HomeMy WebLinkAboutPermit Building 1974-7-25
'If- C'{1Y'f't:
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. ,
-, LANE couNTY- sPEciAi '.PERMr:cAREA
~ .
LANE COUN\ ;UILDING PERMIT OR MOBILE He.
....
BUILDING @ MH D
M~ILING..;ADDRESS
.
"
,
USE PERMIT
PERMIT NO,
) SSG -
1356-74 .'
PHONE
7'/
I PROPERTY OWNE~,\
,
I."Camo. J.E.
CONTRACTOR
Rt. 1. Farqo. Okklahoma
MAILING ADDRESS
698-2452
.
PHONE
PROPERTY lOCATION -INCLUDE POST OFFICE
1 ~7" Jlftr.l)or Dr I ya
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
J
TWP RANGE SECTION
'8 03 2.3.3
APPL.
NAME oLE:. LnCamo
& 1281 Dalton Drive
MAILING
TAX LOT~O.
CODE
CENSUS TRACT
1200
19-02
35-400
EXISTING STRUCTURES ON PROPERTY
none
LEGAL ACCESS TO ,PROPERTY
Filbert Acfes
PROPERTY SIZE - fT.
ADDRESS f:u!ll!ln~. Dreaon
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
60
DEPTH
150 AREA
Connect to Exj'sting Sewage System 0
TYPE CONSTRUCTION SQ. FT. :::: BDRMS
New System D I
VALUATION
C;Jrnnrt
16x20
320 I!il 2.80
896
',''''\
.'\ f
.
PUBLIC 0 'SEPTIC TANK 0
BUILDING <t.
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARKt TRAILER
Pone lty
1 ~ ~urcharoe
OTHERD
q.OO
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEW AGE DISPOSAL
,
PUBLIC ,0
o OTHER
TOTAL
,
Q' nn
'IR co 18.18.
COUNTY BUILDING
,
& SANITATION SPECIFICATIONS
MIN. SEPTIC TANK .CAPACITY
..-' WITH DIST. BOX; GAl.
DRAIN FielD REQUIRED
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
.,
TYPE OF STRUCTURE
OCCUPANCY
lONE.
RA
PUBLIC UTll. EASEMENT
I
,~ J
BLDG. SETBACKS"_ FT. FROM CTR. OF ROAD RIC;;HT OF WAY
fRONT
40:; SIDE INT, ~ SIDE EXT,
AUTHORIZED SIGNATURE - DATE
Isl J_E, Boss bv Charles Harbauqh
REAR
USE CLASSIFICATION
50r to easement
J.Shook
DATE
7-25-74, bp
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 ta schedule all required inspections, All construc- I
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)
\. FOR""\ == C55-13
~ ,
(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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'/S./. TH5 5..:73..7 TAX LOT );) NY
J/C..w- . CENSL.~. (RACT
-;I 7// (\ APPLI CANT:
BuilJing Permit Applicatio~ No. /3!)b -ij 'J\ NAME, <::.II-(PAMP, ...ii:.
. I J ADDRESS -
BU I LD.ING SITE EVALUATION
( )
()
( )
Site Inspection
PHONE
DATE
-"7-lq - 7V
Pre-Permit Investigation
-
I.
Zoning Ordinance Compl iance
(Zone )
Subdivision Ordinance Compl iance
NOT
appl icable
() ()(L
~; ~(J~ .
() \/) ()
() () ()
NO
YES
NAME
OATE
LANE COUNTY. PLANN I NG DEpARTMENT
2.
3.
4.
Required Access
Bui1ding Site (Area, Width,
Frontage, Setback)
Other (see comments)
5.
COI1l1 ENTS :
- - --=
BUILDING INSPECTION SECTION ' ' YES
NOT \ NO NAME DATE
app') itcab I e
6. Plans Submitted ( ) ( ) ( )
\'
7. Soil Stabil ity (foot i ngs) ( ) ( ) ( )
,- J
8. Flood Plain ( () : ( ) ( )
f2Jt.~J
9. Other (see Comments) ( ) ( ) ( ) 7-1 'J --7Jf
- - /
COMMENTS: 1./ I
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... ".4"
LANE COUN',.
BUILDING Ia
LANF. COUNTY SPECIAL PERMIT ~REA
JUILDING PERMIT OR MOBILE He. USE PERMIT
MH 0 PERMIT NO,
MAILING ADDRESS
~
.,it
1356-7'.
PHONE
PROPERTY OWNER
lI!lCMlIl. J.E.
