HomeMy WebLinkAboutPermit Building 1974-04-296ra- zy
-lCOUNT ,UII.DING PERM}T OR MOBITE HO USE PERMIT
PERMIT NO.NG
2ll il. Jgrr:nsox, Eu:He, 0n
MH
MAITING ADDRESS PHONE
MAILING ADDRESS PHONE
PROPERTY r.oc ATION - 'NCI.UDE
POST OFFICE
PROPERTY TEGAT DESCRIPTION - METES, BOUNDS
r7
RANGE SECTION TAX LOT NO.CODE CENSUS TRACT
03
EXISTING STRUCTURES ON PROPERTYAPPT.
NAME
&
MAITING
ADDRESS
ah Jrrrrniou 5T
TEGAT ACCESS TO PROPERTY
PrrGotLE 5r.
Etnrne, On.
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms SewogeConnecl lo Existin
TYPE CONSTRUCTION
m tr New m
se. FT BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT
Fourotrtolr FoR Hou3E To BE MoyEo I po.
Hlll nGeurRE rrRE UALL Axo BoLrs DooR BfruEEN Houcf AHo oARAoE.
SEWAGE DISPOSAT
SEPTIC TANK
PI.UMBING INSTATTED BY
OWNER OTHER: NAMEPU BL IC
BUITDING
WASTE DISPOSAT
PTUMBING
PtAN REVIEW
PARK TRAILER
TOTAL
r EES WATER SUPPTY
PUBLIC E tr OTHER
COUNTY BUITDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAT.
DRAIN FIEI.D REQUIRED
tIN. FT TRENCH WIDTH FT.OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
J
BTDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT.SIDE EXT.
AUTH ZED SIGNATURE _ DATE
USE CLASSIFICATION
REAR
DATE
FoRM = C55- l3
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBTNG - caNnhy
BUII.DING _ GREEN
SANITATION _ GOTDENROD
T
Coll 687-4065 to schedule oll required inspections. Atl construc-tion sholt comply with Uniform Building Code, D.E.e. stondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulotions coveringplumbing. All buildings require o certificotl of-occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST TH|S pER ntT ON MA|N BLDG. AT S|TE)
TANE COUNTY, DEPT. OF ENVIRONMENTAT A4ANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I
coNTRAcI')R
OTHER-
BUlLDlil G SI TE EVALUAT ION JS tJ IE-*QZt./' cEt l TRACT
?.7
s ZZ tAx Lor-
/-r g -33i ;d furnr lrk
APPL I CANT :
NAHE
ADD S
PHONE
DATE
NA},lE DATE
( ) Building Permit Appl ication No'
( ) Site lnspection
( ) Pre-Permit lnvestigation
LANE COUNTY PLA NN I NG DEPARTHENI
6?r'7/
NOT NO
appl icable
YES
Zon i ns 0 rd i nance
??:nnl
, )";-)-CI
subdivision ordinance 61ffince ( )
Requ i red Access
Bu i Id ing S ite (Area, Width,
Frontage, Setback)
0ther (see comments)
()
()()
)Z ,-' * ,t/-^o'-y'
)
() (
(
()
()
()
)2
3
4
5
CO},IHENTS:
BUtLDlNG INSPECTION SECTI ffit icab le-*Tr-
NO
)
YES NA},IE DATENOT
(6. PIans Submitted
7, Soil Stability (footings)
8. Flood Pl a in
9. 0ther (see Comments)
COM}4ENTS:
((
)(
)
()
() ()
() ()b17 -?y'
NOT NO YES -
L4/'
,k
DATESAN !TAT I ON SECT I ON
10.
ll.
t2.
13.
Sewage Disposal
Usable Area
Water Suppl y
0ther (see Comments)
aool icable*rT-(
()
()
() ()
()
()
J
COHHENTS:
6 IT"!-
Your Building Permit / Site lnspection:
Can be approved.
Cannot be approved at this time as indicated on item N
Questions and further information on items I through !
COUNTY PLANNING DEPARTMENT. Questions and further inf
you can reso vet
0. above.
contact the ane-
ormat ion on i6.; 5
through I l contact the Lane Count Buildi and San i ta ion D iv is ion.
l./ill be held in this off ice unt
ls being returned.
Your building permit application f ee is being returned under separate cover.
