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HomeMy WebLinkAboutPermit Building 1975-4-18 ,.... try' 'c.-t::.'4V" ,,- ~.~';'. , '~ ,,\ ~. ~t'7'\ ~.;' '.~I (, ,.' ,. '..' f -,' LANE COUNTY "IJILDING' PERMIT OR MOBILE BUILDING EJX ~ MHO-. MAILING ADDRESS; , '. RoutE:' 1 ' Box ,166 A HO,y~ lJSE PERMIT I PERMIT NO, , ',,,...,',.,,, ,)- .. , , 6~!P __%~T'-' ~ " 676-.75 ",,' PROPERT"Y OWNER O~ w~DI SPROe IW CONTRACTOR SAME PROPERTY. LOCATION - INCLUDE POST OFFICE 1004LAiJ~EL STREET, ' Orr JASPE~ ROAQ: SPRINGnELD PHONE O~~~O~ 74604154 PHONE MAILING Ao'DRESS ','. t.. PROPERTY LEGAL DESCRIPTION -'METES, BOUNDS 2ND 1~DDITJON MEAli)()W"GREEN LOT 1~ BLOCK 2 " TAX LOT NO, t:J;- 9 2 () / CODE CENSUS TRACT 02 SECTION ,b, .'l.,3 35- 152A TWP 18 t RANGE APPL. NAME DENNIS PROCIW EXISTING STRUCTURES ON PROPERTY NONE: LEGAL ACCESS TO PROPERTY 'LAUREL STREET PROPERTY SIZE - FT. & 'ROtlTE 1 Box 166A , MAILING ADDRESS, $PR I NGf' I EL [) , OREGON ' , , FOR MOBILE HOME PERMITS ONLY No. of Bedroci~s WIDTH DEPT!"l , AREA STRUC~URES TO BE BUILT THIS RERM'I,T ,': , . y" ":1158 @ 21.80 Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ, FT, # BDRMS ""VALUATION $25J 231Jt )~O ' Dt/EI..L. I NG ", ~, . - .~ "'::378 @ 2.80 1, 0~8 ~,4c ~_~~___,:L,_.._,,_,__ 2.6, 302.5n CARPORT OTHERD 118.00, ~_oo' 2B~m FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY , ,SEWAGE DISPO,SAL PUBLIC []'R iOn SEPTIC TANK 0 BUILDING $ WASTE DISPOSAL PLUMBiNG PLAN REVIEW PARK TRAILER l%SUR,CHARGE TOTAL . .' i ~,"; , PUBLIC 0 o OTHER t , 1.46 lq7.46 COUNTY-BUILDING & SANITATION SPECIFICATIONS , MIN. SEPTIC TANK CAPACITY y<lITH DIST, BOX, GA( 900 DRAIN FIELD REQUIRED L1N,fT 150, 'TRENCH 'WIDTH FT. 3 Ot?TH OR SQ, FT, 300 ".r':"'> .t, ,. L'; i, , TYPE OF STRUCTURE OCCUPANCY ,lONE PUBLIC UTIL EASEMEN.T. 5N "l&J BLD<;;: SETBACKS~_ FT, FROM CTR,OF ROAD:RIGHT',OF'.wAy.,' 'FRONT 45' " SIDE INT,,' 5' ~lPEEXT,'.6Q.r " ' BO$S, AUTHO~IZED SIGNATURE "'"'DATE ,:' /s/ C. HARt;:iAUGIi' ',JOHN ,USE ClAS~IFICATION ,REAR 7' PUE . . - . ' SHQOK/SAN t TAR, IAN' ' DATE 4/18/75 DUll BLDG, PERMIT - WHITE,' OFFICE COpy -WHITE c;OUNTY .TAl<; -PINK PLUMBING..,. CANARY BUILDING - GREEN SAN"TATION -GOLDENROD Call 687-4065 to ,scIJe.duleall required inspections. All construc- ',' tioh shall ~omply with ,Uniform ,Buil~l}Og Code, D,E,Q. standards ,IMP,ORTANT: for' sl,lbsudace sewa'ge disposal and"co'unty regulations covering , plumbing" All b\Jildings r~quire a certifICate of occupqncy before' being.occupied. ' , '(S,ee Details on ,:Reverse Side) "" - ,," ~,;' . ,'. . . /;' ~. ~~. ;' . FORM if:' C 55 c 13 , ' ~s }t,f~- "': T 18" "_"!""''(''"''~''~ f!~,S"06-f~3TAX LO~" ' .... Y I ~.\Ii'S"'f' .. 4'7::'~ . . APPLICANT. tOProc...h..J stOCK, ,~ " DATE " Not , AP.,PP 1 i cab 1 e '~ (), ( ) C) Frontage} (,) ( ) BUjLD,tNGc.SITE EVALUAT ION ' r '''i (~~UILOING PERMIT APPLICATION NO. ' ( ) ,SITE INSPECTION, , PLANN I NG 01 V IS I,ON 1. 