HomeMy WebLinkAboutPermit Building 1974-7-25
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LANE COUNTY
BUILDING [J
BUILDING PERMIT OR MOBILE HOME USE PERMIT
MH EJ PERMIT NO,
MAILING ADDRESS
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I'H304- 74
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PROPERTY OWNER
J. Ml'LT"N~
CONTRACTOR
JII. BRADY
PHONE
MAILING ADDRESS
1<''00 K,NTZLE'f Sj>" INGF I~LO, On~GON
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
ZOJJ H~RaoR DR I VE $PR I NGf! [1.0 , OHaON
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
L_llQ, B-3 5TIi F I LB~R,
TWP
RANGE
SECTION
TAX LOT NO
CODE
CENSUS TRACT
1~
03
11. 2.2
1~100
APPl.
BRADY
EXISTING STRUCTURES ON PROPERTY
NONE:
LEGAL ACCESS TO PROPERTY
203J ~IAflBoR DR I Vt:
PROPERTY SIZE - FT.
WIDTH to
DEPTH
19AREA
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms 2
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing SewoRe System 0 New System B
TYPE CONSTRUCTION ~~. FT. :;::: BDRMS VALUATION
~1D~ I L ~ 1,10,",(
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
1
,
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC tJ 0 OTHER
SEPTIC TANK 0
OTHERO
'J).OO
4.00
,
jO SURCHARGe
~.OO
-.011
1)4.04
COUNTY
BUILDING & SANITATION SPECIFICATIONS
TOTAL
I
MIN. SEPTIC TANK CAPACITY
WITH DIST, BOX, GAl. 900
DRAIN FIELD REQUIRED
1'''/)
UN. FT .I' TRENCH WIDTH FT.
"
<.
OR SQ. FT.
:po
No SERVIr. =ONr~(CTlor..s TO DE r-1AOt UNTIL WA'i(R !";Y$TD.c RCr.~:IVCS FINAL Ap:>ROVAl.. SEE
ATT^CHEO 5t1E.~'r.
TYPE OF STRUCTURE
~Ij
OCCUPANCY
ZONE
RA-MI
USE CLASSIFICATION
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT 115 SIDE INT. J SIDE EXT,
AUTHORIZED SIGNATURE - DATE
/ ~I ,J. F.. E 15$ H Cll~R~E~ HAl/BAUGH
REAR
5
,J. 5UOOK
7-~5- 74
DATE
EP
BlDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUIlDING - GREEN
SANITATION - GOLDENROD
Call 6B7-4065 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)
FORM = CSS-lJ
(POST T' PERMIT ON MAIN BLDG. AT SITF
LANE t.v,",NTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTROUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
~
7c/
~l+
Appl ication No.lJ1H 3otj- 7'1
NOT
appl icable
() ()
(
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( )
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BU1~DING ~ITE EVALUATION
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( )
( )
( )
Bu i 1 ding Pe rm I t
Site Inspect ion
Pre-Permit Investigation
LANE COUNTY PLANNING DEPARTMENT
1.
Zoning Ordinance Compliance
(Zone )
Subdivision Ordinance Compliance
( )
( )
( )
( )
2.
3.
4.
Required Access
5.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
.pHoTcJ
T...fL-R 3 S fl, 1,2 TAX LOT ?!/()()
CENSUS TRACT
APP LI CANT:
NAME mOL fA/lJr:j RE'J;\.nY
ADDRESS
PHONE
DATE
-7 - / 7 - 7U
NO
YES
NAME
DATE
( )
) ()
) \)~(\Y
)C{\,
( )
COMMENTS:
BUILDING INSPECTION SECTION
6. Plans Submitted
NOT NO YES
app~ I~able (~ t/!J!
7. Soil Stabll ity (footings)
8. Flood Plain
1)
( )
)
9. Other (see Comments)
NAME
DATE
() ()
() ()
() ()
&:7f~~~
f--
'7'- 2 J- 1/t
COMMENTS:
SANITATION SECTION NOT NO YES ~~"Q DATE
app 1 icab I e 7/22/7cr
10. Sewage D i spos a I ( ) ( ) M
11. Usable Area ( ) ( ) ( )
12. Water Supply ( ) ( ) ( )
J 3. Ot he r (see COlMlents) ( ) ( ) U
,-.-".-,-,--'."--."-"-';-"._..":-
COMMENTS:
. .
