HomeMy WebLinkAboutPermit Building 1973-04-19I
\NE COU
,ILDING E
BUILDING
MHT
PERMIT OR MOBILE HUME USE PERMIT
PERMIT NO.
MAITING ADDRESS PHONE
Nole E
MAITING ADDRESS PHONE
POST OFFICE
,_ _--,.--lqf<METES. BOUNDS ttff:
LV Ex rs
RANG E SECTION TAX LOT NO,CODE
o?
At- Svxo
4
CENSUS TRACT
5@ EXISTING STRUCTURES ON PROPERTY
i'
APPt.
NAME
&
MAITING
ADDRESS
TEGAI ACCESS TO PROPERTY
PROPERTY SIZE _ FT.
WIDTH DEPTH AREAFOR MOBILE HOME PERMITS ONLY
No. of Bedrooms l Connect to Existing Sewoge System I New System !STR UC"TURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION
iH YEA
SEWAGE DISPOSAT PIUMBING INSTATIED BY
PUBUC !SEPTIC TANK N OTHERtr]OWNER ! OTHER:NAA,tE
BUITDING
WASTE DISPOSA!
PTUMBING
PI.AN REVIEW
PARK TRAIIER
(FEES WATER SUPPTY
PUBI.IC D D OTHER
TOTAI.
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAI..
TYPE OF STRUCTURE
BI,DG. SETBACKS
FRONT
FT- FROM CTR. OF
SIDE INT.
AUTHOR
xrs SEWAGE D
DRAIN FIETD REQUIRED
UN. tT
OCCUPANCY
REAR
COUNTY BUILDI NG & SANITATION SPECIFICATIONS
TRENCH WIDTH FT.
ZONE
usE CtASSlFtcATtoN
OR SQ. FT
PUBIIC UTIT. EASEMENT
ROAD RIGHT Or WAY
SIDE EXT.
IZED SIGNATURT _ O,IEJ. Bos CrlnltE HARBAucT Jcxt'I CXSHA
DATE
BI.DG, PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PI.UMBING _ CANARY
BUII.DING _ GREEN
SANITATION - GOTDENROD
!:l-rj.l_r.t'"i ro .compty. with uniform buildinscovenng plum.bing ond sewoge disposol. All-ot occuponcy before being occupied.
. code ond county regulotions
buildings require o certificote
(See Stotemenl on Reverse Side)
(posT TH|S pERMtT ON MA|N BrDG. AT SITE)
TANE COUNTY, BI,DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97IIOI
roau t 655- 13
, (hE
PUdLIC NOTICE
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FINAL DATE:
tt-g-tS t+-ry-ll
POSTING DATE:OBJECTIONS SHOULD BE SUBMITTED INWRITING wITHIN TEN (Io; 9a,, OF POSTING DATE
NAI"IE:r- Svr,roru S
ADDRESS:
DT{ELL ING
PROPOSAL: PaRx Moa r u e Houe tN coNJur.rbrtoN wtrH ( Hanosx r e Crsr )R. A. Zor.rr
LANE COUNTY ANNEX
342-t3tl EXT. 41t)l55 -4.q
f'\ f n .{ n ? l, F r r -.-,._r nI{ I tvtE-ty I Uf BUILIJ'NG & SANITATION
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APPL I C
NAHE
TAX LOT
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X/rt
?e/zF-73Building Permit Appl ication No./ _
ADDR
PHONE
r? -3- z-2--+ + DATE)
S i te lnspect ion
Pre-Permit lnvest igat ion
LANE COUNTY PLANNING DEPARTHENT
Zoning 0rdinance Compl iance
(Zone RA )2. Subdivision 0rdinance Compl iance
3. Requ i red Access
4. Building Site (Area, t/idth,
Frontage, Setback)
5. Other (see comments)
NOT NO
"pptrsehlq -()
YES NA},1E DATE
)()
()
)
)
)
()
()
()
()
()
()
()
()
COilHENTS:.-P-
=-.E Jr.-r--q.
BUILDlNG lNSPECTION SECTlON
6. Plans Submitted
7, Soil Stabil ity (footings)
8. Flood Plain
9. 0ther (see Conments)
NOT NOffit icab le -*l-r-(
)
YES NA}4E
() ()
()
()
()
()
C)
()
()a ,e€.'I' 4
CO}4HENTS:
SAN ITAT I ON SECT I ON
Sewage Disposal
Usable Area
Water Supply
0ther (see Comments)
NOT
aool icable
NO YES
() ()
() (r{
() $[
() ()
NA}4E DATE
10.
il.
12.
13.
