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Home My WebLink AboutPermit Building 1974-5-14 rr"..,.,......... V . ~ ,} .',-' ~ OR -I'V\OBILE HO,JtUSE PERMIT PERMIT NO. ~, -:7 , '. " ... '4, LANE COUNT&ILDING PERMIT BUILDING; 0 MH 0 MAILING ADDRESS t-;j{J oJ. l;CL.":.1 i~'l MAILING ADDRESS . , I , PROPERTY OWNER :; i ~ I, . X,; ;.-r: ,.. PHONE :; '~: .::;'j-j'_.:r:, Ji'C;jJ.1 CONTRACTOR PHONE PROPERTY ......\ LOCATION - INCLUDE POST OFFICE , ~-~~l.' _<:. . :;ri.1:.. i(...:~., '..;':~:;~: LEGAL DESCRIPTION - METES, BOUNDS 3r;Ci: :~~l:\'f:~::; 3rt: ..:'..:t'i;fclJ L::;: 3 :.: to::!~ ~ PROPERTY ......:! TWP k RANGE ~ ~? SECTION ,.... Ii , .,,) I -?' e.- TAX LOT NO. CODE ~ :iF17o-t) APPl. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms .:1.<:;-;'~ :.1:: EXISTING STRUCTURES ON ;:un:-; CENSUS TRACT ;' j..} jr: 1\ PROPERTY LEGAL ACCESS TO PROPERTY _1(PlfO I)<.t!:-, Sa:cot PROPERTY SIZE - FT. WIDTH DEPTH AREA ".~. Sewage System 0 SQ. FT. :t; BDRMS lr:~ I. L? {:} New System 0 VALUATION STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing TYPE CONSTRUCTION ij'I.:, ... . (' ~ ., .' ~, u ~'nc:; 11 2l' L:St! 3 . .. .:..1;\'..-.. ~.. ....,. SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 6 OTHERD 4: :;~.Ln -~O. fn ?r". :~r. FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC D o OTHER MlN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. ~T:: < 111:. nlJ COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED L1N. FT ~ S'J TRENCH WIDTH FT. ::-. OR SQ. FT. ~<.J TOTAL t~~.J.' ; :..L:s t~ G-::r.'ct. TYPE OF STRUCTURE OCCUPANCY .t :1 I [",. oW BLDG. SETBACKSu FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT.":~ SIDE INT.;: SIDE EXT. n. AUTHORIZED SIGNATURE - DATE ZONE PUBLIC UTIL. EASEMENT REAR 7 f-;:J': Lli USE CLASSIFICATION .'~IJ' i C U~ 111 tv,;. .~ oj:: DATE /::/ . ' ...1. '. ~ ".,rro ~4.... ... I, :;. ::. rb -'t;~1:-; ~:) ;-1; CiT j ::::~~:' " '" "", 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 sewoge 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-!] BUILDING SITE EVALUATION ,. ... ._ J,;:';:/(,.I-I. App I i cat ion No.2"5'6 - 7 Y ~ Buildjng Permit () S he I nspect ion () Pre-Permit Investigation T-1%:..R Z S, h TAX LOT 3t r,lo .,. C~~TR T ' ~ .:5. - ,?tt'~.;"., ~ /"-3,8-3 APPL NT: /1'(/ r7 Ni\ME J II ADDRESS PHONE DATE :< -.;In-71/ '~ DiHE lI\NE COUNTY PLANNING DEPARTMENT NOT NO YES app I i cab I e I. Zon i ng Ordinance Compl iance ( ) ( ) ( 1 (Zone ~A- ) 2. Subdivision Ordinance Compl iance ( ) ( ) ( ., Required Access ( ) ( ) ( ~ . 4. Bui Iding Site (Area, Width, ( ) ( ) ( Frontage, Setback) ((i 5. at her (see comments) ( ) ( ) COMMENTS: NN1E ~ l---z,~ , = BU I LD ING INSPECTION SECTION NOT NO YES NAME DATE ~pp I icab Ie W1 6. Plans Subm i tted ( ) ( ) 7. Soil Stability (foot i ngs) rf) ( ) ( ) 8. Flood Plain ~ ( ) ( ) 9. Other (see Comments) i1 ( ) ( ) (j71~ 3"/-71/ COMMENTS: po.. SANITATION SECTION NOT NO YES NN1E DATE app I icab I e 10. Sewage Disposal ( ) ( ) ~ II. Usable Area ( ) ( ) tA ~~A ~p 12. Water Supply ( ) ( ) tit 13. o the r (see Comments) ( ) ( ) ( ) COMMENTS: TO APPL I CANT: Building Permit / Site Inspection: Can be approved. Cannot be approved at this time as indicated on item NO. above. Quest ions and further informal ion on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Quest ions and further informat ion on items 6 through 13 contact the Lane COunly Buildinq ""d Sanitation Division. Will be held in this officc until you can re,;olve the problems indicat,.,d. Is being returned. Your buildinCj permit appliea! ion fee is being returned under separatc C,der_ 3-t( if ~r ( ) ( ) ( ) Li\N1' COliN"' Y "UINN I NG DEI'IIRTMENT I :I.') ~ i)< tli A,ellue E~s t. Eugelle. Or~9lln 9740 I "llllNt:: 3lJZ..I:111 EXI. BI LANE COUNTY BUILDING & SANITATION DIVISION 13') Sixth I'lv~mue EdSt, E"'jell", Olc,!nn 97401 J>lKllH. : 342-1311 [XT. 411 M55-28 rji \, Datp ., J'. '.' " . . Permit No CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com- missioners of Lane County, and it is the opinion and judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby. ORDERED, that a permit be and is hereby issued to . ,.., . . t.. , , ~. for placing, building or constructing the following facility: --':,\~',.. -,. ~ ',_':~8.. "..' c.. ,'.' l upon the right-of,way of County Road No. , Mile Post in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements, stipulations and provisions contained in the application and permit, the Rules and Regulations Gov- erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the Lane Man- ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance. Specia I Provisions: 1. Driveway will be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98-50). 2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition. This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned above is hereby authorized. This permit shall be void unless the work herein contemplated shall have been completed be- fore ., ,19~. Expires ,19_. Inspected and Approved Approved by Board of County Commissioners By Dato ..' , , By Director of Public Works WHITE - OFFICE FILE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT. YELLOW - REAL ESTATE c98-79 '~. ,.-- - t'. .. v .. . Building Permit # Dot" APPLICATION FOR FACILITY PERMIT I, (Applicant's Name) hereby make application under Rules and Regulations Governing Facilities to be Permitted Upon County Rights-of-Way, to construct the following facility: Upon the right-of-way of County Road No. , at mile post an the I No, I So. I E. ! W. I side of the road, or (mark with X) as shown on the exhibits which are attached hereto, in strict conformity to the statements of the exact nature and amount of work to be done, and to the description of the facilities contained in said exhibits. The applicant will be the principle owner of the facility as constructed, or other- wise primarily liable and responsible to members of the public for its proper maintenance, repair, operation and use. The applicant accepts all terms, conditions, agreements, stipulations and pro- visions, in Rules and Regulations Governing Facilities to be Permitted Upon County Road Rights- of-Way, as set forth by the Lane Manual 50.190(2), any amendments thereto, and any ather ap- plicable regulation, law or ordinance. ..... I To I I I I I I Permits Processing Noted Date Noted Director Principal Engineer Subdivision Engineer Signature Permit Engineer Weighmaster Zone No. Address WHITE - OFFICE FILE GREEN - RESIDENT ENGINEER PINK - PERMITTEE C98-78 BLUE - ROAD SUPV. ORANGE - BLDG. & SANIT. YELLOW - REAL ESTATE Phone No, o ~ '-'''1 . PROPERTY OWNER LANE cOUNTY&ILDING PERMIT OR' MOBILE BUilDING 0 MH 0 MAIliNG ADDRESS HoAsE PERMIT PERMIT NO, PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION -INCLUDE POST OFFICE ,^ ,-. PROPERTY LEGAL DESCRIPTION - METES. BOUNDS TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT APPL. NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY . LEqAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. .