HomeMy WebLinkAboutPermit Building 1974-6-21
~
~'
tJ.'~
, ~
-,,~
:',of
'. . ~ .'
.. .~..;-.. .~. ~",
:...'
7'
,L
LANE COUNTY BUILDING PERMIT OR MOBILE
BUilDING 00< MH 0
MAILING ADDRESS
7080 Thurston Rd. Spfld. Ore.
MAILING ADDRESS
."-.'
( )
HOME USE PERMIT
PERMIT NO,
;0'-( 7- 7V
1047-74
PHONE
747-3423
PHONE
~ PROPERTY OWNER
Ollar. ..Br.lbb'f H.
CONTRACTOR
P.ROPERTY LOCATION - INCLUDE POST OFFICE
16L16 Harbor Or.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
Filbert Grove It 9 blk' 3
TW.P
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
18
03
02.3,::2.
ff2--vtm 35-400
EXISTING STRUCTURES ON PROPERTY
none
APPL.
NAME
.
"lEGAL ACCESS TO PROPERTY
sllllle
Harbor Or.
MAILING
ADDRESS
PROPERTY SIZE - FT.
WIDTH
60
DEPTH 115
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
Carcort ( 29' X20' )
5N
4O(l(ii)2
800.00
StoraQe Shed, ( 12' X 20' )
24(XQl 4
960. 00
<
OTHERD
18.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
...BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 00
PUBLIC lD
o OTHER
TOTAL
.
11100
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX, GAl.
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
. . OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
5N J
B~DG. :,'UBAC~~rJ5l.HFfOM CTR. OF ROAD RIGHT OF WAY
FRONT87' Shed SIDE INT, l; SIDE EXT,
AUTHORIZED SIGNATURE - DATE
USE CLASSIFICATION
REAR 10' PUE
Is/J.E. BOSS, BY CHARLIE HARBAUGH
JOHN SHOOK, SANITARAN
DATE
6-21-74 Idm
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 6B7-4065 ta schedule all required inspectians. All construe.
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)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97.401
FORM.= (55-13
'-
I
I
READY TO ISSUE / / NOT READY TO ISSUE ;---? DATE
I
, '41 ' -/-1 I ~
:;;;:./~~ ~;;~/-fJl~
.
,.,<."
~ ~.'
,.
~
SITE I NSPECTI ON
ApPROVED Cl
DISAPPROVED Cl DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED / / DISAPPROVED I
/ DATE
REMARKS
FRAMING INSPECTION
ApPROVED / / 01 SAPPROVED / / DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO 1-:.../ DISAPPROVED'1--/ DATE
REMARKS
FINAL INSPECTION,
, ,
ApPROVED ~ DISAPPROVED
/ /
DATE ,7- /J. -1/
REMARK 5
CERTIFICATE OF OCCUPANCY
REMARKS
r
. "
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
&
INSPECTOR
'.
1
~
"
-
.
.
BU I LD I"'G SITE
EVALUATI,
() Building Permit Appl ication No,
() Site Inspection
() Pre-Permit Investigation
Js /c.!1.
/r> 1/7- 7V
I
T Jr;- R O~ 5 0 ~ TAX LOT
C~ T~ACr
Fit /;}Prt ~ L-9 15-.3
APPLICANT: n.'//
NAME V/Qr
ADDRESS
PHONE
DATE
('-/3-7V
I
NOT
appl icable
I. Zon i ng Ord i nance Comp 1 i ance () () (
(Zone' ~i?.AIM#)
2, Subdivision Ordinance ~ce () ( )
( ) ( )
4, Bui Iding Site (Area, Width, () ()
Frontage, Setback)
5, Other (see comments) () () (\
COMMENTS: ~/iC~ ~~/L ...J
/'. :/ ::I I " ~ r
~ /~ ,~.o"A 70:...: /'.A~4 u,P'~
, /7
NO
YES
NAME
DATE
LANE COUNTY PLANNING DEPARTMENT
3,
Required Access
)
( )
~:J% ,--,'_~
/'
h-/q-7~
/
~~~~~ ./~.....:/'~~
BUILDING INSPECTION SECTION NOT NO YES
appl i cab 1 e (~
6. Plans Subm i tted ( ) ( )
7, Soil Stabil ity (foot i ngs) ( ) ( ) ( )
8, Flood Plain ( ) ( ) ( )
9. Other (see Comments) ( ) ( ) ( )
COMMENTS:
NAME
DATE
{j1l~4
!
(P-/9.7'1
-=
. -" --... I
"
TO APP LI CANT:
( )
( )
( )
Building Permft / 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 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County 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,-
/(y)Nr
G--;LO<< ()
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
C55-28
~.
y
::1 ~, .~
.
PROPERTY LEGAL DESCRIPTION
LOT - BLOCK - SUBDIV.
TWP RANGE
;Y - 03
LANE COUNTY BUILDING PERMIT OR MOBILE HOME USE APPLICATION
PERMIT TYPE - BUILDI~G ~ MOBILE HOME [Jose REG, # PERMIT #:
PROPERTY OWNER . , ;' MAIlIN'7G AODDR~~,/}' --I-:r' . -7'. 117, fJ, n_ -"', ,MP . d
(PJ..J...If;(.,/3oh/)'1 II. 0- ~ '/~tK<. B'~
CO~ "J'. MAILING ADDRESS - / /
PROPERTY. lOCATJON--INCLUDE POST" OFFICE
/&€/t ~~~-.Ai ,
F~~ ~rv-9--,-,. oli:r 7 -dJ-4t .3
CENSUS TRACT
35-=- L( Or:!
/til/): '} 'I
PHONE /
?Y?-3Y::L...5
PHONE'
METES & BOUNDS 0 YES
ATTACHED ~o
SEc'.
TAX{L<?T #
CODE '
o.:L
,
DESCRIBE -eXISTING STRUCTURES ON PROPERTY IF ANY
, .
~~
- LEGAL ffCESS. n; PROPERTY - ROAD NAME OR #
,~~~ ~I '
PROPERTY SIZE-WIDTH DePTH _ AREA
, 40 //.5
APPLICANT
NAME
AND
MAILING
/
tJ/{~
ADDRESS
FOR MOBILE HOM,E PERMIT ONLY
Nu"mber of Be"droams
STRUCTURES' TO BE BUJLT T~ERMIT
'~P'1A
.. /'
~~_p_2kQ
\;;; tJ 'X '.2u"'
; Gonnec:t to Existing Se"";oge
TYPE CONSTRUCTION
r.,...AJ
System D
SQ, FTi>
2' (51.).-
-r't)iJ
, el 'j
,;> 4/0
or New System Reg, D '
# BEDROOMS VALUATION
. " :rao
76'0 .
~
,/?{.(),
~ ,; . .
, I '\
/.L'/- .)0
. TOTAL
'--'-'f(. -00
OTH ER D
FEES WATER 'S,U"pPlY
. PUBLIC !\it
, PLUMBING FEES
---,-,FIXTURES
. CASH 0 SEWER
CHECK ri . CONNECTION FEE
, PUBlICWATER
CONNEcTION fEE
,
/"
PLUMBING'INSTALLED BY
/ " '
, ,OWNER 0 OTHER D NAME
./',/ PLANS FURNISHED
OTH'ER YES C1k ,NO D
y(R, ~0."-' &'t!::F APPl~CANT
;7 FEE"RECEIVED BY
:Pt'~~,,=,,;,
PERMIT .#
FACILITY PER~I! ~.
..21.~'"
YES D NO ~ '
DATE'
C~;r/:7lf
DATE
f//i/7$/
SEWAGE DISPOSAL
PUBLIC D
BLDG.
WASTE CIS. .
PLUMBING
PLAN REVIEW
PARK ~RlR.
SEPTIC TANK "ri9-
$~'OO
Mlt:-l. SEPTIC TANK <;APACITY
WITHDIST. BOX: GAL
COUNTY B,UILDING & $:A.NITATlON SPECIFICATIONS'
DRAIN FIELD REQUIRED
UN. 'FT. . /.:" TRENCH':y..rjoTH"n.
~
"
OR.,SQUARE FEET
, .....
TYPE~OF STRUCTURE h"':': A / occuP~
~':...c;-/")' _(fJ-A.~4:>..-~ j^/' _~f
BLDG;...SETBACKS - FT: 'FROM. CT~~RI~H:. ':F WAY
, a'FRON;? $'9 (~ r SIDE EXT,
, ~TAID~ c'//777ttNING , .
,k~:V ./ ' ". '( ~
irections . to Find Property' ~. (.,' .
ZONE
REAR YARD
PUBLIC ,UTlL. EASEMENT
/,
REAR 10 /'rtf. ,./2
Date BLOG INSP' . ~w . Date
t:.-.:2.d-7( . , ~ ~//-/y-:p
, .
USE Clp:SSIFICATION
COPY 1 - OFfiCE'
COPY 2 - JOURNAL
COpy 3 - AUDIT .
Form # 05-12