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Home My WebLink AboutPermit Building 1974-7-25 ,r ._-. .' r /M(t;':*~0S;--?y'U~ ~'\U<~ \..' 'LANE COlJNTY BUILDING PERMIT OR MOBILEI;IOME , ..". :f'~~:y BUilDING D MH [iij'< PROPERTY;'QWNER '. MAILING ADDRESS '. SIDNEY Me I NTOSH USE PERMIT fiYI (13(0 PERMIT NO, M131O-74 7)( PHONE CONTRACTOR \ ,H>' '; HALTER A. SPRAGUE , MAILING ADDRESS RT,8" Box 576 PLEASANT HILL 345-3698 747~96ci7 PHONE ',.J PROPERTY LOCATION -,INCLUDE POST OFFICE l 2050 HARBOR DRIVE' \. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS L-44, B-35TH FILBEkT GROVE TWP 18 RANGE SECTION TAX LOT NO, CODE CENSUS TRACT APPl. 'NAME EXISTING STRUCTURES ON PROPERTY NONE LEGAL ACCESS TO PROPERTY HARBOR, DR I VE i' PROPERTY ,SIZE - FT. /7- / Y 7 I 0.3 1'1.2.2 3700 & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms 2 _ STRUC~URES TO BE BUILT THIS PERMIT . /0408'1 LE HOME WIDTH DEPTH AREA Connect to. Existing Sewage System 0 TYPE CONSTRUCTION SQ.'FT::;::: BDRMS , New' System [~f VALUATION ... --"". (." , c SEW AGE DISPOSAL , FEES PLUMBING INSTALLED B~ /- OWNER n OTHER: NAME WATERSU,PPLY PUBLIC n BUILDING WASTE DISPOSAL PLUMBING PLAN ",REVIEW PARK TRAILER " 1, % SURCHARGE SEPTIC TA~K n OTHERD '50.00 ~.OO PUBLIC 0 n OTHER TOTAL :P.OO :0.4 t)4,o.ll COUNTY BUILDING & SANITATION SPECIFICATIONS " < MIN. SEPTIC TANK CAPACITY WITH D1ST, BOX; GAL 900 DRAIN FIELD REQUIRED 150 TRENCH WIDTH FT. 2 OR SQ. FT. 300 LlN. FT No SERVliFES CONNECTIONS, TO BE MAOE UNTIL FINAL APPROVAL 'IS GIVEN TO WATER SYSTEM. /', SEE ATTACHED SHEET. " TYPE OF STRUCTURE f-.}l OCCUPANCY ZONE, RA-fIIH PUBLIC UTll. EASEMENT BLDG. SETBACKS __ FT, FROM CTR. OF ROAD RIGHT OF WAY FRONT 115 S'DE INT, 5' S'DE EXL AUTHORIZED SIGNATURE - DATE /s/ J.E. Boss BY CHARLES HARBAUQli ,USE CLASSIFICATION . REAR 5 J.SHOOK r-- ,~ '- l.)=25,,74 . DATE BP , I :~,,\.. '\ BLDG. PERMll - WHITE ,OFFICE C6PY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLDENROD Calf 687-4065 to schedule all required inspections. All, construe. tion shall comply with Uniform Building Code, D,E,Q. .standards IMPORTANT: for subsurface sewage disposal and county regulatloMi cO~~ri~ plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) . F,?r;.~..:'t C55 - 13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOU~E ANNEX, 135 EAST 6th, EUGENE. OREGON 97401 BU I LD ING S.IT~ EVALUATION <J~ C-~ mil 310- 7f I ..." f..,J . .r;. t'IS > ~ () Building Permit Appl ication No, () Site Inspection () Pre-Permit Invest igat ion fl-loTO T /LR o3slf. J.] !LOT E70r\ C~,,$US TRACT APPLICANT: NAME m('/ Tf\)Tnc, JLJ ,nrAQUe. ADDRESS' / V PHONE DATE LANE COUNTY PLANNING DEPARTMENT NOT ND YES NAME DATE app I i cab) e