HomeMy WebLinkAboutPermit Building 1973-9-20
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I . ~ LANE COUNT)'! &IN~. p"E~IT OR MOBILE HOM~. PERMIT
.. BUILDING [] MH 0 PERMIT NO, 1827-73
PROPEtlY OW~.:R MAILING ADDRESS 0' PHONE
, "I
Burnett.. Garv
CONTRACTOR
Loe Built Const.
PROPERTY lOCATION - INCLUDE POST OFFICE
Ralel~hwood Avenue
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
674 Raleiqhwood Ave, !;ugcno. Oregon
MAILING ADDRESS
P.O. Box 2369 Eugene. Oregon 97402
726-7176
. ",' .
, ,
688-2042
PHONE
Raleiahwood Park
TWP RANGE
Lot B
Block
SECTION
TAl ~ 3CTO COOE
EXISTING STRUCTURes ON PROPERTY
CENSUS TRACT
17
03
22./,3
21-EDIShB
APPl.
. NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
Contractor
Ho:ne
LEGAL ACCESS TO PROPERTY
Raleighwood Ave.
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0 New System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION
Dwcllina Addition
familv room and utility
820 (,!il 12 (3)
9.il4O
2 Plumbina Fixtures
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK D
',.1
OTHERD
44 00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLYRalnb0l1 Dlst.
PUBLIC 0 0 OTHER
SEWAGE DISPOSAL
q.~o
TOTAL
s
~lliO
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
COtJNECT TO EX I ST I NG SEWAGE DISPOSAL SYSTEM. NO PART OF NEW CONSTRUCT ION TO BE OVEll ANY PART
OF EXISTING DRAItIFIELD. IF DAAINFI~LU I:; tr4\;UUNltKtll IIUKINb I.U~.:'IKIII" III'.. IllOrU\..lO""'" 'v
BE ADDED IN FRONT Y~\RD,
. TYPE OF STRUCTURE
OCCUPANCY
ZONE
RA
PUBLIC UTIL. EASEMENT
~ N
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT
45
REAR
USE CLASSIFICATION
(" P.U.E.'
SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
Isl J.E. Boss bv Harbaugh
John Cruickshank, 1\.5.
DATE
9-20-73
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 Stat~ment on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
I
..I
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
I.
FORM ::= CSS-I]
..
LANE COUNTY BUILDING & SANITATION DIVISION
135 EAST 6TH AVENUE
~UG6NE, OREGON 97401
YOUR BUILDING \ ,L/'iMOBILE HOME[ JpERMIT IS BEING HELD FOR THE
REASONS STATED ON THE BUILDING SITE EVALUATION SHEET. WE WILL HOLD THIS
APPLICATION UNTIL
J /JeT 73
IF, AT THAT TIME, YOU
HAVE NOT FURNISHED THE REQUIRED INFORMATION, AS SHOWN ON THE ATTACHMENT,
.
YOUR APPLICATION WILL BE CANCELLED AND ONE-HALF THE FEE REFUNDED TO YOU.
'.
EVALUATION ...
-/199.1
S.LI
~
.
Building Permit Appl ication No.
/!cJ 7-73
Tj.Z~3s~;;; TAX LOT
C~ACT
EIl{€Z0V-IwlJ26)t) Hildl::. J. ~ Y 13 - /
APPLI CANI)
NAME V 2ve.tl677"'
ADDRESS % L~.&~ ..8uzt:.7'- r.-Q#f.kr.
BUILDING SITE
() Site Inspect ion
() Pre-Permit Investigation
PHONE
DATE ~- /0- 73
LANE COUNTY PLANNING DEPARTMENT
j
2,
Zoning Ordinance Compl i~~
(Zone )
Subdivision Ordinance Compl iance
NOT
appl icable
() ()
( )
() f)
(/o?
NO
YES
NAME
J/J
DATE
J.
f--/3'- 7~
3.
4.
Required Access
( )
( )
( )
( )
/lJD
f/-1.IJ- -r3
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
( )
( )
5.
COMMENTS: fif" e..f;"~'.J ~.r,,~~~ ..-.~ (;., -:lfl)~ '~crr.~'1 0._
~l,J,. CAF.!# 'C'E.'"'>4"\>.i.-J 'PLA\J5:. l:jJ ~8.e~. CA,.\.-L:u,-,P>.T1C;.'i~:.
,
BU I LD ING INSPECTION SECTION NOT NO YES NAME DATE
.!!DD I i cab 1 e ( ) ~
6. Plans Subm i tted ( )
7. Soil Stabil ity (foot ings) ()$ ( ) ( )
8. Flood Plain cA1 ( ) ( )
9. Other (see Comments) y(> ( ) ( ) $. $~ f4~"?3
COMMENTS:
SANITATION SECT! ON NOT NO YES NAME DATE
aDDl icable
10, Sewage D i spos a I ( ) ( ) <>4
11. Usable Area ( ) ( ) (-fJ Q~/~) tho ~
t/
12. Water Supp 1 y ( ) ( ) ~
13. Other (see Comments) ( , ( ) ( )
=-
COMMENTS:
TO APPLICANT:
( )
( )
( )
Building Permit / Site Inspecti~
Can be approved. r-~-?.J p ..//
Cannot be approve at this time as indicated on item NO. ~ above.
