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PROPERTY QWNt"R
BUILDING PERMIT OR MOBILE' He.
'MH 0
MAILING ADDRESS
1<164 Harbor Drive SDrlnGlfJold, OrGQon
MAILING ADDRESS
USE PERMIT
PERMIT NO.
1860-73
PHONE
5,tJ".~,t. Henrv
CONTRACTOR "
7ko,7-1955
PHONE
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PROPERTY LOCATION -INClUDE posr'OFFICE
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HArbor Drive off ,South, 2nd St.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
Filbert Grove FIr.s:t:"Add; Lot 19 :Block.3
.TWP
RANGE
SECTION
TAX LOT NO. CODE CENSUS TRACT
..ttrSn. n 35-1!i2A
EXISTING, STRUCTURES ON PROPERTY
FDml'ly,.ROOOl ~ shap-.: l:l~t1n nwb 11 0 hElmC
LEGAL ACCESS TO PROPERTY
Harbor. Dr I,ve
PROPERTY SIZE - H.
L
18
03
02 13....3
APPL
Nt.:ME
&
MAILING
'.
k ' ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
20 X 20
Connect to Existing Sewage System 0
TY~E CONSTRUCTION SQ. FT # BDRMS
400 @2
New System 0
VALUATION
CDrDort
BOO
SEWAGE DISPOSAL
PUBL'IC: 0 SEPTIC TANK 0 OTHERD
BUILDING . B,oO
._WASTE DISPOSAL
PLUMBING
-.."
PLAN REVIEW
PARK TRAILER
Ponalty, Fee B no
TOTAL . \(j,'oo
COUNTY
MIN. SEPTIC TANK CAPACITY
WITH DJST. BOX: GAL Exl s ts.
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
\
Flnish'Floor Elevation is.44B Fect-
LANE COUNTY SPECIAL PERMIT AREA
BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
."
lIN. FT
TRENCH WIDTH FT.
OR. SQ. FT.
M.lintaln 10 feet from all parts'of d'ralnflellll ~Jlth now constructifiln. Do. nl!lt dlrve over.
existing system du~lng construction.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
5 tJ J
BLDq. SETBACKS n FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT 45
SIDE INT. 5" SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
5'
DATE
Is/'J.E. 90ss bv Harbaugh
G.~. Gray, Sanitarian
9-2~-73
BLDG. PERMIT - WHITE
OFFICE. COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of .occupancy before being occupied,
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN, DIY., 'COURT HOUSE, EUGENE, OREGON 97401
. FORM:::: C55-13
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I.i.& ~~ LANE COUNTY BUILDING &. SANITATION DIVISION
,(", . 135 EAS~ 6TH AYENUE
( I EUGbNE, OREGON'97401
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~' \;~ YOUR BUILDING\, '~ILE HOMEI JPERMIT IS BE(NG HELD FOR THE
~.ott ~ REASONS STATED ON THE BUILDING SITE EVALUATION SHEET. WE WILL HOLD THIS
u~l ~ APPLICATION UNTIL S tOc:-r 73 IF, AT THAT TIME, YOU
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HAVE NOT FURNISHED THE REQUIRED INFORMATION, AS SHOWN ON THE ATTACHMENT,
YOUR APPLICATION WILL BE CANCELLED AND ONE-HALF THE FEE REFUNDED TO YOU.
Vr;u I'LD !11G" SirE EV.!\LUAT 1,[lN
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T It' - 03 S 19,;;2 TAX LOT
CENSU~ TRACT
FIL.6UT GecUE.... 1St-fWD Lof'/9 Bt/-(:3
APPLI CANT:
NAME 51UI9.eT; ~
ADDRESS
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Building Permit Appl ication No.
/?(a&-73
NOT
aDD I icab I e
Zoning Ordinance Compl iance () (v)
(Zone R~-lY\~
Subdivision Ordinance Compl iance
Site. Inspection
Pre-Permit Investigation
['ANE COUNTY PLANN ING DEPARTMENT
'1'.
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,,2.
( )
( )
( )
( )
, 3.
4.
Requ i red Access
5.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments')
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COMMENTS:
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BUILDING INSPECTION SECTION
6. Plans Submitted
7. Soil Stabil ity (footings)
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8. Flood PI a in
9, Other (see Comments)
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COMMENTS: .
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PHONE
DATE (/e.../?/-73
NO
YES
NAME.
DATE
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NO YES
NAME
DATE
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SANITATION SECTION NOT NO YES NAME DATE
aDD I i.cab I e
10. Sewage Disposal (~ ( ) ( ) ,
11. Usable Area ( ) ( ) ( ) ~.~
12. Water Supp I y ( ) ( ) ( ) r /~ U
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13. Ot he r (see' Comments) ( , ( ) ( )
COMMENTS:
"',"'0' ,..." ; "00 '0',,("00' (.... .-
Can be approved.,9.' -;:2 (p-73 ~ I
Cannot be approved at this time as indicated on item NO. I above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County Buiidinq and Sanitation Division.
Wil I be held in this office unti~you can resolve the problems indicated.
Is being returned. -IS t;)6; 73
Your building permit appl ication fee is being returned under separate cover.
TO APPLI CANT:
Your
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LANE COUNTY PLANNING DEPARTMENT
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE: 342-1311 EXl. 231
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LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE: 342-/31 I EXT. 41 I
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- LANE COUN',
BUilDING :1;]
BUILDING" PERMIT
MH 0
MAILING ADDRESS
.,. t
'ji.!i4 [l&rbor Urlve
MAILING ADDRESS
OR MOBILE He.
USE PERMIT
PERMIT NO.
HlGo...7;J
PHONE
PROPERTY OWNEoft
,;:tU:4rt. Ht!ilN
CONTRACfoR
.
Snrln1fleld. Or.e~an.
747-195:;
PHONE
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PROPERTY LOCATION - INCLUDe POST OFFICE
l::1l'bor Urlve off South 2nd 51:.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
,;'llll6irt Grove First Add. I..ot 19 illock 3
TWP
RANGE
SECTION
TAX LOT NO,
CODE
CENSUS TRACT
C"
~ ;J
03
G2
311-IS2A
EXISTING STRUCTURES ON PROPERTY
FlltrJl1y Rootn - shop- ... mobile hanc
LEGAL ACCESS TO PROPERTY
Harber Orlve
PROPERTY SIZE - FT.
APPl.
NAME
&
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 New System 0
TYPE CONSTRUCTION SQ. FT. ;:; BDRMS VALUATION
t:orb)Ort
20 1Il 20
400 (pi 2
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.,
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FEES
'1 "i.J PLUMBING INSTALLED BY
,I' OWNER 0 OTHER, NAME
I WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANK
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIew
PARK TRAILER
I'lJnal ty f..
TOTAL
o
$
OTHERO
S.\}l)
I'r
PUBLIC 0
o OTHER
! i $
d.ao
113.00
COUNTY
Flnl5h Floof - Elevation 15 446 Feet -
LANE COUNTY SPECIAL PERMIT AR.EA.-
BUilDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
DRAIN FIELD REQUIRED
WITH 01$1. BOX; GAL. fixfstlS lIN._~FT ~\ ('::t.\ TRENCH WIDTH FT. OR SQ. FT.
Nillnta'n 10 ftlet ~ all parts ~~r-~~~~1p with new ,oolltruet'on. ~p not dlrvlJI over
eXlstln~ $ys~ern qur'n~ ~o~~;ru~"an. .
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TYPE OF STRUCTURE
~ ~la
BLDG. SETBACKS u FT.
FRONT 115
OCCUPANCY
J
ZONE
PUBLIC UTIL. EASEMENT
hI J.i:.
FROM CTR. OF ROAD RIGHT OF WAY
,"
SIDE INT, ~ SIDE EXT.
AUTHORIZED SIGNATURE - DATE
Boss by Herbaugh
USE ClASSIFICAT10N
REAR
5'
DATE
G.W. Qr~. Ganltarien
9-21-73
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SAN1TATlON - GOLDENROD
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied.
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
LANE COUNTY, BLDG, & SAN. DIV" COURT HOUSE, EUGENE, OREGON 97401
FORM::: C 55 - \3
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SITE I NSPECT I ON
ApPROVED ~
DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED /
/ DISAPPROVED;----? DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED / / DI SAPPROVED 17 DATE
INSPECTOR
REMARK 5 .
LATH OR SHEETROCK INSPECTION
ApPROVED I
I DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
/;L- /K~ 7)
ApPROVED. Lf:::l ' DISAPPROVED ~
REMARKS~
,/
D //)- I I
ATE I I
,'7'7
-;;;' INSPECTOR
CERTIFICATE OF OCCUPANCY
READY TO ISSUE I / NOT READY TO ISSUE ;---? DATE
REMARKS
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LANE COUNTY P"lLDING PERMIT OR MOBILE.;IiOME "<;E APPLICATION
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· PERMIT TYPE - BUILDING 2\, MOBILE HOME DOSC'REG)II'.' :," ..'
PR~PE~~ '., ~A-<< MAIU;?;ESS./~]J :2l." .
CONTRACTOR ,..z;, tf7 MAiLING ADD~r . ''''''.'.~' ~'C .
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PERMIT
/j(~1J -7.3-
PHONE/95'S
1#7-~'- .~(
- PHONE
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PROPERTY LEGAL DESCRIPTION 7 .:)1: / .' / /,g/ /;...>>- ,/ ( d /L
LOT ~ BLOCK - SUBD1V. ./ #4.,~~~. ~~ _ L/ ~:t ,pt\ ~
TWP ~'". ,- RANGE SEC. - TAX lOT # CODE, ~'. .. . CENSUS TRACT
/9" 0-3 O.;L",:'-''i'.,\ r3..5" -15;1. --f).
, DESCRIBE "EXISTING STRUCTURES ON PROPERTY IF ANY
..:;f..;, /'l:~,~ j . "" ~ - .p~-/l7,..Oj, ,.<;t
, l~,~/A~J. ~,S -'.T~ PR~PERTY - ROtAD NAIKE OR # . - 1
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PR9P.ERT~'/~~~E:-:~IDT~.;, DEPTH
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v
~ _ L ~METES & BOUNDS
~ ..:J ATTACHED
DYES
o NO,
APPLICANT .
NAME
-.e
AND,
a~~p.J"
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AREA
MAILING
ADDRESS
FOR !/VIOBILE HOME PERMIT, ONL Y
Number of Bedrooms
. STRUCTURES TO BE B)!.JLT THIS PERMIT .
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.Co'nnect to' 'Exisjin'g:':S~'wag~, System D
TYPE CO:N5TRUCT10N <~r~' ....' .'.,",'. 59. FT.
: . "'}c, :.&.,,.' ,.\f:./, '..1\ '
, ,', ""''';'''''1.&'",.~tI;d{~f /_
or New System Req. D
# BEDROOMS VALUATION
9',...,
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WASTE DIS:> ,,'
PLUMBING') ~ .:
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PLAN ~.~'[~EW
PARK: TRLR. \:". '. "
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. /,)"...1. _~,: .-'-'4~)J~~:~~TY S:ECIAL :ER~11AREA'
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I . .;p,.j.~,A.~~~;,:~ti}!:~~J.~ ~t , .
.Oy/NER'fj';:<:;OTHER 0 NAME
, '. PLANS ;FURNISHED FACILITY PERMIT
)~yii~~':'~~'~;~~~NOi.rD;." YES 0 NO ~
;>"'sld~.;~~~E'OF~":lI.CAN~. . r DATE
(Y~~i'.6 - " h~~:.d ?-~i..l~
&;;P.f'ij=l .I' 9-p/-7~
. PERMIT.'.#. ~
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'1.;:' COUNTY BUILDING & SANITATlON.S'PECIF.iCATIONS
MrN}~,Enl~ TANK CAPACITY . ~ J DRAIN FIELD REQUIRED, ~.~,;~.~.;:. :lP;~t ... I,.
WITH DIST. BOX: GAl. (J hb~ lIN, FT. TRENCH W:Ii)_TH:~fT:'.':'~:, ,J<:' OR SQUARE FEET
, ",;' '" . /"'. ' ' ~ .'.J'~',}..}~41:': ,:1 . . 0.1
71!bii~ ~.:~ --f-~" Jf/~ ofc6;fiPr.l;'7.<H:d, ....z~,)
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SEWAGE DISPOSAL' - - - -. - 'I
PUB~'ic ':D~'; "I SEPTIC TANK O' . . 'OTHER' 0
BLD.G.,' .i'~,t.,.~..i.'~ $ t:6':L>-CJ FEES WATER SUPPLY
PUBLIC 0
PLUMBING FEES
OTHER'
Q' ^t'I
_ FIXTURES
CASH 0 ~R
CHECK VCONNECTION FEE
TOTAL
/ h. CO
PUBLIC WATER
CONNECTION FEE
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TYPE OF STRUCTURE 0/f1 OCC'JCY
BLDG:;. SETBACKS - FT. FROM eTR. OF ROAD RIGHT OF WAY
FRONT 'rs-- SIDE INT. 5",1 . SIDE EXT.
4i)'~- 1_;;~~1~G
Dir~ctjO~~ to~d Property'
ZONE:{>~ ".,:. REAR YARD PUBl,lC U/,ASEMENT .
. REAR a-' :~:~. ,':: ~t. 'USE CLASSIFICATION I /
Dat. BLDG.I'tJAf,.. /) /1 '
:/-; ffJ .' (/)'f,;~ '(I.. '1-;. ~ # l' 3
Dato'
COPY .1 ...". OFFICE
COpy 2 ~ JOURNAL
COPY ,3,- AUDIT
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