HomeMy WebLinkAboutPermit Building 1973-9-18
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LANE COUNTY
BUilDING [ijI
BUILDING PERMIT 'OR MOBILE
MH O-ll; .-
MAILING ADDRESS
,-
1'14 Isla~d St, Euoc~o. Orc~on
MAILING ADDRESS
~-.,
HC.~ ~'ask. ERMIT
, PERMIT NO
~
"
PROPERTY OWNER
Al."It1~r~nn_ [tnlltnla.t.h
CONTRACTOR
. 1 I 1 ~l-
IS03-1'~
PH?NE
71~-2023
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
n"t Cpntonnl~1 to ASnon St_. south on Aseen ~JO blocks. left on IsIDnd St. 2nd lot on rlqht.
PROPERTY LEGAL DESCRIPTION - METES BOUNDS
~nrden RrAvo 5Mb-Dlvlsion Block ~
TWP RANGE SECTION
let 219
TAX LOT NO
CODE
CENSUS TRACT
17
01
14.2,2
219 19-03
EXISTING STRUCTURES ON PROPERTY
30-300
APPl
NAME
&
MAILING
ADDRESS
FOR MOBilE HOME PERMITS ONLY
~
p No of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Homo
LEGAL ACCESS TO PROPERTY
Islcmd St.
PROPERTY SIZE - FT
WIDTH
DEPTH
AREA
Connect to EXisting Sewage System 0
TYPE CONSTRUCTION 5Q FT ::!: BDRMS
New System 0
VA,LUATION
Pnttn r..n\l~r
16' " 24'
FrElms
768 G) 2
.~I~tina ~mncrGte inundation
.
OTHERD
R nn
FEES
PLUMBING INSTALLED BY
OWNER D OTHER NAME
WATER SUPPLY
SEWAGE DISPOSAL
PU BLlC D
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK Or
PUBLIC [l]
o OTHER
TOTAL
.
f1 nn
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN SEPTIC TANK CAPACITY
WITH DI51 BOX GAL
LlN FT
TRENCH WIDTH FT
OR SQ FT
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll EASEMENT
V ~J J
BLOG SETBACKS UhFT FROM eTR lDF ROAD RIGHT OF WAY
O.K. ElS s C~~ on p ot plan.
FRONT SIDE INT SIDE EXT
AUTHORIZED SIGNATURE - DATE
USE CLASSIfICATION
REAR
DATE
151 J_E_ Doss bv White
R. Coots. SElnltarlan
9-18-73
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
covering plumbing and sewage disposal All buildings requIre a certificate
of occupancy before being occupied
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG AT SITE)
LANE COUNTY BLOG & SAN Drv, COURT HOUSE EUGENE, OREGON 97401
FORM=C5513
LANE COUNTY BUILDING & SANITATION DIVISION
135 CAST 6TH AVENUE
EUGENE, OREGON 97401
YOUR BUILDINGI ~ HOMEI ]PERMIT IS BEING HELD FOR THE
REASONS STATED ON THE BUILDING SITE EVALUATION SHEET. WE WILL HOLD THIS
APPL I CA T I ON UNT I L .;;)tI S,G/-:) r 7..3
IF, AT THAT TIME, YOU
HAVE NOT FURNISHED THE REQUIRED INFORMATION, AS SHOWN ON THE ATTACHMENT,
YOUR APPLICATION WILL BE CANCELLED AND ONE-HALF THE FEE REFUNDED TO YOU.
BUILDING SITE EVACUATION
~ ,C,.
T /.7_R r~S3i.(~.()'TAX LOT ;;)/9
CENS~~jTI t
..
BUilding PermIt ApplicatIon No,
/!03-13
APPLICANT: .,~ _~,(
NN1E /)/lJO~,
ADDRESS
k,
M
( )
( )
Site Inspection
Pre-PermIt Investigation
PHONE
DATE C/-u; -78
ZonIng Ordinance Compl lance
(Zone Ak,,-)
SubdiVISiOn OrdInance Compl lance
NOT
app I I cab I e
( 1 ()
( ( )
( ( )
(() ()
( ) ( )
NO
YES
NAME
DATE
LANE COUNTY PLANNING DEPARTMENT
3
4
Required Access
( )
( )
( )
( )
( )
/7'1/ JZ
,
Cj-j 1-7-=S
2.
BUilding Site (Area, Width,
Frontage, Setback)
Other (see comments)
5,
.
