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HomeMy WebLinkAboutPermit Building 1973-5-3 .' /9_" ./ iJ/......;/.s- V- U,. ./ (--'-!- f - f/' --r:/-~~-I... ~<:::~ -v ~...... /" · ... ~-- "l I ~ . 4 USE PERMIT II) /) -J./O l~)") PERMIT NO tm 200..13 PHONE .\ LANE COUN BUILDING 0 3UILOING PERMIT OR MOBILE He. MH 0 MAILING ADDRESS 2292 Joff~rsonft EUQene MAILING ADDRESS PHONE " PROPERTY OWNER R~bertson. Glen t. & ~11en CONTRACTOR I ... I ~ , ! PROPERTY LOCATION - INCLUDE POST OFFICE r;;lS I(rernont Av. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS - ". fi lbert Grove~ ~rd Add. B. 6... 1...3 TWP RANGE SECTION 18 3 2 ,-3; 3 APPL NAME Glen L Robertson & 2292 Jefferson MAILING TAX LOT NO ~ ~~t:/o CODE CENSUS TRACT 35c40U EXISTING STRUCTURES ON PROPERTY Shed &. SDS LEGAL ACCESS TO PROPERTY '{V'e~nt Av. PROPERTY SIZE - FT ADDRESS EUc'llene ft Or. FOR MOBILE HOME PERMITS ONLY No of Bedrooms 3 STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to EXisting Sewage System []I: TYPE CONSTRUCTION SO FT # BDRMS New System 0 VALUATION UrCienf:!v needed Finish floor eUevation ~ 4480 SEWAGE DISPOSAL <t FEES PLUMBING INSTALLED BY OWNER D OTHER NAME WATER SUPPLY PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK D OTHERD TOTAL $ .fdtNE COUi\ PUBLIC JD D ~OTHER --'"' ~~ ~I;~~~~ .J.fTr S"'"" .h~ -'C, ~ ~n . nn J:'E:CllJ.r. ~.RMIt '/r --I -. - '<< ':l~ c;n - ~ COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN SEPTIC TANK CAPACITY WITH DIST BOX GAL L1N FT TRENCH WIDTH FT OR SQ FT /' TYPE OF STRUCTURE .. OCCUPANCY ZONE PUBLIC UTIL EASEMENT mh BLDG SETBACKS n FT FROM CTR OF ROAD RIGHT OF WAY \1 E FRONT 4; SIDE INT 7 SIDE EXT i nt 5 REAR 1 AUTHORIZED SIGNATURE - DATE /5/ Boss by ~~rb~ugh USE CLASSIFICATION G.V. Gray~ R.S.T. DATE 5..3~13 BLDG PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform budding code and county regulations covenng plumbing and sewage disposal All buddlngs require a certificate of occupancy before being occupied (See Statement on Reverse Side) (POST THIS PERMIT ON MAIN BLOG AT SITE) LANE COUNTY, BLDG & SAN DIV, COURT HOUSE, EUGENE OREGON 97401 FORM it C55-13 ,-.-- --- -- --- I .\~'-II '( 1 w l?;f J -5 ~ , rS+O<'^'1~ft ! II 5 kcz4...1 ( ~~t"'~'<~ II :\ ~/ t~- .~ II ,_t\~r ~ \ < t/,' z-' - ;\i rrJ>l\ J' \ I, r \) k \) ~ I{':y IJ \\) r' ::! ~._> _~I ( \ I 1; .1 II - ~ -, :> i\ I 1,36 1< Ii I' ~-~--- --lrt~--lJ---'l/l VO~ ~Il~ 7/ I If; \~ '; nt 7~ 10'" tD) f(~ ~ I -:-;1 r fJ / " ':~~ r; 'II' ,,' r-- I r-- r----., !i/J,..} " ' IVO I ,;;; 0' - ' I lAJl.c /97] l l;. (. " Vi/Iii r IiflfLI _ _ __ It UIVI/ -- 1 / I vi ,:~~~ / I /5 >I I I , Jp61 ) I! I ~ , , :.;j ; BUilDING SITE EVALUATION f ~ \~ (X Bu.1 ding Perm I t App I. cat Ion No.