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Home My WebLink AboutPermit Building 1973-12-17 7' ~ /I~ .::.~ ,..,. .... l} " .. . ~ ~__" -:-':r," ." to i >.. ----- ~ - ~ - -----=---- ._....:) " . PROPERTY OWNER LANE COU"NT.ILDING PERMIT OR MOBILE BUILDING D:J( MH C.' .. MAILING ADDRESS HO.SE PERMIT PERMIT NO, ;) ...? .~-0,' '~\.;'. i ~~l.i~-.,. \ PHONE :~~ll:ftd1i Jtl.:~ CONTRACTOR MAILING ADDRESS SOUTH 1'/,\").. ~:;?RI.:Gj:"I~LD. C.':F:",O~! PHONE I}l~l-~~);'~(' I~~ ,lAAnT lu I '- 1rnc 16:::0 PROPERTY LOCATION -INCLUDE POST OFFICE 1':;1 ~ELr~C~~ tv~~ur PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ~~RA D:LL: LOY e GLOC~ TWP RANGE SECTION 0'<. 21! , ""?, ~ TAX LOT NO, tf;. S-~ CODE CENSUS TRACT 17 1,1-1!CQ EXISTING STRUCTURES ON PROPERTY APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION D.i:::LL I ~C-:.1A I ~~ CA~^C.::-.W"(ACI;ED Ar~D Cf: ILED l'iL0.-C; 1;> 506 (; 3.Y: "[1 )C" I ." ~ d , lr __~'... ,l. 'I (~. : ;~ ~''- SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER PLUMBING INSTALLED BY SEPTIC TANK ID( . OTHERD 74.00 20.00 <<.'i0 FEES OWNER 0 OTHER, NAME WATER SUPPLY Lltlc~( ,II' r.:(!"A~~ PUBllC 0 o OTHER MIN. SEPTIC TANK CAPACITY ,. 1?7 "'" COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED TOTAL WITH oIST. BOX: GAL C'~~ ,~,J lIN. FT 210 TRENCH WIDTH FT. 2 OR SQ. FT. 1:20 TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT Ij :~ I At~D J BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT l;.') SIDE INT. &) SIDE EXT. REAR AUTHORIZED SIGNATURE - DATE /'J/ J.!:. ::c ,0 3Y CHArle":!J I-lA!~3AUC:: USE CLASSIFICATION "f DATE JOHN SHOO~. R.S. 12-17-7< 3(1 BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SAN IT A TION - 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 97.401 FORM:% C55.13 bUILDING SITE EVALUATION ~ .:J.s/e.H. TRR 935 24 TAX LOT CENSUS TRACT ' lIe.D~<<-f... t..-e, . 8-}. . APPLlWfH: - NAME kELJ~ St.O/3.2 ADDRESS " '" . . . (>4--. Building Permit Appl ication No. Z-Z3S'Q-73 () Site Inspection () Pre-Permit Investigation PHONE OATE /;;,:)-/0-73 L/\NE COUNTY PLANN I NG DEPARTMENT I. Zoning Ordinance Compl ia..!.lfe (Zone ~--A ) Subdivision Ordinance Compi iance NOT appl icable () () ( ) ( ) ( ) ( ) NO YES NAI1 E DI\TE ? -', Requ i red Access ( ) ( ) ( ) ( ) (~ (~ (~ (~ ~ ~-~-"'>- ~.- ,- I-Y':;, / :7 "1 2. 4. Building Site (Area, Width, Frontage, Setback) Other (see comments) ( ) 5. COMMENTS: - BUILDING INSPECTION SECTION NOT NO YES NAME DATE app I i cab I e M 6. Plans Subm i tted ( ) ( ) 7. Soil Stability (foot i ngs) {1 ( ) ( ) 8. Flood Plain Vj) ( ) ( ) - 9. o t he r (see Convnents) W ( ) ( ) tYa;/~ /z. / 'I ~ 7;] ~ COMMENTS: f SANITATION SECTION 10. Sewage Disposal II. Usab I e Area 12, Wa t e r Supply 13. Other (see Convnents) COMMENTS: NOT app I icab Ie () () () () () () () () NO YES C \1\ ~ ) (~ .j}~~ (/ if.' o (-1' I)~ fuWl TO APPLICANT: ( ) ( ) ( ) Building Permit / Site Inspection: Can be approved.I.J,~~J1~ 7/1/J- Cannot be approved7ft th1s time ~(ndicated on item NO. above. Quest ions and further informat ion on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on items 6 throughl3 contact the Lane CounlY Buildinq dnd Sanitation Oivision. Wi II be held in this office unt i I you can resolve the problems indicated., Is being returned, Your buildin9 permit applicutiun fee is being returned under separate (.ul/er. Your ~ LI\Nf COIIN'I Y I'I.iINN I NG DEPARTMENT 13,S" Si)<rh Avellue [~st, Euyelle, 01"900 97401 ,'11<>1'41:: J!jl..I:111 01. 