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Home My WebLink AboutPermit Building 1973-03-23I4/'L4L- TANE COU BUILDING PERMIT OR MOBITE } AE UsE PERMIT 6 -)) BUILDING MH MAILING ADDRESS PERMIT NO. )bpc, R rd C. CONTRACTOR MAITING ADDRESS PHONE PROPERTY IOCATION - INCLUOE POST tcE PROPERTY LEGAI DESCRIPTION -METES, BOUNDS Firs Add t7 RANG E Brld Vill Block 4 Lot 20 SECTI CODE CENSUS TRACT 03 ,1,3 iiilb 2 I -300 Rlchard C. lboe EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING ADDRESS 889X Hc Kenzle His lnray LEGAL ACCESS TO PROPERTY So r lnqf lel d. 0reqon PROPERTY SIZE - FI. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existi Sewoge System ! New TYPE CONSTRUCTION se. FT BDRMS VALSTRUCTURES TO BE BUILT THIS PERMIT Rcoelr Dralnfleld (3) SEWAGE DISPOSAT PUBTIC fI SEPTIC TANK N OTHERE OWNER Tl OTHER: NAME Double D PTUMBING INSTATTED BY FEES WATER SUPPTY PUBr.rC n tr OTHER BUITDING WASTE DISPOSAL PTUMBING PTAN REVIEW PARK TRAITER TOTAT 2A 00 $ COUNTY BUITDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEID REQUIRED uN. FT ' TRENCH wrDTH FT. 'OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII,. EASEMENT BLDG. SETBACKS . TT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION FRONT SIDE INT.SIDE EXT REAR AUTHORIZED SIGNATURE _ DATE DATEht J.Boss bv Harba C. P. Knoof BI,DG. PERMII _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUILDING - GREEN SAN ITATION _ GOI-DENROD Construclion to .comply- with uniform building code ond county regulotionscovering plum.bing ond sewoge disposol. alf buildings require o certificoteof occuponcy before being occupied. (See Stotement on Reverse Side) (POST TH|S pERMtT ON MAIN BrDG. AT S|TE) I.ANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I roaut655-13 PHONE d\^ NAI'1E T AX LOT BUILD NG SI TE EV l0N 0fr /'( ) BuiIdin9 Permit APPIication No'i S i te lnsPect ion Pre-Permit lnvestigat ion LANE CoUNTY PLANI!NG DEPARTHENT NOT NO EEil icable - NAH PHONE DATE() DATEYES Zon ing 0 rd i nance ComP I i ance --T_f ( zone-) Subd iv is ion Ord i nance 6-p-i-lEnce ( ) Requ i red Access Bu i ld ing S ite (Rrea, Width,- Frontage, Setback) 0ther (see comments) (() () () () ( ( () () ) )2 3 4 5 () ) () COH}IENTS: NOT NO Ie - YES NA}IE DATE BU tLO l,NG I NSPECTION SECT ION ti 6. PIans Submitted 7. Soil Stabil ity (footings) 8. Flood Plain 9. 0ther (see Comments) () () )) ()( ) ( ( () () () ()0-A8,ft COHI4ENTS: SANITATION SECTION Sewage Disposal Usable Area Water Supply 0ther (see Comments) COMI,IENTS: aool icable-*Tr-( ) NOT NO YES DATE 10. ll. 12. t3. () () J ()r \ z ) () TO APPL I CANT: our B ding Permit / SiteY ( ( lnspect ign: ---*-r23*te@.a1this tire asHicated on item N0. Can be approved.2- () () () ) Cannot be approved at above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANN ING DEPARTI,IENT. Quest ions and further informat ion on i6; 5 throug h l3 contact the Lane County Building and Sanitation Diyrlgn. l./il I be held in this off ice until you can resolve the problems indicated. I s be i nq retu rned. Your building permit application fee is being returned under separate cover. I.I\NE COUNTY PLANNlNG DEPI\RTI'IENT l-it Sixth,\r,ente Fast, lrt(lene, 0rer;on 9740 I l'llt)Nt: llr'.'-llll tXl. .'il LANE COUNTY BUILDING S SANITATION DIVlSION 135 Sixth Avenue East, Eugene, 0regon 97401 PH0NE | 342-t3l I EXT. 4l I NAI'1E I L- TANE COUN BUII.DING PERMIT OR MOBII.E MHE Ht BUITDING i UsE PERMIT PERMIT NO. PROPERTY OWNER Hpor.ilchard C. MAITING ADDRESS E CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCI.UDE PROPERTY I.EGAT DESCRIPTION _METES, BOUNDS t I SECTION I 4 t7 RANGE ot TAX LOT NO co C ENSU TRACT 22 EXISTING STRUCTURES ON PROPERTY Rlchard G. lbD I lh.APPt. NAME & MAII.ING ADDRESS AEgr fic f,mrlc lll Fcrtrl doc Lrv TEGAI- ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTHf.tu 0 FOR MOBIL HOME PERMITS ONLY AREA No. of Bedrooms Connect to Ex TYPE CONSTRU ON m New BDRMS VALUATIONSTR UCTU TO BE BUILT THIS PERM T se. FTbrlr Bratnf hld SEWAGE DISPOSAT PLUMBING INSTATTED BY PUBTIC BUITDING WASTE DISPOSAT PI.UMBING PTAN REVIEW PARK TRAITER SEPTIC TANK OWNER WATER SUPPTY PU BLIC OTHER: NAME F EES 00 ! OTHER COUNTY BUILDING & SANITAT ION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI., DRAIN FIEI.D REQUIRED tlN. FT TRENCH wtDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTII.. EASEMENT BIDG. SETBACKS FT. FROM CTR.OF ROAD RIGHT OF WAY USE CTASSIFICATION FRONT SIDE INT SIDE EXT REAR AUTHORIZED SIGNATURE - DATE DATEltl J.s,0or by tlr rbqr-gh {"P, l(ncAf; 1.5. B[DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD conslruction to .comply. with uniform building code ond county regulotionscovering plumbing ond. sewoge disposol. llf buildings require o certificoteof occuponcy before being occupied. (See Stotement on Reverse Side) (POST TH|S pERMtT ON MAIN BIDG. AT S!TE) ronu a 955- 13 LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I OTHER- SITE INSPECTION AppRov e o REuanx s D r srppRoveo Dare I NsPEcroR FOUNDATION I NSPECTION D DTsAPPRovE o 77 Dare I ruspectonAPPROv E D RruaRx s FRAM I NG APP Rov E D Reuenx s I NSPECT I ON Drsrppnoveo Dar E I NSPEcToR LATH OR SHEETROCK APPROVEO Rrltanx s I NSPECT I ON DrsrppRovro Dar E I NspEcron FINAL INSPECTION AP PROv E O D t sappRovEo Dar r I Nspecron CERTITICATE OF OCCUPANCY Renov ro lssuE Re uaRx s D Nor Rraov ro lssuE D Dore-I NSPEcToR D n .dd.#\ - IANE CA''NTY DEPARTMENT OF HIALTI1 & SAI' -ATION JILDING A sAN[flIl]! D'v'SloN LANE COUNTY ANNEX I LL I iolE Lnt [+] fF fi, tIl [r lJ! Easr 6rn - Eucerue, 0necoru 97\Ot APPLICATION IOR REPORT ON INDIVIDUAL SEWAGE DISPOSAL SYSTEM A SuaMrr rh,o coPlEs 1973 III ACCOAOAN.CE...WITH.THE ESTABL IsHED PRAcTIcE oF THE DepaRTMENT or HoUsING AN'DtvcuopmeNT.r N oBTAtruittc A cERrrFrcATE oF AppRovAL rRoM THE LocAL Hgtltx DE PERTAINING ro ac,ceprABrLtrY oF TnE rr.rorvroulL sEwAcE DlsposAL sysTEr.r auo/oa SUPPL I ES,,. XE UNDERS IGNEO HEREBY REQUESTS I NVEST ' OOi'O' O' , - ,\ SEWAGE OISPOSAI. SYSTEM,,N \,VATER SUPPLY LOCATED AT: oUn PAR T I./AT;, l iEN R M s NUMBE AE .G R I VEN 7* r'h-Jo+*ITY ODE h31- Drnecrl -l 6 l;;n r,rs {usr 3.a.-,,,+,rft---ot ,,IF ADORESS IS ON A ROUTE. LEGAL DISCRIPTI O\,/NTR OR BU ILDE LENDING FtRM TO WHOM REpOR,l,, l,$ ,Tor,BE MA ILED: NAME ADORESS S I GNED \^/ATER SUPPLY SYSTEM: .; THc suppt- SraHoaaos Couueruls 4t 3. HEALTH DIPA RTMENI US E ONLY:DA TE, .OF I NVEST I GAT IoN OATE RECEIVED BUILDING PERMIT NO.V IT IS THE OPINION OF THIS OEPA RTMENT THE SEI,/AGE OISPOSAIS FUNCTIONI NG SATISTACTORI LY. HOUSE I{AS VACANT. SYSTEM NOT IN OPERATION. SEIVAGE I./AS DISCHARGING ON THE SUR/.ACE OF THE GROUND. INDICATIONS ARE THAT THIS SYSTEM MAY NOT TUNCTION SATISFACTORILYDURING IHE l,/INTER MoNTHS. (se i ae uow)'-' ' vrlY' DEPARTMENT RECORDS.]NDICATE SEPTIC TANK FAILURES HAVE OCCURRED INTHE VICINITY OF THIS HOUSE. v D0ES D0ES Nor- (se e acr.ow) coruronu H r TH Tx€ ,,DR rNK ING r{aren" or rffiere Henr.rFDFi"r".-r. Tx r s I s ro CERT I Fy rHE FoREGo I Nc rl^s CONFORI'IANCE W I TH ESTABL I SHEO REGUT AT I lNSPtCTt0N. Tr'AS NOT r"rrs Dep ARTHE N T FOUNO TO BE I N AT TXE TIME OT /,U ,r.t t i.i \'.\r oNS Or r rl: Lor,lt r'l ll t. AL'( fi ?, PI ( r-i D LA se No HoME BU tLT___l9fl_ I !. \ \ LANE COUNTT dUltDlNG PER'M'i '3R MOBILE HO' , -t PEF MIT.; USE PE RMIT NO. BU LDta{G ir Ml-i i--l , PHONE I-ING ADD,qESS - 111 0rer,oi 'tl PROPERIY Ov/ I.i".-,)rl1 PROPERTY TOCA NER MAI Sprirrlfielc!t PHONE MAILING ADDRESS TroN - lNc LUDE POST OFFICE PROPERTY TEGAT DESCRIPTION -METES, BOUNDS Fi rs t tc cooE CENSUS TRACT EIANGE,. .,qEqrlol .-. TAX LOT NO ?l -3ccTWP t7 c3 EXISTING STRUCTURES ON PROPERIY r.roll lccess ro PRo PERTY APPt. NA'*E & - rr^AltaNG ADDRESS Hiq iiwav PROPER,TY SIZE _FT. DEPTH AREA 0;'(i (1Dn WIDTH Connect to Existin SewogeFORILE HOME PERMI TS ONLY*'No. of Bedrooms srnucrunes To BE B urur rxts PERMIT m New TYPE CONSTR UCTION se. FT # BDRMS VALUATION Dalr Urainfielil SEWAGE DISPOSAT PLUMBING INSTALIED BY OWNER n OTHER: NAME i:lle D PUBTIC E SEPTIC IANK tr F EES WATER SUPPTYtBUILDING WASIE DISPOSAT PIUMBING PIAN REVIEW PARK IRAII.ER 0(t PUBLIC OTHER $TOIAT COUNTY BUIL DING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt' IYPE OF STRUCTURE --3IDG*5-ETBAC{5- =- r-r.-. rRg^^ ST.R' ol rRONT SIDE INT - -.._-.--AIIHORIZED SIGNATU DRAIN FIETD REQUIRED uN. fT OCCUPANCY REAR TRENCH WIDTH FT OR SQ. FT PUBLIC UTIT. r'l ZONE USE CTASSIFICATION EASEMENT !oA.P_.lrG,!T 9r wAY SIDE EXT RE - DATE DAIE q 41 -.t BT!G. PERMIT _ WHITE oiircE coPY - wHITE - COUNTY TAX _ PINKt -PLUl,tBtNG - CANARY EUILDING - GREEN SANITATION _ GOI.DEN constroction to comply with uniform building .code_ ond counly regulotions ;;;;;;il ;lumbins Jni ,"*oge disposol. ali buildinss require o certificote of occuloncy before being occupied' (See Stotement on Reverse Side) (POST THIS PE RMIT ON MAIN BLDG. AT SIIE) ro;u i C55- t3 ;;; I,ANE COUNTY, BLDG' & S,AN. DIV., COURT HOUSE' EUGENE' OREGON 97IIOI CONIRACTOR cck + t.ot 20 i. -::-.: TNDIVTDUA.L SE9NGE DISPOSAL SYSTE!4 RECORD\staller: Complete top part or _"rm to . .,. vJ-gnatur€ &r.