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HomeMy WebLinkAboutPermit Building 1973-12-5 u")7~:'%-'~;;~~ :"~'~/l :~~ ~ ~ '. c;1' - . ., 7 "'~{ .., LANE CC' TY .~ . BUILDING K~ PROPERTY, OWNER ~)... .. . 'to,~/'" .~~, ~\,-/ :/1(7fi <:r'-/-::.:":-:> ,'- 'Q '., if "\.,..r ,../'" \:. ,~.,,/~... " BUILDING PERMIT OR MOBILE J' , MH 0 MAILING ADDRESS )ME USE PERMIT PERMIT NO. 2264.-73 PHONE \ Ptl"/"(:Jr'lL Mnrrv ~ , :\N~:A~C;::~,~~ ~ ~ht . /' ; , PROPERTY LdcATION --INCLUDE POST OffiCE r~ .. ' ' , 6n '11-101'lsfie-ld. S;)ri~~fielcl. MAILING ADDRESS Oregon , , ,,' """!V'~J" \,' ~f ~'t~,~",1r;\' 2874 North (5 tho SPr InC3field. Or'ei:Jotl":;~' PHONE 7~6~6230 PROPERTY LEGAL DESCRIPTION - METES. BOUNDS. \ ' 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) , , ~,"if", " ! I ~;~ f~:~~;..L':' J \:,,-(':' , , FORM # C 55 - 13 ... '>., ,(POST THIS PERMIT ON MAIN BLDG, AT SirE), .LANE' COUi'lTY. BLDG.. & SAN.. 'DIV.., COURT HOUSE.. EUGENE. OREGON ,97401 ' 'I/-I<,.t~",j_.t', t...,.: "".~_ '''''';' :.i'.' ",-':,,:i:'l,:~.., .,~..'{'J.~.,{,~.'.::J.lli;,:";..,,,..\..nt';~'\lJ'.lil:'i.'I , " '.~ .\~:";y "1 >: .....~~-'[-t1(,~f~ t.....,i1~ t;.,', ,(!<,~d\'~~~~';~;'1 , , '..\,., . ,~ .; ,~'! ...:..-L--..... _.;-..... ~UILUING SITE EVALUATiON ~y , Ll-cz rha. ~1~~ <X. Building Permit Appl ication '() Site I nspect ion () Pre-Perf)1it Investigation, .~ No. d;)Car-73 T_1. 7 R Q3S.;23 TAX lOT C m TRACT, , , " , .&9y/".c. .2)~/ / ~ ;2P,o /I~ ~ -/ 13 - 7 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 ~ ( ) ( ) .J . 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) ( ) """ . _ A AI..JI ? , 7",e:,r I~ II'. e. , 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 () (), (,) () () () () () () (\ () () COMMENTS: \'l\ ~E(\ \\ DATE. rJ" ~ J2h/7G 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 ~, ( ) ( ) ( ) ( ) 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 , 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 --M"s 5 :.ZS---.d-..-.'-- r"r"~""'-?";,ZA''''~.''{;"W . ~,,--....--- , ~ .....~-~- .~-:~:?~~,~~~~II~~~~t:e~~~~'-~I!CVIfJ~'~ti!~~'~~~~!~~''ti,~:~ ~~:.."'A~,:~: f~,::.1~4,~~~~~~,'!f~j.;~~,i'{li::_~ ..:--_:i-~~. :. \ ." ~/ '" . ;k " 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" $P," fnq11h;..!d1,. €h~~'rit;)t~ " PROPERTY OWNER t;;2G4-73 PHONE f"[,t~~rf~ ~ H'~t'il'';1 I)" CONTRACTOR . PHONE 7.ij6..-6~)~ . .~",m!.f'.n. tM~d/~: '~:';j :~~~;.~,; t. PROPERTY LOCATION "':'--INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION.,... METES, BOUNDS ~J i~ G M fJid1 "1 2~'un <,':.ltH't rem l!:~ t~~1'V;~' iie 1 b TWP RANGE SECTION TAX LOT NO, CODE' CENSUS TRACT '~ fj) H!l ~~ .. .