The URL can be used to link to this page

Home My WebLink AboutPermit Building 1973-10-29 ~\,~.,---..,,~,' '-~',,,, y --I'C-.-,... ~'-" , ,(/~ ". ' '. .- "'- .... - " ."', . .....~..........~....-' . - . \ ., ~ ,: .' . ".\' t-' ;t'- "<:-.,/'- ~~~.- I ~ LANE 'COUe BUILDING PERMr;. OR MOBILE aE USE PERMIT e:!7'~~ BUILDING IK! MH 0 PERMIT NO, ~07Cl-7~ MAILING ADDRES9I..... .. .. PHONE L \ u .,1 . PROPERTY OWNER III I). f10llnrt fl. CONTRACTOR A70 U. Ccntenninl Snrinnfiold. r,re~on 07477 MAILING ADDRESS 74G-(;~1 (; PHONE , PROPERTY LOCATION - INCLUDE POST OFFICE 1,20<; Oond,,1'l Stroot PROPERTY LEGAL DESCRIPTION - METES, BOUNDS Third Add. TWP M"od~ r.reon Estntns lot RANGE SECTION 10 02 06 , c.i, Z- 1l10dt ~ TAX LOT NO. ~/9~ CODE CENSUS TRACT APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT 3.1-11)2 A EXISTING STRUCTURES ON PROPERTY tdono LEGAL ACCESS TO PROPERTY OondcD St. PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION tlllin 1003 (.) l? I? ..L" Garaaa otto unc. 616 n , I,,'hl -13--' T.F .:-..'f I~stoll Sc~o~c OlsDosol Svsteo 7 PI~~~ln~ FI~turcs SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK D f OTHERO .;(, nn 'n.oo ,.?4 ';0 ^ FEES OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC D D OTHER TOTAL . 1M ';0 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST, BOX, GAl. SOO Hold trenches to 0 24" maxlr.1um all parts of the dralnflcld. UN. FT depth. 240 TRENCH WIDTH FT, StDY~ ten feet from the 3 OR So, FT, property 11 ne 720 and house I'll ~Il, TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT 5 t1 I & J O BLDG. SETBACKSu FT. FROM CTR. OF ROAD RIGHT Of WAY UltC I uonaell 4' FRONT 45' SIDElNT, 7 P. U. ESIDE EXT, 0 REAR AUTHORIZED SIGNATURE - DATE USE CLASSifiCATION 7' P.U.E. DATE 151 J.E. 0055 by Harbaugh G.H, Gray. Sonltarilln 10-29-73 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 ~ fORM :t C55-13 , LANE CO.Y BUILDING . BUILDING PERMIT OR MOBILE HOME MH:::J '_ MAILING ADDRESS USE PERMIT PERMIT NO, PROPERTY OWNER PHONE CONTRACTOR MAIliNG ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES. BOUNDS TWF RANGE SECTION TAX LOT NO CODE CENSUS TRACT APPl. EXISTING STRUCTURES ON PROPERTY NAME LEGAL ACCESS TO PROPERTY & MAILING PROPERTY SIZE - FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms s-tIHJCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewage System TYPE CONSTRUCTION SO FT :: BDRMS New System D VAUJATION SEWAGE DISPOSAL . FEES PLUMBING INSTALLED BY OWNER Jl OTHER: NAME WATER ~U~PlY PUBLIC fJ BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK [J OTHERn PUBLIC f"] [] OTHER TOTAL I MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. coUNN 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 0 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 1'0"'" = css lJ . '. . "" SITE INSPECTION "ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVED ~ DISAPPROVED / DATE /1- 6-..7' I REMARKS FRAMING INSPECTION . INSPECTOR I NSPECTO(2. ',:t " , APPROVEO~ 01 SAPPROVEO 17 DATE INSPECTOR' ~W~('~~4-',J ~~ . . '.h~ " ~1:i:;ro/ - '/- ~ 8-731/ LATH OR SHEETROCK INSPECTION ApPROVED 1-../ DISAPPROVED c::J DATE REMARKS INSPECTOR FINAL INSP~CTION /' ApPROVED !JZ::1 DISAPPROVED 17 DATE /~--.