HomeMy WebLinkAboutPermit Building 1975-7-21
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LANE COU_ BUILDING PERMIT OR MOBILE AE
BUILDING D<x MH 0
MAILING ADDRESS
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USE PERMIT
PERMIT NO.
2003-75
PHONE
747-"i?,Q"i
. PHONE-
PROPERTY OWNER
L. N. SMITH
CONTRACTOR
SAME
PROPERTY LOCATION -INCLUDE POST OFFICE
2 HOUSE ON RIGHT PAST INTERSECTION
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
ROUTE 10 Box 2~0 D
MAILING ADDRESS
"UGENE, OREGON
Of DEAOMOND ROAD ANO GAME FARM ROAO:
TWP RANGE SECTION
17 O~ 1~
APPL. /\
NAME L. N. SNITH ",\
& SANE
MAILING
TAX LOT NO.
CODE
CENSUS TRACT
,Q()()
4-04
EXISTING STRUCTURES ON PROPERTY
.!i(\!!SE ^_~r>. G~I,^r.~
1GAL ACCESS TO PROPERTY
~-1 DEADMDND FERRY ROAD
.; PROPERTY SIZE - FT.
ADDRESS
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. :# BDRMS
New System 0
VALUATION
PERMIT fOR ADDITION DINETTE
'56 (:) 1610
SCJol.60
LANE COU~TY SPECIAL PERMIT AREA:
SEWAGE DISPOSAL
,
OTHERD
10.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PAR~ TRAILER
3"SURCHARGE
SEPTIC TANK 0
PUBLIC 0
o OTHER
TOTAL
.
.iO
10.iO
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
NA RESERVE AN REPLACEMENT AREA. STAY 10 fEET fROM ALL PARTS Of SE~AGE DISPOSAL SYSTEM
~ITH NE~ CONSTRUCTION:
TYPE OF STRUCTURE
5N
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT NA SIDE INT, 15' SIDE EXl.
AUTHORIZED SIGNATURE - DATE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
USE CLASSIFICA liON
REAR 20'
DATE
/S/ J.E. BOSS BY HARDAUGH
LOWRY BY GRAY/SANITARIAN
7/2./7~
DLM
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATlON - GOLDENROD
Coli 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 regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
FORM:;: CSS.13
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97-401
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B~lttlNG SITE EVALUATION ~
~UILDING PERMIT APPLICATION NO.
() SITE INSPECTION
&& ~iJ R 03 S I S-:;AX LOT'Sf't:::' (:)
SUBD ION:
~~-7Q""" LOT: BLOCK'
APPLICANT Y:. k,., ~. ct~rr-y
DATE
PLANNING DIVISION Not
Applicable
I. Zoning Ordinance Compliance: Zone~( )
2. Subdivision Ordinance Compliance ( )
3. Required Access ( )
4. Building Site (Area. Width. Frontage) ()
5. Other (see comments) ( )
COMMENTS:
PLANN I NG D I V I S I ONA"tTl ON PEND I NG: YE"S""( ) NOT} A-f>PL I CAT 10NlI - ,
BUILDING INSPECTION DIVISION
Not
ADDlicable
( )
(~
( )
(
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
ADDliw..le
II. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
( )
COMMENTS:
No
T)
( ) C
( ) ( )
() ,)
() )
No Kt
T)
( ) ( )
( ) ( )
( ) ( )
No Yes
T)T"T
( ) ( )
CK'D Bv:' J4-r-1'~~~
6. Setbac~c/l 'of roa~
Front AI/A
SJ...."" ~Y+-.e.~ ",'
Setbacks from interior IJ!}8s:
Side ,JQ
Rear Zf..)'
CK'D By:e~N~-n~17
IV~' v If -~ATE
CK'D By:.iIJ ~_
7-';U-7S"
DATE
TO APPLI CANT:
Your Building I Site Inspection:
XCan be approved.
( ) Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items I through 6 contact the LANE-
COUNTY PLANNING DIVISION. Questions and further information on items 7
through 12 contact the LANE COUNTY BUILDING 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 bein,9 ~"ltu'=-lJ,~d un<!!lL.seoarate cover.
vEPARTMENT OF tNVIRONMENTAL HANA~EM~NI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
rjYJ~)
~t2
C55-28
.
BUltblNG SITE EVALUATION
.
,
() BUILDING PERMIT APPLICATION NO.
() SITE INSPECTION
PLANNING DIVISION
Not
Applicable
( )
( )
( )
( )
( )
1.
2.
3.
4.
5.
Zoning Ordinance Compliance: Zone
Subdivision Ordinance Compliance
Required Access
Building Site (Area, Width, Frontage)
Other (see comments)
COMMENTS:
~.
T _ R
S~N:
LOT:
S
TAX LOT
BLOCK:
APPLICANT
DATE
No Yes
T) TI 6.
( ) ( )
( ) ( )
( ) ( )
( ) ( )
CK'D BY:
Setbacks from cll of road:
Front
Side Exterior
Setbacks from interior lines:
Side
Rear
PLANNING DIVISION ACTION PENDING: YES( 1 NO( 1 APPLICATlONft
BUILDING INSPECTION DIVISION
Not
Applicable
( )
( )
( )
( )
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
Applicable
(")
~ ",
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
( )
COMMENTS:
No Yes
T)TI
( ) ( )
( ) ( )
( ) ( )
CK'D BY:
DATE
_) /; ...;.......:... )1 _ .'
"...... . ,-
,.
,
No Yes
T) TI
( ) ( )
CK'D BY:
'.;.
DATE
TO APPLI CANT:
Your Building I Site Inspection:
'{ )'Can be approved.
( ,. Cannot be approved at th i s time as i nd i cated on i tern NO. above.
Questions and further information on items I through 6 contact the LANE-
.' COUNTY PLANNING DIVISION. Questions and further information on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
( ) Will be held in this office until you can resolve the problems indicated.
( ) Is being returned.
( ) Your building permit application fee Ls beinq..r~tu~n!l.d_under ",oarate ~ver.
uEPARTMENT OF ENVIRONMEIIITAL I1ANAlifMtNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
PROPERTY OWNER
LANE courtt BUILDING PERMIT OR MOBILE HIE
BUILDING MH
MAILING ADDRESS
/
USE PERMIT
PERMIT NO,
PHONE
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWF
RANGE
SECTION
TAX LOT NO
CODE-
Cf NSU~ TRACT
APPl.
EXISTING STRUCTURES ON PROPERTY
NAME
LEGAL ACCESS TO PROPERTY
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUC-TURES TO BE BUILT THIS PERMIT
PROPERTY SIZE _ FT.
WIDTH
DEPTH
AREA
Connect to Existing Sewage System New System [J
TYPE CONSTRUCTION ~~ FT :: BDRMS 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 ~
OTHERn
PUBLIC rl
Ll OTHER
TOTAL
.
MIN. SEPTIC TANK CAPACITY
WITH DIST, BOX, GAl.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
lIN. 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 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)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 13S EAST 6th. EUGENE, OREGON 97.401
fO~~' = C~~ 13
.
.
'~
SITE I NSPECTI ON
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED 1---1 01 SAPPROVED 1---1 DATf
v' . h /) /I'-'L
REMARKS r)1< ~ ;(lZt1/!1 .h. U4:rl!f/l/LEf..
/
INSPECTOR
r-I--) 5' (J[,
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/
FRAMING INSPECTION
ApPROVED /~DISAPPROVED Cl DATE ~'L/. ~Ij'
INSPECTOR
&e;,
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED L-I DISAPPROVED 1/ DATE
INSPECTOR
REMARK 5
()jl/
FINAL INSPECTI~ 1II~
ApPROVED LfJ DISAPPROVED ~ DATEq, lS/7t INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO I SSUE ~ NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARKS
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