HomeMy WebLinkAboutPermit Building 1973-12-5
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PROPERTY, OWNER
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BUILDING PERMIT OR MOBILE
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MAILING ADDRESS
)ME USE PERMIT
PERMIT NO.
2264.-73
PHONE
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PROPERTY LdcATION --INCLUDE POST OffiCE
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6n '11-101'lsfie-ld. S;)ri~~fielcl.
MAILING ADDRESS
Oregon
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2874 North (5 tho SPr InC3field. Or'ei:Jotl":;~'
PHONE
7~6~6230
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS.
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Lo t 1 Ill! rick
17
7 '~n~ Qddlt'io~ '\".:6 Ravo1 RlleitG
RANGE ,SECTION TAX LOT NO, ',CO,)~,' '
()~ 1 :2'rl ~,~~ J II 2,O"V
EXISTING STRUCTURES ON PROPERTY
CENSUS TRACT
TWP
2-106
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
Iiw i C1ni:, ~!eS!;m)
DWe' nri~ nnd G~fOgEl
LEGAL ACCESS TO PROPERTY
Mans~1i sid '
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to. Existing Sewage System 0
TYf,',~ CONSTRUCTION, sQ, FT, # BDRMs
New System 0
VALUATION
~sr~a~~0ttmched @~d uncalled
~ r al1i.a 'f
4(>>O(@)
1 . 200 '
( No IlDOSt of construction. lncVudlnQ roof o\1crhan!'il. ~o 'LOrQjectin~o 1 H. P.lI.E.)
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANK 0
BUILDING .It '
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
OTHERD
12.00
FEES
PLUMBING INSTALLED BY
,OWNER.D OTHER: NAME
WATER SUPPLY'
PUBLIC 0
o OTHER
TOTAL
t
t? ~n
COUNTY BUILDING & SANITATION SPECIF.ICATlONS
DRAIN FielD REQUIRED
1 '
lIN. FT TREi'lCH' WIDTH FT.
OR SQ. FT.
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
No Dart of new ,coostructionOV0rsubsurf8CQ sew~gedlspo~~i syst~AI
TYPE OF STRUCTURE
OCCUPANCY
ZONE ','
AA
USE CLASSIFICATION
PUBLIC UTIl. EASEMENT
.Ii N J
BLDG. SETBACKS _, FT, FROM CTR, OF ROAD RIGHT OF WAY
FRONT
45
REAR
7
SIDE INT. 10 SIDE EXT, 5
AUTHORIZED SIGNATURE - DATE
Is/ J. E. Boss bv Charles tllaebauqh
Jo~m Shook!) sanitiJrifln
DATE
l2,.,...]3 5:9
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply ";"'ith uniform' building code and county regulations
c'overing plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied.'-
(See Statement on Reverse Side)
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, , FORM # C 55 - 13
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,(POST THIS PERMIT ON MAIN BLDG, AT SirE),
.LANE' COUi'lTY. BLDG.. & SAN.. 'DIV.., COURT HOUSE.. EUGENE. OREGON ,97401 '
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~UILUING SITE EVALUATiON
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<X. Building Permit Appl ication
'() Site I nspect ion
() Pre-Perf)1it Investigation,
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No. d;)Car-73
T_1. 7 R Q3S.;23 TAX lOT
C m TRACT, , , "
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AP.PLICANT:~_
N/\ME " ~~ "
ADDRESS C/~....T€--S.5tp
PHONE
DATE 11-0)/-73
L/\NE COUNTY PLANNING DEPARtM~NT ' .NOT NO YES NAME DilTE
app I icab Ie a . A+ L-:Z7
I. Zoning Ordinance Comp 1 i ance ( ) ( ) ( ---r
(Z~>neg4_ ' ) j
, ,
2~ Subdivision DrdinanceC6mpl iance vr- ( ) ( )
1 Required Access ~ ( ) ( )
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4. Building Site (Area, Width, ( ) ( ). (~
Frontage, Setback)
5:- o t he r (see comments), ,. ( ) ( ) ( )
COMMENTS:
BUILDING INSPECTION SECTION NOT NO YES NAME
app I icab I e
6. Plans Subm i tted ( ) ( ) ()(}
7. Soil Stab i lit y (footings) (Vl ( ) ( )
8. Flood Plain ~) ( ) ( )
.... ~ to
9. o t he r (see Comments) ( ) """ .
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,
DATE
12.-y-'13
SAN~TATION SECTION
10.' Sewage Di~posal,
II. Usab,l~ Area
12. Water Supply
13. D t he r (see Comments)
NOT NO YES
app I i,cab I e
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() () ()
() () ()
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COMMENTS:
\'l\ ~E(\ \\ DATE.
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TO APPLICANT:
Building Permit / Site Inspectio~CdL
Can be approved, 1c:2 - c(-73 f/<Jr-
Cannot be approved at this time as indicated on item NO. above.
Quest ions and further informat ion on items I through 5 contact the Lane-
COUNTY PLANN I NG DEPARTMENT 0 Ques 1: ions and I'll rt he r in format i on on, j tems 6
through 13 contact the Lane County Buildinq ~j;ld Sanitation Division.
Will be held in this office until you ea'n resolve the problems indicated.
Is being returned.
Your buiJdinq permit applic<Jtion fee is being returned under separate cuver.
Your
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l.ANE COUNTY Pli\NN I NG DEP/\RTMENT
136' ~j)<tll Avenue Ec't:>t, fugellc, ()"~9t>n
l?t1()N~ 341.. IJ II EX I. 2'3' '
97401
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LANE COUNTY BUILDING & SANITATION DIVISION
)31) Sixth i'lv~lue East, ElI~lcrH'. OlcCjon 97401
p IlLHJI~ : J-Lj 2 - 13 II f X 1. lO .I
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LANE C( HY
BUILDING }~
BUILDING PERMIT OR MOBILl .OME USE PERMIT
M.H 0 PERMIT NO,
MAILING ADDRESS
" t tt:msF k.,g'd~ SrJl"lnp.f'f~hj. '8{,;(:'~;n
MAILING ADDRESS
2F..1-4 1-.:r:Hj'th 15 i'~~ft" $P," fnq11h;..!d1,. €h~~'rit;)t~
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PROPERTY OWNER
t;;2G4-73
PHONE
f"[,t~~rf~ ~ H'~t'il'';1 I)"
CONTRACTOR .
PHONE
7.ij6..-6~)~
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PROPERTY LOCATION "':'--INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION.,... METES, BOUNDS
~J i~ G M fJid1 "1 2~'un <,':.ltH't rem l!:~ t~~1'V;~' iie 1 b
TWP RANGE SECTION TAX LOT NO,
CODE'
CENSUS TRACT
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H!l
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APPl.
NAME
&
MAILING
ADDRESS
FOR MOBILE' HOME PERMITS ONLY
No, of Bedrooms
~tO~1f JliU!l5'''~)
-S-i
\ \' -~\ ~ \
EXISTING STRUCTURES ON PROPERTY
~flnn nne G~~~9~
LEGAL ACCESS TO PROPERTY -..",,\.
ftml$'iel.d .
PROPERTY SIZE - FT,
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYpE CONSTRUCTION SQ. FT, # BDRMS
(l~rd(le..."tt"jehed
cnrli U;l~;C t !t1d
~
t:r~" .}f4l!J;
t~o e ~
New System 0
VALUATION
':i :;'~;O
~'V ,~\ _ (' \
"""~ +, ~,
{ iJa It1Jt,st of (;onst~'u~;t M;Q~J" D(nelit;J,cl~nr.l roof oRrfrn~ F\'t1)...tfl'\.O~~~~'~ ~~;i:' ~..U. ~:,.'
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SEWAGE DISPOSAL
t
OTHERD
~n:.UO
FEES
PLUMBING INSTAllED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
,PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
PUBLIC 0
o OTHER
TOTAL
~.
t\1L H(~
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
MIN, SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL
lIN: FT
TRENCH WIDTH FT.'
OR SQ. FT.
~lr,~ J).:,re of n"-w (:,~:"1\;tnJ.f)tEQ!1Icv~r' 'st.,~surfl;..ce Uil!lwz:glii rHsp.$:~ll m~;tH;~;nl . ,
TYPE OF STRUCTURE
:3r~
OCCUPANCY
J
ZONE
R~\
USE CLASSIFICATION
PUBLIC UTll. EASEMENT
BLDG. SETBACKS n FT. FROM CTR, OF ROAD RIGHT OF WAY
FRONT 4.$ SIDE INT. ' ~O SIDE EXT. .S
AUTHORIZED SIGNATURE - DATE
!s'/ J.l;:. alJSi$ ~y eh ides U ;rb,"ttuh
REAR
'i
DATE
l'or;n ~.,r'lit',(lt.;. ~F;n it ,d :"11J
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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 certificate
of occupancy before being occupied.
*., .
(See Statement on Reverse Side)
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(POST THIS PERMIT ON MAIN BLDG, AT SITE)
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LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
FORM # C55 ,13
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SITE INSPECTION
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ApPROVED /. / DISAPPROVED / / DATE
IN?PECTOR
REMARKS' ,
FOUNDATION INSPECTION
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ApPROVED / ,. / DISAPPROVED /
.1 NSPECTOR
.tZ
DATE 1 J. ._/".... r 1
/
REMARKS
FRAMING INSPECTION
ApPROVED' / y I- DISAPPROVED / / DATEIJ.- /8"/ 7J
REMARKS 'fkA,~II~~lg~'1~!1-
/
INSPECTOR t2
...
