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Home My WebLink AboutPermit Building 1974-7-22 '~ 1Ufo~ '3 rd, cuI4~Yf1eo..a.ow Gr~c-e N . ~., \ T 111-..2 S c: -j cH-- C~- APPLICAN~: ( Application No. 137~- 7? NAME r}-/. I JR. ADDRESS ' L.f- ;A~ TAX LOT tfLk I BUIlDING SITE EVALUATION .r; . . , ( ) ( ) ( ) Bui Iding Permit Site Inspection PHONE DATE 7- ::L:2 - ,y Pre-Permit Investigation LANE COUNTY PLANNING DEPARTMENT NOT NO YES NAME appl icable I. Zoning Ordinance Compl iance ( ) ( ) ( ) (Zone ) 2. Subdivision Ordinance Compl iance ( ) ~ 3, Required Access ( ) 4. Building Site (Area, Width, ( ) ) () Frontage, Setback) 5. Other (see comments) ( ) ( ) ( ) DATE \ COMMENTS: BUILDING INSPECTION SECTION NOT NO YES NAME DATE appl icable ~ 6. Plans Subm i tted ( ) ( ) 7. Soil Stabil ity (foot ings) ji ( ) ( ) 8. Flood Plain ~) ( ) ( ) 9. Other (see COfM1ents) f..) ( ) ( ) fY, /d~f ~/.;.'1( = ~ COMMENTS: SANITATION SECTION NOT NO YES J \CJSl he aDDl icable '7 121.{/7,( 10. Sewage Disposal ( ) ( ) /( ) f II. Us ab I e Area ( ) ( ) ( ) 12. Water Supply ( ) ( ) ) 13. Other (see Comments) ( ) ( ) ( ) COMM ENTS : l TO APPLI CANT: ,./;Yi1 / Your Building Permit / Site Inspection: ,)If'" i ~ Can be approved. 1.').C\ /() 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 p~rmit application fee is being returned under separate cover. LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 LANE COUNTY ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 C55-2B ~- . 1 . . Permit No, 1 'n8- 74 CURB CUT " , ~/' . Date 7-JH4 PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attoched opplication hos been fully considered by the Baard of County Com- missioners of lone County, ond it is the opinion and judgment of the Boord thot the soid opplication should be gronted, and thot a permit should be issued, now, therefore, it is hereby, ORDERED, that a permit be and is hereby issued to 870 W. CENTENNIAL or constructing the following facility: 3RO AOD MEADOW GREEN EST. LOT ~uot.n: I l~. n Il.L for plocing, building DWELLING 22, 8-1 upon the right,of,way of County Rood No. , Mile Post in strict conformity to the exhibits attached hereto, ond subject to 011 terms, conditions, ogreements, stipulations and provisions contained in the application ond permit, the Rules ond Regulations Gov- erning Facilities ta be Permitted upon County Road Rights,of,Way, os set forth by the lane Mon- uol 50,190(2) ony omendments thereto, and any other opplicable regulotions, low or ordinance. Special Provisions: 1, Drivewoy will be constructed in accordonce with the ottached drivewoy opprooeh specifiea, tions (Drawing M98,50). 