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Home My WebLink AboutPermit Building 1986-05-13ACTI.JITY INFORI\4ATION - $H EET coMpLETE THrs sECTIoN. INCoMpLETE FoRMS rllLL BE REJECTEDT 5 - ll-ae &I' - I l{. - 0rffiQUEST PROPERTY OWNER MAILING ADDRESS CITY STATE ZIP CODE C ITY STATE ZIP CODE ffi E.OM=ilTETEPTONE #BUSINESS TELEPHONE #HOME TELEPHONE # 2 PROPERTY ADDRESS L ( IF DIFFERENT FROM MATT]XG ADDRESS) 3 nnap B PAFIeEL NIJMEIEFI RE UIRED INFORI'IATION) (from tax maps in Department of Assessment and Taxation or from tax statement) lf -ql oL 3-3- 4)oo MINSE-IP NANGE- SEenTN ffi Rfr ZON I NGtr t. ArrU'u../ f $ff'* TOII_NSFTP MNGE SM]MN ffi ZON I NG 6FNSHIp SNGE mTrON ffi ZON I NG TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISI0N (if applicable)LOT BLOCK 5 REQUEST (state exactly what you plan to do)S .{b.tks 7 r{;: t eC t ,k.0 a Ul -rz(*o +c Q-. C€ 6 DIRECTiONS TO SITE: fi-l\n + Fru<- ** FoR STAFF USE oNLY ** ZONE/LAND USE:f- /> -d6 o L4-33 LAND FTANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740I / 687-406I 4-" ACRES t -- IANE COUN BUILDTNG PERMIT OR MOBILE H( MHE USE PERMIT PERMIT NO.BUILDING PROPER] OWNER MAILING ADORESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE ib l(n PROPERTY TEGAL DESCRIPTION _METES, BOUNDS Txtno Aoo . FrLerRt Gnover Lor 2 Br-ocx 6 SECTION TAX LOT NO CODE CENSUS TRACTRANG E 3.fr rleRnrLt T. Hexov EXISTING STRUCTURES ON ii- APPt. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY R trrNi)xtA 5pn trcr tELD, 0REGox PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge m TYPE CONSTRUCTION se. FT New BDR MS VALUATION n STRUCTURES TO BE BUILT THIS PERMIT Fnoxr paRcH AoJo|NED To t{oBrLE Hora lANE ,n SEWAGE DISPOSAT PUBUC ! SEPTIC TANK tl OTHERE OWNER N OTHER: NAME PLUMBING INSTATTED BY BUILDING WASTE DISPOSAT PTUMBING PI.AN REVIEW PARK TRAITER F EES WATER SUPPTY PUBUC !n oTHER MIN. SEPTIC TANK CAPACITY WITH DIST. BOX, GAL. j: . T, DRAIN FIELD REQUIRED I.IN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OF SIRUCTURE OCCUPANCY ZONE PUBI-IC UTIT. EASEMENT )tiA-Mlr BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE ls/b7 BI.DG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Conslruction to comply with unif orm buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. code ond county regulotions buildings require o certificote s I (See Stotement on Reverse Side) (POST THIS PERMIT ON MAIN BrDG. AT SITE) I,ANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu * 655- 13 -! $- TOTAL $- COUNTY BUILDING & SANITATION SPECIFICATIONS BUILD ING SITE EVALUATION fi0z.t c.,.ouL 3dA<-n J s_> tAx LoT_(-z- B - L TRACT T2 CENSUS APPL I CANT: NAHE ADDRESS (//r"r lding Permit Appt icat ion No. ( ) Site lnspection ( ) Pre-Permit tnvestigat ion 27 fre PHONE DATE -/z)- 2 ? LANE COUNTY PLANNING DEPARTI.,IENT NOT NO YES NA}l8 DATE appl icabler)()vk €-//-23 ( Zoning 0rdinance Compl ianEe Qone (fljfolt Subdivis ion 0rdinance Compl iance Requ i red Access () () () () ) ) ( Building Site (Area, t/idth, Frontage, Setback) 0ther (see comments)() )( ) CO},IHENTS: BUILDING INSPECTION SECTION 6. Plans Submitted 7, Soil Stability (footings) 8. Flood Plain 9. 0ther (see Corments) NOT NO EiEt icable -() YES d{ DATE n- p{ w () () () () )(){-/G73 COHHENTS: SAN ITAT ION SECTION Sewage Disposal Usable Area Water Supply 0ther (see Comments) NOT NO YES I icable t0. I t. t2. t3. () () ) ) () () )( ()( (I(a, I COH},IENTS: TO APPL ICANT: Your Buildinq Permit / Sitez Inspection: N can be lpp.orua . flt* /<'*( ) Cannot be approved dt this time as indicated on item N0. above. Quest ions and further informat ion on items I through 5 c6il'I5l[Tne-Lrne- COUNTY PLANNING DEPARTMENT. Questions and further information on iFm,; 6 () () () t hrou gh l3 contact the Lale County Bur[dqng and Sanitation Division. Wil I be held in this off ice until you can resolve the problems indicated. ls being returned. Your building permit application fee is being returned under separate cover. LI\NE COUNTY PLANN!NG DEPARTI'IENT I lt, S ixt h l\r,enue East , Eugene, 0reqon 9740 I l'lh)Nt ; llr]-lill lXt. ?il LANE COUNTY BUILDING S SANITATION DIVISION 135 Sixth Avenue East, Eugene, 0regon 97401 PHoNE: 342-l3ll ExT. 4ll )t. 2. 3. 4. 5. NAI.iE NA}l8 DATE TANE COUNTY T .,D!NG PERI OR MOBILE HOME .SE APPTICATION PERMIT TYPE _ BUILDING OWNER PROPERTY TOCATION - INCTUDE POST OFFICE PROPERTY TEGAT DESCRIPTION I.OT-BLOCK-SUBDIV. TWP RANGE NArrtE AND ,vtAlIlNG ADDRESS MOBILE HOME osc REG. # ADDRESS MAILING ADDRESS TAX I,OT CODE PERMIT CENSUS TO PROPERTY _ ROAD SIZE_WIDTH DEPTH r3 PHONEz7 & BOUNDS E YES NO sEc . ATTACHED PROPERTY IF ANY .Y DESCRIBE EXISTIN LEGAT OR AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connecl to Existin Sewo e CONSTRUCTION m or New SQ. TT.TroTO BE T SEWAGE DISPOSAI PTUMBING INSTATI.ED BY PUBTIC SEPTIC TANK BtDG. WASIE DIS. PI.UAABING PTAN REVIEW PARK TRI.R. TOTAT €.aa MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. OTHER FEES WATER SUPPTY PUBTIC PTUMBING FEES ow PTANS ISHED NO TURE OF FACILITY PERMIT YES NO -F DATE -./4 DATEcAsH D CHECK -73 PERMIT PUBTIC WATER CONNECTION FEE COUNTY BUILDING &ITATION IFICATIONS DRAIN FIETD REQU TIN. FT.FT OR SQUARE FEET TYPE OT STRUCTURE OCCU\f BIDG. SETBACKS _ TT. FROM OF ROAD RIGHT OF WAY REAR YARD PUBIIC UTII.. EASEMENT Form # 655-12 ING REAR USE CTASSIFICATION FRONT { srDE rNT sfDE EXT. '--- AN Doie Dote ,s /\r',7t Direclions lo Find Property: Dole BIDG. INSP COPY I - OFFICE COPY 2 _JOURNAT COPY 3 _ AUDIT f &.t/. LANE COUNT )UITDING PERMIT OR MOBITE Ho/^'. ) BJILDING MH MAITING ADDRESS USE PERMIT PERMIT NO. : PROPERTY OWNER . l. ,ri ) PHOt.I E SPRr NGF I ELD 0neeol CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE : ,:", ,.povr Htnaon onrvE Lert ou Knsuor.lr Zxo Lot oH RlExr: PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTI ON TAX LOT NO CODE CENSUS TRACT,33 .q- ?7A Ilhoo APPt. NAME EXISTING STRUCTURES ON PROPERTY t'fl Grnponr & IEGAI. ACCESS TO PROPERTY , r,. :-i. T ,,1,.,.3U Knemour MAITING ADDRESS Spnrucrletb OnscoN PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing e TYPE CONSTRUCTION m tr New BDR MS m STRUCTURES TO BE BUILT THIS PERMIT ING PART OF EXISTINO CANPORT SQ. FT VALUATION SEWAGE DISPOSAT PUBTIC N SEPTIC TANK T OTHERN PTUMBING INSTATTED BY owNER n oTHER: NAME FEES WATER SUPPTY PUBTIC tr N OTHER BUITDING WASTE DISPOSAL PTUMBING PTAN REVIEW PARK TRAITER TOTAI. COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: cAt. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION SIDE INT ? SIDE EXT REAR AUTHORIZED SIGNATURE _ DATE t DATE BIDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THrs pERMrr oN MAIN BrDG. AT SITE) IANE COUNTY, DEPT. OI ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Iroau lf 655- 13 Bu t.L0,1.tc i .TE EVALUAT I ON O BUILDING PER}IIT APPLICATION NO ( ) srrE tNsPEGTtoN PLANNING DIVISION 2 il-Yes r l6^*/sIEETiTs, uNJ LOT J/-?, Not I icable ) ) APPL I CANT DATE LOT:_ BLOCK:- l. Zoning Ordinance Compl iance: Zone 2, Subdirition 0rdinance Compl iance CKID BY:6. Setbacks-Trorn CIt of road: Front Side Exterior No 1-t() () () () () () () () 3. Requ i red Access 4. Building Site (Area, }Jidth, Frontage) 5. 0ther (see comments) Setbacks from i nterior I ines: S ide Rear COHMENTS: plAuunrc orUtsrffi[-T uoI I APPtlcATlON# BUILDING INSPECTI0N DlVlSlON Not 7 8 9 0 Plans Submitted Soi I Stabi I ity (footings) Flood Plain 0ther (see conments) COHHENTS: T No Yesr) 6'() () () () () ()CK' D BY I,ATER PoLUTI0N CoNTRoL ll. Heets Department of Environmental Qual ity Standards. 12. 0ther (see comments) COHI.IENTS: Not I icabl YesrT (()CKID BY: DATE TO APPL ICANT: ,# Ygur Building / Site lnspection:(.\) can be approved.'( ) Cannot be approved at this time as indicated on item N0" above. Questions and further information on items I through 5 c6iE5,lfIFffiT-f- COUNTY PLANNING DlVlSl0N" Questions and further information on items 7 through l2 contact the LANE COUNTY BU I D ANDWill be held in this off ce unt OND you can reso vet eP ls being returned. c55-28 () () Your buildi ems cated. ermi t lication fee is bein tu AL 135 Sixth Avenue East Eugene Oregon 97401pHoNE. e9l_4065 LANE C0UNTY PLANNING DlVlSl0N PH0NE: 587-4185 z IANE COUNT BUTLDTNG f_"1 UITDING PERMIT OR MOBTLE HO.USE PERMIT PERMIT NO.MH PHONEPROPERTY OWNER MAILING ADDRESS CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE uft ,{rnEor ortv: ltrr *.(tilotlr 8tlrP L6? et Elrr?t PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS [sr I f,*r 6 RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY 'r,' i APPT. NAME & MAITING ADDRESS tE ltnrmlr LEGAL ACCESS TO PROPERTY $mrrortelo 0$rso* PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System New m TYPE CONSTRUCTION se. FT BDR MS VALUATIONSTRUCTURES TO BE BUTLT THIS PERMIT $ SEWAGE DISPOSAT PTUMBING INSTALTED BY PUBLrc tr BUITDING WASTE DISPOSAT PI,UMBING PtAN REVIEW PARK TRAITER . t' SEPTIC TANK OWNER OTHER: NAME WATER SUPPTY PUBLIC N tr OTHER FEES TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIELD REOUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT BIDG. SETBACKS FRONT ROAD R IGHT OT WAY SIDE EXT. FT. FROM CTR. OF SIDE INT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE d BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE'COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc- tion sholt comply with Uniform liuilding Code, D.E.Q. stondords IMPORTANT: for subsurfoce'sewoge disposol ond counly regulolions covering plumbing. AII buildings require o cerlificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT AAANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I FoRM = C55- 13 OTHERN SITE INSPECTION ApeRov e o Re tta Rx s Dr sappnoveo Dar e I nspecron FOUNDATION I NSPECTION Ap pnov e o Reuanxs Dl sApPRovEo Dar e I Nspecron FRAMING INSPECTION A ppnov e o ReuaRx s l_-7 Drsrppnove, D DorE_I xsprctoR LATH OR SHTETROCK AppRovro ReuaRx s I NSPECT I ON DrsappRovro Dare I HspEcTon FINAL INSPECTI Ap pnov e o Renanxs Dr sappRoveo Dore / -,/i'"7rI I Nspecr CERTIFICATE OF OCCUPANCY Renov ro I ssuE ReulRx s D Nor Reaoy ro lssur D Dare lruspecroR /sel-7r 3? -," Dote J Permit No t37t - 15 CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the ottoched opplicotion hqs been fully considered by the Boord of County Com- missioners of Lone County, ond'ii is the opinion ond iudgment of the Boord thot the soid opplicotion should be gronted, ond thot o permit should be issued, now, therefore, it is hereby. ORDERED, thot o permit be ond is hereby issued to A -{. Lteu ov .38 2 3 kr.Aoe 6ParN rt OeeaatJ for plocing, building or constructing the follow ing foci lity, E -,t 6zove. Mo3rua )'Ia^.\z5t o 4L' bvo+x.upon the rig Oor(to Grs Kr<e/\r\o Mile PosiCounty Rood in strict conformity to the exhibits ottqched hereto, ond subiect to oll terms, conditions, ogreements, stipulotions ond provisions contoined in the opplicotion ond permit, the Rules ond Regulotions Gov- erning Focilities to be Permitted upon County Rood Rights-of-Woy, os set forth by the Lone Mon- uol 50.190(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce. Speciol Provisions: l. Drivewoy will be constructed in occordonce with the ottoched drivewoy opprooch specifico- tions (Drowing M98-50). Permittee will be responsible for the immediote removol of oll mud, dirt ond debris from the roodwoy ond right of woy cqused by his operotion, leoving the roodwoyond oreo in o neot, occeptoble condition. Sidewalks will be constructed in accordance with the attached sidewalkspecifications and drawing M98-49. The standard curb rype shall be constructed unless otherwise specified. . This permit is revocoble ot ony time, ond will be strictty odhered to ond no work other thonthot specificolly mentioned obove'is heieby quthorized. This permit shqll be void unless the work herein contem ploted sholl hove been completed be- fore 197L. Expires l9_. lnspected Approved Dote __-- 4pproved by Boord of County Commissioners By Or- Da,ez_CADBy WHITE _ OFFICE FIIE YETTOW _ REAI. ESTATE PINK _ PERMITTEE ORANGE _ BUITDING & SANITATION DEPT Direclor of ic Works c74-r29 tt i\,k .