Loading...
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