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Home My WebLink AboutPermit Building 1974-5-22 (2) " ""'T;"'Iy--'.' ,<;., -\.....-. ~, LAN 'NTY.ILDING PERMIT OR MOBILE BUI~~\ MH D PROPERTY OWNER '. I(", '\' ,flJ MAILING ADDRESS HILL, ROJERT N. ewiti1ff~;~:,~l<. 870 WEST CE~lTEN~dAL, SPRINGF"lELD, OR. CONTRACTOR ,'.) 0...;:,..;.\..;:,..... -#>" i,' MAILING "'ADDRESS SAf~E c.," ~1tJ ~1tJ 1tJ'" . ~ 'J-, fl. PROPERTY LOCA T1Qtj}~'IrcLl(\1b"bskP;f1CE 3684 DUKE;,"YT.'l><I''':..,,1tJ c,<:) }l' PROPERTY J~A"Dil;li.RIPT~" f;w.n.ms, BOUNDS 3RD. ADn~~~Eb.~'niaIN ESTATES LOT 6 TWP ~ (;" ~~E SECTfbN 18 1tJ+ ~1tJ 02 06,4. Z-- ~ , 1 \ '---.. .. , , HOMasE PERMIT PERMIT NO. 'lL)s- 71 84 q- 7tl PHONE '746-9916 PHONE .' BLOCI( 3 W;~;V CODE CENSUS TRACT APPl. 17-186 EXISTING STRUCTURES ON PROPERTY NAME ABOVE NONE lEGAL ACCESS TO PROPERTY JASPER RD. PROPERTY SIZE - FT. WIDTH 70.97 DEPTH 121. 94 AREA & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ. FT. ;; BDRMS VALUATION DWELLINO 5-N 1557 @12 ~6 (j) 3 18,6811. 1,518. GAnAOE-ATTACHEO-UtJC. 20,202. SEW AGE DISPOSAL v PUBLIC 0 SEPTIC TANK IE] BUILDING It. WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER OTHERD 77.00 'iO.00 Ql.00 FEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER \" TOTAL s---.lJl:l.OO COUNTY BUilDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. 900 DRAIN FIELD REQUIRED lr.n lIN. FT ..I'" TRENCH WIDTH FT. . . ;,1;2', OR SQ. FT. 300 \ . j . ~ .~ , TYPE OF STRUCTURE 5-tJ BLDG. SETBACKS u FT. 'RONT 1;5 I OCCUPANCY I i1../ FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. 5 I SIDE EXT. -- AUTHORIZED SIGNATURE - DATE ZONE RA \ PUBLIC UTIl. EASEMENT " \ REAR 7' PUE USE ClASSIFICATION --' .. , \ . J , , /u!J.E.B06S, BY, C. HARBAUGH .... , J. SHOCK, SANITARIA~ DATE 5-22-74 JB BLDG. PERMIT - WH ITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687-4065 ta schedule all required inspectians. All construc' tion shall camply with Unifarm Building Cade, D.E.Q. standards for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details an Reverse Side) rORM :: C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 " .. t , )0 ~, ~ ~~..........' . s . . r .. - REFUND OF FEE THE LANE COUNTY DEPARTMENT or ENV IRONMENTAL MGT. I HAV ING REQUESTED RUUND or rEE TO:- ,4.2 .J:t / cr- dO :;Ili. or ~':'J 1. f. ... I'''' 1 ~ l'.