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HomeMy WebLinkAboutPermit Building 1975-03-12IANE COUNTY BUILDING t--I BII --rlNG PERMTT OR MOBIIE HOME USE PERMIT MH E PERMTT No.r3 PROPERTY OWNER MAII.ING ADDRESS i:- PHONE 7 CONTRACTOR MAILING ADDRESS PHONE 345 x PROPERTY LOCATION _ INCLUDE POST,OFFICE ,&osa 4)e # PROPERTY TEGAI- DESCRIPTION _ METES, BOUNDS lanch Market Third Arddi tl on I o.'Bl ock RANG E SECTION TAX LOT NO CODE I 9-04,4,b j7 EXISTING STRUCTURES ON PROPERTY Kenneth L. Scott APPT. NAME & MAITING ADDRESS 2050 Otto St..Sorlnof lel 97 477 TEGAI ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System ! New TYPE CONSTRUCTION se. FT BDRMS m STRUCTURES TO BE BUILT THIS PERMIT FamlIv Room l6 VALU ATI ON SEWAGE DISPOSAT PU BL IC BUITDING WASTE DISPOSAL PTUMBING PTAN REVIEW PARK TRAITER TOTAT SEPTIC TANK PLUMBING INSTALTED BY OWNER OTHER: NAME WATER SUPPIY PUBLIC tr N OTHER (FEES $ COUNTY BUILDING & SANITATION SPECIFICATIONS AAIN. SEPTIC TANK CAPACITY wlTH DIST. BoX: GA[. Ex iSf S DRA|N FrErD REOUTREP llN. rr ici0 TRENcH wlprH FT. DEpTtj :toR sQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTI[. EASEMENT BtDG. SETBACKS FRONT ., ' FROM CTR. OF ROAD RIGHT OF WAY stDE rNT. " ii . stDE Exr. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE Joxr Sxoox,/ceru I TAR r AN DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUII,DING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc' tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond county regulotions covering plumbing. All buildings require o cerlificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posr rHIs PERMIT oN MAIN BIDG. AT SlrE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronu t655-13 7q CENSUS TRACT IANE COUNTY BUTLDTNG f BUtDING PERMIT OR MOBILE MH [I HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE 0 7q CONTRACTOR MAILING ,ADDRESS PHONE PROPERTY I.OCATION _ INCI.UDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT, EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge Sysrem f New TYPE CONSTRUCTION se. FT BDRMS VALUATSTRUCTURES TO BE BUILT THIS PERMIT $t\ .\t \i SEWAGE DISPOSAI. PUBLIC N SEPTIC TANK !oTHERn PTUMBING INSTATLED BY OWNER n OTHER: NAME BUILDING WASTE DISPOSAT PI.UMBING PtAN REVIEW PARK TRAITER FEES WATER SUPPLY PUBTIC N [] oTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED TIN. FT : TRENCH WIDTH FT. . I OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT BI-DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OT WAY SIDE INT. t SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG, PERMIT * WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply wilh Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings reguire o cerlificote of occuponcy before being occupied. (See Defoils on Reverse Side) (POsT THIS PERMTT ON MAIN BrDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEAAENT COURTHOUSE ANNEX. I35 EAST 6Th, EUGENE, OREGON 9740Iroeuf,655-13 stTr TNSPECTtOil Appnovro & ReuaRrs Dr sapeRoveo Dar e I nseecron FOLINDATI ON I NSPECTION Appnov r o Reulnxs Dr sappRoveo Dar E I Hsetcron FRAMING INSPECTION Ap pRov r o RrulRxs @ DrslppnovEo -3 //tDar E I rspr '-zo - LATH OR SHEETROCK INSPECTION Ap pRov r o REulnxs D DrsAPPRovEo f--a Dar e I Nsprcton FINAL INSPECTION Ap pRov r o Reu oo',rp'(A'=7r rrusprcroDAPPROV E D CERTIFICATE OF OCCUPANCY Rraov ro lssuE Rrmanx s D Nor Rrrov ro lssue D d,3?7r r?0,fO Dar e I HseecroR-- D )M I -#c - SUPPLEMEh TO BUILDING PERMIT NO. Lone County, Oregon I ! OWNER ".J ING ADDRESS LING ADDRESS - CONTRACTOR PROPERTY ADDRESS tr OORRECTION:I ADDITION: CHANGE RESULTS lN: '1 REFUND OF FEE' OR \ tr ADDITiONAL FEE: BUILDING ] SEPTIC TANK SANITARY CONNECTIONS TOTAL DATE FEE PAID LANE COUNTY l-/*Date$_ $ DEPT. OF HEALTH & SANITATTON ntr CTsh Check hrr supprement Ng . 187 3 S By_----_- Y tr r-tr h.tfrrilf Obeerqrd ffirltirhr "' A trya --- - ftt j ;ft.llllt- - -.-lL^- t Evr FE8 15 tt?! ucffiirlillr l tr ILB r{rtdIis?dmr R ir ll- rt 4 ENB rl [. 9,. ,9 t, ItI I I I I nmnl, = urrcrur Iw ,, rcr of sil T. !5* ,}t XUrhftl"si (I frroccry.lt _/,, -vr - as4 atiEn 'r LIJ {i\.J /a Q. ) a^iltair^Ir TctnR)-eb ?s BUILOING SITE EVALUAT ION () BJILDING PERHIT APPL!CATION NO. ( ) srrE tNsPEcrroN PLANN ING O IVIS ION Zon i ng 0rd i nance Cornp I iance: Zone )>/ctt T R S TAX LOT LOT :_ BL0CK:_SUBOIVISION:33,- z{ Si;*FAPPL ! CANT DATE Not I icable ,11 ^ -;l 6->{ frqn cll of road: -{ No Yesr) rtI 6( ) (I)( ) (/l)()UD ( ) () CKIO BY: Setbacks ) ) ) ) ( ( ( I 2 3 4 5 Front Side Exterior Setbacks from interior lines: Side w-z' a-K Rear 2 COI{ilENTS: Subdivision 0rdinance Compl iance Requi red Accessguitaing Site (Area, }Jidth, Frontage) Other (see corrnents) PLANNING D!VISION ACTION PENDING:ry-noI I APPL ICAT l o Rllll IIlNn lNeDEarlnN nll'le t^rr UNTIL ENV I RONMENTAL MANAGIMENT I 3' EAST6TH AVENUE ril6rrur; oREGoN 97\ot YOUR BUI LDI NG MOBI LE HOME PERMIT IS BEING I]ELD FOR THE REASONS STATED ON THE BUILDING SITE EVALUATION SHEET' b/E WILL HOLD THIS APPLICATION M,,h t2,. IF; AT THAT TIME; YOU HAVE NOT FURNISHED THE REQUIREDINFORMATION;ASSHoWNoNTHEATTACHMENT;Y0URAPPLICATIoNwILLBE CANCELLED AND ONE-HALF THE FEE REFUNDED TO YOU' HCI!'/EVER; IF THERE IS A PLANNING DIVISION PROBLEM OR SOME OTHER LONG TER!4 PROBLEM WHICH YOU HAVE NO CONTROL OVER; h/Etv/ILLHoLDTHISPERMITUNTILITcANBEISSUED. TO APPL ICANT: Your r')() J . !/i- .l'..i ' HI' " () Building / Site lnsPection: Can be approved. Cannot be aPProved at this t ime as indicated on item N0. Questions and further informa tion on items I through 6 contact t e LAN COUNTY NN NG DIVI ON Qu estions and further information on items 7 t rou 2 contact t COUNTY B DING ANO SAN TATION D S !ON above. Will be held ls being ret Your bui ldin in this urned. ce until you can reso vet prob c55-28 135 Sixth Avenue East Eugene Oregon PH0NE1. 