HomeMy WebLinkAboutPermit Building 1975-8-18
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LANE CO....~TY
BUILDING 0
fJ7 f/ tit Y, 7S
...
BUILDING PERMIT
MH [J!]
MAILING ADDRESS
OR MOBILE . ,OME USE PERMIT
PERMIT NO
MH1~l 8-75
PHONE
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....
PROPERTY OWNER
Gf"l'l\ran Oaks
CONTRACTOR
2040 Inland W~v Sorinafleld, Oreaon
MAILING ADDRESS
PHONE
Snotelean 50000 Prnlrle Rond Junction Cltv , Oreaon
PROPERTY LOCATION - INCLUDE POST OFFICE
688-9750
Harbnr Drive 2021 Harbor Drive
PROPERTY LEGAL DESCRIPTION - METES BOUNDS
Filbert Grnve <;th addition 'l.2l~ 8-6
RANGE SECTJON TAX LOT NO
TWP
LCODE
CENSUS TRACT
18
G'l
28
APPl
EXISTING STRUCTURES ON PROPERTY
NAME
&
none
LEGAL ACCESS TO PROPERTy
2021 Harbnr Drive
PROPERTY SIZE - FT
MAILING
ADDRESS
WIDTH
DEPTH
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
In~t~11 ~pntir dt~nn~Al ~v~tp~
,
(7)
PArk 14"hilp HnmA
SEWAGE DISPOSAL
prfor
SEPTIC lANK 0t OTHERD
$
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER NAME
WATER SUPPLY
PUBLIC D
BUILDING t
WASTE DISPOSAL
,PLUMBING
PLAN REVIEW
PARK TRAILER
Inn nn
II nn
PUBLIC 0
D OTHER
?n nn
"",-p-~
MIN SEPTIC TANK CAPACITY
.">
$ I":)'. ,.,
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
TOTAL
WITH DI$1 BOX GAL
7t;O
UN FT
11;0
TRENCH WIDTH fT 3' deoth OR SQ fT
300
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTlL EASEMENT
MI-I
BLOG SETBACKS FT FROM erR OF ROAD RIGHT OF WAY
RA-~J-l
USE CLASSIFICATION
FRONT
hI: sIDe INT CO; SIDE EXT
AUTHORIZED SIGNATURE - DATE
REAR
7 nlloP
DATE
I_hn ~~_~~Jen~l~~~t^ft
.I 1", Rn~~ hv r.h,,~~p~ WArhAllnh
8-18.7<; bo
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.
tlon sholl comply With Uniform Budding Code, 0 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 BLOG AT SITE)
LANE COUNTY, DEPT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE OREGON 97401
FORM = C55 13
GEOR.Gf5. ()p..K~S
J-./I-t./AN&,OAKt,' LOT;t../
1.. ol{o IN 1-f'r"'D wAY'
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BUILDING SITE EVALUATION
"
~BUILDING PERMIT APPLICATION
( )
SITE INSPECTION
1.
2.
3,
4.
5.
Not
Appl i cabl e
Zoning Ordinance Compliance' ZoneAA-YY\'-"< )
Subdivision Ordinance Compliance ( )
Required Access ( )
BUilding Site (Area. Width, Frontage) ()
Other (see comments) ( )
PLANNING DIVISION
COMMENTS:
T ,-' _R02.. S II-~.'LTAX LOT '2.lon
SUBI>'. jSION:
LOT: BLOCK:
APPLICANT Ch k-f'Z /S-oO'lf (m '^
DATE I V
CK I D BY~ I h ::f)/"8'/c7\
Setback~om c 1 of oad:
Front ~
J. j _ =.. ~ _. :.;..
Setbacks from interior lines:
Side ..;::;:'
Rear:;' ~
No Yes
T) -r.;;r 6.
