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Home My WebLink AboutPermit Building 1973-4-27 rl ~.~.~~ - '" ki(}--A:~v;<./""';-<!,', 11-0""7'. ;.~,.<,,-,.. ~/ . .. , .. / ,~ LANE COUNT.ILDING PERMIT OR MOBilE' HO.USE PERMIT BUILDING 0 ' MH 0 PERMIT NO. MAILlNG ADDRESS 0 ~ .. I .J' . ..- lI,m'!l!l1.(15 71 ':l_ 7, - PHONE - .- 741_,6':l7C\ 'PHONE" " .. PROPERTY OWNER ... BE'Dt'J.AT'KI. hlAYMnNn CONTRA'tTOR . 2"\\0 DFRRA DRIVF. SPRlrmF IHO. ORmON MAILING ADDRESS ',_ --""I PROPERTY lOCATION -INCLUDE POST OFFICE ?"i',rl_ I'l~RD" f!~ Il'~ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ?Nn Ann Tn M~@T~wnnn r~TAT~~ lOT Q RANGE SECTION. ':l :n.44 Al~ 2 TAX LOT NO. .:tI'.?t9t9tJ CODE CENSUS TRACT TWP 17 20_100 APPl. NAME & MAILING RAYMONn R~RNAT7.KI EXISTING STRUCTURES ON PROPERTY DWELl. '11."',- LEGAL ACCESS TO PR~PERTY Qr~i>A DR- PROPERTY SIZE - FT. 2"\10 D~RRA DR I VF ADDRESS WIDTH DEPTH t AREA RPAltJ~Flrl.n. ORvnoN FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION r:nv~~~n P6.TIO 1(-';0 C;; ~ ~?O SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER SEPTIC TANK 0 ~ OTHERD "_00 FEES OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER TOTAL ~ t;nn COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED I MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. lIN. FT TRENCH WIDTH FT. OR SQ. FT. No PART or NFW CONSTRUCTION TO BE OVFR ANY PART OF EXISTING SEWAGE DISPOSAL SYSTEM. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT hI:;; SIDE INT. k SIDE EXT. AUTHORrZED SIGNATURE - DATE }e,1 .1_ Rnq~ RY rlol6.gl I~ I-16.RR6.Il~J.I R A USE ClASSIFICATlON REAR "\ .~WN CRUleKSWANK R.S. DATE 4/n!7':l BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - 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) EP. LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM:: C55-13 ~ /' l--- , II .I) . lfl\ '" ~f II WIle; . u) APR 24 1973 , " /,,, , I 1D , \1/ . I-- - ,- - - - -J I f Pl'/) I \ 1 1,\ , . ;;;S'li I}'JUiITV 1-Ij:'\UlHJJ m .. il I' !I&-u6L-L. ., . ~--_. " \ .. J(!) a) ~ ~ ,....-- /' " r:" If' . '. .. ",. . . -'), .. LANE COUNTY HEALTH & SANITATION BUILDING & SANITATION DIVISION LANE COUNTY ANNEX, EUGENE, OREGON DATE: NAME: ADDRESS: RE: BUILDING PERMIT No. IN COMPLIANCE WITH YOUR RECENT REQUEST, THE ABOVE NUMBERED PERMIT IS HEREBY RENEWEO FOR ONE YEAR FROM , I.E., UNTIL JOHN E. Boss CHIEF BUILDING INSPECTOR ~ ( ) ( ) . ~'~ T /7 R 6'.,3 S ...2:3.~AX LOT dtJ7#<? . CENS, TRACT. dO ---7 tf2--t:J. , .. APPLIC~NT/.;:7 /;;~.:. NAME ~L/\ ~- ' _ 'A'/V'r""".-;;-4'.--"';}~---'" ADORES" cJ BUILD,ING SITE EVALUATION ~ . -Building Permit Appl ication No. 7/.3-73 Site Inspection Pre-Permit Investigation PHONE , DATE /-I- -d 4- - /, "7 LANE COUNTY PLANNING DEPARTMENT NOT NO YES aDD I icab I e I. Zoning Ordinance Complia~~ ( ) ( ) ( ) (Zone ) 2. Subdivision Ordinance Compiiance ( ) ( ) ( 3. Required Access ( ) ( ) ( 4. Bu i I ding Site (Area, Width, ( ) ( ) ( ) Frontage, Setback) 5. Other (see comments) ( ) ( ) ( ) , COMMENTS: NAME ,Ii]- DATE /.-/-;S-73 -" BUILDING INSPECTION SECTION NOT NO YES NAME DATE aDDl~Cable - 6. Plans Submitted (J ( ) ( ) 7. Soil Stabil ity (footings) ( ) ( ) ( ) 8. Flood Plain '.J. ) ( ) ( ) 9. Ot he r (see Comments) ( ) ( ) ( ) C:1I~ t)~:;...~-'1J / COMMENTS: , SANITATION SECTION NOT NO YES NAME DATE aDDl icable 10. Sewage Disposal ~ ( ) ( ) II. Usab I e Area ,0 ( ) ( ) Ql~~tiJ~ L.j-/)~ -17 '2. ~ 'I 1 12. Water Supply 9<i ( ) ( ) 13. Other (see Comments) ( , ( ) ( ) COMMENTS: TO APPLI CANT: Your Buitd.i.ng Permit / Site Inspection: (...y-c;; be approved. ';/- 2-r;..-7..