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Home My WebLink AboutPermit Septic Tank 1973-6-12 J? ~ '/ " ~~~;rt-f~ ~~V'~ ....r .,. .; ~ ., .' .,.... .. 1.... .";- LANE COUI.. I '( BUILDING PERMIT OR MOBILE h""ME USE PERMIT /Od fJJ ~ ? J BUILDING ;[J MH 0 PERMIT NO. W~!oJ~ MAILING ADDRESS PHONE 215)5 Cos~lo @rlvc ~liDrii1fJfOoh.1p OrQG\O~ !~7<>~:'5V:. MAILING ADDRESS .~ PHONE PROP'ERTY OWNER . UOG1~~. J;;;tild -. CONTRACfoR . S~Uy PROPERTY . LOCATION - INCLUDE POST OFFICE OVY CDS'\: 1 0 fr:Jr; ve @t'ld $~t'.'ar~1. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ~ 1ic1 ~.~k,1i 'id iDC1 t(Jl C.1~ C~oll2f 0 C,1oaor RANG E SECTION D.,@t 'i~ m~l;;~ n u . -l.t:........~ TWP n @3 233 l~r'3 TAXu=T ~.~ CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY M~:iQ .LEGAL ACCESS TO PROPERTY I1:DSt Uo @rivG PROPERTY SIZE - FT. APPl. NAME & -.rol~~ t70(jfc ?-1gS ~O$~Ue Driv~ MAILING ADDRESS SR:JrifilnvfQM~ @rCGl(Q1'1I FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION ~~~o~D~~ a ~~w~~O~Q ~nr~ of ~~ro~e f~t~ 18VD~g 0r~D 22@ (J ~ t~} u ~ DO G'l:::J U ~ V ~oo..1'j'J Si@~ GJU2 Irt r"\I\::Y:~ \jJl...I_"..L ~ .~ ~ ' },~:J r; VUC!;;::)iUllCl fn~i'c!JrQS SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 $ OTHERO t~ 1 . ~O FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER ~5.@n " TOTAL t ~~_d)J~ COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX, GAL UN. FT TRENCH WIDTH FT. OR SQ. FT. lCCCJCJlEC'U "Vt em 0 ;3"UO c;~ ~[Et-JAG~ (H SPOJ5t\L SV51[;v.! ~ C]([) vAC11 @~. ~~u ([;@CJSIi'r;,~C\f' W~J 1'0 Q[ e;'JU2 t:H g ~1 ncJ@ S8:2A~~ @ ~ 5~@SAl $VS1Bl, TYPE OF STRUCTURE .OCCUPANCY ZONE Ri~ USE CLASSIFICATIOI'l PUBLIC UTll. EASEMENT 5 W ~ G J BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT f:.~ SIDE INT. $ SIDE EXT. loO AUTHORIZED SIGNATURE - DATE REAR Sl I~I J.~. O@$m bv ~or~~agh John Cru!ck~hcn~, n.s. Construction to comply with unifa~Q.\.I.ilding code and covering plumbing and sewage disposal. All buildings of occupancy before being occupied. DATE ::O~2bn BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD county regulations require a certificate (See Statement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM -= rl)l)- n BUlk~NG SITE EVALUATION . ~. . . . ...-(. c- .J .' -~ T /7' R r? 3 S . -20 TA"X LOT'" rr-"lSUS TRACT ~.~4d'~~(. .~~_;; . APPLICANT~~~~/ . NAM'E ~~A '-J~_d- ADDR~ .~ ~"<r Building Permit Appl ication No. /1'137-?..3 () Site Inspection () Pre-Permit Investigation PHONE DATE LANE COUNTY PLANNING DEPARTMENT . b-~.7:;r 3. Required Access NOT NO YES app I icab I e I Zoning Ordinance CampI i~c;a. () () () (ZoneJC-rL) Subdivision Ordinance Compl iance () () () () () (J () () (} ( ) .~~,~-~_~.L, NAME DATE f. ~'1~ 6 '-~7'3> 2. 4. Building Site (Area: Width, ( Frontage, Setback) 5. . Other (see comments) . COMMENTS: BUILDING INSPECTION SECTION NOT NO YES NAME DATE app I i cab I e 6. Plans Submitted ( ) ( ) if) 7. Soil. Stability (foot ings) (,0 ( ) ( ) 8. Flood Plain cf) ( ) ( ) 9. Other (see Comments) ()! ( ) ( ) .e76~ tJ.;"'I/-7J . - ... ,...,-,.. ~""" /'( ,--,.. ..,..--.....-- V COMMENTS: SANITATION SECTION 10. Sewage D i spos a I II. Usable Area J 2. Water Supply : 13. Other (see Comments) COMMENTS: NOT NO YES app I icab I e () ()~. ( ) () (4 () () pY' ( , () () NAME DATE Q~ {/ ~}7~ ...--..---.....-.-, .......~ ~.. ,..", ''''-'-'-''- ... -"-..,-... '-- "'- ... ,,,. TO APPLICANT: YoujVBuilding Permit / Site Inspec~ (wr Can beapp roved ~ ~ "1I.1} ~ () Cannot be approved at this time as indicated on item NO. above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Quest ions and further information on j tems6 through 13 contact the Lane County Buildinq and Sanitation Division. () Will be held in this office until you can resolve the problems indicated. () Is being returned. () Your building permit appl ication fee is being returned under separate cover. U\NE COUNTY PL/\NN I NG DEP/\RTMENT IY, Sixth /\Vt~nUe East, Ell~ICIW, Orc9on 97401 LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Ol'egon 97401 PHONE: 342-131 I EXT. 411 1'11(1 N L : J II 2 - I 3 I I [XL 231 \ ..' .. LANE COU. BUILDING 0 ( BUILDING MH D MAILING ADDRESS PERMIT OR MOBILE h__ME USE PERMIT PERMIT NO. PROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT APPL. NAME EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. 11: BDRMS New System D VALUATION SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER <I: FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 OTHERD PUBLIC 0 o OTHER TOTAL <I: MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED WITH DIST. BOX: GAl. lIN. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT BLDG. SETBACKS . FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE 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. (5" Sta"m~ an Rev"" Sid,) (POST THIS PERMIT ON MAIN BLDG. AT \ITE) J \ ~ LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGd\ 97401 FORM ::t C55-13 .. '.- ,..~ . ,0 :"~ SITE INSPECTION ApPROVED'j I DISAPPROVED I I DATE . INSPECTOR REMARKS FOUNDATION INSPECTION /' ApPROVED I Y I DISAPPROVED I I DATE 7--- / tJ ~ 1)1 /.~---. .......,,~--..,.- I)' .f' INSPECTOR \'_ {.....;;,...'C REMARKS FRAMING INSPECTr ~ ApPROVED I.?/I, DISAPPROVED I I DATE.//-.?3.171~PECTOR' , REMARKS~ 'r ~J4j- 21/3 3 ~ -r..; I(~..rl}<> 4MJ1J Q'~/P... ./13 . I) Ii fItC~ ~"/1I....J7--" /1"J LATH OR SHEETROCK INSPECTION ApPROVED I I DISAPPROVED / I DATE INSPECTOR REMARKS ~ /-j FINAL I NSPEC:~ ./711 fc./ . APPR<?V-~D /' I 01 SAPPROVED I I DATE' / -"l 3 ~ / T I NSPEC~ REMARKS'lhA ~t.~/J..lf' ?} ~L.I-/t{-7t (/ , CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE I NSPECT'OR REMARKS .A ./', /7.J 'J'J ~-'"{~),~/ //~~ ~ \ l j/77 - ~ ?9J~f)~ \ \ \ \ 10<37-?3 :<1../00 -..-...-..,/--............. It ~ / '. t.... , " .A'~ ~E ,- ,...., { (I I PERMIT PERMIT NO. .,/ - /-~ LANE COU. BUILDING 0 { BUILDING PERMIT OR MOBILE .... MH 0 MAILING ADDRESS PHONE PROPERTY OWNER CONTRACTOR MAILING ADDRESS /-fd- / e ,c:: !" ~ ,\ \ PHONE , /~I/j;'...." vi PROPERTY LOCATION - INCLUDE POST OFFICE ., , , ( ) "-' ) "-1) j J <'~l / -.... PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT APPl. NAME EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER <I: FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 OTHERD PUBLIC 0 o OTHER TOTAL $ MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED WITH DIST. BOX, GAL L1N. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY USE ClASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE 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, EUGENE, OREGON 97401 FORM=C55-13 .' ';;~;'~, . ',f .; '" SLAB FLOOR.' PLUM8~NG GROUNDWORK ApPROVED / / DISAPPROVED / REMARKS J;l1!! JA;f. ;11? / / $' GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED / REMARKS ,ROUGH PLUMB I NG '~,. ~ .," . . ;. \. ApPROVED" /\(' / , J' \ 01 SAPPRO,VED . / - REMARKS ROUGH GAS PIPING ApPROVED / / DISAPPROVED / REMARKS FINAL PLUMBING ApPROVED /~/ DISAPPROVED REMARKS $" +/}I +U\I ~ ~ r r FINAL GAS PIPING ApPROVED / / DISAPPROVED / REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / , .. . . . . '... / DATE INSPECTOR A /.1'1 _/ IfI V ~ /),l.t!fP.J_ ~.. : / DATE INSPECTOR , ~- ..t ~," .'Il..: -1--;:. ...... ,.' 1, 'I, 'I \ 0' j' . DAT-EII- :2 -7 '1 '.. ,..',.. j INSPECT~~ .(/ . ~I. , / ' DATE INSPECTOR / / D"tr:/i> .../~ '",PEe"",, -)~ II - I ...- - .:., 1. ...-/L./ . ~ I!-=-t. / DATE INSPECTOR / NOT READY TO ISSUE / INSPECTOR REMARKS / DA TE .. LANE COUNT' ',UILDING PERMIT 0 R MOBILE HO' ~ USE APPLICATION PERMIT TYPE BUilDING 0 MOBILE HOME Dose REG. # PERMIT # IDS 7- ?J PROPERTY OWNER MAILING ADDRESS PHONE "C/?h:1/-. C1J ~ ~,?9~ ~~,..k~ . ik.;//Mf, CONWACT9~ ?~-~~ MAILING ADDRESS -- / @ PROPE~~ - INCLUDE POST ,oFFICE n-/ (7~~ d4~~ tI- ~_n~-{ /. P{~RTY LEGAL DE~CRIPTION -::JdI J /I L ~,. L... . <..LJ./ Ll .// .;/ MET~ BOUNDS DYES LOT - BLOCK - SUBDIV. . q a.d.d., .~ DJ(!. ~ ~../ ~-r/,;:l-/lv.lD, J //ATIACHED D NO TWP RANGE SEC. 'TAX L T :# CODE -. CENSUS TRAC;V" /? /!) :9 ~c1l d /- / ttJ e , /4~- 9'~/~ PHONE APPLICANT NAME AND MAILING ADDRESS FOR MOBilE HOME PERMIT ONLY Number of Bedrooms Connect to Existing Sewage STRUCTURES TO. BE BUILT THIS PERMIT TYPE CONSTRUCTION ~/t.-:- J-f7~f-7/~aA~~ ~~P' J~ y~ oL- h:..e-/ DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY ~ /.? J.,...L LEGAL ACCESS TO PROPERTY - ROAD NAME OR # ~ ./J Ld? ~~ PROPERTY SIZE-WIDTH DEPTH AREA System 0 Jjj) or New System Req. 0 # ~EDROOMS . VALUATION tElC; (q) J, 9 f'tJ ---- . \......... ;' . ak.Ld..- -' 7i: .~ ./L.._~ P" 5& fL /ZJj / ::;,L [; . ()IL pi q':O ~g' , J SEWAGE DISPOSAL PUBLIC D .x- I'" PLUMBING INSTALLED BY OWNER D OTHER D NAME PLANS FURNISHED YEc:S""'~A NO D ~Tq{J;:{~CANT /~ RECEIVEfy 0P'-IfJ~ PERMIT # /tJ37- :?~ FACILITY PERMIT YES D N~ DATE BLDG. WASTE DIS. PLUMBING PLAN REVIEW PARK TRLR. $ SEPTI~ TANK D ~/,L>CJ J 6,. .#?J FEES TOTAL' 510 I t'Jf)' OTHER D WATER SUPPLY PUBLIC D OTHER PLUMBING FEES ~ ..FOIXTURES ./.t;,,,H} CASH D ~ CHECK r:00NNECTION FEE PUBLIC WATER CONNECTION FEE ~ -1'-;? 3_ DATE ~-1..J..-7.-a L1N. FT. TRENCH WIDTH FT. OR SQUARE FEET / / MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED LO"118~t in exim)--.D ~va.Be. dltp05<t1 'S~VA. J~ mfi /i\Vf>/ ~) ~~e Jj~1 7J~' TYPE OF STRUCTURE f N OCCUPjN~:::J: ff!:1J REAR YARD BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT c/ ~ SIDE INT. ~. SIDE EXT. Yt.'> REAR.S-- ~ ~TARIAN ~ . Date tL~rN~d I . Dote BLDG. 11JSl: ~ ,A /) ,// . \t&......J~~.1. ~2f7~ N~~U1A hrf"""73 ,/-'5 fJ4-~ (~ {A.,II 91/ ""'. ~ -jf/V r (J. . V' I - Directions to Find Property:. _ _ J J~rt crf he.b.) (o,aYUc.:tJ~ PUBLIC UTIL. EASEMENT Date COPY 1 - OFFICE COpy 2 - JOURNAL COPY 3 - AUDIT Form # C55-12