HomeMy WebLinkAboutPermit Building 1975-10-3
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',; .5~,' :;' ;-~-.- LANE (~O~'~~~: BUILDING' PERMIT OR
";':'.;",. ,V,, BUILDING DXX MH D
: PROPERTY OWNER MAILING ADDRESS
,.,',
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d9 ~ 3ij~'JS:"
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MOBILE Q~E
USE PERMIT
PERMIT NO,
?';,<lJ_7<;
PHONE-
... HUBERT KE I THLEY
CONTRACTOR
SAME .. . ,"
PROPERTY lOCATION':"" INCLUDE POST OFFICE
,2011 HARBOEl OR IVE
'j PROPERTY lEGAL DESCRIPTION - METES, BOUNDS
f' I LBERT GROVE "iTH AOOhT I ON LOT 20 'BLOCK 6
TWP RANGE SECTION TAX LOT NO.
201'1 HARBOR DRIVE
, MAILING ADDRESS
SPR 'INGFI FLD ORFGON
1tl6-h17h
PHONE '
CODE .
CENSUS TRACT
18 i H
APPl.
NAME H, KEITHLEY
& SAME
EXISTING STRUCTURES ON PROPERTY
TRA-ILER
LEGAL ACCESS TO PROPERTY
, HARBOR DRIVE
ADDRESS .......
WIDTH
. DEPTH
AREA
,
,;
/
,
/
MAILING
PROPERTY SIZE - n.
FOR ,MOBILE HOME, PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
,Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. -FT. :t.: BDRMS.
New System D
VALUATION
,
. PERM IT fOR CARPORT,
, "''''j'
",PAT.IO,.:
12 X i0
~60 @ 2.80
@ 2.80
';'ll'lnl'.,()()
",'
SAME
,r
t nnP. , ()(1
~"r~ :~:;:
",; ; STORAGE SHED
12 X 16
Iq2 @ 'i. .0'
t 01.7 ffi
<, ;.'''SEWAGE DISPOSAL
PUBLIC n:X'I,ST SEPTIC TANK 0
,
.BUILDING t.
.WASTE DISPOSAL
!PLUMBING
PLAN REVIEW
. PARK TRAILER
SURCHARGE
"TOTAL
$~(:m. 60
OTHERD
2~.00 '
FEES
Pl~MBING I.NSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
'PUBLlC 0
o OTHER
.
.B4
2B~ 84
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH D151. BOX: GAL
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIl. EASEMENT
5N
BLDG. SETBACKS
FRONT 45'
/s/ J. E.
J
_ FT. FROM CTR. OF ROAD R1Gtiif-OF WAY
'-vl:.
SIDE INT. WEST 7' SIDE EXT.
AUTHORIZED SIGNATURE - DATE
Boss BY HARBAUGH
USE CLASSIFICATION
REAR 7' PUE
SHOOK/SAN I TAR,FAN'
"
DATE
10/3/75
DLM
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
'COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION ~ GOLDENROD
Call 687,4065 to schedule all required inspections, All canstru~,
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
being occupied.
(See Details on Reverse Side)
'".; 'r:<?~.~_ .;:;:~,c 55.:;I3~'A'<~_"_"'_':
'~_'~'""'" .,~}I~i.,,: - ;..../.:
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
~OUR~HOUSE,.~NNEX, 135 EAST 6th, EUGENE, OREGON,97401
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BUILDING, SITE'EVAL~AT}:N:' "~"\~..">"~;~~/l'~~03
, , .......<', " ,',' ',,\,j, ", ,,~ ' SUBDI~ISION:
...k"J, BUILDING f'ERMIT APPLICATION NO,. 2--f' ,1+-,:"-':.. .':,,.,, ,:,~" 'LOT,:
'. .' '.,' .' ~.; .'--.. \..:'.-: ':{'t ~~:". .'
