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HomeMy WebLinkAboutPermit Building 1973-10-05t\l IANE COU T BUILDING PERMIT OR BIIE VlE USE APPTICATION PERMIT TYPE - BUILDING MOBILE HOME REG. #PERMIT 4.7-1_d OWNER MAITING ADDR MAILING ADDRESS PHONE PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE i ,i , PROPERTY LEGAT DESCRIPTION I.OT-BLOCK_SUBDIV. TWP RANGE o_2_ ,d*1,6 METES & BOUNDS ATTACHED YES NO SEC. z3cl TAX IOT CODE CENSUS TRACT "/ /z dt' : t'15o lpp(rclNr NAME AND MAITING ADDRESS DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY IEGAI. ACCESS TO PROPERTY ROAD NAMT OR t,c-4- PROPERTY SIZE-W DEPTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUII.T THIS PERMIT Connect to Existing Sewoge System or New TYPE CONSTRUCTION SQ. FT t-4\2, rtr 3 0 VAI.UATION 3b a)72- -Z-,t-,t--a--a,<--z.d- ed*?<-/J-oy' 0-*"*rv /a1423; //o DISPOSAT PI.UMBING INSTATTED BY OWNER OTHER NAME PLANS FURNISHED YES PUBUC tr BtDG. WASTE DIS. PI-UMBING PI.AN REVIEW PARK TRTR. SEPTIC TANK 2A . f.4 OTHER FEES WAIER SUPPTY PUBTIC FIXTURES CASH ! CHECK PERMIT OTHER YES NO o 3 DATE TOTAL NEcnoN FEE -J . t-{) PUBTIC WATER coNNEcnoN FEE / , COUNTY BUILDING & SANITATION SPECIFICATIONS -a MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT.TRENCH WIDTH FT OR SQUARE ZONE REAR YARDoccu PUBTICTYPE OF STRUCTURE BLDG. SETBACKS _ FT ROM CTR. FRONT 5 stDE rNT Directions to Find Property: RIGHT OF WAY SIDEat+- EASEMENT USE CTASSIFICATION r- Form # css-tz PTANNING o Dqte REAR I NSP.z COPY I - OFFICE COPY 2 - JOURNAT COPY 3 - AUDIT J0/2 74/so {o ,rrr,/3vE@ -/ PERMIT OR MOBIL IOME USE PERMII LANE C {TY BUI:DING PE RMIT NO' PHONE MH BUILDI NG MAITIN (,lopnrss PHONE inoprnrv OWNER MA ILING pnoprnrv pnopenrv TOCAT LEGAL loN - DESCRI INCTUDE PTION _ POST METES, OFFICE BOU NDS TRACTCENSUs CODE secrto N neuce APPL. NAME & MAITING ADDRESS ixtsrtuc ON DEPTH LEGAL WIDTH ACc ESS TO sze - rr, AREA New m loNSyste FT m ONLY Connect Tvpe co to Existing NSTRU CTION s [nuurt PERM ITS BDRM R MOB ILE nomr ALLED 5Q BY FO No. of Bedrooms Einucru RES TO er eutu:r ruts p ERMIT FLurtnstNc INST OTHER:NAME SEWAGE D ISPOSAT PUBLIC BUITDING WASTE DISPOSAL PTUMBING PIAN REVIEW PARK IRAILER SEPT IC TANK OTHE OWNER WATER SUPPLY F EES (,PUBLIC tr OTHERn SANITA REQUIRED rroN sprc rFlcATlo WIDTH FT ZONE usr ctlsstrtclr DRAIN FIELD tIN. FT OCCUPANCY NS TOT UNTY BU OF WAY ilotNo aco ,rruN. SePftC flNf CAPACITY WITH DIST BOX: GAt. TYPE OF STRUCTURE BLDG. SETBACKS FT FROM CTR. OF FRONT SIDE INT BTDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUilB'NG - .,4NAPY BUILDING - GREEN SANITATION _ GOI.DENROD Construction to comply with unifo.rr covering Plumbing ond sewoge dts ii o.lr"p"'n.y before being occupied TRENCH OR SQ. FT PUBLIC UTIL EASEMENT toN ROAD RIGHT SIGN SIDE EXT ATURE - DATE REAR DATE AUTHORIZED m building code qnd county regulo.bns posol. All buildings require o cerlrttole (See Stotement on Reverse Side) (Posr THts pERM,r ON /r4A,N BLDG. Af S|TE) ronu !l 655- 13 I.ANE COUNTY, BLDG. & SAN. D'V.. COURI HOUSE, EUGENE, OREGON 9740I - -? ./lJ,C,LOT -_ -2ALBuilding Permit Appl ication No. ( ) Site tnspection ( ) Pre-Permit lnvest igat ion LANE COUNTY P LANN ING DEPARTHENT NOT ippl icab lel. Zoning 0rdinance Compl iance r)-( )(Zone Subdivision 0rdinance iance ( ) ( ) Requ i red Access -73 Nrtjtl E ADD RES S PHONE DATE NO YES NAI-i E Dr\TE ) 2 3 4 5 (r- (Y- (+--() () ( () () () Building Site (Area, Width, Frontage, Setback)0ther (see comments) COH}AENTS: EUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Plain 9. 