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE"
INSPECTOR
REMARKS
/
FINAL INSPECTI~
/
,ApPROVED / /' l DI'SAPPRO,VE,D j,
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REMARKS
I D'''p' 'Ii "NSPEEro,
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CERTI F I CATE OF OCCUPANCY'
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
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V':., LANE COUN."gUllDING PERMlr'ORMOBllE,'~r ~.USE APPLrc:Jl.rioN "
" '. --:"PER'~IT TYPE -',BUILDING d : MOBILE HOME o.os~ RE~:~, PER~IT:# .~d ?L/- ?..3
Pr>7Ye::Jj ~ ;(JAILING A~SS/ /', ' "Yn~~~;~:4 ~/, d~ PHONE
~.CTOR,' '...',: ,,~, //"AILlNGADbRES~ "//~ ~'::~'C~/~-~ #~/~ PHQNE
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~ROPERTY LqC:.A~N--II>4'CLl]DE PO,STOff E. '.' ' -,' ',' ,'. '. "'::;.;"77it-~~.30
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P.RClPERTY.LEGAL 6ESCRlrTION ."....\.-/ /.'./"" .;:...L?.#. / .7" '...,. '',--.. #~. " .
LOT-BLOCK~.SUBDIV. /?f~~ ";~',"'-., ~........c..6l' .
TWP.' . ", RANGE /:" , ,.., .SEe. . --,' . TAX LQT'#"" " C9DE ,.' , ',." E US TRACT
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,A~:L~~:NTL~~~~.i DESC~~;72~u UR~S~ PROPERTY
, , ' ." If L~~ESS TO PROP>>",/, ~gAD ME OR #
AND .. .. , .,': ~~...!::://; ~
MAILING ...." . <~;, PROP~~~,~ S~~E.:::-W.I~ . DEPTH
ADD,RESS . . , "
AREA
ONLY'
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SEP11~ TANK ~THER ~n
/ ~ liJ 0 FEES. WATER SUPPLY
.' ,PUBLIC t1l('
PLuMBIN{; ~EES
System' 0 . or New' System- Req, 0
SQ. FT:. @.JIEDROOMS V~LUATION, .
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Co'nn'ect fo I;xi:sii~g:c.S~~age
TYPE CO~~TION:f.,~;:f.~'l.':" :."
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SEWAGE DISPOSAL'
PUBLIC n'
PARK,i:,TR~R. :,.:;' ,;,::
FIXTURES
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CASH 0 ... ER
'CHECK ~NECTION FEE
lLUM.~!~.,GJNS!ALLE!? BY
,b~>I<~:~',iLJ"::~ -':"~THER,_U r~~ ~.
PLANS ,FURNISHED FACILITY PERMIT
, ':yf~;~:.~'f .....: ~q'(h.'. YES' 0'. . NO~'
. ~"~.'~,'C?~~. '.,~~~.,R;~, ~-J-: ~~jb.lC.l~T. ' ' _ ;,' . '/7 ~ "' DATE J
%:.!1Y)::-'dIA'r' '16/~......-- ///:':9/73.
," , .: 'FE,.E,,~~CE.i ". BY" . (I~ ' /. ,~JA'fE ' .
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COUNTY 'BUiLDING & SANIj:ATION SnCIF.ICATlONS
DRAIN FIELD REQUIRED ,'", ~ .,:' /
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TRENCH'WIOTH.Fj, ~>, :.'. '. OR' SQUARE FEET ../ '
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. .. . ' ". . USE C~SSIFICATlON
0;(
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BLDG.'
WASTE. D[S;f, '
PLUMBING'J,. ,
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PLAN '''R'~VI'~W ,,'..',..
TOTAL
;'J;)IOtJ
PUBLIC-WATER
CO~NECTION FEE
. MIN;"SEPTIC TANK CAPACITY
. :.y-" ,):' '
wlfH~DIST.;' BOX: GAL.
:10.,
UN. FT.
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TYPE' OF S~RUCTURE :.5}/ ",,~ ~CY.
. BLDc:;,:SElBAC~S,- F,T" FROM CT~. OF. ROAD RIGHT, OF wAY 'f
~RO ~l .' '. " . SIDE INT, .:lltS t , ,SIDE. EXT, ,5
S'A J N : . ^ Ii. ale PLAJ'1rING~: "
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Dir,.ctions to Find Prope'rty:' '.
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COPY ,1 .".. OFFICE,'
COPY :2',-' JOURNAL
COPY3~ AU.DIT :
Form it. C 55 -12
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