HomeMy WebLinkAboutPermit Building 1974-11-7
., , " ..'
PROPERTY OWNER
Nfll\c-, t'J'!\L TER " 0
CONTRACTOR
~lM1;::
PROPERTY LOCATION - INCLUDE POST OFFICE
!~5 MJN COURT Ort t4AYS! DE Loop
PROPERTY LEGAL DESCRIPTION - METES, . BOUNDS
f\
LANE COU~BUILDING PERMIT
BUILDING D.. MH D
MAILING ADDRESS
45 AhlN COURT
MAILING ADDRESS
OR MOBILE Hn USE PERMIT
.......
PERMIT NO.
22S~"-~l~
2256- 'IL~ ':.1
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PHONE'
, Springfield, Or.
.,
PHONE
Loy 10
TWP
BLOC!\ 1
RANGE
lsYADD1T~ON 10 BUENA VISTA
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17
03
22
21"300
EXISTING STRUCTURES ON PROPERTy
HOUOl~ .
LEGAL ACCESS TO PROPERTY .
APPL.
NAME
&
MAILING
vIAL 1ER F. HANKE
1~5 ANN' COURT
PROPERTY SIZE - FT.
ADDRESS Springfield, Or.
FOR MOBILE HOME. PERMITS ONLY
No. of Bedrooms'
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
CArlPOR1
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. # BDRMS
)'. ,'I? n 2 n,,\
f.~"'~" 'I.", - o-Gv
New System D
VALUATION
'~ 2"'4 ll^
'p :i .n.;
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANK O.
BUILDING oj:
WA~TE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
liioURCHARGE
TOTAL
OTHERO
13.00
FEES
PLUMBING INSTALLED BY.
OWNER 0 OTHER: NAME'
WATER SUPPLY
RUBLlC .0
o OTHER
oj:
.~ li
11.n
COUNTY BUILDING & SANITATION SPECIFI.CATlONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX, GAL.
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
5t3
OCCUPANCY
J
ZONE
RA'"
.PUBLlC. UTIL. EASEMENT
BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY
60, 5"
FRONT SIDE INT. . SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/s/ J.. E. B$O$ 13Y C HARBAUGH
REAR 5'
USE CLASSIFICATION
J(,lti~ SIiCOfc\/SM!I'i'ARIAN
DATE
n/7/{h Olt.J
BLDG. PERMIT - WHITE
OFFICE COpy _ WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required inspections. All construc-
tion shall comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buil~ings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
F.oRM.:!:t C55-13
'(POST THIS PERMIT ON MAIN BLDG. AT SITE)
.LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT.
,COURTHOUSE.ANNEX, 135 EAST 6'h, EUGENE, OREGON 97401
. .
If) lJ)fC" }1-:'I-'7/" /
oBUILlilNG SI>TE EVALUATION' '. :)S/c.1J
(~~tDIN~~~1rMli ~;~L~KfT'ION NO. --2d.- :S~' -? Y
,
;~NN ~ ~:E D : :~:::: ION ,.....". App 1 ~~~b 1 e
L / Zon i ngO rd i nance Comp 1 i ance: Zone If;. -Tf ()
2.;' Subdivision Ordinance Compliance, - ( )
3. Required Access. . ( )
4j. Building Site (Area, Widt~, FrontC!ge) '. ( )
5. Other,j (see comments) ( )
I
I
!
, COMMENTS -:'.
,
T" l7 .R () -:3 s' ;;?;). ;AX LOT
I SUBDIVl_ .IN: l~o...M T;" !?'ueiiJ.9i u/.t:;fo....
LOT ::. 10 BLOCK:, /
~~PL I CANT " If/), 'kE ~
DATE I i- I ..,.. 7'1
No Yes_
() (~.) 6.
( ) ()
( ) . ( )
( ) ( )
( ) ( )
CK'D BY: ~ //~/-;?Y
Setbacks from cll of road:
, ' . Fr,ont ' ~ c::>
.S i de Exterior ~-
Setbacks from.interior lines:
Side ~
Rear ~
BUtLDING INSP~CTION. ~IVISIO~
....
....
