HomeMy WebLinkAboutPermit Building 1975-9-22
'. PROPERTY OWNER
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',' LANE COb..fY 'BUILDING PERMIT
BUILDING lil. . MH 0
MAILING ADDRESS
2083 HARBOR DRIVE
MAILING ADDRESS
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OR MOBILE '."I0ME
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USE PERMIT
PERMIT NO.
2<;46.. 7"\ ,:, ",
PHONE
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Et-RL. DULL
SPR I NGr.1 ELD OREGON
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747-9'186". '
PHONE ..
CONTRACTOR
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SAME
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PROPERTY lO(ATION - INCLUDE POST OFFICE
. 2083 HARBOR DR I VE
PROPERTY lEGAL DESCRIPTION - METES, BOUNDS
Stt1 fiLBERT ACRES LOT 57 BLOCK 2
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11-11h
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.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
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LANE COUNTY
BUILDING ['(Jt
BUILDING PERMIT OR MOBILE HOME
MH 0
MAILING ADDRESS
2S;:':~ ;:'Il11IU)R DRill;;
MAILING ADDRESS
USE PERMIT
PERMIT NO.
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PROPERTY OWNER
f:r.r:: i)Ur.t.
CONTRACTOR
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PHONE
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PHONE
PROPERTY LOCATION - INClUDE POST OFFICE
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PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
]ith f IIXf:1H' ,~c:nc<: !..OT 57 C1..0&(~
CJ3
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SECTION
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TAX LOT NO.
CODE
CENSUS TRACT
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TWP
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RANGE
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EXISTlI':lG STRUCTURES ON PROPERTY
~iolJ H.r. H:'::~lr UTI!. I TV :JtlC 0
LEGAL ACCESS TO PROPERTY
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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
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\;of ('.-..
!fro (; 2.Lo
';; TC;~:ACt fhlC 0
o Ii C1'i 460 ti 5.3;)
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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. '- ~
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'.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
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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
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SITE INSPECTION
APPROVED.cJ DISAPPROVED.cJ DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED / ,} ~'SAP ROVED ;----?
----:- / /J ' '
REMARKSr-"~ IJ'~J-Z-
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DATE INSPECTOR
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FRAMING INSPECTION
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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
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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
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7;?h~r~
Phone
CJ OWNER P/L1r I
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Name
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Address . Cit~
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Zip .
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CJ CONTRACTOR
50 m.,.,
Name
Address
City
Zip
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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:
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11,...',' JJ -<...
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Bedrooms . r ta~ t;:;
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Below for Office Use OnlvXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX:X.XXXXXXXXXXXXXXXXXXXXXX
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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,
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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 ' ,
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. 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: .
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. LANE COUNTY DEPARTMENT OF
DATE: . ~ BUILDING: A"J/
,//0 ~4 7 ',/-'.) ~-"1~'
ENVIRONMENrAL MANAGEMENT
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C55-12