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HomeMy WebLinkAboutPermit Building 1974-7-2 . /,~>;~'); '" <:u~:; .';t;-lc:r~ ,.,~ ..r..t . \,.::;,:,/ . 1<" -', , LANE, c,OUNTY BUILDING PERMIT OR .. "'- ..BUllDING-1[] MH 0 PROP~RTY. ,?WNER MAILING ADDRESS f\ ,-.,J MOBILE HOME ~~'-;~;;I-;--"T:2-~ - 7 </ PERMIT NO, 1128-74 , ~ob'i ndon. Anne B. CONTRACTOR \ \ Wa I tor Sp'rnquo PROPERTY LOCATION - IN.9lUDE POST OFFr~E 2086 Harbor Drive PROPERTY LEGAL DESCRIPTION - METES, BOUNDS Rt. 9 Box 854 Pleasant Hill MAI,lING ADDRESS. Rt. 8 Box 576 Pleasant HilI PHONE 747-7717 PHONE 747-9607 TWP ~th Filbert Grove l-~O B-3 RANGE SECTION TAX l-OT NO. CODE CENSUS TRACT 18 O~ 2 + II APPl. EXISTING STRUCTURES ON PROPERTY NAME R..bln~nn none LEGAL ACCESS TO PROPERTY & MAILING Harbor Drive PROPERTY SIZE - FT. , ADDRESS WIDTH60 DEPTH 14q AREA FOR MOBilE HOME PERMITS' ONLY No, of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect .to Existing ,Sewage System 0 New System 0 TYPE CONSTRUCTION SQ. FT. :r;: BDRMS VALUATION Carnnrt 20 X 20 400@2 800 -Stnr~:U;A 10 x 20 220 @4 880 .- 220 CDI 220 I.QOO SEWAGE DISPOSAL PUBLIC n BUILDING WASTE DISPOSAL PLUMBING 'pLAN REVIEW PARK TRAILER , OTHERD I~.UU FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME' WATER .SUPPLY' SEPTIC TANK 0 PUBLIC 0 o OTHER TOTAL , 19.UO COUNTY BUilDING & SANITATION SPECIFICATIONS DRAI~ FIELD REQUIRED MIN. SEPTIC TANK CAPACITY . WITH DIST. BOX: GAl. lIN. FT TRENCH WIDTH FT. OR SQ. FT. Not applicable 'TYPE OF. STRUCTURE OC.CUPANCY ZONE PUBLIC UTIL. EASEMENT None, 5N J BLDG.. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY USE ClASSIFICATION FRONT , 46, SIDE INT. ~ SIDE ,EXT. : AUTHORIZED SIGNATURE - DATE. /5/ J.E. ,Boss by C. Harbaugh REAR' 5 John Shook DATE 7-2-74 5 If , 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 cc;>vering plumbing. All buildings require a certificate of occupancy before. being occupied. (See Details on Reverse Side) ~ORM ~ C55. 13 -'< (POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE, COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT 'COURTHOUSE ANNEX, .135 EAST 6th, EUGENE, OREGON 97401 BUILDl SITE EVALUATION <, i. Jyr;J /1:<?-7V T I g-R 03 s:z!JJ-I / / TAX LOT CL,,;US TRACT ~' -', , , 5ft. ;:; '/ J.eri-G-ruue.