\ PLANNING DIVISION ACTION 'PENDING:. YESt ') NO( i APpL/cATlON# \'
I
7. Plans Submitted.
8. Soil StabilJty '(footi~gs)
9. Flood Plain. '
lO. Other (see comments)
Not
App 1 icab 1 e
,( )
~'
( .
)
COMMENTS:
WATER POLUTION CONTROL '
Not
Applicable.
( ~)
.11.' Meets Deriartment of Envi ronmenta 1
. Qual i'ty Stan<;lards.., , .
l2., Other (see. comm"ents)
( ),
COMMENTS:
No Ye?
\() (J r
( ) ( )
( ) ( )
( ) ( )
No' Yes
() ( )
( ) ( )
J
CK'D By:~71~(,.t~"#
. .. )" -bATE
" '
( .
CK'D BY:~'~ /;/../7t/
" ~)~ . DATE
TO APPLICANT:
^ J1lh1 Your Building / Site Inspection:
.Jbf? ~~Y' .J<f Can be appr'oved. .
. ......1, () Cannot be app~oved at this ti:me, as indicated on item NO. above.
\~ ~ Questions and further information on Jtems. l, through 6\contact the LANE-
\') COUNTY PLANNING D,IVISION. . Questions and fur,ther inf~rmation 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 permitapplic~.!..LQ.':l_.;.,.~e is beinq ret\lrned:..'yndE7rseQ1U;ilte(COVf~r.
. DEPARTMENT OF ENV I RONMENTAL MANAGEMENT . ,\,
'l35 Sixth Avenue East .Eugene Oregon 9740l
'PHONE.: 687-4065 ,'\ ,
, , LANE COUNTY PLANN I HG 0 I V I S I ON PHONE: 687~4,l86
.
C55-.?8
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- .-........
.
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LANE 'COUN.
BUILDING D
BUILDING
MH D
MAILING ADDRESS
, ~ t~t;\:tC'!:,\~.m'f
MAILING ADDRESS
PERMIT qR MOBILE 1:1(;,....:. USE PERMIT
PERMIT NO.
(... f"."''' "~~ .f J t
t..'G.~~: i <V
1.,
PROPERTY OWNER
~ ';jA~~G::ft ~;61Vii'U} r {i
'! ,CONTRACTOR
1
.: ~~~ tttJ~~ .
PHONE
D S~~an0f~oJ~o Oro
~,
PHONE
..
.! PROPERTY LOCATION - INClUDE pqsr .OFFlj:E
.' ~~~ i:-G-\s.J CGUd1 f1F f:3li~:"~' u;cr' l<:'iiOP
I PROPERTY LEGAL DESCRIPTION - METES, BOUNDS'
, 19V f{1 Ut.t;;t!\ ~ nu\' {\cr.W?H);,J 'W ~:1;t.:~~~, If Hi'Vt1.
~2(l.
SECTION
Q2
TAX LOT NO.
CODE
CENSUS TR-ACT
1
~ {
TWP
III
RANGE
i
APPL.
Ut.t;(.! ... h\tl~~U
f/l~3~;j
EXISTING STRUCTURES ON PROPERTY
!(::::::::'j[!:
NAME
&
MAILING
ADDRESS Spri i'VU1 i 0 D do @fi" 0
FOR MOBILE HOME PERMITS ONLY
:. No. of Bedrooms.
.i
~,~. ;..
(.;::~ of!::';J G\:~Z;;\?
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
I"
",
, ..
\ .1J\
~......
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. .# BDRMS
7;'\" . .-:'" .""",,
"",('.h, '..: c;"t'3
New System D:
'VALUATION . I.
STRUCTURES TO BE BUILT THIS PERMIT
jll:~~ [i'[ ~ ~~ fJ"u ~
,i"
Co \',,{)
..
\
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I.' ,
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"
'".
\;. ......'"
\". ",
,
,
l2':f
<t
,QTHJRO
. 'i.,,>",.r::\ ',... :,~
FEES
I
P[UMBING INSTALLED BY
I ,.
OWNER, 0 ' OTHER: NAME,
W,ATER SUPPLY
.
