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HomeMy WebLinkAboutPermit Building 1975-1-9 P, I ,- \~ HOME USE PERMIT PERMIT NO, ':1 " LANE COUNTY BUILDING 0 PROPERTY LOCATION - INCLUDE POST OFFICE ~ r.. (r --, ''''J '("'-'I'~ I'y 1"" 'f('''' "fJ '''' ." <>tlC ",j ," -.> ~,..~. .\....,.. 1.-.-';1 "~:..:~:..-:."..n:..~~.I.#,-:r:.~'~."~.......Pt:" '. PROPERTY LEGAL DESCRIPTION-METES, BOUNDS'~-'" ~...... <.:.....--.... ...,............h. hd ..~ C-.~ 1\/ liV r~~ }() TAX LOT NO. f:_ . PROPERTY OWNER . 0 ~~. . :a::;:,'.;~ I:~:.'V~~~~_~:' CONTRACTOR;_~"" ~ .... V.,;..; _~.....:..:,;.c:=_> 't'-i:)'O ,- ':;JIV: :~J~.~~) a~.::Q TWP RANGE ~: . ,) t::'.~...0~O ~""::'C~_J CC~.::~. ':---:\.' .:::--1~;C,OO d' :1 C-!'..:~. ~'Ll'~J {')~rJ .'.:~. ~:- ;~C'"'t? ':,.~~;t..:':"V j,~ p , ',,'\ SEWAGE DISPOSAL PUBLIC 0 :':~~'~SEPTIC TANK 0 BUILDING Co WASTE DISPOSAL PLUMBING PLAN REVIEW PARK r~A~~E~~. '1C~:~."; . TOTAL MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. TYPE OF STRUCTURE BUILDING PERMIT OR MOBILE MH 0; " 1""'''' MAILING ADDRESS ~ c)-J '.~ ,\ G~:'} V'C;1:' ::C:lD ~ ' MAILING ADDRESS 1I').~1'" '~,r>~..tl'" ., I r."~r,..,'t'(l t .J ,;; I..... ~........... '. ~. . [.:It:' : T:>? 0:~2CD~j ?~:~( ~'O t:::!'('~~:J , . l CDUY(:'::J"':.:Y c'u::r:.l~ ~~. UH~~IAt:1 n1:~ ,~ SECTION CJ. 'f, ( CODE tq r"'\-'I oI'lce,V.) CENSUS TRACT ~~.. .... H .~ ,... .~.)'.;~. APPl. NAME & MAILING ADDRESS r>'~"::';:i C G :., FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT ,,,: ll:!.' : :Ja.:: '..., EXISTING STRUCTURES ON PROPERTY ~;::!,I, 0(,', LEGAL ACCESS TO PROPERTY ".^~'- 1l[;'"::3 :~0:'\O PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPEi CONSTRUCTION SQ. FT. # BDRMS , , , "~'"~"""l~'" ."..... ~. \ \ ':,. , \ . ... "\. . ,\-, ~ .... .. ..".,~ i " " ' , ,\' " OTHERD PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY FEES .. _u L.,.'o\j PUBLIC D ^ ~ .--. -,' \~'.., ,', o OTH ER ~~ .'-'~'.... _~, 9:~ ''';'..',-J $ COUNTY BUILDING & SANITATION SPECIFICATIONS . DRAIN FIELD REQUIRED lIN. FT "-.OR'SQ, FT. '-." ' '0), TRENCH WIDTH FT. ~ ." ~\. '\\\ \ '> \, ) A.'JW:, ,-'\ \.".-\--- , ~\\--~~, . . ,\, ~\' ',\...', \. t, '...k \ \,\.1'\' . , . OCCUPANCY lONE :~1 PUBLIC UTlL. EASEMENT BLDG. SETBACKS._ FT. FROM CTR. OF, ROAD RIGHT OF WAY ;,\ 'j FRONT SIDE INT. SIDE EXT. ! ~): ,). '... ,:":;:/~.r~ORIZED SIGNATURE - DATE BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD '" ,~\~ , \ , ro~ ::teSS-13 REAR Jc;~~~ USE CLASSIFICATION ':) "':'::../OC'.:lIVt:i,lIn ^ {"I'-' I J ::> "" II ,/ , , 1'( ',1' (:' ;~... ~ P~ONE {<~~2~: J PHONE ,~!t~'t, ;>' New .,System 0 VALUATION " I" ,I 1 I DATE. 1 Call 687-4065 to schedule all required inspections. AlIl!construc. tian shall comply with Uniform Building Code, D,E,Q. standards, IMPORTANT: for subsurface sewage disposal and county regulations Ilcovering plumbing. All buildings require a certificate of occupancy before , " being_Dccupied, ,'-, \ '\ ~ "I "'".~\ ~'v ',';' ~.:. ~ \~(Sll(>s.g;t~i1s a~k~ve'rie'(Side) V\~ \ 1 ~\~~.... "'" (.J ..... ..)."\'~-"""":'.'