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Home My WebLink AboutPermit Building 1974-05-22xk-t '/ 76- 7y/c NG PERA4rr OR MOBil {OME USE PERMITIANE C- NTY BUILDI BUILDING E MH PERMIT NO. PRO P OWNER MAILING ADDRESS PHONE i, CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICEjTo V fit:r ) PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS l7 RANG E SECTION o3 ,3.2 CODE CENSUS TRACT I 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 Existin Sewoge System ! New TYPE CONSTRUCTION SQ. FT BDRMS VALUATION m STRUCTURES TO BE BUILT THIS PERMIT 5-N /.: SEWAGE DISPOSAT puslrc E srprrc rlNx -i gtHrnn PTUMBING INSTATI-ED BY OWNER n OTHER: NAME FEES WATER SUPPTY PUBUC tr tr OTHER BUITDING WASTE DISPOSAT PI.UMBING PLAN REVIEW PARK TRAILER TOTAT I COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED uN. Fr I ,0 TRENCH wrDTH FT. 2 OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT i&J BLDG. FRONT SETBACKS FT. FROM CTR. OF i93D Rr,GtE of wAY SIDE EXT. USE CLASSIFICATION SIDE INT REAR D SIGNATURE _ DATE DATE '{fr BTDG. PERMIT _ WHITE OFFICE COPY _ WH ITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS pERMtT ON MAIN BLDG. AT SITE) LANE COUNW, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Ironu f, 655- 13 J,'M Building Permit Appl ication No. S i te lnspect ion Pre-Perm it lnvest igat ion \ UerG I)e APPL I CANT:L L-q g-3 NA},tE ADD PHONE DATE () ) I-ANE COUNTY PLANNING DEPARTHENT NOT NO YES i . Zon ing Ord inance Compl iance Zone R -4 )2. Subdivision 0rdinance E6rnpl iance () () ) ) 3. Requ i red Access 4. Bu i ld ing S ite (Area, t'Jidth, Frontage, Setback 5. 0ther (see comments) 7 ru - <"a'T ( aool icable-'Tl-( ) ( (r ( )() () () () COIOIENTS: BUILDING INSPECTION SECTION 5. Plans Submitted 7. Soil Stability (footings) 8. Flood Plain 9. 0ther (see Cornrnents) NOT NO EiE't icable - YES (&()--TT (() () il) t)() DATE ( ()()d*- 2/ -?{ CO},IHENTS: SAN ITAT ION SECTION 10. Sewage Disposal I l. Usable Area 12, ldater Supply 13. 0ther (see Comments) COH&IENTS aool icable**TT-(NOT () & ) ) ) YE5 E DATE () () )( )( )( )(( TO APPL ICANT: n"r'ill Your Building Permit / Site lnspection: Can be approved. Cannot be approved at this time as indicated on item N0.t above. ( ( ( Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTI4ENT. Questions and further information on i6m,;5 t hroug h 13 contact the Lane County Bqfl-dinl and San itat ion D iv is ion. ) Will be held in this of f ice unt il you can resolve the problems indicated. ) Ir being returned. ) Your building permit application fee is being returned under separate cover. IA,NE COUNTY PI,ANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 I,ANE COUNTY ENVIRONMENTAL MANAGE},IEM 135 Sixth Avenue East, Eugene, Oregon 974OL Phone (503) 687-4065 c55-28 rJ-LnO3t-L'l ,Ax Lor- CENSUS TRACT gU I LT.INC S ITE EVALUAT I NA}IE DATE NA}4E f7 Dote Permit No.77o-7/ 116-t\ cuRB cur c;et PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the qttoched 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 thot the soid opplicotion should be gronted, ond thot o permit should be issued, now, therefore, it is hereby. ORDERED, thot o permit be ond is hereby issued to JACK KEPHART 1 690 Sourx ttAtt ST. , SPR r NcF r ELD , on. 97\for plocing, building or constructing the following focility, Dwellrrue Vrna Drlle Lor ! BLK.3 1)+39 venr Dn rvE upon the right-of-woy of County Rood No. --, Mile Post in strict conformity to the exhibits ottoched hereto, ond subiect to oll lerms, conditions, ogreements, sfipulotions 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 50.190(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce. Speciol Provisions: L Drivewoy will be construcled in occordonce with the ottoched drivewoy opprooch specifico- tions (Drowing M98-50). 2. Permittee will be responsible for the immediqte 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. 3.SIoEweuxs wILL BE coNSTRUcTED IN AcCoRDANCE WITH THE ATTACHED SIDEVdALK SPECIFICATIONS AND DRAWIT'TE I9B-\9. TNE STANDARD CURB TYPE SHALL BE CONSTRUCTED UNLESS OTHERWISE SPECIF IED. 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 shqll hove been completed be- fore l"1at 22,B 15 Expires 19__. lnspected ond Approved Approved by Boord of County Commissioners By Dote By WHITE - OFFICE FILE GREEN - RESIDENT ENGINEER PINK _ PERMITTEE BtUE - ROAD SUPERVISOR ORANGE - BUITDING & SANITATION DEPT YELTOW _ REAI ESTATE Director of Public Works cgg-7 9 Dote Permit No CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF IANE COUNTY WHEREAS, the ottqched opplicotion hqs been fully considered by ihe Boord of County Com- missioners of Lone County, ond it is the opinion ond iudgment of the Boord thot the soid opplicotion should be gronted, ond thot q 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 focilify: 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, sfipulotions 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 50.190(.2) ony omendments thereto, ond ony other opplicoble regulofions, low or ordinonce. Speciol Provisions: '1. 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. 7[ lF'I t-'1'/ & 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 shqll be void unless the work herein contemploted sholl hove been completed be- fore 19-,. Expires 19_. lnspected ond Approved Approved by Boord of County Commissioners By Dote By WHITE _ OFTICE FILE GREEN - RESIDENT ENGINEER PINK _ PERMITTEE BTUE _ ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT YELI-OW _ REAI ESTATE Director of Public Works c98 -7 9 I LANE COUNTY BUILDING PERMIT OR MOBILE HOME BUTLDTNG l_l MH n UsE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE t CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE to PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS ,. ,.i RANG E SECTION CODETAX LOT NO CENSUS TRACT EXISTING STRUCTURES ON PROPERTY .1,, APPL. NAME & .MAIIING ADDRESS LEGAT ACCESS TO PROPERTY l'ts, PROPERTY SIZET- FT WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN Ft8 $E { SEWAGE DISPOSAL PTUMBI INSTALTED BY PUBTIC BU ITDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAITER SEPTIC TANK FEES OWNER OTHER: NAME WATER SUPPLY PU BtIC n N OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIEID REQUIRED o I.IN. FT TRENCH WIDTH FT.WITH DIST. BOX: GAL.OR SQ. FT. \\t r*s-\St- \*'8 TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF FRONT SIDE INT. ROAD RIGHI OF WAY SIDE EXT, -REAR USE CLASSIFICATION AUTHORIZED SIGNATURE _ DATE ol. Sil{mL furm*l**DATE BIDG, PERMIT _ WHITE OFTICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD Coll 687-4065 to schedule oll required inspections. All consrruc- rM poRTA N r, l:'." ;[: l],""T':l*: u : H [:fi : : l' ::? "r td ;t',3;.""Ti?r, f; plumbing. All buildings require o certificqte of occuponcy before being occupied..' (See Detoils on Reverse Side) (POST THIS PERMTT ON MA|N BrDG. Ar StrE) [,ANE COUNTY, DEPT. OF ENYIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th. EUGENE, OREGON 9740I5s - r3 r-I tttSf OTHERN -,: SITE INSPECTION Ap pRov e o RrMa nr s DrsAPpRovEo D Dat e I rusprcron FOUNDATION I NSPECTION Ap pRov e o Dr sappnoveD Dar e /1)I Hsrecron Rrua nx s ort5 (?-/ FRAMING INSPECTION --/ Appnoveo l[f Drsappnoveo l nser /; Reuanxs LATH OR SHEETROCK INSPECTION Ap pnov r o Rrltlnx s D r sappRoveo D oo*l_.-/{--?{l uspect FINAL INSPECTION Ap pnov r o Repta Rx DI SAPPROVED Darr {- ta 7//PECT CERTIFICATE OF OCCUPANCY Rraov ro lssue D Nor Rraov ro lssur D Dnre -lnsprcroR- RruaRx s 77 0-7 //{3 A o^r, 7'/4'7/ €b,4.7 ER c t PROPOSET part of form t :b,AGE DISPOSAL SYSTEI,I RECORD nature and bmit both co 7 f""licatiwith app PERHIT NO 6,5 7 2_t- No. Liv n9 n ts rooms asement Yes a r UPP c v 0t he i st Sept Ft. c f rorn wel I Steel lns e mens ons: Ft. NAME }tA I L ING ADDRESS l.,idth Diameter De th Ore . Distribution Box: Yes No str t on-Pe Concrete No. Compartments Gal . Capaci ty sPosa e 040 t r Feet wEl I rom Lot Line Front Side r t/ er Be ov, ile ln en 0ate c ICATE OF SATIS Y COMPLETIO For Sanitarian Use 0nly: ln accordance with 1973 0regon Laws Chapter 835,Section 214 thi ce 0ate:/r rtificate is al system at tss the aboveas evidence of satisfactory completion of a subsurface sewage dispos I ocat i on. Approved: System lnstallation conforms to current standards 0isapproved: Does not conform to current standards R YiFemarks: nes-Ft . 4 c 6 },idth T ota Ft etween Lines tn er Dept ove Ti le ot an see n5t ruct ons fl ous{JULOS 19 R Lane Cou nty Watst Control la I I a ( L I l I u,ftl i pd V 7 nat ureS 5c55-11 STATE OF OREGON DEPARTHENT OF ENVIRON}IENTAL QUALITY 9na tr e IANE COUiITY BUILDING PERMIT OR MOBITE TTOME UsE APPTICATION PERMIT #PERMIT TYPE - BUILDING t_MOBILE HOME f]OSC REG.#-7/ PERTY OWNER I.OCATION - INCLUDE OFF MAITING ADDRESS ,2 i2)/27Lt MAII.ING ADDRESS ,6/- J PHONE METES & BOUNDS ATTACHED PROPERTY I-EGAL DESCRIPTION tOT_BLOCK_SUBDIV. TWP RANGE APPLICANT NAME AND MAITING ADDRESS YES NO SEC.TAX TOT CODE CE TRACT C:r DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY I-EGAI AC CESS TO PROPERTY _ ROAD AME OR PROPERTY DEPTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connecl to Existing Sewoge Sysrem I or New System Req. E RES TO BE BU IH lS PERIv\lT SEWAGE DISPOSAT CONSTRUCTION SQ. FT # BEDRooMS VALUATION &a 7 ^/O PERMIT NO \r- 3o DATE DATE TANK tr OTHER BING INST.BY OTHER NAMEPUBTIC BIDG. WASTE DIS. PTUMBING PTAN REVIEW PARK TRI.R. TOTAT FEES WATER SUPPIY PUBTIC FEES IXTURES CASH D CH ECK OTHER OWNER PLANS FURNISHED YES NO /Ze-.ea-PUB.rc *ATER 4, ODcoNNEcfloN FEE ( COUNTY BUILDING & SANITATION SPEC TIONS DRAIN FIETD REQUIRED ONNECTION FEE J, o-o MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL.I.IN. FT,TRENCH WIDTH OR SQUARE FEET TYPE OF STRUCTURE BLDG. SETBACKS _ FT FROM CTR.2 SIDE INT. rections to Find Property: ZONE REAR YARD USE CI.ASSIFICATION PUBLIC UTII.. EASEMENT R IGHT Ae. SIDE ANCY% t , Dale PLANNINGL *hti.ta fu /f-2-7t / Dole BI-DG. INSP. Form # Css-tz REAR Dole COPY I _ OFFICE COPY 2 - JOURNAI- COPY 3 - AUDIT