~ 7""~7 ~NSPECTOR REMARKS ~/A~j,J J. ?f''J1f T , ~ , , . CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE Cl DATE REMARKS ;{ 079~ 73 _ .01 /J 1 //// 1/ /1", JP {: {"/ ~'" ,~ n l;;-;r - ~vr Iff.{/fffl l<oo2~~~ INSPECTOR v> / ?-/6';;' A BUILDING SITE EVALUATION G.G," \ . ,,' ., p( Bu i I ding Pe rm i t App I i cat ion No.';;;~79-73 f ( ) Site Inspection ( ) Pre-Perm i t Investigation ~ROd?S c:00-.TAX LOT ~ TRACT . '. . 3 'JlIJP /llMi19iJJ (i3I",eN) ~Sf L -I 8 -a APPL/ CANT: / /.. Ni\l1E /",J:~ ADDRESS . PHONE DATE /6)-/8-73 -- "':: LANE COUNTY PLANNING DEPARTMENT I. Zoning Ordinance Compliance (Zone 'RA ) Subdivision Ordinance Compiiance NOT app I i cab J e () () ( ) ( ) ( ) ( ) NO YES NAME D,ilE 3, 4. Required Access ( ) ( ) ( ) ( ) (-r-- ~_ (-r- (r- n--- 10- 23-7-0.., 2. Building Site (Area, Width, frontage, Setback) Other (see comments) ( ) 5. COMMENTS: " 7. Soil Stabil ity (footings) NOT appl icab I e () () (1) () ~) () (k) () NO YES "- ~ BUILDING INSPECTION SECTION NAME DATE 6. Plans Submitted 8. flood Plain ( ) ( ) ( ) {tJ/dt~)I()-'].ft.~7 I 9. Other (see Comments) COMMENTS: SANITATION SECTION 10, Sewage Disposal NOT NO YES app) icable () ()~) () () () () () () ( , () (,) NAME DATE 12. Water Supply 13. Other (see Comments) ~ ~ 10./0 !J,1'J \C:l ,..P II. Usab Ie Area COMMENTS: TO APP L/ CANT: Your 11 ( ) ( ) ( ) Building Permit /~ite In~p ction: Can be,approved.-Oo):\,c.........; l!> ).... r Cannot be approved at th s time as indicated on item NO. above. Questions and further information on items I through'5 contact the Lane- COUNTY PLANNING OEPARTMENT. Questions and further information on items 6 through 13 contact the Lane Countv Buildinq and Sanitation Division. Wil I 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 cu'er. LANE COUNTY PUINN I NG DEPARTMENT 135' ~1)Crh Avenu", E.ut. Eugene. llrto!9on 97!fOI rtlONE:: 31j2..1311 F.XI. 231 LANE COUNTY BUILDING & SANITATION DIVISION 135' Six th ~"eTlue Eas t. E"'lc"". Ol'cgon 97/10 I rHllNL: P/2-ljll [lIT. 411 ,. , ........ . M':;I:\_")j:l r " "<ill'''' '" ,I LANE Cay BUILDING BUILDING OJ MH 0 MAILING ADDREl;S ijJ~J tJ.. r,a~ltc::~Ir.U MAILING ADDRESS \ .'i~ PERMIT OR MOBILE TOME USE PERMIT PERMIT NO, "-0/, '" '~, . j(:t{.;o,)'l} PROPERTY OWNER '!II. ['''';nrl~ [l. CONTRACTOR PHONE r:, \rl~' ,-:toM. l\I'('~'::l"l (';j,';:n Il~~)U( ,.~~ () PHONE PROPERTY LOCATION - INCLUDE POST OFFICE 1 'Cj p.:'::..--:~:,,() fltrr:"'1: PROPERTY LEGAL DESCRIPTION - METES, BOUNDS nil I'd ~:I. ~;'~:::1 n!"C':-:l r.