~ ? r-e-7 ~ T , 8 R .3 S 2.. TAX LOT CP""IJS TRACT~ S-~ '0' to ~I""...:r- <:3r~ '" ~~t:> APPLICANT: L ~ - 8G:. NAM E 1i:::.o...... ..~ . ADDRESS () Site Inspection () Pre-Permit Investigation PHONE DATE c:r - ZG.- -/ --'~ LANE COUNTY PLANNING DEPARTMENT NOT NO app I I cab I e J. Zoning Ordinance Compl i~nce ( ) ( ) (Zone "t"A-M~ ( ) ( ) 2. SubdivIsIon Ordinance Compl lance 3 ReqUired Access ( ) ( ) 4. BUilding Site (Area, Width, ( ) ( ) Frontage, Setback) 5. o t he r (see comments) ( ) ( ) COMMENTS: YES NAME DATE (,r-- ~~ (~ H- (..1-- ( ) +-;Z7-7~ BUILDING INSPECTION SECTION DATE NOT app I icab I e () () ()\I () () :; :::; e:j~ Clt ;r,uAL.-!!t:r;'-I!h'~A L/ o//~ A# t J ' ~ I . 6. 7. 8. Plans Subm i tted SOil Stabll ity (footIngs) Flood Plain 9. Other (see Comments) COMMENTS: NO~ NAME 67-/-')3 SANITATION SECTION NOT NO YES NAME DATE app I icab I e 10. Sewage Disposal ~(j ( ) ( ) I 11. Usable Area C) ( ) ( ) #"t 12. Water Supply ( ) ( ) ( ) jJ ~/) 13. o the r (see Comments) ( , ( ) ( ) tf/10-- '1 J COMMENTS -..---...--.. . r' ~ .... , '_' ... -...,.-.......- -"-- -, .~~- TO APPLICANT: Your ~ Building Permit / Site Inspel:t_I~.~. Can be app roved. 5-\-/~"'$_~ Cannot be approved at this tIme as Indicated on Item NO. above. Questions and further Information on items 1 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 permIt appl icatlon fee IS being returned under separate cover. ( ) ( ) ( ) U\NE COUNTY PLANN I NG DEPARTMENT II., Sixth I\\enue East, Euqellt', Oregon 97401 ,.fIONf ,i,l_Ii /I t XI. n I LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE 342- J 311 EXT. 411 . P.RQP'ERTY ,OWNER ~ >; .' ~r:'~ ,......,":! .y;;,.......-~.N. ",-.~-~":",,,--"""-..~~---~~~l /"~l ~j' 'I'"- -......, ~\t"~:--~~J ...,...,.,.....----.".-.....v---.,.- "".~--;--.:-.r~ ~.~.... .:v"'_...'-..-,........, ---;;.. ...""';"........ .---;........ 'C:. ~ f;.'- ""'L:N: CO::", BUILDINrf~:IT ~R MOBILE H" ,f USE PERMIT /~ / ' " " · ':" ':', BUILDING D.MH [j PERM.IT NO. C'~~~~~it.!J --------- MAILING ADDRESS / PHQNE . , " ';.~: ;.~",t.;<I~I. , . ~ob~lI'ta.'i'!Jn. €in 00 L. '.&. ~ D 1 aift ' , CQNTRACTOR .. ~-' : ':R~~ . Jbff<iWson.. t;l~~r~ 'MAILlNq ADDRESS ,!} i.>~~\}:t,~'t; ~",:' PHQNE PRQPERTY LQCATIQN -INCLUDE P,OST ,OFFICE ti6~reF.t'Jn:t . Av. PROP.ERTY LEGAL DESCRIPTlQN - METES,BQUNDS ,>.FiBbea-f! ,GMV~:'; ?lid 'Md. . 9..',6,. l,,3 T.'N.'