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Permit Building 1973-7-31
,4:4 ~{Ct.1- ~~ ,,: ,CJ ,- ',~"~':"',,~;~, ", ~ LANE CbUNr)-SUILDING PERMIT OR MOBILE " BUILDING[]] ,MH 0 MAIliNG ADDRESS '-!,....,.-~~ "j~,./r ~- " , \ .; I HO..,.../ USE PERMIT PERMIT NO. /'-/5,3- ;?J 1~53';'73 PHQNE 72~-7834 .,'- PR6PERTY OWNER Rof;)crtsO\1p G'80fl CQNTRACTQR MAIliNG ADDRESS . :. '1 '\/~;~~~'-:~~~~ \~ PHQNE ," ~ . PROPERTY LQCATIQN - INCLUDE PQST. .oFFICE, 56 t{r,OOlc;mt PR.oPERTY LEGAL DESCRIPTIQN - METES, BQUNDS, Fnbort Grove l!1i r~ AdcllitU,C!)n B~GCk 6 lo~ '3 ,;. '. 18 03 02.3.3 4600 CENSUS TRACT 35~R~Oa EXISTING ST~UCTURES ,ON PRQPERTY ; Shed ,...,5.0.5. ~. r.1obo UGl; ~emo TWP 'RANGE SECTION TAX LOT NO, CODE t, : APPl.. '., , NAME &. MAIliNG 'ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms G 1 ei'l Reb<!lV'UCA 56 l{rooont Springfield, Oregon : lEGAL ACCESS TO PRQPERTY' t{ r(!ffi3n It A \Ie. PRQPERTY SIZE - FT. WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Conned to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0" VALUATION C~r~ort on~ storsge .J .<: t€lr~ MOrQge .~@O @ 2 $G@0 - . ..... - n~1!J ioU ~ Y'-ii\JI 268 @ 2 .536 . - .;;.:~;,,,.-- .,.." ':)/'0 i :., AtH'l i "9, ...,- ' ." : PUBliC, 0 BUILDING , WASTE DISPQSAl PLUMBING PLAN REVIEW PARK TRAilER SEPTIC TANK B'!JtiS!l:SQTHERD ~. 20.00 FEES PLUMBING INSTAl.l.ED BY 'oWNER 0 .oTHER: NAME WATER SUPPLY SEWAGE DISPQSAL PUBliC lID o ,OTHER TQTAl $ 2~LOO COUNTY BUILDING & SANITATION SPECIFICATIONS ,DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BQX: GAl.. lIN. FT TRENCH WIDTH FT. ,OR SG). FT, STAV lil) ~~El fR@~.'hALl, PARTS @F'.THE DM HJf HEll!) HH'H, WlEt1 CIi)I~STClUC;r.g@w. i)G ~3GT: C~\!lEn, t,1Gt\E TW\t~ 3~ .%' It!lF ,[.tuT' ~H1M': ST~Uelll~[S ~ TYPE OF STRUCTURE ,OCCUPANCY ZQNE ,M...QQM u'SE CLASSIFICATIQN PUBliC, UTll.. EASEMENT % N J BLDG. SETBACKS __ FT, FRQM CTR, ,OF RQAD RIGHT ,OF WAY' .. FRQNT 50 I, SIDE INT. st. SIDE EXT. AUTHQRIZED SIGNATURE - DATE ; . , Is/ J~ E., 00$5' t>y' Milrbatl9h RE'AR '5' G.W. Gr~y,t San itad '€Jill , DATE. 7~:3l~hi~ 73 BLDG, PERMIT - WHITE QFJICE CQPY - WHITE CQUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATIQN - GQlDENRQD Construction to comply with unifor'm building code and county re'gulations covering plumbing and sewage disposal. All buildings re,quire a certificate of occupancy before being occupied. . (See Statement' on Reverse Si'de) (POST THIS PERMIT ON .MAIN BLDG. AT SITE) lANE CQUNTY,BlDG, & SAN. DIV., CQURT HQUSE, EUGENE, QREG.oN 97401 , .' FORM:::: C55-13. ~, ~., , '~ ;...t BUI L,9ING SITE EVALUATION >(;'M0.... ./. . .. . ~ ( ) < ) ~ E., ~ Building Permit Appl ication No. -....\ \ Site Inspection ! Pre-Perm i /1 nvest i gat ion .:-- ~ /1/.:?J-73 ' T...l/ R 035 IJ ;J-,,3:>fAx rOT 4i:Lx::>_,'dOO LE~ ~'. TRACT ' . 0~Lr..;/u1--1 ~ cJ3L,;;/. /.5'- 6L -3 APPLlCANT~ .' ' Ni\ME . ,c./f ,tL/tiu~(,:'1AhU , ADDRESS ',PHONE, DATE 7~2 ~-.. 73" , LANE COUNTY PLANNING DEPARTMENT YES Df\TE 7tUlL"73 ' r NOT NO app I icab I e I. Zon j ng Ord inance Comp I i ance (Zone 1?b..':"MI.U 2. Subdivision Ordinance Compliance ( ) (Y (1 ( ) ( ) 3. Required Access 4. . Building Site(Ar~a, Wi~th, Front~ge~ Setback) S. Other, (see comments) (.) ( ) ( ) . ( ) .. ( ), <<. ( ) ( ) (4 ( ) NAME . 'Ufl.k.- COMMENTS: BUllOtNG INSPECTION SECTION~~ DATE 6. Plans Subm i tted NOT . app I i cab I e () () (/IJ' () () ( ) (~ ( ) 7. 8. So i I Stab i1i ty (f06tj'~g~) Flood Plain 9. Other ,(see CQmments), /CbMMENTS: ..-.....~--._". ~ .- -- '" .".... "._-".... NO YES ~.,., ( ) () ( ) NAM~ './v....~ (//I/~7, . . . ..' .., .'... '. . . . . . . 7-'31)-"'3 SANITATION SECTION :NAME DATE NOT appl icabl e , ,,(~ ,( )' ( ) ( 1 () () , ( ) 10. . Sewage Di spos cil II. Usable Area' 12. WaterSupp1y 13. Other (see COlT1mellts). ,(( ) COMMENTS: NO. YES, ;......... ----- () . ( ) ( ) ( ,).' ....:.'..{))..'''. ,,/}vJ/' . <oJ' , PI L:. U ./br:' 'rr 13 ,~" 'I'~? '. . , .. TO APPL'I CANT: YQur Build,ing 'Permit / SJle ~n'petti.oh:' ."bCi( ')' Can be approved .7i?o7~ .'. ;( ") Cannot be appr.oved at t is t iine asihdicated on ite,m, NO. abQv.e. Quest ions and further i.tifor-rnation on items I through' 5 contact the.. Lane- COUNTY' PlANN ING DEPARTMENT. , Quest iQhs ahd further ' information .on j tems6, . throu,ghl3 contact. the Lane County Buildinq,andSanitatiQn Division. C) Will be held in this .offi ceuht i I you can r'es.ohfe the problems ! ndi cated. ( ), ./s bein9"returned~ . ," () YQur..,bl;lilding permit application fee isbeing,'returned under separate"cuver. lANE COUNTY PLI\NNI NG DEPARTM'ENT 135' S l)<th Avenu~ [as L Eugene, '()(,~9on 91!tO I ,r110NE:' 3!j1., 131 1 E)(I. ,231-. .. - ..-_.,~ -..-.-..... ..'-. .....,.....-.... . -..' -. . . . ..,. - . .- .-......._--- .-.'-"-' --.--- ,J.,_ ; ... . '. . . LANE ,COUNTY'. BU I.LO ING :&S/\N IT AT ION 0 I V IS ION 135'S,jxih, Jll,,-.er)~('.~a~t, E\I~lenc. 'Olegon 974ClI J'>>HQln:: 3-42-:;P,3I" [Xl. Ii-.I M'l'l_'JA ~~ ~~'~~. L ~ . .. 't. LANE COUNT. BUILDING []! dUILDING PERMIT OR MOBILE HC._ USE PERMIT MH 0 PERMIT NO. MAILING A~DRESS PRQPERTY ,OWNER nth~tftst:m!1 ~hH1 CQNTRACTQR '. ~lt;~:S~13 PHQNE '.:<;;l;~"",,,.' ';,'~"'.t~ if ~'.:t. . f'. ,~'Ol,.# t:!1 MAILING ADDRESS PHQNE . .l~~~~,:~;:t<.~,.t~t~r,~, .- ,PRQPERTY LOCA TIQN - INCLUDE PQST ,OFFICE / . ./ fi& ~Wen\O!'lt PRQPERTY LEGAL DESCRfPTlQN - METES, BQUNDS i!Ubm't (Or-CIVil:!: Third A[h;1.hh;,tt tn~ 6 Lot' TWP I~O RANGE SECTION TAX LOT NO. . CODE 03 (~~, \1l 9 tJ,&.eiiJa.;p 450() CENSUS TRACT ~Slill4na EXISTING STRUCTURES ,ON PRQPERTY Shmo · ~.~~~. ~ H~tt. ~ -lEGAL ACCESS TO PRQPERTY K~~lt t~\f~.. ;,~., APPl.. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms m~n n~ert$M !:is ~r~t Sprlttt;fhtld. Cf€f1jjGfj! PRQPERTY SIZE - FT. WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT' Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION Ggr~cvt and 9tora9C ;~ ' Cer{8lt ,~tC!."ilgcr 400 ~;C $ttoO .;~ i..... Off1-' ^ ~ t'i1ir{}~ ,t~~~ 'l:llU '\iI" "I' 268 {~r:2 9"tt.; 5!t& ....l.:.:,,__~'!_-::..'J,,~~~ :;U;.1IQ SEWAGE DISPQSAl PUBLIC 0 BUILDING WASTE DISPQSAl PLUMBING PLAN REVIEW PARK TRAilER SEPTIC TANK ~;,;d$t~QTHERD .t ~te..o~ FEES PLUMBING INSTAllED BY ,OWNER 0 .oTHER: NAME WATER SUPPLY PUBLIC ill] ':0 ,OTHER TQTAL t ~.oo COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN, SEPTIC TANK CAPACITY WITH DIST, BQX, GAL L1N. FT TRENCH WIDTH FT, ,OR 'SQ. FT. ~/i,tjfjf ~i) f,ti.:~" Fa~~' At.