+t BDRMS New System 0 VALUATION ',.' -' \', . , , SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . fEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK [] OTHERD PUBLIC 0 o OTHER TOTAL s MIN. SEPTIC TANK. CAPACITY WITH OISl. BOX: GAL. COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED UN. FT TRENCH WIDTH FT. OR SQ. FT. .. TYPE OF STRUCTURE OCCUPANCY ZONE PUBliC UTIL. EASEMENT c, BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT '. SIDE INT. SIDE EXT. ... AUTHORIZED SIGNATURE - DATE REAR '",I . . . DATE c.; 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 97401 FORM::: C55-1] . SLAB FLOOR PLUMBING GROUNOWDRK ApPROVEO ;---y D,SAPPROVEO ~ DATE REMARKS GAS PIPING GROUNOWDRK ApPROVED / / DISAPPROVED ~ DATE REMARKS RDUGH PLUMBING . INSPECTOR INSPECTOR ApPROVED ~ DISAPPROVED ~ REMARKS DATtL::./- J"l.- INSPECIO- I RDUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE REMARKS INSPECTOR . -~ V ApPROVED t;2:l 01 SAPPROVED ~ REMARKS '",5- 'I - ft'I ,"",,,"..4,/'/ FINAL PLUMBING FINAL GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE REMARKS CERTIFICATE OF OCCUPANCY REAOY TO ISSUE ;---y NOT REAOY TO ISSUE ;---y DATE ReMARKS INSPECTOR INSPECTOR . LANE cOUN;aUILDING PERMIT' 'O~ MOBILE BUilDING 0 MH 0 MAILING ADDRESS HO.USE PERMIT PERMIT NO. PROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT APPl. NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. l~\;'" '\ WIDTH DEPTH '\ AREA Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. t; BDRMS New System Q VALUATION ,~ ~ ,It,. , '~ . FEES PLUMBING INSTALLED BY OWNER D OTHER, NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER SEPTIC TANK 0 OTHERD PUBLIC 0 o OTHER IOTAL . MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED 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 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 . , , :1 0 ...._ (POST, THIS J lANE 'CC;U~TY,.. BLDG. Construction to comply with uniform building covering plumbing and sewage disposal. All of occupancy before being .occupied. "-,.. ..'... \ "(S~e ~tdte'me'~t ~n ., \" \'. -' -'.... - BLDG. AT SITE) code and county regulations buildings require a certificate , .~ \\. PER!"m o'N " " . & SOAN. 'DIV., COURT HOUSE, EUGENE, OREGON 97401 " Reverse Side) \. " , ~ . J / " MAIN "1"1,, '" :::: ,. ~ < _ , ~ ...IIIIl . . . t' .' SITE INSPECTIDN APPROVED.Cl OISAPPROVED.Cl DATE INSPECTOR REMARKS FDUNDATIDN INSPECTIDN ApPROVED r777 01 SAPPROVED / / DATE ''3-'.2.1. INSPECTOR (fJt REMARKS --;;(-4?IML- ~ 3J J~'?I/ &. II I FRAMING INSPECTIDN 11~ ApPROVED pDISAPP~OVED 17 DATE /Itl- 11-7.qNSPECTORLZ REMARK~~rr~qV/Y 711(' , LATH OR S~E;~CK INSPECTION ApPROVED DISAPPROVED / INSPECTOR rU-- I DATEif-/')..-1tJ REMARKS .~,. -1t. III / ., ,~ FINAL INSPECTION __ 0 ApPROVED ~SAPPROVED ~?~1 LI"---- { 'i-J. i. - 'Ii/ INSPECTOR~ REMARK 5 CERTIFICATE OF ~ READY TO ISSUE or READY TO ISSUE L:::7 DATE INSPECTOR REMARK 5 , L~!d~ ;(38'-7L( Jt i& 3~ rO IJ~ ~~1ffr~ ... .JI, e; (fJ --" J_ e..J e! 9t~1 ($11 SEWAGEj)~SPOSAL SYSTEM R~ ~ to signature and submit t~ copies with application. .,f' PERMIT NO. Jl38- 77 PROPERTY ADDRESS ' INSTALLER: .POSED Complete top part~ form INSTALLER'S NAME ~j/rQ1f1/\ 6f2EW No. Living Units Bedrooms t .3 Septic Tank: Ft. from well Steel Inside Len!.tth OWNER NAME Baths I - ':51" 1D Basement Yes No l\S(~ Water Supply ')'... Publ icY Other-List D Concrete ~ No. Compartments I~ Gal. Capacity Tile Disposal Field: Distribution Box: Yes ~ No Other Distribution-Type ~,t:)$ ~ MAILING ADDRESS ~ L<;mlth of Lines-FI. J ,frenCh I Total Sq. '~~7lD3. 4. 5. 6. AWidth~ Ft. _~()() 'lot Plan (see instructions): Feet from WEll Foundation I~ Lot Li ne Front _ Side In Rear 16 I 'to Between IFiller, IFilfer Depth IFilley Below Lines In Tvoe /.r Above Ti Ie 2JnJri )e~ in. j (0' I --r: 10\ S i 9~aturtJd.: , 1-1 16"-"_ CERTIFICATE OF SATISFA RY COMPt!'i-10N . - - For Sanitarian Use Only: In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate as evidence of satisfactory completion of a subsurface sewage disposal system location. ~ Approved: System Installation conforms to current standards ~ Disapproved: Does not conform to current standards Remarks: 101- J:01 1 i \ ~l t-)l I I I 1-[0'-1 I I I \ 1___ t I --I ~l Date ,") -f_ - " I./- C55-11 \12l'1S ~ f' ~ ~"""';1 , i'.... \' \.. ... :r..s - , ~ nm 0 ("'1 ~ ~_11 "1. , . .:i .., MAY u 6 1914 ~S-I t.;. _ ..... ,,,_.1 J ~'t\H .t - s-t>' -.- I . I --10- ~at7:o/;'f17~ IS ISS6e~ / at the above ~.IA-.m~ ~~rtarian's Signature ~NE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY , /'1: LANE cOUNT&9-DING PERMIT OR MOBILE HOM JSE, APPLICATION PERMIT TYPE - BUilDING r;( MOBilE HOME Dose REG. # 'f'i\ PERMIT:#: ;<'.5"\) - 7'( PRr.;rll~NERRo(,~ /lJ M;r9;DDRE~ Ce00~AJAJ(~/ sr>p)f) r;';2-9'o/~ CONTRACT~ MAILING ADDRESS --,- PHO-NE ~M-<- PROPERTY l~C(TJON - I,NCLUDE POST OFFICE ." A /J ;S b ~() n" lie ~ /_ :;;. .Pe-I..;) < Petty PROPERTY LEG~L DESCR~PTI0-;:; fYl- - () /I J C' 'l- se.Jt. J 7 _LOT'?' BLOCK.3- SUBDIV, P .lLA/rX..1, lo(>~e A) C$ ((rr',o~ IkM( '-err v TWP RANGE SEC. TAX lOT # CODE N :2.. L.. Jr;;J../O Qr,{.,ef?7 /J/ 1/ /" APPLICANT Mc..s NAME AND MAILING ADDReSS FOR MOBilE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT ~Ff) ~ IV\. -e ~/o<..K ~ METES & BOUNDS 0 YES ATTACHED ~NO CENSUS TRACT ::~- I f:J.. 17 DESCRIBE EXISTING StRUCTURES ON PROPERTY IF ANY II) f'.J) t:. LEGAL ACCESS TO PROPERTY - ROAD NAME OR # [)t( k e. S ,.. PRdPERTY SIZE-WIDTH DEPTH 7DI' AREA /-<.. / / Connect to Existing TYPE CONSTRUCTION V GCI!e....~c . L<.'~_e-,/e j) SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK I!'r'" ,<:"'6- :30 ;;Z<g OTHER 0 WATER SUPPLY PUBLIC cg./' OTHER PL~ING FEES @.S ;- -< y _ FIXTURES BLDG. WASTE DIS. PLUMBING PLAN REVIEW PARK TRLR. < FEES CASH 0 JEWER CHECK ~CONNECTION FEE PUBLIC WATER CONNECTION FEE -::1,00 TOTAL .,. tJ '1- ~ 00 Sewage System 0 ar New System Req. 0 SQ. FT. ;S # BEDROOMS VALUATION /035 @ l"7-.fs) I'::(lf:<o -, "I6?.. (!J .3 I ( 3"6b I.SlfDt, PLUMBING INSTALLED BY OWNER 0 OTHER ~AME ./tLrUe J()",kc./bA> PLANS FURNISHED FACILITY PERMIT YES V NO 0 YES!Y'" NO 0 ~~GNATUR~~ '1PL~T J I.. W /'/~) ~ cNjL ~-.:<..O (FEE -RECEI ED BY" DATE -t3 PERMIT # 'J.-3~-?"'I DATE ;;J..-:z.o / COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED ?OO UN. FT./!>-o TRENCH WIDTH FT. 2- ReJCJf drat)7S -0 .s-&~l . MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. TYPE OF STRUCTURE OCCUPANCY /C//(/ OF ROAD RIGHT OF WAY 6'11 BLDG. SETBACKS - FT. FROM CTR. <.f S- SIDE INT. s- S18[ "VT ~ REAR Dale BLDG. INSP. 7...-&..t-,<{.. Of=' 37''1 .l<- ~cea.. Directions to Find Property: COPY 1 - OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT Form # CSS-1Z ,:500 OR SQUARE FEET l F 1/ HI if ZONE REAR YARD PUBLIC UTll. EASEMENT R^.-.. f ' f't)~ JJ u, _./ /};/ -:J Dol. f.I.~ ~t%i. 7-1-71/ Y., r) I I .j(J.spe~ ev USE CLASSIFICATION