~~ ""-10' APPl. NAME & MAILING ADDRESS FOR MOBILE' HOME PERMITS ONLY No, of Bedrooms ~tO~1f JliU!l5'''~) -S-i \ \' -~\ ~ \ EXISTING STRUCTURES ON PROPERTY ~flnn nne G~~~9~ LEGAL ACCESS TO PROPERTY -..",,\. ftml$'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. ~:,.' \ ""-., 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 .,." "'" "t" ~: t~~~"'(f ~Ji 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) , , , t ~ ", ..' (POST THIS PERMIT ON MAIN BLDG, AT SITE) .. LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM # C55 ,13 - .-/', .... j,~.J,jj't~"~"l~,~""1{:<f':l"l1-' ::...., .~'. ',\,!t1 ,,. .'"\..~,.",'; :L:;),-"'h-:o_.:.!"<y:~?_;,.:r-.o;,.~~",\;t.(~ .:--:~. :,~..,.'~~.....,..'-. :'_......-.........,..,.-~-.~~- ,~.". ',.>;.'" :;'r~':"i:;~ :;..;..{>-~ ~,,,~,;. ...'" . '. , ~J SITE INSPECTION 'r j I ApPROVED /. / DISAPPROVED / / DATE IN?PECTOR REMARKS' , FOUNDATION INSPECTION /.' 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, I I I j, REMARKS I D'''p' 'Ii "NSPEEro, / CERTI F I CATE OF OCCUPANCY' READY TO ISSUE / / NOT READY TO ISSUE / / DATE INSPECTOR REMARKS '. ~JJ.~'1.'1~ . 2--". I. F~~ ;;~ ~/' /()l> /" ,./' ...._~;-.;:~;-~ ./ ,,\.~ ~ (, 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 ar/4'OJJ?,. ~'" .;;IJ77r.r: //~/~. , ~ ~ROPERTY LqC:.A~N--II>4'CLl]DE PO,STOff E. '.' ' -,' ',' ,'. '. "'::;.;"77it-~~.30 . \'. A . '.1;,,' .'" ' P.RClPERTY.LEGAL 6ESCRlrTION ."....\.-/ /.'./"" .;:...L?.#. / .7" '...,. '',--.. #~. " . LOT-BLOCK~.SUBDIV. /?f~~ ";~',"'-., ~........c..6l' . TWP.' . ", RANGE /:" , ,.., .SEe. . --,' . TAX LQT'#"" " C9DE ,.' , ',." E US TRACT 'l~'.: .:. 3../::?3 .,... .., d-1oh ,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' ,. , r'.' .., '~ , ,,I., '. t, .. 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, . ~t:m. '. /,;;), CJ 0 '..J4~~~;' ~~~~~-- ~ ;,~~.~ ;<~:'.'i~":" ~ I -7'--r -, /~~C-, '.';'" ' , . . ~ r . , . ' ' . , , , '" Co'nn'ect fo I;xi:sii~g:c.S~~age TYPE CO~~TION:f.,~;:f.~'l.':" :." "'/~'" SEWAGE DISPOSAL' PUBLIC n' PARK,i:,TR~R. :,.:;' ,;,:: FIXTURES . . , ' 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 ' . , j . U //;2~/1J ~RM'IT. . ' " 'H,~_i:, :" ;?~~ t/ - :;3 .' COUNTY 'BUiLDING & SANIj:ATION SnCIF.ICATlONS DRAIN FIELD REQUIRED ,'", ~ .,:' / . ' ,.,;, , /. TRENCH'WIOTH.Fj, ~>, :.'. '. OR' SQUARE FEET ../ ' C~~-y'f/;, ",~W/Y- ....'S7Jg(..... ". x'. . .~. :~ :"~ I,' . ;'t ' ., ,'~ ~ " . , ~ ":', . ~";;Nii; ,;':,...: . ' REA\Y7 ' fUBLlC,UTIL. EASEMENT . .. . ' ". . USE C~SSIFICATlON 0;( ., BLDG.' WASTE. D[S;f, ' PLUMBING'J,. , .," .,..' -, ~ PLAN '''R'~VI'~W ,,'..',.. TOTAL ;'J;)IOtJ PUBLIC-WATER CO~NECTION FEE . MIN;"SEPTIC TANK CAPACITY . :.y-" ,):' ' wlfH~DIST.;' BOX: GAL. :10., UN. FT. ;:'-.Q,'i" . J .'-\, "1, . ..~(..., . f~V'+ "-P" ' , .... . ,t). h'eu) 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~: " ~. ,')J. 7qVW,~ ( , . :' I i:J .... ,- Dir,.ctions to Find Prope'rty:' '. 'V. '. , 10- "j' .... I REAR" 7 ' _ II );;"1;WO 'NSP~ ~ 6111.-1/ -~3" !:,// ,~~~ ..#M/_ , '. .' :"dP:'":' '.' ..~. , :. '''~'".,,~':j~)'f'':: ":-' ',' :. , '."1 COPY ,1 .".. OFFICE,' COPY :2',-' JOURNAL COPY3~ AU.DIT : Form it. C 55 -12 ., .