. ,
; SEWAGE DISPOSAL
/. PUBLICO
\
~UILDING
SEPTIC TANK 0
WASTE DISPOSAL
,
P0BLlC 0
i
0, OTHER
, I'
I.'
PLUMBING
I. ~LANREVIEW
I
PARK TRAILER
t, ~~ ..3\, ,-"Ll. '"/~.1:'<\,
I'
. ' f
TOTAL
<t
Q ~ >;;.
~Jll
I
.'
COUNTY BUILDING & SANITATION $PEClFICATlONS
MIN. SEPTIC TANK CAPACITY ....
"-
W.lTH DIST. BOX, GAL. :, \'. ,'\..
~" ... '\
J..~~ \
, ,
DRAIN' FIELD REQUIRED
L1N. FT
'I.
,~~..- ,:--' C<\'
'l ~ """"4,
I.
TRENCH W:IDTH FT.
OR SQ, FT.
"'..
. .,,\
, ;
,
I
, '
. TYPE OF STRUCTURE
C" '
....;.\;
OCCUPANCY
"
\,:.
:... '/ A
, t! '\(1 <:)<1
,
I'
. ..0
SIDE EXT.
AUTHORIZED SIGNATURE - DATE
r ~i .~ ,!'1c':.~Ol;~~:~;~J .
'"''
REAR. ,}
.ZONE
~([\
1
U~E CLASSIFICATION
PUBLIC UTIL. EASEMENT
i BLDG. SETBACKS _ FT. FROM CTR. OF. ROAD RIGHT' OF WAY
. UJI H)'
,'FRONT SIDE INT. ,.j .
r
;J.~~1;C1
f",."",../'n^-, '1'''''''''':'' I\.r-
'vf",,",w'~, ',... ... f-..:..< 'i Qi.ciL-...- V!.';{l!,I.
DATE
": f'\ 'r_'}.,'
"(la.kfJ
t,,:l\ :;
. . ~ BlDG, PERM'IT- WHITE
OFFICE COpy - WHITE
;COUNTY TAX - PINK
PLUMBING - CANAR"Y
^ BUILDING - GREEN .
SANITATION - GOLDENROD
)x:! '"
'~""~...:S>>-:i.~:
J.
Call 687-4065 to schedule all required inspections. All construc-'
tion shall cCHlJply with Unifor:m Building Code, D.E:Q. standards I
IMPORTANT: fQr subsurfa~~~~~w99'~' disposal and county regulations coyering: '
plumbing. All b.~uilai~gs.requlre.'p1 certificate of occupancy before! .
b" " d ,. , ..1
emg occuple . . " (.... .. '. . ....... .... .' )
.1"' .' ; -+." '\.',' \. ~ ~~ "" (-.' ~. ...,." i.
, ,\ '\:\ . (See~,Details~on \Reverse~ Side) ~ .; .'.-',
~ . \, . ',\' " ~,), \., \ ., ,
. . :.~) '",. . . \ .
(POST 1J'1HI~S PIERM~1J' ON MA~IN BILDG. AT SmlE)
LANE COUNTY, DEPT: OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135EAST6'h, EUGENE, OR.EGON 97401
. - - ...../'.-~~ .~.. ". '" .,,/". .
. . I,,,', '.
...:--. .. . -
'~--..::;" .",;-.
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SITE INSPECTION
REM'ARKS
ApPROVED / / DISAPPROVED / / DATE
FOUNDATION INSPECTION
/i-
,L
ApPROVED / ,.,. / DISAPPROVED /
REMARKS
INSPECTOR
I
DATE 11--- / r~7i/1 NS~EC;OR r;;)
"
. / t2
FRAMI NG INSPECT 10 / ,
ApPRO", / !/~"'PPROV" / / D'n/!l';)' '1 it I.SPecTOR ( .
REMARKS...M~ l'-~'~i..L~.1 /i'"' IJ"v.7ytfG
if
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DISAPPROVED /
REMARKS
FINAL INSPECTI~
ApPROVED ~/ DISAPPROVED /
REMARKS
CERTIFICATE OF OCCUPANCY
/ DATE
/
DA T E / 1.--" .1-,11,1
(
REMARKS
READY TO ISSUE j. / NOT READY TO ISSUE / I DATE
/,~.. .-
10/ .
