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Home My WebLink AboutPermit Building 1973-03-15LANE COUNTY BUITDING PERMIT OR MOBIIE HOME USE PERMIT BUTLDTNG E MH E PERMTT NO. PROPERTY OWNER . ,i MAILING ADDRESS ck, 0r. PHONE CONTRACTC R MAILING ADDRESS PHONE lchard Sllver) PERTY tOCiTION INCLUDE POST OFFICE PERTY TEGAL DESCRIPTION _ METES, BOUNDS Gardenwav f 9.3 RANG E SECTION - TAX LOT NO cooE CENSUS TRACT ? .2, L EXISTING STRUCTURES ON PROPERTY B I R Halntenenci 32-JO0 APPt. NAME & MAITING ADDRESS Box 12 I.EGAT ACCESS TO PROPERTY Fal I Croel PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existin Sewoge System New System TYPE CONSTRUCTION se. FT BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT tJood I t66 13, r 3 I l,ltt 5, SEWAGE DISPOSAT PUBr.rC tr SEPTTC TANK n OTHERE PI.UMBING INSTALI-ED BY OWNER E OTHER: NAME lert BUITDING WASTE DISPOSAI. PTUMBING PtAN REVIEW PARK TRAILER TOTAL s oo FEES WATER SUPPTY PUBLTC tr tr OTHER s COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEI.D REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. llold trencheg to e 24rr msxlmum depth. Divert roof dralnt to strcet. TYPE OF STRUCTURE OCCUPANCY lsJ ZONE PUBLIC UTII,. EASEMENT BTDG. SETBACKS FRONT FT, FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR i AUTHORIZED SIGNATURE _ DATE DATE G. ur. BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Construction to comply with uniform buildin covering plumbing ond sewoge disposol. Al code ond county regulotions buildings require o certificote s I of occuponcy before being occupied. (See Stotement on Reverse Side) (POST THrS PERMTT ON MA|N BrDG. AT S|TE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I roau lf 655- 13 BUILD ING S ITE EY.ALUATION ,-{Z_nc.-?.s SUS TRACT AX LOTe N() [."*s&-3Bui[ding Permit Appl ication No. S i te lnspect ion ()Pre-Perm it lnvest igat ion c NA},IE ADDRES PHONE DATE LANE COUNTY PLANNING DEPARTHENT NOT NO YES NAHE DATEii6'l icable ---rr-( ) () () () () () () ) IW 2 Zo Su n i ng 0 rd i nance Comp I i agce ,(zone lZ-/ )bdivis ion 0rd inance Compl iance ( 3. Requ i red Access 4. Bu i I d ing S ite (Area, t/ idt h, Frontage, Setback) 5. 0ther (see comments) COHMENTS: BUILDlNG INSPECTION SECTION 6. PIans Submitted 7. Soil Stabil ity (footings) 8. Flood Plain 9, 0ther (see Conrnents) NOT NO EF'E'I icable - YES N () NAI4E DATE () I-I lt1 e$ t4 ) () () () ( COfi}AENTS: SAN I TAT I ON SECT I ON Sewage Disposal Usable Area l,/ater Supp I y 0ther (see Comments) NOT NO YES !ffi| !cqu !!()() NAHE t0. il. 12. 13. () () () ()( ( ( ) () ) ) CO},l}lENTS: TO APPL ICANT: above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Quest ions and further informat ion on i6-s 5 throug h 13 contact the Lane Counly_fu i lding and San itat ion Divis ion. ( ) Will be held in this off-ice until you can resolve the problems indicated. ( ) ls being returned.( ) Your building permit application fee is being returned under separate cover. LI\N[ COUNTY PLANNING DEPARTI'IENT LANE COUNTY BUILDING E SAN]TATION DIVISION llr' Sixth /\r,en[e Fast, Euqerre, 0reqon 97401 135 Sixth Avenue East, Eugene, Oregon 97401 t'1()Nt: rtr'.)-ti1 tXl. ?jt PHSNE: 342-l3ll EXT. 4l I Your-Building Permit / Site lnspecttp3i= 1{ can be app roved. 