{9 r , rteocf f, rs I 1 0/.A,so0Ot2 n T N tvt H ts uO fi- u S t ,s 9A' ! hi P n'YL f,l-\- k fto k, ,4 \ rD 7 t c ./ .?yl tL 't €r c-a 1nl t+, Fu o'l CAll/oPl- od EiL' l-t E Dote Per PERMIT tN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the ottoched opplicotion hos been fully considered by the Boord of County Com- missioners of Lone County, qnd'ii is the opinion ond iudgmentof the Boord thotthe soid opplicotion should be gronted, ond ihot o permit should be issued, now, therefore, it is hereby. ORDERED, thot o permit be ond is hereby issued to for plocing, building CURB CUT No. or constructing the following focility: upon the right-of-woy of County Rood No.Mile Post in strict conformity to the exhibits ottoched hereto, o nd subiect to oll terms, conditions, ogreemenls, stipulotions ond provi sions contoined in the opplicotion mit, the Rules on erning Focilities to be Permitted uol 50.'190(2) ony omendments Speciol Provisions: ond per hts-of-WRood Rig oy, os set forth d Regulotions Gov- by the Lone Mon- ony other opplicoble regulotions, Iow or ordinonce. Drivewoy will be constructed in occordonce with the ottoched drivewoy oPProoch specifico- tions (Drowing M98-50). Permittee will be responsible for the immediote removol of oll mud, dirt ond debris from the roodwoy ond right of woy coused by his operotion, Ieoving the roodwoyond oreo in o neot, occeptoble condition. upon County thereto, ond 2 3 Sidewalks will be constructed 'in accordance specifications and drawing M98-49. The Sta constructed unless otherwise specified. with the attached sidewalk ndard Curb Type shall be +'k This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon thot specificolly mentioned obove is hereby quthorized. This permit shqll be void unless the work herein contemploted sholl hove been completed be- fore Dote 19-.. Expires 19-.. lnspected ond Approved PINK - PER viITIEE ORANGE _ BUITDING & SANITATION DEPT, Approved by Boord of County Commissioners By By WHITE - OFFICE FIIE YETTOW - REAL ESTATE Director of Public Works c74-r29 ;rx NOTEr NO PERMIT WI BE ISSUED I]NTIL THIS APPLIC,ATI APPLICATION FOR: PLAN REVIEW #(OWNER lly., T H * n,ov 5 t rflr na-r SPfl mu c br( E fzvtt.Tfz- Nane / Address O Ue Mq p., Hrd.o v ,L - City zip Phone qoz/ CONTRACTOR Name Address Ctty O. S. REG. // Tax Lot Code Q.Block ty AccESs ro pRopERry ltoaa Nanel k FE nb tuT /ll L Existing Structures on Property MoAl'LrE tJorwlE: J-CA/LPo'rt t ziP Census Tract Phone L/ I^/'idth Deoth Property Location - Address/Directions s,S, a aL'n Lrrf DNt Kpp nb NT-jI A-J€ LoT 6111. P,- o-r* | Below for Office Use Sq Valuatlon SEWAGE DISPOSAL: Site Inspec tion /l WATER SUPPLY3 Well FEES: Bldg. Waste Disp. Plunbing Plan Review Moblle Home 12 Surcharge TOTAL Spring *fi od os- {,o f, Exlstlng Sewage Dlsposal Publ1c Other Community PLUMBING: Instal,led by 0wner PLU}fi,ING FEES: #ot CHECK New System Required of Courmunity or Public Syst * oR/. Name - Water Connection Sewage Connection PLANS FURNISHED |.-Xl vns Signature of Applicant Fee Received By: IF Other {*". FACILIfi PERMIT NO YES Date: rE Min. Septic Tank Capaci DraLnfleld Requir ed - Lineal Feet Maxlnum Depth Type of Construct Fire Zone Use Classification Bldg Setbacks - from Center of Road Right of hlay Slde In tZ?@--lFront Side Exterior Rear 7 I.ANE COUNTY DEPARTMENT OF ENVIRONMENTAL Zone r/-- V0 PIANNING:DATE:SANITATION DATE: c55-12 PERMTT lt /3 2/ - 7,t' dAS BEEN APPROVED r--r F*.7i casn /