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Home My WebLink AboutPermit Building 1974-01-11LANE COUNTY BUITDING PERMIT OR MOBIIE HOME USE APPTICATION PROPERTY OWNER PERMIT TYPE BUILDING MOBILE HOME Iosc REG. #PERMIT # )2'7 /MAILING ADDRESS MAII.ING ADDRESS s --z CENSUS TRACT PHONE PHONE LocATtoN - tNctuDE POST OFFICE PROPERTY I.EGAT DESCRI LoT-BtocK-suBDtv, TWP RANGE/2 03 J2- a{z_E YESnNo SEC.ru ror f CODE J /-79t, APPTICANT NAME AND itAruNG ADDRESS DESCRI BE EXISTING STRUCTURES ON PROPERTY IF ANY I.EGAL PROPE TO PROPERTY - ROAD NAME OR DEPTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms SIRUCIURES TO BE BUITT THIS PERMIT Connect lo Existin Sewoge slem TYPE CONSTRUCTION SQ. FT PI.UMBING INSTATI.ED BY or New m Req. ! EEDROOMS YATUATION Q"zst 00L DtsPosAt PU8rlC tr BIDG. WASTE DIS. PIUMBING DLAN REVIEW ,ARK TRtR. TOTAT SEPTIC TANK OTHER FEES WATER SUPPTY PUBTIC OTHER PTUMBING FE 2 / PTANS FURNISHED YES NO A rrnmrr f FACII-ITY PERMIT YES ! NO OWNER OTHER NAME .1a.oo3n.<D ! FIXTURES ao NECTION FEE 0 TE IECASH CHECK 0 PUBTIC WATER CONNECTION FEE 3.0 d COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY wlTH DIST. BOX: GAI.7oo /" /n 6 Cq-{-At l" DRAIN TIETD REQUIRED ,N. Fr. 2 V D TREN.H wrDTH FT OR SQUARE FEET &o o/\ Ace 2ao<- q )- o.& rrs I4- ()h S OW L ac /(t- ltn z v..Q-' f-) TYPE OF BTDG. SETBACKS _ FT. FROM CTR. OF ZONE REAR YARD PUBTIC UTIL. EASEMENT # css-rz -/REAR 5 USE CTASSIFICATION - RONT d sroe rNr. -f- reclions to Find Properly RIGHT OF WAY SIDE EXT. -tl--)/ Dote Dqte BLDG. INSP. )Y I _ OFFICE 'Y 2 _ JOURNAT Y 3 - AUDIT METES & BOUNDS ATTACHED / I.ANE COUN BUITDING PiRMII OR MOBILE H(USE PERMIT PERMIT NO. PROPERTY OWNER BUILDING MH A/lAil-lNG ESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERIY I.EGAI. DESCRIPIION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT-'{,2 + EXISTING STRUCTURES ON PROPERTYAPP[. NAIAE & MAII-ING 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 Connect to Existing Sewoge m TYPE CONSTRUCTION New m SQ. FT BDRMS VALUATION SEWAGE DISPOSAT PUBr-rC ! SEPTTC TANK D OTHERE PTUMBING INSTATTED BY owNER n oTHER: NAME F EES WATER SUPPTY PUBr_rC n n oTHER BU II-DING WASTE DISPOSAT PI.UMBING PIAN REVIEW PARK TRAII.ER s TOTAI" COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAT. DRAIN FIEI.D REQUIRED TIN. FT TRENCH WIDTH FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIt. EASEMENT BIDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY t_ SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BTDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUII.DING _ GREEN SANITATION _ GOTDENROD Construction to comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied, (See Stotemenl on Reverse Side) (posT THIS PERMIT ON MAIN BLDG. AT SlrE) I.ANE COUNTY, B[DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronut655-13 V OR SQ. FT. BUILDING S ITE EVALUATION {vb,r' N Bu i td ing perm it App I icat ion No . 3A - ?rl ()s i te lnspect ion OT 4 35,84.2 N S ( ) Pre-Permit lnvest igat ion LANE COUNTY PLANN ING DEPARTHE NT NOT PHONE DATE NO YES NAI'18 aool icable*rT-( )(4 kr {() () 6 %-,w,." DiiTE I . Zon i ng Ord i nance Comp I i ance (Zone 4GZ-2. Subdivision Ordinance Compl ian 3. Requ i red Access ) ce () () ( ) () 4. Bu i ld ing S ite (Rrea, t./idth, 5. other (r"u "o[,]:ll:i"' setback) 7 )() () CO}lIIlENTS : EUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Conrnents) NOT NO EEEI icabte - YES lr{ () ) () () rI N ,il () DATE (() COH},IENTS: SANITATION SECTION 10. Sewage Disposal I l. Usable Area 12. Water Supply ll. 0ther (see Comments) NOT app l_-r raqle NO YES NAI"IE DATE r]-( ) ( H/'z'/ (( () J )6 C OI.,IH E NTS TO APPL I CANT: Your Building Permil / Site lnspection Can be approved.l- 2\8Pd{-{s tr() Cannot be approved at this t inre as indicated on iten, N0.