Questions and further information on items 1 through 5 contact the Lane-
COUNTY PLANNING DEPARTHENT. Questions and further information on items 6
through 13 contact the Lane Countv BuildinQ and Sanitation Division.
Will be held in this office unti~you can resolve the problems indicated.
Is being returned. 0'1 / cx:;r 73
Your building permit appl ication fee is being returned under separate cover.
(
J .).
LANE COUNTY PLANNING DEPARTHENT
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE: 342-1311 EXT. 231
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401 I
PHONE: 342-1311 EXT. 411
M55-2B
.
. 1')# a::"1I1H? hrmr?f)
LANE COUNTY I \ Dlt:'~ PE.RMIT OR M6BILE HOM.E PERMIT
BUilDING D "MH 0 PERMIT NO.
MAILING ADDRESS PHONE
PROP~.RTY .0"lNER
CONTRACTOR
MAILING ADDRESS PHONE
PROPERTY LoeA nON - 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.
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. ;; BORMS
New System q
VALUATION
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
PLUMBING INSTALLED BY
SEPTIC TANK 0
S
OTHERD
FEES
OWNER 0 OTHER, NAME
WATER SUPPLY
PUBLIC 0
o OTH ER
TOTAL
$
MIN. SEPTIC TANK CAPACITY
WITH OISl. BO'll;: GAl.
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
,
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
, .
DATE
, .
BLDG. PERMlT - WHlTE
OffiCE COPY - WHlTE
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
.
,'r .
'-.
SLAB FLOOR
PLUMBING GROUNDWORK
APPRovED f:i9.. DISAPPROVED Cl DATE9,-i '-:13
REMARKS
GAS PIPING GROUNDWORK
ApPROVED / / DISAPPROVED L / DATE
REMARKS
ROUGH PLUMB I NG
.
I NSPECTO.Aj/
INSPECTOR
ApPROVED f7l
REMARKS
D,SAPPROVEO C1 DATE//)'~1-')il. INSPECTOR:><t'U
V 1
ROUGH GAS PIPING
ApPROVED oCl OISAPPROVED Cl DATE
REMARKS
FINAL PLUMBING
ApPROVED ~ DISAPPROVEO C1 DATE1...::/S'~ Jl/
REMARKS
FINAL GAS PIPING
ApPROVED C1 DISAPPROVED C1 DATE
REMARKS
CERTIFICATE OF OCCUPANCY
REAOY TO ISSUE C1 NOT REAOY TO ISSUE ;---y DATE
REMARKS
INSPECTOR
INSPECTO~
V
INSPECTOR
INSPECTOR
.
,
~
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LANE COUNTY &IN9 PEIVAIT OR MOBILE HOME. PERMIT
BUILDING 0 MH 0 PERMIT NO.
MAILING ADDRESS
PHONE
PRQPEf:TY OWNER
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 PF;RMIT
EXISTING STRUCTURES ON PROPERTY
LEGAL ACCESS TO PROPERTY
.
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System 0
VALUATION
. ,
, ~,
"
FEES
PLUMBING INSTAllED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
$
OTHERD
PUBLIC 0
o OTHER
TOTAL
$
MIN. SEPTIC TANK CAPACITY
WITH DJST. BOX: GAL.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
\. "- \\ \ \
'.
-.
TYPE OF STRUCTURE
OCCUPANCY
lONE
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
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupie~,
(See Statement on Reverse Side)
.
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN. DIV" COURT HOUSE, EUGENE, OREGON 97401
FORM:: C55-1J
;').
...
.
"- ......
..
~
SITE INSPECTION
ApPROVED CI OISAPPROVEO CI DATE
. INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED f7I1"7' Dl $APPRQVEO /
/ DATE (Or;t2- -7) INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED /~ DISAPPROVED ;---y DATE INSPECTOR
R~MARKS~~~~~ ~
~ ~- 'UJJ-,' '" - ~ /P/...-~;zJ,.nA ' .
~~d'~"~ ~1..-~~ ~~
a !i- !213",),1 M,I\~') '-- ,;-~ii"""'("l./., -
ATH 0 SHEETROCK INSPECTION
ApPROVED / I, DISAPPROVED / I DATE INSPECTOR
REMARKS Ii Ai-ud Mf"-avZ;sY ~Lill" 'l{1 ~;~ ~../t ~:'t'<-7/
/ /}' , .I.r /.f - .('/
--L~-u/tJ7~ H<.. tW'~c.-V I X - /J -' / ~ IX.
I 7f
FINAL INSPECTION / '---/ )/~
ApPROVtO ~DI SAPPROVEO ;---y DATE J -:J-~. 7t./1 NSF. C .c~.-/
REMARKS.AElIt11Ci!.~g,J..../7--j t.-7"-~. i-I ,/'-1'-/ _ __ . _ _____
CERTIFICATE OF OCCUPANCY
READY TO ISSUE CI NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
-
~~ Z;<~-?I _ A
I f;17-7:J V.f~a&wf~J'II-'? 07/-/00
~
. LANE COUNTY B+G PERMIT OR MOBILE HOME .APPLlCATION
,PERMIT TYPE - BUILDING 0 MOBILE HOME DOSC REG. # PERMIT:Ii: 1~~?--7~
PRO~E~OWNER ~ / MAILING ADDRESS /) ." ~ . PHONE
, / ~-!A/7~. Y'7.~l: 6;:/? v....4.... ~. V+. -- e!'..tZztt7 72(,- 7/"6
COt<:!TRACTOR . -- ... AILING ADDRESS . ~ PHONE y-
Va. .~~~/ ~'/~'.. 4347'~. '''~L-<-f' ~d::;;J.4"'/-:-
P~Y to.~A.;;ON - I~UDE pos 0')Jl1' ;;> ~ efJ :it!-
~_#,,,....~ L./~~~ " ~
PROPERTY lEGAl'[;'ESCRIPTION t' /? ~ ..-( / -0 /.-.1 L9 /1 L / METES & BOUNDS 0 YES
lOT - BLOCK - SUBDIY. .d~"~ ~ ~ C:I ~, ATIACHED 0 NO
TWP RANGE c. , TAX LOT # CODE - CENSUS TRACT
/7 0.,,3 .::2.:1- ;1/-ED /5/-8
I /"? DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
~I ~_' /.-(' /1;'_~'1 A' 'I<( ( .. J2-
l~CCESS TO..PROPE7-ROAD N~OR #
. -po ...?~-<!1/"'~( ~4
PROPERTY SIZE-~TH DEPTH-
APPLICANT
NAME
AND
MAILING
AREA
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
STR)')JruRES TO BE BUILT THIS PERMIT /1 /J"
LIb/a /~~ - /?---/L,f//'fi-:'--. ....
d /tr. .
! \,-L ..,...- - ~jU-d-#Z.- ;L-7/~ '1
~~ ,9" 1'./
Connect to Existing Sewage System 0 or New System Req. n
TYPE CONSTRUCTION SQ. FT. # BEDROOMS VALUATION
l';.:;2.i"O/~ (.3.)~
9. >?4n
,
SEWAGE DISPOSAL
PLUMBING INSTALLED BY
.0.5'. 6-"
~~
OTHER 0 OWNER n' OTHER 0 NAME
FEES WATER SUPPLY ~ _ ~'/~~ PLANS FURNISHED FACILITY PERMIT
PUBLIC M OTHER YES<< NO 0 ~ ~S 0 NO~
PLUMBltfG FEES ~.~ ~~ATURE OF tPPLlC . T _ I ) j'II" DATE
..A.. FIXTURES C;;; r ,.u :A.-t fl J-Jl If(, M... 9-;/& - /-9
~RECEIVEO -BY v .. DATe
CASH 0 SEWER
CHECK fl CONNECTION fEE .,:(,...d . t.?'/.'! -. ./ 9'-/& -'?:
PERMIT #
/~~ Z-'?c$.
COUNTY BUILDING & SANITATION SPECIFICATIONS
PUBLIC WATER
CONNECTION FEE
/. $0
PUBLIC 0
BLDG.
WASTE DIS.
PLUMBING
PLAN REVIEW
PARK TRlR.
SEPTIC TANK 0
$ 4,L. "0-
. I
(2,5.tJ
TOTAL
MIN" SEPTIC TANK CAPACITY
WITH OISl. BOX: GAl.
DRAIN FIELD REQUIRED
UN. FT.
TRENCH WIDTH FT.
OR SQUARE fEET
CNmd'i>B:;~=;;:"::J:;1 ~)'_. ~"F ~,,-r~
~ b~ (111"'.,- (/~ ;r. wukfioJd' (S. /?h~ /
.c/l;~ {tI1Itrf/dk, ~ ~~f>>CIf't m b->.a~.J {h.-tmnt- fL?~ /
TYPE F RU TURE l1/V OCCUPjCY ZONiI REAR 'yARD P118LIC UTj'EASEMENT
BLDG. SETBACKS - FT. FROM eTR. elF ROAD RIGHT OF WAY 1? /--;2 USE CLASSIFICATION .j
FRONT tJ:-s SIDE INT. ~ SIDE EXT. REAR;?; rVIfi-- "
~ITARIAN b Dote PlANN~'t Data BLDcY.INSP.' iJm _;t n P .
~~'it 'fh~ ~UJ.L ~~ I~ f}"t',?/u,c/fU Cj. / 7r' 73
Directions to Find Property:
Date
COPY 1 - OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT
Form # C55-12: