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
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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-