)
)
()
COMI1ENTS:
TO APPL I CANT:
"{xY
(
(
ding Permit / Site lnspect
be approved . /-l?- 7
) Cannot be approved at this time as indicated on item N0.above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNTNG DEPARTHENT. Questions and further information on items 5
through I l contact the Lane Count Buildi and Sanitat ion Division.
Will be held in this o
I s be i ng retu rned.
ce until you can resolve the pro ems indicated.
Your building permit appl ication fee is being returned under separate cover
ron
(
(
(
I./\NE COUNTY PLANNING DEPI\RTI'IENT
l'lr, 5 ixtlr .\r,en0t I'as1, t rt(le,te, Ore<1on 97401
I'lltlNl : llr.'-llll tXl..'il
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Tregon 97401
PHoNE.: 142-lll I EXT. 4l I
BU ILD ING S ITE EVALUAT ION
(
DATE
,/-
sl><"lt=
n f Garn.|erv,, f4
IANE CO\
BUTLDTNG E
,Y,. BUILDING PERMIT OR MOBILE nOME USE PERMIT
MH tr PERMIT NO.
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCI.UDE POST OFFICE
PROPERTY TEGAL DESCRIPTION _METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAITING
ADDRESS
tEGAt ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPT}I AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System f New System !
SEWAGE DISPOSAT
PUBtlc tr SEPT!! I/!]'ll E oTHERn
PTUMBING INSTALTED BY
OWNER E OTHER: NAME
BUITDING
WASTE DISPOSAT
PTUMEING
PI.AN REVIEW
PARK TRAIIER
FEES WATER SUPPTY
PUBUC !tr OTHER
TOTAT $
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REOUIRED
TIN. FT TRENCH WIDTH FT.OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIt. EASEMENT
BLDG. SETBACKS . FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
BLDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PIUMBING - CANARY
BUILDING - GREEN
SANITATION _ GOI.DENROD
Construction to comply with uniform building code ond county regulotions
covering plumbing ond sewoge disposol. All buildings require o certificote
of occuponcy before being occupied.
(See Stotement on Reverse Side)
(posT THrs PERMIT ON MAIN BIDG. AT SITE)
LANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
ronu Jfg55-13
-
€t ulrttuF
PLUMB ING GROUND^/ORK
Appaoveo @ DrsappRovED
Reua nx s
DArE 5-23-2 Z I rus er clon
GAS P lP I NG GROUND^/ORK
Ap pnov e o
Rsua nx s
D r sappRoveD DarE I ruspecron
ROUGH PLUMBING
AppRoveo D DrsrppRove, D
Reua Rx s
Dare Ir'rspecroR
ROUGH GAS PIPING
APPRovED D DrsAppRovEo D
RrLtaRx s
Dar r I ruspecton
F I NAL PLUMB I NG
Appnov e o
Reurnx s
Dr sappRoveoN D oo'+f-_2912 I Nspec
FINAL GAS PIPING
Ap pnov r o
Reulnx s
D r sapPnoveo Dare I NspEcton
CERTIFICATI OF OCCUPANCY
Rraov to lssue
Rruaax s
D Nor Reaov ro lssuE D Dore_lnsee cron_
IANE C( /TY
BUTLDTNG E
BUITDING PERMIT OR MOBITE HOME USE PERMIT
MH n PERMIT NO.
PROPERTY OWNER MAILING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY TOCATION _ INCIUDE POST OFFICE
PROPERTY LEGAI. DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
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 I
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewoge
TYPE CONSTRUCTION
New m
BDR MS VALUATIONSQ. FT
SEWAGE DISPOSAT
PUBLIC tr SEPTIC TANK tr oTHER-l
PLUMBING INSTATLED BY
OWNER E OTHER: NAME
BUILDING
WASTE DISPOSAL
PLUMBING
PI.AN REVIEW
PARK TRAI[ER
FEES WATER SUPPTY
PUBLTC tr tr OTHER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIEID REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT
BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BTDG. PERMIT - WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PIUMBING - CANARY
BUITDING _ GREEN
SANITATION - GOTDENROD
Construction to comply with uniform building code ond county
covering plumbing ond sewoge disposol. All buildings require
of occuponcy before being occupied.
