HomeMy WebLinkAboutPermit Building 1973-2-23
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. LANE COUNC~UILOING PERMIT OR MOBILE H~.:J USE PERMIT
BUILDING D MH [] ... PERMIT NO.
MAILING ADDRESS
E~orett 717 Highway 99 North # 9 EugeRe. Oregon
MAILING ADDRESS
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PROPERTY OWNER ,-.
Oa'rnett ~
CONTRACTOR
f.1 H_I:~':" 7 ~
PHONE
Non~
PHONE
PROPERTY lOCA!ION - INCLUDE POST OFFICE
X91ll11 ',1391 Harbor Dri.ve.
PROPERTY LEGAL DESCRIPTION ;;":'METES, BOUNDS
Filbert Grove 4th Addition Block 6 lot 18
TWP RANGE SECTION
18 03 2
APPl.
Everett Barnett
NAME
& 717 Highway 99 N. # 9
MAILING
TAX LOT NO.
CODE
CENSUS TRACT
35-400
EXISTING'STRUCTURES ON PROPERTY
Shed and s.d.s.
LEGAL ACCESS TO PROPERTY
Harbor Drive
PROPERTY SIZE - FT.
ADDRESS Eugene. Oregon
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
3
Connect to Existing Sewage System 00
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System D
VALUATION
.
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PU BlIC 0
BUILDING
WASTE DISPOSAL
PUJ/<jBINGI
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0Exl StOTHERO
PUBUC EI
o OTHER
3.50
30.00
MIN. SEPTIC TANK CAPACITY
WITH DIS1. BOX: GAL.
$ 33.50
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
TOTAL
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
00 Not drive over any part of dralnfleld during construction.
'I HH
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
O.K. ~s per plOt plan
FRONT SIDE lN1. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
Isl J,E, Boss by Harbaugh
OCCUPANCY
I
ZONE
PUBLIC UTlL. EASEMENT
TYPE OF STRUCTURE
USE CLASSIFICATION
REAR
G. ~. Gray, R,S.
DATE
,2-23-]3
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 ~ certificate
of occupancy before being occupied.
(See Statement o.n Reverse Side)
(POST THIS PERMIT ON MAIN BLOG, AT SITE)
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
FORM = C55-13
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G 6 . flAT.l ~ ~ 35 .'~ ~ }/IX u:1.,8"!"'/"--'
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No. MJI ~~.:::2..:J
"APPL I~T:' .
;NAME AltlJE7T
ADDRESS .
.~ Building Permit Appl ication
( )5 i telnspect ion
.() Pre~Perm.it Investigation
PHONE
,DATE 2';"2L)-73
LANE COUNTY PLANNING DEPARTMENT NOT NO
app I icab 1 e
1. Zon i ng Ordinance CampI iance ( ) ( )
. (Zone \CA~f1141 ( ) ( )
2. Subd i vis ion ord i nance Comp Ii ance
3, Requ i red Access ( ) ( )
4. Building Sit~ (Ar~a, Width, ( ) ( )
Frontage, Setback)
5, ot he r (see comments) ( ) ( )
YES
NAME.
DATE
(~/];!jh
(-1----'
(---r-
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( )
2-2.0-73.
COMMENTS:
BUILDING INSPECTION SECTION
NOT NO ~YES . .
appl icable - . .
. () ( )
NAME
DATE
. 6. Plans Subm j t ted
7,
8,
Soil' Stabil ity (footings)
Flood Plain
() . () ()
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9.
Other (see Comments).
COMMENTS: .
1.0: Sewage D i spas a I
NOT' NO YES
app I i cab I e
If P ().
() . () ()
() / ( ). ()
(,' () ()
NAME
DATE
SANITATION SECTION
11. Us ab 1 e Area
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. 01_. , '-7'(
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12. : Water Supp I y
I J. Other (see Comments).
COMMENTS:
TO APP LI CANT:
Your Bu.ilding Permit I'Site Inspection:
(~n be ~pproved, 2-....."2-2-73 (c;:~
() Cannot be' approved at this time as indicated on i'tem NO, above,
Quest ions .and further informat ion On items I through 5 contact the Lane-
COUNTY P.LANN ING DEPARTMENT. Quest ions and fu rtti~r j nformat ion on j terns 6
through 13 contact the Lane Countv. Suildinq and Sanitation Division.
() Will be held in this office until.you can resolve' the problems indicated.
() Is being returned. .'
() Your 'building p'ermit appl ication fee is b'eing 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 Si,xth' Avenue East, Eugene. Oregon 97401
PHONE: 342-131.1 EXT. 411
M55-28
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LANE COUNl r
BUILDING 0
BUILDING PERMIT OR MOBILE Ht.,...:
MH [j;j
MAILING. ADDRESS .
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USE PERMIT
< . PERMIT NO..
L.' '
PROPERTY OWNER
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tiYJ(~n..:;':::
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!'t!ONE
CONTRACTOR
MAILING ADDRESS
PHONE
.'.
PROPERTY LOCATION - INCLUDE POST OFFICE
a.L~~ ~~!:;: tla:?I:o:' :.,"5'".10
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
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RANGE
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SECTION
2
TAX LOT NO
CODE
~,~.NSY.~...TRACT
.l!;od..,,J,.