** above. Quest ions and further infornrat ion on itenrs I through 5 contatt the Lane- C0UNTY PLANN ING DEPARTMENT. Quest ir>ns .rnd Furtl.rer infornrat ion on iffi 5 throuqh l3 contact the Lan<,r CounLy Building .rnd 5arrlration Division. Will be held in this icc unt i I yor.i can re:;ci I ve I lre p rob lems ind i catt:d. I s be i ng retu rned - Your buildinq pernr it .rpplitation fee is being returrred under separate cur'€r. t LANI COIIN'IY I'[ /\NNlNG DEPARTI.,IENT ,it 5iz<tlr Avr:rttie Iast, Eugene, ()regtrn 97\Ol l'noNE 3U2. l'lll t,Xt.21l lANt: C0tjNlY tll.JlLDlNG E S/\NlTATl0N DlVlSl0N 135 5ix1fu flvqrrur: East, Errqerr,., 0reqon 97401 PHoNr.. 142-rltt txT. 4tl M55 - 28 T CANT: () NAI,IE d./t /- /,s. PtL 6 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 thqt the soid opplicotion should be gronted, qnd 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, stipulotions 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) 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 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 thonthot specificolly mentioned obove-is hereby quthorized. This permit sholl be void unless the work herein contemploted sholl hove been completed be- fore Dote BTUE _ ROAD SUPERVISOR ORANGE-BUITDING & SANITATION DEPT YEttOW _ REAI. ESTATE l9-_. Approved by Boord of County Commissioners By '!9-. Expires lnspected ond Approved By WHITE _ OFFICE FILE GREEN - RESIDENT ENGINEER PINK _ PERMITTEE - Direclor of Public Works c98-7 9 .? Dote Building Permit APPLICATION FOR FACILITY PERMIT (Applicont's Nome) hereby moke opplicotion under Rules ond Regulotions Governing Focilities to be Permitted Upon County Rights-of-Woy, to construct the following focility' Upon the right-of-woy of County Rood No. -, ot mile post on the side of the rood, or - os shown on the exhibits which ore ottoched hereto, in strict conformity to the stotements of the exoct noture ond omount of work to be done, ond to the description of the focilities contoined in soid exhibits. The opplicont will be the principle owner of the focility crs constructed, or other- wise primorily lioble ond responsible to members of the public for its proper mointenonce, repoir, operotion ond use. The opplicont occepts oll terms, conditions, ogreements, stipulotions ond pro- visions, in Rules ond Regulotions Governing Focilities to be Permitted Upon County Rood Rights- of-Woy, os set forth by the Lone Monuol 50.I90(2), ony omendments thereto, ond ony other op- plicoble regulotion, low or ordinonce. Signoture Address WHITE _ OFFICE FITE GREEN - RESIDENT ENGINEER PINK _ PERMITTEE c98 - 78 BLUE - ROAD SUPV. ORANGE- BLDG. & SANIT YEILOW - REAL ESTATE Phone No To Permits Processing Noted Dole Noted Direclor Principol Engineer Subdivision Engineer Permit Engineer Weighmoster Zone No.- l, --_ No.So. E.w IANE COUN. BUTLDTNG E BUIIDING PERMIT OR MOBILE HO,,.c USE PERMIT MH N PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION - INCTUDE POST OFFICE PROPERTY I.EGAI- DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS tEGAt ACCESS TO PROPERTY FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System New System tr STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK tr oTHERn PTUMBING INSIALTED BY OWNER ! OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAITER F EES WATER SUPPTY PUBUC tr tr oTHER TOTAI. COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: G,AI.. DRAIN FIEI.D REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PI-UMBING _ CANARY BUII,DING - GREEN SANITATION _ GOI.DENROD Construction to comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificole of occuponcy before being occupied. (See Stotement on Reverse Side) (posT TH|S PERMTT ON MAIN BLDG. AT s!TE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu ii 655 - 13 PROPERTY SIZE _ FT. WIDTH DEPTH AREA -sLDO. SrrS FRONT SIDE INT. SIDE EXT. REAR E SLAB FLOOR PLUMB ING GROUNU/il0RK APPRovED N Drsrppnoveo Rrurnr s DattZ- J'-21 I rusprcron GAS PIPING GROUNU/ORK Appnov r o RruaRx s D r sappRoveo D Dare I ruspecron ROUGH PLUMBING AppRovED n DrsappRoveo D oor12-&2/-_ Reua Rx s I Nspecron ROUGH GAS