COMMENTS.
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
applicable
6, Plans Submitted ( J ( ) ( )
7, So II Stab I , I ty (foot I ngs) ( ) ( ) ( )
8. Flood PlaIn ( ) ( ) ( )
9 Other (see Comments) ( ) ( ) ( ) ~~ 9-14~73
COMMENTS' (~p RA1';7'/t?J.J~ ..,-t> PLAt1Hflig-oU' ~;-D-i7- Z"')
= -
SANITATION SECTION NOT NO YES NAME DATE
appll~able -9 J~/ /!J)&f
10, Sewage Disposal \( /J ( ) ( ) 7-/J-'7J
11. Us ab I e Area ( ) ( ) ( )
12, Water Supply ~. ) ( ) ( )
d\
13, Other (see Comment s) ( ) ( )
\
-
COMMENTS
TO APPLI CANT:
t!QW1:?
q/I~
Your BUilding Permit / Site Inspection
)<1 Can be app roved. 9- / t- 7:3 Pflf ,a
~ Cannot be approved at thiS time as Indicated on Item NO / above
Questions and further InformatIon on Items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County Buildlnq and SanItatIon D,Vision,
~ W,I I be held In thiS office untllAyou can resolve the problems Indicated
() Is being returned, "9-Z4-7B O~/J/.JrlL.
() Your bUilding permit application fee IS being returned under separate cover,
LANE COUNTY PLANNING DEPARTMENT
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE, 342-1311 EXT. 231
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE 342-1311 EXT. 411
H55-28
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LANE COUNTY
BUILDING [j]
BUILDING~PE:RMIT OR MOBILE
MH D
MAILING ADDRESS
12~4 Island St. Eu~ne. Ore~on
MAILING ADDRESS
HOME USE ,~RMIT
PERMIT NO.
1803..73
PHONE
746-2021
PHONE
PROPERTY OWNER
An6arson. Kenneth
CONTRACTOR
, t', j.~~1~'~1~\.:b
PROPERTY lOCATION - INCLUDE ~POST OFFICE
6~t Centennial to ASDen St..
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
Garden Grove Sub-9lvlllon Block 3
south on AlIDen two blocks. left on Island !!ie.2nd lot on rl'!!J:ht.
TWP
RANGE
SECTION
lot 219
TAX LOT NO'
CODE
CENSUS TRACT
'17 03 34.2.2 219 19-03 30-300
APPl. EXISTING STRUCTURES ON PROPERTY
NAME ~ Home
}'$) ~~~\-I~\ LEGAL. ACCESS TO PROPERTY
& Island St. -
MAILING PROPERTY SIZE ....,...FT.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Con!1ect to Existing Sewage System 0
TYPE CONSTRUCilON SQ. FT. ::; BORMS
New System D.
VALUATION
Patio cover 16' It a4'
llit/nlna concrete ~at:'OIi
Frame
766 lID 2
)-' ,-\ . ,\ \ -,\ \
- \ " \
-,
SEWAGE DISPOSAL
PUBLIC 0 . SEPTIC TANK en
BUILDING *
l-..WASTE~DISPOSAL .
"
OTHERD
8.00
FEES
PLUMBING INSTAllED BY
OWNER 0 OTHER, NAME
WATER SUPPLY
PUBLIC ~
o OTHER
PLUMBING
'. PLAN REVIEW
PARK TRAILER
TOTAL
$
8.00
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
"
.j~)
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
c \. - Cl\ -()\
~
TYPE OF STRUCTURE
1J I':l
OCCUPANCY
J
ZONE
PUBUC UTll. EASEMENT
BLDG.ISETBACKS_----\F.T:...J.iROMrCTR.\0etROAD.&RIGHT OF WAY
-V."" U.. .......... "" ... V V'.lf.
fRONT SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
1&1 J.E. Bots by White
USE ClASSIFICATION
REAR
R. Ooots. Sanitarian
9-1B-n
DATE
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)
(POST THIS - PERMIT - ON MAIN BLDG, AT SITE)
LANE COUNTY, BLDG. & SAN. DIY., COURT HOUSE, EUGENE, OREGON 97401
FORM:!::t css- 13
.. ,
~
SITE INSPECTION
ApPROVED ~
DISAPPROVED ~ DATE
REMARKS
FOUNOATION INSPECTION
ApPROVED / ,..r / DISAPPROVED 1--/ DATE /~~/tl~7J
REMARKS
FRAMING INSPECTION
ApPROVED /1./(- DI SAPPROVED 17 DATE/ ()- / /) w 7 'J
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED / I DISAPPROVED ~ DATE
REMARKS
FINAL INSPECTION
.
