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Home My WebLink AboutPermit Building 1976-1-21 'I '- ,"'" ~ ' \ " '" LANE COUNTY PERMIT FOR:. CHANGE OF OCCUPANCY [ ] PERMIT NO, MH 7-76' CONSTRUCTION [ r DOwner nnl'il J rt H. rt,.i ,. ~ NAME MOBILE HOME [X] ~1~..J PLAN REVIEW [ ] ~83 ~~mo ~~~ DA ADDRESS CITY J:'llnOno. n""a""n ---..,.--.- ZIP-CODE 7J1C OO')!:: ,- PHONE o Contractor SilJ111! NAME ADDRESS CITY ZIP CODE PHONE O,S, Reg" # 17_ Range NA Twp m Section ?? 4 1 Tax Lot 4Rnl Codp 1 Qn1 Census Tracv 1 _ ~nn Subd ivision NA Lot Block Acreagp Width Access to Property (Road Namel: r.:~m" J;;lt"m DrI. Depth Existing Structures on Property: n..",11inn on.! Mnhno J.lnmo Directions to Property - Address: ~Sl~ A.mo 1'.""" D,I. STRUCTURE 1# BEDROOMS) Renewal of Mobile Home 484-74 Temoorarv Must renew each Year: SQ, FT, VALUATION SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK [ BUILDING PLUMBING 3% SURCHARGF MOBILE HOMF WASTE DISPOSAL PLAN REVIEW OTHER [ I PLUMBING INSTALLED BY: OWNER r 1 OTHER I 1 NAMF 1::. :}:J WATER SUPPL Y: PROPOSED [ ] EXISTING [J [ ) PUBLIC [ ) COMMUNITY, NAME: [ ] PRIVATE WELL [ ] OTHER - SPECIFY: TOTAL 1n nn CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS, MIN,DRAINFIELD L1N. FT, MAX, TRENCH DEPTH INCHES I-I;t.,.,iehil" r~r'm"1- rn~y h~ "''''''+.''H'~1 ~~ ~~~..fJJ: :~:;::::::1 ::,::~:::: ~h"1I1~ ":o,,~ :'1+ !I\""" ....;.... '" a oermi=t to reoa1r must b~ annli~rI for imm;trli;lh~'v i'hronllnh +h;~ ".+.f...". --- -...... -... STIiY 100' FROM ALL WELLS- TYPE OF CONSTRUCTION GROUP FIRE ZONF USE CLASSIF, SETBACKS, FT, FROM CTR, OF rlW: FRONT MA SIDE EXT, 1'1 FT, FROM PROP, LINE: SIDE INT, REAR "' ~ ZONF RA AUTHORIZED SIGNATURES: /s/ J. E. Boss G. W. Grav/sanitarian ISSUANCE DATE: 1 1?1 17F. ,11m I , BLDG. PERMIT - WHITE OFfiCE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.a. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) ~~ <:.. (POST THIS PERMIT ON MAIN BLDG. AT SITE) C5~.13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 -~ ~, , . . lane county January 5, 1976 ,Donald Hartwi ck '383 Game Farm Rd, EUgene, Or, 97401 RE: RENEWAL O~ TEMPORARY MOBILE HOME USE PERMiT No. MH 484~74 A TEMPORARY MOBILE HOME USE PERMIT IS VALID ~DR ONE YEAR ONLY, AND MUST BE RENEWED ANNUALLY. THE ~BOVE LISTED TEMPORARY MoBILE HOME USE PERMIT WAS I ~SUED ON January 3, 975 , AND ..di d: EXP I RE ON Jan. 3, 1976 , Ir YOU WISH TO RENEW THIS PERMIT, PLEASE SIGN THIS rORM AND RETURN TO LANE COUNTY DEPARTMENT O~ ENVIRONMENTAL MANAGEMENT WITH THE RENEWAL rEE of $10.00., AN AODITIONAL LETTER O~ EXPLANATION O~ THE NEED rOR A TEMPORARY PERMIT MUST ACCOMPANY TH I S RENEWAL I ~ ANY CIRCUMSTANCES REGARD I NG THE TEMPOR'ARY PERM I T HAVE CHANGED DURING THE PAST YEAR, ~ * * * * * ,* * * * * * * PLEASE RENEW TEMPORARY MOBILE HOME USE PERMIT No. MH ~8'4-'1'" t2( QO: , . M74-97 , No CHANGE IN CIRCUMSTANCES DURING THE PAST YEAR. THE CHANGES INDICATED IN, THE ATTACHED,LETTER REGARDING THE TEMPORARY PERMIT HAVE TAKEN PLACE DURING THE PAST YEAR. SIGNED: , 1/7Y f1H / , . ., . . . . CONSTRUCTION 'PERMITS & INSPECTION DIV / ENVIRONMENTAL'MANAGEMENT DEPT /135'EAST 6TH /.EUGENE, ,OR ,97401/(503)687,4065 .. ". . .: , .. .. . , . " . r '&/ji) /Joss \3' T fA R 0-:0; S 22-1:. /TAX LOT 4ao1 SUBDI~N: ,.At/,-Ifc; LOT: BLOCK: BUJLDIN~ SITE EVALUATION ~ ~UILDING PERMIT APPLICATION NO. () SITE INSPECTION PLANNING DIVISION Not Appl i cabl e I. Zoning Ordinance Compl iance: ZoneNOIJf:- ( ) 2, Subdivision Ordinance Compliance ( ) 3. Required Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: APPLI CANT DATE No Yes T).r:r 6. ( ).u ( ) ..w ( ) .(....}o ( ) ( ) C K ' D!'fff:::;/ -h::,-I-I t./-7 " Setbacks~J"c/l of roa~~ Front IV/A _~:"e ':. \~_".Jr Setbacks from interior ~s: Side .:::s' Rea r .!'!!r PLANNING DIVISION ACTION PENDING: YE5{ } NO{ } APPLICATIONH BUILDING INSPECTION DIVISION Not Appl icable ( ) ( ) ( ) ( ) 7. PI~ns Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Applicable ( ) ( ) II. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes T) TI ( ) ( ) ( ) ( ) ( ) ( ) CK'D BYO !PA-- // DATE (/ /- ~-7(p No Yes T) T?I ( ) ( ) CK'D BY.:...4U. ~.;- I-I'.?/". {/ DATE TO APPLI CANT: ffur Building I Site Inspection: ,to Can be approved. ~ ( Cannot be approved at this time as indicated on item NO. above. \~~~~ Questions and further information on items I 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 building permit ap'plication fee is beinq.~~tu~n~d under seoara~"pr ~EPARTMENT OF ENVIRONMENTAL MANA~EMENI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ,. ,- c- . , /.,0_ .;;.. . " ',..---- "T '~'" R ~ '-", - ~,-~~ I J _ , (:)..,~ t- SUBD I ..ON: cdAJ~/.';h) ,'/ LOT: ~~ILD~~t SITE EVALUATION \~ /('), BUILDING PERMIT APPLICATION NO. () SITE INSPECTION ~, PLANNING DIVISION Not Ap'pl icable 1. Zoning Ordinance Compliance: ZoneM~~ ( ) 2. Subdivision Ordinance Compliance ( ) 3. Requ i red Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) , COMMENTS: S 22-1-. fTAX LOT 1'.,;; I BLOCK: APPLICANT DATE No Yes T)]:) 6. ( ) -<...) ( ) .t.,), ( ) ,(..)' ( ) ( ) / f,c, ~-= CK I Dc'BY:' ' {.-(! /-.4- - I'~ I' {,..! ~"'-A. Setbacks from cfl of roa~~ Front N/i\ ,~S.i.de~Exter ior Setbacks from interior lines: Side oS' Rear ......[ ~ ".I BUILDING INSPECTION DIVISION PLANNING DIVISION ACTION PENDING: YE5l ) NOl ) APPLICATION# , 7.' Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) Not Applicable ( ) ( ) ( ) ( ) COMMENTS: WATER POLUTION CONTROL , Not A~plicable ( ) ( ) , 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes T)TI ( ) ( ) ( ) ( ) ( ) ( ) CK'D ('"') 0;:,' - BY :~_, -'''';'''--- /; . DATE t/ I - '2<9 -/G.? No Yes T) TYJ ( ) ( ) CK'D BY:hW. /-Jk, /-/(,-7/_ (f DATE TO APPLICANT: Xour Building / Site Inspection: I -(><)' Can be approved. " '7\tJ ( ) 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 DIVISION. Questions and further information on items 7 ..... through 12 contact the LANE COUNTY BU I LD I NG AND SAN I TAT I ON D I V I S I ON. ( ) Will be held in this office until you can resolve the problems indicated, ( ) Is being returned. ( ) Your buildinq ~ermit application fee is bein9 returned under se~ar~te co.yfif, DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY,PLANNING DIVISION PHONE: 687-4186 C55-28 . - . . NOTE: NO PERMIT we BE ISSUED UNTIL THIS APPLICAT. HAS PERMIT iftt!1ll- /")?' BEEN APPROVED CONSTRUCTION CJ APPLICATION FOR: MOBILE HOME CJ PLAN REVIEW CJ CHAJ~GE OF OCCUPANCY CJ t;iQ..OWNERJ)OAJ4Ld #rJ-eTtJlck - 3~3~ ~~,q s:::-.., '1'7~,,/ 7V?-~?.:>s- Name Address City V Zip Phone r====J CONTRACTOR Name O.S. REG, U lWp. t 7 --- Address ,I City Zip Phone Range ",3Section :2...;;2.. '1.1 Tax Lot 2fFo I Code / '7 -0.3 Consus Tract :;; /-.3 () {) Subdivision ---- Lot Block _Property Acreage ACCESS TO PROPERTY (Road Name)~ ~ . Existing Structures on Property: .{1.~ ._~ ~ Property Location - Address/Directions: 3 Y. ~ ~ _.- p.., F~ Q.C) .' I / / Below for Office Use Onlvxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ~ 61 Mil _ '-IS? if _ } cj Sq. Ft. / IIBedrooms Valuation- -r t:.::LrlAJ----~~ :::t:::::J / '.l I m C8d SEWAGE DISPOSAL: Site Inspection # WATER SUPPLY: Well Spring - FEES: Bldg. Plumbing 3 % Surcharge Waste Disp. Plan Review Mobile Home /tJ. DO IOTAL /6 . 0 lJ Width_Depth .. Other Water Connection or New System Required CJ Existing Sewage Disposal Public Name of Community or Public System ~ Community PLUMBING: Installed by Owner Other CJ Name PLUMBING FEES: u Sewage Connection '-/ PLANS FURNISHED FACILITY PERMIT o CASH ~CK CJ YES L2::9-NO CJ YES ~ NO Signature of Applicant: ~ ~'-'2.....> Fee Received BYQp~ Date: //-,) /'7r.., V' ~ , Min. septic42 C~pacitv . Drainfield Required - Li~al Feet Maximum Depth _ ~ t3.~;)F ~# ~- ~~d..{/' V~ .-a-(~/ ~4..t~ ~ ~ ~ "'''-''. ~":'.P.J'. =- 2Bx... ~-J.tir_-{ '-q,o':JAJ!.- ~ ~;J?r--- ---~/./:-;/,;f/7. ~.;/-R, ~~.}. ~p L Type of Construction Group Fire Zone Use Classification 8ldg Setbacks - from Center of Road Right of Way: Front ~/A Side Int,-5 I ~'~. =....uu ~I~ CO-A. 1-14-1(", C55-12 DATE: LANE I Rear E; ZOne ~A Mr~~ /Z:J[~7t. V~ COUN;D;;A~~EN; OaNVIRONMENTAL MAN~ENT ,)~:hh