211 U\NE COUNTY BUILDING & S/\NITATION DIVISION 13') Six th ~V~IU" Eas t, EU<jell'>, Olegon 9740 I PllllWt: 31;2-131' fliT. ~ll "M'5S=ZS--' - .---- ';,. " 1~ ,~. . . . Permit No, .- Date :,I, CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com- missioners of lane County, and it is the opinion a nd judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby, ORDERED, that a permit be and is hereby issued to , -,,: -" :j-'~ ~l. 7'0 for placing, building or constructing the following facility: -0,. ~ v. , ,- ,,,,,' < L,,' :~ _'_ " r :" ,., '-'0 _',,_:~ / .. i,..- ,j '~ ".,. -, ~'..." ~ ;," ~, ,~I,'"..., .'".... .'. :.: '0G,~^" . upon the right-of-way of County Road No, , Mile Post , in strict conformity to the exhibits attached hereto, ond subject to all terms, conditions, ogreements, stipulations and provisions contained in the application and permit, the Rules and Regulations Gov- erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the Lane Man- ual 50,190(2) any amendments thereto, and any other applicable regulations, law or ordinance, Specia I Provisions: 1, Driveway will be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98-50), 2, Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition, This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned above is hereby authorized, This permit shall be void unless the work herein contemplated shall have been completed be- fore , , 19~. Expires ,19_. Inspected and Approved Approved by Board of County Commissioners By Dat" By Director of Public Works WHITE - OFFICE FilE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT. YellOW - REAL ESTATE C98-79 '. ;J .. . Building per~ # .~ bate " APPLICATION FOR FACILITY PERMIT I, (Applicant's Name) hereby make application under Rules and Regulations Governing Facilities to be Permitted Upon County Rights-of-Way, to construct the following facility: .",; Upon the right-of-way of County Road No, , at mile post on the I No. I So, ,I. E. I w, I side of the rood, or (mark with X) as shown on the exhibits which are attached hereto, in strict conformity to the statements of the exact nature and amount of work to be done, and to the description of the facilities contained in said exhibits, The applicant will be the principle owner of the facility as constructed, or other- wise primarily liable and responsible to members of the public for its proper maintenance, repair, operation and use. The applicant accepts all terms, conditions, agreements, stipulations and pro- visions, in Rules and Regulations Governing Facilities to be Permitted Upon County Road Rights- of-Way, as set forth by the lane Manual 50.190(2), any amendments thereto, and any other ap- plicable regulation, law or ordinance, I To I I I I I I Permits Processing Noted Date Noted Director Principal Engineer Subdivision Engineer -. f ,,~ Signature I ,! ; Permit Engineer Weighmaster Zone No. Address WHITE - OFFICE FilE GREEN - RESIDENT ENGINEER PINK - PERMITTEE C98-78 BLUE - ROAD SUPV. ORANGE - BLDG. & SANII. YElLOW - REAL ESTATE Phone No, .0 LANE cOUNT.ILDING PERMIT OR MOBILE BUILDING D MH 0 MAILlNG ADDRESS HO.SE PERMIT PERMIT NO, 0- 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 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 0 TYPE CONSTRUCTION SQ. FT. :# BDRMS New System 0 VALUATION SEWAGE DISPOSAL PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC lANK 0 OTHERD PUBLIC 0 o OTHER TOTAL . '. MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED WITH 015T. BOX: GAL. L1N. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE 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 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 '" ~,.- .r..., . t . f .. .,.... -~ ~ r.-,"-~";. . ..,. , . '. SLAB FLOOR PLUMBING GROUNDWORK {"'-- 4f!'~' <f:" '." " ; "it" J'\. '" " ApPROVED ;---? DISAPPROVED ~ DATE REMARKS GAS PIPING GROUNDWORK ApPROVED C1 DISAPPROVED 17 DATE REMARK S ROUGH PLUMBING ApPROVED IX I DISAPPROVED Cl DATE7-/"'~/1/ REMARKS ROUGH GAS PIPING ApPROVED C1 DI SAPPROVED C1 DATE REMARK S FINAL PLUMBING ApPROVED: ~:~"'(APPROVED C1 REMARK S FINAL GAS PIPING S-~O'7'1 DA"~ -;.~' If - '~ - REMARKS ApPROVED Cl DISAPPROVED / / DATE CERTIFICATE OF OCCUPANCY W'- ...,.- \..,"1t......_~ . . '. INSPECTOR INSPECTOR .1 INSPECT~ INSPECTOR INSPECT INSPECTOR REAOY TO ISSUE I I NOT READY TO ISSUE ;---? DATE REMARKS INSPECTOR " ~ , . LANE cOUNT.ILDING PERMIT OR MOBILE BU.lLDING 0 . MH 0 MAILING ADDRESS HO.SE 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 STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY \~'\ '\' ,s:. LEGAL ACCESS TO PROPERTY--" ',I PROPERTY SIZE - FT. , ...', WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. # BDRM5 New System 0 VALUATION \ ~ '\~3\ ' I\. J ~'\,~\. \\\'-~t ~ - ~ - \\ ~, " <;.., \.i~~ ~~ ,'\, - t\'\-~'<<.)..'\.J'q,\.,.,.",,'.\. " '~..., -"-\,.E....,""~ ,,~, . ~ ... '. " > \, '~A"':Z, ~.."'~ " . " 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 / '\ -I -oJ 't'\ - \ - '~ PUBLIC 0 o OTHER ~ TOTAL . MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED UN. FT TRENCH WIDTH FT. OR SQ. FT, " \,~ , \ ~f . -, -- \' II :',' \ ~'" '~ \: \..... ~ ~ ~. \\.'fo-l.'-x.....\>...,. o V I..,).'_''':-~, , '-, '0' '~\"\-"t\-,~ \::~.~~' \': TYPE OF STRUCTURE OCCUPANCY lONE 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 - 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 disp'Osal. 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 r} -. . . . . , , ~ \ SITE INSPECTION APPROVED.Cl DISAPPROVED.Cl DATE INSPECTOR \ , REMARKS FOUNDATION INSPECTION ~ ' -; '7" 11.1 ApPROVED ~ OISAPPRDVED / / DATE /-- .. _ I INSPECTOR .-/ /.I ' - // 'J REMARKS"'~~A:,A-7?,:U/ ""~...._~'" ../!.;:~leI~;// ,'3/) .-'7lf / 'I / FRAMING INSPECTION ~~ ApPROVED / v7 01 SAPPROVED G D'ATE j ~j1. 5'-'7,/ I NSPECTcI..!If: t!! / REMARKS-t,g., /l~t}!{'RjJ.l-'J' 1'( ~,fl. -/ 9' tif - r1.'4t ~.:1,. dl'Jf::..?'f" _ ...,~-/~- ,,,If ' LATH OR SHEETROCK INSPECTION ApPROVED ~I DISAPPROVED 1--/ DATE '-!-/-1/( INSPECTOR tL ~( REMARKS FINAL INSPECTION ~ ApPROVED DISAPPROVED q .JlATE J:-:J ~ -III I NSP.ECTOR [;t:v REMARKS.d ~ l/~i('.;7'1f1{ .-tf.AVfldjlj...t ~7i.f J &...1. CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE .Cl DATE INSPECTOR REMARK 5 ;2.3 ,S.O "7~ Dtv.- t-df:)~ /'14JV~ .... - . INDIVIDUAL SEWAGE DISPOSAL S~M RECO~ Installer: Complete top par form :~ ~ signature and return both cop~ s to Lane , County Building Sanitation Department. '.. , ALA ~~ k InstaFlerls Name Pr-RMIT Nn_ ?~c::n_7'2 No.L1v1ngUn1ts \searoomslsatns _I sept~c TanK: Ft. from well Steelu rnS1ae UllnenS~on5: l"'C. Length 1( Width .5 Applicant Name I Property Address De I rose Avenue I Basement , Water Supp).y Yes 0 No 0 Public I:V' Other-List Shook Diameter Depth s t Gal. Capacity I" flY' Tile Disposal Field: Distribution Box:YeS~ No 0 Other Distribution- Type Concrete tlY No. Compartments Mailing Address Jac.k J(pph::r..... Kephart Builders It::'"" c:_....... 1I.a1l . Springfield, Oregon Feet from ~ell Lot Line Front Side Rear ~ ITotal Sq1Ft.betweenlFiller IFiller deDthIF~ller;-i)_ePth f '7'. ' I I I),: above belo~ t. J cpO lines <1 Type J tile 1 in. tilef l' :iJ4 -...- Foundation Leng)t of Lines - Ft. ~O ITrench 1. (2) 3. 4. 5. 6, Width )... Sketch (See instructions): WECEIVEDAI'R ~ 't 'I~l~ -----. -- .--- .:::; (' r"'" Hcu~t icrilr' b-J 1j I \ f~ ~~~, --.. - - - -' \ ~~,,-- - .- .,~,- P J. ~--~ For S tarian Use Only: Approved: System Installation o Disapproved: Does Not Conform Remarks: iU Signature 11 _~ _ lie ~..4 // Conforms to curreWStandards to Current Standards . Date: ~d-1 /7~ Lane ~ounty Building & Sanitation Dept. (1Up~n~, ~anitarran's Signature rO:O:_l1 ... ~ . LANE COUNTY .DING PERMIT OR MOBILE HOMeE APPLICATION PERMIT TYPE - BUilDING D MOBilE HOME Dose REG, # PERMIT :#;.2.3 60- 73 PR,R91)i PERTY ~~~E~ ...., --.L " MAILING ADDRESS PHONE I-)~~ .:/~ nACTOR ~UJ~ /Z~;?ADD5. ~ I Sf) ~~ PROP~ INCLUDE POST OFFICE - / <f 73 :J:J&L R-B.s6 /H./EA/i/,e ~ - L-fj TAX LOT # PHONE 7~~ - C/c.(;;)..'7', PROPERTY LEGAL DESCRIPTION I /,6 ~ /1 .,.",' / / ,. LOT - BLOCK - SUBDIV. 1/ ~ .v~ TWP RANGE SEC. / 7 (:)3 :;;2 '-I 1<-1 - CODE ~/_~ACT DES'::t);;;;;r~ ST~TURES ON PROPERTY IF ANY LEGAL ACCESS TO PROPERTY - ROAD NAME OR # Y~~6- /1d~ PROPERTY SIZE-WIDTH 9/J METES & BOUNDS 0 YES ATTACHED 0 NO APPLICANT NAME AND MAILING ADDRESS FOR MOBilE HOME PERMIT ONLY Number of Bedrooms -t>~;V~T~~ -' ~_-/Rr-~ DEPTH AREA /<9-tb Connect to Existing TYPE CONSTRUCTION Sewage System D or New System Req, D js-t;;ft @ /:b..BEDROOi #/'lJqh ~.3,sO /77( IfBG.7 SEWAGE DISPOSAL PLUMBIN~NSTALlED BY 1 OWNE. OTHER RrNAME, 1lIeL -,.1f)y~t;JII.} PLANS f01tNISHEO" - FACllITY'")ERMIT YES~ NO 0 :r1ES ~O 0 5?fft;.~E 0 APPlI~NT DATE 30.QO'X / / Il f.,fI /,;;)-/0-'""23 ~,Q:) ~~ DATE ~ ~ (. Ei:) . I COUNTY BUilDING & SANITATION SPECIFICATIONS / DRAIN FIELD REQUIRED / lIN, FT, 12 J 0 TRENCH WIDTH FT, L OR SQUARE FEET '-/ :<. 0 / / \ / TYPE OF STRUCTURE 5" P OCCUj;;: ::r ZONE REAR Yt1 BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION 'i{o:.;~~;.~ =/ ~/.,~;~~,?,:.. 15/3"'/-t1f ~~,;."' .. ""' ,,,,..", ,) f . jI' J PUBLIC 0 SEPTIC TANK )lj $2!t. eO - cO (J.lS;lQ :::55 -0 .b FEES OTHER 0 WATER SUPPLY BLDG. PLUMBING PLAN REVIEW PUBLIC 0 PLUMBING FEES -Lf2 FIXTURES OTHER WASTE DIS. PARK TRLR. TOTAL /:::>7, .so CASH 0 SEWER CHECK J"~ONNECTlON FEE PUBLIC WATER CONNECTION FEE MIN. SEPTIC TANK CAPACITY 90() WITH DIST. BOX: GAl. PUBLIC UTIL. EASEMENT Dote / ). -I "J - I') :J COPY 1 - OFFICE COpy 2 - JOURNAL COPY 3 - AUDIT Form # CSS-1Z