I. Zon i ng Ordinance Compliance l ) J)l (Zone ) ~ <fV_ 2. Subdivision Ordinance Compl iance ( ) ----' 3. Required Access ( ) () () ,4. Building Site (Area, Width, ( ) ( ) ( ) Frontage, Setback) 5. Other (see comments) ( ) ( ) ( ) -- --- -- COMMENTS: - BUILDING INSPECTION SECTION NOT NO YES app~ i!able (~o{JJf () () () () () () ( ) () () 6, Plans Submitted 7. Soil Stabil ity (footings) 8. Flood Plain ,9. Other (see Comments) COMMENTS: - NAME DATE ' (j~L , ~-2:?~7l/ , . { , v SANITATION SECTION NOT NO YES app) icab I e , f\ NAME LL\iL~cs=_L:\ DATE ~,L____f__._._ , h-' I' , . ...... ._--, ',', It' ,.rr , , I! '" , ,I. . l.~ .1 J' ..., LANE COUNTY BUILDING D BUILDING MH @( MAILING ADDRESS PERMIT OR MOBILE HOME USE PERMIT PERMIT NO, " .' l\!H310-74 345-3698 PHONE PROPERTY OWNER SIO~~V (;); INTOSH CONTRACTOR MAILING ADDRESS WALTER A. SPRAGl!,~.-,..".., RT 8, Bolt 576 PUASANT Hll.L PROPERTY LOCATION -lNCLUDE'POST OFFICE' 2050 HAnSOR OR I VE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS L-44, B-3 5TN FILotRT GRoVE ;1,,\' :"1',1,747-9&07 PHONE TWP 18 RANGE SECTION TAX LOT NO, CODE CENSUS TRACT 03 11.2.2 3700 APPl. EXISTING STRUCTURES ON PROPERTY NOIII!: LEGAL ACCESS TO PROPERTy HARBOR OFlIVIt PROPERTY SIZE - FT. NAME & MAILING ADDRESS WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms 2 STRUCTURES TO BE BUILT THIS P~RMIT 1.';00 H.t HO>>E Connect to Existing Sewage .System 0 TYPE CONSTRUCTION SQ. FT. :;:: BDRMS New System Iii VALUATION SEWAGE'DISPOSAL , FEES PLUMBING INSTALLED BY OWNER 0 OTHER, NAME WATER SUPPLY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 1 lb ouRCHAl'lGE SEPTIC TANK 0 OTHERD 5\).00 ".00 PUBLIC 0 o OTHER TOTAL 30.00 _. .O~ 04,011 $- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITy WITH DIST. BOX, GAL. 900 DRAIN FIELD REQUIRED 150 UN. FT TRENCH WIDTH FT. 2 OR SQ. FT. 3!lO No SERVICES CONNECTIONS TO aE MADE UNTIL rlNAL APPROYAL IS GIYEN TO ~ATER BVSTEM. SEE ~TTACHEO SWEeT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIl. EASEMENT Mi I RA-I'-M BLDG. SETBACKS __ FT. FROM' CTR, OF ROAD RIGHT OF WAY USE ClASSIFICATION FRONT 45 SIDE INT. 5 SIDE EXT. REAR 5 /a/ J.E. AUTHORIZED SIGNATURE - DATE DATE Boss OV C"ARLIt9 HARBAUGH J.SHOOll 7-25-14 flP BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN ~ANITATION - GOLDENROD Call 6B7-4065 to schedule all required inspections, All ~anstruc'. tian 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) !'