(See Stotement on Reverse Side)
BrDG. AT SrTE)
reg u lotions
o certif icole
(POST THIS PERMIT ON MAIN
LANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE
ronu Ifq55-13
EUGENE, OREGON 9740I
SITE INSPECTION
Ap pnov e o
Reuanx s
D r slppnoveo Dare Ir.rspEcton
FOUNDATION I NSPECTION
APPRoVED
RruaRx s
D r sappRoveo Dar r I Nspecron
FRAMING INSPECTION
A ppRov r o
Re t"taRx s
D Drsappnoveo D Dar r I Hspecton
LATH OR SHEETROCK INSPECTION
Appnov r o
RexaRx s
Dr sappRoveo Dar e I Hspecron
FINAL INSPECTION
Ap pRov e o
Rrlaanx s
D r SAPPRovED Drr e I NspEctoa
- q5
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
ReuaRx s
Drre I xsprcroR
14 tl / 18"73
Nor Rerov ro I ssue
€€ it*loo
t-
7\
D
r-I
lane county
February 6, L974
B. J. Rogers
790 South A Street
Springfield, Oregon 97477
RE: Map 17-03-22-4.4, tax lot 3500
The subject tax lot is zoned RA suburban Residential, which does not
al1ow mobile homes as a permi.tted use.
Please contact us if you have any questions, or wish t,o investigate
the possibility of rezoning or approval of a mobile home park.
Sincerely,
%- %--z+zz--.-.
Helen Newman, Planner
Land Use Controls Section
1s
PLANNING DIVISION / ENVIRONMENTALMANAGEIMENTDEPARTMENT / 135EAST6THAVE. / EUGENE,OR97401 / PHONE (503)687.4186
"1<,
Pknsa cnJ-L ;ilhau
LANE COUNTY BUITDI RMIT OR MOBIIE HOM USE APPIICA fl //'lr/9'tt
PERMIT TYPE _ BUILDINC MOBILE HOME OSC REG. #
MAILING ADDRESS
ING ADDRESS 0
P
C,WNER PHONE
PHONE
PROPERTY TOCATION _ INCTUDE POST OTFICE
PROPERTY TEGAT DESCRIPTION
roT - Bt ocK - suBDtv.
TWP RANGE7
APPTICANT
NAA,tE
AND
MAITING
ADDRESS
sEc.rax rot g CODE CENSUS TRACT34-/o6
STRUCTURES ON RTY IF ANY
OR
DEPTHPROSIDTH AREA
METES &
ACHED
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms i/ ,onn.9, ,ol!: lg !9fygs9 System 7( or New System Req. E
STRUCIURES TO BE BUITT THIS PERMIT TYPE CONSTRUCTION Fr- ' # BEDRooMs vAtuATroN
OTHER tr OWNER T-I OTHER TI NAME
SEWAGE DISPOSAT
PUBLIC tr SEPTIC TANK !
WATER SUPPTY PTANS FURNISHED FACITITY PERMIT
rEESBLDG.
WASTE DtS.
PIUMBING
PI.AN REVIEW
PARK TRTR.
TOTAT
3,, s7 PUBTIC OTHER
SIGNATURE OF APPTICANT
-
FIXTURES
BY
SEWER
CONNECIION FEE
PUBTIC WATER
CONNECTION FEE
COUNTY BUILDING & SANITATION SPECIFICATIONS
FEE
DATE3 - 22-23
DATE
2CASH
CHECK
.13 . SZ/
MIN. SEPTIC IANK CAPACITY
WITH DIST. BOXr GAI.
DRAIN FIELD REQUIRED
tIN. FT. TRENCH WIDIH TT OR SQUARE FEET
funn tb
TYPE OT SIRUCTURE
BIDG. SETBACKS - TT. FROAA CTR. OF
FRONT SIDE INT,
Directions to Find Properly:
OCCUPANCY
RIGHT OF WAY
sE.E.Hrr.-
REAR YARD PUBTIC EASEMENT
Dote
ZONE
COPY I _ OFFICE
COPY 2 - JOURNAT
COPY 3 - AUDIT
t*J-,-t
NG Dote BIDG. INSP
form # css-t2
nean S
USE CTASSIFICATION
--7J
q
IANE COU;
BUTLDTNG f
BUITDING PERMIT
MHT
OR MOBITE HUME USE PERMIT
PERMIT NO.
PROPERTY OWNEI MAILING ADDRESS PHONE
CONTRACTOR MAIIING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACTfr
EXISTING STRUCTURES ON PROPERTYAPPI..
NAME
&
MAITING
ADDRESS
L SYil I
IEGAI. ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System f New System !
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIoN
A tt
SEWAGE DISPOSAT
PUBUC tr SEPTTC TANK tr rL /rrcOTHERE
(FEESBUITDING
WASTE DISPOSAT
PTUMBING
PI.AN REVIEW
PARK TRAII-ER
PUBUC tr n OTHIK
l
TOTAI.
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAI..
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT.OR SQ. FT,
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT
BIDG. SETBACKS FT. TROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BIDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMEING _ CANARY
BUITDING _ GREEN
SANITATION - GOTDENROD
Coll 687-4065 to schedule oll required inspeclions. All construc-
rion sholl comply with Uniform Building Code, D.E.Q. stqndqrds
TMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT rHls PERMIT ON MAIN BLDG. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONMENIAT MANAGE/{ENT
COURTHOUSE ANNEX, I35 EAST &h, EUGENE, OREGON 9740Ironu#c55-lj
/^e-^)
-22Mossueu Gnove Lor-T-bn-Loi 2
I
Iane county
Apnrt 1,191\
Au Sruoruos
12) Novr Srnecr
EuGeNer 0nrqoN
RE
Lroar- De scn I PT loN -
A PERMIT TO PARK A MOBI
t'HARDsH rPt' cLAUsE oF TH
,,JAs r ssuE o oN I -:':l-7 ?:
ou Bn tocs, Aott t ru r R T r vr Ass r srANT
De paRrue ur or Eltv lRot'IMENTAU MeNlce t"tEtl
JB:so
LE HOI'IE ON Ti{E ABOVE L ISTEO TAX LOT, UI.IDER
E Lame CouNrv Larlo Use eruo Zott tNe, 0Ro INANcE
AND VJ I LL EXP t ne Ot'l " -
THE
#)+t
Prnu t rs lssuEo UNDER "l-lARoSt-t I P" ARE tssuED FoR A PER loD oF oNE YEAR
AND THEN ARE REeuIRED To BE RENEwED FoR AN ADDtTtoNAL oNE YEAR. Penutt
FEES ARE PAYABLE EACH YEAR AND A NEW APPLICATION MUST BE FILED WITH
rne DepARTMENT or ETvIRoNMENTAU MeNacrMrNr.
t''lav wr HAvE YouR EARLY cooPERAT toN I N TH ls MATTER.
e Sueurr A LETTER oF HanosstP ALoNG wrru $10.00 ncuEwal Fee.
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D-ea,r, ^rl;r^r I I c^-lr.t . l??*
m,vtlrl"L On-A^-r^-+ L "*^// tjrr_ *tutLp a* la_,t aaqyI
?: ,f y ,- h.ia/_- ttft1*.- .r^ *J.e "//_rL A.^, un-tL.llr- lr^* l".A
$.1^,6" : r w _*.T :T;T*;*T
4b 9*-\\L,u &."btufu
ADMINISTRATIVE DIVISION / ENVIRONT/ENTAL MANAGEMENT DEPARTMENT / 135 EAST 6TH AVE. / EUGENE, OR 97401 / (503) 687.4065
--;f 1,! D"'.'..,..,'r -,.r1
a t(')7 ,'_03
SUS TRACT
/y'osSaen ffi-T- l
a
' Q7'/r\X LOIIJS
( ) Building Permit Appticarion No.
( ) S ite tnspect ion
( ) Pre-Pcrmit lnvest igat ion
/44 APPL ICNruT:
llrV'lE
ADDRESS
P IIONE
DATE
L/iNt COUNTY PLANNING DEPARTHENT NOT
I . Zon i nq 0rd i nance Comp I i ance
(zone rflz4 _)Subdivis ion 0rdinance Comp I iance
Re<;u ired Access
NO YES N;1.f'1 E Dr\TE
cable
)
)
)
)(
2
7
4
5
(
()
() ()
)
() ()
() ()
Building Site (Area,
F ron t age
0ther (see comments)
u/idth,
, Setback)
COI{HENTS:
.//-/S-2,t
---
BUILDING INSPECTION SECTION NOT NO YES NA}1E DATE
6, Plans Submitted
7. Soil Stability (footings)
B. Flood Pl a in
9. 0t her (see Comments)
aool icable*(]-(
()
)
)
4,
)
()
)(()
COHHTNTS:
SANITATION SECTION
10. Sewage Disposal
ll. Usable Area
12. l.Iater Supply
ll. 0ther (see Cornments)
COM}l ENTS
(l -( ) (
DATEttq,ruNOT
appl icable
NO Y{.S E
()
t(
TO APPLICAIII:
--?J
Your-flailding Permil / Site lnspection:
1{cun be app roved.
( ) C.rnnot be approved at this t inre as,1 {?ind icated clrr i tr'ri, l',l0 above.
Qr.res t ions ancj f ur t her inf o' nrat ion orr iterr,s I throu<; h 5 contact the Lane-
C0UNTY PLANNING DEPART|IENT. Qrrr:sl iorrs ,rnd Irrrtlrt:r inforrrrat ion on iterrs 0
t lrrouqh l3 cont act the Lanr' Cotr rrIy [lui ldirrq .,ti 5;-rn i t art ir>n l)iv i'; iorr.
( ) Wil I be held irr this o{ f icc rrnt il you can r-ei,ol\/(i llrt: problenrs indicatt'd.
() ls being rt:turrrcd.
( ) Yorlr bu i ld inq pernr it .rpp I ir al ion l-ee is be inq retut'rr,d urtder seParatc cr,r'er
LrlNl: ( oUilIY l'l i\N|.,1 ING Dtl'r\ltTl'ttiNT
I l5 S i.xI lr lt v(rlatr, [ .rr | , Eu9.'rre , ()r r:grrtt 9/ltll t
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I.ANE COU
BUTLDTNG E
BUILDING PERMIT OR MOBILE HOME USE PERMIT
MH I PERMIT NO.-l
PROPERTY OWNE'I MAITING ADDRESS PHONE
CONTRACTOR MAII-ING ADDRESS PHONE
PROPERTY LOCATION _ INCTUDE POST OFFICE
PROPERTY TEGAL DESCRIPTION _METES, BOUNDS
I
RANG E SECTI ON TAX LOT NO.CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPT.
NAME
&
MAITING
ADDRESS
LEGAT ACCESS TO PROPERTY
I
PROPERTY SIZE - FT.
WIDTH DEPTH AREAI
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connecl to Existi Sewoge New m
BDRMS VALUATION
m
TYPE CONSTRUCTION SQ. FT
-l I
SEWAGE DISPOSAT
PUBUC tr SEPTIC TANK OTHERD
PLUMBING INSTATTED BY
OWNER - OTHER: NAME
F EES WATER SUPPTY
BU ITDING
WASTE DISPOSAI-
PTUMBING
PTAN REVIEW
PARK TRAITER
PUBTIC N OTHER
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT.OR SQ. FT
OCCUPANCY ZONE PUBTIC UTIT. EASEMENTTYPE OF STRUCTURE
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
DATEAUTHORIZED SIGNATURE _ DATE
BTDG. PERMIT _ WH ITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
coll 687-4065 to schedule oll required inspections. All construc-
rion sholl comply wirh Uniform tiuilding Code, D.E.Q. stqndords
IMpORTANT: for subsurfoce'slwoge disposol ond counly regulotions covering-
piumbing. All buildiigs require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT rHIS PERMIT ON MAIN BIDG. AT SlrE)
IANE COUNW, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I
ronujc55-t3
SITE INSPECTION
AppnovroDDrsapenoveof]]Dare
Rruenx s
I Nspecton
FOUNDATION INSPECTION
Ap pRov e o
Reua nx s
D Drsappnoveo V Darr l ruspecron
FRAMING INSPECTION
AppRoveo D Drsappnoveo D
Reuanxs
Drrr I Nspecton
LATH OR SHEETROCK
Ap pnov r o
Rrunaxs
I NSPICT I ON
D r s appRovro Dare I Nspecton
FINAL INSPECTION
Ap pnov e o
Reuaax s
D r s rppnoveo E I NseEcron
CERTIFICATE OF OCCUPANCY
Rrrov ro I ssuE
ReuaRx s
H /t)1,'7c/
Nor Rraov ro lssuE Dare I Nsprcron
L
LANE COUNTY -
IILDING PERMIT OR MOBILE
PERMIT TYPE - BUILDING MOBILE HOME OSC REG. #
MAILING ADDRESS
APPTICATION
PER,\ lT *o
PHONE
-7PROPERTYOWNER-
PROPERTY LOCATION _DE POST OFFICE
PHONE
MAITING
tNcLu
CODE
DESCRIBE NG STRUCTURES
TEGAT
PROPERTY SIZE_WIDTH
"'METES BOUNDS f] Yi
ATTACHED N
TRACT
t -/b
IF ANY
PROPERTY _ ROAD OR
DEPTH AREA
S
PROPERTY LEGAI. DESCRIPTION
tOT-BTOCK-SUBDIV
TWP RANGE
APPI-ICANT
NAME
AND
MAII.ING
ADDRESS
SEC TAX LOT
FOR MOBILE HOME PE T
Number of Bedrooms
STRUCTU TO BE BUITT THIS PERMI'
SEWAGE DISPOSAL
Con nect to Existing Sewoge or New
BEDROOMS VATUATIONSQ. FT
TYPE CONSTRUCTION
PtUl,tSlNO INSTAIIED BY
OTHER E NAME
PUBLlc tr SEPTIC TANK tr OTHER D owNER n
WATER SUPPTY PTANS FURNISHED FACILITY PERMIT
F EESBLDG.
WASTE DIS.
PTUMBING
PLAN REVIEW
PARK TRTR.
g YES
/o.oo
PU BTIC OTHER YES NO
PLUMBING FEES
-
FIXTURES
SIGNATURE OF APPTICANT
FEE RECEIVED BY
CASH [ 5gyysp
CHECK CONNECTION FEE
PERMIT #
PUBTIC WATER
CONNECTION FEE
COUNTY BU ILDING & SANITATION SPECIFICATIONS
DRAIN FIETD REQUIRED
TRENCH WIDTH FT SQUARE FEET
REAR YARD
USE CTASSIFICATION
DATE
DATE
? //-
PUBLIC UTIT. EASEMENT
Dole
TOTAL
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.I.IN. FT
TYPE OF STRUCTURE OCCUPANCY
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY
ireclions to Find ProPerlY:
INT
ZONE
BIDG. I
SIDE EXT.
sa6.
COPY I - OFFICE
COPY 2_JOURNAT
.OPY 3 - AUDIT
= c55-12
5
--7V. oo-
Doie
-
-
IANE COUNT"'BU
BUILDING [.-
ITDING PERMIT OR MOBILE H
MH I]
C USE PERMIT
PERMIT NO.
PROPERTT'3wNER MAITING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS
RANG E
APPT.
NAME
&
MAITING
ADDRESS
SECTION TAX LOT NO CODE
EXISTING STRUCTURES ON
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH
T,'1.4 i
U
AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewoge System ! New
TYPE CONSTRUCTION SQ. FT. # BORMS VALUATION
T
Yer
SEWAGE DISPOSAT
PUBr.tC tr SEPTTC TANK oTHERT
ED BY
ERI NAME
FEESBUITDING
WASTE DISPOSAL
PI.UMBING
PTAN REVIEW
PARK TRAII.ER
tr OTHER
TOTAT
COUNTY BUITDING & SANITATION SP ECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT.OR SQ. FT.
LY
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIt. EASEMENT
BI.DG. SETBACKS
FRONT
IT. FROM CTR. OF ROAD RIGHT OF WAY usE cr-AsstFtcATtoN
SIDE INT,SIDE EXT RSAR
AUTHORIZED SIGNATURE _ DATE DATE
BI.DG, PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOLDENROD
coll 687'4065 to schedule oll required inspections. Alr construc-
,M p .RTA N T, li',", i[: l.;T :]ly: U I I#::i :; X' ::', ^ff *;,i;1..,t;.',"H1?lf;plumbing. All buildings require o cerrificotl of-occuponcy beforlbeing occupied.
(See Detoils on Reverse Side)
(POST TH|S pERMtT ON MAIN BLDG. AT S|TE)
LANE COUNTY, DEPT. OF ENV|RONIIENTAL MANAGE/r,1ENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 97,(OIroav * 655- 13
PUBLIC NOTICE
ZZ?
q
A
a1
q<
s
A/
*1<A4
KrR.K Sur
,{l,{\-
\b
OBJECTIONS SHOULD BE SUBMITTED IN
wRITING I.JiTHIN TEN (IO) OnYS OF POSTING DATE
POSTING DATE:
Mrv 1 l, 1915.
FINAL DATE:
Mav 2J, 1915.
ADDRESS:
Euceuer 0necoN 1 03 22 MossurN Gnove Lor I
Svuolos
Novn ,
PROPOSAL:
Teueon a nvMoerLe HoMr Musr ee R EN EtrEo EA cH Y EA R.
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
687.4065
M55-48
LANE COUNTY ANNEX
-lt
PUBLIC NOTICE
o
o0/
_1<a4
-?(--/-
%?
a1f
,lt
A
a1
\-z-c\<
s \(tRK
a--
Artr -)
I
fgil,,r"/x'?
[lUrr\-
=l:$
OBJECTiONS SHOULD BE SUBMITTEO IN
wRiTING WITHIN TEN (IO) ONYS OF POSTING DATE
POSTING DATE:
Mrv 13, 1915.
FINAL DATE:
t"1av 2J, 1915,
NAME: AL S rMot,los
11 03 ?2 MossN4aN Gnove Lor 1
ADDRESS:
Nova, EucEuEr 0nrcot'r
PROPOSAL:
TEptp oR a nvl4os n-r Hovr Musr ee RENE\{ED EAcH YEAR.
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
LANE COUNTY ANNEX
M5 5 -48
687. 4065
lane county
April l, 1975
Al Symonds
125 Nova
Eugene, 0r.
RE: Re irEwAL or Terponrny Moerle Houe Use Penrtr No. MH 106'7$/'
A Teuponrny Moarue Hone UsE Penrrr rs vALrD FoR oNE yEAi oNLy, Axo ttusr BE
REr{Eh,ED ATNUALLy. TnE ABovE L rsrED TguponAnv Mogtue HoHE UsE Penxtr h,As
tgs uED or Aprr] ?O, 19?4_AND wrLL ExPTRE oN April 20,1975
lr vou wtsH To RENEU THts pER|,rr, eLEASE srcN THts roRlt AND RETuRx ro Llte
CouHry DerrnrueNt or ETvTRoNMENTAL MarlceuENT wrrH rHE RENETaAL FEE oF $IO.OO.
Ax roorrroNAL LETTER oF EXpLANATToN oF rHE NEED FoR l TeNroRrnv Penrtr itugr
ACCOMPANY TH I S RENEWAL I F ANY C IRCUI.ISTANCES REGARO I NG TTTE TTTTONINV PENX IT
HAVE CHAT{GEO OURING TH€ PAST YEAR.
ti+r******t*r
Prerse RENEH Teuponrnv MoBTLE Hoxe Uss Penutr No. l.4l / 0 L -7 #
E No cxtxce tN ctRcuMsrANcEs DURtNG THE p^sr YEAR.
Txe cxlxces tNDtcATED rN THE ATTAcHED LETTER REcARotNG THE TEIIPoRARY
FERMIT HAVE TAKEN PLACE DURING THE PAS? YEAN.rl
9toxro
fl/-/b7'7:
ril4-97
Rilr'--i','i:D
LAi{E .i.' ;, , i Y
ENV' NlGit'lT'
+
Itf'ti 'ir75
CONSTRUCTION PERMITS & INSPECTION DIV / ENVIRONMENTAL MANAGEMENT DEPT / 135 EAST 6TH / EUGENE, OR 97401 / (503) 687.4065
?
.)
r
l
,i
tt*Yu.**'
q
But LOING SITE EVALUATION
\,t /nJ."-rfl(>
"il4 >-K r-J*. =R_eLs JWAr Lor_4|oo_
SUBDlVlrl0N:
6 BUILOING PERHIT APPLTCATION NO
( ) srrE rNsPEcrroN
PLANN ING D IVIS ION
Zon i ng 0rd inance Cornp I iance: Zone
COHHENTS:
BUILDING INSPECTION DIVISION
7. Plans Submitted
8. Soil Stabil ity (footings)
9, Flood Plain
O. 0ther (see conrnents)
COMMENTS:
APPL I
DATE
ble No cr'o s.ftrt\aiT +lzutx.CI SetbacksJ?bm c/l df -idCa :
C
Not
li
I
2
3
4
5
Subdivision 0rdinance Compl iance
Requi red Access
Bui ld i ng S i te (Area, Width, Frontage)
0ther (see cornments )
()
)
)
)
()
)
,)
)
Front
Side Exterior
Setbacks from inter
Side
Rear
CK!D BY:
or n6s:
I ble YesNor)()
()
()
rT()
()
()
ITATER P0LUTI0N CONTROL Not
I l. l{eets Department of Envi ronmental
Qual ity Standards.
12. 0ther (see comments)CKID BY
DATE
COI.I}.IENTS:
TO APPLICANT:/o4
t,
,&
four Building / Site lnsPection:
(-{ Can be approved"
( )'Cannot be approved at this time
Questions and further informati
as indicated on item N0
on on items I through 5
you can reso vet
contac t e E-
above.
t
NG DlVlSl0N. Ques tions and further information on it eilE7
rou 2 contact the LANE BUI DING AND T Dtvlsl
Will be held in this office unt
ls being returned.
c55-28
()
()
Your bui ldin
ems n cated.
rmi t lication fe is bein
A E
135 Sixth Avenue East Eugepe Oregon
PHONE. 687-4065
LANE COUNTY PLANNING DIVISION PHONE:
974o1
687-4186
LOT:_ BLOCK
1<+t*t
LANE COUNT" BUILDING PERMIT OR MOBILE HT : USE PERMIT
PERMIT NO.BUTLDTNG I r MH f]
PROPERTY OWNER MAILING ADDRESS PHONE
I
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY TOCATION _ INCTUDE POST OFFICE
PROPERTY tEGAt DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO,CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAILING
ADDRESS
TEGAL ACCESS TO PROPERTY
3lrr
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existi Se e
TYPE CONSTRUCTION
m New System
BDRMS VALUATIONse. FT
I
SEWAGE DISPOSAT
PUBI.IC tr SEPTIC TANK tr OTHERE
PTUMBING INSTATTED BY
OWNER E OTHER: NAME
BU ITDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
TOTAT
F EES WATER SUPPLY
PUBLIC N tr oTHER
$_
COUNTY BUILDING & SANITATION SPECIFICAIIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAI..
