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Home My WebLink AboutPermit Building 1973-07-16/-\1 I LANE COUNTY BUILDING PERMIT OR MOBITE HOME USE PERMIT BUTLDTNG I MH tr PERMTT NO. PROPERTY QWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PERTY LOCATION _UDE POST OFFICE PERTY TEGAI DESCRIPTION - METES, BOUNDS RANG E Ebrz z*vfltZ CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPI.. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System I New System:"STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION so. FT, # BDRMS VALUATIoN SEWAGE DISPOSAT PUBTIC ! SEPTIC TANK tr oTHERn PTUMBING INSTALLED BY owNER n oTHER: NAME BUITDING WASTE DISPOSAI PTUMBING PI"AN REVIEW PARK TRAITER s FEES WATER SUPPTY PUBUC D ! oTHER TOTAL COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG, SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Construction to comply with uniform building code ond counly regulotions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THIS PERMTT ON MA|N BLDG. AT S|TE) LANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I FoRM 3 C55- 13 BUILD IIiG S iTE EiI;,LUiTIOiJ Crq.y Building Permit Appl lcation No S i te I nspect ion Pre-Permit lnvest igat ion G-{,mfuri;xLCr.------ (( () () NA},lE APPL I CANT ADDRES S PHONE DATE LANE COUNTY PLANNING DEPARTHENT NOT Zoning 0rdinance Compl iance (zone R/ ) aool icable*ar--( )tr 2--'=--*,4-L#t- IiO YES NA.lt4E 1ft 2. Subdivision 0rdinance Ccimpliancr (() () {f1 3. Requ i red Access 4. Bu i ld ing S ite (Area, width, { ) ( ) ( 5. Other (r"" .o,ll:ll;i"' Setback', ) ( ) ( ) ()({ BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soi I Stab i I i ty (foot ings) 8. Flood Pl a in g, 0t he r (see Cornrnents ) NOT NO IiE'l icable - YES N () () () () () r] fi fr NA},IE DATIT 7-to-ru)()() COHHENTS: SANITATION SECTION Sewage Disposal Usable Area l.Iater Supp I y 0ther (see Comments) NOT NO lpEtrqqqt" -YES NAHE 10. n. t2. t3. ()-r) () () () () () () )( )( )(-/-1- ay COHHENTS: TO APPL I CANT: q' You/6() () () () Building Permit / Site lnspection: Can be approved. Cannot be approved at this time as indicated on item Il0.above V F ' Quest ions and f urther informat ion on itei-;rs I through 5 contact the Lane- CoUNTY PLANN ING DEPARTHEiiT, Quest ions and further infornrat ion on i tenrs 6 through l3 contact the Will be lreld in this o "!y Eq i ldins a"d Sanitat ion_Divis-jon. i I you can reso I ve the p rob I ems i nd i cated Lane Cou ce unt I s be i ng retu rned. Your buildinq permit application fee is being returned under separate cuvcr. TI\NI. COUNTY PL/\i'iN IIIL. r]EPi\RTMENT l'tl S ix t lr l\, t:nue I a", 1 , Irt,ltttt.', 0t'tlqon 9740 I l',lritJl tlr.'-llll tXl. .'il LANE COL'NTY BU ILD IIIG S SAI] ITAt ION D I V IS IOiI 135 S ixth r\venue East, Ertr;t:nc, 0r'eqon !71;r l'll0Nt-: llr2-llll EXT. 4tl DATE DATE i LANE COUNTY BUTLDTNG E BUITDING PERMIT OR MOBITE HOME USE PERMIT MH I PERMTT No. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge mI New TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION m STRUCTURES TO BE B ILT THIS PERMIT SEWAGE DISPOSAT PUBLTC n SEPTTC TANK n OTHERE PI.UMBING INSTATLED BY owNER n oTHER: NAME F EES WATER SUPPLY PUBLTC tl tr OTHER BUII-DING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAILER TOTAI $ 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 BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Construction to comply with uniform building code ond covering plumbing ond sewoge disposol. All buildings of occuponcy before being occupied. (See Stotement on Reverse Side) counly regulotions require o certificote (POsT THIS PERMIT ON MAIN BLDG. AT S!TE) LANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I FoRM i C55- 13 t- I SITI INSPECTION AppnovEo RruaRx s D r snppRoveo Dar e I nspecron FOUNDATION INSPECTION AppRoveo REuaRxs DrsrppRoveo oor. (\ o\tr I ruspecroe--T_]-- FRAMING INSPECTION Appnovro Rruanxs Dr sappRovEo Darr I NSPEcToR LATH OR SHETTROCK INSPECTION ApeRovro RruaRxs DrsappRove o F-J Darr I NSPEcToR FINAL INSPECTION Ap pnov e o Rrlaanxs q D r slppaoveo CERTIFICATE OF OCCUPANCY Reaov ro lssuE Rrul Rx s Nor Rraov ro lssue Dare I ruspEcton ry D 7 ry /> D o^r, ta// >/Z? tNsercroarfil IDIVIDUAL SEWAGE D:SPOSAL SYSTL iECORD -nstaller: Complete tc;p part of form to signature and return both copies to Lane County Building Sanitation Department. 