HomeMy WebLinkAboutPermit Building 1973-6-8
)ME USE PERMIT W 1-7 3
.PERMIT NO. nA'"7"1
/-. 1.,1 PHONE
7l.!,7-~6i7
PHONE
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LANE. CO TY BUILDING PERMIT. OR MOBILE
BUILDING Gtj)( . MH D
MAILING ADDRESS
PROPERTY' OWNE~-
~'Ja 81 AI'ILCl'l"nM.. ~T"r'..,. SP,RINGF"IELD. OFlE(;ON
MAILING AD"DRESS-- - - --- - ,q---,
Rr. 4 Box 319 R, EUGENE, OREGON' <;,~:Ih:.;'i;:"
ADAMSON. S.
CONTRACTOR
MAXON, al~ _,.
PROPERTY LOCATION - INCLUDE POST- OFFiCE
339BL ACt< STONE
PROPERTY LEGAL DESCRIPTION -METES, BOUNDS
1ST ADDITION Ta ROYAL DELLE: LOT 24 BLOCI( 3
TWP
SECTION
TA~isdO CODE CE;~~S,;;;CT
EXISTING STRUCTURES ON PROPERTY
Dt~ELL I NG
LEGAL ACCESS TO PROPERTY
BLACKSTONE STREET
PROPERTY SIZE - FT.
RANGE.
17
.23..71'c(
03
APPl.
NAME
&
MAILING
ADDRESS SPRI NGF & ELD, OREGON
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
S. ADAl\qSON
339 BLACKSTOBE STREET
WIDTH
DEPTH
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. # BDRMS
STRUCTURES TO BE BUILT THIS PERMIT
,;";,.:' ADD I T I aN OF" f AMI L Y ROOM
~; Lon OVER la.aAGE
441 @ 12
240 @ 9
", r,.
CHANGI~G EXISTING FAMILY ROOM BACK TO GARAGE
I'.
\
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
. PARK TRAILER
[,X I STS
SEPTIC TANK X~ . OTHERD
,<\: ~ts.OO
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME.
WATER SUPPLY
PUBLIC D'
o . OTHER
TOTAL
':t
i~. 00
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REC!UIRED
: MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.'
TRENCH WIDTH FT.
OR SQ. FT,
lIN. FT
No PART OF NEW CONSTRUCT~ON TO BE OVER PART O~ EXISTING SEWAGE DISPOSAL SYSTEM.
TYPE OF STRUCTURE
5 N
OCCUPANCY.
ZONE
RA
USE CLASSIFICATION
AREA
~J292
)29160
7,450
PUBLIC UTIL EASEMENT
BLDG_ SETBACKS n FT, FROM CTR. OF ROAD RIGHT OF WAY
45
SIDE INT, 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/s/ JoE. Boss 13Y CHARLES HARBAUGt-1
10
REAR 5
FRONT
JOHN CRUICKSHAN~I R.S.
6/8/73
\"':..
New System D .
'VALUATION
DATE
S5
BLDG, PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
ConstruCtior to comply with uniform building code and county regulations
covering pi Jmbing and sewage disposal. All buildings require a certificate
of occupanc y before being occupied.
(See Statement on Reverse- Side)
(POST. THIS PERMIT ON'MAIN BLDG. 'AT SITE)
LANE COUNTY, BLDG. & SAN. 01' r" COURT HOUSE, EUGENE, OREGON 97401
FORM:ttC55-13
BU I LDilG SITE EVALUAT ION
~~ '-'
,r r ,)( T 17 Rls d3 TAX
(, Iv' ~\' ~SUS TRACT Q J~it>O
n 8/-?S' APPLlCt\l'\'!"\:." ~ (' ,
~l ,,' NAME --1:D d\W1~ ~
, ADDRESS " ,
LOT..
( )
()
( )
Building Permit Application No..
Site Inspection
Pre-Permit Investigation
PHONE
DATE'
_I .1
,l, I'Q ,f.... [J'5.
. . J
i
NAME
DATE
~~,~
-- - --....----
r ___., '__lJO._
LANE COUNTY PLANNING DEPARTMENT
I.