?, . RANG E SECTION , TAX \-OT NO. CODE CENSUS TRACT i3'\' ~ -il ;- '3S~3 EXISTING STRUCTURES ,ON PRQPERTY $ficd s",$ll>>$ LEGAL ACGESS TO PRQPERTY '. ettittlt-CJ:tt Av. PRQPERTY'siz~ - FT; , '~', :~~. APPlt, NA,ME \ 8. MAiliNG '~2~:t' Jbffst'Sti)R' Glen. L~ nobGr~g:Jn ADDRESS tzui!'3eile.,' fJ,. FO,R ,MOBILE HOME PERMITS ONLY NO.'"of Bedrooms ' ,J' ,STfWCTURES'TO BE BUILTTH\S PERMIT WlbTH DEPTH AREA 11"1 Connect to Exi~ting Sewage System [j: TYPE CONSTRUC;:TION ' SQ. FT. # BDRMS " New System 0, '. VALUATION , " Urftcint hn~ed ,<:'ftn&tih Vloo.r o~mf.stllon ... t*fjt ~ FEES PlU~BING It.'lSTAl.l.ED BY ,OWNER n":, OTHER: "NAME \it A TERSUPPLY , , SEWAGE. DI~PQSAl ,'PUBLIC' 0 . . BUilDING WAST~ DISPQSAl PLUMBING .-' '. . 'PLAN REVIEW P.l\RK TRAI~ER SEPTIC TANK ~D OTHERD' PUBlIC;[] D OTHER . ~>:.;o " !'!>1f'\..~'. ,. LANE COUNT"". 's~"r"E' 'C" .. ", VM ~~" ~.~ '. '. + .1(, lAL P~RMIT AREA ...~, ,., ,TOTAL $ t\.q ~ /fun " " COUNTY ~UILDING & SANITATION SPECIFICATIONS ;,1 J MIN: 'SEPTIC TANK CAPA~ITY . . .~'\ WITH DIST.. BQX: GAL :'., ' '\ '\" , -i " ~ ~. >r " DRAIN FiElD REQUIRED : !.'IN, FT ' TRENCH WIDTH FT.' .~ '\" ~ ~ >. ~. > ,OR SQ. FT-:"~"'., " ~... . i TYPE ,OF STRUCTURE FRQNT rob BLDG. SETBACKS __ FT, FRQM ,GR. ,OF RQAD RIGHT ,OF WAY .' SI~IE' INT: "1 " S~DE 'Ex1t.aU\~ . . AUTH~RIZED SI,GNATURE -: DATE 1f$/~$s ~v ~~SY9h ,OCCUPANCY :, ZONE PUBliC UTll.. EASEMENT, USE' C,~ASSIF!CATIQN ~s :.; REAR . "'I G.t!. Gray" R.S.t~ DATE, ~ il~,;{'-' . . < ~, BLDG., PERMIT,- WHITE OFfiCE 'COpy - WHITE .." CQUNTY TAX'- PINK PLUMBING - CAI>:lARY " , BUILD.ING - GREEN SANITATIQN - GQlDENRQD ,( 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. . ' I _, .;." ", (See. Statement on Reverse Side)' . ~! . - . . '(POST THIS PERMIT ON MAIN BLDG. 'AT SITE} . ~ . . lANE CQUNTY,~lDG.' & SAN. DIY.:; COURT HOUSE; EUGENE, QREGQN 97401 'FORM ,tt',<; SS "13 . ;,-~ ,: . \ , '. ,,' ., , ,'.' .,',-j "-.. .,,' .-:'. . f\' - .,l ,"j ., f' I SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED / REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED / REMARKS ROUGH PLUMBING ApPROVED / / DISAPPROVED / REMARKS ROUGH GAS PIPING ApPROVED / / DISAPPROVED / REMARKS FINAL PLUMBING ApPROVED / X / 01 SAPPROVED / / REMARKS FINAL GAS PIPING ApPROVED / / DISAPPROVED / RE':1ARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / ~~ ... 1) / DATE / DATE / DATE / DATE / DAT~ -~-?3 / DATE / NOT READY TO ISSUE / REMARKS / DA TE ~., '. INSPECTOR INSPECTOR INSPECTOR INSPECTOR IN""'O~~ (/ INSPECTOR INSPECTOR r~' ~"""ij1' . ,..,...,......~-""""""~.~ ...."',. ,. . ,""""",'''':''',""~'''~'"'''''''''''~'''''--'=>'"'''''~''',..."." "....-.~., ~ - ~"" -"".'^~ 1!/.;;r-:;'~';:'r',~:"~'''''-~', ' ,"; ,- ',~":'."~:>: .~" .,.. ~" ,~~ ' ~ '"""'. ",!' '.::,' ',. '. .... :_" ,~ . !/'-~"<." ',' '~j ~,;... ja' ", ...~ _' ~ :A . " .. ..,,' , . ,"~.. 