HomeMy WebLinkAboutPermit Building 1974-08-29,lIANE COUN.-- BU ITDING PERMIT OR MOBILE HGJ UsE PERMIT
OWNER
BUTLDTNG []MH
MAITING ADDRESS
I -! :
PERMIT NO
PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY I.OCATION _ INCI.UDE POST OFF ICE
,l lhnrr I 5rn SPn t xor t sLo &gooN
PROPERTY IEGAI DESCRIPTION - METES,BOUNDS
Lor 2 Buocr 5
SECTION TAX LOT NO,CODE CENSUS TRACTRANG E
i'
I
EXISTING STRUCTURES ON PROPERTY
'1.--
r ll. .;APP[.
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 I New System fl
STRUCTURES TO BE BUILT THIS PERM IT TYPE CONSTRUCTION SQ, FT. = BDRMS VALUATION,|i
Im g 5.3D
SEW,
PUBUC n SEPTIC TANK N OTHERE
PLUMBING INSTATI.ED BY
OWNER E OTHER: NAME
BUILDING
WASTE DISPOSAT
PTUMBING
PI.AN REVIEW
PARK TRAILER
FEES WATER SUPPTY
PUBTIC N D OTHER
TOTAT
l"'--:----$ '.
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIEI.D REQUIRED
[IN. FT TRENCH WIDTH FT OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT
AGT
BLDG. SETBACKS
FRONT . ,
FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION
SIDE INT.SIDE EXT REAR 1'.
AUTHORIZED SIGNATURE _ DATE DATE
/s/ ,t, E
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Coll 607-4065 Io schedule oll required inspections. All conslruc-
tion sholl comply with Uniform Building Code, D.E.Q. stqndqrds
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)
(posr rHts pERMtT oN MA|N BrDG. AT S|TE)
LANE COUNTY, DEPT. OF ENVTRONMENTAL /'IANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, oREGoN 9740Ironu f 955- 13
I
0ulL0 ll{G 5 I It. LVAI-UAl l0ll
//,
| - ,'..--cLll!
l{5 . IAX Lot
I RACT
APPI ICAIII :
tl/1,14[ i()Building Permit Application No
( ) Site lnspection
( ) Pre-Permit lnvest igat ion
ADD RT.S S
P HONE
DATE
L ANE COUNTY PLANNING DEPARTI'IENT U9.I NA{E_DATE
appl icable
)
)
(
(
(
2
3
4
5
Zon i ng 0rd i nance Comp I i ance
( zone_)
Subdivis ion 0rdinance Compl iance
Requ i red Access
Building Site (Area,
Frontag
0ther (see comments)
Width,
e, Setback)
)
()
)()
)
COHHENTS:
BU tLD ING INSPECT ION SECT ION NOT NO YES NAJ"IE DATE
6. Plans Submitted
7, Soil Stabil ity (footings)
8. Flood Pl a in
9, Ot he r (see Corrrrnents )
appl icable-*Tl-(,U)
t{
q1
t{
() ()
() ()
)(f.t-t-'?<t
COHHENTS:
SANITATION SECTION
Sewage Disposal
Usab I e Area
Water Supp I y
0ther (see Comments)
N0l-NO YES E DATE
aool icable*Tr-(
)t0.
n.
12.
t3.
(
(
()
()
)(
)
COMHENTS:
TO APPL ICANT:
Your Bu i ld ing Permit / S ite lnspect ion:
N Can be approvecl.
( ) Cannot be approved at this t ime as ind icated orr item N0
iq above.
Qrrest ions and further informat ion on items I thrortgl-r 5 contact the Lane-
C0UNTY PLANN ING DEPARTHENT. Ques L ions and f urtlrer infornrat ion on itenrs 6
()t hrough I 3 'cont act t he
Will be held in this of
Lane Count Buildin and Sanitation Division
fice unti you can reso ve the pro ems I ndi .r,uO.
( ) ls being returned.( ) Your bui ldinq permlt appl icat ion fee is being returned under seParate cover.
I.ANE COUNTY PI,ANNING DIVISION
I35 SixEh Avenue East, Eugene, Oregon 9740L
Phone (503) 687-4186
LAI'IE COUNTY ENVIRONMENTAL MANAGIiI'IENT
135 Sixth Avenue East, Eugene, Oregon 974OI
Plrone ( 503) 687 -4065
c55-28
!,.-J
NO YES
() ()
(
.--_.---F
L-
(t
()
()
a
()
-Dote Permit No
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OE 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, therefore, it is hereby.
ORDERED, thot o permit be ond is hereby issued to
for plocing, building
or constructing the following focility:wll
upon the right-of-woy of County Rood No.
-
Mile Post
in strict conformity to the exhibits ottoched hereto, ond subiect to oll ferms, conditions, ogreements,
sfipulotions ond provisions contoined in the opplicotion ond permii, the Rules ond Regulotions Gov-
erning Focilities to be Permitted upon County Rood Rights-of-Wqy, os sef forth by the Lone Mon-
uol 50.190(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce.
Speciol Provisions:
I. Drivewoy will be constructed in occordonce with the ottoched drivewoy opprooch specifico-
tions (Drowing M98-50).
2. Permiltee will be responsible for the immediote removol of qll mud, dirt ond debris from the
roodwoy ond right of woy coused by his operotion, Ieoving the roodwoyond oreo in o neot,
occeptoble condition.
I F'l o'4 4 il-
()l<
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 shsll hove been completed be-
fore 19-. Expires , 19-=.
lnspected ond Approved
BTUE _ ROAD SUPERVISOR
ORANGE_BUIIDING & SANITATION DEPT
YELTOW _ REAL ESTATE
Approved by Boord of County Commissioners
By
Dote
By
WHITE _ OFFICE FII.E
GREEN _ RESIDENT ENGINEER
PINK - PERMITTEE
Director of Public Works
c98-7 9
a
(/''
IANE COUN,_BU|LD|NG pERMtT OR MOBIIE
BUILDING L] MH T
HO-,.d USE PERMIT
PERMIT NO.
PROPERTY OWNER MAII.ING ADDRESS
'',
a PHONE
CONTRACTOR MAILING PHONE
PROPERTY TOCATION - INCI.UDE POST OFFICE
PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS
RANGE SECTION TAX LOT NO CODE CENSUS TRACTt?*
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAITING
ADDRESS
*IEGAI. ACCESS TO PROPERTY
Ilorrr tSrn \
'\i*,*rGrB, frGro'\ RROPERTY ISIZE - FT.I\,WIDTH
DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect lo Existin Sew System f New
TYPE CONSTRUCTION
n
SQ, FT,VALUATIONBDRMS
83,
PTUMBING INSTALTED BYSEWAGE D
PUBLIC SEPTIC
BU ITDING
WASTE DISPOSAL
PTUMBING
PtAN REVIEW
PARK TRAILER
TOTAL
OWNER OTHER: NAME
WATER SUPPTY
PUBI"IC OTH
*FEES
COUNTY BUILDING & SANITATION SPECIFICAIIONS
MIN. SEPTIC TANK CAPACITY IETD. REQUIRED
TRENCH WIDTH FT.
DRAIN F
TIN. FT OR SQ, FT.WITH DIST. BOX: GA[.
\\"\\" u t-.-
i ('.* -1 \s'
TYPE OF STRUCTURE OCCUPA NCY ZONE PUBLIC UTIL. EASEMENT
BTDG, SETBACKS FT. FROM CTR, OF ROAD RIGHT OF WAY USE CLASSIFICATION
FRONT SIDE INT.REARSIDE
AUTHORIZED SIGNATURE _ D,ATE ,i1h . a
DATE
BLDG. PERMIT - WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUILDING _ GREEN
SAN ITATION _ GOI-DENROD
Call 687-4065 to schedule oll required inspections. AII conslruc
tion sholl comply with Uniform Building Code, D.E.Q. stondqrd
IMPORTANT: for subsurfoce sewoge disposol ond county regulotions coverin'
plumbing. All buildings require o certificote of occuponcy befor
being occupied. r
(See Detoils on Reverse Side)
(posT THrs PERMTT oN MAIN BrDG. AT S|TE)
LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740IFoRM = C55- !3
-I
SITE INSPECTION
Ap pRov r o
Rru,rsr<s
DrsrppRoveo D Date I ruspEctoR
FOLINDAT ION I NSP
Ae pnov e o
RruaRxs 6
T ION
Drsapenoveo /6-Dar SPECTOR
FRAMING INSPECTI
Appnoveo Drsappnoveo D DarE
Re uanx s
NSPECT
LATH OR SH ECT I ON
D I S APPRoVED o^,, /b,l-('il.,0,1,P E CTORAp pnov E o
Rrurnx s
FINAL INSPECTION
Ae Pnov r o
Reuanx s
Dt SAPPRovED - 2 ('7,t.
