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Home My WebLink AboutPermit Building 1973-1-10 < . . ,"'i- '. .' ~ LANE _NTY iUllDIN~ BUILDING PERMIT OR MOB.HOME USE PERMIT ,# MH D CSC ,"(1. ii :{i'J PERMIT NO. MAILING ADDRESS 6, ... PROPERTY OWNER . . f.. ".1 , PHONE CONTRACTOR MAILING ADDRESS 1 /~.O c.OU-, H '''"'' ~ 0 0'-1'.= t!:I ~T::: :::1. ::'?nli:a...I....LD. .~lC;O~! PHONE \, .J!: ,,:U :::U I L" 5 PROPERTY lOCATION -INCLUDE POST OFFICE '~\:~': .> L ('Sr,- ,\..f'~U I'll?JRTY LEGAL DESCRIPTION - METES, BOUNDS 1/,: ': )' ll' LOT 1 BLOC'( 2 TWP RANGE SECTION 7~t-4):2t 01 24.33 TJJ,o;;/j/tf(} CODE EXISTING STRUCTURES ON CENSUS TRACT il 2g2m 1'iO PROPERTY APPl. :\~A%'Er.;~.t}{Ui::)a~;:lt{t-U1 1<: ,-'Hf'rT au ILD(R~ & MAILING ADDRESS S?nl~G;"ILLD, aRZGO~~ FOR MOBilE HOME PERMITS ONLY No of Bedrooms 169050UHI " ~T.1ErT lio~~ [ LEGAL ACCESS TO PROPERTY DC:LRosr AV<:tlUE' PROPERTY SIZE - FT. WIOTH 80 DEPTH II 00 AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing' Sewage System D TYPE CONSTRUCTION SQ. fT. :# BORMS New System D VALUATION I~','LLI~'C \',1000 fR,'ME l'i6lf 1" (,) ..... , I.,. Il' L. ""GL-~lrr:Cj;ru-:J;'.C'~IL':1J 47') r ':! 1.:' I I :Cd, I.:. "'. D.~. '" ., ~nt:., SEWA.GE DISPOSAL PUBLIC 0 BUILDING ~"'-~WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . OTHERO 77.00 20.00 'n.'iO FEES PLUMBING INSTA.LLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK Gf \10) \\ PUBLIC ~ o OTHER , , , TOTAL , 11(1. 'in COUNTY / BUilDING & SANITATION DRAIN FifLD REQUIRED SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. 10:10 TRENCH WIDTH FT. j OR SQ. FT. 11'50 I, ;'T; ~t. 10 " !IN..FT 150 , , , FTC:"<1 r:.:-;, Pf\OP~ TY LltJS ~~D Hcusr t'ITH .~Lt. PFd1T3 CF TH DR.\: i'~r I E!...._'. [)J '.' 1T ,10 J: Ir'i.~G( TO THr ~TRr.... T. \ TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT 'I'; I A':O J ~~O.G. SI~LBt~KSrLFliJFROM CTR. OF ROAD RIGHT Of WAY FRONT SIDE INT. SIDE EXT. AUTHOR/ZED SIGNATURE - DATE USE CLASSIFICATION REAR ~1'~ rl-4t.: I rn \-I' I\.'ll~!.l GRr.G CRAY, I , .~. S. T ~' DATE ,"1/ .1 r l~('. 1- t,:- I 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) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM:: C55-13 ... -.8UILDING SITE E~ALUATI , . .. . y{ Building Permit Appl ication () Site Inspection () Pre-Permit Investigation 6.G. L- 'Y\ No. 17- 73 V='" ~ B~2.: .1-1 .T 17 R 03 S 24 TAX LOT CENSUS TRACT z.o - €I? 15 6. APPLI CANT: NAME. r ,,::p~1 BLD~, ADDRESS ~ PHONE '74" - 442.9 DATE 1-4-7~ LANE COUNTY PLANNING DEPARTMENT NOT NO YES NAME DATE appl icable (-)----'71kf )-5'-/3 I. Zoning Ordinance Compl iance ( ) ( ) (Zone J?-I ) 2. Subd i vis ion Ord i nance Comp I i ance ( ) ( ) (-)- 3. Required Access ( ) ( ) (-)- 4. Building Site (Area, Width, ( ) ( ) (-) Frontage, Setback) 5. Other (see comments) ( ) ( ) ( ) - COMMENTS: BUILDING INSPECTION SECTION NOT NO YES NAME DATE aDDl icable W 6. Plans Subm i tted ( ) ( ) 7. Soi I Stabil ity (footings) >t> ( ) ( ) 8. Flood Plain (;() ( ) ( ) ~1!~ 9. Other (see Comments)' (J.) ( ) ( ) / -/ ;2. ~ 7J / COMMENTS: v . - = SANITATION SECTION NOT NO YES NAMIi DATE aDDl icab I e 10. Sewage Disposal ( ) ( ) (\)J 11. Usable Area ( ) ( ) ( ) ;1 We ~ 12. Water Supply ( ) ( ) ( ) ~< 1/ {U" , - 13. Other (see Comments) ( , ( ) (\ ) -- COMMENTS: . ---- .,..,- .., TO APPLICANT: Your N ( ) ( ) ( ) Building Permit I Site Inspection: Can be app roved. K c,... 1- I ~- Cannot be approved at this time as indicated on item NO. above. Questions and further infonmation on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on jtems 6 through 13 contact the Lane County BuildinQ and Sanitation Oivision. Wil I 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 DEPARTMENT 135 Sixth Avenue East, Eugene, Oregon 9740.1 PHONE: 342-1311 EXT. 231 LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-1311 EXT. 411 M55-28 {, .^"<-..,.....,.... 1'1.'1 . t;len r0rni~' (;~'i-.J;; Dllte " , No. B:7);~ PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County CommissionBrs of Lane County, and it is the opinion and judgment of the Board that the said application should be granted, and that a permit should be issued, now, therBfore, it is hereby ORDERED, that a permit be and is hereby issued to i{oClh::w? i:.y II CDi"O and constructing of the following facility: Drh'.:~oy O;1~nx:c\l t1I'1'il curti cut-Vera OGllo-Dloc:h 2 Lo'i' I -:,'-u..1 JDIrc:lO A~Cilt.:::) upon Ih'Uft.ight-of-way of County Road No. 1~45 , in strict conformity to the exhibits attached thereto, and subject to all terms, conditions, agreements. stipulations and pro- visions contained in the application and permit. the Rules and Regulations Governing Facilities to be Permitted upon County Road Rights-of-Way, dated March 31, 1960 and any amendments thereto, and any other applicable regulation, law or ordinancB. for the placing, building Special Provisions: O"I\IC~oy iii I I I b() OOI'l!lvV'u::'I'od In i)CCI)rdonco 1>1'i'i'l 'i'ho ot"/'cchoc! c!HlVOtJcy OPDi'\'),.";CI'l Dpccl\'lcotlcll1D (Drat/log r:::8-50). Pom''K'co 1:1111 bo i"CDPOl'lOll>lo Qor tho "",,-,dlota rc.-.o1f01 o\' 011 curl. aDM' a:-;c:! C:':)l"lo 9ro:1 'I'M I"llo~oy end I"lgM 09 twy cot:!Jod by hlo ~oratlo:1, 8c:1\1lnr~ "'ho ro.:c;:,GY end arc::! in enaot, occo:>tobio conditIon. This permit is revocable at any time, and will be strictly adherBd to and no work other than that specifically mentioned above is hereby authorized, This permit shall be void unless the work herein contemplatBd shall have been completed beforf' January 17 74 ,19_. Expire!' , 19 Inspected and Approved Approved by Board of Commissioners By Date By .' Director of Public Works ~. WHITE. OFFICE FILE PINK - PERMITTEE ORANCE. BUILDING & SANITATION DEPT. GREEN. RESIDENT ENGINEER BLUE. ROAD SUPERVISOR YELLOw. SURVEYOR ella-52 t' . Da~e__ . APPLICATION FOR FACILITY PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY Your appl icant, hereby makes application under Rules and Regulations GDverning Facilities to be Per-, mitted Upon County Road Rights-of-Way, to construct the following facility: Upon the right-of-way of County Road No. , at the following location: ! ~ ~'f{]hown on the exhibits whi~h are attached hereto, in stri<:t conformity to the state- ments of the exact nature and amount Df work to be dDne, and to the description of the facilities contained in said exhibits. Your applicant will be the beneficial owner of the facility as constructed. or otherwise primarily liable and responsible to members of the public for its proper maintenance, repair, operation and use. Your applicant accepts all terms, conditions, agreements, stipulations and provisions, in Rules and Regulations Governing Facilities to be Permitted Upon County Road Rights-of-Way, dated March 31, 1960, and any amendments thereto, and any other applicable regulation, law or ordinance. .. -.L- , , , - / ~'. , Signature ,/ Address WHITE. OFFICE FILE GREEN. RESIDENT ENGINEER PINK. PERMITTEE BLUE. ROAD SUPERVISOR ORANGE. BUILDING AND SANITATION DEPT. YELLOW. SURVEYOR .. Phone No. .. '- ,- ~. '~I~;IN_NTY BUILDING PERMIT OR MOBI.OME USE PERMIT. MH 0 -, PERMIT NO. MAILING ADDRESS . \ , \. " '. PROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS iI PHONE PROPERTY LOCATION - INCLUDE POST OFFICE ~ ., l,-ltj~RTY LEGAL DESCRIPTION - METES, BOUNDS I TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT ~. .~). ,,-' APPl. NAME' ' EXISTING STRUCTURES ON PROPERTY ... t - ,"J>. _ .-". & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms --.. ;'. 'i: .<:] LEGAL ACCESS TO PROPERTY ..; '.';0:.... I.V PROPERTY SIZE - FT. WIDTH DEPTH (. AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :# BCRMS New System 0 VALUATION ':~~. ' j'. ,'! 7J . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 OTHERD PUBLIC 'EJ o OTHER TOTAL $ MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATION SPECfFICATIONS DRAIN FIELD REQUIRED WITH DIST. BOX: GAl. L1N. FT TRENCH WIDTH FT. OR SQ. FT. J ',' ~ '. I . . ~ ." .. ......._.....H I's':' : :.! ....J: i':-. " " TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIl. EASEMENT BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE c " 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) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM:: CSS.13 iii.. <Ii' '. . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED L::::7 DISAPPROVED L::::7 DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED ;---? DATE REMARK S ROUGH PLUMB I NG ApPROVEO fK] D'SAPPROVEO Cl DATE 1. '-7 J REMARKS ----/' /' I -nrf \ I {/I f ROUGH GAS PIPING ApPROVED Cl DISAPPROVED Cl DATE REMARKS FINAL PLUMBING . , , ' INSPECTOR INSPECTOR INSPECT04f! INSPECTOR ApPROVED ~ DISAPPROVED L::::7 REMARKS DATE.!:J-).'-U INSPECTOR ~ , FINAL GAS PIPING ApPROVED Cl DISAPPROVED / / DATE REMARKS CERTIFICATE OF OCCUPANCY REAOY TO ISSUE I I NOT REAOY TO ISSUE ;---? DATE REMARK S INSPECTOR INSPECTOR , ~ , '. . LANE..UNTY A.BUILDI~D BUILDING PERMIT OR MH D MAILING AODRESS MO.' HOME USE PERMIT . PERMIT NO. / .' PROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS PHONE .' PROPERTY LOCATION -INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms EXISTING STRUCTURES ON PROPERTY .1.: . ) )" 'C 'i - \ .s.. ,- ~, LEGAL ACCESS TO PROPERTY '. PROPERTY SIZE - FT. WIDTH DEPTH .. AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System D VALUATION "', \. \'.l .. \' ~. \ l . , <;);:.} J:. "-l.~ ".I:t"~ \ \ \ "" ~ . _;...........":..!.~....~_'tl, , , , SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 ~ OTHERD PUBLIC 0 o OTHER ./ TOTA:' s MIN. SEPTIC TANK CAPACITY, WITH DIST. BOX: GAl. ~ . " v .. ~ \ COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED tiN. FT TP.ENCH WIDTH FT. OR SQ. FT. '\.. \: ''''% 'C '~ "\ \~. ... \' .~,- .\~ - '. , J \~t ._~ ~,.~~\:_1::' 4~~") '1'..'\''Oj j~.';;~'~,:~~~~,~';.I_. \ , TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE ~ BLDG. PERMIT - WHITE OFFICE capy - 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) LANE COUNTY, BLDG. & SAN. DIY., COURT HOUSE, EUGENE, OREGON 97401 FORM:: C55- 13 '. . . . ... SITE INSPECTION ApPROVED Cl Q.ISAPPROVED Cl DATE INSPECTOR .'/ /1 "\ REMARKS ~;'f)f &t~,r ~-I4I- <.l"!<lit- J -' :$" . '7 jJ ff! / I FOUNDATION INSPECTION 1/ DATE]. - J.. I - 7"J INSPECTOR i/ ApPROVEO I V'I D'SAPPROVEO REMARKS FRAMING fNSPECTION ApPROVEO T( D'SAPPROVEO / / OATE 3-;Z 'J--r3 REMARKS ~ ~ \f -rry/1-lw :J. -"2.1 .. 71 . I NSPECTOR If/! LATH OR SHEETROCK INSPECTION ApPROVEO 1/ D'SAPPROVEO ~I DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVED ~ DISAPPROVED Cl DATE J~<i';'1;7 INSPECTOR REMARKS~~~~() 4a~ l.f~1r(- , -"( , ~ ~ '7:1 CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE INSPECTOR REMARKS 1J~~~a:.p :#/7- 'fJ - /~'f..2/ j)~~~, {fl ~ I V3.2 tJ~ 1)~A4 .;l 0 - /J-O ...' " .. . .. . IN_DUAL SEWAGE DISPOSAL SYSTEM ~ In ler: Complete top part of fo~o signature and return both copies to Lane County Building Sanitation Department. . ~ I.... - . . ,'. ';' ,.1 ," " '. PI:"!:?MIT "[0 l1e-7i GRAY InstalYer's Name , I Property Address . 1421 n'LROS' AV~NU' I Basement I Water Supply Yes 0 No 0 Public ~ Other-List No.LiVingUn~ts IBedroomslBaths septJ.c TaM: Ft. from well Steel Ll InS1.0e DJ.InenSl.Ons: ,to'C. Length Width Applicant" Name Concrete p. NO. Compartments Diameter Depth , Gal. Capacity, ',r' Tile Disposal Field: Distribution Box:YesO Other Distribution- Type No 0 KEPHART BUILDERS Mailing Address 1,;00 SOUTH "A," STREET,SPRINGflELD. OREGON Feet from Well Lot Line Front ITotal.~q1Ft.betweenIFiller IF~ller U.f../.' " 'above ft. "'l'..fL" IJ.nes "K Type /.,. tile. Foundation Length of Lines - Ft. 7.1" I Trench 1. @ 3. 4. 5. 6. Width 3 Sketch (See instructions): Side Rear decthlFiller depth below in. tile ~ I' ',' ~~~~w~ ~) Ii II '0 1\ ,~&M Il I MAR 2 g 1973 '-J LANE CQU~~~ HEAlTH DE?T .- /\1 e-I fl 0 S e.. For Sanitarian Use Only: ~pproved: System Installation o Disapproved: Does Not Conform Remarks: Conforms to Curre~t Standards to Current Standards Signature (l:'~J of J./'L. "r ~/. /,-- ,/ Date: ;S -2'1- '73 Date-"; - "j~' -, "/ ......\ Lane County Building & Sanitation -.... ' 0G~a~~PbSi~~e Dept. PERMIT PiOPERTY -OWNER LANE COJilTY BUILDING PERMIT OR MOBILEaPME USE APPLICATION TYPE - B~G J!Il MOBilE HOME DOSC REG"'" /7/ t. PERMIT # /7-? 3 MAILING ADDRESS PHONE /z,~~ ~ ~ AD:RES:;? Po PROPERn LOCATION -INCLUDE POST OFFICE " /~/J It( ~I ~ ~'., ~,..~, IV /) - /J/J J:J-+ / A7 /J.A<.-/ C) -- METES & BOUNDS 0 YES ~ iY~ ~, ~~ ATTACHED $NO :5ty TAX LOT # COOE ~O :Eei>Tis-d DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY ~ LEGAL ~hCESS.dO PROPERTY - ROAD NAME OR # ~ 6-v-J2-. PROPERTY SIZE-WIDTH DEPTH PROPERTY LEGAL DESCRIPTION LOT - BLOCK - SURD IV. TWP RANGE /7 /}d APPLICANT NAME ~3 AND MAILING ADDRESS FOR MOBilE HOME PERMIT ONLY Number of Bedrooms PE:T ~-h-~_. .7 ' ~_~I /~ PHONE .~..4~ ()/~- ?f/C-QI/.2? / 7l~' ~ AREA ~ /tJ() Connect to Existing Sewage TYPE CONSTRUCTION b-..rvn!L rA~ . ~ SL?-2 SEWAGE DISPOSAL PUBLIC 0 BLDG. WASTE OIS. PLUMBING PLAN REVIEW PARK TRLR. SEPTIC TANK ~ 77.00 ~O,OO -:? 1 "sl) OTHER 5 OTHER 0 FEES WATER SUPPLY PUBLIC gl PLUMBING FEES /0 FIXTURES 30, oil CASH 0 }EWER CHECK rp/"CONNECTION FEE PUBLIC WATER CONNECTION FEE oz. 00 /, ~'""V TOTAL J3oS-n System 0 or New System Req, 0 SQ, FT. @ # &EOROOMS VALUATION /,f'Z 4//~ (3) 1'i'7c,,<;( - / # /9~3 1i.f 37 (' ~;.:2~S -./ PLUMBING INSTALLED BY OWNER 0 OTHER 0 NAME PLANS FURNISHED FACILITY PERMIT YES~ l'\0'jtJ / YES,M- NO.D ~;Pl;>>: ~~PPLI~ ~ /.;--/_ ;~7-'Y /7E~C~ED/BY ~f: I DATE/ ;rt'1- / - l/c' '/ '? (PERMIT #/7-7:5 ,/ SPECIFICATIONS #. COUNTY BUILDING & SANITATION DRAIN FIELD REQUIRED L1N. FT, I c-C) TRENCH WIDTH FT, :<. 1fI~"b..;._) ft.) fa!- t~9o-r. A.t.v f~ -("::1" jY;t;.) ~76h" .!...a:-'~-' ). lJ.,A~_'J., -<.~ dhA:..u., MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL 1 ~(H\ TYPE OF STRUCTURE ok! OCCUPANCY 1 Cf ...::r BLDG. SETBACKS) fT. FROM CTA~ROAD RIGHT OF WAY FRONT 1-.c..{SI~;h, ~~XT, "411. N f Date PLANNING - ~ .~7.,,{ -n'1 1-~7~ Directions to Find Property: REAR Date COpy 1 - OFFICE COPY 2 - JOURNAL COpy 3 - AUDIT Form # C55-12 OR SQUARE FEET $ ZONE REAR YARD PUBLIC UTll. EASEMENT USE CLASSIFICATION BLDGp ~~ , ~ . 1- 1 ", -"7.] Date