'i~ ':~~JA~E couN'~-,juilDING PERMIl~ OR MOBilE, H~~ ).U~~. PERMIT -'- ~.': ,>; _:<~, ! " " " ",~BUILDING D .', MH 0 "of"~ .;;;' . - 'pERMIT NO. .l'tfl 2ca..73 ~;,. >,',' PRQPERT.Y, 'oWNER' .MAllING ADDRESS ' ~ ., PHQNE :' ,', , . ',:' " .'. ,.-'. :,'~ arib'tJrttSOfi.. C1Clln l. 61.lhrtl '2m Jttff.__.. ~tt.M i ";\ ,'CQNTRACTOR ',:.:: MAIliNG ADDRESS PHQNE "'1 ; '~:~,N~:~ il;:\.~. ~:\, . ," 1..\ 'PRQPERTY . LQCA TlQN -'INCLUDE POST OFFICE 56 'Krarrcnt tw,. ' PRQPERTY lEGAL DESCRIPTlQN.- METES, BQUNDS Ft Ibart Grove.' !.r4 t~d,d+ 8. 6. L...J TWP RANGE SECTION " . " "':'~~j , . TAX LOT NO, CODE, ,CENSUS TRACT ,If.; !l ;2 .'/. i 3~ EXISTING STRUCTURES ,ON PRQPERTY Shad " IOS lEGAL ACCESS T() PRQPERTY krGiJllOnt P,,,V. , PRQPERTY SIZE - Ft ,1 APPl.. NAME &. MAIliNG Glen L~ Gobertson 2292 Jeff.fson, "1 ADDRESS (URfie. Or. FOR ,MOBILE HOME PERMITS ONLY , , No. of Bedrooms' 3 WIDTH DEPTH AREA, STRUCTURES TO BE BUILT THIS PERMIT Connect .to Existing Sewage System OJ: TYPE CONSTRUCTION SQ. FT, # BDRMS , , , New System 0 ' VALUATION ,; , Ui'.ntlv n....c$ [ .\/"tiY ,FlnW-sh floor e'.wtton .. .4Ct8* f .. FEES PLUMBING INSTAllED BY ,OWNER n .oTHER: NAME WATER SUPPl y-, - i,' ~ I ". I" SEWAGE DISPQSAl .PUBlIC, D SEP.T1C TANK 0 BUilDING, ' ~. WASTE DISPQsAl PLUMBING., PLAN REVIEW PARK. TRAilER QTHERD PUBliC :~ o ,OTHER ~..,50 ~o.oo !J1~E ,,)~OUl'~ l' r ~~ECIAL PERMIT AREA, TQTAl $ i~..~O COUNTY BUILDING' & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED ,it MIN. SEPTIC TANK CAPACITY wrr:H DIST. BQX: GAL !.IN. FT TRENCH WIDTH FT. ,OR SQ, FT. ~'~~'1\'~ ~t-~"-~ 'V ~),. \\ \'J\ -' TYPE ,OF STRUCTURE ,OCCUPANCY . ZQNE PUBLIC UTll. EASEMENT mh BlDG, SETBACKS,__ FT, FR0M CTR, ,OF RQAD RIGHT ,OF WAY ,. . . it, 7.' e. "... tnt" 'FRQNT lit> SIDE INT. ' . SIDE En: . 'AUTHQRIZED SIGNATURE - DATE /f<18o.. by tt~fb~ush S REAR. 7 USE ClASSIFICA~IQN G.W.G.ri.tYt A.s... T40 DATE 5.,3..73 BLDG, PERMIT - ~HITE OFFICE CQPY - WHITE CQUNTY TAX"':' PINK PLUMBING - CANARY BLlILDING - GREEN SANHATlQN - GQLDENRQD (J\j ~ I Construction to comply with uniforrr b'uilding ~ode and county regulati~ns covering plu,mbing and sewage disposal. All buildings require a certificate o~ occupancy before being occupied. ---~~ ~:. . (See Stat~ment' on Reverse Side)' '~ '\ ~ S;.:." . , "'\-"j.' ~" '. ',-~ I "!'4:~\' \\ \'\ . \..'" ~."'. . ,'. \~~\3'>\~'\-h I'.: "~-,'V', cs. ';\ ' )t:e.J"'~"..::)"-"\'-..:I' <;:,. "" . ,,-.I. . '.' .~~ J ~ I ", ~ '" \ " (POST' T IS PERMIT 9t'J MAIN BLDG. AT SITE) l,\\"'" 'g'\:)).