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Home My WebLink AboutPermit Building 1973-9-18 /!;~~ofJ.~ ,. ~~~TYOV:i-<ER Cloorn. ~J. ~1. CONTRACTOR 'Y BUILDIN~,. PERMIT OR MOBILE MHO MAILING ADDRESS SG9 A5~CO St. E~gcnG~ eregan MAIliNG ADDRESS !!i.OO llO.00 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED i~.'\. .;~_ ,. / ./ LANE CO BUILDING OJ'" :. PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ~~~~on r,rovo l0~ 1 ~lec~ 3 TWP RANGE SECTION' n 03 34.2.~2 APPL. NAME & .MAILlNG ADDRESS FOR ,MOBILE HOME PERMITS ONLY No. of Bedrooms 'sTRUCTUREs TO BE BUILT THIS PERMIT St-tJrnflc s~ed : ..' SEW AGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING ).... PLAN REVIEW ,... PARK TRAILER Pcn4ilHy'r<ao TOTAL SEPTIC TANK 0 OTHERD !:;.OO !t oj: MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. !Exists TYPE OF STRUCTURE ...-J( ME USE PERMIT PERMIT NO. .. ~jiAl '1t< l~~;~l:.~~1 TAX LOT NO. CODE CENSUS TRACT 220 U~..i!)3 EXISTING STRUCTURES ON PROPERTY ~lt!luse .. c~r~@r:t LEGAL ACCESS TO PROPERTY Aspen PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System D TY17E CONSTRUCTION SQ. FT. # B[)RMs . ~r~e }O)( t2 U2Ql FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER L1N. FT TRENCH WIDTH FT. OR SQ. FT. OCCUPANCY ZONE PUBLIC UTIL.EASEMENT 5 ~. 4 BLDG. SETBACKS.__ FT. FROM CTR. OF ROAD RIGHT OF WAY.f'l~~ !51i:lf,'ld 5'1:. ...all" FRONT 4S SIDE INT. 5 SIDE EXT. ~m 40 REAR AUTHORIZED SIGNATURE - DATE Isl J.!;'. Boss by Harbc:ly@h BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD USE CLASSIFICATION :5 G ,.\J, Gray, Siln i te rf ilfl 9... 1 g..73 I ,r \: /. u Gl~5... 73 PHONE 7l~7Q5C;SS PHONE so }\ 135' New System 0 VALUATION DATE Construction to comply with ~.niform bl}ilding 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) FORM # C 55-13 LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 . .,..:. ~ 1 \ ~GiSiTE EVALUATION '-;,:: ~..~. ..... :::.-:j\ ~Jildjng Permit Application . ~ ..... () Site Inspection () Pre-Permit Investigation '~iG, R D3s3'/.;J;J TAX LOT .::7071] ,;";" TRACT - 6. OM) G~6 ~07 / r/3t-,e 3 APPLICANT: NAME /J/tOce&, u..},e" ADDRESS No. JJ'I6'-73 PHONE DATE y- /~-73 3. 4. Required Access NOT app I i cab 1 e () ( ) " () ~._, ( ) ( ) ( ) NO YES NAME, DATE LANE COUNTY PLANN.\ NG DEPARTMENT I. ,Zon i ng Ord i nance Comp 1 i ance (Zone .I&-r ) Subdivision Ordinance Compl iance ( ~ 1-/q - 7 ~ Building Site (Area, Wi9th, Frontage, Setback) Other (see comments} ( ) ( ) ( ) ( ) ( ) 2. 5. COMMENTS: BUILDING INSPECTION SECTION NOT NO YES NAME DATE app I i cab 1 e (~ 6. Plans Subm i tted ( ) ( ) 7. Soil Stability (footings) (J ( ) ( ) 8. Flood Plain ~) ( ) ( ) M4L 9. Ot he r (see Comments) ~) ( ) ( ) 9'-- / 8'~ 'l :J COMMENTS: (/ ..-- SANITATION SECTION NOT. NO YES NAME DATE app 1 icab 1 e 10. Sewage D i spos cil rt.>. ( ) ( ) / 4:t 11. Usable Area ( ) ( ) ( ) ~.w. 12. Water Supply ( ) ( ) ( ) 13. Other (see Co~ments) ( , ( ) ( ) q___ I I COMMENTS: TO APPLICANT: ( ) ( ) ( ) Building Permit / Site Inspection: Can be app roved. 9-11'- 73 f/PfI-. 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 further information on items 6 through 13 contact the Lane County Building and Sanitation Division. Wil I 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 f>} LANE COUNTY PLANNING DEPARTMENT 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342- I 3 I I EXT. 23 I LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342- I 31 I EXI. 41 I C5S-2.o ..l:'~;r~i:;""" " f<'" ~.,;T ..- !ok' ) . ~. ""~.~~ ": j''-~''''~'''''''->'.o'I'''''''':'''''''':'-i' .~"'.?'<"I"-" . ....-J.. ~:.,.-,. Cf!;; .'. .. ./ 1~,Jf-' ji J. " j . , ~~ lANE COllI BUILDING rn BUflDIN~ -,PERMIT OR MOBilE, J,.. ,IE.~'USE PERMIT ::""MH {j. f" .... .,'" ,,' P,ERMIT NO. - MAILING ADDRESS , ~ ,':..1':,,; .~.19' .A$~ 13t~.. ~ll1l~e~:?$ &W0~OO MAILING" 'ADDRESS n~~9n PHONE 'Yt!~"il ~<!'l'I1.,f':I"" q9I1o;;!'....'.;;u PROPERTY OWNER C~~G'O n t1 ~(!" CONTRACTOR PHONE '}- .,....' t. ~ . j . ": , ,::~~:~~P~"i~}'~~}itt~{.' ':" ~: ,I,:" 'I"::, . PROPERTY LOCATION - INCLUDE 'POST Of'fICE" .. " t '\' ..:..~\ ,~..:\\ .' , ':tJ~,':~~'- " ,,~\ ,:".. , , PROPERTY LEGAL DESCRIPTION - METES, BOUNDS i'1 l1.4Yn- 1, ~~~.)). SECTION' : TAX LOT NO. ,. CODE' CENSUS TRACT fl'.lOrr~ @l?OO() TWP @~ ~o~~g , ili~ .'.' > 'n~(D~' EXISTING STRUCTURES ON PROPERTY 'ne$U~b:.,~ ~tr~(i'\l: LEGAL ACCESS TO' PROPERTY . ( . 4m!JV~.-a: P~O~ERTY SIZE - fT, APPL. NAME. & MAILING ADDRESS ' FOR MOBILE HOME PERMITS ONLY: . No. ,orBe'drooms ' STRUCTURES TO BE BUILT THIS PERMIT- . WIDTH . DEPTH AREA S'Jil tt ~~~o , Connect: fo' 'E,<i'stit:l'g Sewage System 0 TypE CONSTRUCTION SQ. FT. # BDRMS. New System 0 VALUATION '~tllWbOO ~~ Clf.~ a@,~. u 2 ~gG ~ " ,- '. .' . I!'-:~ . ~ '~1~. 'PUBlIC 0 B,U.llDING . :WASTE DISPOSAL , ; ,PLUMBING :r fSp' .. .' 'PLAN REVIEW "'.,;:PARK TRAILER : '. l?~ollsyl' q(ilEl . . TOTAL ". SEPTIC T.A:NK o $ O;rHERD s.i,,~O . fEES PLUMBING INSTALLED BY OWNE,R 0 . OTHER: NAME WATER' SUPPLY. . .~'~EWAGE DISPOSAL PUBLIC 0 o OTHER , ,. ',~~ IV- $ ~<>t$ . ., U@/i@@' .~ COUNTY BUILDING & SANITATlON.;S,PEOIFJCAtIONS DRAIN fiELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. " ~~stO' L1N. :n TRENCH WIDTH FT. OR SQ. FT. , " ----, -"~' , ",t \ ....1:. ~~_k, ~1-~':~i\ if , ' r. . ~~ . ... .. ~" - .. .', ',., TYPE Of STRUCTURE.. , ~~ OCCUPANCY ell tONE PUBLIC 'UTIL. EASEMENT BLDG,~ SET. B1-CKS, .-, FT. FROM CTR. OF ROAD RIGHT OF WAJi.~' Of! USE" CLASSI.f, ICATION \I\JaCibH~ ,q(!,v .' . ...., ' iI.A . fRONT .,f}~' SIDE INT. 1$ SIDE EXT. '. ," "V1# REAR !ll AUTHORIZED SIGNATURE - DATE ., . . 101 J 0 fit.~fillat(~'V U'2brr'oo~~~ . G. ~ . 