HomeMy WebLinkAboutPermit Building 1975-4-10 (2)
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LANE COUNT....BUILDING PERMIT OR
BUILDING 0 x.. MH 0
MAILING ADDRESS
2416 DUMAS DRIVE
MAtllNG ADDRESS
MOBILE HO~ USE PERMIT
. PERMIT NO.
7~9-'7S-
PROPE~Y OWNER
O. ~:. JONES
CONTRACTOR
SAME
PROPERTY LOCATION -INCLUDE POST OFFICE
SPRINGFIELD OnEGO~
729-75
PHONE
747-2879
PHONE
.'
DUMAS DR I VE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
3RG ADDITION NORTHWOOO ESTATES
LOT 22 BLOCK 4
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17
3
23.4, <I
111
19-04
EXISTING STRUCTURES ON PROPERTY
l-IC'!lClC'
LEGAL ACCESS TO PROPERTY
DUMAS DRIVE
PROPERTY SIZE - FT.
20-ED 150
APPl.
NAME
&
MAILING
ADDRESS SPR t NG' I [LO OREGON
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
D. H. JONES
2416 DUMAS DRIVE
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;; BDRM$
New System 0
VALUATION
285.20
COVER OVER PATIO
14 X 6
8ll@2.eo
SLAB AL~EAOY PRESENT
SEW AGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
I%SU:lCHARGE
.
OTHERO
"i.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEPTIC TANK 0
PUBLIC 0
o OTHER
TOTAL
$_
.O"i
"i.O"i
COUNTY
BUILDING & SANITATION SPECIFICATIONS
DRAIN FIElD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIl. EASEMENT
5N
J
BLDG. SETBACKS h FT. FROM CTR. OF ROAD RIGHT Of WAY
USE ClASSifiCATION
FRONT
tlA
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
/S/ J. E. Boss BY C. HARBAUGH
JOHN CRUICKSHANK/SANITARIAN
DATE
"'/10/75 DL~
BLDG. PERMIT - WH ITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 6B7-4065 ta schedule all required inspections. All construc-
tion shall comply with 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)
F'ORM :: C55-13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.
,LANE COUNTY ENVIRONMENT~AGEMENT
.
PLOT PLAN
~
Name and Address of Owner
Telephone:
The building being. cons tructed under this permi t will be used for
Date this property was purchased
Do you now, or did you ever own property adjacent to this tax lot? If so, please
lis t those tax lot numbers or draw those properties on the plot plan below.
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Indicate on your drawing the location of all homes (including mobile homes) now on
the property, as well as the location of the new buildin~.
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-----------------------------
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--r----------------
Name of Applicant (if different fram owner):
Address
Telephone
Applicant's Interest: Buyer c=J
M74-99
Seller 0 Agent 0
Map
Tax Lot
Permit II
.
. _. . ,i
~UIL1lI~G S~TE EVALUATION .
~ BUILDING PERMIT APPLICATION NO.
() SITE INSPECTION
PLANNING DIVISION
I.
2.
3.
4.
5.
Zoning Ordinance Compliance: Zone
Subdivision Ordinance Compliance
Required Access
Building Site (Area, Width, Frontage)
Other (see comments)
COMMENTS:
~/GtY
~2q-?<.
Not
Applicable
R-A. ()
( )
( )
( )
( )
T 17 _ ~ S 2Z~'t$AX LOT
SUBDIVIS~:
LOT: BLOCK:
APPLI CANT 0, F. ,\ r'\\"J)~
DATE
No Yes
T) (:1;:: 6.
( ) (]...
( ) h
( ) (...,...
( ) ( )
PLANNING DIVISION ACTION PENDING: YE5l } NDl } APPLICATION#
BUILDING INSPECTION DIVISION
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
Not
ApPl icable
(, )
( )
( )
( )
\
Not
Applicable
( )
( )
No m
T)
( ) ( )
( ) ( )
( ) ( )
No Yes
T)TI
( ) ( )
CK'D d1G;rri~-
Setbacks from c/l of ropd~
Front N /A
Side Exterior~'~
Setbacks from interior inas:
Side
Rear
CK'D
By(jU~-J.'~
11 DATE
CK'D BY:
DATE
TO APPLICANT:
{_ ~or Building / Site Inspection:
~YA ~~Can be approved.
\ \,(J( ~ 10 /( ) Cannot be approved at th i s time as i nd i cated 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.
( ) Will be held in this office until you can resolve the problems indicated.
( ) Is being returned.
( ) Your buildinQ I?ermit aEpl ication fee is..bein.'l.x~tu~n.!l.d under sep.AUltP. covp.r.
-DEPARTMENT OF ENV I RONMHHAL HllNAt;EMtNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
.
LANE COUNTWUILDING PERMIT OR MOBILE HO,.. USE PERMIT
BUILDING 0 . MH 0 . PERMIT NO.
