HomeMy WebLinkAboutPermit Building 1975-09-11LANE COUNTY
BUILDING :'
BUITDING PERMIT OR MOBILE HOME USE PERMIT
MH [I PERMIT NO.24
PROPERTY OWNER MAILING ,ADDRESS PHONE
CONTRACTOR MAILING ADDRESS
lAjO Moxewx BLvo.
PHONE
spa rrcr rtrro 146 t6tX
PROPERTY LOCA-IION _ INCLUDE POST OFFICE
PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS
RANG E SECTION
-rD
TAX LOTr CODE
EXISTING STRUCTURES ON PROPERTY
CENSUS TRACT
APPL.
NAME
&
MAITING
ADDRESS
TEGAL 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 Sewoge m
TYPE CONSTRUCTION se. FT
New m
BDR MS VALUATION
PERMIT FOR HOUSE
f3-TfsE[3ERrrrT. ro lxsrlrl slE Pnro
SEWAGE DISPOSAT PLUMBING INSTALTED BY
PU BLIC
BUITDING
WASTE DISPOSAL
PTUMBING
PtAN REVIEW
PARK TRAITER
SEPTIC TANK OWNER
WATER SUPPTY
OTHER: NAMEOTHE
FEES
PU BLIC tr OTHER
GE
TOTAT
COUNTY BUILDING & SANITATION SPECIFICA TIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
qfx
DRAIN FIETD REQUIRED
I.IN. FT TRENCH WIDTH FT OR SQ T
T,ELLS:iET FROil ALL
OCCUPANCY ZONE PUBLIC UTIL. EASEMENT
TYPE OF STRUCTURE
BLOG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION
FRONT SIDE INT SIDE EXT REAR
AUTH ZED SIGNATURE - DATE
SnooxlsartrARlAi
DATE
-,8
OSS BY HARBAUG
BI.DG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUILDING - GREEN
SANITATION _ GOTDENROD
Call6ET.4065toscheduleollrequiredinspections.Allconstruc.
tion sholl .o.plv with Uniform tiuilding Code' D'E'Q' stondords
II PORTANT, fo,, ,rbrrri*"'.!*oge disposol ond county regulolions covering- piumbi"g: All [uiiJiig, reiuire o cerrificote of occuponcy before
being occuPied.
(See Detoils on Reverse Side)
(POST TH|S PER.Mlr oN MAIN BLDG. Ar slrE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL AAANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I
FoRM = C55- 13
ltrt e?, 8looL 5r enif edrrlt$oa to Gardau hyl+u County, Ores;ura
ft.ib.llo rtsr cyctto
Sctuf aystet to be daai6nod lrt u.ccard,rrnGc 6th firo r::lesard ry6u1ttiln0 of; the Orege Stqtc Boerd of ilealth
I# gr*'fhg to rtyoe&
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LANE COUNTY
BUILDING Ir
BUITDING PERMIT OR MOBILE HOME USE PERMIT
MH E PERMTT NO.
PROPERTY OWNER MAII.ING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY I.OCATION _ INCIUDE POST OFFICE
PROPERTY IEGAI, DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPL.
NAME
&
MAITING
ADDRESS
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WTDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existin Sewoge System ! New System
TYPE CONSTRUCTION SQ. FT BDRMS VALUATION
SEWAGE DISPOSAT
PUBTTC N SEPTIC TANK tr OTHERE
PTUMBING INSTALTED BY
OWNER E OTHER: NAME
BUITDING
WASTE DISPOSAT
PTUMBING
PtAN REVIEW
PARK TRAITER
FEES WATER SUPPIY
PUBLTC tr [] OTHER
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIEI"D REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT
OCCUPANCY ZONE PUBTIC UTIt. EASEMENT
TYPE OF STRUCTURE
FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATIONBTDG. SETBACKS
FRONT REARSIDE INT SIDE EXT
DATE
AUTHORIZED SIGNATURE _ DATE
BI.DG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOI.DENROD
Coll 687-4065 to schedule oll required inspeclions' All construc-
tl". riiff io.ply *itft tnitotm tiuildins Code, D'E'Q' sf"-ltl.i:
I^,IPORTANT: for subsurfoce'slwoge disposol ond county regulqtions coverlng"' ;i;;;i;g. Ari uriiaiig. ieiuite o certificote of -occuponcv before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMIT ON MAIN BIDG. AI SITE)
