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.
./
/