-: rstjJrn Uoifr- copiel_.o LaneCounty Building Sanitation O'epartrnent. iI f Ins c Ft. from well Steel fl Concrete Lensrh /g width Diameter v 4 $o ppli Name ,l ailing Address Length of 1.j3. 4 Date Sketch See ins tructions SS ter supp Knop f 4 Pub1ic fr lJftmpartments Depth vOther-List Lot t GaI. Capaci ty T 1e sposa F eDistribution Box:yes q NofI D e Feet from - Fr.5. 6.erbelow Signature I n_-2s I P 'u n \ti{ I i* If il ili ii i IiJ APR 0 4 i9i3 l.At{E &JUNIY HFJITTH UTUI ts- .- !I r )L s Name BedrooniS, c-5 Baths- 1 t Yes E No,E lulc Kenz ie H iB hwa ringfield,0 regon Trench width 3 t l-ines FilG;- rre" ilr.l Fi11er depthaDovetile /t in- For Sanitarian Use Only: I,). .lfi approved: System Installation Conforms to Current Standard,s Date: +/r'f/ 3./_\'!'Oisapproved: Does Not Conform to Current Standards / Remarks: t) ture Lane County Building & S tation Dept. Sani tar an s c55-il €- InS s Name TNDIVIDUAI, SETIAGE DISPOSAL SYSTF'{ RECORD .nstaIler: ComPlete top part ( rorm to signature and return both copies to Lane County Building Sanitation DePartment- SS r Supp v Public fi other-List Knop f No S Yes fl No Ft. from well Steel I Concrete J$mpartmen ts Gal. Capacity Lensth /{t widrh / Diameter a Depth T eD spos Distribution Box:Yes fi No flApplican Nane M ailing Address rD Feet from Lot Line s on- Re below Length s-Ft. I .?5j. 4. s. 6. Sketch See instructions Date Signature 2 l'lc Kenzie Hi hway r i ng f i e I d , 0 regonS widrh 3 sq ft.r(line S FiIler Type Filleabove r depth /<--\- ->I I <-2s rG P 7 f1 ] t:di iil tr' il ivl tr ittlAPR U 4 1973 LNE ruUNTY HTATTH UNIT ,.- I For Sanitarian Use OnIy: fi approvea, System Installation Conforms to Current Standards/d pisapproved: Does Not Conform to Current Standards Remarks: Date:+/-fi= 1 ture Lane County Building o tation Dept. San sS c55-rr 7 PERMIT TYPE LANE couNTY &lftD|NG PERMTI OR MOBITE HOME ,ISE APPLI CATIONBUILDING PROPERTY tocATtoN _ INCI.UDE POSI OFFICE7 MOBIIE HOME OSC REG. # MAII.ING ADDRESS AX IOT PROPERTY S PERMIT DEPTH 73 E PROPERTY I.EGATtoT - BtocK _DESCRIPTION SUBDIV. TWP APPTICANT NAA,tE AND MAITING ADDRESS FOR MOBITE HOME Number of Bedroo RANGEc3 PERMIT ms sEC.YES NO1-t e/\.'' BE EXISTING STRUCTURE.ON PROPERTY IF ANY RTY _ ROAD EORTO AREA ONLY rnL. ATTACHED ETES & OWNER TING STRUCTURES TO BE BUITT THIS PERMIT Connect to Existi TYPE CONSTRUCTION ng Sewoge System tr or New R.q. VATUATIONSQ. FT SEWAGE DISPOSAT PUB[IC SEPTIC TANK BI.DG. WASTE DIS. PTUA,tBING PLAN REYIEW PARK TRI.R. TOTAT MIN. SEPTIC TANI( CAPACITY WITH DIST. BOX: GA[. FEES WATER SUPPLY PUBUC ! PI.UMBING cAsH tl CHECK PTANS FURNISHED YES NO EIVED ION SPECIFICATIONS TRENCH WIDTH FT OTHER NO 7-DATE DATE'ION FEE PUBTIC WATER CONNECTION FEE COUNTY BUITDING & SANITAT DRAIN FIETD REQUIRED I.IN. FT 2 OR SQUARE OTHER PTUMBING INSTATI-ED OWNER OTHER TITY SIGNATURE O TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD BTIC UTIL. EASEMENT BLDG. SETBACKS _ rT. rROM CTR. OF ROAD RIGHT OF WAY USE CI.ASSIFICATION FRONT SIDE INT.SIDE EXT REAR SANITARIAN lireclions lo Fi Dote -)r - PTANNING DOTE BLDG. INSP. 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