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Home My WebLink AboutPermit Building 1974-1-16 t ~ V"'-"'~ \.... \~\.-.....J'.... ... / ~ ~ .............. !#...............~... -.. ,--.., ~ I...... ~ ~ , -. - --.. r"' /' .. LANE COUNT\-dUILDING PERMIT OR MOBILE HO/\ _, USE PERMIT BUILDING IKIt MH D PERMIT NO MAILING ADDRESS 12f)1 I:AYDEN BRIDGE R.~). SPI:2.I1t4GFIELD. OREGOtJ MAILING ADDRESS ~r$~tJ..L/ PHONE 746-6270 PHONE PROPERTY OWNER VAUGHAN, PHILLIP EVAN CONTRACTOR PROPERTY LOCATION - INCLUDE POST OFFICE HAYDEN BRIDGE RD, TO DEBRA DRIVE PROPERTY LEGAL DESCRIPTION - METES BOUNDS TWP RANGE SECTION TAX LOT NO CODE CENSUS TRACT 17 01 26.1.1 100 19-00 EXISTING STRUCTURES ON PROPERTY ~IELLING AMD GARAGE LEGAL ACCESS TO PROPERTY HAYDEN BRIDGE ROAD PROPERTY SIZE - FT APPL NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No of Bedrooms VAUGHAN WIDTH 17'; DEPTH 27'1 AREA 1.1 AC'1Fn STRUCTURES TO BE BUILT THIS PERMIT Connect to EXisting Sewage System 0 TYPE CONSTRUCTION SQ FT ~ BDRMS New System D VALUATION AGT 720 , OTHERO 10.00 FEES PLUMBING INSTALLED BY OWNER 0 OTHER NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 PUBLIC 0 o OTHER TOTAL $ 10.0_0 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN SEPTIC TANK CAPACITY WITH DIST BOX GAL lIN FT TRENCH WIDTH FT OR SQ FT PUT nOT PART OF NEW CONSTRUCTION OVER nEWAGE DISPOSAL SYSTEM. TYPE OF STRUCTURE 5 tl BlOG SETBACKS FRONT 45 OCCUPANCY ZONE PUBLIC UTIL EASEMENT J FT FROM CTR OF ROAD RIGHT OF WAY SIDE INT C) SIDE EXT AUTHORIZED SIGNATURE - DATE 40 REAR 'i USE CLASSIFICATION {lGT DATE /S/ J.E. Boss BY CHARLES HARBAUGH JOHN SHOOK. R.S. 1-16-74 SG BLOG PERMIT - WH tTE 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 bur/dings require Q certif,cate of occupancy before being occup,ed (See Statement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG AT SITE) LANE COUNTY, BLOG & SAN DIV COURT HOUSE EUGENE OREGON 97401 --- <'"ORM....= C55 13 ---- /15/ -~ "1 1-/ ~ 1,1~Y -f-/"--I ~- ~{~!~~ _:1C r;;{I'~ ~ ,,___~ ~ tfJ~l't>'J.- _~m ___'~r#_~,~f- __m-:;I __ __ (J~:~ -\=,-1- --- .. ~jl~ I, ..--\Gi1~\~-~d--- _m _=_1 . _~~~~ - __u_ .~- ~l' j j - - (.e- _ _ uS' (\' _ __ _\r.n _ ----- - -~- .-.. ---- ~ '- - --- ---- \ : . _ (-~ --l.~-~ >- _ ~. _ ______ /) -:- ,,$'"~ - "q,-'1'-~ -~, ~L, '-=J-ICj! - -)---/1 - - j , 1- II .,;--- II II II II II II II ,\ \ ~ \ \.J , , ,. \.) \-.., "\.,' \ ..,r:. " , - . -' -,' II I. ,..:.. i , , , .r CI I ''\ ~ " BUILDING SITE EVALUATION ~ BuildIng Permit ApplicatIOn No. J'S /0;': ~g-7L/' , () Site Inspect Ion () Pre-Permit Invest Igat Ion T /1R.$ S ~'TAX LOT /M CENS TRACT APPLICANT N/\ME t/,-JZ:./~A1r ~)~ ".....4 _~ ADORE S "'7 d PHONE DATE /-/4 -7,,:,/ / LI,NE COUNTY PLANNING DEPARTMENT NOT NO apD I I cab I e Zoning Ordinance Compl lance ( ) ( ) (Zone IR-A ) (~ 2 SubdivIsion Ordinance Compl lance ( ) ., ReqUIred Access ( ) ( ) -' 4 Bu I I dIng Site (Area, Width, ( ) ( ) Frontage, Setback) 5 Other (see comments) ( ) ( ) YES NAME DflTE (..y' ( ) (t-Y (..y- ~~./~ ( ) //// /;:;> y / / COMM ENTS ---..