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Home My WebLink AboutPermit Building 1975-7-6 I I' t--n;;-IY"'"'- ,,:/ t " . . LANE CO'~'TY BUILDING 6J (~'. BUILDING PERMIT OR MOBILE -'ME MH ~'< MAILING ADDRESS 4750 FRAlJhLINO BLVD MAILING ADDRESS ill H 05 6-75~ USE PERMIT PERMIT NO " ( PRdPErcTY OWNER 1 ,JACh C hOGAlJ EUGENE OREGON MH 353-75 PHONE 747-6272 ,- I, CONTRACTOR SAME PHONE PROPERTY LOCATION -INCLUDE POST OFFICE SOUTH 2ND TO HARBOR SPR I NGF' I EI,O 2022 HARBOR PROPERTY LEGAL DESCRIPTION - METES BOUNDS FllO[RT GROVC 5T~ ADDITION LOT 39 BLOCK 3 TWP lEI RANGE SECTION 3 11 TAX LOT NO 4200 CODE CENSUS TRACT 17-186 APPL NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No of Bedrooms HOGAN EXISTING STRUCTURES ON PROPERTY NONE SAME LEGAL ACCESS TO PROPERTY HARBOR ();lOVE PROPERTY SIZE - FT WIDTH DEPTH AREA PERMIT STRUCTURES TO BE BUILT THIS PERMIT TO PARK MOBilE HOME . Ih\/ To-INSTALL SEWAllE DISPOSAl.SV5Tl:IJ'f'v'\. Connect to EXIsting Sewage System 0 TYPE CONSTRUCTION SO FT +t: BORMS New System 0 ' VALUATION PERM I T SEWAGE DISPOSAL PUBLIC DR I OR BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER PLUMBING INSTALLED BY j.,I' g,. 7t . FEES OWNER 0 OTHER NAME. /1 L1 WATER SUPPLY /... , PUBLIC oXX 0 OTHER ( , "~,..- ~ SEPTIC TANK D OTHERD 50.00 ~.OO 'i. , MIN SEPTIC TANK CAPACITY WITH DIST BOX GAL 900 -:J 1..__'7 /L.." t-rL l' 30,00 .O~ $~Olt COUNTY BUllOING & SANITATION SPECIFICATIONS DRAIN fiELD REQUIRED ~ {. t L1N FT .159/1/..... TRENCH W~T 3D:~~O~ sQ FT dO;;;' c9- ctJ:cvW'P? /r..--..--<-- ""J 300 TOTAL TYPE OF STRUCTURE r.1H BLDG SETBACKS _ FT FROM CTR OF ROAD RIGHT Of WAY FROND01 SIDE INT 5 t SIDE EXT AUTHORIZED SIGNATURE - DATE OCCUPANCY ZONE FIRC 3 USE ClASSifiCATION PUBLIC UTll EASEMENT REAR 54 /S/ J, Eo Bosso BY r~. NE IL5011 S~OOK/5ANITARIAN DATE f;/6/75 SLDG PERMIT - WHITE OFfiCE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required Inspections All construc- t,on sholl comply With Uniform Bu,Idlng Code, 0 E Q standards IMPORTANT for subsurface sewage dISposal and counly regulations covering plumbmg All bUlldmgs require a certificate of occupancy before bemg occupied (See Detmls on Reverse Side) , PORM = C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 \ , BUILDING SITE EVALUATION (~~L~ING PERMIT APPLICATION () SITE INSPECTION JC/~1 hll.f '35"?-7s::' NO. PLANNING DIVISION Not App'l icable 1. Zon i ng 0 rd i nance Comp 11 ance' Zone e~-tI\.l-\ ( ) 2, Subd iI/I s i on Ord I nance Comp 1 i ance ( ) 3. Requ i red Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: '..l- TS _R 03 SUBDIVISION: LOT: S.L/-1..?:fAX LOT BLOCK: fh.,~/A ~ APPLICANT DATE No Yes () H- 6. ( ) ('-t- ( ) ( l.o)-" () H- ( ) ( ) CK'D Byc::;;j)f2t r h I.2&.ta~ Setbacks ffom cll of road: Front ~I 51g~ Ey+-""":^~ Setbacks from Side Rear interior lines: S' cr-' PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICATION# BUILDING INSPECTION DIVISION Not ApplIcable ( ) ( ) ( ) ( ) 7. Plans Submitted 8. SOil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Appl icable ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12, Other (see comments) COMMENTS' No Yes () H' F/e>'T ( ) ( ) ( ) ( ) ( ) ( ) CK'D BYfA....,~~ / / DATE ~ -~ -?..c:- No () ( ) Yes J CK'O ByJ~ 7/i,/'J( V' DATE TO APPLICANT: ~our BuildIng I Site Inspection ~ _()..)~ Can be approved. ~/~ ( r 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 buildln,,! permit ap,pl ica!.'2!'.Je<:'.L~ beinq returned_under separate cov"r, -DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ~t<-~~~ ..- -,.&6'1/0 ~C1)(1 / y v l.'tj'!l;J(j '/I/Y f ?,?rlltl bp- ..L-t1( _ u_, 1";-_ u'l I ~) , I ,. ! I ~ I ' "- , \- I 1> ICV I, ! ' U (J Iof ~I 'I \ ~t '\ ... ~ /" ~o~r ... '1 /' ~ 1\1 " RECEH/E9 Sy JUN2G197S l.ANE COUNTY ENVIRONMENTAL MGMT. /1!/' ;3s-5 -75 I :0 ~I It), , 0/' '~ ~- J . , ~ "> ;j",' J' _I I I Qi;{f I I I I , , ' ,,' ') / ~ :; ,," k-.Jo ~ , , 1 I I~ " "- t >.; -<c -," , ft,~ >t~~t, " I / " Ifni I I ! .. . . 1/' = I (pI, , I' . LANE (("'!TY BUILDING BUILDING PERMIT OR MOBILE MH ,7] MAILING ADDRESS .OME USE PERMIT PERMIT NO. ~ : PROP.E?TY OWNER PHONE CONTRACTOR ~ MAILING ADDRESS PHONE PROPERTY LOCATION - INClUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TV,'P RA",GE SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPL. NAME & MAILING LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO I::H. l:lUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT :;: BORMS New System 0 VALUATION SEWAGE DISPOSAL PUBt~O BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER FEES PLUMBING INSTALLED BY ------9WNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 OTHERn PUBLIC 0 o OTHER TOTAL MIN SEPTIC TANK CAPACITY WITH DI5T. BOX: GAL. $- COUNTY BUILDING & SANIT A nON SPECIFICATIONS DRAIN FIELD REQUIRED L1N. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIt. EASEMENT BLDG. SETBACKS FT. FROM eYR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE 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 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) <Ol,~' =C~~'11 (POST THIS PERMIT ON MAIN BLDG. AT SITE) lANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 SITE INSPECTION ApPROVED .Cl DISAPPROVED .Cl DATE RE:MARKS FOUNDATION INSPECTION . ApPROVEO i / DISAPPROVED / / DATE REMARKS FRAMING INSPECTION ApPROVEO / / D,SAPPROVEO 1/ DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO 1--/ 01 SAPPROVEO 1--1 DATE REMARKS FINAL INSPECTION ApPROVED .Cl ,DISAPPROVlO /P DA~ ./} M,I{ --'4 ./iJU/ Y~I ~ 71) ti- f REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE 1/ NOT READY TO ISSUE .Cl DATE REMARKS 1111 J.JJ.7,f ?I~t ;CO,;?;. INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR /~~ -. , ~ ~ O' I I ., '< . ,- -/i'''"\.._ - . , .!' \) PROPf.,RTY OWNER J , J AClt C h~l\t.l CONTRACTOR SAt4E . , LANE C(,r'\jTY BUllDING\c-I" ~ , I ~ -' ~ BUILDING PERMIT OR MOB'L~_ fOME USE PERMIT MH l'91 PERMIT NO MAlllNG ADDRESS 1175!> vl~M.:tL 1l>:1l CI. VD EUOI!NE O:/lrCC'l 'J MAILING ADDRESS ~ ( , ~rb ti'l 35S., I) PHONE 71l7~(.27:J PHONE PROPERTY LOCATION - INCLUDE POST OFFICE SeVTN 2/li) TO 111\"000 SP~ IflGf' ItLD 2~ H~QDO~ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS f"LOi!fi'l' CR(ll/(! 