Zoning Ordinance Compliance
(Zone12..A... )
Subdivision Ord~nance C6mpl iance
NOT
app,l ic ab l-e
(' ) ()
(--1' ()
(.-1"' ()
c,...r ...... ()
( )
NO' 'YES
4. Building Site (Area, ~idth,
, Frontage, ' Setback) ,
5. Other (see comments) ,
( )
( ....-r
( )
( )
( )
( )
Lt-i..
2.
3.
Required Access
COMMENTS:
. ,
BU I to I'NG INSPECTION' SECTION NOT ' NO YES NAME DATE
app I i cCib I e W
6. Plans Subm i tted ( ) ( )
7. So il Stab i I i ty (foot i ngs) , (If ( ) ( )
8. Flood Plain )'f) ( ) ( ) (3 71~~
9. Ot he r . (see Comments) m, ( ) ( ) ~ - '/- ? 7
,
---., I
COMMENTS:
SANITATION SECTION NOT NO YES NAME DATE,
appl ic~ble - ~ ~
10. Sewage D ispos a I ' ( ) ( )
I\. Usable Area ( ) ( ) ~ . 9~bA4 ~")~'t
12. Water Supply ( ) ( ) t>4-
13. o the r (see Comments) ( ) ( ) ( )
COMMENTS:
TO APPLI CANT:
Your
Ic1
( )
( )
( )
Bu i 1 ding Petmi t / Site I n~t:?ion:
Can be app roved. j<( v /"-'
Cannot be approved at this time as indicated on item NO. above.
Questions and further information 0n items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County Buildinq and Sanitation Division.
Will be held in this of~ice ~ntil you can resolve the problems indicated.,_
Is being returned.
Your, building permit appl icatlon fee isbeing returned under separate cover.-
.--""'--'
- , .
LANE COUNTY PLANN ING. DEPARTMENT
135 Sixth Avenue East, Eugene, Oregon 97401
PHONl: 3L12-1311 EXT.,231
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene. Oregon 97401
PHONE: 342-1311 EXT.411
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PROPERTY OWNER'
.'~'~ ~:':j:if~:'\~"'-~:"'~r:ri\~'~,",,~'...~r~ ~If"~.:<~~;'~r',!"" ~C:'(II'~~"~~~"-J.~'~,,~~; ~,nll>:~>~'-"\ . 1 . \"
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,'YBUILDING PERMlli'\~R 'MOBILE . ",ME USE PERMIT'
"MH ,~D' "_ .... 'It.'
MAILING 'ADDRESS,:' ~.. ,,\,'
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MAILING ,xDDRESS;-,n,;- . -., '" "'--. ..
'(.1:. }f\j30~ ~ iJ a~ ;iI.lGCilt' ('1qt'~O~t
.+~ t~
. ,! '.
LANE COl
BUILDING Qit
PERMIT NO.....~,,~ ..~ \ ~:
./', ," ~)" PHONE
;;;,PR iNaf' f tLO. (Jrif'C;ON '..,lrt...1r,f;r1
, . PHONE
~f).aN~ON'..~_
CONTRACTOR
; ,iAXor. , ill" .;1,;."",'",_"
PROPERTY LOCATION - INCLUDE POST' OFF'ICE
i~~.Mlj(S10m:
PROPERTY LEGAL DESCF,IPTlON - METES, BOUNDS
J ti r ~1}rH l' l c:~; \ TC [j)l(~t~..Pf~...t 1..01 24 t#.",ottt J
TWP RANGE'" , SECTION
~r-07 ~.... ~
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'~,;~;,k\",':';" ':,:. (\
.. \.......
TAX"LOT NO,
CODE
CENSUS TRACT
"-~
21-.00
EXISTING STRUCTURES ON PROPERTY
lMtU,'I"I~
LEGAL ACCESS TO PROPERTY
\'3!.. A CKS f~NI STRCt't
PROPERTY S~~~"\,,~
WIDTH ,DEPTI:!,
AREA
, ,APPl.
NAME
&
: MAILING
,,~
\"'.
AtU.NS(j}~
--" .
