HomeMy WebLinkAboutPermit Building 1974-9-5
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LANE COU'.BUILDI~~ PERMIT OR MOBILE
BUILDING 0 .MH D
MAILING ADDRESS
Box 35
...,
111' "
~. USE ~":RMIT
PERMIT NO.
~. \~.';,..
",
, PROP~ERTY OWNER
':.- R!~~, STEPHEN Eo.
ALVADOFU!:, O~EG0N
t 54o-1~
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. PHONE
" '68~..'t 218
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CONTRACTOR
SAM!!:,
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE, POST OFFICE
660 SQ"UYH GARDENl.rJAY$f'~INGrIElD, OREGON
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
h
TWP' RANGE
17 03
APPl. s. Eo RICE
NAME
& Box 35
SECTION
34 ~ 2.3
TAX LOT NO.
CODE
300
1903
CENSUS TRACT
3- 1 08
EXISTING STRUCTURES ON PROPERTY
. SINGLE' FAM I L Y DWEllING
LEGAL ACCESS TO ,PROPERTY
GARDEN WAY SOUTH
MAILING
ADDRESS . ALVAD0RE, ORE-GON
FOR MOBILE HOME PERMITS ONLY
'No. of Bedrooms
.PROPERTY SIZE"':" FT.
WIDTH
DEPTH
. AREA
STRUCTURES,TO BE BUII..T THIS PERMIT
. REPA IR -PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT." ,# BDRMS
New .System D"
VAI..UATION
SEW AGE D.lSPOSAL
'PUBLIC 0
BUILDING .
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
t
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY,
SEPTIC TANK 0 OTHERD
15.00
PUBLIC 0
o OTHER
'MIN. SEPTIC TANK CAPACITY
, 1000.
WITH DIST. BOX: GAl.
~ . 15.00
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD RECil.lLIRED., ,
100 . 2.. 3t
L1N. FT. TRENCH WIDTH FT.
OR SQ. FT.
, 360
TOTAL
TYPE OF STRUCTURE
OCCUPANCY
ZONE
..~
PUBLIC UTIl. EASEMENT
"
BL.DGZ' SlETBACKS_- FT FROM CTR, OF ROAD RIGHT OF WAY
FRONT~ 'J.., [.. SIDE INT. , SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/5/ J. Eo Boas BY ,C HARBAUGH
USE CLASSIFICATION
REAR
. DATE
J'5HOOK/SANITARIAN 9/5/74D~
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 ~ith Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing.. All buildings require d certificate of occupancy before
being occupied.
(See Details on Reverse Side) .
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fRM ..,. C55-13
.(POST ,THIS. PERMIT ON MAIN BLDG. AT SITE)
, LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT "
COURTHOUSE ANNEX, 135 EAST 6th; EUGENE, OREGON 97401
\,
,'. -v ~
Bu i I ding Pe rm i t
!v~*
App I i cat ion No. 15L(o - 7Y
T t" 03 S ~.v.J.3TAX LOT 3'(.'.:(:)
CENSUS TRACT
BUILDING SITE EVALUAT~ON
. ~
( )
( )
( )
APPLI CANT: --:D
NAME . f". I' (ll €
ADDRESS
Site Inspection
Pre-Permit Investigation
PHONE
DATE
'?,----Id.-.-#
I'
1.
Zoning Ordinance Compliance
(Zone )
Subdivision Ordinance Compl iance
NOT
app I i cab I e
() ()
(
( ).
( )
( )
NO
YES
NAME
DATE
LANE COUNTY PLANNING DEPARTMENT
3.
4.
Required Access
( )
( )
( )
( )
( )
:jJ~
( )
2.
Building Site (Area. Width.
Frontage. Setback)
Other (see comments)
5.
COMMENTS:
BUILDtNG INSPECTION SECTION NOT NO YES NAME DATE
appl i cab I e
6. Plans Submitted ( ) ( ) ( ) ~/
7. Soil Stabil ity (footings) ( ) ( ) <\J
8. Flood Plain ( ) ( ) ( )
9. Ot he r (see Convnents) ( ) ( ) ( ) ~1f~1 1.-':] r '7C/
COMMENTS: V
SAN ITAT ION SECTION NOT NO YES \~\~ ~
appl icable (l) ~!j9/7i(
10. Sewage Disposal ( ) ( )
II. Usable Area ( ) ( ) ( )
12. Water Supply ( ) ( ) ( )
13. o t he r (see Comments) ( ). () ( )
COMMENTS: \;
TO APPLICANT:
Q#1J
/lD-1Y
(~
( )
( )
( )
Building Permit / Site Inspection:
Can be approved.
Cannot be approved at this time as indicated on item NO. above.
Questions and further informat ion on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 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 p~rmit application fee is being returned under separate cover.
Your
'A-
I: )
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
CSS-28
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LANE COUNT!IIUllDING PERMIT OR MOBilE
BUilDING D MH D
MAILING ADDRESS
i-Ym j}
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HO" ., USE PERMIT
PERMIT NO.
~l' C'2i\/-~~~~1a
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PROPE~TY OWNER
Cl '9(1~-, S'~.r::)~~t>,,, r.~.
(~h,'JAt.HY.:JG.1). !}::lCQOJ:
PH9!'~ E' .
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. CONTRACTOR
MAILING ADDRESS
PHONE
i.
:~,~!,r',~
.PROPERTY LOCATION - INCLUDE POST OFFICE
~, .' ,
,-;ti) ~,~'!}~Jl.~ 0Pti'~(::)~f~~~~.V L:,;rn a,:-tc>r b Ct.,{)tJ ~:-i,e(~~X,l
I'
" PROPERTY LEGAL DESCRIPTION - METES; BOUNDS
TWP
t1'
APPL.
. I NAME
&
MAILING
ADDRESS
RANGE
'~SJ
SECTION
"'~\ ,~ -:'1
r.;.....>(o ~...~ .~.)
~i) .".
TAX 1..0T NO.
:)!JO
CODE CENSUS TRACT
~f'.y( ')- ,\OJ
V -t' ,,-.I .J>.;:l'VSr...
EXISTING STRUCTURES ON PROPERTY
~\0L~D,C fLltlJL' eL;~~~.~ Or::;
C J-..,
~o 2,,0
n.~<":c:
!".J~;tl ~:).,.
~-' 0\"
LEGAL ACCESS TO PROPERTY
CJt~r:,~~t.~ \1,,~t/ ~"-;GQYj' CJ
PROPERTY SIZE - FT.
:r~~~ ,;l~r:;::i'<'';':'l1 ~:i~G~;; \~
WIDTH
DEPTH
'AREA
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
. STRUCTURES TO BE BUII..T THIS PERMIT
~:i.':P()~? Pl:,;~"ng 1
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. # BDRMS.
New System D \.
VAI..UATlON i'
I
, '
SEWAGE DISPOSAL
PUBLIC 0
, BUILDING
. WASTE DISPOSAL
, ,
PLUMBING
I .
~LAN REVIEW
PARK TRAILER
~
fEES
PLUMBING, INSTALLED BY
OWNER 0 'OTHER: NAME
WATER SUPPLY
SEPTIC TANK 0
OTHERD
f - '", .ilJ~ I
PUBLIC D.
o OTHER
i'.
, TOTAL
,4;
b ;) ..Lfljt
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN fielD R~QUIRED
~~,.",:_;! ~'~ .~1 j:'
L1N. FT TRENCH. WIDTH FT.
. I
MIN, SEPTIC TANK CAPAc:!TY~
"./",.
WITH DIST, 'BOX, GAL.
OR SQ. FT.
,TYPE OF SrRUCTURE
OCCUPANCY ZONE
PUBLIC UTIL. EASEMENT
, ,
, BLDG,~ S~TBACKS.. FT, FROM. CTR. Of ROAD RIGHT OF WAY
.j' ~), \J(l ~..~
: FRONT ' SIDE INT. SIDE EXT.
': . fa! ,b. '~7" l;;10 /~;~o:~!Z&?}!~~ti~AE - DATE
USE CLASSIFICATION
REAR
~j . ~':1'<:\':
f ' .. DATE"
J/'''f' -":'\',';'.~.r'" .1
, "".,J~,",\.,..,. ..,r
,~.~~')
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 1
IMPORTANT: for subsurface sewage di~posal and county regulations covering '.
plumbing. All buildings require a certificate of occupancy before.