'()S ITE' I NSPECT I ON, ' ,,;.., " APPLICANT
... ',<" .'.,' DAT'E'
,
S 1/-2.: "ZIAXLOT 'ZDOO
, PLANN I NG D I V I S ION," " ';, ,; Not"
, " '~ '. :ADJ?I i cab I e
'",'1. ,Zoni:ng Ordinance CbmpHan'i:e,:,ZoneRA-mH( )
2. Subdivision Ordinanc~.Compnance', ,... ( )
3., i Requ ired 'Acce5s , ' '<""; ",' " ' ,( ),
, 4~ .Bui ldingSite (,l\rea. ,Widt,b:' F~ontage) ()
5 ~-: 'Other' (see comments), , ' ( ) "
. cr.,_;
, BLOCK:
~ ithle\.p ,
/
, /' '
CKID~y~.,-It8-7S'
Setbacks from, ,c/I,ofroad:
..Front' ' ' ',46.
c: i....9 ~ij ,,~ _: I Jr
Setbacks from interior I j,nes:
; "Side',,' (~'
'Rear' '7' PlIe
No,; ,Yes""
T}~6.
(,")"'VT"
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COMMENTS:
, ,
, ,
"
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PLANNING DIVIS,ION ACTION PEl'!,DING: YES.l ',').,' NOl ) ,~P,PlICATlONIt,
BUILDING lNSP~ciLDN DIVISIO~
. ~.' . ':.
~ '."-
COMMENTS:
"",', Not
ADD Ii cab Ie, No; Yes"
n" r~:{?f, ,:,~:
( ) (').-( ),~~,' , /v1')~" "
() "C)..(, )",:,:,C,K'D Byv.d!'t _~;l1~'7Q
, ': .',:";; ,V' D TE ,
r.-;,'~~.,ptans Submitted . _ ,,' '..'-_. '_. '" c
8'.' " So i I S,tab i I I ty(foot jngs'),' ,;:\'; ,
9.: Flood Plain ".."
1 0., ,: Other (see convnents) , ",',;:,
. "
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... ,
'WATER 'POLUT ION CONTROL'~ "
-,'.
Not ','
ADDI if,'le No ?~'
, (, Fl. "
, ) ,-fH)
,CK'D
,;,
q~p'(;'~r
DATE,
II.
Meets Department;?fErivirOfime~tal'
Qua I I ty Standards:. ' .
Other (see comme'ntsT'
.' .. .~-
12.
COMMENTS:
,-'..--
-i ->
'r '. _ .'~", --j-... "
",-.
'-."-
'-'" "
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(D/ "1)\
TO APPLICANT: , ' ' ,
,YoU0!uil di ~gISife, ,IA5.p,e~tiOn: , ,
M:c'!l] be aRpr,oved.""," , ' "
() Cannot be'?pproved at,this tjme as IndJcated on; item NO. " ,'abov,e.,
Questi onsand further' I hforma~ lon' on 'items I th,rough 6 contact the LANE-
COUNTYPLANNI NG D IVISI ON. Questions and further i nformat i on on items 7
through 12. contact the, LANE COUNTY 'BUILDING AND SANITATION DIVISION.'
(,) 'Will be held ion th'is office until you can resolve the problems indicated.
('-)Is beingr,eturned,., "'~',,, ,
( ) Your'bui,ldinq,permif 'ap'pl icati'on fee is,' beFnq returned under se,!a"a~ ...over,
" ~DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
, " 135,Sixth Avenue East, Eugen'e O,regon,97401
"~: PHONE: 687~4065'" , '
'. ' ,LA!'lE COUNTY PLANN I,~q D IV IS ION PHONE: 687-4186
"
C55-28 "
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BUILOItIG"sf1'E EVALUATION Ii' I,
I ~i-'i~' ':;' .. ('%';'V'
.A:"j~B~,ILD.ING PERMIT APPLICATION
I
- '., ~
j. 1tbJF\' 'c:.' ,1 ..-
II -: l' 4-'''<')''
" , T (',',,'Jj, R O~
, I ~.; ..,; SUBD r4~~s I ON: '
;2.... -,-,,,, LOT:
NO.
