HomeMy WebLinkAboutPermit Building 1974-7-2
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1<" -', , LANE, c,OUNTY BUILDING PERMIT OR
..
"'- ..BUllDING-1[] MH 0
PROP~RTY. ,?WNER MAILING ADDRESS
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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
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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)
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/_-' ~_-: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
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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._
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1.
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-,
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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
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FORM:t esse 1J
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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
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(/I r""~ ~'Wf,t, t ~~ ~ ..
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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./
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