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Home My WebLink AboutPermit Building 1974-9-5 . :~l-:"l ff':'A!/~ ""-l-,' . I' l' I :,-; . .. j r ": .' LANE COU" BUilDING 0 . 5PI<l0.:01" I ,,~o 16"/1 ..h J'-'V \LR54-74- PHONE, C:JE. -(117-1'!!l> PHONE PROPERTY OWNl:R ~HAl"l"cr:J, JAC~ n. CONTRACTOR SAW~ PROPERTY LOCATION - INCLUDE POST OFFICE 3CBij RICHnANO SPRINOl"aE~O O:JEOON PROPERTY LEGAL DESCRIPTION - METES, BOUNDS LOT 15 B~OCII II 3nD AOD I T I O'l BUILDING PERMIT OR MOBILE MH 0 MAILING ADRRESS 38U4 RI C,ILAt:O MAILING ADDRESS HOME USE PERMIT PERMIT NO. VIL~A~ETTE "~NOn TWP 18 APPL. NAME & MAILING ADDRESS RANGE 02 SECTION 06,4.2. TAX LOT NO. -:IF // / EXISTING STRUCTURES ON PROPERTY HO!JOE CODE CENSUS TRACT JACII R. SHAI"I"EI1 3aB4 ~ICH~A<<D LEGAL ACCESS TO PROPERTY ~ I Cti~M'D STREET PROPERTY SIZE - FT. SPRI~OI"I"LD, OREGON FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT STORAGE SHED 8 X 12 WIDTH DEPTH AREA Connect to Existing TYPE CONSTRUCTION Sewage System 0 SQ. FT. :;t BDRMS 96 0 2.80 New System 0 VALUATION ?6fl. eo SEWAGE DISPOSAL PUBLIC dOt SEPTIC TANK BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 1 f.!;lUl'lCHAnOE o $ OTHERO 'iOO FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PU BLlC 0 o OTHER PU;)~IC TOTAL , V) ).V) COUNTY BUilDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIELD REQUIRED UN. FT TRENCH WIDTH FT. OR SQ. FT. '- TYPE OF STRUCTURE OCCUPANCY 5.N BLDG. SETBACKS FRONT ijS /s/ J lONE RA PUBLIC UTIL. EASEMENT . FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. 5 SIDE EXT. AUTHORIZED SIGNATURE - DATE J. E. B055 OY C HAROAUOH USE CLASSIFICATION REAR 5 J SHCOK/SMIIYAIlIAtJ 9/5l-lIl 0" BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule 011 required inspections. All construc4 tion shall comply with Uniform Building Code, D.E,Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of accupancy before being occupied. (See Details on Reverse Side) FORM == C55.1] (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 -. ~-... .' . -----\ SAc.. 14. I_..~_..H_~_~ t; lAX LOI -0 'I~ I~ CE.S 1 RACT ..>dO '3rd ctcl.q WI'laVYl~flc:l'('." t' APP LI CANT: No. Ii/; 54- 7'-/ \ tJ/\ME 5h" rr-C " ADDHESS PHONE DATE .}f-~1'7V BUILDlIlG SIH EVALUATIOII () BuP;!ing Permit Appl ication () Site Inspect ion () Pre-Permit Investigation LANE COUNTY PLANNING DEPARTMENT Zoning Ordinance Compl iance (Zone ) Subdivision Ordinance Compl iance NOT app I icab Ie () () NO YES NAME DATE I. ( ) 3. Required Access () t~) () (jV(V)~ () () () () () () - 2. 4. Building Site (Area, Width, Frontage, Setback) Other (see comments) 5. COMMENTS: .. ..' ...,,--------- BUILDING INSPECTION SECTION NOT NO YES NAME OATE E,ep1 icable - ;r. 6. Plans Submitted' () () t 7. So i I Stab I I I ty (foot i ngs) ( ) ( ) 8. Flood Plain ( ) ( ) , I (P ff ~~~ 9. Other (see COlMlents) (A ( ) ( ) (j'J -1/ ~ 71/ COMMENTS: / -' SANITATION SECTION NOT NO YES C\~ C/5/7t( apD I icable 10. Sewage 0 i spos a I ( ) ( ) ( ) II. Us'ab I e Area ( ) ( ) (') eJf 12. Water Supply ( ) ( ) ( ) 13. o t he r (see Comments) ( ) ( ) ( ,) ... . -- COMMENTS: , / TO APPLI CANT: ;1J Your _4 - 7 .(() a: ~Ji)1 /(') ( ) ( ) ( ) Building Permit / Site Inspection: Can be approved. Cannot be approved at this time as indic~ted on item NO. ~bove. Questions and further information on items I through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT.. Ques t ions imd further in format ion on i tems 6 through 13 contact the Lane County Buildinq and Sanitation Division. Will be held in this office until you can resolve the problems indicated. Is being returned. Your building permit application fee is being returned under separate cover. LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 LANE COUNTY ENVIRONMENTAL MANAGIIHENT 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 C55-28 ./' .-, ! LANE COUa BUilDING D . .. .lAClt n. BUILDING PERMIT OR MOBILE MH 0 MAILING ADDRESS Si-ll:J4 RI!;tfLAflJ) HOME USE PERMIT PERMIT NO, 165~ 7~ .. ".- , I . PROPERTY OWNlR 5t1AVI'IW, CONTRACTOR 911:411 , . Gp~ n:QV Iltl,Q PHONE 01:1<. 7~l7-1(~~ PHONE J I MAILING ADDRESS ',' . . PROPERTY LOCATION - INCLUDE POST OFFICE t ~~ RICHAA~O Spnl~CVn&LD O~&OO~ PROPERTY LEGAL. DESCRIPTION - METES, BOUNDS , LOT 15 OLOClt 4 3no A09lTtON W'~LAMtTTE ~"flOO I, TWP 10 RANGE 02 SECTION 06 TAX LOT NO, CODE CENSUS TRACT APPl. NAME JAI:Fl n. SHAI"VErl EXISTING STRUCTURES ON PROPERTY HCUCll: It' & MAILING ADDRESS FOR MOBilE HOME No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT nTOQAOll SHlro 8 lC 12 ' 3004 RICHLAr.::1 LEGAL ACCESS TO PROPERTY R I CtlLAtlO STQI1ItT PROPERTY SIZE - FT. SPll't:OVtItI.O. PERMITS ONLY CruZOO:J WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :,.; BDRMS 96 0 2.00 New System VALUATION r:tD.CD 01 I . SEWAGE DISPOSAL 'PUBliC Dllll SEPTIC TANK D BUILDING $- WASTE DISPOSAL PLUMBING ~LAN REVIEW PARK TRAILER i 1 i~Ul1eIIA":l1t TOTAL ~'t~,t .~\'-~ ",\l."\\- 9~b-\l"'V''':'' \.,"'('~\ S\~"-\''It -'''; \ ~~~~ '("",. \ PLUMBING INSTAllED BY OTHERD jW FEES OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER PU::JL'C , ' $ "..1 )-.vJ - MIN. SEPTIC TANK CAPACITY . WITH DIST. BOX: GAl. COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED lIN. FT TRENCH WIDTH FT. I ..... \..)\ ~ ~~ - c.\. \ \ OR SQ. FT. "" ,TYPE OF STRUCTURE I 5,') i BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY (FRONT!j) SIDE INT, 5 SIDE EXT, '\ AUTHORIZED SIGNATURE - DATE /01 J. 1:. fl~ll OY C UAClLJAU!lH ' , I I I OCCUPANCY -J ZONERA PUBLIC UTll. EASEMENT USE ClASSIFICATION REAR 5 ! \ J SII::IOll{SAlll"i'MIMJ DATE 91511q 01' !BLDG. PERMIT - WHITE 'OFFICE COPY - WHITE lCOUNTY TAX - PINK PLUMBING - CANARY IBUILDING - GREEN SANITATION - GOLDENROD I 'IMPORTANT: Call 6B7-4065 to schedule all required inspections. All canstruc-' tian shall comply with Unilorm Building Code, D.E.Q. standards for subsurface sewo.ge disposal and county regulations- coveriry9 plumbing. All buildings require a certilicate of occupancy belore, being occupied. , (See Details' on Rexerse Side) , ! \ \ FO.RM ~ C5S.13 . , .... (POST THIS PERMIT ON MAIN BLDG.Al SITE) LANE COUNTY, D:EPT. Of ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th,. EUGENE, OREGON 97401 . ".' -', . , ,/ . j ." , . ,. . . . , SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARK S FOUNDATION INSPECTION ApPROVED / 1 D,SAPPROVEO ~/ DATE INSPECTOR REMARKS FRAMING INSPECTION ~ ApPROVED / / 01 SAPPROVEO Cl DATE REMARKS ~j:"';f~l"II-1i( .4'IJ ~ ~'1'4...io1"7VJ. INSPECTOR Ak>>././O. 3 -7(;: LATH OR SHEETROCK INSPECTION ApPROVED ~/ DISAPPROVED ~/ DATE INSPECTOR REMARKS FINAL INSPECTI~ ~ ApPROVED J:!::J Dl SAPPRDVED ~ DAHLI ~i:. - ~I/ I NSPECrOa, REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE INSPECTOR REMARKS ~ ~; /1 ~~~k / 6"f' 7~~~ 38~1 tf'~/ PERMITff I ?0~ - ? t/ lANE COONl'Y Buil~ ' DEPARIMENI' OF ENVIROlMENl'AL MANAGEMENl' Mobile Hare APPLICATION FOR BUIIIlOC PERMIT OR MOBIIE HCME USE NCJIE: No pennit will be issued tn1til this application has been approved. ,...- PLEASE PRINI' PROPERTY LOCATION '3 ~ ~ "\- ~ \ c..\- \ "k ~ f t>~pv' . . RAN:;E 0 ~ SEC. 0 la TAX LOr ff.. ' CODE CENSUS TRACT BLOCK 4- SUBDIVISION:3 ~ d..\,h \r-2>', \ \ O-m\~~ \,\\OMV"' n PROPERTY SIZE I ACCESS TO PRul'lliuf \<.\~ \...r-.& ~--\' WIDTH I ~~I DEPrn) 0 Ie, OR ACREl>CE DESCRIBE EXISTIN; STRVCIURES ON TIlE PRurlli\J. f \\ 0 \Jo. <; IL_ APPLICANL v 0 MAILOC () . NAME ~ c... ( l\ \",\ S, \--., ~ \=\=~r ADDRESS ~ ,t.c?JI- T\ ,J, \ c.." to CDNrRACIOR- MAI.I.m; D NAME ~ ~ c.... c.. K Q.. S \"", ~~ ~(' AulJ=S ~ '{,<l:, '/- ''\ \ c..h \ C4 ,,~ TIoJP I ~~ LOr NO. Ie; PHOOE 14-1 I <6 U" PHONE ;4-71 ~~~ BELCM FOR OFFICE USE ONLy;......~. ...~. .~..~..~. .~......~..~, .~..~.~. .~. ...~.;..~,.~,.. ............ ............ .~,.~. ....~,.~..~..~..~, .~..~..~......... ..;.;. ........ ................... ....... ~tr~~to be builtfMobj.J,e ~ sq. ft.6?1,J r. ffbedrocms valuation ,r.-6-UL:J.&' -", JL. ~".J.J. n< /.J 0- /: .. '() .:} r; s? YO t7 - / ... ::iewage JJisposal: Site Inspection ff Water ::i1&ly: Public ~ District Nam= Bldg. ,)";" 0 c) Waste Dis. Plunbing Plan Review Trailer 1% surcharge . n,"- 'IUTAL ,~06 Min. Septic tank capacity with dist. box: Gallons Existing sewage disposal system 0 or new system required 0 Well 0 Spring 0 Other Fees PlurIDing Installed by Chlner Other, 'Name: Plunbing Fees Sewer cormection Water cormection ___ if of fixtures inspectioo fee inspection fee ./ n Co9sh ~ Plans ,:fIknished Facility ~e . t {]!'(heck Ye~No ~ ('I cyes,D No Signature of APPlicant1- ';~ '\. ~L, I L.... te lY~ u'_ Fee receiv...-ed/by_{lR'~ date y.-...i/~b -I ~ Drainfield r~ed v urleal Feet/ Trench Depth // l/ or Sq. Ft. Type ot Structure \ ~A/ Occupancy.--;:::j Fire Zone Blgd. setbacks-tt. trorn center ot road right ot way Front 4/ e::- Side Int. ~ Side Exterior , Planning date S . 12~:? /?,. ~/- 7t/ I \ \ C55-12 Use Classitication Rear ~ Zone . rR ,4 I r!3/7J;te ~~~_~~<< I I / / $1.0