HomeMy WebLinkAboutPermit Building 1975-10-17
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LANE COUNTY
BUILDING [jO(
BUILDING PERMIT .OR MOBILE HOME USE PERMIT
MH .0 PERMIT NO,
MAILING ADDRESS _
'.15~l( HAR~(lR: DR I -IE
\ MAILING ADDRESS
SPR'..NGf'I ELD' OREGON
2864- 75
PHONE
747-6367
PHONE
. PROPERTY OWNER
,
EUGENE WINKLER
CONTRACTOR
SAME
PROPERTY LOCATION -INCLUDE POST OFFICE
15~4 HARBOR DRIVE SPRINOFIELD'OREGON 97477
PROPERTY LEGAL DESCRIPTION.!.. METES, BOUNDS
FILElERT GROVE lOT 3 BLOCK 3
TWP RANGE SECTION
18 03 2.3.2
APPl.
~J I NKLER
NAME
& SAME
MAILING
TAX LOT NO.
CODE
CENSUS TRACT
900
EXISTING STRUCTURES ON PROPERTY
CARPORT AND SHED MOBILE HOME
LEGAL ACCESS TO. PROPERTY
PROPERTY SIZE -'FT.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
Nc:. of Bedrooms
STRUCTURES TO BE'BUILT THIS PERMIT
PERMIT FOR PORCH COVERED 56
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ, FT. # BDRMS
New System 0
VALUATION
156.80
LANE COUNTY SPECIAL PERMIT AREA:
'~
SEW AGE DISPOSAL
PUBLIC ff!jIST
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SURCHARGE
SEPTIC TANK 0 OTHERD
, ').00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPP~Y
PUBLICO'
o OTHER
MIN. SEPTIC TANK CAPACITY
..l"i
, 'i.l"i
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
TOTAL
WITH DIST. BOX; GAl.
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
OK BASED ON PLANS SUBM I TTED . ,,00 NOT eu I LO WITH I N 10 fEET OF THE DRAl-Nf I ELD
OR WITHIN 5 FEET OF THE SEPTIC TANK:
"
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
BLDG. SETBACKS u FT. FROM CTR. OF ROAD. RIGHT OF WAY
FRONT 451 SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
fsf,J. E..O Boss ~Y HA~BAUGH
REAR
USE CLASSIFICATION
7tpUE
McKAY AND ,SHOOt;
-- .-_._.;-
\jo/J7/75
,7
DATE
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
plumbJng. All buildings require a certificate of occupancy" before
being occupied.
(See Details on Reverse Side)
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(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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LANE
COUNTY ENVIRONMENTAL MANAGEMENT
and Address of' Owner ~~.L~a~.4---.
. . / . 'Telephone:
PLOT PLAN
Name
71"7- &,;>~ 7
The building being '-constructed under this permit will be used for
.::;7 /.-7.r c./1 as
Date this property was purchased
a'h ~ ~~ ...
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Do you now, or did you ever own property adjacent to this tax lot? If so, please
list those tax lot numbers or draw those properties on the plot plan below.
Indicate on your drawing the location of all homes (including ,D~~'s' \tED
the property, as well as the location of the new building. lr\ ~~~
- - -- - ,_. - - - -, ,- - -, - - -- - u " - - , - - - -- - ,~" -'i.;;:' '"" '1' !f- -;-- 1--
=--=~.:: ---- ==_...==~~--=.::=---= -==...~~:=,~~---=~'~=~=~: -=-'~~~-~~~~j~;~ ---~~'
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~~----------- // ------------=== ~
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Name of
Address
Telephone
-I, ---
Applicant (if differe,at from owner):
,
Interest: Buyer ~
I
Seller D
Agen t D.
Map
Tax Lot
Permit /1
II
I
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Applicant I s
M74-99
BUILDING SITE EVALUATION
() BUILDING,PERMIT APPLICATION
() SITE INSPECTION
~s;C tt ~UB~I-~ISIO~:
NO. ., 9~ y_"?~ LOT:
APPLI CANT
DATE
PLANN I NG D I V I S ION Not
. AJ'p 1 I cab 1 e
1. Zoning Ordinance Ccimpl iance: Zone 1J.,4-,lff! )
2. Subd I 'I is I on Ord I nance Camp I lance -)
3. Requ i red Access ( )
4. Building Site (Area, Width, Frontage) )
5. Other (see comments) )
COMMENTS: '.
S
TAX LOT
BLOCK:
No Yes
() TI 6.
( ) ( )
( ) ( )
( ) ( )
( ) ( -)
CK'D BY: ~~
Setbacks hixn' cll
Front
Side Exterior
Setbacks from interior
Side
Rear
/1'>_ 9_..,r
of road:
/5
-
lines:
~
.?
ilUILDING INSPECTION DIVISION
PLANNING DIVISION ACTION PENDING: YESl J NOl J APPLICATION#
7.' plans Submitted
8; SolI Stabil Ity (footings)
9; Flood Plarn
10; 6t~er (see comments)
Not
Applicable
( )
( )
( )
( )
COMMENtS:
No ~1J
r~ rr'
( ) ( )
( ) ( )
CK'D
BYtP1~L(J"IJJf{i
I DATE
WATER POLUJ.lON..CONTROL
_..o________ ___.._ ._ -__
11.
