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Home My WebLink AboutPermit Building 1974-4-12 ~~) -~ ~ ~ , /~ (1 ut' " - '1~~. ~~. . ) ., 1:5 I tJ68/SPR- .~. 7~~. .~,~9 , >, 't;y '. '..,:-/ ~ . 4~ --, " ., . I. LANE cour \IV BUILDING f:1' BUILDING PERMIT OR .MOBILE ~,-,~(tE USE PERMIT 5 '"" 3 7(/ :; - /5~3-74 MH D PERMIT NO. MAILING' ADDRESS PHONE ;, PROPERTY OWifER.. i. I) ruco P. Broli'm CONTRACTOR 1646 Brookda1e Ave. MAILING ADDRESS , Euq~me 726-7421 PHONE same PROPERTY LOCATION - INCLUDE POST OFFICE 1646 BI'ookda 1 eAve. . j$>>lff Euc::tenlil.OreqOn , PROPERTY LEGAL DESCRIPTION - METES, BOUNDS' first Add to Farmda1e . TWP RANGE . SECTION. 17 03 22.4.2 APPl. NAME Brown TAX LOT NO. CODE CENSUS TRACT 3100 019-03 21-E0151B EXISTING STRUCTURES ON PROPERTY three bedroom. house' LEGAL ACCESS TO PROPERTY Brookda1e Ave. PROPERTY SIZE - FT. WIDTH 84' DEPTH 136 I AREA & , MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT' Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ. FT. .# BDRMS VALUATION addition of olavroom , . IrJoed f r sma 296 @ 12.00 3.552 \ SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK 0 BUILDING .'1: . WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . OTHERO ?6.00 FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY ,PUBLIC O. o OTHER MIN. SEPTIC TANK CAPACITY , WITH DIST. BOX: GAl. ~ ?~ nn COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED TOTAL . lIN. FT TRENCH WIDTH FT. OR SQ. FT. ~ Put no !:>filrt of new construction over 5DS. TYPE OF STRUCTURE OCCUPANCY ZONE 8gt USE CLASSIFICATION PUBLIC UTll. EASEMENT 5i'l BLDG. SETBACKS ,_ FT. FROM CTR, 'OF ROAD RIGHT OF WAY FRONT 45 · SIDE INT. 5" SIDE EXT. AUTHORIZED SIGNATURE - DATE s/s J.E. 8 oss'by Charlie Harbaugh REAR 6' fUE ' J, Shook DATE 4-12-74 bp' BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING"--- CANARY . BUILDING - GREEN SANITATION - GOLDENROD Call 687-4Q65 to schedule all required inspections. All construc- tionshall 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 ;6ccupancy before being occupied. . / (See Details on Reverse Side) \''\.,. FORM if: C55 -13 .'"':... (POST nus PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 61h, EUGENE, OREGON 97401 . \ \ \ ) \/ d> f~) ., LAN COU' BUILDING [j BUILDING PERMIT OR MOBILE ~. MH 0 MAILING ADDRESS AE USE PERMIT PERMIT NO. . '~ _ J!. , PROPERTY OWtJER i,.U..il' ,1, ~'I"LoWn CONTRACTOR lbo.f, 8r,}okdl!l; t: MAILING ADDRESS .;fI'.... . " ~jnir.'..') PHONE '~l t:w 71..~' PHONE -;;3 PROPERTY LOCATION - INCLUDE POST OFFICE Ihl+l nt'ookdahr Avr:~. iJlJI4 Etl,Ji~n~~. ()rt""on PROPERTY LEGAL DESCRIPTION - METES, BOUNDS j: : r. ~ I'"jd t {) F'.lrmd~ h! TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT ~ H l23L2 1l1. ) Oh..,)\ ;21.ED1S;Jt\ EXISTING STRUCTURES ON ~ROPERTY' f . ~. APPl. NAME & MAILING ADDRESS ~ ') \\~ )~ '", ".' . .... \ lhrQ,J llEKln)OIi\ ilO(.ttUl LEGAL ACCESS TO PROPERTY '-" II rOWI, \ 'y . ;.:....> ';,) "\~ '\\... f~ 1'-\~1 \ ... ",~ !irookdall!Av'L. "Il"~\" t\P'R9P~RT;Y SI~~.J'~:'..\. \ ""'\ '-f\! \ . _~ J"\' , '., .,~,).J, \" 1 ' WIDTH 34' DEPTH" 116 I AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. # BDRMS New SystemD VALUATION H:1( 1"'1 (If ill n'ln)i~\ I.oIOt<, f!" &me 2')(: 1 :L 10 ... '.' i ,- , .) "',,\.,.l ,,\, , ."",, '~. , \ " " . \ \.1-, .~ "l ~ Yh Dn FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY ..;;;:. SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK D OTHERO PUBLIC 0 o OTHER TOTAL ~, 1';, (U COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED ...., 'u1 fh ,),.rl; ;,f nli"W . , '\ .'\ ,\i . \\\ ,"- ~ '\ , ,,~ .. J e Ol'\1-t..0I( 1 i Iii lIN. FT \ \ \"\ ,\ \.:> v"t!:(~ \D~..<o1 \ - TRENCH WIDTH FT. \ ,,- \:, I. v '-'....\ OR SQ. FT. MIN. SEPTIC TANK CAPACITY WITH DIST, BOX: GAl. 