HomeMy WebLinkAboutPermit Building 1974-9-30
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LANE COUNI!tBUILDING PERMIT OR MOBILE
BUILDING D'" MH D
MAILING ADDRESS
ROUTE 10 Box 263
H. USE PERMIT
- PERMIT NO,
Jrlb-7<j
1886--/4
PROPERTY OWNER
-:-:^RKIiAM1 :-f. \.J.
EUGENE, CREGON
PHON~
71[7-21 'J?
PHONE
CONTRACTOR
A.C. CONSTRUCTION Co
MAILING, ADDRESS
" ij339 ASTER STREET
SF'R ItlGF I ELO OREGON
PROPERTY LOCATION - INCLUDE POST OFFICE
LAST HOUSE WEST S I DE OF DE^DI~OtlD
fERRY ROAD AND McKENZIE
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
TWP
rr
RANGE
03
SECTION
14
TAX LOT NO.
900
cO~04
CENSUS TRACT
NAME
&
MAILING
ADDRESS EUGENE, OREGON
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
:i. ~I. t/.ARKHAM
EXISTING STRUCTURES ON PROPERTY
NONE
LEGAL ACCESS TO PROPERTY
DEADMOND & fERRY
PROPERTY SIZE - FT.
APPl.
ROUTE 10 Box 263
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :; BDRMS
CONTRACT PRICE
New System D
VALUATION
12,jOO.C:O.
AODITIOtl AND ALTERATIONS
TO SI~GLE fAMIL\lDwELLING
REMODEL BATH AND UTILITY ROOM ENTflY1:IAY AND MASONARY EXTERIOR WALL~
SEWAGE DISPOSAL
,
OT~~RD
04.w
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE 'DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRi'ILER
l~SURCHARGE
SEPTIC TANK 0
PUBLIC 0
o OTHER\'!~ L L
l~.OO
TOTAL
,
.. f9
(b.rb
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
~
MIN. SEPTIC TANK CAPACITY
WITH CIST. BOX: GAl.
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
"
TYPE OF STRUCTURE
5N
OCCUPANCY
I
ZONE
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS _ FT. fROM eJR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
/S/ J.
SIDE INT. sIDe EXT.
AUTHORIZED SIGNATURE - DATE
E. Jose BY C. HA~OAUGH
REAR
J SHOOK/SANITARIAN
DATE
9/30/714 ow
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GReEN
SANITATION - GOLDENROD
Call 6B7-4065 to schedule 011 required inspections, All construc-
tion shall comply with Uniform Building Code, D,E,Q, stondords
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing, All buildings require a certificote of occupancy before
being occupied.
(See Detoils on Reverse Side)
'<-
FOR~ = C,SS-!3
---~ '--
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
( )
( )
( )
pAy,
Building Permit Application No. /g'2{;-7V
'f"R".-n ...,.pc q-:u. -7\1 10130
Site Inspection
'"1(, WP~ q-(fJ-7~ 0: 00
Pre-Permit Investigation
BUILOING SITE EVALUATION
.
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.
LANE COUNTY PLANNING DEPARTMENT NOT NO
;1 icable
I. Zoning Ordinance Compl iance ( ) ( )
(Zone )
2. Subdivision Ordinance Compl iance ( ) ( )
3, Required Access ( ) ( )
4. Building Site (Area, Width, ( ) ( )
Frontage, Setback)
5. Ot her (see comments) ( ) ( )
COMl1ENTS:
TJZ.3 S /</
CEN~TRACT
TAX LOT qt){)
APPLlCANH/1 I l
NAME nUl... I f\k(J
ADD RES S
I/VI
PHONE
DATE
Cf-I-;-7ij
NAME
DATE
YES
( )
( )
(~~
( )
( )
NO YES
(' )
( )
( )
( )
~
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
;1 icable 1)
6. Plans Subm i tted ( ) ( )
7. Soil Stabil ity (foot i ngs) ej) ( ) ( )
8. Flood Plain ( ) ( ) ~ (~ iJ tJdku 1
<J;i q - j 0 -?tj
9. Other (see Convnents) ( ) ( )
" ,
- II I
COMMENTS:
v
~
DATE
c;)il7 L(
SANITATION SECTION
NOT
aDD 1 i tab I e
( f ()
d ()
( ( )
( )
10. Sewage Disposal
II. Usable Area
12. Water Supply
13. Other (see Comments)
(t=
COMMENTS:
-
TO APP LI CANT:
(;?J1j ~r
Building Permit / Site Inspection:
Can be app roved.
Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County Buildinq and Sanitation Division.
Will be held in this office until you can resolve the problems indicated.
Is being returned.
Your building permit appl ication fee is being returned under separate cover.
( )
( )
( )
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
C55-28
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
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PROPERTY OWNER
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,
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PHONE
o ~. 0
CONTRACTOR
MAILING ~DDRESS
,
...,
"
PHONE
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PROPERTY LOCATION - INCLUDe POST OffiCE
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. )
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PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
RANGE
SECTlpN
TAX LOT NO.
CODE ~
CENSUS TRACT
"
APPL.
EXISTING STRUCTURES ON PROPERTY
NAME
&
,
"
LEGAL ACCESS TO PROPERTY
. ~:j
._:~v
MAILING
\
,'\ ~ r
,
~~' q. ..
.,... "
t ...... -'\- ~ ~,PR~~ER!Y,,~IZE-!!.. ~\
WIDTH DEPTH ""
,
I.
ADDRESS
AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
C:., t
n.
,.
Connect to Existing Sewage System 0
TYPE CONSTRUCTlON SQ. FT. :.: BDRMS
r,. .
\~- "".
New System D
VALUATION
> (,..
.
:...,
'\
f.""
,.....
...-'1,..." --.,
""l
,{..
SEWAGE DISPOSAL
PUBLIC 0
BUILDlNG
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
.
OTHER[l
,.
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEPTIC TANK 0
\
PUBLIC 0
o OTHER
, 0 ,
, '\,
,
o 1;
TOTAL
s
,,'(:
MIN. SEPTIC TANK CAPACITY
WITH DIST, BOX: GAl.
COUNTY BUILDING & SANITATION SPECIFICA nONS
DRAIN FIELD REQUIRED
, '
\
,
L1N. FT
TRENCH WIDTH FT,
OR SQ. FT.
'\ ..,
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
BLDG, SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
;' , (;
SIDE tNT. SIDE EXT.
AUTHORIZED SIGNATURE.;:.'" DATE
REAR
')
DATE
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Coli 687-4065 to schedule 011 required inspections. All construe.
tion sholl comply with Uniform Building Code, D,E.Q. stondards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Detoils on Reverse Side)
tORM == CSS-1)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
,
..
,
.
.
SiTE INSPECTION
AFPROVEO Cl DISAPPROVED Cl DATE
INSPECTOR
REfV:ARI-:'S
FOUNDATION INSPECTION
ApPROVED ~j DISAPPROVED I / DATE INSPECTOR
REMARKS IJ.-r ~ {f~~ 9-.2f~7'1 ~~
V
FRAMING INSPECTION
ApPROVED / / 01 SAPPROVED Cl DATE
tJ hi r..-r . ./J ...J.-;:..-(. .....--d
REMARKS ,~Ih.fn~ - _ ,~... ~ ..~_.. "1~
I
INSPECTOR
LATH OR SHEETROCK INSPECTION
/g-//~ Pi/INSPECTOR~
,
ApPROVED ~ DISAPPROVED
L-I
DATE
REMARKS
'"'' ''''~''J: f}o
ApPROVED . DISAPPROVED Cl OATE / / ~ ( "'ll} I NSPECTO'~ ~
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARK S
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PROPERTY 6WNER
.:.:\_::.:~>> 11. t-!.