1?8-Insta "t t'ilr ;L- /N No ,v Public Other-List s BedroomsJ Baths t_ BasementvesE u"X Ft. from welL -- Steel fl Concrete No. Compartments t ength widrh Diameter Depth GaI. Capacity. IOOC-: T e sposa Distribution Box:yes No fl Other Feet from Appli Nane M ailing Address Length 1.t2. (r Lot Line Front /0t 4. 5. 6. )i sfri hrrfi nr JoxN H r r-r- Euceru5r0 neeoru Trench widrh i 0tl'- L00 lines betweensq FiIler Type /'l-Filler depthabovetile ->- in-below Sketch See instructions Date *z Signature For S;nitarian Use Only: lXlpproved.z System Installation Conforms to Current I Oisapproved: Does Not Conform to Current Standards Remarks: s Date:F. /- Z3 ILo ur ra 43 LO I I to I \ l0 -l \ t -1 I -/0 - -to4s \2e --,b' \s5'I I lrt' I I , is ----_-.G\ * t'J ^ a{'}(i ,i,$/4\ \ \$ .,i' IJane County Building & Sanitation Dept. Sanitarian c55-tI t a IANE COUNIY BUTLD|NG E BUILDING PERMIT OR MOBITE HOME USE PERMIT PERMIT NO.MH PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAII-ING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New System flSTRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAT PTUMBING INSTALIED BY PUBI.IC BU ITDING WASTE DISPOSAI. PTUMBING PTAN REVIEW PARK TRAII.ER SEPTTC TANK n OTHER OWNER OTHER: NA/V{E WATER SUPPIY PUBUC tr n OTHER F EES TOTAI. COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIELD REQUIRED I.IN. FT TRENCH WIDTH FT,OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTI[. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE :OUNTY TAX _ PINK TUMBING - CANARY UITDING _ GREEN \NITATION _ GOLDENROD Conslruction to comply with uniform building code ond county covering plumbing ond sewoge disposol. All buildings requireof occuponcy before being occupied. (See Stotement on Reverse Side) reg ulotions o certif icote (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I tcss-ti - SITE INSPECTION Appnovro Reuanr s DTSAPPRovED Dare I HspecroR FOUNDATION INSPECTION Appnoveo ReurRx s DrsappRove o Fa oor, /'2 l'75 II rusprcton FRAM I NG Ap pnov e o Re ua nx I NSPICT I ON DrsAPPRovEo D 3'.2 o" 7 g 4,DarE I NSPEcToR .2 {, LATH OR SHEETROCK I NSPECT I ON D t sappRovro Dar e I NsPEcroRAppRovro REuaRx s FINAL INSPECTION Ap pRov r o Reua nx s ,'./y' DrsappRoveo Dar E _ 7,/I NsPEcroR E I CERTIFICATE OF OCCUPANCY Reaov ro I ssur ReuaRx s Nor,Reaov to lssue I HsprctoR bt-l?-*f26 Dare 3z-iroo d ( PI .t/ LANE COUNTY BUITDING PERMIT OR MOBITE BUILDING E MH I HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION m New System STRUCTURES TO BE B ILT THIS PERMIT SEWAGE DISPOSAI. PUBUC tr SEPTTC TANK PTUMBING INSTALTED BY OTHE OWNER OTHER: NAME WATER SUPPI-Y PUBTIC tr tr OTHER FEESBUILDING WASTE DISPOSAT PLUMBING PtAN REVIEW PARK TRAITER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI"D REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII., EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Conslruclion to comply with uniform building covering plumbing ond sewoge disposol. All of occuponcy before being occupied. code ond county regulotions buildings require o certificote (See Stotement on Reverse Side) (POST THIS PERMTT ON MAIN BrDG. AT S|TE) LANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740! FoRM i C55- l3 CONIRACTOR Ur'YPt r@ SLAB FLOOR PLUMB ING GROUNU,VORK AP PRov E o Re t{lRx s Dnr