HomeMy WebLinkAboutPermit Building 1975-7-7
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OME USE PERMIT
PERMIT NO. 1654-75
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LANE cr 'oi..!TY
BUILDING L<!X ..
,BUILDING PERMIT OR MOBIl[
MH 0
MAILING ADDRESS
575 SOUTH .~ STREET
MAIUt:-lG ADDRESS
PHONE
I PROPERTY OWNER f
, BRUCE '-FLETCHER, I
CONTRACTOR "
ROBERT N HILL
SPRINGrIELO. OREGON
PHONE
PROPERTY LOCATION - INClUDE POST OFFICE
2066 HARBOR DRIVE IN FILBERT GROVE:
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
FILBERT GROVE LOT 47 BOOCK 3
TWP RANGE SECTION
18 3 11,~,;:l
T^)}~~tf'tJ
CODE
CENSUS TRACT
. 17-186
APPL.
NAME
&
BRUCE FLET~HER
EXISTING STRUCTURES ON 'PROPERTY
.NONE .
SAME
LEGAL" ACCESS TO PROPERTY
d O&llJ;1 HAROOR OR I VE
PROPERTY SIZE - FT.
MAILING
ADDRESS
FOR MOBILE HOME PERMITS.ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
PERM.,. rOR CARPORT
WIDTH
DEPTH
AREA
PERMIT reR STORAGE BUHOING
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ., FT. :;.: BDRMS
20x20 1100 @ 2:80
400 @ 5.30
New System 0
VALUATION
81120.00
$2120.00
20x20
$32.40.06
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING'
PLAN REVIEW
PARK TRAILER
I%SURCHARGE
FEES
PLU~BI~G INSTALLED BY
OWNER '0 . OTHER: NAME
WATER SUPP~Y
,
OTHERO
21S.oo
PUBLIC
SEPTIC TANK' 0
PUBLIC '0
o OTHER,
TOTAL
.,
;21:1
21:1.2~
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAI~ FIELD REQUIRED
I.
MIN. SEPTIC TANK CAPACITY
WITH DIS!. BOX: GAL.
lIN. FT
TRENCH WIDT_H FT.
OR SQ. FT.
.'
TYPE OF STRUCTURE
5N .
OCCUPANCY
J
/S/ J. E.
OF ROAD RIGHT OF WAY
5'
SIDE INT. .SlOE EX!.
AUTHORIZED SIGNATURE - DATE
Boss .BY NEILSON/HARBAUGH
, . ' , .. ,
REAR 5
SHOOK/SANITARIAN 117/75
ZONE
FIRE 3
USE CLASSIFICATION
PUBliC UTIL. EASEMENT
FRONT
BLDG. SETBACKS __ FT. FROM CTR,
45'
. DATE
DLM
..'
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Coli 687-4065 to schedule 011 required inspections. All construe..
tion sholl comply with Uniform Building Code, D.E.Q. standards
IMPORTANT~ 'for subsurface sewage disposal and, county regulations ~overing
plumbing. All buildings require a certificate of occupancy before
being o.ccupied,
(See Details on Reverse Side)
\ FORM:: C55-13
~ ~ . ..
(POST THIS PERMIT ON MAIN BLDG. AT SITE).
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNE~, 135 EAST 6th, EUGENE, OREG~N' 97':01
. '. ~
.
~S/bJ4 c,if
NO._ 1 b5"4-75""
BUILDING. SHE EVALUATION ,.---
..
~UILDING PERMIT APPLICATION
() SITE INSPECTION
PLANNING OIVISION Not
Appl icable
I. Zon i ng 0 rd i nance Comp 1 i ance: ZonAA-m ~ (. )
2. Subdivision Ordinance Compliance ( )
3. Requ i red Access ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS: .
T .... R 03,
SUBll,.ISION:
LOT:
APPL I CANT
DATE
No YEfs
() T.) 6.
() (l
( ) ({
( ) (
( ) (
BUILDING INSPECTION DIVISION
PLANNING DIVISION ACTION PENDING: YES( ) NO( ) APPLICATION#
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
Not
Appl icable
. ( )
M
COMMENTS:
WATER POLUTION CONTROL
Not
Applicable
( )
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No Yes
() "'{j(}
( ) ( )
( ) ( )
( ) ( )
No ~
() ()
( ) (,)
S)I-Z:Z_TAX LOT.
~1 BLOCK: "35.-
r= t.d-dlIff /111 1/
I .
CK'D BY~~hd/~
Setbacks from c/l~oad:
Front ~
5:.L E,,~~.: ,,;
Setbacks from interior lines:
Side .~
Rear .4=;:f
CK I 0 B~./2:v,cA .~~./
/ DATE
;tt-= -7~
/
CK'D ~~ \~
\1'
DATE
TO APPLI CANT:
?Jtyour Building I Site Inspection:
Can be approved.
~;1 ( Cannot be approved at this time as indicated on item NO. above.
1/I/.r::o 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 ape.!.!.E~!.l2!'_Je.e iu!,in,q..~~tu~~.(l.d und.M..~arllte cover.
ucrARTMENT OF ENVIRONMENTAL MANAbEM~NI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
.Coll 687-4065 to schedule 011 required inspections. All construe,'
tion shall comply. ,with Uniform Building Code, D.E.Q, stondords.
for subsurface sewage disposal ana county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Det~i1s on Reverse Side) ,. .~
"~ --'
...' ,
I
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/.
,,. .. '..
LANE C( ITV BUILDING PERMI"Ji, OR MOBIL~ "OME USE PERMIT
. .
BUILDING []:x MH 0 ~ PERMIT NO.
MAILING ADDRESS
'. 575 50l1TIO A S1'Rn? SPIl I"""Itl.l)
MAILING ADDRESS "'
01>CQI)"
.
I.
PROPERTY OWNER
aRl'Cl.: fl.tTC!1Efl
. '. CONTRACTOR
(lO~[RT N "I~t.
'l PROPERTY lOCATION - INCLUDE POST 'OFFICE
2066 hAll"IlO!t D111'11t IN rIU!:RT GRove:
I, ';#ROPERTY LEGAL DESC, R1PTION - METES, BOUNDS
i~ rIL.I~T.GAevc LOT 41 BoOLK S
. TWP RANGE SECTION
1;;' 3 11
"
TAX LOT NO.
CODE
CENSUS TRAC6T
'7-1(:
APPl.
EXISTING STRUCTURES ON PROPERTY
tlOfll
6ltuc:t rLEr~Hl:fl
NAME
&
_, " .'....l ....
. .
.,
LEGAL ACCESS TO PROPERTY
dA14'I$()!t OIllvt
~ .
"':'~"-\PROP~ERTY ,SIZ~~ FJ:\..'~ "") r', 'q)
~\'"'~"''\ -/...., , "'H #\,)~\ ~
WIDTH DEPTH\ AREA
SAME
'. r-
"
MAILING
ADDRESS
FOR MOBILE
,
,\-'2.) J-~<."'''(\-\'~''~~
HOME PERMITS ONLY
, No. of Bedrooms
STRUCTURES TO BE 8UIL T THIS PERMIT
Plli;14IT 'OIl C"""CltlT
....... "
PEal,"" f~ 5TOlll'*~t:DIN'
,
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ, FT. :,.; 8DRMS
2011<.'0 1.00 ~ ~.}.o
,,?..;, '?OJI;';O
lioo 4i' 1.30
, .
',,-
" \
<~
.SEWAGE DISPOSAL
PUBliC 0
BUILDING
WASTE DISPOSAL
~LUMBING
PLAN REVIEW
J PARK TRAilER
I 1:;"UlltNA"t
PuBI.IC
PLUMBING INSTAllED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEPTIC TANK 0
QTHERD
0.:0.01:1
FEES
,
PUBLIC 0
o OTHER
.c::,~,
~c:'.i:\i
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
. ,
TOTAL
~
MIN. SEPTIC TANK CAPACITY
t.' f WITH DIS1. BOX: GAl. ''',. ........
"'-', "-
"~'\ )
lIN, FT
TRENCH WIDTH FT.
OR SQ. FT,
'~,\,qs: -"\'
---......
i l
,TYP.E10F STRUCTURE
, :J l .
I
l BLDG. SETBACKS n FT.
";)'
I FRONT
. j It/ J. C. 8M,
I
OCCUPANCY
0#
rIllE ZONE
. "
PUBLIC UTIl. ,EASEMENT
FROM CTR. OF,~OAD RIGHT OF WAY
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
ev NrILeCIII:'~"mlA_
REAR
5
USE CLASSIFICATION
51t\}0l0l/UIIIITAIU~'"
7 /7 /75
. IBLDG. PERMIT - WHITE
,OfFICE COPY - WHITE
COUNTY TAX - PINK
IPLUMBING - CANARY
BUILDING - GREEN
'SANITATION - GOLDENROD
, ~..$. '.
IMP'ORTANT:
'~
'"
\':.
'-ORM ::: C 55 - 13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
lA.NE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
_COURTHOUSE ANNEX, 13S'EAST ,6t~, 'EUGENE, OREGON 97401
_..~_. ..
~
~(511~ ?;i
PHONE
PHONE
1 '
,.
New System 0
VALUATION
$1120.00 .,'
~ ItO.OO . I
*3'?lto,oo
.
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OUll OATE
\
..~ .. !o. '.