( )
SITE INSPECTION
1.
2 .
3.
4.
5.
Not
Appl icable
Zoning Ordinance Compl iance: ZoneRI'I-mJ..l( )
Subdivision Ordinance Compliance ( )
Required Access ( )
Building Site (Area, Width, Frontage) ()
Other (see comments) ( )
PLANNING DIVISION
COMMENTS:
",
S 11- 2. 7:.TAX LOT 'J.OtlC
, APPL I CANT
DATE
BLOCK:
,,:.p,' 1'h 1.,0" /
/
,-
CK I D BY :::i'j{:(~~f=- "V~'Il-:-~ ~'),
Setbacks from c/l of road:
Front 4,:::.'"
Si.de..Exterl'or
Setbacks from interior I~nest
Side ~1 {.':,.;~
Rear "'7' Pd:;'
No Yes
()M' 6.
( ) (..0')'
( ) (....)
( ) (..--)
( ) ( )
...-~
;.,' . t ~ r_.(.#~.,,-
PLANNING DIVISION ACTION PENDING: YESt ) NOt ) APPLlCATlON#
i'l ,#"/.."
-,/lV .
BUILDING INSPECTION DIVISION
.'/1,,//7 '
Plans Sub'mitted
Soil Stability (footings)
Flood Plain
Other (see comments)
Not
Appl icable
( )
(I)
( )
( )
7.
8.
9.
,10.
, !
C'OMMENTS:
~
WATER POLUTION CONTROL
I ...,J../ .. ,..J ;Af (/ Not
f /(. T'. App I i cab Ie
Env i ronmenta 1 V )
~ )
\
11.
r
, ~, .
Meet5 Department of
Quality Standards.
Other (see comments)
12.
COMMENTS:
No Yes
r)w
( )'( )
( ) ( )
( ) ( )
CK'D
,.;~)rJ I! tI ,~
By;:.... ./"//Z~.r. (;J.?t'.J~l '-7-. '.",~~ -I'.~
(' DATE~,
No Yes
r)TI
( ) ( )
BY :"'\~
Vi'
q-71\--? r-
DATE
CK'D
TO APPLICANT:
Youy-Bu i 1 ding I S j,t,,' Inspect ion:- .
j....) Can be approved ~ '/
( ) Cannot be approved at this time as indicated on item NO. above.
Que5tions 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. ' I' " ,.' , ,
( ) Your building permit aeplication fee is bein9 returned under serarate c~ver,
.EPARTMENT OF ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East Eugene Oregon 97401
PHON~\\ 6,87-4065...... _
LANE 'GOUNT.Y PLANNI NG-'D IV I S;I ON-PHONE: 687-4186
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C55-28
....,...,..~>,.
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,
LANE COUNTY
BUILDING Dl(~
BUILDING
MH 0
MAIllNG ADDRESS
PERMIT, OR MOBILE HOME ,USE PERMIT
PERMIT NO,
C,'~n~. .,
r.;u IU..... . '
PHONE
PROPERTY OWNER
11Mt:m 1';~ITltI."'1
CONTRACTOR
:M'r
PROPERTY LOCATION - INCLUDE POST OFFICE
:.\>i) HAR"!31/iI H;iHtt2:
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
r a.Ut.n :'Rll'iK 5111 !,DOIT 10l! lOT ro ~,0t." Q.
TWP RANGE SECTION TAX LOT NO
e01 i t!IlR:.llOn i2l< IIIE
MAlllNG ADDRESS
r}f'RulJGV!~t.:J G~t';:'fi:;
'7.1.t... ':':. It(
PHONE
CODE
CENSUS TRACT
L
~
n
NAME
&
i'I. lIf:lfm.n
EXISTING STRUCTURES ON PROPERTY
"j'\'lltl.Cf.
LEGAL ACCESS TO PROPERTY
H^"aD~ OR IVI.