1;9 i3U~~~,,~f,lr, !"TRl:i;r
1 ADDRESS ~;;Pf{ f kGf lU.r>" (~i~tG.ON
;FOR MOBILE HOME PERMITS ONLY
~,No. of Bedrooms
STRUCTURES TO BE- BUILT THIS PERMIT.
~!O\ l' U$'\ Ct n.Hlt;,Y !-100M
,~'t...~ ,...- ~
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ, FT, # BDRMS
New System D
VALUATION
t-e'rl U\'t:~ WMif:
'J41 @ ,,12
2~~~
~.292
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'-' \ ~. {l"" ~ ~\:?':~ ' ~
tl-.M.iGP)~ P:l:5T IN~ 'AMI:t.y r~OO.ottlACf( f6 CM'~Ct
.,.
I
.'
}2.JM
~J;'50
I ':
I \
':'" ......,.~~
. ~ "
0, '
......+..'}.
~ '..
; ,
:~~
. "
"
.._,..
'.
.~ ," h'''"
:. '. <' ~t
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
\ ;. '
~&,"" .","if,.. ~
s~),Tk '\A~K XEJ-:- . :~\ 'O,;HERD
~ $ 3O~t"l';\.
'i,,' \,
''!-, .~
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PLAN ,REVIEW
:.,,_; P.ARK TRAILER
r,
(~ ;.
.
~..
~~~ \\
, - 'V\~:.~~
PUBLIC 0
o OTHER
TOTAL
- ,\ \ \ '
:t 3t'...OO ",,:"
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED ""', 'r
\ MIN. SEPTIC TANK CAPACITY
.~ WITH DIST, BOX: GAl.
lIN. FT
TRENCH WIDTH FT, '-.....
OR SQ, FT.
"
CO~ST~'ON l'0 8t ~~R ~'l'..sp\ r.~I'~f;'~C; Cr,~!A(Ot OIS,.~~STt;M.
~ - , ,\ ' '
~ ~~":~\-x \~Q-. \t(~~~ -~~ '~~,,"- ~~ ~~~
, 'C~'c.s..\\~~ ~~'~"'J~~t.;~.!~\ ~~~
. \;:'\.\ /_\ 7,-..~)'.\...'t: \~';. 4. ..' . ~" ~ + "
, " k "'-_ ~~, r.: .. ~ \ lo:\~v '''', '
J-.... . OCCUPANCY ZONE PUBLIC UTIl. EASEMENT
j (:~\
NO'P.l\~T or Hr.W
TYPE OF STRUCTURE
$;:, "
BLDG, SETBACKS.. FT, FROM CTR, OF ROAD RIGHT OF WAY
21 e: i~
FRONT '..I SIDE INT.. ) SIDE EXT.
AUTHORIZED SIGNATURE - DATE
f'!>l).C 60$$ svC!iARl.cs'JArl!;iAO$fi
USE CLASSIFICATION
to
REAR
:)
DATE
JO~N ~;'~'{~.H(..;'1i'H"f\:;". R.5.
r;/~!'I7'}
....+, I\.~o' .- ..}
foS
BLDG. PERMIT- WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regul~tions
covering plu";;bing and sewage disposal. All buildings require a certificate
of occupancy before being occupied.
(S.ee Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN. DIV" COURT HOUSE, EUGENE, OREGON 97401
FOR";' # C55 ,13
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SITE INSPECTION
ApPROVED.I / 01 SAPPROVED.I / DATE
INSPECTOR
REMARKS ','
FOUNDATION INSPECTION
REMARKS
/ DISAPPROVED /
_&~'
/
/ DATE
INSPECTOR
ApPROVED /
FRAMING INSPECTION
,/'
ApPROVED / V' / DISAPPROVED /
/
DA TE 7- :J ,,., '13
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED .I
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
...."
FINAL INSPECTI~ . ~
ApPROVED /V/ DISAPPROVED / / DATE/~!6J' 7J INSPECTOR ,<,,~(J
R'M""~~ ~ ~~-;U.j~ '771 ~ 9-))-1; dC
,~ .11J-:2~~?1t::- ,~~/"ht...II.Z3"73
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
-c
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fl?~,srr;.{f~ y-.
