HomeMy WebLinkAboutPermit Building 1975-9-26
~," '.',...:"'_.,.--.~~""'.:.:)i~'
\(./r~', .
+\ , ,
. -~,.. ~~.. .' \ . . . ;', .~
~ \"
..
",' 'f'~' ......'.~. "',"'<', "'+" '" I
/:;,.~,,,.'+"i' , ".-
".--..,,-~c
d;,J C::.3 -.75-'
:~ ~f'
'LANE COUNTY
BUILDING OO{,
BUILDING
.MH 0
MAILING ADDRESS
. 701 A8fi>EN
PERMIT OR MOBILE HOME USE PERMIT
PERMIT NO.
,!,~bPERTY OWNER ./
<y.:', MARi''f' PRAEG I HeR
~~ . .
EUGENE' OREGON
2263-75
PHONE
747-6617
\ ~ .
'",,","
CONTRACTOR
. GENE: . MERRI TT
'.,PR.oPERTY 'LOCATION - INCLUDE POST OFFICE
. . 701, ASPEN
"; PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
DIAMOND ACR~S lOT 2' BLOCK.1
MAILING ADDRESS
90409 SHADOWS DRIVE
PHONE
SPRINGfiELD OR~Gq~
/
(
TWP
RANGE
SECTION
31~:2 J~ ,.
TAX LOT NO,
208
CODE
CENSUS TRACT
17
03
ApPl.
NAME
GENE t.1ERR I TT
EXISTING STRUCTURES ON' PROPERTY
HOUSE
LEGAL' ACCESS TO PROPERTY
.. .ASPEN
PROPERTY SIZE - FT.
&
MAILING
, ADDRESS
. FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms .
SAME
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect 'to Existing
TYPE CONSTR.l!,g.I.ION
160 @ 5.30
$ewage System 0
SQ, FT, :it BDRMS'
New System 0
VALUATION
, PERMIT fOR STORAGE BU1U>lNG
\
,
.
~
..
.\
*848.0(>
,:'
";'"''''.....:0....4
SEWAGE DISPOSAL
PUBLIC DEXISTSEPTIC TANK D
BUilDING $
, WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SURCliARGE
0.THERD
<4.00.'
FEES
PLUMBING I,NSTAllED BY
OWNER'O OTHER: NAME
WATER Su.pPLY
PUBLIC D
D OTHER
TOTAL
$
, .27
Q.?7
COUNTY
BUILDING & !SANIT A TION
DRAIN FiElD REQUIRED
I
SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
PUT NO PART Of THE NEW, CONSTRUCTION \4IYHi/l, 10 fEET OF' THE SEWAGE DISPOSAL SYSTEM:
TYPE OF STRUCTURE
5N
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
J
BLDG. SETBACKS". FT, FROM CTR. OF ROAD RIGHT ,OF WAY
. ,', ' I
FRONT .~)t -u- fg~ INT. 5 SIDE .EXTfO
L3'v - I J- '"1HORIZED SIGNATURE - DATE
/s/ J. E. Boss BY HARBAUGH
USE CLASSIFICATION
REAR 5
l SHOOK/SANiTARIAN
9/26/75
DATE
DlM
BLDG. PERMIT - WHITE
. OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SAN'ITATlON - GOlDENROD
IM'PORT ANT:
Call 687-4065 to schedule all required inspections. All construc-
tion shall comply with Uniform Building Code, D.E,Q. standards
for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See, Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT.
. " ," .', , ,.' .' " .', ' , , , ,: CP~R!HOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
. ~1,..'.};,.Q.B.rYL:,;r,';:...~C",5 5i,:::.jl,3~,!....:.>ol.':"~"'~"~";"~'t,.-,:._" _.,.....:(..~,..,...;_:.:,.,..,.:..":'-""_r),';',..:.. .)...",., .,"../ k!,t '._.""~:"cr.;"" ..."'L.,.,...;...~.r,
:'..'.; ,.,,_._' ..'"".-....~.~~, ".~' _.. ",', ~.l..,_. ,. . -" "'''''' _'.,._~' ~'. ._ . _ " .-t_'~.. ....
~
'.
G'0
T S TAX LOT.
SUBDIVISlu~:
APPLICANT? ~;ttf~i~rn1t
DATE'
BUJ lD I NG SITE EVALUATION
( l BUILDING PERMIT APPLICATION NO. '::;'~L._~ ....?.s-
() SITE INSPECTION
PLANNING DIVISION
Not
, Applicable No Yes CKID BY:~
1. Zon in g Ord i nanceComp 1 i ance,: zone-tt16-"-(~) () () 6. Setbacks "from ell
2. Subdivisi'on Ordinance Compl iance () () ( ) Front
3. Required Access,' () () ( ) S.ide Exterior
4. Building Site (Area, Width, Frontage) () () ( ) Setbacks from interior
5. Other (see comments) , ' . ,( M.' ( ) Side
, ',' t::? _ /? . 1" Rear./" '
COMMENTS':''''''~'~/~~. ../.?/' rd..A./~~ /?~.---?~"~---
~ - -.' '" - 8 - -' // r-/ "
1/ .", . ' ~ ~ II . 1./ 4/ r '--4- i ,(' ,
"f~ ~,~"'~:,~ qr ()~\ ;JD >q,'" . .{"? A(J
,'" '(/' , ./" ". v (j~
PLANNING DIVISION ACTION PENb'ING: YES'V) 'NO( ) APPl.ItATlON# ~rl/:J -/~ u;
ff--/3-?.:s-
of road:
.f~"___
.';';';:0:
1 rnas:
;r
~
BUtLDING INSPECTION DIVISION
Not
App 1 icab 1 e
( )
~),'
( )
)
r) ~~
( ) (1
( ) ( )
( ) ( )
7. Plans Submitted .
8. Soil Stability (footings)
9. Flood'Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
No Yes
T") ( )
( ) ( )
CKID B~~ ~/,} v~
\J . DATE
COMMENTS:
. TO APPL I C,ANT: ,
~i~:i~~p~o~~~~ Inspection:
~anno~ be approved at ~hi5 tim~ as in~icated on item NO. 5 above.
, QuestIons and further Information on Items 1 through 6 contact the LANE-
COUNTY PLANNING DIVISION. Questions and further information 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 permit aeplic~.!..L~!!..Je.~..ls_.!?ein~et\lrned unsler seoarate cover.
. DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
135 Si~th Avenue East Eugene OregO~ 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
I)b,1
1/(/-' .
C55-28
'"
LANE COUNTY
BUILDING 01
BUILDING PERMIT OR MOBILE
MH D
MAILING ADDRESS
HOME USE PERMIT
PERMIT NO.
//
.-"'\ ~
PROPERTY OWNER
PHONE
t, .
CONTRACTOR
MAILING ADDRESS
, ,
PHONE
:, 'i
,::,..,'
i'-'
),",
, ,..,
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
:~'.(' - ~.?' \.~
TWP
RANGE
SECTION
, TAX LOT NO,
CODE
CENSUS TRACT
....-,\
s' . ~ ',.
f ,-.
, .'
APPl.
EXISTING STRUCTURES ON PROPERTY
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
: ~\."<.
LEGAL ACCESS TO PROPERTY
i,'
\ I ~ I
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ, FT, # BDRMS
New System D
VALUATION
i;",j' :;
:.,~ . :-", -;;; .~;:'
.... /' .
";"; ;.
FEES
PLUMBING INSTALLED BY
OWNER D OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC D
BUILDING
WASTE DISPOSAL
PLUMBING
PLAI\I- REVIEW
'Pf-RK TRAilER
t SEPTIC TANK D
$
OTHERD
,,-~
PUBLIC D
D OTHER
"Y'
cc- .
.~
.;
.~
,
TOTAL
~
"I dr:-~'
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
~~
,., <; ~~<-.: . ~.~
L
":\J\
'."C
. ')
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
BLDG. SETBACKS n FT. FROM CTR. OF ROAD RIGHT OF .WAY
FRONT ; ~~:, c.,.;:::_ '~Jt;l.s INT. SIDE EXT.
"".",to,_ :::::-" "AUTHORIZED SIGNATURE - DATE
USE CLASSIFICATION
REAR
...' '.'
" '
. .....
~ .; ." -'
.l '.'; ~
DATE
-'l"
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' di~posal and county regulations covering
plumbing, All buildings re~l!ire a certificate of occupancy before
"being occ~pie~.~ '. :;(\'
\ ~ '\\ -,'.'(See" ~Petpils''-~6nJ;,Reverse. Side) ~.
'\ \:..,'r-' ~ ~.....,.,...,,~ ~" \ \.
\'\ '\
(POST THIS PERMIT ON MAIN BLDG. A "f~ SITE)
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
... ;.....
,
BLDG, PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOlDENROD
FORM # C55 -13
........-::-...
