The URL can be used to link to this page

Home My WebLink AboutPermit Building 1973-03-09.IIIDING PERMIT OR MOBITE HOA JSE APPLICATIONLANE COUNTY PERMIT TYPE _ BUILDING MOBILE HOME MAITING ADDRESS PERMTT #3 PHONE PROPERTY OWNERco CONTRACTOR 0 PROPERTY TION - IN ? PROPERTY TEGAT DESCRIPTION tOT_BLOCK_SUBDIV. TWP RANGE o rLd a-. L ad-/s 4 PHONE J) METES&BOUNDS DYES ATTACHED AREA MAILING AODRESS I OFF ICE SEC.3 2 4%,7 TAX TOT CENSUS &d * tD APPTICANT NAME AND MAITING ADDRESS l") CODE DESCRIBE EXISTING STRUCTU RES ON PROPERTY IF ANY TEGAL T?PROPERTY - ROAD NAME OR PROPERTY SIZE-WIDTH DEPTH7o./a o FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existing Sewoge System !or New Syste m Req. ! SQ. FT,BEDROOMS VATUATION STRUCTURES TO BUrrr rHrs PERMIT TYPE CONSTRUCTION 4 /z * %"-all PTUMBING INSTATTED BY OWNER OTHER PLANS TURNISHED YES NO IT @2" OR SQUARE FEET DATE DATE -2-)tr-?3 SEWAGE DISPOSAL PUBTIC BIDG. WASTE DIS. PTUMBING PIAN REVIEW PARK TRtR. TOTAT MIN. SEPTIC TANK CAPACITY WITH DISI. BOX: GAI. SEPTIC TANK OTHER FEES WATER SUPPTY J4 t OO PUBTIC 3 3.$n PI.UMB /O rrxruers cAsH E CHECK NECTION TEE PUBTIC WATER CONNECTION FEE FAC PERMIT OTHER YES NO a /, on COUNTY BUILDING & SANITATION SPECI TIONS DRAIN FIELD REQUIRED TIN. FT /s TRENCH WIDTH 3//?s r'.sD TURE OF TYPE OF STRUCTURE 6t/q ZONE REAR YARD PUBLIC UTIT. EASEMENT Form # css-tz SIDE EXT.REAR e -F- - TT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION NG 2 P Dole BIDG. INSP.' SIDE INT Direclions to Find Property: Dole H_,/3 coPY | -oFFtcECOPY 2 _ JOURNAI. COPY 3 _ AUDIT L-.---'t TRACTta a. LANE COUN BUILDING fr BUITDING PERMIT OR MOBITE MHE HC J USE PERMIT PERMIT NO.3l r- PROPERTY OWNER MAII.ING ADDRESS PHONE Glbson, Scott CONTRACTOR MAILING ADDRESS 74 7-224: PHONErfford, Hel PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY I.EGAL DESCRIPTION _ METES, BOUNDS RANGE 1 SECTION TAX LOT NO,CODE CENSUS TRACT 20-ED 150 lle I t{of ford EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING ADDRESS 241I N. l5t I.EGAL ACCESS TO PROPERTY Sprlngflcld, PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System ! New m STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION tJood SQ. FT- # BDRMS t275 @ t2 3 VALUATION Dwel I lng Garege .,tt.950 ( SEWAGE DISPOSAT PTUMBING INSTATLED BY PU BL IC BUITDING WASTE DISPOSAT PI.UMBING PtAN REVIEW PARK TRAITER SEPTIC TANK $FEES OWNER OTHER: NAME WATER SUPPIY PUBLIC N tr OTHER ?hRTOTAL 0 COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED OR SQ. FT. of dralns to streot. TYPE OF STRUCTURE 5N OCCUPANCY leJ ZONE PUBLIC UTII. EASEMENT BTDG.SETBACKS FT FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION€lwior.ln FRONT REAR AUTHORIZED SIGNATURE _ DATE DATE Jc Cru I ckshenk, BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITDING - GREEN SANITATION _ GOLDENROD Construclion to comply with uniform building code ond covering plumbing ond sewoge disposol. All buildings r of occuponcy before being occupied. (See Stotement on Reverse Side) county require o reg ulotions (POST THIS PERMTT ON MAIN BIDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740! ronu Jt 655- 13 certifi cole 1/ 22i?- R oSs -2 TRACT B- t L-tS TAX LOT /5c> M Bu i ld ins Perm it App I i cat ion no. 31/ - 73,/ 1 ) Site tnspection ( ) Pre-Permit lnvest igat ion DATE APPL I NAI'I'E AOD PHONE LANE COUNTY PLANNING DEPARTI,IENT NOT appl icablel. Zoning 0rdinance Compl iance C] Zone tr-l ) Subdivis ion Ord inance Comp=l'iance ( ) ( NO YES NAI{ E ()( ( 2 3 Requ i red Access () () ) (4- t{ 4. Bu i ld ing S ite (Area, t./idth, 5. other (r"u "o[l:l::i"' Setback) )() () ?Y- ) CO}IHENTS: BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stabil ity (footings) 8. Flood Pl a in 9, 0ther (see Corrnenti) NOT appl icable YES ,kl, () () () ) ) () Lll N ,LY1 NO ( ()) COHHENTS: SAN ITAT ION SECTION 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Cornments) NOT NO 3 YES 0{ ? $ () ( ( () () ( () NA}48 DATE aool icable*r:r-( A.) CO},lHENTS TO APPL ICANT: Youg,-Building Permit / Site^ Yt can be approved . 3 - 7 ln ron: ( ) Cannot be approved at thi s ime as indicated on item N0.above. Que stions and further information on items I through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Quest ions and further informat ion on iG; 6 Lane Count Buildi and Sanitat ion Divis ion. ce until you can resolve t pro ( ) Your building permit applicat ion fee is being returned under separate cuver. T ^N[ COUN'TY PL^NN I NG DEPARTI'iENT LANE COUNTY BU I LD ING S SAN ITAT ION D I V IS IONllr, Sixtlr i\vt'n0t' l..rst, fut;ettt', Oreqon 97401 135 Sixth Avenue East, Eugene, 0r-egon 914ol l'lroNl. : lrr?- lJ I I t.XT. ?3t PHONE : 3L2-t3l I EXT. 4l I through l3 contact the( ) t.lil I be held in this o( ) ls being returned. ems n i cated BU ILD ING S iTE EVALUAT ION ff .( DATE >l-**-' NAI'iE DATE 5- a-?z No. PERM IT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Commissioners of Lane County, and it is t,he opinion and judgment of the Board that the said application should be granted, and that a permit should be issued. now, therefore, it is hereby ORDERED, that a permit be and is hereby issued to for the placing, building and constructing of the following facility: upon the right-of-way of County Road No., in strict conformity to the exhibits attached thereto, and subject to aII terms, conditions, agreements, stipulations and pro- visions contained ln 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, law or ordinance. Special Provisions: This permit is revocable at any time, and wiII be strictly adhered to and no work other 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 PERMITTEE ORANGE ROAD SUPERVISOR Y ELLOW Director of Public Works BUILDING & SANITATION DEPT SURV EYOR PIN K BLU E c98 s2 Dafe Date APPLIGATION FOR FACILITY PERMIT IN THE B()ARD OF COUNTY COMMISSIC)NERS OF LI\NE COUNTY Your applicant, , hereby makes application under Rules and Regulations Governing Facilities to be Per- mitted Upon County Road Rights-of-Way, to construct the following facility: Upon the right-of-way of Gounty Road No , at the folloruing location: as shorrun 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 menters of the public for its proper maintenance, repair, operation and use. Your applicant accepts all terms, conditions, agreements, stipulations and provisions, in Rules and Regulations Gwerning Facilities to be Permitted Upon County Road Rights-of-Way, dated March 31, 1960, and any amendments thereto, and any other applicable regulation, law or ordinance. Signature WHITE. OFFICE FILE GREEN . RESIDENT ENGINEER PlNl( - PEBIIITTEE BLUE. BOAD SUPERVISOR OSANGE. BUILOING AND SANITATION OEPT. YELLOW . SURVEYOR Address Phone No.- IANE COUN - BUILDING PERMIT OR MOBILE HuE ,r, ,r*r*,i PERMIT NO.BUTLDTNG [-l MHE PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFTICE PROPERIY I.EGAI DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge System TYPE CONSTRUCTION se. FT New BDRMS VALUATION SEWAGE DISPOSAI- PUBUC tr arr116 1,tNK E OTHERE PTUMBING INSTALTED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAIIER F EES WATER SUPPI.Y PUBTIC tr tr OTHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH IT oR sa. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT BTDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF \{AY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUIHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION - 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 THrs PERMTT ON MAIN BrDG. AT SrTE) I.ANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronr"r f cs5- l3 -r. ELFLOOR PLUMB I NG GROUNUdORK AP PRoV E D RettaRxs Drslppnoveo oart3-ta-)|_tNspEcroR GAS PIPING GROUNU/ORK AP PRoV E D REua nx s D DrsrepRovco D Dare I ruspecroa ROUGH PLUMEING Appnovro N DrsrppnovEo ReuaRxs ,4=tAJ3- t *s, cc, o^ -tft/Dar ROUGH GAS PIPING AppnovEo Reurnr s Dr sappnovro Dnr e I r.ts pE cton F I NAL PLUMB I NG AppRov e o RrMlnx s w DrslepRovro FINAL GAS PIPING AppRovro D Drsrppaoveo D Rr uanx s Dar r I Nseecron CERTIFICATE OF OCCUPANCY Reaov ro lssue Reuanxs D Nor Re rov ro lssuE D Dare_lxseecron_ Dor 16 - / - 2-l- t rrrrr',o^45fr{ d IANE COUNI_-BUIIDING PERMIT BUTLDTNG f MH E '; OR MOBILE HC--c USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI,UDE POST OFFICE N\ PROPERTY I.EGAT DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT -, EXISTING STRUCTURES ON PROPERTY APPL. NAME & MAILING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewog e System I New System f] STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ, FT. # BDRMS VALUATIoN ANJ 1 SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK tr OTHERE PTUMBING INSTATLED BY OWNER E OTHER: NAME BUI[DING WASTE DISPOSAT PLUMBING PLAN REVIEW PARK TRAITER TOTAI. FEES WATER SUPPLY PUBUC tr tr OTHER ( $. .-- -'-COUNTY BUILDING & SANITATION SPECIFICATIONS MIN, SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED IIN. FT TRENCH WIDTH FT OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTII. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT SIDE EXT USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BI-DG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Construction to comply with uniform building code ond covering plumbing ond sewoge disposol. All buildings of occuponcy before being occupied. (See Stotemenl on Reverse Side) county regulotions require o certificote (posT THrs PERMIT ON MAIN BLDG. AT s!TE) TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I FoRM=C55-13 ./-/ l SITE INSPECTION Appnov E o ReManr s Dt sappnovro /,: ,'/-/r"a+zrt ETDa I ruspecroR FOUNDATION I NSPECTION Ap pRov t o ReulRx s Dare '.1 .)' .'.-' lttspEcroR i- -' FRAMING INSPECTION Appnovro B'orsAppRovEo Dar E 3 ?T I NspEcron II t .: Reuenxs / ,., J ,i t ' o'' . LATH OR SHEETROCK Ap pnov E o RrltaRxs I NSPECT I ON Drsappnove o f-a Darr,I NSPEcToR FINAL INSPECTION Ap PRov e o Reuanx s oo,, b '1o' ft,NSPEcrDt sappRoveo CERTITICATE OF OCCUPANCY Rrrov ro lssuE RrulRr s D Nor Reeov ro lssue D I HsprcroR ?/t-ru ;/? Drr e ZO-o aA l-,-rl--,r D DrsappRoveo V ,4- t \DIVIDUAL SEWAGE DISPOSAL SYSTF' RECORD -rnstaller: Complete top part o- -orm to signature and return both copies to Lane County Building Sanitation Department. SS A Water PubIic v Other-List ,xx xxrr I t- Ga1. Capacity T sposa F Distribution Box:Yes Non /d /o lor below No .v Applican Name M ailing Address Ft. from well Steel I Concrete No. Compartments t ength widrh y'J-Diameter Depth J- Sketch See tructions Date Other D S Lot Line Signature tallation Conforms to Current Standards Date: o 1 For SaniJarian Use OnlY: E/Approved: System Ins 4-/b -23 t .J N 00 /{- \ lux$*I0 l"ilTJ,$;-tuliR _7 J -reruUdur.try HEAtTn uN, I Scott G ibson 24tl N. r5th Feet Springfield, 0r s Ft 3 4 65 Trench width Total sqfra Iines Ft. between * ?r''Fi1lera.bove depth Bectrooms$BathsI ilBasement Yes E No I Oisapproved: Does Not Conform to Current Standards Remarks: lfrr Lane County Building & Sanitation Dept. Sani ianrs S c55-ll S t i I