HomeMy WebLinkAboutPermit Building 1975-9-29
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LANE CC JTY "BUILDING
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BUILDINGGIJ\i MH 0
MAILING ADDRESS
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PERMIT OR MOBILE DME USE PERMIT
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PERMIT NO,
~=",'-=':15'""
--o-a1I::JLt'"C':..:l&"r'il~'-.
,
PROP"~pY OWNER
" j. A. MAN I NG
CONTRACTOR
2666- 7')
PHONE
AL'U14INlIM WOOD PRO
P~OPERTY LOCATION - INCLUDE POST OFFICE
r ILEJERT GROVE ON I NLArm WAY
PROPERTY LEGAL DESCRIPTION -,- METES, BOUNDS
2Q27 INLAND l1A,Y
MAILING ADDRESS
480 SliEL'UV STREET
SPRINO,IELD OREGON
SPRINGrlELO
DREa> I~
PHONE
726-O'iJ 1
')T~ ADDITION TO rlLBeRT, GROV~
TWP RANGE SECTION
lOT 46
~
BUICK 2
TAX LOT NO.
z#/ tftJ
CODE
CENSUS TRACT
18
O~
11,,:1.;;1..
,APPl.
NAME
&
EXISTING STRUCTURES ON PROPERTY
AI. uu I filUM Wotm PRO.
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,-
rR'AILER
.'I!: LEGAL ACCESS TO PROPERTY
,
B.-
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INLAND WAY
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MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
"'~
PROPERTY;jSIZE - FT.
WIDTH .1 DEPTH
AREA
'"
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Exisflng
TYPE CONSTRUCTION
,,, ",; n l1.f2-.'<,.,/
<':t/"', ? j
II )L(:'"// / 1 -
//tY;:(/~{(f(/j~~,
V if ';"
Se,wage System 0
SQ. FT. # BDRMS
New System 0
VALUATION
PERMIT POR CARPORT
i'I28co
.... ,
MH 12~.,.7<;
SEWAGE DISPOSAL
C', BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
<
OTHERD
24:00
FEES
PLUMBING INSTALLED BY
OWNER :0' OTHER: NAME
WATER SUPPLY
PUBLIC 0
SEPTIC TANK. 0
PUBLlC.t...O
o OTHER
I
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~-'<i
TOTAL
,
,72
24_72'
COUNTY BUILDING &
,
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,
SANITATION SPECIFICATIONS
:'
MIN, SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL
bRAIN FLELD REQUIRED
UN. FT TRENCH WIDTH FT,
\,
OR SQ, FT.
NA ,KEEP 10 ~EET ,ROM DISPOSAk' AREA
TYPE OF. STRUCTURE
OCCUPANCY
ZONE
"
'~
,\
PUBLIC UTlL EASEMENT '~
DATE
q/2q/ 7"i mM
~~~~"
"iN ' J
BLDG., SETBACKS __ fT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT ,20 PROM ~IDE INT. c:; SIDE EXT,
AUTHORIZED SIGNATURE - DATE
/s1 J. E. Boss BY HARBAUGH
r
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY'TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN .
SANITATION - GOLDENROD
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USE CLASSIFICATION
REAR 10 pur
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IMPORTANT:
BURNS /SHOOK/SAN I TAR I AN
Call 687-4065 to schedule oil required'inspections, All construc-
tion shall comply, with UnifoTlTr Building Code, D,E,Q. standards
for subsurface sewage disposal and county regulations covering I
plumbing. All b~i1dings require.o certificate of occupancy before
being occupied.
(See bet~i1s on Reverse Side)
FORM,,=CS~5-'3
(POST THIS PERMIT ON, MAIN BLDG. AT SITE)
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANt'JEX, 135 EAST 6th, EUGENE, OREGON 97.401
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BUILDJilii"SITE EVALUATION'.: , . ,
ft BUI~~ING PERMlr'~p~L1CATI(i~~6;
{, :1~W~T' 1 R'03 S I/-Z.~AX 'L9T
.2 (,~'6;-:-7 5'" S~BQIVIS,ION.:".. ,," '.,
, " ',. , ,LOT ", ' BLOC~.
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()
SITE I NSPEC'I ION
> ,AP,PLlCANT :!f1(}~;~,:',
;_DATE' " X
C~'b' BblJir9-Z&.-7s'
,'Setbacks from c/l of road: If.
, ,Front Zt!'
: ,.
PLANN I NG 0 I V I S ION " Not , '
, ' ' , ....,..'Aep Ii cab I e No ,'y.!; ,
1., Zon.ing ,Ordinance'Compliance: ZonefH-mlfl ,) , ,:T) l' T 6.
2. Subdivision"Qrdinimce Comp.! iance ',: . C), ,() ,( )
3. ' Required,Acce;s' " "() 'C.), ( )'
4:, Building Site (Area, Width,'Froritage) (')," it) (~, '
5; Other (see comments) ,', ()".(~, ( ',,',
COMMENTS:
..sL"'o ~"terigp .
SetbaCkS from interior' 1 ines:
Side " s;', ,
Rear,' jO' PcJt:.._
, ,
PLANNINGDI,VISION A,CTION PENDING: YESl )" NOl ) APPlICATlON#
" - ..
Buil,din'g I,Sit~,ln5pection: ",'
Can be app roved'. "
)'Cannot be approved,:;at, this til1)e as indicated ori.itemNO. above. \,
Questions and:further informatio!:, on items' I 'throug,h 6 contact. the LANE-
COUNTY PLANNING, DIVISION. Questions ,'and f~rther ,information on items 7',
through 12 contact, the,LANE COUNTY BUILDING AND 'SANITATION DIVISION.
( ) Wi 11 be held in thi's offi ce unt i I you can resolve the prob I ems i nd icated.
,( ) Is being returned. ' , ..' ", '
'( ) Your buildinq perrnit,appl icat,ion 'fee is be'in9 returned under seoarate cover,
,DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
1355 i xthAvenue 'East Eugene Oregon 97401
PHONE: 687~4065' , , ,,'"
LAN~ COUN1;Y P.LA:NN I NGD I V I S ION, Pt-!ONE :_687':'4186 .
",BUILDING INSPECTION DWISIO~r .':
Not
, Applicable
"y~ ~
( )
)
~, h' Plans Submitt~d'" ,
~,8. Soi I, Stabi lity (footings).
, , 9.',., Flood Plain .
10, ,', Otner (see comments)
~
COMMENTS:
WATER POLUTION CONTROL
'Not
Ap'pJ:j cab 1 e
( )
", ()
, 1-1. ,Meets"Department of Envi ronmental'
Qual i,ty 'Standards.
,12. "Other (see comments)'
'COMMENTS,:':
TO,APPLICAN:r.:
Yo
cr
/
,-:0
C55-28
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No Yes ;', '
rl~
(l( )
() (),
'BY :~Jt:
CK'D
1,"
No ,Yes
T)D
( ) (')',
CK' 0 BY':
DATE
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BtIJ';:ti~'SITE EVALUATION 0
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'..W\;, B~ ILDIN~ lERMITA~PLlCATlON NO.
~:"'t;f."SITE' INSP'ECTlON')
,\ ~(~;) t'.l''''T Cl R 03' S l/-l;;rAX LOT
-:i ,^ i,..,;:' ~ -) .r SUBO I V I S ION:
,,- ,<>-!'.J.J' LOT: BLOCK:
APPLICANT' ff)n"':I\"1I
PLANNING DIVISION Not
A App1.icable
1. Zoning Ordinance Compl iance: Zonetd4.,fi~tL( )
2. Subdivision Ordinance Compliance ( )
3. Requ i red Access f )
4. Building Site (Area, Width,;f'r,~ntage) :/;;(/,)11)
5. Other (see comments) ( )
DATE
No Y~s
() TV 6.
( )()
,
( ) (I>
( ) ( ~
( ) (..)
, !
,
COMMENTS:
.,'.
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PLANNING DIVISION ACTION PENDING: YESl
',~'BUILDING INSPECTION DIVISION
) NOl,_) APPLlCATlO,N/t
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Not. ,,', '
, ApD i'i Cillil e -'No 7 ds
:'~ :'l::/ r~ (fir
, '_(I'\)"I'\() ( )
.-1 ~!;~~
L (:f - ( ) ( )
~7. Pl~~s-Submitted
8. Soi 1 'Stabil ity (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
\ WATER POLUTION CONTROL
Not
Appl icable
( )
( )
/
No Yes
()/D
/
,-
,( ) ( )
II. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
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CK I D BY;:-:l.i'iT q-~t;',
Setbacks from c/1 of road: It,
Front' Zd
..S,i,de. ,Ext'er.i,or- ...
Setbacks from interior lines:
';"
Side ~
Rear J C'l r F(,J~
d"
,,,- "lV " ~/f
.'1....' 1.$(.1
CK'D BY:L"", .vi~/-:t'~~%L_
?TE
.'
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CK'D BY:
DATE
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TO APPLICANT:
Your Building / Site Inspection:
(/) Can be approved.
( ) Cannot be approved at this time as indicated on item NO. 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.
( ) Win be held in this office until you can resolve the problems indicated.
( ) Is being returned. _......., .
( ) Your building permit applka!.i.2!'.Je,~~ein.9 ~~t'ui:~,!td under sep.AU\te cover.
DEPARTMENT OF ENVIRONMENTAL MANi\(;EMtNI',( ;:,:.".; /__
135 Sixth Avenue East Eugene Oregon 97401 ,/___-,.c ",,-::
PHONE: 687-4065 .'"
LANE COUNTY PLANNING DIVIS)ON PHONE: 687-4186
C55-28
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LANE COI
BUllDINGiC!
TY
BUILDING PERMIT OR MOBILE
MH D
MAILING ADDRESS
IME
USE PERMIT
PERMIT NO,
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PROPERTY OWNER
'PHONE
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MAILING ADDRESS
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;:'.P'! ~"'::F~ _',.1'~i C~.'t:'~!'-'~'
CONTRACTOR
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PHONE
;><., .> ~_'! .~-..:~ P>~_'l
PROPERTY LOCATION - INClUDE POST OFFICE
'1~/-'.r~' l:n..:H) 4._:"nt::.'H
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,f, ''"L'':'' :'~t~ ~~lt_~;'f' '.'.,~
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
"
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RANGE
SECTION
,"" ,-. ;~'.(J:H';'~
TAX LOT NO.
CODE
CENSUS TRACT
TWP
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APPl.
NAME
;\-t~)(,I>'i.J1.1l-":J~, C,\
EXISTING STRUCTURES ON PROPERTY
T'>f>ILln,
LEGAL ACCESS TO PROPERTY
"f-;tt.,t~D VA1'
&
;.'"'J1~!~"
MAIliNG
ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
.TYPE CONSTRUCTION SQ. FT :t+ BDRMS
New System 0
VALUATION
.~~: ~ (,;, C\~" ..',:,;r),;'-r
" ;
SEWAGE DISPOSAL
,
;.::,...e~'1
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
OTHERO
PUBLIC 0
0" OTHER
TOTAL
$
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~.tl'~'l~2
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
~~rtrt H' f"'StT P~:rt)a-1 tJ~;::!}t:;.i,{. 4?rA
"
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"
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTlL. EASEMENT
BLDG. SETBACKS __ FT.
"'~ir~
FROM CTR. OF ROAD RIGHT OF WAY
~IDE INT. r;: SIDE EXT.
AUTHORIZED SIGNATURE - DATE
f: f na~"t; aV ~ IIi;'"' ,!~;~'~:J~
USE CLASSIFICATION
FRONT
REAR ,<:; F1JF.
,
,
DATE
...,
IJ.lq~u/SHaf.'.II",l~.t"" '7~~;! tl~t~;
~'/~I.J Jr:':
~ t:-"'~ I ,
<It.,':
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMB!NG - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
"
, '~
..."
..:~::...... '
IMPORTANT:
Call 6B7-4065 to schedule all required inspections, All construc-
tion shall comply with UnifOrm ,B,u,il~ing Code, D,E,Q, standards
for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
bei.n~ ,o~~u~ied. '1:' '-' -.\ ,: j \','
~y ""'1 -~"(See DEHails' on Reverse Side) ) ~
<
,
,"S... .~ ~
~ ~
"
, .' (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.~
".
SITE ,I NSPECT I ON
ApPROVED Cl 'DISAPPROVED /7 DATE
.-
INSPECTOR
"-
\
REMARKS
FOUNDATION INSPECTION
ApPROVEO 1.-1 DISAPPROVED 1.-/ DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED II DI SAPPROVEo /7 D~TE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED 1.-1 DISAPPROVED ~ DATE
INSPECTOR
REMARKS
,'>
FINAL INSPECTION
ApPRO'VEo fl' DIS~PPR,OVE:D:/7 DATE. ",;{ INSPECTOR
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REMARK}0f II.'Vi 1/!'7,t..fcf{,tvl!f fill ,~l{.li ',~ '
oI!I!!!:'-f ,,' .i'I,,['!i':- r I" ,~/." I,? ,'--'7j ;'1
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CERTIFICATE OF OCCUPANCY
READY TO ISSUE /7 NOT READY TO ISSUE I I DATE
INSPECTOR
REMARK 5
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NOTE:
NO' PERMIT
_LL:BE ISSUED UNTIL THIS APPLIC
,ON HAS BEEN
PERMIT '!fr2fo 6b:z5
APPROVE,D , . ,
CONSTRUCTION
: . ..'. ~ APPLICATION FOR:
~,M~BIL~ HOME 0" PLAN REVIEW
c:::J
" CHAl-JGE _OF OCCUPANCY
c=:J
. ACCESS. TO 'PROPERTY >(~oad Name)
CJ OWNER~r /l M~P/~ ,,p,C;;.;l7 /A_'/a/V/~~v" ~A; /f./45JJ/ .-
I~ ~OR$' ~:J~,I?L L/o~~ Os rJA~':V~ C0;k/ Z~ ,/ .,2;o;;6'b/
2/$.96 .$//edddres~r ~ 'City Zip Phone
O,S. REG. II€'Y
Twp .1-=C- Range ~ Section 1/ ' '('TeX Lot ',0,
SubdiVi~ion' ;t:;11tRl b;-r ,t~t '.'C/b' BlOCk';;( ~rope~ty--Acr.ea~p
, o Tnlql1 ct-w, ~~ V
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'):::;/~""/l r>;" /eO//-P_
Code
Census Tract
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Widt~De~th,/
Propetty Location - Address/Directions:
-
Existing S"t.ructures on Property: .
Below
fo r Of f ice' "Us e' 011.1y XXXXXXXXXX~_>::XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX~
('"0 '~.~T . Sq. Ft." - . IIBedrooms -~ .;2yOD, ~
II
----.
~S
>
System- Required [==:J
WATER SUPPLY:
Well
Hit: I 23-"7.5Ex.istinic Sewage OiSPOS"lISyst~
Public -' -'
. Cb~.tmi'tY' d ..
,Other:
Pub.1.i~ Syste~
SEWAGE OISPOSAL:
-.,Site Inspecti~m It'
Spring
.-'"
FEES:.
Bldg.
Waste Disp.
Plumb:ing
Plan Rev"iew
Mobile Home
1% SU:rcharge
dL/.
-
PLUMBING:
Installed by Owj7r
PLUMBING Fif) 0'
! .V
Name
F xtur-es
Se:wage
C?Im.ection
WB;ter
Connection
:
.72
FURNI~iHED .
.
FACILI~ PERMIT
TOTAL
dL/7:2
'0 CASH
Iv~
~'~'I'N~',,6YE~'" '"
~ ".' .~-:~
Signahire 9f APplic~nt~ - - _ -
.~. Fee Received By:' Q_,P . Date: C) -::J 2.~~'~/5
1-1' ,; 1.--
.Min. Septic Ta~k Capacity
Drainfield Required:~Lineal Feet
, Maximu.m - pep th
.~ / / .4
, , ,
f/L~:~fi ('0"/ ,p'.n....:_ V,')/-5"'~ 0
( ..4/(....(..J-
Type ~f' Construction
.5'L~ro~p0.. 7
, 0 V
. Fire Zone
Use. Classification
Bldg set~~.- ~'-~..
Front . ~ Side Int.
~~~J Right of Wa~:
.... c:::' Side Exterior
Rear
ID(P~ne
_~~ING: '
dip ~ 9~?-:1f..7<(
DATE:
. SANI~.ATlaNj d~~'-- DATE:
.~ I>~dc. '7'-2--"-;?,r
DEPARTMEN~ OF ENVI~ONMENTAL ~NAG'EM~~T'
css ~ 12
LANE COUNTY