SITE INSPECTION
ApPROVED I / DISAPPROVED ~ DATE
INSPECTOR
REMP.RI{S
FOUNDATION I NSPECT.ION /'~j _.
/' 7' /'p /,
" / ~r'J[ n..... t:::>"'//.
ApPROVEO / /" / DISAPPROVED / / DATE .-..-- r.. / t> INSPECTORc.:::....; ~
REMARKS_@ I( ft; L&-tP/tJh-tutlt eA4_/ff~Uo/.:I"y,.yt5'R (0.1 (
/ / -
ApPROVED.Lf:c:.. 01 SAPPROVED
CJ
H",,/4 ",,- O~.
/-,.-1- /V INSPECTOR{~
FRAMING INSPECTION
DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO ~ DISAPPROVEO ~/ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED ~OISAPPRO~ED'
,~
, y. ;2 9 /l!/~ NSPECTOg;
DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE ~ DATE
INSPECTOR
REMARKS
tf.,/t1-~~~/~d.u.
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I? ""I- it! cf' ~ 'p1) f,/P
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CoOk" " k. ~~~-Q..",
~.;,~~~. '
, . E' NO PERM.
. - - .
C'!1' (1/!)
WILL BE ISSUED UNTIL
THIS APPL~
.rION
;ERMIT It/ (;$175
HAS BEEN APPROVED
~
APPLICATION FOR:
CONSTRUCTION,~ . MOBIL~ HOME. c=J PLAN REVIEW
.r;::J., OWN~ ~~ 0 ~~~~(O0
~ Name :Address
c::=J CONTRA~>-~ ~~~--. ~\\ ':\:.. -\.- '- c..
Name .~ress
, O.S. REG. II
Twp. \F~ Rang~ Section '''-.\: Tax Lot
SUbd~i~\~:~ ~(:"..f~t. :\-\5;\ BIOCk~, Property Acreage
ACCES; TO. PROPERTY (Road Naper-\J, ~ ' c. ~ '" ~; ~
Exis.ting Structures on prope;ty:~' (""'...~ '-- ./
, p.ryocation - AddreS5/Dir~:.!fn5~' ::::J <""\ ( ~ ~;..: .~"'" (~:--
_:"-~~~~ -~au__"":' ~LJ.~' /
~ ; /
~-BM_. for Off ice. Use OnI yXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
'. . --..( ~q. F IIBedrooms . ~ Valuation ~
~ _ ..,,'-'-"-.V 0 (S'-- ~a.,~,,~,. x::::,C'\ '-\["'(', P>>\ ~.8<?:l ~ IDO
'" '---<.)...' ,--,---i... \...,!J"r-.., . ~.t.......... ,C> t..,-"" 'x-.=r" - \( CT' '\ IS> ")c::.... "'=c) ~ I ~ U ~
\..::))' -
/
c::::J
~O~~~
CIW;GE OF OCCUPANCY c::=J
~~,___.O.",(J
~hone '~
Zip
~'-tt<...,
City
City
Zip
Phone
Code
Census Tract
17~U
Width______Depth
\
~,.,..~~
,
'- ........
WATER SUj'PLY:
Well
Spring
EXiS:~~, g'Se ge Di~po~al'SYstem~. _ or New Sy~tem R~quired
. \. .. PUbliC~/-. .
Oth~~ co~unity ,~ Name o~- Cocrmunity or Public System
th~
',./"/-- -
.~
SEWAGE DISPOSAL:
Site Inspection #
FEES:
Bldg.
Waste Disp.
Plymbing
Plan Review
"J 'ft r()t'\
PLUMBING:
Installed by Owner
c=J
Other c=J Name
Mobile Home
p\\ ~r
\ \. '(:f
Fixtures
Sewage'
Connection
Water
Connection
1% Surcharge
.Q.K
c::::J CASH
'~CK
c=J
CILITY PERM~~'
YEet::NO
Date:,,::::- ~\_\'l:;;:-
TOTAL
OK' ' l'ru.
Signature ~f
Fee Received
A~p~icant: II
By:,-...........~
Min. Septic Tank Capacity .
Drainfield Req~ired ~ Lineal Feet
Maximum Depth
Type of Construction
6/l/
Group
0-
Fire Zone ~
Us.e Classifi-cation~P 'I- oS . 1~-1-
,f
Bldg Setbacks - from Center of ,Road Right of Way:
Front~' Side .Int: K' C";..l~ t:'..____':__
. Rear
,~
Zone ~A.-I-~l-\
;;p;r~!vf/~
DATE:
0/2-e:i7~~~SING:>r.;~
OF ENVIRONMENTAL MANAGEMENT
DAT"l f:
'7/ =>-. :>.:::-
, /
C55 -IZ
LANE