't I, . \ i .:\ r'~~, " \\ , .... " ~ .~ \ .~ 'y, TYPE OF STRUCTURE OCCUPANCY ZONE " -' r USE . CLASSIFICATION PUBLIC UTll. EASEMENT I. I BLDG. SETBACKS _~ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT 41)' SIDE INT. '.' l SIDE EXT. AUTHORIZED SIGNATURE - DATE ~.,I, J.E. B JSS hy C~,8rl ;,,\1' l1~H';HtU~;'1 REAR ,. I ~lUj: DATE J. i.hcor. "~-'?-', 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 'for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. \ '. (See [),etails o,n. Reverse Si~e) " , " IMPORTANT: ~,\ (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 61h, EUGENE, OREGON 97401 ~ FORM :it C55 -13 7 / / / / I ~ <, . SITE INSPECTION ApPROVED / I D.ISAPPROVED / I DATE INSPECTOR REMARKS - TION ~ ApPROVED I . I D,'SAPPROVED / I DAT.E ; j; J-~~1t1 ~1.~,ECTO(X. REMARKS I(J/( ~ /~ &~ ,~ ~4' "7 d{jt[ . _ / 71. FOUNDATION FRAMING INSPECT~ ApPROVED ;t /1. 01 SAPPROVED I REMARKS , NS"CTD~ I DATE 6:-).~/!l/ LATH OR SHEETROCK INSPECTION ApPROVED I I DISAPPROVED / I . DATE INSPECTOR REMARKS 1/] !Jj FINAL INSPECTION'/;' 'r/P _ ApPROVED / II ISAPPROVED / I, D"'$d~'7!I-:. ',NSPECTO A REMARKS~Af.) D1dk ,/-).!J.. ,,?V ~ ~#../.i"'f.1 ~ CERTIFICATE OF OCCUPANCY READY TO ISSUE I I NOT READY TO ISSUE /. I DATE INSPECTOR REMARKS _.r- ) . Ii /. .., / ) f' ... ~/l!11 /I (~ .v '-t, ~ 'j! &, #_/: A 533-7'1- VJ~'111 ~tj? 'V6 .~~ " 't~ e,/~ at Ii ;,.' y . l~ ~ I,'. ... -.~ "Ie 1._ i._~' .~,... ~~. . i I.."., j.~!/ C33~ 7Y~ ... , (") Bu!_lding, Permit Application No. () Site Inspection () Pre-Permit Investigation L/\NE COUNTY PLANNING DEPARTMENT r NOT NO YES app I icab I e I. . Zoning OrdinanceCompl iance <( ( ) ( ) ..' (Zone LA&Z) 2. Subdivision Ordin~nce Compl iance () . , ( ) ( ) 'I Hequired Access ( . ( ) ( ) .) . 4. Building S i te(Area, Width, Vl ( ) ( ) Frontage, Setback) 5. o t he r (see comments) ~} ( ) ( ) COMMENTS: ..-- ~~... .,. ..-.,.----. BUILDING INSPECTION SECTION NOT NO YES app I icab I e ~>r 6. Plans Subm i t ted ( ) ( ) 7. So i I, Stab i lit y (foot j ngs) J~f ( ) ( ) 8 ~ . Flood Plain $f) ( ) ( ) . 9. o t he r (see Comments) {f6 (. ) ( ) COMMENTS: j 17 1\ O~:> 2:;;. L/. a"AX LOT ~/OD U'~ISUS.' TRACT '., r _, . 1~~o.J,L r"'\. .~.~ APPLICANT: . . NI\ME IZ Rr{Jw h 'ADDRESS PHONE DATE 'L/- g -7V ; NM1E O/ITE /~~ '-(- 1-71 --.--.....~ -~..~ ---- -..-.~ NAME DATE .(~~/:-~~ ?JJ~?Jj A 6 v SAN ITAT ION SECTION NOT NO YES app I i cab I e 10. Sewage Disposal ~ ) ( ) ( ) '11.' Usable Area ( ) ( ) ( ) 12. Water Supply ( \) ( ) ( ) 13. b t he I' (see Comments) . ( ) ( ) ( ) -~~-_.._._. . _...... .~.. ~,--.. COMMENTS: l TO APPLICANT: ---_...-.- -_.-......--_.- .._.~---- .----.-----.--..--...,....-.-.-- Building Permit / Site Inspect ion: Can be approved. Cannot be approved at this time as ind,icated on iten, NO. above. Quest ions and fur.ther infolmat ion on itell.ls I throu9h 5 contact the Lane- COUNTY PLANN ING DEPI\RTMENT. QllI';<;I ions dnd fur:ther inforlllut ion on j tcms 6 through 13 contact the Lane COlll.~_L..L~.~ildir1..9_-.:~:,~~_~(L':1.L~~ation D~Uion. .Will lie held in this uffice until you can, ref.o!ve I Ill: probl(~IlI~ :ndicat'l'J. I<; bt;ing n~turned: Your buildinq perrllit application fee is bein9 relur-nt::d urider separate culler. y.:,\ \ e? Your .~ () ( ) ( ) l./iNf Clllltn Y I'! lINt! ING DEi'/\RTMENT I j 'j' :l ;,,1< r II, /', "{"lllt~. E <i ~ t. f Ul3e11c, 0 I t~~\lll 97tl0 I I lINE ClilJtHV fllllLlllNG E~ SlItJIT/\TION DIVISION 135' S'j xth tl...{'Ill IC, CdS t. [11<jPI1I'. .(11 ('qnn ()740 I. P~ll1NI JlI2...13IM DT.. ~~I l"IIll(~t. .:\1/1; III I' E); I . 211 ...~_._...--_.---- -.-.-.-.- _.. .-..------------.----.--.-..-.-.. - -. .--------..-....... - ---- --- -~ -..--..- .~_._.__..._-- "'."_' _'.'_h___._ ___.__._.._. ~"'_""_ ~15 5 - 28