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HomeMy WebLinkAboutPermit Building 1974-04-11IANE COl.' JUILDING PERMIT OR MOBITE ' -I.. USE APPTICATION PERMIT TYPE - BUILDING PERMIT Vs {-z PR9PERTY ER LOCATIO E POST OFFIC ITING MOBTLE HOME !OSC REG.+r- a RESS tler* e.l/c- N PHONE METES & BOUNDS ATTACHED AREA a .{ PROPERTY IEGAT DESCRIPTION TOT_BIOCK_SUBDIV. TWP RANGE APPLICANT NAME AND MAITING ADDRESS QG\ D YES NO SEC..Z TAX tOT CODE CENSUS TRACT 3-6 DESCRIBE EXISTI STRUCTURES ON PROPERTY IT ANY t't(;'| - TEGAI. ACCESS PROPERTY _ ROAD PROPERTY SI DEPTH () FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existing Sewoge Sysrem !or New System R"q. E STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCIION t\1q @. t Z- vAruAIrpN t11ZT SQ. FT.# BEDRooMS I^Yto,rrzr L t gR>l6E-0 PI.UMBING INSTATTED BYSEWAGE DISPOSAI- PUBTIC SEPTIC TANK OTHER FEES WATER SUPPTY PUBTIC OWNER PTANS FURNISHED OTHER NAME OTHER YES FACIIITY PERMIT NO BtDG. WASTE DIS. PI.UMBING PLAN REVIEW PARK TRTR. PTUMBING FEES tQ ,'rrr*r, S DATE DATE CASH N CHECK 2-z l=Jg-. - PUBTIC WATER CONNsCTION FEE NECTION FEE # d COUNTY BUILDING & SANITATION SPECIFICAIIONS DRAIN FIETD REQUIRED ,N. FT.7OO TRENcH wtDTH OCCUPANCY ZONE REAR Y, TOTAI. MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI. ilts OR SQUARE "" ? 6 USE CTASSIIICATION PUBTIC UTII.. EASEMENTTYPE OF STRUCTURE BI.DG. SETBACKS _ FT. TROM CTR. OF ROAD RIGHT OF WAY Form # css-rz StDffi)eI;-REAR Dole SIDE INT Directions to Find Properly: NT 7 Dole BLDG. INSP.Dqle PLANNING _2. COPY I _ OFFICE COPY 2 _ JOURNAI. COPY 3 _ AUDIT ---- 2f). -3r/.- f LANE C,. -. f BUITDING BUILDING E MH E PERMIT OR MOBIT "lE USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS -rri, PHONE it CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANGE SECTION TAX LOT NO-CODE CENSUS TRACT*/1// EXISTING STRUCTURES ON PROPERTY 't. i APPT. NAME & MAITING ADDRESS TEGAI- ACCESS TO PROPERTY I , r,,- PROPERTY SIZE - FT. wrDTH :Ct DEPTH lnCt AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existin TYPE CONSTRUCTION m New m SQ. FT BDRMS VALUATION I l+grrcr 2 3l 1htx c I xspecr t oN 0, K SEWAGE DISPOSAT PTUMBING INSTALI.ED BY PUBTIC BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAITER SEPTIC TANK OTHE OWNER OTHER: NAME WAIER SUPPTY PUBUC tr n OTHER s FEES 10 14 TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAT. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT OR SQ. FT. (oOF DRAINS To STREEI TYPE OF STRUCTURE OCCUPANCY ZONE ,l PUBTIC UTIT. EASEMENT BI,DG. SETBACKS FT. FROM CTR FRONT ' SIDE INT, OF ROAD RIGHT OF WAY i ., I srDE ExT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE J DATE i I BI.DG. PERMIT _ WHITE OFFICE COPY _ WHIIE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD 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 regulotions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) oosr THrs PERMTT ON MAIN BrDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENIAT MANAGEMENT COURTHOUSE ANNEX,"I3s EAST 6th, EUGENE, OREGON 9740Ironu # c55- t3 l. B U I LD ING S ITE EV' 'AT ION TJz_R CENS US -, _lo A. r- ICANT NA./t1E ADD RES 2 B-3 l)er* LOT--,e .\' e.//e-L (.) Building Permit Appl ication No. ( ) S ite lnspect ion ( ) Pre-Permit Investigation u{PHONE DATE L/iNT COUNTY PLANNING DEPART}IENT NOT NO YES NAI1 E Dr\TE aool icable Zoning Ordinance Compl iance *Tf-- (zone Rl )2. Subd iv is ion 0rd inance Coilffiance () () () () 3. Requ i red Access 4. Bu i ld ing S ite (Area, l./idth, Frontage, Setback) 5. 0ther (see comments) COHHENTS: ( () ( () ( () ( () ( BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) B. Flood Pl a in 9. 