HomeMy WebLinkAboutPermit Building 1974-12-3
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LA~E COuNTY
BUILDING D
BUILDING
MH D
MAILING ADDRESS
20tl3 HARBOR
(\
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PERMIT OR MOBILE HOME
USE PERMIT
PERMIT N'O.
).:J-lPy - 1 q
2261~-74
PHONE
747-9586
. PROPERTY OWNER
EA~L DULL
DR~VE
S . ~~R~~l, OREGON
.. PR I NGrhrL~
CONTRAC10R
SAME
MAIllNG ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
20()3 HARBOR DR I VE SPR'I NGFI ELD OREGON
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
FILBERT ,~~ 5TH.ADDIT'ON'HS-7~' ~
TWP RANGE SECTION TAX LOT NO. CODE
18 03 i;t- / /...2, .,( ~ I3CJzJ
,
CENSUS TRACT
APPl.
NAME
EXISTING STRUCTURES ON PROPERTY
EARL DULL
& 2083 HARBOR DRIVE
MAILING Sl'ltl;.J'-f/-L-1- ~
ADDRESS ~ .. .::_,,~':_~ OREGON
FOR MOBILE HOME PERMITS . ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
LEGAL ACCESS TO PROPERTY
INLAND WAY
PROPERTY SIZE - FT.
WIDTH
DEPTH
\AREA
Connect to Exisfing Sewage System D
TYPE CONSTRUCTION SQ. FT, # BDRM5
New System D
VALUATION
SHED PREFAB
100 @ 2.80
280.00
Sf.WAGE DISPOSAL
PUBllC 0 Ex, S'SEPTJC TANK D
BUILDING $
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAilER
l%sURCHARGE
OTHERD
0; f\f\
FEES
PLUMBING INSTALLED BY
OWNER D OTHER: NAME
WATER SUPPLY
PUBLIC 2lX 0 OTHER
TOTAL
.0'1
L---'l- 0')
.COUNTY
BUILDING & SANIT A nON SPECIFICA nONS
MIN. SEPTIC TANK CAPACny
'WITH DIST. BOX: GAL
DRAIN FIElD REQUIRED
llN. FT
TRENd; WIDTH FT.
OR SQ. FT.
,I
..1
TYPE OF STRUCTURE
5N
. , OCCU.PANCY
J
ZONE
PUBLIC UTll. EASEMENT
BLDG. SETBACKS __ FT. FROM CTR.
45'
OF ROAD RIGHT OF WAY
7" I,^.
SIDE INT. SIDE EXT. ~.
AUTHORIZED SIGNATURE - DATE
USE CLASSIFICATION
FRONT
REAR
5'
DATE
. /5/ J. E. Boss BY C. HARBAUGH
JOHN SHOOK/SANITARIAN
12/,174
DLM
BLDG. PERMIT - WHITE
OFFI~E COPY - WHITE
COUNTY lAX - 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 covering
.plumbing. All buildings require a certificate of occupancy before I
being occupied.
(See Details on Reverse Side)
FO<RM'#~C55--1j
(POST. THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY,..DEPT. OF ENVIRONMENTAL .MANAGEMENT
COURTHOUSE ANNEX, '135 EAST 6th, E'-'GENE, OREGON 97401
.,' . ~'hf
C~{j;fd:;
YOUR BU I LO I NG /;?l6t. 711 MOB I LE HOME I
ENVIRONMENTAL MANAGEMENT
135 EAST 6TH AVENUE.
EUGENE, OREGON 97401
/~~
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] PERM IT I S BE I NG HELD FOR THE REASONS
STATED ON THE BUILDING. SITE EVALUATION SHEET. WE WILL HOLD .THIS APPLICATION
UNTIL" /f!J!ffd;:I;.bL~/tJ/4!'" IF, AT THAT TIME, YOU HAVE:NOT FURNISHED
THE REQUIRED INFORMATION, AS SHOWN ON THE'ATTACHMENT, YOUR APPLICATION WILL
BE CANCELLED AND ONE-HALF THE FEE REFUNDED TO YOU. HOWEVER; ,If. THERE IS A
PLANNING DIVISION PROBLEM OR SOME OTHER LONG TERM PROBLEM WHICH YOU HAVE NO
CONTROL OVER, WE WI LL"HOLD TH I S PERM I T UNT I L IT CAN ,BE ISSUED..
. M55-88 ... .
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BUILDlt+6 SITE .EVAlUATlON. 7 '--7 ~ (:, l1"
<fWl~NG ~~I~-A'P~[~~A;10~rNO.~0{6 '1-7 Y
, <') SITE . INSPECTION
T,A R () ~ s -2R TAX LOT
SUBD I V I S ION: :+:\ I hp,,-+ '?to rC'$ c:;T'4..ad~
, lOT: BLOCK:'
J)() II
DATE / /-<-f
PLANN I NG D I V I S ION Not - .
Appl icable ff" .Yes./ ,CK'D BY:~ //- .,'- 7 Y
I. Zoning .Ordinance Compfiance: Zonetf)?4-tdi(' ) . ___.(i){ 6; Setbacks from cl1,of road:. '
2. ,Subdivision Ordinance Compliance ( ) .) (...)-- Front. VC
3. Required Access . () () (...).....- Side Exterior yO'
4. Building Site (Area, Width"Frontage) (.) () (~~ Setbacks from interior lines:
5. Other (see comments) :A~ -L () U ( ) ~' . Sid~e ",' . /Z."
. . . ' YO IS,S.'O):;"' PL=';'Pfl"IIPp'tJ --~
COMME~~:. ~ h~ _~ /?v.?Z7~/'~ ';._o.r-L, . '" __7"" A
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APPll CANT
PLANNING DIVISION ACTION PENDING: YESl ) NO( ) APPLlCATIONH '
BUILDING INSPECTION DIVISION.
Not
Applicable
( )
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J
,No Yes
"[")ID
( ) ( )
( ) ( )
,( ) ( )
CK'D
B~: U~/~-11.- 7it'
~/' DATE.
,
7. . Plans Submitted
8. Soil '~tabi1.ity (footings)
9. Flood Plain \ .
I O. Oth~r (see convnents)
COMMENTS: .
WATER PDLUTION CONTROL
Not
Appl icable
. ~(-"j
No Yes
."[">"TI
,
11. Meets Department of Environmental
Qual i ty Standards. .
12.' Other (see comments)
( )
:( .) <')
CK'D
By:J.~)J // hL(
CJ tl..fLJ'DATE
COMMENTS:
,
r
TO APPLICANT:
reur. 'Building / Site Inspection:
Can be approved. .
Cannot be approved at this time as indicated on item NO.. I above.
Questions and further information on items 1 through 6 contact the LANE-
COUNTY PLANNING DIVISION. Questions and further .information on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
( ) Wi II !>e held in this office unti 1 you can resolve the p'roblems indicated..
( ) Is being returned. . -', ,. .
( ) Your bu i 1 d i nq I?erm it aEP 1 i cat i on fee is be i nq r~tucn.~d under seoarate r.nv"r
, DEPARTMENT OF, .ENV I RONMENTAl: HANAGEMI::I'H
" 135 Sixth Avenue East Eugene Oregon 97401
P.HONE: 687-4065 .
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55~.28
~-"
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LANE CO....,TY
BUILDING 0
BUILDING PERMIT
MH 0
MAILING ADDRESS
2\)r~3 HAB60a
OR MOBILE HOME USE PERMIT
PERMIT NO.
22611-rh
PROPERTY OWNER
EML DULl.
ORaliE
f;als.r,lft. QREOOOi
l)pn::I1Flll'"
.PH9N~ -.'"l'
(~'-i)'j",
, .
CONTRACTOR
~:AMt
MAILING ADDRESS
PHONE
,
PROPE.aJ~ LOCATION -INClUDE POST qFFICE
,. <;'N3 HAIl801l OiI.IV!;: . ~i'IlII/C>f'ltlD
ORf:llOtl
'PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
rlLBUtT .~.:.:.;;;~ 5ru AODITIOtl
TWP .l RANGE SECTION
H. OJ 20
d':r ~-1 ~.
J
TAX LOT NO.
.CODE
CENSUS TRACT
APPL.
NAME
&
fAllL DULL
tJf3 ~^R&O<< DnIV&
EXISTING STRUCTURES ON PROPERTY
LEGAL ACCESS TO PROPERTY
MAILING .5 [r....o '
ADDRESS '",,-, I "i. . ,.J,i OR/I.O)l
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
'''L4HO WAY
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
SilEO PIlC'A'J
Co,,"n"ect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;; BDRMS
100 it 2.&l
New System D
VALUATION
t:.(f'l.;'':(2
SEWAGE DISPOSAL
PUBLIC 0 roM I I "SEPTIC TANK 0
BUILDING <t
WASTE DISPOSAL
I
PLUMBING
PLAN REVIEW
PARK jJRA1LER
;I<5UIlCHARK
PLUMBING INSTALLED BY
OTHERD
l,.t.OO
FEES
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC ~X
D OTHER
,
TOTAL
$
.v,
).V)
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
I MIN. SEPTIC TANK CAPACITY
. WITH DIST. aox: GAl.
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
>2...1
./
\'\.'::-~,).\
\
I ^ TYPE OF STRUCTURE
;N
OCCUPANCY
J
ZONE
PUBLIC UTIL. EASEMENT
I BLDG. SETBACKS __ FT. FROM CTR.
..,.
OF ROAD RIGHT ,OF WAY
l' . IJO'
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/./ J. E. SCII Sf C. HlRIAUQH
REAR
5'
USE ClASSIFICATION
'FRONT
JOI1I\ 51100ll/UN I TAR I ^N
DATE
12/31 [4 lliX'
'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 shqll comply with Uniform Building Code, D.E.Q. standards,
IMPORTANT: for subsurfa'ce sewage"disposal and county regulations coveringl
plumbing. All buildings require a certificate of occupancy before I
being occupied.~' ... .
(See Details 'b;n Reverse Side) :1 .
, .. .
. ,. ,...,.-. .."'--...~. -..- '-.. ...:.- ~~....;~";>,..- '...:......:~~,"'~;;.,:;:-~~'"-,:.:.,'..',
FOR~l == C55 - 13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
"
I
SITE INSPECTION
ApPROVED CI
01SAPPRDVED CI DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVEO L-/ DIS~PPROVEO L-/ DATE
INSPECTOR
REMARK 5
FRAMING INSPECTION)
ApPROVED / / OISAPPRDVEO /7 DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO L-/ DISAPPROVEO L-I DATE
INSPECTOR
REMARKS
FINAL I NSPECT ION '
APPROV~O ~SAPPROVEO
DATf/ .,f -5- ?I( INSPECTOR Q
, '--
CI
REMARK 5
''',
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
~ /d/)'(}
/;~T~:" ./~/U~~
d).). t:>t(- V;ff :? 0 ?} 7fan#r Pft~
INSPECTOR
REMARKS
".
,.
~~ Hod~ . . (\.
. lANE CCXJNTY . '1 ) Building
DEPAR'lMENr OF ENV~ONMENTAL MANAGE:MF1rr Mobile Hc:JllV2
APPLICATION FOR BUILDm; PERMIT OR MOBIlE HCME USE
No pennit will be issued tmtil this application has been approved.
..
~.~ ~ 7-lforos
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NOl'E:
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PERMITif 226 c/ -7 (;
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PLEASE PRIlIT
PROPERTY LOCATION . o? I") :? \ ~ Ida. r j, d r l::2ci1l f"
ThJP I r:;I RAl'-GE ,r) ~ SEC....:J 9' TAX wr if CODE
~~.v-<.- <<
wr NO. !F7 BLOCK ~ SUBDIVISION f:;/h"".""f: 1.::>~ (<)- /7d,'h/0//1
PiillPERTY SIZE
ACCESS TO PROPERTY T'V1 I (I. h d LU iMJ .WIDTH ~:1 / DEPTH 9 7 ~ OR ACREAGE
DESCRIBE EXISTm; STRUCTURES ON TIlE PRu!'tKlY
APPLIeANI' MAILm;
NAME En '" \ w \ \ ADDRESS ;:((') <y; 3-
CDNl'RACIOR MAILm; .
NAME II ADDRESS
s.;~/~. c:Jto 97S/7}
CENSUS TRACl'
rhrb&- Dr. PHOOE 7C/7-95g-{,
'I
PHONE
BELCW FOR OFFICE USE ONLY'~'Ci<i<i~.<"t~-=<i<>.-j(,id~t<i('f(.t~t~Kmdn'<>~kk"1", ,\,. ..;; ..,..,.......... ...... ....J: ...(.... .... ,;.. ..... ,.........'kK
~truc~~s t<jl be built/l1Qb:i,le Home . sq. ft. . {{bedroOms valuation
',:;,\.,QcL ~ ~. ~ .h . I tTO @.. ;(. ro :< <6D
~ewage Visposal:
Site Inspection if
Water S,sply: .
Public C&... District Nane .'
Bldg.
Waste Dis.
Plumbing
Plan Review
Trailer
1% surcharge
5.-
,n.C::;
TarAL
0.06
Min. Septic tank capacity
with dist. box: Gallons
/
~. .../
Existing sewage disposal system ~ or .new system reqUired ~ '
Well 0 Spring 0 Other . /
,
Fees
PlUmbing Installed by <Mner Other
Plumbing Fees Sewer connecti
if of fixtures inspection f e
Water connection
inspe~tion fee..
iX"eash ) Pl~ '"""'" ". F"dli~'
[j Check Yes Jl'l No. . ~ .Ll . .,*s p.., No
Signature cpf Applican Y9I/(Flp: / Jr.. date// /tY/
Fee received by @,'v '/. date 1/- /..
Draintield requJ.red 7' /.
Lineal Feet I . :rtench Depth or Sq. Ft.
//.
Type ot Structure,f"A/ OccupancY',",\/, Fire Zone
Blgd. setbacks-ft. from center of road right of way
Front 45 Side Int. '7' Side Exterior
Planning date
cAbra!~
C55-12
Use Classitication
40
1:'
Zone tR7ri - M 7'/
. Rear
~
\j
. ,I, t-,., ~Build41g /J date
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