" .,-... '.
INSPECTOR
I NSPECTOR ~
INSPECTOR
ci2
INSPECTOR
ApPROVED ~ DISAPPROVED
17
DATE )0-10- /:J INSPECTOR
~.
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / I NOT READY TO ISSUE 17 DATE
REMARKS
~.-r 41
'r.J,;.-4i: {~
1'8'tJJ-'.]~ j;2..3f'~
INSPECTOR
J (). "1(;)0
APPLICANT
:ATION /61t73-Z3
PERMIT TYPE - BUilDING D MOBilE HOME Dose REG # PERMIT :it / Il .
PROPERTY OW)'ER lei / MAILING ADDRESS /-'1? / Ii, ~ L/. .~~ '
I:??~~?L/ e:::-C-71~.X7J.. /--.;>~ --4T:.
t"ONTRACTOR / MAl-LING ADDRESS / t/PHONE
-7-0'~ -20.7 ,.'::f,/-
PROPERTY LOCATION - INCLUDE POST OFFtCE / ___--
!f-ztx-~..<!'-7Z/:n-(-4 ~ ~ U/., _ ~ .I.'--:N_~- /7#~,,-1
PROPERTY LEGAL DESCRIPTIO...&/ AV1'~ / ~ ~. ~ 9~ V ME;ES & BOUNDS 0 YES
LOT - BLOCK - SUBDIV 7V-;.:;;t;v./ .J7_~D--71/ /U..qA<<:-? B-3 L- ~~V ATTACHED 0 NO
TWP RANGE S:C/ TAX~T ~ CODE (::;1 5E
/7 /)3 ..3<-;-,;2.2... d2-/'7 /~-t:l..B ~:=>.n-f=irr\
pESC~.. EXISTING STRUCTURES ON PROPERTY IF ANY
~. //~
LEG/'j- AC;ESS TO PROP~RTY - ROAD NAME OR #
~ ~1/.;/-
PROPERTY SIZE-WIDTH . DEPTH
~- ,
. LANE COUNTY BUILDING PERMIT OR MOBILE HOME USE Ar
--
AND
rL
~t-.zu.~
NAME
MAILING
AREA
ADDRESS
FOR MOBilE HOME PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to EXlstmg Sewage
TYPE CONSTRUCTION
~jJ
/
System n
SQ FT
or New System Req 0
# BEDROOMS VALUATION
r~Pt"~ ;".Yc1;L1
L1c:ta~//u:r f1A-n4. ~~/
/
;j2~
'/&%
(/
SEW AGE DISPOSAL
PUBLIC 0 SEPTIC TANK Ix' OTHER 0
BLDG . F~ FEES WATER SUPPLY
WASTE DIS PUBLIC K OTHER
PLUMBING PLUMBING EES
PLAN REVIEW _ FIXTURES
PARK TRlR CASH 0 ~
CHECK ~ ONNECTlON FEE
F./o---iJ PUBLIC WATER
TOTAL CONNECTION FEE
PLUMBING INSTALLED BY
OWNER 0 OTHER D NAME
PLANS FURNISHED FACILITY PERMIT
YES)!( i NO 0 YES 0 NO 0
SIG RE;;;!ffuAl'~ 9/~/7J
RECEIVED~BY' -, ~DATE
~/FJ
~Ri.IIT#
MIN SEPTIC TANK CAPACITY
WITH DIST BOX GAL
/fj.$-7~
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
lIN FT
TRENCH WIDTH FT
OR SQUARE FEET
/
,
/
TYPE OF STRUCTURE
VIJ
OCCUPANCY
..J
ZONE
REAR YARD
)
PUBLfC UTll EASEMENT
/'
BLDG SETBACKS-~OF ~~~HT 0 WAY
FRONT ~/:C- tt:.d SIDE INT ~r--' SIDE EXT
SANITARIAN Date PLANNING
-j"{1/1"L <}../2-7'> ~ 9-//-7":<.,
USE CLASSIFICATIONV'
REAR
D~o2&; ff Vt"U~~
Date
'3-(7-7'3
Directions to Find Property
Form it C55 1.2
I -
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COPY 1 - OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT