HomeMy WebLinkAboutPermit Building 1974-12-26!
BUII.DING PERMIT OR MOBILE HL .E
MHN
LANE COUN
BUILDING f;''l',l
USE PERMIT
PERMIT NO.?,l ll
PROPERTY OWNER MAILING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS
PROPERTY LOCATION _ INCIUDE POST OFFICE
PROPERTY I-EGAL DESCRIPTION - METES, BOUNDS
t1
RANGE ON TAX NO CODE CENSUS TRACT
j :',,42 FAZ/0
APPI-.
NArv{E
&
MAITING
ADDRESS
EXISTING STRUCTURES ON PROPERTY
Ti ir:,r,f ".'i'i r, , i;. -.,. ror,: :'r'
TEGAT ACCESS TO PROP,ERW
P. O. Box ?\2?P r reoaur Avexur
'r
PROPERIY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONIY
No. of Bedrooms Connect to Existing Sewoge System ! New System I
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN
O*eul r xc
Genreg
Clnpont aho e e.8o 5
19, eoo.00
SEWAGE DISPOSAL
PUBLIC N SEPTIC TANK N oTHERX
PTUMBING INSTATTED BY
OWNER n OTHER: NAME
BUITDING
WASTE DISPOSAL
PI.UMBING
PtAN REVIEW
PARK TRAITER
$ r-FEES WATER SUPPTY
PU BI.IC OTHER
l$ Suncnracr
COUNTY BUILDING &ITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY DRAIN FIETD REQUIRED
uN. Fr ISL^WITH DIST. BOX:TRENCH WIDTH FT.. i- OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY
t'
ZONE PUBI.IC UTIT. EASEMENT
BTDG. SETBACKS FI. FROM CTR. OF ROAD RIGHT OF WAY
FRoNT 5Ot srDE rNT. {l' srDE Exr.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BTDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOI.DENROD
rRM : c55- 13
Coll 687-4065 to schedule oll required inspections. All construc-
rion sholl comply with Uniform Building Code, D.E.Q. stondords
IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I
I
It
1o vt fiL' 12 ,"ffi(-F(t l'? -R-g-s ?-L txx LoT-{5
a
Bl't IED ING S !TE EVALUAT ION
[.t'autuotNG pERr.r rr AppL r cAT !0N No . zt/67-7r/-LOT:BLOCK:
Setbacks from interior I ines:
Side A'
Rear
SUBDIVI>ION:
1( ) srrE tNsPECTtoN
PLANNING OIVISION
l. Zoning Ordinance Cornpl iance: Zone
2. Subdivision 0rdinance Compl iance
3. Requi red Access
4. Bui lding Si te (Area, width, Front
5. Other (see cornments)
Abt?APPL I CANT hS
DATE
Yes cK'o BY "4hrny'n/>rl6S e t b a c k s-Tffi-c7T-oFJ oadlFront e:_c+t=t-trr.i€r.
Nor)()
Not
Aool i cabl e
()
ase) ( )()
rtr(*(,Y
(,Y
()
()
()
()
COI{HENTS:
PLANNTNG DlvlSlON ACTION PENDING: YES( ) N0(APPL I CAT ION#
BUILDING INS t0N Dtvlsl0N
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
O. 0ther (see cormrents)
Not
Aool icable
()
()
(')CKI D BY
No Yesr)ffi()t)
() ()
() ()
COH}.IENTS:
,
WATER POLUTION CONTROL
ll. l{eets Department of Environmental
Qual ity Standards.
12. 0ther (see comments)
Not
ApplLee-LLe()
No Yosr) TII
( ) ,1,()CKID BY:
DATE
COilHENTS:
TO APPLICANT:
,-tb
Your Build
..( ) Can be
( ) Cannot
in9 / Site lnspection:
approved.
be approved at this time as indicated on item N0
Questions and furt her information on items I through 5 contact t
above.
o e LANE-tetfrcPLANNING OI S 0N" Questions and further information on i
t rou contact t e COUNTY B D NG AND
Will be held in this
ls being returned.
ermit li tion fee i tn
V AL
135 Si xth Avenue East Eugene Oregon 97
PHONE:687-4065
ce unt i you can reSO vet
ATION OIV
prob I ems
40r
-4t 86
c55-28
Your bui ldin
LANE COUNTY PLANNING D!VISION PHONE:687
cated.