PIPING Ap pRov e o ReuaRx s Dt seppRovro Dar e I rus prcroR F I NAL PLUMB I NG APPRoV E D Ret{lnK s H Dr sappnoveo o^rt L1'{') y lNspEcr FINAL GAS PIPING AppRoveo D DrsaPpRovE, D Reuenrs Date I Nsprcton CERTIFICATE OF OCCUPANCY Rraov ro lssue Rrunnxs D Nor Reaov ro lssue D Dare_llrspectoR D I I I I.ANE COUN- BUILDING BUTLDTNG f MH E PERMIT OR MOBILE H(UgE PEPMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY IEGAI 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 I New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT- # BDRMS VALUATIoN SEWAGE DISPOSAI. PUBLIC tr SEPTIC TANK tr $\PIUMBINq INSTALTED BY OWNER E OTHER: NAMEOTHERE BUITDING WASTE DISPOSAT PTUMBING PI.AN REVIEW PARK TRAIIER F EES WATER SUPPTY PUBilC tl tr oTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT.OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIt. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING - GREEN SANITATION _ GOTDENROD Construction to comply wirh uniform builjing covering plumbing ond sewoge disposol. All of occuponcy before being occupied. code ond county regulotions buildings require o certificote (See Stotemenl on Reverse Side) (posr THIS pERMrr oN MAIN BrDG. AT SITE) TANE COUNTY, SI.DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu !t g55- 13 $-- I, SITE INSPECTION App nov r o ReuaRx s DrsappRoveo Dare I ruseecton I FOUNDATION INSPTCTION L-/ AppRovEo REMARK S .-l L.t'. r. ////7- 74 'r'; Dr srppnovr ? n 4 Dare ,L-^ -,7I I ruspecro ,r,/, FRAMING INSPECTION AppRovro ru Drsappnoveo Reuanx s -7- Drr e - 2(4 ,d,,,o^ LATH OR SHEETROCK Appnoveo RruaRxs I NSPECT I ON Drsappnovro o^rrZl!'Zl rrspe c R FINAL INSPTCTION Ap pnov e o Reuanxs DeTr -2 -7d a/- 't'' I NspecroRDrsappRo e lk4rr CERTIFICATE OF OCCUPANCY Reaov ro lssuE D Nor Reaov ro lssuE D REuanx s 3e"y//y{r Dar e I NSPEcToR D t *- PROPC ) ST BSURFACE SEWAGS DTSPOSAL SyaeEIr{ Insta--er: Complete top part cf form sLgnature and submlt both copies with application. Bedrooms#Baths ,4 Basenent/Yes- xo! tNo. I Permit N".3-Z -'2 Supply CorununLty Public -llotner-List- s Nane ts P No Septic Tank: Ft. fnom well Ins Length i l' Applicant Name Mailing Address Length of r. 2. 3. Date Concrete Diameter SteeI No s Gal. C t-oo s: wldth Ft. 5 Depth 5 Tile Disposal Field: Dlstribution llox: Yes .Z No -Other Distrlbutlon - Tlpe from Iot Line Depth I.n. oFt 6;. s S Fo tarian Use OnlY:tion Conforms to DEQ RUI-e s for Subsurface Sewage DisPosa1 Approved : System Installa' Disapproved : Does not Conf'orm to DEQ Ru1es for Subsurface Date Sewage DisPosqlz zz/ ' 2^2-s' ' / a.a+ F ter Ln. a1Tot ft. sq c Ft d Trench !{idth 71 I I I I I I i ! i 1 .l I I I i I I I ,l --T I I i Nx'-. I +- t't +*- I I I,r Remarks: State of Oregon Department of Environmental Quallty Interim Form #2 tarian , \, D l L I l I ,l I l i i I I l I I qri' I I l I I i I I ..1 i l t r- i i I i I t- I.t I i I I I I IJ- I.t I I i I I I I I I I I i I I I I I I t i I -.i I -iLt 5 /d- - I 2 3 4 5 6 7 8 PLOT PIJAN MUST INCLUDE: Legal description (Bottom of page) Property dimensions Direction of North A11 roads (existing and proposed) Driveways (existing and proposed) Location of structure(s) on,property Location of water source Direction of slope PIPT PIA}I GUIDE For Preparation of Exhibit lll o 11. L2. 13. 14. 15. Iocation of trees Proposed location of septic tank and drainfield and replacement area Dimensions and spacing of leach lines Distance from system to property lines Location of test holes Draw to scale Iocation of wells on adjacent lots t"4 ;\.OFTAlNF, ELD REPLAGEMENT AIFea --1 I ._t ''l0' Lo 6 /-i, 10 P/L ( 'o5 Pl' WE LL T- I L- I lU a. o\{ v,; l I I I i^. to lzt- IF iv, ,\ ;tl I I I I \ F ltJ tll q l- u) il o 6 uu i I 7E.S:r Pr7 -', : elST UT|ON BOx TF?EE ORIVEWAY l<)GALtc 7AN WELL ON Vl (rl N -) ,D I \h I or'lo,l4C€N-r LOTP/L C. I/^JDE.N LANA.../(FRoeos e aI PROpOSe EDM PLAN SCz( LE l"z 6o Section 2 T. IIS R. ?VV_L VV: t\4 . Tax Lot or Account No. Z,oo Interim Form *5 -'-S<e<-