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Home My WebLink AboutPermit Building 1973-9-28 "'- -- "- .. , .' LANE COUNT.I~DIN,G.f PEI\WT OR MOBILE BUILDING E!J MH U MAILING ADDRESS ICI;}') $. 'W' ~;t. ~r>rill"flold, ;)re[,u" MAILING ADDRESS HO.SE PERMIT PERMIT NO, 1:;21-;3 PHONE ~ PROPERTY OWNER tt':)hnrt , Ji::C:~ CONTRACTOR 71;()-L;1;.2J PHONE PROPERTY LOCATION - INCLUDE POST OFFICE Ill.;:J [hI i.:;:;,. i\von:.!o PROPERTY LEGAL DESCRIPTION - METES, BOUNDS IkrD Cello i:::;~C1tcs Lot I ~J1ock 3 TWP RANGE Ii' 03 SECTION 2~..? 3 TAX LOT NO. 11 57 tfZJ CODE CENSUS TRACT 20-:::0150 APPl. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT ';:c:cllltH) GCrO]O unl" n I S:lca at t:. EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY )01 ROGO Avenuo PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. = BDRMS 12~2 ~Uj 012 ,- j New System 0 VALUATION (3 2) 1l;.,:.~/~ I.)~ 1G,:~1 ,; 1l'l!>i:OII :3.U.:3. 11 PI l':.ltl I n!) F J xtllrcs SEWAGE DISPOSAL PU BlIC 0 BUilDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . OTHERD {,';OO ?I)OO ~6_~0 FEES PLUMBING INSTALLED BY OWNER 0 OTHER, NAME Jock JockSO:l WATER SUPPLY SEPTIC TANK B PUBLIC 0 o OTHER TOTAL < 121.'iO COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH OISL BOX, GAl. 7S::J UN. FT I SO TRENCH WIDTH FT" 2 :.(.~f Grclnu to streot, TifjM Ilno required unacr ..rIV::t4cy. e;,ui'1 lJ J(1 lcn:;th co llosoltlle. OR SQ. FT. url:lI nr I 010 I H1CS to DO DS 300 TYPE OF STRUCTURE :J [j ~: ~,QlDC;:.' SEJl!-A~KS FRONT ll~ OCCUPANCY I '" J ZONE PUBLIC UTIl. EASEMENT \ _ FT. FROM erR. OF ROAD RIGHT OF WAY SIDE r,INT" 5 SIDE EXL AUTHORIZED SIGNATURE - DATE by Nllrbcugh 40 REAR USE CLASSIFICATION 7'ill( P,U.i:. DATE 51 J.:,. John Cruickohohk, n.s. S-2!l-73 \ I BLDQ. PERMIT - WHITE OFFicE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BuiLDING - GREEN INIT':'T'ON - 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 BU ItD ING SITE EVALUAT ION . I ..:::n c , ~ Building Permit Appl ication No. /9;2/-l3 () Site Inspection () Pre-Permit Investigation LANE COUNTY PLANNING DEPARTMENT NOT NO appl icable 1. Zoning Ordinance Compliance ( ) ( ) (Zone 'RA- ) 2. Subdivision Ordinance Compl iance ( ) ( ) 3. Required Access ( ) ( ) 4. Building Site (Area, Width, ( ) ( ) Frontage, Setback) 5. Ot he r (see comments) ( ) ( ) COMMENTS: .- T..L.ams ;;J 1 TAX LOT CENSUS TRACT 11 eeFJ ])t.t(.E E-smrE-S /- -I 13-3 APPLICANT: /~ ~ NAME 1'1 IiOH4J{!7 vUJRS ADDRESS PHONE DATE Q-OJ/-73 YES DATE NAME (r r/YJ1~ ( -r-- (1 (--r-- ( ) "1-2-5-73 , BUILDING INSPECTION SECTION NOT NO YES NAME DATE aDD I icab 1 e ~ 6. Plans Submitted ( ) ( ) 7. Soil Stabil ity (foot i ngs) % ( ) ( ) , 8. Flood Plain ( ) ( ) &;6~*,/! '1-1-9'?' 