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HomeMy WebLinkAboutPermit Building 1975-7-21 .-' 'i ' , ,,' i) ; L' y:) " , LANE COU_ BUILDING PERMIT OR MOBILE AE BUILDING D<x MH 0 MAILING ADDRESS 'J ., , y(v-" _ ,A.._1 I' USE PERMIT PERMIT NO. 2003-75 PHONE 747-"i?,Q"i . PHONE- PROPERTY OWNER L. N. SMITH CONTRACTOR SAME PROPERTY LOCATION -INCLUDE POST OFFICE 2 HOUSE ON RIGHT PAST INTERSECTION PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ROUTE 10 Box 2~0 D MAILING ADDRESS "UGENE, OREGON Of DEAOMOND ROAD ANO GAME FARM ROAO: TWP RANGE SECTION 17 O~ 1~ APPL. /\ NAME L. N. SNITH ",\ & SANE MAILING TAX LOT NO. CODE CENSUS TRACT ,Q()() 4-04 EXISTING STRUCTURES ON PROPERTY .!i(\!!SE ^_~r>. G~I,^r.~ 1GAL ACCESS TO PROPERTY ~-1 DEADMDND FERRY ROAD .; PROPERTY SIZE - FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. :# BDRMS New System 0 VALUATION PERMIT fOR ADDITION DINETTE '56 (:) 1610 SCJol.60 LANE COU~TY SPECIAL PERMIT AREA: SEWAGE DISPOSAL , OTHERD 10.00 FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PAR~ TRAILER 3"SURCHARGE SEPTIC TANK 0 PUBLIC 0 o OTHER TOTAL . .iO 10.iO COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. lIN. FT TRENCH WIDTH FT. OR SQ. FT. NA RESERVE AN REPLACEMENT AREA. STAY 10 fEET fROM ALL PARTS Of SE~AGE DISPOSAL SYSTEM ~ITH NE~ CONSTRUCTION: TYPE OF STRUCTURE 5N BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT NA SIDE INT, 15' SIDE EXl. AUTHORIZED SIGNATURE - DATE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT USE CLASSIFICA liON REAR 20' DATE /S/ J.E. BOSS BY HARDAUGH LOWRY BY GRAY/SANITARIAN 7/2./7~ DLM BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATlON - GOLDENROD Coli 687-4065 to schedule 011 required inspections. All construc- tion shall comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) FORM:;: CSS.13 (POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97-401 9,t.1."~1' r .-' , - / 'Z .. ~ ,\ ," \ I 0...:;_,'11:;'6>- .q Q( ,.....r ~~. -.' -- . ~ ~ ~ I-U l... r I.4J' '-..-..-' " f :"q' .~. " :, ";(, " ~~~." ~ .~" "1:t \ lJ~ ;f:\ ", :+" , .y , " , " J, I' ,,<0: , ,'! ," ' I I -.....: .~J I ' , . l>,:';.' i; \ ".'~ "'/' " ',' ~ 'j. I , 'j;' . r i": , ! . I!'>; I . . , , :0. ~J \..1 ' ~: 1 , , . '., . \1 , \ -'.:'. " >:.~~~,Io.,r '" i!~tji ': ,. ~ ..,\\'!~,. ' , . \ /. ~ ,n. ,~. ... ,;1': f ~, ( ,.... /" '~:O' '" ... .;\.' , .... .. ~ ,~~ '" ;, \ ~ i' . ,)! ..-:, , .. , ,'. <t ~~.1 ,:1' \;':. .~ ,\ ~j\ . , \ j J :-t _, J -. ." \.,. -~~ .... '" '" o' ::<. ...~~ . ~ ... ! .,. ~:;. , Pbl , ,. ~~-- ,/ ' ,. IcQ. ~ , . " ),___J ,<1 .. " c.'~':~ .......'';t;'f~'... ". . f~ttE~\P;J) e)' JuL 1 J'1975 ~_..~ ~-_. '. . .~~: '., 'I'l'" . ~~ i't\J;"" J. ':"': .! /~;b' 1 '~I~~ ,,1(,' _ -?t'l.11 ,t:{I' , .. 'I~:{"i<"" : ""c"'~' I ,< \'!" .~' I " " [ ~ I.' ", l<, " . _,:'J:~'f" , . I "',l .Y\f. ~\it , I" 'v .~.., .> 'f";," ,.w-l' t' ,7 :f " ;r- "\'1" 'L . ,~ 'i \ .~,\." .~ ~'f!,n, ~~ .1' , J p, I I , , ! , I I , ! ...~... ',1' ~ 1-;' .... ';' \-. Q a'-- :.,~'~ .,,;~~; " ';, 1:'" .~~, I \ \ If " "/ 'i-l;1: . ~~'. ,. - ..:, .f."~ ." . ..----- ----." '.:' , .. ~.. . B~lttlNG SITE EVALUATION ~ ~UILDING PERMIT APPLICATION NO. () SITE INSPECTION && ~iJ R 03 S I S-:;AX LOT'Sf't:::' (:) SUBD ION: ~~-7Q""" LOT: BLOCK' APPLICANT Y:. k,., ~. ct~rr-y DATE PLANNING DIVISION Not Applicable I. Zoning Ordinance Compliance: Zone~( ) 2. Subdivision Ordinance Compliance ( ) 3. Required Access ( ) 4. Building Site (Area. Width. Frontage) () 5. Other (see comments) ( ) COMMENTS: PLANN I NG D I V I S I ONA"tTl ON PEND I NG: YE"S""( ) NOT} A-f>PL I CAT 10NlI - , BUILDING INSPECTION DIVISION Not ADDlicable ( ) (~ ( ) ( 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not ADDliw..le II. Meets Department of Environmental Quality Standards. 12. Other (see comments) ( ) COMMENTS: No T) ( ) C ( ) ( ) () ,) () ) No Kt T) ( ) ( ) ( ) ( ) ( ) ( ) No Yes T)T"T ( ) ( ) CK'D Bv:' J4-r-1'~~~ 6. Setbac~c/l 'of roa~ Front AI/A SJ...."" ~Y+-.e.