2. 3. I 4. 5. ~oning Ordinance Compliance:: Zone Subdi vi's i on 0 rd i nance Comp 1 i ance' R'equ i red Access Building Site (Area~ ~idth~ Other (s'ee comments) " ' COMME~TS: No , Yes (), (~ 6. ( ) (vl...... _' ()(~, ( .> ("'1 ' ' ( ) ( ) CK'O Byci/h-:A-dlZ'1 /"?~ Setbacks,' from ell lof;;~ " Front '~ . ,Side Exterior ~t}' S,etbacks from interi or ')" nas: S'i de G Rear 7' PtJt.rl P~ANN lNG' 0,1 V I S ION ,ActIoN 'PEND I'NG :YES'C'} 'NOr, r AP~LI cATI ONn Not APPlicableN,o ~.~ , (), () ," , ~ () l, () () , ' ,. . ( ,) ( ) BUILDING INSPECTION DIVISION 7." Plans Submi fted ' 8. Soi 1 Stab i 1 i ty (footi ngs) 9: Flood Plain I , 10. Other (see comments) COMMENTS: (. WATER POLUTlON CONTROL Not Applicable ( ) () ,11. Meets Oep~rtmcint ~f Environmental Quality Standards. 12., Other (see comments) COMMENTS: &it, , CK'O '~Y 'V" ~' ,.. _ v6-a::3- ""DATE" . .' . , , ' , . No ~e " ,() , ( ) () " CK'D By:Q(Q~#hr \j.J DATE 1;0 APPLI CANT: , ~ Build i n"g I S'i te Inspect ion: h""""}\{ ,Can be approved . <\?~ (- , Cannot be approved 'at this time as ind,icated on item NO. above. ~\ \)~ ',Questions and, further informatio? on items 1 thro~gh 6 co?tact ,t~e LANE-, " . . COUNTY PLANNING DIVISION. Questions and further 'InformatIon on Items 7 , ,through 12 .contact ,the LANE COUNTY 'BU I LO I NG AND SAN ITATI ON 0 I V I 51 ON. , () Will be"herd 'in this office until you/can resolve the'problems indicated. ( ) Is being returned. ' ( ,) Your bu i 1 ding 'perm it aep 1 i c~.!J2!l_.Je.e is be in9 r:-eturri~d_;..~.o9Jll:.._Seoarat~ covp.r.. DEPARTMENT OF. ENV I RONMENTAL MANAGEMENT . , ' '135 5i xth Avenue East Eugene 'Oregon 97401 ' ' PHONE: 687~406S " LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 " .~, "", (' ;'t'" ,: " ',' ...-.: ,il' ,,' ' A.PR r~',~1,~~",j9:1~';_ '.~ ' Petmjt:;~p:",; ',61627"5.' ." ,,'; ", ~U'RB CUT) ,. '. . :~, .'-' '0 ... "'.' ,~' . ~. ~. ""1 . .c,. ~/ :' "., . ,",. 4 . -~._l , .' ':,'P....',E,:,Q:, M 'I",.',T', , , IN'Y:HE.' BOARD :"6:F:<tOUNTY,',COM'M 15510N IER'S:,OFL'ANE'" COU'NTY,: "",,"><,'7 ',',:'" , " "":),, .~., ":""....:c,;: ,;' J~'~:..L;~~~::;..~:- '" ,,:, ;~'~;,'-"::' ".,,' " ,"" , :W~ER,EAS/ the '.attacheq qpRliCaf'ior., bas' be.eh f~"y<;o,n'sidered~:by the Board~"pf 'Co.unty Com- ':, "rn Issiorersof:[ane County/' and:.it'ls ,th~opinion 9 nd.j'udgmeril:ofthe',Sp,ord ,.thqt;th'e:'said.'o'pplication "" 's,h()'ul~.))e ,g'r9nt~,di"cind'}hO'ta p,erri,Xt, shoyl~ -he 1s.i;u~q(~no,w/ ;th~!e,fo~e'/"if;-,i!;;:~e.reby.'.: .... ~ ,.J. "'~"', .. .... ". ,-. .. "{"".:':";::/ ',-" -.;, .,_...._':;;.~ ~.'~.../ - . ~:.;~:_~.:.'~~ .' ~--'...:.:. .~..._ -. " .;/', 9R'E>i,REOi, thci't .a: p'er'inlt ..be a~d: i~ he'reby' lssu~d: to? :'.::"l?E NN.I s' PROe I W :' .. .:'.~ <..,~..~._,,~-~ ';,;..' ~. -:,~., ',. . }.