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HomeMy WebLinkAboutPermit Building 1973-04-26IANE COI. .'Y BUIIDING PERMTT OR MOBITE ..JME USE APPTICATION PERMIT TYPE - BUILDING MOBILE HOME E OSC REG. # tLt ADDRESS PERMIT owN R PHONE €a MAITING ADDRESS a+A PHONE- 44rg PROPERIY TOCATION INCTUDE POST PROPERTY tEGAt DESCRIPTION tOT_BI.OCK_SUBDIV.,/r,t--t-6a .Ys E YES DNO CENSUS TRACTTWP APPTICANT NAME AND MAITING ADDRESS RANGE SEC.TAx ror #CODE BE EXISTING STRUCTURES ON PROPERTY IF ANY # 7 LEGAL ACCESE TO PROPERTY._.RO*D NAME OR aitn,a - Kh-,.1 PROPERTY SIZE_WIDTH DEPTH AREA FOR MOBITE HOME PERMIT ONLY Number of Bedrooms Connect to Exisling Sewoge Syste m I or New System Req tr STRUCTURES TO BE BUITT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BED 3 3 oa /617 T1f SE\MAGE DISPOSAT PTUMBING INSTATTED BY PUBTIC BI.DG. WASTE DIS. PTUMBING PI,AN REVIEW PARK TRTR. SEPTIC tr OTHER rEES WATER SUPPTY PUBIIC o FIXTU CASH E CHECK tIN. FT. OWNER N OTHER NAME PLANS FURNISHED YES ITY PERMIT NOe. /a7.5o OTHER af *n st DATE NECTION FEE 2**a #PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIETD REQUIRED TOTAI MIN. SEPTIC TANK CAPACITY WITH DIST. BOX' GAL. a TRENCH WIDTH TT OR ARE FEET a ) I (- TYPE OF SIRUCTURE OCCUPANCY BTDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY REAR YARD PUBI-IC UTIL. EASEMENTZONE nd Property: PI.ANNING DOIE BTDG. I USE CI.ASSIFICATION ^ L'7 Dqle FRONT SAN AR SIDE INT Dote 5t SIDE EXT.nrln 5 Directions lo COPY I _ OFFICE COPY 2 -JOURNAL COPY 3 - AUDIT form # cls- tz & EOUNDS ATTACHED I IANE / EI otLu BUIL ,NTY BUITDING PERMIT OR MO B - HOME USE PERMIT PROPERTY OWNER MH tr MAttrNG aoonrss PERMIT NO. hert Bldrs.16g0 5. t'4,,fd.CONTRACTOR PROPERTY I.OCA t42 TION _ INCI.UDE POST OFFICE off Del rose _ METES, BOUNDS MAII,ING ADDRESS Yolanda5 Uera Dr, PROPERTY IEGAI.DESCRIPTION 8.2 L 46- PHONE PHONE J t7 RANG E SECTION,3,2 CODE CEN SUS TRACT? 20-59 I 59 Kephart B I drs.EXISTtNG Srnucrunrs ON PROPERTY APPI.. NAME & MAITING ADDRESS 16g0 s. ,,A', None IEGAI. ACCESS TO PROPERTY Vera 0r. rln fleld FOR MOBILE HOME PE RMITS No. of Bedrooms 0r.PROPERTY SIZE - FT. WIDTH LY DEPTH AREA STRUCTURES TO B E BUILT rnts penr' ti Connect to Existi ng Se woge System !New SystemTYPE CONSTRUCrtor.t Uood SQ. FT f BDRMS VALUATION t47s o tz | 7,700 Ger -ttt. - UOC. SEWAGE DISPOSAT 9, PI.UMBING INSTATI.ED BY PUBI,IC BUITDING WASTE DISPOSAI PTUMBING PTAN REVIEW PARK TRAITER TOTAL OTH 3--7 FEES OWNER OTHER: NAr!{E WATER SUPPTY PUBTIC ]E D OTHERi)0 33-50 COUNTY BUITDING & SANITA TION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI,D REQUIRED TIN. FT TRENCH WIDTH FT,?OR SQ. FT. Itold trcnch depth to zld, maximrm.Stsy l0r fron propcrty l lne and house wlth al l p.rt5 of the dralnfield. Dlvert roof drclni to thc street. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT 5N leJ RA BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CIASSIFICATION FRoNT 45 srDE rNT.5 SIDE EXT REAR AUTHORIZED SIGNATURE - DATE DATE lsl Boss bv Harbauqh G.hl. Grey, R.S.T *5-3-73 BLDG, PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD Construclion to comply with uniform buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. code ond county regulotions buildings require o certificote s I (See