HomeMy WebLinkAboutPermit Building 1973-03-23LANE COUNi BUITDING PERMIT OR i IIBILE
BUILDING tr MH E
HO.,.; USE PERMIT
PERMIT NO.
I
t-
PROPERTY OWNER MAII-ING ADDRESS
746-
PHONE
CONTRACTOR MAITING ADDRESS PHONE
t*"tu['{-t?lfloN - rNctuDE Posr oFFrcE
P
PROPERTY LEGAT DESCRIPTION - METES, BOUNDS
meblrd V il tddit lon Bloc Lot I2
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
,
0. B. Ferguron
6oo 2l-ED_l5lB
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAII.ING
ADDRESS
TEGAI. ACCESS TO PROPERTY
E,ugene, Uregon
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existi
TYPE CONSTRUCTION
m New
BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT se. FT
Frqne 4,536
Plunbinq Fixtures
SEWAGE DISPOSAT PI.UMBING INSTALTED BY
PUBTIC
BUITDING
WASTE DISPOSAL
PLUMBING
PTAN REVIEW
PARK TRAII.ER
SEPTIC TANK OTHERE OWNER OTHER: NAME
WATER SUPPTY
PUBUC n tr OTHER
FEES
TOTAT
COUNTY BUILDING & SANITATION IFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT.OR SQ. FT
aintaln at least eet from drainl lne with foundatlon.
TYPE OF STRUCTURE OCCUPANCY
I
ZONE PUBI.IC UTII-, EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR 5r
Boss
AUTHORIZED SIGNATURE _ DATE
Harbaugh P. Knopf,
DATE
3-23-
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING - CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Conslruction 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)
reg u lotions
o certificole
(posT THrs PERMIT ON MAlry B[DG. AT SITE)
LANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE. OREGON 9740I
ronu t 655- 13
:y. u
T R 43s TAX LOT
3UILDtNG SI TE EVALT )N _/)
PLI
NAH
ADDRES
PHONE
DATE
NA}4E DATE
4//->?zl-7<
X Building Permit APPI ication No'
s i te lnspect ion
Pre-Permit lnvest igat ion
()
()
LAN E COUNTY P LANN I NG DEPARTHENT
CO}I}IENTS:
Zon ing 0rd inance ComPl iance .-TT(zoneAF--T;
Subd iv is ion Ord i nance t"frp'lTnce ( )
Requ i red Access
Bu ild ing S ite (Area, Width,
Frontage, Setback)
0ther (see comments)
NOT
a pl icable
NO YES
)(
(
2
3
4
5
()
()
)
()
()
A-
()-
(()
NAHE DATE
BUILD]NG INSP ECTION SECTION
6. Plans Submitted
7, Soil Stabil ity (footings)
8. FIood Pl a in
g. 0ther (see Comments)
NOT NO
appl icable
(
YEI
N
()
()
)
)
()
v,
rlQ (
()v-77-27
COHIIENTS: - - -
NONOT
()
()
()
()
()
J
NAHE DATE
SAN ITAT ION SECTION
Sewage Disposal
Usable Area
lJa te r Supp I y
0ther (see Comments)
aool icable--cr-()
)
)
10.
il.
12.
t3.
\/1
7/',
)a
COM},1ENTS
TO APPL I CANT:
Your Bujjdinq Permit / Site ln
(4"n u" lpproved . 3 I
( ) Cannot be approved at thi
Questions and further inf'
COUNTY PLA NN ING DEPARTMEN
'f u'-l,i3li,,
s time as indicated on item N0 above
ormation on items I through 5 contact the Lane-
T. Questions and further information on iffi; 5
through l3 contact t he Count Buildi
Will be held in this of
and San itat ion Divis ion.
ve the P ems ind i cate d.
(
)
)
ice unt you can reso
( ) Your buildinq permit aPPl ication fee is being returned under seParate cover'
I"ANE COUNTY PLANNING DEPARTI'IENT
| 'f (, S i xt h .\vetrte Fas t , t rtrlene, 0rec;on 97401
I'tlrlNt : tlr'-'*lill lXl" .'il
LANE COUNTY BUILDING E SANITATION DIVISION
f35 Sixth Avenue East, Eugene, 0regon 97401
PHoNt: 142- I 3l I EXT. 4l I
Yt*
)
YES
I s be i ng retu rned.
IANE COUN BUITDING PERMIT 8R MOBIIE HL J USE PERMIT
PERMIT NO.BUILDING MH
PROPERTY MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PRoPEShlStflroN - lNcr.uDE Posr oFFrcE
PROPERTY TEGAT DESCRIPTION -METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPI-.
NAME
&
MAITING
ADDRESS
LEGAT 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 Existi Sewoge System New System
TYPE CONSTRUCTION se. FT BDRMS VALUATION
d
SEWAGE DISPOSAT PI.UMBING INSTATTED BY
OTHERE OWNER ! OTHER: NAME
PU BL IC SEPTIC TANK N
F EES WATER SUPPTY
BUITDING
WASTE DISPOSAL
PTUMBING
PtAN REVIEW
PARK TRAILER
PUBLIC tr ! oTHER
TOTAT
COUNTY BUILDING & SANITATION SPECI FICATIONS
MIN, SEPTIC TANK CAPACITY
WITH DIST. BOX: GAT.
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT.
I
OCCUPANCY ZONE PUBTIC UTIt. EASEMENT
TYPE OF STRUCTURE
rT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATIONBLDG. SETBACKS
FRONT REARSIDE INT SIDE EXT,
DATEAUTHORIZED SIGNATURE _ DATE
BIDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PTUMBING - CANARY
BUITDING _ GREEN
SANITATION - GOTDENROD
Construction to comply with unif orm building
covering plumbing ond sewoge disposol' All
of occuponcy before being occupied.
code ond counlY regulotions
buildings require o certificote
(See Stbtement on Reverse Side)
(POsT THIS PERMIT oN MAIN BLDG. AT SlrE)
TANECOUNTY,BTDG.&SAN.DIV.,COURTHOUSE,EUGENE,OREGON9T4OI
c55-13
SITE INSPECTION
AppnovEo D DrsrppRovro Da re I Nspecton
\
:}!a+s-!
pZ*nyt
FOUNDATION INSPECTION
AppRoveo G DrsAppRovEo V
Reul nx s
Dar r Ltr --.7 7 I ruspecron a
FRAMING INSPECTION
A ppnov e o
REManx s
oote-l10- - lC I Nrsp
/
,rrry'DrslppRoveo
I tf' )
LATH OR SHEETROCK INSPECTION
Ap pRov r o
Rrua nx s
I HspEcton
FINAL INSPECTION
AP PRov E o
Re tqa nx s
D t s lppnoveo
{.[a -q J
,orr@ I rusprcro
CERTlFICATE OF OCCUPANCY
REeov ro lssuE
Rruanx s
D Nor Rrroy ro lssue D Drre lrusprcroR
/jn JbA r--*
ry.s/-?#q 6-s'/ Ord&3, I -) oO
-)on
Rr uanx s
Q";,4
f Drsappnovro [a Dare_
IANE COU N'B
BUTLDTNG I
UITDING PERMII
MHT
OR M'BILE USE PERMIT
PERMIT NO.
PHONEPROPERTY OWNER MAILING ADDRESS
MAITING ADDRESS
PROPERTY IOCATION _ INCI.UDE POST OFFICE
PROPERTY TEGAL DESCRIPTION -METES, BOUNDS
tl
SECTI ON TAX LOT NO.CODE CENSUS TRACT
STRUCTURES ON PROPERTYAPPT.
NAME
&
MAII.ING
ADDRESS
TEGAL ACCESS TO PROPERTY
PROPERTY SIZE _ IT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System ! New System I
STRUCTURES TO BE BUILT THIS PERMIT TYPE CoNSTRUCTIoN sQ. FT, # BDRMS VALUATIoN
SEWAGE DISPOSAT PI.UMBING INSTATTED BY
PUBTIC
BUITDING
WASTE DISPOSAT
PTUMBING
PI.AN REVIEW
PARK TRAITER
TOTAI.
SEPTIC TANK
$F EES
OWNER OTHER: NAME
WATER SUPPTY
PUBUC tr tr OTHER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAI..
DRAIN FIEI.D REQUIRED
tIN. FT TRENCH WIDTH FT OR SQ. FT.
