APPLICATION FOR: 'MOBILE~OME ~ .; PLAN REVIEW 'Pc.. S9: ~. ~C\\ CJ .-..........l "\,~ \.~\Q<;;"..~ \.0 City ClliU~GE OF OCCUPANCY t=J OWNER\ \ ~ as. "- Name . : c::::....... r=:=J CONTRACTOR '- ''1_..~,'. '- _ \ - Name O.S. REG. II ~ ~ Twp. \?, Range ~ Section d... \. t Tax Lot ~ Code S-Ubdi~ -' ~O~-\. ~~~ -L"ot ~d <BIOCk~_-' Property Acreage ACCESS TO PROP~RTY (Road Name) S"""'-'...()-Q.. \.-\."" .;,Cs:,~ (' ~\r' ~ Existing Structures o~ Property: ~'-1\ . ~. C...., proP~~Location - AddreSS/DireCtiOns'~~a.._C~~'\" ~n'L~ ~ ~,'-C"'''-'-''-~ 'E.... ""'" \:.,,,,,,- ~ ). oL "I <x.. Address City Cu~~. "-- Zip _~hone ~ ~ \.( -.t;'"7 'X-i) Phon'e - - Address >- Zip Census Tract 65-lf!rfD Width______Depth //' / "'----\.,' I ( /(, ~~'\....~-.A'\...-'\::::' f-iZJ Y':h~ [k; iff __ /: ~ for Office Use Onl(XXXX~:~XXXYvv,rvYYvvvv'CXXXxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx. XXXXXXXXXXXXXXXXXXXXXX ~. J'e . ~ ~ '\ (, ~Sqr.Ft\ ~ t IIBedrooms/ r:::"""'-- Valuation ~.Q,~ - co., \C"\c....~--.... l'~. 'Q '-.....~ / \ ~. '\ . .. . .. ... / -==---- / ~\r\~'l-\-\~ _ SEWAGE DISPOSA.- -- , --..J . Site, Inspectio~ JX ~ S_\. WATER SUPPLY: Well .Spring Exi~ting Sewage DiSPosa~Ys m " Public Other ' Community System Required CJ. Community or Public System FEES: \-...l.C')C) PLUMBING: I_nstalledby Owner 0 PLUMBING FE'S: . / II of / . ~~.. ~HECK . . CJName . Bldg. Was te D.~sp. Plumbing Plan Review :~ Sewage Q Connection ~. w~te~ ~ Connection TOTAL ~}=c:.;' D~ ~ C;:J...\ . IP:NSI ~'::ISHED~ ~ITY PERM~ NO . Signatu~e De" APp~t:-b~-~ fJAA _ Fee Receiv~d By: ~-.:.. Date:""~((\, ~~ Mobile Home 1% Surcharge Min. Septic Tank Capacity , nO, .....^-J- rfrvjA~ {)r< Drainfield hl.<,flJ ~ Requ'ired 50s- - Lineal Feet Maximum Depth Type of c~nstruction~Group .1' ,. Fire Zone ~ Use Classification lr ___ ./ Bldg' Setbacks - Front ~ from Center. of Road Side Int. ~ Right of Way: f'\L: Rea~ ,e::( -. Zone ;? 1Cl._",,"'!- ~1;/r?Jh fl..,~ ""t1"':' .t~ ( '--' C55-12 . DATE: S~t~N: DEd~ENT OF '1//17a- c;t4fi.b: -, /" ENVIRONMENTAL MANAGEMENT /7 DATE: ....~~ "..)73,/1> LANE COUNTY '.