0ther (see Conments) NOT appl icable NO YES N () NA},IE (I ,b () () () ()())-tz -?> COHHENTS: SAN ITATION SECTION 10. Sewage Disposal I l. Usable Area 12. lr/ater Supply |3. 0ther (see Conrnents) NOT NO EEi'!_1cau te--Tl-( ) YES N (>{ A, () () () NAI'IE DATE (- (( ) ,) COH}tENTS: TO APPL ICANT: vou/Auilding Permit / Sife tpspection: (n{ can be approved. to/ts/13 ( ) Cannot be approved at this time as indicated on item N0. Questions and further informa COUNTY PLANNING DEPARTHENT" tion on items I through 5 contact t Quest ions and further informat ion o above. e ane- n i6E5 through I l contact the Lane County Euilding and Sanitation Division.t/ill be held in this of f ice unt il you can resolve the problems indicated, ls being returned. Your building permit application fee is being returned under separate cur'er. : LANE COUNTY PLANNING DEPARTI,IENT LANE COUNTY BUILDING S SAN]TATION DIVISION l3f 5l;1f1 lvente East, Eugerre, 0regon 97401 135 Sixt,h Avenue East, fttqenr', 0regon 97t+ot ?nou€ 3{2,.13 I I EXI . 2lt PH0NL : 142't ltt Exr. 4I I () () () M55- 'R !g!_r-2ll!G s trE EVALUATtoN APPL ' CANT T R /U /o-3-=t3 DATE Dote -23 Permit No. CURB CUT ORDERED, thot o permit be ond is hereby issued to _ or constructing fhe following focility:for plocing, building PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS' the oitoched opplicotion hos been fully considered by the Boord of county com-missioners of Lone county, ond'ii is the "pi;i";;;a'1-rdg-unt of the glo;a rhor rhe soid opplicotionshoutd be sronred, ond ih"r; p"rlir;dri;-b"";;;J;;, now, rherefore, ir is hereby. upon the right-of -woy of County Rood No Mile Posttnstrict conformi ty to the exhibits oftoched heret o, ond subiect to oll term s, conditions,ogreements,sfipulotions ond provisi,ons conloined in the o ppl icotion ond Per mit, the Rules ond Regu lotions Gov-erning Focilities to be Permitted upon County thereto, ond ony other oppl icqble regulotions,low or ordinonce. uql 50.190(2) ony Speciol Provisions: omendments 2 Drivewoy will be construcled !n 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 theroodwoy.ond right of woy coused by his op"rotion, leoving the roodwoyond oreo in o neot,occeptoble condition. BtUE - ROAD SUPERVISOR ORANGE_BUIIDING & SANITATION DEPT YEI.TOW _ REAI ESTATE Rood Rights-o f-w oy, os set forth b y the Lone Mon- Approved by Boord of County Commissioners By 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 hove been completed be- fore Dote l9-. Expires , 19--- lnspected ond Approved By WHITE _ OFFICE FILE GREEN - RESIDENT ENGINEER PINK - PERMITTEE Direclor of Public Works c98 -7 9 e., I Dote Building Permir # APPLICATION FOR FACILITY PERMIT (Appliconr's Nome) hereby moke opplicotion under Rules ond Regulotions Governing Focilities to be permitted UponCounty 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, ormo 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 qs 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 50.190(2), qny omendments thereto, ond ony other op- plicoble regulotion, low or ordinonce. Signoture Add ress Zone WHITE - OFFICE FILE GREEN - RESIDENT ENGINEER PINK _ PERMITTEE c98 -78 BIUE - ROAD SUPV. ORANGE-B[DG. & SANIT. YEITOW - REAT ESTATE ), No.So.E.w To Permits Processing Noted Dole Noted Director Principol Engineer Subdivision Engineer Permit Engineer Weighmoster Phone No. t, LANE C ,NTY BUTLDTNG I BUILDING PERMIT MHE OR MOBI. dOME USE PERMIT PERMIT NO. PROPERTY OWNER MAII.ING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI,UDE POST OFFICE PROPERTY I.EGAT DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAII,ING ADDRESS IEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT, WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge Sysrem !New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT, # BDRMS VALUATIoN SEWAGE DISPOSAT PUBUC tr SEPTTC TANK n OTHERE PI.UMBING INSTATLED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PI.AN REVIEW PARK TRAITER TOTAI. FEES WATER SUPPTY PUBUC tr f] OTHER $_ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT, SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG, PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PI.UMBING _ CANARY BUITDING _ GREEN SANITATION - GOTDENROD Construction to comply with uniform building code ond county covering plumbing ond sewoge disposol. All buildings require of occuponcy before being occupied. (See Slotement on Reverse Side) regulotions o certif icote (posT THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I eonv # c55- t3 SLAB FLOOR PLUMB ING GROUNTI^,ORK Ap pnov r o Rrul nx s DrslppnovED Der r I Nsprcron GAS PlPl NG GROUND,,/ORK AP PRov E o REala nx s D r SAPPRovED D Dar e I ruspecron ROUGH PLUMBING Appnoveo Eq DrsrppRovro Reuanxs I Nspecr v ROUGH GAS Ae pRov e o Re ltanx s PIPING Dr sappRovro D DrrE I Nsprcton FINAL PLUMBING Appnoveo K DtsrppRove, D oorr2-,t?4L Re uanr s I NsprcroR FINAL GAS PIPING Appnoveo D Dtsappaoveo D REuenr s Dare I NS PE croR CERTIFICATE OF OCCUPANCY Reaov ro lssuE ReuaRxs D Nor RcADY ro lssuE D Dare I xspEcroR D o^,/L_72..2__ 11,/r LANE .--.UNTY BUITDING PERMIT OR MOB. - HOME USE PERMIT BUTLD|NG I MH E PERMTT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAT DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPI". NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing TYPE CONSTRUCTION m New m BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT SQ. FT SEWAGE DISPOSAT PUBUC tr SEPTIC TANK oTHERn PIUMBING INSTALTED BY owNER I OTHER: NAME $F EES WATER SUPPTY PUBUC tr tr OTHER BUITDING WASTE DISPOSAL PLUMBING PTAN REVIEW PARK TRAIIER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS AAIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BI.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 OFTICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUILDING _ GREEN SAN ITATION - GOI.DENROD 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 Stotement on Reverse Side) (posT THIS PERMIT ON MAIN BIDG. AT SITE) TANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ponru #css-,3 S ITE lNSPECTION Ap pnov r o DrsappnovEo I Dare I NsPEcroR ReurRxs dar&//o-22'z FOUNDATION I NSPECTION Ap pRov e o Rruraxs Dr sappnoveo Drr E 6"-LI Nsprcton FRAMING INSPECTION I rspEcroRAp pnov e o Renanx s D r srppnovEo LATH OR SHTETROCK INSPECTION Ap pnov r o Reuanx s D Drsappnoveo V Dar r I NsPEcroR FINAL INSPTCTION AP PRov E D Rruanx s D t slppnovEo o^,21-?_-7/I NsPEc //{-7f (a CERTI FICATE OF OCCUPANCY Reaov ro I ssuE I ruspecroR RrurRx s I 7Cr Nor Rrrov ro lssur Drr e - - a-e./62 I F.EEG' D o^,, //-2?'ll 0d