HomeMy WebLinkAboutPermit Building 1974-4-26
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PROPERTY,.;<?WNER_ M
,TI1at.f>SON. ' H'WEY
CONTRACTOR
LANE COU'NTY _BUIAG PERMIT OR MO'BILE
BUILDING []I MH D
MAILING ADDRESS
0:1567 GAJ4E FARM ROAD, SPR INGr IHO, OR.
MAILING ADDRESS
HOME UeERMIT
PERMIT NO.
60,-74
PHONE
726- Hi8
PHONE
HASS, LEO
PROPERTY LOCATION - INCLUDE POST OFFICE
,10. HOUSE ON LErT orr HARLOW RD.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
, -
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17
0,
22.4.4
6700 19-0, 21-11)1 B
EXISTING STRUCTURES ON PROPERTY
DWELL I NG
LEGAL ACCESS TO PROPERTY
....
APPL.
NAME
LEO HASS
&
RT. , Box 361
ADDRESS VENET ^. OR. 97487
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
GAME FARM RD.
PROPERTY SIZE - FT.
MAILING
WIDTH
DEPTH
AREA
STRUCTURES TO BE eUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System D
VALUATION
ADDIT4IIIN
264 @ 12.
"t. 1 {;R
J
,J
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANK (]I
BUILDING ot
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
OTHERD
26.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
I
.
PUBLIC 00
o OTHER
.9.00
'..
TOTAL
$=
"t'i.OO
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
No PART or NEW CONSTRUCTION OVER SEPTIC SYSTEM.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIl. EASEMENT
5N I
BLDG. SETBACKS u FT. FROM CTR. OF ROAD RIGHT OF WAY
. FRONT 45 I SIDE INT. ') f SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/S/ J.E. BOSS. BY, C. HARBAUGH
filA
USE CLASSIFICATION
REAR I) I
DATE
BLDG. PERMIT - WH ITE
, OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
J.H. SH00K. SNNITARIAN 4_~6_7l JH
.Call 687-4065 to schedule 011 required inspections. All construc-
tion shall comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulatians covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
~ . ....._....~_.t1!y....,,<. .....
FORM ~ C 55 - 13
. -. .....~-... ,.,(POSI. THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. 'OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401
.
~~GH-
605-71/
/
T /7 R 03' S :<2. V(!TAX LOT 6700
CENSUS TR1IIt .~
APPLICANT:~ .
N/\M E / /Jt'JIn LJS6n
ADDRESS ,
BUILDING SITE EVALUATION
.
c
( )
( )
( )
.~uilding Permit Appl ication No.
Site Inspection
Pre-Permit investigation
PHONE
DATE
'/-lh-7V
;
LANE COUNTY PLANNING DEPARTMENT
Zoning Ordinance Compliance
(Zone ~~ )
Subdivision Ordinance Campi iance
NOT
app 1 icab Ie
( ( )
( )
( )
( )
( )
NO
YES
NAME
DATE
I.
~h
'1-/7- 7t/
j
3.
4.
Required Access
( )
( )
)
.)
( )
( )
( )
( )
( )
2.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
5.
COMMENTS:
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
app 1 icab I e y\f
6. Plans Subm i tted ( ) ( )
~
7. Soi I Stab i I ity (foot ings) ( ) ( )
8. Flood Plain ( ) ( ) e~~ tj~Z&-I)~
9. Other (see Comments) (~ ( ) ( )
1 r
COMMENTS:
SANITATION. SECTION NOT NO YES ~~~SL DATE
aDDl ic~b Ie - ~/? ~,~
10. Sewage Disposal ;J ( ) (ip
~1
11. Usable Area ( )
12. Water Supply ( ) ( ) ~~
13. Other (see Comments) ( , ( )
COMMENTS:
TO APPLI CANT:
. Your
4/2,5/71~
gf
( )
( )
( )
Building Permit I Site Inspection:
Can be approved.
Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items 1 through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on jte;S 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.
LANE COUNTY PLANNING DEPARTMENT
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE: 342-1311 EXT. 231
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE: 342-1311 EXT. 411
c55-28
Call 687-4065 to schedule all required inspections. All construc-
tion shall comply with Uniform Building Code, D.E.Q. standards
for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate af occupancy befare
being occupied.
\ (See .pe,tails ,~n ~ever~e Sfd~)
~
,.
LANE COUNTY BUILeG PERMIT OR MOBILE HOME
BUilDING []] MH D
MAILING ADDRESS
::;.t' Gl';~~2 r^:;:~ C~~O~ ap,~H~:,;'-"Ct.l)1) o-~.
M..tILlNG ADDRESS
'i.
;.-- . .-
PROPERTY OWNER
U.RMIT
PERMIT NO.
":7 ....-J:-,........, {--"""'Ir"",
~ . . ,J'_\J.JIl ,_:~':"I
CONTRACTOR
:1.";, LEr}
PROPERTY LOCATION -INCLUDE POST OFFICE
.
:.; "J. i;J:':::E C: t.m.-'Y :7(7 C~.."J:!t..VJ 1:0.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
SECTION
"') I, "
(.~."\r.'_
11)~.~1 rial';1 u
EXISTING STRUCTURES ON PROPERTY
O:-:::::tc.Q:~j ,
LEGAL ACCESS TO PROPERTY
C:~':1 V't;:J:l r::>;
PROPERTY SI,ZE ~ FT. .
WIDTH DEPTH AREA
RANGE
TAX LOT NO.
CODE
CENSUS TRACT
(j,ilO
n
0'1
APPl.
NAME
&
tee ,; :'13
. ~.:;,.: .
~ ,-,,,1'1' ""I
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r4'i.
MAILING \\
~:~' .,' \- ~
ADDRESS VV;::7I\, (/1. C)'i~3'1
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
. ->~.
,
\;.
..
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;:: BDRMS
;~GJ :. ; ~!.
STRUCTURES TO BE BUILT THIS PERMIT
.'1~"Dt"i'C~:J
'~ ,'"
,
.'\.... '
\, < ',r '.
"
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
OTHERO
t;Uo:m
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
.
PUBLIC lID
o OTHER
'"
I).cn
,
L
TOTAL
.
''-;:i.on
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
t~j ?A '1 J::
"".... .
,....,..
~( .V"; O'!:)'.'Ct-;.
~:~:(-, -:.. c:~:W;; .Jt 't. IO:j
,~~\,.?>
, ..
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" ~~." I'e\.)r-
\ .
\J
TYPE OF STRUCTURE
~ :~J
OCCUPANCY
I
ZONE
R:;
USE CLASSIFICATION
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS n FT. FROM CTR. OF ROAD RIGHT OF WAY
t. '.,
FRONT .'.}
In! J.L.
5'
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
:t;2:', ,: /. C. tt~~a.1t::.:21
J.tJ. :;:-100:\, SC.JlT'....'! e~:J
REAR
:)'
BLDG. PERMIT - WHITE
OffiCE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
,
,~ \
~ ..
~)
(POST THIS PERMIT ON MAIN BLDG. AT' SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
PORM:: C55-13
'.
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r.tn. -':"1
PHONE
7::::~ 71 -: .;
PHONE
New System D
VALUATION
., .,,~:
"
DATE
.
>:.
..
, .'
.
.
SITE INSPECTION
ApPROVEO L::::7 DISAPPROVED L::::7 DATE
REMARKS
INSPECTOR
FOUNDATION IN::ECTION ~
ApPROVED ~I DISAPPROVED 1--1 DATE 1/~-11t INSPECTOR f?C-.--
REMARKS olf_I;, I~/J~_ ~~ f'-;Z~-. 7't./~-
FRAMING INSPECTION
ApPROVED d DISAPPROVED L::::7 DATE \?~ /3,1(/
REMARK S
LATH OR SHEETROCK INSPEeTION
ApPROVED L:l!:J DISAPPROVED L-I
- .,- /1 i./
DATE .~~ Ii'] -'/7
REMARKS
FINAL INSPECTION
ApPROVED 1 ~~~:J(,PROVED ~ DATE
REMARK S h<-I71 ., Ii' -Z'O' 'It( It
7- 2:2 -~'I
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE L::::7 DATE
REMARKS
/.'
INSPECTOR
. /1
,Id_
....' ....
INSPECT&'
INSPECTOR~
INSPECTOR
(p rr r# ~ pan(
&03-71(
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{ ,. LANE COUNTY BUI"G PERMIT OR MOBILE HOME
BUilDING ill MH D
MAILING ADDRESS
67 C.\c::: V.\:~~ (lOAD, L'9f1 i,'JV taU), (::,.
MAIUNG ADDRESS
U.ERMIT
PERMIT NO.
(;}':1ufl
PHONE
'f'''"': "";4
f.v~1 1.,./
PHONE
- '
, .
PROPERTY" OWNER
,"
1':~,:':.DS:J~jfl
CONTRACTOR
C:::1:IV
:.:.~~.~ Il LSO
PROPERTY LOCATION - INCLUDE POST OFFICE
',' ID. W):.;;)~ 0,) urn ;;71" llAClI..O:J :10.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP RANGE SECTION
17 03 22.1).~
APPL. u:o t1lisS
NAME
& '77. ~ 2:J1I ....'1
:...J
TAX LOT NO,
CODE
CENSUS TRACT
o',(.hl ~c)..(H 2inl')~ 0
EXISTING STRUCTURES ON PROPERTY
l>Jnl. t :;0
LEGAL ACCESS TO PROPERTY
GV.lC! ;'"Alt.1 QQ.
MAILING PROPERTY SIZE _ FT.
ADDRESS Vr.t;C'i"Il, 0:1. Q74D7
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT, ;; BORMS
t';:-;IYItCtJ
rOt! 0 12.
New System D
VALUATION
~~~.'J1
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
.
OTHERD
2('). c.;u
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEPTIC TANK m
PUBLIC Q]
o OTH ER
9.(l1)
TOTAL
.
';1:;.00
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
t.:::> PAR? :7 <Jr,U CO;JGTil:JtT IOl'J OVl::ll DllP'i" Ie ovoTlm.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
1M
USE CLASSIFICATION
PUBLIC UTIl. EASEMENT
'j~J
BLDG. SETBACKS __ FT.
FRONT IJ5'
/0/ J.k'.
FROM CTR. OF ROAD RIGHT OF WAY
SlOE INT.:3' SIDE EXT.
AUTHORIZED SIGNATURE - DATE
[:';::13. [lV. C. 1I11~A\OI
",.
REAR .J
.J.H. D~c!):t, ~li:H?lVlIM;
DATE
r~~!!(~.;i~
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required inspections. All construc-
tion shall comply with Uniform Building Cade, D.E.Q. standards
for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details an Reverse Side)
f'ORM ::: C55-13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
~
"
---".~
SLAB FLOOR .
PLUMBING GROUNDWORK
.
ApPROVED / / DISAPPROVED ~ DATE
REMARK 5
GAS PIPING GROUNDWORK
ApPROVED / / DISAPPROVED ~ DATE
REMARKS
ROUGH PLUMBING
ApPROVED (X / DISAPPROVED C1 DATE.f-7 -7 L/
REMARKS
ROUGH GAS PI PI NG
ApPROVED ~ OISAPPRDVEO Cl DATE
REMARK 5
INSPECTOR
':.,
INSPECTOR
INSPECTOR~~
INSPECTOR
FINAL PLUMBING
ApPROVED !E7 DISAPPROVED ~ DAT~;1''1-7~sPECTOR ~~
REMARKS
FINAL GAS PIPING
ApPROVED C1 DISAPPROVED /7 DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE /7 NOT READY TO ISSUE /7 DATE
REMARKS
INSPECTOR
INSPECTOR