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HomeMy WebLinkAboutPermit Building 1973-4-27 /. ? "' ". .' I... // . "-,. :, .(<' ~,(' .~." 4Ij~.., ~ .....~ .,'" ,-, ~. -, ". . ~. "~of' ,"..' . ...." .-.. ....-.. ..-_.- .".-..._" '___-_._ '1',."..,. U__. ~~ -'-l': .'v;-r'. ~~,....: r '"'"'T'~~"~--r''''''''' ~ )/ r') . t2 .)'C_/.. p'-- LANE COUN.BUILDING PERMIT OR MOBILE H. BUILDING 00' MH 0 ,; MAILING ADDRESS USE PERMIT PERMIT NO. .' PROPERTY OWNER nF"AI~ 1 .JAMF"!,; 30 (ROSRY AVrNU...... F'11~F"NF. DRt:'GON CONTRACTOR MAILING' ADDRESS PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES. BOUNDS AIlFNA V I STA lOT i:\ f3LK t3 TWP RANGIO SECTION TAX LOT NO. CODE CENSUS TRACT 1'/ 22.44 21-100 EXISTING STRUCTURES ON PROPERTY 1000 ~ APPl. NAME & MAILING JAMES DEAN HO'AF LEGAL ACCESS TO PROPERTY CROSI1Y AVFNIlF PROPERTY SIZE - FT. ~ CROSBY AVENUE ADDRESS S r\11Fo. DRINGFI~~D. ~cEGON FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT DEPTH AREA WIDTH ".....~i-.. ,~."....., .' ~ ."'K . .' , >1..l.::K .~ _~;_ .,r "(21-73 PHONE "147_(,U?h . ~HONE"" ~ Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION I I CONVERTING CARPonT TO LIVING AREA 412 (1; 10 CHARL t E HAR[3^UG~l No PLANS AS PER SEWAGE DISPOSAL PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY nAINBOW SEPTIC TANK 0 OTHERD 2Q.00 FEES PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER PI:NAl.TY FEE TOT AL ~. PUBLIC :f[] o OTHER t ?n.m I:;~M COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. EXISTS L1N. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY 4,1:::'0 ZONE PUBLIC UTll. EASEMENT 5 N I BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE /s/ ,J. .joss I1Y CMHH. IF: HAR BA UGH FRONT REAR G_W. GRAY R,S.T. V BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX":' PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform building code and covering plumbing and sewage disposal. All buildings of occupancy before being occupied, (See Statement on Reverse Side) " Et' . (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV.. COURT HOUSE; EUGENE, OREGON 97401 FORM;;: C55.13 ~ DATE h/,)7/?':). - ".." county regulations require a certificate BUILDING SITE EVALUATION . ~ . -"',.. ~. .. . JJJt ~~/-rtY . x ( ) ( ) Building Permit Appl ication No. Site Inspect ion Pre-Permit Investigation I T /7 R tJ ~7.ttfTA~ LOT-_/~ CE S TRACT ...4/.-<~"-........ _ ~ L5 -3 c:/ -...:) AP IC~: Q NAM~ ~_.J I ,~ ADD ES / t/ PHONE DATE 7f~S --73 NAME DATE LANE COUNTY PLANNING DEPARTMENT NO YES NOT appl icable () () ( ) ( ) ( ) ( ) J. Zoning Ordinance Compl iance (Zone ) Subdivision Ordinance Compl iance ( ) ( ) ( ) ( ) 2. 3. 4. 5. Required Access Building Site (Area, Width, Frontage, Setback) Other (see comments) ( ) ( ) ( ) ( ) ( ) COMMENTS: _~I.....,_" , ....", " ,- BUILDING INSPECTION SECTION NOT NO YES NAME DATE app 1 i cab I e 6. Plans Submitted ( ) ( ) ( ) 7. Soil Stability (footings) ( ) ( ) ( ) , 8. Flood Plain ( ) ( ) ( ) 9. o t he r (see Comments) ( ) ( ) ( ) 1./-'?--7.) , ( COMMENTS: I SANITATION SECTION NOT NO YES NAME DATE app I icab I e 10. Sewage Disposal (.<) ( ) 11. Usable Area ( ) ( ) ArJ, ------ 12. Water Supply ( ) ( ) / 13. o t he r (see Comments) ", ( ) /dr +78/73 COMMENTS: TO APPLICANT: Your Building Permit / S.i~ Inspe~~ ~Can be approved. /f-27-/~ ~ )- 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. Questions and further information on items 6 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. ll\NE COUNTY PLANN I NG DEPARTMENT IV.i Sixth I\venue East, Eugene, Oregon 97401 /'/ltINI: 11/:-1:; II rXl. n I LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-1311 EXT. 411 r ,. LANE COU4BUILDING PERMIT OR MOBILE H. USE PERMIT BUILDING 0 MH 0 PERMIT NO. MAILING ADDRESS -~ ~,. . . . . .. 4_ ..J PROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ". -,,"/ ! ' c; \ -.J t'"c#' TWP RANGE SECTION 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 LEGAL ACCESS TO PROPERTY ., PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT.' # BDRMS New System 0 VALUATION FEES PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK D $ OTHERD PUBLIC 0 D OTHER TOTAL c MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED L1N. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. 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 - ....~.-.. . SITE INSPECTION ApPROVED / REMARK S 01 SAPPROVED .I / FOUNDATION INSPECTION ApPROVED / REMARKS / DISAPPROVED / FRAMING INSPECTION ApPROVED / REMARKS / DISAPPROVED / LATH OR SHEETROCK INSPECTION ApPROVED / REMARKS / DISAPPROVED / FINAL INSPECTION ApPROVED / ~/ DISAPPROVED / REMARKS CERTIFICATE OF OCCUPANCY . / DATE INSPECTOR / DATE INSPECTOR / DATE INSPECTOR / DATE INSPECTOR / DATE II -"75l> lli"'~3PECTOR ~ / NOT READY TO ISSUE / READY TO ISSUE / REMARKS / DATE INSPECTOR .. ~ ~. . . '.. LANE COUNTV_LDING PERMIT OR MOBILE HOM.SE APPLICATION . PERMIT TYPE - BUILDING MOBILE HOME Dose REG. # PERMIT # ~ .2/-- 73 . PROPERTY OWNER . '-. MAILING ADDRESS ~ PHONE ~ _rL..-yyfl-4~ '"-~ ~ ~. IJ~~:I- CONTRACTOR /' U" MAILING ADDRESS tJ'"' , / . tT, -: / PHONE '7,7-b L/3<1 , PROPERTY LOCATION - INCLUDE POST OFFICE " ~ PROPERTY LEGAL DESCRIPTION l" a J I.... .+- L? ~ LOT - BLOCK - SUBDIV. ~..ALD_ // J"aL~ fl) -.5 0<-$ TWP RANGE SEC. TAX LOT # CODE ;2;(. ~.Lj /7 tJ-3 I ........~ETES & BOUNDS 0 YES ~ ATTACHED 0 NO CENSUS TRACT / ~'-d 'r>2 /-1 IJ-O ~ESC E EXISTING STRUCTURES ON PROPERTY IF ANY , '"7 d "'~ LEG ACCESS TO PROPERTY - AD NAME OR # . APPLICANT NAME AND MAILING /1 ,~~xJ ~-yU ~ PROPERTY SIZE-WIDTW' DEPTIi AREA ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing TYPE CONSTRUCTION ) L/6Yd-J Sewage System D SQ. FT. or New System Req. 0 # &EDROOMS VALUATION ~~ . ~N4/1MJ SEWAGE DISPOSAL r ~!' (! JA..Ili!fI .it b~ MLa" 4/2. (;)~ '#-- (ljj , /0 L// ~ i:) , /? /} .(li/) . , ,- PLUMBING INSTAllED BY PUBLIC 0 BLDG. WASTE DIS. PLUMBING PLAN REVIEW ~RK TRLR. TOTAL ~ SEPTIC TANK 0 ._=',~ FEES OWNER 0 OTHER 0 NAME PLANS FURNISHED ~ ~ YES 0 NO SIGN~ OF ',p L1C~NT J/CEl;" V'~ -'"' ~ERMIT # 7.:</- 7' c:3 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED OTHER 0 /J,. I WATER SUP~1-J..rA) PUBLIC M OTHER PLUMBIf.lG < FEES FACILITY PERMIT YES 0 NO 0 CASH 0 SE_~' ~.7.. A -GlCHECK ~NECTlON FEE ../. . 