5711 AcplTIOM LOT 39 G!.ClCfl 3 TWP 18 RANGE SECTION CODE 3 11 TAX LOT NO 4000 CENSUS TRACT 17-156 EXISTING STRUCTURES ON PROPERTY ~c:m APPl NAME 'iOOOtl & nA~1! LEGAL ACCESS TO PROPERTY lilmoon Ci10VI! PROPERTY SIZE - FT MAIliNG ADDRESS FOR MOBilE HOME PERMITS ONLY No of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to EXIsting Sewage System D TYPE CONSTRUCTION SQ FT :.+ BORMS New System D VALUATION l"g RIll Y VO PAlill l::m "'.It Iiorl[ ~r.~IV -0 !..eTALL S~AC[ OI$POOAL SYQVCU SEWAGE DISPOSAL PUBLIC Ef1 0 011 SEPTIC TANK D BUILDING <I: WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER FEES PLUMBING INSTALLED BY OWNER D OTHER NAME WATER SUPPLY PUBLIC Dl(x D OTHER OTHERD 50,00 11.00 TOTAL 30,00 ,Oil oq,OJI COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED 15tl tiN FT TRENCH WIDTH FT 30~PT>> OR SQ FT 3O:J < M1N SEPTIC TANK CAPACITY WITH D]$T BOX GAL ~O .-. TYPE OF STRUCTURE [.:J-l OCCUPANCY lONE f It1!: 3 USE ClASSIFICATION PUBLIC UTll EASEMENT BlOG SETBACKS FRONfjOI FT FROM CTR OF ROAD RIGHT OF WAY SIDE INT 5' SIDE EXT AUTHORIZED SIGNATURE - DATE REAR 54 /s/ J. ~. Boooo !IY r.l. Ills II-Still SUOO~/OANIV~Q'AN DATE ~/G/75 BLOG PERMIT - WHITE OFfiCE COPY - WHITE COUNTY TAX ~ PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD / Call 687,4065 to schedule all required inspections All construe. lion shall comply WIth Uniform Budding Cade, DE Q standards IMPORTANT for subsurface sewage disposal and county regulations covering plumbing All buildings require a certificate of occupancy before being occupied (See Detads on Reverse 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 SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / OlSAPPROVED ~ DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / I DISAPPROVED /7 DATE REMARKS ROUGH PLUMBING ApPROVED ~ DISAPPROVED / / DATE REMARKS ROUGH GAS PIPING ApPROVED /7 01 5APPROVED ~ DATE REMARKS FINAL PLUMBING ApPROVED Y I DISAPPROVED ~ DA/?"/If }:f' REMARK 5 FINAL GAS PIPING ApPROVED ~ DISAPPROVED / / DATE REMARKS CERTIFICATE OF OCCUPANCY " READY TO ISSUE /7 NOT READY TO ISSUE /7 DATE REMARKS '~ -, .. ... INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECT~r/ 1/ INSPECTOR INSPECTOR r INSTALLER: PROPOS Complete top part of form , SEWAGE DISPOSAL SYSTEM RECORD to signature and submit both co~,es with appllcatio~~ PERMIT NO. MH J'f"l. .15" f;~;VJ No. LIVY'g Units Bedrooms Balhs Septic Tank: Ft. from<('well Steel D ~nslde Dimensions: Ft. Lenqth ')( Width I,f; 0 I ameter OWNER NAME INSTALLER'S NAME (Seek k- -- ~ACk (1,. .;..J..t' ,;.,1I-.J MAILING '.h.,-c ADORES S FR,A'.J KJ...J'J' EU<f-E:AI& O/C Le~th of L i nes-Ft. I Trench I 1 ;JL2323.n.4."3'l.;. 6. Wldth'?