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Home My WebLink AboutPermit Building 1974-09-05IANC COUNTY BUITDING PERMIT OR MOBITE HOME USE PERMIT BUILDING E MH E PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE RANG E SECTION TAX LOT NO.CODE CENSUS TRACTtrt:p _i EXISTING STRUCTURES ON PROPERTYAPPI-. NAME & MAITING ADDRESS IEGAI. ACCESS TO PROPERTY i\ 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 SQ. FT I BDR sM VALUATION l} SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK PTUMBING INSTATLED BY FEES OWNER WATER SUPPI.Y PUBLIC OTHER: NAME urj $ BUITDING WASTE DISPOSAT PTUMBING PI.AN REVIEW PARK TBAI.IER r .'l i-:. , TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED uN. FT 1 -1] TRENCH wrDrH Fr.-?OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIt. EASEMENT BTDG. SETBACKS FT FRoNT )P FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. , SIDE EXT. USE CLASSIFICATION REAR ol AUTHORIZED SIGNATURE _ DATE DATE BLDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Coll 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 cerfificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I FoRM =C55-ll PROPERTY I.EGAL DESCRIPTION - METES, BOUNDS I OTHERTI n tr oTHER BU I LD ING S ITE EVALUAT ION ! rJL R_C 5-s"1,'' CENSUS TRACT4ar/ert Wppr- r GANT : e TAX LOTOTo U?e 1-)q.'od- ]- \\-,lJ: 30 ). !tAA 4r alts{?aitr.ppg()Building Permit Appl ication No.I 6 NAME lbg!- ADDRESS .1( ) Site lnspection r-)v1 o PHONE DATE( ) Pre-Permit lnvest igat ion PLANNING DIVISION NOT l. Zoning 0rdinance Compl iance Zone ) 2. Subdivision 0rdinance Compl iance () () )3. Requ i red Access l+. Build"ing Site (Area, Width, Frontage, Setback) 5. 0ther (see comments) NOY S NAI,IE DATE aool icable-Tr() ( ,f ) t\ uII' () () n ( () ( 0() () (( COHMENTS: BUILDING INSPECTION DIVISION 6, Plans Submitted 7. Soil Stability (footings) 8. FIood Pl a in 9. 0ther (see Comments) NOT NO aFF't icqbIe -.YES p () ()() () 00 f.) ,).) DATE () () ()() CO}AHENTS: WATER POLUTION CONTROL NOT NO +plisOls -) YES TE 10. ll. t2. 13. COMMENTS'; Sewage Disposal Usable Area Water Supply 0ther (see Commentq) () ())) (( (( ) )( TO APPL IEANT: .ft Your Building Permil / Site lnspection:"lr'lI ( ( X, Can be approved. ) Cannot be approved at this time as indicated on item N0 Questions and further information on items I through ! C0UNTY PLANNING DEPARTHENT. Questions and further info . above. contact the ane- rmat ion on i6,; 5 Lane Count Buildin and San i tat ion D iv i s ion ceu ntil you can resolve the Pro ems ind i ""t"a.ls being returned. Your building perrnit appl icat ion fee is being returned under separate cover' through l3 contact the Wil I be held in this o() () () DEPARTMEM OF EWIRONMENTAL MANAGEI'{ENI 135 Sixth Avenue East Eugene Oregon 974OL PHONE : 687 -4065 LANE COUNTY PLANNING DIVISI0N PHONE z 687 -4186 c55 - 28 (, ( NA}4 E ( Dote permir xo. 1769-71+ 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 iudgmentof 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 K. BEnesue P. 0. Box D SpntncrtELD, OnecoN for plocing, building or constructing the following focility: Lor ! Br-ocx ) GaRoENwnv Plnx l sr ADD lr I oN Rowam Srneer 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 lhereto, 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. 3 S IOCWAIXS T.JtLL BE CONSTRUCTED IN ACCOROANCE WITH THE ATTACHED S IOEWALK spEctFtcATtoNS AND DRAUtT'rc fp8-49. Tne Srlxolno Cune rveg sHALL BE CONSTRUCTED UNLESS OTHERW I SE, SPEC ' 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 19 75 . Expires t 9_. lnspected ond Approved Ap By Boord of Coun mrsstoners Dote By BI,UE - ROAD SUPERVISOR ORANGE _ BUITDING & SANITATION DEPT YEI.LOW _ REAI. ESTATE WHITE _ OFFICE FItE GREEN _ RESIDENT ENGINEER PINK _ PERMITTEE proved Direclor of Public Works c98-7 9 Dole 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 [one County, ond ii 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 for plocing, building or constructing the following focility, upon the right-of-woy of County Rood No. --, Mile Posf --, 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 5b.l9O(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. al v il This permit is thot specificolly m ot ony time, ond will be strictly odhered to ond no work other thqn entioned obove is hereby outhorized This permit shotl 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 fore Dote - By WHITE _ OFTICE FIIE GREEN _ RESIDENT ENGINEER PINK _ PERMITTEE BTUE - ROAD SUPERVISOR ORANGE _ BUITDING & SANITATION DEPT YETI.OW _ REAT ESTATE Direclor of Public Works c98-7 9 Permit No. LAN, COUNTY BUITDING BUTLDTNG [] MH E PERMIT OR MOBILE HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFIICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS RANG Er SECTION TAX LOT NO CODE CENSUS TRACTI EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAII.ING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge Systern f New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK N OTHERJ PLUMBING INSTATTED BY OWNER [] OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PTAN REVIEW PARK TRAITER TOTAL FEES WATER SUPPTY PUBUC tr tr OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: G,A[. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT BTDG. SETBACKS FT. FROM CTR, OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stqndords IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All buildings.require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THts PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronu l! 955-13 SLAB FLOOR PLUMB I NG GROUNU^/ORK Aeenovro REMIRx s D Drsrppnoveo D Darr I rusprcron GAS PIPING GROUND/ORK Ap pnov e o Reuanx s D DTsAPPRovED n Dare I rusprcron ROUGH PLUMBING APPRovEo N DrsaepRoveo Remaaxs Dar furZ+I ruspecr R ROUGH GAS PIPING Ap pnov E o ReulRx s Dr sappRovro Dar r I rusprcton FINAL PLUMBING APPROV E D Rruanrs DTSAPPRovED o^rQ-J- )fN I Nspec F INAI. GAS Ap pnov r o REuaRx s PIPING Drsrppeoveo Dar r I Nsprcron CFRTIFICATE OF OCCUPANCY Rraov ro lssuE Rrulnx s D Nor Rraov lo lssue D Dare_lHsercron_ [A"r COUNTY BUILDING : ] BUITDING PERMIT OR MOBITE MHN HOME UsE PERMIT PERMIT NO. (--'*-- PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE RANG E SECTION TAX LOT NO,CODE 13 CENSUS TRACTI h/T.rrr.r EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING ADDRESS tEGAt ACCESS TO PROPERTY PqoPERTY S|ZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existin TYPE CONSTRUCTION Sewoge System ! New tr se. FT.BDRMS VALUATION SEWAGE DISPOSAT PTUMBING INSTATLED BY PU BLIC PARK TRAILER SEPTIC TANK ft OWNER OTHER: NAME WATER SUPPTY PUBr.rC n n oTHER FEESBUITDING WASTE DISPOSAL.'\ \)PIUMBING ,\. r -... PLAN REVIEW TOTAI. COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEID REQUIRED r.i I.IN. FT TRENCH WIDTH FT.OR SQ. FT, TYPE OF,STRUCTURg PUBTIC 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 PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Coll 687-4A65 to schedule oll required inspeclions. All construc- tion shqll comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond county regulotions covering plumbing. ,All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST IHIS PERMIT ON MAIN BLDG. AT SlrE) TANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EI..|GENE. OREGON 9740I ronu 11 6 55 - 13 PROPERTY LEGAI DESCRIPTION _MEIES, BOUNDS OCCUPANCY ZONE -- S!TE INSPECTION Ap paov r o Rru,a OVED I Hs pr cron FOUNDATION INSPECTION DTSAPPRovED ,//-7 I NspecronDrAPPROVED Rruanxs (; FRAM I NG AppRov e o Rrlaanr s I NSPECT I ON u*'Dr srppRoveo oorz /0 ^ 7 "74 I NSPEcToR e / LATH OR SHE AppRovro REt'trRr< s 1 NSPECT I ON Dr sappRoveo D Darr I rspec r I NAL INSPEC.T ION Ap pRov r o D r srppnoveo Rruenx s t&,. CERTIFICATE OF OCCUPANCY Rgaov ro lssuE ReuaRx s Dnr e Nor Rraov ro I ssuE lc'- ll'I rus pecron ( ?/7 Drrr I ruspecron \ \ 4/**t iNSTALLER: PROPOSEO SEI.'AGE DISPOSAL SYSTEH RECORD Complete top part of form to signature and submit both copi IN es th appl ication: IT NO -lC . H, LyorJ 5 R,o w q*t 5r No. Living Units I Bedrooms Baths Basement).- Yes No l,Jater S Publ ic ly 0ther-L i st u Sept c an Ft. f rorn wel I - Steel e mens ons:Ft. V.l tLL.s- D i ameterthL t,tidth A sT ff\* ? o. Box 5 Pa r o.t6 FrEpr)o(f . q*7+11 Concrete No. Compartments 1 Gal . Capacity IOOO sPosa e D d Distribution Box: Yes No 0t str lns ER NAHE }TA IL ING AODRESS rJ r ut On-pe Side o eet rorn l./El I Lot Line Front 6 ror o e L nes-Ft .er e Ol., 6 ile +in Cft/t f l0 Date: /O'- tO " 7 ln accordance with 1973 Oregon Laws Chapter 835, Section 214 this certificate is issued as evidence of satisfactory completion of a subsurface sewage disposal system at the above I ocat i on.I={npproved: System lnstal lation conforms to current standards l-? Oisapproved: Ooes not conform to current standards Remarks: CERTIFICATE OF SATISFACTORY C For Sanitarian Use 0nly: ren }Jidth ota q F oa Lines etwee? //d''l\ t. B er Tile tn F t anot see nst r ,vrw 1=gern 7 HouS€F,t' tc S€rtc Telu*e7 =lF'rf D.,J'u B* 'f I 4l $r sl v t I trtttj \ a{ n t0 l 5c'i:Eun |\ .ti 0(t\T 50' F'ts9 30 $*l*" f- Zo 5'7 lo E IE COUNTY {f?,iENIA[ ,l,rGMI nat u reS an COUNTYI c55-11 STATE OF OREGON OEPARTMENT OF ENVIRONI.TENTAL QUALITY gnature tr / R,mt -u*IAE A-\)Pm{rr/i IANE CO]NTY Building DEPARIMB{I OF BWIROIWISTIAL I4AI{AGEME{T }4cbile llcne APPLICATION FOR zuItJI}G PMMIT OR I'OBIIE HCT'IE USE Nro permit will be issr:ed r.mtil this applicaticrn has been approrred 2 ole NOTE: PLEASE PRINI T,rP / 7 RA}GE n3 sEc wr tt CCDE CmqSUS TRASIJJ -} OOI //5"OC, W ACREAGE rffw.q ACCESS T'O PROPERIY WUIII DESCRTBE D(ISTTIG STRUGTI]RES ON II{E PROPffiIY APPLICAITI MME re t'vl MME o ADDRESS ADDRESS Pno{E 7r'6- ?2 rf PrloNE v%-7rrZ trres t sq O7c,/o 0 Site lespection ter R:blic 'tt@-*,"ting sevrage disposal systsn il or nel^r systen required t l{are Well [] Spr:lg I Orlrer Bldg. Waste Dis. Plunbing Plan Review Trailer 1% sr.nrcharge //f,o O Eees ,F7l , oO?U,AO Fees of fixtr-ures I?ench Z {"1 Phrding Installed by Goner Ottrer lilane: Pltlrbing ,/4/ lt fee <-> e*a ty PernLit irlo E 2r @@7 sq. Fr.3d6 n Ca*- El-(feck TUIAL a' a 3'{2-Fee received Signatwe of App Iicant urith dist. box: Gallons 0b Lineal Feer tructrrre S t center Front Side Int. J I or c55-L2 c Side way Rear Zone E" BePio.swxK%'/ }\ Sex,rer connection inspection fee Q.