L/ A
J.~.rP -1 t/ 7f~
"'.,
INSPECTOR
INSPECTOR
/\
U
INSPECTOR
1~~~
";
(: .;.
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.
~
t'tl<l'1ITfF 22-S7 0 ~"c;.'
lANE COUNlY Building
DEPAR'll1ENl' OF ENVIRONMENTAL MANAGEMENT Mobile Home
APPLICATION FOR BUIlD:&; t'l2<J.'1IT OR MOBIlE HCME USE
. NOI'E: No perinit ,will be issued tmtil this application .hasbeen approved.
~
PLEASE PRINT
, PRut'r..K'IY LOCATION
'7'~ A. -0.-
~LAA -' _
Ri() J I, /,..,/' A ,'.() ,~ ' ../~J)' .? _
fJ41J ~~-- -"
TWP I? RANGE 0 ~ SEC .:~ ',,_ . TAX LOr if CODE
rm NO. /tJ BLOCK J .'.StJBDNISION-1~r /!..1ln Ii' '~, l' ~
. ' .' . PRut'lli'IY SIZE' :
ACCESS 1D PROPERTY a,lAAA'.' ~ A ~ WIDTH . D~l'rl
DESCRIBE EXISTIN.; STRUCTURES ON THE PRut'tK.n~ . \~"G"' .
APPLICANT ..' . . MAILllG.... p
NAME () ) fl1[;.A ,~ ~d _ AulJKtSS J.jj ()A.M1 (J'tt-uJ
CDNI'RAl;lVK. 1, . MAILING __.PL./P!IJ
NAME tJf/IJ ADDRESS ;~/rv .
CENSUS TRACT. -;;> l -~ on
\L' ~[A .~
OR ACREP.GE
PHCNE ? 4" 7 - i-J.1l./
PHONE
BEI.1JN FOR OFFICE USE ONLY"'~'~ ~~~ AI.. J...;\ i~ ~-" ~~..;.;.. ;(;~;~ l~;" }..;, ;... 1, "k"^,,~'(")'\'k-k:.. ~'..)" J.. ,'.. ,'"(",'\';\ J... J...,~ l.. 'Jd("lm~ }...)..;~ ;"],, -J...-Jd\';'(""}{ ,-..;..;.. ~ ,'.. 1.. },.. J.. ::-;'rlrld(
Structures to be builtfMobileH~
~
sq. ft. {fbedrooms
. (iJ. 2, 8-0 .
#C/~ .
valuation
/ .;lQ''!, 1/ ()
"
S~wage J)ispo~al: II A .
S~t.e Inspect~on #--1/ p-'
Water SUpply:
Public [] District Name,
.EXisting s~age disposal.system 0 or new system required 0
1.4-.
, Well 0 Spring 0 Other
Bldg.
Waste Dis.
Plumbing
Plan ReVieW
Trailer
1% surcharge
/3, DO
Fees ..
.Pltmlbing Installed by CMner Other Name:'
Pltmlbing Fees. . Sewer connection Water connection
II of fixtures inspection.fee inspection fee
1/3
o ca3J:v~ .', P~lans :Eun1ished Facility Pennit
p.erieck Yes No 0 Yes 0 No 0
. .Signatur7 of plj..c;ant" J.1JatrM f!. ~/tJ datel()/JI/7~
. Fee rece~ved by,/(, _u...JJLJlfY\ date ! -1- V .
Drainfield . required '. ~
Lineal Feet Trench Depth /or Sq. Ft.
../
... ../;
. /'.
..j( 0
Use.Class~fication
Fire Zone
TOTAL
/ 3, 1.3
Min. Septic tank capacity
with dist. box: Gallons
./
Type of Structure -5 IV Occupancy...::r
Blgd. setbacks-ft. from center of road right of way
Front h 0 Side Int.:5" Side Exterior .
Planning date
~ //~/-7Y
/
Rear S- Zone r1Q-/J,
"
da;te. Building ~ ~ date
y>~,v../C 1/-(;- ?{/
I -- , .
C55-12