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE
t
DATE
BLDG. PERMIT - WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING - CANARY
BUILDING - GREEN
SAN ITATION _ GOLDENROD
Coll 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stqndords
IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All huildings require o cerlificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT THrS PERMTT ON MAIN BLDG. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 97,{OIronv *655-13
SITE TNSPECTION
AppnovroDDtsnppRoverf]]Darr
Reunnx s
I NSPEcToR
FOUNDATION I NSPECTION
AP PROV E D
Reua Rr s
DISAPPROVED Dar r I ruspecron
FRAMING INSPECTION
APPRovEo D DrsappRoveo D
RruaRx s
Darr I NSPEcToR
LATH OR SHEETROCK INSPECTION
Appnovro
Rrt',tl Rx s
Drsap VED
F I NAL I NSPECT ION
Ap pRov e o
Reuanxs
DISAPPROVED
Dnr E PECTOR
I NsrEctonDare
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
Rru aRx s
D Nor Reaov ro lssue D DarE Ir.rspEcron
Hl{,/e{f{frarru
PERMIT
NOTE: NO PERMIT W1 BE ISSUED I,NTIL THIS APPLICATIu^. HAS BEEN APPROVED
APPLICATION FOR:
CONSTRUCTION MOBILE }IOME &PLAN REVIEW CTIAI'IGE OF OCCUPANCY
E OWNER %n-,-d4,6-?746
Address ity zip one
E CONTRACTOR
Name Address City
Code
Zip Phone
o.s. REc. ll
-
,,r. / 7 *ne"-O-!-Section aL Tax Lot census ,r""t-E J '70o
Subdivis ion
ACCESS TO PROPERTY (Road Name)4w ,k____P roPerEy Acreage I.Iic th_Depth_
Existing Structures on Property
Property Location - Address/Directions:/ 2.f Va-*o-,
SEI^IAGE DISPOSAI:
slte InsPec tion /l
WATER SUPPLY:
Well Spring 0ther
Existlng Sewage Disposal Sysrem m or New System Required
Pub1lc
comrunity lg Name of Conmwity or Public system
PLUMBING
lnsLa11ed by Owner Other
FEES:
Bldg.
Waste Dlsp.
Plunbing
Plan Revlew
Moblle Home
12 Surcharge
/o,oo
tion
[Yl xo
of Applicant
Water
Connection
FACILITY PERMIT
PLIJT{BING FEES
CIIECI(
Dralnfield
of Fixtures
PLANS
S
YES E><l No
TOTAL lo,oo
Min. Sep tic Tank Capaclty_
YES
Date': A -22-2,;-Fee ReceJ.ved By:
- Llneal Feet Maximum Dep fh
Bldg Setbacks - from Center of Road Right of l.lay:
Front
-12 LANE COUNTY OF ENVIRONMENTAL
Zone I?\*
k-'
DATE:\N
--
Sq. Ft
TypeofConstructionGroup-FireZoneUseC1assification-
3ii:l3I3i cc'-ro..u
c56.t0{-10 MEMORANDUM
TO DATE----.!:7:73
-.fi;*-!- D.-re- ,/rt/z>&;:n- Y
ea
r!r5-V o.r*-t -ffir-r*,*
?"*1-?-*4"Xa#rr,,- /;
FROM
SUBJ
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v
D
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7
0e fruN*4 I
ar,{+j*
AL SyHoi.JbS
l-7- B - zz-
APPLICATION NO.
APPLICATION REVIEWED BY THE LAND DEVELOPMENT REVIEW COMMITTEE
b(Application meets Ordinance requirements and approval is recomrpnded.
tl Application does not meet Ordinance requirements and denial is recormended.
Date _3 'Z? -72
ne
Mr4-05 :z-(,yueD A\{q&A
:;;.ii:,fi
c!7-r04-r'l
TO
FROM
SUBJEC
MEMORANDUM
t\
DATE-- -
zr'ra-t&N%
c--1.U24 r/ Ota-'^-Xr] -*n-.* fr"''69
4)A
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