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Home My WebLink AboutPermit Building 1974-1-28 I OWNER LANE COUNeBUILDING PERMIT OR MOBILE H. BUilDING n MH 0 MAILING ADDRESS USE PERMIT PERMIT NO, . . PHONE "-- CONTRACTOR MAILING Aoolhs PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY L/~l( b~\GIPTI~N - METES. BOUNO~ Twe RANGE SECTION d.3 TAX LOT NO .119 ZIZ-- EXISTING STRUCTURES ON PROPERTY CODE CENSUS TRACT APPl. NAME . MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT 3LP41 LEGAL ACCESS TO PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System L1 New System 0 TYPE CONSTRUCTION ~6 FT :: BDRMS VALJATION FEES PLUMBING INSTALLED BY OWNER [1 OTHER, NAME WATER Sl.J~PLY SEWAGE DISPOSAL PUBLIC n BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER SEPTIC TANK Cl 9THERn PUBLIC 0 o OTHER TOTAL s MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. COU,..j'r'r' BUilDING & SA/'lITATlON SPECIFICATIONS DRAIN FIELD REQUIRED lIN. 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 ORM = C55. I) INFO~l^TION REQUIRED FOR BUILDING PERMIT - DWELLING . Ma in Floor ///2... Sq. Ft. 2nd Floor -0- . Sq. Ft. . (above living area) Garage ~7 Sq. Ft. Carpor~ , Sq. Ft. Deck , Sq. Ft. n1 rg ((g ~ n w ~ ~ JAN 0 7 1974 lANE COUNTY HEALTH UNIl # of Plumbin9 Fixtures {, (Partial List of Common Fixtures) Water Closets Wash Trays Dishwashers Disposals Water Heaters Bath Tubs "Automatic Washers Sho,"er Baths Kitchen Sink . . . '. BUILDING SITE EVALUATION 7:>~Clf. .A.\" iJ, ~LR 0.:2-5 06 .TAX LOT ,,' .:v' ~aH~~~XJ 'M ' r"j APPLlC~ A Y'/' ." ~ /" Building Permit Application No. 17-7/ Ni'J-\E~A./ ~ ADDRESS ' ( ) ( ) Site Inspection L/\NE COUNTY PLANN I NG DEPARTMENT NO PHONE DATE _ /-,7- 71L NAME ~ Pre-Permit Investigation I, Zoning Ordinance Compliance (Zone 12~ ) Subdivision Ordinance Compl iance NOT app I icab Ie () () ( ) ( ) ( ) ( ) YES ? ". Required Access ( ) ( ) ( ) ( ) (.-1" ('1' (..r- ('"'r ( ) '-# DinE jekL 2. 4. Building Site (Area, Width, Frontage, Setback) Other (see comments) 5, COMMENTS: - BUILDING INSPECTION SECTION NOT NO YES .!!I!pl icable - (fJ' 6, Plans Submitted () () 7. So i 1St ab i lit y (foot i ngs) (ti ( ) ( ) ., 8. Flood Plain rpl ( ) ( ) W) 9. Other (see Convnents) (fYl ( ) ( ) ~ = - COMMENTS: NAME DATE , 6 '}jB11f:['~1~ /-7./1-7// n (/ - SANITATION SECTION NOT NO YES J~- DATE appl icab I e y) 1- 26", 7!1 10, Sewage Disposal ( ) ( ) II. Us ab I e Area ( ) ( ) vf 12. Wa t e r Supply ( ) ( ) {/5 I J. Other (see Comments) ~) ( ) . - COMMENTS: Ao/I /h-r 171' vJ ,nlol- o/an / /'f'rknrlClI1-r (J/O'f'M {/ (I ,/ TO APP 1I CANT: ;'l . _.r ';,L-,-' I: 0/2- ...., Your Building Permit / Site Inspect ion: ~ Can be approved. *Cannot be approved at this time as indicated on iten; NO. 13 above. \ Quest ions and further informat ion on items i through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Ques I: ions "nd fu rt he r in format ion on i tems 6 through IJ contact the Lane CounlV Buildinq and Sanitation Division. -0;, '.Ii II be held in this office unl'i I you can resolve the problems indicated. () Is being returned. () Your buildin~ permit appliccJtiun fee is being returned under separate Cul/er. I-..(f \Sf' lANE COllN'1 Y I'UINN ING OEI'/IRTMENT , J.