Meets Department of
Quality Standards.
Other (see comments)
Envi ronmen ta 1
Not
Appl i caDLe
(0
( )
12.
COMMENTS: ,-"-,,.
).'.... ...
No~ .Yes
() TI
( ) ( )
rikii) By~'}'Y1.~1.()71b..7J--
DATE
. --... --- - -- ---.- ._..._---_.--.---.~
- ...............------..-..._._~-.-..----..... .-_.- -------
. ~ a"'",
TO APPL'I CANT:
mour Building / Site Inspection:
( Can be approved. .,
_ _ ....(" + t"" 'c.'- ..,r!' r::t:.J'''' t"l~ . '."f'n ,,1.""'\
( Cannot be approved at this tline as Ini:!icatei:! on item NO... -". . above.
Questions and further i~f8rmati8R on iteffis i t~Fough 6 contact the LANE-
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COUNTYPLANNING'DIVISION~ Quest,ons ani:! further Information on Items 7
,'or ,.1.., "I..fro ,.... ,.,',.'1'.-;'-" "'" ntH_ ~
through 12 contact t nELLANE COUNTY BU,II:D.ING-AND SANI TAT,I ON .DIV,I S I ON~
( ) Will beheld in thl~ office until you can resolve the problems indicated.
( ) Is being returned.' . , '
." . ... . ,. '''J.nttt. ,. .lln -;~ :'1- !.-tT \"'1'~I':'..:r.' 1"nr!;",,:' ., .
( ). Your bu 11 d I nQ perml t ap'p 11 ca!,l2n, fee I s,liel.ng-:-.~~ty(~,!'td uni:!er separate cover,
DEPARTMENT OF ENVIRONMENTAL MANAu~MtNI
135 Sixth Avenue Easi ~Ugene Oregon 97401
PHONE: 687 ~4065 "" ", '
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
c55-28
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LANE COUNTY
BUILDING [~p
BUILDING PERMIT OR MOBILE HOME
MH 0
MAILING ADDRESS
..C.....l(!.\ ~
'..r"; ci.;;''''I ",,",VI:;
MAILING ADDRESS
USE PERMIT
PERMIT NO,
,"1'1, N',
~ l it)i-~J~ ':"1 .
PROPERTY OWNER
~;J::r. ~;:: ~; r -r. !"r:~1
S~~~r,,:c 'I!~tn C;:I:t\,;,!~
PHONE
..-01".... -:>i"'~J
~' - ....'
~.. . ~
CONTRACTOR
PHONE
'.r J:
PROPERTY LOCATION - INCLUDE POST OFFICE
.-:::.7J::': ....,~.,~:"l i"'"1I~~'': \''''"'l''c-r:'~'~~Ll r:'-.l"'(~~-P
..".~ .Ii-..... '" (.~. wi::. UV-,~I;/I::,..~.r ......~. 't:.._..,,',.IJ
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
... . '.~'~:r:r \. .::::;;; r...0? 3 ().C~1't 3
st;n
,...
RANGE
n~.
SECTION
P <;l ~
,-:t-.JIIJ..
TAX LOT NO.
:t~~D
CODE
CENSUS TRACT
TWP
APPl.
\ i t [':,l~.r::[J
EXISTING STRUCTURES ON PROPERTY
C".:~:-i,hi A~iu :~HtC: ~h)tln.r r~J.!:':
NAME
&
LEGAL ACCESS TO PROPERTY
;!t.!:::
MAILING
PROPERTY SIZE - FT.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
'",~.",,-,'1' .-~~'" c'>,-: '."1;'1 "t"';"f~D i.~
. .,.'~ . '\,~ t . '_I 'I b'ol"....t.... -tJ"*"
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;:; BDRMS
New System 0
VAL~;~TI.oN
1 >;;'t~
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SEWAGE DISPOSAL
PUBLIC \l ~S'f
BUILDING
WASTE DiSPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
k-;t; ".H"i-'''.:
SEPTIC TANK 0 OTHERD
01: ').;;J
FEES
PLUMBING INSTALLED BY
OWNER n OTHER: NAME
WATER SUPPLY
PUBLIC 0
D OTHER
TOTAL
c. i:))
'. "'I'
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MIN. SEPTIC TANK CAPACITY
WITH OIST. BOX, GAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
'.f;
L;."s~~n Qf,J Ft.,,~~15
Gt;~r~!q~~;,
p') nr..T ~~H.~+~ i': :(....-H!.~ ~0 ~~fn:1" CF
.....,,-'~
.; "".'~
l;ttJl.~~!t~n...{,:
-') r: P'''Ht;' r: ~;4..T~ Cf IJi:fZ r!p':'CQ; ~"r~t'1.:
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL, EASEMENT
BLDG. SETBACKS~_ FT. FROM CTR. OF ROAD RIGHT OF WAY
,'c.. ,.
