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HomeMy WebLinkAboutPermit Building 1974-3-28 / . . .,4: ,~ PERMIT PROPERTY OWNER "" h/J . / -, , , Pd./~ CO~ACTOR " ',$el-F' " PROPERTy LOCATION - INCLUDE POST OFFICE LANE COUNt' BUILDING PERMIT OR MOBILE He USE' APP,L1CATION TYPE BUILDING~, MOBILE HOME DOSC'REG, # 'PERMIT # . 3 <g:) -7f/ .(7.' faA~j/A'''"3;3301'cU.J14t ,'\i ,)b/?,-~n~11,/7~~ 75'01 , ,tlMA,lr,ING AD~RESS.' " ".' . '" r", '~d/J I -;9t;~qs-o , '~dLM-e- ~~~P:R~~~~~A~ ,~~~~~~TlON otiUPUJ. ,:51 #J ~~ 0/" I I/;/oc; , IWP 'RANGE SEC.~'. TAX' LOT' # 0 C:ODE, /7 ,~' ,~(?",-I 'l'tD[ "IOf'.D3 ED 1~1. IS APPLICANT ./1~.', ' " , " DESCRIBE E~I;tING STRUCTUR~S ONPRO,PE,RTY IF .ANY " , :::'. ~~3=3 .~~,f~A71 . [:G>< A~;;;;~~71lf,.;-0~11lw1 MAILING . r ' , ' '\ . PROPERTY SIZE":'WIDTH,' DEPTH' ' AREA ,ADDRESS ' O~ (f,I' FOR MOBILE HOME PERMIt(.(, L Y . '~ " 'METES & 'BOUNDS O.JES ATTACHED, ff'NO 'CENSUS TRACT Number of Bedrooms " STRUCTU~R,':JTO. "'""T TNIS'ERMlf' . !". . - . ~. , ' . ,10& ,Connect to Existing S~wage System D ~, "'TY:Pl~E, CONSTRU,' piON " SQ, FT. ~.lfu'~?, IL~). 'or New, System Req. D # ~EDROOMS VALUATION ((!, {Ln 0 ',L/?: og . ", , OTHE~ ' 0 FEES ,WATER SUPPLM J~ PUBLI~ 0 'VIr oniER ~.LUMBIN~ fEES A-M ' . FIXTUREiVn CASH WSE"';ER J J CHECK n CONNECTION FEE /./'/1 PLUMBING INSTA~LED BY :', OWNER 0' ,OTHER 0 NAME PLANS FURNISt-!ED , tV ,I}-' SEWAGE DISPOSAL PUBLIC 0 BLDG. WASTE DIS. PLUMBING . PLAN REVIEW PARK TRLR, $ ,SEPTICTANK 0 '29,' 00 ,FACILITY PERMIT TOTAL ,21,00 PUBLIC WATER .I J CONNECTION FEE iliA YES D(' NOD YES 0 ,,~I~NATU::~F;r~, ' X ~;..)A '~/t.u.J~) " (lEI REcEIVED BY.:', " ' " './d/7?'7 PERMIT # " , NO''J2!' MIN, SEPTIC TANK ,CAPACITY WITH DIST. BOX" GAL' 'pu,t~ ' 'If\ ~j .~Qr4;Of ..~ 0li-J c C') ~~$,i '.. ~ ..... TYPE OF STRUCTURE., :,', IN "ipCCSY BLDG. SETBACKS::'" FJ, FROM qR, OF ROAD RIGHT'OFWAY ':~~I~A":N~ S1~' IN~Do';> PlANNIN:'OEEXT 2 :/;;A:LDG~SP '~ '/ ZONE . ", ,. ~ " PUBLIC UTIL. ~ASEMENT DirectiOns to' Find Property':, US~"CLASSIFICA TION . /I !IfJ~J-PHq fA ' :', ,',", . l?q.'e , .~ .~- '~.." . COpy 1 - OFFICE " COpy 2 - JOURNAL ' COPY 3 - AUDIT' ~'r' . . ' Form # C55,- 1 i _ ~'c ';'",r~~~t""";"C'\<<7;~":"'7?~7;;'.. ,... ,I' ,/?,-. ,{, LANE CO,_ fV,"',BU,ILD'ING';;PERM1t;tr{:rMOBILE :r .. ~, '" ". ' .'; , ;'.' .'" ',rJ ';,-. ~.i"_ ~'UILD'ING:~' _-.'M-'H D-..'-' . P~OP~RTY<'OWNER " .,,- 'MA[LI"NG' ADORES,S ; 'S:;Ck C.' 'Ra I ny, ' "iU3', Ualira',Stre~t.,:!;Spr,i ngf i e ld CONTRACTOR, ,'."' ,MAILING ADDRESS, '. -; "}~.' ..... ''''.:'.'- ' .'~ ~ . ~ .1", . ., " ",;"'::' // ',~ ~ .' . ;5'EL2 -:,~ ?f~ 382-7' ,,~)ME ,USE PERMIT PERMIT NO. PHONE 726-7509 , PHONE , s*~e . , ":;:,PROPERTY LOCATIoN''':''' INCLUDE posT 'OFFICE " I '"tau;;8St,. Nerth Gfl'105~ " J ,PRPPER.TY LEGAL. DESCRIPTION - METES, BOUNDS _ ..,I, J.... ~~, ~. ". ,~TWP r 17 RANGE, , 'SECTION TAX LOT NO, 'CODE, CENSUS TRACT 03 1. 27.1.,' 1801 1903 .ED151B EXISTING STRUCTURES ON PROPERTY HGuseGaraQ6.shed LEGAL ACCESS TO PROPERTY laura ,Stree't PROPERTY SIZE - FT, " '- " APPl; i' NAME , ~a iflY &' , ,MAIL'ING :' ADDRESS' FOR MOBILE HOME PERMITS, ONLY . No. of Bed~ooms ',' 'STRUCTURES TO BE BUILT THIS PERMIT, WIDTH DEPTH AREA ." Connect to Existing Sewage 'System D, TYPE CONSTRUCTION SQ, FT, # BDRMS New System' D VALUAT'ION GarSQe PIDle 'buildinq ,1'52@ 4 4608 J' , " SEWAGE DISPOSAL PUBLIC 0 SEPTIC, TANK 0, BUILDING ;: WASTE DISPOSAL PLUMBING , , PLAN REY.IEW PARK TRAILER' ":-,,; OTHERO 29.00 FEES PLUMBII'IG,INSTALLED BY C>WNERO' ,OTHER:NAME WATER SUPPLY P.UBlIC '0, ,', 0 OTHER TOTAL, ' ';: 2 cL 00 ' 'COUNTY'BUILDING & SANITATION pRAIN FielD ,REQUIRED "l-r '" ! SPECIFICATIONS I' MIN, SEPTIC TANK CAP.ACITY , , , ,'WITH DIST.' ~OX:,GAL :lIN, FT TRENCH WIDTH FT", ' ,OR SQ, FT, ~^ t.' , , , ' TYPE OF STRUCTURE OCCUPANCY ZONE' PUBLIC UTI~, EASEMENT 5N :J, "j BLDG,' SETBACKS'n FT. FROM CTR, OF ROAD RIGHT OF WAY' USE ClASSIFICATION ':;,1 SIDE INT, 5 ' SIDE EXT. AUTHORIZED SIGNATURE -'DATE' REAR 5 FRON)' ,',J.lE. 'Boss'.by Ch~r:I,je HarbatJghi..8J':'74 , DATE I', 4-1-74 b~: '(;'g~r;{;~~~Ff,giJL,~"", : ";,, " 'PLl,JMBIN<;; - CANARY ," BUILDING - GREEN ,'SANITATION'-' GOLDENROD ,:' , ' ,...,......~ ."-' ~ ...~',~. ~~~--'-~ ' ".:,. ~ ; '-..." :'",.;. '. ,;..~,..,..J. , ,'Call 687-4065 to schedule allreqlJired inspections. All construc- c'., ,:'., '" ' ,', ' ,tion sh,all comply with Uniform 'Building Code, D.E.Q; standards ,,' 'IMPORTANT:"for'subsui:fac~,;se~cige' disposal, and , c9unty regulations covering, plumbing. All buildings requlrea cer'tiflCate" Of occupancy before ,.I ; _," ~~ing' o~cupied,:," , ' ' " ' (See Detailsoh; ReverSE! Side) I' . '-~~JOI,...:-.: " ~'~...~L . .:' ..(', . .; 1 '1' ~r.' ...,....,,':' -"." ~ 0..,- .....~k...... \, '_" ,;/i \ , , ' " , . .-;;:'>-- - - ~..'.- ...: ' ", - - . ........... "'J'''- ~..:;:.- /~-,r , . ....:..,..4-,....-.... ", ...- '1"..... (POST THIS 'PERMIT 'ON' 'MAIN BLDG.' AT SITE) , !LANE' COUNTY, DEPT., OF ENVIRONMENTAL MANAGEMENT : COURTHOU,SEANNEX, 135.EASr 6th, EUGENE, OREGON,97401 . /,,~..,- or"" , ~ - '. ~ ; .} ~r '-.: '_::;',;:-..:..'; :. .:.'.' .;; .:"..... ':' ""-~ ,~ - . :~; :'F:,~,~; j ~::-;;'J,;;,::: ::'::':.~' '"r, ,': :.' ", -:',..- : ,...." _;r~";::~':i~.'" - ;,\ DUILUIN~ ~llt tVALUAllUN ,. \.1 IS, I ~ .if- ~ No. :(</:2- 7Y, ,-;:;:; / 7 , T 17 'R 0,5 S 27/ ,CENSUS TRACT,' TAX, lOT /~O/ Ie ), l:)" ( ) ,~u i I ding Perm i t App I ication , Site Inspect ion A"'P~ I CANT :,A1 ". NI\ME ' 0//1\./ ADDRESS ' ,/ " / Pre-Permit Invest igadO'n: P HO N E DATE ,~' '. ( 3'w3^-7Y) , "- .:---'" NAME . ~...