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Home My WebLink AboutPermit Building 1974-03-17LANE COUNTY BUITDING BUILDING :I MH I PERMIT OR MOBITE HOME USE PERMIT PERMIT NO.151-7\ PROPERTY OWNER MAITING ADDRESS PHOI.IE 11739 easr MA r n, Spn r xor I ELD, QR. CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE a PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS 11 RANG E SECTION TAX LOT NO CODE CENSUS TRACT oj *ru 7 GLEN DENI EXISTING STRUCIURES ON PROPERTY NoHe APP[. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY RovAx Sr. PROPERTY SIZE _ FT. FOR MOBILE HOME PERMITS ONLY No. of Bedrooms WIDTH B DEPTH t l+o AREA Connect to Existing Sewoge Sysrem f New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION >N sQ, FT. # BDRMS VALUATIoN DvetLtxc--HAtN 826 erz. (3) g,gr?, GARAG E.ATTACHED. CE I LED 1 tT't SEWAGI DISPOSAT PUBTIC n SEPTTC TANK & .s!!rE PIUMBING INSTAIIED BY OWNER E OTHER: NAME BU ITDING WASTE DISPOSAT PI.UMBING PtAN REVIEW PARK TRAITER TOTAL WATER SUPPLY PUBUC !tr OTHER F EES -=T-.-- t" COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: G,A[. goo DRAIN FIETD tIN. FT REQUIRED.i,..; TRENCH WIDTH TT OR SQ. FT p0 '{ TYPE OF STRUCTURE 5-N OCCUPANCYr&J ZONE t..1 PUBLIC UTIL. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAYLr' qr FRoNT 'r-,' stDE tNT. ., stor rxt. USE CLASSIFICATIONlpt REAR 7' PIJE AUTHORIZED SIGNATURE _ DATE DATE J. SHQK, SlrtrlRtlx BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering plumbing. All buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST TH|S PERMIT ON MAIN B!.DG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 97,{OI foRNl = C55-13 ,";"-*3 -7\Permit No zSt-z 1- PERMIT 5 t oewllx 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 4?39 eort MrtN Sr., SenlNGFlELDrOl. or constructing the following focility: DwelrrNo 1sr ADo. GaRorxwav Plnx Lor 6 Blr' 5 Gleru DeNr for plocing, building 4lo Rowaru CURB 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, ogreemenls, 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) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce. Speciol Provisions: l Drivewoy will be constructed in occordonce with the sttoched 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. 3. Stoewllx utLL BE CONSTRUCTEO tN ACCORDANCE WITH THE ATTACHED SIDEUILK spEctFtcATtoNs AND DRtv4nc U 9B-[9" TnE sranoARD cuRB TYPE SHALL BE CONSTRUCTEO UNLESS OTHERWISE SPECIFIED. 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- -, 19 15. Expires I9--. lnspected ond Approved ,Approved by Boord of County Commissioners By Dote By WHITE - OFf ICE FIIE GREEN _ RESIDENT ENGINEER PINK _ PERMITTEE BI,UE _ ROAD SUPERVISOR ORANGE _ BUITDING & SANITATION DEPT YELTOW _ REAI ESTATE Director of Public Works c98-7 9 5--3=/ fore Mav 17r & Dote Permit No CURB CUT PERMIT IN TI{E BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the oitoched 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 thoi 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 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 io be Permitted upon Counry'liood Rights-of-Woy, os set forth by rhe Lone Mon- uol 50.190(2) qny omendments thereto, ond ony other opplicoble regulotions, low or ordinonce. Speciol Provisions: I. Drivewoy will be constructed in occordonce with the ottoched drivewoy opprooch specifico- tions (Drowing M98-50). 2. Permittee will be responsible for the immediqte removol of qll mud, dirt ond debris from the roodwoy ond right of woy coused by his operotion, leoving the roodwoyond oreo in o neot, occeptoble condition. .l(ru 7-/tr-/ This permit is revocoble ot ony fime, 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 19-'. Expires 19__. lnspected ond Approved Approved by Boord of County Commissioners By Dote By WHITE _ OFFICE FITE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE _ BUILDING & SANITATION DEPT YETTOW _ REAI ESTATE Director of Public Works c98-7 9 PROI-oED SETJAGE DISPOSAL SYSTEH RECORD-. INSTALLER: complete top part of form to signature and submit both with appl i ,*,{t- IT NO No v n ts Bat 5 ter v 0ther-L i stPubl i ctc Basement Yes No Ft. f rorn wel I Steel tr lns NAME HAILING ADDRESS Concrete No. Compartments Gal . Capaci ty e sPosa e Distr on Box Yes t yPe No Ooe: e ile 1n he above I Found Lot L ne F t Side c Da CERTIFICAT ON For Sanitarian Use 0nly: ln accordance with 1973 0regon Laws Chapter 835, Section 214 this certifi s tas evidence of satisfactory cornpletion of a subsurface sewage disposal system a I ocat i on,lF Approved: System lnstallation conforms to current standards,A Disapproved: Does not conform to current standards Remarks: CI 7q S R ow ot te I tl 7 hD i ameter e tJEl I -Ft. 4 6 l.rid ren Total Sq. Ft.,J o a Ft. Between tines / D e Tile !n er see r $-l,<{ ioIb fr I O ru,hEo\Jt 7t/I ar E COUNTY c55-r1 STATE 0F oREGoN 0EPARTITENT 0F ENVTRoNHENTAL QUALtTy ature ,L-4 w --r-,E Oo d, Siqnature f lL*'- ,.-'{mv7z;m -- IANE COUNTY BUITDING PERMIT OR MOBILE BUILDING E MH I HOm€USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCI.UDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE GENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAITING ADDRESS TEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System tr New System STRUCTURES TO BE BUILT THIS PERMIT TYPE CO UCTION se. FT BDRMS VALUATION SEWAGE DISPOSAL PTUMBING INSTATLED BY OWNER T OTHER: NAMESEPTIC TANK tr OTHERNPUBTIC E BUII.DING $___ FEES WATER SUPPTY PUBLTC tr tr oTHERWASTE DISPOSAT Pt.UMBING PtAN REVIEW PARK TRAITER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIELD TIN. FT REQUIRED TRENCH WIDTH FT,OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE lY'L S*n$Xr $*rrrel DATE BLDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING - CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT slrE) LANE COUNW, DEPT. OT ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronv=955-13 I-I SITE INSPECTION Ap pRov E o DrsAPPRovEa D Dar e Rena nx s I Hsprcron FOUNDATION I NSPECTION AppRoveo Dr sappRovED Dar r 6 7-Y d'. SPECTOR Reua Rx s FRAMING INSPECTI Appnov r o Rruanx s DrsappnovEo Dat r €tI Nspecro I LATH OR SHEETROIK Ap pnov r o REttrRxs I NSPICT I ON Dr sappRoveo o^,, ,7d{- 7 ti II nseecrofl FINAL INSPECTION ,fudDrslppRoveoo^r, ,f-/4 - rui IttspEcAppRov ro Rettanxs CERTIFICATE OF OCCUPANCY Reaov ro lssuE RruaRx s Y,f t'7 y - D Nor Rrrov ro lssue D Dore-_lnsee cron_ e D I LANE COUNTY BUTLDTNG I BUILDING PERMIT OR MOBILE HOr,€ USE PERMIT MH I PERMTT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY TEGAI. DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAIIING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT, WIDTH DEPTH AREA FOR MOBILE HOME No. of Bedrooms PERMITS ONLY Connect lo Existing Sewo ge System tr New System !STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT, # BDRMS VALUATION SEWAGE DISPOSAL PUBLTC tr SEPTTC TANK oTHERn PTUMBING INSTATTED BY owNER n oTHER: NAME BUII.DING WASTE DISPOSAT PLUMBING PTAN REVIEW PARK TRAITER TOTAL FEES WATER SUPPTY PUBUC n X OTHER COUNTY BUILDING & SANITATION SP ECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIELD REQUIRED I.IN. FT OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT BLDG. SETBACKS FT TRONT FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION SIDE INT SIOE EXT REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD cdll 687-4065 to schedule oll required inspections. Ail consrruc-tion shqll comply with Uniform Building Code, D.E.e. stondordsIMPoRTANT: for subsurfocg sewoge disposol ond coilnty regulolions coveringplumbing. All buildings require o certificotl of-occuponcy befori being occupied. (See Detoils on Reverse Side) (PO5T THIS pERMtT ON MAIN BrDG. AT SITE) TANE COUNTY, DEPT. OF ENYIRONMENT,AT IiAANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 97,IOIronv !f q55- 13 ( TRENCH WIDTH FT. SLAB FLOOR PLUMBING GROUND/ORK Ap enov E o Dr slppnovro Dar E I rsprcron Reuanx s GAS PIPING GROUNU/ORK Ap pnov e o Rsu lnx s D I SAPPROVED Dar e I Hspecron ROUGH PLUMBING APPROVED rc7...._ Reuanxs D oo,,24j,.7,/Dr slppnovEo I Nsprcro ROUGH GAS PIPING AP PROV E D RruaRx s DI SAPPROVED Dar r I ruspecron F I NAL PLUMB I NG APPROVED M Rr uaax s Dr SAPPRovED a--vDarrI NSPEcro FINAL GAS PIPING AppRov e o RrMlnx s DTSAPPRovED DnrE I NsPEcroR CERTIFICATE OF OCCUPANCY Rraov ro lssur Rrttanx s D Nor Rrnov ro lssuE t I DarE I rsprcron D D D LANE COUNTY BUIIDING PERMIT OR MOBTLE HOIY\' dSE APPIICATION PERMIT TYPE _ BUILDING PERMTT #7S/- PROPERTY OWNER CONTRACTOR MOBTLE HOME IIOSC REG.# MAILING ADDRESS MAII.ING ADDRESS PHONE f 7 PHONE /o o cda-ru On-s PROPERTY LOCATION _ INCI.UDE POST OFFICE E/,a, METES&BOUNDSDYES ATTACHED f] NO PROPERTY TEGAT DESCRIPTION tOT-BIOCK_SUBDIV. TWP RANGE SEC.TAx roT #CENSUS TRACT 3z-gv<,CODEl1o3Zq,,L APPTICANT NAME AND MAITING /ro r DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY 7l7l lt d TEGAL ACCESS TO PROPERTY _ ROAD NAME OR SIZE-WIDTH D EPTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms s7 o Connecl to Existing Sewoge System ! or New System Req. E STRU SEWAGE DISPOSAT TO BE BUII-T THIS PERMIT TYPE CONSTRUCTION sQ.#BE q \ot b 2 3,SD l6 PTUMBING INSTATTED BY PUBLIC BTDG. WASTE DIS. P[UMBING PLAN REVIEW PARK TRI.R. SEPTIC TANK OWNER PLANS FURNISHED YES NO ,TURE PERMIT OTHER NAMEoTHER n FEES WATER SUPPTY PUBTIC PTUMBING I 2-FrxTURrs CASH ! 5p1175p CHECK CONNECTION FEE OTHER FACITITY PERMIT NOYES 4o. - FEE DATE -7 TOTAT MIN. SEPTIC TANK CAPACITY PUBLIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION tcATroNs DRAIN FIETD REQUIRED WITH DIST. BOX: GAL.oo TYPE OF STRUCTURE BI.DG. SETBACKS _ FT. FROM CTR. OT ROAD RIGHT OF W SIDE INT ctions to Find Property TIN. FT,TRENCH WI FT. ZONE OR SQUARE FEET o REAR YARD USE CI.ASSIFICATION PUBI-IC UTIt. EASEMENToc E PLANNING DOIE BTDG. INSP. Form # css-t2 SIDE EXT REAR >t 4 Dole-?/ COPY I _ OFFICE COPY 2 _ JOURNAL COPY 3 _ AUDIT ,<<F.- --