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 r I SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED ;---y DATE REMARKS GAS PIPING'GROUNDWORK ApPROVED / / DISAPPROVED ;---y DATE REMARK 5 ROUGH PLUMBING ApPROVED / / DISAPPROVED ;---y DATE REMARKS ROUGH GAS PIPING ApPROVED' Cl 01 SAPPRDVEO Cl DATE REMARKS FINAL PLUMBING ApPROVED + DISAPPROVED Cl REMARKS DATE~~ if. r- 71/ I FINAL ,GAS PIPING ApPROVED Cl DIS~PPROVED ;---y DATE REMARKS CERTIFICATE OF OCCUPANCY READY ~o ISSUE / 'j NOT READY TO ISSUE ;---y DATE REMARKS , ......-',. ,~,- .... -.,.--.-'.-"..--,... "..' . ,,'l..: INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTO INSPECTOR INSPECTOR .. r'J,.~t . , -' (', , , LANE "COU._"Y BUILDING d BUILDING PERMIT OR MOBILE h.....ME MH.~ . MAILING ADDRE.SS ~ I .I>"':'.' ". ,oJ. .. ",~,~'-' ," t PROPERTY OWNER ~J'DtIS.( Me INTOllll CONTRACTOR .. W'L fiR 4. 5i'i' J\.(llll 3li5- J(~ , MAILING ADDRESS '\ :Jv 8. (lex 576 PU:'1SANl' HI!.L 711'1"'-)607 PHONE PROPERTY LOCATION - INCLUDE POST OFFICE 207) MAHIIOfl f'Jtlvt" , I PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ,.44. u-.3 )TIi rILer;:,n G10Vlt . '. " 03 11.2.:2 T,AX LOT NO. 3'P) COOE CENSUS TRACT 'I TWP tc, RANGE SECTION APPl. EXISTING STRUCTURES ON PROPERTY 'wONI LEGAL ACCESS TO PROPERTY l-U.n~OI1 OR I lit NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No, of Bedrooms e, STRUCTURES TO BE BUILT THIS PERMIT I<tl!) I Lt lkiuc PROPERTY SIZE - Fl. WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. :;::: BORMS ~i , New System ~~ VALUATION " " SEWAGE DISPOSAL ;PUBlIC 0 BUILDING W A$TE DISPOSAL P~UMBING PLAN REVIEW PARK TRAILER l ,. .UIU:-.....tlGf FEES PLUMBING'..lNSTALLED BY OWNER 0 O.THER,' NAME WATER-SUPPLY SEPTIC TANK 0 OTHERD ?\M~ ~t.W PUBLIC 0 o OTHER " .~ .W __ .o!i g.;. UIf I MIN. SEPTIC TANK CAPACITY ,WITH DIST. BOX, GAL . ~ DRAIN FIELD REQUIRED ,~ lIN. FT TRENCH WIDTH FT. ;; OR ,SQ. FT. ,1>> , r I, I I 11 ....TOTAL . COUNTY BUILDING & SANITATION SPECIFICATIONS No '~.VICt. CONWt~t'Ok~ TO ~v. ~ACE j -, Stt 4TTAC>>E~ 5"rt1, UH~l f"INAL ^"""OVAl 1111 '--~ U I' QIVE~ to WATEk aV'TEM. \ \ -\' , . \ l I' . .......1 .If..t,' ~ ,1U II I I i TYPE OF STRUCTURE f.tl OCCUPANCY , ZONE R~.Nf PUBLIC UTll. EASEMENT I BLDG, SETBACKS u FT. FROM CTR OF ROAD RIGHT OF WAY 1 ".., 5 FRONT # SIDE INT. SIDE EXT, 1 AUTHORIZED SIGNATURE - DATE ! /s/ J.E. ao., IV CWAAll$ HAHOAUQ" REAR 5 USE ClASSIFICATION J.SlIOQ" 7-*7q DATE /If' , 'BlDG, PERMIT - WHITE OFFICE COPY - WHilE tCOUNTY TAX - PINK . PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLDENROD Call 687 ~4065 to schedule all required inspections. All construc4 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)"~ FO~M:::C55-.1J. ,(POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT 'COURTHOUSE ANN'EX, 135 EAST 6th, EUGENE, OREGON 97401 ~,~ ,i!-. " " r ...,-\" SITE INSPECTION , ApPROVED L::J DISAPPROVED L::J DATE INSPECTOR RE~ARKS FOUNDATION INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARK S_ FRAMING INSPECTION ApPROVED / / DISAPPROVED /7 DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION APPROVED.c=J DISAPPROVED L-/ DATE INSPECTOR REMARK 5 FINAL INSPECTION ApPROVEO Q DI~AP~1RO(j L::J DATE II, REMARKS-AM M ~! - 1'! J ~ 'HIt}{ ) INSPECTOR CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / I DATE INSPECTOR REMARKS I'fflJIO,7r ?/!~~,;(060 %~c4~ <, " ' , , ,', PROPO~~D ',INSTALLER:"Complete.top pa,r,t iJf.' f,6rm . .. .. SE~iGE' [) I SP~~~L~Y~T\\llRECOR[)' h :':~:-:~~,: to signature a~'<! SUb~~both copi~s'wit~' appl ic;ati6n:-"..', . " ' , ,',' 'PERMIT NO. M-I110~74;,- JS ~ , INSTALLER'S NAME ',' PROPERTY ADDRESS ~F.e.o.le.s E xc'~'~a+'i"~';cC:" '. 20~0HARBOR~~1 VE ' ',: No: Living, Units Bedrooms"';' Baths ,Base'!'ent', '"Water Supply' " ," '". ,I" " '.'2 ' 'i:Y.t Yes ',: No'j.., Public -X Other-Li st: Sep't'i c" Tank: ,,/' ':"',' , Ft,.from well Steel,. 0';<' {oncrete IXI,NO; comp;r'tments . .. ---,. " ~:"" . ,G'a(" Capaci ty' ',' , I/JM" .- Inside Diinension's: Ft.., ',', . "Tile 'Disposal Field,: Length 'Width, ;'Diameter ,Depth Distribution Box: ,Yes)(, No OWNER "'rIt\tTER &f>R-A-GtIE ~'i., ..:.,- . ( Other:?1{stributi.on-Type ,NAME, :- ",' S,U, f'lc.'l....L,,., . MAiuN~' ,ft:r:-:-8; ~x~ 1;7(ii",ric~/l'1. Sf, ~~~~,from" ADDRESS,,' . ,E''''_VI'I~/Q"ea~'\. Lot ,Line .,:;' . 'P-EEASAN.T_H'.LL, 'ORi;J'ON " '7 7.'1() 1 Front 'I () , Si,de I~ Le.ngth'o\ Lines-Ft, . tT~ench;I:' Total S~. I F~, Beb/eeh ''IF.i 1lerlFi 11erDepth , I ,1('02. 7tJ3" 4. 5. 6" WI dthJ ,Ft.''?Il() , LInes. It> Type 1& ".Above Ti I e ~ " 'lot Plan'lsee instructi,onsl: ".' ,< . Foundat i on 1.2 RearbO IFi ller Below in,trile ~ in.' '. ' ~ ,",' ,., " c ~ , , , , . i'l a eLf.. EIfOMF= '. ;- . " , -....... -,,-'-- '. :-..~ -;- .- ;\\ttttPJtJ j\:lt~ tlYiJ7t\ ',' cOU~t<:t: \..F>-\'\t. l'-ilF>-\..,'WlGf . t\'l'l\ttO\'lt:^~ . ' :,' \ _ '::i ~ , . , - .. .- : ~--,. ::;,... '":. :,:. .-..;" ''\~,,\<. '7' ~., ~~, " '?eY , ' ll",-: 6\j '\ , ~.., ., ' ~''- , . '. ",.' ., ~>" , .', -- ,:I: f>< . ~ :T.; . '~ - ~-' , '. . ". ,.~ ,.: I. (;; . j', r. ." -,". "," .. :.~ ,~. ',:HItR.80R. ORtuE'; , ::'~:7:a::~~: IJU~: :'~y:: ,CER;rFI CArE OF S ~~~~~.~~~/~V~~PLh~~:~,::",.", ' '~at~: 7 {s; / 7r " " In accoraance with 1973 O~:egon Laws, 'Chapter. 835'; Sectron 214 this"ce~t,ificate IS ISSUIcJ":' " ' -- as'e\,iaence ofsatjsfacfOr,y"completioi"o{. a subsurfac~sewage dispo.s,al ':system at the above 'l.ocati.on,,' .-: '" :'. ',", . , i' " ,',. ;:;,':':', " . ,18::1 Approved,:' System' Installation conforms ,to curr.eritstand!3rds< ',' t='l Di.sapproved::, Does';not'conform,to curr~nt standards",~"",': ' Remarks: ' '.. ' " ", , ..... " . '~ .--- '~'O'",~. ~ Q~,_ , Lta.r i anTs S} gna.tur~, '.' ANE',COUNTY ' DEPARTMEN;r OF' ENV I RONMENTAL' ,QUAL ITY , , C55-11 ,....:. " ;: " ,:~ . 'STATE OF OREGON : -' --'- -,' ,-: PERMIT TYPE -- BUILDING I -----,_.--- - . - .--",- ~,--.--._- G- PERTY OWNER'" C~N~AI~i:'-y-"- __tt~_.1V\,*os,L-~ MAiliNG'-"DDRESS ...w..alte_,c,j,LS'or:-a~u.~_,__~l'sJS_ j1~~,<; /,~_ ,-,-PleCs..!.l1+JL1L PROPERTY lOCATION -.INdlUDEtpSr .OFFICE.:J , --------2 D r-; 0 6'2.~b.o,i'_D.c.;_J_c._ , , , z- Lf..-rj'-f 15:3. SEC. . , /j 2.. L.. ~ . LANECOUN _ USE APPLICATION _,_.!..ER/.,\I~ij:_jW3i()-7Y . PHONE '/_. -----------____________!i_<l.:or;.. ~ /A 'lZ ' PHONE -+.LJ 7- 9 M.2 BUILDING PERMIT OR MOBILE Ht )<:' , MOBILE HOME,', OSC REG, II ' ~-~~-.._____,.. -. - ", ..~__,._~_ _H_ -'_ MAiliNG ADDRESS PROPERTY LEGAL DESCRIPTION lOT - BLOCK - SUBDrv-. . TWp RANGE /~ MAILING ::-ODRESS . FOR MOBILE HOME PERMIT ONLY Number of Bedrooms c:J... STRUCTURES 'TO' BE BUrLT~HIS PERMIT APPliCANT NAME AND SEWAGE DISPOSAL PUBU'C 0 BLDG. WASTE 015. PlUMBING PLAN REVIEW PARK TRLR. /% TOTAL' Os 9X" Flkl"'"l T AX lOT :it CODE , ~700', METES & BOUNDS 0 YES . ATTACHED D. NO fi7mj-j( CENSuS TRACT / DESCRIBE EXISTlN.G ST7U ?f~JRES o~. ~RO~ERTY. '~,.".,..(O_ . lEGAL ACCESS TO /ROPERTY -:- ROAD NAME OR # 2()c;n Hd..bo'.- D",' V"" PROPERTY SI~wroTH [}EPTH / In 0 / J ct, 3. f Connect to. EXj~9 Sewage Syste'm rl TYPE CONSTRUCT N SQ, FJ, IF ANY AREA SJ>S or Ne'w System Req, J:s-<r. # BEDROOMS ----vAtUA liON SEPTIC TANK '0( / PLUMBING INSTAllED BY OWNER 0 OTHER [l NA"ME PLANS FURNISHED FACILITY PE~MIT YES 0 NO l"5IC. YES nNO eK. x~;;~?,;;A~ " -VATE FEE'j,ip'VED BY ',/J/f ~ DATE LS R1VJf J!j/ 7- /1("--7 v' PERMIT # / $ _m____ FEES _5Q~ - iI- PUBLIC PLUMBIN ___ FIXTURES ,--v, - ,0>,,- ~.EL,Qj_ ----- CASH 0 SE~ CHECK ~N~ECTION FEE . PUBLIC WATER CONNECTION FEE ,COUNTY BUILDING & SANITATION SPECIFICATIONS MIN, SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED WITH 0151.' BOX'; G!~_~qClD____._~_~N. nLf;O TRENCH WIDTH FT. ~ef\V( c.e '.\', CO/} I/- ec.ttb'>-tr !~J---ifl-V-~-3l> ' ~~i'~ ,r Nl-, _J1-PP~Tl9 '{P.' ( :L k b e .I?-J~cIe.... ~<,:4~ OR SQUARE FEET ~ 00, 4hf// f?iMC, ( .s 4?, ;'7!~cieLt, -..------.-.---,-----,-.---- .~._-------,--_.- ,--------- --. ----,-----,--,-_.._-- TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD 'PUBLIC UTlL, EASEMENT -------__~,_j!LH_:' I l..A~(_L___~~___'-2l . BLDG. 'SETBACKS - fT, FROM CTR. OF ROAD RIGHT OF WAY USE ClASSIFICATION /" . ',tr;Ji"ti3i1~';;:::7-~8~';? ~ 1/JfJ'U:k?J7'N NV" Directioi1s to' Find' Property: ~----__----______ ________ ----=-------t- ___{~___ _____....,.---___ COpy 1 - OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT form ,-ft; ("~.':'"