- - --...- BUILDING INSPECTION SECTION NOT NO YES NAME DATE app~ "jable (~ W 6 Plans SubmItted 7 Soli Stability (foot I ngs) () ( ) ( ) 8 Flood PlaIn ( ) ( ) ( ) e,?I# 9 Ot he r (see Comments) ( ) ( ) ( ) / ~ /If'-7Lf - - COMMENTS. r ......,,"l..... ~ ",,1 ~.J' :~ V~... ~- " ~r K l--.:t~ 1...J " '< c " .~ '- ~ ~,~ ,,' ,.II' p ,,--. LANE COUNn BUILDING [;]' . BUILDING PERMIT OR MOBILE HOME . MH 0 MAILING ADDRESS L"-~tl.. ~\~,,:--d, ~1~~ ~ '~J ~~\a.)h~<'.h;.C~ Cji~' <..: USE PERMIT PERMIT NO , ,... " PHONE PROPERTY OWNER '~i{,,:...-:.... :~~) ~'..jC~~) t~ _t\~JJ ~t"'" I .', , ., CONTRACTOR MAILING ADDRESS PHONE " , PROPERTY LOCATION - INClUDE POST OFFICE tl~t}..,..~.~' CdH....:l:. I.... ~~,~ \~L~.::/~ :~,tJ~.. PROPERTY LEGAL DESCRIPTION - METES BOUNDS TWP ~ tT RANGE C,.: SECTION ,...,~ 'J r ~.' '. . ::. ~ TAX LOT NO CODE CENSUS TRACT krt ::'r( J EXISTING STRUCTURES ON PROPERTY APPL NAME & !/Hlf,','J:, ~ ~1t.r -t_t. (L 6. ,I) "U" v. LEGAL ACCESS TO PROPERTY , J':.v~:;rl /--. ~ [ ~. ,,~ '>. ..t. MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT PROPERTY SIZE - FT WIDTH J'1:i DEPTH f>", AREA , ' ,. , , " Connect to EXlstmg Sewage System D TYPE CONSTRUCTION SQ FT # BDRMS New System 0 VALUATION ^( . I . "'It " SEWAGE DISPOSAL . OTHERD ~dll,l.:1 FEES PLUMBING INSTALLED BY OWNER 0 OTHER NAME WATER SUPPLY PUBLIC D BUILDING W A5TE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 PUBLIC 0 o OTHER TOTAL $- 1d()!~:: COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN SEPTIC TANK CAPACITY WITH 0151 BOX GAL tiN FT TRENCH WIDTH FT OR SQ FT ,)0:.,". f.:.~1' plio.,' cr i ":1& CC" '-.;V'~'.u(~, ~,"''''1 )"...- " ~ ,,1. ' .. t..'~ :;C ~HCv:'(J.O('''.. '...\' ';Z' p. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll EASEMENT , '1 d " , '- BLOG SETBACKS fT fROM eTR OF ROAD RIGHT OF WAY FRONT '.5 SIDE INT ~ SIDE EXT AUTHORIZED SIGNATURE - DATE " , , REAR G d USE CLASSIFICATION ;'<11' (, I ' ,,, \,......w DATE I r:.', ...-11' ~... :~1~ ~ :.i . 11i:",-.1 Je M (!"",) ; ~ <' 'If' '0 (! ot "," flU "..>-~ t', 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, BLDG & SAN DIY I COURT HOUSE EUGENE OREGON 97401 FORM =CSS'13 t- ,.. ~ ~ SITE INSPECTION ApPROVED / I DISAPPROVED r-7 DATE INSPECTOR REMARK 5 FOUNOATION INSPECTION ApPROVED / / O'SAPPROVED L----/ DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED /1 DISAPPROVED r-7 DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L----/ D'SAPPROVED ;----7 DATE INSPECTOR REMARKS FINAL INSPECTION / DATE r<.', 7- /t/- INSPECTOR ApPROVED L2/ Dt SAPPROVEO r-7 REMARKS CERTIFICATE OF OCCUPANCY ~'/ ~NOT READY TO ISSUE r-7 DATE INSPECTOR READY TO ISSUE REMARK 5 --r- f 7fJ.1J. ~