HomeMy WebLinkAboutPermit Building 1974-6-11
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_ .~:~:: ~ -;';;. -:. LANE CdlJ~TY BUILDING PERMIT OR MOBILE'tlbME USE PER~IT. t
,..;." - BUilDING n MH B PERMIT NO, MH-22()" 74
:,' . PRO;E~TY.....9V{NER MAILING ADDRESS PHONE ;!.
-ROBlroSON; ANNE RT. 9 'Box 854, PLEASANT Hlll"OR. 747~7717
CONTRACTOR MAILING ADDRESSd~~ OI..L .'l:-\CVf 'C.f.- ~ -~b.' ~.' '... =. PHONE
SAME
PROPERTY LOCATION -INCLUDE POST OFFICE
'2086HARBOR'DRIVF.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
5rll ADD.F.ILBERT,GROVE LDr 50, BlK., 3
TWP RANGE SECTION.
.t.. 18 03 .11
APPL.
NAME Af'!NE; ROBI'NSON
& RT. 9'aolt 854
T AX LOT NO.
CENSUS TRACT
11-183
EXISTING STRUCTURES ON, PRO.PERTY
NONE
CODE
MAILING
ADDRESS PlEASAtn Ii ILL, ,OR. 974el1
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms 2
LEGAL ACCESS TO' PROPERTY
. HARBOR DR.
PROPERTY SIZE - fT.'
WIDTH 60 \ DEPTH' 149
AREA
rV-J:io'
STRUCTURES TOBE BUILT THIS PERMIT
Conriect to Existing
TYPE ~ONSTRUCT]ON
Sewage System '0
SQ. FT. .~ "# aDRMS
,
New System D I
VALUATION
PARK .IIIA I LER' FOR STORAGE:' ONI.. y,;'
"
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
.
FEES
PLUMBING INSTALLED BY
OWNER n OTHER, NAME
WATER SUPPLY
SEPTIC TANK 0
OTHERD
PUBLIC 0
o OTHER
~o;oo
, I
TOTAL
.
,0.00
, COUNTY, BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
'MIN. SEPTIC TANK CAPACITY
WITH D151. BOX, GAl.
UN. FT
TRENCH WroTH FT.
OR SQ. FT.
"'f.'OR P.ARK ING!ST-ORAGE ONl'Y. ,Ap'pl.y ;,FOR 'SEli'AiGE 'DI5POSA~~':P€RMT-T BE;f'OilE,'OCCUPANn.
TYPE OF STRUCTURE
MH
OCCUPANCY
iJ
ZONE
PUBLIC UTIL EASEMENT
BLDG. SETBACKS __ FT. FROM OR. OF ROAD RIGHT OF WAY
45'
USE CLASSIFICATION
Is/J.E. BOSS; BY; C. HARBAUGH
5',
SIDE INT.. SIDE EXT.
AUTHqRIZED SIGNATURE - DATE
33" ,
REAR _
FRONT
S; E; ~E.TRA5Elf; SAN I TAR I'AN
- DATE
"' 6-1'1.74.. JI1 .:
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING:"" GREEN
SANITATION -GOLDENROD
Call 687-4065 '0 schedule all required inspections, All construe:
. _ _ tion shall _comply with 'Uniform ~Building'tod~~D:E.Q~ I~standords
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)
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,'",.. (POSTT,IiIS, ,PERMIT ON MA.IN BLD~, AT SITE)
LANE COUNTY; DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON ,97401
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IrR (!)3,S.!23,3T1/ TAX LOT
CENSUS TRACT
~aUiLD1NG SITE EVALUATION
( ) 'Building Permit Appl ication No,
() Site Inspect ion
() Pre-Permit Investigation
APPLI CANT: (") I '
NAME/'( Onl i1..g-o-v-.......
AODRESS
PHONE
DATE
(. - '4-,7:'f
~,
3.
Required Access
NOT '
aDD] icable
Zoning Ordinance Compliance () ()
, (Zone /PA-fl1#)
Subdivision Ordinanee Compl iance () (
() ()
( ) ( )
() ( )
NO
YES
NAME
DATE
LANE COUNTY PLANNING DEPARTMENT
1.
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(vY'
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( )~~ '2:~~_
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2.
