HomeMy WebLinkAboutPermit Building 1973-10-26
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LANE COUNTY~L1)IN6 PERMIT OR MOBILE
BUilDING 01 MH 0
MAILING ADDRESS
....- ...., .
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'JI(' /-"
HOM~SE PERMIT
PERMIT NO.
:0:::::-71
PHONE
71l7-'i161)
PHONE
PROPERTY OWNER
.'
Scott. loroon
CONTRACTOR
.1
,
1044 DondoD Sorinafield. Oreaon
MAILING ADDRESS
J
PROPERTY LOCATION - INCLUDE POST OFFICE
,
~ight eff Main on ~2nd to JaSDer - rlaht on Dondca rlaht to cnd of CuldcsDc - 10~ Dondcn.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
Moadcw Grecn Estatos lot 6
TWP RANGE
SECTION
1(1
02
06, I. 3
TAX LOT NO. CODE CENSUS TRACT
j:/:;- %1 dtl
EXISTING STRUCTURES ON PROPERTY
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Houso
LEGAL ACCESS TO PROPERTY
Dondea
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA 129' X 142'
Connect to Existing Sewage System 0 New System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION
Reoalr S~icao dlseosal svst~
Soe Bulldina Permit 1067-68
SEWAGE DISPOSAL PLUMBING INSTALLED BY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
, PARK TRAILER
SEPTIC TANK ;[]:x Is t SOTHERD
.
FEES
OWNER 0 OTHER: NAME
WATER SUPPLY \cJI II 8."ilottc
20.00
PUBLIC IlJ
o OTH ER
TOTAL
s
,n nn
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH OIST. OOX, GAl. Ex Is ts
Stay a mln~mum of 10 foet from
Hold trenches to a 24" moximum
UN. FT 150
the property
dopth.
TRENCH WIDTH FT. 3
line and house ~ith all
OR so. FT. 450
parts of netJ ara I ilf i 0 j d;-
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIl. EASEMENT
BLDG. SETBACKS __ FT. FROM efR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/5/ J.E. Boss by Harbaugh
REAR
...
G.\cJ. Gray, Sanitarian
DATE
10-26-73
"
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 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
f-
BUILOING siTE EVALUATION
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c9/<99-73
T /0' R 6);)S 6)(.-, TAX LOT
CENS~RACT
,,?7if1t:1t?~~ bsr L6>1'~<:;;
APPLICANT: ~~
NI\ME ,~/
ADDRES~
1
j,..
,.~~X
( )
( )
Building Permit Appl ication No.
Site Inspection
Pre-Permit Investigation
PHONE
DATE
/1'9-c?3-73
, ,
L/\NE COUNTY PLANN I NG DEPARTMENT
I.
Zoning Ordinance Compl iance
(Zone )
Subdivision Ordinance CampI iance
NOT
app I i cab I e
() () ()
() () ~.)
() () P lJ
()~\\J
() () .:
NO
YES
NAME
DinE
,
.J.
Required Access
( )
( )
( )
( )
2.
4.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
5.
COMMENTS:
~
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
aDD I jCab I e
6. Plans Subm i tted () ( ) ( )
7. Soil Stability (foot ings) ( ) ( ) ( )
8. Flood Plain ( ) ( ) ( ) r:~~.
9. o t he r (see Comments) ) ( ) ( ) /~J~S--1J
COMMENTS: (j
SANITATION SECTION NOT NO YES NAME OATE
aDD I icable
10. Sewage o i spos a I ( ) ( ) (!I:l
II. Usable Area ( ) ( ) ( ) ~'~J
) 2. Water Supply ( ) ( ) ( ) ___#1))-
IO/;Jt,
13. Ot he r (see Comments) ( , ( ) ( )
COMMENTS:
TO APPLICANT:
( )
( )
( )
Building Permit / Site~>ns~1ct;0~:J
Can be approved. / C;. ,,2:5j 13#v
Cannot be app roved at t his time as i nd i cated on item NO. above.
Quest ions and further informat ion on items) through 5 contact the Lane-
COUNTY PLANN ING DEPARTMENT. Ques I. ions ,md fu rt he r in format ion on items 6
through 13 contact the Lane County Buildinq i,,,d Sanitation Oivision.
Wi) I be held in this office until you can re:;olve the problems indicated.
Is being returned.
Your building permit applic.Jtion fee is being returned under separate c.u.ter.
;r
ltlNf COIIN'I Y I'I.iINN ING DEI'/IRTMENT
I].~ Si..th Avcnue [~sl, EU\jene, Orcgon 97401
"lION!:: 341.. U'I 0 I. 211
LANE COUNTY UUILDING & SANITATION DIVISION
13'J Sixth t'lYC'IU<.: Edst, EI/~)ell". O""(jon 97401
PIlLllJl.: JLJ2-IJII fliT. 411
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Gc:~~Cn ~..,:-;~:;)
CONTRACTOR
LANE COUNTY'ILDI~ PERMIT OR MOBILE
BUILDING []] MH 0
MAILING ADDRESS
lC~ Dedea ()::wk:l~lonCl. Orc'~;J
MAIliNG ADDRESS
HOM~SE PERMIT
PERMIT NO.
nU~;';Od~
PHONE
.r
PROPERTY OWNER
17tJJo~)D~;:;
PHONE
PROPERTY LOCATION -INCLUDE POST OFFICE
IlV1e alN C:ab C:1 ))8c;J 110 Jcn:1C~
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
[::C:::t::l CIi'CC:1 G!)IW~CG tG'i: G
TWP RANGE SECTION
.
<> ,,'r>:1~ CCJ C;:;.r:~:::.J rk~~ CO c..-:j c~ GuUC:::J(:~; Q DC'.;') Cc;::"':::~.
TAX LOT NO.
CODE
CENSUS TRACT
iO
02
C3
APPl.
NAME
&
MAIliNG
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
EXISTING STRUCTURES ON PROPERTY
t:'::::JO
LEGAL ACCESS TO PROPERTY
Dc:!::)::::)
PROPERTY SIZE -,FT.
WIDTH
DEPTH
AREA Uif)' ~ K'O
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System 0
VALUATION
QC)G'1i' OC::::;;Cl dDo::::;:JoV G1,1O'i:CJ
0'~ O!.:DDGIr.:l VC"-lle I(I::iicGJ
SEWAGE. DISPOSAL PLUMBING INSTALLED BY
PUBLIC D SEPTIC TANK :!illnDotooTHERD OWNER D OTHER: NAME
BUILDING . FEES WATER SUPPLY VI U iC:::::C;(lO
WASTE DISPOSAL 20.CJ PUBLIC 18 D OTHER
PLUMBING
PLAN REVIEW
PARK TRAILER
TOTAL , lllCl.ClO
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
GI1BollO
DRAIN FIELD REQUIRED
UN. FT 100
\liD prcj):::V-I>V
C:C;)Ctl.
II
TRENCH WIDTH FT. OR SQ. FT.
o 0 n~ C:;::J IP::JO l:Ji \lL< VI U (.AX"U IN
l:DJ
~;~:J Cl(Ulll"lfIU9(J.
WITH DIST. BOX: GAl.
:;\:OJ 0 ml:t:~:::J C', UI!! VC::... ,Irq
t::.lnC Crrc;;~~~ Co 0 lJ'fl C:;:lU:::o
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
101 J.[]. CC:JO bv ct:i"\JC::;::l
REAR
'"
O.U. Qrcv. nC~iC01icn
DATE
~Ca2G<>)7~
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
M = C55-!]
I
/
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.
.
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".
SITE INSPECTION
ApPROVED CI DISAPPROVED CI DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED /7 DISAPPROVED /7 DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED 1 / 01 SAPPROVEO Cl DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED /7 DISAPPROVEO ~I DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED ~
REMARKS
DISAP~~
/ (~/ /
I .K:.1 /"
{../ --
DATE
INSPECTOR
CERTIFICATE OF OCCUPANCY
READY TO ISSUE 17 NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARKS
'I
LANE COUNTY ButlNG PERMIT OR MOBILE HOME. APPLICATION
PERMIT TYPE - BUILDING K MOBILE HOME Dose REG. # PERMIT :#: c91 B?- "Z3
PRO~ OWNER ~ MAILING ADDRESS ' PHONE
C~NTRAC~ /~'fAD~/OFA-1 5'pR"....a 7t/1-52,(ft?.s-
.- .
. .
P~";CATlON - INCLUOE POST OFFICE ~ .-r:;. --1':: /1
_ Hr t;;r:,c /h~,-g,J c3.;J - -/B..J~ =~e.,v
PROPERTY LEGAL DESCRIPTlO~~/-~ A'T?'O ~O %Cf::~~'/- METES & 80UNOS 0 YES
LOT - 8LOCK - SU8DIV. /e~'r ~8NiO~-"??F.A~"'~"'" ~r ~ ~ ATIACHEO 0 NO
/TWrY" ORAN~ SEC. TAX lOT # CODE CENSUS TRACT
4 rJ. ~'"
APPLICANT
NAME
AND
MAILING
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
TRUCTURE$ TO BE BUILT THIS PERMIT
:::::::'.b.S..
~1S'"..3 STRUCTURES ON PROPERTY IF ANY
. ,,~O
LEGAL ACCESS TO PROPERTY - ROAD NAME OR #
.~4'i..~
PROPERTY SIZE_WIDTH
1~'7r
DEPTH r
/~;;;.t
AREA
Connect to 'Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT.
or New System Req. 0
# BEDROOMS VALUATION
~U- ~..~, le(07-/g91
SEWAGE DISPOSAL
~ PlUM~ING INSTAllED BY
SEPTIC TANK lIt. OTHER 0 _ OWNER 0" OTHER 0 NAME
t. FEES WATE~;W'J~ PLANS FURNISHED FACILITY PERMIT
..;/0. t9€.5 PU811C~ .. OTHER YES 0 NO l!( YES 0 NO~
PLUMBING FEES ~TURE OF APPLlCfrT -./1 DATE
- FIXTURES XC7)tJJ:/-f~. ~ ~ 1e-~-7:3
CASH 0 SEWER ~'_ C:.~ 8Y . )" _ ""'._ D_:-==-
CHECK n CONNECTION FEE ~_~ ~~I~ .,~
ERMIT #
..:?a. CJ4
PUBLIC WATER
CONNECTION FEE
PU8l1C 0
BLDG.
WASTE DIS.
PLUMBING .
PLAN REVIEW
PARK TRLR.
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. .SEPTIC TANK CAPACITY
WIT~'DIST. BOX: GAL. .RA.J'rJO
lIN. FT. I r() TRENCH WIDTH FT..3 OR SQUARE FEET L/.r:r;
dlj D_ ~_:'~__"'C rf /Ofl-fh{,-:(I;p)t'//f'7i./.wf - r.--.J ~~
~,~~, atf-l"Ar: ~~) ...hA~J. j.LK/-f A:"(I",,-,,~ J -;er/L
:J,t/" '11(kl.L.Ch:~ /~.
'r\'PE OF STRUCTURE' V OCCUPANCY
.'
ZONE
REAR YARD
FRONT SIDE INT.
SANITARIAN Date
4I-~ ~- .'n.201.'7....
Directions -to and Property'
SIDE EXT.
PLANNING
USE CLASSIFICA liON
REAR . . . f ? /I~
Date BLDG. tNS(/){J ~~
V /
I
L/'
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY
Dato
I~ -:zS;, '>'J
COpy 1 - OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT
Form # C55-12