- -..-- L/\NE COUNTV PLANNING DEPARTMENT I. Zoning Ordinan~e Compliance , (Zone _oQ-A,) Subdivision Ordinance ,CampI iance" 'NOT app I i cab I e ,() (), t~', ()'(') () .<) , () () () () 'NO" YES, Df\TE 2. ') ,) . Required Access ~~ ~~~, o~ .:3-:::iJ- 7Y 4. Building Site(Ar~~. Width~ F r6nt,age, Setback) Ot her (see comments)', ,:' 5, COMMENTS: ',1 . ! BUILDING INSPECTION SECTION NOT NO 'VES, NAME DATE, , app Ii cab I e ~' 6. Plans Subm i tted ( ) '(') 7. So i I,' Stab i Ii'ty (footi~gs) f/?: ( ) ( ) .' ,.. 8. F-Iood Plain ' ('/> ( ) ( )' 9. . Ot he r (see Comments) ,01' ( ) ( ) &'$~ '3 - :2<$-?lj COMMENTS: 10. ' Sewage OJ'SPOSClI. NOT NO YES apD I i ~abl e " (r>, ( ) ,( ) l\) () () () () (), ( " () (-) ,NAME , ' DATE ' , 0 \el'"'-- z.oY\~ yeltow--,-\=:.1ve..' 5ANITAT10N SECTION 11. Us a~ I e Area 12. Water Supply 13. o t he r (-see Comments) COMMENTS: ?~ TO APPL I CANT: ' , ~ ~ ~ You ~ ~~ ,{4" ( ) ( ) ( ) Building Permit / Site 'Inspectio'n: Can be approved. , , Cannot be approved at .t his, time as i nd i cated on item NO, above, ,Quest ions and further informal ion on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questiejns:and fur~herinforll1ation on items 6 through 13 contact the Lane County Building ;:;:10 Sanitation Divisi'on. Will behelcjin' th.is ,office until you can TeSo"]ve' the problems indicated. Is being returned. Your buildinq permit appJicati'on fee is be;'ng returned under separate' cuver., 'J LI'NE COUNTY f'liINN I NG DEP/\RTM'ENT 136' ~j){tll Avenue [<'I~t, Eugene, (lT~9lln 97'101 l?ti()N~ 341.. I J I I EX I. 23' LANE COUNTY BU1LQING & SANITATION DIVISION 13~ Sixth fJv~lIue East, E\I~lerlf', Olcqon 97401 PI10NL: JL/2-1 J II ~XT. ~., . ... "" _.- -,.-.-..-.-".--..--'---.-.--------. M55-28 ur_ - "...' . ....~.~ - "', ..,. ;;' '. ..' ''-,,'''''!:._'~. :;',t . .' LANE COl BUILDING 1EW ,Y BUILDING PERMrr OR :1v\OBILE MH D MAILING ADDRESS 'lint laurJII Str..t. $lludnfjflald MAILING ADDRESS' ME USE PERMIT PERMIT NO, I I Ii ld2~]" ': PROPERTY' OWNER PHONE I,........ ~ e.;...v I C~ONTRAcTc5R ,-_. '" 126-750<'1 PHONE .i. . ..~... ., ~-~'. -'-'.;. , PROPEihY'l.OCATION - INCLUDE, POST OFFicE , 6.......'<l:t> N....t>f!t. "'# I lBll: , i, PROPERTY LEGAl "DESCRIPTioN '...: METES, -BOUNDS - ,,' TWP RANGE SECTION TAX LOT NO, CODE' CENSUS TRACT ,.., . . A'a ". Hila 1 190J E01~le EXISTING STRUCTURES ON PROPERTY Hrnusa SAr.ea. shed LEGAL ACCESS TO PROPERTY tai:ir-.. $1..80.1: ~,i,;,.PROPERTYSIZE,:""- FT. ", ',1;1," WIDTH, DEPTH' ,AREA ~\~ APPL. NAME & MAILING l, ADDRESS FOR MOBilE HOME PERMITS ONLY No, of Bedrooms It.. 1 ftU ........ v . ~, ~-_t,. , ".