- L -SO e-:.3 APPLICANT: /', NAl1E R(')h/'r,~('Y/1' ADDRESS , ... " () Bu i I ding Pe rm i t App l' i cat i on No, () Site Inspect ion () Pre-Permit Investigation PHONE DATE t.,-;:2 '/-7Y I. Zoning Drdinance Compl iance , (ZoneR..,I_M#-) Subdivision Ordinance Compi lance NDT -a;;pl i cab 1 e () () (1 () () (') () ()1), () () t) () ,() () NO ,'- YES NAtIE DATE PLANNING DIVISION 2. 3. 4. Requ i n,;d Aceess Building Site (Area, Width, Frontage, Setback) Other (see comments) ~Z~~ /_-' ~_-:7P" 5, COMMENTS: .' - -. - ..-. . -..------.-- BUILDING INSPEC'nON DIVISION NOT NO YES NAME DATE aDP I icab I e {/~~~/ 6. Plans Subm i t ted . ( ) ( ) (~) 7-, -? C/ 7, So i I Stabi I,ity (foot ings) ( ) ( ) (...)- / - , \ I 8, ' Flood Plain (-)- ( ) ( ) \ \ 9, Other (see Comments) ( ) ( ) ( ) \ COMMENTS: WATER POLUTION CONTROL NOT NO YES -'.~Q DATE app ~ i cab 1 e ) () 7/ih~ 10. Sewage Disposal , .J ( (/ " II. Us ab 1 e Area ( ) ( ) ( ) 12. Water Supply 1) ( ) ( ) 13. Ot he r (see Comments) ( J ( ) ( ) n_ .___ COMMENTS: TO APPLI CANT: ' Your Building Permit / Site Inspection: ( ) ,Can be approved. () 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 OEPARTMENT. Questions and further informatiori on items 6 through 13 contact the Lane County Buildinq and Sanitation Division, (), Will be held in this office'until you can resolve the problems indicated, () Is being returned, (-) Your building permit appl ication fee is being returned under separate cover, DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon '97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVIS ION PHONE: 687-4186 'C55-28 1-- , J.JJ$<j.f{f .- ' ., .- ~' LANE COUNTY BUILDING IX] BUilDING PERMIT MH 0 MAILING ADDRESS , Rt. 9 ~ 854 Pleasant MAILING ADDRESS OR MOBILE HOME USE PERMIT PERMIT NO, 1128-74 PROPERTY OWNER PHONE . koblneon. Anne 8. CONTRACTOR Iii II 747-7711 PHONE 747-9607 Walter Sor~ue PROPERTY LOCATlON - IN.eLUDE POST OFFICE 2086 Harbor Srlvo PROPERTY LEGAL DESCRIPTION - METES, BOUNDS Sth Filbert Grove L-50 B-1 Rt. 8 Box 576 Pleasant HIli TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT 18 01 2 ... II , . APPL NAME & EXISTING STRUCTURES ON PROPERTY ftoblnsoA '- >, \'\' , " \-\ '., -\~\ \t'::\: , none LEGAL ACCESS TO PROPERTY~ Hllrbor DrIve PR9~E_~!:r:,SJ.~E-~ 1;.-<_ "":,\. ._....~t \ WIDTH60 ,::.:;,,~~\ DmH,I!t!k:" 'i>..REA,..I."" I I" ,', _~J I MAILING ADDRESS ~% '~\'- ,i- i', FOR MOBilE HOME PERMITS ONLY , , No. of Bedrooms STRUCTURES TO BE BUILT-THIS PERMIT i ,,) Carpl!lrt 20 It 20 400~ aoo o e' '" , .' q :{ -"f~~ J f., {' t., ':-i .