~9:[)(tr:!1 TWP RANGE SECTION lee I Die:.:!:: Sl TAX LOT NO. CODE CENSUS TRACT 10 Oil !l~ ~~'G~ (',. EXISTING STRUCTURES ON PROPERTY t:~no LEGAL ACCESS TO PROPERTY r~n<'cw hi:. PROPERTY size - FT. APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION ':oln lei:::! i n~ i ~L C:"~) {)16 n ~ Li..~ ., , , f ~;Z;,,:::i ('OIClH::l otto U:lC. On~~oll GC~Cl,,:) Olo~~~l GVGt~ y PI~~lna rl~eurcG SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 SEPTIC TANK 0 BUILDING c. WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER OTHERD 1;().tUl ~o.C;;) ~1.l.r,1'l FEES OWNER 0 OTHER, NAME WATER SUPPLY PU DlIe 0 o OTHER TOTAL . loa. C):) COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH D15T. BOX: GAl. ~oa ,QI(] trC;'lCl'no to 0 LlQ" c..::;\ICu::l oUI Doren of tho drlolnvlold. DRAIN FiElD REQUIRED UN. FT 2l;~ TRENCH WIDTH FT. Cl:;pti'l. tltovn CC:1 \'001: vre:J W::J ;l OR SQ, FT, pra;Jcl"'l:V 10 roC) ?f:J C~:::J ~::Jlj:1C t.HE~~ TYPE OF STRUCTURE !i [J c~~8' SETBACKS -- fT. FRONT I)~j' OCCUPANCY I (l. J ZONE PUBLIC U11l. EASEMENT 101 J.~. FROM CTR. OF ROAD RIGHT~OF"\J"YAY 7' n ,,~uu,,~~~ '.n. SIDE INT. .~. u. U.SIDE EXT. ....'Y AUTHORIZED SIGNATURE - DATE DCB!) [)V C1r.rClOU~h REAR USE ClASSIFICATION 7' r.U.fl. DATE G.V, [~CV. SanltDrla~ lCr.2~-'i~ 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 FORM:: C55-13 .'~j;';:"- " ::. """"4 t\.; -ft... '':.\.0 I. I ._~. ~,\ -:.-i -\...V...'''''. " J. v . SLAB FLOOR PLUMBING GROUNDWORK " ~. ApPROVED / / DISAPPROVED ;---y DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED L / DATE REMARKS ROUGH PLUMB I NG ApPROVEO !Z7 DI SAPPROVED / / DATE II. )<(. ') 3 REMARKS /1/1> ",,~JI .p...___!~ ~ ~ i~' ~ A.-~~,_.,.. "'" ROUGH GAS PIPING ApPROVED ~ DISAPPROVED,~ DATE REMARK S FINAL PLUMBING ApPROVED LX! DISAPPROVED ~ DATE.J. .J,I~~U REMARKS FINAL GAS PIPING ApPROVED ~ DISAPPROVED /. . /. DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE ;---y DATE REMARK S 1'0 f " . V . INSPECTOR INSPECTOR INSPEC;-OR~~ t/ INSPECTOR INSPECTOR~~ '(/ INS PE C lOR, INSPECTOR , -1 ~I ~, '-' InstallerOs'Nam~ t7)zn.~~. . No. LiVi7g Units I BeJomsI Bjths sept],c Tank: Ft. from well Steel 0 .LnSJ.oe DunenSJ.ons: ,t"c.. Length Width Applicant ~ / /', / Name "Ak.// , . 4/. ~ Mailing X- 71) 1//. ~"'~ "4/---!. / ~:~~ from Foundation /0 Address ~h.J'_' ..:rl- ~/. ~ . ~~~n~ine Side Rear Le~~th ~~ Trench-t' tai Sq~Ft.betweenIFiller IF~ller deothlFiller depth :I.2~@.51,4. 5. 6. Width.:)' ftSfO Ilines/4" Type ~i~~e ,? in ~N~w..:t iu. Sketch (See instructions): l' {\ i to 10 o{r 2(,,' , f' _ I ____~_~ '1 I '6~ I I I I' . . I (0'1 I I , L Date /.--.:5 - 74- ~VIDUAL SEWAGE DISPOSAL SYSTEM~ORD, ~aller: Complete top part of ~ to signature and return both copies to Lane County Building'Sani~ation Department. ." '. ..:J117t9-7..3 ~ P"RMIT No. /).~~J7~P, I Basement _ J Water Supply Yes 0 No 18"""'1 Public V5ther-List Concrete ~NO. Compartments I Gal. Capacity, 90-0 Tile Disposal Field: Distribution BOX:YeS~ No 0 Other Distribution- Type Diameter Depth -- Sb' ------ - "'- I , ,41 I , ( 0: r~ (rn ~ n WI I~' -0') .11'. . U , JAN 03 1974 '8' U\WE GOUNlY HEALTH UNIl J..~('I o Conforms to Current Standards to Current Standards Signature .r.1t1~ For ~itarian Use Only: ~ Approved: System Installation o Disapproved: Does Not Conform Remarks: ~.,) , " Date: /-i-7'-i Lane County Building & Sanitation Dept. Aa/ ~,/ - San; tarian ; s ~na ture r) ~Y" . , . fl- tl PI:; . LANE COUNTY Bur.!pING PERMIT OR MOBILE~ME USE APPLICATION PERMIT TYPE - BUILDING 2l( MOBILE HOME DOSC REG. # PERMIT:#: ~ 7 f-7..3 PR9~ OWNER ~ d MAILING ADDRESS , A PHONE' ./~.L-./~y- ~" ?,?LJ 1//(?2~~,~~~ t y/~ ~/ 7d6-'79J~ CONTRACTOR '/ MAILING ADDRESS ffle.- -t" ;' PHONE ., , \~"'~-R ~f7.4,? 'r7~?7 PRO~ERTY LOCATION - INCLUDE PO-ST ~FICE t ---;/1 / '- /I k:2d. -5 1J//I-77'~fT' \d..UJ, L-.T"" PROPERTY L GAL DESCRIPTION .'? ~/, /11 "j / c.LL lOT - BLOCK -=_SUBO~~: ,on ')."J ///~~ '7?? ~~ ~.PfuJ~~r-.-_t""1.RZl!,w;lJ TWP.J RANGE SEC. TAX LOT # cODe . /f1' ,~ Oa. mr APPLICANT NAME AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms ~U:?:E :1" THIS PERMIT ~ a~_/ . ,?l..L. ,,:;J 'j,!E~S & BOUNDS 0 YES ~~ 1',,~:AnACHED 0 NO CENSuSTRACT .5 S 5-15'~- B DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY ,h" . ,0 LEG;1ACCESS ;0 PROPERTY - R~A~NAME OR # /.~-'" ~. PROPERTY SIZE-WIOTH DEPTH AREA Connect to Existing TYPE CONSTRUCTION Sewage System n or New System Req. [J ~5' FT. # BEDROOMS VALUATION . //MY &/.., /o:q IJ '1 f? (" / k, CiJ)..:? /. fI /,/-;/ /.3.,r~f / ~~~- ~..Z:;C 7/.A-U'_. . () , SEWAGE DISPOSAL PLUMBING INSTAllED BY ~ TOTAL /CJ{'),sn OTHER 0 OWNER 0' OTHER 0 NAME FEES WATER SUPPLY PLANS FURNISHED FACILITY PERMIT PUBLIC 0 OTHER YES Xi _NO 0 ~ YES 0 NO)(] PLUMBING FEES do-;'tI ~ ./ ,,s~.L.. APPLlt " .~ .-4 ' DATE --Z. FIXTURES ,.,2// .- ~ =.;..f.._ ~~ "" ~ / IJ - J j' - 'J.9 CASH 0 SE~" r ~E RECEIVED BY "- DATE CHECK ~NNECTION FEE ;:'J' J"'d t/7 P>/... ~ /0 -JJ1->.~ PERMIT # PUBLIC WATER CONNECTION FEE / ,6d COUNTY BUILDING & SANITATION DRAIN FiElD REQUIRED L1N, FT, .:2t/1J TRENCH WIDTH FT, :;] ~79-7-S. SPECIFICATIONS PUBLIC 0 BLDG. WASTE olS. PLUMBING PLAN REVIEW PARK TRLR. SEPTIC TANK 0 $ ~fo,~ ~, d't3 , ~ '7,.o<iJJ. MIN. SEPTIC TANK CAPACITY WIT~ DI~T. BOX, GAL q,1 () M _ ~_~f <1A -+:-- d1 J rrZ ~ ~+;fJft,,,,(J TYPE O'F STRUCTURE ....~ Ai OCCUP~r::f' ZONE REAR YARD _~L.oG-,--SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY ........ USE CLASSIFICATION '""-'''-L p~~" / FRONT 4-- ~ ' SIDE INT, " r><..lI::........ SIDE EXT, 40 REAR 7 PUP ~ . s;;:rt' ',./ " ' Dot. PLANNING Dot. BLDG. 'INSP, JAr", AJ1'/./ -II. f .///)) , k Dol. r tt)-(?1' In. 2(,' ~f1A3-:..... 10, 2.. ""::> - 7 ........ r'f" IJJ ~~ n,.... /0" ']. f /Y Directions to FiU Property: f ,I OR SQUARE FEET 7;zu Z'a 7'i~~~,~.J ~/ _ ~ _~'. 1"e:fL _...cU;;v, ~j ,.-Z_/A~_ I,~ J P ,(MAE ~ PUYIC /ASEMENT V COPY 1 - OFFICE COpy 2 - JOURNAL COPY 3 - AUDIT Form # C55-IZ , I