~~) () Cannot be approvel"at this ti~dicated 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. () I s be i ng retu rned. () Your building permit appl ication fee is being returned under separate cover. Li\N[ COUNTY PLANN ING OEPMTMENT Il~ Sixth AvenQe East, Eugene, OrRgon 97401 "II"NI: 1',1- '.111 r X r. 7, I LANE COUNTY 8UILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene. Oregon 9740~ PHONe: 342-1311 EXT. 411 -~ \. < . .r . ....., PROPERTY OWNER CONTRACTOR PERMIT OR MOBILEoHO.SE PERMIT PERMIT NO, LANE COUNT+ILDING BUILDING 0 ' MH 10 MAILING 'ADDRESS MAILING ADDRESS PROPERTY lOCATION -INCLUDE POST OFFICE ~~l{~,q_\ '.. "" . "..," -. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS , APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY ,,- LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. ::: BDRMS STRUCTURES TO BE BUILT THIS PERMIT / / / SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER ,I PLUMBING INSTALLED BY SEPTIC TANK 0 . FEES MIN. SEPTIC TANK CAPACITY WITH DI51. BOX: GAl. \ \ \1\ "f\ I TOTAL TYPE OF STRUCTURE BLDG. SETBACKS.. FT. FRONT , BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD F'ORM :::: C55-13 OTHERD OWNER 0 OTHER, NAME WATER SUPPLY. I ' '\ PUBLIC 0 .0 OTHER f COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED L1N. FT TRENCH WIDTH FT. OR SQ. FT. [r-It.'l ~~);, \.. OCCUPANCY ZONE PUBLIC UTIl. EASEMENT FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. 0 SIDE EXT. AUTHORIZED SIGNATURE - DATE USE ClASSIFICATION REAR '1 ,.. . ~ 'j PHONE PHONE , New System 0 VALUATION \ \ \ \ I I DATE . f 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. DIV., COURT HOUSE, EUGENE, OREGON 97.401 ~ , " , , . ~ . , .' ~ SITE I NSPECTI ON ApPROVED C1 DISAPPROVED C1 DATE ~ ru..b ~ .1"'-1 '~1 ~ INSPECTOR REMARKS /1-11\ ... FOUNDATION INSPECTION ApPROVED ~ D,SAPPROVEO L-/ DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED C1 DISAPPROVED C1 DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO L----/ DISAPPROVEO r----? DATE INSPECTOR REMARKS DISAPPROVED C1 DATE ,(- 2/-13 INSPECTOR /"j C~ ApPROVED REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE C1 NOT READY TO ISSUE C1 DATE INSPECTOR REMARKS /~~J t1 /3" '1 'J f/J~.r;C~:r1~ 2.. 6-/P lJ~ f) on~ ;;;'0-1 ~O LANE COUNTY .ING PERMIT OR MOBILE HOME. APPLICATION . . P'ERt,\IT TYPE - BUILDING 0 MOBILE HOME nose REG, # PERMIT # If /3 ~ 73 PR~RTY OWNER MAILING ADjRESS ' .PH~E j/~y Y1 a tkj KB1J?7JJJ'1,r1J 2. ~/d 0d--4A-/J./ ~ A--'/ 7//'?fIJ/9 CONTRACTOR MAILING ADDRESS - / ~. PHONE PROPERTY LOCATION 7)INCLUDE POST ..9EfICE 2..:::; / LJ P )"'~-'.A- j /A ,- - PROPERTY LEGAL DESCRIPTION lOT - BLOCK - SUBDIV. TWP RANGE )7 I ( APPLICANT NAME AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT." &<-<,-...{./d ~./) --- / SEWAGE DISPOSAL PUBLIC 0 BLDG. WASTE 015. PLUMBING PLAN REVIEW PARK lRtR. TOTAL ;h~4~ ;t;0A-(d~~~ 'SEC. I' TAX lOT # CODE ,- Z5.~ 9 4.1 '" ~ METES & BOUNDS 0 YES PP../f:'-/ AITACHED 0 NO C-ENSUS (RACT ::r d~ ~ :z o-/()o DESCRIBE EXI~G STRUCTURES ON PROPERTY IF ANY V~J .......k-inf.: LEGA~ ACCESS TO PROPERTY -,.0 NAME OR # PROPERTY SIZE-WIDTH DEPTH AREA Connect to Existing Sewage System 0 or New System Req. 0 TYPE CONSTRUCTION SQ. FT. # BEDROOMS VALUATION /6cJt6J z.. . .-? 2n PLUMBING INSTALLED BY " SEPTIC TANK 0 ~,,::>/':) FACILITY PERMIT NO 0 OTHER 0 FEES WATER SUPPLY PUBLIC 0 OTHER PLUMBI NG fEES b) --...--mTURES 17r t:: CASH ~ER ) /. CHECK n CONNECTION FEE PUBLIC WATER CONNECTION FEE DATE Y-x.y DArt PERMIT # 7/3 -73 t5'": ,i)". COUNTY BUILDING & SANIT AnON SPECIFICA nONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. UN. FT. OR SQUARE FEET TRENCH WIDTH FT. ~'t n-F hc..l C1YY7~tr{ Ic-iJ'on ~ ,1Je 9of'.i//i Jf- dl5;?o..cn)~,~ TYPE OF STRUCTURE ,t:o?C tff e){k[;i),r> , f.."I ,n -.,(2r lUt'l OCCUPANCY ~N/f- REAR YARD PUBLIC UTIl. EASEMENT "".- BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY ___ USE CLASSIFICATION / FRONT I/.s-- SIDE INT...j- SIDE EXI. - REAR] c\1L~~Ptt~#,4k1';;. fil:::t.~ Jf~;;:~;...'LDG, INS~ ~ fZ!.I:4. ;2 ~ ~?) 0.,. ~ ' - I ' tJ. - (/ (1 O' V' Directions to Find Property: J COPY 1 - OFFICE COpy 2 - JOURNAL COPY 3 - AUDIT Form # C55-IZ