}i',J "1,1 Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. :# 8DRMS New 'System VALUATION s to,.lIe 10 x 20 220 f/4 sar, . , " \;" 22G Ctl "1-.:.', j'''' 120 ,'+~ '1"..,...... ili .~ 4,.'..1 - '~_..:''i1 ,l'J~ ..:~,:t2!'i: ,.-, "'~ . '~ . SEWAGE DISPOSAL ~piJBlIC 0 - SEpTIC TANK 0 , ~U,ILDING WASTE.DISP()SAL '-'- ". ' fLUMBING ,. PLAN REVIEW' fARK TRAILEI\ PLUMBING INSTALLED BY. ,- , ...... OJt!ERD 1.#.,,", FEES~ OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 D OT!-lER ,"-'. .4-.'~.-. -.,-i 1/ '." ,,, '., (.li0~: ~i' ~ ,~ - ~ .,r....J ,I "-ij'!-l~:.;~.' . TOTAL ~.uu , COUNTY BUilDING &. SANITATION SPECIFICATIONS t;J. , o~':'-~!-'j~ -..i',~'\: . '.o",." . ~ MIN. 'SE~tIC'-T..(NK CAPACiTy...., ,!'iWITH 'DI;;:~;:":;Plle.l~I~,~~. 'oj. .. rs~ I i H DRAIN 'FIELD_' REQUIRED L1N. FT ~ .., " TRENCH WIDTH"FT. OR'-SQ. FT._ ~'\-~ " \ \ \~)~ - .'~ ,~ \~ . ~ -':;" \~~~'~-'..,. 1. \ ," .":';!~,;J~! Ii 1/ ,:j ':~ '~':- "'''~~-~~~_'{',_0 . 1. ..;i"<j , ;,"f~'.;";i~' I'" ~ (' M \"1 "~"h".' ... 1'..:,." -, '. , ,if t' 1 TYPE OF ST.FUC;r~_RE- , iff ,j .- 1, OCCUPANCY J ZONE PUBLIC UTlL. EASEMENT NOlle lBLDG. SETBACKS\,_ FT. t FRONT 1.6 FROMCTR. OF ROAD RIGHT OF WAY SIDE INT.!i SIDE EXT. AUTHORIIED SIGNATURE- DATE Ie/ J.E. 80,s by C. ~erbeugh USE ClASSIFICATION , ,I f REAR 5 \ 1 DATE i . ,; 7-'...1" IIlf f 'k , , .r 1~ Call 687-4065 to schedule all required inspections, All construe': tion shall comply with Uniform Buildj~g Code, DEQ, standards'; " tor~:-su>bsurface' ~ewage dispose.' al)d'"i:cc;>:~nty. regulations 'covering r '., pl_umbing. AII'-ouildings require a ceitifjcateof accupancyg~forel' being occupied. . , ,";. . (See, Details on Reverse Side) ,'. John Shook . BLDG, PERMJT - WH ITE . OFFICE COPY __WHITE ,COUNTY TAX - PINK ",' PLUMBING ~ CANA,'RY I BUILDING - GREEN' SANITATION - GOLDENROD I IMPORTANT: , , " (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE 'ANNEX; '.135 EAST 6t~;EUGENE, OREGON 91401 L--;;-.""'____'_...'c_.".o . ~,~ ',~;i... . , , FORM:t esse 1J l.. I"'~:',": ",' ;. .. ,. ..'. '. SITE INSPECTION APPROVED.c; D,ISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ~' ApPROVED / M1'ISAPPROVEO / / DATE '7: /2.,/)if I NSPECTOR(f) '--- '- "'I REMARKS~,i:zt~-;:c.cud) Jk:/4Y~! ~u7'-'.pd -!~~-y,-;p -"Jr Jr' " I FRAMING INSPECTION ApPROVED /~ DISAPPROVED ;---? DAT.E INSPECTOR 'REMARKS~ f~~/u/hul y..itF?vel LATH OR SHEETROCK INSPECTION ApPROVEO '----I DISAPPROVEO ;----y DATE , INSPECTOR REMARKS FINAL INSPECTIDN ApPROVED Cl REMARKS ~ PR Cl DATE/'::".2~l1 INSPEC.