HomeMy WebLinkAboutPermit Building 1973-1-11
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. LANE CaUY BUILDING PERMIT
BUilDING OCJ '. MH 0
MAILING ADDRESS
to,10COTTONWOOD. FUGF'NF. ORfGON
MAILING ADDRESS
OR MOBIUeOME
USE PERMIT
PERMIT NO.
.
/I}::-" :3
18-7i
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PROPER~'( OWNi:R
PHONE
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747-2411
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AVER"t ROIH'RT
CONTRA TOR
PROPERTY LOCATION - INCLUDE POST OFFICE
1010 rniTONWOOD 1 I='II.G.DJF' ,
PROPERTY LEGAL DESCRIPTION - METES" BOUNDS
_1" T A.DD TO Mr NL 0 eARK Bi. OCK' 6 'LoT 1
TWP. RANGE SECTION
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'..J CODE
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EXISTlN6lls~~t:f~RES ON PROPERTY
Co ,VI I" '
Ow E<t L PM>G -9I'A VI.'
lEGAL t 1.'ccESS' )TO"'P~OPERTiX '
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'C ~ v )o',s V '
.OT~ONWOOw 4~ ~. ~.
, PR.,?PERTY SIZE.-~ F.1'-:)o'O'?-9 "fC.f,s v. . ,,;
WIDTH' D'EPTHO,s. ,Oo..'A~EA 7800 so. FT:
. , 0iy lito
Connect to Existing Sewage S~!fe"; ~_ New System 0
TYPE CONSTRUCTION SQ, FT" ~RM'S ,VALUATION
400 (OJ ? ~i~O
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T.AX LOT NO,
CENSUS TRACT
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17
APPl.
NAME'
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..., 27
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~TTONWOOD
MAILING
,ADDRESS j:"lH~.I\I.: O~ON
,FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
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FRl\MF'
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SEW AGE DISPOSAl'
PLUMBING INSTAllED BY
PUBLIC D
BUILDING
. WASTE, DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
. 'SEPTIC TANK 0
<t
OTHERD
. 13-00
FEES
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
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8' 00.
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED:
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL
lIN. FT
'TRENCH WIDTH FT.
, OR SQ. FT:
,;
NOTF' REOUIRED SETBACKS. 4, FT. FROM CENTfRLINE-
TO HAVE SUFfiCIENT, ROOM FOR CARPORT. Is 32 FT.
rl\RPORT w11 I Hl\VI" TO RF' RF'MOVFD.
.NOT lQ' 7 n
, .
FROMlZENTER
FROM CURB. DOES NOT APPEAR
OF ~OAD. CANNOT ISSUE PERMIT.
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TYPE OF STRUCTURE
OCCUPANCY
ZONE. .
PUBLIC UTll. EASEMENT
" N J'
BLDG, SETBACKS,_ FT. FROM CTR, OF ROAD RIGHT OF WAY,
USE CLASSIFICATION
. FRONT. 4,
~
SIDE INT. , SIDE EXT,
AUTHORIZED SIGNATURE...., DATE'
REAR ,
DATE
Is! J,. E.Boss C.liARI F'S HA.RBAUCoH
BLDG, PERMIT - WHITE
OFFICE COPY..,.. WHITE
COUNTY TAX ~ PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION "- GOLDENROD
~FORGF HERYFORD. R.S~
1-11-7'-<
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C~nstruction to comply with uniform. building' code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being 6,ccupied. .
(See Statement on Reverse Side)
(POST THIS .PERMIT ON MAIN BLDG. AT, S.lTE)
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401,"
FORM#C55-13'
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U. B. C.
SEC. 302(0)
[VERY PERMIT ISSUED BY THE BUILDING DFFICIAL UNDER TH~ PROVISIONS
OF THE CODE SHALL EXPIRE BY (IMITATION'AND BECOMENUL~ AND VOI~
IF THE BUILDING OR WORK A,l,lTHORIZED BY SUCH ,~ERMIT,'IS NOT'cdMMENCED
WITHIN 60 DAYS FROM THE DATE OF SUCH PERMIT, OR IF THE' BUILDING OR
wOR~ AUTHORIZED BY ~UCH PE~MIT IS SUSPENDED OR ABANDONED AT ANY
TIME AFTER THE WORK IS COMMENCED FOR A PERIOD OF 120'OAYS, a'EFoRE
SUCH WORK CAN' BE RE~OMMENCED A NEW PERMIT ~HALL BE FIRST OBT~~NEq
sO TO DO, AND THE F~E i~EREFORESHALL BE ONE~HALrTHE AM6uNT RE-"
QUIRED ,FOR A NEW PERMIT FO~ .SUCH ~ORK~ PROVIDED NO CHANGES HAVE
. . H\, _' .
