HomeMy WebLinkAboutADMIN 7/9/2008 9:11:34 AM Permit
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LANE COUNTY PERMIT FOR:
PERMIT NO.
~1H 248-76
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.' CONSTRUCTION [] MOBILE HOME [Xl'
Kp.nneth Kite Sr.
NAME
Same
NAME
DOwner
,0 Contractor
O.S. Reg, # NA
Twp 18
4th add:
Subdivision
Range 03
Fil bert
Section
Grove
Lot
Access to Property (Road Name)'
Existing Structures on Property:
Directions to Property - Address:
STRUCTURE (# BEDROOMS)
. Pennit for Mobile Home '-,
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PLAN REVIEW [] CHANGE OF OCCUPANCY [
5335 Main Street Springfield Oregon 747-5,875
CITY ZIP CODE PHON~~!
.SO. FT.
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t!H!!rrl SPl:.~.&
ADDRESS
",DDRESS
02.3.3 Tax Lot 6200
'14 Block 3
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'. Ilrivp I
Harbor
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Nnn
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'Smlth 2nrl toO Hllrbor Ilri VI!
'. J 994 Hamor, Ilrive j
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'(#.3 Bed:
!
SEWAGE DiS~ltE
.
lUBLlC [J SEPTIC TANK [
\UILDINr.
LUMBING
I
bSURCHARG~
DBILE HOMF ':In
,
iSTE DISPOSAL
AN REVIEW " '
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I CONSTRUCTION PERMITS & INSPECTiONS AND WATER POLLUTiON CONTROL SPECIFICATIONS
\SEPTICTANK CAPACITY: ~ ,
S. MIN. DRAINFIELD UN. FT', '. MAX. TRENCH DEPTH
tl(PAn rfyo::dnfiA1tt 1n TtU::.t -fl'V'lm n..nn~rt'\i'.lino-c 2nlhln .fDD+ -r""'m ~1' ~T"'U""+lIvooe
\~Y'ID' +n ho 1n f',cU:Io+ f'Y'nm ,..o.n+o..- ,.+n "'0"+0,", \'1 j
\OF CONSTRUCTION MH GROUP I( FIRE ZONF"y
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ICKS - FT. FROM CTR. OF rfW:
\- 4!; SIDE EXT.
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OTHER [
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1'~75-76
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)RIZED SiGNATURES:
\ J. E. Boss by Harbaugh
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i. PERMIT - WHITE
t:E COpy - WHITE
!TV TAX - PINK
BING - CANARY
liNG - GREEN
lA TlON - GOLDENROD
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CITY
ZIP CODE
PHONE
Code 134-B
Census Tract
17-186
Acreage
Width
Depth
VALUATION
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PLUMB'ING INSTALLED BY:
'-OWNER [ ] ,'OTHER (J NAM~
.-,,;
WATER SUPpLY: PROPOSED [ ]
i EXISTING []
. ,
[ J PUBLIC
[ J COMMUNITY, NAME:
, .
[ J P~i~ATE'WELL
[ ] OTHER, SPECIFY'
INCHES
nVl:lfnl;r'l.oC"
STAY 100' FROM ALL WELLS'
USE CLASSIF.
,
FT. FROM PROP. LINE:
SiDE IN-i. 5 REAR
150'
RA
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l'
ZONF
\.
Gray/sanitarian
ISSUANCE DATE:
6/9/76
dlm
IMPORTANT:
Call 687-4065 to schedule all required construction inspect'ions. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the State Buidling COde, D,E.Q, standards
tor subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy before being occupied.
(See Details on Reverse Side)
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(POST THIS PERMIT ON MAIN BLDG. AT SITE)
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LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135.EAST 6th, EUGENE, OREGON 97401
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BU I,SD ING SITE E.VALUAT IO'G..6'-l~'
~ BU~LDING PERMIT AP;PLIC~iION NO.
() SITE INSPECTION
.'~ ., ,07-j3/3
tV1J\-ziD / ~~;, o.3s TAX LOT to ~
J.I= ,-~/ SUBDIVIS'f'crN: .
