HomeMy WebLinkAboutPermit Building 1974-6-26
j,<-~~'~', 'I'~'~~'O-;'" "
~. . ~~ '....! ~ '\.~ /",.. ~
,r-
.~. ="
;r...,,~",-~"""'-"'---~- " - ~~:--,_.~- -~.. ",I'.~.,;:"'~
-,. ,
I'",~ .. .' ..' .,'. I
....,.;,..~~,"'i....' ~J'-'" ':,"
, '
.......
Call 687-4065 to schedule all required inspections. All construc-
tion shall comply with Uniform Building Cod,e, D.E.Q. standards,
for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate cif occupancy before
being occupied.
, (See Details on ,Reverse Side)
',~ .' ,. ,.r ... l
'. ,"
, "-, "
. .. ~ .
-.:.-'
i it;
. ,'j
"
HO" USE PERMIT
PERMIT NO.
--,~
,;,1 ' -
- .~, . !
-
LANE COUNT_UIL~ING PERMIT OR MOBILE
BUilDING [J , , MH 0
MAILING ADDRESS
,
....f ...
,
'~ ,<<
...,.Y'
. ........ ."",1"
\ '
PROPERTY OWNER
O'TT01 ',5_1-1- "
CONTRACTOR
RANCH CORR~L DR., SPRINGFIELO, OR.
MAILING ADDRESS
10 !\loRnl SENECA, EOOENE, OR.
21'57
KEN-\-JAY CONSTRUCTION CO.
PROPERTY LOCATlON- INCLUDE, POST OFFICE
, ,
',2157 RANCH CORRAL OR.'
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
1ST. Aoo. RANCH MARKET LOT 1.2
BlK. 3
:,
TWP
RANGE
SECTION
?4. Lf- I .3
1"(
03
TAX LOT NO,
'~S~
EXISTING STRUCTURES ON PROPERTY
CODE
CENSUS TRACT,
APPL:
NAME
&
MAILING,
ADDRESS
FOR MOBilE HOME PERMITS ONLY,
No, of' Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
~N..WAY , CONSTRUCT ION CO.
LEGAL ACCESS TO PROPERTY
'RANCH CORRAL DR.
, PROPERTY SIZE - FT, '
WIDTH
DEPTH
AREA
Connect to Existing
TYPE,CONSTRUCTION
5-N
Sewage System, 0
5Q, FT, +t BDRM5
120 @ 10
CLOSE IN COVERED PATIO
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANK 111
BUILDING t
, WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
OTHERO
12.00
FEES
PLUMBING INSTAllED BY
OWNER 0 OTHER: NAME
WATER SUPPLY,
PUBLIC ~
o OTHER
TOTAL
t '
, 12.00
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
'PUBLIC UTll. EASEMENT
I)-N
BLDG, SETBACKS __ FT, FROM CTR, OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT, SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
'/s/J.E.BOSS. BY. H. HAMMOND
BLDG, PE~,MIT - WHITE
OFFICE COPY - WHITE
Co'UNTY ,TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION -'GOLDENROD
IMPORTANT:
~ . I',
. ...:--:,./ .
.'
''':"
,FORM #,C55,,13
(POST THIS PERMIT O,N' MAIN BLDG. AT' SITE)
LANECO~NTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE AN,~EX, 135",EAST 6th,' EUGENE, OREGON 97401 "
'-
~. "
... _'_ -. '0 ~_:.', ._.:..; ;;",",.'. .. u'" ,.' ,', '. . .,;,....... ~_ ,: ,.~, : ',' ";,. _~,. ... ..:; _',' ,..' ....
,.;..~-- '......:...-.,;...,..
'.' . -.... .._.~. ,. -.'
.v.... ..1,,,-._:>,,_.',..
". .
'..~ . ..-!.~. . .~..' ..
... "'"", """_':'~:;._':.'...l,~.:.c'_~' c'
11 34- 74
PHONE,
PHONE
484-1135
"
New System 0
VALUATION
1 200
?
,
DATE
6-26- 74 ,J H
, ,
"..; "
"~Y- ..'
- ,.<" -
''"
. ",', . ".".t.
.'
~~ ,
-
, .
e
HOME USE PERMIT
PERMIT NO.
