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HomeMy WebLinkAboutPermit Building 1975-9-22 '. PROPERTY OWNER , ...\/ . (\-.:;l~_~ - r'\, ~': . ~( -...;....~ .~~~,:~.. -....... ',' LANE COb..fY 'BUILDING PERMIT BUILDING lil. . MH 0 MAILING ADDRESS 2083 HARBOR DRIVE MAILING ADDRESS fj OR MOBILE '."I0ME 'c?5-f0-?5 \ USE PERMIT PERMIT NO. 2<;46.. 7"\ ,:, ", PHONE ., , Et-RL. DULL SPR I NGr.1 ELD OREGON '> 747-9'186". ' PHONE .. CONTRACTOR " SAME .,:':,::: PROPERTY lO(ATION - INCLUDE POST OFFICE . 2083 HARBOR DR I VE PROPERTY lEGAL DESCRIPTION - METES, BOUNDS Stt1 fiLBERT ACRES LOT 57 BLOCK 2 .:. ~::.~4!J~ i'.I..' 11-11h .tfeii .TWP RANGE SECTION 18 03 28 APPL NAME DULL & SAME TAX LOT NO. CODE CENSUS TRACT MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of- .Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY MOBILE HOME UT.IL'ITY SHED LEGAL ACCESS TO PROPERTY INLAND WAY PROPERTY SIZE....: FT. WIDTH DEPTH AREA __s..~nnect to .Existing Sewage System 0 I yt-"t:. t,.;ur~'STRUCTION SQ. FT. ::: BDRMS New'System 0 VALUATION CARPORT 20 X 20 400 @ 2.80 8 X 20 0.60 @ 5.30 $1120.00, 848.00 STORAGE SHED $1968.00 SEWAGE DISPOSAL PUBLIC oEx 1ST SEPTIC TANK 0 , BUILDING $ lW ASTE DISPOSAL tLUMBING .PLAN REVIEW PARK TRAilER SURCHARGE JTOTAl OTHERO ~~~ FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC' 0 o OTHER . 20;~ MIN. SEPTIC TANK CAPACITY COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED WITH DIST. BOX: GAL. UN. FT TRENCH WIDTH FT. OR SQ. FT. Do NOT BUILD WITHIN 10 rEET or SEWAGE DISPOSAL SYSTEM ... TYPE OF STRUCTURE 5N OCCUPANCY ZONE PUBLIC UTlL EASEMENT J '. BLDG. SETBACKS n FT. FROM CTR. OF ROAD RIG!'iT OF WAY USE CLASSIFICATION FRONT 45' SIDE INT. 7PUE SIDE EXT. 45 REAR 5 AUTHORIZED SIGNATURE - DATE DATE "/S/ J. E. Boss BY HARBAUGH SHOOK/SAN I TAR '.AN 9/2175 DIJl 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 re'gulations covering plumbing. All buildi~gs require 0 certificate of occupancy before being occupied. f (See Details an Reverse Side) ! FORM:: C55-13 (POST THIS 'PERMIT ,ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHousi}ANNEX. 135' EAST 6th, EUGENE, OREGON 97401 :'1..-,;'.... '., < . ',... .-""'!II .,._..~ " .. I f:-:"p. fo jt#'!;ff&j\ " i!1J .u ~ I'i, '. l' / ~ .. ' .. //// //.' ... I ',- 'J .' --...... 'U - I~ -'::: - h..J '. ~ (-'\ r ~1'~~ ,~ ~; 'I f- ,;) ,'j' I ~- 'I if" :)0" .1' 7--: 11 / ~(/ h cL -.J ~ " --..::. -<.. )I , --.... .. - ...c::, .~ ~ r- . , '" \'1:1 C/ I ,) ,}. ?' /;, . r.,n'-( 4<(j//~ J ftit{j{' 4~1! , ~ ~. , ,:"" ... ... A ...... ~ ~ '" ~ ~ <( , .