2, Permittee will be responsible for the immediote removol of all mud, dirt ond debris from the roadwoy and right of way coused by his operotion, leaving the roodway ond areo in a neot, oeceptoble condition, 3. SIDEWALKS WILL BEE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED SIDEWALK SPECifiCATIONS AND DRAWING M98-49. THE STANDARD CURB TYPE SHALL BE CONSTRUCTED UNLESS OTHERWISE SPECifiED. This permit is revocoble ot ony time, and will be strictly adhered to ond no work other than thot specifically mentioned obove is hereby outhorized. This permit sholl be void unless the work herein contemploted shall hove been completed be- forp JULY '!O 1 9--15... Expires 19_. Inspected and Approved Approved by Board of County Commissioners By Dote 4./ /~! u-;o( By Director of Public Works WHITE - OFFICE FILE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDINC & SANITATION DEPT. YELLOW-REAL ESTATE C98-79 --- ,-,. . .' D..te '... . - . Permit No. .,~ '')7 -- ~ CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY / WHEREAS, the attoched opplication has bee n fully considered by the Board of County Com. missioners of Lane County, and it is the opinion and judgment of the Boord that the said applicotion should be granted, and that a permit should be issued, now, therefore, it is hereby, ORDERED, that a permit be ond is hereby issued to for plocing, building or constructing the following facility: upon the right.of.way of County Rood No, , Mile Post in strict conformity to the exhibits attached hereto, ond subject to all terms, conditions, agreements, stipulotions and provisions contained in the applicotion and permit, the Rules and Regulotions Gov- erning Focilities to be Permitted upon County Road Rights.of,Way, os set forth by the Lane Man, uol 50,190(2) any omendments thereto, and any other opplicable regulotions, law or ordinance, Speciol Provisions: 1, Driveway will be constructed in occordonce with the attached drivewoy opprooch specifica, tions (Drawing M98.50), 2. Permittee will be responsible for the immediate removal of 011 mud, dirt ond debris from the roadway and right of way caused by his operation, leaving the roodway ond oreo in a neot, acceptable condition. , g~ 1/ / CO J 7 f ff'- ();, This permit is revocable at any time, and will be strictly adhered to ond no work other thon that specifically mentioned obove is hereby authorized, This permit shall be void unless the work herein contemploted sholl have been completed be- fore 19 Expires , 19 Inspected and Approved Approved by Boord of County Commissioners By Dote By Director of Public Works WHITE - OFFICE FILE GREEN - RESIOENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT. YEllOW - REAL ESTATE C98,79 ~ . \ , , ! ..., I .~/ ( ,. .~.~ PROPERTY OWNER LANE COU.BUILDING BUILDING llli MH 0 MAILING ADDRESS PERMIT ~R MOBILE Ha USE PERMIT PERMIT NO, mJ-74 PHONE ncbon II NIII CONTRACTOR I 670 W. Csnt0n"lol MAILING ADDRESS 7~!l9IG " " PHONE I PROPERTY LOCATION - INCLUDE POST OFFICE 12011 Ilondeo -. '.. : PROPERTY LEGAL DESCRIPTION - METES, BOUNDS l.Z2 B-1 third odd ~cod~ GroQn . TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT APPl. NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY , No. of Bedrool'T'!s..... \. STRUCTURES TO BE BU1LT\"THI9 ~E.RMI;r ),~,....",o \, , "_._ .., ... '" '.l, ,~ ~oll in!J. . EXISTING STRUCTURES ON PROPERTY 1'101'10 LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. ~.. WIDTH' 70: D;PTH 121 AREA \~" "' ~ ...... "'\"c.o_nnect ,to ExIsting ,-)j .!i'~~.s:C.c)NST;.RU~C:r,[t;N; Sewage Sy,stem 'Q New System 0 ~\)l.~SQ."FT. ,) .ttt BCRMS VALUATION 1000, Q al'.BO ()) <1I,GJO '. ;n60 S.lO " ' , I \U.O~~:l, _. 4:i.;.r...:;\)...;;.J' GerllJO ' (SEWAGE DISPOSAL PUBLIC 0 I BUILDING PLAN REVIEW . PARK TRAILER SEPTIC TANK ~ $ " \,\ '. \ \,\\ \' ,':, I ~\lluvChoI'Ct) OTHERD Ukl.au 50.01) aa.E>G\< FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY WASTE DISPOSAL PLUMBING ,~ V -\' '. .~ " \' \ \ \-4 \' ~ 'IS.,' \. \\' " \\\ 1.'30' \, t , IUI.~ 'J COUNTY BUILDING & SANITATION PUBLIC -Et'1 o OTHER "J \\, .\~. \~~~R~\:\ , I TOTAL . ~ )\..;, I SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FiElD REQUIRED ISO UN. FT TRENCH WIDTH FT. :! OR SQ. FT. ~()O 900 '-~Il. ~: ~'<Z:.~~.,~\ ",:~ '~".~\._~ \ ~~"'J\~\~~~~~~~' ~,~. ;~~~'". ~ , ',\ '- ~~. " ~~. d" "",. '. I \,'~ ,)', ~~~~,.-,~ ~.~'::.~~":-~ -:~~:~,\ ..3~::i~':>~,~\~1,);, TYPE OF STRUCTURE' ..:::::: OCCUPANCY, '\..J~ZON~\ -- c '-. - '" POBlIc;;.unl~'EASEMENT 5/a \,\'), I\~"--~s:.~~l\\ _.,~<t.~\'t.\.S.,~~:::'Y""\~,) . BLDG. SETBACKS __ FT. 'FROM ctR,- ORoROAD(RIGHT OF WAY USE CLASSIFICATION I FRONT 4S SIDE INTi I O. G I dCSIDE EXT, REAR I G AUTHORIZED SIGNATURE - DATE /01 J.U. OGS5 bV Chnrlcn twrbeuah . ; WITH DIST. BOX: GAl. , . '" \ .\'\ \ ~ -.. J. Shaolt, DATE 7.30~~C) II:;> BLDG. PERMIT - WHITE !OFfICE COPY - WHITE 'COUNTY TAX - PINK .PLUMBING - CANARY BUILDING - GREEN I SANITATION - GOLDENROD Call,687.4065 to schedule all required inspections, All construe. tian 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 an Reverse Side) , F"'ORM ~ C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97401 ..... ~. ".' ,;z:-.. \, . . SITE INSPECTION APPROVEX REMARKS . / DISAPPROVED ~ DATE INSPECTOR / FOUNDATION INSPECTION tf2 /' r:/ ApPROVED LILJ D~SAPPRO~ED 1---/ DATE 1 -0.,:,7l.( INSPECTO REMA~KS O!,Ct.f"~:lu/<;~ ~~:1).1&!1!-1 _A r?"; IU~ ~ t, ~,r 1::44~'J'l.' ~ ~ fJo- 'l 'L(CV - { C-/" L (Q_I{~~;~ .#P.A/nP-ltr>~-~...(~,'}f' ~..,f.-. FRAMING INSPECTION / /~/) ApPROVED ~~'SAPPRDVED ~ DATE r-I/;:.J1f INSPECTO~ REMARKS ,kA't/.M "'F4H#Ptq:-tp '74//if / , . I e;; LATH OR SHEETROCK INSPECTION ' lK/1I; ,,,.."'. 1!:., /, "''''.",' = 'n< 3- J 1f:..2-1I"~"m. , REMARKS t" {) j( ~ 11/ J 11 Cf-;'Jj~?t( fJ/ V I Ii , FINAL INSPECTION ~ ApPROVED ~'ISAPPR~VED D:TE IP~.22'-?I/INSPECTOR~ REMARKSf9~~ "-~~-K ~ / O-IYi-?'z,/ ~:r-~" 1. ~tJ ~ J - ~ (l~ f'j -/'1'- ,., ~ f~J";' ' ~, '#' . - ; '-.11 - - '?-I-/ oJ' ,...'t y....~_/(!./-,..,.- ~7 CERTIFICATE OF OCCUPANCY &; 6-J: 41--L I.:.J ( READY TO ISSUE L::::7 NOT READY TO ISSUE L::::7 DATE INSPECTOR REMARKS ,f) " '/A' , l,./;,~ffi.~ )37r-7( 71:df - I~f)~ O~ -.- -= """'lIII , " L .......... ~ . w -r. .. '.::2- . ',- ~~ LANE COUN_BUILDING , BUILDING !ill MH 0 MAILING ADDRESS 870 U. Contonnlol MAILING ADDRESS PERMIT OR MOBILE HA USE PERMIT PERMIT NO. 'J;j;~71.l ,,' ~" , . . PROPERTY OWNER PHONE '[lcllort t~ NlII CONTRACTOR 71.:fl-9Sl16 PHONE PROPERTY LOCATION - INCLUDE Pq~,~ qF~ICE 1202 DondOle PROPERTY LEGAL DESCRIPTION - METES, BOUNDS L-1I2 0-1 thIrd odd ~CJ Groen ,.'1, TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT . .~ ..I." APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY nono LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH 70 DEPTH 121 AREA ~oll hl(l Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ. FT. ;; BCRMS VALUATION 1000021.00 (3) 21.0~~ Oar OliO 336 @ S.~O 1....E'&r."L :!.ll.l!JII.U<I SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK 1m BUILDING .. WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER OTHERD IOIUUI liD. 00 U.OO FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC -Ell 0 OTHER TOTAL . 1.10 101.110 COUNTY BUILDING & SANITATION SPECIFICATIONS % lI~rc:!'lor!)~ MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. son DRAIN FIELD REQUIRED 150 lIN. FT TRENCH WIDTH FT. 2 OR SQ. FT. 31110 \ TYPE OF STRUCTURE OCCUPANCY SU I & J BLDG. SETBACKS __ FT. FROM C!B~ OPlIOAD(RIGHT OF WAY FRONT 45 SIDE INT1' n. IIldCSIDE EXT, REAR 10 AUTHORIZED SIGNATURE - DATE 101 J.~. DOSI by Chorlos ~rbough ZONE ,AA USE CLASSIFICATION PUBLIC UTll. EASEMENT J. Shock DATE 7-,0-74 bp BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687,4065 to schedule all required inspections, All construe. tion shall comply with Uniform Building Code, D,E,Q. standard! for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) f'ORM == C55-1) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97~Ol SLAB FLOOR PLUMBING GROUNDWORK . . ) '-. ,,~ . ApPROVED /I 01 SAPPROVED Cl DATE INSPECTOR REMARK S GAS PIPING GROUNDWORK ApPROVED /I 01 SAPPROVED /I DATE INSPECTOR REMARKS ROUGH PLUMBING ApPROV,ED W DISAPPROVED C1 DATE<1-2cJ-1t INSPECT~U REMARK,S--r;/jn L/~"7/h-/ h,l- <,./~~~~9 9. /9V'74j~ ./ ROUGH GAS PIPING ApPROVED C1 DISAPPROVED C1 DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVED fZJ DISAPPROVED Cl DATE/ ./jf)- ) K' INSPE~~ REMARKS FINAL GAS PIPING ApPROVED C1 DISAPPROVED / / DATE INSPECTOR REMARK S CERTIFICATE OF OCCUPANCY READY TO ISSUE C1 NOT READY TO ISSUE / / DATE INSPECTOR REMARKS '''llIl \- INSTAllER: pAs ED top part ~form SEWAGE DISPOSAL SYSTEM RECe ~ (,. to signature and submit both copies with application. PERMIT NO. 1378-7q Complete INSTAllER'S :Lh. -A J Jq -e 01\ t l? ('('jr$ No. li~ng Units Bedrooms Baths PROP~RTY AOUR~~~ 1202 DONDEA Basement Water Supp~ Yes No /..../' Publ ic ~Other-List Septic Tank: Ft. from well NoN. P Dimensrons: Width Steel D Ft. Diameter Concrete ~~o. Compartments Gal. Caeaclty ~ /OCd . Tile Disposal Fiel~: Depth Distribution Box: Yes ~No Other Distribution-Type Inside Lenqth OWNER NAME ROBERT N. HILL HAiliNG 870 W. CENTENNIAL ADDRESS EUG ENE. OR EGON ,ength of Li nes-Ft. lTrench, If fo72.773. 4. 5. 6. Width21 . ot Plan (see instructions): Feet from WEll lot Li ne Front I.:~. Betwee')l LInes /" Foundation .. '. .. JS. Total Sq. Ft. Side IFille~ IFIller Depth '.!rpe / ~bove T II ~ Rear IFi ller Below InJrl1e r:.. In. . . I GMQ;-G-e. , Si~ature -~~I! ( ~A"'VL4-- CERTIFICATE OF SATISFACTORY COMPLETION ' '9 I ..I Date: -1",-77'"lho.. is issued at the above '" ~/ / \r ""- \/ ;----\ a. /) "1\). I ~ IV oV \' f'{ ~ /,(d-- \~ -L ~"1~ ~~ /,~ ~ l:- tl--. q) ::y /) " 0. J"~< 5 ~. l' ~ '" / /U '-G> S<f~~ f6-,v K ----'"' " ~r r\ \? ~\\ I . ' \ -~\'"~\,? \jl.~j.N , ,J \." I b '. L-' ___ ':_~ ~;7L' I '\ 1 J \-' I v- ~ \ coUNt \J.\"~,r: '1'P.L tA'~ l:}'.\\i\G;'l("~~' ..... - -- - tf6CAS~ Date q /1'-/ /, U 1 For Sanitarian Use Only: In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate as evidence of satisfactory completion of a subsurface sewage disposal system 10ca~'0 . Approved: System Installation conforms to current standards Disapproved: Does not conform to current standards Remarks: -AI r" \ \~ 'i~~~ ~a'lj-l ta'r i an s Signature L~E COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY C55-11 /1 . ,0$ LANE COUNTAILDING PERMIT OR MOBILE HO.USE APPLICATION . ' ' _'~~__,_ ,_, P~R.~,I.T !:!.~_:::..~~~~D.ING I i. ___ 0c:>~ll~_u~c:lME. I LO,s(;, ~EG, I~ . . .. . _P,E~01~..JL!..J2.8.". :...2,L P E 'f OWNER ., MAILING ADDRESS. PHONE --2}--jJ4,t..'.-'...'_ _,:..... ___,g','LL..Zt.L_~~0~,~____n_____ Z</-" 5 fl (, NTRACTOR " L? c' ., MAILING ADDRESS . PHONE . 'J? /./.;df5l,~4_.;k;,) AJ''7t1 zJ i!~t,..ld..- 7<../L' C, <; / (, PROPERTY lOtATION - It~CLUDE POST OFFICE - ./.::20;;;L LJ./r:ndPa.- PROPERTY LEGAL DESCRIPTION 1___--4.... ~=,!!~~ - SUBDIY. ~L._.~...~_. TWP RANGE SEC. A/;id/ -J TAX LOT # ::> /1...4.A \..-w 'Il. (j; METES' BOUNDS 0 YES ...;>;e.o ug/Y.t:if{.PI!?~~ ATTACHED 0 NO CODE CENSUS TRACT . APPLICANT NAME AND MAILING ADDRESS FOR MOBilE HOME PERMIT ONLY Number of Bedrooms S~RU TURES TO~ BJJ B,UILT THIS PERMIT I /../ J..fJ..I-'!LAt.5l - ./ ~R ! ~ 7J. JJ.itL.,g"L~ ~7{) -zJ r?~d., ~ DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY "J'} ~ LEGAL ACCESS TO PROPERTY - ROAD NAME OR # - PROPERTY SIZE-WIDTH l/)' 5l </ MPTH ./ ,';u {j. 9 AREA Connect to Existing TYPE CONSTRUCTION Sewage System 0 Dr' New System Req, 0 SQ. FT. # BEPRQ:OMS VALUATION . /ao,dibI.,R/J (3/ d / .S tJD,OO 3:3 ",@l6:'~ 0 j, 7'71) ~ tJ , _.'_ _nn_. .._.______.,~ _ ___. . ~ ~"<{If D. 81J' . PARK' TRlR. 10/05,(. SEWAGE DISPOSAL PLUMBING INSTAllED BY PUBLIC 0 SEPTIC TANK ~ OTHER 0 OWNER 0 OTHER n NAME BLDG, (.0 gr, "'0_ FEES WATER SUPPLY _ PLANS. FURNI H~ WASTE DIS, S.O. t:! C) PUBLIC ~THER YES ...NO 0 ";;.:2 . 7JO PLUMBING FEES (3;.5 ~ c;JCJ SIGNATURE OF APPLICANT -0_ FIXTURES / 1? CJ () ~ CASH 0 SE~ ;;l. , ().6 FEE RECEIvED BY ----1., .-::ff> CHECK ~NNECTlON FEE /- ~ ~ .L ./ PERMIT # ~ I d" / :J 1'\ PUBliC WATER /"\ ~ ..., "'7CjII' 7 ' J.;.f)...I ..:l u ~ CONNECTION JEE __f2:...: c) 0 1 ~ I 6 - - t. COUNTY B,ur(DING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY /6RAIN FIELD REQUIRED . WITH DIST. BOX, GAl. q()(') L1N, FT, ) K"O TRENCH WIDTH FT, 2 OR SQUARE FEET FACILITY PE~MIT YES ~O 0 '. .. PLUMBING DATE J-A.~- ?Y DATE '7 - ();) - )I/!J - PLAN REVIEW TOTAL' 300 / I TYPE OF STRUCTURE -!J-JfI OCCj;;}-::r- BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGtiT OF WAY .s-'5~ F~ONT l/ ~ SIDE INT, ;? '..,. ~ SIDE EXT, ' REAR / e:;; / ' , .. 7ky/i/; 1;$}7~"'-;;-"''' '"" r~ee'1-:2~ -^tv. to Find Property: _ .______~_________. ____.___ ______. ~_..______. ._ __ ._._________._ ZONE P71 v . REAR YARD PUBLIC UTIl. EASEMENT USE CLASSIFICATION COPY I - OFFICE COPY 1 - JOURNAL COPY 3 - AUDIT Fn.m =:: (~~. 17 ~ "r.'.... ,.,~;~-_.- .......,--..~,;...-.:.......~~.___~-:.~~ "_....,..-. .. f' -----...;. ~~;...,...;;;~..,~ " )\ ~ ~,' . '.~ ,~. - ~ ~", ' :t"', ~.: .. .", , I PROPERTY OWNER. , , ' Robert N CONTRACTOR "LANE COU~_UILDING PERMIT OR MOBILE BUILDING KX MH 0 MAILING ADDRESS H4 USE PERMIT PERMIT NO, . 7rj /3 7~378-74 PHONE Hill 870 W. Centennial MAILING ADDRESS 746-9916 PHONE " PROPERTY LOCATION -INCLUDE POST OFFICE 1202 Oond"lil PROPERTY LEGAL DESCRIPTION - METES, BOUNDS L-22 8-1 third add,Meadow'Green TWP RANGE SECTION TAX LOT NO. / g':"'I),;(-O~_ ~3.- .,I- A~ 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 non" LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT, WIDTH 70 DEPTH 121 AREA Connect to Existing Sewage. System 0 TYPE CONSTRUCTION SQ. FT. :;:; BORMS New System 0 VALUATION Gar-lIae 1000@ 21.80 (3)21,800 1.180.80 23.5i)O.ljO 336 till 5.30 Dwelllna -. SEW AGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK MI I OTHERO Inll.Oo 1;0.00 ~':nn FEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY PU BUC .{gt o OTHER TOTAL I I "In 1111 "IlL.. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED UN, FT 150 TRENCH WIDTH FT.. 2 OR SQ. FT, 300 1 % surcharge MIN. SEPTIC TANK CAPACITY ~ITH DIST. BOX; GAl. 900 TYPE OF STRUCTURE OCCUPANCY '.' 8- J FROM C!!,' Oh .ROeQ d!9HT OF WAY SIDE INT]' n. S ideslOE EXT. . AUTHORIZED SIGNATURE - DATE ZONE RA PUBLIC UTIl, EASEMENT ~N BLDG. SETBACKS.. FT. FRONT 45 , USE CLASSifiCATION REAR '10 /sl J',E.' Boss bv Char-Ies'Marbaligh J. Shook ' DATE 7-30-74 bp BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY"TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687.4065 ta schedule all required inspectians, All canstruc. tian shall camply with Unifarm Building Cade, 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 an Reverse Side) ," " . " , " 'f"OR~~ C~.5.13 . "f;', (POST THIS PERMIT, ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97-401 '~<"'!I' '. "-"'~,' ',' ., ". , o~" . o. "\~'