HomeMy WebLinkAboutPermit Building 1975-9-22
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I lANE CO~ BUilDING PERMll
BUILDING 0 MH 0 XX
MAILING ADDRESS
OR MOBilE ~E
Il7H 1.(6 -,
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,
USE PERMIT
PERMIT NO,
t+i 1162. 7'>
PHONE
PROPEi(1Y OWNER
1A !~." J iOGAN
CONTRACTOR
"A".
PROPERTY LOCATION - INCLUDE POST OFFICE
20,1 HARBOR DRIVE
PROPERTY LEGAL DESCRIPTION - METE.S, BOUNDS
1TH ADDITION TO FILBERT GROVE
2022 MARBOR DelVE
MAILING ADDRESS
SPRINGrlELD OREGOH
PHONE
TWP
RANGE
SECTION
LOT 22 BLOCK 6
TAX LOT NO.
CODE
CENSUS TRACT
Ic'
0,
11
17-18<)
EXISTING STRUCTURES ON PROPERTY
NONE
LEGAL ACCESS TO PROPERTY
HARBOR OR I VE
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
BARBARA J HOGAN
SAME
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0 New System D.
TYPE CONSTRUCTION sb. FT. t: BDRMS VALUATION
PERMIT TO PARK MOBILE rl~E
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
.."t_
SEWAGE DISPOSAL
PUBLIC 0 ~ #II SEPTIC TANK
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SURCHARGr
n
I
OTHERO
100.00
4,(J()
PUBLIC 0
o OTHER
TOTAL
':lO,OO
1;>
I')h 1::>
couNni BUILDING
NO';!'; 1\0 "ar 'n Shell Erect or Construct
P :ldlilO or Structure, or Park A
1.. oJ<;up l-Ioml l~lithout First
QbtainiIl<:1 1h3 Necessary Lan,,!
& SANITATION SP~l1'tej(fl'O~ .............
$-
MIN. SEPTIC TANK CAPACITY
WITH DI5T. BOX; GAl. lit ')
DRAIN FIELD REQUIRED
UN, FT 1 ')0
TRENCH WIDTH FT.
lDEPT... OR SQ, FT,
~oo
KEEP ALL PARTS Of SEWAGE DISPOSAL SY'TEM 100 rEET fROM ~ELL
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
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BLDG. SETBA.CKS
FRONT 4')'
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FT. FROM. (lR. Of ROAD RIGHl Of WAY
SIDE INT. ') SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/s/ J. L. 603S BY HARBAUGH
USE CLASSIFICATION
REAR
'i
DATE
SHOOK/sAHITAPI,N
Q/22/7"i
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 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 97401
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BUILDING SITE EVALUATION
(~ BUILDING PERMIT APPLICATION
() SITE INSPECTION
PLANNING DIVISION Not
!\QPlicable
I. Zoning Ordinance Compliance: ZoneA11~ ( )
2. Subdivision Ordinance Compliance ( )
3, Required Access ( )
4. Building Site (Area, Width. Frontage) ()
5. Other (see comments) ( )
COMMENTS:
T..!tI. R 0:3
SUBD, SION:
LOT:
APPLICANT
DATE
No Yes
T) 1t.:f 6,
( ) (....,.-
( ) ('1"'
( ) ('-1'
( ) ( )
PLANN I NG D I V I S I ON ACTI ON r "...1 ",,,: YES l ) NO l J APPLI CATI ON#
BUILDING INSPECTION DIVISION
Not
Appl icable
~~l
( )
( )
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10, Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
,Appl icable
( )
( )
II, Meets Department of Environmental
Quality Standards.
12, Other (see comments)
COMMENTS:
S.l/-Z,2..TAX LOT ZZDO
BLOCK:
Ihcav\
CK'D RJrr-./;".T~-zs:-~
Setba~om ell of roaa:
Front ~'
~:L :..I.::.r
Setbacks from Interior lines:
Side ~
Rear _.<:'
r)~J
() ~f
()() ~~j
( ) ( ) CK'D BY (!1A~t-7J
No y,.s
T)TY
( ) ( )
CK'D By:~_~J~ 1-l)'-7J-
() DATE
TO APPLI CANT:
Your Building I Site Inspection:
'1t:~ Can be approved.
(A/II'" /( ) Cannot be approved at this time as indicated on item NO, above.
-r t7 Questions and further Information on items I through 6 contact the LANE-
.\;~ CpUNTY 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.
( ) 15 being returned.
( ) Your bulldin~ permit appllca.!.i,2.n_fe~uelnn re~l'm/!.d under separaJr '1""'~
II\::PARTMEtlT Of ENVIRONMENTAL AANAG~Io\I::NI
135 Sixth Avenue tast Eugene Oregon 97401
PHONE: 687-4065 ,
LANE COUNTY PLANNIN~ DIVISION PHONE: 687-4186
C55-28
.
LANE eol
BUILDING D
BUILDING PERMIT
MH 0 ~
MAILING ADDRESS
OR MOBILE LE
USE PERMIT
PERMIT NO,
~,
PROPERTY OWNER
PHONE
.