APPL.
[' ftM:~
MAlllNG
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
PROPERTY SIZE - FT.
'WIDTH
DEPTH
AREA
Connect to Existing Sewage System D New System D
TYPE CONSTRUCTION SQ. FT. ;i::;: BDRMS VALUATION
: ;\i<HI'I' H*: CAl'!P01<T
1[~1l ~
:i6O (, .:.00
(t <:.00
t:, i/;~"'..""
: ~t"";.,;::"
Slilili:
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1'2 11 "'6
'1<)2,"" ,'J.rjO "
~ ~
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=---
t:.}\;1~:!J ~ (/,.
SEWAGE DISPOSAL
PUBllC ~:1.' is'' SEPTIC TANK 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
';"d:;;t;!tJ;~~tmr:
PLUMBING INSTALLED BY
_ OTHERD
'-"'.0;;
FEES
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
-\.~.
:t ',~1
....J;.'
MIN. SEPTIC TANK CAPACIT'I'
. ,
WITH DIST. BOX: GAL
It Lv.C'q.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
TOTAL
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
^
~
-'"
:~ ~'-,~).\ ': ~\?j;:\..Sy\\~::s~
.._~_ 1..- \
, ,
.. "'"'" ."'. ~ -,
"\,
~~ ~,ti~~_
:u.\fU':'-"-:~"""'.'_ \j\~' ~"'.
"
TYPE OF STRUCTURE
~.~ '
~,\.
'OCCUPANCY
,
..
lONE
PUBLIC UTlL.. EASEMENT
BLDG. SETBACKS u FT.
FRONT ~:~c
FROM CTR. OF ROAD RIGHT'OF WAY
SIDE INT. WE!' '" ~I~~" EXT.
AUTHORIZED SIGNATURE -' DATE
/:.d J. :;:.~ ~:t.o!)1:: fj'f HAFI~IiUc;t~
REAR
7'rl.!;
USE CLASSIFICATION
SHOOHJ~A"'TA~'~~
!l.) (~/1<;
I "". I'
DATE
PLH
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
..
~,.'I." :",. , ' .
::".
....-'-:""
"-.,\.
IMPORTANT:
Call 687-4065 to schedule all required inspections. All construc.
tlon shall comply with Uniform Building Code, D.E.Q. standards
for~'suosurface sewage' disposal arid county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied. . . \ . \
,'\. (Se~,,"petai'I's~~n>Re~Je~se-Side)'.
~,
--'>.> ',- ,
, .' ":,
FORM::; C55-13
(POST THIS PERMIT ON MAIN BLDG: ',AT SITE)
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.
SITE I NSPECT I ON
ApPROVED C1 DISAPPROVED C1 DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED L-/ DISAPPROVED L-/ DATE
REMARKS
, ,
,.)",'
", }. ~ .; ". ,0
_, ,. ,t~.
FRAMING INSPECTION
INSPECTOR
INSPECTOR
ApPROVED 1/ DI'SAPPROVED 1/ DATE INSPECTOR
REMARKS45if~ M~ nhttA-lt.;t" I[J-/.f/'~~-/
q I I ~
LATH OR SHEETROCK INSPECTION
ApPROVED L-/ DISAPPROVED ~ DATE
REMARKS
INSPECTOR
FINAL INSPECTION -
ApPROVED ~DISAPPROV~D C1 DAT,b.,~t!) ~71INSPECTOR O.A~
REMARKS 4~~, t pJ &~ If)"" JF /J,L) r
, ,..,~" N'!"uw:df!L ~!' ~1iL.?: 1/ /, I '. / 'i" - 'if "> (t.",
_ ' .f (-'
rC.c~ ~ "'~ /1-/7 -7(;. <It,~
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARK S
tiYltffl- ~~./kJ1 g-/ jlY;g ~dC~~
/ ~-, .
d(p31;'-t,j-;' , ':<01/ ~
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NOTE:
NO'PERMIL, ,LL'BE ISSUED UNTIL THIS APPLIC
APPLIC~TION FOR:
,',
:;;;;J b 2> <(-- 7 S-
, ~ PERMIT ift'
ON',HAS BEEN~APPROVED
MOBI~E HOME ~ P~q ; CHANGE OF OCCUP~CY
'~ffi' ~()!(. 1/:~~P) tflt11
~ G ~W~ . C , ' 1P
, I Ad1;Ps: I L ~~~~ 111 1 ZiV!-
C=:J
lqfp-tot16
Ph6ne. p
7 fn/P -/P17~
Ph ne
Twp. ) $ I<ange."3 '.section' 1/ '. Il_tax Lot
4 . '. /C l ~ '-"-(,tdCf - .
Subdivision' / ,llLf/J ,f'~~ Lot '..:/ o Block 0,
'--, . t/ tfA. '(f\,' .. " ,
ACCESS TO PROPERTY (Road Name) ~ ,,~', :'. '.,.,' .
Existing Struct~~es on Pr~peity: __________ .
P,roperty L~c.'it:-ion - ~cidress/Dir~ctions: - -Jt) II~_ JI;~~.J-E'
fo r Of f ic e .Us e On! vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxxxxxxxxxxxxxxxxxxxxxxxx.vv~r''l''''''"r.,xxxxx
. Sq. Ft. -. ." -IIBedrooms Valuation-
~ &on ,0,;;2.8'0 looP.. 00
'3, I,., n 6>;,;;Us-O I 00 R'oD
,I Cj :J 6) ,C:; ,3,[," I n I -,. i~ n
/ '?, 0 '?,'?, , (',..., n
./ " .
CJ::J ~rNew System Required c=J
Na~~co~unity or Public System
CONSTRUCTION
O.S. REG, II
Below
4Ub1 ~
.,(J/-1 h..n ~.,' X. 3l)
,,:/IXA /? (JL..LJ-h 0 --0 /,;;1 ~ / b
SEWAGE DISPOSAl.: .
Site Inspection. #
J~!tM "
,
Code- Census Tract
Property Acreage Width~Depth
~!r ;~ jr 1:'1~1j!fi)/.
Existing Sewage Disposal_Sys~ern
WATER SUPPLY: ___.- .
Well , ~ Spring
Other
FEES:
PLUMBING:
Installed.~by Owner
Bldg.
Waste Disp.
Plumbing
Plan Review
:::J. 'P.. 0 0
PLUMBING FEES:
+ It'of Fixtures
Water
Connecti.on
Mobile Home
~%'-Sur_charge
.t5L(
..;) F'l8 y:
CJCASY
~\
TOTAL
Publi1c
c::::::::J
COIlUllun1ty c::::::::J
7?7J'
"
ame
i..,
Sewage
Connec tion
PI!\.NS. FURNISHED
FACILITY PERMIT
0;] ,& lee] 00 lji{ ~J
Si~nature of A~ I i)
Fee Received B . ate: -
, ,
"
-
Drainfie!d Required - Lineal.Feet
MaxiIll;um Depth
Min. Septic 'Tank Capacity
,,' /
Type of Construction S fI/ Grou~.
Bldg Setbacks .;.
45:'
fr~ C~Roa~1 RMlft-'o~~~~y:
. Side Int. 1 ,~t{Fs,:
Fron t
.-"""-~-
.-
Fire Zone
Use Classification
,:(--;)/, ''')
Rear /,' r t/(,P.zone.....f2E) -1'11 d
"'-. ~ '
,.~ '
q 'l~E: '^'A..4.~.UILDIN /J/ DATE:' . _
"'/.()~1(}. #1~ U 9-:zq.:.XJ
OF ENVIRONMENTAt'MANAGEMEN .'
:::;:t.ING: .
,B.7Q-IB-7S
, a!TION:
,~
DEP ENT
DATE:
C55-12
LANE COUNTY
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