0ther (see Comments) NOT NO sppfiqebte -() YES ,4-r) ) NA},IE d ( () /-)() () CO},1HENTS SANITATION SECTION 10. Sewage Disposal ll. Usable Area 12. Water Supply I l. 0t her (see Comments) DATE I 3o€^-PurPl€- NOT NO IYES7 (, / N aool icable*rT-(Zo'a () (( t ) (t COMii1ENTS TO APPL ICANT: \j,'-%r Building Permil / Site lnspection Can be approved. Cannot be aPP roved at t h i s t inre a Quest ions and f urther infornrat ion s ind icated on i teri, N0 above. on itenrs I through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Qut's t ions .lnd furtlrer infornrat ion on itenrs t hrouqh I 3 contact the l.Jill be held in this o{ I s be i ng retu rned. your buildinq pernr it appl ic.at ion fee is being returned under separate cur'€F 6 () () () LANF COIIN I Y 1'I I\NN ING OEPARTHENT 115. 5i2af l1 r\vcrlue Iast, Eugerte, 0rttgtrn 1i1;trNE 3lrt-llll I'Xl- 231 IANI. COUNTY I]tIILDING & S/\NITATlON DIVISION 135 S ixt,h Av€rrr-rr: East, Ettqett.,, 0r eqon 9740 I I'lt0Nl : 342-t1la tXT' ql I 97tro i M55- DATE Buildi dlld 5anlta ion Divi';ion. r/Ou Carl Ie 5O VC t lre p rob lems ndi cat (:d. Dote Pe)frit-No.4Bi-Ztt CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE 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 thot the soid opplicotion should be gronted, ond thot o permit should be issued, now, fherefore, it is hereby. ORDERED, thot o permit be ond is hereby issued to Jacx KepsaRr l59o Snxxr Sour il for plocing, building or constructing the following focility' Venn OT 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 50.19O(.2) any omendments thereto, ond ony other opplicoble regulotions, low or ordinonce. Speciol Provisions: L 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 thon thot specificolly mentioned obove is hereby outhorized. This permit sholl 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 _ OFFICE FIIE GREEN _ RESIDENT ENGINEER PINK _ PERMITTEE BtUE - ROAD SUPERVISOR ORANGE - BUII.DING & SANITATION DEPT YETLOW _ REAL ESTATE Director of Public Works c98-1 9 \ -- L/ E Dc+e Permit No. CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the ottoched opplicotion hos been fully considered by the Boord of County Com- missioners of Lone c;r;t, ond'ii it th" oplnion ond iujgment of the-Boord thot the soid opplicotion ,f,.rfJ Le gronted, ond ihot o permit should be issued, now, iherefore, 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 subi ect to oll terms, conditions, ogreements, sfipulotions ond provi sions contoined in the oPPlicotio n ond permit, ghts-of-Woy, the Rules ond Regulotions Gov- erning Focilities to be Permitted upon Co Rood Ri os set forth by the Lone Mqn- ony other opplicoble regulotions, low or ordinonce. unty onduol 50..l90(2) ony omendmenls thereto, Speciol Provisions: I. Drivewoy witl be constructed in occordonce with the ottoched drivewoy qPProoch 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 thon thot specificolly mentioned obove is hereby outhorized. This permit sholl be void unless the work herein contemploted sholl hove been completed be- fore 19_.Expires I9_. lnspected ond Approved by Boord of County Commissioners By Dote WHITE _ OFFICE FIIE GREEN _ RESIDENT ENGINEER PINK - PER t{lTfEE BI.UE _SUPERVISOR ORA BUII.DING & SANITATION DEPT YEI.