HomeMy WebLinkAboutPermit Building 1974-6-14
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LANE COUN'
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WILDING PERMIT OR MOBILE
MH D
MAILING ADDRESS
1736 CARD I NM.. \-lAY,. EUGENE, O~
MAILING ADDRESS
671~ E. 13TH ~ EUGENEp OR.
HC
USE PERMIT
PERMIT NO.
913~74
PHONE
"
PROPERTY OWNER
,(; -
GARRETT. GLEN E.
CONTRACTOR
PHONE
345-1896
FITZGERALD. ED.
PROPERTY LOCATION - INCLUDE POST OFFICE
1716 CARDINALWAV
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
2ND. ADD. RALl:: IGHt-IOOi.) PARt<
TWP RANGE SECTION
17 03 22. 12
.l>.PPL.
NAME ED. F I TZGERALD
& 671;!r EAST l1TM
ADDRESS . EUG€t.lF. nOR. 97401
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Exis'ting Sewage System D
TYPE CONSTRUCTION SQ. FT. #, BDRMS
New System D
VALUATION
CARPORT
20 X 20
5-N
400@2
800
rlNISU E:IHSTING GARAGE TO EJE FAMILY ROON.
29'+ 0, 9
2,61}6.
.. - - --.
14 p 46.
SEWAGE DISPOSAL
PUBLICO SEPTIC TANK lID
BUILDING $
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
OTHERO
20.\)0
. FEES
PLUMBING"INSTALLED BY
OWNER 0' OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOT AL
~
26.'00
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN.' SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
RA
PUBLIC UTlL. EASEMENT
5-N J
BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY
FRON; 40' SIDE INT. 5 f SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/s/J.E.BOSS, DY, C. HARBAUGH
USE CLASSIFICATION
REAR
7' PUll::
J. SHOOK, SANITAR~
DATE
6..14-14JI:
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required inspections. All construc-
tion shall comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
FORM == C55-13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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· Building Permit Appl ication No. 9/S-7(
BUILDING..SITE EVALUATION
'1
( )'
( )
( )
Site Inspection
Pre~Permit Investigation
NAME
1.
NOT NO
app l( i,fab 1 e( )
Zoning Ordinance Compl iance 0
(Zone F::j-\- ) 1 .
Subdivision Ordinance Compl iance (!) ( )
~ ) ()
! \ : ~
t
LANE COUNTY PLANNING DEPARTMENT
2.
3.
4.
Required Access
5.
Buil~ingSite (Area, Width,
Frontage, Setback)
Other (see comments)
COMMENTS:
BUILDtNG INSPECTION SECTION
6.
Plans Submitted
7.
8.
Soil Stabil ity (footings)
Flood Plain
9.
Other (see Comments)
.#!
COMMENTS:
"'jJ.~~
#'
/
( )
( )
( )
( )
( )
T 17 -03S~~/'2TAX LOT
CENSL RACT
f1 v\, cL-" l<a / e/cIA.CJJtrD d f6tr "', L -JJ;. - t
APPLlCAN);: V iL - /. ,J
NAME. CYa rrt'.7T/ F, rz..fJem ,
ADDRESS /
PHONE
DATE
YES
DATE
/7ff/?
s~ Z~ -7cf
NO 'YES
DATE
vS
( )
( )
NAME
, .
(Y %~ ~-"7-?~
//
SAN !TAT ION SEeTl ON NOT NO YES 0~\S:~ DATE
app ,~ i cab I e ~/'il ~/L,{
10. Sewage Disposal !) ( ) ( )
II. Usable Area ( ) ( ) ( )
12. Water Supply t: ( ) ( )
13. o t he r (see Comments) ( ) ( )
COMMENTS:
NOT
appl i cab 1 e
( ) ( )
( ) ()
() ( )
() <)6 ()
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TO APPLI CANT:
~ Your
:7 /M
1- /\ ~ " , ( ),
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Building Permit / Site Inspection:
Can be approved.
Cannot be approved at this time as indi~ated on item NO. above.
Questions and further informat ion on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further 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.
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
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LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
SITE INSPECTION
ApPROVED / / DISAPPROVED / / DATE
INSPECTOR
REMARI~S
FOUNDATION INSPECTION
APPROVED /
/ DISAPPROVED /
INSPECTOR
/ DATE
REMARKS
FRAMING INSPECTION
ApPROVED / ! DISAPPROVED. / I DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED /
.I DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
A,,,o,,o / / D'"'' 0"0 / / D", If'-/-72( "",ooN-
REMARKS~~k ~ rk:&~~~~
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~~,~, ~ .-')W~tKl)~)#.J~'jA.-~";'1-7l/~
. r L) 'f"'-I'
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ./
I NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
~~.
1IJ-7f'RI~ /7(}~ ~~
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LANE COUNTY ~ILDING PERMIT OR MOBILE HON SE APPLICATION
..
~ ~ PERMIT TYPE - BUILDING ~ MOBILE HOME D OSC REG. # PERMIT #
PROPERTY OWNER MAltiNG ADDRESS _
CON(;J,~. 6A.~~ MA"lo'.,ll CaNJ,l1ft ,;~~~
PRO~t4CAE\- I CLU POST FFICE I' -, Lk 6, ! '"t j G yell'!'
//36 aM'r1Q/ tUo.V
PROPERTY LEGAL DESCRIPTION I) If). J ' }. / 1 /) 1_
LOT - BLOCK - SUBDIV. t1<- t'\ l'.L I< fA .p I Of h W7rOd ra r "\
TWP/ RANGE SEe. U TAX LOT #
7 O~ :22. I. '2-
.,:'::NT ~J EJ~"'~
M:'~':G 671 ~GJ~4 J;~
ADDRESS
CJI'?~ 7Y
. PHO!llE
PHONE
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L--t e-b
cq~ h Z- CENSU2bT_ <-f~)
DESCRIB~TING STRUCTURES ON PROPERTY IF ANY
. 64S~ #
LEGAL ACCESS TO PROPERTY - ROAD NAME OR
"'-~ ~ uJ
#OPERTY ""-WI'TH ~ WTH 4f-
METES & BOUNDS 0 YES
ATTACHED 0 NO
AREA
...,. FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BE BUILT 2~IS PERMIT
(' ...tAr-porT
F=i'",~h eXl'~h~ CO~#i-u b_ .c.rn;plf~ 2QY (6) IZ-~~'1
1~.(~I{;y' ~ ~ b <-/ b
ffi77Jl
~"'I''''J
v~/
SEPTIC TAN,' k ~. /OTHER D .
$ :2,. -~ FEES WATER SUPPLY
.... . PUBLIC j;( OTHER
'\. ~. PLUMBI~G"fEES
, FIXTURES
. /
/ j/ 1 ,~,
l/"j:( (,
! PLUMBING INSTALLED BY
OWNER D OTHER 0 NAME
PLANS FURNISHED FACILITY PERMIT
YES D(" NO 0 Y.JS--Ej-- NO){
XG~A~~ ATE
'" RE S''' 1?c~ . ~ 5 -li/l-7</
PERMIT # / /
COUNTY BUILDING & SANITATION SPECIFtCATlONS
SEWAGE DISPOSAL
PUBLIC 0
BLDG.
WASTE DIS.
PLUMBING
PLAN REVIEW
PARK TRLR.
CASH 0 SEWER
CHECK n CONNECTION FEE
TOTAL
'2~.-
PUBLIC WATER
CONNECTION FEE
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIELD REQUIRED
L1N. FT.
TV" 0' mUClORE ~ AI 1~NC)
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT of WAY
FRONT 40 SIDE INT. .s- SITl~
J~/T IAN (\ Ui&D e PLANNING,
u'rl L . t( <l1;L;~
( - - ~II '-'" /
irections to Find Property: ~ '
Sewage System D or New System Req. D
SQ. FT. # BEDROOMS VALUATION
l(oo (iiJ.~
'Zl:ra
-
~y l/ b
OR SQUARE FEET
ZONE
REAR YARD
PU BLlC UTI L. EASEMENT
{<:A
. I . USE CLASSIFICATION
REAR 7 PL1{-~
_~_:;~INSP. fPV3~j!y #~
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COpy 1 - OFFICE
COpy 2 - JOURNAL
COpy 3 - AUDIT
Form # C55-12
Dale
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