HomeMy WebLinkAboutPermit Building 1975-2-11
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LANE COUNABUILDING PERMIT OR MOBILE H.
BUilDING ~X_ MH D
MAILING ADDRESS
'>
L
~.,L..I
~~
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'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;
, ~
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-. .'
. 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