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Home My WebLink AboutPermit Building 1973-10-8 ~- , -I .. LANE COUN.UILDI~G PERMr. OR M~I;E BUILDING 1m MH 0.. ~ ., MAILING ADDRESS I;)SO fio'Jtl1 ",II" SDriOlCll'lald. CrC'rOtl MAILING ADDRESS ~. U~E "PE'RMIT PERMIT NO. , ','. ~'.. /9// t""A .:;1 - , .lcpl1ort lJu II dors CONTRACTOR 1 "'~', ': 1_"1~ PHONE 7'-~'l_l~~.'; 1.\ PHONE , ~ PROPERTY OWNER PROPERTY LOCATION -INCLUDE POST OffiCE 14S1 001 rose Avo. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS Vero Delle Su~. Lot 7 1:l1oc!t SECTION 17 3 24,7. S TAX LOT NO. ~'I700- CODE CENSUS TRACT TWP RANGE APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT :W-:I)l<;a EXISTING STRUCTURES ON PROPERTY t:cnc LEGAL ACCESS TO PROPERTY i~lr{)5o PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT, :tt BDRMS New System 0 VALUATION !;'~o11In<1 Moln Gcrc]o o~~. unc. C:;"!orm! Dorch 5 ~ Jt u Fr=e Il:6G () 1:1 (;J) 17.:,. ? 526 0 ;I l.'j(j L:.o ') :1 :1} 10.250 Instoll Sc~cnc DisOQsol 5vStC8 10 Plu~~lng(lxturos SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK CD . OTHERD 7L, nn ?o nn ~~ <:n FEES OWNER 0 OTHER, NAME WATER SUPPLY Jnt'.~t .Inr'-rc;,:",,:") PUBLIC {J o OTHER TOTAL . 1?7 ~o COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. 900 UN. FT 225 TRENCH WIDTH FT. 2 OR SQ. FT. :':';;0 ~oof drolns to streot. TYPE OF STRUCTURE OCCUPANCY lONE PUBLIC UTIL. EASEMENT 5 tJ f, J BLDG. SETBACKS u FT. FROM CTR. Of ROAD RIGHT OF WAY USE CLASSIfiCATION FRONT llQ I SIDE INT. 5' SIDE EXT. AUTHORIZED SIGNATURE - DATE /s/ J.E. Dc; s bv llcrbcu(jh REAR ~I DATE John Cruickshonk. n.s. 10-8-73 BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform building code and county regulations covering plumbing and sewage disposal. All buildings reguire 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 . . DUILOING SiTE EVALUATION . X. Building Permit Appl ication No, () Site Inspection () Pre-Permit Investigation J.e. .;- " T~ 83 S,;;:)C/ TAX LOT CENSUS TRACT - I/~ J}~ ~ L- 7 a-/. APPLICANT: h NAME ~F~Al.t<J,eT- ./3toe <;" ADDRESS /9J"/-13 PHONE DATE /10 -/-7-;J LANE COUNTY PLANNING DEPARTMENT NO 1. Zoning Ordinance Compl i'ance (Zone~ ) Subdivision Ordinance Compl iance 2. 3. 4. Required.Access s. Building Site (Area, Width. Frontage, Setback) Other (see comments) COMMENTS: NOT appl icable l) ( ) ( ) ( ) ( ) ( ) YES NAME DATE ( ) (~ (..)/ (,V~-a..i~__ ( ) ( ) . ( ) ( ) ( ) /~/-y~.~ BUILDING INSPECTION SECTION NOT NO YES NAME DATE apj)1 i cab I e 6. Plans Submitted l ) ( ) <>> 7. Soil Stabil ity (foot ings) ~ ( ) ( ) B. Fl ood Plain ~) ( ) () 9. Other (see Comments) .?t ( ) ( ) (;:%~rk! IIJ-r..,-7:Jt[ - COMMENTS: SANITATION SECTION NOT NO YES NAME DATE app I i cab I e ~ 10. Sewage Disposal l ) ( ) II. Usable Area ( ) ( ) Sx{ ~~ IO}l75 . , 12. Water Supply ( ) ( ) !4 13. Other (see Comments) ( , ( ) ( ) COMMENTS: TO APPLICANT: Your Building Permit / Site Inspection: <>4 Can be app roved./ (j - e. - 7...3 .~ _ () 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. () 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 97401 PHONE: 342-13 II EXT. 231 LANE COUNTY ~UILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-1311 EXT. 411 \ .-: ,.. .' LANE COUNT.UILDING PERMIT OR MOBILE BUILDING 0 MH 0 - \ MAILING ADDRESS HO.