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HomeMy WebLinkAboutPermit Building 1973-4-13 (2) r;---.- ,-r.>~ -,' -',:;'-"""'-';' ." w........ ...''''''....-,:..... - ."1' .:~ ".,.., ., .,-tW~oSf)AR..la~ . ' LANE COUNT.ILDING -PERMIT OR MOBILE HO USE PERMIT BUILDING 0 MH D PERMIT NO. MAILING ADDRESS "., r\ -_.. " '. · .;)'~-7:6 -73 , \. . , <;76.n PROPERn"'-OWNER _1l,ln".I1'\ t:h"rl,,~ CONTRACTO.R PHONE 110' nn~d~a s~.. Snrl~ofrAld MAILING ADDRESS ; PHONE J"dm. 14"r1f'n <:10 N. 10th Stu Snrlnofi"ld PROPERTY LOCATION -INCLUDE POST OFFICE 747.qq14 , 1 01 n^",~A;t <:t PROPERTY LEGAL DESCRIPTION - METES. BOUNDS M.tU~rfnb' r,;rppn E~tf.lt..~. B. TWP RANGE III , APPl. NAME Mt'lrtnn T~rfrn & <:10 N. 10th St_ MAILING 1_ JM I' (j.::vl-ad~) SECTION '-.:..: TAX LOT NO. fi. I, .~ .If II tftJo CODE CENSUS TRACT , ~'i.1<;2A EXISTING STRUCTURES ON PROPERTY Qw<>J tlnn LEGAL ACCESS TO PROPERTY /l.n"Jl"'t St. PROPERTY SIZE - FT. ADDRESS !:rr l!1!1f I" 1" 00:. FOR MOBilE HOME PERMHs ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH 8'1.700EPTH 110 AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. ::: BORMS New.System D VALUATION n,:>rlt .. rnUAf"e-tf lJnnd 228 lii) ? 266 @l12 'iQOi Q 4<:';' 3,192 4<:0 4,098 1I V I n9 Area RA~h _ rnnVAr~ n~rt nfAx'~tlnn oarAn~ SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 t OTHERD ">0 nn - FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY Wnll),." Plmh~~ PUBLIC 0 o OTHER ~ nn ,I. TOTAL s ,8.00 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH 0151. BOX: GAl. ExIsts UN. FT TRENCH WIDTH FT. OR SQ. FT. Do not dIsturb dralnfleld area with new constructIon. TYPE Of STRUCTURE , OCCUPANCY ZONE PUBLIC UTIL. EASEMENT 'iN I & J BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY RA USE CLASSIFICATION FRONT 4'; SIDE INT. S SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR 5 151 Bnss bv Harbauah G.W. Grav. R.S.T. DATE 4-13.73 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 ~ I"ORM::!: CSS-13 BUILD~NG SITE EVALUATION tUJ T /./ R 0.< S d~ TAX ~O~.~J . C.E_Njil TRACT ZJ.5-C5z7/ /~kw ~&a::I- 8-1 A~~~&: "A ~-!:5 N .r:-/t?J/(!.d ADDRESS.C. '/e.d~.A . '7n/l1 " ~ -:.. . . ~BUiiding Permit Application No.~.6'-"/'3 ~(~ Site Inspection . ,. () Pre-Permit Investigation PHONE _ DATE ~--;4- "7. ::? LANE COUNTY PLANNING DEPARTMENT I. Zon i ng Ord i nance Comp I i anI?- (Zone '2 ) Subdivision Ordinance Compl iance NOT appl icable () () ( ) ( ) ( ) ( ) NO YES NAME # ~l ,is- ?:s ( ) 1; - 2. 3. 4. Required Access ( ) ( ) ( ) ( ) Building Site (Area, Width, Frontage, Setback) Other (see comments) 5. COMMENTS: ~ BUILDING INSPECTION SECTION NOT NO YES NAME DATE ~ol icable Jl 6. Plans Submitted () ( ) ~ ., 7. Soil Stabil ity (foot i ngs) ( ) ( ) ~.._--~. Flood Plain ~) ( ) ( ) ~~f-r~;\~ 9. Other (see Comments) ~ ( ) ( ) -' COMMENTS: - -1/ ~ SANITATION SECTION NOT NO YES NAME DATE aoo I i cab i e 10. Sewage Disposal (f'Q ( ) ("/J .' L~ II. Usable Area ( ) ( ) ( ) /lw 12. Water Supply ( ) ( ) ( ) I . J/-? 13. Other (see Comments) U ( ) ( ) / if'" I (r . 1--- -' COMMENTS: TO APPlI CANT: Your ~}Cfing Permit / Site Inspection: (~Can be app roved. 1-/,2. 7 -?;'.;:; ) (,..f Cannot be approved at this t~ndicated on item NO. above. Questions and further information on items 1 through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Quest ions and furthe'r informat ion on iteiiiS 6 through 13 contact the Lane Countv BuildinQ and Sanitation Division. () Will 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. UINE COUNTY PLANNING DEPARTMENT I V; Six t h II\'en"" Eas t, Eu~elle. Oregon 9740 I l'thlNI: 1":'_ Ii II rXl. 731 LANE COUNTY BUILDING & SANITATION OIVISION 135 Sixth Avenue East, Eugene. Oregon 97401 PHONE: 342-1311 EXT. 411 r' , .......- .,..,. ,"",~"'..----_. ,'....~ 'I ';.~' ._';.' :I-t'-"~,~, -.,y" .~~J,:'.:.l\=~~.:,' y--t..........."'.__ .- I " .' . ~. \ ~\ \ &; j~;.) ,;\\~'.I 101-.,) LANE COUNT....ILDING PERMIT OR MOBILE BUILDiNG 0 MH 0 MAIliNG ADDRESS 1 il'~ 1"0""'''') ,;1'.. "..,rl,,-,QlnBr1 MAILING ADDRESS .-...... . ,. HO.USE PERMIT PERMIT NO. . .' . , . r;7i:~'}n PROPERl'\' OWNER PHONE ~~t':'~.'~n r.r~"1P'lrf1 CONTRACTOR PHONE 'JIS"~"')~l) ""''''. ['"..ir" 1'1("\ n. IClIb !It... {"wlnnvlolc1 PROPERTY LOCATION - INCLUDE POST OFFICE ~ C p.., ~)40:-./......." '':. t/o PROPERTY LEGAL DESCRIPTION - METES. BOUNDS r~,"'~~("" O-::,.,.....'"} fnflo,.....!'rn. n. I- &I)!, I" TWP RANGE SECTION HI ~~ (; APPl. NAME t~,,",!7 'f',,;") 'i'~..n & ran fl. nf.'t.I'I S~a MAILING TAX LOT NO. CODE CENSUS TRACT , 3~-':1 r;~.A EXISTING STRUCTURES ON PROPERTY E:..., U 1 In" LEGAL ACCESS TO PROPERTY ~:'lr.r^::l!) GR. PROPERTY SIZE - FT. ., ADDRESS ~:';1\~tn.......Ofr"D"'_ rl'i"'. FOR MOBILE' HOME PERMiTS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH n\l. 'l'OOEPTH n Ifl AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION f..~ eh <- C:f\~~ft\......c2. -, I.lvlroi) !kca \".) \'., ~, '~)).. \.\ r'-!"':>h n ,.-,r.-:-:'-:'V7(>> n!l7~ C"lO C"n;n~Jn~ nlf?(;C'l::1 !~r1 :JPJ () 2 Z~ (J i 2 r;f.:; () t-rCl ~.lJ2 ".~" '-'-~ --0;(;:;J SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . OTHERD ~~.r:~ FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY l:lll.-..CI [):r~Cl. SEPTIC TANK 0 PUBLIC 0 o OTHER C\ C'~ TOTAL . :::.J.cn COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN ,FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH OISl. BOX: GAL. f1:llntG UN. FT TRENCH WIDTH FT. OR SQ, FT. CD (:3'= cJint:Jr/1 C:7.:J1;J1icld crca l'J!\;" flC;1 CC;;:Jl:rJ~~ilm. TYPE OF STRUCTURE n' .. , -.. OCCUPANCY o 0. J lONE P~l\ USE CLASSIFICATION PUSLlC UTIL. EASEMENT BLDG. SETBACKS u FT. FROM eTR. OF ROAD RIGHT OF WAY FRONT (3 SIDE INT. !:i SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR :3 Ivl C:J:3:J D"~ :~rt2:Z;.~ G.tJ. Orev. Cl.G. 'i'. DATE l;..i;;~I';.1 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 a,:!d 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 , FOR~"":::'C55.13 .....'...~'.... ":-... t .: '. .........l. . - '. . . \ : J ': . .-:~ SLAB FLOOR PLUMBING GROUNDWORK - , . ApPROVED / / DISAPPROVED .Cl DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED .Cl DATE INSPECTOR REMARKS ROUGH PLUMBING ApPROVEO ~ D,SAPPROVEO C1 DATE 4-'2."'-73 INSPECTOR ,12-1:./1 REMARKS ROUGH GAS PI PI NG ApPROVED .Cl DISAPPROVED .Cl DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVEO [i!:] DISAPPROVED .Cl DATE!r-/,)'7'3 INSPECTDR..4/-tJ' REMARKS FINAL GAS PIPING ApPROVED '.Cl DISAPPROVED .Cl DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE C1 NOT READY TO ISSUE ;---? DATE INSPECTOR REMARK 5 . ... H. USE PERMIT PERMIT NO. ~v / '. _\ LANE COUN.UILOiING' "p~R~iT '6R 'MOBILE BUILDING 0 MH 0 . MAILING ADDRESS' ,1Ir~ r::,:'"'~') ~;~._ :,'","lr-<'~nO<1 MAILING ADDRESS Girl rl. lI:frt1 [)f1._ r"rlr'11~,'B<1 . .- . r~ .~ '"lo ... <1. , . :;.r:"J'J~) PROPER'tY OWNER . : -<\~, r,'~' ~~r" CONTRACTOR PHONE dO ,\ "uJ- .'.... \~ J'\ - r? ~/':' 'l PHONE ~;C~\:.. .~ ') ~.\ PROPERTY LOCATION -INCLUDE POST OFFICE 1'\1"0 :').'n/'---.'" (:0. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS r-'''I~''-'-1 n'T'''. l':r.l':lf'C~.. lJ. I. If.lp. nil TWP RANGE SECTION, If' fI II '. :3 APPL. NAME r;."l7r~ ",""')';J (/~ /1~./) "J,TAX/r 'J~ d cot><' , CENSUS TRACT ;"1: ~d 9 ~:~::\ EXISTING STRUCTURES ON PROPERTY & MAILING ADORESS f..wl." n. 1,1.,. 0.., FOR MOBILE. HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT r10 ri., lr:....h f}~.. c-:.O lien LEGAL ACCESS TO PROPERTY C~;~:':,J GQ. PROPERTY SIZE - FT. WIDTH rJ:J. 'JOEPTH HO AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BORMS New System q VALUATION ri,r.......:.t .0 r-:'.11;'?r1 Q,!vir.] ,'re:1 n-.-:"",,, CI r-:'i'!,"':;"~ ~,""t't nQ rvJt\~ rn., r~rc;..::) t:n:1 ??:J 0 n ~:.0 (J 1 a (,(l,0 C;: :~j >>0 ~i;'J r'" ., 0.C,; SEWAGE DISPOSAL < OTHERD :I:).(;l FEES PLUMBING_INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY L'.)llI:o~ e>;r:"(l. PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER SEPTIC "rANK 0 PUBLIC 0 o OTHER '1.(':) TOTAL . Sj.w COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX, GAL en ICl:o i;,' ~:.:;~ C:Cct:Jr::> Cr~lond UN. FT TRENCH WIDTH FT. ~Q.FT. \ \ ere!) l:11~~~~,arm;\:IG:l. \ TYPE OF STRUCTURE :...1 OCCUPANCY I 0 J ZONE C'v'l PUBLIC UTIl. EASEMENT BLDG. SETBACKS._ FT. FROM eTR. OF ROAD RIGHT OF WAY FRONT C;:J SIDE INT. !> SIDE EXl. AUTHORIZED SIGNATURE - DATE /,:,1 C::::JS ~:J rbfC:::t::~1 USE CLASSIFICATION REAR 5 o.u. O~'CVo :~.~. Y. DATE ~B;;',7;J BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLDENROD , Construction to comply with uniform building code ond 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 . ~ " ~ \ \ \ \ \ ] ; . SITE INSPECTION ApPROVEO Cl D'SAPPROVEO Cl DATE' REMARKS FOUNDATION INSPECTION ApPROVED ~ DISAPPROVED 1--1 DATE REMARKS FRAMING INSPECTION ApPROVED Cl 01 SAPPROVED Cl DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO 1--1 DI SAPPROVED / 1 DATE REMARK S FINAL I NSp4ECT I ApPROVED SAPPROVED REMARK 5 J DATE ?17''''~ ~ CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE L::::7 DATE REMARKS /)/J f~~~'~~ ~ /J 5'1~'73-lf~ /IO)..v~~., . INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR , .. ...... .... t/ INSPECTOR :3 .s:-1..!"..<.-"9 . LANE COUNTY B.ING PERMIT OR MOBILE H~E. APPLICATION "~ PERMIT TYPE - BUILDING 0' MOBILE HOME Dose REG. #J.lD~OS"l PERMIT # S7b- 73 PR~Y P't'NEfJ fll. \ MAiliNG ADDREf\ \ ~ , 0 1\ \ I PHONE ~If,.) 1\ \~ ti)lV\A~ '" ! J()~ U("\K'J('I~ ,'\1. 0{\~\~r\-'l': ~ CONT~O\ . MAILING ADDRESS +'" ~\ ('\ . ~l~ \:---1. bf..ct [:></ \ fW '''''' ,~/D ~l () ,'\-t-. ~Ij\D\~{' lc\ PROPERTY LOCArION.J INCLUDE pOST OFFiCE A J . !h'~A-:k .~ /7 -ILd 72;' PROPERTY LEGAL.D~;'PTlON . ffi... \ ~"c r.. '\ p \ I L \ '"3 {)\ ~ METES & BOUNDS 0 YES LOT - BLOCK - SUBDIV. l'I~~NS1I\ \ nlt::'~'-lI.l r-"~~, (\1"" l. fyo;:r ATTACHEO 0 NO /T,,-, R~GE SEC. TAX LOT # CODE -', I. CENSUS )B-<'CT r f\ ~ 0/. Ca (')t"f. ~')i'''''{.. ;) S -! S cl n 'APPLICANT ~I \ tt\, DEseRI :~EXIST.~~~TRUCTURES ON PROPERTY IF ANY NAME _ .e.rl~ IIIt:\DII".l-I -- ~~Hi~l~ , I) A I C\ ' (1. \ LEGAL ,CCE~O PRO~5VY -~t NAME OR # ~ID t\ .ID ~t...Jl\l)ll,\~"h~ J LJ~c!ln. ~ , I '-l PROPERTY SIZE8~:lD t ) JCr ~ONE IL} -ct..9/l} AND MAILING AREA ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTU~ f B7r7 prT Connect to Existing Sewage System ~ or New System Req. 0 TY~~ CONSTRUCTION J <tt ~. FT. # BEDROOMS V.A\U~ION \iR~m~ ~d~ l.J . 4S l ;:).l-b f <ThIel.. SO tV ~'l- . ~R"Am~ ~~~tnf- D\),~~ ~~f\ /4'/../ q j)~ -S;t..!O SEWAGE DISPOSAL SEPTIC TANK r/' f NY. 01.) 3fq::> ~ ljoq~. 00 PLUMBING INSTALLED BY / \ \\ t.. ("f , t OWNER IJ OTHER rw'NAME It)f-:\. 1..)-,., \-AI'\I1\IV"1: PLANS FURNISHED FACIUlv PERMIT I :.;;J YES d NO 0 YES 0 NO ~ 9JJJ;;;;;:/.:z;JZAJ L/ I g) 7~E . FEE ~lt\O BY ; J'j l' DATE ~'"' 1./,8 ')~ PERMIT # 5/b-?:5 /' I CQUNTY BUILDING & SANITATION SPECIFICATIONS / MIN. SEPTIC TANK CAPACITY _ n DRAIN FIELD REQUIRED / WITH 015T. BOX: GAl. ~ UN. FT. TRENCH WIDTH FT. OR SQUARv(EET IJ.MA _ I~ ~ 1'Fh1~ ~/ PUBLIC n BLDG. WASTE DIS. PLUMBING Cl.OO OTHER n FEES WATER SUPPLY PUBLIC r/ PLUMBING FEES ...3- FIXTURES OTHER PLAN REVIEW PARK TRlR. '1.00 CASH 0 .fiEWER CHECK ~ CONNECTION FEE TOTAL (~ ~,()() PUBLIC WATER CONNECTION FEE ~~ J di.~ j~ TYPE OF STRUCTURE J- Ii 0(/# ~Jt REAR YARD BLDG. SETBACKS - FT. FROM CIR. OF ROAD RIGHT OF WAY ,..- USE CLASSIFICATION FRONT l/ S SIDE INT. r::;:-- SlOE EXT. - REAR~ , (i/ SA. NITARIAN U Oat. n PHNNI~G JJ /1/ I Dat. BLDG. INSP~!J :~ J /1 . _....n Oata dtJ. ~_ L.j-11"7J)I:~MJA,w r4n~ v-~ 411 z..-- /3 r Direclio,l' 'y FinrJ Properly: V 'I /')f. I?. ~R1QL~ ~i~, 'f-J~IA6 40 ffif f:\doll) ~~H) ~s.,it\'\-~<:.. - ,HOd. Do~)A~1l\ ~+ ~~\\)~~'~JJ PUBLIC UTIL. EASEMENT COpy 1 - OFFICE COPY 2 - JOURNAL COpy 3 - AUDIT form # C~S-lZ