, '
'I ~." 1 ,!,
Y , J'-"" ,,:. ,
PHOl'lE
~
.,
_ .'~""-Fl.
-r?'-- Of ',' .
.
.
..... ,.
LANE COUNneUllDIN'G PER-MITOR MOBilE
BUILDINGl[] MH 0
MAILING ADDRESS
, ,
l'
~~ .it;~"
... ~ \,
",.... .
~
, , I PROPERty ,gwN'EIf
'1&'
"1'........ ~ r. "
.,. ~_ '1:;.., .... :; (lo .. l' .
',", r .('")
{ ,'u" If
,..:.1.I./i'1I
,i;.^' ''JI-~ f?{~'~lP/\'\
IiU-U' .;\1-..... ,_;...:: -J'.-h........l
!C')"'t Cr::~~'I\J~;',J;i;'1.@t> (t{.
CONTRACTOR
F._~'tJ(_'~' ,Llo '''-'l~'!\~,'L;;:, Il"'~'lA(~I\"
,~J"""'d ,lJ; ~,~)...v...... qlf~~" 'lllJ-t...~.J
, MAILING ADDRESS
"'"..,..,
, ",J
"-,,-...,,<11
~n, [,/",,-, ('c" 1'\"-1"\':' .',,-, I'''''
U~i) '''\I~'''~:'( ":', -t,)~.~-.. ~~ ~.., ",:':c.;. """1>
1-1',
'./'f'..{...
v PHONE
'.C}~'I "'."'\ f'
\{, ''''-,,'' <\-<
'",,: '-"---'-1,' : ~l;./~
PROPERTY LOCATION - INCLUDE POST OFFICE
,,^. ..', I".r(:" ....'1 (\.., "-' " ,,',,'
('IJ ~.t ~i\ t, .J\~ V . '.. ..'J__ .,.-:',
" PROPERTY LEGAL DESCRIPTION ~ METES, BOUNDS
~S'~ ,lr)r~O :f1,~C.t~M b~~t:.~~";~ t()til
~'"
.' .'
(:.
.'lr,1 ,: .,' .
t' -.- ,_',1
!,
,'\,
I,
~l 1
'V' ~
RANGE
e,J
SECTlON3
<ill I, ' 4- I "
\ 1. .
}J:.X LOT NO,
~'S-~
EXISTING STRUCTURES ON
CODE
CENSUS TRACT
'I.
,
,I TWP
!,
APPl.
NAME
&
~<:~.c~~, ''I
F"
PROPERTY
o
(',^y",,, "f"'il''iJ""j .-,,'.
(;':,j.~,lL,L;,U ~V:;I ..,..".
LEGAL ACCESS TO PROPERTY
t"3'J"f"'" ':F~~,'~ ,('I..~ ,'")
,r'it........ , vv ~""~ ;"'~ ,..
I' ' MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
! No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
"
PROPERTY SIZE - FT.
, ,
,j
WIDTH
DEPTH'
AREA
-, ,(' , " (:",~, ,'~ ,'f'
;'.' , !}, .:,.}....; 'I ( ~',_) C,.
Gu,,'jj
.... .,.\
""',j
_i1-' ,
Sew.age System 0
SQ, FT, # BDRMS
'1 ';', 0,:)' '
( ~ . \ ( \J
'i:.--' ,
, ,
,New System 0,
VALUATION
> "'i ., .. r,"\
, " ~' ~_J.-..:;'
Connect to Existing
TYPE CONSTRiJCTlON
.
!
"
,1 SEWAGE DISPOSAL
I PUBLIC 0 SEPTIC TANK d,
.
BUILDING ot
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
.
pARK TRAILER
OTHERD'
.- ,~.~'.)
FEES '
PLUMBING INSTAllED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
,
PUBLIC 0
o 'OTHER
"
, !
I
TOTAL
'.
t
, It' ~\
~' I;e '. \- to;
'MIN, SEPTIC TANK CAPACITY
,WITH DIST, BOX: GAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
lIN, FT
TRENCH WIDTH FT,
OR SQ, FT,
I'
i,
!
,,',
,TYPE OF STRUCTURE
OCCUPANCY
ZONE
,PUBLIC UTll. EASEMENT
.