LANE COUNTy pLANN lNc DEpARTHENT LANE COUNTY BU I LD ING e SAN ITAT lON D lV lS lON
135 Sixth Avenue East, Eugene, 0regon 97401 135 Sixth Avenue East, Eugene, 0regon 9740
pHoNE : 342-t3tt ExT. 231 PH0NE: 342-1311 EXT. 4l I
()
()
()
P lerns ind i cate d.
c55-28
TO APPLICANT:
Dote \-26-1+bzt->
I
PERMIT
ORDERED, thot o permit be ond is hereby issued to
24 Jerrenson Sl., EucEt'tE, oR.
Permit No
ALLAN TUTTLE & LARRY WEEKS
S r oewaux
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the ottoched opplicotion hos been fully considered by the Boqrd of County Com-
missioners of Lone County, ond it is the opinion ond iudgmentof the Boord thot the soid opplicotion
should be gronted, ond thot o permit should be issued, now, therefore, it is hereby.
for plocing, building
or constructing the following focility'
3no. ADD. Flnuoatg Lor B BLr.
Dwe lt t ttc
3 P r ueollr Ave.
1
2
upon the right-of-woy of County Rood No.
-
Mile Post
in strict conformity to the exhibits ottoched hereto, ond subiect to oll terms, conditions, ogreements,
sfipulotions ond provisions contoined in the opplicotion ond permit, the Rules ond Regulotions Gov-
erning Focilities to be Permitted upon County Rood Rights-of-Woy, os set forth by the Lone Mon-
uol 50.190(2) sny omendments thereto, ond ony other opplicoble regulotions, low or ordinonce.
Speciol Provisions:
Drivewoy will be constructed in occordonce with the ottoched drivewoy opprooch specifico-
tions (Drowing M98-50).
Permittee will be responsible for the immediote removol of oll mud, dirt ond debris from the
roodwoy ond right of woy coused by his operotion, leoving the roodwoyond oreo in o neot,
occeptoble condition.
3 StoswaLxs t,tLL BE coNSTRUcTED rN AccoRDANcE t trH THE ATTAcHED stDEwlLK
spEcrFrcArroNs AND DRALrrrue U 9B-\9. TnE srlruoARD cuRB rypE sHALL BE
CONSTRUCTED UNLESS OTHERWI SE SPEC I D I ED.
This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thonthot specificolly mentioned obove is hereby outhorized
This permit shqll be void unless the work herein contemploted sholl hove been completed be-
fore Mrv I lg 15 . Expires 19--.
lnspected ond Approved Approved by Boord of County Commissioners
By
Dote ile
By
WHITE _ OFFICE FILE
GREEN - RESIDENT ENGINEER
PINK - PERMITTEE
BIUE _ ROAD SUPERVISOR
ORANGE _ BUII.DING & SANITATION DEPT
YETLOW _ REAT ESTATE
Zl
Director of Public Works
c98-7 9
?-zt 7{
I
BUITDING PERMIT OR
MHT
.-1
MOBIIE HC ; USE PERMIT
PERMIT N
TANE COUN
BUTLDTNG lI
PROPERTY OWNER MAILING ADDRESS PHONEII T TEEX
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY TOCATION _ INCTUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS
RANG E SECTI ON TAX LOT NO CODE CENSUS TRACTI
, i "!:, .-'.
:-
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAII,ING
ADDRESS
LEGAT ACCESS TO PROPERTY
PROPERTY
WIDTH
stzE - FT.
DEPTH AREA
FOR MOBITE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System New System n
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN
SEWAGE DISPOSAI.PLUMBING INSTAILED BY
PUBLIC
BU ITDING
WASTE DISPOSAL
PI.UMBING
PtAN REVIEW
PARK TRAITER
SEPTIC TANK
F EES
OWNER OTHER: NAME
WATER SUPPTY
PUBTIC tr tr oTHER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAI..