. being occupied.
(See Details on Reverse Side)
FORM:ti:.C55-13
(POST TIHI~S . PERMiT ON MAIN BLDG. AT SIrE)
. LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.
SITE INSPECTION
ApPROVED I /
DISAPPROVED /
REMARKS
FOUNDATION INSPECTION
. ApPROVED /
/ DISAPPROVED /
REMARKS
FRAMING INSPECTION
ApPROVED /
REMARKS
/ DISAPPROVED I
LATH OR SHEETROCK INSPECTION
ApPROVED I
/ DISAPPROVED /
DI""'OV,o ~~~
/ I/{/
/ {/.fA .
,. /fi'---
\/
REMARKS
FINAL INSPECTION
ApPROVED I
I
REMARKS
CERTIFICATE OF OCCUPANCY
/ DATE
I DATE
I DA TE
/ DATE
READY TO ISSUE /
/ NOT READY TO ISSUE /
REMARKS
/ ' DA TE
.
INSPECTOR
INSPECTOR.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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.. ,", '.. :.:', ..P'ERMlT .NO:' //i:tfo.',- 7-r.
INSTALLER!:S NAME ." ..... ,::.. PROPERTY -ADDRESS.. .' '.. I~~ ....
;;P~s'j~~~tf,a;J/J1I;anCJjL~;j,".{:lltJ"'?J~c0ct~Y!a/a~' ..:~.,..... ~ .....
'..NO.1":(ivtng ,Units j ~edrOqms?B;t~."',,:Bas.e.men.t'..- '. .w~,ter ~upp1y:. '.t/..'., ,.J(~..."i:;y,.,1~A~./,.
<". '/'" n ..', c......~: ., " :1?1...:' yes.,.... No," ._Pub Ht :. ," Other-Li!it P..h~e.5f-
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,Irfs!.de O:imensions:': ,:.Ft.. , .' TiJe~Disposal Held: ~",'~..'
Len~th ,<?'.(:' ,Wi dth:'~.' Or;jineter''':' ,;D~p:th'if'" 0 i s,t... ib.iHon: Box: . Yes t--+-"No ;..,
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MAJLlNG:-Z?,;;:YOl!~~~:,_ '. .'WEll'?:,,' ,'.....,' Found~tionid~""""'~~
ADORES'? .~ .:' ')' .",: .. .(/ . . L<;>t Ci,ne....: ' . '(/
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Leng;.tl:, ofL h1es-F.t.CYQ': ,T~et;lch ~ To~,~; 'S9.,~, .:>FF ~ Bet~.een-. Fll 1 er/~. Fi 11.er,:,~.e.'.p.t.h._. ' F.~l.ler . B.:. 1 ow
1. (21,' 3. 4.,.5.'6.'" Wldthl Ft.")'O." Llnes-/o~ ,. c" TypeR-I? Above Tlle.f/l:n.TI1et.:ll.n.'
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_ _.' ". '. ,,"", ...'..:'..... .... CERTIFJCAT~ ,OF.:,SATlSFA.,CT..'O.RY:C.OMPLET. IO"N .. " ' "!:A -," ,".,
. For Sarli tar i an .Use,Only: " ' , , '. , ". :, .' ";', :,,' '. ' " ,:. Oate: '0,-]..5-:7) If
, :In:.:'accotdance \1ith."1:97J Ore'gon"Laws"Chap~~r, 835,S'~ction;~~'14 t..his certi-ficat~ .is issued. - , f.' "
'..;, ,asevi~ence of-sat, L~factory;c<>ri1p ':e,tion :,()f ,a .su~surf-:~ce sewaged!. 5 po.;; a l..sYst~nr:at the abo~e,
.1,o~a~AP~r~~i(n:'sY'st~m"I~~'t~1 J~~'ibnc:onfo~~~'~t:~"current ,stahdard~' , . ,... .' -
. '. L-1 Oi sappr6ved: ',_ Q~~s not con'form-to',.cLirrent s'tandards. ;(}:.. . ';j)~~' ' .
Remarks:' "; '",.. ..
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, ..:. -- . .. LANE COUNTY-," '., .,..
"..':.,STATE OF OREGONOEPARJMENT'OF: ENV I RONMENTAL QU~~lTY, ,.C' " ..
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