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Home My WebLink AboutPermit Building 1973-4-13 r;---.- ,-r.>~ -,' -',:;'-"""'-';' ." w........ ...''''''....-,:..... - ."1' .:~ ".,.., ., .,-tW~oSf)AR..la~ . ' LANE COUNT.ILDING -PERMIT OR MOBILE HO USE PERMIT BUllOING 0 MH D PERMIT NO. MAILING ADDRESS "., r\ -_.. " '. · .;)'~-7:6 -73 , \. . , <;76.n PROPERn"'-OWNER _1l,ln"_I1'\ t:h"rl,,~ CONTRACTO.R PHONE 110' nn~d~a s~-- Snrl~ofrAld MAILING ADDRESS ; PHONE J"dm. 14"r1f'n <:10 N. 10th St__ Snrlnofi"ld PROPERTY LOCATION -INCLUDE POST OFFICE 747.qq14 , 1 01 n^".~A;t <:t PROPERTY LEGAL DESCRIPTION - METES. BOUNDS M.tU~rfnb' r,;rppn E~tf.lt..~. B. TWP RANGE III , APPl. NAME Mt'lrtnn T~rfrn & <:10 N. 10th St_ MAILING 1_ JM I' (j.::vl-ad~) SECTION '-.:..: TAX LOT NO. fi. I, .~ .If II tftJo CODE CENSUS TRACT , ~'i.1<;2A EXISTING STRUCTURES ON PROPERTY Qw<>J tlnn LEGAL ACCESS TO PROPERTY Jl.n,,_rl"'t St_ PROPERTY SIZE - FT. AODRESS !:rr l!1!1f I" 1" 00:. FOR MOBilE HOME PERM"iTS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH 8'1.700EPTH 110 AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. ::: BORMS New 'System D VALUATION n,:>rlt .. rnUAf"e-tf lJnnd 228 lii) , 266 @l12 'iQOi Q 4<:';' 3,192 4<:0 4,098 1I V I n9 Area RA~h _ rnnVAr~ n~rt nfAx'~tlnn oarAn~ SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 t OTHERD ">0 nn - FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY Wnll),." Plmh~. PUBLIC 0 o OTHER ~ nn .'. TOTAL s ,8.00 COUNTY BUllOING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIS1. BOX: GAl. ExIsts UN. FT TRENCH WIDTH FT. OR SQ. FT. Do not dIsturb dralnfleld area with new constructIon. TYPE Of STRUCTURE , OCCUPANCY ZONE PUBLIC UTIL. EASEMENT 'iN I & J BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY RA USE CLASSIFICATION FRONT 4'; SIDE INT. S SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR 5 151 Bnss bv Harbauah G.W. Grav. R.S.T, DATE 4-13.73 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 ~ I"ORM::!: CSS-13 BUILD~NG SITE EVALUATION tUJ T /./ R 0..< S d~ TAX ~O~.~' . C.E_Njil TRACT ZJ.5-C5z7/ /~kw ~&a:I- 8-1 A~~~&: "A ~-!:5 N .r:-/t?,/(!.d ADDRESS.C. '/e.d~.A . '7n/l1 " ~ -:.. . . p((, Bu i id ing Permit App I icat ion No. ~.6' - "'/3 ~(~ Site Inspection . .- () Pre-Permit Investigation PHONE _ DATE ~--;4- "7 ::? LANE COUNTY PLANNING DEPARTMENT I. Zon i ng Ord i nance Comp I i anI?- (Zone '2 ) Subdivision Ordinance Compl iance NOT appl icable () () ( ) ( ) ( ) ( ) NO YES NAME # ~l ,is- ?:s ( ) 1; - 2. 3. 4. Required Access ( ) ( ) ( ) ( ) Building Site (Area, Width, Frontage, Setback) Other (see comments) 5. COMMENTS: ~ BUILDING INSPECTION SECTION NOT NO YES NAME DATE ~ol icable Jl 6. Plans Submitted () ( ) ~ ., 7. Soil Stabil ity (foot i ngs) ( ) ( ) ~.._--~. Flood Plain ~) ( ) ( ) ~~f-r~;\~ 9. Other (see Comments) ~ ( ) ( ) .- COMMENTS: - -1/ ~ SANITATION SECTION NOT NO YES NAME DATE aoo I i cab i e 10. Sewage Disposal (f'Q ( ) ('/J " L~ II. Usable Area ( ) ( ) ( ) /lw 12. Water Supply ( ) ( ) ( ) I . J/"7 13. Other (see Comments) U ( ) ( ) / if'" I (r . 1-" -' COMMENTS: TO APPLI CANT: Your ~}Cfing Permit / Site Inspection: (~Can be app roved. 1-/,2. 