~.. P,Mt11~' .fif 1HE:\Q~A~Nfl~L!j) \;l,'h"ilii N~{ CeN:rmtJC1fi~Ei.. msr Ct1Yf;f~ Mnn,; THAN :;0 'if~1:C7, ~GT ~JTH "ST"t}~T~Jl'1l;.S. '. , I' '. " TYPE ,OF STRUCTURE A ~~: ,OCCUPANCY .J ZQNE RA~.mj PUBliC UTll.. EASEMENT BLDG, SETBACKS n FT, FRQM CTR, ,OF RQAD RIGHT ,OF WAY ""ti et , FRQNTA~ SIDE INT. :(:J SIDE EXT. AUTHQRIZED SIGNATURE ~ DATE r(lf .3..n. B~1~!':; f')!f ~ia,.haugh USE ClASSIFICATlQN REAR ) ~ G. ~5. Gray. l~f~nH~~rh,rt ,DATE l"'S&"';~ BLDG, PERMIT - WHITE' ,OFFICE CQPY - WHITE. CQUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATIQN - GQLDENRQD Construction to comply with uniform building code and county regulations covering plumbing and sewage disposal. AI/buildings require a certificate of occupancy before being occupied. (See Statement on Reve'rse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE CQUNTY, BlDG, & SAN. DIV" CQURT HQUSE, EUGENE, QREGQN 97401 FORM # C-55-13 : ",:f. '-# . - ...:!,~ . ' .., ,"'.h. ~....n",-,.....:,'_' ; ,v~."'!~,~?;;V'~" '~" ,"-'. ,;<"~_\~',."-, "~~'"","""~ ".r .TC". 1"--'" t.I"'-l,t';"J;.i'- :"'. ,- ,F .~J. :. '.~. 4: , .~. SITE INSPECTION + ApPROVED I I DISAPPROVED I ,I G)ATE .' INSPECTOR REMARKS FOUND~,T10N .rNS~~N ApPROVED! V/" DISAPPROVED I I DATE 7- /~ ...7.7 INSPEC~, REMARK'S FRAMlfI!~1 NSPECT ION . , .~ ApPROVED 10 DI SAPPROVED I DATE C/-/~, ,'jJ I NSP,EqOR ,~, ! RE,M.A~K S LATH ORSHEHROCK INSPECTION ApPROVED I I DI~APPRO~ED j INSPECTOR I DATE REMARK-S FIN~L INSPECTION/} ApPROVED /~~SAPPROVED I I DATE /0-//-.1 J I N?PECTOR ~ REMARKS~ ~Cl:4uk?~ ~ r-/~ -71. ',. - -.' "'" '/" CERTirl'CATEOF OCCUPANCY RE.ADY to ISSU'E . I I NOT READY TO ISSUE r' J DATE INSPECTOR REMARKS '. +~y~;~~ 11(1'3./7J ~ ~'&, /~~.. <7J--V() D. .~ ~""""'-"""""'" co.:. ~.\., >- . '~ !- ,'11 .-' ... "'../;NJ~l~E ". , ' ".;;J;~,,;,'" ".".",,;,,'.'_<'.,:' ::,;:~ ""~': ;''',. ,','; ',::.,::.:"',":'" ':"...,;':;~',:., . .;. ,!'\tANf 'COUNTY, 'BUlfDING,PERMITOR 'MOBILE.'''HOME'USE,...APPLlCATION'':,. .. .':,' ~""~, .." ,:~~iM'li:rYPE'.~ BtJJLDIN({d~~> ::;~'MO~IL~H~ME:D"o~d::'~~G.,~:'J......:.:;;.;~~: {::<~': ~iiR'Mli c~#::Y"?53:~";13 " ',', PR~~):'..'W/~I~,~~~~}D~RAi~t~.:. 'ld::~,:~"'_:'?~';:::J!l';//.:~P~Q:~E COt'lTRACTQR .. ..: :::L,~ ,:M:All:N;~;6DRES~:>"': , '... O:.c' ,'-'l ~''V..n' 'f:;,. ,;' ;','p' ,,',~~P'H~NE, 1,;,,;: ,,,.' ,::,:~{..;.:"t'"., ~',' ~:f7'g~:,-/x5;;j20>'"" ':siYt~~~OFFICE~,:~.: ,.,'., 'i"~:',~:.~:.,' '.. I'ROP'ERT'f' l'EGA~ DESCRIP.TI~~'.;'::+ ' ~';2;,:! ;~;j~'>il/~' " ',. ." '. ,;2.',~:..;._,. ':;'f':">~'."01"-.'~:,jJ.. '. ,;i' /?~. '~;::: 0: ;,,:--:;a ~ET~S &.""~bU~'Q~:D)'Es. lQT '- BlOCK '-. SUBDIV: , " J"~~ ~ 'AL>f.,,(.J.b. ~-pt:.,.,::, ,.cft.,,&.4~;{g - CP ~ .-? '. . , 'AT,T ACHEb.~' '. ,DN.o, '''LRANGE "',,}EC::,.,=2.;'t'..., ~:.::TAX3tcj5.1'#. , :,-, '''(.oDE .~" ".,,:,- . CENSUS TRACT. . : ,,' .' "3~Y " ,,".tPj:A~3~$"'''1:4~,':.~., " ",..,; ":.:3-$-'~p..;.;o .;-{,~;d~.S~~~:RQPER1Y IF ANY (::~<~;~;lEGA!j;~'ciES~. iQ.~R~,PE.R!Y ~'RQAo.~E 0R# .;;", , ,"::'~~i:;:~"./qil~~ '~:' 1,':~', "'''~PRCl,P,ERTY ~1.zE'-'WIDJH PEPTI:I,' , . j'J';':, "'~,' , A~P.lICANT .:, ,~,. ".~ ". ..; , , . , , .- : ".' .~': AND', :.' .>.;~. ~ .: <,\-. '::' MAIliNG '/j' '0\; ':,., ,.': ,::.~ ';;k:1idJ)j}1!4~~~~ ....,', :.- ~ , AREA ~~ ~ 'ADDRESS i( ":'~7""~~~' :L. "",.' , ~" '. FOR,MOBIL~ HPM.E'"P,ERMI1: ONL)":,'.' ~u'm~er:ol~'Bed~o:~h1S' ",",' ,}'7 " :STRUCTUREs,rOBE,IlUllTTHIS: PERMIT'; :..", ~J '. '. -, ,", '. -"~-" i'r"",.;,~,;,.>,~:.". ,~'" . " )~,~: qC?~,~~<t:ltb~J~i:~fi Ilg 'S~W~~e":Sys~el1l tJ :, "':-",!!~PE,C9NSTRUcrl5'N'> ' ., sa: FT.' . . ',", ~-.. --,'(-.i" "."~~., 'r:~" '':.' , .. , '., 'or New, System Req'; 0 : ,# &EDRQQMS "YAI.UA~IQN) . , : ," ':~',"""'..' "~,' ",,:,, 'fII_,";'r,;,(."\'L";~';',JZ)'_;/1':"d: .. .~:'."/"/..".~.'" ~. .:.. ~'L7~:":&,'."':""\ ":0 '/ti.... ."1.' Y:-: ~(;..:~~ ~li1~ ,":"/P.;-!" ~.~"'::' .."'':/J: (,,~ , .. 1'-' , :'. ..,.,.. : ':" ".~ '. '.' .,.-- :; ,d~~~ . '"\,,,,, fK:~;:;:',\;:J;r },;;;,;/~((~:, 1<.' 'it:~o: ,lldA/?1A~ ...):../ 0.-6: <. ,",.~""X;2.,Y,~'!',n..,~-'-..2~,. a '.'~"" S'3C3~ SEWAGE OISP.oSALt/' ,"" .." 1'.. J~' , ',.0" "'j'~",,;,",",-:' '...1".,'. .'" ">, , ".',..,",' "'PLUMBING '1 NSTAl.l.EO' BY' .... .'n. ,. ... , .. 'i:;Ko,:... '!.'..fji~~~..Ftis~:~lli:~~i2,~.:;;o:~::'f~f;),.)~~f~u~~(.t!E,t:t:T~, ',' .. .. . PLUMBINc:;' " ,.".' ""'~+U.MBING; F1:ES '- ,_. " "~.,,,:~~~~ArU,RE<1F'~r!.lCANLJ I) '--JJ", .