LANE COUNTY, DEPT. OF ENVIRONITiENTAI I ANAGEATENT
COURIHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I
ronu 4 c55- 13
SLAB FLOOR
PLUMBING GROUNDL/ORK
AP PRov E o
ReuaRx s
D r sappnovro Drr e I rusprcton
GAS PIPING GROUND/ORK
Ap pnov r o
REuaRx s
D r SAPPRovED D DarE I Nsprcron
ROUGH PLUMBING
A ppnov e o
ReuaRrs
Dr saepRovro -/Dar I Nsprcr
ROUGH GAS PIPING
AepRovE o
ReueRx s
Dt sapeRovEo Dar e I rusprcton
FINAL PLUMBING
Appnoveo / "/ DrsrppRovEo
Re ttaRx s
oorJl -4rf I NsprcroR
FINAL GAS PIPING
APPRovED D DrsappRovEo D
Reua nx s
Dare I Nspecton
I rsprcron
CERTIFICATE OF OCCUPANCY
Reeoy ro lssuE D Nor Reroy ro lssuE D Dare
Reulnx s
IANE COUNTY BUITDING PERMIT OR MOBITE HOME USE PERMIT
PERMIT NO.BUILDING MH
PROPERTY NER MAIIING ADDRESS PHONE
CONTRACTOR MAII.ING ADDRESS PHONE
PROPERTY LOCATION _ INCTUDE POST OTFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
RANG E SECTION -TAX LOT NO,CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAITING
ADDRESS
LEGAI. ACCESS TO PROPERTY
PROPERTY SIZE _ FT,
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System f New System
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN
SEWAGE DISPOSAT
PUBLIC tr SEPTIC TANK n OTHERN
PLUMBING INSTAIIED BY
OWNER l-l OTHER: NAME
BU ILD ING
WASTE DISPOSAL
PTUMBING
PTAN REVIEW
PARK TRAITER
s F EES WATER SUPPTY
PUBLIC tr tr OTHER
TOTAT $
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 PUBTIC UTIT. EASEMENT
BLDG. SETBACKS
FRONT
FT, FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BLDG, PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOIDENROD
Call 687-4065 ro schedule oll required inspections. All construc'
tion sholl comply with Uniform 6uilding Code, D.E.Q. stondords
IMPORTANT: for subsurfoce-sewoge disposol ond counly regulolions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posr THIS PERMIT ON MAIN BIDG. AT SlrE)
IANE COUNTY, DEPT. oF ENVIRONMENTAT MANAGE/I'{ENT
COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I
FoRM = C55- l3
o
SITE INSPECTION
Appnoveo
Rruanxs
D I SAPPROVED I Nspecr
''v
/\
(Dare
FOUNDATION INSPECTION
APPRov E
RrraRx s
D r s APPRovEoD Dar I ruse TOR
FRAMING INSPECTION
AppRovr
Reuanr s
o Drsappnoveo
b.J/15 tnt"rc €)
Datr
u
LATH OR SH
AppRovro
Rrxnnx s
NSPECT I ON
Dr sappRoveo Dat E iar l nseecro
FINAL INSPECTION
Ap pnov r o
Reuanr s
oorr-/fl- /i - /{ r NspEcDr sappnoveo I
CERTIFICATE OF OCCUPANCY
Reeov ro lssue
Rruanx s
D Nor Reaov ro lssue D
8 {70-7i-D
Drr e I ruspecron
D
D
f
Bu.tlp tIG s[E_!yA!uAT toN
() BUILDINq PERHIT APPLICATION NO"
( ) srrE rNsPEcrtoN
PLANNING DIVISION
Zon i ng 0rd i nance Cornp I iance: Zone
Subdivision 0rdinance Compl iance
/7 R o
4>
TAX L
2q 7f
T
SUBDIVISION:
APPL I CANT
DATE
)
LOT:_
Requi red Access
Bui ld i n9 S i te (Area, Width, Frontage)
Other (see cornments )
CKID BY:h,re,7?b jr-
Setbacksffi--Front 4 a
Si.dn-gxtcnior_
Setbacks from interior lines:Side -.f-
Rear 7 ' Pt('
Not
I icable No
()
()
()
()
I
2
3
4
5
6flYesT7
,-Y
**
)
() (
() (
() (
() (
COI{HENTS:
( I NO(r IPPIITA_f ION#
BUTLDING INSP l0N Dlvlsr0N
7. Plans Submitted
8. Soi I Stabi I ity (footings)
9. Flood Plain
O. 0ther (see conrnents)
Not
Aool icable
-r:r(i)
U)(l)
./'.. "!CKID BYi / /
DATE
,)
No YesT)W() ()
() ()
() ()
COMMENTS:
WATER POLUT ION CONTROL
COI{HENTS:
ll. Heets Department of Environmental
Qual ity Standards.
12. Other (see cornments)
Not
Appl icabler)r)?fr
No
()()CKID BY 3
DATE
TO APPLICANT:
Your Building / Site lnsPection:
) Can be approved.
) Cannot be aPProved at this time as indicated on item N0"
Questions and furt her information on items I through 5 contEct the
!NG D IV ON Questions and further information on it
t rou 2 contact t e E COUNTY BU I ING AN TATION DIV s l0N.SAN
Wi I I be held in this ce unt i you can reso vet prob
ls being returned.
ermi t lication fe s bein
NTAL E
135 Sixth Avenue East Euge ne 0regon 97401
PHONE:597-4o65
above.
c
LANE-utfi
c55-28
Your bui ldin
LANE COUNTY PLAN NING DlVlSloN PHONE: 587-4185
ems nd i cat ed.
-J )/cr
Dote Permit No
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF IANE COUNTY
WHEREAS, the qttoched 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 q permit should be issued, now, therefore, it is hereby.
ORDERED, thot o 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, the Rules ond Regulotions Gov-
erning Focilities to be Permitted upon County Rood Rights-of-Woy, os set forih by the Lone Mon-
uol 50.19O(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.
CI
(6
td',i((-q'
This permit is revocqble ot ony time, ond wi
thot specificolly mentioned obove is hereby out
ll be strictly odhered to ond no work other thon
horized.
fore
This permit sholl be void unless the work herein contemploted sholl hove been completed be-
19-,. Expires 19_.
lnspected ond Approved Approved by Boord of County Commissioners
By
Dote
By
BLUE - ROAD SUPERVISOR
ORANGE_BUITDING & SANITATION DEPT
YETTOW _ REAL ESTATE
WHITE - OFFICE FITE
GREEN _ RESIDENT ENGINEER
PINK _ PERMITTEE
Director of Public Works
c98-7 9
')
Dole SEpr i 1 1975 Permit No.z\t6-tS
CURB CUT
PERMIT
IN THE BOARD OF COUNTY 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 o permit be ond is hereby issued to Rav \,VanruEn
t43o uonewx Brvo.SpR r ruer r ruo 0nreoru for plocing, building
or constructing the following focility:
Ganoen Wrv Panr Lor 2J Bl6cx )100 Rayner Av.e
3
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 50.19O(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.
SIoEwII-xs h,ILL BE coNSTRUcTED INACCORDANCE WITH THE ATTACHED SIDEWALK
SpecrFlcATroNs ANo DRAwlruo lu9&)+9. Tne StaNoaRo CuRe tYpe sHALL BE
CONSTRUCTED UNLESS OTHERW ISE SPEC I F I ED:
This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon
thot specificolly mentioned obove is hereby outhorized.
This permit sholl be void unless the work herein contemploted sholl hove been completed be-
fore Srpt 11 W--l-6. Expires 19_
lnspected ond Approved Approved by Boord of County Commissioners
By
Dote
By
BtUE _ ROAD SUPERVISOR
ORANGE-BUIIDING & SANITATION DEPT
YEI.TOW _ REAI ESTATE
WHITE _ OFFICE FILE
GREEN _ RESIDENT ENGINEER
PINK _ PERMITTEE
Direclor of Public Works
c98 -7 9
-\<:w,J[-7{NOTE: NO PERMIT WILL BE ISSUED T'NTIL THIS APPLICA,TION HAS BEEN APPROVED
APPLICATION FOR
CONSTRUCTION MOBILE }IOME PLAN REVIEW CHAi'JGE OF OCCUPA}ICY
OWNER
Name ess Clty ztp Phoner-r CONTRACTOR
O. S. REG. /I
f /d,
1\^rp
v2
7e_-)i Sectlon 36-tc27-,7/
Tax
Ci
Lot-co de
loek ,
z7p
Census Tract
Subdivisio
ACCESS TO PROPERTY (Road
Existing Structures on Property:
Acreage Wldth_Depth_
Property Location - Address/DirectLons:1o
r Offlce Use
SEWAGE
Site Inspec tlon /l
WATER SUPPLY
I.Ie11
Public
other Comunlty
PLUMBING:
Installed by Oroner
Sq
Existlng Sewage Dlsposal System
tro (
or New System Requlred
Name of Connunlty or Pub1lc System
Ft t
)
B1dg.
Waste Disp.
Plumbing
Plan Review
Mobl1e Home
12 Surcharge
Sprlng _
t??. o
of FlxEures Sewage
Connection
Water
Connection
FACILIIY PERMIT
Date:
PLI'MB 3
PLANS F'I'RNISHED
CASH
TOTAL Jb8.q Signature of
Fee Received
Mln. Septlc Tank Capacl ty ?r>o Dralnfleld Requ ired - Llneal Feet
NO NO
90
Type of Constructi -^?- Fire Zone Use Classiflcation
Bldg
Front
Setbacks - fromL Center of Roaleht
Slde InE. b
of Way:
Slde Zone
c55- r2
1
LANE COI.]NTY II"IENT OF E}WIRONMENTAL MANAGM"IENT
DATE/ DATE TE: -,' BUILDING ///t9
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