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Home My WebLink AboutPermit Building 1974-4-19 Jrlt:.6 (IIP/ 5; LJ8-A//lLi/ ., ~rr.l~nl~, nnn~lrl CONTRACTOR - C;r..ln~f;~ltf mH 10/-71/ MI-l 101_711. PHONE "L."_l'l"-Oc .. PHONE !,.... ~ '... LANE COUNTY BUILDING 0 BUILDING PERMIT MH [X] MAILING AOpRESS ,. Rt, L ,R,n,! ~~I.A MAILING ADDRESS OR MOBILE HOME USE PERMIT PERMIT NO PROPERTY OWNER c:.;'!JnA PROPERTY LOCATION -INCLUDE POST OFFICE I FJ\e:.f" nn .ll!'Sfler rn:1.tJ ion ICJ..n_t'71"''\1 (..rnh..l l:'1oC:fo ...I.n~o l"\" ..ll'th+ I PROPERTY LEGAL DESCRIPTION - METES BOUNDS /1'-/0 k/~H.e..V/ , --- " " tR n, Of', , I. TAX cor NO /' I ~cnt APPl NAME u."" " CODE CENSUS TRACT Ita_oJ ~c~,~.r EXISTING STRUCTURES ON PROPERTY P , I nl~"'n..c:n. lEGAL' ACCESS TO PROPERTY TWP RANGE SECTION & " u ~ "'l.t-.J..,.". PROPERTY SIZE - FT MAILING ADDRESS WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY t No of Bedrooms 1: STRUCTURES"TO BE BUILT THIS PERMIT Connect to EXisting Sewage System ~G1 TYPE CONSTRUCTION SQ FT # "SDRMS New System 0 VALUATION P~.." M,...htln ~o r...........ar..."'..^ ~....rr....:,..,. c:un............ I~......L'IO. D...._....ii 1'\_.....\ ,~ - . - - -. ~ -- -'. FEES PLUMBING INSTALLED BY OWNER 0 OTHER NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK .Q $ OTHERD PUBLIC 0 o OTHER IJe 11 4.00 ,0.00 TOTAL $~OO COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED ,M1N SEPTIC TANK CAPACITY WITH 01$1 BOX GAL UN FT TRENCH WIDTH FT OR SQ FT \ . TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UT1L EASEMENT MH BlOG SETBACKS FT FROM eTR OF ROAD RIGHT OF WAY USE CLASSIFICATION I FRONT SIDE INT SIDE EXT AUTHORIZED SIGNATURE - DATE s/s J.E. Boss bv Harbauah REAR DATE J. Shook 4-19-74 bo BlOG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK . PLUMBING - CANARY I BUILDING _ GREEN I SANITATION - GOLDENROD Call 687.4065 to schedule all required inspections All construc, t.an shall comply With Uniform BUIlding Code, DE Q standards IMPORTANT for subsurface sewage disposal and county regulations covermg plumbing All buildings require a certificate of occupancy before bemg occupied (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 FOR'" == CSS \3 ....~ ~ ~ ;. . ,j " \S ~ <0) I'll " ~ I\.~ ~'.. ~~ 1-;) III ~" l(~ ,. I .J~ n<(>- wZw Il:Q> LiJU)o: ....U)::J !!lwU) l.'J/L 1W~~~ 1 D..J .~ ~ ~ " ~ "l (;)~, ~ ;.'1::::; \) Ii) ~ '-.~~'\ \~'<~~f '\, " ilj ~ \IJ ~ \lji-..~\ ~ ~ ~\t) ~ ~) "( '-l In ~ ~ ~'l ~ ~I ?: ~ ~ ~ ~ \j ~~ ~ ~C)~l4~ ~, :'l- 5J ~ \\': ~ "t It) ~ ~ . " ---- ~- ---~--------- 01 ~ , 'S'/lj::r~, _ - - --- _1 . ;;r ,'b?,O r,JP ._____ 1\ 1=/"'7~ J...: " I (;j ...;;;r'...qv'5'~ I:!~ -~\'I, A.. ~ 1 ~ I~ ~~! ~ ~ In' I,: ~~, ~ ~ 1-"- ~ ' ; "( , .. Icj -- \) l\. -r j -' , !... -.J I~ \) , ~ \) I \1., ~. <: '0 '-. " Y I ~ " OJ '.. ! !II ' " "1,) " h ~ II ~ <;J iJ.J _ _, _ _ _I: ..... Iv) ~ ... _ . II] " .'. ~~. ""---. 'l to: .,--t a '3 ""'--_ \) ',-. - - , -----~ '0 , ~ ~~. ~ 'I I r ~ ~ '< Vi ~ Il'. \> '''-(, , I .. ~ 4 ~ I' J 00 <::.c: /' ~- .. //~. &"'?c6/' 5""'"'::'08::: -- ;;02' /' ~ , ." --. · ,ji>JV'<{T/~i4, . -.~, , --. flL'IO/-J#Y,\!o , . ~-----.~~---~-- ---C__________ '" "' WilWag8~8w 18!uaWU0"^U3 J I -';oi 160~ ,':,( II\. ______ : ~ -, -. - -. \. ij _ . _ ;r 'W r' '_'~ i:7Cr' c-..?dS?'/", I ~ ~ ~ I}>o~ "'"lll1lijllllllllllll~ - - ---------- --- IF"'G-<:"e!f./ -1-1' - oJ..? 0 08 ,-1/ , CI;: ~~; d' /' I :' I; \ ~ €"I ~ " ) I )..:. :;-\ ~~'- 'lj '" ;l> \,. '" ~r ~. " ~ 1 ,,' . \) "i.' '::l~,~? ~o . ,- ''Q~ ,;'1"" \) "1 "'': l... ~ . ~" h. ,. l~l ~ .' \ ' ' ! -- -- ----- i1l81 r 1 '8d'd U j lfi li jJ ~ ,:'l (l . ..I. --..lIIiIii.. '-' '11/ -............. " -I -I <l: ,0 z"Z O~<l: (\U) I),o::~ '{ W3<iN ~:rUl ~ O~~ ~. -I , () \,);, ~ ~ I~ ~ ~ l( \'\!i\ \)t~ ~~~ ~ . '<I ,'\) ;;- III <;j ~ " l \} ~ ll. ~l~~ ~~" }) ~ ~~'i ~t~~ iii llj.~ ~ '~ " ~ 'f ~l ... ~ !.: ~ ~ " ~ '\.:l ~) ~ ~,~ ~ \) ~~~U~ ", I I l V, L "J \ . :Jyff N/II~/- ~) J , t'" ) ( ) ( ) B"uildl/lg Permit Application No Site I nspect IOn Prc-Permlt Investigation L"NI: COUNTY PLANNING DEPARTMI:NT 2 NOT app I, cab I e ZonIng Ordinance Compliance () (I) (Zone 4 ?r-) SubdivIsion Ordinance Campi lallce YES (/'1 ? ( ) 1\ \ NO ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) > -' Hcqurrpd Access . 4 Build,ng Site (Area, W,dth, Frontage, Setback) Other (see comments) 5 COMMENTS I -- -i.... , /'---/ ~ > / I , , DATE BUILDING INSPECTION SECTION NOT NO YES ""tbl. - ( f () ( ) () () ( ) I ) ( ) ( ) I) ( ) ~ ) 6 Plans Submitted 7 Sool Stabil,ty (Foot,ngs) 8 Flood P I a In 9 01 her (see Comments) ~ COMMENTS ,-1, , ,_a2..' 6,9, VIHX CEN, TRACT ,- LOl S5DL, APPLICANT NN\E H((,.,~n/s' ADDRESS PHON E DATE '1-12_ -7V 1 N,\ME DilTE ~.~"" (- --;, ---.., rf! -16-7'/ I , J '-- tJAME - ~JI-,- ~/'{--?L . - ---- -. ..--- -- SAN IT Ar I ot~ SECTION NOT NO YES NAML DI\TE apD 1.1 cab I e 10 Sewage Disposal (V ( ) ( ) ~Q.Q II Usable Area ( ) ( ) ( ) 't/Llizy 12 Water Supply ( , ( ) ( ) --- --- 13 Other (see Comments) ( II ( ) ( ) -- - , _ _ _ ____c_~_... -----~ COMMI:NTS TO APPLI CAN r -- -- ------- ----~--~.---". .------------ - ---- Your I 1__ICf f? N '-1 ( ) Building Permit / Site Inspection Can be "PI' I oved rdnnot be eJpploved at thiS t Ifne dS IndIcated Oil Itelll NO above Que'a IonS and furl her Info'nldt Ion 011 ItelllS I throuqh ) contact the L.Jlle- COUNTY PLANNING DEPI\RTMLNT. 0"", lOll; 11ld I," II.. I InfoC/lIJlrOIl on ,ten's 6 I hrollqh 13 (Ollt act thp Lane (~!..tll~y~B~.L_~J..~.!~~:' _d ~<:~~Il.t~~t~:...!..~ Will ue hl.ld In thiS uff let 1I1111l YI)U rAil Ic,ol\lC' tilt prohl(>llI~ ndrCi'll(U '-, being ,('turned Your blltldtnq pf'rl1llt <lppllldlllJn lu.. I~ IJClllq llturrrtd under separate.' Lu.;er ( ) ( ) ( ) - -- - - -- -------- ------------- ------------ --- --------------- ll1NI (IIIIIIIY 1'lllmllNf, IJfI'I\HIMLNT I Pi ~j.xrjl /i~lllllt ["...t. (UytllC, Olt'Ylltl 97ltOl IIINI 1I,IIN1Y 1illllIJlrlG f S/\tllll\lION OIVISIOtl 131J ~ I x th ,-I.l'lC'lllH I It., t. (lIq{'lr. (II (qnn <1740 I I'IIONL \Ij} I III I-x' 711 1'1111111 11,} 1 J II DT ~1I --.- - --- -.,-- -- - -- --- --- - - ~1')r; - ~H . , " ' , - . . . LANE COUNTY BUILDING 0 BUILDING PERMIT OR MOBILE HOME MH [!i] MAILING ADDRESS USE PERMIT PERMIT NO I , " r'l.l Il.'_-:'. PHONE PROPERTY OWNER ft;~,..ntnnltll._ Onnrl(j CONTRACTOR . . ~r- _ , ~~~ l...,<.~f\,\ ~ft" fn,..C '...D..4 MAILING ADDRESS -;-'l""2 n...."n PHONE i'(: -"_ PROPERTY LOCATION - INCLUDE POST OFFICE E.'lq(> on .J.....t'..r r()-~~ .."" lClnt-~ln" lli"lrh..\ 1I"'t"t. rill- ^HI. ...1.....h. PROPERTY LEGAL DESCRIPTION - METES BOUNDS ~ TWP RANGE SECTION TAX LOT NO CODE CENSUS TRACT 1f'1 02 11t;.?1.1 ';,hng .~-O? ' ~_lC?r EXISTING STRUCTURES ON PROPERTY. APPl NAME SJJrr~ "'11" .....hn '''''n LEGA( ACCESS- TO PROPERTY & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No of Bedrooms ';!, STRUCTURES TO BE BUILT THIS PERMIT r" ;n.........1",,~ PROPERTY SIZE - FT WIDTH DEPTH AREA Connect to EXlstmg Sewage System..G] TYPE CONSTRUCTION SQ FT :# BDRMS New System 0 VALUATION Pl\.-f" Mol,ltt!A.~.(' ,....,"ft~t!>njt^ r;:rvlr.:. 'nn c::.~..-A-___ t,,"-UII!!. '" ..._.... fl._......\ . - ~- - - ~ . FEES PLUMBING INSTALLED BY OWNER 0 OTHER NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK !'[;] OTHERD PUBLIC 0 o OTHER 1,~1I 4.01l 30.00 TOTAL . ~4.GO COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED M1N SEPTIC TANK CAPACITY WITH DIST BOX GAL UN FT TRENCH WIDTH FT OR SQ FT , , TYPE OF STRUCTURE Wi OCCUPANCY ZONE PUBLIC UTIL EASEMENT BLDG SETBACKS _ FT FROM CTR OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT SIDE EXT AUTHORIZED SIGNATURE - DATE o/r. ..'..E. BoloS by 1f'l{.:;Urlh REAR J. S/w,1k DATE b-l ;-7ll 1-,1) BLDG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN . SANITATION - GOLDENROD Call 687,4065 to s<hedule all required Inspe<hons All construc' lion shall comply With Uniform Budding Code, D E Q standards IMPORTANT for subsurface sewage disposal and county regulations covermg plumbmg All bulldmgs require a certificate of occupancy before ";..' \ '\. ~ being occupied, \, I . \ :Y:...\-.:J ,.:~, \".\ \;~.\.\Z "(See Detads on\Reverse Side) \...'1, \ \\.'\ ..)~ "f .. --\ . "'-...., \ \,} \' j _\.' (POST THIS' PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 , , FORM = C55 13 > . .' ~. , . . . SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED / / DISAPPROVEO ~/ DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED / / OlSAPPRQVED 17 DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED L-/ DATE I NSi?[CTOR REMARKS FINAL INSPECTION ApPROVED Cl REMARKS ~),( :;~:::Ei DATE INSPECTOR 4 -.2/;- 7t1' # CERTIFICATE OF OCCUPANCY READY TO ISSUE / I NOT READY TO ISSUE 17 DATE INSPECTOR REMARKS f1H /PI--1tf l!e~ ~~ .N.:) / : LANE COUNTY BUILDING 0 . A -, C)f9- ":.R$!~"- f?d, ~ne.J( S~-~/ OOYJdeer;-/)1~ / / I BUILDING PERMIT MH lliJ MAILING ADDRESS OR MOBILE HOME USE PERMIT PERMIT NO PROPERTY OWNER " II, t [l ,;~~,:i') PHONE / ,. ~... ... .. t "~!nnln. e">f'nM CONTRACTOR C\'. I. r"'11-,",U <'"",.ltl"1v<',l,; MAILING ADDRESS "'if ,'J... "'t"~ ~ PHONE 0--0 PROPERTY LOCATION - INCLUDE POST OFFICE h.....<\f* f"'!:1 J...,...n,......p ti"r"'I"'-1 ~f'll tt~F'''''~lr''f (l"lr' ~~ I[v-,t- n~('~ lV1 plrf"lli". PROPERTY LEGAL DESCRIPTION - METES BOUNDS / TWP RANGE SECTION TAX LOT NO CODE CENSUS TRACT In 1'2 ~.5.?t, 'il;'1ni i<'of]f) ~4oo~t 7C EXISTING STRUCTURES ON PROPERTY ",.r.,.,r-. f0n lEGAL ACCESS TO PROPERTY tt'ni1""":IDr"'lH PROPERTY SIZE - fT , APPL NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No of Bedrooms ~ STRUCTURES TO BE BUILT THIS PERMIT nr-~""l . WIDTH DEPTH AREA Connect to EXisting Sewage System {!] TYPE CONSTRUCTION SQ FT == BDRMS New System 0 VALUATION ();)l"'~ r~..,~RU(] 1'''---"....1- ~f',....l~'V?('-lJ?n 1=t"&n{'\'tn"'1 !;"n.r......, Ir"'f""ir"\n nUl1'ftr",..t r'n-o.-,\ SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK G OTHERD < FEES OWNER 0 OTHER NAME WATER SUPPLY PUBLIC 0 o OTHER L::i1 ~.~~') !l0.00 TOTAL < ~0.CJ COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN SEPTIC TANK CAPACITY WITH OIST BOX GAL UN FT TRENCH WIDTH FT OR SQ FT TYPE OF STRUCTURE CjtJ BLDG SETBACKS FT FROM CTR OF ROAD RIGHT OF WAY OCCUPANCY ZONE PUBLIC UTJL EASEMENT USE CLASSIFICATION FRONT SIDE INT SIDE EXT AUTHORIZED SIGNATURE - DATE olr;, J.C. [)tnJ r)\, tn\,,~QufJh REAR J. Gln;ltt DATE. ..... j..... _.~- ~ -,-~ , . BLDG PERMIT - WH lTE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687.4065 to schedule all reqUired mspectlons All <onstruc, tlon shall comply with Uniform BUlldmg Code, DE Q standards IMPORTANT for subsurface sewage disposal and county regulations cov~ermg plumbmg All buildings require a certificate of occupancy before being occupied (See Details on Reverse Side) " PORM:::: C55 13 \ (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97.401 . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED 17 DISAPPROVED .c; DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS . ROUGH PLUMB I NG ApPROVED / / DISAPPROVED 17 DATE INSPECTOR REMARKS ROUGH GAS PIPING ApPROVED .c; DISAPPROVED 17 DATE INSPECTOR REMARK 5 FINAL PLUMBING ApPROVED ~ DATE{I ~1.J-7f' I NSPE?t'TOR DISAPPROVED .c; REMARKS FINAL GAS PIPING ApPROVED .c; DISAPPROVED / / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE 17 NOT READY TO ISSUE 17 DATE REMARK 5 ,., . - . , , 4~ (/ INSPECTOR