HomeMy WebLinkAboutPermit Building 1973-4-27
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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
. ~
. -"',..
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JJJt
~~/-rtY
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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
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,.
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
\.
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~
.
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-""'"(~