1lWDi1 0 SB~hatr~DW ""~~o"l1' 'DATE BLDG. PERMIT - WHITE OffiCE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN. SANITATION - GOLDENROD Construction to comply ""./ith .u'niforf11 'building' code and county regul~tions c:ov.ering plumbing an~d sewage disposal. All buildings r~quire a ,certificate ()f occup<;Jncy before being occupied. ' (See Statement on Reverse' Side) . \~. c,,- " ..j,. ...., '<, (POST THIS PERMIT "ON MAIN BLDG. AT SIT~) . LANE COUNTY, .BLDG. &, S~N.. DIV" COURT HOUSE, E'UGENE, OREGON. 97401' ".t, '." . t),;'~. SITE INSPECTION ApPROVED / / DISAPPROVED / / DATE REMARKS~ b-u..L k . /D--/tJ-73 FOUNDATION INSPECTION ApPROVED / / DISAPPROVED / / DATE REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED / / DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED / j DATE REMARKS FINAL I NSPECT I O~ ApPROVED / ~-DISAPPROVED / REMARKS / DATE /3./(, 7.J CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE REMARKS /J A ~/ I '1tfJ"-7J 711~ ~'9 ~ Pi ~ 117 M-I4, \ INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR ~' " - ~ '.\ '~, j, 1\ a INSPECTOR I f , I I I /' '''"Jl}-- :<. 0 tJ J ~ .. LANE COUNT. ,UILDING PERMIT 0 R MOBILE HO .' PERMIT TYPE BUILDING Rl MOBILE HOME Dose REG, # MAILING ADDRESS Pf/1 A<;./JP/ 5f, k:JDco MAILING ADDR~S . USE APPLICATION PERMIT # j,J"C/S--73 PHONE 7l{7-S?~Y PHONE PROPERTY OWNER /ll~ al,€-, CONTRACTOR /' PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTIOr ' _ .. I/?- LOT - BLOCK - SUBDIV. \..~bIV ~J& TWP RANGE SEe. 1'7 Q3 3t{.~.d. LtJ+ / TAX LOT # ~o gtlG... -=? CODE /9-()3 DESCRIBE EXISTING STRUCTURES ON PROPERT IF ANY /cb~~1 (EG~TY - ROAD NAME OR # PROPERTY~ SI~E_WIDTH DEPTH AREA ?t2 I /3s-r METES & BOUNDS DYES ATTACHED D NO CENSUS TRACT APPLICANT NAME AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT $'/~ S~ ~ Connect to Existing Sewage System D or New System Req. D ~CTlON (/OXI':2) /~e: &EDROOMS VALUATION '- SEWAGE DIS'POSAL TOTAL S.CO -Lo, qJ PLUMBING INSTAllED BY OTHER D OWNER d OTHER D NAME FEES WATER SUPP~B~ PLANS .FURNISH.ED FACILITY PERMIT PUBLIC ":Q'" OTHER YES)gl:' NO D YES D NO.,.8t PLUMBING FEES ~~_ ' N~, lURE Or~:5t_NT DATE FIXTURES -'//./A _ rd~ ?-/;J-73 CASH D SEWER ' - _~~ BY DATE CHECK?'........CONNECTlON FEE fL /:;J- ~ PUBLIC WATER PE1RMBil, r --73 CONNECTION FEE '0' 'fu' PUBLIC 0 BLDG. WASTE DIS. PLUMBI,NG PLAN REVIEW PARK TRLR. :PtW~ SEPTIC TANK D $S/~ MIN. SEPTIC TANK CAPACITY ~ WIT~ DI~T. BOX: GAl. .fA /./J;:;:/ ,., I COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED LI N. FT. TRENCH WIDTH FT. OR SQUARE FEET // / :1 PUBrlC UTll. EASEMENT TYPE OF STRUCTURE S' /1,1 OCCU3 BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY 1~l...~D ~l A"':::>PCE(/...J FRONT ~s: SIDE INT. S- SIDE EXT. +rJ REAR ,-S-. /) .4 .:;!}2').N A_ q-J;~~ ~-('-f- ~te~BLDG. INSP'!/1Jrl4 klrJ/ 9/ /rt-1~ /- ~' f / Directions to Find Property: ZONE REAR YARD USE CLASSIFICATION Date COpy 1 - OFFICE COpy 2 - JOURNAL COpy 3 - AUDIT Form # C55-12