TWP
APPL.
NAM~
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CVC7;:~:C Jo~~nc~'i:
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lEX/STING STRUCTURES ON PROPERTY
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'LEGAL ACCESSVTO PROPERTY
II!?t,r::oJ" t;\f" tfU
MAILING
ADDRESS
PROPERTY SIZE - fT.
~':"rr;r:c:.'l '~1CL:J[i
WIDTH
DEPTH
AREA
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
jI
Connect to Existing Sewage System;EJ
TYPE CONSTRUCTION SQ. FT, #8DRMS
New System 0
VALUATION
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J"
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FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
Zl
PUBLIC 0 0 OTHER
SEWAGE DISPOSAL
PUBLIC 0
aUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
1(1'..n1 Sl!~,
SEPTIC TANK 0' LOTHERD
Z.;"JU
;/!..:J.t.:}y
TOTA:.
;>)~I;1V
$
MIN. SEPTIC TANK CAPACITY
WITH 0151. BOX; GAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
L1N. FT
TP.ENCH WIDTH FT.
OR SQ. FT.
.;" :,llL. ['"J._r I}<'V t,Orc O~ c1mOn7nuld cil~ll'h':J Co.lnli:,llC~ICH'l.
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TYPE OF STRUCTURE
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OCCUPANCY
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ZONE
PUBLIC UTIL EASEMENT
BLDG. SE1BAf:KS~,--:)F~,l.~RO~lCTRt Of. iROAD RIGHT OF WAY
USE CLASSIFICATION
":.Y ,;.'.:"'.
SIDE INT. SIDE EXT.
, ,!(AUTHORI.~ED\;;IGNf>.TURE - DATE
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REAR
FRONT
G. lJ. l'i'iJlI.
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1(.,.'
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 0 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 == (55-13
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SITE INSPECTION ~
ApPROVED ~
DISAPPROVED ~ DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED L-I DI SAPPROVED L-I DATE
REMARKS
FRAMING INSPECTION
ApPROVED / / DISAPPROVED / / DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED ~I DISAPPROVED ~ DATE
REMARKS
FINAL INSPECTION
ApPROVED ~ cDISAP~ROVEDf)! I'DATE "
REMARKS /1I-1M Pat/MY- Lj-l'ie 7J rJl.
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / I NO! READY TO ISSUE / / DATE
REMARK 5
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INSPECTOR
INSPECTOR
INSPECTOR
I'NSPECTOR
INSPECTOR
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LANE COUN... BUILDING PERMIT OR MOBILE
BUilDING D MH ~
MAILING ADDRESS
717 N1[~(lV :;:i [~crt':l {; 9 :;UQO:lO. Crct,;>;;
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USE PERMIT
PERMIT NO.
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p'/"
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PROPERTY OWNER
uorno&tD Cvcrot~
PHONE
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CONTRACTOR
MAILING ADDRESS
PHONE
.-
PROPERTY LOCATION -INCLUDE POST OFFICE
Ef:::J [;;,;1 t!,J,.UOT Od \10
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
\,,\,x:l"~ ~ircy;) 4ttl Ae::tlltlofl
[jio~~ 6
Lot 18
~
. TAX LOT NO.
CODE
CENSUS TRACT
;.I~",~g')
TWP RANGE SECTION
Iv OJ 2
APPl. "lIcrc~t [)crnoal:
NAME
& 717 a1c:c:!OV S) (1. Og
MAILING
ADDRESS ~1:2CnO. 0"0;:;0"
~XISTJNG STRUCTURES ON PROPERTY
';i1~ COO 0.CI.6.
..lEGAL ACCESS1TO PROPERTY
,,131"001' tJr 110
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
3
Connect to Existing Sewage System:EJ
TYPE CONSTRUCTION SQ. FT. :;::: BDRMS
New System D
VALUATION
~
SEWAGE DISPOSAL
PLUMBING INSTALLED BY
PUBLIC D
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK
1jt;n I 5 t'OTHERD
$
fEES
"
OWNER D OTHER: NAME
WATER SUPPLY
11
PUBLIC 0 D OTHER
:I.;>"
JU_.UU
MIN. SEPTIC TANK CAPACITY
WITH OIST. BOX: GAL
It. ,;;.::U
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
TOTAL
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
~o O~t Qr!lIo OYOr O"y port of drolnflcl~ durlnD ~~~otru~~lan.
TYPE OF STRUCTURE
rq~
OCCUPANCY
I
ZONE
PUBLIC UTIL. EASEMENT
BLDG. SJ1~!'fK~~F~)~~OM..>~!..Rt O~ tR..Q.~D RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
I I J ~ II AUTHORIZEDtJ'GNATURE - DATE
U .r.. 000 ~y ~Qruuuf,~
USE CLASSifICATION
REAR
O. H. n~oy. n.s.
~o2;)a~~rE
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
,
Construction to comply with uniform building code and county regylations
covering plumbing and sewage disposal. All buildings require a c~rtificate
of occupancy before being occupied. .":'
(See Statement on Reverse Side)
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(POST THIS PERMIT ON MAIN BLDG, AT SITE)
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LANE COUNTY, BLDG. & SAN. DIY., COURT HOUSE, EUGENE, OREGON 97401
FORM:!:: C55 -13
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SLAB FLOOR
PLUMBING GROUNDWORK
d.