MAILING ADDRESS
/'
"
PROPER"fi OWNER
PHONE
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
Twe
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
APPl.
EXISTING STRUCTURES ON PROPERTY
NAME
LEGAL ACCESS TO PROPERTY
&
MAILING
PROPERTY SIZE - FT.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. ;: BORMS
New System 0
VALUATION
.,
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
PLUMBING INSTALLED BY
SEPTIC TANK 0
OTHERD
.
FEES
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
$
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX; GAL.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN fiELD REQUIRED
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
',.
'.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
BLDG, SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
,
r ..
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 subsurface sewage disposal and county regulations covering
plumbing. All buildings require 0" certificate of occupancy before
being occupied.
(See Details on Reverse Side)
rORM = C5S.13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.
SITE I NSPECTI ON
ApPROVED Cl DISAPPROVED Cl DATE
REMARK 5
FOUNDATION INSPECTION
ApPROVED L-/ DI SAPPROVED L-/ DATE
REMARKS
FRAMING INSPECTION
ApPROVED Cl DISAPPROVED /7 DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED L-/ DI SAPPROVED c::J DATE
REMARKS
FINAL I NSPECT ~
ApPROVED W DISAPPROVED Cl
DATE t5'...) I / 76'
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
REMARK 5
( i-/ 7. &~f
O~
7~9~7.) r2t1 /6- i)~ /)~
.
.
,
'.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
I NSPECTOU
~
INSPECTOR
.
NOTE:
PERMI T iF
NO PERMIT WIreE ISSUED UNTIL THIS APPLICATIO.S BEEN APPROVED
APPLICATION FOR:
7:27.'1'5
~
CONSTRUCTION ~
MOBILE HOME [=:J
PLAN REVIEW [=:J
CHANGE OF OCCUPANCY CJ
~ OWNER
- ~ CONTRACTOR
.D 1-:/. 'JO;V~
Name
<. r a,c
"2Wb j?V;11~ Pf?.I(C= r('p().wo/~"z.o 't:>
Address City . Zip -
Phone
7l.{{-a79
1
,
I
t:: SG./; ~Y'.e '5 Section 2-")
LdiViS;}.;d aWfJ,-e' (11",,01) /j"'-;?7(: Loc
I
iACCESS TO PROPERTY (Road Name) /) J m I9'S
I ~
~xisting Structures on Property: ~tJ-f~
,
! Property Location - Address/Directions: ~/ /')"7 A<.
C'
Name
Address
City
Zip
Phone
Tax Lot
III
Block 'L/
,
Code
I 'j-IJ,-/
Census Tract ~ J - r
2..'2--
o ;r< ~~;:
-
Property Acreage
Widch______Depth
OR.--E
.'
,
Below fo r Of f Ie e Use On! vXXXXXXXXXXXXxXXXXXXXXXXXXXn'lO".xy.Y'(l1'XXXXXXXXXXXxxxxxxxxxxxxxxxxxxxxxxxxxxxx,.,"r~":"'OOCXx:xxxxxxxxxxx
rrn~\ O\r{>r-' CXA4-tO~~X-Z-Sq. Fe. gi../COJ _;)dr;r; V$:r~,)O
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nl rfb cy
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SEWAGE DISPOSAL:
Site Inspection #
Existing Sewage Disposal System
Public rz=J
Other Community ~
~ or New System Required [=:J
Name of Community or Public System 1(0 I'V\. .kr.i)
.
WATER SUPPLY:
Well Spring
J
Other [=:J Name
FEES:
Bldg.
Waste Disp,
Plumbing
Plan Review
Mobile Home
1% Surcharge
f),-
PLUMBING:
Installed by Owner
PLUMBING FEES:
-
Sewage "
Connection
/
PLANS FURNISHED
Water
Connection
FACILITY PERMIT
,DC;
Drainfield
~..Y~S [=:J
Sig~ture of Applican
F~ Received By:
/
Re~~ Lineal Feet
:~
CHECK
. ,
TOTAL
fS. D~
Min. Septic Tank Capacity
Maximum DeJh
Type of Construction
,<('" N
Group \~"..
Fire Zone
Use Classification
~backS - froms~::C:~.Of Road Righ,C Of""~~~::..,_._~_ _ .4
- ,) fR ,C 10 Soo'11--)/\
Rear I rur;;- Zone' M.,.
P~jRlING: i/'
r/;j?#~7~
-err"? '1
DATE:
~ fi~" /
SAN nON: '. "BUILDINl/02' DATE'.
u21f. 1lC'4't. ;.~~ 117,<(. .L ~('".1,C fP!/~"<,' tI~ f . J;J
co Y DEPARTMENT OF ENVIRONMENTAL'MANAGEMENt'
C55-12
LANE