Loading...
HomeMy WebLinkAboutPermit Building 1975-07-14TANE COUNTT-UITDING PERMTT OR MOBITE HOi - USE PERMIT BUILDING [II;.. MH E PERMIT NO. owt.tER MAILING PHONEADDRESSI Rrcxurxo SpR r xcr r suo Ongeon CONTRACTOR MAITING ADDRESS PHONE S aue PROPERTY LOCATION _ INCLUDE POST OFFICE Jrsprn Roro to Rtcxuero PROPERTY IEGAI. DESCRIPTION _ METES, BOUNDS Lor I Br-ocr J i RANG E SECTION TAX LOT NO,CODE CENSUS TRACT,4./ # bffi f{rtr- rAr F. BeHxrrr EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS 39h1 I.EGAT ACCESS TO PROPERTY R t cxltno R l cxl lruo SrRtEr SpR r xor trrD 0aeeoir PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existi TYPE CO UCTION 3o8 I 5.3o m New BDR MS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT Penurr ro BUTLD EARAeE SQ. FT gi 63a.1+o SEWAGE DISPOSAI PUBTIC - SEPTIC TANK tr OTHERE PLUMBING INSTAIIED BY OWNER n OTHER: NAME BUILDING WASTE DISPOSAT PTUMBING PI.AN REVIEW PARK TRAITER TOTAL lfsuncxrnoe $ FEES $ WATER SUPPTY PUBUC !N OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEI.D REQUIRED I.IN. FT TRENCH WIDTH FT,OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTII,. EASEMENT BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT.REAR 5 /s/ ,t. AUTHORIZED SIGNATURE _ DATE Snoox/aexrrARtAN t /r\/t> DATE BLDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc' tion sholl comply wilh Uniform Building Code, D.E.Q. slondords Ii PORTANT: for subsurfoce sewoge disposol ond counly regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POsT THIS PERlvllT ON MAIN B[DG. AT SIrE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I ronu * 655-13 l/ PRo Po a /'abr? A a 1, tl Y 'It\Jo.r1 . t_vlffi tl{NOUtAN:lllNnoc lNu,I qiil,:, Eiui^;t E3A'333U /oL o9 lJoltsF 26X50 t8' fr nI?i v€ 4 ('pe LoT 6 o' ' oT 4, BLocR 3, F'ns- ALilN__T_e.ittarqtu)Ttt^_"_.raa^totd f* -? ----_r-i r Y tc U RE s t1//rAn Btt.teff Har.-6 To 5 r&e e-7- u/A LKv/ /+, to Een & /nP-o \ \ I l.rt (nr\ > 1n&tF-t.ilXJ {. tt|t//'x 22' Ga e h6Z i- UI oc' I A Loala -- - -Sll-1. g P,eaFeAfT U t'*rLf earCL \ / A ^l *1 oEo. r'5 llo es f- I V .Y -< tv DC, L\rMrLErG,u DI,-tJrALLEn; PTRMIT ISSUED TO: Nome__lcug F.;,-,:r; I l , l! Moilingoddress-.- i'L5 'l 5tr:t'- ?','i'J lr ,toller's nomL. ('. ,') I rilding pcrmit number I ropcrty oddress Tolo! number: Living units tl- Bedrooms J - B,ths / go:cme;ti ycs No woter supply by: Public sysrem L/ lndrviduol system conrmunrry r;stcnr Septic tonl: Distonce lrom well Fcet. Motcriol, c,!c.- No of corrrporttlrcnr,, Totol liquid copocity 7:C, 9ot. tnsidc tength ,?' !/ ii-r;r,.J. *,.f ,n ; Diometer- - t ,' ' lt. Liquid dcpth / '/' ./ // ,t. Tile disposol lield: Distribution bor? Ycs i; No Orhcr Lenglh eoch line l'. - /'rt It. Drstoncc f r,rrn Torol length ., > i f r. wcil Width ol trench .] lt. Neorc.,t lr i, , r Totol squore lootogc Distonce between lines Type of lilter moteriot . glsysl .(,'t 7 Depth of lilter moteriol over tile .') SftTCX tSec inltructronr, (/\ ./ ;!.. tt Lot lrnc. ['r;nt !,rlr. -. i'i.,r Foundutron l, . r Dt'pth ol l'll,:r nrrrt,t.rr,jl l.rr, rrr, lrl, 7o ??.L. tt!c/ic?,< Other i nc hcs. I1:l I.l Oote C-- :. '! - C li'r S,9nolur. lunclron so?isior lr,rrly, ond rs thr r,.l .r r;1, :. r, J l1 LA\t ar.),.'. FOR USI OT SAIJITA'(IAN. ONLY Syrtem opporcntly rrll P yill not Remorks: (' r'), D.:-'i,:,tj (!o",4i 7- 7 )1/.r', /-\ -- I -1 i..et ,r.hei. - - I -- - ' I , i- 'r !t 5UrI TO lN0taati r.ioRIHtFLr [r,it.'Tr,'. '.. .lil i! \i.f...1',i l,rrrrr^tr a\ ILOING SITE EVALUATION \S 11=5-19 SUBDIVISI,,{:/rr T 18 -o?- sO64,lTAX lOr :!l!] u.fi, LD r NG 'ERH r r AppL I cAT t 0N No . ( ) srrE rNsPEcrroN PLANNING DIVISION l. Zoning Ordinance Cornpliance: Zone 2. Subdivision 0rdinance Compl iance 3. Requi red Access 4. Bui lding Site (Area, }Jidth, Front 5. 0ther (see cornments ) CK. D 6 Setbacks rorn Front . S i de F-"tef iOf . Setbacks from interior I ines: LOT:BLOCK: APPL I CANT DATE Not Aool icablePci-rr() () ase) ( )() 4 Nor) ) es ( ( ( ((Side Rear COI{MENTS: PLANNTNG DIVISION ACTION PENDING:( T N0( )APPLICATIo N# BUILDING INSPE cT!0N DlvlsloN Plans Submitted Soil Stabil ity (footings) Flood Plain 0ther (see corrments) Not 7 8 9 0 Aool icable () () () YesNor)() () () TT() () ()-)--CKI D BY COHMENTS: I'ATER POLUTION CONTROL I l. ileets Department of Envi ronmental Qual ity Standards. 12. 0ther (see cornments) Not li le Nor)YesrT () ()CKID BY 7r DATE COI.IHENTS: TO APPLICANT: ,ndbw Building / Site lnsPection: Can be approved. Cannot be aPProved at t Questions and further i his time as indicated on item N0. nformation on items I through 5 con Questions and further informati above. tact the LANE- on on items 7 t rough 2 conta NG DIVISI ct the LANE BUILDING AND SANI OND tvl ce unt you can reso Pr I emsvet( ) utill be hetd in this of ( ) ls being returned. c55-28 Your bui ldin n N ca ted. ermi t I i cation fee s etn NTAL E 135 Sixth Avenue East Eugene Oregon PHoNE. eu-4o65 LANE COUNTY PLANNING DIVISION PHONE: 97401 687-4186 n I I ) NOTE: NO PERMIT WILI E ISSI]ED I]NTIL TIIIS APPLICATIOI APPLICATION FOR: CONSTRUCTION MOBILE TIOME PLAN REVIEW PERMTT +/?x- ){ A,S BEEN APPROVED /,Ji il i Artt tr I39,.tN r Tf 3ci +t R.cllla,vc SPtr D. '? 7 +77 7*7-fitr Address City zlP Phone CONTRACTOR Name Address o.s. REG. /l *r. /f *n""-! L-s""t.on o 6 r^* ,"ou;"l" if,Vl*r.,!",. n"r 4 Code Census Tract B1 o.xE---Jroperty Acreage tlidchfi/oepthJ$3:V ACCESS TO PROPERfi (Ro L trilD sn Existing StrucEures on Property:l/o u, 5 *- property Locarion - Address/DLrectrolst 3r 4 l R ; C /l t A .{ p SfFD. J* < Ptrg fe.O. Below for Offlce Usez-n--? S SEWAGE DISPOSAL: Slte Inspectlon # WATER SIJPPLY Well Spring Other r;x Exlstlng Sewage Disposal Systern * or New systen Requlred f-l Public ComunLty Name of Conmunity or Pub11c Systen 2fu FEES: Bldg. Waste Dlsp. Pluobing Plan Revlew Moblle lloue 1Z Surcharge PLUMBING: InsEalled by Owner PLIIMBING FEES: --- 0ther Name of Fixtures Sewage Connection Water Connection PLANS FURNISHED FACILIfi PERUIT,17 [Xcasn .E'us YES EZI-no nate: Z-Q-?- zS- NO TOTAI Mln. Septlc Tank Capaci / 7, :-CHECK Signature of Fee Recelved By Dralnfleld..Required - Lineal Maxlmum Depth css-12 LANE COI.]NTY OF ENVIRONI'{ENTAL MANAGM{ENT Group Flre Zone Use ClassiflcaElon LTypeof Construction Bldg Setbacks - from Center of Road Right of Way ,roo. 4c) | slde rnr Rear 5 ?or"-EA- DATE:DATE:BUILDING:DATE: - /c /5 '+o S o. 3e 77 -( e Fi- a,*t P;c g ta^ro /# 4 t, s t O,{3a /- ao .[ a UIANE COUNT'I BU ILDING I ITDING PERMIT OR MOBITE HOA 'MH T USE PERMIT PERMIT NO. PROPERTY OWNER MAII.ING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION - INCI.UDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existi Sewo e TYPE CONSTRUCTION New STRUCTURES TO BE BUILT THIS PERMITt SQ. FT BDRMS VALU ATI ON SEWAGE DISPOSAT PUBI.IC N SEPTIC TANK N OTHERE PTUMBING INSTALTED BY OWNER n OTHER! NAME r),,* BUITDING WASTE DISPOSAI. PTUMBING PI.AN REVIEW PARK TRAITER FEES WATER SUPPTY PUBUC tr tr OTHER I MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: G,A[. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIEI,D REQUIRED LIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUB[IC UTIL. EASEMENT \ BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR F AUTHORIZED SIGNATURE - DATE DATE $ BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING - CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspeclions. All construc- 1 lion sholl comply with Uniform Building Code, D.E.Q. stondords-.1 IMPORTANT: for subsurfoce sewoge disposol ond counly regulqlions coveringr Jplumbing. All buildings require o cerlificole of occuPoncy before\!\ being occupied Detoirs q"n Re.verse side) (POsT TH|S PERMIT ON MAIN BIDG. AT SIIE) IANE COUNW, DEPT. OI ENVIRONAAENTAT ATANAGEMENT COURTHOUSE ANNEX, I35 EAST 5Th, EUGENE, OREGON 9740I ronu -- 655 - 13 - tE- s SITE INSPECTION Ap pnov r o Reuenrs D r srppRovro Dare I nsprcron FOUNDATION INSPECTION AppRoveo Rsua nx s D Drsaepnovrl D Dare I ruspecron FRAMI NG AppRov e o Re uaRx s I NSPECT ION D Drsappnoveo D DarE I Nsprcron LATH OR SHEETROCK Ae eRov E o RExanxs I NSPECT I ON DrsnppRoveo Drr r I rsercton FINAL INSPECTION AppRov Eo D r s appnovEo Reuaax s CERTIFICATE OF OCCUPANCY Reeov ro lssuE Rruanx s D Nor Rerov ro lssuE D Dar E I ruspectoR 3 7t// Dare I Hspecron , \ri, DATE:a) TO:,LL'ITA BAPP ElI I ADDI{ESS: 1P3 t r4r rE LD*Oa, ? 7q77 SuBJECT: Buildins Permi t * t}3k2{ r'rap: lE-- OL:Q[-rax Lot ti t-q!i^tl{.o&?3ttf ao0 to ttrLl,erstTrAn,tr, Th'is letLer is to inform you that an inspectjon has been made at the above-s'ite, whic.h indicated thc structure and/or bujlding authorized by building permilu # Wg-E.as not built. Therefore, since no construction was begun within lB0 days the above noted pemit is nuil and void. Before any construction may start a new permit must be applied for and jssued. If you have any questions regarding your permit cancellation, p'lease feel free to call our of,fice. >A Ss,"Q JOHN S. SMEtD, Bu'i I di ng Off i ci a1 Buildjng & Sanitation Divjsion JSS/ J bW lel ec 9o'LT-iei )'P\ LAI^B A9 PorED oo)"fctr,i A-?-gi* >42 tSo\oz- Springfield Utility B o ard INSPECTION FORM q l\ -r L{-gtlACCOUNT NO.AUDIT DATE INSPECTION DATE TET)2s t we/D) 3OlNSpEcrr oN No.INSPECTED BY REINSPECTION DATE-TIME-INSPECTION NO.-INSPECTED BY cusromen's NAME OWNERS NAME 4 ADDRESS ADDRE SS ZIP CODE 8335.1&11!l(r-B ( USINE HO NE SS STATE-zIP coDE owruen's PHONE _ NO. OF UnrrS )LOW INCOME BUILDING TYPE ALL MEASURES coMpLETED_-cHEcK To o/c KWH SAVED PREVIOUS INSTALLED MEASURES PREVIOUS REIM. TO CUSTOMER IAQ SUBTOTAL MEASURE AR EA KWH CO ST RE I MBURSEMENT 6 uro*, *,,uro*,/s-20 fr PATIO/FRENCH DOORS 4oh 4oo ;.WALL INSULATION aeb /of ;. CE lL I NG INSULATION R.ADOEO2A zsral ,/f23 )M9R TNSULATToN /24y'WEATHERSTRI P DOORS / WIN DOWS CAU LK I NG SEAL DUCTS DUCT WRAP C LOCK THERMOSTATE OTHER TOTA L COMMENTS: TOTAL REIMBURSEMENT /23-e{DAT E INSTALLED MEASURES APPROVED FOR REIMBURSEMENT BY zo lii .,, '*4