HomeMy WebLinkAboutPermit Building 1973-03-13LANE C(
BUILDING
{TY BUITDING PERMIT OR MOBITE
MH fI
.{OME UsE PERMIT
PERMIT NO..,
PROPERTY OWNER MAILING ADDRESS
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY tOC,ATION _ INCI.UDE POST OFFICEp2 Rrvrre
PRO PERTY LEGAT DESCRIPTION _ METES, BOUNDS
RANG E
E 34, l, I
,"^,FWtrSECTION CODE CENSUS TRACT
J -300
Fnlrx R. MuHsor.r
EXISTING STRUCTURES ON PROPERTY
':l
APPt.
NAME
&
MAITING
ADDRESS
102 Rlvr'ren
TEGAT ACCESS TO PROPERTY
EucENe, Onesor.r
PROPERTY SIZE - FT.
WIDTH DEPTH AREAFOR MOBILE HOME
No. of Bedrooms
PERMITS ONLY
Connect to Existing
TYPE CONSTRUCTION
m tr New
BDR MS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT se. FT
CoNlenr pART oF XISTING GA YR
SEWAGE DISPOSAT
PUBUC n SEPTTC TANK
PLUMBING INSTALTED BY
oTHER!OWNER
WATER SUPPI.Y
PUBLTC n
OTHER: NAME
BUII-DING
WASTE DISPOSAL
PTUMBING
PtAN REVIEW
PARK TRAITER
TOTAT
s FEES
N OTHER
o0
$"
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
LIN. FT TRENCH WIDTH FT OR SQ. FT
Exrs
TYPE OF STRUCTURE OCCUPANCY
.l ro I
ZONE PUBLIC UTIL. EASEMENT
R- |
BLDG. SETBACKS FT
FRONT
FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE
:3.W. Gnay R r
DATE
3lt3
BIDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING - CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Construclion to comply with uniform building code ond county regulotions
covering plumbing ond sewoge disposol. All buildings require o certificote
of occuponcy before being occupied.
(See Stotement on Reverse Side)
(posT THrs PERMIT ON MAIN BIDG. AT SlrE)
IANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
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Building Permit App I icat ion No. 3L 7-7-'NAHE
ADDR
S i te lnspect ion
Pre-Perm it lnvest igat ion
PHONE
DATE
LANE COUNTY PLANNING DEPA RTHENT NOT NO YES NAI'IE DATE
Zon i ng 0rd i nance Comp I i 94ce.(zoneK.- / )
aool icable**TT-(
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2. Subd ivis ion 0rd inance Compl iance ( )()
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4
5
Requ i red Access
Building Site (Area
Fronta
0ther (see comments
h/idth,
e, Setback)
CO}4MENTS:
BUILDlNG INSPECTION SECT'ON
5. Plans Submitted
7. Soil Stabil ity (footings)
8. Flood Plain
9. 0ther (see Conrnents)
NOT NO
ffit icable -r]
NA'.tEYES
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COT,I}4ENTS:
SAN I TAT I ON SECT I ON
Sewage Disposal
Usable Area
Water Supply
0ther (see Comments)
NOT NO YES NAME DATE
I icable
10.
I l.
12.
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COI,II,IENTS
TO APPL ICANT:
ing Permit /S i te lnspect i
Can be approved.3 -/2-
Cannot be approved at this time as icated on item N0.above.
Questions and further information on iterns I through 5 contact the Lane-
COUNTY PLANN ING DEPARTHENT. Quest ions and further informat ion on iF; 5
through l3 contact the Lane County Bui lding and Sanitqltoq_QjJ_t:jsn.
( ) I.Jill be held in this off ice until you can resolve the problems indicated.
( ) ls being returned.
( ) Your building perrnit appl icat ion fee is being returned under separate cover.
LI\NE COUNTY PLANN ING DEPART},IENT LANE COUNTY BU I LD ING S SAN ITAT ION D IV IS ION
ll\ Sixtlr l\ien0e tast, Euqerre, 0reqon 97401 135 Sixth Avenue East, Eugene, oregon 97401
t,1r)Nt : trr,.,-lill r,Xt. ?il PH0NE: 342-l3ll EXT. 4l I
ourY
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BU I LD ING S ITE EVALUAT ION
)
DATE
-..-
LANE C, NTY
BUILDING fI
///-BUITDING PERMIT OR MOBITE HOME USE PERMIT
MH tr PERMTT NO.
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY TOCATION _ INCTUDE POST OFFICE
PROPERTY LEGAT DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO.CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAILING
ADDRESS
TEGAI. ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existi Sewoge m tr New
BDRMS VALUATIONTYPE CONSTRUCTION se. FT
€
SEWAGE DISPOSAT
PUBUC tr SEPTTC TANK n OTHERE
PIUMBING INSTATTED BY
OWNER n OTHER: NAME
BUII.DING
WASTE DISPOSAI.
P[UMBING
PI.AN REVIEW
PARK TRAII"ER
FEES WATER SUPPTY
PUBrrc tr tr OTHER
TOTAT $
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIEID REQUIRED
tIN. FT TRENCH WIDTH FT,OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
BLDG. SETBACKS .. FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CI.ASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BI-DG. PERMIT - WH ITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING - CANARY
BUILDING _ GREEN
SANITATION _ GOIDENROD
Construclion to comply with uniform buildin
covering plumbing ond sewoge disposol. Al
of occuponcy before being occupied.
(See Stotement on Reverse Side)
(POST THIS PERMIT ON MAIN BIDG. AT SITE)
TANE COUNTY, B[DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97'(OI
s
I
code ond counly regulotions
buildings require o certificote
ronuf655-13
I uspecron
SITE INSPECTION
Appnov r o
Re ltaRx s
Drsappnovto Dere
!
FOUNDATION INSPECTION
Appnoveo
REuanxs
D r slppnoveo Dar e I ruspecroR
FRAMING INSPECTION
Appnovro /777 Drsrppnoveo
Reurnx s
Dare t 7-7t I xspecron
LATH OR SHIETROCK INSPECTION
AppRovEo
Rrxr nx s
D DrsAPPRovEo fa Dar e I NspEcton
FINAL INSPECTION
AepRoveo D DrsrpeRovEo
Reuanx s
oorrt-i/-'/ 7 -'73 rNspecron {L
CERTIFICATE OF OCCUPANCY
Reaov ro I ssue
Rruenx s
D Nor Re aoy ro lssur D Dore_lNspEcroR_
E
7*Y-Yt WdgW
J-o &
? z *3aD
D
4
-
rF.a-
tTY BUIIDING PERMIT OR MOBIIE ,IOME USE PERMIT
MH tr PERMIT NO.
IANE CC
BUILDING
PROPERTY OWNER MAITING ADDRESS A/oT /ronr <- / 7 - /7 '?PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY LOCATION _ INCTUDE POST OFFICE
PROPERTY TEGAI DESCRIPTION _METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPI".
NAME
&
MAITING
ADDRESS
LEGAT ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connecl to Existing Sewoge System
TYPE CONSTRUCTION SQ. FT
New 'stem
BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT
c
SEWAGE DISPOSAI
PUBTIC tr SEPTIC TANK N OTHERE
PTUMBING INSTALTED BY
OWNER Tl OTHER: NAME
BUIIDING
WASTE DISPOSAL
PTUMBING
PI-AN REVIEW
PARK TRAII.ER
FEES WATER SUPPTY
PUBUC tr tr OTHER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIETD REQUIRED
[IN. FT TRENCH WIDTH FT.OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT, EASEMENT
BTDG. SETBACKS FT. TROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BI.DG. PERMIT - WHITE
OTFICE COPY - WHITE
COUNTY TAX _ PINK
PI.UMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Construction lo comply with uniform building
covering plumbing ond sewoge disposol. All
of occuponcy before being occupied.
code ond counly
buildings require o
reg ulotions
certif icote
(See Stotement on Reverse Side)
(posT THIS PERMIT ON MAIN BIDG. AT SlrE)
LANE COUNTY, BLOG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
ronu Jf655-13
-
I rusptcron
SLAB FLOOR
PLUMBING GROUNU/ORK
APPRovEo
Reurnx s
D DrsAPPRovEo D Dar r
I
GAS PIPING GROUND^/ORK
AP PRov E o
Reurnx s
D DrsappRovro D Dare I Nspecron
ROUGH PLUMBING
AppRoveo & Drsappnovro D oorr{-L.ft_
Re lta Rx s
lruspec
ROUGH GAS PIPING
AepnovEo D DrsappRoveo D
RrurRx s
Dare I usprcton
F I NAL PLUMB I NG
AppRov e o
Rrurnxs
N' Drsappnove o .D oorfu.--2f lruspe
FINAL GAS PIPING
APPRovEo D DrsAppRovEo D
Rr uaax s
Date I Nsprcron
CERTIFICATE OF OCCUPANCY
Reaov ro lssur
Rruanx s
D Nor REroy ro lssue D Dare I rseecloR
LANE COUN
PERMIT TYPE _ BUILDING
BUILDING PERMIT OR MOBttE HO,VIE USE APPTICATION
MOBTLE HOME Iosc REG.#PERMIT -327-43PROPERTY OWNER MAIIING ADDRESS PHONE
II.ING ADDRESS PHONE
ATTACHED
METES &
PROPERTY I.OCA _ INCTUDE POST OFFICE
o
PROPERTY I.EGAT
toT - BtocK -
roN
BDIV
TWP RANGE
APPTICANT
NAME
AND
MAITING
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
RES TO BE BUITT
YES
NO
s TAX I.OT CENSUS TRACT
DESCRIBE EXI STRUCTURES ON PROPERTY IF
Connect to Existi
TYPE
tEGAt TO
PROPE SI DTH
_ ROAD
AREA
or New m
FT.# BEDRooMS vAruATroN
e m
SEWAGE DISPOSAT
PUBr.rC tr SEPTTC TANK n
PTUMBING INSTATTED BY
OWNERN OTHERENAME
7
oTHER fl
s-,J3,cD-FEES WATER SUPPTY
PUBI.IC
,1.D n
CASH E
CHECK
PTANS FURNISHED
YES NO
IVED BY
tr#
FACITITY PERMIT
BTDG.
WASTE DIS.
PTUMBING
PIAN REVIEW
PARK TRTR.
OTHER YES NO
DATE
DATE
TOTAT 2c,./14
TEE
PUBI.IC WATER
CONNECTION FEE .36v8
,TURE OF APPI
FIXTURES
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIETD REQUIRED
TIN. FT. TRENCH WIDTH FT OR SQUARE FEET
TYPE OF STRUCTURE 5 t'l'OCCUPANCYdfi, I
ZONE REAR YARD PUBTIC UTIT. EASEMENIe-/
form t css-tz
BTDG. INSP
USE CTASSIFICATION
3-rz-7c
BLDG. SETBACKS - FT. fROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT
4
srDE Exr. -REAR
ITARI Dote ING Dote
rv
Directions to Find Property:
COPY I _ OFFICE
COPY 2 -JOURNAICOPY 3 - AUDIT
"4