r I usprcton GAS PIPING GROUND/ORK APPRoV ED Rrua Rx s D r sappRovro Darr I Nspecron ROUGH PLUMBING A ppRov r o Rrua nx s &Dr sappRovro DArET-/S*17 I Nsprcron d*n ROUGH GAS PIPING AppRoveo D DrsappRovro D Re urRr< s DarE I rusprcton T I NAL PLUMB I NG APPRoV E D ReuaRx s D Drsappnovm D Drr I Nspecton '/v 14 FINAL GAS PIPING AppRoveo D DrsappRove, D Re uanr s Darr I Nsprcton CERTIFICATE OF OCCUPANCY Rraov ro lssue Reuanxs D DrsappnovEo D D Nor Rraoy ro lssuE D Dare lrsprcroR Dote Permit No CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF IANE 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 for plocing, building or constructing the following focility: 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 Permifted upon County Rood Righrs-of-Woy, os set forfh by the Lone Mon- uol 50.190(2) qny 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. 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 hqve been completed be- fore 19--,. Expires I9--. lnspected ond Approved Approved by Boord of County Commissioners By Dote By WHITE _ OFFICE FIIE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BIUE - ROAD SUPERVISOR ORANGE_ BUITDING & SANITATION DEPT. YETLOW _ REAI ESTATE Director of Public Works c98-7 9 Date APPLIGATION FOR FACILITY PERMIT IN THE BOARD OF COUNTY COMMISSTONERS OF LANE COUNTY Your applicant, , hereby makes application under Rules and Regulations Governing Facilities to be Per- mitted Upon County Road Rights-of-Way, to construct the following facility: Upon the right-of-way of County Road No., at the follonring location: as shown on the exhibits which are attached hereto, in strict conformity to the state- ments of the exact nature and amount of work to be done, and to the description of the facilities contained in said exhibits. Your applicant will be the beneficial owner of the facility as constructed, or otherwise primarily liable and responsible to members of the public for its proper maintenance, repair, operation and use. Your applicant accepts all terms, conditions, agreements, stipulations and provisions, in Rules and Regulations Gwerning Facilities to be Permitted Upon County Road Rights-of-Way, dated March 31, 1960, and any amendments thereto, and any other applicable regulation, law or ordinance. Signature WHITE . OFFICE FILE GREEN. RESIDENT ENGINEER PINK . PERMITTEE BLUE. ROAD SUPEBVISOR oRANGE. BUILDING AND SANITATION DEPI'. YELLOI/Y . SURVEYOR Address Phone No. LANE COUNTY BUIIDING PERMIT OR MOBttE HOMr JSE APPIICATION PRO PERMIT TYPE _ BUILDING OWNER MOBTLE HOME EOSC REG.# MAILING ADDRESS MAILING ADDRESS PERMIT ,/"b8-73 PHONE PHONE 7r'a -2 ra6 PROPERTY I.OCATION - INCTUDE POST OFFICE PROPERTY IEGAI. DESCRIPTION toT-BtocK-suBDtv. TWP CENSUS TRACT METES & BOUNDS ATTACHED IF ANY YES NO TAx roT #CODE7a APPI.ICANT DESCRIBE EXISTING STRUCTURES ON /L+-zt-t-NAME AND ADDRESS LEGAL ACCESS TO PROPERTY - ROAD NAME OR PROPERTY SIZE_WIDTH DEPTH AREA FOR MOBITE HOME PERMIT ONLY Number of Bedrooms Connecl lo Existing Sewoge System I or New System R"q. E DISPOSAT ,t 7s'?s- 52 f) PI.UMBING INSTATI-ED BY PUBTIC BI.DG. WASTE DIS. PIUAABING PI.AN REVIEW PARK TRIR. SEPTIC TANK oTHER n WATER SUPPTY PUBI.IC OTHER 9. ta2/2 r,rru*r,1'A NO YES RE OF APPTICANT zb'* OR SQUARE FEET REAR YARD FACII,ITY PERMIT DATE DATE PUBTIC UTIT. EASEMENT OWNER OTHER NAME a F EES cAsH E CHECK PTANS FURNISHED YES IOTAT AAIN. SEPIIC TANK CAPACITY WIIH DIST. BOX: GAI. TYPE OF STRUCTURE BLDG. SETBACKS _ TT. FROM CTR. Of ROAD RIGHT OT NECTION FEE - 4-() PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFI DRAIN FIETD REQUIRED TIN. FT.od WIDTH FT ?o, op ZONE form # css-tz Properly: w6= I NSP USE CIASSIFICATION f' l0'ryr rRONT SIDE INI.REAR Dqte BtDole DoleSANITARIAN Direclions to Fi COPY I - OTFICE COPY 2_JOURNAT COPY 3 - AUDIT 7 n..)r\(l r\ro 7 € -E=-- L I I