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Home My WebLink AboutPermit Building 1974-7-25 IV t.-~~lS~','-tV1AVR \c..e. ,~ .. t ' .... ~ . i,f' . LANE Cc,_ .HY '<>rl BUILDING)@ I PROPERTY OWNER I BUILDING PERMIT OR MOBILE , ,OME USE PERMIT MH D PERMIT NO. MAILING ADDRESS I ~ A~26?r, PHONE ALLEN REAL ESTATE I , CONTRACTOR MAILING ADDRESS PHONE PROPERTY lOCATION - INCLUDE POST OFfICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS FILBERT GROVE 5TH ADD. L-54 SECTION TAX LOT NO . CODE CENSUS TRACT ~ /1.2.2. Htf() 11-186 EXISTING STRUCTURES ON PROPERTY NONE LEGAL ACCESS TO PROPERTY INLAND WAY PROPERTY SIZE - FT. WIDTH .82 TWP RANGE 18 03 APPl. NAME MAURICE WARNER & 2073 INIlAND WAY .z1> MAILING ADDRESS SPR lNG, I ELO, OREGON FOR MOBILE HOME PERMITS ONLY No. of Bedrooms 2 DEPTH 95 AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. ::; BDRMS New System D VALUATION COVER OVER MoBIEE HOME 3120 @ 2.80 8736\00 NO.MORE THAN 3D PERCENT 0,' LOT TO BE COVERED BY BUILDINGS AND MOBILE HGME. ~ SEWAGE DISPOSAL pUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER 1 % SURCHARGE . OTHERD ,4(j.OO fEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 PUBLIC 0 o OTHER TOTAL . .4tl 4tl.4tl COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST: BOX: GAl. lIN. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE RA-Mi USE CLASSIFICATION PUBLIC UTlL. EASEMENT 5N J BLDG. SETBACKS n FT. FROM OR. OF ROAD RIGHT Of WAY , FRONT 15 SIDE INT. 5 SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR 7'PUE S/s B.E. Boss BY CHARLES HARBAUGH J. SHOOK DATE 7-25, 74 131' BLDG. PERMIT - WHITE O~FICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUIlDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections. All construc- tion shall comply with Uniform Building Code, D.E.a. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details o.n Reverse Side) FORM:::: (55-13 (POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97.401 . c-? " JS Ie If 13.26-7V '\ - 'g:)O~S :<-f// TAX LOT LL..SUSj TRACT . Fi'/W.r'T~!;*'. L- "'-0; APPLICANT: ~ 7 NAME A//"'", /,?,"t'; / JE,-/, ADDRESS ., BU I.LD.ING SITE EVALUAT ION , () Building Permit Application .No, () Site I nspect ion () Pre-Permit Investigation PHONE DATE "7- I -, - 7 (/ -, --- - " 1. Zoning Ordinance Compiiance (Zone ) Subdivision Ordinance Compliance NOT ;1 icable () () NO YES NAME DATE LANE COUNTY PLANNING DEPARTMENT 3, 4, Required Access ( ) ( ) I () () ()ll~ (CAt) () () () () 2, Building Site (Area, Width, Frontage, Setback) Other (see comments) 5, COMMENTS: =- - BUILDING INSPECTION SECTION 7, Soil Stabil ity (footings) NOT appl i cab I e () ( ) ~ () .~ () r;r () . NO YES . NAME DATE 8, Flood Plain J1 ( ) ( ) ( ) (J,7~ f '7" 2. tf-?t/. , 6. Plans Submitted 9, Other '(see Comments) COMMENTS: TO APPLI CANT: JIP!:/, 7f;;r 1/)',) /() ( ) ( ) ( ) Building Permit / Site, Inspection: Can be app roved, Cannot be approved at this time as indicated on item NO. above, Questions and further information on .items J through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information 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 indiCated. Is being returned, Your building permit appl ication fee is being returned under separate cover. LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 LANE COUNTY ENVIRONHENTAL HANAGEHENT 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 C55-28 \ <, ---"'''.~. ~ . .' . LANE C~ ..JNTY BUILDING PERMIT BUILDING @ MH D : MAILING ADDRESS ~ . OR MOBILE HOME USE PERMIT PERMIT NO. ~ PROPERTY OWNER ; . AU!N REAL EaTATE ...., . . I 326- 74 PHONE , ;. CONTRACTOR MAIliNG ADDRESS PHONE PROPERTY lOCATION - INCLUDE POST OFFICE , PROPERTY LEGAL DESCRIPTION - METES, BOUNDS I r I L1It~T GtlOvr. 5TlI AllO. L-~ I TWP RANGE SECTION l 18 03 2&.11 I APPt. MI.\IlIlCll WAllllEII , NAME & ann IN"AN!) WAY ~ , MAILING ...., I I TAX LOT NO. CODE CENSUS TRACT 11-186 "', EXISTING STRUCTURES ON PROPERTY NONE LEGAt ACCESS TO PROPERTY ,,", ~~ IN~Are WAY \. ~ -~'~~t~.!.~~ .." WIDTH' .DEP'TH <~, AREA ~,,-~~~\ ~ Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. :;; BDRMS 31 ao II 2.80 New System D. VALUATION 8736.00 ADDRESS S"..NG",rLO, OREGON FOR MOBILE HOME PERMITS ONLY I No. of B!,diooms 2 STRUCTURES TOBE BUILT THIS PERMIT . j COV&!t I1VE,II *.'U HOMt I L I .1"1 I t"-.. "'- "'O..oU T"AN 30 Pit.C:EN~~~~~~"'e:. , ,~~~-~\ ,. j ~ ~UILDING ~.. yv AST~:DJSPOSAl ~lUMBING ~LAN REVIEW PARK Tj:AILER _. i IJ SIJR(:HAJIlU. FEES .. PLUMBING INSTALLED B,Y OWNER 0 OTH'ER;' NAME WATER SUPPLY tj t I SEW AGE DISPOSAL I. I PUBliC 0 . SEJ:'TlC TANK 0 , . . .oTHERD 'W.W , PUBLIC 0 o OTHER , ....1 .j ,I ji ,~ i. ~ TOTAL . .qg-- 1I0.~ " ",~' : I. .f,' .. ,1_' ~ MI,N;,' SE~nc ,T~NK CAPACITY .. bJW1TH [)JST... i'6x: GAL ." , I ! .'" .~ COUNTY BUILDING.i& .SANITATION SPECIFICATIONS ~IR:I:TFfElD: RE~UIRED' TRENd., WIDTH FT. ~~OR SQ;' FT.- ~ ""0 ';;"-_~l~/_ , I ~\....~-~\ , '-' ,\ \\ \\ <:;;:.\ .' ~t " I',., ';l~t 'J, .. 'H'. ' f,1> '. .-il.....' ~ j'!!"...:..tt, 1. ,:-'-'1'\"-1' : -.~i', .' '?.. ":';.~~( . '.-. .f,4.1J'. ,.- 'I .. .. "f'~. ~.::' t~~ :~ t. , : ~,.. 4 , ~', ., i I -.... 1 , TYPE OF STRUCTURE I 5" OCCUPANCY J ZONE RA-14i PUBLIC u'riL EASEMENt I BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY ! FRONT 15 SlOE INT, 5 SIDE EXT. T AUTHORIZED SIGNATURE -,DATE sh G.E. t&U BY CH"JIlLItS HAIllSAlIlItl USE CLASSIFICATION " . I REAR 7"UE J. 5HOOll 7-25. 7~ DATE ... BLDG. PERMIT - WHITE OFFICE COPY - WHITE , COUNTY TAX - PINK ',t. 'PLUMBING - CANARY {BUILDING - GREEN ,f ,SANITATION- GOLDENROD Call 687w4065 to schedule all re'quired inspections. All construe-I. tion sl:l.all cOl1)ply with .U,niform.:Building Code, D.E.Q. standards I IMPORTANT: fO~i sul5surface 'sewage di1ptsal-and ,county regulations covering plumbing. All buildings require a certificate of occupancy before , ..., ,-,_being "'~ccupied. Ce', " ,\ , .. "'." .. . I.. "}>.' . "'~\'-~:'~:"~~~__ -..~. ~ :.J. ~ '~~.,... '\"" ',c '~(See .petails\2r,>~Reverse Sider,' """ \, , ~O~T~THISPERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I 135 EAST 6th, EUGENE, OREGON 97.401 .. ,...., I .i -'1 ~oeM =Cl5 ",'- -, :"",;.,,,,<;"J~;,,;-_;r.l__~, y ~""''--'iT'" t;'-':_._-~. ,. , '. SITE I NSPECT I ON ApPROVED .C1 DISAPPROVED .C1 DATE INSPECTOR REMARKS FOUNDATION INSPECTION REMARKS !D;;;:;~A ~~ ~~~ ;/l~. / ApPROVED FRAMING INSPECTION ApPROVEO /___~~PPROVED / ~ INSPECTOR REMARKS~~ ~w/ &/~ . /O-y:J7 d . . LATH OR SHEETROCK INSPECTION ApPROVED ~/ 0ISA.PPROVED I / DATE INSPECTOR REMARKS REMARKS '.Cl DATE /-p-9'--JI/ I ,'-f- INSPECTD~ ApPROVED CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE .C1 QATE INSPECTOR REMARK 5 e'v~'- A -?t L1 _ .fA J J V ,.-v, ,--,." /cY ~~-"'If ~IUJ~ ~ .I '!'-'- .. LANE COL ,y BUILDING PERMIT OR MOBILE "JME USE . . ~.. ... . . .. 'PERMIT TYPE ~ BUILDING :' MOBILE H6ME LJ OSC REG. it. PROPERTY 00;';"--:' ~~~U'NG ADDRESS-~-'-------~~c---- ~ . . MAILING ADDRESS . APPLlCA TlON PERMIT # {S-:2.6-7L PHONE PROPERTY lO<;ATION -.INClUDE PO~T OFFICE PHONE ?~7 .;2,f-cf'1 - l' U. //} IJ )T. ';", METES' BOUNDS. 0 YES J - Lr" cf ,S> ATTACHED. 0 NO . , CODE CEN'SUS TItA~T / :3 ..d..J.(/ //-I,8't. . ./ APPlICAN/0 . J' DESC'RIBE EXISTING STRUCTURES ON PR/OPER~.Y-lf ANY NAME /20'_'::'" S 0 cn-H..;'_ ~'I"\\'.It:== lEGAL ACCESS r-o PROPERlY - ROAD"NAME OR # \ M~~':G;z.()?] ~!a...../ I-'.}u.'! PROPERTYSIZE_::tLL/A.~lil~!f1-. . ADDRESS ~)' ~ ... i L. r ...f I ~ (J r0 /.. ... . q 7 f/ ?? .. '. 9..'2' yqe:;1 '. FNOR bMOBlfLEB d ME PERMtr.,.Ol'-iL Y . E" .., S /S n N S R =- . lJrn er.o e rooms . ~ Connect to xlst,ng ewg'ge" _ ystem . or ew y~tem' eq'.1 I-- STRUCTURES TO BE 8Ull~ THIS ,PERMIT' TYPE CONSTRUCTION / SQ. FT. I # B-EDROOMS. VALUATION / - SI20 e,. .2.$'0 q/~- ..r;~~~":b~~LJZ;-u &n~.h A,,~~~ {J/ Bldt1 ~ SEW~GE DISPOSAL f I'" . I ,. I PLUMB IN? INSTALLED BY PUBLIC 0 SEPTIC .TANK 0 OTHER [J / OWNER n OTHER n NAME . BLDG. $" Ye. tOD FEES WATER SUPPLY .. / PLANS FURNISHED FACiLITY PE~MIT WASTE DIS. PUBLIC n OTH YES ~ . NO n YES n NO~ PLUMBING FEES II ,s1GNATURE OF --APPLICANT 'DATE . PLUMBING" PLAN REVIEW FIXTURES . - t\J ~ 7~a ~ PARK TRLR. CASH 0 ~ i FEE RECEIVED BY DATE / l~o60 .q<< CHECK~O":,E~ TlON F (Dk _~A./J"J? 7-/6 -7~ PERMIT # TOTAL -7"~. '7.<{ ~~B~~E t~E FEE f\)~_ - --- COUNTY BUILDING & SANITATION SPECIFICATIONS PROPERTY LEGAL DESCRIPTION LOT -' BLOCK - SUBDIV. _ TWP RANGE 4Iih-l'~r SEC. r;:hO(J~ TAX LOT. # iiX' AREA MIN. SEPTIC TANK CAPACITY. WITH DIST. BOX, GAl. DRAIN fIELD REQUIRED lIN. FT, TRENCH WIDTH FT. OR SQUARE feET TYPE 'OF STRUCTURE __ ./ OCCUPANCY ZONE _ Q N.___ ~ JS:A-:: H bh~_____ BLDG. SETBACKS - FT. FROM~ ROAD RIGHT OF WAY USE ClASSIFICATION vY. . t I 7 IC.Or::::, . /7. FRONT .. ~S SIDE INT ~ -si&e-EX.T_ REAR ~.. /' I~ ~::>~~~"~ 7-/&- ";~i'~ '"" lJf3u-~ ,,-~ .V::~t REAR -YARD PUBLIC urll. EASEMENT 'COPY 1 - OFFICE COpy 2 - JOURNAL COPY 3.- AUDIT' ," '..... -- r.' " r ~ 'LU . 'r ~ ' '''-', .. v _ ~ fl ,9 tV,; :) M t:L v);;: I <!: E I. .'.to -.'~, ~- ~.' >"~\ ", lANE COli.. (y BUilDING PERMIT OR MOBilE .. -,ME . I., . [~.. '\ BUILDING [l MH l!J .. PROPERTY OWNE~.... MAILING ADDRESS ALLEN REAL ESTA.TE CONTRACTOR MAILING ADDRESS USE PERMIT fn;l 30 3 - /)/ PERMIT NO. Mi~3-74 PHONE " PHONE PROPERTY LOCATION - INCLUDE POST OFfICE , . \ \ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS , ' , FilBERT GRevE ~lH' ADD .18 R.t'NGE , 0':\ SECTION L-~4 //.2,';:< TAX LOT NO, CODE ~'7CO CENSUS TRACT .TWP 2':::tl 11-186 APPl. < MAURICE WARNER EXISTING STRUCTU~ES ON' PROPERTY NONE LEGAL ACCESS TO PROPERTY I NlAND WAY PROPERTY SIZE - FT. .' " "'NAME V,. &1~ 207,.INlAND:~JAY MAILING {,/ .. ADDRESS C:sP.R I NGF I ElD.. OREGON FOR MOBILE HOME PERMITS ONLY '-"jj No. of Bedroom,s t 2 STRUCf.URES TO BE BUILT THIS,PERMIT .' WIDTH 82 DEPTH 9'5 AREA CO,nnect to Existing Sewage System 0 TYPE S::ONSTRUCT10N SQ. FT. :f+ aDRMS New System []I VALUATION MOB IlE .HOME -, -.. '. , } " " SEWAGE DISPOSAL r' .c.. ::; - , PLUMBING INSTALLED BY ". '. PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK ILl $ OTHERD FEES OWNER 0 OTHER: NAME '" WATER SUPPLY "D.oo . 4.00 PUBLIC [!;J o OTHER \ TOTAL 1 % SURCHARGE _L'- \, '" '\,\ MIN. SE~T1C TAN.~. ::r.~CITY\ \\' - WITH DIST.' Bci'X; GAL\'C}OO V- \. ' - ~ No SERVICE CONNECTIONS TO BE MADE UNTil WATER SYSTEM IS GIVEN FINAL APPROVAL. I ~.O~a - -~f~-1J ,,1\4.04" "COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED 1\ '\ '\1\) \"\ , , , , \ LlN. FT 150 TRENCH WIDTH FT. 2 OR SQ. FT. 300 SEE ATTACHED'SHEET. TYPE OF STRUCTURE OCCUPANCY ZO~E RA M-l U,SEClASSIFICATION PUBLIC UTIL. EASEMENT Mi BLDG. SETBACKS _ FT. FRO'M eTR. OF ROAD RIGHT OF WAY 'FRONT 20 REAR 7'PUE' SIDE INT. C) SIDE' EXT. AUTHORIZED SIGNATURE - DATE /5/. J.E. Boss 'BY CHARLES HARBAUGH J. SHOOK DATE 7-25-74 BP BLDG. PERMIT - WHITE OFFICE COpy - WHITE Co"UNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SAN ITA nON - GOLDENROD Call 687-4065 to schedule all' required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. 'AII buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) .. . 'FO.R~i == C55 -'13 .: (POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE C9UNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST. 6th, EUGENE, OREGON 97401 -.,- '/-.. -7 __ ~< , __-. \ A ".., ~~ . . JS/e!f Bu i ld ing Permit Appl icat ion No. M )/'503-?y T.T RO~ s:2-1// ~ LOT CENSUS TRACT F;/aber:fk~~_.A .7-? L rll APPLICANT: ~.~ -~ 7 NAME 4/#17 kbl E=.('1-; , AODRESS , BULtlii'NG~ SITE EVALUATION ( ) ( ) ( ) Site Inspection PHONE DATE 7-/7-7;/ Pre-Permit Investigation - l. Zoning Ordinance Compliance (Zone ) Subdivision Ordinance Compl ia~ce NOT app 1 icab Ie () () NO YES NAME DATE LANE COUNTY PLANNING DEPARTMENT 3. 4, Required Access ( ) () () () /' ()\~~~ ()OOv() . ( ) () () 2, Building Site (Area, Width, Frontage, Setback) Other (see comments) 5, COMMENTS: BUILDING INSPECTION SECTION NOT NO :;JA NAME DATE aDD) icable 6. Plans Submitted ( ) ( ) 7, Soil Stabi) ity (foot i ngs) ( ) ( ) ( ) 8, Flood Plain ) ( ) ( ) !' 9. Other (see Comments) ( ) ( ) ( ) !~/ItJ~ '1- 'l ?J ,"It! - .. l , ~ COMMENTS: SANITATION SECTION NOT NO YES } 'l\Jll,Q DATE app I i cab I e (') ZI1 'Z/7~/ 10. Sewage Disposal ( ) ( ) 11. Usable Area ( ) ( ) ( ) ( . 12, Water Supply ( ) ( ) ( ) 13. Other (see Comments) ( ) ( ) ( ) ~ ~ COMMENTS: TO APPLI CANT: ~ Your 1-Q.L/-,tj 14 ( ) ( ) ( ) Building Permit / Site Inspection: Can be approved, Cannot be approved at this time as indicated on item NO,' above, Questions and further information on items 1 through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information 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 indicated. Is being returned, Your building permit appl ication fee is being returned under separate cover, LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 LANE COUNTY ENVIRONHENTAL HANAGEHENT 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 C55-2B ,. " .. ~,.- PROPERTY OWNER BUILDING MH ~ MAILING ADDRESS .)/;:2v-+01 Q - MAILING -ADDRES~ ;::; t) CZ J PERMIT OR MOBILE -'ME USE PERMIT .r rERMIT NO. ~1~S03~ 7& ./ I ... LANE CO",..TY BUILDING [J 'l t PHONE ALLEN R~AL ESTATE. CONTRACTOR PHONE ,,:.:...'-1.',. .'_ , ::\;-.::-t,J/'[!'J PROPERTY LOCATION - INCLUDE 'POST'- OFFICE , . PROPERTY LEGAL DESCRIPTION - METES, BOUNDS f'1 LBIl:IlT GROVE 'iTH ADD TWP RANGE SECTION 18 03 28.11 APPL. ... ..' NAME MAURIC~ t:lAANItIl & 2013 INLAND WAy MAILING l-e;4 ....TAX LOT NO CODE CENSUS TRACT 11-186 EXISTING STRUCTURES ON PROPERTY NONI!: LEGAL, ACCESS TO PROPERTY ADDRESS SPR !loIaVI ntl. OaEGOIJ FOR MOBILE HOME PERMITS ONLY No. of Bedrooms 2 STRUCTURES TO BE BUILT THIS PERMIT INLAND WAY PROPERTY SIZE - FT. 82 DEPTH 95 AREA WIDTH Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. # BDRMS New System 111 VALUATION r.too I U Ho~1t SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK I!) OTHERD 'in.00 4.00 PUBLIC ~ D OTHER 1 ::1 SURCHARGE \1).00 - .04 f 84.04 \ TOTAL $- ""\ .COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL 900 DRAIN FiElD REQUIRED UN. FT 150 TRENCH WIDTH FT. ;:: OR SQ. FT. 300 ~O SERVICE CONNECTIONS TO DIl: MAO~ UNTIL ~ATER SYSTEM IS GIVEN rl~L APPROVAL. SEE ATTACHEO SHEET. TYPE OF STRUCTURE OCCUPANCY ZONE R~bt USE CLASSIFICATION PUBLIC UTll. EASEMENT r4i BLDG. SETBACKS _. FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT 20 SIDE INT. 5 SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR 7'PUE: /s/ J.E. BO$9 01' CHARLE:S HARBAtJGH J. SHllOIl DATE 7.25- 74 DP BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections. All construc- tion shall comply with Uniform 8uilding Code, D.E.Q. standards IMPORTANT: for subsurfa~e sewage disposal and, county regulations covering plumbing-. All buildings require a ce"rtificate of".,occupancy before being occupied. (See Details on Reverse Side) FORM == C55-13 (POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 _'"'"I' SLAB FLOOR PLUMB I NG' GROUNCWORK ApPROVED ;---7 DISAPPROVED ;---7 DATE RE~ARKS GAS PIPING GROUNCWORK , , , ApPROVED / -j DISAPPROVED I '/ DATE REMARKS 'ROUGH PLUMB I NG ApPROVED ;---7 DISAPPROVED / / DATE REMARKS .: . ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE REMARKS FINAL PLUMBING INSPECTOR I.NSPECTOR ., INSPECTOR INSPECTOR ApPROVED, / y/ D'SAPPRDVE9 / I- D^~~h-?{, lNSPECTo~4 REMARKS_ FINAL GAS PIPING ApPROVED ~. DISAPPROVED / I DATE REMARKS CERTIFICATE OF OCCUPANCY ,. , c READY TO ..IssuE / ._"/ NOT READY TO ISSUE / I" 6~TE REMARKS ,I NSPEC,TOR INSPECTOR " , ., " ,'. - , I , , , ,.. ~.~..... ... . '.' ,''',,...' .' :'-\ '. 'MH303-74 CURB CUT Date AUGUST 11.; jg7'1, , Permit 'No.. .. . .~ ~T'. P.ERMIT , ' IN THE BOARD OF COUNTY COMMISSIONERS OF.'LANE COUNTY , ",. . . ,- '. , " i WHEREAS, theaitacheCl application has been fully .considered by t.he Board of County Com- missioners of lane .County, and it is the opinion and iudgment of the Board that the said application, srould be granted;' and that aperniit should be issued, now, therefore, it is hereby, MAj;jRICE.WARNER .ORDEREO> that' a '~.ermit be ;:md .MOB I LE, HOME is hereby' iss'ued tn " or constr.ucting the foll;'wing facility: . ' . .for placing, I::iuilding '1TH ADD, .FILBERT bROV' lOT:. '1< I< '14' RI or.K ? , . '?n7'2 11.11 Akin I.IAV ,~ ." ,. upon. the righ't~of-V:~y of County .Road No. . .' Mile Post , . .in strict, 'confbrmity to the exhibits attached hereto, and subject to all terms',-conditions, agreements, stipulations and'provisi6nscontained' in the C1Pplication an9,per!)1it;the Rules,and Regulations Gov- erning Facilities.to be' Permitted upon ,County Road Rights-of-Way, asset forth by the lane Mon- . :ui:ll 50.190(2)<ariy"cjmendm~nts thereto, and any other applicable!:,egulations, law or ordinance. ~ ,Special Provisions,' .1. Driveway will be construc.ted in accordance ,w.ith .the attached driveway approach specifica- tions (Drawing M98-50). .. 2". ' Per;;'ittee will be responsible for the immediate removal of 'all mud, dirt and debris fro!l1 the .' roadway and right of way caused ,by his operation, leaving.the roadway and area in a neat, .~cceptable condition. .' .. '. 3, SIDEWALKS WILL BE' CONSTRUCTED IN ACCORDANCE W,ITH THE ATTACH.ED SIDEWALK SPECIFICATIONS AND DRAWING,M 98-49' T~E STANDARD CURB'TYPE SHALL BE CONSTRUCTED UNLESS OT.HERWIS,,)SPEClfIED.. " . .'. .: ':.- " . . -' . , . . ~ ., This permit is revocable at ,anytime, an'd will be strictly adhered that specifically mentioned above, is hereby .authorized. ,.. .. to .and no ,!\,ork offie'r tha'n .., '. .