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HomeMy WebLinkAboutPermit Building 1975-2-11 t- .' , . ,,,,,~-""'~-""r~,,....,.....-.~,,,,":,""""~-'~',,,,,":,",""""''''':-or''-~''-''''',,-_~..J ~. ~_, '......_f~.~",._ ~_,,>a7.~:>;:"'l':-_.1" -, '"" ., LANE COUNABUILDING PERMIT OR MOBILE H. BUilDING ~X_ MH D MAILING ADDRESS '> L ~.,L..I ~~ ," , '1' ~PJ'inY OWNER IIARLEY HASKETT CONTRACTOR LA~~ COMSTRUC710~ Co PROPERTY LOCATION - INCLUDE POST OFFICE USE PERMIT PERMIT NO. 2311- i 5 PHONE 5'>2 GAf.1E r Am.1 ;(OAD MAILING ADDRESS 811 DORRIS STREET EUOEI:E, OREllON EUGi! NE, OlEGOrl PHONE r~r. f' / C')')"J\:3~ '1'i2 r.Af.lE r ARI.! HOAD PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ~AL~IGffi100D SU~DIVI910~ TWP RANGE LOT 2 SECTION BLOCI, 1 TAX LOT NO, CODE CENSUS TRACT 1"7 0, 22.1., 17.700 4-62 21-20:> NAME & MAILING ADDRESS EUGEIIE, CREGON FOR MOBilE HOME PERMITS ONLY No. of Bedrooms LANE CONSTRUCTION Co EXISTING STRUCTURES ON PROPERTY DwELLING LEGAL ACCESS TO PROPERTY GAME r AR~l ROA 0 PROPERTY SIZE - FT. APPL. 81~ DonRIS STREET WIDTH DEPTH AREA Aoo I TI Ot: rA~lILY ROO;j Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ, FT. :;; BDRMS 21 X 16 336 SQ.FT. D 16.10 New System D VALUATION C51:09.60 STRUCTURES TO BE BUILT THIS PERMIT '. SEWAGE DISPOSAL . OTHERD <hOO FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER lJoSU~C"ARGE SEPTIC TANK 0 PUBLIC D o OTHER TOTAL $~ .36 jti.j6 COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. lIN. FT TRENCH WIDTH FT. OR SQ. FT. t\O PAnT OF" ~~:::\'J COt'!:1TRUCT ION TO DE OVER ANY PART OF' E~ I:)T I NO SE\dACH~ 0 I SPO!;AL SY::iYEi4: TYPE OF STRUCTURE 511 OCCUPANCY J ZONE RA PUBLIC UTIL. EASEMENT BLDG. SETBACKS FRONT tJA _ FT. fROM CTR. OF ROAD RIGHT OF WAY 5' SIDE INT. SlOE EXT. AUTHORIZED SIGNATURE - DATE Eo 6055 BY C. ,jARDAUGH REAR USE CLASSIFICATION 12'PUE / /S/ J. J. CRU I CI(SHAtlK/SAN I TAR I AN 2/11/75 DATE ou., BLDG. PERMIT-WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687-4065 to schedule all required inspections. All construc- lion shall comply with Uniform Building Code, 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 on Reverse Side) '. ~ 'ORM = Cl5 - fl (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 BUILDING SITE EVALUATION .... (t.41~ I NG PERM IT APPL I CAT 11r NO. .... - , () SITE INSPECTION :J~/( It ~4-~ PLANNING DIVISION Not - dJl,l?l icable I. Zoning Ordinance Compl iance: Zone~( ) 2. Subdivision Ordinance Compl iance ( ) . 3. Required Access ( ) 4. Building Site (Area, Width, Frontage) ( ) 5. Other (see comments) ( ) COMMENTS: T .R SUBDIV N: LOT: BLOCK: . Hac,~.p-tl-1.aI1e( &/(rt ;;L -/ n-7~;..... CK'D ~kA 2hD/?~ 6. Setbacks from c/1'of r6a9: Front ~~ Si-:le E..~..-: ._- Setbacks from Interior LUles: Side 0 Rear /ieJ R.JS" S TAX LOT APPLI CANT DATE No Ye T) ( ) ( () ) () ) ( ) ( l PLANNING DIVISION ACTION PENDING: YE5l ) NOl ) APPLICATIONH BUILDING INSPECTION DIVISION Not Applicable ( ) ~ (^) 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Applicable !XJ ( ) II. Meets Department of Environmental Quality Standards. 12. Other (see comments) COHHENTS: No Yes T)m ( ) ( ) ( ) ( ) ( ) ( ) CK'D BYt211~~ ./~~}5' - I DATE No Yes T) TI ( ) ( ) CK'D ~~JjJ:l!lj{j- OAT . TO APPLICANT: S 1(.ou~ Building I Site Inspection: ~ -k>f Can be approved. l\r' () Cannot be approved at this time as indicated on item NO. above. () /1 ~~ Questions and further information on items I through 6 contact the LANE- qL 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 building permit applicationfee is .bein!l ~~t;ur:.n~d under seoarate cover. ~EPARTMENT OF tNVIRONMtNlAL MANAu~M~NI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 . LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-2B LANE COUN.UILDING PERMIT OR MOBILE Hce USE PERMIT BUilDING [] MH D PERMIT NO. MAILING ADDRESS r. ,- MA1LlN9 ADDRESS " . . '" . PROPc-RTY OWNER . CONTRACTOR ',. . :" PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE SECTION , ., ".J APPl. '.. I .. :: ~~ tL._ NAME & MAILING ADDRESS \.:~'~.:'~-'~.t T. FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT 'r" V . ~. -1 SEWAGE DISPOSAL PUBLIC rJ BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 OTHERD . TOTAL L COUNTY BUilDING &. SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH CISl. BOX: GAl. _...\l~ ~\..'" ~'-~ ~ " TYPE OF, STRUCTURE BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. AUTHORiZeD SIGNA"!.U~E -:- DATE ., BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD " t; , ~ ./'" -. .' . j) , . . , .. .' v "~'}:,~_C. ~\~~~ .,.~, / ,,',,: ..{" .,: .. TAX LOT NO. CODE CENSUS TRACT -.. 1 ( t... .. , ~ ? ~ , :I':::a:.,.~ (.0,:; EXISTING STRUCTURES ON PROPERTY '~:~~(J, C';':' , , LEGAL ACCESS TO PROPERTY ":., ~I '.) ',' ~ . :... \. ,,-,ft,~YlJI'\~'1~J;~~~'~ ''''.... , .,-;~"~',".\""."'" WIQTH'_~' :' 'DEPTH\\. AREA ',,, " Connect to Existing TYPE CONSTRUCTION ':'j'~ ' LO='.:.. " 'Co Sewage System D SQ. FT. +t: BDRMS ~ " FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC tJ o OTHER , , . l 'OJ ,_-to " ~. --.".. ., LlN. FT TRENCH WIDTH FT. OR SQ. FT. ,. (\' .." ') ~i.. ~.:':: ~ -., =l/' .;.,. .- \\_;;:,_-C-:- .. -'.:;:.... 'I. - . f -Xl. ,'\ (~ ,~,"}o -- .,!" ~c~ ~~ !~'~' .'.~'- ~~~~: .~ 'fj,,, . ..- - '''-......."........ - -~!~,,,- :---- ......~ ~ ---..~-< """. ) '''-I,',r " ..........., ',' , " ~, OCCUPANCY 'i-'''''( " \ '.~ PUEiUCUTlL: 'EASEMENT , '. lONE'-.._. _---'~_..:"'-., \ USE CLASSIFICATION REAR ,. . ,-/- ,. . ~.... . , ,:'. i.' I' .. '" ..,) " J ,,::::' " / PHONE 1 PHONE New System D VALUATION / , DATE Call 6B7-4065 to schedule all required inspections. All construc- tion shall comply with Uniform Building Code, D.E.Q. standards IMPOR1:.ANT: for subsudqce j sew~ge disposal and county regulations covering""';" plumbing. '~II' ouildings require a certificate of occupancy before being occupi~d. 1See Details an Reverse Side) . ~ . '. ' , (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97.401 rORM::: C55-13 . . S! TE I NSPECTI ON ApPROVED ~~ DATE /1 REM.'RK' 4- ~ a-l./-'16'tL INSPECTOR FOUNDATION INS~ION . ~ ApPROVEO / #' / DISAPPROVED 1---/ DATE Lj'J.~ 76 INSPECT~ REMARKSA~~~)''''''d''/?4at/7'';;.1.r -7- / /;1c.r &> /~AY /l/W//;/;;: .3 -F3 --/6'~ ~/ FRAMING INSPECTION ApPROVED JZZf" DISAPPROVED . /)/) Lj':2 J rGINSPECTO~ , Cl DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO 1---/ 01 SAPPROVEO 1--/ DATE INSPECTOR REMARKS -~ '"''''''.~ J\(2. ~ , f/ CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARKS ~ ~ // L/ (;}fciff~/ ;it uD #/ ~3t/-1.~~16~/ c.Fo~~ $~ f/~ . . -\ ' , ~.. NOTE: NO PERMIT W. BE . PERMIT If 2YI7d ISSUED UNTIL THIS APPLICAT HAS BEEN APPROVED --T APPLICATIDN FOR: . .", CONSTRUCTION c=:::r MOBILE HOME c:::J PLAN REVIEW c:::J CILANGE OF OCCUPANCY c====J Name .s-.s- c:l G 1/ mE FA-R/f'I t?/J, Address City E.u6E/f/&, O..eE~ Zip Phone OWNER ftM a:y 1-Msd.7T CONTRACTOR L;we CtJlILrr;etlC!1l(u/ (!() <f6 .,(.b,e/~./S.sr: Name Address 6<<.c;E4<.IL. City 97"10 I Zip b88"t:8.3C, Phone O.S. REG. 0 ~ T\ 'D111..5 'l'wp. /"7 Range 113 Section .:22. J.'~ax Lot-.i:Z. 7{)O Code 1/-({;2- Subdiviaion f<a ~ ~ Lot ..2. BlOCk' I Ptoperty Acteage ACCESS TO PROPERTY (ROad Name) Glfme.. Flft<!m P./J. Existing Structures on Ptoperty: / /ttJtI1& - i?&:s'/tJEPec Property Location - Address/Directions: ~~-:2 (;;Am.E FA-12m I2...D, Census Tract r2 1-:2 C)O Width~DepthI2.C) Below for Office Use OnlvXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX ~ J , ' I \ r \ n Sq. Ft. /lBedrooms Valuation --t:fCJ.r\..d4 l'f'V\ .- 'T7:tltv\: \I K "'^ .:;?} y /" 2...<.. t. (i).... 4/ n '9-1 [>9. (,., 0 I SEWAGE DISPOSAL: Site Inspection # Existing Sewage Disposal System ~ Public ~ Community c====J Name of Community or~iC or New System Required c:::J WATER SUPPLY: Well Spring Other System .,' FEES, Bldg. Waste Dlsp. Plumbing Plan Review Mob tle Home 1% Surcharge <L PLUMBING: Installe~Y Owner PLUMBIN4 ~ /1. II of f c====J Other c====J Name Fixtures Sewage Connection Water Connection PLANS FURNISHED FACILITY PERMIT " 'Z C, CJ CASH ~ ~ CHECK rxL YES c====J~" c====J y S ~ . Signature of Applicant: .~ Fee Received By' RP . c Date '-01- 10- J5 TOTAL .~".~" ~~r~~~ f .s I.~"k..... Drainfield Required - Lineal Feet rrJ<..strrA//t.. to' br>. ~l&"" eLH}I (V'# ,- .. Maximum Depth ~ i"'.k"Jf:6.i." !ioftJC!""" , . - Type of Construction I'; IV / \/ J Fire Zone Use Classification Group Bldg Setbac:s~- from Center of Road ~ght of Way: Ftont ,uM- Side Int...., S',:. :.....,".., . Rear i.2.\~)~ne RA ~ING: . Cc ~ ~~~ - '-, 1//':--' C55-12 DATE: uP!:/t@:~~.?;Jhr d1J:;~ vP/ J~/'o'1L- CO' DEPARlMENT OF ENVIRONME~AGEMENT o/t- LANE