DRAIN FIETD REQUIRED
I.IN. FT TRENCH WIDTH FT.OR SQ. FT.E
t\\
.a l}il.ts\\s\-\ r-rt
TYPE OF SIRUCTURE OCCUPANCY ZONE UTIt. EASEMENT
BLDG. SETBACKS
FRONT
FI. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE
Z
DATE
BLDG. PE RM IT _ W H ITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUITDING _ GREEN
SANITATION _ GOLDENROD
Call 687-4065 to schedule oll required inspeclions. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulqlions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST TH|S PERMIT ON MAIN BLDG. AT SITE)
IANE COUNW, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I
roeu = 655- 13
OTHERE
$_-=_---
SITE INSPECTION
Ap pRov E o
R rua nx
DrsapPnoveo Dare Ir'rspEcroa
FOUNDATION INSP toN
AppRov s o Dr sappnovro Dare I ruspecto
REua S
FRAM I NG
AppRov e o
Rr tlanx s
I NSPECT I ON
DrsappnovEo Drt E I NSPEcToR
LATH OR SHEETROCK
Ap paov e o
Re uanx s
I NSPECT I ON
Dr sappnoveo Dar e lfrsescton
FINAL INSPECTION
Ap pnov e o DrslepRoveo
Rr tta Rx
CERTTFICATE OF OCCUPANCY
Rrrov ro lssuE
RruaRx s
/2-zo'UTE I ruspec
')2'
NoT READY T
r6 r8-//
I ssu Drr e lruspecroR
D
D
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g W@fuso?'--a/
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t(/2 -=-?4 *
.-:2 ?<i--
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tz-3"7
//
'd'?y'z-zo - ?qd
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he
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1-*%r ;D
/-
d ft
LANE COUN
BUTtDTNG I I
BUILDING PERMIT OR MOBIIE HC...c USE PERMIT
MH T PERMIT NO.
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCTUDE POST OFFICE
PROPERTY TEGAT DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPL.
NAME
&
MAILING
ADDRESS
TEGAT 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 Existing Sew
TYPE CONSTRUCTION
New m
BDR MS VALUATIONSQ. FT
SEWAGE DISPOSAT
PUBTIC tr SEPTIC TANK I OTHERE
PI.UMBING INSTALTED BY
OWNER n OTHER: NAME
BUITDING
WASTE DISPOSAL
PTUMBING
PtAN REVIEW
PARK TRAITER
FEES WATER SUPPI.Y
PUBLTC tr N OTHER
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC .TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIELD REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CI.ASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BI.DG, PERMIT _ WHITE
OFTICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOI.DENROD
Coll 687-4065 to schedule oll required inspeclions. All construc-
tion sholl comply with Uniform Iiuilding Code, D.E.Q. stondqrds
IMPORIANT: for subsurfoce'sewoge disposol ond counly regulqlions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNW, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I
ronu a c55- 1i
SLAB FLOOR
PLUMB I NG GROUND/ORK
Appnoveo
RruaRx s
Drsappnoveo Drr e I Hsprcton
GAS PIPING GROUND/ORK
Appnov r o
ReMrnx s
D r sappRoveo Darr I Hsprcroa
ROUGH PLUMBING
Appnoveo
Rruanx s
D Drsappnovro D DaT E I ruspecron
ROUGH GAS PIPING
AepRoveo D Drsappnovm D
Reuanx s
Date I ruspecron
FINAL PLUMBING
APPRovEo Jffi DrsrppRoveo,--
Re ulnx s
J - z L-7c/Dnr lrsp
FINAL GAS PIPING
AppRoveo D DrsrppRoveo D
RE uanx s
Darr I Hspecton
CERTIFICATE OF OCCUPANCY
Rerov ro lssue
RruaRrs
D Nor Rraov ro lssue D Dore_llrsprcron
I
. Dqte Permit No.
CURB CUT
PERMIT
!N THE BOARD OF COUNTV COMMISSIONERS OF LANE COUNTY
WHEREAS, the ottoched opplicotion hos been fully considered by the Boord of County Com-
missioners of Lone County, ond it is the opinion ond iudgment of the Boord thot the soid opplicotion
should be gronted, ond thot o permit should be issued, now, therefore, it is hereby.
ORDERED, thot q permit be ond is hereby issued to
for plocing, building
or constructing the following focility:
upon the right-of-woy of County Rood No.
--,
Mile Post
in strict conformity to the exhibits ottoched hereto, ond subiect to oll terms, conditions, ogreements,
sfipulotions ond provisions contoined in the opplicotion ond permit, lhe Rules ond Regulotions Gov-
erning Focilities to be Permitted upon County Rood Rights-of-Woy, os set forth by the Lone Mon-
uol 50.190(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce.
Speciol Provisions:
l. Drivewoy will be constructed in occordonce with the ottoched drivewoy opprooch specifico-
tions (Drowing M98-50).
2. Permittee will be responsible for the immediote removol of oll mud, dirt ond debris from the
roodwoy ond right of woy coused by his operotion, leoving the roodwoyond oreo in o neot,
occeptoble condition.
l0'cl "')'/V-,
This permit is revocoble ot ony time,d will be rictly odhered to ond no work other thon
thot specificolly mentioned obove is he out horized
This permit shqll be void unless the work herein contemploted sholl hove been completed be-
fore l9-,. Expires 't9--.
lnspected ond,Approved Approved by Boord of County Commissioners
By
Dote
By
BI.UE _ ROAD SUPERVISOR
ORANGE_ BUII.DING & SANITATION DEPT
YETLOW _ REAI ESTATE
WHITE _ OTFICE FItE
GREEN - RESIDENT ENGINEER
PINK _ PERMITTEE
Director of Public Works
c9B -7 9
lil' rEco'- 0//
comprete top r",,'ll,;:l ::'1ff":l:::':X:ffiT.' 0o.,, -opigb
Ir7
I NSTALLER:
lns i
SERVICE
edrooms Baths
trr
wi th ry@i
PERHIT NO
'^ 7*
'bb
t as
es
v
0ther-L i st
ePt c Tank:
Ft. f rorn wel I Stee I tr No. Compartments Gal .
e ns ons: Ft.e sPosa F e
t Width Oiameter D th Distribution Box:
t er str ut on-e
NAHE
T.IAILING
ADDRESS
t.J lt Found
No
Feet rofll
t neoFront S ide o Rear /
Length
PI
Dat
E OF SATISFAC ONFor Sanitarian Use 0nly:Date:ln accordance with 1973 0regon Laws Chapter 835, Section 214 this certificate is is
as evldence of satisfactory conpletion of a subsurface seurage disposal system at the abovc
I ocat i on.HRPptoved: System lnstallation conforms to current standards 1
EI Oisapproved: Does not conform to current standards
Remarks:
tn
oy,
I
ry
t,idt
r ota
Ft 'q6
Ft. Between
u.i nes .tGi n
er Oept h
ove Ti
an see nst
sEptbfa*
(/
lt
tA,
{
6t(frA
6a 4 q(lo
,r!-' ,_
-l
JUru 3 5 n74
ENv,h8ilfi.fi?fJ ry
MGMT.
nat u res
Publ ic
Concret e
tar n
COUNTY
c55-1r
STATE OF OREGON OEPARTI.IENT OF ENVIRONHENTAL qUALITY
gnat ure
,
7 la -2,
TANE COUNTY i ,DING PERMIT OR MOBITE HOME ,E A N
PERMIT TYPE _ BUILDING MOBILE HOME OSC REG. #
MAITING ADDRESS
G ADORESS
6 -7
PROPERTY OWNER
PHONED L*? ( ,f-so,-. 4o*<u /4ai-o Z-l/r*J aA,
PROPERTY I.OCATION - INCLUDE POST OFFICE
PROPERTY IEGAL DESCRIPTION
I.OT_BLOCK_SUBDIV.
-;7 Z
/o* g Z/r.J( a szJ .l)ll
TWP RANGE SEC.TAx ror #CODE CENSUS TRACTt1e9,/,A -EDt5 tR
APPTICANT
NAME
AND
MAII.ING
ADDRESS
DESCRIBE EXISTING
PRO RrY ir ZE_WIDTH
,4O x /trl /
ES ON PROPERTY IF ANY
4 <-
n*ACCESS TO PROPERTY _ ROAD NAME OR
DEPTH AREA
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms Connect to Existi Se
TYPE
m
SQ. FT,
or New System Req.
VAI.UATION
e
STRUCTURES TO BE tT TH IS IT
S
SEWAGE DISPOSAT PTUMBING INSTATLED BY
PU BLIC
BTDG.
WASTE DIS.
PTUMBING
PTAN REVIEW
PARK TRLR.
TOTAT
PTIC TANK OWNER OTHER N NAMEOTHER
FEES WATER SUPPTY
PUBTIC
-
FIXTURES
CASH E
CHECK NECTION FEE
PUBTIC WATER
CONNECTION FEE
OTHER
PI.ANS FURNISHED
YES NO
FACITITY PERMIT
NOYES
DATE
DATEtrrHt*7
PERMIT #e
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIETD REQUIREDMIN. SEPTIC TANK CAPACITY
WITH DIST. BOX, GAL.UN.TRENCH WIDTH FT.OR SQUARE FEET
TYPE OF STRUCTURE {/\f .rr"rifira ZONE REAR YARD PUBTIC UTI[. EASEMENT
Form # 655- 12
USE CTASSIFICATION
,-L-
BIDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OI WAY
SIDE EXT. -
I
FRONT SIOE
rections to Find PropertY:
COPY I - OFFICE
COPY 2-JOURNAL
COPY 3 _ AUDIT
REAR
BTDG.PLANNING Dole
I
I
I oi
7q
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