HomeMy WebLinkAboutPermit Building 1974-04-19I
IANE G\_A
BUILDING []
TY BUIIDING PERMIT oR MOBI\*,IOME UsE PERMII
PERMIT NO.MH
MAILING ADDRESSowNER
PHONE
l{ain Sor I nof lel d.0f icd Pr rrrert I 9.
MAITING ADDRESS
CONTRACTOR
PROPERTY TOCATION _DE POST OFFICEINCTU
PHONE
PROPERTY LEGAL DE SCR I PTI - METES, BOUNDS
LOT NO CODE CENSUS TRACT
SECT TRANG E
EXISTING STRUCTURES ON PROPERTY
tEGAt ACCESS TO PROPERTY
APPI.
NAME'i'
&
MAII.ING
ADDRESS
PROPERTY SIZE -FT.
WIDTH DEPTH AREA
ron A OATLE HOME
No. of Bedrooms
penmtrs oNt-v
Connecl to Existing Sewoge System E New System E
TYPE CONSTR UCTION se. FT -# eonvs VALUATIoN
ErRucruREs ro BE B UILT THIS PERMIT
r
I
TV
r,
spe
SEWAGE DISPOSAT
PUBTIC
BUILDING
WASTE DISPOSAT
PTUMBING
PtAN REVIEW
PARK TRAII.ER
SEPTIC TANK OTHE
$_-
OWNER
BY
NAME
FEES WATER SUPPTY
PUBLIC U OTHER
TOTAL
COUNTY BUILDING & SANI TATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt. 'tl
DRAIN FIELD REQUIRED
TIN. FT \TRENCH WIDTH FT.OR SQ. FT.
d ins to street
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI"IC UTIT. EASEMENT
SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CI.ASSIFICATION
FRONT Er SIDE EXT.
IZED SIGNATURE - DATE
REAR
DATE
BLDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PIUMBING _ CANARY
BUILDING - GREEN
SANITATION _ GOTDENROD
Call 687-4065 to schedule oll required inspeclions. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondqrds
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)
(posT THts pERMtT ON MA|N BIDG. AT S|TE)
LANE COUNTY, DEPT. OF ENVIRONAAENTAL MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Iroau lf g55-13
I
*t
)S C
( ) BuiIding permit Apprrcation/No.
( ) site tnspection
( ) Pre-Permit lnvest igat ion
CENSUS TRAt ISnl El Ban, @**,+,
{52^z
&t t-zl
)PL ICANT:
llAl'1E
ADDRESS
/7* oz-z Y,to/
PHONE
DATE -7
L^NE COUNTY PLANNING DEPAR T''IENT NOT NO YES
)
N;\.1'1 E Di\TEappl icable
I . Zon i nq 0rd i nance Comp I i ance
). Requ i red Access
subd iv is ion o.o,"jill"#ffi)..
(-I_-( ) (
2 () ((
((
() (4
()
()Building Site (Area,
Frontag
0ther (see comments)
w idt h,e, Setback)
5
COHMENTS:
() ()(,'-'u -',4
BUILDING INSPECT!ON SECTION
6. Plans Submitted
7. Soi I Stab i I ity (foot ings)
8. Flood Pl a in
9. 0ther (see Comments)
NOT NO
116'l icabte -(l
il
t/t
,fr
YES
J,b
()
NA}4E
()
()
()
(()dl*d*i
CO}AilENTS:
SANITATION SECTION NOT .NO YIS NA},1 DATE
appl icable Zgr"r( ) -( )10. Sewage Disposal
I l. Usable Area
12. [./ater Supply
13. 0ther (see Comments)
COMI4ENTS
(()
(
J (
:--;-
TO APPL ICAI.IT:
n0vou
w6b*fr
r Building Permit / Site
Can be approved.
Cannot be approved at
Ques t ions and f u r t- he r
lnspect ion
t h is t. inre as ind i cated on i ten, N0
infr.lr nrat ion on itenrs I throuqh 5
above.
