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Home My WebLink AboutPermit Building 1973-05-08Y BUllDlNG PERMIT OR MOBttE I .vlE USE PERMIT MH tr PERMIT NO. IANE COU. BUTLDTNG E PROPEATY O VNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAT DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACTio EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge Sysrem ! New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK tr OTHERE PTUMBING INSTALTED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PI.AN REVIEW PARK TRAII,ER (F EES WATER SUPPTY PUBUC n tr OTHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED TIN, FT TRENCH WIDTH TT.OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BTDG. SETBACKS . FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT, USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Construction lo comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o cerlificole of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THrs PERMTT ON MAIN BrDG. AT SrTE) TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I roau tg55-13 PHONE BUILD ING S ITE EVALUATION T R-/3 SZ TAX LOT TRA AI ( PL I CANT: NAHE ADDR ?4 () ) Bu i ld ing Perm it App I i cat ion xo. H/- rc S i te lnspect ion Pre-Permit lnvest igat ion DATE PHONE LANE COUNTY PLANNING DEPART}.IENT NOT appl icable () (-r (v ('r NO YES ((r NAI-IE DATE Zoning Ordinance Compl iance (Zone ?X ) )r^ 2 2 4 5 Subd iv is ion 0rd inance Comp I iance () () () Requ i red Access Bu ild ing S ite (Area, Width, Frontage, Setback) 0ther (see comments) () ) () ( () () COHHENTS: BUILOING INSPECTION SECTION NOT NOl6t icaule()() YES ,( () 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Comments) CO},IHENTS: () () ( () )6) 2'7' SAN ITAT ION SECT !ON Sewage Disposal Usable Area Water Supply 0ther (see Comments) NOT NO YES NAME DATE I icable ;t0. il. 12. t3. () () () () () ( () ) ) ,.1 (4 Y-V 5.J COMHENTS: TO APPL ICANT: Your Building Permit /Site lns pect ion €2eCan be approved. Cannot be approve da t this time as indicated on item N0. - ; _,._:-*-fr above. Questions and further information on items I through S c6it"Ftr,fLane- COUNTY PLANN ING DEPARTMENT . Questions and further information on iffi; 5 t hroug contact the Count Buildi and San itat ion Divis ion() ()Will be held in this of ce unt you can reso vet p rob lems i nls being returned.()Your building permit application fee is being returned under separa cated. te cclve r. LI\NE COUNTY PLANNING DEPART}IENTIt5 Sixth l\r,en0e East, Euqene, 0reqon 97401 l'llt)Nl : l,r?-lill tX't. ?31 LANE COUNTY BUILDING S SANTTATION DIVISION f35 Sixth Avenue East, Eugene, 0regon 97401 PHONE: 342-l3ll ExT. 4ll NAI'4E DATE ( ( 2 --* ca/-al 'Vz1e1J4 B-AZ 7 A#4/ t !0 13 .mllED Ef lISrlrr4r. Etr? IlflID IDr Ia3tD cech lLntotrl frtli HdtD of tsrchlotrl .qr$. toot4r E t Dc. b.En UD.. lypr of fllta rtrrlrlr Drt 0- ,B ITSE OP SrII?TBIrI a Inetll.lcrl! nrae Dlat nct frca: "ID ,1. .ra g guud&spGtrtt rullr ruu fli? la.( 't-rA+*g+rce.g,Gv eddrcca ntnbcr 6{ tot l Ed.sr Llrla3 raftrJ-Er&oar , Blth! Baleaent: Ies[ l;oB- 1, -J - lr+ flL. Icrrcc! flL. Iat llnct l f!1. hur&llon S6]'l o- -: tD'. I t Slgnrturc leel-. hcatfl tcaD i.ezrT/&,:eer teel.Cu& b otbr d€pu: D?tD of tlltc rt slrl orr Ulr-lA- lncb.E. SltX (Sr fartrrlctloar) r of fl tllc lter =a'.erlaL6 teneatL lnches. 4-*'*' I,t )'/,t'(- '-La q I I I , l t \ t l,$ . .. *\tl ....t? tt'' "-nso - $$$ lN '$""$\' osloo)5)" -l m InICrtE mtl[' : . !E CiICI tart\,' Syrto tor oc Rsrtrr { E B € fincgloo tr'"ittletorllJ, errd 1s tl.erefcre a;prcteJ t-43-v IA. /s / 'tt< l.rE }E Lffi IEPTRDE,}i? ht f-71-Ct-' @ I a I I : I I I I I I E ' /' t+' ufII L L IANE COL BUTLDTNG E Y BUITDING PERMIT OR MOBILE MHN ME USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY LEGAT DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APP[. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY\ PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewog e System I New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN SEWAGE DISPOSAL PUBUC tr SEPTIC TANK u OTHERE PTUMBING INSTATTED BY OWNER E OTHER: NAME BU ITDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER (F EES WATER SUPPTY PUBLTC tr tr OTHER MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. TYPE OF STRUCTURE BLDG. SETBACKS FI. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE _ DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED LIN, FT TRENCH WIDTH FT OCCUPANCY ZONE OR SQ. FT, PUBTIC UTIT. EASEMENT DATE code ond county regulotions buildings require o cerlificote USE CI.ASSIFICATION REAR Conslruction to comply with uniform buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. (See Stotement on Reverse Side) I (POST THrS PERMTT ON MAIN BIDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I s I ronu t 655-13 \ r SITE INSPECTION Aepnov r o Reuanx s Dr sappnoveo Dare FOUNDATION I NSPTCTION AppRoveo Rruanx s Dr sappRoveo oorc .4'- /,77 I NspEct FRAMING INSPECTION Appnoveo B Drsappnoveo Rr uanr DrrE 3 I Nspec LATH OR SHITTROCK INSPECTION Ap pnov t o Rrulnx s Dt sapPRoveo I Nspecron FINAL INSPECTI AppRov e o Reuanxs DrsappnovEo ,,/1-l&*?l tt-e -73 I I NSPEcToR CTRTIFICATE OF OCCUPANCY Rraov ro I ssuE Rrua Rx s Nor Rgaov to I ssue I ruspecroR 75r-rt fu?Jl /otr Dnre 3d-JaA I ruspecron n Dore- I ilo dl o$ Crnfo LANE COUI BUTLDTNG E / BUITDING PERMIT OR MOBILE I..AE USE PERMIT PERMIT NO. PROPER'Y OWNER MH MAITING ADDRESS la - e,t PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY IOCATION _ INCTUDE POST OFFICE PROPERTY LEGAT DESCRIPTION _ MEIES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPT. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge SYstem TYPE CONSTRUCTION se. FT New BDRMS VALUATION tr SEWAGE DISPOSAT PUBLIC n SEPTIC TANK tr OTHERE PTUMBING INSTAIIED BY OWNER - OTHER: NAME I BUITDING WASTE DISPOSAL PI,UMBING PI.AN REVIEW PARK TRAITER (FEES WATER SUPPLY PUBLTC !T] OTHER TOTAT $ co UNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT OR SQ. FT. OCCUPANCY ZONE PUBI.IC UTIL. EASEMENT TYPE OF STRUCTURE FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATIONBTDG. SETBACKS FRONT REAR DATE AUTHORIZED SIGNATURE - DATE BLDG. PERMIT - WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PIUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Conslruction to comply with uniform building covering plumbing ond sewoge disposol' All of occupo'ncy before being occupied. code ond countY regulolions buildings require o certificote (See Stotemenl on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SlrE) ronu t 955- 13 \--'/ LANE COUNTY, BIDG. & SAN DIV., COURT HOUSE, EUGENE, OREGON 9740] Lo P/U. tt.n,)3 SLAB FLOOR PLUMB ING GROUNU^,ORK Apenoveo Rruanx s DrsappnovEo I ruspecron GAS P lP I NG GROUNU^/ORK AP PRoV E D ReMa Rx s DarE I Nspecron ROUGH PLUMBING Appnoveo N DrsappnovEo Rruanx s oare/l - j1 - 7t/lnspr ROUGH GAS PIPING Ap pnov e o REuaRx s l--l/ / Dr saeenoveo / /Dnr r I rus pe cron FINAL PLUMBING AppRoveo R DrsrppnoveD D Dorr.l- 1G_2f tNsprcr Re uanx s FINAL GAS PIPING Ap pnov e o Rrttanx s / / Drsrppnoveo fr Dare I Nspecron CERTIFICATE OF OCCUPANCY Reaoy ro lssur RruaRxs D Nor Rraoy ro lssuE D Drre lnspecron D Dore_- DrsappRovrc D PROPERTY C^A.4 c tANE UNi BUITDING PERMIT OR MOBITE HC J UsE CAT! PERMIT TYPE _ BUILDING MOBILE HOME OSC REG. #PERMIT MAILING ADDRESS/a a3 PROPERTY I.OCATION _ INCIUDE POST OFFICE -5oMAILING ADDRESS PROPERTY LEGAI. DESCRIPTION TOT_BLOCK_SUBDIV. TWP RANGE APPTICANT NAAAE AND MAITING ADDRESS SEC.rAx ror #CODE D PROPERTY S C ENSUS EXISTING STRUCTURES ON PROPERTY IF ANY ESS TO PROPERTY _ ROAD EOR DEPTH & BOUNDS E YES ATTACHED tr NO AREA I FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existing Sewoge System or New sQ.IT SEPTIC TANK tr orHER ! ,a TYPE OTHER 5- PTUMBING INSTATTED BY OWNER OTHER NAM PTANS FURNISHED YES NO OR SQUARE FEET BEDROOMS VALUA FACII,ITY PERMIT NO DATE DATE'-p' PUBIIC UTII. EASEMENT 5 SEWAGE DISPOSAT PUBTIC BtDG. WASTE DIS. PTUATBING PTAN REVIEW PARK TR[R. F EES CASH E CHECK WATER SUPPTY PUBTIC G ES YES PTUMBIa\.)d3 TOTAT MIN. SEPTIC TANK CAPACIIY WITH DIST. BOX: GAL. TYPE OF STRUCTURE IT PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SP FICATIONS DRAIN FIETD REQUIRED tIN. FT. TRENCH FT fM "rrrrf"ry{ZONE REAR YARD ZI\ N FEE torm # css-tz Property: NING S Dole BIDG. INSP USE CTASSIFICATION -r/ BIDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SAN SIDE INT. 5. Dote SIDE EXT REAR Directions to Fi Dole COPY I _ OFFICE COP\ 2 -JOURNAICOPY 3 _ AUDIT # ----a.ao I