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HomeMy WebLinkAboutPermit Building 1973-1-11 -' . ~ '/,\, .... . -,~ .. ',:. ~~' '.' . 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 ~ < PROPER~'( OWNi:R PHONE ..' 747-2411 " PHOt-lE' ---..... 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 .J1Q.BF'RT AYF'RS " , '/ ' .. '; - 'I .'>.... '..J CODE "D.' , '~A i2-2QQ 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 ' " ,I,s .., ~... ~I" '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 , )0 , T.AX LOT NO, CENSUS TRACT " , 17 APPl. NAME' & 0'-< ..., 27 ", ~TTONWOOD MAILING ,ADDRESS j:"lH~.I\I.: O~ON ,FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Cl\RPOItT-, FRl\MF' ,", . " . 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 ,<t 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. " .~ 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'-< J_ ss 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' j " . . ~,';~" '.~. ' ", ~\ .' e ,,'8' .' , , ,'. , 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) .. " ( , ' 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. .., ... ~ " " '3 -,. , f. ". " , ' ',; ,'" " " ' . ..N r'" l.. .~. . ' , ' " , , " < ~ '... . '. ..~.. .. " , I . ~ I . ~. :" \. 1..: " . ",' ".1 ~ \) '. ~ " d C, 1 f') ,,", '"' " \J e ': ~ I 'j. ..t " ",; r~ .- I: , ; , -:.-- ~ !?D' ~' I (il. e . I ! , ~. '.' ::J -' .. 1) # .,.... .r,~ , , ~ I. n i j~ (fJ! r~ n w! rn ~ JAN 05 REC'O. ~./ t.Ai~E COUNTY HEALTH UNIT - . --' - - """'. ~ I -~,- ~ ........... - ~_... ~- v '., . --4.1 3 A*I & . ..r----/'--'-' .1- I ~ ql ?'If' I "e , ~(;Y~' -)J ()\o i~' (. e.t ,e fj ,I Q l .J.. Q . . \. I L r , -j,-=- -f---c '" .{, ,,~ ,011 I , , , ... _. '~.' ,. . - . - ' ~ k.e>(.(~e FiPf"e;r:.5' \ -f. ! (:J i\ ~ (\ ..'~ ;i \{) , L -i\ I \.1\ \J \J\ , - ,)QO/ I '-- ~ . - . I I \ \ , . ,.. " r t.' ... " e e t' " - ..' BEFORE THE HEALTH DIVISION OF THE DEPARTMENT OF HUMAN RESOURCES i;) , ~ < . , "'(" '~. '.. 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 " . '''~{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 . ~ ( ) ~ ., ". t ,. . .J ,~ 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 (+ () (~( ) (-r-() () () ( r(') , , () () (-) /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. " 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. t ---,,-- "7" -..' . 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 &/ ~ .' -'S e - ,. .f RE.rUND or tEE 5-73 ,... 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., ( , - ," , ; . 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 ' / " , ~ I. . ?L/7-.:2_ l./'/ / PHONE PROPERTY LOCATION...,. INCLUDE POST OFFICE /o/{) ~/v /G..o!~ I~ /'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 - r AREA SEe. ;;;,? /fv~~.s ./ AND ~J7l)~ U/Ond ... , 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 /" ~J v--~ /-t?C 7--z.... '/j:h;;CEIV~D~Y /'. DATE (Hur ~ 1'?07Z- ~6-7q /' 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 /J~, -'7/ rr-~b- - ,""' ." IJ Directions to Find Property: TYPE OF STRUCTURE ZONE REAR YARD PUBLIC UTll. EASEMENT USE CLASSIFICATION Date REAR S "DG~ eLl-9 , Date .. y::/ COPY 1 - OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT ~ Form # C55-1Z