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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$oa to Gardau hyl+u County, Ores;ura ft.ib.llo rtsr cyctto Sctuf aystet to be daai6nod lrt u.ccard,rrnGc 6th firo r::lesard ry6u1ttiln0 of; the Orege Stqtc Boerd of ilealth I# gr*'fhg to rtyoe& --{} -- - {-- 80 ,ts.l, \r.l$,.- &ra { I s I ilr-atu*asl* : 68t-o I:atlo10f rl ?r Pr llr Er tl ( it * rog ri' itrnkl !tl l:-ii;.--.-,--.lL- .- i t o-t B{Pa BI ri lr I Ir t' ilL fi(forl tln Ga! FITrls E1 E1 10alofcl.a X,Olrl BS$ o Ct.rb 1O0.0 I S.!S EAIWOB B' i rvB . 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 ( \tu- al.F r-2_2_ I /