- REAL ESTATE Director of Public Works c98-7 9 Dote \-z-t\ ORDERED, thot o permit be ond is hereby issued to PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the ottoched opplicotion hos been fully conside_red !y the Boord of County Com- missioners of Lone cornty, ond'it is the opinion ond iudgment of the-Boord thot the.soid opplicotion rl,"rfa be gronted, ond ihot o permit should be issued, now, therefore, it is hereby' Permit No. tr8r-Th CURB CUT Jlcr KePnnnr 15W S t'Att Sr. SPn t rucr t Euo, 0Recor't for plocing, building or constructing the following focility' VEnr DEt-t-E Sueo lv ls loN Lor 1O Dweut t Ne , B-3 upo n the right-of-woy of County Rood No.Mile Post in strict conformity to the exhibits ottoched hereto, ond to oll terms, conditions, ogreements,subiect ond pesfipulotions ond pro visions contoined in the opplicotion rmit, the Rules ond Regulotions Gov- itted upon Co Rood Rights-of-Woy , os set forth by the Lone Mon-be Perm unty ond erning Focilities to uol 50.190(2) ony Speciol Provisions: omendments thereto,ony other opplicoble regulotions, low or ordinonce. Drivewoy will be constructed in 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 the roodwoy ond right of woy coused by his operotion, leoving the roqdwoyond oreo in o neot, occeptoble condition. SIOgWEUX WILL BE CONSTRUCTED IN. ACCORDANCE WITH THE ATTACHED SIDEVJALK spEc tF I cAT toNS AND oRAw lr.re pB-\9. TnE STANDARD cuRB rYPE SHALL BE CONSTRUCTED UNLESS OTHERW I SE SPEC I F I ED' This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon thot specificolly mentioned obove is hereby oulhorized. This permit sholl be void unless the work herein contemploted sholl hove been completed be- fore Jur-v JO 7h\9 '- . Expires l9__. lnspected ond Approved Approved by Boord of County Commissioners By By 2 3 WHITE - OFFICE FITE GREEN - RESIDENT ENGINEER PINK _ PERMITTEE BtUE _ ROAD SUPERVISOR ORANGE _ BUITDING & SANITATION DEPT YEI.TOW _ REAI. ESTATE Direclor of Public Works c98-7 9 Dote - ,/-"r-)-,42 T 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 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 for plocing, building or constructing the following focility' 2 upon the right-of-woy of County Rood No.Mile Post in stri ct conformity to the exhibits ottoched hereto, ond subiect to o ond permit hts-of-Woy, ll terms, conditions, ogreements, sfipulotions ond provisions contoin ed in the opplicotion , the Rules ond Regulotions Gov- erning Focilities to uol 50.I90(2) ony Speciol Provisions: be Permitted u pon County Rood Rig os set forth by the Lone Mon- omendments thereto, ond ony othe r opplicoble regulotions, low or ordinonce. Drivewoy will be constructed in occordqnce 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 the roodwoy ond right of woy coused by his operotion, leoving the roodwoyond oreo in o neot, occeptoble condition. -rl-?( / / 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 19-.. Expires r 9_. lnspected ond Approved Approved by Boord of County Commissioners By Dote By fr WHITE _ OFFICE FITE GREEN - RESIDENT ENGINEER PINK _ PERMITTEE BI.UE - ROAD SUPERVISOR ORANGE_EUITDING & SANITATION DEPT YETLOW - REAI ESTATE Direclor of Public Works c98-7 9 I a LANE COU].. / BUITDING PERMIT OR MOBILE h-.dE UsE PERMIT MH ;r MAII-ING ADDRESS PERMIT NO hBUILDING PROP OWNER PHONE PHONE CONTRACTOR MAITING ADDRESS PROPERTY I.OCATION _ INCI-UDE POSI OFFICE tl{q Yem Orrvt PROPERTY TEGAI. DESCRIPTION -METES, BOUNDS SECTION TAX LOT NO.CODE CENSUS TRACTRANG E l?o3 Ol9-Ol EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY \ PROPERTY SIZE _ FT. WIDTH DEPTH - AREA FOR MOBILE HOME PERMITS ONLY Connect to Existing Sewoge System f]New System INo. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATION tr GrtraE, Atl, c s\ --\ i I SEWAGE DISPOSAT PLUMBING INSTATTED BY OWNER OTHER: NAME PU BLIC BUII.DING WASTE DISPOSAL PTUMBING PLAN REVIEW PARK TRAII.ER SEPTIC TANK F EES WATER SUPPTY PUBUC n tr OTHER$-\ - \ TOTAI COUNTY BUILDING & SANITATION SPECIFICA TIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL' DRAIN FIETD REQUIRED TIN, FT TRENCH WIDTH FT OR SQ. FT. I\t \ I TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT BLDG. SETBACKS.- FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION FRONT SIDE INT SIDE EXT REAR AUTHORIZED SIGNATURE - DATE DATE J. Sxoot Ltr*?4 r BI.DG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK P[UMBING - CANARY BUITDING _ 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 regulotions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detqils on Reverse Side) (posr rHrs PERMTT oN MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENYIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I - OTHEREn ,S I TE I NSPECT ION Ap paov r o Rruanxs //DrsAppRovEoDDare I ruspecton FOUNDATION I NSPE t0N AppRoveo D r sappnoveD r5':?(DarE I Nsp C TOR Rrurnx s o FRAMING INSPECTION AppRoveo n Drsrppnoveo Re t{anx s oorrd'l1- ?/I xspEcro ')frV '-2 LATH OR SHEETROCK INSPECTION Ap pnov r o RExa ax s DrsappRovEo [7 Dar e -,?I Nsprcton G,/ FINAL INSPECTION Ap pnov e o Rruanx s D t sappRovto fr-P,'l rtDrr e l nspec c,/, CERTIFICATE OF OCCUPANCY RraoY ro lssue REuaRx s Nor Reaov ro I ssur Dare I Nsprcron 16,5"7{ //r/{*'/t-p'"v*1g< 7 IANE t-.- JN. l/ BUIIDING PERMIT OR MOBI H../IE BUILDING E MH tr USE PERMII PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING 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 PROPERTY APPT. NAME & MAITING ADDRESS LEGAL 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 I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sq. FT. # BDRMS VALUATION SEWAGE DISPOSAT PUBUC tr SEPTIC TANK !OTHERTI PLUMBING INSTATTED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAI PTUMBING PTAN REVIEW PARK TRAIIER TOTAT FEES WATER SUPPTY PUBUC !tr OTHER $---- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIELD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIt. EASEMENT BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIOE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITDING - GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords II,IPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require q certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THrs pERMtT ON MAIN BIDG. AT S|TE) IANE COUNIY, DEPT. OF ENVIRONMENTAI MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 97,10Ironu Jf c55- 13 SLAB FLOOR PLUMB ING GROUND^/ORK Ap pRov e o Relt rnx s DrsappRovro Dare I rspecron GAS PIPING GROUND/ORK AP PRov E D ReuaRx s DrsappRoveD D DATE I ruspecron ROUGH PLUMBING AppRoveo N Drsappnovro D ootr,L!/-_k ReuaRxs lrspec ROUGH GAS PIPING Appnoveo D DrsAPpRovEo D Reurnx s Dar E I rusprcton FINAL PLUMBING App nov r o ReuaRxs &D r saepRovro D oorrfu lrsprc F I NAL GAS Ap pnov e o Rruanxs PIPING D r sappRoveo Dar e I ruspecron CERTIFICATE OF OCCUPANCY Reaov ro lssur RrulRx s Nor Reaov ro lssuE Dare I NSPEcToR comprete top 0",.-a?'flll r;'1ff#f::'$i1ff.*[u.l'"oo,es with appr iI NSTALLER: No. L v c P Rr,1 NO v 7o s.H4 u ts Baths Bas es ater u Publ ic v 0ther-L i st Ft. f rorn wel I Steel lns Concrete K No. Compartments Gal . Capaci ty e sPosa e Di stribution Box: Yes No t er str ut On-yPe eet rom ll oundat i on ot ne Front Side ons: L th l',idth NAHE HAILING ADORESS Leng th s-Ft. 4 6 0 r Ol., it tn er Ti leu,idt r Lines tw I>lot PIan see instructions 0ate Si nat u re TORY C ON For Sanitarian Use Only: Dat tn accordance with 1973 Oregon Laws Chapter 835, Section 214 tnis certificate is as evidence of satisfactory completion of a subsurface sewage disposal system at to""ffiopproved: System lnstal lation conforms to current standards f-t Oisapproved: Ooes not conform to current standards Remarks: rs the ab ove d an COUNTY c55-11 STATE OF OREGON DEPARTHENT OF ENVIRONHENTAL QUALITY 9na ure tr