L ane-
()
()o
contact the
C0UNTY PLANNING DEPARTMENT, Qtrt,slions and frrrt. lr<:r infornrotion on itenrs 6
LANt' (otlN'lY l'I AN['llNG DEl'}
l'lt' ti.xtlr Avcrrue Last ' E
1;'11trNE 3U l:l l I t'X I '
tl\Nt (.ot!t{lY Rl.llIt)lNG e Sr\t'll1/\Tl0N DlVtSloN
135 S i xth Nvg1rtt"'- E"t ' Ltttlcttr' ' ()r cclon 9740 I
t,,Out' 3,1t2-llll t'xT' i{ll
**----P-*
I\RTHENT
ugelle , 0t cgott 9ltlu t
. 131 -ri55-za "
aa .zZa/ r-
,
()
DATE
{-/ ff*?-t/
()
)
t ,)_!y-_qyJ-d itg-{l!,- -r9.1i-l-gl-l-Qn-Li v i s ion.
Wil I Lre held in this o{ [icc' r:nt il yr.)u can r-e:,olve llte problenrs indicatt'd.
ls being returrred.
Your buildinq pernrit .tpplit;tt ion [ee is t-reil]q returned urrder separatc crry'€r-'
Dote l+.to<!Permit No.5v-r!
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, therefore, it is hereby.
ORDERED, thot o permit be ond is hereby issued to
lJB wrrru Sr. SpnrNerrELD, 0nEcoru
DrveRs rF tED Pnopgnr r rs
for plocing, building
or constructing the following focilityt DrverrrNc
Eu Bor'r tra Genoexs Buocx 1, Lor 21
upon the right-of-woy of County Rood No.
-in strict conformity to the exhibits ottoched heret
sfipulotions ond provisions contoined in the oppl
erning Focilities to be Permitted upon County Ro
uol 50.'l9Q(2) cny omendments thereto, ond on
Mile Post
o, ond subiect to oll terms, conditions, ogreements,
icotion ond permit, the Rules ond Regulotions Gov-
od Rights-of-Woy, os set forth by the Lone Mon-
y other opplicoble regulolions, 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 qll mud, dirt ond debris from the
roodwoy ond right of woy coused by his operotion, leoving the roqdwoyond oreo in o neot,
occeptoble condition.
3.SloEwalxs bilLL BE coNsrRUcrED tN AccoRDANcE wtrH THE ATTAcHED stoEwALK
spEclFtcArtoNs AND DRAwrNe tg8-\9. TnE sTANDARD cuRB rypE sHALL BE
CONSTRUCTED UNLESS OTHERT"/I SE SPEC IF I ED.
This permif 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 Jur-v p 19 74 . Expires 19_.
lnspected ond Approved Approved by Boord of County Commissioners
By
Dqte
By
WHITE - OFFICE FIIE
GREEN _ RESIDENT ENGINEER
PINK _ PERMITTEE
BTUE - ROAD SUPERVISOR
ORANGE - BUITDING & SANITATION DEPT
YETTOW _ REAI. ESTATE
Director of Pu blic Works
c98 -7 9
Dote
Permit No
CURB CUT
PERMIT
IN THE B OARD OF COUNTY COMMISSIONERS OF IANE COUNTY
WHEREAS,the ottoched o PP licotion hos been ful lymissioners of [o ne Coun ty, ond it is the opinion ond irdg ment of the Boord thot th eso
considered by the Boord ofshould be gron ted,qnd thot o permit should be issued,now, fherefore, it is he reby.
ORDERED, thot o permit be ond is hereby issued to
or constructing the following focitiry:
County Com-
id opplicotion
for plocing, building
upon the right-of-wo
tn strict conform ily to the exhsfipulotions ond provisions
erning Focilities fo be Permitteduol 50.190(.2)ony omendments
Speciol Provisions
fore
lnspected ond Approved
y of Coun ty Rood No.
contoined in the
ibits otfoched h
opplicotion
ereto, ond subi
ond
ect to ol
permit,upon C,
thereto,
ounty
ond
Rood Right s-of-Woy,
ony other opplicoble
2
';'#r*Ar"Xiiihffi-:;j:t"' in occordonce with rhe o*oched drivewoy opprooch specifico-
Permittee will be responsible for the immediote removol of olt. mud, dirt ond debris from the:::iJ;f,"":3":,t[,:t wov '",'"J-uv hi;;;;;#."1r".ui"n the roodwoy ond oreo in o neor,
ll/
. This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thonthot specificolly mentioned obove-is hereby outhorized.
This permit sholl be void unless the work herein contemploted sholl hqve been completed be-
Dote
-
r 9-_.
Approved by Boord of County Commissioners
By
19--.. Expires
By
WHITE _ OFFICE FILE
GREEN - RESIDENT ENGINEER
PINK _ PERMITTEE
Direclor of Public Works
c98-79
I
BLUE - ROAD SUPERVISOR
ORANGE _ BUITDING & SANITATION DEPT.
YETLOW - REAT ESIATE
LANE CG-,{TY BUITDING PERMIT OR MOBILT
BUILDING E MH E
.OME USE PERMII
PERMIT NO.
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
PROPERTY LEGAT DESCRIPTION _METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPI..
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 Sysrem f, New
TYPE CONSTRUCTION se. FT BDRMS VALUATION
m
STRUCTURES TO BE BUILT THIS PERMIT
I PERiil-
SEWAGE DISPOSAI.
PUBTIC tr SEPTIC TANK tr OTHERE
Pt U,tAetNl'G
OWNER E
,nfe,So BY
OTHER: NAME
(F EES WATER SUPPTY
PUBUC tr tr OTHER
BUITDING
WASTE DISPOSAI.
PI-UMBING
PI.AN REVIEW
PARK TRAIIER
MIN. 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
BIDG. SETBACKS FT. FROM CTR, OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CI-ASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ 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 regulotions covering
plumbing. All buildiigs require o certificote oi"o.irpon.y-U"torE
being occupied.
(See Detoils on Reverse Side)
(posT THts pERMtT ON MAIN BrDG. AT SttE)
LANE COUNTY, DEPT. OF ENYIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6rh, EUGENE, OREGON 9ZltOIronu :i 655- 13
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
-
Dare I ruspecron
FOUNDATION INSPECTION
Ap pRov e o
REur nx s
Drsrppnoveo 1. -I ZDrr r I rusprcroR
t
FRAMING INSPECTION
Appnoveo /X DrsrppRoveo
Rruanx s
Dar r
EFP/Ac3,
Darr
R
AD
Z/p
OR SHE
ab
t0N bu7a?Aru ,
Appnovro
Rrulnx s
Dt sappRovro I rseecton
/,'a
FINAL INSPECTION
Ap pRov r o
Rrunnxs
D r sappnoveo ootrf,'L'71 IttspEct /,
.l I
CERTIFICATT OF OCCUPANCY
Rreov ro I ssuE
ReurRx s
l nsprcton
-'iu -
Nor Rerov to lssue Drr e
x3
/
SITE INSPICTION
Appnovro D Drsappnovro D
RruaRxs
D lNspr
d D
IANE Cs-NTY BUILDING PERMIT OR MOBIL
MHEBUILDING
TION - INCI.UOE POST OFFICE
,{OME USE PERMIT
PERMIT NO.PROPERTY OWNER
CONTRACTOR
PROPERTY TOCA
2
MAII.ING ADDRESS
MAITING ADDRESS
PHONE
PHONE
PROPERTY IEGAI DESCRIPTIO N - METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
APPI-.
NAME
&
MAITING
ADDRESS
FOR MO
EXISTING STRUCTURES ON PROPERTY
TEGAT ACCESS TO PROPERTY
PROPERTY SIZE - FT,
WIDTH DEPTH AREABILE HOME PERMITS ONILY
No. of Bedrooms
STR UCTURES TO BE BUILT THIS PERMIT
Connecl to Existing Sewoge
TYPE CONSTRUCTION
m New System
SQ BDRMS VALUATIONFT
e/rt{t
4gf,<
SEWAGE DISPOSAT
PUBilC tr SEPTTC TANK !orHERn
PTUMBING INSTATI.ED BY
OWNER n OTHER: NAME
BUII.DING
WASTE DISPOSAT
P[UMBING
PI,AN REVIEW
PARK TRAITER
FEES WATER SUPPI.Y
PUBUC tr D OTHER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACTTY
WITH DIST. BOX: GAT.
DRAIN FIELD REQUIRED
I.IN. FT TRENCH WIDTH FT,OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT
BIDG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
B[DG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UMBING _ CANARY
BUII-DING - GREEN
SANITATION _ GOLOENROD
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 cerlificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMIT ON MAIN BIDG. AT SlrE)
LANE COUNTY, DEPT. OF ENVIRONMENIAT MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97lt0l
roni,r f c55-13
Drr e I rsprcron
Reunnx s
I NSPEcToR
ROUGH PLUMBING
APPRovED / X/ DtsaPPnovEo--,2'-*HrruspecDar
Rruanxs d
ROUGH GAS PIPING
AP PRov E D
REMaRx s
Dr sappRovro DATE I usprcron
F I NAL PLUMB I NG
APPRovED m Dtsrppnoveo
Rrt,trnxs
Dar luspe
FINAL GAS PIPING
Ap pRov e o
Rruanx s
DrsAPPRovEo I xspecton
CERTI F I CATE OF OCCUPANCY
Reaov ro lssue
RruaRx s
D Nor Reaov ro lssuE D Dare I NsPEcroR
SLAB FLOOR
PLUMB I NG GROUND$/ORK
APPRovED f--7 DtsaPPnove, D
GAS PIPING GROUND/ORK
APPRovEo D DrsAPPRovEo D Dare-
D Dorr-
IANE CO. Y BUITDING PERMIT OR MOBITE
PERMIT TYPE - BUILDING MOBILE HOME OSC REG. #
MAILING ADDRESS
ME USE APPTICATION
PERMIT #
PHONEPROPERTY OWNERD , " -/M /st.Tt)ot-,-fu*),1p-41 ,,(/ 7^tryL 1
CONTRACTOR {{MAITING ADDRESS ---v-7---------?-Ffior.rr--------
o
TUDE PO
d1^4
t-ocATtoN - tNc
RANGE
ST OF CE
PROPERTY TEGAI- DESCRIPTI
I.OT_BLOCK_SUBDIV.bl-& BOUNDS n YES
ATTACHED fl NO
SEC.TAX I.OT CODE
DESCRIBE EXISTING STRUCTU
ILt-ztz
PROPERTY IF ANY
C ENSUSt-l,l
APPLICANT
NAME
AND
MAITING
ADDRESS
en-n&\f, J3
PROBERTY _ ROAD NAME OR #Y i nj ts;/44,,JTEGAT ACCESS TO
^REV
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms Connect to Existi
TYPE CONSTRUCTION
$.''
dO
m or New
STRUCTURES TO BE BUITT THIS Rl,{lT SQ. FT.5s
dYo o
BEDROOMS VATUATION
a
FACITITY PERMIT
o
2 o
a
DATE
o-
DATE
-t O-
44
t
SEWAGE DISPOSAT
PUBUC tr SEPTIC TANK tr OTHER
)4
.(3
FEES
CASH [ 56y7sp
CHECK E CONNECTION FEE
PUBTIC WATER
CONNECTION FEE
SUPPTY
PU BTIC OTHER
PLUMBING FEES tH
FIXTURES ,&
PTUMBING INSTATTED BY
OWNER OTHER NAME
PTANS FURNISHED
YES NO
,TURE OF APPTICANT
RECEIVED BY
PERMIT
OR SQUARE FEET
\2
BLDG.
WASTE DIS.
PI.UMBING
PI.AN REVIEW
PARK TR[R.
tA YES NO
t/{,aaTOTAT
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.D
COUNTY BUILDING & SANITATION SPECIFICA
DRAIN FIETD REQUIRED
TIN. FT C)TRENCH FT L ?o
rS
TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD PUBI-IC UTII". EASEMENT
-{/\//{d
BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CIASSIFICATION
Form # css-t2
SIDE EXT 2 REAR
Dole
FRONT SIDE INT
rections to Find Property
PLANNING Dote BLDG.
COPY I _ OFFICE
COPY 2_JOURNAT
COPY 3 - AUDIT
/ilt
/
- ?t/