ApPROVED' ~ DISAPPROVED ;---? DATE
-
REMARKS
GAS PIPING GROUNDWORK
ApPROVED / /. DI'SA'PPROVED / . / DATE
REMARKS
I ~ ~
ROUGH PLUMBING
"
ApPROVED / / DISAPPROVED ~ DATE
REMARKS
ROUGH GAS PIPING
...-
ApPROVED ~ .DISAPPROVED. .Cl DATE
REMARKS
FINAL PLUMBING
ApPROVED' ~
REMARK S
crDAT,p~- R3'
~. _ . T~! : I
DISAPPROVED
FINAL GAS PIPING
ApPROVED ~ 01 SAPPROVED / / DATE
- REMARKS
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CERTIFICATE OF OCCUPAN~X
READY TO ISSUE -r-:::7' NOT READY TO ISSUE ;---? DATE
REMARKS
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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I,NSPE,CTOR
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LANE COUNTY~DING- PERMIT OR MOBILE HOMF "SE APPLICATION
PERMIT TYPE'- BUllDING/))M MOBilE HOMEii!OSCREG.# PERMIT:#: UJ/ &6 -73
PROPERTY OWNER .. 'j '. .~ MAILING ADDRESS .. PHONE
. 6i~{!3It-IrJNC7TJ /911 1hr.ei3elL .belA/E, ~PF/)d2l?P;
CONTRACTOR ." ~.tILlNG ADDRESS " ' ' . , . PHONE
.7' ? 17 IhAn~ 99;11. -# 9 ( p(JtNVe
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PROPERTY lOCATION - INCLUDE POST OFFICE
/99/-#H/Z.t3tJJe ./J;e;J;-e
PROPERTY LEGAL DESCRIPTION
lOT - BLOCK - SUBDIV.
TWP RANGE
/p
- APPLICANT
NAME
AND.
MAILING
)
. B .- j L / ~. ' /' METES '& BOUNDS
- fO - 0 V ,ATTACHED
CENSUS TRACT
35-400
DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
.su-ev <t- 3,05.
LEGAL ACC~SS TO PROPERTY - ROAD NAME OR #
~ e J)12171 f:;
PROPERTY SIZE-WIDTH DEPTH
DYES
o NO
1=/ Lhr-/~.J
see.
:2
6 ~ IJ E;. 1m A-f) lJ
TAX lOT #
CODe
03
5/97nc
Ih Ii/I ~ TlJ
/9.'5 /913CJ vE..
'7/ TMV C;qlll.#!J
f
.L-7J&ENC.
FOR MOBilE HOME PERMIT 9Nl Y3
Number. of Bedrooms (
STRUCTURES TO BE BUILT THIS PERMIT
ADDRESS
SEWAGE DISPOSAL
PUBLIC 0
BLDG.
WASTE 015.
PLUMBING
PLAN REVIEW
PARK TRLR.
TOTAL
)
Connect to Existing Sewage System~:
TYPE CO.NSTRUCTION SQ. FT.
or New System Req. 0
# BEDROOMS VALUATION -
6X {';;)/:;,
SEPTIC TA~K' Jl.'
~ FEES
fi
3.6&
OTHER 0
WATER SUPPLY/J.i<i}X;;d
PUBLIC "0.( OTHER
PLUMBING FEES "
-----=-.-.:.... FIXTURES
CASH 0 SjWER
CHECK p.'CONNECTlON FEE
36. t~
33,50
PU BlIC WATER
CONNECTION FEE
2e>--O
l50
AREA
PLUMBING INSTALLED BY
OWNER 0 OTHER' 0 NAME'
c. PLAt:'lS FURN~S~ FACILITY PERMIT
YES.I',( PUilo 0 YES 0 NO 0
SIGNATUY O~ APPLICANT?',=::> \-:J'. DAT~
X ...p::;~t.1')A J. a-:- ..d orA_ I >f4L.... ~;/t7- 23
~ECElVED ,ty' / DATE
r MlJ . d-J-o-73
'--PfR1;\IT #
- tVlU t,/;-.li
COUNTY BUll[)ING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
UN. FT.
TRENCH WIDTH FT.
OR SQUARE FEET
fJn ~U/- dt,.-,~
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TYPE OF STRUCTURE 11 'II .OCCUPANj
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WJ:.~.L.~ \
A..5. -~ ~ .-.-."-'
fRONT 0 lL... 'SiDE 'NT. SIDE EXT.
SANITARIAN Date PLANNING Date
;d/~J.~h._2-J.1-7~ ~ 'V2-~ -7""
Directions to Fid Property'
COPY 1 -: OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT
form # C55-IZ
REAR
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PUBLIC ~/ASEMENT
,REAR. YARD
USE ClASSifICATION
BLDG~rr-u/.u/ Iff( --< - 2
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