The URL can be used to link to this page

Home My WebLink AboutPermit Building 1973-03-19-d E UsE PERMIT BUILDING PERMIT OR MOBILE HI. MH PERM IT NO tANE coul'{ B UILDTNG PHONE PHONE ipopenrl OWNER t',Utt tNO tY\AlLlNG t-uoe posr - METES, OFF ICE BOUNDS pala CIr'r' CODE PROPERTY PROPERTY tocA LEGAL rroH - tNC oescntpttoN CENSU S TRACT TAX LOT NO RANG E SECTI ON . LI,Z # EXISTING STRU CTURES ON PROPERTY tEGAI.ACCESS PROPERTY PROPERTY SIZE _ FT, WIDTH DEPTH APPL. NAME & MAILING Crosb't rlngfleld' 0 AREA,, ADDRESS fOn t,tOgtLe No. of Bed NewHOME PE rooms STR U RMI rs oNtY EeutLr rH Connect to Existin TYPE CONSTR UCTION Sewoge System IS PERMIT se. FT BDRMS VlluartoN cruREs ro a h turcs 'r I PLUMBING INSTALLED BY SEWAGE PUBTIC DlsPosAt BUII.DING WASTE DISPOSAL PIUMBING PTAN REVIEW PARK TRAILER SEPTIC TANK OWNER OTHER: WATER SUPPTY NAME OTH FEES PUBLIC tr OTHER MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATIO DRAIN FIETD REQUIRED LIN. FT N SprctrtcaTloNS OR SQ, FTTRENCH WIDTH FT, WITH DIST. BOX: GAL. ,i3ed I TYPE OF STRUCTURE BI.DG. SETBACKS FT, FROM CTR, OF FRONT SIDE INT ROAD RIGHT OF WAY SIDE EXT AUTHORIZED SIGNATURE _ DATE OCCUPANCY ZONE USE CTASSIFICATION PUBTIC UTII.EASEMENT REAR DATE BTDG. PERMIT - WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI-UMBING _ CANARY BUILOING _ GREEN SANITATION _ GOI.DENROD Construction to comply with uniform building covering plumbing ond sewoge disposol. All of occuponcy before being occupied. code ond county regulotions buildings require o certificote (See Stotement on Reverse Side) (posT TH|S pERMtT ON MA|N BLDG. AT S|TE) I.ANE COUNTY, B[DG, & SAN. DIV., COURT HOUSE, EUGENE. OREGON 9740I ronu !f 655 - 13 TO t.- IE 'ar\/ |-- cEIrq\,5'r' L) H#'dC- t 4 t4-1 s lUILDI NG SI TE EV ALUAT r0N APPL I T NA}4E ADD PHONE DATE r Building Permit APPI ication No' Site lnsPectlon Pre-Permit lnvest i gat ion () )DATE YESd NA}4ENOTNO LANE COUNTY PLANN I NG DEP ART}4ENT Zon ing 0rd inance ComPl i ance- (zone ACaT-) 2. Subdivision 0rdinance Compl iance 3. Requ i red Access 4. Bu i ld ing S ite (Area, }Jidth, Frontage, Setback) 5. 0ther (see comments) BUTLDING INSP ECTION SECTION 6. PIans Submitted 7. Soil Stabil itY (footings) 8. Flood Plain g. 0ther (see Comments) 16l icable NOT "pp Lise!]-e L,IA 3 r=lrSI() () () () () ( VY VT (.Y NO YES () () NAT'1E ( )() () COMI.,IENTS: DATE -r) ,00 N f) ()( () () () () CO}A},IENTS: 7-/ c/ - 17 SAN ITATION SECTION 10. Sewage Disposal I I. Usable Area 12. Water Supply 13. 0ther (see Comments) NOT NO YES*t#; e() () N() (),ty'l () () () NAHE DATE COH}1ENTS TO APPL ICANT: Yo,u N() r Building l"git / S:y.")nsqegtion: can be approved. f'" -l t'! Cannot be approved at this time as indicated on item N0 Questions and further information on items I through 5 C0UNTY PLANNING DEPARTHENT. Questions and further info ) ) ) above. contact the Lane- rmation on items 5 through lJ corrt act t he Lane Count Buildi and Sanitat ion Division. Will be heid in this of ce unt i I you can reso vet problems in cated. I s be i ng retu rned. Your building permit appl ication fee is being returned under separate cover. I.I\NE COUNTY PLANN ING DEPI\RTHENT | 'tr, 5 i xt ft r\r, enue Fas I , I rr(lene, 0re<1on 9740 I t'll(lNl: llrl'.