~' 'I "i i NAME ADDRESS ApPLICATION rOR BUILDING PERMIT DENIED, AND NO APPEAL OF" SUCH DENIAL HAVING BEEN MAOE. ,. :, ~. ApPLICATION rOR BUILDING PERMIT CANCELED. Al'PL I CAT ION F"OR BU I LD I NG PERM IT, OV'ERPAYMENT. ZONING PETITION. APPLICATION rOR RESTAURANT LICENSE. ApPLICATION'rOR CERTIF"ICATE or SANITATION. APPLICATION F"OR PRELIMINARY SITE INS~ECTION. FOR T';'E rOLLO':' I NG REASON: ; ft. e. ~L ~ ,_..1 ":11 i1 ~: I ~ ...:":' . , '. " ,- ' . .. , I :T'- " I.; -c ~ f " ,;.;{: , \;1 ',;-: ) , AND THE APPLICANT DESIRING THAT THE F"EE BE REF"UNOECl, THE DIREeT~R ~F" FINANCE AND AUDITING IS REQUESTED TO RErUND THE AMOUNT OF" $ ;'. :r~ , (UNDER A~PLICATION NUMBER -: .' IN THE CASE OF" APPLICATION F"OR BUILDING PERMtT), WHICH IS THE rEE CHARGED. DATE .I .1/ ,. r:.J ;J .~ / -1 ..., _~- /",././--""~- 1 - - i-r:": /,.,:.., 'It ;Ii~ :n=~)'c'!: 1j' 55-029-12 . , BUI ~D ING:s.lTE~UALUAT ION . JS /c 1-/-- ~Eis~S 0 G TAX LOT I L /::(;,/15-3 3d Headtnu (jreeC1 C,,-!-: No. r-I'/l? .r-71 ANAMPPLEICANt':, j .j) Building Permit Appl ication D'7~) /'11 1/ ADDRESS ( ) ( ) ( ) Site Inspection Pre-Permit Investigation PHONE DATE f" -ir::--7V , .= Zoning Ordinance Compliance (Zone~ ) Subdivision Ordinance Compliance NOT ;1 icable () () ( ) ( ) ( ) ( ) NO YES NAME DATE LANE COUNTY PLANNING DEPARTMENT I. //J1fh 5-/&-74-- ( 3. 4. Required Access ( ) ( ) ( ) ( ) : t ( \ 2. Building Site (Area, Width, Frontage, Setback) Other (see comments) ( ) 5. COHJ1ENTS: ,-- ~ BU I LD ING INSPECTION SECTION NOT NO YES ;1 icable ~ 6. Plans Subm i tted ( ) ( ) 7. So i I Stab i Ii ty (foot i ngs) rf ( ) ( ) 8. Flood Plain ~ ( ) ( ) g. Other (see Convnents) ( ) ( ) COMMENTS: NAME DATE C${~'f...z..;'''J-1I , - ~ , SANITATION SECT! ON NOT NO YES d~\i~ . DATE apD I i cab 1 e ~/td7r- 10. Sewage Disposal ( ) ( ) (/) II. Usable Area ( ) ( ) ( ) 12. Water Supply ( ) ( ) ) 13. Other (see Comments) ( ) ( ) ) COMMENTS: l TO APP LI CANT: Your Building Permit j Site Inspection: () Can be approved. () Cannot be approved at this time as indicated on item NO. above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further infonmation on items 6 through 13 contact the Lane County BuildinQ and Sanitation Division. () Wil I be held in this office until you can resolve the problems indicated. () Is being returned. () Your building permit appl ication fee is being returned under separate cover. LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Phane (503) 687-4186 Oregon 97401 LANE COUNTY ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East, Eugene, Oregon Phone (503) 687-4065 97401 C55-28 ~ " . ,j , ,. j . ,/ ~ <-, ~ . -7 Q <3> q Y:;:> 0 ~ :f) - . . r . t- J OWN~R LANE COUNTY.ILDING PERMIT OR MOBILE BUilDING [J MH D MAILING ADDRESS ~. .... , ' ~ , ., ~ . ~ ,.", HO.sE PERMIT PERMIT NO, '" PROPERTY :., . ~ ,. . ~,f ~ " ? , / ./I.C' .~ ...~ PHONE . ~ ! "..>.', . I CONTRACTOR MAILING ADDRESS PHONE PROPERTY lOCATION - INCLUDE POST OFFICE ,,'- " ..,' " , .~ " ~ " ,~ , PROPERTY LEGAL qESCRIPTION - METES, BOUNDS ," 1< '. ::;:1 e::u::J CC~() ',~() ~: '~Y.' f'. TWP RANGE SECTION ,,/ ~" ) TAX LOT NO. CODE '. ~-' ...." 'C ~ \'''''". i' ... , '.' \:' ...,~ '" CENSUS T~A~T'" '-.,... { 'J. o I,,~I' .' LI r ...,. I ;;\ I~;;: 3 APPl. NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms EXISTING STRUCTURES ON PROPERTY ^, ~ ,,,,/... ~~., -." "~~..,.. lEGAL ACCESS TO PROPERTY .~,i~_)C! :~~. PROPERTY SIZE - FT. -'''> (' , WIDTH tL-" ../ :' DEPTH ~2~.tj AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing TYPE CONSTRUCTION ~ ,~j Sewage System D SQ. FT. :;:; SDRMS ", "'1 'W:"'.:1t \,.1 New System 0 VALUATION . ;~ ". j , "P " " .\.}..... ~.' .., .... ~->: ~ .~. ( ~ ,,/"") f \ ,) ,;;.-,.J\. \, u , " . . ( '~" ~ .1 a SEWAGE DISPOSAL . OTHERD ;' ( .G-.J ~ ,~o' .J . ,\I 0... .) FEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY . '-1. PUBLIC d: 0 OTHER PUBLIC n BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER " SEPTIC TANK tJ TOTAL . e;,;oCJ COUNTY BUilDING & SANITATION SPECIFICATIONS MIN, SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. :-:J v DRAIN FIELD REQUIRED Be) UN. FT .~ TRENCH WIDTH FT. 'l .. OR SQ. FT. v ~.'" .',~' / , TYPE OF STRUCTURE OCCUPANCY f I' " ZONE I" .., PUBLIC UTIl. EASEMENT BLDG. SET,BACKS FT. FROM CTR. OF ROAD RIGHT OF WAY ,;-0 FRONT SIDE INT. SIDE EXT, AUTHORIZED SIGNATURE - DATE (' r~r' '..' ,-. ~f ,. "" 1<> REAR '" C r;'[' 1,-"-..' USE CLASSIFICATION f ,. ., { . ..', oJ . ,. , ' " :; I, ,'10 ..)~ [:~~~~:1~ ,:.~.:~-.(~ 'i');' ,pATE. " BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 ta schedule all required inspections. All construe, tian shall camply with Unifarm Building Cade. 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) rORM z= C5S.lJ (POST THIS PERMIT ON MAIN BLDG. AT SITE) lANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 13S EAST 6th. EUGENE. OREGON 97401 /:~ . SITE INSPECTIDN ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVEO ~ DISAPPROVEO L-/ DATE REMARKS FRAMING INSPECTION ApPROVEO / / DISAPPROVEO Cl DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L-/ OISAPPROVED / / DATE REMARKS FINAL INSPECTION . INSPECTOR INSPECTOR INSPECTOR INSPECTOR ApPROVEO Cl DISAP~E~ DATE INSPECTOR REMARKS ;&~A?~~~~.4~~ r / H J/ _I-?,J/!':/ jrl I~ C/ - CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE REMARKS ~ ,;) _'__ ~.t~':~ (L/~~ IJ 7I~ 3(, '?ti f)~ 81/3-7t/. l INSPECTOR ,. .......,;, , \ \ , ~ . LANE COUNTY ,LDING PERMIT OR . MOBILE HOM.~PPLlCATlON PERMIT TYPE - BUilDING' MOBilE HOME nose REG. # PERMIT :#: rO"luR . 6 ~AllING ADDRESS ,b . ?J ci/J../L; ~.LL;(4 . .-77.4 ~ a- --i:;;;;,;J J "'__ <i>",,>. CO~RACT. ~ MAILING ADDRESS ,,...,;1)/. 't <i> -<' '~ ~'" ~. +",.- Od"'~" ,,_ PROPERTY lOCATlON7""'rCl~ POST OFFICE 0 _ /I ) v o? ~(,O'. J1:: ('~ ~~/ '?h' J?t/ ob'<<.K~- A:t- ,All . Jdtf/ tlu 0,>, ''>0 (;>(;> " "", /(;>Q' PROPS/"Y LEG~ DESCRIPTION -? ~ ',.., ~ I{~ ~ / ~ I ~r J c J ~(>'(, >ISO;" ":(,~T~S & BOUNDS 0 YES ~&rBlOCK~ SUBDIV, ~d'-...1..-~~.I-~ ~ ~~~ ~4t./ (;..,/.'" r:T:::, ~Q". 'O^ I)~ t.ATTACHED 0 NO TWP - RANGE SEC. AX LOT # CODE CENSUS)JRA<;]'.;'Q' ; I /g 2.' /7 -1~G ....... (;>. ;r ~~/A'f9,. APPLICANT Y / DESCRIBE EXISTlNG')jRUCTURES ON PROPERi;fJC'F~Y ....-~ NAME J?"{(t?<<' J 0:. I O~ f/1__~ -f';rn.Il...,- , ~ \'''-S(Y)<:JYw /~EG~ACCESS TO PROPERTY-ROAD NAME OR Y C'..s - AND (/ '7n, <] '7 V./...:2 /. 'i'</ PROP~RTY Slt~WIDTH DEPtH I AREA -? , I., . ~'13-7Y PHONE 7Y~~ 7 ~;t:: PHONE MAILING ADDRESS .y FOR MOBilE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUilT THIS PERMIT . . Connect to Existing Sewage TYPE CONSTRUCTION S-N System D ar New System Req, H" SQ. FT. .3 # BEDROOMS VALUATION /~,<;7'e /.)ICb l~bg'1.00' _ h.,LJVJUl( /7A.P A') 17 (?1'1A~R / - SOL. ' to ::l.Il..... 1"5'1 <l . Or.; ?"1t!)"> 00 ; SEWAGE DISPOSAL PLUMBING INSTAllED BY PUBLIC 0 BLDG. WASTE 015. PLUMBING PLAN REVIEW PARK TRlR. SEPTIC TANK 0 .. """7 7~O(') ~t1, Or') ::<: I ,..,,.., OTHER 0 WATER SUPPLY PUBLIC 0 PLUMBING FEES J FIXTURES CASH 0 SEWER CHECK ""'-CONNECTION FEE OTHER t1 (!, '3 .tOO -;},OO OWNER 0 OTHER 0 NAME PLANS FURNISHED FACILITY PERMIT YES V NO 0 YES 0 NO rn-- SKl'NATURE ~CNT . / r~.4 DATE ~ -K"" //.)uo::- FEr RECEIV~u BY .... ~A?? DATE FEES PUBLIC WATER CONNECTION FEE 2 .f2D.... COUNTY BUilDING & SANITATION SPECIFICATIONS PERMIT # -">-/5"-7Y TOTAL /5~.cOO MIN. SEPTIC TANK CAPACITY Q06 DRAIN FIELD REQUIRED UN. FT. ).<\6 TRENCH WIDTH FT. 2. OR SQUARE FEET ~ D 6 WITH DIST. BOX: GAL. , ..... TYPE OF STRUCTURE ..6" J/ Ob~ ~A. REAR YARD BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF ,fAY 7 "uE USE CLASSIFICATION ~~D4D SIDE INT. 5"" SID'I"'. -REAR oo~.c.\. - ;:~ --.J~" PI I ~/ Date BLDG. INSP. .A- 'fI7 ~ ~/_ . !..7U t u lfa-?'I ,'fI ^'~ r~6' - . '- . / ~ . ' Do ections to Find Property: V' PUBLIC UTll. EASEMENT Date Z. ... "'71./ COPY 1 - OFFICE COpy 2 - JOURNAL COPY 3 - AUDIT Form::: CSS-12