HomeMy WebLinkAboutPermit Building 1976-07-22et'ss3!0t16 NOCfUO '3N3Cnl 'qlg lSVf 9er 'X3NNV ISnOHtUnOClNlt SCVNVrJ tv-tNf t/,tNOUlAN3 JO tdlC'AlNnOC lNVt
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BU'LD'NG PERfiIT APPLICATION NO.l77r- 7(
( ) srrE tNsPEciloN
PLANNING OIVISION
N >Y\
l. Zoning Ordinance Conpl iance: Zone
2. Subdivision Ordinance Compl iance
3. Requi red Access
4. Building Site (Area, width, Front
5. Other (see cornments )
r l7 tOTs
SUBDIVIS--r{:
7-"-LorJ?Ffrz
LOT:BLOCK:_
APPL I CANT
DATE
No
CI
Not
Appl i cabl e
4lty, " ( )/tP'A )-' ()
ase) ( )()
( ) t(
() (
() (
() (
Y CKID BY:W: tzgq&fLsetbacks-ffiC/Toffto$6
)
)
)
sid
Setb rom interior Iines:fSide
Rear
PLANNING DIVISION ACTION
BUILDING INSPECTION DIVIS ION
. Plans Submitted
. Soi I Stab i I i ty (foot i ngs )
. Flood Plain
. 0ther (see conrnents)
aYEsr-rxo(TTFPT IEA-TtON#
Not
le No Yesr) aI() ()
() ()
() ()
7
8
9
0 CKID BY:,?ct
COHHENTS:
WATER POLUTION ROL Not
I I . Heets Department of Envi ronmental
Qual ity Standards.
'12. 0ther (see comments)
Aool icable No Yesr) rT
DATE
c0l.tl,tENTs:
() ()()CK'D BY:
TO APPLICANT:
Your Building / Site lnspection:
(tl can be approved.
( ) Cannot be apProved at this t ime as indicated on item N0
Questions and further informa tion on items I through 5 contact t
Qu estions and further information on items
c BUILDING AND SANITATION D ON
ve the prob
above.
q0%
^(\0'
Will be held in this office unti you can reso
ls being returned.
c55-28
()
()
Your bui ldin
ems
s
i cated.
rmi t a I i cation fee bein
NT
135 Sixth Avenue East Eugene Oregon
pHoNE. 597-4065
LANE COUNTY PLANNING DIVISION PHONE:
974o1
587-4t 86
COilHENTS:
t contact t
( ) BUtLDtNG rERHtr APPLIcATtoN N0"_
( ) slrE tNsPEcnoN
PLANNING DIVISION NOt
A I icable
I. Zoning Ordinance Compl iance: Zone-
2. Subdivision Ordinance Compl iance
3" Required Access
4. guilaing Site (Area, t.lidth, Frontage)
5. Other (see cornments )
sfEIiFn - -,{:
T
DATE
R s TAX LOT
LOT:BLOCK:
APPL ICANT
No Yesr) TT() ()
() ()
() ()
() ()
6
CK.D BY:
Setbacks from c/l of road:
Front
Side Exterior(
Setbacks from interior I ines:
Side
Rear
()
()
FI.ANNING DIVISION ACTION PEND IN6aTES( ) No(APPL-ICAT ION#
BUILDING INSPECT t0N 0tvlsl0N
Plans Submitted
Soil Stabil ity (footings)
Flood PIain
0ther (see conrnents)
Not
licable
7
8
9
0
)
)
)(
No Yesr) rT() ()
() ()
() ()CK'D BY:
DATE
I l. l{eets Department of Envi ronmental
Qual ity Standards.
12. Other (see comments)
WAT ER POLUT!ON CONTROL Not
Appl i cabl e No Yes
(
()
)r) TT
CKIO BY:
DATE
COHI,IENTS:
() ()
TO APPL!CANT:
Your Building / Site lnsP(') Can be aPProved"( ) Cannot be aPProved at
Questions and further
ection:
this time as indicated on item N0.
information on items I through 6 contact t
above.
e LAN
COUNTY NNING DIVI ON Questions and further information on items 7
throug 2 contact t COUNTY BU D NG AND TAT ION O I ON
( ) },ill be held in this of Ce until you can reso vet e prob
c55-28
Your bui ldin
ems
s
nd i cate d.
) ls Ueing returned.
rmi t I i cati fee is tn
AL
135 Sixth Avenue East Eugene Oregon
pHoNE. 597-4065
LANE COUNTY PLANNING DIVISION PHONE:
t 97401
587-41 85
9.urlpJNG srrl EVA
\)
COI{ilENTS:
I
COI'IMENTS:
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t
SITE INSPECTION
App nov r o
RruaRx s
D r sappnoveo Dare I HsPrcton
FOUNDATION I NSPICTION
APPRovEo
RrMlnxs
D r sappnovro Dare I rusrecron
FRAMI NG
Appnoveo
RruaRx s
I NSPECT I ON
Dr slppnoveD I Hsprcron
LATH OR SHTETROCK INSPECTION
D DrsappRovro [-*-J Dar E I NsPEcroRAp pRov r o
REuaRx s
FINAL INSPECTION
AppRov eo
Reuanxs
Dr slppnoveo Dar r .7 l*r"..ro^
CERTIFICATE OF OCCUPANCY
ReaoY To lssuE
RruaRx s
D Nor Rerov to lssue D Drre
/7a, ro 6'3
I HspEctoa
------:--
D
D DorE-
tJil I cal I
Rece r pr No.5116_Tt'/P.lz_l
TAX LOT
EC.ldl
REQUEST FOR SITE
Mlrutxc AooRgss
Sen r rl No.
I NSPECT I ON DATE F6. 9.
U56 t hh!!E tlvd. ret .No. 7h7-801r,BY S?ttnf;? NEf,I?Y
Spr Irref I cld
Orxen or PRopenrYdllftilhlhr
Corsenr or O*nen? Iu
Srzr or Pnop. ,l? lerl LecrL Access? . Qfu fdd
Exrsrrxc SrnucruREs ot PRopERrv t*o
SOURCE OF WATER SUPPLY: PuaLIc Itr Spn|xc WeuU: DRITLSO DNIVET DUE&
DESCRIPTION OF SITE (DrnecrroNs, LANDT{ARKs, HousE oR BOX NO., tr aXV):
rBt rldr - ilGrht let to lflth&r hr far fioi - lth lot dmr fra ltrlc ad.
PROPOSED USE OF SITE (E.G.r NuMBER oF orJELLrNGs, coMr.{ERctAL oR tNousrRtAL usE, suBolvtstox):
lrll lE;
f/ uRaartztNG ARer.
n Specrrl Penurr AREr.
FEE:
No.
No,
or Srres I
or Acnes
TOTAL-s 5.gg
HTrsk
RESULTS OF INVESTIGATION:
1/c
/€s.
,a
"., q-f€ r f o u't rrt r!.
So,'/ Ca ur frrtartcT 7or/
raLL,-d
(J
?
h
BEFORE CONSTRUCTION lS STARTED BRTNG rHrs FoRM ro rHE Burr-ornc AND Sarrrrrror DtvtstoN ANo
MAKE APPLtcATtoN roR A BUILDING pERMtr. lr txe pRopERTy ts A poRTtoN oNLy oF A TAx Lor, A
I,IETES ANO BOUNOS DESCRIPTION OF THE PARCEL I,IUST BE FURNISHEO. EXICT SPECITICATIONs FOR TxE
SEUAGE otsposAl sysrEt{ utLL AppEAR oN T}rE BUtLotNc pERMtr. Tvo sers oF THE BUtLDtNc pLANs
AND PLOT PLAN }'ILL BE REQUIREO.
LANE Y BUI AND SA ATION DIV SION:
L{O I NG NSPECTOR ANITARIAN TE
HIS REPORT IS NOT COMPLETE WITHOUT THE SIGNATURES OF THE BUILDING
-0la-01
INSPECTOR AND SANITARI AN.
\
\J
PERMIT
NOTE: NO PERMIT I.[L dE ISSUED I]NTIL THIS APPLIC.ATI( I,AS BEEN APPRoVED
APPLICATION FOR:
CONSTRUCTION f'<-l MoBTLE noME PI-AN REVIEII C}IAI.IGE OF OCCUPANCY
#fr75-74
OWNER
o.s. REc. /l
Name
Name
Clty zlp
ty
Code /7-o3 Census Tract
Phone
one
I.Iid th-Depth_
*np. | 7 wnce---e--secrtorr-;/214,11 -
Address
Tax Lot
Subdlvls ion t Bloc P roperty Acr
&"^" A-., PJACCESS TO PROPERTY (Road Name)
Existing Structures on Property:
Property Location - Address/Directlons:
t
Below 0 e Use
Site Inspec tlon /l Se. x Exlsting Sewage Disposal System
, Pub1lc
or New System Requlred
Name of Comnunlty or Publlc System
So. Ft.
.+ x3
Valuatlon
2
I'IATER SUPPLY:
Well Sprlng O Coffirunity
PLIMFING:
Installed by Ormer
PLI]M3ING FEES
OEher Name
Bldg.
Waste Disp.
Plunblng
Plan Revlenz
Mobile Home
1Z Surcharge
fr.-
Sewage
Connection
Water
Connectlon
I
PLANS FURNISHED
CASH YES
Signature of Appl
Fee Recelved By:
Dralnfield Requ ired - Llneal Feet
FAC
NO
Maxlmum Depth-
NO
TOTAL
Mln. Septlc Tank
s2Iw--?,rrtrK
Type of Construction Flre Zone Use Classification
Bldg Setbacks - from Center of Road Right of Way:
e Int terior Rear 5
(,
I,ANE COI'NTY DEPARII{ENT OF EIWIRONMENTAL
Zone rufi/t-
DATE:SANITATION:DATE:
cs5- r2
)
71 n
I
FEES:
BUILDING:?.J PATL '-/tlvvr , t
0