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Permit Building 1973-3-23
_ " ~ '.'.~",' _. ',:_' ,.-~~:"J--,V,:,:-~~,r~, ';'_,'-,__.../'V,~~,-~''''''_''''''-:'~_,I":~~~;-~,~.,r,..,~_.,.;-..~),.,,-..,-:-_",-,_,~'>J;",-:...--...,..__........-..,,..,~^v-'-~"'->-<~~':~""':--- ,'- '-:::, ......-.""", _~~'\~~~ -',~~~-u:'0~~~"~" ~: . -- , . [~N~ C; ..' ~TY~~llDINc?P~rd:, M'ifsi{,OM~ us~ P~RMIT 'l/i: t ::. .~ 3 ',BUILDING Dr' " 'MH,D ~k " . " ,', ' ',PERMIT NO, 46l~~73Y, ,MAILING ADDRE~S ' '" PHONE 11 O~ M'e'~ 10 looDe,.' EU€lene.' Oregon 7~-216S MAILING ADDRESS 'PHONE, ~ , " ..,' -. {):,.".'~""', :.... 'PR~PE'RTY OWNE,R fllo'hp. A_ C.' CONTRACio~ .1-,....'.' . '.'. s~~~ ,; "1 ~ ", "PROPERTY LOCATION -;' 1,t~CLUDEP..ci,ST'~9~f;.!CE . '. . ~", ..j ,11 nc; Mpnln I'nt:ln, 'ElJ~ene; O'reClon, : PROPERTY' LEGAL DESCRIPTION - METES, "BOUNDS-' , . ',. . '":<~,i-.).l.11;'r.::~.:'\.,..~'" .'. .' j;X~.~~~ -.." :~~-:::- Q7401 D nO. , TWP' R11!\t'k' MAn10 Park' , R'ANGE SECTION ~ '.i1i3.3 TAX LOT NO, :II 7 o-t) CODE CENSUS TRACT 17 ' ApPl. ,NAME & MAILING '32-200 EXISTING STRUCTURES ON PROPERTY, . , - ~ " " ADDRESS _ r:1-,('!~n~;' n"t;:!~,=,ri, ~rik(lt~ FOR MOBILE HOME' PERMITS ONLY No. of Bedrooms , STRUCTURES TO BE BUILT THIS PERMI'!' l~iol; Menlo l(l(l)p '-~"''''''~ Houee LEGAL ACCESS TO 'PROPERTY Men 1'0' LooD" .':Jun i De~Lane ,PROPERTY SIZE - FT, " WIDTH 106' DEPTH 160 I ,'AREA ',' 'A. C. Nolte '..t,;r. " .' _ ~iO<L'.. . Connect to Existing: Sewage System D "";';',New System'D:,' TYIj',E CONSTRUCTION,: SQ, FT, # BDRMS VALUATION , 'r.a ra.n'p unr.F! r 1 Ad !Uln<'l r2tp. Frame 416 (ID 4 , J. 664 <I: OTHERD 17 no' FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME ~ATER SUPPLY Ra;lnbow PUBLIC CJ~ 0 ,OTHER ....'O~. . \; SEWAGE DISPOSAL PUBLIC 0 ' ;BUILDING WASTE DISPOSAL PLUMBING PLAN, REVIEW PARK ',TRAILER SEPTIC TANK 00 MIN, SEPTIC TANK CAPACITY, '<I: ,1"1 nn COUNTY BUILDING & SANIT A TlONSPECIFICA TlONS DRAIN FIELD REQUIRED TOTAL' WITH DIST, BOX: GAL.' E)( 1st S' lIN. FT 'TRENCH WIDTH FT. OR SQ" FT., 00 not dr ive.' oviu dra inf leJd'area during const.ruct Ion., :Main'ta in -lD' Feet, from all parts of the dri'a r\'JlfJ'~,'ld .a~,~, !"rt.'lperty'! f'ne ~with-.!1$w construction~__, __ _,__" h ,_ '( .i':/-' ,TYPE OF STRUCTURE OCCUPANCY 5' N " " ,!' J, ,BLDG, SETBACKS u FT, FROM CTR, OF ROA~RIGtH, OF WAy ~ '45 "'5 "unlper 40 FRONT c,,' ,SIDE INT, " ' ,'SIDE' EXT: " REAR AUTHORIZED ,SIGNATURE - DATE :/$1 J. Eo Boss by Harbaugh ZO,NE, PUBLIC UTIL. EASEMENT, USE CLASSIFiCATION 5' G~W.'Gray ,ft.,S. DAT~ 3":23-73 " BLD,G, PERMIT-WHITE' OFFICE, COpy - WHITE COUNTYITAX'- PINK 'c' PLUMBING"- CANARY BUILDING - GREEN SA~iTATION - GOU5ENROD . .. . Construction to' comply with uniform building code and county regulations cpvering plumbing' and' sewage disposal. All, buildings require a certificate of occupancy before being occupi'ed, , (See Statement' on Reverse' Side) ""'. ,. (j)OST THIS PERMIT~ <:- MA,~~ '~l9~': AT., SITE) " LANE' COUNTy, BLDG, &' SAN: :DI'i.~URT:"'HOUSE" EUGENE; OREGON 97401 " FO~M# C55-13 ,;, '..- . . . '. . ".,:' '1 ."~' . .-. . ' . BUILDING SITE EVALUATION l'r,. T /7Rt?3 ,S ;p 7 5AX LOT -'-'NSUS TRACV~.~' ' ~ /--~ /..-2/5-2- APPLI CANT:- - , NAME '~.F'd,(!,. '. " ADDRESS . ft Building Permit Application No.. ; (;): Site Inspection () Pre-Permit Investigation JdG~ ~~/-73, PHONE. DATE _ -) -;,;2t!} -~ LANE COUNTY PLANNING DEPARTMENT NOT NO YES NAME DATE app I icab I e ,(~~S J. Zoning Ordinance Compllanc~ < ) ( ) 3-21-73 (Zone~ ) 2. Subdivision Ordinance ~ompl iance () ( ) ( ,r-- 3. Required Access ( ) ( ) .,()- 4. Building Site (Area, Width, ( ) ( ) lJ-- Frontage, ' S~tback) 5. o t he r (see comments) ( ) ( ) ( ) COMM ENTS : au I LD I'NG INSPECTION SECTION NOT NO YES NAME DATE , appl i cab I e '~ 6. PI ansSubm i tted ( ) ( ) 7. So i I Stabil ity (footings) P<> ( ) ( ) 8. Flood Plain ~' ( ) ( ) (}~~','7-J-:2f3 9., Ot he r (see Comments) rJv ( ) ( ) COMMENTS: (/ SANITATION SECTION ~ NOT NO YES NAME DATE app I i cab I e 10. Sewage Disposal ('1J ( ) ( ) 11. Usable Area ( ) ( ) ( ) ..'.l~r Water Supply ( ) ( ) ( ) /1W/- - ,12. '. ,/ '/J''Z, 13. o the r (see Comments) (I, ( ) ( ) p ~~bZlr- -,- COMMENTS: TO APPLICANT: \ / f,' Your~ding Permit / Site In~'pection:~) <"-Y'Can be approved. ,:3-2~/'7~ () Cannot be approved at this time as indicated on item NO. above. Questions and further informat ion on i terns I, through 5 contact the Lane-' COUNTY PLANN ING DEPARTMENTo , Quest ions and furt'her i nformat ion 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 indic~ted. Is being re'turned. ' Your building permit application fee is being returned under separate cover. ( ) ( ) ( ) U\NE COUNTY PlANN I NG DEPARTMENT 'IV; Sixth !\venue East, Euqene, 'Oreqon 97401 t'IIIINI: 1/(.'-1 1 II I Xl. n I , , '--""L~~'Ei'COUNTY BUilDING & SANITATION DIVISION 13~Sixth Avenue East, Eugene,Oregon 97401 PHONE: 342-I3IIEXT. 41 I . .;- . ..._.,._.___ '. ,._~. " _ ~.~ . .w_~......,.~;""...~,.._,...:'__,_",.",.,_""~__,~,,,_,--__ ... .-,.. ....---..--.... .... . ~'~(~y ~':~~.n:- 'l-.';'~~'~"~::,v~.~,.~P!1,lfil'-~:rW~~~;:~rP~"~{ :{,'\-.:'~~_~~,~~'t.~".,,,,:':t!~~WWIi~~~r~-"~~~~~r*'" ~ ':;''',''oA'<'Fn'!f'':'J"'"., -:--'.;:'''VtF,~:;' .~L'''~''~ . ,. .'. ';: LANE Cl IITY BUILDING D~ BUILDING PERMIT OR MOBILl . iOME MHO MAILING ADDRESS HOS; ftt!fil~ l1'),."lO8 Efj,QtH-.e.. 'Oreoon MAILlI'jG ADDRESS .. USE PERMIT t~ PERMIT NO.' . PROPE'RTY OWNER I,i,',h!.<, .l. t: CONTRACioR t~~~,,:i'~ ; PROPERTY LOCATION - INCLUD,E P@:~T\;'8FfI('E t'H''i';;, I-,l.,,'lln font.. FUnPni'\. nl"J.i>.Ol"Ih ()7f40l PROPE"R"TYL(GAL DESCRIPTION - M'"ETES, -BOUNDS- tl"\1l-~) rUn,../'<i" iM4\tl1n p,,;rri,' Ti/l/p. RANGE SECTION .....:..~.~~....l' . TAX' LOT NO, CODE, CENSUS TRACT n ." ~ ':'r1 32.200 EXISTING'STRUCTURES ON PROPERTY APPL. NAME & MAILING ,t'l.. t~ ib1f'iP; ibutDf1 LEGAL ACCESS TO PROPERTY MenloLooo - JuntQCr l~ne PROPERTY SIZE',- FT, t IO;:;;t.iC!nln I~ ADDRESS .f.!un~"':;'> Ql."'iKY.lJl i),r;.OI FOR MOBILE HOME PERM..B'S};,ONL Y No. of Bedrooms , ' . ':--" WID:rH I!lGt . DEPTH 160t AREA 'L"",\ -:-~ \ -.. - ~ ,~'. , -..l Connect to ',Existing Sew9ge System 0 TYPE CONSTRUCTION 5'0, FT,. # BDRMS STRUCTURES TO BE BUILT THIS PERMIT '. . , - ~ ..... . . " .Q;;n..!i(tl!Il nnt!ft J tiAd 1!Il!r..,,'2;'tf~ . t:il"arre- ".lll' C\ ' '1 H.' ,~ Ii.f bJ '-,..1) ~"\' - l\ ,....\1 SEWAGE DISPOSAL, -.....) '~ .. PLUMBING INSTALLED BY OWNER D OTHER: NAME WATER SUPPLY n~fnbow PUBLIC []I! D OTHER PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLANREVIEW PARK TRAILER SEPTIC TANK @ OTHERD 1'1.,00 FEES ~ TOTAL ~ t '.L fltll COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN, SEPTIC TANK CAPACITY "'~, 461...'1; PHONE 14(....21(;::; PHONE New System 0 VALUATION, t ~:i (, , *'~.-.c~. ~ WITH DIST, BOX: GAL. f;t~ h~t$ L1N, FT TRENCH WIDTH FT, OR SQ, FT. ~('l not erhe \)Wt dr3'lnfteld ~ref1V d'urfA9 conJtruct ion. ~uintiJ.n', f~t ~,'r~) f:n pitrt$i G~,~ht. l:.kiJ}infJ0'd ilindf)rooertv tine wht~ new cOnttrtf(;t Ion.. ('''', ",_.,J , ,~ "\,' ~\ -~\ OCCUPANCY J ZONE ' PUBLIC UTIL. EASEMENT " TYPE OF STRUCTURE . c; fJ' BLDG", SETB. ACKS __ FT, FROM CTR, OF ROAD.I.~IGtt.,T.. OF WAY, , .;:, ..t.j" ~ v~rn.,.,~I> 1.1'\ " FRONT "t;:J SIDE INT,.... SIDE EXT, "WV AUTHORIZED SIGNATURE ~ DATE lsl J.~. 80S$ by HarbG\tgh REAR ~.. 'v USE CLASSIFICATION Q,.W..Gr4Y. t,.$. DATE ,3..:J~.IJ 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' certjficate 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 55 - 13 ., " ,"j A ;t ?~, .. ~ -;...: .r. ~ SITE I NSPECT I ON ApPROVED ,/ /, DISAPPROYED.I / DATE I NSPEC"TOR REMARKS, v A,PPROVED / '--(',01 SAPPROVED / / DATE ~":/?~ 73 I NSPEcTOR;d- FOUNDATION INSPECTION RE'MARKS FRAMING INSPECTION ApPROV~D / ~ ,DISAPPROVED / / DA TE, 7--/0 "/3 INSPECTOR ~' REMARKS LATH OR SHEETROCK INSPECTION ApPROV.Eq / I'DISAPPROVED / / DATE INSPECTOR .. REMARKS l 1 I -I FINAL'INSPECTION <- /' / ?..;:; P~I 73 ApPROVED / J;// DISAPPROVED / / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY 'fl(:: /-- 1, j / / NOT READY TO ISSUE /'74 ~ "..;;;? I ~ .f#t,I,'l,':/~,. '; ./ V -- * -'" 1 : WpUf"> ,~k '. ~r /, ,/ DATE INSPECTOR. READY TO ISSUE REMARKS .-.., ~ " . ,.". '- "R!q, '. ' . r~if" , 3~ -,]<6(} ".";.',',..",, ".,-e ,',::-..,,:' . ,~. "!'!>- \ '. . " - ". ~ ,. -'" '- .' . _ .-:' -. , . - . .. . _' -, '!' . .' 't~ :.. .' . . _ ... ~ .., lANE COUNTY'BUILDING PERMIT OR MOBILE, HOME, USE ,APPUCATION' ,"", " 'PERMITTYP{~.t BUllDI:NGO:"'M'OBIL{ HOME,dos~ RE~,'#;',"'''', d " .:."PERMIT #, '-4(6Y;--f3 ' PROPERTY 'OWNER ".' " . " ' , , ", MAILING ADDRESS' "...,' , :, ':- " "", ' , " ','PHONE ,', ....;:1, 'C'N(y.~Ar~"- ;:~ ;10 S-l1e~/d~'~"bO~ ':.E~t;~P:n'P':7'~"2/~( CONTRACTOR. ' , , MAILING ADDRESS . :: ";,, /. '. ' ''.''~;, ',/':, .. ' 'PHONE ,S01~:',~ 'j "" S~" "',~ PROPERlY LOCATION:':" INCLUDE POST OfFICE ,.;, , . ,,",'. , ";:'" ~ ' .., , '" /Id's-- Iv'/:e'.",'/n ',fk.,~.:::'/,P , , E U~p_;' ~,,~~(JJ;"'e '" 4,7:4<d:l, [~'~R~i~~~~~~~:~T10N ,'i2V--i-"8~. ~ :Jt;~1>Ji .,'.i'. . ", .... ;:T~;'~c~~ND:g.~~' TWP" :', ,RANGE ",' SEC: ' , " " ,:TAX- LOr#, " CODE' ,. " CEN'SiS RACT'" .' , 17~..,' ..]. ,:':' ,""'j>',c::?; 7"'.<;:' ~': ': "', ".:-- '," DESCRIBE ~XIST~~G"STRUCTURES 1 PRo~;7F':Nf-O (j MP,L",I,CANT,';' /1', " ,c'. ': ,JI""'" 'o"_"r,',"'7,",~':D,',""."" If " .. '-- L.-: . " "~ ",:,~."S' e..,. , , 'NAME' :..' ' ~,., '. '. ": " ", ' ' ' " 'AND" "', '" ',,', /IA' ,;. ", Me' ',,~,:,',~/..,"'A,' ,'::>"/,'",',"~,;,,' --,",>/.c7 '~4AL ACC~SS T~;PROPERTY '::'ROAD ~E OR #, . /_ C/ -v /'/" I t:- -'" A ~ V'/ ,'.. ' , '/'1 e'h/d 'h:,b< p '-' v U?J,/)?