HomeMy WebLinkAboutPermit Building 1974-4-30
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LANE COUNT~UILDING 'PERMIT
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BUILDING Ufl( J1 MH n . "
.J?MAILlNG ADDRESS
f1894"Harbor Drive
" MAILlNG~ADDRESS
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OR. MOBILE HOjl~;USE PERMIT
PERMIT NO.
657-74
, PROPERTY--OWNER.
. Hi.. I "v.. IIIwI n
CONTRACTOR
SDrlnafleld. Oreaon
PHONE
747-8601
"PHONE
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PROPERTY LOCATION - INCLUDE POST 'OFFKE
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IB~~arbqr Drive, Sorlnafreld. Oreaan
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
RANGE
SECTION
TAX LOT NO,
CODE-
CENSUS TRACT
APPL.
NAME ,.-Edwin Hulrv.
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19:'02
EXISTlN,G STRUCTYRES ON PROPERTY
Mobile home, carDort and seall shed
LEGAL A(CESS TO PROPERTY
IS
'm
'.11'
0;000
. MAILING
Harbor Drive
PROPERTY SIZE. - fT.
A!JDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE,<':O~STRUCTION ,SQ. FT. :t+ BDRMS
New System D
VALUATION
-,-.' -.
,n.....k.. lIn.;.nvArAd (16 " .7\
112 @I
112
~''''
.'
(
SEwAGE DISPOSAL
'I""""
PUBLIC 0 SEPTIC TANK xm
BlJILOJNG ~. -''''/ <t
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
OTHERO
5.00
FEES
PLUMBING INSTALLED BY
OWNER.O' 'OTHER: NAME
WATER SUPPLY
PUBLIC' '0'.
o OTHER
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TOTAl
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5.00
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TAN,K CAPACITY
WITH DIST. BOX; GAL.
liN. FT
TRENCH WIDTH, FT. :
"
OR SQ. FT."
Not applicable
\. . 'F~RY.oP~NT~5F4S5TRUCTURE SIDE'INT. 5 SIDE EXT. OC~,PANCY
BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION
REAR S' from bank (I.e. 14.60 I. of lot)
\ . AUTHORIZED SIGNATURE - DATE'
Vsl J.E. Boss by,C. Harbaugh
'lOG. PERMIT - WH ITE
lFFICE COPY - WHITE
bUNTY TAX - PINK
UMBING - CANARY
llDJNG ~ GREEN
"\ITATlON - G~LDENROD
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PUBLIC UTIL. EASEMENT
RA-KH .
John Shook
r-__DATE
L~30.74's,lf
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' ,,-l
plumb!ng.. All buildings require a certificate of occupancy before
being occupied.
. ,(See Details on Reverse Side)
,:
(POST nils PERMIT, ON MAIN BLDG, AT SITE)
. '--;i.~; /'i fi.';':' ;,....' LA~E.-C()U~_T'f:~~!T'1_pF ENYIRON~EN.rA~ MANAGEMENT
COURTHOUSE',ANNEX,~'135',EAST' 6th, EUGENE, OREGON 97401,_,
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LANE COU!'lTY
BUILDING ~
dUILDING PERMIT. OR.. MOBILE HO"
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MAILING ADDRESS
USE PERMIT
PERMIT NO.
657-74
'PROPERTY OWNER
,
.MU! rv. IUwln
. CONTRACTOR
Sam.
, PROPERTY LOCATION -INCLUDE POST O~Flq
'1194 Harbor Drive. Springfield, Orelloo
~PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
1894 Harbor Drive
MAILING ADDRESS .
Springfield, Oregon
PHONE
747-86>01
PHONE
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TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
18
03
2.33
5000
19-02
EXISTING STRUCTURES ON PROPERTY
Itoblle hCMlll!. carport end s_ll shed
LEGAL ACCESS TO PROPERTY
Harbor Drlvli
PROPERTY SIZE - FT.
APPL.
