HomeMy WebLinkAboutPermit Building 1976-02-24CONSTRUCTION [ ] IVIOBILE HOIVIE
n Owner
LANE COUNTY PERMIT FO'PERIVIIT NO
t ] CHANGE OF OCCUPANCY [ ]
CIT ZIP CODE P
n Contractor
NAIVIE
O.S. Reg. +
Tw
Subd ivision Lot
Access to Property (Road Name)
Directions to Property - Address:
ADD R ESS CITY ZIP CODE
Census Tract
PHONE
2et-code-Range--Section' .'. Jax Lo'
B lock Acreage Width
Depth
Existing Structures on Property:
STRUCTURE (# BEDROON4S)SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC [ ] SEPTICTANK t ] OTHER [ ]
PLUIVIBI NG INSTALLED BY:
owNER[] OTHER[] NArVr E-
BUILDING
PLUTVIB ING
3% SURCHARGE
MOBILE HOME
WASTE DISPOSAL
PLAN REVIEW
TOTAL
WATER SUPPLY: PROPOSED t ]
EXISTING t ]
PUB LIC
COI\4MUN ITY . NAME
PR IVATE WE L L
OTHER SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS IVIIN. DRAINF IELD- LIN. FT IVIAX. TRENCH DEPTH I NCH ES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION GROUP FIRE ZON tr USE CLASSIF
SETBACKS- FT. FROI\4 CTR. OF rAff
FRONT SIDE EXT
FT. FROI\4 PROP. LINE:
SIDE INT.
-
REAR ZON E
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
BLDG. PEBMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANABY
BUILDING - GREEN
SANITATION _ GOLDENROD
IMPORTANT
POST THIS PERMIT ON MAIN BLDG, AT SITE
LANE COUNTY. DEPT, OF ENVIFONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
seplic system inspections. All construction shall comply with theState Buidling Code, D.E.Q. stanbardsfor subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy belore being occupied.
(See Details on Reverse Side)
Bu r L0 lt{g s ITE EVALUAI_! !N lbll' -f/ ux
I S ION:
LOT-
L0T: 4/ BL0CK:4
- -
-ilv 7,SUBLNBUILDING PER}.IIT APPLICATION NO.
SITE INSPECTION
PLANNING DIVISION
Zon i ng 0rd i nance Cornp I iance: Zone
2€4.ZL
()APPL I CANT
DATE
A
Not
I icable No Yes t/&- r hj
6
CKID BY:
Setbacks rom cI
2
3
4
5
Subdivision 0rdinance Compl iance
Requi red Access
Building Site (Area, Width, Frontage)
0ther (see conments)
CI TII( ) (lD
iiiil)
)
(
(
Front
Side Exterior
Setbacks from inter
Side
Rear
or nes:
COHilENTS:
Not
I icable No Yes
7. Plans Submitted
8. Soi I Stabi I ity (footings)
9. Flood Plain
I 0. Other (see ts)
COIMENTS:
r) TrI() ()
() ()
() (),o
Not
Appl icable
,4
No Yesr)rI
/t
CK|D BY: (z
CKIO BY
/
U'ATER POLUTlON CONTROL
ll. l{eets Department of Environmental
Qual ity Standards.
12. Other (see cornments )
COil}tENTS:
(Y
() ()()
DATE
TO APPLICANT:
; .Yoq,/ Building / Site lnspection:
ir"l\r)d Can be approved.
\ \'' d,( ) Cannot be approved at this time as indicated on item l0"-______-_above.
\II t1 ^,\. Questions and further information on items I through 5 contact the LANE-
n ( .' \ C0UNTY PLANNING otvlsloN. Questions and further information on iteilf7
dn ( ) tlill be held in this or ated.
( ) ls being returned.t I v.,' u:l rar"gupr.#ih.ftf 'lF*tffiiffiftrr*:
135 Sixth Avenue East Eugene Oregon 97401
pHoNE z 697_4065
LANE COUNTY PLANNING DtVlSlON PHONE: 587-4186
c55-28
PLANNlNGD!vlsl0}lAcTl0NPENDlNG:YES()N0()APPLlcATl0M- -
BUILDING INSPECTION DIVISION
7/,
I
n Owner
LANE COUNTY PERMIT FO PERIVIIT NO
CONSTRUCTION [ ] IV1OBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
C ITY ZIP CODENAIVIEADDRESS PHONE
tr Contractor
NAME ADD R ESS
O.S. Reg. +
Twp- Range- Section-Tax Lot- Code
Subdivision Lot B lock Acreage
Access to Property (Road Name)
CITY ZIP CODE
Census Tract
PHONE
Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOIVIS)SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER I
PLUI\4BING INSTALLED BY:
owNER[] OTHERI] NArVr tr
BUILD ING
WASTE DISPOSAL
PLAN BEVIEW
TOTAL
WATER SUPPLY: PROPOSED t ]
EXISTING t ]
PUB LIC
COMIVIUNITY . NAIVIE
PRIVATE WELL
OTHER . SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS MIN. DRAINFIELD-LIN. FT MAX. TBENCH DEPTH- INCHES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION GROUP FIRE ZON USE CLASSIFE
SETBACKS- FT. FROIVI CTR. OF r,AN
FRONT SIDE EXT
FT. FROIVI PROP. LINE:
SIDE INT.
-
REAR ZONE
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
I
BLDG. PERMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING _ CANAHY
BUILDING - GFEEN
SANITATION _ GOLOENBOD
IMPORTANT
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the State Buidling Code, D.E.O. slandards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy before being occupied.
