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Home My WebLink AboutPermit Building 1975-5-15 ",;;" '-' (, ,No-I c, PROPERTY OWNER " , ,\~ r\ LANE C(..,...-'HY 'BUILDING 0 XX BUILDING PERMIT OR MH [llX MAILING ADDRESS 2", GATEWAY #14 MAILING' ADDRESS (\ MOBILt .JME USE PERMIT -~" PERMIT NO, 1074-7"i PHONE -~, ~'1 , . HOMER MJDER$ON CONTRACTOR , HOMER ANDERSON PROPERTY LOCATION - INCLUDE POST OFFICE IN fiLBERT ACRES TRAILER PARK PROPERTY LEGAL DESCRIPTION - METES, BOUNDS SPRINGfiELD OREGON PHONE 2026 I n land Way :;th fiLBERT GROVES LOT 11 BLOCK 6 TWP RANGE SECTION 18 '1 11.2.2 APPl, NAME SAME ,/' .- l & MAILING TAX LOT NO. ;/{ /7#1) CqOE CENSUS TRACT EXISTING STRUCTURES 'ON PROPERTY LEGAL ACCESS TO PROPERTY I NLAND '<JAY PROPERTY SIZE - FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PE~M1T WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :;= BDRMS New System 0 VALUATION RELEASED TO BUILD PORCH. TOLD MRS AMMRSON THry blOU'-O ,HAV. TCl ClVT PI AN" , IN fOR STORAGE BUILDING BEfORE THEY CAN START STORAGE BUILDING: lt4':l2.00 $784.00 $1216.00 LJNCOV"'RFD BoRCH 8 K ':l6 288 @ 1."0 A!ls(:. 'BUILDING 14 X 20 280 @ 2.80 ( + , OTHERD Ij.uO FEES PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER I%SURCHARGE SEPTIC. TANK D PUBLIC 0 o OTHER MIN. SEPTIC TANK CAPACITY WITH DI5T. BOX: GAL. .13 $~3~ 13 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED TOTAL L1N. FT TRENCH WIDTH FT. OR SQ. FT. SEWAGE DISPOSAL SYSTEM INSTALLED ON MOBILE HOME 103-75 TYPE OF STRUCTURE l)j 5N BLDG. SETBACKS __ FT. 45 /5/ J. E. OCCUPANCY J ZONE. PUBLIC UTlL. EASEMENT FRONT FROM,CTR. OF ROAD RIGHT OF WAY SIDE INT. 5 SIDE EXT. AUTHORIZED SIGNATURE - DATE BOSS BY C. HARBAUGH USE CLASSIFICATION REAR PUE 7' SHOOK/SANITARIAN 5/15/75 DATE DLM BLDG. PERMIT - WHITE OFFICE COPY- WHITE COUNTY TAX - PINK .....,. " . PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 6B7 -4065 to schedule all required inspections. All construc- tion shall comply' with Uniform 'Building Code, O,E,Q, standards IMPORTANT: for subsurface ~ewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See 'Details an Reverse Side) FORM:: C55-1) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY,' DEPT. OF ENVIRONMENTAL MANAGEMENT COURTH9USE ANNEX, 135 EAS.T 6th, EUGENE, OREGON 97401 ~ ~~~'~~~ B~~~ING ,SlTE,f.\.IALUATlON =-,' - ,6r&--!.wr;UBDI~~~:O:<7S.1O TAX LOT () BUILDING ~ERMIT APPLICATION NO. /07'/."7.r ell ' LOT: ,BLOCK: ( )' SITE INSPECTION 'APPLICANT 4cJprc:.~ DATE' , PLANNING DIVISION Not \ Applicable Zoning Ordinance Compl i~lnce: Zone~-A1J1( ) Subdivision Ordinance Compl ian'ce . ,( ) Requ i red Access ( ) Building Site (Area, Width,Frontage) () 'Other ,(see comments) ( ) No () ( )' { ( ) '{ ( ) ( ) 'C~'D' BY: ','~ 6. Setbacks1from,c/l Front' Side Exterior Setbacks from interior Side Rear 5'-7-7':;-' of road: 'II{"" 1. 2. 3~ 4. 