1 r<
IANE COUT
BUILDING '-l BUILDING PERMIT OR MOBILE Hr-.dE USE PERMIT
PERMIT NO.MHE
PROPERTY OWNER MAIIING ADDRESS
Fucir rr - fiera.ml
PHONE
CONTRACTOR MAII.ING ADDRESS PHONE
II
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY TEGAI- DESCRIPTION _ METES, BOUNDS
6
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
Trrurttr(ex lxvfcro
EXISTING STRUCTURES ON PROPERTY
{Or.lt
APPI..
NAME
&
MAITING
ADDRESS
s LEGAI. ACCESS TO PROPERTY
Prttorlr. Avg*ut
\. \ PROPERTY SIZE - FT. .
WIDTH
-. it i DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Exisling Sewoge System ! New Sysfem tr
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN
t,
E6ti t 5.p 115g6
sy-\
SEWAGE DISPOSAL
PUBTIC tr SEPTIC TANK tr
PTUMBING INSTALIED BY
OWNER n OTHER: NAMEOTHERE
s I FEES WATER SUPPTY
PUBr-rC tr tr OTHER
BU ITDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIEID REQUIRED
I.IN. FT TRENCH WIDTH FT-OR SQ. FI.
s\
TYPE OF STRUCTURE
:
OCCUPANCY
i
ZONE PUBIIC UTIL. EASEMENT
BtDG. SETBACKS
FRONT
FT. TROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
crltll,mttlr rlr ta
BTDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Coll 687-4065 to schedule oll required inspeclions. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. sfondords
IMPORTANT: fqr. subsurfoce sewoge disposol ond county regulolions covering
plJmbing. All buildings require o cerlificole of occuponcy before
being occupied.
(Spe Detoils.on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
TANE COUNTY, DEPT. OF ENVIRONMENTAI MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Ironv * 655-13
r--
S I TE I NSPECT I
Appnov r o
ReNp.Rxs
Drsapenoveo Dare I Nspecron
-
FOUNDATION INSPECTION
Appnov E o Dr sappRovro ^,, 11/-28-S C TOR
,
Reuanxs @.
FRAMI NG
AppRov r o
Re ltenr
I NSPECT I ON
Drsappnoveo D Dar r I NS PE croR
LATH OR SHEETROCK
Ap pnov r o
RrttlRxs
I NSPECT I ON
DrsappRove o F7 Darr ?.I Hspecro
FINAL INSPTCTION
Ap pRov e o
Rruanx s
Dr srppnovro oor, /*' //' 7 {lrusprc I
CERTIFICATE OF OCCUPANCY
Rrrov ro lssue
Rruanx s
I
"uor -zrt lrr?a
I HsprcroR
o/
D
l,
tl .t
d
D Nor Rraov ro lssur D Drre _
IANE COUi
BUTLDtNG []
BUILDING PERMIT OR MOBILE Hr. .rE USE PERMIT
MH E PERMTT NO.
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY TOCATION _ INCTUDE POST OFFICE
PROPERTY TEGAT DESCRIPTION -METES, BOUNDS
RANG E S ECTI ON TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPI..
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 System I New System I
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sq. FT. # BDRMS VALUATIoN
SEWAGE DISPOSAT
PUBUC lI SEPTTC TANK tl oTHERn
PLUMBING INSTATLED BY
OWNER E OTHER: NAME
tl F EES WATER SUPPTY
PUBUC tr tr OTHER
BUITDING
WASTE DISPOSAT
PI.UMEING
PTAN REVIEW
PARK TRAITER
TOTAT
(
$
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl..
DRAIN FIETD REQUIRED
LIN. FT TRENCH WIDTH FT OR SQ. FT.
AUTHORIZED SIGNATURE _ DATE DATE
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUIIDING _ GREEN
SANITATION _ GOTDENROD
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 regulotions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMTT ON MAIN BIDG. AT SITE)
IANE COUNW, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironu lf 655-13
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI"IC UTIL. EASEMENT
sLoo
FRONT SIDE INT. ' SIDE EXT. REAR . '
SLAB FLOOR '*
PLUMBING GROUNU/ORK
APpRovEo D DrslppRovro Dnre I rusprcton
RrMnnrs r
GAS PIPING GROUNU/ORK
AppRov eo
REua Rx s
Dr slppnovEo Darr I ruspecroR
ROUGH PLUMBING
APPRovED n DrsaepRove, D
ReuaRxs
Dar /-I usprcr
ROUGH GAS PIPING
Appnove o
Reuanr s
D r srppRovro Drr r I NsprcroR
FINAL PLUMBING
APPRovEo
Rr unnr s
W DrsrppRovE, D ,orrf' 1-2- ?f,NSPECTOR
FINAL GAS PIPING
AppRoveo D DrsAPPRovEo D Darr
ReuaRxs
I NSPEcToR
CERTIFICATE OF OCCUPANCY
Rerov ro lssue
Rruanx s
Nor Rraov to I ssue Dare I xspecroR
PRC ED SEUJAGE DISPOSAL SYSTEM RECOP
INSTALLER: Cornplete top part of rorm to signature and submit both licati.rpies with app
PERI{ IT NO 4
JS
P {R'r? t "P r rueoaur AvEwur
No. Living Units Bedrooms Baths Basement Water Supply
/ J 'l Yes No r: Publ ic < Other-Lilt
Sept i c Tank:
Ft. f rorn wel I Steel
mens ons: Ft
h },idth
Concrete No. Compartments / Gal . Capaci ty
e sPosa e
0 i ameter De h1 Di stribution Box: YestrstrutOrl-
RANSW ST RN I ruvesrons
Feet
WEI I Found ion ,/ )
Lot Line
Front
/ tz*o
ns
NAME
}tA I L ING
ADDRESS
No
ro{n
P
Side /r.r
Length o O€5-
4
t er e o}{
ile 6 iC,6 LJidth
renc ota
Ft
tweent
Lines
erlk*er
I r le .. ln
n strs c
1,,/
N
)
-I\,
\
i
L
,
I
t
I
x,.'
I bL6_;--o
q
L
('
t8" ---2
ture 't
T OF SAT I Y
For Sanitarian Use 0nly: Date: l2-3o*'7ln accordance with 1973 0regon Laws Chapter 835, Section 214 this certificate is issued
as evldence of satisfactory completion of a subsurface sevrage disposal system at the above
I ocat i on.
dApproved: System lnstal lation conforms to current standards
'= Disapproved: Does not conform to current standards
Remarks:
7r
F
/
r
COUNTY
QUAL ITY
C55-II
STATE OF OREGON DEPARTI.IENT OF ENVIRO
gna ure
tr
ons
I
I
i
I
I
I
I I
I
s
lI Pm{rr/r
IANE CCI]NTY Buildirg
OF MWTRONMENIAL MANAGEMM{T },Iobile }irorre
APPLICATIoN FoR zuItDI}G PmMIT OR I,IOBILE HCb,lE USE
Ittro perrnit will be issued u.rtil this application has been approved
tr€
rl^tP I 7 RAIGE sEC. 2,L rax Lor Ett
uE NO. € BI-OCI(N lo
ACCESS rc yrcpww Pr*a>ac Av i wll/Illgo'
DESCRIBE ffiISTIIG SIRUCTLIRES ON II{E PROPERIY .--r/'*-av-is
CCDE CE{SI.]S IRACT
F
OR ACREAGE
APPT,ICAI{I
Xeyn 7'furs k/*?Fre/ .4 u6w,es '.o.
MME ADDRESS . Ba.->
l=62'a .22.e5 --
PuoNE aV-zto{
tlrc sq
a ,e
o
Site Inspection 1t
ter
R:blic trict lke
se$rage disposal systen f]or ne[^7 systgn D
well D Spring l_l Ocher
B1dg.
I^Iaste Dis.
Ptunbing
Plan Revierur
Trailer1%srrclrarg"ru I Cash
TUIAL l1/ , zo
ty qDO Lineal Feetwith dist. box lons
fr . ot:,
Fees*c Pltrrbing Installed by Gnmer Other Nanre
FeesPlqqbingvltof fixtr-uces Zinspection fee Z fee
Serner con:rection
E Clreck
Plarrs
YesX I.Io
furnished
Signature.of
Fee received
dateteJz_tl _"r
Wa|l-to 4erl, sq Ft. lG 6
'l'*
c55-L2
e S
-a
Blgd. setbacks-ft
Front Rear ' 7-one A'6r
}OIE:
PLEASE PRTNI
PROPERTY I,OCATTON
MAILT]G
ADDRESS
I *t