HomeMy WebLinkAboutPermit Building 1974-7-24
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, . LANE COUN'
B U I L DI NG mt
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lUlLDING PERMIT OR MOBILE He.
MH D
MAILING ADDRESS
1772 Cardln~l Way. Eugene, Oregon.
MAILING ADDRESS
USE PERMIT
PERMIT NO.
-:"::--f,~
I / S-L/ -~ lY"
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PROPERTY ,OWNER
Ross. Frank \J. '
CONTRAcTqR'
1154-74
PHONE
736-7169
PHONE
.-/
PROPERTY'LOCATION - INCLUDE POST OFFICE
2n~ Add to n~10ighwcod Park
PROPERTY LEGAL DESCRIPJION - METES, BOUNDS
[3-6. L- 3
17
03
SECTIO, N~~/ e--T;; LOT/'l/ At) CODE
S=II#~ Tbvl
EXISTING STRUCTURES ON PROPERTY
CENSUS TRACT
TWP
RANGE
APPL.
NAME
house. I:!ClrSlga
LEGAL ACCESS TO PROPERTY
Cardinal Way
PROPERTY SIZE -'FT.
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE B,UILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System D
TYPE CONSTRlicTION SQ, FT. # BDRMS
New Syst'em D
VALUATION
Worksho1> (accessorv BldCil~) 17:d2
Family I'l.oom Ad~tioi'1 (ove.r existing gClrage)
Deck. Covered
194 @ 2
388
3762
It:.24
'55i~'"
I .
,/
....'
....
SEWAGE DISPOSAL
PUBLIC D
BUILDING
WASTE DISPOSAL
PLUMBING
, ".
PLAN REVIEW- .
SEPTIC TANK [gJ
$
OTHERD
~,_OO
FEES
PLUMBING INSTALLED BY
OWNER D OTHER: NAME
WATER SUPPLY
PUBLIC C1t
D OTHER
....,~
PARK TRAILER
,J
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
":t?OO
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN' FiElD REQUIRED
TOTAL
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
No Dart of ~ow construction to be ever Septic Dlspos~l System.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
;N I ~J
BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT 40
SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
Is/ J.E. BOS5 bv Charles Harb~uQh
AA
USE CLASSIFICATION
6 r pur::,
REAR
J ;Sl1ool(
DATE
7-24-7!} ~p'
BLDG. PERMIT- WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDI~G - GREEN
SANITATION - GOLDENROD
IMPORTANT:
, 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)
,IX
FORM :!:t C55'-13'
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT '
',COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 9740.1
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T -1.~ Q, 0':( S :z. '2 TAX lOT
CENS. TRACT
-;2h d ~C1I-elq~ ~!6rk
APPl,ICANT. f) u, &-6 C,-.?'
NAME '10<; S '. ...) ,
ADDRESS
BUILDI~G SlTE EVAlUATIO~
{) Building Permit Application No.
() Site Inspection
() Pre-Permit Jnvestigation
PHONE
DATE
'6 -;2 Cf-7V
/
"
Building Site (Area, Width,
Frontage,Setback)
Other (see comments)
NOT
app I i cab J e
Zoning Ordinance Compl iance " () ()
(Zone ~)
Subdivision Ordinance Compiiance () ()
() ( )
() ()
( ) ( )
NO
YES
NAME
. DATE
PLANNING DIVisION
3.
4.
Required Access
~ l
( )
( )
( >.
~A,
&/''' -
.~ ~ 67-7t/
, /
1.
2.
5~
COMMENTS:
/00 M O"F'" r,:
--r~
'30 Of 0 \ dTF=- ~ ~Ll")-r
M/:::"'V
;
B:.2:- c.CL.;V=:~ 1E-C::>
1;;;'-.1
. ,
I "'" ~c'JUE..6-l~ \~
."..
BUILDING INSPECTION DIVIS ION NOT NO YES NAME DATE
app I i cab Ie ,i
6. Plans Submitted ' (). () /)
7. . Soil Stab ill ty{lootings) ~.. () (')
8. Flood P I a in" J} () () r\ 4-.. .... "
9. Other (seeComm~~s) /J 7j. . (Z() ~$a~'?~!13.7Y
COMMENTS:, _-1'i.~?e~MJ4d ~ -#A~ ~ ~~~ ~
I} -(r,., . ...~ _' .1 (J~":. ,-I (I . ~
/7~.A~.~ /?~~ J--HA_~~ ~C/~~.A/ ~ff~
~ 7dA~.. d:;J' l~fJ ~'.) ( '4/1 A .
~ ~- V ' 'II v (I') I ( ~;1 ~7/ ; r "7 rP f) P) r? ry j / /i/Z'
J i. A' I I tr!'" r ~ 1A'5// .v //v ~- h -r ~~
WATER POLUTION ,CONTROL NOT NO YES ~J~~ DATE
appl i cab I e J/:JIIJt(
10. Sewage Disposal ( ) ( ) ( )
C~
11. Usable ,Area ,( ) ( ) (I)
12. Water Supply ( ) ( ) ( )
13. o t he r (see Comments) ( ) ( ) ( )
I
COMMENTS:
TO APPlI CANT:
1~~>>~
. (J IIQ1{
'J\"-I ,^?/ ~
.".) . ( )
( )
Building Per~~t / Site Inspection:
Can be app roved. a
Cannot be approved at this time. as indicated on item NO; / above.
Questions and further information on items I through 5 cont~ct 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.
I s be i n9 retu rned. . \
Your building permit appl ication fee is being returned under separate cover.
, '
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
135, Sixth Avenue East Eugene Oregon 97401
,PHONE: 687-4065
LANE COUNTY PLANNING, DIVISION PHONE: 687-4186
C55-28
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LANE COUN
BUILDING ~~
3UILDING PERMIT OR MOBILE He.
MH D
MAILING ADDRESS
n ~.;Xa ~nV71tg L ~~} n t.jt7'? ;-? Et,: j;;:~'.l-C~') C'~~\~.; ::t:~)
MAILING ADDRESS
USE PERMIT
PERMIT NO.
D li SeJ')Y~~
PHONE
PROPERTY OWNER
r~~:,~:c 0 r?c.:::]:,~ ~)Q
I Jl;;.~",n:,;..;
CONTRACTOR
,~
PHONE
, ,
PROPERTY LOCATION - INCLUDE POST 'OFFICE
,...'1t;) ?~(~(} c:.') nC}t<.:UG't:-:f;E-3 ~'i::trCt
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
OoC~ i':,p 3
."
TWP
RANGE
" /
G:J
SECTION
~2
TAX LOT NO.
CODE
CENSUS TRACT
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
EXISTING STRUCTURES ON PROPERTY
(,_......:\';(l,t......\
, J-.....~-'....\.....;]
f.K)t?8~~;)
LEGAL ACCESS TO PROPERTY
ti':G~~,1k:ln r'c.~tJ
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System D
VALUATION
(\,~'~~'L";:~~~,~:~,; Kc:,~.;~\.<;~)Z)~_',717 on(~r;}Q~\ 9~"~lD~-
; ,'::'\,.,,>..,...,":" '\,~,"I!':>'J'{-'" 1~"','n!7' (,':,,'(RO,OI~,";\C'
'-_ .:1': .j ~j . ,~~........-;.-_ j '. ~,.~L _J.II \~t;.;J\J........;J . ....~ -~ ~~....J
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...).... \\~.. '~~~)'-~. ~~>.,~,
SEWAGE DISPOSAL
PUBLIC D
BUILDING
WASTE DISPOSAL
PLUMBING'
PLAN REVIEW
PARK TRAILER
~ '. \
. -' ."''''
PLUMBING'INSTALLED BY
OWNER D OTHER: NAME
WATER SUPPLY
SEPTIC TANK !;]
:t
OTHERD
;-);""cn
FEES
PUBLIC Q~
D OTHER
TOTAL
... , - . '~ ". ":-. ' ~ " . ~'\.--. '
- ~_.... ,.'Ilo. ~ ,. . ": . l. t ~~~. .
~~\\~~\~~,~~:':; I ~~~;,~~~\~J ~~~~')~'~\\~'\ .-_, :.~~~ ~"
~S,'~~~':\:;'~';":~ ~ ~~~'\;;~\~~ ~~, ,....~~\~,"~~ ~~~~">:l l~' ~'.;i>~- (::~,' ',"-
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l~":>" t'L{.:c;,.'\0~'l:~:::~..~~,....'1) )\~I~~~~' ',,,~.s"-.o :::'~~j.\;'):{-.' <~~c;.~\-:-"';h,\,
(.', '. ..-~ -I. ~l ..... ~~\. . '.\ 1'\... ,') '\.. t., ", ,-,J -; .
COUNTY BUILDING & SANITATION SPECIFICAT1oNS''''''''- '. \" '-'"
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
DRAIN FiElD REQUIRED
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
I _I _,
J. ,_ ....'1
(1):- ~:.~i,:t"~.\..~~ \;(;';J '~-'() i'}'.'; (.)(~..,., \_ ~'...;,G8c ;}n/r)(~~'}(JC "'\l~:(f:',C.:~~_ 0
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.:,~~::;:'~~>\. ,~~ \-.~:\~ .~_.... .,".
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'~.~..,:)..~~ !,'k.>:..,.\'-, "'\:)~~~.~.';~~1~~,,~ '.,,1c:~:~"..~,~~~:,,~~,'~\';>.~
........., .,~...~..,..r~,,~~<~,_J .c:;;:;,..\~"il-.~: '._>,..,~\_:" l::'.,:"J;\:......~~~.:Y::-...h.
't,-': \:.~ It\., 'I..... . ..-........., r,. 'oJ . _ _ .'.. _ .' ~ '~
OCCUPANC-Y";:'._\ ~'\. "" ;-;. ~ZONE ':.L..~-~-\ p(JElLic'ur.Ii:.""EASEMENT
.~' r <;]' ~2{\\. '\ '.
TYPE OF STRUCTURE
''-'\;
BLDG. SETBACKS.. FT, FROM CTR, OF ROAD RIGHT'OF WAY
FRONT
~.r'
SIDE INT.;) SIDE EXT.
AUTHORIZED SIGNATURE - DATE
o it'>.::~) !)V ~;'.:,:C't?OO,~ ~J
REAR
USE ClASSIFICATION
:' 0 \t;{)~:
DATE
~'C)li
L ~.
J, ~3 :~C(_ ~~ ~
'I I, , ..; .;.J,',
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COLJNTY 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
IMPORTANT; for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
FORM::;C55-13
(POS1l' 1I'~~S I?IE~n ON MA~N BLDG. A 11' S~lIE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
'.
r. ~. ;',
SITE INSPECTION
ApPROVED I I DISAPPROVED I .! DATE
INSPECTOR
REMARKS
/'
ApPROVED I !Y I DISAPPROVED I
I DATE .~.../ - 7 i/
I "'''10' II
FOUNDATION INSPECTION
REMARKS
FRAMING INSPECTION
ApPROVED I I
LATH OR SHEETROCK INSPECTION
ApPROVED I
I DISAPPROVED /
. FINAL INSPECTION
ApPROVED I I DISAPPROVED / //JATE . . INSPECTOR _ ~
iffIB~' ,-~-lf1((( -.-~ ...u,~" '4L/t ~
- ~~~~ ~
. > ~ ~~r-... ~JH"
CERTIFICATE OF OCCUPANCY
READY TO ISSUE I / NOT READY TO ISSUE / I DATE
INSPECTOR
REMARKS
-", - 4 P' /. ,1/ H- .~
-VI/~ ~#'~A.. ~ "~
,_'/' ), /) .It ,-
!ISl/-?t/ I~ / 77;? ~ 1f/~
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PERMIT TYPE
'B LJ I L DI i'J
BUILDING PERMIT, OR MOBI~Of\~~ USE APPlICATIO, N
MOBILE HOME I lose HE . I PERMIT #
M;"lIr-irj' ADDREss ", . ..--',-. ". '''''' .....-".-.,.. ---..-.
~d
.1.77~..~" ..,~/A_
1M-llING ADDRESS .. .'-'"'1:1'"
~
/lr5<{-7V
. "-'..PHONE /"
22::6..~,,7 J fa i
PHONE
LANE COUNTY
PROPERTY OWNER ~'
~/.~jU.
~f!)j-"z'""~~;;~~~/3~-~n2~n-nj- ~.~9 -6~
PROPERTY lEGAL DESCRIPTION METES 8. BOUNDS
.J...<?T__=_~~()C.K =-_SUB,,~.IV.... _ u..._.___.._____ _ "._.._ _u ,"_U ..___.__._._ ATTACHED
TWP RANGE SEe. TAX loi-#-"'-'-"" CODE CENSUS TRACT
17__ 0.9 ,__.._ ,.~f2.______
DYES
o NO
AP:l~~:NT d~'-B--~"-W<-' ~______
AND e
MAILING -/.~17...-- ({ttid.L.~aAuW~-
ADDRESS ~ ~ d v: 97 1-<J /
FOR MOBILE HOME PER,{'IIT ONLY.
Number of Bedrooms ' Connect to Existing/Sewage System 0 or New System R'eq. 0
-/;')~~~~d diJ;'7~/~CTl/ ---)9~ "",OOMS V('Jig
JM~&-~ adfnA^-~~ ~~J->>-XI'1-'I/~~~~
_flvrL. ,CM~d______..___..__,,__ / ___,_ 7/:;;"~
i I' ~-S?i
;::~~;~ ~"0i;~~::~~2~~::i-,,:~~'lA;i~ ,"eel' /. :;;~~:::~i,;'~: ~ NAM' 'AClllTl ,,:-
WASTE DIS. .____. __ PUBLIC 'N / OTHER YES NO D YES D NO ~
_ PLUMBING - PlUMBI~ESI ---------. ,/SI,NA.--RE.OF"APPUCANT ./ \DA,TE
· ;~:~ ::~;,w__ W" rJt~,:-"is ~..n ,,~j2..~'L.h~~Y~?7Z>
____CHECK ~T)ON FEE ,,' c:; .---01-.'- '/
!_o.T ~l.,..__.u_.__. _.__,,~.?_.~:=::~~c==~., .. .~\aE,,~~:~E! .___~~_-======~::~~._#___.lt5-(j-_!Y
COUNTY BU ILDING & SANITATION SPECIFICATIONS /
DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
tEG~'~i~~OR #
.(l~dCWa.4-
PROPERTY SIZE-WIDTH DEPTH t?'
AREA
MIN. SEPTIC TANK CAPACITY
DRAIN FIELD REQUIRED
WITH DIST. BOX, GAL. lIN. FT.
-.-.-..-f.'----..'nu _~_'n
N b ..pa!' O{');J<'Q)nnCOhSt,
, TRENCH WIDTH FT.
--h ~ e>~
OR SQUARE FEET
"Sf) \ ..
---- _u -_"____. _____ - - - ~_.~.._____ - .__ . _ 1" __ .________ ... _ _ _.. ___'_'.n_. _
TYPE OF STRUCTURE -./' OCCUPANCY ZONE REAR YARD
__._ ..._. .. __ ._....1 .!~ . . . __ -"L~.,_..._~_..______ u.__._~ ._,.__. ._nm.___.
BlDG, SETBACKS - FT, FROM CTR OF ROAD RIGHT OF WAY I USE CLASSIFICATION
'"~iA~D^ S'"~11flv'1I~. :;.~::; "'JlOG~Ni(~~ -. ...-
~~.'I-'lZ"_. v.,--:- ~ u&_ -} 1-
Qectiol1s to Find Property: .. __. _' . . ___ ""0'_' _..__. _.n_ uu' ._n__m_ .~_n.._____._,__.,__
PUBLIC UTll. EASEMENT
Date
COpy 1 - OFFICE'
COpy 2 - JOURNAL
COpy 3 - AUDIT
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