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HomeMy WebLinkAboutPermit Building 1974-11-26 ~ --..:~ I .- ~ .J,.' LANE eNTY BUILDING 0 BUILDING PERMIT OR MOBI&OME MH 0 MAILING ADDReSS 1583 DELROSE ~. :' . USE PERMIT PERMIT NO. <:354-14 PROPERTY OWN'rR i'\~mt::uYJ JOE CONTRACTOR SPR I :IGr I CLO OREGOrJ PHO~E '. /r I [Il,-e".;o MAILING ADDReSS PHONE SM.lt PROPERTY LOCATION -INCLUDE POST OFFICE 113~ DELROSE SPRING,IELO OREGO~ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS LOT ~ BLOCII 3 ~~7iN.jJJ TWP RANGE SECTION 17 3 24.3)1 11583 OELflOSE 1ST ACOITIOtJ DCLROSE PARI\ TAX LOT NO. CODE CENSUS TRACT -# /0 '1 1~-llt\ -01) EXISTING STRUCTUReS ON PROPERTY OUPLElt LEGAL ACCESS TO PROPERTY 6 ,~O;JTli 1 TH APPL. NAME & MAILING ADDRESS SPR I r:ar I ELO, O:l:i:aO,l roR MOBILE HOME PERMITS ONLY No. of Bedrooms JOE ANKE,lY PROPERTY SIZE - FT. WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 . TYPE CONSTRUCTION SQ. FT. +I: BDRMS 240 C 2.W New System 0 VAL.UATION $672.00 CARPCRT SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING ,~A SEPTIC TANK 0 . OTHERO 7.00 FEES OWNER 0 OTHER, NAME WATER SUPPLY PUBLIC 0 o OTHER PLAN REVIEW PARK TRAILER II-!$lJRCIIARGE TOTAL . .07 7.07 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. lIN. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZO~f:;T PUBLIC UTll. EASEMENT ~ J BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT ')0' SIDE INT. 10' SIDE EXl. 50' REAR AUTHORIZED SIGNATURE - DATE Is/ J. Eo Boss BY C HARBAua~1 USE CLASSIFICATION 5' JOH~ SHOOK/SANITARIAN 11/26/74DA1Jw 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 wilh Uniform Building Code, 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) FORM :t C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97.01 -------.., lc, WPc- 1/-11- 7t1 r /1 IV BUILD-tNG ShE EVALUATlON.~I_22'IJ j,> jl/ref) TA-? R o;:? S 2.ef!'.tx LOT , , SiW'VISION: (\.oY"BUILDJNG PfRMIT APPLICATION NO._;::?Z.~-"74- :" LOT: BLOCK: () S hE I NSPECTI ON APPLI CANT lint.? h\/ DATE f /---'/0 PLANNING DIVISION Not Aep 1 icab I e 1. Zoning Ordinance Compliance: Zone__~-r () 2. Subdivision Ordinance Compl iance ( ) 3. Required Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: (~,... .:i>L...-r- 1" L-A.-.\ ""', \ I"lM l"l"l"~ ) No Yes T)~6. ( ) (...r ( ) (....y- ( ) ( ) ( ) ( ) PLANNING DIVISION ACTION PENOING: YES\ ) NOl J APPLICATIONN BUILOING INSPECTION DIVISION Not Applicable ~~ (t) (Il 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see convnents) COMMENTS: WATER POLUTION CONTROL Not Applical>le (0 ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No !sl T) (~ ( ) ( ) ( ) ( ) ( ) ( ) No Yes r)T> ( ) ( ) /oq CK'D BY~,.:;r )'ll~h.d. Setbacks from c I of-road: Front "'>0 ' --' ., Side Exterior ~' Setbacks from Interior lines: Side In / Rear ~, ,", CK'D By&JI~LII-.l6~-?tt . . -- . r DATE CK'D BY: \~ h/40hl' ( )J DATE TO APPLI CANT: i ~o~ Building ( Site Inspection: ( 1 ~ 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 OIVISION. Questions and further information on items 7 . through 12 contact the LANE COUNTY 8UILDING ANO SANITATION DIVISION. ( ) Will be held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit appl ication fee is being ,~~t!,,:n,!l.d_under seoarate cover. uEPARTMENT OF tNVIRONMENTAL MANA~EMtNI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING OIVISION PHONE: 687-4186 C55-28 -~ . " o " LANE &TY BUILDING D BUILDING MH D MAILING ~DDRESS PERMIT OR MOBI.OME USE PERMIT PERMIT NO. ~ ~. " PROPERTY OWNER t'~::;::\JYI ";~E' CONTRACTOR ,. ,-I, " :;~ ~)I.,jt~ :{ 1~'-i3 G::(.::~:n: .' . Dr;-) ~~::.:/ H:tO ("'''''11'' ~. . \:. 'A....... PtiONE I' . 1<-" MAILING ADDRESS PHONE [I .~" PROPERTY LOCATION -INCLUDE POST OFFICE I~ ' ~'-:.~ ::-, ~.P~D:~,--J!~ I.~) C~\_G:,~J PROPERTY LEGAL DESCRIPTION - METES, BOUNDS -~', , '9,~~ I SECTION ;1;. :.~ [, . :, TWP f! APPl. NAME & MAILING ADDRESS r-, {'l'" ,---,/~ .... :sv ~OJtV.~C:J :,':,:(~ :'G:::~ VA:-;:l RANGE TAX LOT NO. CODE F~f"\ .r '-'..... "I -:';-J CENSUS TRACT :1 J-.:.: " ;f:t~ .\..." '-';.1 --.J '-'''',...} '.-. ,)...(.., C,\-~-\ EXISTING STRUCTURES ON PROPERTY r;UPt.r;~ LEGAL ACCESS TO PROP~RTY(' __~, \ '.'.CK2~\' IIC..~ PROPERTY SIZE - FT. ~:/.~e..,','~c.~'~1 1",'.... "";'" WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT :!\U::;-::-: Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ., FT. # BDRMS :.~;~ (:.i.J New System D . V/'l:'~.AITIO~ .. I". " ~)\ -~~,s. -\ . - , ~ SEWAGE DISPOSAL PUBLIC 0 r~:) SEPTIC TANK 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER :. .)L~" 'nr~": . OTHERD :...".i FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY ....'::...\" \\. .' .PUlnlC~D_ o OTHEIl - - 0,,"' -.~~ ~-'- .,', TOTAL . , .,,{ COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED lIN. FT TRENCH WIDTH FT. OR SQ. FT. MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. ~ -~'\- s.-\ ~ TYPE OF STRUCTURE OCCUPANCY ZO!".E.U PUBLIC UTIl. EASEMENT .'. v BLDG. SETBACKS. FT. /,1/ FROM CTR. OF ROAD RIGHT OF WAY "f ,~ SIDE INT. :.. J SIDE EXT. ,;~lJTH~~IZt? ~!~~~T~~E..., DATE r -" or' ~. ~ USE CLASSIFICATION '" . FRONT ..;/ REAR ., . '".- ~";.~:j '..:~:~.:~..;!;~;tt/-"':. ,10[': j I, ~ ....'/>' .' DATE' 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 subsurfa,ce sewage disposal and county regulations covering" plumbing. All \buildings require a certificate of occupancy before being occupied. _ ... \. . . ~., ~'\ (S~e'Detail~'.o'n,-,Reverse'~' Side)\' , '. FORM = CSS'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 ApPROVED ~ DISAPPROVED ~ DATE REMARKS FOUNOATlON INSPE~ON ApPROVED ~ DISAPPROVED I . INSPECTOR / ./ DATE / - 2-'" 76 INSPECTOR REMARK S FRAMING INSPECTION ApPROVEO ~APPROVEO ~ DATE./- ).,16'/ REMARKS LATH OR S~~SPECTION ApPROVED. - I'S'~ ~ REMARKS FINAL INSPECTIO~ ApPROVED ~ DISAPPROVED ~ DATE /-.2 -76- REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE ~ DATE REMARKS (/ ...... INSPECTOR~ INSPECTOR ,,,,,,,,,Q - 7" /v. ~ .;./1' ,iUi/-7f a:z;::; /.rU-:; iD~.- INSPECTOR i . . ., .; \ O NCYl'E : PLEASE PRINl' PROPERlY LOCATION . lANE ~ ~~~ Q36t/4 DEPARlMENI' OF ENVIRON1ENTAL MANAGEMENl' Mobile Home APPLICATION FOR BUllDm:; PERMIT OR MOBIIE HCME USE No pennit will be issued until this application has been approved, /Sg3 De.LR()5e.. 5;oRIN~~iji ()I?~. 1WPS(t;il'I~E.5 SEe, J.t" ~.<fp.xwriF CODE iq.Ct./ CENSUSTRACl'_ ( wr NO,.3 BLOCK:-~ SUBDivIsION fril.5 I Add lJ e L- R oS f.. FIf N K ACCESS TO PROPERlY /1/ (; ii !!\ 16 1~ ~PER1JJ~IZE DEPlH 1.1 7.?bOR ACREPGE DESCRIBE EXISTm:; STRIJCIURES ON 1HE PRul'lliUY U U P L(,.x AP~ Ix O~C..eA'~ ~~ I!/g~ j)~LJ;"b~ ~ .PHCNE rlL/1-ffbr;jC WlU1\ACIO---V O---!'1AILIN::;..," r,. / ~=FOR OFFI~S ~~NL~,:.:.,.......,.,...:,......~~~~AAAAAAA~.1:.'::,....~.,..,...........,....:~~:.:.:.:..~.~.~.:AAAA:;,- :5tr...l.1ftures to b~ ])pilt/Mobile Home sq, ft. C'\ -{!~drCXYJJS valuation eO _ ~ \0'V~~ =-,1\0 If! ! ,Be ~ /' 't'n\.1 ':' _ - ~ -.~ - ' / -\ / Sewage IJisposal: Site Inspection if \\ Q, Water S1::92Ply: ' \ Public U District Naire Existing sewage disposal syst611 0 or new ;..;[c611 required 0 ~ ~ Well 0 SprUJiO Other ~ Fees ~ \\. Plunbing Installed by <Mner Other Naire: \ \ Q Plumbing Fees S r connection Water honhection - if of fixtures fspection fee inspection fee o Cash P~' / ftnnished Facility Pennit o Check Y 0 No Of Yes 0 NoD *Signature of; plicant -;'cC ~) HJr ; t:.j ~teJl"/Sl.J~ \ Fee receiv~d' by At' '" date IHGf {Iff / Dr~infield requ;i!i:"ed 1lFOO! ~- ~~ _.f y-\.. / type at Structure 6 1// Occupancy N Fire Zone Bldg. Waste Dis. Plumbing Plan Review Trailer 1% surcharge ~..oo .. . C'\ 1"\ IQ.. 'J. b'1 ~, .. .~~ TOTAL Min. Septic tank capacity wi th dis t, box: Gallons or Sq. Ft. Use Classification Illgd. setbacks-ft, from center of road right of way Front -!"'D Side Int. 10 Side Exterior Plarming <it'd'l lie, M .., I' r C55-12 6-t) Rear ~ I ) dati Jllding /J date ///)D 1~r' ~~//-25"-~~ Zone ~r da'Jl!"'"