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r?l-?J~~ 3;]r'P~
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,
LANE COUN'l. BUILDING PERMIT OR MOBILE HCh.C USE APPLICATION
-' .
PERMIT TYPE - BUILDING D MOBILE HOME Dose REG. # /0?:7 PERMIT # ~?/ - 73
PROPERTY OWNER MAILING ADDRESS PHONE
~~~\~~.~ ~?Y/9'cL~.#JS(:),.,J~ L<)' 3.39'~~.,J)/~~,;-'7
C~~C!OR /, _ ) . n _' , 'MAILING ADDRESS ' PH E ' /
'ff~ >-".-/ ~- M. Lf j>,I/ :J /9 ~ ~ ___
PROPERTY LOCATION -INCLUDE POST OFF.ICE " /)J r5 / //fl J ~
.3 .3 9 tf3.--e4.~ /f 4~ ~ ~~' {,./
PROPERTY L;GAL DESCRIPTION / ~/J/J r.\ vz...a. L -;1,., 4 bl.. . , --rP __ 1../ A7 / /' METES & BOUNDS 0 YES
LOT - BLOCK - SUBDIV. //~, \K..a (f -. ~ Ch.Y/ ';;7~' .] ATTACHED ,~O
TWP RANGE ' SEe. TAX LOT # CODE CENSUS TRACT -
/7 :3 ~~~ ,:[/-/60
APPLICANT, n /J? /J __ _ DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
NAME ......?r. ~~~ (jl~
LE~.... ACCESS TO PROPERIT - ROAD NAME OR #
/7J/~ /{~~~
v .... PROPERTY SIZE-WIDTH DEPTH AREA
AND
MAILING
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms Connect to Existing
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION
~a.::c;~-:~ A Cfi~~~ ~n.-J
~ff~~~
t1" - "
~7~'-1 ~hnJ ~--h~ 2f- //.-.-",~-
..b-R~
SEPTIC TANK ~
$--3 <?'r 190
Sewage System D or New System Req. D
SQ. FT, # &EDROOMS VALUATION
L.Jt..Il e/~
"f e:J
.6' If()
'-? r~
ot; ? 0
..
7t/i<\7J
';i 1 - -
SEWAGE DISPOSAL
PLUMBING INSTALLED BY
OWNER 0 OTHER 0 NAME
PLANS FURNISHED FACILITY PERMIT
YE~" NO 0 YES 0 NO J3><
SIGN "T, E 0, F, ~.CAN. T . DAlE
./ (r-;:.) IS--- 7J
E R ;jIY B ,/"' DATE
~/L- ' ~;e-;. 20-- /J
PERMrT 1; #fr/ -;23
COUNTY BUILDING & SANITATION SPECIF!.<?ATIONS-
DRAIN FiElD REQUIRED I~f;"
lIN. FT. TRENCH WIDTH F,r,P, OR SQUARE FEET
Jf<>. [>A..?tr crt hew =~-&lJn ~ Wo v&- ~ ,oar( af'
.L:>Vr>-'vh.& ~~a, If ~o:;d "S 1..Pt:,-J.-~ ,/
~J#' J -0 - 4!1 ,.'{' /
V
TOTAL
.:3 <6 d:> 0
OTHER 0
FEES WATER SUPPLY
PUBLIC rt:PL-, OTHER
PLUMBING FEES
FIXTURES /1~~ I .
CASH 0 SE~ /
CHECK ~-NECTION FEE
PUBLIC WATER
CONNECTION FEE
PUBLIC 0
BLDG.
WASTE DIS.
PLUMBING
PLAN REVIEW
PARK TRLR.
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
TYPE OF STRUCTURE
51/
OCCUPANCY
I
ZONE
REAR YARD
PUBLIC UTIl. EASEMENT
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT 451 SIDE INT. 0 I SIDE EXT.
TA N 0 Ie ~G
~
to I
12....~
l USE CLASSIFICATION
REAR 5 ,_ /'
~. 2'tD~t~ BL?JfffJ ~ ek. ~
V l
, 4' -7"7
Date
to Find Property:
COPY 1 - OFFICE
COpy 2 - JOURNAL
COpy 3 - AUDIT
Form # C55-12