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Home My WebLink AboutPermit Building 1974-1-14 . S' '_EM~ BU!LOING PERMIT N Qt:l~":7..s , 'Lane County. Oregon '.. '~~ . OWNER ,__,\ ' I \ r.. _' c , I 1-+ 1/2',('",c,'" \ ' . j~ . , ,'='" . \, - J. V VI '" L 7' .... '-r MAILING ADDRESS t OS J o (,').Pf' I} ,', ' '1<.( CONTRACTOR PROPERTY ADDRESS J-/7o~ '""T- or, ~ .. .In y",,..r MAILING ADDRESS () , -. r, I I t....ci. S'-::,-!;/'\u;-';P d_ 'J , r ~ ADDITION; ~ \; " ex f,' v.'\'!(~"I.... .nO,:;),,:" r D CORRECTION: j. \ ; , lJl 0"'-.1:)1 Q teLL- , , " ',\0\1(,' eo \ . \) " II,~ ~ CHANGE RESULTS IN:D REFUND OF FEE, OR ... D ADDITIONAL FEE: BUILDING ~ SEPTIC TANK SANITARY CONNECTIONS TOTAL ~ r,. v-- D 0"""""- DATE FEE PAID Cash Check LANE COUNTY DEPT, OF HEALTH & SANITATION "',J _J l..} y L _ ." 1--11.- //.;'-i/, /,.. / - Datp 1- / t.j-"/ if I ~ Supplement N~ 1588 5 By /? P . , J / , " I /1') IJ /c IV I ,,,1 \/ I 1 ,~' "~:"'W-----:""""""T'.r-"-=,,,.,..........- - ,- -----,-..-,--~~~-.:'t',.~ j.'- ,.' ,,,;...l!:>;,,,. ,,,,-, \ ...-...... -l!\( r. _: '~,~ " ~p" '~/'~ . '( ,!"''# LANE COUNTY BUILDING PERMIT OR MOBILE"'HOME PERMIT BUILDING I[J MH D. PERMIT NO, MAIb.ING ADDRESS' 419'3 JilIi"'tIf Ro. J'ulItil IQo.tI!) " PROPERTY slze'!- FT.r. . -'-'.. ....} - "I: ~. -:. ::0,- ~ ,'J',:',.... ')..~ . \ "",' WIDTH ' DEPTH AREA . AC!i1l: J ~~.~\\-. .J.~-'~~ 'i'~ ~.''':-'~.'' >. Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :tt B,?RMS U~ G 12. (2) ~!,61 ~. 196 1M. " PROPERTY OWNER ~,,,.., "''''''...., .'; t, ~ t,w)" ..PLt'ft CONTRACTOR IVAN' S~nINa.'~LD. OR. MAILING ADDRESS PROPERTY LOCATION - INCLUDE ~q~~I~R.~F~CE .1;jOl5 JAIJIlta RD.. ~tt;':Wtl1;l>""" ..CftO$$ "'RIlM Room,- ROAI) rllt.'1&: . PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE SECTJON TAX LOT NO, CODE CENSUS TRACT '2\.) 02 05 ~ 11:}..~1 EXISTING STRUCTURES ON PROPERTY ~1o~J1!: LEGAL ACCESS TO PROPERTY APPL. NAME nlTI.USEN.. 1\l1\"a 470S .uSP;W n~ ".~ \...... ADDRESS $1'11' IfliGfltl.D,o on. 914n FOR MOBILE HOME PERMITS ONLY No. of Bedrooms , , ~--\:. & ~. " MAILING ',", ~, 't "~'I ,'). - ... y\' .... .(. .. STRUCTURES TO BE BUILT THIS PERMIT C1::2..t..lim " fi1Il.!!C , ' , "- n~7,1G{:..Al.Ul!l-'trfl*~8~ l.\-'{'" .. ,:-, . , \,' a~'e-rztic& SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER FEES PLUMBING INSTAL~ED BY OWNER 0 'OTHER: NAME WATER SUPPLY D! 1:1' Iita SEPTIC TANK ,[!] .. OTHERD . . < Qi!l:.W '\:~ \~" l.:1.~ " \ ......J PUBliC :ib D OTHER '\'-\\-~' ...... TOTAL ~.~ COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED $ MIN. SEPTIC TANK CAPACITY WITH DIST. BOX; GAL. UN. FT TRENCH WIDTH FT. OR SQ. FT. '\.~ \~ '~\ r11' - OJ .. \l,\-ot '~ '-,,~ ~- '.\ I,~'~',",' , "."'If......... :;;;r.. ..:r...... "~ .....;- ~~\~ t\..\s-" - TYPE OF STRUCTURE :?J BLDG. SETBACKS _ FT, FROM CTR. ~i~' FRONT <y" OCCUPANCY I t, J ZONE Alllt 2%-&71 PHONE Nt.'k PunJril.tt' PHONE New System 0 VALUATION n.S&'4 0;,;4 784 I:),)~.OO PUBliC UTlL. EASEMENT /o! OF ROAD RIGHT OF WAY 1lJi. SIDE INT." SIDE EXT. AUTHORIZED SIGNATURE - DATE ..3.~. DaiS tiy C. HARI;).\!.K'.Ii J. OlOOl<, R.S t ,$ANI'tAll MN USE CLASSIFICATION 11);' REAR , DATE t.7.73 BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform building code and county reguladons covering plumbing and sewage disposal. All buildings require a certificate of occupancy bef~re being occupied. , (See Statement On Reverse Side) , ,"...... .,.... '\ .'-.' '. '- (POST THIS PERMIT ON M~IN BLDG. AT SITE) lANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 . ~~ FORM ::t C55 .13 / '--':"-~ ''".-- "' ,^.~-"'V_';'i<-' ,... .- .. ~.,~.." t'~" ..." . -"---~~~:)-~;"':--;t.~F'~ ., , r", SITE INSPECTION ApPROVED ~ DISAPPROVED.~ DATE INSPECTOR REMARKS FOUNDATION INSPECTION APPROVED 1Pf"'~'~'APPROVED r--7 OATE ~-~? 7'1 INSPECTOR~ REMARKS&-N~~;;t 1'~:'<-t.Z'#('Z"<-';'0qKh -/ -7</c{~ ..1 IU~~L ~--L ? " ~ - ')'l/ I 'FRAM,ING INSPECTION ApPROVED I-~'I SAPPROVED INSPECTOR ({?L' -:?-?-7Lf 17 DATE REMARKS LATH OR SHEETROCK IN~?ECTION , ....- -- Ap~ROVED ~I DISAPPROVED I I NSPECTo!fl/ ~,I,. I DATE '3-I/-IJf/ REMARKS FINAL INSPECTION ' ", I~)) ApPROVEO ~DIS'PPROVED 17 DATES - ;}. 0 ~ '71, NSPECTO~' REMARKSrJ.~rf/,2I.''1g,- At.,-; ()1U.~ ~- 10.'-7" CERTIFICATE OF OCCUpANCY READY TO ISSUE 17 NOT READY TO ISSUE 17 DATE INSPECTOR REMARK 5 !' ' tfl ' /1/, iI/~v/,~ :2l/68'-7,- r!J~, ~~ /Co(, ~'C " ~. t. t!l/ ~/ "- ,1l'::~~ '~~~I" ' ",t .", c~;: ".1.- 0' ':~r?y ,- ~~ ,.,,',;...y ''''-~':'-r~ , ,~" \..,' ' Jf~I;' , ,"~~ '~-\~1 i:'jii' ,:;; '''':-.. .,~ .IN 1 i ~ " '1 .," '~'-~-~~J~~~---"~-"-~;.s>---~~~,-~ ':"""0"_'-....-----..;- y~ . .' . ~ / . -;..J"1/~ cf~._ . r.;t . \l_ /" i \ " , :~\~ '9 -.p LA~E C~UN~Y B~~i;;G 'PERMIT OR MOBI~h:j'~ME L r'pERMIT BUILDING ,[lJ Ml;f U" PERMIT NO, MAiliNG ADDRESS t)'it)1j Jc,n:>co GO. MAILING ADDRESS. "-,...~'~\: PROPERTY OWNER nll'-&' 7';1 PHONE D 11LEP'SEtl. IVAN CONTRACTOR S?~U::3i!)nfl"C. ~. [\'1) ~j~.'"t PHONE PROPERTY LOCATION - [NCLUDE,~.P8.