",,' "
BLDG, SETBACKS __ FT, FROM CTR, OF ROAD RIGHT OF WAY USE CLASSIFICATION
"
I FRONT
SIDE INT, SIDE EXT,
AUTHORIZED SIGNATURE - DATE
REAR
"I {j -:
" .....--, ,a' "
.'~. , ~ . ,'" f\ '!~ i" r ~
~ I ~ ~ ,. t'l ~. l':;; '".,.;; oj.,..
f
\.,,'"..
t...-"'"
DATE,
,0';.> r,'
../ "
I 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 Building Code, D.E.Q. standards' I
IMPORTANT: for subsurface sewage disposal c;mdcountyregulations covering
plumbing. All buildings require a certificate of occupancy before'
being occupied. '
(See Details on ,Reverse, Side)
"
\
FORM == C55 -13'
.....
'..
~.
(POST THiSPIERMIJ ON MAiN BLDG. AT Sin)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX,- 135 EA_~T,6th, EUGENE, OREGON 97401
,I
! '',.
......
:"\:""1'0-"-
e ~'-"
e .".....
~,
~ ".
SITE INSPECTION
ApPROVED' / / DISAPPROVED / / DATE
INSPECTOR
REMARKS
FOUNDAtiON INSPECTION
ApPROVED / / DISAPPROVED / / DATE INSPECTOR
REM"" d/l'~"-4{Njl..u~~~ '1-'l~7Ifd
el
FRAMING INSPECTION
/'
ApPROVED / v /' 01 SAPPROVED /
/:)/'
/ DATE '1-/~--7if I NSPECTt!X / .
(?,
-./
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
FINAL INSPECTIO~
ApPROVED -.;g DISAPPROVED /
DATE 7.-.:72 ~/?2 INSPECTOR ((:l
/
REMARKS
CERTIFICATE OF OCCUPANCY
-..
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
{~
II Jr-711-tJt6j
-
Z Icf ?
,<
BUILDING sin EVI\LUI\TION
"
til-
1/31./-7t/'
NOT
app I icab I e
( ) ,( )
( )
( )
( )
( )
,
, W"
-......
./
~.
e
I\pplication
,
No.
( )
( )
( )
'./
Bu i 1 ding Pe rmi t
Site I nsp'ect ion
Pre-Perm it Invest i gation
PLANNING DIVISION '
1., Zon i ng Ordi nance Comp I i ance
(Zone )
2. Subdivision Ordinance Compl iance
3.
4.
Required Access
5.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
T-11_R 03 S 2Y TI\X LOT
CENS. TRI\CT '
Ie; , Ra "'tch.., 1"1 kl-. L -/ 2.. e~.
APPLI CANT: ' .~ ,I " J
NA/1E ' (711:0 /bl1 th,/
~DDRESS ' , ,/
./
PHONE
DATE
t.-2L/-7V
I
NO
YES
DATE
NAt-IE
({
)
( ) ,
,~
(\ )
( )
)
( )
COMMENTS :'
BUILDING INSPECTION DIVISION
NA11E
NOT
aDD I icab I e
() () ,( ~
() ( v),
(...r ( )
(..)~" ( )
NOT 'NO YES
aDD I icab I e
() , ( )
( )( )
() . ~ ,
()J ()
6. PI ans, Submi t ted,
7. So i I Stability (footings) ,
- 8. Flood
.... Plain
9. o t he r (see Comments)
( )
( )
( )
COMMENTS:
WATER POLUTION CONTROL
,10. Sewage Disposal
II. Usable'Area
12. Water Supply
13. Ot her (see Comments)
COMMENTS :,
TO APP LI CANT: '
NO
YES
DATE
~f>A-j ~......2.s -- ?~/
#: ~~~
(
-'"
NA11E
DATE
B~ilding Permit, / Site Inspection:
Can be approved.
Cannot be approved at this time as indicated on item NO., abov~.
Questions and further information on items I through 5 cont~ct the Lane~
COUNTY PLANNING DEPARTMENT. Questions and further infor:mationon .items 6
through 13 ~ontact the Lane County Buildinq and Sanitation Division.
(,) Wil I be held in th,is office until you can resolve the problems indicated.
() . Is being returned.