9. Other (see Comments) }() ( ) ( ) / - - f - COMMENTS: SANITATION SECTION NOT NO YES NAME DATE aDD 1 icab 1 e 10. Sewage Di sposa 1 ( ) ( ) W 11. Usable Area ( ) ( ) ~ ~~ 1MB 12. Water Supply ( ) ( ) bf J 3. Other (see Comments) ( , ( ) ( ) COMMENTS: . TO APPLICANT: Your Building Permit / Sit~ Inspection: ~ ex[ Can be app roved. CL--::J ~ --73 . ~ ( )--Cannot be approve~ at~~time as indIcated on item NO. above. Questions and further information on items 1 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 indi~ated. () 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: 342-1311 EXT. 231 LANE COUNTY BUILDING & SANITAT!ON DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-' 311 EXT. 411 , ~. LANE COUNT&ILDI~JG PEilMIT 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 " " .j ,. , 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 , h PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing TYPE CONSTRUCTION Sewage so. ~ (,' ., System 0 FT. :# BDRMS New System 0 VALUATION -..' I ;~ ~ , . . . " '. SEW AGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER PLUMBING INSTALLED BY SEPTIC TANK 0 OTHERD " FEES OWNER 0 OTHER, NAME WATER SUPPLY . , ", PUBLIC 0 o OTHER TOTAL . MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED 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 FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR USE CLASSIFICATION " " ~ '. .,-. .. '. DATE ./ \'. . . ,) . . ~..-: ...~, .J 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 f'ORM :: C55-1) . . . _....... . .~ SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ~ DISAPPROVED ;---? DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS ROUGH PLUMBING DAT~//.~?-JJ INSPECT04/f'" ApPROVED ~ DISAPPROVED ~ REMARKS ROUGH GAS PI PI NG ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVED ~. DISAPPROVED ~ OATEZ -/'1--/9 INSPECTOR41''/ REMARKS A/7> F/xj".~... ~-.5--7"~r FINAL GAS PIPING ApPROVED ~ DISAPPROVED .~ DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE / / DATE INSPECTOR REMARKS PROPERTY OWNER LANE COU.BUILD~N~ RERMIT OR MOBILE Ha BUilDING D 'MH D MAILING ADDRESS ~ USE PERMIT PERMIT NO. PHONE .' ., CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ~ ,j 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 . .-. ....' ~ , ~' I "-..<'~ ' ~--J\ - - ......... " , ""'. ~ , \ '-. .'V -.. C' , . , .' . . o ., .- " '. :, ............"t\:,'-. , \ SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK '0 OTHERO . J.. FEES OWNER 0 OTHER, NAME_. WATER SUPPLY ,.,. PU BlIC 0 o OTHER (> ,,' MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL $_ '0. COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FJELD REQUIRED TOTAL "'...r' . ,1IN. FT ~u .. " TRENCH WIDTH FT. ( '. " \."'~. I,\\.,~_",..j..c ,\,~-Ii' ,~~ ~,,"-,"'''"_ \1\', -\ " }-II \: II TYPE OF STRUCTURE .\ , "''''~'' ,- .,~":.'" OCCUPANCY lONE PUBLIC UTll. EASEMENT " BLDG. SETBA<;KS _. FT. FRONT r:i fROM CTR. OF ROAD RIGHT Of WAY . 