(2,/'- '~7? e. '.MAILING' ". ',' " , , _ -: . , "",;, PROPERTY :SIZE-WIDTH " DEPTH I AREA .." ADDRESS',,'pv'je?1e~~'t'77,:/tr/ "<. ":: lie',,!, r~ j~ 0 ' <FOR' MOBilE HaME ~ PERMIT 6NlY' .', :," _ ~ . "'..,"', ' " 'Num~er of Bed,.o~lTl~ ~:'.. ' , , edn'nect to"E)(isti~g" Se'v.i.cig~'Syst~in Oor New System Req.....O STRUCTURES TO BE BUILT THIS PERMIT ",,' TYPE, CONSTRUCTION.., ',' S/~ :T;.., ,6" ',11 Y E~ROOMS'/,V./!..,~~A, TI~N; 7 :',Oa Y\. ~ ~,'p',' :/A/7/r"',',(-', P/;'i!G)r, e '7/J::1 ~ lP f:? 7' ." - , ./ . ,~,,"': - ., '. I "- SEWAGE DISPOSAL, ," f7-1/1.~-:t;', ......:".' -"Jt ".' .~ ," , ,t .. TOTAL '. / /. vI) 0, , , t:':" (:_':4-e~'I!~/f~ r,: 'PLU,M~ING dNS~ALL,ED BY 1'-, ',., ,/ , '" ','- OTHER ,0 " -, ' .. OW~ U UIHEK 0 NAME FEES , '.WA~ER SUPPLY: LJ.A~A~ ~ PLANS FURNIS~ED , . ,PUBLIC' g{ ~HER- - "', YESX NO 0 ~. ..:" r:~,~,~BIN'G FEES,' /7 : "/v ~MTURE/O!.)J'PLlCANT "," ,FIXTURES I/,'v /IW~ , CASH )l(~'E'W'E~" " ,'" "...' _ FEE REC~EIYED BY. CHEC~ tr' CONNECTION 'FEE ' ' , ,: 4-U ,. , :' " .,PE,RMIT 'P-,. PUBLIC'\VATER . r '. ',: CONNECTION FEE " :..: ,4"~ /-7.::J' , FACILITY PERMIT ,".. .:. :. PUBLIC 0 BLDG. 'WASTE DIS. PLUMBING PLAN REVIEW PARKTRLR. ,4:, SEPTIC ,T~NK ~ , /-z.~J) 0 I., _ ;h.:.U " 'M0-El- ,DATE ' ~:?..:. ~t' ...;,7J ", DATE, , 3 ~;;}CJ---]3 , , , ,MIN, SEPTI~. TANK CAPACIT~ :. ~:,~,.f:-J, , WITH DIST. BOX: GAL ~ _ ".,IJ/J~/.,.;fL.~L_~~'~u~, ,.~~ ; . ',~~L;)ll,:,:(Ahtf~ ,: ',: ;,t~ ,', 'ljfi~~,///jt-.hv' , ./ ,'~ti:w,,',~~,'/()#' '~"".'~~,'. -"d~:,,:>~'~,~','r'A/,." , ' ' .- ( I, I (.;'" ," / . , I ' ,,' (/ f' " , ,,':'~ i~"'~~) ',~~~~" ,", .," , " .', ,TYPE,O' STRUCTO',E', ,t 5JW'.' ..." ,. ','"'.O.C.,,.5\jNcr 'ZONE REAR YARD,' P\jUC UjEASEMENT Me1i~ ,~ETBACKS - FT.;FROM CTR, OFROADRIGHT:56t:'(~ ' , , USE CLASSIFICATI.ON ' " , FRONT,.?tO SIDE INTS~',:~, ,'_J . 'SIDE'EXT, Jitfo ~AR. m~ -~"" _u'~ d' . '".. S~iARIAN ~../, " .. . . D.'. ",ANN.I,NG_"" " ' '~ole :'.BLDG,INS.Mh~ ' ' , , ' Dole ;;rJUl~ ;]-J)P;(] /J1ts, 3- Z/~73 . r;qu<-_:/" 3-.2 20- V . 'Dir~cti~ns:o ~r~perty: ': ,,: ,.~ ' -, V' :: " 'COUNTY'BUILDlNG &' ,SANITATION': SPECiFICATIONS ,'., DRAIN' FIELD, REQUIRED' " "1; ~ L1N. FT:, , 'TRENC:ii WIDTH FT, , OR SQUARE FEE'/, '.' COpy 1- OFFICE COpy 2- JOURNAL COpy 3 ~ AUDIT .." ..... , ;, . ~ '.", Form # C55-IZ