5. - 1 ines: :r -7 COMMENTS: " " PLANNING .DIVISIDN ACTION' PENDING: YESl ) NDl ) APPLICATIONH, BUILDING INSPECTION DIVISION Not Applicable No Yes (), ,() m (') () (~) ( ). () ( ) () (){) CK'D By:&JI~'";.)3-7J' I {lDATE 7. Plans Submitted 8. Soi l' Stab ill ty (foot i ngs) ~. Flood P!'ain 10. Other (see comments)' ) COMMENTS: \ WATER POLUTION CONTROL , Not Appl icable ( ) ( ) No () ( ) Yes %' f CK'D BY:\U 0;!r; p~ J I DATE II. Meets Department of Environmental Quality Standards. 12.' Other (see comments) COMMENTS: " / ~ / TO APPLI CANT: , ~ ~~~ Building / Site Inspection: rJ..- ~Can be approved. 1" ~\:/ ( ) Cannot be approved at this time as indicated on item NO. above. ~ Questions and,!urther information on items 1 th~oug~ 6 contact the LANE- , COUNTY PLANNING DIVISION. Questions and further information on items 7 through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) wiil be held in this office until you ~an resolve the problems indicated. ( ) Is being returned. ( ) Your building permit aflPlic!!.!:J,2!,_fe~s~_bein,g,x~tu(:ned under seoarClte cover_ OEPARTMENT OF ENVIRONMENIAL MANA~~M~~I 135 Sixth Avenue East Eugene ,Oregon 97401, ',PHONE: 687-4065 \ LANE COUNTY PLANNING DIVISION PHONE: 687-4186 { \. C55-28 r :?~ -- ~- '. LANE C<'" _.-1TY BUILDING OXX BUILDING PERMIT OR MOBILl . MH r::>J1{ MAILING ADDRESS 2;)'; GA'fZ;~IW ,\l~l) MAILING ADDRESS .OME USE PERMIT PERMIT NO, H.wa;.. T) PHONE PROPERTY OWNER 'ie','l"tf ~1!m:il:lOl. CONTRACTOR .;': riftH: p h NTU:.ttti(u, PROPERTY LOCATION - INCLUDE POST OFFICE G., . ll.i.irll'e ;,CRt. Tucul'! PAI1K PROPERTY LEGAL DESCRIPTION - METES, BOUNDS :;" i, '!{i;.t (jJ'n~l::J LOT 13 i:iLOCR G TWP RANGE SECTION cPO HJClV I;;M' Q;;;1!.{JJ)~j PHONE 2026 I n I ilfId Wav ',". , ''='- TAX LOT NO. CODE CENSUS TRACT ~ :., :1 11.['.8 APPL. NAME EXISTING STRUCTURES ON PROPERTY '~~7.H:; & , " LEGAL ACCESS TO PROPERTY ijr.a.A1JO l'tAT PROPERTY SIZE - FT. MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT ;:: BDRMS New System 0 VALUAT!ON ;.t. ;,,).Tnr!~ ~~l;!S 6 n ~6 "ILl r 0 c'o, ,."OJ \:J '''1<~ dol"'" n" {'.r j:' ~_ ".~<, r!:fj,'. nuSLO';NG I" ~ .,,,, ..,:>,., (d' " f,". .. PI C6.\P ~uV ~. (.'" f,1J~ l' ,.. ~l ".' fll,f.:~, ~..: ',-_ '.1 _...-_-.....0;_' (t",':,,~l;tl TO In'IUI POlICH. Tcn.L\ r~ AMl:tR~O:\1 VICE'/' \\tl)\II.D CfrJie TO G;n PLAN:! ,;;> Hn; f'lTO""~1: fUll..l)lNG UIll'CR'j: tlt!:Y Ult $l'AFlT ISTOl'lU.;;; ~'.l!:.l".mH ~",'..:A""_ _.,~. "',~''/'" "", ~'~,.. ., "...- SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK.'TRAll;R.,~ ?'V'" i'~ ~ fb. .........._;l..~'.~ SEPTIC TANK 0 $ ~ 9TH~~D , ;J*\v-v FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC D D OTHER TOTAL $ .l~ 1;1- f J) MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FJELD REQUIRED WITH 0151. BOX; GAL. UN. FT TRENCH WIDTH FT. OR SQ. FT. :::"A~ ~IUlP';)1i1\1. SYSTeM lu:mu.I.:m <:IN i.\o$tl.E HONg IO)>'f:) TYPE OF STRUCTURE {: 510 OCCUPANCY J lONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS._ FT. FROM erR. ~., FRONT :'$/ J. C. OF ROAD RIGHT OF WAY 'J SID~ INT. SIDE EXl. AUTHORIZED SIGNATURE - DATE SO!Jill :ay G. IUltaAUGf! REAR USE CLASSIFICATION PUl'; 7' Z:;!l('.Ql'i!ea,HTAfI! Il, ': 5/1'5tf'J DATE Pl,t'; BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITAflON - GOLDENROD IMPORTANT: Call 687~4065 to schedule all required inspections. All construe. tion sholl comply with Unifor'1' Bujl~ing Code, D.E,Q. standards for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 \ \ FORM = C55-13 r I07L/-1S- " .' PERMIT 1/ -NOTE: .'NO;'PERMiT wILL BE ISSUED'UNTIL THIS APPLICt._~ONOHAS BEEN APPROVED ': . CONST~UCT-IO~. ~'c::=J . .j ,MOBILE HOME C::Z:J / ",PLAN REVIEW C:J APPLICATION "FOR: , 'Cll!\l;GE OF OCCUPANCY P CXJ CONTRACTOR , :L/6:.n eK./!AJIJeR<;O ,d', '2.)S6'~,__, ,",j(</~ L~~.;.~Jl,., I , Name' ': " . Addre'ss ", : ," ;c.~y ,'; if, lZiP.. . 0 Phone /lo>>"e;f';4 J 'n-e ~'StJ;::.). ,'.' " ',' 7~~ - L!:) J 9~_ NaD?-e - , Addres's , City -Z~p ," Phone t::::;l;l. OWNER, . ~' O.S: REG.: II , . 'TWP.l~ 'Range, ?;se~'~io'; II ;;h l Tix~Lot" " "sub~d;j?~~(i1.iP-I/7~--:iot; 3 ,?, Block to Prop,erty Acreage Wi:dth_Depth A~CESS T~~ROP~R'IT:(~O:d'Name)~~~~TJ2 e~f/ <-1~'.; ..,., 'Q.' d'> C'\ Ex~st1Dg_StructuresonProperty: . ..' i::P OJ.. C:,~ ,pr~~A~f;;;(;~i~:7c~~~~b~ff~ ::JA,IItut4 :4-JiJ .krk~,~ ..W'.~til4~r:.~M/t, . Be.row for Office Use onlY"YYVVVXXXXXXXXXU\.AXXxxx:xxxxxxyv"vyvY'nr.xxxxxxxxxxxxxxxxxxXX~XXXXY"YYVY"YXXXXXXXXXX~."7' IAffi {1_L~ZUAL.JAlt0f<t' ~x i~" r;/fit.. " Q I. d-~ed~o~ms 4~U~i~~ '-' (/~.IJ OVla./l A'I '. .~.- '" ,4- x-2/J ',..;2 to (a)~1!? Il ' ") {l1j, DO- . , ., ' .' ~~ '::e ,]4 1.'<-. d' --;( '0 ____~ . 10 ,- . or New Syste.ni "Required . c=J " , ' Tract -! 7~ l~~ Code. Census ',SEWAGE OISPOSAL:. Site I~spec~ion'# Exl~ting, Sewage Disposa~ Syst~rn ~ fl{iblic . cg---"'. Community' c=J" Nam~ of Community oT..Public. System ',- ~ WATER SUPPLY: We];! _. .Spring 'b~h,er /3. aD PLUMBING: Inst~i~~d by Owner ~:+r .' ,- FEES:: Bldg. ~.Waste D~S.p ~ OM ".'_Plumbing . Plan Revi"el'; . .M:o~:i,le Ho~e -... . ,:1% S~ircharge ~ ' o Name' " PLuMllING FEES: If of Fixtures . . Sewage Connee t-ion Water. /' Conn~ctio~' ~ . .r- ERMIT, ,'. :.-.... . ~. " '" "PLANS FURNISHED ,. ',/~ C], ,,,A~H_- ; "....."[ ,,-' ~ 0 ,~~ " , ' ,d3-nS c::J :'~/~ D~t~:, ')-1--7.""" .. ',' " ", TOTAL. '/,?',18 Signatuie of, App Fee Received By: ~. ~ '" r. Min.:Septic Tank Capacitv_ 'TOS .I,...s-I~//r>J 1'1""" . . ",:nr,8iUfield Required -/1' ,eal mf-Jlo1-7o- ' ' '~l- . . . I Feet. . Maximum Depth , TYpe of Construction .e:J./, 'Group ,7 ~ ., , Front' .''-1 ('" Side Int~ s- Side Exterior . n '1' ' R~ar_f/U i=. ~Zone AP..4 - M J+ Bldg Setbacks - from 'Ce~t~~ of ,Road Right.of ~ay:. C55c 12 , ., ' LANE cqUN:r:Y >. ~K:tN: D~TMENT ~/7 /7~j41~G'.Lwrf!L};j?,._~- OF ENVIRONMENTAL MANAGEMENT ,/ " ' :' p~ .DATE: >s"- ?- 7.s-'