- 'lot Plan (see Instructions): I I f~D~~~~ i \..: \ V'.Q.. I I I I I 1 ~JD I I PROPERTY ADDRESS Basem~~~ ~!UL~1 UJ~ Yes ~ Public Other-List l1iB IJ I( Concrete ~ No. Compartments Gal. cap~~, Tile DIsposal Flel~ U DepthS Distribution Box: (Vev No Other Distribution-Type {? t v{) Feet from 7 WEll Lot Line Front 1Ft. Betwe<;n Li nes /6 Side Rear IFiller) IFiller Depth IFolle]; Below Tvpe /j(z Above Tile 2.. i nJr,l e ~ In. Foundation f /5 Total Sq., Ft. :J.5~ \1 1 ( ~ :t r : ~~V' .~ ~ I ~ J.I~ t - K I I '/.! }\l' I,~ ' 11\..., l~ I ./-':kfl'/;..Jb I 10 ~t:i~ JO'li5,. I " ~ ~ '-)g /<>:'A} : , Ir) "" S5 ~ , ~ ~ .~ I ~ ~ ~ I , I "/.' J ~- '''h ~ ID'~"JI>'~{,-IO'-7 I I . I I~~ I ,J, <'.U<<u _~ _ I Slqnature ,u 1, Xh~ CERTIFICATE OF SATISFACTORYCOMP TION ~ I Q /1 Date '7/1)'/]) I / For Sanitarian Use Only: In accordance with 1973 Oregon Laws Chapter 835. Section 214 thiS certificate as eVidence of satisfactory completion of a subsurface sewage disposal system location. ~ Approved: System Installation conforms to current standards , c==J Disapproved' Does not conform to current standards , Remarks: C55-11 Date' 7~J2-7.5 IS Issued at the above ~\~ S ~)\~rJanls Signature L~OUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY APPLICATION FOR PERMIT iFA2fI- 3.)3-2) BEEN APPROVED ~ . . NOTE NO PERMI ILL BE ISSUED UNTIL THIS APPLICATION HAS CONSTRUCTION c====J MOBILE HOME [X] PLAN REVn..t~ c====J ClIAJ:JGE OF OCCUPANCY tStllL~1l1 ElLf/N_~ C=:J r--xJ OWNE~Y- (J ;/'/1/,\ .<M50 ;:AaIJP"n'l Name Address c::J CONTRACTOR ~L~ Name Address 74'7 ~t?:J 1:J- Phon'e City l1p Phone o S HG II Twp /1 Range ~ Section, /1 F:/Ix.el CAlH<.L ~ Lot.qtj .t/A-/1.htJ/l" .),E.Ji"(' , do/J(' .3ha#. ~nd.-- Tax Lot ~~11~ Code Census Tract 17-1'['1; SubdivisJ.on Block :5 P~operty Acreage W,dth (,IJ' Depth..L.l1. ' ACCESS TO PROPERTY (Road Name) ( EXJ.stJ.ng Structures on Property J1ft-~ ~~I!UpL / Below fa r Of f J.C e Us e On! VXXXXXXXXXXXXXXXXXXXXXXXA.XXXXxxxxx:xxxxxxxxxxxxx~xxxxxxxxxxxxxxx..o.xxxxxXXXXXXXXXXJuV\.Jl...iuul.AAXX1. ~_ ~ ~ ~ Sq Ft / IIBedrooms Valuation . ~ - / ~ ,):/2s, SEWAGE DISPOSAL ~ "- Site Inspection #~ WATER SUPPLY Well Property Location - AddressjDirectJ.ons ~O:J:)" ~J2iJtJ1- .h, ExistJ.ng ,ewage DJ.sp al System r=.=J Publ c ~ or New System RequJ.red [:::&J SprJ.ng Other JX:::l ~ Name of Community or Public sYstem~' FEES PLUMBING " Installed by Owner c=.J Other c=.J Name Bldg Waste Disp Plumbing Plan RevJ.ew Mobile Home 7, () . 00 1% Surcharge -at.. d lJ l\Zl. () /) LI.oO PLUMBING FEES - # of Fixtures Sewage ConnectJ.on g). Water ConnectJ.on :;J, /' TOTAL Lc.f. () If..... , ~CASH c=.J CHECK PLANS FURNISHED FACILITY PERMIT fl.u; ~ YES c====J NO _~ YES r=.=J NO S1gnature of APPhcant-0t:>! (i .c0/J.A- r Fee ReceJ.ved By (J!' . :-" Dft~ ~ -.,211': -?r , 'I MJ.n SeptJ.c Tank Capacity qr;x ') DraJ.nheld Required - LJ.neal Feet I ~ MaxJ.mum Depth ~ Type of ConstructJ.on /'.#.#. Group ./ F1re Zone ~ Use C!assJ.fJ.catwn .tI2 ~ .4 f ~ B1dg Setbacks - from Center of Road Rlght of Way ""'"'. I ,_ Front ~1f l 5J.de Int ~ S,no ~~~~-'~r Rear 6 Zone RJ4~H PLANJ4ING c-/{arh/~--6.h.5 DATE ~ON 7!'l !!fD~ /) BUILDING ,-.., jV/ / 7~ .~~. A~' fii.. ~I DE ENT OF ENVIR~NMENTfL MANAGEMEN; ()' . DATE l' -:ii- ~S" C55 12 LANE COUNTY