I
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
BI,DG. SETBAC KS , FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION
SIDE EXT,REARFRONTSIDE INT,
AUTHORIZED SIGNATURE _ DATE DATE
BI.DG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUJTDING _ GREEN
SANITATION _ GOLDENROD
Construction to comply with uniform building code ond countycovering plum.bing ond sewoge disposol. All buildings requireof occuponcy before being occupied.
(See Stotement on Reverse Side)
reg ulotions
o certif icote
(posT THts pERMtT ON MA|N BrDG. AT S|TE)
TANE COUNTY, B[DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
ronu fc55-t3
r<' l,fi 7 /'lea>zr;t-
H(
CONTRACTOR PHONE
RANG E
ft OTHERrl
SLAB FLOOR
PLUMBING GROUND/ORK
t
Ap eRov r o
Re ptanx s
D Drsappnovro D Dar r I us pe cron
I
GAS PIPING GROUND/ORK
AP PRoV E D
Reuenx s
Dr srppRovED Dar e I Hspecron
ROUGH PLUMBING
APPR.,ED M DrsapenovEo
Rrua Rx s
Drr e lrspe cr
ROUGH GAS PIPING
APPRoVE D
Reuanx s
D r sAPPRovEo Dar E I rus ee cron
F I NAL PLUMB I NG
APPROV E D
Re uanx s
-7a-71
Dr sappRoveo lNspe c
FINAL GAS PIPING
AP PRov E D
Rruanx s
D l sAPPRovEo DarE I usprcron
CERTIFICATE OF OCCUPANCY
Reaov ro lssur
REurRxs
Nor Reaov ro lssue Dare I NsPEcroR
D
N D
D
I.ANE COUNIY PERATII OR
OWNER
PERMII IY PE_BUII.DING MOBITE HOME
MAI[IN G
PROPERTY IION
PROPERTY TEGAI.DESCRIPTION
SUBDIV.
RANGE23 sEC
,!tAil.tNG ADDRESS
TAX
PHONE
& BOUNDS !ATTACHED
AREA
YES
NO
r.oT - Btoc( _
TWP
APPI.ICANT
NA/rAE
AND
MAII.ING
ADDRESS
FOR MOBILE
Number of
6
CODE CENSUS TRACi
"=r .D
BE EXISIING STRUCTURES ON PROPERTi IF ANY
I.EGAT ACC ESS TO PROPE RTY _ ROAD N,AME OR
SIZE_WIDTH DEPTH
HOME PE RMIT ON['
Bedrooms
STRUCTURES TO BE BUITI IH IS PERMIT
Connect to Existi ng Sewoge System tror New System
POSI OFFICE
TYPE ON Ruq !se. FT. #BEDROOMS VAI.UATION
7 @ra-
SEWAGE olspos,cl
PUBI.IC
t
SEPTIC TANK
PTUMBING INSTAI.IED BY
OWNER OTHER NAME
PTANS F URNISHED
OTHER E
FEES WATER SUPPTYBtDG.
WASTE DIS.
PI.UMBING
PLAN REVIEW
PARK TRTR.
FACITITY PERMIT
TOTAT
/$tN. SEPT|C TANK CAPACITY
WITH DIST. BOX: GAL.
PUBI,IC
cAsH ! 5s1y5p
cHEcK E CONNECTION FEE
PUBI,IC WATER
CONNECTION FEE
COUNTY BUITDING &
DRATN FtEt D nrounro
YES NO
RE
H)
TION SPECIFICATIONS
OTHER,tf. a o YES NO2
e)
/-
TE
DATE
ea
SANITA
TIN. FT.WIDTH OR SQUARE FEET
1/-t--
TYPE OF STRUCTURE
BIDG. SETBACKS _ IT. FROil CTR. OF ROAD RIGH
FRONT SIDE INT
Dole PLANNING
T OF WAY
SIDFffT--
OCCUPANCY ZONE
REAR S
DOIE BTDG. INSP
REAR YARD
USE CTASSIFICATION
PUBI-IC UTII..
ireclions lo
)
--th cs5'\t
Properly:
'tr-7a-47 Dqle
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t - )ouRNA\
3 - AUD\I
FIXTURES