HomeMy WebLinkAboutPermit Building 1975-1-9
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HOME USE PERMIT
PERMIT NO, ':1
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LANE COUNTY
BUILDING 0
PROPERTY LOCATION - INCLUDE POST OFFICE
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SEWAGE DISPOSAL
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BUILDING Co
WASTE DISPOSAL
PLUMBING
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TYPE OF STRUCTURE
BUILDING PERMIT OR MOBILE
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APPl.
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FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
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EXISTING STRUCTURES ON PROPERTY
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LEGAL ACCESS TO PROPERTY
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PROPERTY SIZE - FT.
WIDTH
DEPTH
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Connect to Existing Sewage System 0
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OWNER D OTHER: NAME
WATER SUPPLY
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COUNTY BUILDING & SANITATION SPECIFICATIONS
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OCCUPANCY
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BLDG. SETBACKS._ FT. FROM CTR. OF, ROAD RIGHT OF WAY
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BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
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USE CLASSIFICATION
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VALUATION
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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
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(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97-401
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SITE INSPECTION
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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
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REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE
INSPECTOR
REMARK S
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.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'
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NO. FIXTURES:
NO. CONNECTOf~S:
MECHANIC,:,L FEE
STATE ,nmCWW:GF
PLAN CHE:CK FTE
15.00 EACH -,
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COhpLETION DATE 011182
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TOT"L FEElt*
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Donald Hartwick
383 Qame Farm Rd.
Eugene, OR 97401
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December 10, 1981
RE: Renewal of Temporary Mobile Home (mH) Permit # q L\-'8[)
TRS/TL n-03-dd -Lj-IIL/'i?O (
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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
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LANE COUNTY PLANNING OIVISION I COURTHOUSE, PUBLIC SERVICE BUILDING I 125 E, 8TH AVENUE I EUGENE, OR 97401 I 15031687,4186
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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
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DONALD D. HARTWICK
383 GAME FARM RD, 746,8925
EUGENE, OR 97401
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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
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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.
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