NAME
&
ElIwl n "1.1 Irv
MAILING
I ADDRESS
FOR MOBILE HOME PERMITS ONLY
I ! No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
tSEWAC;E DISPOSAL
; PUBLICO SEPTIC
BUILDING;
, .
~VAS;E', DI~:~OSAL
PLUMBiN'C;, "
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PLAN ,REVIEW'\:;':
PARK TRAILER
~-
TANK X[;;]\(
$
'~. ,OTHERD
,.W
i':'-'
New ~y~!.~m
VALUATION
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION 50: FT. +; BDRM5
IDeck..wneoYered (16 ~ 7)
112 ~1
112.
.~
'FEES
PLUMBING INSTALLED' BY
,.4".,
OWNER 0 OTHER: NAME
WATER SU~PLY ~\
it. '
:ft.:..,
~-
PUBLIC 0
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TOTAL
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s:':lhl!1:l
GOUNTY BUILD.INGL&.'SANITATlON SPECIFICATIONS
DRAIN FIELD "REQUIRED
UN. FT ' I-"':':-~,:~\ TRENCH WIDTH FT.
....
~.,:,~_c,.r:; , "
MIN,~EP_:T1c:.:iANK' CAPACIT,Y
I "WITH' Dj~f>~~Q~: ~G~L.'" .
:!!~..t, ,k '~~;,:, ": ,.
: Ilot~p,'N~.lila
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ZONE
AA..HIi
'PUBLIC UTIL
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! TYPE OF ,STRUCTURE ;.
5..\11'
OCCUPAN'CY~-:':
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i BLD'G; SET.BAq~i,~___ FT.:~R?M:,,~TR, OF ,R.0AD' RIGHT OF WAY
"RONT .5~li ;. SIDE INT. S SIDE EXl. -
I, ..J.. .,"'c .': "AUTHORI,ZED SIGNATURE,- DATE
'/sltl.lllig.'ll !iye.~lI~Ogh
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REAR
,_ USE. CLASSIFICATIOl'-l
"'from bank (l.e.loI.6.G 'of let)
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: 6LF~~C~:~~Mpl~~Rgf
'COUNTY'TAX':':' PINK,">"
jPLUMB'I,N,G2 CA_~6R!,' ".,,:
'BUILDING-'GREEN" . ~ ':-.
t ISANlTATION:7pO'Ll:~~NR:cpb,
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Call 687-406.5 t~ schedule 011 required inspections;/.J;!i\.constiucJ';t '.~
. tion sholl comp'ly withrU,riiform Building Code,D:,E.Q. 'sta~dO~9~t.~. .,
IMPORTANT:'. for subsurfoce"'s!',.W,~~dIsp'i1,sol and ..county, ~egul'CI,tiOr'!S~. '"co.__.v...~. r'.,~.,g.' ;:", _....
plumbing: AII"'buildings ~require' a c~rtificate of ,oc~uP..a,"!~y~::q,~.foI2,,"-': '::'~
be!ng' occupied. _ '" .~. ' . l':,;~it/ .: .:"'} ':i,':
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,'too.',
Jehn Shook
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
L.~NE: COUNTY, ,DEPT. OFENVIRO~_MENTAlMANAGEMENT
,. . COURTHOUSE ANNEX, 135 EAST 6th,. EUGENE, OREGON 97401
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S lTE I NSPECT I ON
ApPROVED / /
DISAPPROVED / / DATE
INSPECTOR
REMARI~S
FOUNDATION INSPECTION
ApPROVED /
/ DISAPPROVED;----Y DATE
INSPECTOR
REMARK S
FRAMING INSPECTION
ApPROVED /. / DI"SAPPROVED 17 DATE
INSPECTOR
REMARK S.
LATH OR SHEETROCK INSPECTION
ApPROVED /
( DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FINAL INSPECTIOV
ApPROVED m DISAPPROVED
/ /
DAT~~-}'()-Jf'
.tZ
INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE ,I / DATE
INSPECTOR
REMARKS
,/?u4
....