TO APPLI CANT:
1- )./-1-11 Your
piftJl n
Building Permit /~te 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 Countv Buildine and Sanitation Division.
Will be held in this office until you can resolve the problems indicated.
Is being returned.
Your building permit application fee is being returned under separate cover.
( )
( )
( )
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 6B7-4186
C55-28
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
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LANE COUNTY
BUILDING 0
r/~ 8 J
BUILDING PERMIT OR MOBILE HOME
MH Q
MAILING ADDRESS
USE PERMIT
PERMIT NO.
'll ~)'O I' _ :1
PROPERTY OWNER
l,;. M;,l!...i".(
CONTRACTOR MAILING ADDRESS
\f1~ E)a,s.f"lf 1::'1)"\ ,.NTZL[f :'PHtHGrIE' 0, ::'J.A[GClN
PROPERTY LOCATION - INCLUDE POST OFFICE
#.<>}) H4Hf;F! Of!tVl"' SPI~ t~rl(LO , ORl::GOU
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
l~40} ~"'3Jl"~ Fn.IH:Yl
TWP RANGE SECTION TAX LOT NO CODE
PHONE
PHONE
CENSUS TRACT
I"
03
11.2.2
11100
APPL.
NAME
&
r\,'Ai)'f
EXISTING STRUCTURES ON PROPERTY
I.Oti(
LEGAL ACCESS lO PROPERTY
?O}) HAR90P em I vr;
PROPERTY SIZE - FT.
WIDTH ED
DEPTH
'9AREA
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms 2
STRUCTURES TO BE BUILT THIS PERMIT
~kHI" I L! Ho...(
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System 0
VALUATION
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANK E'i
BUILDING .
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
1 " ~11.. CHAR'lC
"
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC ~ n OTHER
OTHERD
'j).O
;..'.OC'
TOTAL
-:n , 0'.)
.04
Ull.O!)
COUNTY
BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
1"'"
UN, FT /'-'
lRENCH WIDTH FT.
..,
'.
OR SQ. FT.
}.'Xl
.
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl. )')')
",.. fjEft,' If C~rt!-lrcr.o:'ll~' .f.,) ,t HAOC UNTIL '..f,\7r., bYSTr;.'f n:t.Cr.IVCS FINAL .U:';."~~ov:.t.. 5[(
i'r "A"p.ro .H'!:ICl.
TYPE OF STRUCTURE
l-H
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT Of WAY
OCCUPANCY
ZONE
R,\-~fi
PUBliC UTIl. EASEMENT
USE CLASSIFICATION
FRONT
)
SIDE
INT, ) SIDE EXT,
AUTHORIZED SIGNATURE - DATE
'lo~'J ,JY C, ~IlL,' "IA~fJAL'CH
REAR
.1
15'
DATE
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J. <;"COl<
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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)
FORM =C55.13
(POST TH' '>ERMIT ON MAIN BLDG. AT SITE)
LANE Cc., "Y, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED ;---y DISAPPROVED ~ DATE
REMARKS
GAS PIPING GROUNDWORK
ApPROVED ;---y DJ SAPPROVED ~ DATE
REMARK 5
ROUGH PLUMBING
ApPROVED / / DISAPPROVED ~ DATE
REMARKS
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
REMARK 5
FINAL PLUMBING
ApPROVEO ~>(" / 01 SAPPROVEO Cl OAT [/..:../!-, 74-
REMARKS
FINAL GAS PIPING
ApPROVED Cl DISAPPROVED / / DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE I / DATE
REMARKS
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTO~~
INSPECTOR
INSPECTOR
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LANE COUNTY
BUilDING r'~
BUILDING PERMIT OR MOBILE HOME
-0H EJ
MAILING ADDRESS
USE PERMIT
PERMIT NO,
,oJ:;;):
PROPERTY OWNER
PHONE
I." :
CONTRACTOR
j
MAILING ADDRESS
PHONE
,-.
. . "1(, 0"1 Y it f
,;':!I,"..'
-,.;..
PROPERTY LOCATION - INCLUDE POST OFFICE
1) . ~ '-,-1......
.., ,.... ,.\~;- I
I I. ;)
:r.L.'i'.-
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
,
'"
J
Twe
RANGE
SECTION
): .
TAX LOT NO
CODE
CENSUS TRACT
I",;
APPl.
EXISTING STRUCTURES ON PROPERTY
'.
NAME
&
LEGAL ACCESS TO PROPERTY
/'03) ~j"'I~.."'l !'l!
MAIliNG
PROPERTY SIZE - FT.
,(,)
DEPTH
.'....1
, AREA
ADDRESS
FOR MOBilE HOME PE,RMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;; BDRMS
New System D
VALUATION
.'.1[
SEWAGE DISPOSAL
PUBLIC n SEPTIC TANK n
BUILDING ,
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
L, ~_~ L
TOTAL $
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl. ')'.:;
L"'_ t ..
^ , '~ "" tl ~.. --
fEES
PLUMBING INSTALLED BY
OWNER n OTHER: NAME
WATER SUPPLY
PUBLIC tJ n OTHER
OTHERD
~ , . ...~ .
.:."J
'1' ,r';)
-.
.U
n;.,lJ!1
COUNTY
BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
1 'jJ
lIN. FT
TRENCH wrOTH fT.
OR SQ, FT.
}Y-'
'-'., t ~ttT!'
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TYPE Of STRUCTURE
OCCUPANCY
ZONE
~~, ..Mt
PUBLIC UTIl. EASEMENT
q
BLDG. SETBACKS FT, fROM CTR. Of ROAD RIGHT OF WAY
USE CLASSIFICATION
',.
fRONT
SIDE INT.
AUTHORIZED
SIDE EXT.
SIGNATURE - DATE
,.:; 'ti- ; \"1,'\
REAR
J , ~ .... ~.~
;:, ~I
J. "H)~),
l -:
,.4
I
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 canstruc.
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 an Reverse Side)
FORM = C55-13
(POST THI --'ERMIT ON MAIN BLDG. AT SITE)
LANE COll.--dY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
S! TE I NSPECT I ON
ApPROVED L;.~~ .DISAP;ROjf C1 DATE
RE~'RK,./[t~UtfJ( .2~ 1/"'~Mtfi-
FOUNDATION INSPECTION
ApPROVED r~ DISAPPROVED ~/ DATE
REMARKS
FRAMING INSPECTION
ApPROVED /~ DISAPPROVED /7 DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED ;--~ DISAPPROVED ~ DATE
REMARKS
FINAL INSPECTION
ApPROVED C1 DISAP:';DVED JgJ DATE ~ /J.
REMARKSJ!l1L..Axi ~:J-7~
CERTIFICATE OF OCCUPANCY
READY TO ISSUE /7
NOT READY TO ISSUE /7
DATE INSPECTOR
---
REMARKS
111f301l-7V-1/~
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
~ 030-'7far.k IJ~
, .
PROPOSED
INSTALLER: Complete top part of form
SEWAGE 0 I SPOSAL SYSTEM RECORO ~' . ,.
to signature and submit both copie,)with appl ication', ~...
PERM IT NO. M'n04- 74
~
r;tINSTAL.LER'S NAME /
;fl'l 18~~'
,~. Living Units Bedrooms Baths
(
PROPtKIY AOOKt~~
2030 HAROOR DRIVE
JS
Basement
Yes No
Water Supply
Pub Ii c t,./"Other-L i st
Septic Tank:
Ft. from well Steel D
Inside Dimensions: ft.
'?' Width!; 0 i ameter
~~uw
NAME
J,,~ BRAOY
Concrete ~o. Compartments I Gal. Capacity /000
Tile Disposal Field:
Depth '). Distribution Box: Yes VNo
Other Distribution-Type
Total Sq.
Ft, 3()'O
Feet from
WEll
Lot Li ne
Front
.
I .t. Between
Lines /0
Foundation
MAILING
ADDRESS
1200 K1NTZLEY
SPWINGFIELD, OREGON
Lengj.,h of Lines-Ft. 7::> [TrenCh I
I, (21. 3. 4. 5. 6. Width!
'Iot Plan (see instructions):
Side ('1 Rear
IFi l1er, IF; fer Depth IFiller Below
Tvpe/-f Above Tile 1.. in.ITile tin.
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Da:?le 7- 19- 7w ;I;aturej=>> L -t7(/~'('7 J~/, '
CERTIFICATE OF ~ATISFACTORY CO ~lnN
Fo anitarian 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
I oca~' 0
Approved: System Installation conforms to current standards
Disapproved: Does not conform to current standards
Remarks:
~at7:7/6//7r
IS Isge~ '/ I
at the above
C55 -11
(l~,~9&.
) LANE COUNTY
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
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_'" ..'~ P~R:IT'T~.~E_ ~~I~~:: ~UILD~~~;~~M~~~;;~~:~~, ;OME USE .~P: ~~TTI~N j~lJj ~tj-7{/
rROPERTY OWNER , MAILING ADDRESS ~ PHONE (
CO~TR CTO-R~'!~----- .. -MAllING;~RES'7-'-~---- .'2-.----- ---:-. a~ONE
ERTY iOC~'':N - IN.l'~ E POST~'F1CE --*--- ~ f' - ~p ?/
r?,t7 ~,_.AJ~_ .-.. "" '-"L-..A-Yl
PROPERT~ LEGAL DESCRIPTION L _ Li<o _? /' ,-.H .,..;7. J/, + METES. BOUNDS 0 YES
lOT -BLOCK - SUBD1V. ..:> ~/'l 1-1 I bP~L_ ATTACHED 0 NO
-rwp----RANGe-------SEC. TAX lOT # CODE - - CENSUS TRACT
Ir5 . '3W _,~-1:L.-4 ~ I-//~(j
, APPllCAkT . /.2 ' ./
NAME ~~
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AND --1J 0 0
l MAILING
ADDRESS
;(>030
/
/
J:onnect to Existing
/TYPE CONSTRUCTION
/
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DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
-(7
LEi;,2:0 'lQ::'::: NAME OR #
PR PERTY SIZE-WIDTH {,O ,DEPTH '/9;1.
AREA
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms ::<.
STRUCTURES TO BE BUllT"THIS PERMIT
Sewage Sys.!em 0
SQ. FT.
or New System Req. K1
# BEDROOMS VALUATlO~
SEPTIC ~ OTHER i-
s- FEES WAT SUPPLY
5'0. - PU IC 't>\...
CI. - P MBING FEES
PLUMBING INSTALLED BY
SeWAGE DISPOSAL
OTHER
NAME
PUBLIC 0
BLDG.
WASTE DIS.
PLUMBING
PLAN REVIEW
PARK TRLR.
ff?o
FACILITY PERMIT
NO 0
DATE
TOTAL
30.-
= .o~
Z'l-oY
-.,..... FIXTURES
DATE
PUBLIC WATER
CONNECTION FEE
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. FT. .J ~ TRENCH WIDTH FT.
2.
OR SQUARE FEET
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX, GAL
qOD
No
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q/?i/n,VAj.
1~
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me. rJ a.. ti.h. i-; I WCida.,- >4 s-..je~
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See q1fc;-j)J s4ce-f;-
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se.1"VIc. cJ:.
~ct.(
Y''''C~~'i..
TYPE Of STRUCTURE OCCUPANCY
BU'G:-SHBACKS'- {-'1.- FRIj- tt.-Of ROAD RIGH'T' OF WAyL.4. _U_
ZONE
REAR YARD
PUBliC UTll. EASEMENT
~
1S~ -1-1 It ,.
~~~~~;ylr~~~7-~"7?~'"tb~PL ~-:3-'r;-
USE CLASSifiCATION
COpy I - OFFICE
COPY .2 - JOURNAL
COpy 3 - AUDIT
room :!!: r~~ - 12