4,
Building Site (Area, Width,
Frontage, ~. -- k~)_
5, ,Other (see comments)
L-7--7';/
COMMENTS: ~~ A~ /? _ /.y "4-~ ____~A'~~/; , ?"~-<1"'~~ ~~
y~ -!1~LJ~-_.--r.--7--'~ /:Jr-. // /.:S';; *~ tY(7C~./~;A..--Y:_"? ~....~ ,C/~~crr
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-..=- ~ ,.--&, ~{.,T;C" ~- / / . . ! /
BUI DING INSPECTION SECTION NOT NO YES NAME DATE
6. Plans Submitted aDDlicable - %
(n ()
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7, Soil Stabil ity (foot i ngs) ([) ( ) ( )
8, Flood Plain ( ) ( ) ( ) /f7l~/
9. Other (see Comments) ( ) ( ) (j) V"" 1-1q
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COMMENTS: A~Mdf f
SAN ITATlON SECTION NOT NO YES NAME D;~~
aDD I icab I e ---II' .,.,
10. Sewage Disposal T ( ) ( )
ctP~
II. Usable Area ( ) ( ) ( ) Jif J
, r
12, Water Supply r ( ) ( )
13, Other (see Comments) t ) ( ) ( )
COMMENTS: :.f'.D~ f""lr':'J !:J,. ~~ t"J""V )}r,ply -hr S: e w)., <jf.p ~j6/)IS"'/
pp r... .-f .bJiH _ 1Or-,.~U')o.cc/ 'i ' .
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TO APPLICANT:
, ~ Your Building Permit / S,ite Inspection:
b/ t 0-7 '~Can be app roved. ,
(\) Cannot be approved at this time as indicated on item NO, above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through \3 contact the Lane County Buildinq and Sanitation Division.
() Will be held in this offiee until you can resolve the problems indicated,
() Is being ~eturncid,
() Your building permit appl ication fee is being returned under separate cover,
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
C55-28
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Ildl_ANNE
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~'PROPERTY LOCATION - INCLUDE POST OFfICE
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LANE COuNTY
BUilDING 0
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BUILDING PERMIT OR MOBILE-HOME
MH 1"1
MAILING ADDRESS
RT. 9 -eN 85ll} 1"1..........1 Hli...~ OR.
USE PERMIT
PERMIT NO,
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PHONE
71+1-"(111
MAILING ADDRESS
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PHONE
I PROPERTY' LEGAL DESCRIPTION - METES,
,5TH Alia. r,..IIIf.Af a.evc
BOUNDS
I.OT 50
mu. 3
~ TW: RANGE SECTION
I t{J 03 11
t
APPL ANtI[ ROBINSIl>N
NAME
& AT. 9 Sex 854
TAX LOT NO.
CENSUS TRACT
11k le3..
EXISTING STRUCTURES ON PROPERTY
HellC
CODE
LEGAL ACCESS TO PROPERTY
HAIl.1lI! lilft.
I.
I MAILING
, . ADDRESS Pl.U....T 10111.1., 011.- 97llo1
FOR MOBilE HOME PERMITS ONLY
No. of, Bed'roolTls_ I'
PROPERTY SIZE - FT.
60
DEPTH
14'
i j
WIDTH
AREA
,:1 !
'""
STRUCTURES TO BE BUIL.T,'-THIS PERMIT
PAlllC TIlA '''Ill' r. $f~.I(.C Olllt. Y.
Connect to Existing Sewage System D
TY.~E CONSTRUCTION' SQ. FT. +; BORMS
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New. 'Syslem' o;;f'f
VACUA~I-ON '-.', .\~~
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PUBLIC 0
D OTHER
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SE"I"{A'<;;E'DISPOSAL
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. ;:WASTEfDisPOSAl~'-' '~,'..':.__ :
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. P'LUMBING ;:/:~: ....
f"f
I PLAN REYIE"I"{
r PARK TRAILER..
,
,
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TOTAL
,-
PLUMBING INSTALLED BY
OWNERn OTHER: NAME
WATER SUPPLY "t
SEPTIC TANK 0
OTHERD
.
fEES
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3D.!110
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~OUNTY BUIWINC;"&, S~~ITA-T10N
,. DRAIN FIEL[)-REQ~,iR~D"-
f",:
SPECIFiCATIONS
1<.:
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MIN. ~EPTlc\::rANK\..~~PACITY
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WITH DIST. 'BOX; G~'l.
to
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L1N.FT
TRENCH WIDTH FT.
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:~\tl'lYPE OF STRUCTURE'~~:... ,.." OCCUPANCY -
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'I BLDG. SETBACK-S -- FT. FRQM':'C},R. OF:'ROAD RIGf:lT OF WAY.
,fRONT' _"t '::SlDt INT:' '-I SIDE EXT. . ,~,~ ('-'REAR
t , . iAUTHORIZED SIGNATURE - DATE
; /s/J.t.. "J IY, C. ftARBAUIM
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3J 1:5 'ilf'I'RAMfI) S.tll1'~"'..if
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t BLDG. PERMIT ~.:VlHtT~
~9FfICECOPY ':-"'YVHlfE~-
'COUNTY TAX - PINK'
I.. .PLUMBING - CA.-NARY
'j ,BUILDING~ GREEN
i,SANITATlON - GOLDENROD.
