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Home My WebLink AboutPermit Building 1973-02-23--LANE COUN' BUITDING PERMIT OR MOBITE H(J USE PERMIT PERMIT NO.BUTLDTNG E MHN PROPERTY OWNER MAITING ADDRESS 9HONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY TOCATION _ INCI,UDE POST OFFICE PROPERTY IEGAI. DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT.*2 F EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAII.ING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No of Bedrooms Connecl to Existing Sewoge System I New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SE\MAGE DISPOSAL PUBUC n SEPTTC TANK u OTHERD PI,UMBING INSTAI-I.ED BY OWNER D OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PI.AN REVIEW PARK TRAITER s FEES WATER SUPPTY PUBI,IC tr OTHER .TOTAI" co UNTY BUILDING & SA NITATION SPECIFICATIONS fit|N. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED I.IN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI,IC UTIT. EASEMENT BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT SIDE EXT REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PIUMBING _ CANARY BUITDING - GREEN SANITATION _ GOI-DENROD !_::_tll_::t'"1 to.comply. with uniform building code ond counry regulorionscovering plumbing ond. sewoge .disposor. alf buirdings require o certificoteof occuponcy before being ociupied. (See Stotement on Reverse Side) (posT TH|S pERMtT ON MA|N BrDG. AT SrTE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97,10I ronu l* 655- 13 BUILD G S Ii'E EVALUAT ION a..d, b4 Buildins Permit Appt ication No. l4-73 ( ) S ite tnspect ion ( ) Pre-Permit lnvestigation APPL I C T NA'"IE ADDRES PHONE DATE LANE COUNTY PLANNING D EPARTI'IENT NOT NA}'{E DATE I . Zon ing Ord inance Compl ia (Zone Subdivision 0rdinance COilHENTS: Regu i red Access Bu ild ing S ite (Rrea, h,idth, Frontage, Setback)0ther (see comments) ce appl icabler]() ( -) () () () () () ( () () d _{*737 ) 2 3 4 5 Comp ance ) () ( BUILDlNG INS PECTION SECTION 5. PIans Submitted 7, Soit Stab,lity (footings) 8. Flood Plain 9. 0ther (see Conunents) NOT NO 6i't icabte - YES ,t () () () ) ( T] ul) tr1 NA}IE DATE ( apol icable*rT--(YES CrA ( ( () ) /-?-,J() COHI'IENTS: SAN ITAT ION SE CTION 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Comments) CO}1}1ENTS: NOT NO NA}tE DATE ) () () (') () ( () () ) TO APPL ICANT: You r s Building permit / Site lns pect ion Can bE^approved. K*/-to Your building permit appl icat ion fee ime as indicated on item N0.at ion on items I throu sh5 contact the Lane_Ques t ions and further information on iI;f 6CounBuildiand San tat i n Division.unt you can reso vet P ems i cated. () () ()is being returned under separate cover. LANE COUNTY PLANI.IING DEPARTHENT135 sixth Avenoe East, E;;";;, 0regonPHoNE: 342-13fi EXT. 231 M55- 28 9740t LANE COUNTY BUILDING S SANITATION DIVISION135 Sixth Avenue East, eug"n",'dr.gon 914OlPHoNE z 342-t3tt ExT. 4l I azD App faK^llS^E *gdrlTROgsZZ r^xr.orl-f cE, .S TE;[ri_21':260 NO YES I D. Cannot Quest i ons and further i P Dtroucontact tl./ill be held in th isls being retu rned. TANE COUN BUTLDTNG l-l fr,Tt BUII.DING PERMIT OR MOBITE HI. i USE PERMIT MH N PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS PHONE PROPERTY I.OCATION _ INCTUDE POST OFFICE PROPERTY LEGAT DESCRIPTION -METES, BOUNDS RANG E SECTI ON TAX LOT NO.cooE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS tEGAt ACCESS TO PROPERTY PROPERTY SIZE _ IT. WIDTH DEPTH AREA FOR MOBITE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge System New System TYPE CONSTRUCTION se. FT BDRMS VALUATION SEWAGE DISPOSAT PUBHC ! SEPTTC TANK !oTHERn PTUMBING INSTATTED BY OWNER ! OTHER: NAi!{E BUI[DING WASIE DISPOSAT PTUMBING PtAN REVIEW PARK TRAII.ER TOTAT s FEES WATER SUPPLY PUBUC !tr OTHER t_ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC IANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT.OR SQ. FT TYPE OF SIRUCTURE OCCUPANCY ZONE PUBI.IC UTII.. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT SIDE EXT REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PTUMBING - CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Construction to comply with uniform buildincovering plumbing ond sewoge disposol. Alof occuponcy before being ociupied. code ond county regulotions buildings require o certificote s I (See Stotement on Reverse Side) (POST TH|S pERMtT ON MAIN BrDG. AT s!TE) ronu t 655- 13 TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I SLAB FLOOR PLUMBING GROUNU/ORK ApeRovED Reurnx s Dr sappnovro Dare I Hs pe cron GAS PIPING GROUND/ORK AppRov ro Reua nx s DrsappRoveo DarE Ir'rsptcron ROUGH PLUMBING AppRovro N DrsaeeRoveo Rrmanxs oorr 2y'2 - 7 3 lnsprcron ROUGH GAS PIPING APPROvED RrurRxs Dt sapPRovro Dar E I Nspecron F I NAL PLUMB I NG APPRovED E/ DtsrPPRoveD' J,-t-. /-7 oortS-t3'23 I nsprctoR RruaRxs rINAL GAS PIPING AP PROV E D DISAPPROVED Dar e I NS PE croR CERTIFICATE OF OCCUPANCY Rerov ro lssuE D Nor Reaov to lssue Rruanxs Dare I rspecroR D D D * . Date No. PERM IT IN THE BOARD OF SOUNTY COMI\TISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Commisstoners 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. L , in strict conformity to the exhibitsattached thereto, -and subject _to all terms, conditions, agreements, stipuiations and provisions contained_in the application and permit, the Rules and Regulations GoverningFacilities to be Permitted upon County Road Rights-of-Way, dated [larch 81, 1960 andany amendments thereto, and any other applicable regulation, law or ordinance. Special Provisions: This permit is revocable at any time, and will be strictly adhered to and no workother than that specificalrv *untioneo auove'is--nereov authorized. This permit shall be void unless the work herein contemplated shall have been completed before , 1g_. Expires , 19 Inspected and Approved Approved by Board of Commissioners ByDate By WHITE GREEN OFFICE FILE RESIDENT ENGINEER Director of Public Works PINK - PERMITTEE - ORANGE. BUILDING & SANITATION DEPT.BLUE. RoAD supERvrsoR irr_low. sJiv"Eibir c98 - s2 Date APPLICATIETN FCTR. FAGILITY PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LTTNE COUNTY Your applicant, 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 beneficiat 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 Regutations Gwerning Facilities to be Permitted Upon County Road Rights-of-Way, dated March 3I, 1960, and any amendments thereto, and any other applicabte regulation, taw or ordinance. Signature WHITE . OFFICE FILE GREEN . RESIDENT ENGINEEB PINK . PERMITTEE BLUE. ROAD SUPERVISOR ORANGE . BUILDING AND SANITATION DEPT. YELLOW . SURVEYOR Address Phone No. I /IANE COUN BUTLDTNG E BUILDING PERMIT MHE OR MOBILE HO,'IE USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPT. NAME & MAII.ING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System !New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT- # BDRMS VALUATION SEWAGE DISPOSAI. PUBTIC tr SEPTIC TANK tr oTHERn PTUMBING INSTALIED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAII.ER FEES WATER SUPPTY PUBUC n OTHER TOTAi COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN TIETD REQUIRED TIN. FT TPENCH WIDTH FT.OR SO. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BI,DG. SETBACKS . FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BI,DG. PERMIT _ WH ITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOI.DENROD Conslruction to comply with uniform building code ond covering plumbing ond sewoge disposol. All buildingsof occuponcy before being occupied. (See Stotement on Reverse Side) I county regulotions require o certificole (POsT TH|S pERMtT ON MAIN BrDG. AT S!TE) TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu * 655-13 SITE INSPECTION Appaoveo D DrsAppRovEo D RuuaRxs Dare I ruspectoR FOUNDATION INSPECTION APPRovED DrsappRovro Dar e I rusprcton )-Rruanx s FRAMING INSPECTION AppRovrD ru ReNenx s -/2,'4- DrsrppRovEo D oare { -?-?7 tlspecron I LATH OR SHEETROCK I NSPECT I ON Dt sapPRovro I ruspecronAp pnov t o Rruanx s FINAL INSPECTION D t sappnovEo I NspEcron u{_Dore J .Z? '?3AppRovEo ReuaRx s CERTIFICATE OF OCCUPANCY Reaov ro lssue f7 Nor Rraov ro lssuE D Dore-1' ReuaRx s I NSPEcToR /tso 3n /4-tt by 2 t-?aa /.4/y, D Dor,- INDIVIDUAL SEIIAGE DISPOSAL SYSTEM RECORD .nstaller: Complete top part c 'orm to signature and return both copies to Lane County Building Sanitation Department. Ins r s Name SS ter Supp vPublic @- other-List Gna v No c Bedrooms Baths Baserient ves! NoE Ft. from well- Steel !Concrete fiz' No. Compartments Length widrh 5 Diameter Depth Gal. Capacity,60 d T e spos Distribution Box:yes I No flrDon- Feet FLot Line Front rbelow \pplican Name M ailing Address Length of1.d 3. s-F 4. 5. 6. -rilrrr|' AM TD.S DEAN Trench width total sqfF rt. tuda li FiLler rype l.Lnes rt.be Filler depthabove rtile L in-Sketch See instructions Date For Sanitarian Use Only: fi approved, System In ture stallation Conforms to Current Standards Date:2' zg- 73 nI oisapproved: Does Not Conform to Current Standards Remarks: fnv 11 i ECIETvEIR 00 .(nra -ANE CC N Signature Lane County Building & Sanitation Dept. Sani tar T c55 il zz*"_ IANE COUNTUIIDING PERMIT OR MOBIIE HOI$- USE APPIICATION pERMrr TypE - BUTLDTNG ,trh' MOBILE HOME !oscREG.# z6l PERMIT#//- 2J PROPERTY OWNER MAITING ADDRESS PHONE LING ADDRESS PHONE AREA YES - 3o tocATtoN - PROPERTY IEGAT DESCRIPTION LoT-BrocK-suBDtv. RANGE APPTICANT NAME AND MAITING ADDRESS 6--lag POST tcE SECa)TAX LOT CODE 62,6 METE^sicBouNDs CENSUS TRACTQ/. ZO O DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY I.EGAt ESS TO NAME OR SIZE-WIDTH DEPTH77// G FOR MOBILE HOME PERMIT ONLY Number of Bedrooms RE OF RES TO BUII.T THIS PERMIT I DISPOSAL Connecl to Existi TYPE CONSTRUCTION OTHER , oo FEE 2,oO e System I or New System SQ. FT,BEDROOMSe)VATUATION L,r)a, J /trq@3 36 d Lt-v-4 , =+- ./CZ-^-/<-/ OTHER o FEES WATER SUPPTY PUBUC !SEPIIC TANK BI-DG. \MASTE DIS. PI.UMBING PIAN REVIEW PARK TRI,R. TOTAT e AAIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. PTUMBING INSTAI.I.ED BY OWNER OTH ER PLANS FURNISHED NO 6 /tr -4 FAC ITITY -oo PUBIIC YES NO CASH r-l CHECK FIXTURES PUBI.IC WATER CONNECTION FEE 2?v.t--v-73 DATE DAIE //",2 "*" u //-25 o COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQUARE TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD PUBI-IC UTII. EASEMENT BTDG. SETEACKS _ FT. FROA{ CIR. form # css-tz nd Property: DOtE BI.DG. IN USE CTASSIFICATION Dole sro! rNr. OF ROAD RIGHT OF WAY ./,-,< SIDE EXT,FRONT SAN REAR Dote PI,ANN E-7t -5 73 Direclions lo COPY I _ OFFICE COPY 2 _JOURNAI COPY 3 _ AUDIT TWP/7 \ ,