()Your building permit application fee is being returned under separate cover.
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687 -4065 ,
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
---........"...--~,._-- " -,' "} ,--
-Pioiii, , ow::: M I I IY, ~:-_'!. u ~D~N."><'iA ,t iN~ A ?D~ ;,\,':~20~ 'J OSE_R [ ~~I'-__. ~_-:- PE R M IT #
____.~(./-I f2t;fo- .dt/€2~,(d...~ J."hu~. 06 (,tiUe! &c.L
CONTR....CR -W-MAlliNG ADDRESS {/ I' PHONE
~ROP~~~~~-~! ~ It) #0 =?~V1,~//~ - ~i-Lf..e-Z/d. //gf:/13:S-
..:1.1,,137 /t~;-) e~ ~ ~ :5h-2~Y Zfl P r./-
PROPERTY LEGAL DESCRIPTION ).~ -r-I.'~ ... 12 ilL 2 T/.VJ- adJMr R. ~uJ., 'II 1tA--', 01 .L , C . . METES & BOUNDS 0 YES
LOT - BLOCK - SUBDIV. '{ ..?- /~ ~ fl-vlt"fC,v () '~<:'"3AnAcHED 0 NO
TWP 1'7 RANGE SECV TAX LOT #. .~?E j_ ~ ,&'?.J", CENSU'STRACT .
() '5 :2 f I/. at, 3 _.~~/i~i_J2.4:1.t 2..1 _
APPLICANT' P . DESCRIBE EXISTING STROCTUIfES ON PROPERTY IF ANY
NAME I':t~.., w~/n?;t,f ~p~
. "
AND / ~ ~ !5.e-rlAf!.; c.-c... ~_Le tP/U
MAILING t7
/1 ?l{. -::.17\1
PHONE
LEGAL ACCESS TO PROPERTY - ROAD NAME OR #
ADDRESS
FOR MOBilE HOME. PERMIT ONLY
Number of Bedrooms
STRUCTU iESTO BE-,auilT THi'SPE~I^IT--i
(.' OSe__ \ V\ CfJ:\..l€ reo Ci
PROPERTY SIZE-WIDTH
'].fJ- (
DEPTH
{ :z-~ I
AREA
F11 t1
Connect to Existing Sewage
TYPE CONSTRUCTION
lOx 1'L 1:2..0
System 0
~SQ. 70
or New Syste~._ Re9' 0
#"8EDRC;OMS VALUATION
1.20'0
I
SEWAGE DISPOSAL
..!UBlIC P
BLDG.
WASTE OIS.
PLUMBING
PLAN REVIEW
PARK TRLR.
SEPTIC TANK ~ OTHER 0
$ -.12-. ....c..:~. FE'ES WATER SUPPLY
--;~U~~~ES
__..__ FIXTURES
CASH fJ SEWER
CHECK ~ION FEE
OTHER
PLUMBING INSTAllED BY
OW~~.'3_b).___-'~L~ER 0 NAME
PLANS FURNISHED
YE,
FACILITY PERMIT
YES 0 NoA
\ DATE
'7A
,TOTAL
\2,-
PUBLIC WATER
CONNECTION FEE
PERMIT #
ONE
6--2- 'f" 7x
. /
......-..------- ----"'--
._--.. .. ,---. -------.-._.- ..,.--.. ... '-"-'-'-~---, ----.- -. ..----.....---.-- ---.
, .~
~-
COUNTY BUILDING & SANITATION SPECIFICATIONS
-
MIN. SEPTIC TANK CAPACITY
WITH DIS1. BOX: GAl.
lIN. FT.
TRENCH WIDTH FT.
~
",0R SQUARE FEET
ZONE
REAR YARD
PUBLIC UTIl. EASEMENT
Dato'
Directions 10 Find
"OPO;'1
I
\./
. ~_/
6 ~-.2S'" / y
/'
- COPY 1 - OFFICE
COpy 2 - JOURNAL
COpy 3 - AUDIT
Form # C~~'IZ
. .... -"'7. ,....;. ..;...... ".: '0;."
'.:";:',- .. .- ;-'-, '-.;",- .....:...-..-:-\
_......:.- ,.... .........~-..... ....;.-....
'. --'~.;'. ," .
"