~07-7i/ ~~ I
'~r,:f' ~r~ p~
t~ .'fI....... .
.
LANE COUN!BUILDING PERMIT OR. MOBILE HOME USE A :ATION.62 {/
PERMIT TYPE _ BUILDIt\.-r'.. MOBILE HOME Dose'REG. # PERMIT:it ~:>:J:I-7 y
\ PROPERTY 3l"NJR , ~'., I.d I' MAILING ADDRESS. I' / I .,,' /1ft .[ I J! PHONE .
-~~"""- {jJ J.f1c./-/~V/\.Mj"'--~1 '-'fdlhfhu..Ai 7/1110/
. CONTRACTOR \.. MAILlNG~D ESS . . (j -. (I PHONE
~ .p! './ - I _
I PROP~RT;;~~~tt:~~. hI '!f2J ~ H '1'7 </1)
PROPERTY LEGAL DESCRIPTION I METES & BOUNDS 0 YES
lOT _ BLOCK _ SU~DIV.. ATTACHED D N~
I 'TWP RANGE. I see. TAX LOT # CODE . CENSUS TRACT
If' ^. ~I<:~ .r"oo /f.tJ'V
I AP:~~:NT ~ 13 //~ ;::::;cl,:t::.u~~r.:::':JI duI
, 6 I. LEGAL ACCESS TO PROPERTY ...IJOA~ NAME OR #
AND /.1'1/- /U~ /~ ~
::~~:S: ~-1/1 '~.uM. 1-;1<(-11 PRo2s-WE~WIDTH )t1~{
I FOR MOBILfi-tOME oIIE'lJ;;'6NLY ---/
r-:-Number 'of Bedrooms' . .
STRUCTURES~:O BE BUILT THIS rER~1T I
o.r k Unt r.\l't'rf ,L
, ---
,
~
AREA
Connect t'o Existing
TYPE CONSTRUCTION
/6 X 'f
Sewage
J
System D or New System Req. []I
SQ. FT. # 'EDROOMS VAl,UAtT;N/'
112.~j' F
/
/
/
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SEWAGE DISPOS~L
\
PLUMBING INSTALLED BY
BLDG.
WASTE DIS.
PLUMBING
PLAN REVIEW
PARK TRlR.
.,
,
,
SEPTIC TANK. ,'Vi'
., - -
FEES
OTHER 0
WATER SUPPLY
.OWNER' 0 OTHER 0 NAME
PLANS FURNISHED
PUBLIC 0
r'UOL''- LJ
:-*WER
l~lITY PE~.~IT= .
CASH 0 SEWER
CHECK II CONNECTION FEE
yft
FEE~EIV
PERMIT # I
. PUBLIC WATER
CONNECTION FEE
-_.
COUNTY BUILDING & SANITATION SPECIFlctONS
DRAIN FIELD REQUIRED /.
lIN. FT. TRENCH WIDTH: FT. R SQUA.~E F.EET
~' FIXTURES
I
,
,
\
PLUMBING FEES
DATE
DATE
'Cf- /r-7v
TOTAL
5.,-
MIN. SEPTIC TANK-CAPACITY
WITH DIST. BOX: GAL
.
. l OCCUPANCY
JIV --.;.7
BLDG. SETBACKS - FT. FROM cTR. OF ROAD RIGHT OF WAY'"
~R NT 4-s SIDE INT. '.s ..... 'u
ITA 'jL L(jir;l;;''1 ~
irections to Find Property:
TYPE OF STRUCTURE
ZONE
REAR YARD
PUBLIC UTIl. EASEMENT
RA-H'I~
USE ClASSIFICA liON '\
REAR 'S-~ ~_( ~'. LV ~() '{,I ~,
Dat, 'LDG. INS' Ips' ." /51.1')// r Df'
4-- 2..s-7(/ ~ fat. V~;J. 9- !lU
7 . I ,-' . )-
COPY 1 - OFFICE
COPY' 2"7 JOURNAL
COpy 3 - AUDIT
Form # C55-12