-llll tXl- -'ii LANE COUNTY BUILDING E SANITATION DIVISION f35 Sixth Avenue East, Eugene, 0regon 97401 PH0NE: 142- I 3l I EXT. 4l I 15t 2 WW No. PERM IT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached appiication has been fully considered by the Board of County Commissioners of Lane County, and it is the opinion and judgment of the Board that the sard 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 Ru1es and Regulations GoverningFacilities 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. Special Provisions: This permit is revocable at any time, and will be strictly adhered to and no workother than that specifically mentioned-above is hereby authorizeh. Thls permit shall be void unless the work herein contemplated shall have been completed before , 1g_. Expires_, 1g=_--. Inspected and Approved Approved by Board of Commissioners By Date -___- By WHITE , OFFICE FILE GREEN . RESIDENT ENGINEER PERMITTEE ROAD SUPERVISOR Director of Public Works ORANGE. BUILD'NG & SANITATION DEPTYELLOW. SURVEYOR PINK BLU E c9E- 52 DaJe Oate APPLIEATItrN FTIR FAtrILITY PERMIT IN THE BOARD OF COUNTY qOMMISSIONERS OF LANE COUNTY Your applicant, , hereby rnakes 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 follovving 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 appticant will be the beneficial owner of the facility as constructed, or otherwise primarily liabte and responsibte to members of the public for its proper maintenance, repair, operation and use. Your applicant accepts all tems, conditions, agreements, stipulations and provisions, in Rules and Regulations Gorerning Facilities to be Permitted Upon Gounty Road Rights-of-Way, dated March 31, 1960, and any arnendments thereto, and any other applicable regulation, law or ordinance. Signature IYHITE . OFFICE FILE GREEN . NESIDENT ENGINEER PINK . PERMITTEE 8LUE. ROAD SUPEBVISOR OSANGE. BUILDING AND SANITATION DEPT. YELLOTY. SUNVEYOR Address Phone No. I IANE COUNI. BUILDING PERMIT BUILDING F MH tr OR MOBILE HOm€ I E USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCI.UDE POST OFFICE PROPERIY TEGAT DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY rrE APPt. NAME & MAITING ADDRESS I.EGAI- ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONIY No. of Bedrooms Connect to Existing Sewoge System I New System STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT = BDRMS VALUATION I il T I SEWAGE DISPOSAT PUBUC ! SEPTTC TANK n oTHERn PTUMBING INSTALLED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAII.ER TOTAT $FEES WATER SUPPIY PUBLIC tr tr OTHER l}; COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT OR SQ. FT. I Stt -$\-t \'st-rN-*ra\ I EASEMENTTYPE OF STRUCTURE OCCUPANCY BL BLDG. SETBACKS TRONT FT. TROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE tlrb DATE BTDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PI.UMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Construction to comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THIS PERMTT ON MAIN BrDG. AT SITE) IANE COUNTY, B[DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I roau i 955-13 ZONE .1 SITE INSPICTION Ap pRov E o REuanx s Dr sappnoveo Dare I ruspecron FOUNDATION INSPECTION N DrsAPPRovEo 77 Dare t/- L 'v4 - ,/-,/ -/'-.' lNSpf CrOn L.a'' ---Ap pnov e o REuanxs FRAMING INSPECTION APPRovEo D DrsrppRoveo D DarE Re uanx s lNs C TOR 0k LATH OR SHEETROCK I NSPECT I ON Drsappnoveo F/ Darr,I NSPEcToRAppRoveo Reuanxs FINAL INSPECTION AP PRov E o Reuanxs DtsaPpRovEo CERTIFICATE OF OCCUPANCY Rrrov ro lssuE RruaRx s D oo,,-?'//'fi-Vulrvspe cron ,| D Nor Rraov ro tssuE D I Hspecton /ty- rc 37/ Dare J/*ta O D If TANE COU f BUILDING [-I BUILDING PERMIT OR MOBIIE t. -ivlE USE PERMIT MH fI PERMIT NO. PR-CPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY I.OCATION - INCTUDE POST OFFICE PROPERTY I.EGAL DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY I.EGAI. ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge Syslem ! New System !STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT, # BDRMS VALUATION SEWAGE DISPOSAT PUBTIC N SEPTIC TANK tr OTHERE OWNER -1 PLUMBING INSTATTED BY OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PIAN REVIEW PARK TRAITER FEES WATER SUPPI.Y PUBTIC N OTHER TOTAT MIN. SEPTIC TANK CAPACITY WITH DIST. BOXI GA[. TYPE OF STRUCTURE BLDG. SETBACKS FT FROM CTR. FRONT SIDE INT. COUNTY BUITDING & SAN A TION SPECIFICATIONS DRAIN FIEID REQUIRED ilN. rT TRENCH WIDTH FT OCCUPANCY ZONE OF ROAD RIGHT OF WA'USE CLASSIFICATION SIDE EXT,REAR IZED SIGNATURE _ DATE OR SQ. FT, PUBTIC UTII.. EASEMENT DATE ronu lt 955- 13 AUTHOR ''ANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING - CANARY BUITDING - GREEN SANITATION _ GOTDENROD construction to comply with unifo.rm building code ond counry regulotionscovering prum.bing ond sewoge disposor. ati uritaing. -r";;lr;'o -.Zrtiti.ot. of occuponcy before being occupied. (See Stotement on Reverse Side) (POsT rHtS pERMtT ON MA|N BLDG. AT S|TE) APPt. NAME & MAII.ING ADDRESS -I - SLAB FLOOR PLUMBING GROUND/ORK AppnovEo m DrsappnovEo Rrlta nx s oartf-/O-2t lHsprcron r-E I cAS PIPING GROUND^/ORK D Drsrppnovro D Dare I HspecronAp pRov r o Reua Rx s ROUGH PLUMBING AppRoveD m REt"t lRx s D om*-21*)-D r snppRoveo I rusprcr ROUGH GAS PIPING AP PROV E D Reuanr s D r sappRovEo Dar E Ir.tspEcron FINAL PLUMBING _e D oor"2-2 /-?J I HspectonAppnov e o Rruanxs Dr sapPnovEo FINAL GAS PIPING AP PRov E D //DtsaPPeoveo/l DATE I Nspscron Reuanx s CERTIFICATE OF OCCUPANCY Rrnov ro lssuE REuaRrs Nor Rrrov to lssuE Drre V I NsPEcroR )IVIDUAL SEVTAGE DISPOSAL SYSTEM RECORD --.stalIer: Complete top part of m to signature and return both copies -.r Lane County Building Sanitation Department. c' Ins No. L v oper I Cnu r cxsnaNx 1rv Public fi7-Other-List Bectrooms3 Baths Basement Yes E uo fl Ft. from well Steel ! Concrete [l- No. Compartments Length width Diameter Depth Ga1. Capacity dQe T eD spos Distribution Box:Yes [!- No ErDtron- Eeet Applican Nane M ai1in9 Address I s-Ft.o Lot Line Front /*" below G3. 4. 5. 6. J aurs DraN N z2 frrench @ lw:.atn;l lrt.J4o lri.nes f, E iller Type Pa Filler deptha.bove otile,,( in^Sketch See instructions Date For Sanitarian Use OnIy:'E-epproved, System rnstallation Conforms to ture Does Not Conform to Current Standards Standards Da I oisapproved: Remarks: (\ t/?F I } EG ErVE[Rl lheaga'xl 1q73 NtrDT Lane County Building & Sanitation Dept. 4i,. sS c55-ll 5 a HOME'.ISE APPLICAIION LANE COUNTY Pt|ILDING PERMII OR MOBILE PERMIT TYPE _B UILDING MOBILE HOME osc REG. # MAITI NG ADDR ESS tNCt uor POSI OFFICE U PERMIT PROPERTY3 PROPERIY LEGAT DESCRTPTION tor - BtocK - suBDlv TWP RANGE l& EXISTING dnil TO + TRACT Nmre on t& PHONE METES & BOUNDS YES NOATIACHED bRJ) TAX TOT CODE sEc. ON TEGAL ROAD E aAPPTICANT NATAE AND MAITING ADDRESS p &_.<c1,vt AREA DEPTHFnoprnrv s or New Req FOR MOBITE HOME Number of Bedrooms TO BE BUI TT THiS PERMIT PERMIT ONLY Sewog e SYste SQ. FT mE Connect TYPE to Ex 3 15 6 e*e b22-b $r 3\ N 3 APPTICANTOFRE PTUMBING tNSTAtlro sv SEWAGE PUBTIC BLDG. WASTE DIS. PIUMBING PI.AN REVIEW PARK TRLR. TOTAT DlsPosAt OTHER OWNER PTANS IU RNISHED YES NO IVED BY SPECIFTCATIONS OTHER NAME FACILTTY SEPTIC TANK L1 FEES d WATER PUBTIC NOYES 3, trt -13DATE DATE4 CASH [ 5gtYgP CHECK a CONNECTION FEE PUBTIC WATER coN NECTION TEE COUNTY BUII ,IT DING & SANITATION IAIN. SEPIIC T'ANK WITH DIST. BOX: GAL TYPE OF STRUCTURE CAPACITY DRAIN FIEI-D tIN. FT occuplNCy REQUIRED TRENCH WIDTH FT ZONE OR SQUARE FEET REAR YARD USE CLASS IFICATION 3o C, (v - FT. FROAA CTR. OT ROAD RIGHT OF UTIt.EASEMENI BLDG.SETBACKS FRONT srDE rNT. I REAR 5 O"t. BLDG. INSP SIDE EXT, ons lo Find ProPerlY: Dote Fo.m # css_tz PTANNING 5 3 I COPY I _ OFFICECOPY 2 _ JOURNALCOPY 3 _ AIrDfi I