CONTRACTOR
Rt. 1~ Fergo. O_klahana
MAILING ADDRESS
698-2'152
PHONE
PROPERTY LOCATION - INCLUDE PqS!t'O!,FI.C~
1575 Harbor oi'l.;~..,,,
., PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP RANGE SECTION
18 \ 03 2.3.3
Appl.
NAME J.E. LIlCamD
& 1281 Dalton Orlve
MAILING
TAX LOT NO.
CODE
CENSUS TRACT
1200
1'-02 35-400
EXISTING STRUCTURes ON PROPERTY
, ,
ADDRESS EUlIIenlll.' Orel1on
FOR MOBILE HOME PERMITS ONLY
I No. of Bedrooms
STRUCTURES TO BE I?UILT THIS PERMIT
none
LEGAL ACCESS TO PROPERTY
Filbert Adlls
PROPERTY SIZE - FT.
60
DEPTH
150
AREA
WIDTH
16x20
Connect to .Existing Sewage System 0
TYPE CONSTRUCTIOr:! SQ. FT. :;; BDRMS
320 (ll 2.80
New System D' I
VALUATION
CarDert.
89'
, I
r,
. Ii
/, . .I
" h.Jo ^".
.' .'),JV f .~..
,tl:OO
.18 -18.18
COUNTY BUILDING
"
PLUMBING INSTALLED ~YI
OWNER n . OTHER: (NAME
W~T~Rf'S~f'Plt -;
P~Bl:tC 0 0 OTHER
.1 ~ SEWAGE DISPOSAL
; PUBLIC n SEPTIC TANK 0
~UILDING t
WASTE DISPOSAL
I
PLUMBING
I
) fLAN REVIEW
PARK TRAILER
I ~ Penalty ii. .i
I I
I TOTAL 1 ~ aurdlarlo $
, I
i MIN. SEPTIC TANK CAPACITY,-.
~ WITH DIST. BOX: GAl.
OTHERD
S:OQ fEES
'1,
t,.~-;
,
. I
I I
.
"!o, "
.....
~ X'. , '.2
" ,
...,,\
& SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. FT TRENCH WIDTH FT.
'OR SQ. FT.
f
t- -
A-'
.'!..
t -
" J . '1,\
",">.
\.' \. .~. \
;"\~ .... '\ ';o.~.""",
,. '::-' \.. .\
..1'--.),i'>.V....Zb~E\ '. .,:"..,:
. ~\
USE ClASSIFICATION
50r to e.aellll!<<ll'lt
\~,.
'''','
,\
\~,
I,......,.
,-
\
\',,:.-
,
t~\
Ii
-~.~_...
,'TYPE OF STRUCTURE
SN
OCCUPANty" ....,
PUBLIC UTll. .EASEMENT
~}
,
I II
.,.!!
,.).;
I~
,
J
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT
~!i
REAR
J.Shook
DATE
7.25-74
; ~f
li,
BLDG. PERMIT - WHITE
OFF'ICE COPY - WHITE
'COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
:SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required inspections. All construe.
tion shall comply with Uniform Building Code, D.E.Q. standards!
for subsurface~'s~VI{age disposal and county regulations covering'
plumbing. All buil,dings require, a certificate of occupancy" before
being occupied; .
(See ,.Details dn Reverse Side) "
'" ...
, _FORM = C55.-13
(POST THIS PERMIT ON MAIN .BLDG. AT SITE)
LANE COUNTY, DEPT, Of ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNE>;, 13.5 EAST 6th, EUGENE, OREG'ON 97401
r
-~
,
,
SITE INSPECTION
ApPROVED ~ OISAPPROV[O ~ .DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROV'ED 1--/ DISAPPROVED 1--/ DATE
INSPECTOR
REMARKS
'FRAMING INSPECTION
"
ApPROVED / / DI.SAPPRDVEO / / DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED L-/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED ,~J5APPROVED C1 DAT~'}-Lq,"1C( INSPECTOR
n:?f#I6&- .,' y
\/~'~ ~PU/f
'. '//J 11//_
Y/Y1A ~ .Y./.AI/ nI/~
11 \ J
/J
REMARKS
, ,
.CERTIFICATE OF OCCUPANCY
READY TO iSSUE ~ NOT READY TO ISSUE C1 DATE
,
REMARK S
":.i...;"
.",.
tiJ
INSPECTOR
/l)~.
.-4l
ti~ l~- /" ;r~;{)~
/ 3~~ '79