~~ ~FFICE In;yj J~o:>f!:1l n".. !:):;>QOt:fWIt;Wpp tlC"CJ$ I'rlG:'J F)@GItV fu'lAG Or.evlJ PROPERTY LEGAL DESCRIPTIO~ - METES, .BOUNDS .....;"r~..j..1 TWP RANGE SECTION TAX LOT NO CODE CENSUS TRACT 18 02 0'1 2~CI t~?1 EXISTING STRUCTURES ON PROPERTY APPl. NAME & MAILING [) 111.lW'S[r~. evUJ t~1U'1 Ji',WItO nOllO c~:"~ LEGAL ACCESS TO PROPERTY ,bn?Em a~;:)lil PROPERTY SIZE - FT. " ADDRESS S::>n Ot~:.')1" Df:'w. 0.1. ()7~71 FOR MOBILE HOME PERMITS 'ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT" WIDTH DEPTH AREA 1 I1cne , Connect to Existing Sewage System D TYP~ CONSTRUCTION SQ. FT. :# BDRMS New System 0 VALUATION O"Uit!.1. 1C!3 ;"- I"'nl1.m: Ui'i!? 0 12. un ~ ::j..i:2~J \'" . . .l"~ -.... ,,-;, ", , ......... ,- ~8~OE~~\?Ac.13~tt;el~~~O '..'~',-.'-i ~ 't , '.... or ~":-,,,...... \00 (; ~. 196 el. <1J~ $'"',>0'0" "r;......h~~ 1?..'r '>j~1-"....,:r-~ ..,~:;t'~r-""W SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER ~OCYl(.;3 [!] .. OTHERD $ Uii:.oo FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY t--. tq.5b PUBlIC:tb o OTHER MIN. SEPTIC TANK CAPACITY $ l;;9 . ':!J COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED TOTAL WITH DIST. BOX: GAL UN. FT TRENCH WIDTH FT. ' OR SQ. FT. TYPE OF STRUCTURE ~J OCCUPANCY I c,J ZONE Ann USE CLASSIFICATION PUBLIC UTll. EASEMENT BLDG. SETBACKS _ ~T.. FROM CTR, er", FRONT ",... /0/ OF ROAD RIGHT OF WAY 05' SIDE INT. r SIDE EXT. AUTHORIZED SIGNATURE - DATE Ilm cv C. t~g~t.'!m tr:t REAR .') J.e:, J. SlimJ:~.. R..S. D S~rHVM11~IJ DATE 1 Q Fr:! BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BU'ILDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform building code and county regulations covering plumbing and sewage disposal. All buildings require a certificate of occupancy before being occupied. (See Statement on Reverse Side) _ (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIY., COURT HOUSE, EUGENE, OREGON 97401 FORM == C55-13 ,.. .~~..~ . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED fI 01SAPPROVEO C/' DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / /.0 I SAP~ROVED 17 DATE REMARKS ROUGH' 'PLUMB I'NG , ApPR.DVED 'pzl DISAPPROVED / / REMARKS "ROUGH GAS, PIPrNG: ApPROVED .C/" ,DISAPPROVED fI DATE REMARKS FINAL PLUMBING , ~ DATE ]"-/-741 .,-,. ", ApPROVED !Xl DISAPPROVED Cl 'O~Tr5-/ 1- 7t( REMARKS FINAL GAS PIPING " ApPROVED .C/ DISAPPROVED / I DATE REMARKS " .' . CERTIFICATE OF OCCUPANCY .~-- ...... " READY TO -ISSUE' / ,I .No'T READY.kTO ISSUE I / DATE REMARKS , . " >.' .:'1, ~~ ;7-i' ~ I' ........:,-1. INSPECTOR" . .~, I NSPECr'OR INSPECTOR ~ , , . INSPECTOR " ;_/// '-INSPEC~ . . ,(/ , INS PE C,1;OR 1NSPECTOR " ,.' " ." " ~' .