7 -?;";:; ) (,..f Cannot be approved at this t~ndicated on item NO. above. Questions and further information on items 1 through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Quest ions and furthe'r informat ion on iteiiiS 6 through 13 contact the Lane Countv 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. UINE COUNTY PLANNING DEPARTMENT I V; Six t" lIven"" Eas t, Eu~elle, Oregon 9740 I l'thlNt: 1":'_ Ii II rXl. 731 LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-1311 EXT, 411 . PROPERl"'l OWNER LANE COUNT.ILDING PERMIT OR MOBILE BUILDING D MH 0 MAILING ADDRESS HO.USE PERMIT PERMIT NO, PHONE CONTRA~fbR .- MAIliNG ADDRESS PHONE PROPERTY LOCATlbtJ - iNCLUDE POST OFFICE ". PRo'~.fv LEGA' b/~t~\)>liON - METES, BOUNDS TWP - RANGE dh~"\o~ TAX LOT NO CODE CENSUS TRACT APPl. EXISTING STRUCTURES ON PROPElr~ NAME LEGAL AC~m TO ~lbpERTY & MAILING ADDRESS FOR MOBILE HOME PERMITS bNL Y No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT PROPERT>' ~IU - FT. WIDTH OEPTH AREA Connect to Existing Sewoq,e System [J TYPE CONSTRUCTION s~ h :: BDRMS New System q VALUATION ---' " SEWAGE DISPOSAL PUBLIC n BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER PLUMBING INSTALLED BY SEPTIC TANK n I OTHERO FEES ~)'I~II\.IJ OTHER, NAME wm~ ~U~PlY PUBLIC n n OTHER TOTAL MIN. SEPTIC TANK CAPACITY WITH CISl. BOX: GAl. ~LJN1'Y bUILOING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED UN. FT TRENCH WIDTH FT. OR SQ. fT. TYPE OF STRUCTURE OCCUPANCY lONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS ft. FROM CTR. Of ROAD RIGHT OF WAY USE CLASSIfiCATION fRONT SIDE INT. SIDE EXT. AUTHOll:llED 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 97<401 . rOA"" = CS5.lJ ... t .: '. .........l. . - '. . . \ : J ': . .-:~ SLAB FLOOR PLUMBING GROUNDWORK - , ' ApPROVED / / DISAPPROVED Cl DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED Cl DATE INSPECTOR REMARKS ROUGH PLUMBING ApPROVED ~ D'SAPPROVED Cl DATE 4-'2.'-'-73 INSPECTOR t2-f:./l REMARKS ROUGH GAS PI PI NG ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVEO [i!:] DISAPPROVED Cl DATE!r-/,)'7'3 INSPECTOR..4/-tJ' REMARKS FINAL GAS PIPING ApPROVED 'Cl DISAPPROVED Cl DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE 1:::7 NOT READY TO ISSUE ;---? DATE INSPECTOR REMARK 5 . ..J, . . LANE COUN.UILDING PERMIT OR MOBILE H. USE PERMIT BUILDING .-, MH I] PERMIT NO, MAILING ADDRESS PHONE PROPE!r.'Y OWNER cONTRAcle\ . , ;'AILlNG Abbim ~~- PHONE PROPE-RTY- LOCATION -lNClUDE POST OFFICE ........:......- PROPE-RN LEGAL DES~M'rION - METES. BOUNOS ~~ SECTror-J '~\ I /O.r~. } '- fAX LOT NO CENSUS TRACT TWP RANGE APPl. EXISTING STRUCTURES ON NAME & LEGAL ACC~~S ~b PlOPERTV MAILING sin - tt ADDRESS FOR MOBIL~ -HOME PERMITS bNlY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewaqe System New System 0 TYPE CONSTRUCTION ~a FT ::: aDRMS VAllJ.-.TION I FEES PLUMBING INST ALLEe BY OWNER n OTHER: NAME WATER SU~PlY SEWAGE DISPOSAL PUBLIC n BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK n OTHERn PUBLIC [J n OTHER TOTAL I MIN. SEPTIC TANK CAPACITY WITH OISl. BOX, GAl. COUNTY BUILDING & SAJ'lITATlON SPECIFICATIONS DRAIN FIELD REQUIRlb L1N. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BlDG. SETBACKS FT FROM eTR 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. DIY., COURT HOUSE. EUGENE, OREGON 97401 -o~~. ::: C SS 11 " ~ \ \ \ \ \ ] ; . SITE INSPECTION ApPROVEO Cl D'SAPPROVEO Cl DATE' REMARKS FOUNDATION INSPECTION ApPROVEO ~ D'SAPPROVEO 1--1 DATE REMARKS FRAMING INSPECTION ApPROVED Cl 01 SAPPROVED Cl DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO 1--1 0' SAPPROVEO / 1 DATE REMARK S FINAL I NSp4ECT I ApPROVED SAPPROVED REMARK 5 J DATE ?17''''~ ~ CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE L::::7 DATE REMARKS /)/J f~~~'~~ ~ /J 5'1~'73-lf~ /IO)..v~~., . INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR , .. ...... " t/ INSPECTOR :3 .s:- 1..5'''<' -"9 . LANE COUNTY B.ING PERMIT OR MOBILE H~E. APPLICATION "~ PERMIT TYPE - BUILDING 0' MOBILE HOME DOSC REG. #J.lD~OS-l PERMIT # S7b- 73 PR~V P'I"NEfJ fll. \ MAiliNG AOOREf\ \ ~ , 0 1\ \ I PHONE ~If,.) 1\ \~ ti)lV\A~ '" ! J()~ U("\K'J('I~ ,'\1. 0{\~\~r\-v: ~ CONT~O\ . MA'L'NG AOORESS +'" ~\ ('\ . ~l~ \:--1' b~.ct [:><") \ fW '''''I ,~/D ~l () :'\1-. ~Ij\D\~{' lc\ PROPERTV LOCArION..J INCLUOE pOST OFFiCE A J ' !h,f",A-:k .~ /7 -ILd 72;' PROPERTY LEGAL.O~;'PTlON - moP \ ~ -C r.. "p \ I L \ '"3 {)\ ~ METES & BOUNOS 0 VES LOT - BLOCK - SUBOIV. l'I~~NS1I\ \ nlt::'~'-lI.l f'(:.:t~~, (\1" L fyo;:r ATTACHEO 0 NO /T,,-, R~GE SEe. TAX LOT # COOE.JI I' CENSUS JB"CT r f\ ~ 0/. Ca (')t"f. ~')i''''{.. ;) S -! S cl n 'APPLICANT ~I \ tt\, DEseRI :~EXIST.~~~TRUCTURES ON PROPERTY IF ANY NAME _ .e.rl~ 111"'1)11".1-1 .. ~~Hi~l~ , I) A I C\ ' (1. \ LEGAL ,CCE~O PRO~5VV -~t NAME OR # ~ID t\ .ID ~t..Jl\l)ll')~'h~ J LJ~c!ln. ~ , I '-l PROPERTY s'ZE8~:lD t ) JCr ~ONE IL} -<i.9/l} AND MAILING AREA ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTU~ f B7r7 prT Connect to Existing Sewage System ~ or New System Req. 0 TY~~ CONSTRUCTION J <tt ~. FT, # BEOROOMS V.A\U~ION \iR~m~ ~d~ l.J . 4S l ;:).l-b f <ThIel,. SO tV ~'l. . ~R'Am~ ~~~tnf. D\),~~ ~~f\ /4'/.../ q j)~ -S;t..!O SEWAGE DISPOSAL SEPTIC TANK r/' f NY. OIJ 3fq::> ~ ljoq~. 00 PLUMBING INSTALLED BY / \ \\ t.. ("f , t OWNER IJ OTHER rw'NAME It)r.:1. I.,)"" \-A1')I1\IV"1: PLANS FURNISHED FACIUlv PERMIT I :.;;J VES d NO 0 VES 0 NO ~ 9JJJ;;;;;:/.:z;JZAJ L/ I g) 7~E . FEE ~lt\O BV ; J'j l' OATE ~""' 1./,8 ')~ PERMIT # 5/b-?3 /' I CQUNTY BUILDING & SANITATION SPECIFICATIONS / MIN. SEPTIC TANK CAPACITY _ n DRAIN FIELD REQUIRED / WITH 015T. BOX: GAl. ~ UN. FT. TRENCH WIDTH FT. OR SQUARv(EET IJ.MA _ I~ ~ 1'Fh1~ ~/ PUBLIC n BLDG. WASTE DIS. PLUMBING Cl.OO OTHER n FEES WATER SUPPLY PUBLIC r/ PLUMBING FEES & FIXTURES OTHER PLAN REVIEW PARK TRlR. '1,00 CASH 0 .fiEWER CHECK ~ CONNECTION FEE TOTAL (~ ~,()() PUBLIC WATER CONNECTION FEE ~~ J di.~ -~ TYPE OF STRUCTURE J- Ii 0(/# ~Jt REAR YARD BLDG. SETBACKS - FT. FROM CIR. OF ROAD RIGHT OF WAY ,..- USE CLASSIFICATION FRONT l/ S SlOE 'NT. r::;:-- SIDE EXT. - REAR~ , (i/ SA. NITARIAN U Oat. n PHNNI~G JJ /1/ lOot. BLOG, INSP~!J :"--" J /1 . _ --n Oata dtJ. ~_ Lj-II'7J)I:~MJA,w r4n~ v-~ 411 z..-- /3 r Direclio,l' 'y FinrJ Properly: V'l /')f. I?. ~R1QL~ ~i~, 'f-J~IA6 40 ffif f:\doll) ~~H) ~s.,it\'\-~<:.. - ,HOd. Do~)A~1l\ ~+ ~~\\)~+\~JJ PUBLIC UTIL. EASEMENT COpy 1 - OFFICE COPY 2 - JOURNAL COpy 3 - AUDIT form # C~S-lZ