IMPORTANT:
Coil 687,'4065 10 schedule 011 re~Uired(i~spe;;ti'~ns,';.A:I! c,,':'Slrur'j.'!
lion sholl comply with Uniform. BuilClil\g Code;' D:E;9""S!Ondord.s~' ,':
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(POST tHISPE,~ITqNi'MAIN"BLDG,~'A'I" SIJE)
LANECOUNTv;DEPT;, OF .:ENV~~~f.~T.~~ M1~t~1'~fiE~T'~J~i. ..::~~'< ,.....~-:/;
:COURTHOUSE ANNEX;. 135 EASTir6th,-EUGENE, OREGON 97401 ' '\ '"
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'~FORM ~~'c~5\~'13.~,
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. -1I''''\, .._:y~;,..,-.. ,,-~
S lTE I NSPECT I ON
ApPROVED.I I DISAPPROVED I I DATE
REf/,.~.RI~~
FOUNDATION INSPECTION
ApPROVED /
/ DISAPPROVED ~/ DATE
REMARKS
FRAMING INSPECTIDN
ApPROVED I / OJ SA,PPROVED I _ / DATE
REMARKS
LATH OR SHEETRDCK INSPECTIDN
ApPROVED /
/ DISAPPROVED ~/ DATE
REMARKS
FINAL INSPECTION
ApPROVED'
fif ;;s"r;~~
DATE
REMARK 5
CERTIFICATE OF OCCUPANCY,
-,-
INSPECTOR
i \
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR,
t;--2q--/l t/ ((;
READY TO ISSUE I. I NOT' READY TO ISSUE .Cl DATE
REMARK 5
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INSPECTOR
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LANE cOUN',.. BUILDING PERMIT OR MOBltE,HC.. _<
TYPE - BUILDING,O' MOBILE HOME }XOSC' REG, #
I? I MAILING ~DRES5 .
Koni((~Rv\ ' K q@bY' i s-cJ
'MAILING ADDRESS -;.
USE APPLICATION d '
PERMIT :#:. )v1IT:220-7Y
1: t J 11/ PHONE .
P 'AZSC(J1 flT. / 7 V'7 -/'7(;
PHONE
PERMIT
PROPERT)fWNER
1-'-11\ VI e..
CONTRActOR
PROPERTY LOCATION -INCl 0
r--~b<?;(;;.~- ..
PROPERTY LEGAL DESCRIPTION
LOT -'- BLOCK - SUBDIV.
TWP/<:r" RANGE
t> 03'
posrOFFICE _
rbr:': "f):Fftl"P~d'~/
:-h'lb,rt '~ L -:- 50
SEe. TAX LOT #
~II
[;-3
METES & BOUNDS 0 YES
ATTACHED D' NO
NAME
AND
CENSUS TRACT
I(~(K\
DESCRIBE EXISTING'STRUCTURES ON PROPERTY If ANY
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~EG"l ACf:tT;:h~";: RY)~~~
PROPERTY SlZE""':'WIDTH DEPTH
, .to /(jCj
AREA
CODE
APPLICANT
MAILING
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of .Bedrooms ::.:2
STRUCTURES TO BE BUILT THIS PERMIT
- Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT.
'or New System -Req. 0
# GEDRQOM5 VA~UATION
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SEWAGe DISPOSAL
PUBLIC D
BLDG.
WASTE 015.
PLUMBING
PLAN REVIEW
PARK TRLR.
I"
. FEES
OTHER D
WATER ',SUPPLY
PUBLIC D
PLUMBING FEES
-----..!.--' FIXTURES
PLUMBING INSTALLED BY
'. OWNER 0 OTHER 0 'NAME
. PLANS FURNISHED
FACllITY'PERMIT
SEPTIC TANK 0
OTHER
YES 0 NO 0
~rU;E, OF APPlJ~A~ j)
.~-l3r"'/ ,'.'-.J ,;;'-4-'14-
. FEE rsl:EO Ye. ~ ~.Q 5L- 6 -lf~A7V
P~RM[T # .' /
YES D
NO D
DATE
:?n,~
CASH d
CHECK [4
SEW~R .
CONNECTION FEE
TOTAL
PUBLIC WATER
CONNECTION FEE
MIN. SEPTIC TANK CAPACIT,Y
WITH D151., BOX: GAL
COUNTY. BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD' REQUIRED
. UN. FT.
TRENCH WID_TH, FT.
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FRONT '/ S- SIDE INT, 5""
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Directions to Find Property:
SIDE 'EXT.
PLANNING
.=>7'.9' ,
c.A!Y//
~ONE/
1 '/
/ ..'~ / _ . h'-'. USE ClA~SIFICATlON'
/3';' ('.
e; _7_i)rDG 'I~PI1B~~6.~1"1i(~ g,a;e
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;REAR YARD
PUBliC UTIl. EASEMEt,:H
,
BLDG. SETBACKS - FT.
/IJ )(OCCUr
FROM eTR. OF ROAD RIGHT OF'WAY .
TYPE OF STRUCTURE
COpy T.,.... OFFICE
COpy 2 - JOURNAL
COpy 3 - AUDIT
Form:# C55-12
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