&" /1J-1' t(p' I CERTIFICATE OF OCCUPANCY READY TO .ISSUE Cl NOT READY TO ISSUE ;---? DATE INSPECTOR REMARKS /1 . -./~~, :~_ '_ ' / ~./ '. ~,~' '.'., U," (/I r""~ ~'Wf,t, t ~~ ~ .. //l-8-/P, ~ nf)~f (Wk J " '. U~E APPLICATION 1/ PERMIT # l/}i-77 . ~/W ,';"1/7-71/) PHONE ~ II 71/ 7- 960'27 LANE t,OUNTY BUILDING PERMIT' OR ,MOBILE, HOME PERMIT TYPE - BUllDING)5.. , MOBilE HOME OOSCREG# PROPE,RTY OWNER ~ L) /J ' ".: ',^MAlllN,G~RESS '/J ' O~ /...J /l~ , '/T'l /0J:ZR.Pf CONTRACT9R .,' Pd-.," ;, ,':: 'MAIUNG~DRESS Lt2_. 7AJtljd:u)',~~- j\ 'i' /~..s~1''' PR6P~~C:rOr~NmMtt;:'b~ f)n\~' ,,' .' -" PROPERTY, LEGAL DESCRIPTION r'f1. F' '\ I, -L-," r..o ,'" P,' _?, ',., METES & BOUNDS D YES LOT - BlOCK - SUBDIV, .::> II'L '\ 13Pr-I' ('rf1'I1J "- ~'- ~() ("> -.'S ATTACHED D NO TWP lr ; ;N?: , ",~C~+\ I -TAX LOT # qODE CENSUS:TRACT, 'APPLICANT .n I "I~ DESCRIBE EXISTING STR~R~S ON \~ROPERTY IF ANY, NAME 1'\ tih\~S;~ ' '= ,Conned to Existing Sew_ag~ System" 0 or New 'System'Req. D TYPE-CONSTRUCTION SQ. FT. # BEDROOMS VALUATION ,4&0 (cV,2. . :l:ZO ,,@ 4' :2 Z-o (.Q / ~ ;Z:z-o }900 1/ ~ND MAILING ADDRESS - FOR MOBilE HOME PERMIT ONLY Number of Bedrooms STR~E~;'~HIS P.ERMIT s;{ (J' dO P ~------ .LEGAl ACCE,Sl TO, PRfPERTY - ROAD NAME OR # , f-b rb~ D,...,'v-fL. PROPERTY SIZE-WIDTH DEPTH IV? Lr..., ';2oX2o 10)(2_0' .~. .;> SEWAGE DISPOSAL "PUBLIC 0 PLUMBING INSTALLED BY AREA g-o-o ~'60 / -b Zl:> BLD~G.. WASTE 015. PLUMBING PLAN "REVIEW ,PARK' TRLR. OWNER 0 OTHER '0 NAME PLANS FURNISHED FACILITY PERMIT YES'Ix". NO [j" YES D NO,Q( , ' . "'" lltt-i"~tuRE' OF'A~PlICANT // JJ ,'" -nATE :'f-..... c~-' a /1 r/.L.U~""~) FEE R,ECElVED-P1\11 W 00 b-;Ql}~)V PERMI~" ~ / ' I SEPTIC TANK 0 ''1.- ,OTHER D FEES WATE~ SUPPLY PUBLIC D' PLUMBING FEES ~. FIXTURES CASH 0 .SE~ . C'HECK f1~NNECTlON fEE PUBLIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFiCATIONS OTHER TOTAL. Iq.~. '. MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIELD REQUIRED , TRENCH WIDTH FT. OR SQUARE FEET UN. FT. /~. ~ -.' . .....' ~" TYPE OF STRUCTURE 6>// OCCUPANCY. '~ ZONE' 'REAR YARD~ PUBliC UTIl. EASEMENT h CJI1 e..- BLDG. SETBACKS - FT. FROM CTR:,'OF ROAD RIGHT OF WAY . USE ClASSIFICATION ,WR[il) SIDE INT, .,;;;-. SIDE EXT, REAR ,;g-- , !: . ~ate Pl~,;9 __ Date BLDG. INSP. ,.. - !"^ ? ~/7'1 CPW: "" -2< -7 /' iL~~'l.(/I~kLl..L/L G r~:t~ons, i~ ::d Property: COpy 1 "'- OFFICE COpy 2 - JOURNAL C9PY j - AUDIT'-- Far~:# C55-12 Date 7-2..I'Jc./ , ,I