3- t 5 --J.a-D' ( ) Cannot be'approved at this time as indicated on item N0. -=rqe# DATE Date No. PERM IT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached appiication has been fully considered by the Board of County Commissioners of Lane County, and it is the opinion and judgment of the Board that the said application should be granted, and that a permit shouid be issued, now, therefore, it is hereby ORDERED, that a permit be and is hereby issued to for the placing, building and constructing of the following facility: upon the right-of-way of County Road No., in strict conformity to the exhibits attached thereto, and subject to all terms, conditions, agreements, stipulations and pro- visions contained in the application and permit, the Ru1es and Regulations Governing Facilities to be Permitted upon County Road Rights-of-Way, dated March 31, 1960 and any amendments thereto, and any other applicable regulation, Iaw or ordinance. Special Provisions: This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned above is hereby authorized. This permit shall be void unless the work herein contemplated shall have been completed before Inspected and Approved , 19 -. Expires , 19_. Approved by Board of Commissioners By Date By WHITE , OFFICE FILE GREEN . RESIDENT ENGINEER PINK . PERMITTEE ORANGE BLUE . ROAD SUPERVISOR YELLOW Director of Public Works BUILDING & SANITATION DEPT SURVEYOR c9t - s2 >.'Date APPLIGATION FTIR FAtrILITY PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LI\NE COUNTY Your appli 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 menrbers of the public for its proper maintenance, repair, operation and use. Your applicant accefis all terms, conditions, agreements, stipulations and provisions, in Rules and Regulations Gorerning Facilities to be Pgrmitted 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 . BESIDEiIT ENGINEER BLUE. ROAD SUPERVISOR ORANGE. BUILDING AND SANITATION OEPT. YELLOYV . SUBVEYOR Address Phone No D LANE COUNTY - BUITDING PERMIT OR MOBILE HOME USE PERMIT PERMIT NO. OWNER BUILDING MH MAILING ADDRESS PHONE LVI\IKALIUK PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. 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 System ! New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBTIC N SEPTIC TANK tr OTHERE PTUMBING INSTALTED BY OWNER n OTHER: NAME q $- F EES WATER SUPPTY PUBUC tr tr oTHER BUITDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAILER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED IIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII. EASEMENT BLDG. SETBACKS FT, FROM CTR, OF ROAD RIGHT OF USE CLASSIFICATION FRONT SIDE INT.SIDE EXT,REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERM IT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PIUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Conslruction to comply with uniform building code ond county regulolions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) tANE COUNTY, B[DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu # 655- 13 SLAB FLOOR PLUMB I NG GROUNU/ORK AppRovEo g Rtuanx s Dnr - 2 2' 23 I NsprcronDr sappnoveo GAS P lP I NG GROUND^/ORK Ap pnov r o Rruanxs D Drsappnovro D Dare I ruspecron ROUGH PLUMBING Appnovro D Drsappnovro D Reltlnrs Dar e I Nspecron ROUGH GAS Ap pnov e o ReMaRr s PIPING D r sAPPRovEo Dar r I NsprCron F I NAL PLUMB I NG Appnov E o Rrulnx s DrsappRoveoq D oo,ui(*,12)]lrusprc FINAL GAS PIPING Ap pnov e o Rrua nr s DtsappRoveo Dare It{spEcron CERTIFICATE OF OCCUPANCY Reaoy ro lssue REuanr s Ll Nor Rerov ro tssue n Dare I rspecron D IANE COUNTY BUITDING PERMIT MH [I OR MOBITE HOME UsE PERMIT BUILDING PERMIT NO PROPE NER MAILING ADDRESS PHONE CONTRACTOR MAII.ING ADDRfSS PHONE PROPERTY I.OCATION _ INCTUDE POST OFFICE PROPERTY IEGAI. DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO cooE CENSUS TRACT I 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 STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT BDRMS VALUATION a SEWAGE DISPOSAT PUBTIC N SEPTIC TANK tr OTHERE PLUMBING INSTATLED BY OWNER - OTHER: NAME BUII.DING WASTE DISPOSAT PI.UMBING PtAN REVIEW PARK TRAILER TOTAT FEES WATER SUPPIY PUBUC tr N OTHER $_ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED LIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION AUTHORIZED SIGNATURE _ DATE I DATE BTDG. PERMIT - WH ITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUII.DING _ GREEN SANITATION - GOTDENROD Conslruction to comply with uniform building covering plumbing ond sewoge disposol. All of occuponcy before being occupied. code ond county regulolions buildings require o certificote (See Stotement on Reverse Side) (POST TH|S PERMIT ON MAIN BIDG.AT SrTE) ronu 3 655- 13 LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I Connect to Existing Sewoge System f New System ! :l REAR SITE INSPECTION App nov E o Re tqa nx D r slppRoveo Dare I ruspectoa FOUNDATION INSPECTION AppRoveo RrurRxs D DrsAppRovEo n Date il -],V 7.) trr"rrro^ &- FRAMING INSPECTION App nov e o Rruanxs l:, I l-, .-aln Drsrppnovro D Darr 73 I xspecron a LATH OR SHTETROCK Ap pRov E o ReuaRx s I NSPECT I ON DrsappRoveo F Dare I NsPEcroR rINAL INSPECTION Ap pnov e o RrManr s Dr sappRovEoH o*, lt!: 77 (, NSPECTOR CERTIFICATE OF OCCUPANCY Reaov ro lssuE Rruanx s llrsprcroR 37o'-rc {2f DarE v.= -7Aa D D L',..j\'7 D Not Rerov ro lssue D I v . /IVIDUAI, SEVIAGE DISPOSAL SYSTEM ,CORD Installer: Complete top part of form to signature and return both copies to Lane County Building Sanitation Department. r v SS lAro\-\A,dQ No Public 1y Other-List c s NameT BedrOoms.f Baths I Basement. ves il N"H Ft. from well Steel I Concrete Length width - Diameter No. Compartments I Ga1. Capacity 000 T eD spos F Depth Distribution Box:Yes t NoE Applican Name M ai1in9 Address Other D s Lot Line t Standards Date:T- 4-7s q4l, on- I th L nes - Ft. 2 3. 4. 5.6 tion below Sketch See instructions Date -J Signature For S4nitarian Use Only: [tzl' Approved: System Installation Conforms to Current I oisapproved: Does Not Conform to Current Standards Remarks: C E eet OYk=6-i Trench widrh \3 t. between lines Fil FiIleabove r depth 7 f EI\ VI IE NI MAY 031 ut{lt *Li !- torfu\ ,{.7{!-l I I {" J 4c I IJane County Building & Sanitation Dept. tarianrs c55-t rflE Gou$I I I I / IANE COUNTY BUITDING PERMIT OR MOBILE HOME USE APPIICATION PERMIT TYPE _ BUILDING XI MOBTLE HOME flosc REG.#PERMIT #3?5-73 OWNER MAI ADDRESS PHONE PHONE ,l(J TION - INCI.UDE POST FFICE PROPERTY I.EGAI DESCRIPTION r.oT-BtocK-suBDtv. RANGE u+ SEC a-METES&BOUNDSEYES ATTACHED NO TWP/7 3 3373 TAX LOT CODE CENSUS TRACT .J z-306 APPTICANT NAAAE AND ,ttAltlNG ADDRESS DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY B'q- Z /l! .,'-'re^t 'rr ilatufE: tEGAr AccESs To pRopERTy - RoAD NAME oR # SIZE_WIDTH DEPTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUttT TH|S PERMTT Connect to Existing Sewoge TYPE CONSTRUCTION m or New stem SQ. FT EED VATUATION (, /NS.rn-+t -q -r.-s SEWAGE DISPOSAT PTUMBING INSTATI.ED BY PUBTIC BTDG. WASTE DIS. PI.UMBING PI.AN REVIEW PARK TR[R. TANK OTHER RIGHT OF WAY OWNER OTHER NAME o FEES WATER SUPPTY PTANS FURNISHED PUBTIC OTHER YES FE ES cAsH n FEE CHECK CONNECTION FEE PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIF TIONS DNAIN FIETD REQUIRED TIN. FT C TRENCH wIDTH FT OCCUPANCY FACITITY PERMIT YES NOE DATE3-tz- DATE 5 z // 4,50 !# /.7eTOTAL AAIN. SEPTIC IANK CAPACITY WITH DIST- BOX: GAL. TYPE OF STRUCTURE BIDG. SETBACKS _ FT. FROM CTR. OF FRONT SIDE INT Directions lo Fi d NE OR SQUARE FEET REAR YARD USE CTASSIFICATION PUBTIC UTIT. EASEMENT t I 6.li i,BTDG. INSP.NDote ^//- EIVED torm # css-tz nd Property: stDE Exr. '-REAR Dote COPY I _ OFFICE COPY 2 _ JOURNAT COPY 3 - AUDIT