~..... , STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System D' TYpE CONSTRUCTION SQ, FT, # BDRMS New System D VALUATION '\> ,'.,', ~~. ,,; '... 'r\ 0.,\ ,~ \ '\. --,' "', "" '\, ,I.. J\ ,~,.. " ....;.-.F; ~. l'~2!Jl 4 ':~ 4608 rn,.~.... am.. -.-'''- -:ti1- $)"""1",, hu{ 14ht.A .. , ....:'. "I~~~. ..:~'\.>. ':\..:' . ~..:.. ,,~ ;/ ._v'.....~. . !. , SEWAGE DISPOSAL : PUBLIC 0 1 B'UILDING' WASTE DISPOSAL pLUMBING PLAN REVIEW : PARK TRAILER ~. ' OTHERD ~'lll an FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 PUBLIC 0 o OTHER '" , TOTAL ~ ?<1l'.1m COUNTY BUILDING & SANITATION SPECIFICATIONS , DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST, BOX: GAL. (\\ '( \ ~\ .,..-'-..) 0"".1 L1N. FT TRENCH WIDTH FT. OR SQ. FT. .~. \\ \" '.. .."", \' ,~"' '.... TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTlL. EASEMENT u J BLDG~ SETBACKS _ FT, FROM CTR, OF ROAD RIGHT OF WAY FRONT USE CLASSIFICATION SIDE INT. tS SIDE EXT. AUTHORIZED SIGNATURE - DATE, REAR S, BLDG, PERMIT - WHITE OFFICE COPY - WHITE, COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN , SANiTATION - GOLDENR()D DATE J.i. 8Cll$& ~yCh.rtl<<l "'arbavth ,..11..14 4...1-74 bp " I Call 687-4065 to schedule all required inspections. All construc- '; tion shall comply with Uniform Building Code, D.E,Q. standards'i IMPORTANT: 'for: su?surface:~~~Sl:g~, <:iisporC?1 and c.o.unty regulations covering / plumbmg. All l5uddmgs requIre- a certifIcate of occupancy before; being, occupied, ,\ '. , ' \,; ..~" (S~e De!~iJs. 'gn.' R,ev,;rs~' Si~l~) " Iv) , / '(POST THIS PERMIT ON MAIN BLDG., ~T SITE) : LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th. EUGENE, OREGON 97401 :!rIo.;...- ~ ", <,'.. . .l~~ORM -# C55'13 ~"';,:l'",,/c,~ "~_'.'~'::-":""J ,,~~~j,i:.m~'--,j_. 0; ,'_....~h-'"~ ::,;...t:.'-''''''' ..---.... I, ~. ,.......,~.. -:;-. ~ ,,-0,',1,/:,:,.:V'~. ,.- .-'--~-- ! " 'I SITE ;INSPECTION ApPRqVED /. ' / " '~",' '..... ,q DISAPPROVED / I, DATE \? INSPECTOR REMA~KS , , , . ~ :'.- FO~NDATION INSPECTION ApPROVED/ I 'DISAPPROVED / / DATE ,~,' ,'" REMA~KS /~~~ 0 /t:' ~~-4~" , ) ,/" / / (/ ' INSPECTOR f'- f?>/ if ~ FRAMING INSPECTION " e/ / , /i(- H~ 1 tL .:::::::0;; ;2=~:;~~ iJ~J~ ~fll' '. I LATH,OR SHEETROCK INSPECTION " ApPROVED 1 / DISAPPROVED I' REMA~KS FINAL I NSPECT~ ApPR?VED' /' / DISAPPROVED I REMARKS tERTI F I CATE OF OCCUPANCY / DATE' INSPECTOR, ~ D':;;~? ~1l/ INsemcelL / " ,. RE^.Dj7 I.O'"I SSUE I 1 NOT READY TO I ssuE I' 1 DATE .,'~ REMARKS ,/1 /rj~ fry ~l8 '3 ~. ',: ;38[,J.,~ ,J'/ p~~, o INSPECTOR, ' ~I "; . ~~:: ""!-~~ ~ ~.. J; ,.:"'... .-- ,. . -. -""'-'-.,'. .... .:-' .. - -...'.t,-. l,.-g. ~' ,/ 1 1 ~ _:>~ "~.) ..-r:.'.ftI wi:1/ 1 4' ~ .- LANE, CO BUILDING [~r f.Y BUILDING PERMIT OR MOBILE MH D MAILING ADDRESS Route: S, 8(>>( 59SPhJia$imt-'M' H MAILING ADDRESS 1 Slt9tOakEtlgone.Oregol1 )ME USE PERMIT :..1'.... PERMIT NO. 1'8":14 ..i , PROPERTy"OWNER , R.t. 8art-0n CONTRACTOR tH...e Con.~,'uct i on PHONE '. j.oM.. .:,...~, PHONE , 484.. ~lS54 " PROPERTY LOCATION - INClUDE, POSl"'0FFicE I , PROPERTY ,LEGAL DESCRIPTION - METES, BO,UNDS' TWP H:f RANGE / SECTION TAX LOT NO, ,CODE CENSUS TRACT 02, " Ii I", C 'Cons t'...w;t: Ion 21 1002 APPl. NAME &, MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No, of ,Bedrooms 'EXISTING STRUCTURES ON PROPERTY {)wil\ Hog LEGAL AC<:ESS TO PROPERTY $pril'lgfi(tht...r.reSW&11 Hi9hW~f PROPERTY SIZE -FT. WIDTH :327 DEPTH "0 AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System D TYPE CONSTRUCTION SQ, FT. # BDRMS New System D VALUATION Agt. ,&x 40 l <l: OTHERD fO.Qf1 FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL ,PUBLIC 0 "",. , BUilDING . ' ,WASTE DISPOSAL PLUMBING ,PLAN REVIEW PARK TRAILER SEPTIC TANK 0 PUBLIC 0 o OTHER ,TOTAL ~. 1 () .()fJ COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN, ,SEPTIC TANK CAPACITY L1N: FT TRENCH ,WIDTH FT. OR SQ, FT, I, j k ~~, ' ! , , , ". ',', TYPE OF STRUCtURE ',SN ,-<;. OCGUPANCY J 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 \ II BLDG, PERMIT - WHITE OF'FICE COPY - WHITE COUNTY TAX - PINK , PLUM~ING - CANARY BUILDING - GREEN SANITATION - GOLDENROD J.E. 8QlS,G by W. Mfoll"clock )~1;"'74 DATE 3..1 ;}.o 14 bp IMPORTANT: Call :687-4065 to schedule all required inspections, All constru1c-, tion shall comply with Uniform Building Code, D,E.Q, standards for subsurface sewage disposal and, county regulations covering plumbing. All buildings require a certifiCate of occupancy before being occupied, , (See Details on Reverse Side) ,i FadM #'C55'13 (POST THIS PERMIT ON MAIN BLDG. ,AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 :;,i{; ;.;'. _.:.::. -..." '.'. ._.... . :.. _ .<",i, ,_._.j, ".~:~.~.,1. ~ '(.__,,J,,:_,~~:. '",-...:,i_,,'.~~ . .-";.,;... ..,~ ",- .'-.- ,,-'. ".. '~'".. . . t:.i.: ~.. .,,-' S I TEll NSPECTloN ApPROVED /,:,./ ~ DIS~P~ROVED ,/ ~/ DATE REMA~KS' . ~t FOUflJl3A TION"I NSPECT I ON t', .. ,ApPR~VED j. "./, DISAPP.ROVE,D / " ' REMA~:KS . ",; ,,?' , F~AM! NG I NSPECT ION ~ '. .;> AP.PROVE.D" / " / DI SAPPROVED/ r REMA~K S LATH OR, SHEETROCK I NSPECTI ON, . ' , . 'fl ApPR6vEC; I I" . ~ I ,DISAPPROVED / REMARKS :~ \, . ~ . _- ,f, " " FINAL INsP'EcrioN APPR9V;ED ,/' /DI.SAPPROVED / 'REMARKS' , (, -1~~ ~ ' <'1'~~ir 'CERT;IFICATE OF OCCUPANCY READ:Y?r~i I,SSUE ,/ REMAIRKS . ,Iro' ." / DATE / DATE ! DATE ( DATE '~i~~' , . ~f-.i.A; ~ !~-"'" ~.. INSPECTOR INSPECTOR, INSPECTOR INSPECTOR . ~~ ~ I NSPEc'TOR '. t~, I NOT READY TO ISSUE / ,/ DATE ", I NSP,ECTOR ,I' .~ ,1 .-, :! . ,\,"".