CONTRACTOR
[',.C. Cc:;~v:,e~vl:;;;
LANE COUN4!lUILDING PERMIT OR MOBILE
BUILDING 0 MH 0
MAILING ADDRESS
f:<'J"l: W In: 2GJ
HcAtJUSE PERMIT
PERMIT NO,
(.'\'
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................_':
~u~~~~~ O::c:;:1
PHONE
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C-J
MAILING ADDRESS
of I1J39 t:;)~.{!:::
PHONE
U)~i?12Y
Dp.~tr-:':71n.D G.l':C::J
PROPERTY LOCATION - INCLUDE POST OFFICE
W\0~ r:::~G::: t)~a'" OCC2 r'}' D2~~~:,JD
Vr:;C10V :\~AO ~C;9 ~;lECn'C
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
17
C3
SECTION
t~
TAX LOT NO.
r:~
,
CODE
l~d)
CENSUS TRACT
TWP
RANGE
r.:~,G 10 C~n 2G~
EXISTING STRUCTURES ON PROPERTY
~~::~
LEGAL ACCESS TO PROPERTY
D:rl1c:':::=~O !J. ~;CnQ'1
PROPERTY SIZE - FT.
APPl.
NAME
&
MAILING
ADDRESS l;:CQ~t':::!t QwcrCOfJ
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
00 u. r;~.~r:\t.t~':J
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. # BDRMS
CoNT~flCV t:::10Ci:
New System 0
VALUATION
'j~~, ~C!).'~~~~
[';COQ710:J M1;) I\l.v:;;~/>no;;J
":0 St~C~G rCl:l~~.:::e~~lr;O
;:;;,;::::::::r. Oi\111 r::::; \jYGI..IVV r.:G:.l F.~JVfl\'\lIlV />;::) r:'~::lC::l\rJV E!lVc:DIC:1 VtlL!.S
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANK D
BUILDING t.
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
1] ~~Slm:;' 1.'; ::C.3
OTH.ERO
\l').W
FEES
PLUMBING INSTALLED BY
OWNER D OTHER: NAME
WATER SUPPLY
PUBLIC 0
D OTHER~;Ci.!.
J~.Ci'J
TOTAL
.
.{~
(0. (0
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH 01S1. BOX: GAL.
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
c<^,
J"
OCCUPANCY
I
ZONE
PUBLIC UTll. EASEMENT
BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
IoI.!.
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
3. ~~~J CV c. ~~~~aA~~~
REAR
J el:c~:</oll~lI 'I'AClIllfl
I DATEc!
P ~"I./ .' n_..
.7 .,v _ . '-~
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Coli 687-4065 to schedule 011 required inspections. All construc-
tion shall comply with Uniform Building Code, D.E,Q. standords
for subsurface sewage disposal and county regulations covering
plumbing, All buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
FORM == CSS-!3
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
S LAB FLOOR
PLUMBING GROUNDWORK
.
ApPROVED / / DISAPPROVED .Cl DATE
REMARKS
GAS PIPING GROUNDWORK
ApPROVED / / DISAPPROVED r---7 DATE
REMARKS
ROUGH PLUMBING
APPROVE'O W
REMARKS
OATE//)'~ 9~?r
DISAPPROVED ~
ROUGH GAS PIPING
ApPROVED ~ 015APPRDVED .Cl DATE
REMARKS
'F I NAL PLUMB I NG
ApPROVEO f5iI:J DISAPPROVED ~ DAT~ ~.7f
REMARKS
FINAL GAS PIPING
ApPROVED ~ DISAPEROVED / / DATE
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE r---7 NOT READY TO ISSUE r---7 DATE
REMARKS
.
INSPECTOR
INSPECTOR
INSPECTOR
r
INSPECTOR
1
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INSPECTOR4N
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INSPECTOR
INSPECTOR