Dare c &t,
L'
I
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
RrMenx s
D Nor Reaov ro lssue D Drre _I ruspecron
2 6 Al /ra
t
)
e
Dote 8/zg/tLI Permit No.1 -7\
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTV
WHEREAS, the ottoched opplicotion hos been fully considered by the Boord of County Com-
missioners o{ Lone County, ond'ii is the opinion ond iudgment of the Boord thot the soid opplicotion
should be gronted, ond ihot o permit should be issued, now, therefore, it is hereby.
ORDERED, thot o permit be ond is hereby issued to
I 68o DeLnose Spn rrucr r ELD, 0nseoNr
Leoru Kr NNETT
for plocing, building
or constructing the following focility:
Lor 2 Buocx 5 DeLRose 2uo AootrtoN Nonrn 16rr-r
upon the right-of-woy of County Rood No.Mile Post
in strict conformity to the exhibits ottoched hereto, on d subi ect to oll terms, conditions, ogreements,
sfipulotions ond provisio ns conloined in the opplicotion mit, the Rules ond Regulotions Gov-
erning Focilities to
uol 50.190Q) ony
Speciol Provisions:
ond perr
hts-of-Wbe Pe rmitted upon County Rood Rig oy, os set forth by the Lone Mon-
omendments thereto, ond ony other opplico ble regulotions, low or ordinqnce
2
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 roodwoyond oreo in o neot,
occeptoble condition.
3 Stoewauxs r{tLL BE corusrRucrED lN AccoRoANcE rr,tTH THE ATTAcHED stDEV/ALK
spEc tF lcAT loNs AND DnnwlNe tp8-l+9 Tne SrlnorRo Cune rypE sHALL BE
cONSTRUCTED UNLESS OTHERTvJ ISE SPEC I F I ED.
thot
Dote
This
sPec
This permit sholl be void unless the work herein contemploted sholl hove been completed be-
fore Blzslts 7 7g-. Expires 19_.
lnspected ond Approved Approved by Boord of County Commissioners
By & ,1-.--a
permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon
ificolly mentioned obove is hereby outhorized.
By
WHITE _ OFFICE TIIE
GREEN _ RESIDENT ENGINEER
PINK - PERMITTEE
BTUE _ ROAD SUPERVISOR
ORANGE_ BUII.DING & SANITATION DEPT,
YEI.I,OW _ REAT ESTATE
Direclor of Public Works
c9B-7 9
LANE COUNi JUILDING PERMIT
BUTLDTNG [] MH E
OR MOBITE HO.-- USE PERMIT
PERMIT NO.
PROPERTY OWNER MAILING ADDRESS
3
PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY TOCATION _ INCI.UDE POST OFFICE
J
PROPERTY tEGAt DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO.CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPI..
NAME
&
MAILING
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 New
TYPE CONSTRUCTION SQ, FT BDRMS VALUATION
SEWAGE DISPOSAT PTUMBING INSTALTED BY
PU BL IC
BUILDING
WASTE DISPOSAT
PTUMBING
PTAN REVIEW
PARK TRAITER
SEPTIC TANK
FEES
OWNER OTHERI NAME
WATER SUPPTY
PUBUC n ! OTHER
$
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT
BLDG. 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
BUILDING _ GREEN
SANITATION _ GOLDENROD
IMPORTANT:
(posT THrs pERMtT oN MAIN BrDc. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I
Coll 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
for subsurfoce sewqge disposol ond county regulotions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Defoils on Reverse Side)
ronu lf 655- 13
OR SQ. FT.
SLAB FLOOR
PLUMBING GROUND/ORK
Ap pRov r o
RrMaRx s
Dare I NsprcroR
GAS PIPING GROUND/ORK
Appnov ro
ReuaRxs
D r sappRovro Dar r I ruspecron
ROUGH PLUMBING
Appnove o /<71 DTsAPPRovEDl?-+.
Rrpr e nx s
Dar ,7/r- ,I rusprcron
ROUGH GAS PIPING
Appnoveo D DlsAPPRovE, D
REuaRr s
Drr r I Ns pe cron
F I NAL PLUMB I NG
Appnovro H DrsAPPRovEo D o*rflj'N-
Rr Manx s
I Hspecro
FINAL GAS PIPING
Aepnoveo D DtsappRoveo D
RrMenxs
Dare I Nsrecron
CFRTIFICATE OF OCCUPANCY
Rraov ro lssue
Rruanx s
D Nor REaov ro lssur D Dor._I HsprcroR
D Drsrppnovro D
I NSTALLER:
Ir
comprete top p"'tP:l';:: ::'lh:l:::'::o'[ffiT'-;::i -,"\hrmilAt
ffi m
3537 NonrH 1 6rH
JS
v ng Un ts
1
roomS asement Water Supp vYes No X Publ ic X 0ther-List21
Ft. frorn wel I Steel tr Concrete No. Compartments I Gal . Capaci ty 1OOO
lns eD mens ons:t e sPosa e
Len th I width Oiameter D h Distribution Box Yes
t er str ut Oll-PeNAl.tE Leou Kt NNErr
eet rorn
}tA IL I NG
ADDRESS
ROS }JEI I p,
Lot L ne
GON ront Side I0
nes-Ft.
. 5o+.5
0ate
OF
No
D r
tLen
ot anP
er e ou,ile 5 in.
For Sanitarian Use 0nly:
tn accordance with 1973 Oregon Laws Chapter 835, Section 214 this certificate
as evidence of satisfactory cornpletion of a subsurface sewage disposal system
I ocat i on.
?i'?:!,Q//Vz
at the above
Approved: System lnstallation conforms to current standards
Disapproved: Does not conform to current standards
rks:
Trench I Total Sq.
width 2l Ft. ,oO
t
Lines
tween
10
er DeptTile 2 in
ons.see instruct
a
-i
nt:
INNE COUN
ENVIRONUIEN"i;'L
/(l
<-->
.T
e
<-+
il
tr
\
\
i] Eu\
n" 19
I
l
I
I
(
I
I
I
I
I
I
a\ -r
Lrl 1
t$
I
I
I
<)\4 f.c)
'o
"l
f
I
o
^l
A.|oa s
t
t
I
na
c55-11
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
gnat ure
7
ar
NE COUNTY
an
\\
,-$
,.
5
-
IAI{E COJNTY
PEB0{rT#6
Buildirg
NOTE: ItIo
PLEASE PRIM
PROPRTY I,OCATION
TI^]P 12 RA}GE 03 SEC. J TAX Lm /r
r,crl No. -z BI0G(6
ADDRESS
C@Eq%ul- 44€H<--SM{SUS \RAC@-Lp-/s?
ACCESS TO PROPERTY ru\ I T T(
DESCRTBE HfiSTDG STRUMURES ON IHE PROPERTY
APPLICANI
}TA}4E
PROPRIY SIZE
wrrrrti 7 o DEII{ /a/, zL oR ACREAGE
PI{CbIE
MME Laay( 11 ,N,{€Tr ADDRESS PnoNE *1+G:3 Zs{
sq ,/o
c)
Site Inspection
ter
&rblic
Bldg.
Waste Dis.
Pkffiing
Plan Review
Ttailer
1% sr.rcharge
I &. ort
/,36
Plturbing FeesI tt of fixrures
n qesh
Edleck
Sewer connec
inspection
Plans ftn^nished
Yesn No f]
Ttench
I^Iffi
inspection fee;p,
Permit
*7
It2frJ--I*isting ser^rage disposal systsn t or ne\r systsn &
t Nane Rftt p Ra i.a,l Well [] Sprrng I
/07, oo Fees
W Pltrrbing rnstalled by G,mer other
F
TUIAL /6 2,3^6 Signature of App
Fee
Min. Septic
with dist. box:9OO Lineal Feet Depth n lnT '*Sq rt. JC 0
c55-L2
Side ht S ide E:<terior
se
Rear 2'
'-rf
tsIgd.
Front
setbacks-tt trom center ot road righ ot wayt
N( nil6
MAILIIG
a
/
},h