., .
iAP'"''
'..
I ~,l' .h,D
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
.
PROPERTY LEGAL
')"'"
TWP
....;t '"
DESCRIPTION - METES, BOUNDS
II
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t
I;' I_'~
TAX LOT NO.
,.
RANGE
SECTION
CODE
CENSUS TRACT
It
~
7 l'
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
EXISTING STRUCTURES ON PROPERTY
... 'AFiA J 1. "2.'-"
LEGAL ACCESS TO PROPERTY
..... 4' YI
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ_ FT. # BDRMS
New System 0
VALUATION
.
r~" r I~ Il-
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
BUilDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
$
OTHERO
"
PUBLIC 0
o OTH ER
..-
TOTAL
$
MIN. SEPTIC TANK CAPACITY
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
WITH OIST. BOX: GAL
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
, L
..
I U
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
'j
DATE
"
.
"
)I,
rJ
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)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY. DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
FORM ::= C55-13
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED / / DISAPPROVED ~ DATE
REMARKS
GAS PIPING GROUNDWORK
ApPROVED / / OJ 5APPROVEO ~ DATE
REMARKS
ROUGH PLUMB J NG
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
REMARK 5
FINAL PLUMBING
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
FINAL GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE / / DATE
REMARKS
.
.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
BUILDING PERMIT OR
MH 0
MAILING ADDRESS
MOBILE eE
,
,
,
LANE eol
BUILDING
t/'
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USE PERMIT
PERMIT NO,
PROPERTY OWNER
PHONE
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
TWP
RANGE
SECTION
TAX LOT NO
CODE
CENSUS TRACT
APPl.
NAME
.
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
EXISTING STRUCTURES ON PROPERTY
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :: BDRMS
New System 0
VALUATION
FEES
PLUMBING INSTAllED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
I
OTHERO
PUBLIC 0
o OTHER
TOTAL
$
MIN. SEPTIC TANK CAPACITY
WITH 015T. BOX: GAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
BLDG. SETBACKS FT. FROM eTR. OF ROAD RIGHT OF WAY
USE CLASSifICATION
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
fRONT
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)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97"01
FORM = C55.13
...
SITE I NSPECT I ON
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED ~/ DISAPPROVED ~/ DATE
INSPECTOR
REMARK 5
FRAMING INSPECTION
ApPROVED / / 01 SAPPROVED /7 DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED ~/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
ApPROVED
FINAL INSPECTION
7ifl:::;:Jl, 0';;' /'"L r~!& iLNSPECTOR
I
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE /7 NOT READY TO ISSUE /7 DATE
INSPECTOR
REMARK 5
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CONTRACTOR ,~
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Name
Address
City
Zip
Ph9ne
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0.5. REG. II
Twp. / If" Range d. 3 Section / I Tax Lot
Subdivision ~4JIl. ~ ~ ,:J,.2 Block 6 Property Acreage
ACCESS TO PROPER;;' (Roa~ Name) ~ ~
Existing Structures on Property: ~~
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cens;y:"ct / 7- / IS r~
/ Width.L.L.Depth ??
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Property Location - Address/Directions:
'"'I)J>-"I",WOOOOCXXXXXXJ.\""6i'I..:x]QCXXXXXXXX
ffBedrooms Valuation
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1P.J'f_~ llq, Ft.
r- - ~ p. ·
Other
CJ
or New System Required ,rs<?1
SEWAGE DISPOSAL: l
Site Inspection ~~~
WATER SUPPLY:
Well Spring ______
Name of Community or Public System ?;I?~
FEES:
PLUMBING:
Installed (>Y Owner Other c=J Name
\ C~, =~ PLUMBING/'~EES: <l Q ;f.... ~
~ L.\~ . /I ,!f sewag~ Water'
\ - / /" connect1~.n Connection
L~D ~~ t ~:-z. N/~rurD FACILITY PERMIT
-" a6/~~'f"" ...-Y' ~ES CJ. NO;V' ~ YES
\~~ . \~I CHic Signature of APp~an'f;l;2l1h.1/l.//1.
I Fee Received By: c..:::::::;.,~a:i7~\
Bldg.
Waste Disp.
Plumbing
Plan Review
Mobile Home
1% Surcharge
TOTAL
Min. Septic Tank capacity-E-(") 6
l./
Drainfield Required - Lineal Feet
I\'()
'7
Maximum Dep th _ --7
Type of Construction
fl'IH
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Group
I
Fire Zone
Use Classification
Bldg Setbacks - from Center of Road Right of Way:
Front 45' Side Int. _ ~ I Si':'_ :_U_~':h
Rear 'l.~
Zone .t?ri-11f II
P~I~
q',/UA ~-'1.6.--7.s
DATE:
~ON: 1~cTE':7a-~~&~~9"7j~
D[JR~ENT OF ENVIRONMENTAL dA~~ENT
C55-12
LANE COUNTY
TRS TJ /&- O.5~ II ~ 2-<. -,:?...Joo
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Plat: Plan
Subdivision ~()(jd 1dhd ~
Lot 7,7_ Block (,.,
APPROVED
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