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 ~ '" " ~ \~ s:.. -(j\' , ,\ J\ 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 0 VALUATION , ...0 <\\ -' \:",-y,\ - '~\. -'- \ c '" ~:,-',; ,".\ '" ^-- ,,-.. l,',. ?,' . '-\ ~'\... r_ _.., '\ ').-~'....~~~. ...~ \'1' _ \_ r";'. 'l-'\'t~ .,,~,:. '" \ ~, " .'.1. -.......,,'. ':-: " SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER , FEES Pl~MBING.....INS1AllED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 OTHERO PUBLIC 0 o OTHER '.. TOTAL . MIN. SEPTIC TANK CAPACITY WITH DI5T. BOX: GAL ...~. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED lIN. FT TRENCH WIDTH FT. OR SQ. FT. \"\ .~.:t '\ ~~ -'\ -l, ~\\"'~ 1>,-",- -, ~o ,,'- ~F ,,\-\ ~ ~'I' \~~ - ..I . \ \~ " ') ; ~,...."'-'... TYPE OF STRUCTURE OCCUPANCY lONE PUBLIC UTll. EASEMENT BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE \ ~ ") .1.' .\, :> l . ~ 0 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 B~OG. AT SITE) I LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 . , '.j FORM == CSS.lJ / .-' . . . .. ( ->0 SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVEO I y~ D'SAPPROVEO 1--/ DATEjtJ-:l:<-7"J INSPECTOR t:!. REMARKS FRAMING INSPECTION ~ ApPROVEO I h --;, SAPPROVEO I I DATEL:z -/6-7J INSPECTOR REMARK;~~/-G'~J~~ ~ -J.2.t.-~"3 , LATH OR SHEETROCK INSPECTION ApPROVED ~ DISAPPROVED I / DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVEO D I SAPPROVEO Cl DATE),: ;..:r-71 REMARKS...-1<.M' Af'.vf' v~. 71 ~L HIi..?1{ ~ -1-.10 -7<1.,,,uY//1.o.-7 "?I/ /l INSPECTOR~ CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARKS {) ,/, 'it/' d'__/ I'~/.?~ Ir~/tj~/1J~ . o?() -/Ij-lJ , .: ,",' '.'V't , '.. ___,'i-'. " ~. . "~ "'-",~""_.",T".~'" .'I'o'",l~"".!"'''' .~ I r,' If ;',1 '.'.....1;0,: PROPERTY OWNER LANE COUNTalLDING PERMIT OR MOBILE HO&SE PERMIT BUILDING CJ MH D ,... ~ PERMIT NO. MAILING ADDRESS 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 STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY ... ~'. PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. 1; BDRMS New System D VALUATION ('". .' ~ [ L"_, I'"~ ^ , ,< , 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 OTHERO PUBLIC JJ o OTH ER IOTAL . ..~, , MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED , ., UN. FT "I' < ,\ TRENCH WIDTH FT. " , OR SQ. FT. ~)'" : ' ,". TYPE OF STRUCTURE OCCUPANCY l,> ~, lONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS __ FT. FRONT f~J' FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. " SIDE EXT, AUTHORIZED SIGNATURE - DATE REAR ;,1 USE CLASSIFICATION \ DATE .+'::1 u. ~). "~) :: l~"~ '. r - ,,-', _~. , .. ,-",... " ,. i,,~L,iC l.;. f,\ " ~". , '. D.' ') ~.n,.of.'- BLDG. PERMIT - WH ITE 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, O"REGON 97401 FORM:: C55-1] ... :', . ~ I WI ,...' " ~. '-I!I!'-'Z:f ~ f;..... ., ~" ! i,~ . . ;, . . l ... SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED C1 DATE INSPECTOR REMARK 5 GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED L / DATE INSPECTOR REMARKS ROUGH PLUMB I NG ApPROVED jK1 D'SAPPROVED C1 DATrjt-7-7 J INSPECTOR~P {/ REMARKS ROUGH GAS PIPING ApPROVED C1 DISAPPROVED C1 DATE INS.pECTOR REMARKS FINAL PLUMBING ApPROVED J;.EJ D'SAPPROVED C1 DAHt -/9- l-f' INSPECTOR ~~ REMARKS FINAL GAS PIPING ApPROVED C1 DISAPPROVED / / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE ;---? DATE INSPECTOR REMARKS - ~;... . . cJ.fL S- -'~f . INDIVIDUAL SEWAGE DISPOSAL S"&' RECORD Installer: C~mplete top par~-form to signature and.r~~u~n both cop1es to Lane County Building Sanitation Department. No. I prop~r~y Addr~ /J /?'6/ ~o.,...,- I Basement I Water Suppiy Yes 0 No 0 Public 0 Other-List P~Qh4IT N..o- 19.?/-7...? . . .,:;r;c:.. Sept1c TanK: Ft. from well Steel D InSJ.oe Dunens~ons: r''C. Length Width Applicant Name Concrete 0 No. Compartments Diameter Depth Gal. Capacity. Tile Disposal Field: Distribution Box:Yes 0 Other Distribut1on- Type No 0 Mailing ~~.Lr...-/ ~. I" / /-. '7,r; ~/'A V" Address ~ - 'L' Length of Lin~ I Trenc 1. 2. 3. 4. 5. 6. Width .J.. Sketch (See instructions): Feet from \'Iell Lot Line Front tai SqjFt.betweenlFiller IFiller uc-r: . above ft'-'J ~I l1nes Type ti Ie Foundation Side Rear deothlF111er depth below in T.; 1 p __-iJl.. f ~ I. . . \/0 -', lli(ffi~n\V1~ ill } --- [[, -t:J 0 tt6"' . Jt DEe 5 1973 LANE COUNTY HEALTH UNIT - - ~51 Date 1/- fh- 7 '1 - - Signature.~ /a../ Fo~ S~tarian Use Only: ~Approved: System Installation Conforms to Current Standards o Disapproved: Does Not Conform to Current Standards Remarks: Da:e: /0/3/73 Lane County Building & Sanitation Dept. ^ '^ \) r\ I'JI t,' JJ~~ ~~nitarian;s Signature 4 . . LANE COUNTY .DING PERMIT OR MOBILE HOM.E APPLICATION PERMIT TYPE - BUILDING ~ MOBILE HOME Dose7- PERMIT # /9?/-7J ~ROPER ~~....,/ _ x::? /J /J MAILING ADDRESS ~ #'" .-rONE /-u(...#~ /c. 9Q - . ~ '/ ':/ ~~R - MAILING Ao6RESS " . - PHONE 7c;/~- {/r~ ~ PROPERTY LOCATION -INCLUDE POST OFFICE ~p' ~' II'. ES ( BOUNDS 0 YES .':1'/ . 7 ( _ ATTACHED 0 NO CODE CENSUS T1fACT ~r2-E/) /,\(:J DESCRIBE EXISTING STRUCTURES -ON PROPERTY IF ANY LEGAL Acn~;~:A~AME OR # PROPE~ZE-WIOTH DEPTH AREA /~6/ PROPERTY LEGAL DESCRIPTION ---J ~ .A ,./7 ..#,,;:::' LOT - BLOCK - SURDIY. /~ ~/-4__ /( A r /..< ...- TWP RANGE - SEC.' TAX LOT # - /7 3 o?~ ~~ APPLICANT NAME AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms ~:a: TO BE ~1L~1S PERMIT , ///~7 -~~ ~~~ /!ij/ ~---"'4- ~---f ~~ f:"'.X? / _ _ ,,/1/7 SEWAGEDISPOSA~''''',v~ if~ PUBLIC 0 SEPTIC lANK K OTHER 0 BLDG. $ .74J_t!'o FEES WATER SUPPLY WASTE DIS. ----:::;g;,,/. n a.... PUBLIC ~ PLUMBING ~..;:.~;~ PLUMBINh i!tes PLAN REVIEW ...LOFlXTUJ<ES .3.L2L/77 PARK TRlR. CASH 9 ~ SEW~ E ReCE~ CHECK t'~'ECTION FEE..,.:/": ~ ~ /7~.K'" PUBLIC WATER PERMIT":# /' CONNECTION FEE / "L,\7). / 7 .P-/-"7 ~ COUNTY BUILDING & SANITATION SPECIFICATIONS TYPE CO~CTION A<f!,I',~ e... Connect to Existing Sewoge System D or New System Req. D SQ. FT@t.: # .EDROOMS VALUATION /~,c ~ (3//-?; .S-:9..2- .:5~C~ I; .<~7Y 4-?J @}2- ?O - / '1; d?.5lJ OTHER PLUMBING INSTALLED BY /J_ _ / /l ./ OWNER n OTHER 0 NAME~ ~ PLANS FURNISHED /' FACILlT~RMiT YES V YES_~ NO 0 SI ~TU DATE ~ . .//J-/-7~ /yfe-" /d ~~~ TOTAL j 2. '1"6lJ MIN. SEPTIC TANK CAPACITY qoo 1?IF(- dtrJ..tns tr, '~e-t- . DRAIN FIELD REQUIRED tiN. FT. Z:;""'';; TRENCH WIDTH FT. ;z.. OR SQUARE FEET %"C::> WITH DIS1. BOX: GAL. /' TYPE OF STRUCTU~!. j./ OCC"/tfJYr BLDG. SETBACKh. FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT 1/..1'1 SIDE INT. ...s-' SIDE EX1. A AR~ PLANNING . ";fa'i7 ZONE REAR YARD PUBLIC UTll. EASEMENT Directions to Find Property: REAR r I Oat. BLDG. INS}1 Jttf? _ . # . ~jo' A Oat. , C'/:'J/:;>''1 f,./"V.)~[~X //)-6- "7J , / f/- f USE ClASSIFICA liON COPY I - OFFICE COPY 2 - JOURNAL COpy 3 - AUDIT Form # C55-12