HomeMy WebLinkAboutPermit Building 1973-7-10
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LANE COUNTY-:'bdILDING PERMIT OR MOBILE
BUILDING ~)( MH D
MAILING ADDRESS
258~ ~~nJ PLAC[P Sffi INaF',; nDp OREson
MAILING ADDRESS
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HOM'O-JSE PERMIT
PERMIT NO,
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PROPERTY OWNER
1252';'73
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VESr~VEp. CONSV~UC110N
CONTRACTOR
PHONE
747~991i
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PHONE
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PROPERTY LOCATION - INCLUDE POST OFFICE
276g eU~LINCTON AVENUE
PROPERTY lEGAL DESCRIPTION - METES, BOUNDS
CANTERBURY VILLASE 1ST ADOITION Lot 5 BLOC~ 2
TWP
RANGE
17
03
SECTION
24~ Lj-,/
TAX LOT NO. CODE CENSUS TRACT
-*'30c1(/ ).v
(EXISTING STRUCTURES ON PROPERTY
Mom:
,lEGAL ACCESS TO . PROPERTY
8um,. I Ncro~~ AVEr"UE
PROPERTY SIZE - FT,
WIDTH 74 .~fDEPTH 109 ~ Go AREA
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APPl.
. NAME
&
MAILING
ADDRESS SPR i NCF' I E:I.D,p OREl30N
FOR MOBILE HOME PERMITS ONLY
No. of l3edrooms
V~STDVER lonSTRucrimN
2589 35 TW PLACE
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System D New System D
TYPE CONSTRUCTION, SQ. FT. # BDRMS VALUATION
fr.-IITU I i\J<3
f'f:!A~4E
1131 0 12 (3) ~3172r(2
Gt\RAelt~AT'1ACHED Mm UfJeE rLEO
504 @ 3
1;512
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IWSTALLATIOU Or S.D~S.
1 "1" CJ:~l~
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK ~~r OTHERD
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~() An
~1 c::n
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FEES
PLUMBING INSTAllED BY
OWNER 0 ,. OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
R!.\'!\!116~.f Id,\yr;:r. 1')13,'1...
MIN, SEPTIC TANK CAPACITY
WITH DIST, BOX: ~Al. gOO
~ 10":l c;n
COUNTY BUILDING & SANITATION SPECIFlc;.A,T10NS
DRAIN FielD REQUIRED
TOTAL
lIN, FT
200
TRENCH WIDTH FT,
2
OR SQ, FT,
400
Srn1tH3E OI$f::'OSAl SV$TtCll TO Ell!: INSYAt.L~1') ~ER r!12\fISJED PLOV f'lMJ.. "i'-CHi L1~1:; ~E{)lJI{;lCD 'b0
FRONT V^RD~ Roo~ DRAINS TO STR~tY.
TYPE OF STRUCTURE
OCCUPAN"CY
ZONE
PUBLIC UTll. EASEMENT
C\ N I M~D J
BLDG. -SETBACKS n FT. FROM CTR. OF ROAD RIGHT OF WAY
R=1
USE .ClA!iSIFICATION
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FRO!~H
4(:)
REAR
'1
SIDE INT, ~ SIDE EXT,
AUTHORI-ZED SIGNATURE - DATE
, /rJ/ .L'1l:. AhSS C1V CHA~r.:!~S HAfHnAtDCM
JOLiN CmH CI~SfolAiI::tn R.S.
DATE
7/10/7'1 5S
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BlDG', PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX ~ PINK
PLUMBING - CANARY
BUILDING - GREEN .
SANITATION - GOLDENROD.
Construction to comply with uniform building code and county regulations
covering plumbing and .sewage disposal. All buildings require a certificate
of occupancy before being occupied.
(See Statement on Reverse Side)
. .
(POST THIS PERMIT ON MAIN. BLDG. AT SITE)
.LANE COUNTY, .BlDG, & SAN, DIV" COURT HOUSE, EUG~NE, OREGON 97401
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FORM.#C55,-13 ,
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Youry-nding Permit I Site Insr,~.t-i,?n:
( Y Can be approved; 7-~-'1~
() Cannot b~ approved at this. time as indicated on item NO. above.
Quest ions and' further informat ion on items J through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County BuiJdinCJ and Sanitation Division.
() WiJ I be held in this office until you can resoJve the problems indicated.
() Is being returned.
() Your building permit appJication fee 1s being returned under separate cuver!
L I\N[ COUNTY PU\NN I NG DEP/\RTMENT
'.11, 5 i x t h I\\'f~nue Fas t. Eugellf', Oregon 97L}O I
I' Illl N I: I J I } ,- I \ I I I X I. n I .
U\NE COUNTY BU I LD I NG & SAN! TAT ION 0 I V I S ION
135 Sixth Avenue East, Eugene. Ol.egon 97401
PHONE: 342-1311 EXL 41! .
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SITE I NSPECT I ON
ApPROVED / / DISAPPROVED / / DATE'
INSPECTOR
REMARKS
FOUNDATION INSPECTION
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ApPROVED / R' / DISAPPROVED /.
/ DATE 1,;z i.(.. 71
I NSPECTOR ~
REMARKS
F,RAMI NG I NSPECT ION _ ~
/ . U6
ApPROVED / G/j DI SAPPROVED / / DATE 9'-/ J ~1~ - INSPECTOR
REM":;~~.~L7-2 ~/7Y
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
/
/'
FINAL INSPECT;~
ApPROVED ~/I DIS~ROVED /
REMARKS ~ ~ 17... /].
. /I 7
ti
/ DATE
-7~
/I//~. ?O'NseECTo. ~
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
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to.-(~
W~ti2 .,(,('fj~
P.. (). JOO
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/ ~taiier' s Name (/
No. Living Units Bedrooms Baths
/ . tt.3 I
Sept.ic Tank:
Ft. from well Steel 0 Concrete ~
Ins~C1e Dllnens~ons: ,t't:.. l . .
Length % J.... Width ~ JJ <-' Diameter -
Applican~.. ,. / 4r/~
;I Name WESTOVER CONSTRU TION
t
Mailing 2t:)8q it:) TH PL t.q E
Address
SPRINGFIELD.O EGON
Length o~ Lines - Ft. Trench Tot~~ sq,
1}t21J3. 4.. 5. ( . Width a ft.7J"O
s}(etc;'IVSf!:~ ins:trultions):
~'r .-v '-..J'J~~:.
INDIVIDUAL SEWAGE DISPOSAL sysm~M RECORD ·
~nstaller: Complete t~~ pa~~ form to
signature and return both copies to Lane
County Building Sanitation Department.
'.
Property Address
BURL' NGTON AVENU~ ..2. 7ft:,s:-
I Basement\!. Water ~~ply
Yes ~ NO~ Public OU Other-List
P~RMIT No. 1?~?-?3
CRUICKSHANK
No. Compartments I Gal. Capacity- / O(J) t!:Y)
j , ._ I Tile Disposal Field:~
Depth ~J Distribution Box:Yes IA No 0
I Other Distribution/7Type
Feet :W?m ._ __/J> f
Well/I/o ur~ndation j D
Lot Line
. . . ...rFront Side /0, Rear 10
t.between Fi1;!::;~~~~ Filler depth F~ller deptfi
, "7' r" Y above below J
~nes /,...,) Ty .. tile ~ in. I tile ~ in.
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S EP 19 1973
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lANE COU.NTY HEALTH UNll
. ~ate ?--- I K,- '7 ~ Sig~ature . {;1.~;: ,.y
For Sanitarian Use Only: II/If, .
. ~ Approved: System Installation Conforms to Current Standards Date: t:b'').,Aj!7,'!:,
o Disapproved: Does Not Conform to Current Standards I
Remarks:
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Lane County Building & Sanitation D~~
C55-11
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LANE COUNTY Bl
ING PERMIT 0 R MOBILE HOME
PERMIT. TYPE - BUILDING 't:8--- MOBILE HOME DOSC REG. #
---- - --- --.- ----- - .-
PROPERTY OWNER /1_ MAILING ADDRE S
bd&Sr(;)d~ u;MI;<::.r:.
