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HomeMy WebLinkAboutPermit Building 1973-10-29 (2) ~\.~-,---..,.~' - '-~',,, y --I'C-.-,... ~'-" , .(/~ ,0. ' '. .- "'- .... - " ."', . .....~..........~....-' . - . \ ., ~ ,: .' . ".\' t-' ;t'- "<:..'/'- ~~~.- I ~ LANE 'COUe BUILDING PERMr;. OR MOBILE aE USE PERMIT e:!7'1J"t'>--.-~ BUILDING IK! MH 0 PERMIT NO. ~07Cl-7~ MAILING ADDRES9I..... .. .. PHONE L \ u .,1 . PROPERTY OWNER III II. f10llnrt fl_ CONTRACTOR A70 U_ Ccntenninl Snrinnfiold. r,re~on 07477 MAILING ADDRESS 74G-(;~1 (; PHONE , PROPERTY LOCATION - INCLUDE POST OFFICE 1.20<; Oond,,1'l Stroot PROPERTY LEGAL DESCRIPTION - METES, BOUNDS Third Add. TWP M"Dd~ r.reon Estntns lot RANGE SECTION 10 02 06 . c.j, Z- 1l10dt ~ TAX LOT NO. ~/9~ CODE CENSUS TRACT APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT 3.1-11)2 A EXISTING STRUCTURES ON PROPERTY tlono LEGAL ACCESS TO PROPERTY OondeD St. PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION tlllin 1003 (.) l? I? ..L" Goraaa otto unc. 616 n , l.,'hl -13--' T.F .:-..'f I~stoll Sc~o~c OlsDOSDI Svsteo 7 PI~~~ln~ FI~turcs SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC D BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK D f OTHERO .;(, nn ?n.on .,?4.;n ^ FEES OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC D D OTHER TOTAL , 11'10 .;n COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX, GAl. SOO Hold trenches to 0 24" maxlr.1um all parts of the dralnfleld. UN. FT depth. 240 TRENCH WIDTH FT. StDY~ ten foet from the 3 OR SQ. FT. prQperty 11 no 720 and heuse 1.11 ~Il, TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT 5 t1 I & J O BLDG. SETBACKSu FT. FROM CTR. OF ROAD RIGHT Of WAY UltC I uonoea 4' FRONT 45' SIDElNT. 7 P. U. ESIDE EXT. 0 REAR AUTHORIZED SIGNATURE - DATE USE CLASSifiCATION 7' P.U.E. DATE /5/ J.E. 0055 by Harbaugh G.H, Gray. Sanitarian 10-29-73 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 ~ fORM :t C55-13 ., LANE COay BUILDING II! .' v,." . '.. .~ t-.,' BUILDING PERMIT OR MOBILE HOME USE PERMIT MH D ..' ,.:> . PERMIT NO. MAILING ADDRESS (;;;:1 U.. f:~'.~(:c-:J8nu G,:('oc.v.ld(\ < '/<::~::) :~/;:.';/i) MAILING ADDRESS " '" J,. .,..... '.. . PROPERTY OWNER \.1 . ~ ./ PHONE ~}n DO" r~'''';:~7~ ri.. CONTRACTOR ,,' .\; PHONE . PROPERTY LOCATION - I~CLUDE POST OFFICE Of~~-; r;~~~~:) C~C?C::"(i PROPERTY LEGAL DESCRIPTION - METES, BOUNDS 'il:J8v(] Clr::i. t:::.":'::::1 Grc::::) notn~w be? 0 TWP RANGE SECTION DO Oil C3. 4, 2-- , mc~;~ ::1 ~.L/Ty~ ., CODE CENSUS TRACT :J;~oD ~~~I L APPL. ,:NAME ~,. ~ ,~\- S3 .' C\'~-~<'\\ t::::::I LEGAL ACCESS TO PROPERTY EXISTING' STRUCTURES ON PROPERTY I & MAILING AODRE..SS FOR MOBILE HOME PERMITS ONLY No. of B'edrooms 't." C:::::.'::n GR. . PROPERTY SIZE - FT. ~ . ~ WIDTH DEPTH AREA ..STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System D VALUATION C:;JU:l DCl "DOl '" GDrel::) oca. t:;:~lI CoC) Or.:JW~U Gc:<;:~:J Dic-:;CJOUI::.S;iV~ ~,,\ \J:.~~,,,",~-.. .'-~ "'k,.,'\ ~"''',b.'\ ,\" .'" 'J ~k:;)Uc.J H,-.'1I:fi),'~~~, _~. :'. \ . '- \: ., '" '\ < - ,,' \ ' ..... '---" .,_ ......."".,'...:.>" "\~'.",,,. ." ~"':'.' "t '..,'- "~--..\." ::~~ ~."". .-~.\ <, PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 5 OTHERD GG.Cfl 110.C3 ~~..G~ FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC 0 D OTHER TOTAL nC:J.G!~ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED WITH DIST. BOX: GAl. ~~~ L1N. FT n!::) TRENCH WIDTH FT. ~~~u v~~~~:;';?YJ c~~~;'t?~l~~-:::J ~~~0t~\ I;Cl vc". V.CJ 1:..8 - \ \ , 5 a. OR SQ. FT. "?'~."'M Ul'''' v-" '-- .. I..> ~ ....~ ~ ...., , (j(,,) ~ i... , '}. ""'~.'8 -\ ~~ ~~ V TYPE OF STRUCTURE OCCUPANCY (; i; 0 G .1 'LBLDG. SETBACKS u FT. FROM CTR. OF ROAD RIGHT..OF"WAY ",.~ I' ';)0 I'> 0 ..'J'_,~~ r,O' FRONT)J SIDE INT. V V.. U SIDE EXT. ... AUTHORIZED SIGNATURE - DATE !nl .1.:';. 0(;:10 DV C::::7~C::C:l lONE PUBLIC UTll. EASEMENT REAR USE CLASSIFICATION 'I' P.U.G. DATE G.V. G7~V' Gc~8CC?ICO o Cof1!?V)) \'-., , , . \ ~ \ " - . . 'h, .... \. \. \ (POST THIS PERMIT ON MAIN BLDG. .AT SITE) , Construction to comply with uniform building code and county regulotions covering plumbing and 'sewage disposal. All buildings require a certificate of occupancy befc:re be~n.g occupie~. '" .- . . .. \ (See 'Statement on Reverse Side) \-" BLDG. PERMIT - WHITE OffiCE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD , \ LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE. EUGENE, OREGON 97401 FORM =C55-13 . '. . '-" SITE INSPECTION "ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVED ~ DISAPPROVED / DATE /1- 6-..7' I REMARKS FRAMING INSPECTION . INSPECTOR I NSPECTO(2. ',:t " , APPROVEO~ 01 SAPPROVEO 17 DATE INSPECTOR' ~W~('~~4-',J ~~ . . ..h~ " ~1:i:;ro/ - '/- ~ 8-731/ LATH OR SHEETROCK INSPECTION ApPROVED 1-../ DISAPPROVED c::J DATE REMARKS INSPECTOR FINAL INSP~CTION-" ApPROVED !JZ::1 DISAPPROVED 17 DATE /~--.~ 7""~7 ~NSPECTOR REMARKS ~'A~j,J J- ?f-'J/f T , ~ , . . CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE Cl DATE REMARKS ;{ 079~ 73 _ A /J 1 //// 1/ /1", JP {: {"/ ~'" ,~ n l;;-;r - ~vr Iff.{/fffl l<oo2~~~ INSPECTOR v> / ?-/6';;' A BUILDING SITE EVALUATION G.G," \ . ... .; p( Bu i I ding Pe rm i t App I i cat ion No.';;;~79-73 f ( ) Site Inspection ( ) Pre-Perm i t Investigation ~ROd?S c:O~TAX LOT ~ TRACT . '. . 3 'JlIJP /llMi19iJJ GI"-EN) ~Sf L -I 8 -a APPL/ CANT: / /.. Ni\l1E /",J:~ ADDRESS . PHONE DATE /6)-/8-73 -- "':: LANE COUNTY PLANNING DEPARTMENT I. Zoning Ordinance Compliance (Zone"RA ) Subdivision Ordinance Compiiance NOT app I i cab J e () () ( ) ( ) ( ) ( ) NO YES NAME D,ilE 3. 4. Required Access ( ) ( ) ( ) ( ) (-r-- ~_ (-r- (r- n--- /0-2.3-7-'" 2. Building Site (Area, Width, frontage, Setback) Other (see comments) ( ) s. COMMENTS: " 7. Soil Stabil ity (footings) NOT appl icab I e () () (1) () ~) () (k) () NO YES \ ~ BUILDING INSPECTION SECTION NAME DATE 6. Plans Submitted 8. flood Plain ( ) ( ) ( ) {tJ/dt~)I()-'].ft.~7 I 9. Other (see Comments) COMMENTS: SANITATION SECTION 10. Sewage Disposal NOT NO YES app) icable () ()~) () () () () () () ( , () (,) NAME DATE 12. Water Supply 13. Other (see Comments) ~ ~ 10./0 !J,1'J \C:l ,.P II. Usab Ie Area COMMENTS: TO APP L/ CANT: Your 11 I ) ( ) ( ) Building Permit /~ite In~p ction: Can be_approved.-<r\.c.....--; l!> ).... r Cannot be approved at th s time as indicated on item NO. above. Questions and further information on items I through'S contact the Lane- COUNTY PLANN ING OEPARTMENT. Quest ions and further informat ion on j tems 6 through 13 contact the Lane County Buildinq and Sanitation Division. Wil I 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 cu'er. LANE COUNTY PUINN I NG DEPARTMENT 135' ~1)Crh Avenu", E.ut, Eugene. llrto!9on 97!fOI rtlONE:: 31j2..1311 F.XI. 231 LANE COUNTY BUILDING & SANITATION DIVISION 135" Six th ~veTlue Eas t. E"'lc"". Ol'cgon 97/10 I rHllNL: P/2-ljll [lIT. 411 ,. . ........ . M':;I:\_")j:l r " ",,;;J'." c< .1 LANE Cay BUILDING BUiLDING OJ MH 0 MAILING ADDREl;S ijJ~J tJ.. r,a~ltc::~Ir.U MAILING ADDRESS \ .'i~ PERMIT OR MOBILE TOME USE PERMIT PERMIT NO. -v, ". '~. . j(:t{.;o,)'l} PROPERTY OWNER '!II. ['.'.;nrl~ [1. CONTRACTOR PHONE r;. \rl~' ,110M. l\r(,~.::l. (';'j,';:n Il~~)U( ,.~~ () PHONE PROPERTY LOCATION - INCLUDE POST OFFICE 1 'Cj p.:'::..--:~:,,() fltrr:"'1: PROPERTY LEGAL DESCRIPTION - METES, BOUNDS vtll r(] ~:I. ~;'~:::1 n!"C':-:l r.~9:[)(tr:!1 TWP RANGE SECTION lee I Die:.:!:: Sl TAX LOT NO. CODE CENSUS TRACT 10 Oil !l~ ~~'G~ (',. EXISTING STRUCTURES ON PROPERTY t:~no LEGAL ACCESS TO PROPERTY r~n<'cw hi:. PROPERTY size - FT. APPL. NAME & MAILING 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 ':oln lei:::! i n~ i ~L C:"~) {)16 n ~ Li..~ ., , , f~;i>::i ('OIClH::l otto U:lC. On~~oll GC~Cl,,:) Olo~~~l GVGt~ y PI~~lna rl~eurcG SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 SEPTIC TANK 0 BUILDING c. WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER OTHERD 1;('i.tUl ~O.C;;) ~I.l.r,l'l FEES OWNER 0 OTHER, NAME WATER SUPPLY PU BLlC 0 o OTHER TOTAL . loa. C):) COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH D1ST. BOX: GAl. ~oa ,QI(] trC:1CfnO to 0 LlQ" ['.::;\ICu::l oUI Doreo of tho drlolnvlold. DRAIN FIELD REQUIRED L1N. FT 2l;~ TRENCH WIDTH FT. Cl:;pti'l. tltovn CC:1 \'COI: vre:J W::J ;l OR SQ. FT. pra;Jcr'l:V 10 roC) ?f:J C~:::J ~::Jlj:1C t.HE~~ TYPE OF STRUCTURE !i [J c~~8' SETBACKS -- FT. FRONT I)~j I OCCUPANCY I (l. J ZONE PUBLIC UTIl. EASEMENT 101 J.~. FROM CTR. OF ROAD RIGHl..OF....J"YAY 7' n ,,~uu,,~~~ ',nl SIDE INT. .~. u. U.SIDE EXT. ....'Y AUTHORIZED SIGNATURE - DATE DCB!) [)V C1r.rClOU~h REAR USE CLASSIFICATION 7' r.U.fl. DATE G.V. [rev. Sonltorlo~ lCr.2~-'i~ 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 .'~j;';:"- " ::. """"4 t\.; -ft... '':.\.0 I. I ._~. ~,\ -:.-i -\...V...'''''. .' J. v . SLAB FLOOR PLUMBING GROUNDWORK ,. ~. ApPROVED / / DISAPPROVED ;---y DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED L / DATE REMARKS ROUGH PLUMB I NG ApPROVED !Z7 D'SAPPROVED / / DATE II. )<(. ') 3 REMARKS /1/1> ",,~JI .p...___!~ ~ ~ i~' ~ A.-~~,_.,.. "'" ROUGH GAS PIPING ApPROVED ~ DISAPPROVED,~ DATE REMARK S FINAL PLUMBING ApPROVED LX! DISAPPROVED ~ DATE.J- .J,I~~U REMARKS FINAL GAS PIPING ApPROVED ~ DISAPPROVED /. . /. DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE ;---y DATE REMARK S 1'0 f " . V . INSPECTOR INSPECTOR INSPECTOR~~ t/ INSPECTOR INSPECTOR~~ '(/ INS PE C lOR, INSPECTOR , -1 ~I ~, '. InstallerOs.Nam~ t7')zn_~",,--,,_ . No. LiVi7g Units I BeJomsI Bjths sept:LC Tank: Ft. from well Steel 0 .LnSJ.oe DunenSJ.ons: ,t"c.. Length Width Applicant ~ / /', / Name "Ak// , . 4/. ~ Mailing g 71) 1//. ~"'~ "4./---!. / ~:~~ from Foundation /0 Address ~hJ'_' ..:rl- ~/. ~ . ~~~n~ine Side Rear Le~~th ~~ Trench-t. tai Sq~Ft.betweenIFiller IF~ller deothlFiller depth :I.2~@.51,4. 5. 6. Width.:)' ftSfO Ilines/4" Type ~i~~e h' in ~N~w..:t iu. Sketch (See instructions): l' {\ i to 10 -{r 2(,,' , f' _ I ____~_~ -I I '6~ I 1 I ,- . . I (0'1 I I , L Date /.--.:5 - 74- ~VIDUAL SEWAGE DISPOSAL SYSTEM~ORD, ~aller: Complete top part of ~ to signature and return both copies to Lane County Building'Sani~ation Department. ," '. ..:J117t9-7..3 ~ P"RMIT No. /).~~J7~P, I Basement _ J Water Supply Yes 0 No I!3"""'I Public V5ther-List Concrete ~NO. Compartments I Gal. Capacity, 90-0 Tile Disposal Field: Distribution BOX:YeS~ No 0 Other Distribution- Type Diameter Depth -- Sb' ------ - "'- I , ,41 I , ( 0: r~ (rn ~ n WI I~' -0') .11 -. . U , JAN 03 1974 '8' U\WE GOUNlY HEALTH UNIl J..~('I o Conforms to Current Standards to Current Standards Signature .d.t1~ For ~itarian Use Only: ~ Approved: System Installation o Disapproved: Does Not Conform Remarks: ~.,) . '. Date: /-i-7'-i Lane County Building & Sanitation Dept. AtJ.~/ - Sani tarian ; s ~na ture r) ~Y" . , . fl- tl PI:; . LANE COUNTY Bur.!pING PERMIT OR MOBILE~ME USE APPLICATION PERMIT TYPE - BUILDING 2l( MOBILE HOME DOSC REG. # PERMIT:#: ~ 7 f-7..3 PR9~ OWNER ~ d MAILING ADDRESS , A PHONE' .'<~.L-./~y- ~ '. ??LJ 1//(?2~~_~~~ t y/~ ~/ 7d6-'79J~ CONTRACTOR '/ MAILING ADDRESS ffle.- -t./ ;' PHONE .. , \~-t~.R ~f7,4_? 'r7~?7 PRO~ERTY LOCATION - INCLUDE PO-ST ~FICE t ---;/1 / '- /I k;:2 d. 5' IJ/ A-n....bfT, ....&UJ, L..T"" PROPERTY L GAL DESCRIPTION .'? ~/, /11 "j / c.LL lOT - BLOCK -=_SUBO~~: ,on ')."J ///~~ '7?? ~~ ~.PfuJ~~r-.-_t""1.RZl!,w;lJ TWP.J RANGE SEC. TAX LOT # cODe . /f1' .~ Oa. mr APPLICANT NAME AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms ~U:?:E :1" THIS PERMIT ~ a~_/ . ,?l.L Nt) 'j,!E~S & BOUNDS 0 YES ~~ 1',,~:AnACHED 0 NO CENSuSTRACT .5 S 5-15'~- B DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY h., __0 LEG;1ACCESS ;0 PROPERTY - R~A~NAME OR # /.~- '" 0V', PROPERTY SIZE-WIOTH DEPTH AREA Connect to Existing TYPE CONSTRUCTION Sewage System n or New System Req. [J ~5' FT. # BEDROOMS VALUATION . //MY &/.., /.:q IJ '1 f? (" / k, CiJ)..:? /. fI /,/-;/ /.3.,r~f / ~~~- ~..Z:;C 7/~_, . () . SEWAGE DISPOSAL PLUMBING INSTAllED BY ~ TOTAL /CJ{'),sn OTHER 0 OWNER 0' OTHER 0 NAME FEES WATER SUPPLY PLANS FURNISHED FACILITY PERMIT PUBLIC 0 OTHER YES Xi _NO 0 ~ YES 0 NO)(] PLUMBING FEES d-;'tI ~ ./ ,.,s~LAPPLlt -- .~__.4 ' DATE --Z. FIXTURES ,..2// .- ~ =.;...f.__ ~~ "" ~ / IJ - J j' - 'J..9 CASH 0 SE~" r ~E RECEIVED BY "- DATE CHECK ~NNECTION FEE ;:'J'"..,J t/7 P>/... ~ /0 -JJ1->.~ PERMIT # PUBLIC WATER CONNECTION FEE / ,6-d COUNTY BUILDING & SANITATION DRAIN FiElD REQUIRED L1N. FT. .:2t/1J TRENCH WIDTH FT. :;] ~79-7-S. SPECIFICATIONS PUBLIC 0 BLDG. WASTE olS. PLUMBING PLAN REVIEW PARK TRLR. SEPTIC TANK 0 $ ~fo,~ ~,d13 - ~-7"~- MIN. SEPTIC TANK CAPACITY WIT~ DI~T. BOX, GAl. q,1 () M _ ~_~f <1A -+:-- d1 J rrZ ~ ~+;fJftJ" (J TYPE O'F STRUCTURE '-~ Ai OCCUP~r::f' ZONE REAR YARD _~L.oG-,--SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY ........ USE CLASSIFICATION '""-'''-L p~~" / FRONT 4- ~ ' SIDE INT. ., I r><-lI::..... SIDE EXT. 40 REAR 7 PUP ~ . s;;:rt' ',./ " ' Dot. PLANNING Dot. BLDG. 'INSP. JAr", A.J1'/.J -II. f ///)) , k Dol. r tt)-(?1- 1(j-.7(,'~f1A3-:..... 10-2..."'::>-7...... r'f"1JJ~~ n...- /0"1-? /Y Directions to FiU Property: f./ OR SQUARE FEET 7;zu Z'a 7'i~~~,~.J ~/ _ ~ _~.. 1"e:fL _"cU;;v, ~j ___Z_/A~_ I,~ J P ,(MAE ~ pUYIC /ASEMENT V COPY 1 - OFFICE COpy 2 - JOURNAL COPY 3 - AUDIT Form # CSS-IZ , I