FRONT ~..1 SIDE INT. :2 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
'1/ ~~ :.. a I:};,;::::: ~~.'? :A\::, t~,t:!:111
REAR
USE CLASSIFICATION
']tn.''''
~, ~-,~..
f^t:l::"~~Y At:;) ~;ri~
10 "" .....,
It' f,';
DATE
'....1 ~,
, .'
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 subsurfa!=e.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
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CO
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SITE I NSPECTI ON
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVEO L-! DISAPPROVEO L-! DATE
INSPECTOR
REMARK 5
FRAMING INSPECTION
ApPROVED / / DISAPPROVED / / DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO L-! 01 SAPPROVEO L-! DATE
INSPECTOR
I
I
I
I
REMARKS
/'~
FINAL INSPECTIO~
ApPROVED LlZ!1 DISAPPROVED ~
".,~ (j;:
DATE IF 1f-7/7 I NSPECTol; l.o
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE
INSPECTOR
REMARK 5
,p~/
:1.t't/4'7S W~ /6~l/ ?d'~~
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, -;;). r ro 4,- '7 s-
, PERMIT it ' '
BEEN APPROVED
, ' ,
, NOTE:' ,NO PERMIT WILL ,BE ISSUED UNTIL THIS APPLICATION HAS
,.r:
,,'
. APPLICATION FOR:
0";
C9NSTRUCTION c=J.: MOBILE HOME c:::=J
PLAN'REVIEW c=J
CllANGE OF OCCUPANCY' c:=J
c::J
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OIlNER-WL.r?kli r,
.. '<. .- Name
,'- h/4t?:".;;A/<-1V.y /hnGNiJr\p':!';';,
.' . ('.'f. . . '~~dress . . ~ C~~~ ~:, , ;
7'f:"" 7 7
Zip
7.~~"-?,
:phone
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c=J "CONTRACTOR'
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Na-me.
'. -Addre~s'
'City
Zip
PhOne
O,S. REC, II,
TwP,,'j ~ Ra~ge n~ Section
SU~d:ViSiOiJ_JjU'/I;-(.h.~ot":2,
ACCE~~ TO PROPERTY (Road Nalt#'-;;b -? /' .!-J r,'
Existing Structures on Property: 1C:::Y~'-,r.::J/J r-/-~ ...r--A /rA
- . . /
Prciperty...Location .;..' Addr~;ss/Directions:
;) .3',~x Lot9cro
'Blo'ck ~
C6de
Census' Tract
Pr?per~Y,Acreage
Wid th--=..Dep th'
#,..,6;."/0 '), '."nul
I
).:;-Y..y- ~/-='" ,b/J'~ /;)r," .~,/)j
Below fa r Of f ice Us e. On! yxxy,r~r'r'rx~nrXXXXXXXXXXXXXXXXxxxxxy"~""'~"'XXXXXXXXXXxxxx...'\XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
'~e+ 'f(AJ~#) ,'le,.Sq. Ft.' } IIBedrooms (,~tiO:?o'
, T ~NE COT]!:!,!,".?"' S~Gll!.!. !'E~HIT AEl<' it
'.' . ~ . .' .'
Name of
'/
. ,./
:,::'7:~ . ,
SEWAGE DISPOSAL:
Site Inspection, #
~ EXi,sting Sewage Disposal System
o
WATER, SUPPLY: '.
Well
Spri~g
, ,
Othe.~
c=J
Community c=J
- ..
::~:~ ~:,-'~ '107'
# of :Fixtures : ~ Sewage
Conn
Public
,.
.,
~ '
Water
'Connection
FEES:
Bldg,
, Waste Disp.
~lumbirig
PLan Review
, Co-v,.,
;-;-
'Mobile Home-
~% S~rch~rge
Ie',
ISHED
,FACILITY PERMIT
, "
Q CASH
. .' ~
~ _ / ~ -:-:':1' ~K'~
YES
'~',' 'D YES ~ NO
;;;~}t~~~r-
'TOTAL
Sign~t,u~~,of
Fee', Receiye.d
,'.'
, -
Min. Septic TanK Capacity
Mtu (,d .,,,",-
"3 ..(.~"'- '~' aDJ'
:Drainfield Required -, Lineal',Fe~t
0{ ~r, co,L-,_,'"H.I' ''j,hJ Y\-t!7)
!".;,' uJ' -...:..t-u'.., .5'. ~,~~ ..jcc~i-
L, v,
,
MaJdmum. Dep th
.b'lD"J."d :'.l1/~^-
-LO,I
,.
"
"
Type'of Construction
Group
" ~
Fire Zb~e
. - ..-
Use, Cl~ssification
. ~-
Bldg Setbacks'- from Center bf
~ront ' y_~ Side Int..
Rbad'Right' of, Way,::
.S-',
! Side Extifi:ior
< <:7f/) .
'Rear .1' ,r:{fE:n~
tJ?..,4:-'''''''-'''';-
'.'
C55~ 12
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, LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT ' ,
PIANNING:
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