~ S i.i< rli Avenue [~S I. EU\jelle, 0'''9on 9740 I 1'/WNl:: 3!jl,.UII 01.231 LANE ,COUNTY BUILDING & SANITATION DIVISION 13'> Sixth tlv~lue East, E"~lell'" Oreqon 97401 PIlONL: Jlj 2- I 311 fliT. ~ II M55-2S--- ,-,- . I"?c~ + I> Y1 LANE COU4BUILDING PERMIT OR BUILDING ., MH 0 MAILING ADDRESS 1. ". MOBILE H USE PERMIT PERMIT NO. PROPfltTY OWNER PHONE CbNf~ACTOR MAILING ADD~bs PHONE ,lbPERTY LOCAIION - INCLUDE POST OFFICE pdtJ~Ehy LE6Al DESCRlPIION - METES, BOUNDS TWP 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 STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewoqe System l New System g TYPE ~b'NSTRUCTION ~6 FT :: BDRMS VALUATION SEWAGE DISPOSAL FEES PLUMBING INSTALLED BY ~>Yt'E\b1 OTHER: NAME WAn) ~PPLY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK n $ 'i'TfiERn PUBLIC n n OTHER TOTAL . MIN. SEPTIC TANK CAPACITY WITH CISl. BOX: GAl. COUNTY J.\.JI'~pJNG & SANITATION SPECIFICATIONS ofA ~ fiELD REQUIRED UN. 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 8UILDING - 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 = c SS . I] . . . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ;---? DISAPPROVED ~ DATE INSPECTOR REMARK S GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED L / DATE INSPECTOR REMARKS ROUGH PLUMBING 1'- -.I. '/-) ~I NSPECTO~ ..z.~2.~-?;~-< P/h -:.1-,/1 1/", -rr~+: '~~ //1 JlI . rr-;;.t;;V ApPROVEO /,t" / D I SAPPROVEO /iiii!t' DATE REMARKS~/-:-f" "" .J,,{), /iA C".LL/ ",,_.P j, I .'i'.7e k~ O~ ROUGH GAS PI PI NG ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVED ~ DISAPPROVED ~ DATEL:.,L~ .:; !J~ I NSP't.ttOr.-"~ (/ REMARKS FINAL GAS PIPING ApPROVED ~ DISAPPROVED / / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY REAOY TO ISSUE ;---? NOT REAOY TO ISSUE ;---? DATE INSPECTOR REMARKS INSTALLER: Complete top PRaED part of form .. % SEWAGE DISPOSAL SYSTEM RECO. . , '.. . to signature and submit both copie with applicati9n. .~" PERMIT NO. J '~.y..;"L. 7...,... PROPERTY ADDRESS ;I~-- ~'1' INSTALLER'S NAME IV b'QfV\ ( c:J((.t=- c.7J No. Living Units Bedrooms I <> Septic Tank: Ft. from well Baths I 3i-.L/ I Basement Yes No 'Ii: '~I{F Water Supply Publ ic It" Other-List Steel D Concrete ~ No. Compartments I Gal. Capacity J ()-E}-e) Inside Dimensions: Ft. Length Width Diameter OWNER .-:/ I . I ' NAME 'f'-Oh(u...:1, JJ, NI / I ' Depth Tile Disposal Field: Distribution Box: Yes ~ No Other Distribution-Type Total Sq. Ft. ,~("') Feet from WEll Lot Li ne Front .- I 't. Between Li nes /0 Foundation /(-, MAILING .5:>7D W ADDRESS (?e it 1'1 "'... I A4 C ~ Length of Lines-Ftl ITrench I 'pt)2'103. 4. 5. 6. Width2- .jot Plan (see instructions): Side Jb Rear Jb IFiller IFilier Depth IFIller. Below Tvpe /.r" Above Tile ::Lln.ITile/,"- in. -- 10' I 10' I - i'ot I -- ,- J ~I 11,1 " J _ I I -2-1-1-.1 I I -}-1 s-ol -,- l.!J VI -1 I I 1-10- 1~1 I ~ ?::> ,;. I Date .---.. Signature \~ 7J~ ~-. CERTIFICATE OF SATISFACT.6!\Y COMPLeTION it / For Sanitarian Use Only: U Date:.S7ltf. 7 In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is issu d ~ as evidence of satisfactory completion of a subsurface sewage disposal system at the above loca~i . Approved: System Installation conforms to current standards Disapproved: Does not conform to current standards Remarks: ~-L-14 C55-11 \~~ t }Sanltarian1s Signature V LANE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY ... ~ , , . LANE COU.BUILDING PERMIT OR MOBILE HA BUILDING MH 'J MAILING ADDRESS USE PERMIT PERMIT NO. PROPEUY OWNER PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWF RANGE SECTION TAX LOT NO COOE 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 STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewage System L TYPE CONSTRUCTION sa FT :: BORMS New System 0 VALUATION SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAIlER PLUMBING INSTALLED BY SEPTIC TANK [] OTHERO < FEES OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC lJ [] OIHER TOTAL f MIN SEPTIC TANK CAPACITY WITH OISl. BOX: GAl. COUNTY BUILDING & SANITATION SPECIFICA nONS 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. AUTHORIlED 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 ond county regulations covering plumbing and sewage disposal. All buildings require a certificate of occupancy before being occupied. (See Statement on Rever~e Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97.01 fO~l.1 :: (55. 13 .. r/ . . 5 i 'C I.SPECTlON t,P(l ~l.' , Cl DISAPPROVED Cl DATE ~~' J.-/-7!/(fJ!- INSPECTOR HE. .~/..I FO'c\,),;I'ON INSPECTION ApP':,':~V 0 r77'7 01 SAPPROVED 1-/ INSPECTOR ~ OAT( -L2/-7t{ RE"I,t.R;C:, Flli'" If,SPECTION ...."c. JET" ""....'" = '''' 3-/;.;;~:Z::~ e I p~- Li,T,' O~ SHEETRO.J--INSPECTlON ~PP.Oi'O rv1 D,SAPPROVEO L-/ DATE3-JI"?f' /A'- ., _ ,""- ~--e REt-1A:~."S :::'-"",J.io- -4''':~~ ,.-:;1;..5~ INSPECTO~ ~~ :;:::~.'~':/ ,p, n . ,0 1-" 71/ ...",tf" cfl t ~"IAR'" ~~:/J.'7;~ C[qTlfICATr or oce ,. RfAD'l' TO IS'jV f --,. /_- - ,I 7 .~y TO i""LE I'IlSprCTOR C . T r- ,\".; l'~n.~,:.! :,::: --;'N{y~/f?Jr~ -.oJle ~ "z,f'/ /J.c. ~ Q JP__ AA ;YF/--""".i~ r;;q~~A . , ~ . '. LANE COUNTvtalLDING PERMIT OR MOBILE HOM_SE APPLICATION PERMIT # / V - 7'1' SLY1~r;;;J;itI -zi;~Nm6 I ~ PHONE .y' '" lm-t7h Rhk.\ (iJ~si;) TAX LOT # CODE CENSUS TRACT .' ~.)- -/5 .J- <L----- DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY V)on-e..- LEGAL AC;:: .TJ{~:ERTY - ROAD NAME OR # 1)U J( I; .. . __, s:;t-, PROPERTY SIZE-WIDTH DEPTH AREA I ~5' b 5 PLUMBING INSTALLED BY ~ ~ ~ O~~:~S~URN~~~~R ~NAME -, Jaz'L1TY ~RMIT um ~ OTHER,_ YES1!iI' ~ YES, D , NOD @"'-3e1l,Ch... SIGi-llIT PLI~~A'/..p / DATE. II 3,- 1<1;,--- ~#'~ . J-i-7, 2.- Y'RECE '~Ltt PeweQ,e/- DATE PERMIT it 1.60 /L/-1Y , PERMIT TYPE - BUILDING ~ MOBILE HOME DOSC REG, # PROPr/,',rE,R R()hfrf ;() V'8DDRE'lu, Cfll1lfl7/0/ CONTRACTOR I MAILING ADDRESS f /I .. , .;f PROP7~tATI:? t'NCLUD@lF2? :?d QrlrI 11.tdeu) PROPERTY LEGAL DESCRIPTION LOT - BLOCK - SUBDIV. TWP RANGE It{ ':2 SEC, b APPLICANT NAME AND MAILING ADDRESS FOR MOBilE HOME PERMIT ONLY Number of Bedrooms STRUCTURESI)'f!.nB~ BUilT THIS PERMIT, _OIt-lJJ - hI.QlLJ (;.C1rQ(je., -alf. tJhC" Connect to Existing TYiT CONSTRUCTION +mtnp /' SEW AGE DISPOSAL PUBLIC 0 BLDG. WASTE 015. PLUMBING PLAN REVIEW PARK TRLR. SEPTIC TANK '&r' ~q. -- , 1e" --- :2/. ,,0 OTHER 0 FEES WATER SUPPLY PUBLIC )![ PLUMBING FEES ~ FIXTURES CASH D SEWER CHECK n CONNECTION FEE PUBLIC WATER CONNECTION FEE $ TOTAL $' /I D.5'O METES & BOUNDS 0 YES ATTACHED 0 NO Sewoge System D or New System Req. D u}i' (5)# .i~Ofa:Ft~3ql/ Ll07 Q 3. 1?~ I COUNTY BUilDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY 0/00 R~,^Y'l'f~... *- 0:;;0:: pi D{. r I o..~ DRAIN FielD REQUIRED L1N. FT, ;( /}t) TRENCH WIDTH FT, 2. -/--r) h-e. /A S:./Ct Ilee! WITH DIST. BOX: GAL. OR SQUARE FEET "J'1 n ('eL>~ ~ ed a ~ oe(' / --</ /> ~ TYPE OF STRUCTURE OCCUPANCY lONE "RA- t REAR l (') J DOle, ,LOG, INSP.!' / ~ ~ ?Ii ' v' I /.' ,--, /;/ .'~' , BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT ~ t;t SIDE INT, t;; I SIDE EXT. ~!:o~'. ,ol:;~;~~:.:' lj:':L- COPY 1 - OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT Form # CSS-1Z REAR YARD PUBLIC UTlL. EASEMENT USE CLASSIFICATION , '/ ;-/ 4' / / ,.,/j t/ -- Ir ~;:.. /,?ate ;- ~