/fTv -/'" . . LOT: BLOCK:
APPLICANT
DATE
. Not / 7
Appl icable No Yes CK'D BY: .~ . b -"'2; b
1. Zoning Ordinance Comp1 iance: Zone~A- - (). T) TT: 6. . Setbacks from cll of road:
2. Subd~vision Ordinance.Compliance . J1/j{f(). () ( ): Front 4L'"
3. Requored Access. . () () ( ) S19'" h>",rier -
4. Bui lding Si te (Area, Width!.) Frontage) (). () (.) . Setback~ from interior 1 ines:
5. Other (see comments) t I. .. () () ( )... S I de .t;"
COHMENTS:A ~~, .AJf~ /;~/ e/~..R~ I~ I
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PENDING: YESl } Nol } APPLlCAt./ON#.. Jf
PLANNING .DIVISION
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PLANN I NG 11>'1 V I S I ON ACTI ON
BU ILD I NG I NSPECTI ON D I V I S,ION
Not.
Appl icable
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NO~
'fl () ab~
() (()) '- ... I 11_'7/
( ) CK' D BY ./.. I _..I .11" I .. Y'.,
, , DATE
7. Plans Submitted
8. So i 1 Stab i 1 i ty (foot i ngs)
9. FloodPlain .
10. Other (see comments)
COMMENTS: .
'-'~ ----~----- --" _._--~"--'.~ ---.-.-- - - ,,--_._--~~,'_.~"~-
. _____..___ _~_~_ __._ _ ___ ____ v... __ .'_________ ~_ _...._~____ __~__._A_~. ..,,_..' __,._"_'_ _ ..."_ ~ -._.~-
WATER,POlUfioNCONTROL
Not
Appiicii~.ie
( )
11. Meets Department of Envi ronment.31.
Quality Standa~ds.
12. Other (see comments)
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No Yes.
T> TiO
( ) ( j
COMMENTS:
tR'D By~/d.a..f?4 7c.
cr DATE
~ ----+-~_._~---~--- -- ~... --- '-'~ -.. - ,- .....~
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..------.----....---.--..-. -,.._"---- -~- _..
--,.......--------.. --... ...-----~_....~-....~
...~_'O_>___"..___. .......,..~_
TO APPL I CANT: .
. Your BuLlding I Sit~ Inspection:
~ }4 Can' be approved~' ,
,/J~ ( ) Canno'~ .be'a.pp.ro.ved at ~his' tim?as. In~icated.. o.~~.!~.~~. NO~...:.. .:' '." :...,_..~bove.
I /1) QuestIons and further InformatIon on Items 1 thro~g~ & c~~tact t~e LANE-
'Q J. COUNTY PLANNING DIV,ISION. Questions ,and further information on items 7
through 12 contact the LANE. CO'U'NTY BUILDING AND SAN iTAfi6iLo.i.iJ.is ION.
( )'Willl?e held in this office until you can resolve the prooleriis indicated.
( ) Is being re,turned. .,
( ) your, buil ding I?erm it ape.!.!.E.'!.!.i.2.!'....fe'=... is be i nQ return~d_i.in(je,:- simarate cover.
uEPARTMENT, OF ,ENVIRONMENTAL MANAGEMtNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE:. 687-4065.. .. . .",u.
LANE COUNTY PLANN IHG D I V I S I ON PHONE : 687.:.418,6
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MAY2'71976 ,
kM~[ COUNTY'
ENYIR9NMI;:NTAL MGMT.
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LANE COUNTY PERMIT FOR:
PERMIT NO. MH 243-76
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CONSTRUCTION [] MOBILE HOME [X]
Kenneth Kite Sr.
PLAN REVIEW [ ]
5335 Main Straet
CHANGE OF OCCUPANCY [ ]
Springfield Oragon 747-5815
ZIP .CODE PHONE ---;;-- .
.0 Owner
o Contractor
NAME
Sarna
NAME
~DDRESS
CITY
ADDRESS
CITY
ZIP CODE
PHONE
O.S. Reg. #
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'Tw;, 1B Range 03 Section 02.3.3 Tax Lot 6200
4th Qdd: Filbert GmVl!
Subdivision Lot 34 Block 3
Code
134-8
Census Tract
17-186
Acreagp
Width
Access to Property (Road Name)'
Hn\"!x)r Drive
Depth
:Existing Structures on Property:
Non.
Directions to Property - Address:
South 2nd ~ Harbor Dr1w
1994 Harbor Drive
~
'STRUCTURE (# BEDROOMSI
l'erm1t for lI:llbl1e Home
SQ. FT.
l'I:B Bcd:
VALUATION
.'
t I\;;'f ("JI""'Y ""'1:.""1' I r"
~ ,",<.1m V ",i"&;<"U\I..' PiOi1.MIT-tdt[A
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [
OTHER [ ]
1175-715
PLUMBING INSTALLED BY:
OWNER [] OTHER ['J NAM"
BUILDING
PLUMBING
3% SURCHARG"
MOBILE HOMF 30.00
WASTE DISPOSAL
PLAN REVIEW
4.00
. .12
.,
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[] COMMUNITY. NAME:
[ ] PRIVATE WELL
[ ] OTHER, SPECIFY'
TOTAL
34.12
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN.SEPTICTANKCAPACiTY: "
GALS. MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
Keep drainfio1d 10 fiOO~ from orooortv HROS llnd 10 feo~ vrom 1111 !ltV'lIr.:tlJms DV'!\inHM!l
are to be 10- foot fmffi canter eta c::el1li:@1I"
TYPE OF CONSTR UCTION
~;!I
GROUP
II
FIREZONE
STA Y 100' FROM ALL WELLS
USE CLASSIF.
..
SETBACKS, FT. FROM CTR. OF r/W:
FRONT 45 SIDE EXT.
FT. FROM PROP. LINE:
SIDE INT.:I' REAR
150'
ZON"
RA r{!-\
AUTHORIZED SIGNATURES:
/s/ J. E. Boss by Harbaugh
Gray/sanitarian
ISSUANCE DATE:
619/76
d1m
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANI1ATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the State Buidllng Code, D.E.Q. standards
lor subsurface sewage disposal and the Stale Plumbing Code. All buildings require a certificate of:
. occupancy before being occupied.
,See Delails on Reverse Side)
C55.13
. ,
LANE'COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th, EUGENE. OREGON 97401
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(POST THIS PERMIT ON MAIN BLDG. AT SITE)
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LANE COUNTY PERMIT 'FOR: "----)
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CONSTRUCTION [. ]
MOBILE HOME [j(}
Sr.
PLAN REVIEW [ }
5J1G ~a1n StrGGt
ADDRESS CITY
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CHANGE OF OCCUPANCY [ }
Sprir.gf1c11i {?rcgD'1 '1::-7-'/"i"";
ZIP CODE PHONE
. '0 Owner
;{ar.nnCi, l{1 W
NAME
Sam::!
o Contractor
NAME
ADDRESS
O.S. Reg. #
1'1
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:12.3.3 Tax Lot
Range !:l3
Fi1 oort
Twn
0th oc'~l;
Subdivision
Section
Grove
Lot
2,~ Block
:~8rtor LJrfve
Depth
Access to Property (Road Name):
Existing Structures on Property:
[I.on
PERMIT NO.
"I,: ;'/":-7..-
CITY
ZIP CODE
PHONE
Ilr!CI'
1:4 '
Census Tract
,
l~-F,-.
f .L__
Codp
J
Acreagp
Width
. ,
Directions to Property. Address:
South 2!ld .to I:li',rbor l,riVtl
1931i Harllor ~r1 va
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STR'tic;TURE (# BED,~OOMSI
.Grci'i t for .o!l1Ie 'HOtn:l
, ,
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SQ. FT.
,vB i)<l():
VALUATiON
l~"~ ("""""'''' \.ri",..",,,,." ,'l;\ r"~'" "-"1-
Fi\4~ "'",.. ~ ~, '\lO'n.;I.;~"'.I..\ r-ti'mi I itfitA
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SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [
OTHER [ ]
117j~70
BUILDING
PLUMBING
3% SURCHARGC
MOBILE HOMF 30.0G
WASTE DISPOSAL
PLAN REVIEW
'l.ur!
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TOTAL
3'l.1:.!
PLUMBING INSTALLED BY:
OWNER [] OTHER [J NAMC
WATER SUPPL Y: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY. NAME:
[ ) PRIVATE WELL
[ ] OTHER. SPECIFY'
,
If
CONSTRUplON PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACI'r,y: "\
GALS. . _"MIN. ~~INFIELD \" UN. FT.., MAX. TRENCH DEPTH---- , INCHES
F'~0" ,'Ir..f1n~t;lJ(j J~lfel\~ "r:;'] ;"r~t'ty, N~_5 an:] 10, fnet from 1>,11 SI:'riIct!.:rrs l':rainl102'H
~ I'!~ t:1 ti\ ''KL!,~et''f,'I}:,:<-<:e,ltnr cto center'
TYPE OF CONSTRUCTION
Hil
GROUP
II.
SETBACKS, FT ijF.ROM CTR. OF r/W:
FRONT :J SIDE EXT.
AUTHORIZED SIGNATURES:
Isl J. ~. COSt by Hllrb!lugh
FIRE ZONE
STAY 100' FROM ALL WELLS
USE CLASSIF.
FT. FROM PRqP. LINE:
SIDE INT. ~ REAR
'.:",'
f;., ,
ZONC
F/'. '
~raY/lll1n1tllI'1a'\
ISSUANCE DATE:
e/!1/7r
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BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOlDENROD
Call 687"4065 10 schedule all required construction inspections. Call 687"4061 to schedule all required
IMPORTANT' ~ septic system inspections. All construction shall comply with the State Buidling Code: D.E.Q. standards
. 'for subsurface sewage disposal and the, State Plumbing Code. All buildings require a certificate of.
-~I,..\\ \~~upanCY'b'ef)o're'bei~~~CUPied. '\. '.....,. \\". \~ 'AI.,
\ -,~ ~ -.._~ . . '\ ~ \ (See Details on Reverse Side). .~ \ \',
", . \ '.
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C55.\3
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.~
c:; If " PERMIT If NI/2Vg;{
NOTE: NO PERMIT WILL BE ISSUED UNTIL THIS APPLICATION HAS BEEN APPROVED
Name Address City jZJ.P Phone
< O.S. REG.. II .
Twp./X Range03,Sectionf">2.;'3,j _T:,Lotb-;;"60 Cod,.LJ'I3- Census TractI1-1X'~
'\ . Subdivision fjr1A. Fr I t.;,-T Lot, . 3, Block, :s proper1Y Ac age Width_Depth
YACCESS TO PROPERTY (Road Name) JJ~ ~ .
~xisting Structur~s on Property: ~ C> ... . '.
Y Property 'Location. - 'Address/Di:recF~on~:ll.o -2-~ ~") )J ~,. ~ ~ AJ -L9 ,0 .
.iJJL / q q 4 tIX-- ~ <.:; -~ /
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Be] ow fo r Of f ic e Use Onl vXXXXXxxxxxxxxxyv'nrYYYY~nr~xxxxxxxxxxxxxxxxxxnxxxxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
., JV/ It ~ Sq. Fto / 11(87 Valuation.
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SEWAGE DISPOSAL: ~76 i."" CJ' /. ';)> -
Sit~ Inspection II ./I~""'" . -Exis ng s'ewage DisposEll 5y: or ~ew System. Required c=J
. l!l
. Publi"c
WATER SUPPLY:
Well Spring Other .Community 'Name of Community or Public System
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t"~
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Othe&- c=J Name
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Sewage ~
Connec t'i'!n
NO YES .~
- ------..---1:1- ' P? ~ ~
f? D~te:-6 -;} -7/0
Min. Septic Tank Capacity . Clto _ Dralnfield !quired....,. Lineal Feet' IS-o Ma?timum Depth $--~ _
---lW . ,cl,!~/)(~ .. /1) 'r~ - .~ 7 ...4-w ~ ./11' I"h.-J /y( Ab.~
~- #d./ a.v r ~ , ~-/t> '~.... (l/...Qz; 5C ~J . . . . .
V'
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CONSTRUCTION c=J
OWNER~1~d:i
Name
c::::J
CONTRACTOR
FEES:
Bldg.
4.-
., /'2--
Plumbing
3% Surcharge
Waste Disp.
Plan Review
Mobile Home
6'0. ----. .
TOTAL
34.('v
~
Type of Construction
MH
Bldg Setbacks - from Center of
Front . l.J. -~ Side Int.
w)J(:
DATE:
6 ~7.---7 L
C55-12
LANE
MOBILE HOME
APPLICATION FOR:
. ~. PLAN REVIEW d . CIW~GE OF OCCUPANCY c::::::::::J
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. Address . -City _' Phone
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. Water
Connection
'-:<
FAC):LITY PERMIT
.0 CASH
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PLANS FURNISHED
KQ-L
Signature of Applican
Fee Received By:
Group
/
Fire Zone
Use Classification
Road Right of Way:
~ Sid~
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/(7)
- -
Rear
Zone
4P~ I.~D:l7t, J/J~ g c!/~E7- fl j,
COUNTY-D~PARTMENT~ ENV;R~NMENTAL~NAGEMENT I . .