~ ",' Setbacks from interior IJ!}8s: Side ,JQ Rear Zf..)' CK'D By:e~N~-n~17 IV~' v If -~ATE CK'D By:.iIJ ~_ 7-';U-7S" DATE TO APPLI CANT: Your Building I Site Inspection: XCan be approved. ( ) Cannot be approved at this time as indicated on item NO. above. Questions and further information on items I through 6 contact the LANE- COUNTY PLANNING DIVISION. Questions and further information on items 7 through 12 contact the LANE COUNTY BUILDING 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 bein,9 ~"ltu'=-lJ,~d un<!!lL.seoarate cover. vEPARTMENT OF tNVIRONMENTAL HANA~EM~NI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 rjYJ~) ~t2 C55-28 . BUltblNG SITE EVALUATION . , () BUILDING PERMIT APPLICATION NO. () SITE INSPECTION PLANNING DIVISION Not Applicable ( ) ( ) ( ) ( ) ( ) 1. 2. 3. 4. 5. Zoning Ordinance Compliance: Zone Subdivision Ordinance Compliance Required Access Building Site (Area, Width, Frontage) Other (see comments) COMMENTS: ~. T _ R S~N: LOT: S TAX LOT BLOCK: APPLICANT DATE No Yes T) TI 6. ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) CK'D BY: Setbacks from cll of road: Front Side Exterior Setbacks from interior lines: Side Rear PLANNING DIVISION ACTION PENDING: YES( 1 NO( 1 APPLICATlONft BUILDING INSPECTION DIVISION Not Applicable ( ) ( ) ( ) ( ) 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Applicable (") ~ ", 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) ( ) COMMENTS: No Yes T)TI ( ) ( ) ( ) ( ) ( ) ( ) CK'D BY: DATE _) /; ...;.......:... )1 _ .' "...... . ,- ,. , No Yes T) TI ( ) ( ) CK'D BY: '.;. DATE TO APPLI CANT: Your Building I Site Inspection: '{ )'Can be approved. ( ,. Cannot be approved at th i s time as i nd i cated on i tern NO. above. Questions and further information on items I through 6 contact the LANE- .' COUNTY PLANNING DIVISION. Questions and further information on items 7 through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) Will be held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit application fee Ls beinq..r~tu~n!l.d_under ",oarate ~ver. uEPARTMENT OF ENVIRONMEIIITAL I1ANAlifMtNI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 PROPERTY OWNER LANE courtt BUILDING PERMIT OR MOBILE HIE BUILDING MH MAILING ADDRESS / USE PERMIT PERMIT NO, PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWF RANGE SECTION TAX LOT NO CODE- Cf NSU~ TRACT APPl. EXISTING STRUCTURES ON PROPERTY NAME LEGAL ACCESS TO PROPERTY & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUC-TURES TO BE BUILT THIS PERMIT PROPERTY SIZE _ FT. WIDTH DEPTH AREA Connect to Existing Sewage System New System [J TYPE CONSTRUCTION ~~ FT :: BDRMS VALUATION . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK ~ OTHERn PUBLIC rl Ll OTHER TOTAL . MIN. SEPTIC TANK CAPACITY WITH DIST, BOX, GAl. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED 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 Call 687-4065 to schedule all required inspections. All construc- tion shall comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 13S EAST 6th. EUGENE, OREGON 97.401 fO~~' = C~~ 13 . . '~ SITE I NSPECTI ON ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED 1---1 01 SAPPROVED 1---1 DATf v' . h /) /I'-'L REMARKS r)1< ~ ;(lZt1/!1 .h. U4:rl!f/l/LEf.. / INSPECTOR r-I--) 5' (J[, :) , ('-;, I / FRAMING INSPECTION ApPROVED /~DISAPPROVED Cl DATE ~'L/. ~Ij' INSPECTOR &e;, REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L-I DISAPPROVED 1/ DATE INSPECTOR REMARK 5 ()jl/ FINAL INSPECTI~ 1II~ ApPROVED LfJ DISAPPROVED ~ DATEq, lS/7t INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO I SSUE ~ NOT READY TO ISSUE Cl DATE INSPECTOR REMARKS -1 .'; .,.1"; 1/ // /j 7"A// ./H'0;' .'/ ,-j . ',. ~) , ~... ".;- .J 1{.et?.,ft~;;.t!.r:~i'.!.J!y.';f(i-.~:..-: /pM'n A(l \ 0.7 {(I:> -' 7 .) ~.jj.tt~z;t: