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HomeMy WebLinkAboutPermit Building 1974-10-15I IANE COUNI BUILDING MHI >o'4 I --7r1 aogt-7ltPERMIT OR MOBITE HOME USE PERMIT PERMIT NO.BUILDING PROPERTY OWNER l\ Ur, \/- MAITING ADDRESS PHOt.,lE CONTRACTOR SrMe MAIIING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE , .t. ,t . i - l- ,p ! r-,"";':.t ,. A:,,-.: t, )Lrrr to Jprx Sourx Rrcnlaxo Rtcxr 38ZB nr cHLAt{D PROPERTY LEGAL DESCRIPTION - METES, BOUNDS RANG E SECTION .4. nJ' TAX LOT NO CODE CENSUS TRACT ir *t /.{ EXISTING STRUCTURES ON PROPERTYAPPI.. NAME & MAII.ING ADDRESS 38zB nrcx&no LEGAL ACCESS TO PROPERTY R r cxlero Spn rror teto Oneeor 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 hooer se. FT. # BDRMS VALUATION AoorrroN To Exrs?tNc ot ELLtHc Flr,ltr-v Rooa,r SDS lNstrutro uxoEn 909-71 fdonr tune ADy DoxE ot{ RcPA r n( Alrenl? I oN or DRA I NF I ELo ) SEWAGE DISPOSAI PLUMBING INSTATTED BY PU BL IC BU ILDING WASTE DISPOSAT PLUMBING PLAN REVIEW PARK TRAILER, : ir, l. '.. -' TOTAL SEPTIC TANK OWNER OTHERI NAME WATER SUPPTY PUBTIC N tr OTHER FEES COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[.Ex t stE DRAIN FIETD tIN. FT REQU.IRED -')'_) De ptn TRENCH WIDTH FT. ?t to ?r ll0 dR sa. FT. Mo.rEo l) rrrt or DRAtNTIELo TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BtDG. SETBACKSc:t:'FRoNT ) ) FT. FROM CTR. OF ROAD RIGHT OF WAYrt srDE rNT. J sror rxr. USE CLASSIFICATION 7r PUE REAR AUTHORIZED SIGNATURE _ DATE Boss av C Hlnaluau J Suoor. SANtrARtAN DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords II,IPORTANT: 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 PERMIT ON MAIN BLDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I Fcss-r: OTHERE IANE COUNT BUTLDTNG [] BUITDING PERMIT OR MOBITE MHE HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE a I CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - MEIES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS tEGAt ACCESS TO tr- PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existi e System New m SQ. FT BDRMS VALUATION tr STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION &*tr t [l ?r6l? SEWAGE DISPOSAT PUBTIC I SEPTIC TANK N OTHERE PTUMBING INSTALTED BY OWNER E OTHERI NAME BUITDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAITER FEES WATER SUPPTY PUBUC D N OTHER TOTAI COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT,OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII. EASEMENT BLDG. SETBACKS FT. FROM CTR FRONT SIDE INT. OF ROAD RIGHT OF WAY SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Call 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 counly regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THrs PERMTT oN MAIN BLDG. AT SrrE) LANE COUNTY, DEPT, OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironu fc55-13 SLAB FLOOR PLUMBING GROUNU/ORK AppRovEo K Drsappnovro Rruanx s oor1bi/_b | rusercr € GAS PIPING GROUND/ORK Ap pnov r o Reul nx s DI SAPPROVED D DarE I ruspecroR ROUGH PLUMBING AppRovro E DrseppRoveo D DortM-/- Rrua nx s 3-7 I ruspec ROUGH GAS PIPING Ap pRov e o Rrurnx s Dr sappRovro Dar r I rusprctoR F I NAL PLUMB I NG APPRoVED M7 DISAPPROVED RruaRxs o^,,fu41.lNspr FINAL GAS PIPING Ap pRov r o ReulRr s D r saPPRovED Dnre I Ns pe cron CERTIFICATE OF OCCUPANCY REaov ro lssue RruaRxs D Nor Reaov ro lssue D Drre_Ir.rspEctoR D , -^,1--. /rr] ; ,,: i 'f.l o'i-LJf( i:- BUILOTNG S ITE EVALUAT ION ,fri,'ft T 18 n oLs SUBDIVISION:-g-6.to*rorffi So :' ()SITE INSPECTION PLANNING DIVISION l. Zoning Ordinance Compl iance: Z 2o Subdivision 0rdinance Compl ian 3. Requi red Access4. Buildlng Site (Area, width, Fr 5" 0ther (see comments) Not Aool i cabl e22"q,() ontage) ( )() LOT:_ BLOCK:_ CKID Set €idc-{ntcriut Setbacks from interior I ines: Side Rear \ \\, o" V'h onr *5 U", L I CANT E r)rI 6 () ()()(tY() (Y () () F COHHENTS: BUILDING INSPE cTt0N Dlvlsl0N Plans Submitted Soil Stabil ity (footings) Flood Plain Other (see conments) COMMENTS: Not ble No Yesr)m() () () () () () 7 8 9 0 CK'D B I.,ATER POLUTION CONTROL I l. l,leets Department of Environmental Qual ity Standards. 12. Other (see comments) Not Appl icable ) No Yqsr) fl)- ( ) ,1, ( ()CKID BY: E COHHENTS: TO APPLICANT: ri t' You_10'' K)() r Building / Site lnspecti, Can be approved. Cannot be approved at thi Questions and further inf COUNTY PLANNING DIVISION" on: s time as indicated on item N0. above' ormation on items I through 5 contact the LANE- Questions and further information on items 7 c55-28 Your buildin 135 Sixth Avenue East Eugene 0regon 97 PHONE. 687_4065 LANE COUNTY PLANNING DlVlSlON PH0NEz 687 ems I cated.through l2 contact the COUNTY BU D NG AND SANITA ON DIVISI ) L,i I I be held in this ce until you can reso vet P ls being returned. rmit I i cation fee i s AL 40t -41 85 , PLANNlNG0lVls!oN-IeTr0rPEND]NG.YEs()N0()APPLlcATl0N# A LANE COUNT BUTTDTNG n SUILDING PERMIT MHtr OR MOBILE HOME USE PERMIT PERMIT NO. pl-71 PROPERTY OWNER MAILING ADDRESS t : i I ijllr A,'. PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY iOCATION - INCIUDE POST OFFICE L:rt rc 3!)rrr Sorr Rrcrrre*l ltrtrr PRO PERTY LEGAL DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT i, EXISTING STRUCTURES CN PROPERTY fi_4!itfAPP[. NAME & MAII.ING ADDRESS TEGAI- ACCESS TO PROPERTY Fl r rxlrxn r)nmiri:rc arar*$P \, .. PROPERTY SIZE r FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT ,toottret tc trri?rs rgltNla Connect to Existing Sewoge System New System !. rYPE coNsrRuoflo{m * se. FT BDRMS VALUATION Iro?*r:D ,ro.t,909-fI Teffr fl,rrrov mrt 0t trt lF( tr,trrrloil tr illltrtrt.! .t SEWAGE DISPOSAI. PUBUC tr SEPTTC TANK !OTHERE PTUMBING INSTALIED BY OWNER E OTHER: NAME FEES WATER SUPPIY PUBLTC tr n oTHER, BUITDING WASTE DISPOSAT PI.UMBING PI.AN REVIEW \ PARK TRAILTR TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: G,AT. DRAIN FIELD REQUIRED TIN. FT nryi g, to t R SQ. FT. Ito TRENCH WIDTH FT. tdovro ]f rr:t o'\1\ TYPE OF STRUCTURE occuPAfY ZONE PUBI.IC UTI[. EASEAAENT BLDG. SETBACKS FT. FROM CTR. SIDE INT. ROAD RIGHT OF WAY SIDE EXT. OF 7t USE CTASSIFICATION FRONT REAR . AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords Ii PORTANT: for subsurfoce,sewoge disposol ond counly regulotions covering plumbing. All buildings require o cerlificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THrs pERMlr oN MAIN BIDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 97,IOI ronv=955-13 SITE INSPECTION Ap pRov E o ReuaRxs DrsappRoveo D Dar e -I rusrecron FOUNDATION I NSPECTION Appnov Eo Rrulnxs Drsapp VED ATE I Hsprcton o 6( FRAMING INSPECTION App nov e o Reulnxs DrsappRove, D Darr -7 ECTOR 4t LATH OR SH AppRovro Rexa nx s I NSPECT I ON DrsrppRovro [a Darr . /0,,L,IcR \ F I NAL I NSPECT I Appnov e o Reuanx s D t sappRoveo oorr/-f-f/I NspEcroR CERTIFICATE OF OCCUPANCY Reaov ro lssur RsiraRx s e0?/- ? /sreF I I D Nor Reaov ro lssue D Dore_lHseecron_ PRUP0SED Spart of form t n ET,JAGE orsPosAL sysrE' REc( U1o signature and submit botn copies withf&pl ication.I NSTALLER I ete PER}{IT NO 1- JSSfeY R r cstlr'ro {ii'Oa /a,l'z No.v ng Un ts rooms Baths asement ter UPP Yes No Publ ic v 0ther-L i st Sept c a Ft. f rorn well Steel n Concrete No. Compartments Gal. Capacity ns e mens ons: Ft.e sPosa e L th l.,idth Diameter De th Distribution Box: Yes No OWNER NAHE t r str ut OO-Pe Roeenr HocFl ilAILING ADDRESS Feet u/Et I Lot L Front roln ne Foundat i on cj, Side /Ag *r en9L I er ou, 4 ile ln 0ate CERTIFICATE OF L For Sanitarian Use Only: Date: lO- Z*-lln accordance with 1973 Oregon Laws Chapter 835, Section 214 this certificate is issubd as evidence of satisfactory cornpletion of a subsurface sewage disposal system at the above I ocat i on.lvl Rpproved: System lnstalletion conforms to current standards I-? Disapproved: Does not conform to current standards Remarks: h nes-Ft.t L 6 P F v Trench }Jidth Total So. Ft . "/c'7 Ft. Between Lines /Og Filler4lyge ,/.,lFi I ler Depth lAbove Tile ? in.rt PIan (see instructions. :rliE 4.r,fs N *4ar9 T^li*'t 4re ,E $fir ,o'J rtf,r, L.ANE COUNTY ENVIRONMENTAL MGMT. t si ture an s COUNTY c55-11 STATE OF OREGON OEPARTMENT OF ENVIRONI{E AL QUAL ITY gnature A^-'t-IAI{E CC[.]NIY Pm{Ir//z-z/ IW.[E: PLEASE PRT}II PROPERTY I,OCATION iitro DEPARIMMI OF MWIRCDO{EI\TXAL I{AIVAGBM\E APplrcdf,roN FOR zuqpnc pmMIT G. l4oBrLE HCt\,tEpermir will be issuea tnaii*Jh?" applicaticn: has Buildjng Mcbile Hcnre USE r been approved lWP /P I,OI I\X] ACCESS TO PROPRTY 3 2-4rO - SEC A4; 4./rAx wT lla4 J SIRUSII.]RES ON IIIE PROPIRiY 2aail >4a CENSUS TRASI OR ACREAGE CCDE DESCRIBE D(ISTIIG APPLICAITI MME MME ADDRESS />() PT{ONE sq Site Inspection // d sevrage disposalter Rrblic Bldg. Waste Dis. Ph-ubing Plan Revien^r Ttailer 17" sr-rctrarge IUIAL trict ltrare systern f] or nesr systsn required D I,b11 Spring lll Orher o Fees o Installed bv rees @3 o"o of fi-xtrres Plurbing Plurbins _.3 _/i Orurer Other l{anre:Serrcr connection I^Iffiinspecrion fee t"p""ii*?" Plans fi-nmished Yes E{lb D Facili ty Permi SSignattreof App /o-toFeereceivedte I Min. with tank capacitydist. box:Gallons Lineal Feet T?errch T or Sq . rt.i/o hlo -fr'DI di'ot^*il 7 SE S c5s-12 Side Int. 5- Sideffior EUL rgE- rI/-r-5. -/ te BIgd. setbacks-ft.trcrn center Front 55' A4"( 6{ ^rq J-'l /t Zone PA. ./ /