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Home My WebLink AboutPermit Building 1973-5-10 !1 -~~ .n~_ OJ ~~ .TT. ....--:- , ,. . .l' ' "-'~-'-- i' . --'_'"~,,,'n..--- . r .....'.___.-....____... . ".1: ..'k.; .... LANE COU~BUILDING PE;Mrr OR MOBILE H. BUilDING D MH D MAILING ADDRESS I I : J _ '" :.. ~ . ~.- USE PERMIT '?6'() --):} PERMIT NO, 800-73 PROPERTY OWNER PHONE Rlf'h,,,L r.h"..~,.r R~. 2. Box ~'iO-G. funene CONTRACTOR MAILING ADDRESS _ Rnt(' Rontllr 41;1;.\- RIver Av.. Euoene PROPERTY LOCATION -INCLUDE POST OFFICE (lILt FlIlI t l lM f. tn, J.i~!". farm Rd. - E. s Ide of Game Farm Rd. PROPERTY LEGAL DESCRIPTION - METES, SOUNDS 726_pQ7 PHONE 688-3Qq3 TWP RANGE SECTION T AX LOT NO. CODE CENSUS TRACT 17 APPL. NAME & MAILING ADDRESS f'Ill!'''!!'' (lr. FOR MOBILE HOME' PERMITS ONLY No. of Bedrooms ~ 22 lioo I> 600 4-24 21-IfIUIEDII;IA EXISTING STRUCTURES ON PROPERTY Owe 11 In_a, LEGAL ACCESS TO PROPERTY (I J.., l G<:lIJJe Farm Rd. PROPERTY SIZE - FT. Rn'tn Rnn'tAr L.e::e:: * Rlv..r Av. WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System D VALUATION RpnIA~" dralnfl..ld fnr Axlstlna dwell Ina \ FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL , PUBLIC 0 SEPTIC TANK 0 BUILDING $ WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER OTHERD ?n nn PUBLIC 0 o OTHER , \ TOTAL s ")ftJ)n COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. Exists lIN. FT '70 TRENCH WIDTH FT. 3 OR SQ. FT. 210 Hnld tr..n~h to 2~' maximum death. Stav a minimum of 50' from well (If exist In,,) and 10' , Trnm thA ornnRrtv I In.. and house with all Darts of the drainfleld. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTlL. EASEMENT BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE /s/ Boss by Harbaugh USE CLASSIFICATION REAR G.W. Gray, R.S.T. DATE 5-10-73 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. DIY., COURT HOUSE, EUGENE, OREGON 97.401 FORM::: C55 -13 .//\/\/\/1. -t . ~ '\( ~ f\ II' ~, '\\\ /I ~ ~ ~ 1:: J J ,~ ~ ~v/ ~ \, II 011' \~ ~ II 0 ' ~'l II ~. '~" \ ttr7\~; r\ ' ~ ~ \ ' , ~~ 1M ~~ , ~ 1 ~\ ------- J <~ 'l:' \' :So \J1 lJ \ :> ' '~ -\ .~ ,\: ~) " :) \\ / i/ :1 '\ \~} F- )Jo~ --- .- \^~J --.,--. - . - -:.:..:-=.:-~---"-7? ~. . '-J - .. .~-=_.- GAME; f::A.:l. M f(.d , .J r C::._-, ~.~ ,~ / K \ '-I \-~ ,t I 1 I' I ~ Il)LUOS"a:.,o 77 $--F4 /2l'\-?1..Xiif .3 C{5~tJN ~ ~ ) #- 000 - In8S7/ X ox. 400- /37J'31 0--.... . T .If'~"'1 / L5' n-n. . ~ (?:ehez. Q+.;2. ~X d)S() Go ~t?C7/.I.cr . 7..2G - 7. 7 " ::::r 0'.' i : .a. .J - riii1 ~ g 3: s2) ~ ~ = ,JUil <;:" ! "'" = \ ..... .~ ~ ~ ~ 5 niiJ - \~ - I . . . Application No. cfCJO-1-=r /yfl, T / 7 R 0..3 S o2d(., TAX LOt. q ~ C.S TRACT. ,,;?/ /:::7)/% ~ crzJ ~!,.C~:: I J ...Y~~L 6' ~1 ADORES:> Yn /1:2) (0 /r'1}7ft M.J BUILDING SITE EVALUATION .< ~ Building Permit () Site Inspection , PHONE DATE ~~cy-7~ () Pre-Permit Investigation LANE COUNTY PLANNING DEPARTMENT NOT NO YES NAME DATE appl icable I. Zoning Ordinance Compl iance ( ) ( ) ( ) (Zone ) 2. Subdivision Ordinance Compl iance ( ) ( ) ( ) 3. Required Access ( ) ( ) ( ) ....---' , 4. Building Site (Area, Widthr ( ) ( ) ( ) Frontage, Setback) 5. Other (see comments) ( ) ( ) ( ) COMMENTS: ... ,. BUILDING INSPECTION SECTION NOT NO YES NAME DATE appl.icable 6. Plans Subm i t ted ( ) ( ) ( ) 7. Soil Stability (foot i ngs) ( ) ( ) ( ) 8. Flood Plain ( ) ( ) ( ) . 9. Other (see Comments) ( ) ( ) ( ) /Yl~d .J~"lJ~ 73 COMMENTS: / SANITATION SECTION 10. Sewage Disposal NOT NO YES appl icab I e () () ('j.) () () () () () () ( , () () NAME DATE II. Usable Area ~uJ~_'~ 12. Water Supply 13. Other (see Comments) COMMENTS: TO APP LI CANT: ( ) ( ) ( ) Building Permit / S1!;Y~~;~~ Can be approved. ~~;7~ . Cannot be approved at this time as indicated on item NO. above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and furthe.r information on itemS 6 through 13 contact the Lane County 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. Your ~ U\NE COUNTY PLANN I NG DEPARTMENT I,\" Six t" Avenue Eas t, Eugene. Oregon 9740 I "IIIINI: 111~_li II !:Xl. n I LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene. Oregon 97401 PHONE: 342-1311 EXT. 411 . ~. .DIVIDUAL SEWAGE ~SPOSAL SYS~RECORO staller: Complete top part rm to signature and return both copie 0 Lane County Building Sanitation Department. Inst~ler's N~ It'O(Q ~ f'rOOTe~ No.LiVingynits IBedrjOmslBa;hs sept~c TanK: , Ft. from well 75" Steel 0 Ins1ae LJJ.mensl.ons: ,t"c. Length 10' Width Applicant. f) Name K/e A ec... ,47. 