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Home My WebLink AboutPermit Building 1973-02-15IANE COUNT'- BUII,DING PERMIT OR MOBILE HC BUILDING T MH T USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING AODRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY LEGAT DESCRIPTION - METES, BOUN RANGE SECTION .rl,'z '"P"iio(CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPI.. NAME & MAITING ADDRESS LEGAI. ACCESS TO PROPERTY PROPERTY SIZE - FT, WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existi TYPE CONSTRUCTION m New m se. FT BDRMS VALUATION SEWAGE DISPOSAT PUBLIC n sEPTlc TANK tr orHER! PI.UMBING INSTALLED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PtAN REVIEW PARK TRAII.ER TOTAI. F EES WATER SUPPTY PUBr.rC n tr OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEID REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BI.DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING - GREEN SAN ITATION - GOI.DENROD Construclion to comply with uniform building code ond counly 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 THIS PERMIT ON MAIN BIDG. AT SITE) TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ponu S C55-13 BU I LD I}1G S ITE EVALUAT ION AZ4 *.,2-+-r"-/*-(-<-r17n 03 ZZ T^xc Us TR/\CT Z - Z- a--a H ./.rLd LOT Z'29gLs Building Permit Appl icat ion no. R1 6 - 73 S ite lnspect ion Pre-Permit lnvest igat ion A N APPL I C NA}'1E ADDRESS ) ) PHONE DATE .' -/ 3 - -73 LANE COUNTY PLANNING DEPARTMENT NOT NA}1E () ()-- NO YES DATE appl icable()() (I . Zon i ng 0rd i nance Comp I i ance(zone;lAf )2. Subdivision Ordinance Compl iance 3, Requ i red Access 4. Bu i ld ing S ite (nrea, t.Jidth, Frontage, Setback) 5. 0ther (see comments) ( () () () ( ( () COM}4ENTS: BUILDlNG INSPECTION SECTION 6. PIans Submitted 7. Soi I Stab i I ity (foot ings) 8. Flood Pl a in 9. 0ther (see Cornments) NOT NO IiEt icable -r] (p ff) il) YES w () () () () () DATE ()()2 qo-'?3 COHHENTS: SAN I TAT I ON SECT I ON 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Comments) NOT NO I6Et icable -( YES NA A DATE )() () () () () () ()( COM}4ENTS TO APPL ICANT: YourrBuilding Permit / Site lnspectio-1rq 1t/ c.n uu lpp roved . J -rs- z 3 @( ) Cannot be approved at this time as indicated on item N0. Questions and further inform COUNTY PLANN ING DEPARTHENT. above. ation on items I through 5 contact the Lane- Questions and further information on items 5 through 13 contact the L"ne Cornty Brilding "nd .( ) u/il l be held in th is of cated.( ) ls being returned.( ) Your building permit appl icat ion fee is being returned under separate cover. LANE COUNTY PLANNING DEPARTI'IENT LANE COUNTY EUILDING S SANITATION DIVISION 135 sixth Aventie East, Eugene, Oregon 97401 135 Sixth Avenue East, Eugene, 0regon 9l4L PHoNE: 342-t3n EXT. 231 pHoNE z 342-t3tt EXT. 4t I M55- 28 W Y==U/_z_ =.lZlL NA}IE NA}4E W4r: - 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 Commrssioners of Lane County, and it is the opinion and judgment of the Board that the said appiicatlon 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 Permrtted upon County Road Rights-of-Way, dated March 31, 1960 and any amendments thereto, 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 shal} have been completed before , 19 -. Expires ,19 Inspected and Approved Approved by Board of Commissioners By Date By WHITE GREEN OFFICE FILE RESIDENT ENGINEER Director of Public Works PINK . PERMITTEE ORANGE. BUILDING & SANITATION DEPT BLUE . ROAD SUPERVISOR YELLOW . SURVEYOR c98- s2 Date _ Date APPLItrATION FtrR FAtrILITY PERMIT IN THE BOARD OF COUNTY SOMMISSIONERS OF L'\NE 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 folloruing locati 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 otherwise 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 Gwerning 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. Signature WHITE - OFFICE FILE GREEN . RESIDENT ENGINEEB PINK . PERMITTEE BLUE. ROAD SUPERVISOR ORANGE - BUILDING AND SANITATION OEPT. YELLOYY . SURVEYOR Address Phone No.- H(;USE PERMIT PERMIT NO. IANE COUM^'BUILDING PERMIT OR MOBttE BUILDING I MH tr PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE q) " ,)i,^^ UlYV- PROPERTY TEGAT DESCRIPTION -METES, BOUNDS RANGE SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPI.. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FI. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONIY No. of Bedrooms Connect to Existing Sewoge Sysrem I New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATION SEWAGE DISPOSAI. PUBTIC fI SEPTIC TANK n OTHER- PTUMBING INSTALTED BY OWNER -l OTHER: NAME BUITDING WASTE DISPOSAI PTUMBING PtAN REVIEW PARK TRAITER F EES WATER SUPPTY PUBUC n tr OTHER TOTAT 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 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 BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOLDENROD 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 THIS PERMIT ON MAIN BLDG. AT SITE) I.ANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronr'l 1* 955- 13 : dnltr stt6{100R PLUMBING GROUND/ORK AppRoveo D RruaRx s ))*,*L 7-/-r',e/{ Drsappnovro Dart 2-2/"75 I NspEcron GAS PIPING GROUND^/ORK APPRovED Reuanxs Dr sappRovro I Hsprcron ROUGH PLUMBING APPRovED M Drsappnoveo REuaRxs Dare 7- X- 23 trusprcron ROUGH GAS PIPING Appnoveo D DlsAPPRovE, D Reua Rx s Date I Nsercron FINAL PLUMBING APPRovED N DrsrppRoveo Rruanx s oarz/- l)-)l trspecron FINAL GAS PIPING AP PRov E D Rruanx s D r srppRoveo DATE I rus pe cton CERTIFICATE OF OCCUPANCY Reaoy ro lssue Reuanxs D Nor Reaov ro lssue D Dare I rspecron D Dore_ LANE COUN' BUILDING PERMIT OR MOBITE H E USE PERMIT PERMIT NO. PROPERTY OWNER BUILDING I-I MH MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCIUDE POST OFFICE PROPERTY LEGAT DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New Syslem ! t,. 4o.--,t SEWAGE DISPOSAT PUBUC tr SEPTIC TANK oTHER! PTUMBING INSTALLED BY OWNER n OTHER: NA/ttE BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAIIER FEES WATER SUPPTY PUBUC n N OTHER TOTAi. COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEID REQUIRED TIN. FT TPENCH WIDTH FT.OR SQ. FT TYPE OF SIRUCTURE OCCUPANCY ZONE PUBTIC UTII-. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CI,ASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. FERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITOING _ GREEN SANITATION _ GOLDENROD Construction 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 ulotions o certif icote (POsT THIS PERMIT ON MAIN BIDG. AT SITE) I"ANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu :t 655- 13 ft - SITT INSPECTION Appnov r o Rruanxs D t slppRovEo Date Ir'lspEcton 4 FOUNDATION I NSPEC ON Ap pRov E o RettlRxs Dr sappnovEo Darc L-* 2 I -7 3 l*sre cro*cl---1 FRAMING INSPECTION A ppRov e o ReuaRx s fu DrsappnovE o D D LATH OR SHEETROCK Appnovro RruaRx s I NSPECT I ON Dr sappRoveo Dar e I NSPEcToR FINAL INSPECTION AP PRov E o Rruanx s Dt A PPROV E O Darr I rusprcton CERTIFICATE OF OCCUPANCY Rrrov ro lssuE RErqaRxs D Nor Rraoy ro lssuE D Dorr_lrusrrcroR_ / 0 '?3 - D-r.a, ?,1? {xq-W-z* e#a&fr""*Ad ?/- ZOD f r .NDIVIDUAL SEWAGE DISPOSAL SYSTEM RECORD -nstaller: Complete top part o crm to signature and return both copies to Lane County Building Sanitation Department. v SS PxersaNr Bt Water Supp v Public E - Other-List 216- CRU t crsnarux No c S emen'vesE Noil Ft. from weII Steel I Concrete fr/ No. Compartments r,ength ff width -f Diameter Depth S Gal. Capacity oao T 1e a Distribution Box:Yes V NoE Other str Feet from tionLot Line below 6 Applican Name M ailing Address Lengthr.o L -Ft o3. 4. 5. 6. Trench widrh Total sq f:u- < 40 Ft. betweenlines ? Fil-l-er rype l+Filler deptha.bove .rti le A in- Sketch See instructions Ab-Signature an Use OnlY: d: System Installation Conforms to Curreh't Standards Date: Date =)>fzt Nf rD LN E(EEIVE ID LANI C. UNTY HEALTH DEPT Remarks: : Does Not Conform to Current Standards'h Lane County Building & Sanita Dept. t San an S c55-il s }JAENS For .l ru f)raru l,.\ a6^-6v i1r,-r,,.- t n LANE COUNTY RL,IIDING PERMIT OR MOBITE HOMF IJSE APPLICATION ,, Jt -a-sc, PROP OWNER ,TION INCTUDE POST OFF PROPERTY I.EGAI DESCRIPTION tOT_BI.OCK_SUBDIV. TWP RANGE APPTICANT NAME AND MAITING ADDRESS PERMIT TYPE _ BUILDING MOBTLE HOME IOSC REG.# MAILING ADDRESS TAX tOT CODE PERMTT #L -73 MAITING 7/7 7 7 PHONE PHONE METES & BOUNDS YES TTACHED IF ANY AREA NO sEc DESCRIBE EXISTING STRUCTURES ON TEGAT CESS TO PERTY - ROAD NAME # FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existin Sewoge System f] or New SQ. FT go,r 3 taP o .t {o<.J- m BEDROOMS VATUATION FACITITY PUBTIC B[DG. WASTE DIS. PIUMBING PTAN REVIEW PARK TR[R. TOTAT BE BUILT THIS PERMIT r#.5a TANK N oTHER !oo TYPE OTHER PTUMBING INSTATTED BY OWNER OTHER FURN ISHED YES-?0, a?)36 Ea PI.UMBING FEES /y' ,,*',u*r, FEES WATER SUPPTY PUBUC n CASH E CHECK APPTICANT NO OF 3 YES J-+S-73 NO DATE DATEJ -rs- 3 da PERMIT #/.50 JI COUNTY BUILDING & SANITATION SPECIFICATIONS PUBTIC WATER CONNECTION FEE MIN. SEPTIC TANK CAPACIIY WITH DIST. BOX' GAL. DRAIN FIETD REQUIRED LrN. FT. L@ TRENcH wrDTH FT,leo ts OR SQUARE FEET 5-/o 2.*o qFE NECTION FEE A REAR Dote BLDG. INSP. ZONE REAR YARD E*,s"T usE ctAsslFlcATloN $ PUBIIC UTIT. EASEMENTOCCUPANCY BTDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT Soc-rr-a+ :l Form # css-t2 - /J',*?1 Dote Directions to Find Property: COPY I - OFFICE COPY 2 -JOURNAICOPY 3 _ AUDIT