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Home My WebLink AboutPermit Building 1973-02-21LANE COUNT BUILDING PERMII OR MOBILE H(USE PERMIT PERMIT NO.BUTLDTNG E MHE PROP'RTY OWI ER MAIIING ADDRESS PHONE CONTRACTOR MAII-ING ADDRESS PHONE PROPERTY I.OCATION _ INCTUDE POST OFTICE PROPERTY TEGAT DESCRIPTION -METES, BOUNDS RANGE SECTION TAX LOT NO CODE CENSUS TRACT ,1,zn 2t NG STRUCTURES ON PROPERTY APPT. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONIY No. of Bedrooms Connecl to Existing Sewoge System ! New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAT PUBTIC N SEPTIC TANK E orHERn PLUMBING INSTATTED BY OWNER n OTHER: N,AME BUITDING WASTE DISPOSAL PI.UMBING PtAN REVIEW PARK TRAIIER TOTAT FEES WATER SUPPTY PUBr.rC tr tr OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACIIY WITH DIST. BOX: GAt. DRAIN FIEID REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT BI,DG. SETBACKS - FT. FROM. CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING - CANARY BUILDING _ GREEN SAN ITATION _ GOI.DENROD Construclion to comply with uniform building code ond county covering plumbing ond sewoge disposol. All buildings requireof occuponcy before being occupied. (See Stotement on Reverse Side) regu lotions o certif icote (POsT THIS pERMtT ON MAIN BIDG. AT SITE) IANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97IIOI ronu * 655-13 @ cL J3 Ls2,J CTTRA - /2'-a0r v BIJ I LD i NG S ITE EVALUAT ION Building Permit Appl ication No S i te lnspect ion Pre-Permit lnvest igat ion Vr )os --"APPL I NAI',IE ) () ADDR P HONE DATE LANE COUNTY PLANNING DEPAR TI'1ENT NOT NO YES DATE Zoning 0rdinance Compl iqnce Subd iv is ion o.o,"jl* "m).. Requ i red Access app I iqable()() ({ 1{ -z ^ /323d ) (2 3 () () () () () () (4. Bu ild ing S ite (Area, Width, 5. other (r"" "oi,l:ll:i"' setback) ) CO}IMENTS: BUILDlNG INSPECTION SECTION 6. PI ans Subm itted 7. Soil Stabil ity (footings) 8. Flood Plain 9. 0ther (see Corments) NOT NO iIEt icable -() t{1 ilt1 () YES tll ()() NAI'IE DATE () () ()()A- /l-'ts COHfiENTS: SANITATION SECTION Sewage Disposal Usable Area l./ater Supp I y 0ther (see Comments) NOT appl icable(( YES N| ,/d () ) () () ( ) () () NO 10. I l. 12. 13. ?l? ) CfiHENTS: TO APPL ICANT: YourrBuilding Permit / Site lnspe \-f Can be approved. .3 ^ 2/-( ) Cannot be approved at this t () () () ct ion lme a S hd i cated n item N0.above.Questions and further information on items I h rough 5 contact the Lane- COUNTY PLANNING DEPAR Tl.tENT. Quest ions and fu ther informat ion on iffi; 5t hrough I3 contact the fane Count Buildin a d Sanitation Divisi n o t r nrl./ill be held in this ols being returned. ce unt i I you can res Your building permit aPPlication fee is being returned under separate cover. olve t p rob ems cated. LANE COUNTY PLANNTNG DEPART},IENT I I35 S ixth Avenrje East, Eugene, Oregon g74}l PH0NE: 342-l3lt ExT. 231 LANE COUNTY BUILDING S SANITATION DIVISION 135 Sixth Avenue East, Eugene, 0regon 97401 PH0NE z 342-t3ll ExT. 4l I M55- 28 NA}'lE DATENA}tE Date No. PERM IT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Commissroners of Lane County, and it is the opinion and judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby ORDERED, that a permit be and is hereby issued to for the placing, building and constructing of the following facility upon the right-of-way of County Road No., in strict conformity to the exhibits attached thereto, and subject to all terms, conditions, agreements, stipulations and pro' visions contained in the application and permit, the Rules and Regulations Governing Facilities to be Permitted upon County Road Rights'of-Way, dated March 31, 1960 and any amendments fhereto, and any other applicable regulation, Iaw or ordinance. Special Provisions: This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned above is hereby authorized. This permit shall be void unless the work herein contemplated shall have been completed before , 19 -. Expires ,19 Inspected and Approved Approved by Board of Commissioners By Date By WHITE - OFFICE FILE GREEN . RESIDENT ENGINEER PINK . PERMITTEE ORANGE BLUE. ROAD SUPERVISOR YELLOW Director of Public Works BUILDING & SANITATION DEPT SURVEYOR ! c9E - 52 Date APPLIGATION FOR FAtrILITY PERMIT IN THE BOARD OF COUNTY COMMIS,SIONERS OF LANE COUNTY Your appli hereby makes application under Rules and Regulations Governing Facilities to be Per- mitted Upon County Road Rights-of-Way, to construct the following facility: Upon the right-of-way of County Road No , at the following location: as shown on the exhibits which are attached hereto, in strict conformity to the state- ments of the exact nature and amount of work to be done, and to the description of the facilities contained in said exhibits. Your applicant will be the beneficial owner of the facility as constructed, or othenruise primarily liable and responsible to members of the public for its proper maintenance, repair, operation and use. Your applicant accepts all terms, conditions, agreements, stipulations and provisions, in Rules and Regulations Governing Facilities to be Permitted Upon County Road Rights-of-Way, dated March 31, 1960, and any amendments thereto, and any other applicable regulation, law or ordinance. S ignature WHITE. OFFICE FILE GREEN . RESIDENT ENGINEER PINK . PERMITTEE BLUE. ROAO SUPERVISOR ORANGE. BUILDING AND SANITATION DEPT YELLOW . SURVEYOR Address Phone No. raFt LANE COU' BUTtDTNG r BUILDING PERMIT OR MOBILE |. ,vlE USE PERMIT MH D PERMIT NO, PRQPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY I.OCATION _ INCTUDE POST OFFICE PROPERTY tEGAt DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT APPT. NAME & MAITING ADDRESS EXISTING STRUCTURES ON PROPERTY TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FI. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Exisling Sewo e TYPE CONSTRUCTION m New m SQ. FT BORMS VALUATION SEWAGE DISPOSAT PUBUC tr SEPTIC TANK E OTHERE PI.UMBING INSTATLED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAII.ER F EES WATER SUPPTY PuBLlc tr tr OTHER TOTAI- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT,OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BTDG. SETBACKS FT, FROM CTR. OF ROAO RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOLDENROD Construclion to comply with uniform building code ond county covering plumbing ond sewoge disposol. All buildings require of occuponcy before being occupied. (See Stotement on Reverse Side) reg u lotions o certif icote (posT THls PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I noau i* c55-13 \. SLAB FLOOR PLUMB I NG GROUND/ORK Apenovro N Drsapenoveo RrManx s oorcpfoQ'7 3 I nsprcron. GAS PlPlNG GROUND',ORK AP PRoV E D REuanxs D Drsappnoveo D Drre I ruspecron ROUGIT PLUMB I NG ar"*olo & DrsappRovro ReuaRxs Darr q-6'D I rsprcrop -A44 ROUGH GAS PIPING . . APPRovED D DrsrppRoveo D RexrRr s Dar r IttspEcroR F I NAL PLUMB I NG APPRovEo N Rrulnxs Drsrppnovro oo-rr F-3-D l nspectoa &-, F IiqAL GAS P 1P ING Appnovro D DrsappRove, D Rrua Rx s Darr I NspEcron CERTIFICATE OF OCCUPANCY REnov ro lssur Reuaax s D Nor Reaov ro lssue D Dare I rusprcron T D .IDIVIDUAL SEVTAGE DISPOSAL SYSTEM RECORD .staller: Complete top part of \rm to signature and return both copies -., Lane County Building Sanitation Department. InS S NAME rope No.v Water S Public Other-List c Ft. from well Steel fl Concrete @/ No. Compartments cc 203 13 Cnu r cx sHtrK GaI. Capacity 6A€ T eD spos Distribution Box *es W No fILength Applican Name !{ ailing Address widrh Lines - Ft. 4. 5. 6. Diameter Depth tr Feet from Lot Line t Lenqth 1. o.o Re below3 Bedrooms Baths Baseme-nt Yes fl uo fl Boa Cowcen ?19O Hanr ow Roao width 3 Trench Total sq tE. stto Ft. between lines f Fil-Ier rype 14 Filler deptha.bove -ti le 2, in- Sketch See instructions Date For Sanitarian Use OnIY:'depprovea, system rnstallation Conforms to 'l-oit"pproved: Does Not Conform to Current Remarks: ture Standards Standards oatez(f1y)zJ ,l{o tl.l €r/ -)tt } EGEill/E /n| 1973 Yheu>r--k sinitarian's Signa Lane County Building & Sanitation DePt c55-tt IANE COUN'BUIIDING PERMIT OR MOBILE Hr MHI J UsE PERMIT PERMIT NO.IBUILDING PROP<RTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAT DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY tr New System I BDRMS VALUATION N \\\ SEWAGE DISPOSAT PUBI.IC tr SEPTIC TANK fl orHERn PI.UMBING INSTALLED BY OWNER Tl OTHER: N,AME FEES WATER SUPPTY PUBUC n tr OTHER BUILDING WASTE DISPOSAL PTUMBING PI.AN REVIEW PARK TRAITER t TOTAi- COUNTY BUILDING & SAN|TATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED I.IN. FT TPENCH WIDTH FT OR SQ. FT. -:l\ \\iss;s\ \\$$$+\ r5 TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII: EASEMENT BTDG. SETBACKS FT. FROM CIR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DAIE BLDG. PERMIT - WHITE OFFICE COPY - WHIIE COUNTY TAX _ PINK PI.UMBING - CANARY BUITDING _ GREEN SANITATION - GOTDENROD Construction to comply with unif orm buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. (See Stotement on Reverse Side) code ond county regulotions buildings require o cerlificole s I ronu*955-13 No. of Bedrooms STR UCTU R TO BE BU Connect to TYPE (posT THIS PERMIT ON MAIN BLDG. AT SlrE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE. OREGON 97iIOI SITE INSPECTION App Rov e o REttaRxs DrsappRoveo rl 'ZDareIttTOR FOUNDATION INSPECTION Appnoveo D DrsApPnovEo F7 Rruanr s Darr vl\ Drsappnoveo D DATE I ruspecton FRAMI NG Appnov e o Reu RKS I NSPECT I ON ?,/ I Nspecton n "?: LATH OR SHEETROCK INSPECTION A ppRov r o RrttnRx s n DrsappRove o Fa Dore_I HseEcton FINAL INSPECTION ApPRovEo Rrptanx s Dr srppRoveo Dare Z-tft? t -?? I Nseecton ., CERTIFICATE OF OCCUPANCY Reaov ro lssuE RguaRr s D Nor Rraov ro lssue D Drre I rusprcroR / / 03-73 dt"zV 3-3 /b 7{? t-2a6 ,fu /,*r?!r u-il'Zlt 2 )t, ttldQrl44 D IANE COUNT\ JITDING PERMIT OR MOBITE HOIhg USE APPTICATION PERMIT TYPE _ BUILDING tr MOBILE HOME I osc REG. #PERMIT o -23 PHONE OWNER MAILING ADDRESS MAILING ADDRESS €/ PROPERTY TOCATION DE lcE PROPERTY TEGAT DESCRIPTION r.oT-BrocK-suBDtv. TWP RANGE APPTICANT NAME AND t AtilNG ADDRESS CODE DESCRIBE EXISTI TEGAL PROPERTY SI DTH CENSUS TRACT UCTURES ON PROPERTY IF ANY EoR# DEPTH METES&BOUNDSEYES ATTACHED NO AREA /zo toT FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existing Sewoge m! orNew TYPE CONSTRUCT sQ. FT. # BEDROOMS VATUAT|ONRES IO BE BUITT THIS PERMIT SEPTIC TANK OTHER Dt FEES WATER SUPPTY bGL /za Arzz r PTUMBING ,ATTED BY OWNER OTHER NAMEPUBTIC BtDG. WASTE DIS. PTUMBING PIAN REVIEW PARK TRTR, .22 ISH ED NO srG RE FEE RECE BY PrANS FUjN ,rt { 3 st FACITITY PUBI.IC OTHER YES NOE -2 <' {tt PTUMBING FEES / 6' ,t ru*r,7a"oo DATE DATEcAsH n CHECK NECTION FEE OO PUBI-IC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS TOTAT MIN. SEPTIC TANK CAPACITY \ilITH DIST. BOX: GA[.Qoo DRAIN FI TIN. FT. , IRED TRENCH WIDTH FT OR SQUARE t n g .$a//n^l G€'$lTE)y'e a,rnd-yfmrort .fue crf fl,)dtL"'r(/" A tuce -V ZONE REAR YARD PUBI.IC UTIt. EASEMENT Form fi g55-12 PTANNING 2^ tJ-3 Dqle B[DG. INSP USE CI.ASSIFICATION Dole BtDG. rRONT SETBACKS-FT- FROM CTR. OF IOADzRIGHT OF WAY/A-L-t n{4. Y-F-ca-,-,. SIDE,INT. 1 SIDE EXT.REAR Directions lo Find Property: g COPY COPY COPY I _ OFFICE 2 - JOURNAT 3 - AUDIT