HomeMy WebLinkAboutPermit Building 1975-8-27
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, 'a.- " ~':'~'.' ~.' LANE co.ll BUIL~ING
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~ 3' S 3-75--
PERMIT OR
MOBILE liE
USE PERMIT
PERMIT NO.
1722 HARBOR DRIV~
MAIliNG ADDRESS -
2353-75
PHONE
SPR I NGF I ELD OREGl N 747-2402
PHONE
..~ .PROPERTY OWNER
ClEO NEELEY
'CONTRACTOR
. . SAME
PROPERTY LOCATION - INCLUDE POST OFFICE
SOUTH 2ND TO HARBOR DRIVE
PROPERTY LEGAlDE5CR1PTlON - METES, BOUNDS
FILBERT GROVE 1ST ADDITION
MH D
MAILING ADDRES~
TWP RANGE SECTION
18 3 2.3,~
APPl. NEELEY
NAME
& SAME
MAILING
SPRINGFIELD
LOT 16 BLOCK 3
TAX LOT NO, CODE
:- -'"!-FFz,oQ
EXISTING STRUCTURES ON PROPERTY
TRAILER STORAGE
CENSUS TRACT
LEGAL ACCESS TO 'PROPERTY
HARBOR DRIVE
PROPERTY SIZE - FT.
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. = BDRMS
New System D
VALUATION
PERMIT FOR CARPORT ROOF
$1200
BUILDING
WASTE DISPOSAL
.
OTHERD
12.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
i
PUBLIC oEXISTSEPTIC TANK 0
PUBLIC 0
o OTHER
,PLUMBING
PLAN REVIEW
PARK TRAILER
SURCHARGE
PENALEY
TOTAL
.
.,6
12.00
COUNTY
TOTAL 24.36
BUILDING & SANITATION
SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
. DRAIN FIELD REQUIRED
lIN. FT
,
TRENCH WIDTH FT.
OR SQ. FT.
,.
.j,...
..,.'.!I'
F
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
~ J
BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
/s/ J. E. Boss BY' HARBAUGH
8/~~';71~~j
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 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:;:: C55- I)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT, Of ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, E~GENE, OREGON 97401
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LANE
BUILDING~'B
coil
BUILDING PE~MIT
MH 0
MAILING ADDRESS
OR
'MOBILE 411,E
USE PERMIT
PERMIT NO.
;~:::,"'-:I'_'J
~;'ol<o.
, ..,
.. ~ -....
,
q -.
,
PROPERTY OWNER
,
Ct.:'"; :::f.\~..~:~1
CONTRACTOR
~:t!:~
PROPERTY LOCATION i- INCLUDE POST OFFICE
:.:::Ht~~ 2:'.0 ~., '~o\ C~;.J P.rQ\1J:
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
FH..l7,tttt ,.}n(n/: tny Af)~I!",\.)t,l
PHONE
B'i,:i! H.f.;n!H~.~;_' }ut.:::
M~ILlNG ADDRESS
S,JP.. ei:~;V'C;S7 ()r~l{\Vf
.' ." r~ .
:\"I"''''j..';, ,;.
PHONE
r- :~! e ~:(:r 1-":: U
",. ,;;
l."\JI J~
~.OC!l ::l
TWP
1:"
RANGE
"'
;;
SECTION
~ ..,.. -~
l..1( :>, :.:;;
TAX LOT NO,
" (n
:~z/"',J:,._. /T
CODE
CENSUS TRACT
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
'lc;;l.C'i'
(/(,
EXISTING STRUCTURES ON
Ti>illl.'-il
PROPERTY
S7{J)lM.r
LEGAL ACCESS TO PROPERTY
:'A!';.t
1;:~~::-c:c.;1 C:n Qt.i::
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
~1l:hrJJtT J4tr.~ CAfh~nT f.l.tJ'Qf'
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. ~ 80RMS
New System 0
VALUATION
:(;1
.-'_ H'
.;:\ ~-\\
~.~~ - 6\- ~ \ ~(~~-~ k~~::I,"~~"~:~;~~'\'\ ','
,\~.~.~~\~~~~~~\~~ ..);.~~~~...~ ~'A~"~'
PLUMBING INSTALLED BY \
\'\.
._-f"- - '. J
. . ,
SEWAGE DISPOSAL
PUBLIC n[.',ii 51sEPTIC TANK 0
BUILDING
WASTE DISPOSAL
.
OTHERD
1i::.W
FEES
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
PLUMBING
PLAN REVIEW
PARK TRAILER
4Jti?,,,";rth.f~:;t
Ftt)t1,.r..,
,
6;!")
'F~<tr')
Tenl.. ,:~.:;6
BUILDING & SANIT A nON SPECIFICATIONS
TOTAL
COUNTY
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
~"
":Y
DRAIN FIELD REQUIRED
UN, FT
\\ ~'\-\\
~~~~-\\
TRENCH WIDTH FT.
OR SQ. FT.
"'~
~~t' ~.)
TYPE OF STRUCTURE OCCUPANCY
~~J V
BLDG. SETBACKS.. fT. FROM CTR. OF ROAD RIGHT OF WAY
ZONE
PUBLIC UTIl. EASEMENT
USE ClASSIFICATION
FRONT
/ei ~9. t,G
SIDE INl. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
~~n~~ LY I ;g..!'S-J()'i~~!J
REAR
DATE
.. r
l-J~'_:"'! -TlJ
, ~ I .
"n .
BLDG.. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
\ ~.--.... \. \
Call 687.4065 to sc~edule 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 Detail~ 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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-
-
.;.
"-
'.
SITE INSPECTION
ApPROVED ~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED ~/ DISAPPROVED ~/ DATE
INSPECTOR
REMARKS
FRAMING INSPECTION " , (.'~ U#
ApPROVED /~SAPPROVED ~ DATE! j-f) "1& INSPEC~~""---- /J
REMARKStY~~ ~/nL ~~ / () .-r~ -7Sk-
c:-1Al/Af--"~.:L/ ./ f'" .)~PA'.z;j.,. (>U~ '#oar (f1'/1fIt"A k~Lr&W /~N(; .~-e.r.
t
LATH OR SHEETROCK INSPECTION
ApPROVED ~ DISAPPROVED ;----? DATE
INSPECTOR
REMARKS
FINAL INSPECTIO~/.// '._ ~
ApPROVED [J;Z1 DISAPPROVED ~ DATE / l'/i-t:(: X~NSPECTOR '
I II: .r;-"JI
REMARKS c9<.vt1el'm1 '11/,rJ!d!., i 1- rJ! - !.r 1:',-,
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ;---y NOT READY TO ISSUE ;---y DATE
INSPECTOR
REMARK S
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NO. PERMIT.,_' BE
cf:l=:
ISSUED UNTIL THI: APPLI~
APPLICATION, FOR: -
PEID1IT IF
HAS .BEEN. APPROVED
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'l3'5S-?K.
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NO~E:
.,
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~.,.
.......~
'. OWNER f'/<?r>
. Name
t,'-
.CJ
PLAN REVIEW 0
,Cl~~GE'OF'0~CgPAJ1CY
..c=J
?l/j_")..HO~
P:J..?-. .H~..b"';'" o.
Address "',:
S.,,::,,'::,db7 '.'
Ci,ty" - r." 0. . ',Zip-'
. Ph9.ue
. r--1 ,CONTRACT"' ,i[!.. ',-
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, Property Locatiori ~ Address/Directions:
~.o,--,_ . r=.'e-.cI
-. n
/
/
/
Code 1'1 :"'OJ- Census TracC //',
, ~" /:/0 t')
P,r_~perty A~~eage~~ Width~Depth 1 3 :1-
,. /. . ':-.,
, ., '.,". / -,
i:~l~ _ AJ,J..
'~j <7ir./ &-, vJvJ1H.... r1",f~
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Belm;' fO r Of f ice- Us e - Onl yXXXXXXxxxvyyyyyyvxxxxxxxyv~n,yvyv'nrxxxxxxxxxxxxxxXXXXXXXX}QO{xxxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
(lJ) /) o/7~A i~/z~ . S9' Ft. j_.IIBedrooms 13a~
, ./-- . _ . II . /. "
Address,
City
.Z~P
-Phone
, 0.5. REG. II
. /9:tll .Cl
Twp~' Range"3 Section"' ~ Tax'-Lot
'-I' 'cLc .....1 ~sf~ -t,P,1,.-l.i 'I'
Subdivision TJ "')~T ./.P-r.no... / - --""" Lot._ . to
4~l.--h~ dn-<
-rr~I'11J1- )."N-4 I
:--~;".J:C
~fJ6
Block \
ACCESS TO PROPERTY-JRoad" Name)
'Existing Struct_ureson Property:
rl_o-. ~'-
.-.}
Bldg.
Waste Disp.
Plumbing
Plan Review
Mobile Home
Ql% Surcharge
~
/~o~.
Ex{sting Sewage Disposal
Public
New System Required CJ
SEWAGE DISPOSAL:
Site ,Inspection /I
WATER SUPPLY:
Well
Spring
Other'
Communi ty
Name of Community or Public System
..,....
FEES:
PLUMBING:
Ihstail~d by Owner
P~~T
FEES:
II o!
Water
Connection
, 2:, (..,
I ,..), (f-e)..
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PLANS FURNISHED
~ CJNO
FACILITY PERMIT
J /
CJ YES ~ NO
. :i~
Signatu~e of APi>~ '. .
Fee riet.iv~d By:. 'W/I j ''1'' Date:
..". . / -.
){>r:J,/-"7.\
Min: Septic Tank Capacity.
Drainfield Required - Lirieal Feet,"
~ximum Depth
-'Type .of Construct'ion
.;":
\.,r AI . G,oup <:I..
Fire Zone
Use Classifica~ion
Bldg Setbacks - from Center of Road Righ~ of Way:
Fran t
Side Int.
Side Ex:terior
Rear
Zone
. PV.NNING:
DATE:
SANITATION:
~ATE: !/i3~tfh~JE2 ,17/
ENVIRONMENTAl MANAGEMEN/'.
C55-12
LANE COUNTY DEPARTMENT OF