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HomeMy WebLinkAboutPermit Building 1975-10-3 .t. ,,,...-,.....,~,.....~:.;~...-~~..:. -. ;. .j.'>"'-:--..;~'.~-,/.:_~.t ","-,' ",----,..-l~l':.-'_'~,:. fT~'>:,~~_:';~-;-+--~'~' "~"~4;;'4~..J~~~:~." ,~s.!'~::'~':-:-l-.~:':":~~_""'W~-'< .''-'' ,~ .ft'''e~_ Jfo.-1~'V;-~~f -4t/...faLA'NE7c~UILDING PE'RMIT' OR MOBILE OME o. BUILDING litt' MH 0 P!'OP'ERTY' OWNER MAILING 'ADDRESS ~ i'T2,L ;:7:~~,;r~ , , ~r---, 'T-....~r7:::./ USE PERMIT C}~;/fg/ 7~ PERMIT NO, _,_n __ ,"V;7V-I"j PHONE '. :; ,\J-Qf; MANN I N~ CONTRACTOR ~. MOUNTAIN SHADOW HOMES PROPERTY LOCATION - INCLUDE POST OFFICE 202"( I/>lLANO WillY PROPERTY LEGAL DESCRIPTION - METES, BOUNDS 5TH ADDI,T') ON fiLBERT GROVE 'LOT '46 -eLOCK~: MAILING ADDRESS P.O. Box 10881 EUGENE OREGON '.PHONE 686.-8'l'5'5 .' ... TWP RANGE. SECTION 18 " - 03 11 APPL. ,HOMES MOUNTAIN SHADOW NAME & SAME MAILING , TAX LOT ~O. CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY MOBILE HOME " LEGAL ACCESS TO PROPERTY 'I NLAND \-JAY PROPERTY, SIZE -:; FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS,PER~IT WIDTH DEPTH AREA ;. ,;~onnect to. Existing Sewage System D TYPE CONSTRUCTlqN- SQ. FT. __ t:: BDRMS ',5040' 2.80 New System 0 VALUATION AWN'\NG .BEnfEEN CARPORT AND f>.'di I COO A'iF>ROVED 1968 4'_.4t $1,411 .20 358.DO $1,769.20 PERN',!' rOR CARPOfl,T SEWAGE, DISPOSAL EXIS,T PUBLIC rJ SEPTIC TANK 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW P~RK TRAILE~ SURCKARGE TOTAL OTHERD , Its.DO FEES PLUMBING INSTALLED BY . OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER MIN. SEPTIC TANK CAPACITY -~ :J"t I Itl.')lf COUNTY 'BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED WITH 0151. BOX: GAl. L1N. FT TRENCH WIDTH FT. OR SQ. FT. Bo NOT BU I LD W,ITHI N 10 ,F'EET OF'- DRA'.INF""ELO: ! TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT FRONT 55.' SIDE INT. 5 SIDE EXT. AUTHORIZED SIGNATU~E - DATE BoSS'B'I'"HAllBA'UGH REAR 7'PUE USE CLASSIFICATION , BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY DATE /S! J., Eo , SHOO!</McKAY ,>" IQ/3/75 DLM BlDG. PERMlT - WHITE OFFICE COPY - WHITE CqUNTY TAX'- PINK PLUMBING - CANARY BUILDING - GREEN ; ~" . SANITATION - GOLDENROD Call 687-4065 '0' schedule all required inspections. All construc- tion shall comply 'with Uniform Building Co.d!,; D,E.Q, standards IMPORTANT: for subsurface sewage disposal and county' regulations covering plumbing. All buildings' require a certificate of occupancy before being occupied.' . (See Details on Reverse Side) ;..~, ,F?RM =C55-13 (POST THIS PERMIT ON MAIN BLDG'dAT SITE) LAN'E 'COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX~ 135 EAST 6th, EUGENE, OREGON 97-401 " B~/\ 'ftAS ,..-"/"\ C ^JC[.of2C-' 'ccA'" j-/~ . i, . '1(0'2(: ", ';'f.;~:l!.;\S';~),l'7i~",:, - '; ;': . rf U CL-J ,"; . t-- I (~""}N,' '. . S" ,..~- o:v.:.-'~~t",,:"'r' . \ ,'52'1,. ,- --- ,;,j ".': ;--:---.:. ' .. ;" -:-", ;-~'-"-:'-:-;F",;o;;;.~,;',.~,:-;;~,:S;2?~":. '.';:~':." ,'. ,",,"'''' ,;/ 'A/lA . 'N ,.. 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J ,; -. .;-:{.....;: J~.-:i:- i ~.~'S;{__"!: ...'1:r'1:.-,.'-:.." ~~L.:-,_.I'"_"r..._"t :;' ",? ~'..._;,~.:H7,.;"';::l;',:.. ..."':';.:'':-:,;o;~~'l~~~?:,..,.~l~;;4:~.:~~~ . :: ::=~=" :.~c~~.'~~+'_:"c .,i};r:~';:E:i:J~:~j".~!~#J;!~~;~~ J l' .' ," .." ...._~.=-_~~~=,~~..: ,:..:_:,,,'~:~-;'" '<~"-~' .,~.:=~" ,:::"'-:L~;'~~~~~~- _:,::~~_:~~~-~-~~~~'L~~' .'. '_, , '\ ':, ~ " I _.._._--~ -- -,.--- '~.-~---~::----._--'- '. f'.- (J ,E\,IST1N ~,: +?Au ;-(,1 0 X,c4'PATJo, TO 13 E '/ N- srMLE6 ~/ " ~' '1 f \' cYlDf V \~v \. ~ cd .ff f:! Q ~ o-f ~~ .~D-_ /o;~ Uk ' , ,;S , ''1 ' lvll J ..~C; 5.0&0030'1 31,03/ ' W '/ ' 4 >:4 AW;JltJC:, ,I1/. ' <Q 0- '."- .- ~ '1 <b R E C E I'V E D', ' IJ ~~_,____, SEP291975 UHE COUNTY ENVlfWHMf/lITAL MGMT. >.'.'. - ~. .;. r; , . " ,-:. l-~ ~.. i':- ",'.t ,!.' .'.: '/',- :.~' '.' ~..' ~. " ...z c gg- -; 70- .!--- ..', '.' . , , ~ ( ~!~:. :~\~/.....\(:f~ c \.::: \-':-t" ,-..-;::. <"'~":r..... '.~ :..,,""_\.; K.~;J CLA R..K' 110 UN rA/Jj c5ft4tJoW, /lOAf Ls P. o. 130)( /088/ t:: 1 'f",r-J J.C' (')P~ ~ ~ / G tV: ~~t. R t? 3 S /1 TAX LOT 2/ of 7/' SUBDIVISION: t-AjJJi"';Ak..~ '0/ - S, LOT: BLOCK:_ .. ,.~ BUILDI,NG SHE EVALUATION, ~ BUILDING PERMIT APPLICATION NO. () SITE INSPECTION .- v- '-Iff APPLICANT DATE PLANNING DIVISION Not Appl icable 1. Zon i ng 0 rd i nance Comp Ii ance: Zone I.?/J -M /:JJ ) 2. Subdivision Ordinance ~ompliance I. (~ 3. Requ i red Access ( ) 4. Bui lding: Site (Area; Width, Frontage) () 5. Other (see comments) ( ) CK'D BY: /AA, ~~. 7s-' Setbacks from ~ of ~o~d: Front p"of'e~'IIt\-e. ,:;l..Q Sidljt Exti"_f-.- Setbacks from interior Side Rear No (~ () 6. ( ) ( ) (') (~V ( ) ( , ( ) ( ) 1 ines: S- .s- COMMENTS: PLANNING '0 IVIS-ioN'AC! ION: PENDING: YE~l.- C,'~(i.\)_~PP~~~C~~'I.O.N# Not AODU cable () ( ) ( ) ( ) \ BU ILD INIL iNSPECfJONjliV.iSION No .Yes ()"{IT ( ) (') ( ) ( ) ( ) ( ) 7. Plans SUbmitted , ~. Soi i stabi iity (footings) 9. Flood pialn io. Other (see comments) aRiD By&$~?-:J~_-'7)r .IDA TE OOMMENTS:,_.-____'___ '." --.- -~-~ ..'.~ ..--- .." ..r _~__'",,",____'_"""'"~'. ....~~, ..---..........- .__._--_._~---- -~.._~ _....._~~. - ...-._~-- ....... ~~...-.... ......-... ....--..,..~' - . __ _.... _,.._ -.- _.._ _' '._-..., ~_"d ~ -- ------. -.. ., ~.~~-- -----...., , _..' " ..".."-~.---.._.-~------_..._........-...~_.- -- -.-.... ...~___'L..... . . .''''~.- ~- .--- . ---... - _.. - _._-'. -.-. ... .. ,. -_._----~_.., Not APP 1 i cab Ie ( ...-r WATER pOLUtioN~aONTRO~ No Yes ()TJ ( ) ( ) Eiivironmehtai . . ~ ~ ~ - Meets DeRartment of Quality Stanaaras: , Other {see comments} 11. CKii) BY:~1J?cK'~,.9-.3J~:zr- (/ ODATE . . 12. , ' ( ) 'cOMMENTS: -'" ~, ,. _........~...._.,_....--....__." '\ -, .,..--...... _."'-------~.._.._~...- .....-.-----..-.---.--. ...---... ..... .... _. ..____...-_..__-r .... ......- ,.....----...-.,-., .."'...."...-- .:. -. . Ii..." -.' .'." . ..... .-...- ..- ----..----. .-.. ... -.........-....-----.... , ". ,'."':' TO APPLICANT~ !':P "I.~'Ir'I!".... .~ ~'J.. '_!".,..r~:n"~ 'Your.B~i)ding / ~ite Inspection: . (~.ll't '.,p !"".'r.~,""". {j y! f~~<.,~-? ~pp~~X~~~ ..':t ..;.,;~ ;.'~ .~. o.tr.!r.""~~:' .',.' 0".-' It""' ( ) Cannot De approve9 at tti 1,$ t ,,!,e as I nd I cated on I tem NO~ '. . ----.. _ " above. '::/1Y' ~. :/", Que~ti8RsandfUrtn~r IRfotmati8n on it~~~ 1 througti 6 contact the LANE- 'v ~......-..."""'W '-...........~..,...,-. .'1.'''' 'J1~' ,.;.-' ;.t~' -llrt-~I"'''' ,.,"'.'\,.,.I..O'~"t........ - COUN:r.Y~f'tANN,1 NG 0 IV,IS 10N~, Que~t.i ons.~!1~ I t.~r~h,~r ~,ihf.!->rlj1'!',t.i,Oti,~~, items 7 . . ,!:.tiri?ugti g,cb':'ta~,t,,~tie.LANE COUNTY BUlkDING:AND.SANHATION DIVISION, ( ) Will De H'ela in tHis otfice until you can res'olV'e tHe proolems indicated. v c: l~,...; nf1. r- .',\0-' ..~." . ( )..Is Del.ng. returned:" ,., , " , . . "~. ' ( ) 'Your buildinq per"mit ap'pli,ca!.L~!'__1ie is,bein9retu~n:!l.d undM 5eDara~e cover. ~~ ,~EPARTMENT OF ENVIRONMENTAL MANAGEMENI i35 Sixth Avenue East Eugene O~egon 97401 ,PHONE: 687-4065 tANE COUNTY PLANNiNG DIVISION PHONE: 687-4186 'r.55~28 CONTRACTOR . I .. ,.-~ '. . , MAILING ADDRESS PHONE " d ~);(';t.:::J (....ncG~,u. f2--!:~~_. . PROPERTY LOCATION - INCLUDE POST OFFICE I '1-", ! ~ " 1./ PROPERTY lEGAL DESCR!PTlON - METES, BOUNDS ~. ~'::"'~ ~- p '-'~';j{' --:~~~:: . - 'l ('"<"J I " J!l\.i:'~~~-: J i RANGE ;. SECTION TAX LOT NO. CODE CENSUS TRACT TWP APPl. NAME & EXISTING STRUCTURES ON PROPERTY . >,.,~.f U.-.r: j' "'::)',,"[; L:;:: -,., , \ 2: ,)t~ ~:, ",;. I;' I>l , , , , LEGAL ACCESS TO P~_~PEIR~~ '~'>.\ f,d,lihil ~i'~--Y PROPERTY SIZE - FT. MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT :;~ ,~.F';'1 '. '- , ';, " ' ,-\~ '\\. " '\ !rA-;!l\t::~'f ;:',',:J l.: '\J '\.. ~..... ..... \::i WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. == BDRMS New System 0 VALUATION (, fl I,.:,. , --~ :. ~'.Z '1~" ~ : . . ,', " ,,' " .c). j 'l: t, '"' .t....; SEWAGE DISPOSAL l.-' ,.'-" PUBLIC 0 SEPTIC TANK 0 BUILDING $- WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER ~",:'~C : FEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY " OTHERD PUBLIC 0 o OTHER ..' " ~ . TOTAL t ~ 'I>~l ! MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. , ,', \.I,:;......'.-:~Il. . '. '"'\. \' t..t.:l...J) ",.'l- 41 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED " '-, , "'. '\. I':'~~,' ;'~<<\ '. ,.t~"-.!~'J;'_ L1N. FT -,,"\ -, - \\ ;., .~~\-f"'~C~J;~ . TRENCH WIDTH FT. OR SQ. FT, " \ '-\ TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT BLDG. SE~B~~KS __ FT. FROM CTR. Of ROAD RIGHT OF WAY FRONT SIDE INT, SIDE EXT. AUTHORIZED SIGNATURE - DATE ;. ..,t- t '. ."r',,~~ ~-;( .;ft.F:~~'!-.~-;::~': REAR USE CLASSIFICATION "lpn' " ~;-: It;)... ;f-t.'~'1: tV' .~,.,,: ~ .r..( ; .'.', ," 1 ';;~/""':;' It:: '<".4 !,1 DATE '<' BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687-4065 to schedule all required inspections. All construc- tion sholl comply with Uniform Building Code, D,E,Q. standards for subsurface se~age disposal and county regulations covering plumbing. All buildings require a: certificate of occupancy before being occupied. \ . (See Details on Reverse' Side) \.... . \ \ \ \ " FORM:::: C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 , SITE INSPECTION Ap~PROVED.cl DISAPPROVED Cl DATE INSPECTOR REMARKS . FOUNDATION INSPECTION /' ApPROVEO L..J,LI DISAPPROVED L-I DATE / ;}-/6"- 1J:~PECTOR~:;'~ REMARKS FRAMING INSPECTION' ApPROVED ".?"v;/ 01 SAPPROVED OAT.E-" / j-/6....P~NSPECTOR~ '-- . . / / REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L-I DISAPPROVED ;----y DATE INSPECTOR RE"MARKS FINAL INSPECTION ~ ApPROVED .L:2'21~'SAPPROVEO / / DATE! [J-/r/16- I~-:' , ,/,: t./ /, ~r...., REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / I NOT READY TO ISSUE / / DATE INSPECTOR REMARKS /i ~ :/ //A _ ../ _" /' / '/-'VI'lVV"-' c.- Ii c2.C1rf'7~Jl!M47 ';?t),2/ ~lt7 il .."" . < '. - PERMIT it ~? Pff'-?.j NOTE: NO PERMIT ...LLL BE ISSUED UNTI,L THIS APPLICAdON HAS BEEN APPROVED -C:=J CONSTRUCTION ~ ' OWNE~ APPLICATION FOR:. ~ MOBILE HOME C:=J ,,-r()~ PLAN REVIEW C:=J , J-.11tN Al J JlJ c;_ CHANGE OF OCCUPANCY c::J. . Name ~fR"~'J Phone CONTRACTORM otJAJrmJ 'Stflrl:Jt:, W Ifo,...,It:"'!; Name K e"j- Cl../fr2..k:...Add r es s O,S.REG.U D7bb3 tr Range 0 3 wA-Y'. / ~/ ~ . Below fa r Of f ice Use Onl yXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX I!~~ ,s;:..;t~.2 ,$0 /' UBedrooms ;a~;~~n.2 0 ~. /.JZZ--'.~':-_./ ~.rJt#f,d- '. / '_J,57.00 ~ /Cl!J-e> ~.n-_f2.. ~ /9t{. Y / ~ 7 t. '! '-"?r SEWAGE DISPOSAL: Site Inspection'# ~ ~ Existing Structures on Property: ~ Address City Zip ElJCJ~' CI'J4CI Zip', J '8~-855:5 P,O. 80x jD88 / City Phone Tax LC! t Code" Census. Tract 4-(. '/AJUbJ() Wi'\1 iv1 0 t3 II f /fOIV/ E.'. ,;} 6:l. 7 / IJ c-/r7v lJ . Block ?-- Width_Depth ./' /' ',/' ",/ . .. Property Acreage ../ '" Property Location - Address/Directions: WATER SUPPLY: Well Spring FEES: Bldg. Waste pisp. Plumbing" Plan Review Mobile Home ::J% Su.rcharge ,/II'''fI TOTAL 'U 7T .~ r /5'.q . Min. Septic Tank Capacity . ~ "Kh A",'ld Type of Construction j- 11/ or New System Required ~ Other Name of Community or Public System . .1_ PL/1MBING: I~stalled by CJ Other c=J, Name /I of Fi~tures' Sewage Connection Water Connection PLANS FURNISHED FAC~LITY PERMIT c::::=] CASH ~K ~'YES c=J NO, ',L=:J YES rs><:l NO Signature of Applicant: 'k:-!.J2:.- ~'L- Fee Received.BY~~~ -Date:"~..2 9--?) ? ' Drainfield Required - Lineal Feet A.},~'" /IF gdJ.IA,'j,d?~~d, . ~ximum Depth Group -::J Fire Zone Use .Classification , ' ,P,~t"Tj Z~~~~ , BIdg Setbacks -. from ('1-:- '. {- Raid Right of Way: -- ~- Kt~ Front .5:.s. Side ~n~. . i.J Side EI'" ar- PLANNI~,: "A....I- ' , 2f ~?" 7~ 05-12 DATE: LANE ,/ Rear '"'i .fit [. Zo~e ,'-fnd:;7;j~~-k _ Q-~~;'- () ~;~rfl:q.J/;-116. COUNTY DEPARTMENT OF ENVI RONMEN TAf MANAGEMENT I