BEEN, MADE OR WILL Bt MAD( I~ THE ORIGINAL PLANS AND SPECIFICATIONS
tOR SUCH WORK; AND PROVID~9 FURTHER THAT SUCH SUSPENSION ORABAND-
ONMENT HAS NOT. EXCEEDED ONE YEAR.' ,"'"...
U. B.C.
SEC. 302( E)
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THE B'UILDING OFFICIAL MAV,'IN WRITING,SYSPEND OR REVOKE A PERMIT
ISSUED UNDER PROVISIONS OF THIS CODE WHENEVER THE PERMIT IS ISSUED
IN ERROR OR ON THE BASI~ ,OF' INCOR,RECT INFORMATION SYPPLIED, OR IN
VIOLATION OF ANY ORDINANCE OR REGULATION OR ANY OF THE PROVISIONS.
'OF THIS CODE.
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JAN 05 REC'O. ~./
t.Ai~E COUNTY HEALTH UNIT
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BEFORE THE HEALTH DIVISION OF THE
DEPARTMENT OF HUMAN RESOURCES
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In the Matter of the Approval of local )
. Health Officers as toSuitabil ity of )
lands for Subsurface Sewage Disposal )
'Prior to Ap)~val of Subdivis'ions, land)
Partitions or ~ats or Plans Thereof )
and Prior to Dis~osal, Transfer, Sale, )
lease or the Agreement, Offering or )
Negotiating to Dis,io~p~f ,Transfer, )
Sel I or lease lots or ~arcels of land )
Section I. Section\' of this rule is made
.
41 - 00 I to 41 - 045 ' , ~\ _ ,
Sect ion II, (1) No gov~nmental' bo'dy
partitioning or plat or plan th eof wi_thin
dispose of, transfer, sell, lease or agree,
sel I or lease any lot o~ parcel of and wit
compl ied when appl icable with subsec ion (
ADMINISTRATIVE RULES
Chapter 333, sections
(2) When the projected, immediat r future use of any of the property referred
to in subsection (I) of this section 1 necessitatefacil ities for the disposal of
sewage 'or for the provis ion of' domes IC w ter, a proposed method for providing such
property with sewage d"j,sposal and d mestic ater'sha.ll be stated in writingt6 the
'governmental body, or to the tran eree, of ree or proposed transferee, as the case
may be, a~d in the case where th proposed me od for sewage disposal is by subsurface
means, the particular method fo disposal shal first have been approved in writing by
the local health officer h~vinjurisdiction ~n he area and~ representation that
such approval has been obtai d shaJI be included in the statement to such governmental
body, tr~nsferee, offeree or; prop~sed transferee.
shal I approve any subdivision, land
the state of Oregon and no person shall
o er, or negotiate to dispose of, transfer,
n the state of Oregon without having first
of this sect ion.
(a) A local health fficer shall app~ove a prop ed method for subsurface sewage
disposal as required by . is subsection only if thepa icular method proposed would,
based upon the health 0 ficer's or his authorized repre ntatives' investigation, meet
the requirements of th statutes and rules of the state 0 Or~gon relating to the sub-
surface disposal of s wage. (OAR, Chapter 333, section 41 01 ,to 41-045; ORS 447.140).
If approval is denie" the health officer shall afford the pI icant in writing; served
either personally 0/ by registered or certified mail, a stat ent as to the reason for
denial, a refer~nce to the rules or statutes reI ied upon for d nial and a statement of
,th~ applicant's o/portunity to a hearing upon request before th State Health Division
pursuant to ORS hapter 183, .
(3) Any e rson who has been den i ed approva 1 by the J oca I . hea 1
subsection ( of this section may request and be granted a he.r1ng
Health Divirionpursuant to the provisions of ORSCha~ter 183.
off i cer under
fo r e t he 5 tat e
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'''~{D IN.G fnE EVALUAT 1041
G.G.
1ST AC>O M.f:NL-D PARK:. B-1
>- 3 1,0
./7' R 03 S 27 !tJx LOT L- I '
~NSUS TRA~T ~7.-LDb
APPLICANT: '
NAME RD6E}QTAt~s '
ADDRESS /0/0 ~~/t9-~,
~'7!'1": <!,,~
PHONE 747-241\ P'
DATE I - F':,-7.3
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Building Permit Appl ication No. (6-73
Site I nspect (on
Pre-Permit Invest'igation
LANE COUNTY PLANNING DEPARTMENT
J.
2.
3.
4.
5.
NOT
applicable
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/Yr;~ retJ'~ ...,?p+h~-1..h'l L(~i &1dc1 CeMt/.-v//w..J_
- h;)"t- /'1"7'1 r.u-i"'V'l ~A,J" .()dJpA 'lA'n1- t::I,()JOJ/1~~ t,dvV
.tuAI<.,r.l/e.AAf- rOnVVl ~ CaAjOt1'Y"i- "
NO
YES
NAME
DATE
Zoning Ordinance Compl iance
, (Zone ~~ )
Subdivision Ordinance Compl iance
( )
( )
Required Access
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
COMMENTS:
BUILDING INSPECTION SECTION
NOT NO, YES
app I i cab I e '-
() () ()
() () ( )
() () () _ '/':/'
B. Other (see Comments)_ ~ ), PQ, (~) '~7t'~~ /- 9" 73
COMMENTS: .~:J. ~~I! (f)MU~ tJJI?~"- ~ ~r.d~,~~A
("A~~ .tw~~ ~ .u. ~ J..q - '1 3 '
6.
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7.
I 8.
NAME
DATE
Plans Subm i tted
SQil Stab[1 ity (footings)
Flood P I a in'
SANITATION SECTION
10.
NO YES
'NAME
/;~/'
L /'7Il'),
. (
DATE
Sewage Disposal
( )/'
w/:- w-i U- H-/)'-~ ,H-i ~ ft.1 P L-~'-f-1Vf 10.J \".t ~ 1'1 I... ~~'-J I ~"l~~,.q-d~'" /?:M ~4.J 'tit.'
't'tti~ t:l~~A4-"\t.,.~,.t.~"" .~.~ ."t'l"" ~ ~e-13j~.~-~ P-o~ ~tf~ S;~ol.V\$a1'e, ~ c.ht\1v~ ~ h A
~ '5 aT ~k.-s. ,f.<l.~Q: "f'Lv. & . c~~, ,~~ .~r.:1Zu.cIu.e,9L ,P,I,;fh/J ~,//,/:e .e.e~/~~.
Your Building Permit / Site Inspection: " \-'.I2.,:~'73,~ . - "
" 1 ' () Can be approved. ". , ' ,"", /
,,/ $><f, Cannot be approved at this time as indicated on item NO. t/-..5Z9above.
0.' , ' Quest ions and further informat ion on items I through 5 contact the Lane-
And. I Iv COUNTY PLANN ING DEPARTMENT. Quest, ions and, further informat ion on items 6
IVv \~~ " t?rough 13co~tact.tne L~ne Cou~ty Buiidinq and Sanitation Divi~io~. ,
'()4 \ '1~ C) W ,II ~e he I din th IS: off I ce ~.>n~t, I_~) you can reso I ve the p rob I ems I nd I cated.
I' (\ ......L~ I s be I ng retu rned.:, ,.;9.1..1., ('913 .. .
~(\-0-\V1' ~Your building permit application .fe.e, .~"s ~,e~~ returned under separate cover.
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LANE COUNTY PLANNING DEPARTMENT LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401 135 Sixth Avenue East, Eugene, Oregon 97401
PHONE: 342-1311 EXT. 231 PHONE: 342-1311 EXT~ 411
M55-28
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RE.rUND
or
tEE
5-73
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THE LANE COUNTY DEPARTMENT O~ HEALTH ANO SANITATION HAVING REQUESTEO RE~UND
Of fEE TO:-
OnOl~a9' ^v~o~
O~
,~o CQTTQtn:Qi:, ~lif8EUE, ~-.:J&tt-
ADDRESS
NAME
ApPLICATION ~OR BUILDING PERMIT DENIED, AND NO APPEAL .0" SUCH DENIAL
XX HAV I NG BEEN MADE. .
ApPLICATION fOR BUILDING PERMIT CANCELED.
APPLICATION fOR BUILDING PERMIT, OVERPAYMENT.
ZnN I NG PET I T ION.
APPLICATlnN ~OR RESTAURANT LICENSE.
ApPLICATION.fOR CERTifiCATE nf SANITATION.
APPLICATION fOR PRELIMINARY SITE INs~tCTION.
tOR THE ~OLLOWING REASON:
ApPLICATION DENIED. DOES NOT MEET THE SETBACK REQUIREMENTS Of 45 fT., fROM
CENTERLINE. FULL REfUND.
AND THE APPLICANT OESIRING THAT THE ~EE B~ RErUNDt&, THE DIREeT~R ~f FINANCE
AND AUDITING IS REQUESTED TO REfUND THE AMOUNT er $~n , UNDER APPLICATION
NUMBER ~~ IN THE CASE Of APPLICATION fnR BUILDING PERMIT, WHICH IS THE
fEE CHARGED.
DATE
1- 11- 7<
._'4A'A'/ ~ ~
~JOHN E. Boss
CHIEf BUILDING INSPECTOR
55-029-10/ SS.,
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; . LANE COUW BUILDING PERMIT 0 R MOBILE H~E USE APPLICATION ~.. .
P~MIT TYPE - BUilDING ~ MOBilE HOME Dose REG. '#. PERMIT # / j - 73
PROPERli-,: OWNER M~lING ADDRESS PHONE
~,f>(/~r5 l,l!ak/}--r /, ~ / ~ e.-.tl/ /t/A!W-() D:OJ.~~
, CQNTRACTOR / , . MAILING ADDRESS. " I '
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PHONE
PROPERTY LOCATION...,. INCLUDE POST OFFICE
/o/{) ~/v /G..o!~
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/'Ii}'l9lZ-~ D_/ L- I M ~OUNDS DYES
, " /J' Ii::> . r;.~~CIHED D NO
TAX LOT # /, / C:QO~ CENSUS TRAC'lV
/ '}>) s _ ~ -911,. ' ~...:]~ - ~ f9-<')
DESCRIBE )~~~NG1'SbRUCTURES ON PROPERTY IF ANY
/)u ~/~* ~f9.~ ~Il-/. .' ,.
LEGAL ACCESS'4 tRO~~tY~ ROAD NAME OR #
I' /) / //#1/ i:&;;,; ~/l ~,.
PROPERTY SIZE-WIDTH --~EPtl:t/'
-? /.P C/ ~ 'l<D C'.f'
/'0 j a cr "''T ~~
. ~~'f\)u/.
Connect to Existing Sewage System D' or ~~Yi-9S/YAtem Req, 0
TYPE CONSTRUCTION SQ, FT. ,# 8'EDRd~'\I"LUATlON
H~ (/;J/)d~z~ob
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AREA
SEe.
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AND
~J7l)~ U/Ond
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SEWAGE DISPOSAL
PLUMBING INSTALLED BY
PUBLIC D
BLDG.
WASTE DIS.
PLUMBING
PLAN REVIEW
PARK TRLR.
SEPTIC TANK D
~ %<<JJ-
FEES
,OWNER D OTHER D NAME
PLANS FU~.N~ FACILITY PERMIT
, YES D I'~~ DYES D NO D
V SIGN~E 0;' AP~CA~_ _ DATE
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'/j:h;;CEIV~D~Y /'. DATE
(Hur ~ 1'?07Z-
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COUNTY BUilDING & SANITATION SPECIFICATIONS ~/
DRAIN FiElD REQUIRED
lIN. .FT. TRENCH WIDTH FT. OR SQUARE EET ,,"
OTHER D
,WATER SUPPLY
TOTAL
ffe:P-
PUBLIC D I
PLUMBING FEE!
FIXT~ES
CASH IS( SEWER / '
CHECK f, CONNEC/lON FEE
PUBLIC/WATER
CONNECTION FEE
OTHER
MIN, SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
. / OCCU~Nr
0N
BLDG. SETBACKS - FT. FROM CTR, OF ROAD RIGHT OF WAY
FRONT " LI.s SIDE INT, S SIDE EXT.
S~TARIAN j.,/ ~ Datet::p -'ANN
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Directions to Find Property:
TYPE OF STRUCTURE
ZONE
REAR YARD
PUBLIC UTll. EASEMENT
USE CLASSIFICATION
Date
REAR S
"DG~
eLl-9
, Date
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COPY 1 - OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT
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Form # C55-1Z