( ) (1:--
( ) ("1,.--
( ) ("'}
( ) ( )
PLANNING DIVISION ACTION PENDING: VESt ) NO{ ) APPLICATION#
BUILDING INSPECTION DIVISION
Not
Appl icable
< )
()
( )
( )
/
7. Plans Submitted
8, Soil Stability (footings)
9, Flood Plain
10, Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
App I I cab 1 e
. ( )
( )
11. Meets Department of Environmental
Quality Standards,
12, Other (see comments)
COMMENTS:
f~~ ~
( ) ( ) /i)tJ//~ '
( ) ( ) CK'D BY(;,.. Ilia .. ~J/r-76
DATE
No Yf'S
T)T}T
( ) (,)
CK'D BY: ~~~ ~-
fjJv' -- DATE
TO APPLI CANT:
fJOU Building / Site Inspection:
/1 Can be approved,
~ I () Cannot be approved at thiS time as Indicated on Item NO, above.
~/, Questions and further information on Items 1 through 6 contact the LANE-
t/ 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 bui 1 ding permi t ap~!!!.~2.':'..}e~J.~ei n9 .~~t~'=.n,!l.d under seo,g,rate cover.
DEPARTMENT OF ENVIRONMENTAL HANAbEMtNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
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LANE COuNTY
BUILOING 0
BUILDING PERMIT
MH [j1]
MAILING ADDRESS
:let!) IttUnnd H:w Snrintlvlald. OV04l:l)n
MAILING ADDRESS
OR MOBILE dOME USE PERMIT
PERMIT NO
l1rJoIa..75
PHONE
.j
PROPERTY OWNER
~\"'blr<<n n,"~n
CONTRACTOR
PHONE
Sr~~nlGon ~COOO ~roirlQ Rocd JuR~~lon <v . GrOceR
PROPERTY LOCATION - INCLUDE POST OFFICE
E0009750
lJ;"1rhnv Dr llh,) '-O~~ t:bi"Mr Dr 1\10
PROPERTY LEGAL DESCRIPTION - METES BOUNDS
trlibn,.t Gr",,1O ,>pc-. ocJd 121<m LQ2i. a..6
TWP
RANGE
SECTION
TAX LOT NO
CODE
CENSUS TRACT
111
Oll
"9
APPL
EXISTING STRUCTURES ON PROPERTY
NAME
~ftO
LEGAL ACCESS TO PROPERTY
&
l!Ol!'il ~br!mr OdllQ
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 sa FT t!: BDRMS
New System 0
VALUATION
l"~Pnl I' '1""He dl!l""~f1,,l mlntMl
La)
()Il~r, t.."nt, 11" ~:"-l
i.
SEWAGE DISPOSAL
prior
SEPTIC TANK [!]t OTHERD
PLUMBING INSTALLED BY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
,
FEES
OWNER n OTHER NAME
WATER SUPPLY
I flfI "n
J... nn
PUBLIC 0
o OTHER
MIN SEPTIC TANK CAPACITY
WITH DIST BOX GAL 71i0
~n ft-n
1'>
t II'='I.l. J'l
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN ,1-' vrl::!' TRENCH WIDTH FT :I 'clQe~l
- ,
OR SQ FT
:ilOO
TOTAL
~
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL EASEMENT
t~~1
BLDG SETBACKS FT FROM CTR Of ROAD RIGHT OF WAY
!lA.,m
USE CLASSIFICATION
FRONT
l\~ SIDE INT c:; SIDE EXT
AUTHORIZED SIGNATURE - DATE
.Pr-t--n. ~~'''/r''.J'J.n'f''nrl.:n
REAR
"l "un
.i.k. Ibn!\ bl! &1101)"00 lior~C'~nl1
DATE
e..l()..?!i ~')
BLDG PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - FINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT
Call 687-4065 to schedule all requIred inspections All construe
tlon sholl comply WIth UnIform Building Code, D E Q standards
for subsurface sewage dIsposal and county regulations covering
plumbing All buildings require a certificate of occupancy before
being occupied i
(See Details on Reverse Side) \.