- ." This permit shall be void unless the :",ork herein contempi'ated,'shall. have been completed be- for';' AUG', il, 76 ,19_" Expires. ,19~. Inspected and: Approved Approved by Board.of Cou'nty Commissioners., By ,. . , ~' ;dAL~ Date By - Director~ of Public W9i"ks WHITE - OfFICE .FILE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE-;:,'ROAD SUPERVISOR . . ORANGE --, BUILDING '& ,SANITATION DEPT. YELLOW - REAL ESTATE '. r .C98-79. ..........."'~~,..~ .. .....-. . ..... lIII'": . '" ~.i" ~1, , ),,-,,.'.t- .' ).f~.f_ ;17.. .. , " ~ ~'. () LANE COU",,(Y BUILDING n . ,r, BUILDING PERMIT OR MOBILE"vME MH ~. MAILING ADDRESS . USE PERMIT PERMIT NO, 1413>3-74 ., PROPERTY OWNER . '~ ,~, Au.ti. RE"~ ElITAfE r CONTRACTOR PHONE I, ~ MAILING ADDRESS . .. PHONE ", PROPERTY LOCATION - IN"CLUDE P9S~. .OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS fIL.E"T GRovt 5TH AOD TWe RANGE SECTION 18 03 i,IU APPL , NAME MAUII'<:e WUNIm & 2073 INI.ANCl WA'f MAILING L-54 TAX LOT NO. CODE CENSUS TRACT ,,-, f"~'. // " /,.. t:..."; \ EXISTING STRUCTURES ON PROPERTY , ll/ONi; LEGAL ACCESS TO PROPERTY IN~,ANO WAY PROPERTY SIZE - FT. 82 It-H36 II ADDRESS SP" '''1'' tll.D. O'UGOH FOR MOBILE HOME PERMITS ONLY No. of Bedrooms .2 STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH 95 AREA Connect to Existing Sewage System n TYPE CONSTRUCTION. SQ. FT. :fj; BDRMS New System [""i1, VALUATION MDtllLt HeMfi ! .t l'::,1 . I TYPE OF STRUCTURE M-t OCCUPANCY I ZONE flll _t,,~ USE CLASSIFICATION ~ "I' ',; ~', < 7 ,-< .;(!,'.(} .. ;~"t5 I. ; . ':J :~.:~~: -,"';j.<*i .,''t'~'" f ,/ 'f.r7 . '.~. '- ,: "fl. .~~,; :fT . ~,~",. ,J,' t~~'r " ' . """ ~~. ;t\1f !1 !\fi f"", j ~! ,,'. ; SEWAGE DISPOSAL jPUBUC 0 ~UILDING WASTE DISPOSAL PLUMBING PLAN REVIEW 1 ~ARK TRAILER ~ 1 . J~CH""'1 . FEES PLUMBING INSTALLED BY- OWNER n OTHER: NAME WATER SUPPLY SEPTIC TANK @ OTHERD ~,;oo ~.OO PUBUC E.!:J o OTHER t.:,' .,TOTAL . J).OO- .Ol! ijll.Q4 COUNTY BUILDING & SANITATION SPECIF.ICATlONS $ .' 1 MIN. SEPTIC TANK CAPACITY i WITH DIS1. BOX: GAL ,co DRAIN FIELD REQUIRED ." UN. FT TRENCH WrOTH FT. 2 OR"SQ. FT. )JO Wo .IIlVlet CO"Ill:CTlOH. TO el ""-DI:: IINTIL INt.TtIl SYSTEM III .,yaW "NAL ."'&G"AI,.; Su "TTAC"te IIMf:Cr. ,., .., , .' ~, ,_ I ,\;.' PUBLIC UTlL EASEMENT ,BLDG. SETBACKS__ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT 20 SIDE INT. , SIDE EXT. AUTHORIZED SIGNATURE - DATE /./ .1,[, a... .V CH4ftLf:S H."....U4tf REAR 7'PlJE J. SHOCK 7-25-74 DATE iIP t. 1:-' '~. '.';\-;' Call 687-4065 to schedule all required inspections. All construc-~ ! tion shall comply with Uniform Building Code, D,E.Q, standards, IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before I being occupi~d. "'. ~" ,~^ .' .~~- ~; .-~:~,~>, 4".' .. I- (See De'ttjirs~'ori~Rev.ers-e tSi~e)" '..,~," I 'BLDG. PERMIT - WHITE ~OFFICE COPY -WHITE -COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN ,SANITATION - GOLDENROD ... FORM := C55- 13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAG~MENT COURTHOUSE ANNEX, -135 EAST 6th, EUGENE, OREGON 97401 - " '. . . - _.:._.__ ..._....t!" . _'''.''..... .",-., ,",'.;.;'.."C'. _~_' ~-. '. I, r- .:~'..::..y ......