-;. lANE, CQUNTY, BLDG. &' SAN, DIV., COURT HOUSE, EUGENE, QREGQN 97401 '. . FORM #'C55-13, ,to:-. . ~- SITE INSPECTION ApPROVED / I D I S APPROVED I REMARKS FOUNDATION INSPECTION ApPROVED / / DISAPPROVED / REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED / REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / I DISAPPROVED / REMARKS FINAL INSPECTION ApPROVED / I DIS~PPRO;EDf) / REMARKS MfI.i4 r::p~ CERTIFICATE OF OCCUPANCY ~-<=-- .. l. . / DATE / DATE / DATE / DATE I DATE ""'8 /IJJ ~ READY TO ISSUE / / NOT READY TO ISSUE / / DATE REMARKS 1'I/1f1!1?f~ I~ ~~/~ :lOFt -73 INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR :3';-;' 'I 00 APPLICANT -~~v LANE COUNTY pll'LDING PERMIT OR MOBILE HOMF '.SE APPLICATION PERMIT TYPE - BUILDING L.. MOBILE HOME ~SC REG # PERMIT ##//::2tJY- 7 .:r P~k~~ . ~~~I;:<~DR~ :>~~ 22 92 0~ ~JA //J~ ~ ~ t:QNTRACTQR ' MAILING ADDRESS ~~ d ~- ,- / PHQNpf ,,/ PRQPERTY lQCAT~ INCLUDE PQST ,OFFICE ./' ~ /~//~ 0A./~_/ .u., \,./ PRQPERTY lEGAL DESCRIPTIQN -1 /J ;', / ,H ~-4:'" P~..-fd3'L < R/ Y3 lOT - BLOCK - SUBDIV '- /' ~A...,/r- 'Xh p ~ -/V-f4;? 0- TWP RANGE SEC TAX lQT # CQDE CENSUS TRACT /i 6--3 02 c3S-4tJ7) DESC~IBE EXISTING STRUCTURES ,ON PR~~Y IF ANY I A ~~ ~~_L ()L ~L1VJ" .......-l~~~~~~- RQAD NAME ,OR :# '!t/r ~ Af-yfJ ~. PRQPERTY SIZE-WIDTH DEPTH METES & BQUNDS 0 YES ATTACHED 0 NQ . NAME ~ AND r/'l J!l _/1(4__ OJ ~.AA--R...-/ MAIliNG ,- - , AREA ADDRESS FOR MOBILE HOME PERMIT ONLY /' .>? ) Number of Bedrooms t ~ STRUCTURES TQ BE BUILT THIS PERMIT Connect to EXisting Sewage System J8( or New System Req 0 TYPE CQNSTRUCTlQN SQ Fl" " # &EDRQQMS VAlUATIQN ,//27/i //77,T..b_-/ 7z~eLL~h; ~~~~Lx/.A . // ' . tJ{;, .. ~~ ~ / d ~" A g "~o"' " ~itu /#~ ( /~,{?/a1;t v~~r _1/ )/~d 1? ~ / l~;:;'E DISPOSAL I - - 'Uj4; ,; @/PlUMBING INSTAllED BY / !PUBlIC 0 ~PTlC TANK 0 OTHER 0 -4 '1'//. ~Q_ ,OWNER 0 ,OTHER 0 NAA BLDG ~ · FEES WATER SUPPlY~~( PLANS FURNISH~~H- WASTE DIS PUBliC 1J( ~ "~~^ YES\z( ~fS-"rr. YES 0 PLUMBING 3,50 PlUMBl1)I6 'tEES "~A(GN TURE OF APP CANT PLAN REVIEW FIXTURES ~ PARK TRlR l3 {), 0 0 .;~,r.%E~VED ;J " -~ f,.MJ)~ ~MIT # / /~ ~ /if.# ~o,j'- 73 COUNTY BUILDING & SANITATION SPECIFljTlONS DRAIN FiElD REQUIRED lIN FT TRENCH WIDTH FT ,OR SQUARE FEET / \ I ,E) -# /U __A,A ~L? / .~ FACIliTY PERMIT NQ 0 DATE -::2.b =-73 DATE 9' - ;zt -- 7~ T.oTAl 03.5D PUBliC WATER CQNNECTIQN FEE MIN SEPTIC TANK CAPACITY WITH DIST BQX GAL TYPE ,OF STRUCTURE HfI ,OCCUPANCY I REAR YARD PUBliC UTll EASEMENT BLDG SETBACKS - FT FRQNT 45 SANITARIAN A ~tJ ~/ (! Directions to Find FRQM CTR ,OF RQAD RIGHT~ WAY USE ClASSIFICATIQN SID~NT -, SIDE 4iM1A.)T _S REAR 7 _ 4 Dale .PlANNING Dale BlDG INSP /.' 11: ,. ~ / Jj/ (/~:&>d7~~.~ ~-~7-7~ /rT5~,#/;!4L6-'-1--7) . (/ I ~ Dale Property v CQPY 1 - .oFFICE CQPY 2 - JQURNAl CQPY 3 - AUDIT Form:# CSS-1Z