'j SIDE INT:! SIDE EXT. AU';HORIZED SIGNATURE - DATE . '11- . I ~.r I USE CLASSIFICATION ._f' "1 REAR 'I '" . 0 c 0 DATE -0.0 '- ....1 '" ' ,'<..-' BLDG. PERMIT - WH ITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform building code and county regulations covering plumbing and sewage disposal. All buildings require 0 certificate of occupancy before being occupied. \ . , (See Statement on Reverse Side) , " . . \ '\ ~\ . "...... ~ (POST" THIS PERMIT. ON MAIN BLDG. AT SITE) , " \ , LANE COUNTY, BLDG. & SAN. DIY., COURT HOUSE, EUGENE, OREGON 97401 FORM:::: C55-13 r . . -, .. - ~ SITE I NSPECTI ON ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR ~- REMARKS FOUNDATION INSPECTION ApPROVED rn 01 SAPPRovrD /I DATE 10-;l.;2 ~1'J INSPECTOR ?J '-- REMARKS FRAMING INSPECTtON ~~ ApPROVtO / JYl DISAPPROVED ~ DATE / ;;"-~-73 INSPECTOR (*-- RrMARK,/k~-,A16f~/~-;2.2.'h ~~ 'F~/f-g-'77 LATH OR SHEETROCK INSPECTION ApPROVED / / 01 SAPPROVro L--/ DATE INSPECTOR REMARKS FINAL INSP;~~ ApPROVED OISAPPROVEO ~ DATE "?- -/ r-7lf INSPECTOR aft REMARKS d/UA~$~1..tJ) I J.-li! ~ 'T.J 4.ute.; _ J. o?V ~f:'1(4'! i-i 'i -7.,. 4,u.,,,, ,- :ip'7-1' :;;;r"p {Iii. ~7 - u CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE INSPECTOR REMARK 5 Ii AI- 7J 1l /7 -'7 v-:~:y A 1~98 t)d~ :/b-t:IJ/6'D ~ " rIf 'j / )^-[) ~~ Pl. .INDIVIDUAL SEWAGE DISPOSALcSY~ RECORD Installer: comp1et;~ Jc>P part. form to signature and return bot~ copies to Lane County Building Sanitation Department. PJ:"RMIT No_ Ier.al/-Z-i' tT .c-. I Property Address /7 ~ fdqf .((4'-f'&-A<2J'~ ~ - Basemerrt ' . Wacer Su ply I Yes 0 No ~ Public ~ Other-List Irt~tj:Z;1;e NO~;1~gun1ts~droomsIBatns Sept1c TanK: Ft. from we] r Steel 0 Concrete ~ No. Compartments :L Gal. Capacity. 10& 0 Inslde DlmenS1ons: .'t. - Tile Disposal Field:. Length ~ Width d Diameter Depth D Distribution Box:YeS~ No 0 :::::' .9;~ ~.1:--:;;; "A" P ;;;;" ,::rr'oo:::~:: Address r.l / ":A / /7J Lot Line #~~ ...?/J--rt' ,(,?H,~. Front Side Rear Leng~ of }dnes -~~ rTrench~ota1 Sq1Ft.betweenlFi11er i IFil1er deothlF111er depth 1. OJ. 3. 4./5. 6. Widthc:Z'lft.,V>t? lines/O ITypej";;; anove1 be10w/ /, A- ti 1e .; in. tile /~ iJ4. Sketch (Se instructions): . C) //) ~4J~ ~;~~itarian's'Signature ..-.._._._._~~ ^, 1 ! 9' / I -f (, :1 I ' 1-; ( I ;}D ...,1 j __ . L.1J.., ~I-? ~l;!, .t) .o. -;l-~ ~ 7~' - I J.J., .-~ " ( cfl- f)\ J , . ~ ~ = rr=' ,s' \ ---~....,~ ---- .'-- --- , ; . . \ :7 - ----- // "'/\ ~ \\! " :1 I J, re' -.;:..: i1 'l.fU ~ . .~.- Date l/J~. '1 f) ~ ry '"1 For Sanitarian Use cln1y: ri Approved: Sys tem Installation [j'Disapproved: Does Not Conform Remarks: Signature_~~~~~ Date: 10/4'1.3 Conforms to Current Standards to Current Standards Lane County Building & Sanitation Dept. M r- - ;z ;:) = !:J G'i = j:: '"'" :5 8 w ~ ~. ~ 0'> ,-l I- U o ,.."",-" LANE COUNTY .DING PERMIT OR MOBILE HOMEeE APPLICATION PERMIT TYPE - BUilDING R MOBilE HOME OOSC REG, # PERMIT:#: I 9~-?