587-4045 uAIre_COUHTY PLANNING DIVtStON PHONE: 6 ems nd i cat ed. rmi t I ication f is be u 97401 87-41 85 tl PROPOSED SEI./AGE DISPOSAL SYSTEI.I K..ORD INSTALLER: Complete top part of form to signature and submit both copies w ,j a H^/ f4oo.+: ALD EXCEVNT/N&- PE 20to oTTo. ii v ng ts rooms Basement bJater Suppat ) t c Ft. f rorn wel I Steel t- Yes No -- Publ i c v 0ther-L i st Concrete E No. Cornpartments / cal . CafiffiVlflCIl{ COUNry N)E-bwb MGMr. lns OWNER NAI'IE },IAILING ADDRESS ons:t t.Jidth mens e sPosa Diameter De th Distribution Box t r S ut OO-Pe Feet from WEI I t ne Front Si nature I SFACTORY Yes t- Side ound lon e No r c o S'?B/;vG F/EL D /> er ow ln L th L nes-Ft. 4 6 ot anP D For Sanitarian Use 0nly: tn accordance with 1973 Qregon Laws Chapter 835, Section 214 this certificate as evidence of satisfactory completion of a subsurface sewage disposal system I ocat i on- E Approved: System lnstallation conforms to current standards I-l Oisapproved: Does not conform to current standards Remarks: Date:3-lg-15 i s i ssued at the above ren LJidt Total Sq. Ft.30D Ft. Between Lines /O Filler tvpe /lz Ti le tn er see ns t ruct ons o7.LINE I 4 /L, .1.+lot-> <- lo' -D 3,, 't] \l r N + )q'!' *-ll' -G-.n?D/Trbp r \\ Ex tsTlrb t/ou sE - o r COUNTYc55-1I STATE OF OREGON DEPARTMENT OF ENVIRONHENTAL QUALITY ure I svh! n I I \l\l lxl$t\ 5T .^t/,r}^k f)/z*-tt-< s PERMTT # 33q-NOTE: NO PERMIT WILL od ISSUED T]NTIL THIS APPLICA,TION HAS BEEN APPRovED APPLICATION FOR: CONSTRUCTION MOBILE }IOME CtlAi,lGE OF OCCUPANCY Name Address clty --LLP CONTRACTOR 4€ pF^; 04t's#i'oga^ Name City zip Phone o. s. REG . /l T op. 17 p,,,.e"-:--)sectiorrS/rax Lor J.3e6 code I /-oy' c",,rut r,*€o/ s*a**io r--22-su"v-2-property Acreage width-Depth- ACCESS TO PROPERIY (Road Name)oQo Exlsting Structures on Property //o,ue Property Location - Address/Dlrectlons e Use er() ") Sq. Ft SEWAGE DISPOSAIT Site Inspec tlon /l sa1 system [Xl or New system Required WATER SUPPLY: Well Bldg. Waste Dlsp. Plumbtng Plan Revierr Moblle Hone 1Z Surcharge Spring Exlsting Se*rage\Dtspo, pJlu" Iother comuni I PLTJMBING: Installed by PLIJMBlNG ty Name of comunlty or Public sy.r#lltfu OJ'tlet? Sewage Connection Water Connection CASH PLANS FURNISHED l-El vrs Slgnature of Appl Fee Recelved By: FACILITY PERMIT YES Date NO TOTAL Mln, Sepclc Tank CaPacl ,v-{a.isft-Dralnfleld Requlred - Lineal Feet ttcO *xinun Depth -f-- Group Fire Zone Use ClassificaElon-type of Construction n."' 7 'ftlLExterior LANE COI]NTY OF EIWIRONMENTAL Zo,re DATE: cs5- r2 DATE: PLAN REVIEW f] JoSo o77o &7 i---l other I ,4O -Eatr- 2;,1 -- BJ.dg Setbacks - fron Center of Road Rlgtt of Way: *"1, ? { sm" .,,r.lJ, 1tR)Esia" -l2-