HomeMy WebLinkAboutPermit Building 1974-11-26
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LANE eNTY
BUILDING 0
BUILDING PERMIT OR MOBI&OME
MH 0
MAILING ADDReSS
1583 DELROSE
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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
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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
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LANE &TY
BUILDING D
BUILDING
MH D
MAILING ~DDRESS
PERMIT OR MOBI.OME
USE PERMIT
PERMIT NO.
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PROPERTY OWNER
t'~::;::\JYI ";~E'
CONTRACTOR
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1~'-i3 G::(.::~:n:
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Dr;-) ~~::.:/ H:tO
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PtiONE I'
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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'"
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:sv ~OJtV.~C:J :,':,:(~ :'G:::~ VA:-;:l
RANGE
TAX LOT NO.
CODE
F~f"\
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"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".
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-~~,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
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.
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~";.~: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
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,iUi/-7f a:z;::; /.rU-:; iD~.-
INSPECTOR
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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
~, ..
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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!"'"