HomeMy WebLinkAboutPermit Building 1973-4-13 (2)
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LANE COUNT.ILDING -PERMIT OR MOBILE HO USE PERMIT
BUILDING 0 MH D PERMIT NO.
MAILING ADDRESS
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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
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T /./ R 0.< S d~ TAX ~O~.~J .
C.E_Njil TRACT ZJ.5-C5z7/
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ADDRESS.C. '/e.d~.A . '7n/l1
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~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
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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.
.
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.
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
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--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
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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
/ '.
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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
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PROPER'tY OWNER
. : -<\~, r,'~' ~~r"
CONTRACTOR
PHONE
dO ,\
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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
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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
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5'1~'73-lf~ /IO)..v~~.,
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INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
,
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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
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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