SITE INSPECTION
ApPROVED /
REMARKS
I-"
/
DISAPPROVED /
ApPROVED /
FOUNDATION INSPECTION
1 DISAPPROVED /
REMARKS
ApPROVED /
FRAMING INSPECTION
/ DISAPPROVED /
REMARKS
,ApPROVED /
LATH OR SHEETROCK INSPECTION
/ DISAPPROVED /
REMARKS
FINAL INSPECT~5~ '
ApPROVED /-/1''/ 'o4S'APPROVED /
1/
REMARKS' I;
READY TO ISSUE /
CERTIFICATE OF OCCUPANCY
/ NOT READY TO ISSUE /
INSPECTOR
/ DATE
INSPECTOR
1 . DATE
INSPECTOR
/ DATE
INSPECTOR
\
1 DATE
INSPECTOR
/
Dm/tl~'1-Jd-,,,PC&/
"
I. DATE
REMARKS /7 /1 rJ
1/ /./ I /
C>4~C:~
""\
;l. ;1.(,3 - ';$- r{3; 7 tJ I
~
"
~
4t';
f.
~
\
. PERMIT if ;).~3 -/.)-
.' NOTE: .~O:.~PE~IT WILL BE ISSUED UNTIL THIS APPLICATIOl'i HAS BEEWAPPROVED
APPLICATION FOR:
- '" ......
CONSTRU.CTION ;~ "t1o.BILE HOME
PLAN REVIEW
'.'1 CHANGE OF :OCCUPANCY I'
, _~~;'~ ~ 91L/t'/ '-7 4I7-~~/7
. f,ffi...:.I 'Zip' ,'Phone .
~~, trc,( "M477,~7d ~
/ ~?y ,.'. Zip ~ Phone r.J ../
" -
All CG,,';-i~/.a'~~Ot/~Iz-€y- , 1'0 I ~5d~
:, Name ',' . \J. ,Address I
I"~ CONTF0CTORP'~~1Q>'~~;~! f!- 9tJL-~e3 .c:A.fj-.J$ flY'..
>/' ", . Name " '. - Address
I
OWNER
o ~ S,. REG. 1/ (~/:/O 2.;'
.1'!vP' 'j 7 Range 0 3. Section. _' c~ /..:llT~x Lot' ~o'y
'SUbdiV~~ion f)"(;~r77'/frh 1 ,4r r~:~ -. Lot...:.L Block)
ACCESS TO PROPERTY (Road:Nam~) ...q/~.;.-~ ...:-: .,~ ~
.' ~xisting Structures on Property:, ',' ;i'~" ,4.:!-' ~ . '. : :'
,Property Location - AddressJDir'ec~ions: 176 '4y~
SEWAGE DISPOSAL:.
'Site Inspection ,
Census Tract
I
'/,
p'OP",'y '7/
/
'.e/
,,/'
Below fo r Office Us e OnlyXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
A___..A-- tL~ ' (') < , ,>~ :,' /;z /7/7 Sq. Ft.. .~S;;}(), . 'Bedrooms Valuation
~'~~ .><25~0 ~ ,/ bCJT' ' fXi,.. 0 ()
t.} ~ f.. ty · / .
'j
'" ..:ExiSting'Sewage D~spok syste~'~ or'New System Required'l "
" ' PUbli7-- I I, '. .
" . /. (:;) - \ ~,
Other Community I ~. Name of Community or Public system\.~
-"LVMBlNG, I -. ·
(,":~st,all~d by 7er I . o,~~er Name
.PLUMBING FEES"
". - /. II of Fixtures ."':". Sewage
'. '. .~. '/1, '.Connection'
P'LANS'FURNISHED.,
.;:l 7 ..'.. - CASH:.
Code
Width'
Depth
WATER SUPPLY:
Well
Spring
FEES:
Bldg.
9'. 0 ()
Waste Disp.
Plumbing ,"
Water
Connection
, Plan Revie~J
, Mobile Home
FACILITY PERMIT
.~ Surcharge.
TOTAL
"1'1 ;;).'7" " ::'1
CHECK
1~E..s",I" I NO' u: .' I YES 1.><:1' NO
"Sig~;i:ure9f ~~~licant~A,4.~,~'-
F,e~:Received BY{}P...4::... :., . Date: 'f?- LY -;?,.,j-
, ,"~ 'c,
~~ Septic Tank C<lpacity. : ,. , Drainfield Required :- Lineal. Feet. Maximum Depth
,............... t v\" ff}..........{..r:)'+-.. 'n'~' . co"';~..J, , t.v7ik,": , /D I c> f -'SDS ,
i . . ,
Type of Construction
::;- JI
Group'~1
Fire. Zone
Use Classification
. Bldg Se~f~ks - from Center; of. Road Rig?t of Way:
, ) Fron;.tS '..#. r. Side In t. .s- Side Exterior 6/..i:::::7 Rear ...s-. Zone ~ G- /
/j3()-7S-lr~ '. / . /a '
~ 9-1;~';.r .~stll~' <?-/I:;;;;--- JIJ~tff; ~-;1~Jj'
C55.12 LANE COUNTY D~~lENT OF ENVIRONMENTAl ~NAGEM~N/