2. I Proper~ Address K.r..2 tlox .26'0 -~ I Basement I Water Supply Yes 0 No [9"" Public 0 Other-List P~RMIT Nn_ ~"() ~ 7.3 &.R~ c:.O,--./l/P we~(.. " ' Depth " I I Tile Disposal Field: Distribution Box:Yes I!:Y' Other Distribution- Type Feet from Wpl1 Lot Line . Front Side Rear IT otal SqjFt.between\Filler 1/ "IF.iller deothlFiller depth ft 2/^ l' a I/? above..". below /rr . '-'" 1nes Type '""" .....;100 ~ ;1"1 ....;100 b ;n ~--._--- - --.- ---~"' .. Concrete w No. Compartments Diameter Mailing (l;.Nl"".$re/? 'B,,)C .J 00 - 6- f( r:;;;'~c)G-C'./\/ P Address Length of Lines - Ft. I Trench 1. (f;J 3. 4. 5. 6. Width 3 I Sketch (See instructions) : ~~ '2> "l I ~1::l ! ,TO 0-- ,..<:t. ,0<5 J Q''''S''~>Q j '..1..:<; r T I" I Gal. Capaci ty. 7S0 No 0 ~~~'1dation UD~ I~ @ I~ ~ WI ~m n. MAY 14 1973 LANE COUNTY HEALTH UNIl oc? ~ Date s-- (Cf- n <)- Signature t..-' _.;,. ~ For S~itarian Use Only: ~Approved: System Installation Conforms to Current Standards o Disapproved: Does Not Conform to Current Standards Remarks: Lane County Building & Sanitation Dept. ~ Date: 5"- /~ 73 ~ 7. ' ;:) , ~uJ. ~~ r Sanitarian's si~ture PROPERTY OWNER I "<'.. '. ", LANE COUN.UILDING PERMIT OR MOBILE BUILDING 0 MH 0 MAILING ADDRESS He ~ USE PERMIT PERMIT NO. Lc~'n PHONE : ," '). '. ~'~.5';". I !:\? ~ ~ _ n~':1 ~l~'~Qr:R C:t;-W:;":'" MAILING ADDRESS L3~I..;.~q7 ~l~\;:;~-' (.V... \ .t~f':'::::; 72(:01.:-;:;-/7 .~ t ( ,." "1 !l (~;- ~~ fol ." CONTRACTOR PHONE c. ",,'.f," ,0,"; ',J PROPERTY LOCATION -INCLUDE POST OFFICE "..... f',,,n,.. '.lr.. !~~ r'n (1 r{" V{~..., ";:~ .... [toO ni(:() nv rt":::':Q r~"rL! !':U. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT I ~l ~ P.? /run r, (em l,:02.') 2!cClJD'3r,C:JI:')![\ EXISTING STRUCTURES ON PROPERTY APPL. NAME & MAILING r,to<"\ r""l2<'!? C:-~llG":l. LEGAL ACCESS TO PROPERTY t.,;~,. It) '1lt1:'7 tJ?.. 8C:"::'l t;~rc: (~d. PROPERTY SIZE - FT. . ..ADDRESS:~.A:'_"""-'lA f)va 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. ::; aDRMS New System 0 VALUATION "."'!iT" (~lnld'lnM \'()I" r:llnQlo'l C":-:1l1lr:n n SEWAGE DISPOSAL .'PUBLlC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER , FEES PLUMBING INSTALLED BY OWNER D. OTHER: NAME WATER SUPPLY SEPTIC TANK D OTHERD ~nJ'ln PUBLIC 0 o OTHER !.OTAL , ~n.'~;l COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. r~ineo DRAIN FIELD REQUIRED 70 UN. FT TRENCH WIDTH FT. ~ OR SQ. FT. iliO ~:)uJ Crcoc!l (;0 2~" r::nin::-: lCi)c;I). See>, 0 ,"Inlc!.:::) 0'( :':0' vrc::J c":J1i (Of C;;C!lC!lId (':::' iG' f~l~ ~ ct':' rJI\;-::::.l:V Ilr.::J cnd ~;:)~;::o tJir:h ell Dcr~;; 01' C~.0 :::foO(')l'lo"J. 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 10/ C')!):) D, .~')r~::l!:.::J REAR G.t;. Grev. (l.a'-i. DATE ~Q 1 (},'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 0 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' . . . .'~ SITE INSPECTION ApPROVED ~ DISAPPROVED ~ DATE REMARKS FOUNDATION INSPECTION ApPROVED L-I DI SAPPROVED L-I DATE REMARK 5 FRAMING INSPECTION ApPROVED I I DISAPPROVED ~ DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROYEO L-/ 01 SAPPROVEO /I DATE REMARKS FINAL INSPECTION ApPROVEO ~ DISAPPROVED ~ DATE REMARKS ,/;l /'l / (/1'1 ( :~: \....,/' CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---y NOT READY TO ISSUE ~ DATE REMARK 5 . INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR