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HomeMy WebLinkAboutPermit Building 1974-4-26 j}rrn frf)1--..!. · it. '.":t'~~. ~",-'~(' . " ;V't- t. _" ,.. ':':.-:-:-;;-,,"-"'~' .........-IT,;.... '2,"tf!: 7 '1-..".... 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 ."!, ,:..- ....,J \. ~\\', . "'" .,", n.. 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 ,~~\,.?> , .. .\\ , .~ " ~~." 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 '. . ""'~"'-' _....~ .--..>...'~. ....",..... "'!;,......~.....'<-...',,...._......-."",.__J..O.... w~"".L."",...~.. .._. __ .--"'... ....L.._..... _ . 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( , ~ .~ ." (3/ \ /.-) ,. (/IIi /131 ,-,r-. .~..... --r:~_.:~~.......- .~ - I I , , , 1 If /7........... ... { ,. 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