50_~ -- DATE #-2Y73' DATE' ~-~5-73- FIXTURES PUBLIC WATER CONNECTION FEE MIN. SEPTIC TANK CAPACITY ~. WITH DIST. BOX: GAL ~~ , L1N. FT. TRENCH WIDTH FT. OR SQUARE FEET / TYPE OF STRUCTURE 5A/ OCCUPANCY J ZONE REAR YARD jlC UTll. EASEMENT USE CLASSIFICATION / . A ~~R/ V..~):a;;7 tI 0- \ ~ r~,~ . v BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. :;j!tSANIT;'.RI~~N . Dal,e .w, _ 4-:;".73 .. - () Directions to Find Property: SIDE EXT. PLANNING REAR Dale BLDG. INSP. COpy 1 - OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT Form # C55-1Z \. " ~ . INSPECTION RECORll ~ f DOO DATE ISSUED: / - /5- ~S- PERMIT #27~- I?4 PHONE NUMBER rytfl -t-fb fit> PHONE~NUMBER I I :2-(?- q <14 b I-JL/j-$"C).oS" I I # PLUMBING FIXTURE$ . (p Pu 1:. REAR ~ fu.E.. .J SDS APPROVAL REQUIRED COUNTY TRS# 1'1... 03, ;);;) , 4-L-f OWNER I SL N~M.E vrtJl-ul- MC~ Cm(TIiAtroR I S NAME ) d' fYJOL . SET BACK REQuiREMENTS ~ CL. FRONT 4K/ CL, SIDE I*FERt6R W~K AUTHORI ZED ~~ !:R~IT 'j;L D~~~~ ;;-.~~ _ ' ~ ~yu;Y A ~ ~, ~I<~{;DRES~ ~_u, .1'_ FOOTING / FOUNDATION 0 /MOBILElHOME LACE TO 'INSPECTION Approved Date /Correction Date Co - . tJ~ -1-:.. U tu ~ ~ J Yoft ~- ( o ... . .. Inspector PLUMBING GROUNDWORK INSPECTION I" Approved Date /Correcti on Date Inspector UNDERSLAB PLBG.[] /UNDERFLR PLBG.[] INSPECTION Approved Date /Correction Date Inspector 'OTHER INSPECTION Approved Date /Correction Date Inspector ROUGH PLUMBING (TOP OUT) INSPECTION Approved Date /Correction Date Inspector FRAMING INSPE9TION ~ - nA L1 / Approved / DateJ- ~-~correction~DateJ-'2.s=.~s-Inspector . ')f.!:.~ ROUGH MECHANICAL Approved Date /Correction' Date Inspector INSULATION / VAPOR BARRIER INSPECTION Approved Date /Correction Date Inspector LATH / GYPSUM BOARD INSPECTION Approved Date /Correction Date Inspector FINAL MECHANICAL [] /WOOD STOVE [] Approved Date /Correction Date Inspector FINAL PLUMBING INSPECTION Approved Date /Correction Date Inspector / FINAL INSPECTiON BUIUyING l!J /MOBILE HOME [] Approved ~ Date~_~-8~/Correction CERTIFICATE OF OCCUPANCY [] Approved Date Insp. / AG PLACEMENT [] Date Inspector . TEMPORARY CERTIFICATE OF OCCUPANCY [] Approved Date Insp. M74-197 .... .... LJ",NE COUNTY, OREGON _ .' DEPT. OF ENVIRONMENTAL MA~MENT cg@~~~~uO@~ ~@uo~~ CONSTRUCTION PERMITS & INSPECTION DIV. JOBADDRESS _~n I'~ DATE Z-2.~-?S- TO. J;1tLK'~ ~ BLDG. PERMIT. , 2.7,tlI?-Ji',L NOTE..?{ :t(......-M../. r/.:r L-' ~~::. ~ /J~"'-'~-.e' ....~n....7.:': fO-~n_' ;/. -z"{,,, h_ a;Z;=_, ",.-..,. ~~ .I'"..tL' h(~- .... .~ r ~ ~J .d;!<--'~ /-j:(/ ~-z./~~ ~~ (~) ~ 4~~_.A../ ~-c~/. -rL..-~. (3) ...... ./ - - -' ~nL#-e- aT 'zk.~. ", J <<n1- (I..) ;!;r/Y::: /~ --t! - M 4~ ~. ~ ~ -~-/ d.. /2. v ~ ~--, .e,...d-f - 7:.,~ ?A~ ~--/-4" e-~..&~ - J< ~'-d. - - /0 ~ 7" -? - ,P! "'.. ~L- ~ - ~- - C55-73 ~~~D~~~@~uDIQl~ ~~@I!JlD~~[g) ~ [,c:oJ[fu@[Fi)Q @[fID#,=~@@~ 1?1Ql~ b\~~~IQl'0'b\[s INSPECTOR: ~ (/r-""'"(~