--i~'D7.A~ 23 ,P[AN,R~viEW, .'. .,FI~TURES:.';'~: YfI.fI)ubJ.:J~ Il~' I.. ~':;; ~, .' ;i':PARKTRi.R~ :( :':JE~~~~~.,E.IVE~;,~~Y,' n '~<~;;, ,~~::;. 7' ".' . , ' ,". ' " , CHECK ,'I/j)A.':: ; "::::::~, ,",. . /':.~ ~.:7~ ~ , TOT"" ,;i,r;2~i:,~i'.\,,: ;~~~E~~~~'FE; ',:: "'~H/ 4S3j 8i<.. . .~ ,,'\' "," ';"-."'.. "b:~,UNTY:)3U1f6INGj'&, SAINITAiION"SPEC[FI~AJiQN.S',. MI~:, ~.~I':TlC rANK.CA.P.ACITY.~, : :.. 'DRAiN'FIELD REQuiRED., ''', ..,',_~':<' .. dWi'Tii 'OIST: BQX:'GA~;>.:~":< ' .. ~ ":: !.IN. ';~:' '>" j'R~NCH w'ldM:FT. .:..:,;' ':;R'''sQUARE'sFEEf", ,: .'..~.;(:/f~,';.:~~:J''fi',;',j,J~.:-;:~~~:"2.:.;~~~,.'.:':{:.;:,'j/l.;.:"Ii~."'~-.~; tf" n'....",~::;)!;~,;e~"/i;,>.,,i<~';.':, '>:-:"'.L2/J ".':" " A-W~" ,;1V"Pr' "":T~'r.'"cU'..y,IM,;kJ~.. .'. ,.A',;ttX..-- :,:Ii ,,_' . " ), '~6J..('.Tf{.", "~'::",', (j'.~"':-:.:~":>":?;r.;,"'~''''':~~',f:.:~;:f;:J<:~",,;\: "'I.i.t;,' .": ';':" ~:;" .". ':'~'.:'b;;:'':''-',,":':;;~~-,;:< . "';'.' ' ... ~', /.' ,I , .' .)' . ~. '.' 'zx,i' . Xi: .. /" . "" '>. . ..,"" , ., '".' , , , ~b~~~"~ "".T YP.}.. Q. .F. S.TRU.C.TUR~ '. ....,.;:"..~.. .........,..JI!"""..'....'.:.."'.i..; .~"../'.:'.7.."'...:,.:.:. ..'. . ..Q.qc.,-:-. U._..p....'~.... " '. '. "':~~.." ...Z..QN..~....... '. '...-..~,..~~'..;....:'.:."..R..'E~R. Y..f..R..[) ;:.'....' . '.', , > "'PUBl/SC UTI!.. 'E/' EM~~~ , ,..' ',' ,::,,{t'>,:'~...::J.:'(f! t~,'. ",.':,-,,' ~: i:,i, , ~ ": ...;',7.:Z8.,~~'/[di->/:;,:,',~:>".:" . '.. '. , ,.... ", \ ::" ~ ' .' BLQQ. ',SETBACKS -"F,T~ :"f_ROM. :~T.R: J OF'- RoAb. ~-~'G~r ,Of"~AY': ',. ~', . \'.';> ',. . <}....->..,.: . .'~ ~..?~j;;;~~::.~~;:?\:~MS(:CLASSIFIc;:AtJPN,", . . :,~~;~~';D' ,~t;;.;:('P:^~:f:i.~!XT: ; '.' o:/EA:L;~,~l:~':~:'.': ,:' '~ ".x?f..,... '."'0.... <JI~~a ''7~;Z7,ti,iL~,^~ ' 9f~iJ7i', ';ij,"'r~ 'I::N ~,';: ~1tl ~;3 ~;,e':;o"~ to'Fi"Oj'~~~~r~r-' " , ,', , · ,,' ,; ': " ,- 0):,,' r (', ,: '" t, " " " ' '. ': . .~.' -' - ~ '; ~ >t." ~. . . , ~ .. ~. ;. '- .; .~t -, ~ I.. . CQI'Y ,).,- o.FFICE . , CdPY 2 -:'.. J()URNAl ,C.oPY :3;+ AUDIT ..0;...,..... ,:" , ,."l' if '..:' ':, .'!>" '.. "; .i.,...:.:-:,.:; _;.:', ~ ", ~ ," ~, .' ';~~m'i,Cs5" 12' , ' <' '" ~~ . . .~....