HomeMy WebLinkAboutPermit Building 1974-3-21
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LANE COUN.~DING PERMIT OR MOBILE
BUilDING lU MH 0
MAILING ADDRESS
Y/f/ -:- 7/
H.SE PERMIT I
PERMIT NO. 394-7~
PROPERTY OWNER. \.
wi Ibul', -Jack
CONTRACTOR";,
2merald Swlmmnq Pools
PROPERTY LOCATION - INCLUDE POST OFFICE
Route 10 Box 264
MAILING ADDRESS
188; Hlohwav qq North
Euoene. Orellon
PHONE
726.8101
PHONE
Euoenc. Orellon
688-19SQ
'Off BAI~llne ~~ Old Cnbura tn Dead Man Road
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17
o.
14
1400
on4-01 21 ED 1;IA
EXISTING STRUCTURES ON PROPERTY
House~ oaraoe, out buildinGs
LEGAL ACCESS TO PROPERTY
Dead Man Ferrv Road
PROPERTY SIZE - FT.
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
Emerald Swlmmina Pools
WIDTH! 40
DEPT~ <;0
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. :;:t BDRMS
New System 0
VALUATION
Swtl'l"'fi'linn Pnnl
SEWAGE DISPOSAL
PLUMBING INSTALLED BY
PUBLIC D
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK D OTHERD
t?C: on
FEES
OWNER D OTHER, NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
t"C nn
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FJELD REQUIRED
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
Ibt rDD I ierb I"
TYPE OF STRUCTURE
OCCUPANCY
ZONE
,
PUBLIC UTIL. EASEMENT
~_.tJ ,.1
BLDG. SETBACKS u FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
<:n
SIDE INT. I:;: SIDE EXT,
AUTHORIZED SIGNATURE - DATE
REAR 0:;
DATE
Jc I _I 1= A"",c c. 1,,/.1 R.n,o\I"'t::.
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
'lil2()-74 5 IF
Call 6B7-4065 ta schedule all required inspectians. 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 af occupancy before
being occupied.
(See Details on Reverse Side)
FORM:: C55-lJ
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
I r () ~r'hl) 1'\ J
-WN
/
~UILUIN~ ~llt tVALUATION
t.
Buildirlg Permit Appl ication No.
.
J. SfrtECH
39'1-7/ .
T--12R O(S ILl
CENSUS TRACT
APP.T:. 1/
N/\ME {VI' bl),
ADDRESS
TAX LOT It..! 07)
,
~
( )
( )
,
Site Inspect ion
Pre-Permit Investigation
PHONE
DATE
?- 2. 1-7l/
/
~
L/\NE COUNTY PLANN I NG DEPARTMENT
I.
Zoning Ordinance Compl iance
(Zone )
Subdivision Ordinance Compl iance
NOT
appl icable
() ()
)
NO
YES
NAME
OIHE
2.
?
> .
Required Access
4.
8uilding Site (Area, Width,
Frontage, Setback)
Other (see comments)
5.
COMMENTS:
8UILDING INSPECTION SECTION NOT NO YES NAME DATE
app I icab Ie (01 ~ ~a.. "k.
6. Plans Submitted ( ) ( ) ~~),,"~'-...,q
7. Soil Stability (foot ings) (-1' ( ) ( )
8. Flood Plain (-1' ( ) ( )
9. Other (see Comments) (y' ( ) ( )
COMMENTS:
,
SANITATION SECTION NOT NO YES NAME DATE ,//
app I icable
10. Sewage Disposal (') ( ) ( )
II. Usable Area ( ) ( ) ( )
12. Water Supply ( ) ( ) ( )
13, Ot he r (see Comments) ( ) ( ) ( )
t
COMMENTS:
TO APPLICANT:
( )
( )
( )
Building Permit / Site Inspect ion:
Can be app roved.
Cannot be approved at this time as indicated on item NO. above,
Quest ions and further informat ion on items I through 5 contact the Lane-
COUNTY PLANN I NG DEPARTMENT. Ques I. ions and fu rt her in format ion on j tems 6
through 13 contact the Lane CounlY Buildinq ,,"0 Sanitation Division,
Will be held in this office unl'il you can resolve the problems indicaled.
" being returned,
Your building perndt appl ication Fee is being returned under separate cu.Jer.
Your
3--1,1) eP ~
( )
LANE COllN'IY I'UINN ING UEP/IRTMENT
IV, ~i)<t" Avenue E^st, Euyene. 0'''9''" 97401
/"hINt: :llll.. I :11 I G~ I, 2J'
LANE COUNTY BUILDING & S/'NIT/ITION DIVISION
135' Sixth I'lv~m'" East, E"~len,'. (hcClon 97401
1'llL1NL: JL,2-lllI EXI. 4.1
... 0" ....~__._
. - - . -..-.,...-..----
MSS-2S--- ._,--
,
LANE COUNalLDING PERMIT OR MOBILE
BUILDING ' MH 0
MAILING ADDRESS
H.USE PERMIT
PERMIT NO.
'.
PROPERTY OWNER
PHONE
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY lOCATION -INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METE~, BOUNb~
TWP
RANGE
SECTION
TAX LOT NO
CODE
CENSUS TRACT
APPl.
.....
EXISTING :.TRUCTURES ON PROPERTY
NAME
LEGAL ACCESS TO PROPERTY
&
MAILING
PROPERTY SIZE - a.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No, of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System
TYPE CONSTRUCTION sa FT :: BDRMS
New System [1
VALUATION
SEW AGE DISPOSAL
PLUMBING INSTALLED BY
PUBLIC 0
BUilDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
OTHE'rJ
.
FEES
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
$
MIN. SEPTIC TANK CAPACITY
WITH 0151. BOX: GAl.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
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
Call 687-4065 to schedule all required inspections. All construc-
tion sholl 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)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
'-ORM ::: CSS-ll
...."
.
.
,
,I
SITE INSPECTION
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNOATION INSPECTION
ApPROVEO L-/ 01 SAPPROVEO L-/ OATE
INSPECTOR
REMARK 5
FRAMING INSPECTION
ApPROVEO / / DI SAPPROVEO 17 DATE
INSPECTOR
REMARKS
1\
LATH OR SHEETROCK INSPECTION
ApPROVED L-/ 01 SAPPROVEO I
I OATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVEO ~SAPPROVEO
Cl
DATE
1/-/5.11/
(
INSPECTOR~
REMARKS
CERTIFICATE OF OCCUPANCY
-,
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
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INSPECTOR
REMARKS
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