- . . LANE COUNTY BUILDING ['(Jt BUILDING PERMIT OR MOBILE HOME MH 0 MAILING ADDRESS 2S;:':~ ;:'Il11IU)R DRill;; MAILING ADDRESS USE PERMIT PERMIT NO. ~ , PROPERTY OWNER f:r.r:: i)Ur.t. CONTRACTOR ;Jattt, 2?$:~~~:Jy~r.r.o C'!i:(~~lN ~}-:JJ.{,., ~ PHONE .1. ,<" .;,,.. t~:.q,o....~_O PHONE PROPERTY LOCATION - INClUDE POST OFFICE (....'J0':; ~~"'f~~OR Dr\ PJC PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ]ith f IIXf:1H' ,~c:nc<: !..OT 57 C1..0&(~ CJ3 ,., ,.. SECTION <!Q TAX LOT NO. CODE CENSUS TRACT llwlih TWP ,," .":J RANGE ~-.:::-;:-- ',' ., I. . " .,.. .....~:.;,~-,...;;.-. _. EXISTlI':lG STRUCTURES ON PROPERTY ~iolJ H.r. H:'::~lr UTI!. I TV :JtlC 0 LEGAL ACCESS TO PROPERTY ~NLA!4{J \'1:/"~ PR~PERT~ ~IZ~ -f~~.~:~~:~ '-;-~_~ ~,~ __'J. ... WIDTH DEPTH AR_EA APPL. Ouu. NAME & MAILING ~A.Mt: ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT ~A~POFfl 2U t! 2:.~ Connect to Existing TYPE CONSTRUCTION . , Sewage System D SQ, FT, :;:; BDRMS New System 0 VALUATION ~"1";'" I ':': ~ \;of ('.-.. !fro (; 2.Lo ';; TC;~:ACt fhlC 0 o Ii C1'i 460 ti 5.3;) ,)i,_.;..' ,~ ., . ".' '~\. I . ,I . '-, . .. l,:~:.,. ~~._~~:\.._..=:-:-,~ \~'t\ ~.; 'o~~: .:.t " /' ~ l,.l( ", ~ P'.....,..' .' \. SEWAGE DISPOSAL PUBliC nt:~ t$";'" SEPTIC TANK rJ BUILDING <t WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER ;;~;?'~~~Iijr.;r. TOTAL OTHERD ~ ~~f!..on FEES PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY PUBLIC D D OTHER , .:'0 (~~-;~f.'!J COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED UN, FT TRENCH WIDTH FT. , OR SQ. FT. ~ WITH DIST. BOX, GAL. '- ~ .~'" 'l..\ '.i~ "jOT au ,1.0 '" nll~r-:~T O. '~~A~ ~"l~~t,l. ~,'1Wf';l TYPE .C!.F STRUCTURE :J; OCCUPANCY ZONE PUBLIC UTIL. EASEMENT J BLDG. SETBACKS __ FT (~~, FRONT #' J'" I I .., ",. FROM CTR. OF ROAD RIGHT OF WAY" jf'!,;;: "5 SIDE INT. . SIDE EXT. . ' AUTHORIZED SIGNATURE - DATE \3I;S,;\ ~\' ""'i;iIllJ(!;I~ USE CLASSIFICATION REAR ," j l:: ~l S"CXil'i/IlANn"fll/l~J ~1/~tI5 DATE I)J.N BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD FORM ~C5~-13 ,0, Call 687-4065 to schedule all required inspections. All construc- tion shall comply with Uniform Building Code, D.E.Q. standards :_-j ~~~'''''^,PORTANT: for s:~~sl{rfac.e se,wage disp~~d.! ,and county regulations covering plumbing. All buildings reguire a certificate of occupancy before being occupje~. , \ ~ _\.. ~ ,- (Se.e Details on Reverse Side) . '---':- '-..... ) .... 'j \ . .....J (POST THIS PERMI; ON MAIN BL~G. AT SITE) \. LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 <. "," SITE INSPECTION APPROVED.cJ DISAPPROVED.cJ DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED / ,} ~'SAP ROVED ;----? ----:- / /J ' ' REMARKSr-"~ IJ'~J-Z- /1 V DATE INSPECTOR //~ /4k,":iJl; /0 - / -- 7:""~ c:f~' , FRAMING INSPECTION "'"":;'~"""'""" r---7 ".", ,.""",, REMARKS V,?/ ,4P~~Z /t)-/....7,r~ . -'V / '- LATH OR SHEETROCK INSPECTION ApPROVED ~I DISAPPROVED ~ DATE INSPECTOR REMARKS FINAL INSPECTIO~ {J/ ApPROVED L!:J 01 SAPPROVEO / / DATE) {}- ).r- P6~NSPECTOR(Jd! REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE .cJ DATE INSPECTOR REMARKS /"7 . /' /1 / .r. / / / --#- _ ! -:/1~(..-tJI-:.~../. t:/IC/.PiJ,t/ ~~ ..........- l' _ ~ (// 07"f'6-'~J:" f.)~O~J 7Z(~,L)J"'K~ . '\ ~ . NOTE: NO PERMIT -LL BE ISSUED UNTIL THIS APPLIC PERMIT jf;;J5% 7S"" IN HAS BEEN APPROVED . APPLICATION FOR:. CONSTRUC~ION ~ MOBILE HOME" CJ PLAN REVIEW CJ CHAl-lGE OF OCCUPANCY ,. CJ' 7;?h~r~ Phone CJ OWNER P/L1r I - .. hull Name _.);y:?~'3 9}/I "/-,,,,,, n ,r-"\,..... ~.I Address . Cit~ 9?.y? ) Zip . .' CJ CONTRACTOR 50 m.,., Name Address City Zip " ,/ O.S. REG. II 1WP'. 1)( ~nge O-Jl. Section -';de:( SUbdiViS~+( J.fIAP-aJ Lot ,50 ACCESS TO PROPERTY (Road Name) Th I t1 h,.J WALl.. , Existing Structures on Property: Ynl? h; J p ....I,/m e ." J:.. "Tax Lot Code //~/R Block ~ Propert~ Acreage Width______Depth /J"t ,.1','7-" sf, ,. Property ~ocation - Address/Directions: r;.? [)~ 0.3 'hIa...,.. \-.. " ;... 11,...',' JJ -<... xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Bedrooms . r ta~ t;:; ;;?L/p;., - = i~ b~ (J t7.;1 ..t/}h..I-, ~D X ~n ~ A,-'} :r-~:I{, JL, ~ V:J..l) '-' Below for Office Use OnlvXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX:X.XXXXXXXXXXXXXXXXXXXXXX L../;;/) .;).'?O 1_ ,...,4) ,").3d,' - '- / SEWAGE DISPOSAL: Site Inspection # Existing Sew~ge Disposal System~; Public ~w .System Required: c::J WATER SUPPLY: ~ell Spring Other Community . arne_of Co~unity or. Public ~ystem FEES: Bldg. 'Waste Disp. 'Plumbing Plan Review ...;;2I"'l, ct:) 0 PLUMBING: ~nstalled by OWner Name PLUMBING " :onne<; t iop Water Connection Mobile Home PLANS FURNISHED FACILITY PERMIT 1% Surcharge .(~o q CASH ~CHECK . bYES . c:=:J N~ ,/J c:=:J YEr--"-P NO , .s~gnitu~e .~f APPKar:t:lP;;~~;' ~/~g '. Fee Received By:~ r Date: C-j-4:. 7, // . /. - V .. TOTAL :.JnAo 0 Min. Sep(.~c Tank Capacity ... ^ o/:)D ~,<I;u;:;{J) ~rainfie~d R ~ ed -~Lineal.Feet.~J .~.mum:DePth ~ {() d1 .A2P.--/OU .(J ' f ' , . . / . Type of Construction ~~ ~ Group \ 7 Fire Zone Use Classification Bldg Setbacks - Front '/,J/ S- I fr~ Center of.J\"ap l}dJ,~ o~: Side Int. I t"'~ide Exterior " ys-- Rear ,S- Zone &J,rI- /w, t,;1- PIANN~/__ . . ~/ .fJ- DATE: Y-.?.s- S^/llTATION: . r-dI:""1 .I.J./!P / . LANE COUNTY DEPARTMENT OF DATE: . ~ BUILDING: A"J/ ,//0 ~4 7 ',/-'.) ~-"1~' ENVIRONMENrAL MANAGEMENT f?_5.A;;' ~"J' C55-12