~ MAILING ADDRESS PHONE CO TRACTO MAILING ADDRESS f'~~%~9'~J ~ . a/......,.,u... (/t.fQ ~ - --'....., ,. . \.' . .- ,,- - -. --..---..- PROPERTY LEGAL DESCRIPTION ." / //J .4'/_ C' ~/,~./ (L:J / II ...",.~ ~ lOT - BLOCK - SUBDIV. V~ ~ r_.4,y..,'~ ~~,_ ~_ C:r.l TWP RANGE see. TAX LOT # CODE CENSUS TRACT ~~ANT 0 -' .;2 Y DESCRIBE EXISTING STRUCTi.?s~N -PR'!;(?,Y (, ~O o ~p~ ~_h.hdJi,~~A-./ , , I / - ~l~. ;;tlC:Z;//i~;::;E OR # PROPERTY SIZE-WIDTH DEPTH .. Jf PHONE /rt52/J ..&1r~ .11//,(l'P4r r7I'/h-4.~ NAME AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms S~TURES TO BE BUILT THIS PERMIT /lUh/ /~~/ 4/1 CI /~--I'~ '~_off- METES & BOUNDS 0 YES ATTACHED 0 NO AREA Connect to Existing TYPE CONSTRUCTION CASH D SEWER CHECK K CONNECTION FEE ~ . .,.n J AI PUBLIC WATER .L-- .. ~ CONNECTION FEE ~~/L COUNTY BUILDING & SANITATION DRAIN FIELD REQUIRED L1N. FT. /~ TRENCH WIDTH FT, ~ .. SEW AGE DISPOSAL , PUBLIC 0 BLDG. WASTE 015. PLUMBING PLAN REVIEW PARK TRLR. TOTAL SEPTIC TANK .g ~..5. ,:c5 ~. ;i) J JJ...tr:LJ OTHER 0 WATER SUPPLY s FEES PUBLIC 0 OTHER PLUMBING FEES ..:J....., IJo{!. (' . -1L FIXTURES " MIN. SEPTIC TANK CAPACITY "7Sl!J y~ dn.l),'; 72> ,"'-.~. ]2f7L.\...-fztdJ !t)1Pd tp )Po 6.<; WITH DIST. BOX: GAl. 7/jlt't )/h~ 7{t$/ J'r ~~ chcArJrlW./tiJ- .~ <l.~ r<;r-pl",. TYPE OF STRUCTURE JC'N OCCUPANCY / cy- ....7" Sewage System 0 or New System Req, 0 /~~/~r2J/~f:; ..6'c1,$@J.J _1.5eJ1 //P~ 11 r PLUMBING INSTALLED BY OWNER n OTHER 0 NAME ~~':2-~--I~, - PLANS FURNISHED FACllIT ERMIT , YES g, NO 0 . YES ()( NO 0 SI'7tiJl;;;;::t 1 ~d2/D~;.s DATE Fi RECEIVED BY. / ~h,/ fR'1IT # ff,.;:V- ;7~ SPECIFICA liONS OR SQUARE FEET ~ ZONE REAR YARD PUBLIC UTll. EASEMENT BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY UUU ...._-, '-" ...I ^' / iRONT !d =- SlOE INT. => SIDE EXT. ~ REAR 7 /"t..)~ S RI D e PLANNING Date BLDG. INY) lA . /i ~ ~ q-2.S- 7";> 'J/f!,J f}4!{?-4;1'1~ ). V f 64to/ <J-f;&;n Directions to Find Property' COPY 1 - OFFICE COpy 2 - JOURNAL COPY 3 - AUDIT Form # CSS-1Z USE CLASSIFICATION . . x .. ~.>.. - ,,~ ~ \ , . ~~~' ~,~ ... ", ~ , ~\ .J~ ~" ~,,~ "~ ;'<~'" ~'\~~'I'~ :',~~~~ .,. ....~..:~ -'\. ,~~ '':'~'~'; .~. ,~\~>~ _ht-~~ ,,~ .") ~ \- .;, :\:~,'~', \" ~ l;.,." .' '" . ...~',,(\.l',>~'>K '\.'.,,~. ... ... -\ I i 't'...j.'....l '':'.\ ~~', ).."..J-(.' "'-\ ~\ --" . \ '. ", ",-,,' ~'\~~, ~\ ,"'~~:~, h-~ ~~. L : ",\?- - ,~ '\ '\;\ \~\ . '~~>)~ -,~,S\,'>....:..-.:~:~~ ~~ 1; ",.. ,r,j ~~ .,...~""'~. '""-",, '=", >.. r., .... f ::'ilo'~ ~ '>c ';,....,~:~ >l.<."...-'~_. 0, ~.ls., '-, ~,,-,'-.;.-~ \\ " -'.c ,~,' _;.~~ '.'t'" . ;::., }, . '1;;S' \ \,~\ . >--- - "c,.\ ~ -c,.\~\ ~ ~ ~~\ ~'" _,\J:>~";' L ~''..~-J \r/~~'~~\')\{\\ .,s\(,~'f ,J.:)'~'\:r.::. ('~- ~r<\.M~ ~~ ,'3\~~ ~\l) ~~\ ~\ \ll)t") ~ ~ ~ ~\<\\ ~\"'l\T,.(~Q, ~,~~~~~\~