-. ......t :, SITE I NSPECTI ON ApPROVED.I / DISAPPROVED ~ DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED 1--/ DISAPPROVED 1--/ OATE INSPECTOR REMARK S FRAMING INSPECTION ApPROVED / / DISAPPROVED /7 DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED 1--/ DISAPPROVED L-/ DATE INSPECTOR REMARKS FINAL I NSPECT I ON REMARKS ~ jv1/{ DISAPPRO:E~ ~ Dm., I) -1M lP~L q ~11-1.j-tfi ' . . INSPECTOR . ApPROVED CERTIFICATE OF OCCUPANCY READY TO I SSUE ~ NOT READY TO I SSUE _,~ DATE INSPECTOR REMARK 5 MH :JOJ.?I/~ r~~~ ~:0'13 .~ .. INSTALLER:. '. . ,,:. '" PROPOS Conipl ete.:tcip .eart o~. form .J S'EWA~E OISP.OSAL SYS;E~(~:CO~I?":' .'. ',..:"~"\A. to' signature 'and submit. ~th copi,;,s' with applicat'ionr~ . , .' '. ,'.. PERMIT NO. M.nO'l-74, JS ,. . ' . . PROPERl Y AUURI:.~~. . . .. t:X?f,lVtj T1N~N:AND WAY <,:' '<': ":":: I NSTALLER'S NAME .{(o.~fR ';-;Ff&?:p5 -..- No; Living Units, Bedrooms" Baths 'Basement. '. . .Water Supply' '.' . . I..' .... .2. .d.::L. Yes ..No)( 'PubUc(<..' Dttier-list Septic Tank:'rA,.'t OY'E"':,,(-"C,t?Ni= St'1/Vl? i-Cr}?H/,/c0 . , 'f.JL.from we IJ. . ~tee 1. Q, concre,~e,@ No. ..compart~~nts r '; G~ 1 <,Capaci ty ,i 0 ~..t? ,Tilside Dimens.ions: .Ft.' , Ti Ie Disposal F.ield.: Len~th' Width. . Diameter'. " . Depth. Distribution' Bo~: . :Yes.:f.. N.o', .oWNER .- .other D.istribu,Fo'):lype ,. NAME MAuR', CEWARNER ' . ':,' '. .MAILlNG A'DDRESS feet from , WEll "- Lot line ' SP'R 'NGF IELD, OR EGO N Front Y. () S'j de rO' , Rear 1(> , ,. Length !,fL i nes-Ft. IJrenchil. .Tota 1 s~, .,'1 Ft, Between ,. .IF,i,l ler.' . 'IFill er Depth .)Fi Her Berow 1,1562.703. 4....5. '.6. Width2' ,Ft.3'" .'.Lines {(),i Tv'pelf;<<~Above Tile :l..inJTile 6..in. 'lot Plan. ~see. ins.trucNonsl: ::.y., .' . ' . ',0 :~<I,~:" ," ,.~;,~~ ,.. :,;"" --10- {s 1/ {: ~' .: . r. .~!\'-~. , i' ,."" ,II, ., . / __ _ .- ~ ,/r; ~~g'."."';"'" ~ '.", . ,.. (J.. .. ..... , , ?~T",IN\.AN~' ~AY '. .... "". , 'Fo'ln'dat ron /0. " ~.. ',' . .~.: . - .--'--:::--~,~. . \' . .... .., l>I , .'.,' -. ,. - .~ . I .3;~'l:bfHVED " rfvlItf:i\ ~ .," . ,~ . . " ,~ , ~, '.'r-.: . "~~.' ."t . '-./ .~ 1,\ . ~ :~ < ;. .> AUG9'':, 197A . . ,.....~ :' r ,"., c " ,.."" t-." . , . ., JANE COUN1:v " ENVIRO~MENTAg MGMI' ' .. ,'. . - . . ;-., .... .'?,:" .".:D,ate . 'J'1! 1.7 "'I"(7/~ SiQnature I~r~./C~',~ " CERTlF.ICATE,DF'SArISFACTDRYCOMPLETIOfl: ,. .: '. ., ('/ .e;.~'0A For' Sanitarian Us~ .only': """ ' ',' ..." Date, D/7-'Y. . 1 ,In accordance with .1973 'Dregon Laws Chapter 835. Section 214 'this certif.icat,e',is issued ,~. 'as evidence of sati,sfactory completion of a, subsurface' sewa'ge cii~posal, system 'at the'above " loca:~ppr~V~d:~;ste~ I'n~tall~ti~n,cc:inf~rms 'to :~urre~t stand~rds':. , isap'prov~d: Does. not conform tC?'curr,en.t standar~s' , . Remarks: ., '.',.. '. . .' , : ~ .. "..i.- . . ~~a~".:"" . ~E ,CDUNTY. ... ..' ,;'..." C55-1I '. >. .STATE OF OREGD~ :DEPARTMENT .oF ENV'IRDNMENTAi. 'Q~AL.lT(