\' \ . (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97-401 ! ---~- r', ) .' . - ,<t ,1 . ;. SITE INSPECTION -' ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARK S FOUNDATION INSPECTION ApPROVED L-! DISAPPROVED L-! DATE INSPECTOR REMARKS FRAMING INSPECTION ApPRDVEO! ! DI SAPPRDVED ~ DATE INSPECTOR REMARK S LATH OR SHEETROCK INSPECTION ApPROVEO L-! DI SAPPROVEO L-! DATE INSPECTOR REMARKS ApPROVED .N ;Yfi::J~ !:LD~~~ J- 76{~'INSPECTDR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE INSPECTOR REMARK S 11 H 1/ ~tj-1t( 71 ~ J g J k/aIIlt 'ani( . ~. .. .. . . e . . I '( . e . . ": (, \ I . . e . . ,i!' c . . . . " I . e . e . . . . er .L1iNE COUNTY DEPT ENV hGT I:~ECEIPT ,~, 2~,90tll Di'dT 1 ?20Fi'l ! APPLICANT HARTWICK. DONALD ADDR 303 GAME FAR~ ROAD. EUGENE, OREGON I; .n.~, 1703??41 o Mlr:' (I SIIBDIV LOT B'.I<. :, NEW BLDC TYPE' UYE R BDRhS 0 UNITS 001 STORIES OBLDGS001 PHONE 999 9990 ~ II tmlFAP'PL NO ",ClION J)~::SCRIF'nON sq FT UNIT COST VALU(.tlION FEE DAYS' .B~ .~ B~ , PP f .BP e' l' BP i' I' :l- BP ~ " .f'L hECH .sur:: (......1< l' ~lH .SODS . 4i;:' b~:}% e ,w ;.'\ .~ co N ~ NO. FIXTURES: NO. CONNECTOf~S: MECHANIC,:,L FEE STATE ,nmCWW:GF PLAN CHE:CK FTE 15.00 EACH -, .C' ~'1'(., ,f'l .T- SEqU: eH'KEN (41':'1" F::A' o flY RLH Fp SDS SI . PQ< 1 COhpLETION DATE 011182 eJTI-1 I S S .:q C :-5 l:;~ ., 04':" cr: 50. ~)I, ...-: 0::: ex:: ,.-r. LC 2~)9~)01 Thl.1F< SDSC 2 , <?l" EST. TOT"L FEElt* '85.00 CI( . . . ... ',", e . lane county .--p Donald Hartwick 383 Qame Farm Rd. Eugene, OR 97401 ~~ c>, 0: ~~ , ~5""e>>~~""<: r "A<>. <'. ~ "'{~,.;,' CA , '>~, "'~ cg 'AI':.~~ V,. .':'" "m '"' ...~ Tr"\\ -r, ~ '" December 10, 1981 RE: Renewal of Temporary Mobile Home (mH) Permit # q L\-'8[) TRS/TL n-03-dd -Lj-IIL/'i?O ( " Your TMH permit expires on December 31, 1981. Please be advised a mobile home placement permit is required for all mobile homes being used for residential purposes in Lane County. If your TMH permit was issued for a family member suffering a physical or mental disability documented by a physician, therapist or other professional counselor, you may be eligible for a renewal. All TMH perm; ts ; ssued for purposes other than famil y member medi ca 1 reasons, are not eligible for renewal. The mobile home must be removed or vacated. Your inrnediate attention to this matter is required by doing one of the following on or before December 31, 1981: L If your TMH was issued for a family member suffering a medical hardship and the circumstances remain the same, return the enclosed form with a check for $85.00 (renewal fee). 2. If your TMH is no longer being used for residential purposes, return th'is . letter stating you no longer require a mobile home permit. 3. If your TMH was issued for a reason other than family member medical di sabil ity, .the mobile home must be vacated or removed on or before December 31, 1981. 4. If you wish to pursue appropriate action that may allow the TMH issued for other reasons you should contact Lane County P1anninq. If it is possible for the mobile home to remain with appropriate permits, you must in;ate that process on or before December 31, 1981. Thank you for your cooperation and if you have any questions regarding this letter. please contact Susan Keller, Lane County Planning, Public Service Building, 125 E. 8th Ave., Eugene, OR 97401. cc: Permit Processing TRS/TL fil e ~~ LANE COUNTY PLANNING OIVISION I COURTHOUSE, PUBLIC SERVICE BUILDING I 125 E, 8TH AVENUE I EUGENE, OR 97401 I 15031687,4186 i \ h? I, , I r 1 o ( ",,:\ . ---_. -'''- ----~~---1'"""'. '....,."""'.......... ~'~-'-....-~\lJ." . f!1J ['r:!otatt. Ellil< .~-~~'~-.. . Fi~t Interstate Bank of Oregon, N.A. CabufS Road Branch P. O. 80x 649 Eugena. OR 97440 P^Y TO THl to' /.' -y'" ORDER OF rl.4/V\..J'. r)i"l1 /J'l A-1f ,- /r-/- ;: iT'" ~_e-<,cuiJ-!I' -(;c.~W ERMA wun",'9i< II DONALD D. HARTWICK 383 GAME FARM RD, 746,8925 EUGENE, OR 97401 ,QJ/f" tJ ' ,,!:.e,/l-1/VIJ":~(( ~ )n.{) ,1 _ a/vI r:i' ,'j/r-' /Ii (,J (/1'.1,,\n ..--...-.- 1:1.2,10001.231:3'1(; ow2"1? Ou' LlO o w "j <I. 2 , " ~'-,r <'~, ~~~~:1,c:j'?,:.~:'~~,:fi~:~,~~~,,~,:~~.:.~,.:,"'''..... " , ,; ". .' 'i.>' Y"'c.#.;'4:~_~'il..9~'-':+..f' p~'~....~'-~!~;-.~~ .~_\;;i; !-:....~;. A....Yp';_~. ";~'~H:C.c. ~~t..:\,," .' .. ~ '.t ,." J....a.....jjo ','~~. .. 00'" ' ,_ pj,,...t.~~~~:,,.:_! "'~".~..:..3:li::ri((~-~_'~'~' .--""'. ,_~." ,!IJ~,.:fj,vf,(;".. ~ ~_}~. ;~:u.-.:iS_ .'. ~ ~ " ,>' . .il. ):1""~ ;;...,.-~....... il~ <='-" "~ ' ~-.., :., ,.." o NO, 19 ~> i 1$ 8S: ---- Nf).Ji.,tt, ~cJ'f ~~..~;\ " T 130 24-12/12:10 396 20- '10LLARS } o o ~J! <>~~;<<l;ll :>~....~~ ". .;.-/ ~ne Hospital &. ClInic PHYSICIANS AND SURGEONS 1162 WILLAMETTE STREET EUGENE, OREGON 97401 TELEPHONE 503/687-6000 GlNERAl& COlORfCTAL SURGERY l~mesB. Balz, M.D. DERMATOLOGY DOIUld G. Moyer. M.D. DISEASES Of THE COLON & RECTUM l.lnlelesJie,M.O. fAMILY PRACT1CE BruceH. Boyd, M.D. Chesler D. Cmnog, M.D. William R. Craig. M.D. tarryW, Hirons, M.D. T. A. Kerns, M.D. Charles a.Koch,M.O. John P. Mefrick, M.D. George W. To;.oIl..., M.D. INTERNAL MmlCINE D. L England, M.D. lhomas A. McKenzie, M.D. Cardiology Donald E. Remlinger, M.D. Richard E. Romm, M.D. Pulmonary Medicine Jmeph A. Callan, M.D. IndulalK. Rughani,M.D. Endocrinology Byron U. MUIo3. M.D. Rheumarology Slephen F. Birskovich,jr"M.D. Gasrroenterology MarcICBinder,M.D. Richard ^. l~cher, M,D. Infe<tiousDiseaJes ,ohn D. Wilson. M.D. NEUROLOGY Michael E. Karasek,M.D. . . December 21, 1981 '\ O'~~ ~(<'O,' ~ 4~.., ~ ~.:', (,;' elf '':''1. h v ~ /' ~o ....... v." '-- /", ~ '" .. <~ ,(\<- t.? ~ RE: HARTWICK, EH&C #016 Erma B. 00 61 -8 To Whom It May Concern: Mrs. eral Erma Hartwick has been a patient under my care for sev- years. Because of her medical live close to her son, Road. condition, it Mr. Donald H, is necessary that Hartwick, of Game she Farm 08STETRICS & CYNECOlOGY Edw;ud H. Britt.in, M.D. R.nd.IIS.lewis,M.D. George F. will, Jr., M.D. ORTHOPEDIC SURCERY Fr~ric W. D....is. M.D. Rich;ud E.Mil1teri,M.D. WHli.m C Robertwn, Jr., M.D. OTOLARYNCOlOGY & MAXIllOfACIAL SURCERY G. W.lbce Joh.nsen. M.D. Herbert W. Wong. M.D. O~THALMOlOGY Wil1i.1m E. Cox, M.D. PEDIATRICS lOlWrence V. Cheldelin, M.D. Mlch.el R. D\Jnn, M.D. ~h~~.s ~w7;%"M":'D~. PSYCHIATRY Thomu V. fosler, Jr.. M.D. RADIOLOGY Joseph C.v.n, M.D. O.n,el A. Hery/ord. M.D. H.nsU. Tschersich.M.O. CENERAl SURCERY Willi.m R. french, M.D. GENERAL THORAOC & VASCULAR SURGERY Roger L Mehl, M.D. UROlOGY Roben C. loomis, M.D. Don.ld J. O'Brien, M.D. MEDICAL DIRECTOR Edw.rd H. Brltt.in, M.D. EXECunVE DIRKlOR Rich.rd V.nberg M. D. ~- db "