(See Details on Beverse Side)
POST THIS PERMIT ON MAIN BLDG. AT SITE
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OFEGON 97401c5s -r 3
,-/'
PLUIVIB ING
-
3% SURCHARGE-
TVIOBILE HOIVIE-
SITE INSPECTION
App Rov E o
REmaRx s
D I S APPROVED Dar e I NspecroR
FOUNDATION I NSPECTION
D DrsAPPRovEo F1 Dare
c
Ap pRov r o
RruaRxs
I NsPEcroR
LL
FRAMING INSPECTION
Appnoveo
ReueRx s
D DISAPPROVE, D Darr I NSPEcToR
LATH OR SHEETROCK INSPECTION
Ap pnov r o
RruaRx s
D r sappnovro I NsPEcroR
FINAL INSPECTION
Ap pRov r o D l s APPRovED o^r, 3 - l(;I NspecroR-71
Reue Rx s
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE D Nor Rrlov ro lssur
RruaRx s
4 d//'7o 6*4 / 3s3
Dare I NSPEcToR
D Dore-
I
la^f1r
PERTVIIT NO
CONSTRUCTION [ ] IVIOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
NAIVIE ADD R ESS CITY ZIP CODE
LANE COUNTY PERMIT FO'-..
n Owner
PHON E
tr Contractor
NAIVIE
O.S. Reg. +
Tw
Subd ivision Lot
Access to Property (Road Name)
Range- Section , , Tax Lot
ADD R ESS CITY ZIP CODE
Census Tract
PHONE
Code
B lock Acreage width
Depth
Existing Structures on Property
Directions to Property - Address:
STRUCTURE (# BEDROOMS)SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC[] SEPTICTANKI]OTHER [ ]
PLUNNBING INSTALLED BY:
OWNER[] OTHER[] NAM F
BUILD ING
PLUTUB ING
3% SURCHARGE
MOBILE HOME=---
WASTE DISPOSAL
PLAN REVIEW
TOTA L
WATER SUPPLY: PROPOSED [ ]
EXISTING t ]
PUB LIC
COIVITVIUNITY NAME
PRIVATE WELL
OTHER-SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS.MIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCHES
STA Y 1OO' FRONI ALL WELLS
TYPE OF CONSTRUCTION- GROUP FIRE ZON F USE CLASSIF
SETBACKS- FT. FROI\4 CTR. OF r,A/V
FRONT SIDE EXT
FT. FROM PROP. LINE:
SIDE INT.
-
REAR ZONE
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
I t
BLDG. PEBMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING _ GREEN
SANITATION - GOLDENBOO
IMPORTANT
POST THIS PERMIT ON MAIN BLDG. AT SITE
LANE COUNTY, DEPT. OF ENVIFONMENTAL MANAGEMENT
COUFTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401
Calt 687-4065 to schedule all required construclion inspections. Call 687-4061 lo schedule all required
septii iysiem inspections. Att construction shall comply with the State Buidling Code, D.E.O. standards
ioisuOjurtace sdwage disposat and the State Plumbing Code. All buildings require a certificate of
occupancy belore being occuPied.
(See Details on Reverse Side)
l
l
l
l
SLAB FLOOR
PLUMB ING GROUND^/ORK
AppRoveo
ReuaRrs
Dr sappnovEo Dar e I rusprcroR
GAS PIPING GROUND,VORK
Ap pRov r o
REua nx s
D r sappnovED Dare I nspecton
ROUGH PLUMBING
AppRov e o
Reua ax s
Dr snppRovro Dare I NspEcron
ROUGH GAS PIPING
Ap pnov e o
REMaRx s
Dr sappRovro Dar E lrusprcton
F I NAL PLUMB I NG
Appnoveo n DrsappRovEo
REMARKS
D Dore-%-r**rrro& -fu)
FINAL GAS PIPING
AppRov e o
RrtqaRx s
D l sAPPRovEo Dare I NsPEcroR
CERTIFICATE OF OCCUPANCY
Rrrov ro lssuE D Nor Reaov ro lssue D
Reuanxs
Dare I xspecron
D
D
)N HAs BEEN JE#;IrrAs{16NOTE: NO PERMIT .L BE ISSUED ITNTIL THIS APPLIC.A
APPLICATION FOR
CONSTRUCTION MOBILE HOME PLAN REVIEW
+le
City zipV
v
OWNER
Name
ST >5to
Census Tract
Acreage Width_Depth-
CONTRACTOR
o.s. REG. /l t,
Address pty
V*r.l1 L1 '3. L7^* ,o,Codetion/r
Subdivls
{oaars ro PRoPERTY (Road Narne)
Existing Structures on ProPerty:
Property Location - Address/Directions:
7
4
Sq. Ft
:fl:'i":il::i*",_e&ff_Exlstlng Sewage Dlsposal Systen or New System Requlred
Name of Conununity or Public SystenWATER SI,]PPLY:
Well Spring
Public
Other Comurlity
PLUAING:
Install-ed by owner
PLI]MBING FEES:(n
*3
Sewage
Connectlon
PLANS
YES
Slgnature of Appl icant:
Fee Received By:
Water
Connectlon
FACILITY PERMIT
YES
Date:
Other d Name
Bldg.
Plumblng
3Z Surcharge
Waste Dlsp.
Plan Revlew
Mobile Hone
TOTAL
I
CASH
CHECK
NO NO
Min. Septlc Tank Capaci Dralnfield Requ ired - Lineal Feet Maximum
Type of Constructlon Fire Zone Us e ClassiflcaElon
Bldg Setbacks - from Center of Road Right of I,Iay:
c55-12 I,ANE COI]NTY D
Side
IT,IENT ENVIRONMENTAL
Zone R.A
DATE:
Front Int.er
DATE:DATE:
2A co-3:f-
-8T61-
r