~':' . . - '. . ~ >~ - .. -.. -~. .' ;.". /:'Rdutt,<'l',RC'~:166~<';' " o,"SPRINGFIEL'D ORE,GON~ . ,':': .for:Slad'ng/b~i1ding, ,o'r'.,c(),;'st~,ucii'ng ~the";foll~W,~g'faiility: <. , ' ,'" ,,' " 'k:, " 'C,' , c'._" , '. f . _' ",'~' ,'~ ,'; '~.' ,: ''':~;. ..;..::.~-,- I: ~_, , ' . ' -. . .; <~:,' ~,'. ,.... 2'ND:Ab6 frLi)N,MtA'D6W\G~~'~:N' LOT 1 ~ BLOCK ,2'~:'lOO,4:'::'(iu"~'EL"S~TR~[.T:'; . ,~:...". p. '.'- '.- ,.- ,~ "1 '.' . 1. ~:-. .. -. ,:,::.:i- ~;"': . :-: .:.. ~"';;. . ~ .,. _. y . t -.. . ~ c' ,~'pon the;,;i~,~f:b.f~!Va}u, 6tt~,u'n!y .Road-No:'.-' ,,';,:' ',',' ,>, ,T Mile':~ost~" " ." "'> ' 'in:SlrictC0pfo,n1iity:.~t,6'. th,~"exri.bJts' attac'h~g, h~reto/,ansl ~ubiect .fp:all.,fermsl'cohdit.ions/agreemepts/ , < '$fipu.l~tions~,ahd pr6vis.ipns.'co',:,tain~d" inthe'appl iCati6n' a nd "per):riit;'the' Rul~.s' a,rid Reg':lJation?, Gov-:' ,: ~rl1ing Fadlitie's it;O 'be P~rri)i,tted:~up'on Cou,nty R()9d,-~,ights-o'f~V(ay/ a~' sef',fodh, by the .Lane Ma'n.- , ..u,:ql: ,5,O.l,9.o{2},al'l'Y. all1en.c)!TI~nts:,thereto: ,and Cfr1-Y other appIica,ble "regulations/ ,Ia,w or:' ordinance. . _; . ~~':~;.: .. ;./_. ',~ ~.' ...~1;,"~_ ,:'/_. ~ :_~ _' ~';'" ":. >' ,,"- "'. 'i "'~':-:;,~:;' < <Specici I' ~rovisions:.-, " ' '., " " . L-: . '.',- .~~ ' '., . __. ' ,Qriv~w9y:,~'iU 'b~~::c6'n~tr~ct~~t"'1'ri:6'~cordabc~; :Wit~ .th~ ',att~ched' 'dr}ve~ay app'ro~:~h:""~~~,~!fic:a-;: ,.',: J;", 'c,'::;'_'!Jb.~~,'~Dravv~r,~'.,~987'5m.';<:::,> " ~ ',' '",', ~,"::, ",. '''-'''.'~ ','."~;",.. ".. . ,,' ,:,,' , .-" '>'2.;~:":Perniittee vfiIJb~: re;pon,Mb'le:;Ihr the ii:n,media,tE;.?ei:n9v,dl"ofqIL~~d~ dirt'"and',c:I~brfs 'fi-p.;" :th,e",::' "",:,'>.., roadway and:right :'<;>{ way ca,used by, his '.0 p,eratio!1; leaving' the~r:oa9wqy' arid area:'in ci ,neat:, ':, ",'~",o'''; Pf\~ Ic'o,n dif:~",' :':;,,:' , -':, " ..",' .'. . ,:', . . ., ",' '.'", , J." S.I'6tWALKS \o/j LL "BE ,CONSTRucTED I'NAC'CORDA'NC-E Wh,HJ'tlE;.:A'T'TACHED ,SIDEWALK';" , ,',' "; ',SPE'9'.I. fICAT,i:o'N~ ,~A'N~' QR,AWING:~ ~98-49. ~ THE: SiT~~bAib ,'CU~B::T'(~E' :S~~ALL' 'BE " ' , . -,... ,,' . ,~ .. ..- - .. -" , ..,. , ~ CONSTRUCTED ,UNLtSS'-OTHE~\oII,:S~; ,SPEC I F..I E.Q. " .. .... ~... .~:"r . , -,,,'._. ,~ _~ t"~~~.'.. 'F " . . '..' '. ~ . . .' ..'~ .' -', .:..,y~~!_, 1,;'.,1 '.'", .;: . ~ , .' ' .. u"C,~'~i:~:~Gi.':\;:~,,;" , · ... .'.':'~;, ",'~~t!~t~~i{~:;':, . , '.~'. ., ..... ,. .." ..' < <.. ' . , ,;' " ,'_' ',Thi~:p'er'm.!t:is.~e'v6:ccibleqtan>,)ime~ ahd,wnJ be 'Strictly :adheri;f9,Jb:ancJ."ho:::;'y'/orK'~6ther than': " ,:Jh,~,t,~~;%;~!tcpll~~,,~~n~i.(n.~~"a~~:~~'r:,her;bY 'au,!~:ri~e~:~,:: ':':,.'"Z~~~)~:::..',' ' .,.. -5i';\:~:,":/ .:;~r, ".'." ." ,?Er.bi~,;-p,errD.it:,~s'h'qIE,-~e.'?9id;' 0.l:Jle~sJhe "y-i6ik he~e!n,.-'~oritempJ_bted;':~b~9It.h6ve: '9~~ri:'.2b';'pl~i~~,';,b'e" \1. ."~";_''': .... . "'0, . .,:'.~ .,', J :~ _ . f' .' "~" ,.'~ . ' -ll",'" ,r'",-, ._-.';", -... '." !<;~.~:~:,,::;:;~{:~~PR'I,L,l8~_'}~:76/,;,'" '-,; 19",.>;:':::~~p~r?~,::"":' ."_::'~,~::>,;:'~' .. \' ".':'l~~~, -'nsp~Jf~9' ci'n~ ';APP'~9,y~cr " , .Approv~'d by': Board of Counf}i'Corlimis~ioners ,,".,.' C';.<J' , ,\{(r~': :. --;By ....' ,'.:', ," 7, ,:" . . ,,' "';:-'D.'d~e~:'> /'<;~\1 .0 ..",..' ~','~,An.j~..:.:'!::. "t',',... -' ; ~ . '>;- , , : .~. , B,y;, '..., : .i?(r'ecto~of: Public Works, . -'j . ,'~ ~ .'" , '. . '" ~ ,;.. ~-. - " ." ,'C98-79. ........~~ /I" - .,.......:. ',..,. ,,~- ..--, >-<, ..... '....,.....- ,.; ><,-;... .... ---;.' -:...,..., . .>~ " "'., :\':' ~' ,;,- ,1 ~ ,; . qate f rt\ tJ!_, , Permit N';: lJ>_ ~':,~ CURB CUT '\, PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application ha? heen fully considered by the Board of County Com- missioners of Lane County, and it is the opinion;allid"luidgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby. ORDERED, that a permit be and is hereby issued to u~:.,;<~;::, :;'!H:CHI ~'i~;!;*~ :~j.}.; ~~ r 1k ~:t ~-:' ,:>~<t:',r.~(}N. for placing, building or constructing the following facility: ~. ,1t~~f~ Mt ,'!J.t~~n14 ,~;t":H: tL't l ;j 'f'f-l., {~!r~ ~) L ~,.''t' t1"ft'. '1 upon the right-of-way of County Road N'o. , Mile Post , in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements, stipulations and provisions contained in the appl ication and permit, the Rules and Regulations Gov- erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the Lane Man- ual 50.190(2) any amendments thereto: and any other applicable regulations, law or ordinance, Specia I Provisions: 1, Driveway yvill be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98-50). 2. PermitteE}_,>>'".W,,,pe responsible for the immediate removal of all mud, dirt and debris from the roadway and r,ight of way caused by his 0 peration, leaving the roadway and area in a neat, acceptable condition, 4 '\ ;lD ~~-', lJ '~r~M'Ji1';f'~' ~.~} t I~!~t:li:: ~~ (j~:;,\: ~'r~ t?~: fl~ '~." :t ;~_s ~{~~'~,~rt~~~~';:l'~~~':0 ~;t1~; ~~2' '1'"1,,1'(;: ,,'IT u.J1-tH~ f> ;t., 1 t~{l:,'>' .\t ,(; >>*. ~io:;~.'f'~ i;t'~~~i,~ t.~~r~ ;,:1;-,:lt_~1~J \If fjw1f ~,) ~;,.~~ (~.~'t-:;t~,~~ -0 r" l~ I'iJ;~ t~~ ~ ~JI;, :~~..~,'~':~ . (~ !1-~.f'...H~~J (t l' g:J~ ~i~j);;l;. fi itJ.;l C~, J~:; 11"''': ; ~" ,i.~ /l'"t1'ir {; H' nt tI. /' (() /. .fp " I;' - '1/!!f!;L{fIJ: cV! ' This permi is revocable at any time, and wi II be strictly adhered to and no work other than that specificall mentioned above is hereby authorized, This permit shall be void unless the work herein contemplated shall have been completed be- fore ir,., l~'T!'~ , 19 Expires , 19 Inspected and Approved Approved by Board of County Commissioners By Date By Director of Public Works WHITE - OFFICE FILE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT. YELLOW - REAL ESTATE c98-79 LANE COUNTY BUILDING PROPERTY OWNER . '::, .;, -.\ _..: i~ 1.' , CONTRACTOR PROPERTY LOCATION - INCLUDE POST OFFICE A.:~ ~~_/ ,;1'~~ ?~'rHY'?~ -'$ ~ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS lILDING PERMIT OR MOBILE HOJl MH 0 MAILING ADDRESS JSE PERMIT PERMIT NO, 't'E ~ "r(.-:: ;\ ; ~"\; i; .:: r;' ~ ?":,_, '~.l (; ,~)J; ~~~_ n~~ MAILING ADDRESS ~ . , ~ ~,~ .1 /' ':' 1 (1'~,:" ~'. ~~~t:~;.: /< ~',:r~.~, RANGE SECTION S<.t1. it~~:~~~ /~ TWP APPL. NAME & MAILING 'ADDRESS :', r", , >:'1 ;~~: .<~ \ :.,'f'".~_"'j ;l. :.t.,r;J; ~\, TAX LOT NO, , CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY r):tU;btt: LEGAL ACCESS TO PROPERTY ') l.,.l~ ~})~, ~ ~~ 5 'it!.~ f~ {~ ':;; \ \ ~.~OP~RTY SIZE, - ,ET.\'~.' :t::"lr-" WIDTH -', "I '''', \DE~TH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT -",",' '....\ ',t \, ,\ )~\ - ....~ ,\ ' '. , \ ~~.... ._. i \, SEWAGE DISPOSAL PUBLIC Di\ql)& SEPTIC TANK D BUILDING $ WASTE DISPOSAL PLUMBING \ . PLAN REVIEW PAR,K TRAILER ., ., C :L,t,f I, TOTAL MIN, SEPTIC TANK CAPACITY WITH DIS;r, BOX, GAL. , \\ \. '," TYPE OF STRUCTURE ;)", ~ ,';.jfl i!>I . ~,j,"" , Conned'to Existing TYPE CONSTRUCTION :,) 2l ~'~:) Sewage System 0 SQ, FT, # BDRMS .' ,iff. , ,,','!' :w ~"., ~ 4.. , , , ~ I , ' " ''1\.''1 ','\- 'oJ. , . ';' ~ .' )...Jo. . :-, :.:r ...'t~ . " .'!'.':"'.":....1 '. PLUMBING INSTALLEO"BY 'OWNER D OTHER: NAME WATER SUPPLY OTHERD t,; ~ . f. ~ ; FEES PUBLIC D D OTHER :t rf "I COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED L1N, FT 'i~t.>, ~. TRENCH WID~H FT.\,;;~.' :r~J:'i}!,j? .~.. ... \ " ,\' \~, J\ OR SQ: FT, " " .\ .'. - \' ,. ..),. \, \ 'r, \ \ \, ~ l \.... 1: \~ \ .1. .t ' .,\ OCCUPANCY ZONE' PUBLIC UTIL. EASEMENT tO~~~f5 USE CLASSIFICATION "".' BLDG, SETBACKS u FT, FROM CTR, OF ROAD RIGHT OF WAY REAR FRONT SIDE INT, SIDE EXT, AUTHORIZED SIGNATURE - DATE , il ,~,,' , '.. '" .\:j.t~,! l~:'~,:: -><~;.;,,', BLDG, PERMIT - WHITE OFFICE COpy - WH ITE COUNTY TAX':'" PINK PLUMBING - CANARY' BUILDING - GREEN SANITATION - GOLDENROD ': Jt;tt',~,:fi ~S\~U1t 'j ; ~ '~-::\.- :,: '~i_.j.) '.~: ,;'~~, : PHONE , , PHONE ~~,~ ~ , "t)/' " New System 0 VALUATION ,~.!.}. }~~J.)'T. . _~.a'-~.a~3J}~." ;'..~~"' )j~ ~~-~ ~ DATE '<'I,'j Call 687-4065 to schedul.e all required inspections. All construc- tion shall comply with Uniform Bl,ji,lding Code, D.E.Q, standards for subsurface sewage disposal cme;!, county regulations covering plumbing. All buildings require a certifi,ccite of occupancy before being' occupied. (See Details on Reverse Side) IMPORTANT: (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 (~'~~ , . ',\ \ : <. +*"'~~. ~ ~' ,"'" '.', ,'i> Z. ,,~r-:-:~.'~ ;..,';." .> '. . ' . .... ~i. ~~. -' " S I T{:"fNSPECT I ON' "1" /': ./~. / ",'" ' ,J'Kf<. ' INSPECTOR , ,ApPROVED J I L-I DISAPPROVED , REMARKS, .!' ';",;' . ... ~.~.... - -." -,>, FOUNOATI6N,.I~~TION ' A""OV[O~~'fM~'J,,<(. ,IN".'C,',OR REMA~KS {)K~ /} ~fo &- ~,,'~6";(), . ,t)/rfJ(J~llce "', , " ~ tj -IlJ"'Yfr'/t?!:, I' '. , 16' , . ' , , /a J -J, h ' {I/,! ;, 4- . .-~ ,,~ . :::::::o'NSPEC~6~, '_o"~'~a:~~i;::;:~~;~ . ",' "~,-"~~tU1u~,1:~i'd' i~'" /fQ,',,~M'fl~!d~~'Y .~, ,',6d/;..i:! ~.../ 9" .... 7('," 'l/r,~";l ' "l!:-rttPAdl;, /.1/1t-"7f/L,~i,9."J"":"j ~ " i/, ','- ~ : : ". -'- - ! LATH ~R $~EET~rNSPEcnON,. ApPRov,ED /. l/' I 0 I S~PPROVED / / omj~'r'7r'N:pmo/~(I;>'~\Z REMARKS FINAL INSPECTION .~ 11;r;t(,K~1 . AP~ROV'ED LIL.!! O{S!PPROvtD / tll OA~E . ;2...~7-'J4JNsP.'ECTOR , REM'ARKS ;,." 6% :_" CERTIFICATE,Of 9CCUPANCY REA"DX TO .ISSUE' / I NOT READY T:O ISSUE' I I' DATE INSPECTOR' REMARKS' tJ?9.', >1.f , "j3 ~ /7 - ' ~~1I( ~~r . '. '~ .,. . ',', . ~ ~ , ' ';.,. " '1..-:",,;"', -, ,,' ~''; .r .,~.\,"~'"'i'::'!j-;~,~-o.:"':~~:""',~;"~,'I.":~".~:"~-'-",...;,,~,,":;~ . ~'I ':'..-,.7--. .,.'<.,..,'.... I .~'",.-, ,.(:"', I . :;-..- " LANE 'COUNT~ JILOING PERMIT OR MOBILE HOI BUILDING Ei"i\ '-~/ MH 0 MAILING ADDRESS (;~~\twcr R" a~m, 166 i1 USE PERMIT PERMIT. NO, ...J' ,r { t'" , ,. I . VJl~"" 7} PHONE ~!l~rei5 ; 'f~~~~ ~5~! PHONE ~~ \ . ,"'f) '} ..." " ,PROPERTY OWNER . " tlzc~t~~~;~nO~BtJ CONTRACTOR>;:' ; ~1O:f':~~ .";'~.~,:~:. $pn ~'~-;:;)v t II,.,!) MAILING ADDRESS, " PROPERTY LOCATION - INCLUDE POST OFFICE nl'?ntJ ll~~~(i;t. u-rmtli:' (W(1 .Jl:llJOCtt:ltt.t1tiQ!l~ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ..". LiiiJp"AL t :rA'SPER 1....... ~f',\@ t\~~n ~ Q~ TWP 118 .' M~~o~~} r'tl"!ltzi:tG 'l..1}'f n' ~€iC" 2 RANGE ,SECTION TAX LOT NO, O~ 6 '..". CODE, CENSUS TRACT ,:p'~tl APPL NAME it:tt~m Q o'~~ t w EXISTING STRUCTURES ON PROPERTY CJO't-~~ LEGAL AC~ESS' TO' PROPERTY ;L0~Dl.l~il. S'fQlQ;ev PROPERTY SIZE - FT. & ' ROu~re'~, 1e$A MAILING , ~ , ADDRESS S9rJl'N~ngt..~ Orntt'l~~ Fo,R MOBILE HOMEPER0.ITS ONLY No. of Bedrooms STRU,CTURES,TO BE BUILT THIS PERMIT &'l'"fCt.~ n Ci,'@ WIDTH DEPTH AREA Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ, FT, # BDRMS VALUATION H~ IV :iU *,atJ , ~,?,12l$4ql:!} e~~Y.l'f (.~O\ -llJ>"" $(v v ~~<llV, 1 ,;an: h'~ U J1~Y'~19~,t-,>o"~ . <""po ~t1 'ii""'t:> . 1:':\"1 t/Z1!.I"-oQ to', ,SEWAGE'DISPOSAL PUBlIC[]~tJ;;IOQ:J SEPTIC TANK 0 BUILDING 'i: WASTE DISPOSAL PLUMBING PLAN REVIEW PARK ,iRAILER' 9 ~,.GMPtM t,~JGJ! OTHERD 11~...fW' tm..OO d'i.fCl ~..Uq' FEES PLUMBING INSTALLED BY OVo/NER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER , TOTAL 'i: $"n6 ~91 ,,~~ COUNTY ../. BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TAN'K CAPACITY WITH DIST, BOX: GAL ~ DRAIN FiElD REQUIRED lIN, FT ~'50 : TRENCH WIDTH FT. 3-. ,,~!~i'W OR SQ, FT, 1JW TYPE OFSl:RUCTURE OCCUPANCY ~a..J ZONE PUBLIC UTll.EASEMENT CC'3 J BL[)G, SETBACKS ,_ FT, FROM CTR: OF ROAD RIGHT OF WAY r.,~;l Gitt ' .eAt FRONT "~..P SIDE INT, ,ioI' SIDE EXT. Gw ' , n:OOt, AUTHORI'ZED SIGNATURE - DAtE' /el ~Q MAnOAMOH USE CLASSIFICATION REAR 1; ~ J1Jl.tJ~.! ~H\le:tI$-l;tiH WAt'1'.1 !8~i DATE ,', 43/~aI1' '{;:$~, BLDG, PERMIT - WHITE o'FFICE COpy - WHITE COUNTY :TAX - PINK , PLUMBING -;-CANARY BUILDING - GREEN SANITATION - GOlDENROD IMPORTANT: Call 687-4065 to sched,yle a,lI required inspections. All c()~struc~' tion shall comply with Unif6rlY) Bu)lc!ing Code, D.E.Q.sJqri,qards for subsurface sewage disposal 'and' county regulations' c()~lhing plumbing. All buildings require a certificate of occupancy,,{before being occupied. , (See Details,o'n Reverse Side) \ ' '(POST THIS PERMIT ON MAIN ,BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 "ORM :::: c.ss - 13 , ' ,.. " x., >. .. t.:':.'~. ," "....:.. "'>".f" "'.i...',' ~'..~.""... ',;', -'0' ;".:',lt~....,.....,..._.~..-:,.,,"":: .'~..~.d< ~ 1 !.' ~ .. ( . . i ;i., SLAB FLOOR '-, PLl-!MB INGGJ~6UN[:~.JORK ApPROVED I RE,MARKS / 'Drs~p~RoVED / /, DATE - ... ,GAS PI P'I NG, GROUNDNORK :; ~ .'.~ REMARKS ApP~OVED'';~' / DISAPPROVED F' > / ' DAT'E ROUGH PlUMBFNG REMARKS ApPROVED IV / DI SAPPROVED" I /\, " ApPROVED / ROUGH GAS PIPING D IS APPR.OVED REMARKS / FINA{PLUMBING' ApPROVED /~D'I'SAPPROVED ,'/ REMARKS M"'---- ,ApPROVED .I fiNAL GAS P,I pi NG I DISAPPROVEO, / REMARKS, , - CERTI F'I CATE OF: OCC~PANC,Y , . ' Ropy' TO ',I SSU'E REMA~KS ':-'i' . ,./i.. ~J . INSPECTOR' f ~..' / ,'DATE/1-2 Lj.. ;?5INS'P~CTO~' ~ -:/~" '; - ' ,(/', / I DATE" -.' ~ - . I q,A TE B.. - ;.. t;;. fllt ... I . ' ...~ ~... / DA TE I' / NOT READY TO ',1 S?'~E . ~;"'.' / I :; 'I NSPE CTOR .INSPECTO~ ~~ .-. '\ . . INSPECTOR - ' '~ . .' DATE, ' I NSPECrOR l--f .il. ~ - ~~'--'~'''';;''_'~: ~.r;.,f'7". .,_' :-,.:.\.._:.:~~....;.:_ ,:.,-v. ....~._._.."--_-:"....-. " " " , : .-/. , ~, ~ ,,--" , .' , , - . , -',":0 ,,~ ':,',:' '.,~;.~ ,"', ':' ;' ;,;.', ',: "':':"~"",osi~~";~~Ew~GEhj;ikposiL :S~S;~~:~'RcEC, ,/' "...." ,;> ,..~,:;'. \' ...'; , .J'NSTAL:LgR": ,:Gomp 1 ~t,~~;t6p j)ad;c.~i .fo~~~'~'to" s):gbaiu~t;:'~ri'4~subm-h ;'~6t't:l 'caples 'w'i:tftappI i~~atJo:.n,"" ~~"~,, ;" " ", '>.,:"" ,"'~i;-~;:"" :" "; ,:.,:_.:~.:-,;: '; ",:, .' .. ' :'f{. ':' ,'" ," ",'. ,',.""",: ,'C' , ;' , PERMIT- 'NC)": h7h" "ird. ',", '., ,1J~STAlLER"S NAME<~:'~.,:';::: ,'" ~PRO'PERTYAODR~SS;.';:'-",,:,~:': ,.,~,,' ",'.. ~,- '~ .:;' ~o.: l! ~#,:~~~~i4A~a~~~::ci:~~. '_~::eme~;;:~Rgt/;ilfieS~PI'~ther_tt 5t . -:.. <, ... ..' ~,s, ........ .~.'. , SeptY~.,:"(allk':",:,c"",,: "'_,',;:':,','::~'>:'-:>;j," '.',' '",: :'f;';:....;." '. ,'': '~~,;, ',' ': FtS~{~~' ~~J}.,,~.' 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T;'I;l,e:,fo' ,'I n. ~', ' ':: Plot:P'laif;:(-see Tns:ttuctiohs.:Y:'<~ '~">I1i:B.J:Ji..<}j1"': '>'" ~" ."," , ~:-:,<~,,': ' .:'~:' '-',; " ,'i/ll, " : ,,': '," , ,j~1,. y.t, '_:: ,:':?~ ..,'; ,'~\, , . ~ . . ;-i..-' . . ," .;-" ~--~~~:~:.~:~:-- :';" ?ifih:",. c, ..' '~k-t:.:;:,,::~: ,~,:-:" _. _~}..~ .~~.,:'\-'" -~ :" . .. ... .,c" '~i.,ji!;'i. < ,'~ .n:, : f, , ':, ...,D.ate~4:~;J8::;.,~,;:,s-:~>, . ':~ ' :'~>'~<:':>':S.Lqnatur~:?:':::~,,:~,,~'T1'...;~f;;"': "~:::" :'..,' :.',::::','::' ',,< 'F~r-'~ s~nYi~~~,~~i~(;~"~.,o:~\y~:',:.:::,,::~',~,~R~I,FI'C\:,~,?~qr)S~~,t~f~;~V;i~~;~~,~t(~~I,~:~':"r::',?::" ., ~ ;':R~;t'e(t:~:j?j;l',l~ ~,1,5': ", "n a~co":dance ,wJftl'l97l:0regon: Laws Ch~pter~',815;tTz;S~cH:c>~:~214.:thls :c'er:,t}fi'c~.te;J's":rs.s'~'~a::.<~;,<.' " ' . ......:,~~4~;rt~t:~!t.~~:::r-~ih::::~:.;::~::~!~~~it:,:~;r:1f::::~:~.:::r ....~YS~e....~tW,.~a~~~~C .,' ,~;::.:~:,(":. ,<Or~'appr'ove(fi~:':,Doe{',not 'conform ~o:cu'~r,en~:(st~ndar-ds~~. 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'_ ' AP~,LIc;A:rIo..~"FOR: "., !', '~"~ ;, :',' , ?/'" '. . "CQ~;T~~STI?~' >!~,X I: "M~~nE HOME .:1',' PL~ ,~E;V~EW ,~; ,: :'~;'C~~9E'O.~,'i~:~p~CY;:1 " I, :, I ~ OWN'ER, ,~iJ E Ai~'."':'p~(j~;W ~f,/,'B~ ~,' It,.j , 5;~JI::, "':,f~o''?l7J(l~":,~': ':'7i;vf//~Y " " ' :::,ame<?"" ,A',~" ~d.,dress' ~ ',..' , . :::~i;~Y' " 'c",:~ ,Zi;, ,: ,.' :":p::,~eo/6"J? fS- . I'. ,I ','CiONTRACTOR, ' :~....j/1j' <& "~,.",, fC." Name " .. "Add'r'es}f ~;,', ' ,~:;,;, ,City" ,,' ..r " '1": '.~.'" ,t., '. , ,. 'PHone'" o. S.REC/, II, , ' ';;':Cod,~ ,; ,'" ~'.;, '" Ce~;s{Js ~~ractlt&.JJi! ~fk S,e~ti~n ,;,:,~ /tJ ~i.,.i.ot/.3 ":"',:,':Blo~k';"6 ,1\c;~ES~)d'PROl'~~Ti'i'(ROad 'Name!), .'/11'1;)..]3. L " :',s:t,''''', , ,E~isti~g: Sttyct~~es on 'P'r.?p~FtY:"',' "'ciJel AI b',:' ,- - ' ;'r~~:~~~y ~L6,;;~:tio~,:Y<ii~~e~s~D~'re~t{6~::'" :::;', '.:,'" ;;, t, 'V'. ::T'L'j:,iIJ<,J;:t" ",",/, ~~ 1-:;, ,,' , . l'.J, (' /b'r p' ';;:, ',:, '/), lIi,i'~' '. " ," ,'..', " 'F', '. '.,..J '/I- )-j;',IZ,:' .-.:", . ~.K-' UH"'!_!" .: ... ,,', ;~:.:~~., ,..::'".-."\".~~~ . ..'....; t::. . ;- ,-:';..' . ..:" ." "-.':~~.' . ':":'!~.';' ,. . ','._ "~r;p. }/l~'~n~eo.;). ", :~~b~i:\1iS'io~ Q~ .'-" .-' .~: ::t' . '. .! :.... ".~,r:oPE!ity'_Ac,reC!gl: ,; . ,',' . '.. l...1 _ . " ,,:Width .' ,~: ~ .., . Depth ~ ~\ ,'.< .::-:" M." {,'1=~' I , ,. .' ..... '-.~ . . -~ . ~ .... ", FEES: Bldg. ", Plan'!l-e\1iew , Water " , Conn'ection,~:,., ,".' HOQUe HoU;e 1% Surcharge ,TOTAL' ',:, ,,' >' Min. cSeptic Tank:Capadty, , Maximu'ni:.Uepth.': .'(3 ," - ; . .: -.;.r- .)....:... . "., --- ~ l '. f>_ .' ".', ~ - :.... -;'" . . "\ '. ~ Type of 'Construction": . .J,", ',5 A,/',:: ".:~i,~lip"1 ~..:::J".:>'F!;~' Zone'," P . ,_ - ~ .. ",.::, -, - :.:.~. ,;.._ ',.,' - . :,0- : u's~ ,C,las#nsa tron' " J . . . "--.-.- ." ..'. r '-,,,. ',;.0." ,.I '. ..:::- .:' ."'Bldg se.tbacki,... ,fr~'in,C~?t.~r of Road 'Right"o.f Way " ".' 'I Front, 46,; "Side"I~t. " :5:!c '.-, s'ide.Exterior'~O, Rear: " :' ::,b':";"'{' . ,."':':'AL1,. 1q.~()~zone' /iC.I7,' ,..., ',0 ::. . ~. " , "P~~hl};~ " ,,' -/-'/" -: DArE: '. '. ',.':,:"J:::~ '~\I~~\foN': .-;;//;/,,! ~!(7--t!' " 'BUII;D~NGY.1, ~~/~~~E/: ,~~ ~~~ , ", .':' ,:~:..","71~"'fl/v '," ~~,'/'. M /q~ COuN!JiY ,-D, RTMEN! O~. ENvIRONME~T "'MA~AGEMENT j, " ' :, , C55.12 LANE