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