Stotement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE' OREGON 9740I roau If 655-13 SEPTIC TANK N BU ILD ING S ITE EVALUAT ION Building Permit Appl ication No. S ite lnspect ion Pre-Permit lnvest igat ion J TAX LOT D o6-? *--lr '( ) APPL I CANT NA}IE ADDR ( PHONE DATE LANE NTY PLANNING DEPARTHENT l. Zon ing 0rd inance Compl iance 2 ? subd iv i s ion o.o,"jill"#r=I" Requ i red Access NOT NO upE't icable -rI-( ) YES NAl'1E(r (r (t ({ tt+ ) ) ) () 4. Bu i ld ing S ite (nrea, width, 5. other (ruu "#:ll:i"' Setback) ( () () () ) CO}{HENTS: BUILDING lNSPECTION SE CTION 5. Plans Submitted 7. Soi I Stab i I ity (foot ings) 8. Flood Plain 9. 0ther (see Conrnents) NOT NO 6't icable -() YES fi () () () () () v (, ()()(6=z4g COHHENTS: SAN I TAT I ON SECT I ON 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Coments) NOT NO 6Ft icable - YES -rr-( ) ( () ( ) () )( )( (') () ({'l' COH}IENTS: TO APPL ICANT: Yoy Building Permit / Site lnspectio-gu-r 0() can be approved. 5-t --7{ 55 i,( I Cannot be approved at this timels-fndicated on item N0. Quest ions and further COUNTY PLANNING DEPAR rou9 l3 contact t info TMENT above. rmation on items I through S cffitT6fLane- " Questions and further information on iffi; G ce unt i you can reso ve the problems n i cated t Count Buildi and Sanitat ion Division.Will be held in this ofls being returned. Your building permit appl ication fee is being returned under separate cover. () () () LI\NE COUNTY PLANNING DEPART',IENTIl.' Sixth /\renue East, Euqerre, 0reqon 9740 I I'llt)Nl : llr]-lill tXt. ?il LANE COUNTY EUILDING S SANITATION DIVISION f35 Sixth Avenue East, Eugene, Oregon 97401 PHoNE: 342-r3ll EXT. 4il oNp DATE 4l=-l-, NAI'IE DATE DATENAME ,rl ll /, * 7 ry---BDateNo. PERM IT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHBREAS, [he attached application has been fully considered by the Board of County Commissioners of Lane County, and it is the opinion and judgment of the Boardthat the said application should be granted, and that a permit shouid be issued, now, therefore, it ls hereby ORDERED, that a permit be and is hereby issued to for the placing, building 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 Rules 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 otfter 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 PIN K BLU E PERMITTEE ROAD SUPERVISOR Director of Public Works ORANGE. BUILDING & SANITATION DEPT YELLOW - SURVEYOR c98- 52 and constructing of the following facility: DateI APPLItrATION FOR FAGILITY PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF L'\NE COUNTY Your applicant, , hereby makes application under Rules and Regulations Governing Facilitaes 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 shovvn 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, agreemeflts, stipulations and provisions, in Rules and Regulations Gorerning Facilities to be Permitted Upon County Road Rights-of-Way, dated March 31, 1960, and any arnendments thereto, and any other applicable regulation, law or ordinance. Signature WHITE. OFFICE FILE GFEEN . RESIDENT ENGINEER PINK . PEBMITTEE BLUE - ROAD SUPERVISOR ORANGE. BUILDING ANO SANITATION OEPT. YELLOW . SUBVEYOR Address Phone No. , IANE UNTY BUTLDING-E BUILDING PERMIT OR MOr MH HOME USE PERMTT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPI. NAME & MAII.ING ADDRESS t1t I.EGAL ACCESS TO PROPERTYY\" + N\\h\t- FOR MOBILE HOME PERMITS ONLY ' No. of Bedrooms Connect to Existing Sewoge TYPE CONSTRUCTION New STRUCTURES TO BE BUILT THIS PERMIT sQ. FT. # eO VALUATION lt { \\\\ PTUMBING IN owNER n OTHER: N,AME DBY oTHERn SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK N s FEES WATER SUPPTY PUBr-rC n tr OTHER BUITDING WASTE DISPOSAI. PLUMBING PIAN REVIEW PARK TRAILER TOTAI COUNTY BUILDING & SANITATION SPECIFIC,ATIONS MIN. SEPTIC TANK CAP WITH DIST. BOX: GAT. DRAIN FIEI.D REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT \t\k TYPE OF SIRUCTURE OCCUPANCY ZONE PUBTIC UTII. EASEMENT BTDG. 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 PTUMBING - CANARY BUITDING - GREEN SANITATION - GOLDENROD Conslruclion to comply with uniform buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. (See Stotement on Reverse Side) (POsT THIS PERMIT ON MAIN BIDG. AT SITE) TANE COUNTY, B[DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I code ond county regulotions buildings require o cerlificole I I ronu * c55-t3 PROPERTY SIZE -+,N\\-\' $r( \\\\r A), N.\\ SITE INSPECTION AppRov E o Rettanx s D r slppnovro Dare I ruspecton FOUNDATION INSPICTION 6'ztr'/? t*'rrrro^4DareAppRoveo Rrurnx DI SAPPROVED A\\ FRAMING INSPECTION AppRov r o Re uanx s D r sAPPRovEo \ Drr r I Hspecron 0^z 7- rd- fr( LATH OR SHEETROCK INSPECTION Ap pRov r o Reuanxs D Drsappnoved D Dar E I NSPECTOR FINAL INsPECTION Ap PRov e o Reuanx s D r SAPPRovED Dare ,/0 ,I Nspecron -?.n CERTIFICATE OF OCCUPANCY ReeoY ro lssue REuanx s D Nor Reaov ro lssuE D I NSPEcToR / 26'? e t //c DnrE 2 a- /,rD \./ ) srsi i r aJ LANE UNTY BUTLDTNG- I BUITDING PERMIT MHE OR MOL-, HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PRopEry?LOCATtON - tNcLUDE POST OFFtcE PROPERTY TEGAT DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. 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 System ! New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK tr OTHERE PIUMBING INSTALIED BY OWNER ! OTHER: NAME s F EES WATER SUPPTY PUBUC n ! oTHER BUITDING WASTE DISPOSAT PTUMBING PIAN REVIEW PARK TRAII.ER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBIIC UTIL. EASEA,.\ENT B[DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI,DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING - CANARY BUITDING _ GREEN SANITATION - GOTDENROD Construction to comply with uniform buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. code ond county regulotions buildings require o certificole s I (See Stotement on Reverse Side) (POsT THIS PERMIT ON MAIN BIDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu f, g55-13 : SLAB FLOOR PLUMB ING GROUND\^/ORK AP PROV E D Reurnx s D Drsrppnovro D Dar r | rusprcron GAS PlPlNG GROUND,'/ORK Ap pnov E D REua Rx s D r sAPPRovEo Dar e I HspEcron ROUGH PLUMBING APPRovED /Tl DrsappRovro Relt e nx s o*?- S-?<4tI ruspecron f ROUGH GAS PIPING AepnovEo D DrsappRovro D Reuanr s Dar r Ir.rspEcroR FI NAL PLUMBING APPRovED tT7 Dr sAPPRovEDJ<t.-' Rruanx s oare?- Zo -2 ? tNspe croR ZtJa FINAL GAS PIPING AppRoveo D DrsappRove, D Re uanr s Darr I Hs pE cron CERTI F I CATE OF OCCUPANCY REaov ro lssue ReuaRxs Nor Reaov ro lssuE DrrE I HsprcroR