CONTRACTOR
6GTIt ~ C~PJ~
- J
APPLICATION
PERMIT # QS~-'73
7lf-;:7??/
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MAILING ADDRESS
PHONE
PRO~ERTY LOCAT~ON - INCLUDE POST OFFICE /], / . /J n.df
d7~'-, ~h~0r,g,c/ ~&~S-p/. /n.y'A-::../
PROPERTY LEGAL DESCRIP~N /l /A .Ar-LC.../>. /2..;.~ ,,;:.' . / ~f /l/:ll1letj5
LOT - BLOCK - SUBDIV, ( ~(J f r ~"31. //... . _ _/,; /'If::1IA, flu<. ,.:1
Tj-] ~A~E ~if . - TAX LOT # . CODE . - -. CENSUS-TRACT
APP~ICANT - I DESCR" ~ ~TURES ON PROPERTY IF ANY
NAME /Ul.
AND ~/1Jd;J1V L/~~~~ #
MAILING / tI PROPERTY SIZE-WIDTH DEPTH
, '1,-/,3fo 19q ,loD
METES & BOUNDS 0 YES
ATTACHED 0 NO
AREA
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
1) tJf ilfLIU?
WI"" -- -
(f;~j-/17[-~
.,,""
Connect to Existing Sewage System 0 or New System Req. 0
TYPE CONSTRUCTION SQ, FT. # &EDROOMS VALUATION
+J2Amif.- !//~Je,G-('3) /~S7~
~<)91C/ €I 3 _ I/S~ / ;;l _
/5:{)tflf
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'JA/~~ SJ), S~
SEWAGE DISPOSAL
BLDG.
WASTE DIS.
PLUMBING
PLAN REVIEW
PARK. TRLR.
PLUMBING_ INSTALLED BY ,\./1 1'1 A _ i ' (;)r
OTHER 0, OWNER D. ,OTHER/1c!< NAME (.,J~ "5> H)J/~
WATER SUPP~fJLJ . PLANS FURNISHED- - f,;ACILI(Y PERMIT
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PUBLIC ":lZl OTHER YES..;g( NO 0 'rjES 0: NO 0
PLUMBIj(jG FEES ~I.?~~E ~./.,;P~C~N./ '... ,tf.-/ DATE
r;, FIXTURES )<K,{:;/() Y F rT ~-A"'J;A'J~D7-'d"'; 13
c~:~: ~~~ECTION FEE ~,OO F~~D\BY- t~1 I~.;) ~73
O PERMIT #.- If
PUBLIC WATER /. C-:O
J 8\::j, 5 CONNECTION FEE , \0 ,
COUNTY BUILDING & SANITATION SPECIFICATIONS II
MIN. SEPTIC TANK CAPACITY DRAIN FielD REQUIRED 11,(
WITH DIST. BOX: GAl. '10-0 lIN. FT, ~ 6 TRENCH WIDTH FT. .:t.. OR SQt/JR.E FEET ~
~, ~o) "'1*447"0 J". ~ .~ ihsWbJ 1~.'1t~~Jitllk
rtt-rA}ecjl +c -f},rni; ~ t1~of 4rA.}..s -Ql5t:r",t; '\./ J(
TYPE OF STRUCTURE h JI OCCU~4' Q~i" ~R YARD
BLDG, SETBACKS - FT, FROM CrR, OF ROAD RIGHT OF WAY liSE CLASSIFICATION
FRONT * l SIDE INT. 5 ~ SIDE EXT. REAR S I "
N ARIAN ~ \7htzt; a::L:~ jJ~);3 BLDG, I~ ~ & If __ ~ .. '7 Jete
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Property:
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PUBLIC 0
SEPTIC TANK '5i
$~::.2 : ~ ~ FEES
ift - ~
~' ,'- ~ :;)/,0'0
TOTAL
PUBLIC UTll. EASEMENT
COPY 1 - OFFICE
COPY 2 - JOURNAL
COpy 3 - AUDIT
Form # C55-12
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