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Home My WebLink AboutPermit Building 1973-1-8 :~- C'"^""/"'-:.( /)~{~....'- 'i" LANE COUNT....ILDING PERMIT' OR MOBILE HO.SE PERMIT BUILDING 0; . MH 0 PERMIT NO. MAILING ADDRESS PHONE .1 .-' " PROPERTY OWNER CONTRACTOR .1 ;~r; l l~~L I O:i MAILING ADDRESS . If, ~ t1. ",J,~ 1 ,\'("~! I C)^ ("" ..t~n ,! . ,', I, PHONE PROPERTY lOCATION -INClUDE POST OffiCE . . I', Ll. PROPERTY LEGAL DESCRIPTION - METES. BOUNDS 1'. :f;CI. ',0 Llll.~OSt ClOr.:.:; LOT 1 TWP RANGE SECTION IJ.: .:,3.'1 TAX LOT NO, 11"/"2.. ?- CODE CENSUS TRACT APPl. NAME & MAILING ADDRESS ?i"'_r:-.... EXISTING STRUCTURES ON PROPERTY 1'~fl c:~t."l,::..,"", !: 'u.::r" r}.';LI_I"n-:.{'~ n t:.I~!"('r-V '1Il'T lEGAL ACCESS TO PROPERTY ~..., ~ - '-...._. .,~.~I,O;... "V:~~Uj' nr'-i~OS. J\'.:lIr PROPERTY SIZE - FT. Pr. "m/-" I '. C, (J1~r:COt..: WIDTH 101.?IOEPTH 7n nil AREA FOR MOBILE HOME PERMITS ONLY No of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT, ;; BDRMS New System 0 VALUATION ... t'! _,Irr. i\:ooo) 117 ;;. ~ I SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER PlUMBING INSTALLED BY SEPTIC TANK 0 . OTHERO 'J.OIJ FEES OWNER 0 OTHER: NAME WATER SUPPLY PU BLlC 0 o OTHER 'rOTAL . ""n:l MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED WITH D1ST. BOX: GAl. UN. 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 I SIDE INT. J SIDE EXT. 'jr AUTHORIZED SIGNATURE - DATE "l 0:: ~:'f ~::'I/.; Li - H~I-.'[:;;Ut"li USE CLASSIFICATION REAR fi DATE G.';. r, ".Y. ",.S. V. 1_i\27" 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, DIY., COURT HOUSE, EUGENE. OREGON 97.401 FOAM;:: C55-13 ~ r @ BUILD IN&: SITE EVALUATION r. (ell elfl' ~' .' (~Building Permit Application No. /:2:t2? () Site Inspect ion () Pre-Permit Investigation LANE COUNTY PLANNING OEPARTMENT NOT NO aDDl icab I e... - (-Y"' () (~() (~() ( ) ( ) () () I. Zoning Ordinance Compl iance (Zone ) Subdivision Ordinance Compl iance 2. 3. 4. Required Access Building Site (Area, Width, Frontage, Setback) Other (see comments) 5. ,9. ~ ;rLJO /.0 klr::i..,e'ofC: lJ- '- l"'i L-t' T /J.p. S S d- r- TAX LOT C~ TRACT APPL I CANT :fJl NAME___ #f?hJ Auul\t~:>"'t- PHONE .:\. DATE l\I-t:? -?;;<- > YES NAME OATE ( ) ( ) ( ) ( ,....-- ( ) ~ f J-q~73 COMMENTS: BUILDING INSPECTION SECTION NOT NO YES aDDI i'cab 1 e () () () ( I) () () () () () ( ) () () 6. Plans Submitted 7. So i 1 Stab iI i ty (foot i ngs) 8. Flood Plain 9. Other (see Comments) ...--.-. . '"-- ,.. = NAME DATE e1J~'/-B" 7} - .- , COMMENTS: SANITATION SECTION NOT NO YES NAME DATE aDD I icab 1 e 10. Sewage D i sposa 1 IN ( ) ( ) II. Usab 1 e Area ( ) ( ) ( ) A .1 //AAK /JV< /'- U 12. Water Supply ( ) ( ) ( ) .- o~ 79- 13. Other (see Comments) ( ) ( ) ( ) r l COMMENTS: ~) .-P- j ilIA I 10 tt fA' , J~I Il..'4L..;..c.tif4; /:::i.1k 1 , 0 TO APPLI CANT: Your P1 Building Permit / Site Inspection: Can be approved. -K c.. j-ft 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. Will be held in this office until you can resolve the problems ind;"cated. 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 l LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East. Eugene, Oregon 97401 PHONE: 342- 1311 EXT. 411 M55-28 ""it . . .' , ~ PROPERTY OWNER LANE COUNT.ILDING PERMIT OR MOBILE HOeUSE ,PERMIT BUILDING 0 MH 0 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 .- EXISTING STRUCTURES ON PROPERTY APPL. NAME & LEGAL ACCESS TO PROPERTY MAILING PROPERTY SIZE - FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH' AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT, # BDRMS New System 0 VALUATION 'l C 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 0 o OTHER TOTA~ $ MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED lIN. FT TP:ENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG, SETBACKS n 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 accupancy 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 I" . SITE INSPECTION ApPROVED ~ DISAPPROVED ~ DATE REMARKS FOUNDATION INSPECTION ApPROVEO I I DISAPPROVED L::::7 DATE REMARKS FRAMING INSPECTION ApPROVEO C1 0, SAPPROVEO / I DATE REMARK S LATH OR SHEETROCK INSPECTION ApPROVED L::::7 DISAPPROVED L::::7 DATE REMARKS FINAL INSPECTION // ApPROVED ~ DISAPPROVED ~ REMARKS CERTIFICATE DF OCCUPANCY DATE . INSPECTOR INSPECTOR INSPECTOR INSPECTOR / .?' N? /0 / -JI"'/v INSPECTOR I~_ /" READY TO ISSUE C1 NOT READY TO ISSUE C1 DATE REMARKS -' " / _.\ '-.J -//.A:--L",- tb I J. - '73 . 1ic---6td4 / f g :3 Ii 13~ - d- mIL atf.#-, " .1 o I' {/ ~.fj>l~('-'ft..e/ W~d~ INSPECTOR 9... 0 - foOt () " "' . . . · A..-e. " -/.'<77 - . NE COUNTY BING PERMIT OR M08fLE HOME APPLICATION PERMIT TYPE - BUILDING)K MOBILE HOME OOSC REG. # PERMIT :#: / --J. - """"7.. ~ PRO~~ O~NER MAILING ADDRESS PHONE _~~. ~Aft.h/~..::( x1.tl'~-/&{,)3 '(';?~JA.-rW?./ ~/~ CONTRACTOR / - MAILING ADDRESS 4" /' -<'_ PHON . ~~/4'~ . / , '7~ 4uc; PROPERTY tOtATION - INCLUDE POST OffiCE I /~~ 3 /tJ/h ~ //~J~~ L<'-/. -Y--I PROPERTY LEGAL DESCRIPTlON.Il j /7 / ~ $. . / ./ /J /J . , METES & BO"~ O)\ES LOT - BLOCK - SUBDIV. \/1..e.r A?-7rA. t'../..p ~~ .::z:>> ~ ATTA~'-. r;?'NO TWP RANGE SEC. TAX LOT # CODE CENSUS TRACT ~ I /7 C? .3 c.2L .20 -L:L/~ APPLICANT / DESCRIBE EXISTING ST~UCTURES :' PROPERTY IF A~~ NAME ~ ~ .~~ LEGAL ACCESS TO PROPEl" - ROAD NAME OR # AND . ~..R'_ #4/!~. ~.U~ MAILING PROPERTY SIZE-WIDTH DEPTH ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUilT THIS PERMIT /.o/.2c. AREA '70 . L'/ ;-L Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. or New System Req. 0 # &EDROOMS VALUATION b.~ ~/ .,a.,( o? ./ ['" /./~ ~) ; /'7t1J~ ...;:rJ~ SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK ~ OTHER 0 ~~ , WATER SUPPLY BLDG. $. FEES WASTE CIS. PUBLIC 0 OTHER PLUMBING PLUMBING FEES PLAN REVIEW _ FIXTURES PARK TRlR. CASH ~ER CHECK CONNECTION FEE _0': tL4J PUBLIC WATER TOTAL CONNECTION FEE PLUMBING INSTALLED BY FACILITY PERMIT ~ PERMIT # /.:?- 73 / L1N. FT. TRENCH WIDTH FT. OR SQUARE FEET / 7 / / / / MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIelD REQUIRED TYPE OF STRUCTURE .s AI OCCUPAN~ ZONE BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT fr? SIDE INT. ....;- SIDE EXT. .......cr-t':J REAR S / J7);;t"40 /-~-;; PLA~ /-ll-7.3 Oat. BLDG~ ~& / - r;r _ Directions to Find Property: ~ (j PUBLIC UTll. EASEMENT '73 Dote COPY 1 - OFFICE COpy 2 - JOURNAL COpy 3 - AUDIT Form # CSS-lZ