,
\
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT 0' ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE OREGON 97401
,
FORM =f C55h_)]H'
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED /7 DISAPPROVED CI DATE
REMARKS
GAS PIPING GROUNDWORK
ApPROVED / / DISAPPROVED /7 DATE
REMARKS
ROUGH PLUMBING
ApPROVED /7 DISAPPROVED CI DATE
REMARKS
ROUGH GAS PIPING
ApPROVED CI DISAPPROVED /7 DATE
REMARKS
FINAL PLUMBING
ApPROVED ~OISAPPROVEO CI DATE 4?-.I2-,}/"
REMARKS
FINAL GAS PIPING
ApPROVED CI DISAPPROVED / / DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE /7 NOT READY TO ISSUE /7 DATE
REMARKS
INSPECTOR
INSPECTOR
INSPECTOR
~
INSPECTOR
I NSPECTOR ~G~
~.~.. ./ /
INSPECTOR
INSPECTOR
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LANE COlJl'lTY
BUILDING n
BUILDING PERMIT OR MOBILE nOME USE PERMIT
MH [l] PERMIT NO,
MAILING ADDRESS
204.0 'nt'....nd l' "f ~l)r.nr I(~\.J.. t'lr~Q"fJn
MAILING ADDRESS
Nrf1t'1'_.-J
PROPERTY OWNER
PHONE
bl'Hlrntl '). !.,'f,
CONTRACTOR
PHONE
:"cntlll~ ~onoo PI"",,,I# ,iL.)_,l ,Junr 10.
PROPERTY LOCATION - INCLUDE POST OFFICE
H.,J(t...'lI r:\l4..' 202::' i....bu. n.ri-vr
PROPERTY LEGAL DESCRIPTION - METES. 80UNDS
t I . Or~\,p-n
E..>r.,.1Ji ~c.
r.lle
.
y' J'w,:
RANGE
tll .'_1d i t iC:1
SECTION
L-2t. .f,
TAX LOT NO.
CODE
CENSUS TRACT
TWP
(1
" ,~
APPl.
NAME
&
EXISTING STRUCTURES ON PROPERTY
MAILING
....in,..
LEGAL ACCESS TO PROPERTY
"U;'3 }<"rlsvr III hI"~
PROPERTY SIZE - FT.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewaqe System 0
TYPE CONSTRUCTION sb. FT. # BDRMS
New System 0
VALUATION
lnst....!' "',l"G l.:. iSO-:"'5..1 'V:jt~
(i)
I" !. I.
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
lfti qn
~ no
PUBLIC 0
o OTH ER
.~) nri
'"
TOTAL
s
"
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FielD REQUIRED
UN. FT
TRENCH WIDTH FT. I :lll') t
OR SQ. FT.
.: ~tI
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
/ofh
BLDG, SETBACKS __ FT, FROM ClR, OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
)...., j :\
1- r', ,1q,~
DATE
~ ~.'- r:; t,to)
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.G. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details an 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 = C55-1)
SITE INSPECTIOll
ApPROVED .Cl
DISAPPROVED .Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVEO L-/ DISAPPROVEO L-/ DATE
INSPECTOR
REMARK 5
FRAMING INSPECTION
ApPROVED Ii DISAPPROVED /7 DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO L-/ DISAPPROVEO ~/ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED .Cl DISAPPROVED /7 DATE
INSPECTOR
~
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / I NOT READY TO ISSUE /7 DATE
INSPECTOR
REMARKS
MH'I/8-7[ ~~
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. PROPOSF' ,EWAGE OISPOSAL SYSTEM RECORD
'INSTALLER. Complete top part of for co sIgnature and submit both cop
INSTALLER'S NAME
PROPERTY AODRESS
_5 wIth applIcation. "
PERM IT NO. MH4',8-75
...
re-/'J SOP T5.~ EkJ..l
No. LIVing UnIts Bedrooms Baths
JS
'n'~ I-f"rhnr
Basement
Yes No
Oriy..
Water Supply
PublIc ~Other-Llst
SeptIc Tank:
Fe from well Steel D
InsIde DImenSIons: Ft,
Length Width DIameter
OWNER
NAME Ted Soptelean/Oakes
5000 Prairie Road
Concrete ~ No. Compartments Gal. Capacity
TIle DIsposal Field:
Depth DIstribution Box' Yes t'- No
Other DIstrIbution-Type
/000
MAILING
ADDRESS
JunctIon CIty, Oregon
Feet from
WEll Foundation
Lot LIne 0
Front I SIde / 0 Rear / 0
Total Sq.,.., I rt. Between IFlller,k IFiller Depth IFiller Below
Ft.,,?Qu LInes /0 Tvpe/2..AboveTrle.2.in.lrrleA in.
Length of LInes-Ft. I Trench I
1152."1.5'3. 4. 5. 6. W'dth;L
'lot Plan (see Instructions):
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~y~!CEIVED
AU;2"9~915
t;NVJ~~~l()UNTY
,f'lT,4,1. MGMT.
10
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Date AI J t:. -1- "7, <;;
SIgnature
CERTIFICATE OF SATISFACTORY
- /J I ,,--.d
~ ..r n~~~ ,k.lYUPb_
COMPLETION ;
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
loca~'o .
Approved: System Installation conforms to current standards
DIsapproved: Does not conform to current standards
Remarks:
Date:'6-/'1'Jr
IS Issued
at the above
C55-11
sa~~h'Slgnature
LANj'jOUNTY
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
'--
NOTE
NO PERMIT
-LL BE ISSUED UNTIL THIS APPLI~-~ON HAS
ill H 41 ,f-7 S
PERMIT if
BEEN APPROVED ~
LfV\
APPLICATION FOR
CONSTRUCTION c=J MOBILE HOME c=J PLAN REVIEW c:::J CHMGJ: OF OCCUPANCY C=:J
t;r;.VRG-60/'II<.S ;Zo/.fO ItV4AHf:J/lVAy '17'177
OWNER '- I J.. J... I AN &:. OAlf p.~ J'PIVN(;.J::IEL})
Name Address City Zip Phone
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Below/fa r Off ie e Use Onl vxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxyyyvv~rxxxxxxxx~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Lfhr/)7'f:ij'p ~_" Sq Ft j/;;t')ms Valuation
(Ja /) f) '- /7? ,ft( "- ~
?--,,....,. ()71
, 1 2- c:::] CASH
/ ::)'1. 1.2~
c:::J
~TRACTOR TE-h
Name
OS REG II
Twp I J? Range t)..3 Sect10n
s~~fs.,r~:PIJ...BERI r;.AO/:/E
ACCESS TO PROPERTY (Road Name)
Ex~st~ng Structures on Property
Property Location - Address/Dlrections
SEWAGE DISPOSAL
Site InspectJ.on t~ p.A~
WATER SUPPLY
Well Sprlng ______
FEES
Bldg
Waste Disp
Plumbing
Plan Review
'Of) (J7j
4,07'1
Mobile Home
1% Surcharge
TOTAL
M1U Septic Tank Capacity '1 ~
Type of Construction
MJI
SOP ru e,A-/V SOo 0 P/olAi~1!:-
Address
JUNe. y-, HI
City 97 f.}y!
~ R.f -'17..s-o
Phone
2%
Tax Lot ;J.. J
;;L I B10Ck-6
Code
Census Tract
Lot
Property Acreage
Width_Depth
NaNt5
J-J. b- 1< J'? 0 n
,
~
-'
Existi~g Sewage Disposal
Public
or New System Required r----l
I / '---J
l -0
Commun~szlor Public System
"
Other
Community
>-
i~~i~:d ~y Owner
PLUMBING F'ES
of F~xtures
Other c=J Name
")
Sewage
Connect~on
Water )
Connection ~
-
f3/g:;c_= 00 c.L7::?!= I 00
S1gnature of A~ z.~ ~~~
Fee Received By / r; Date :J" 3/- 7 .s-
Drainfield Requued - L~neal Feet J~ Maximum DePth~
Group
I
Use Class~ficat~on
Fire Zone
Bldg Setbacks - from Center of Road R~ght of Way
4.1~ ~(
Front ~ Side Int ~ S-I~i I!:n;1;8un
PIANNIJ'G..- I- I DATE
r:f frO"/ .,/~;, '7'5'
C55 12 LANE
Rear I ( Pu.. E""zone ~A--m /..I
COUNTY
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DErJ~;N~
,
r; /(-i/r-M:;:'d:,dfr~~~ z -76'
OF ENVIRONME~T~ ~A~~;NT I
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