HomeMy WebLinkAboutPermit Building 1974-02-26I.ANE COUNTY
BUTLDTNG [--.]
BUILDING PERMIT OR MOBITE
MH fI
HOME USE PERMIT
BERMIT NO.
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY TOCAIION _ INCTUOE POST OFFICE
PROPERTY LEGAI DESCRIPTION _ METES, BOUNDS
RANG E SECTI ON -r //07TAX LOT NO.CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPt.
NAME
&
MAII.ING
ADDRESS
LEGAL 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 System
TYPE CONSTRUCTION SQ. FT
New m
BDRMS VALUATION
SEWAGE DISPOSAT
PUBLIC tr
PLUMBING INSTALTED BY
OWNER E OTHER: NAME
SEPTIC TANK tr oTHER!
(FEES WATER SUPPTY
PUBtlc tr tr oTHERBUITDING
WASTE DISPOSAI.
PTUMBING
PI.AN REVIEW
PARK TRAITER
AT
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
COUNTY BUILDING &
DRAIN FIELD REQUIRED
roN spectrlcATloNSSANITAT
OR SQ. FT.I"IN. FT
OCCUPANCY
TRENCH WIDTH FT.
ZONE PUBTIC UTIL.EASEMENT
TYPE OF STRUCTURE
USE CTASSIFICA'TION
BLDG. SETBACKS rr. rnom cTR. OF ROAD RIGHT OF WAY
SIDE EXT.
ATURE _ DATE
REAR DATEFRONTSIDE INT
BLDG, PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UMBING _ CANARY
BUILOING _ GREEN
SANITATION _ GOTDENROD
Construction to comply with unifo-rm building
."""ti"g pfumbing ond sewoge disposol' All
;; ;.;r;"'".y befJre being occuPied'
code ond counly regulotions
buildings require o certificote
AUTHORIZED SIGN
(See Stotement on Reverse Side)
(Posr THIS PERMIT oN MAIN BLDG' AT SlrE)
LANE COUNTY, BTDG. & SAN. DIV'' COURT HOUSE' EUGENE' OREGON 9740I
roau * cs5- l3
EUI LU ING S ITE E VALUAT ION
( ) Building permit Application No
( ) Site tnspection
( ) Pre-Permit lnvest igat ion
I##s3Yg,L/t+,aLt TAX LOT
-
a',14.
APPL I CANT:
Nr\flE
ADDRES S
PHONE
OATE
L/iNE C0UNTY PLANNING DEPARTT'IENT NOT NO YES NA.I.1E DATE
app I icab le
I . Zon i ng Ord i nance Comp I i ance ()
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VT
2 subd i v is ion o.o, "j"'ll'ffi)..
Requ i red Access
4. Bu i ld ing S ite (Area, width, ( ) ( )V -3 **o J --ae-7.,-/Frontage, Setback)
5.Other(seecomments) () () (
CO}4HENTS:
BUILDING INSPECTION SECTION
6. Plans Submitted
7. Soil Stability (footings)
8. Flood Pl a in
9. 0ther (see Comrnents)
NOT NO
EEi't icable -()
YES
}(
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() ()
()
()
IX
,,\
NA}4 E DATE
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COHHENTS:
SANlTATION SECTION
10. Sewage Disposal
I l. Usable Area
12. Water Supply
I l. 0ther (see Conrnents)
NOT NO YES NAhE DATE
apol icable*rT-(
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COil}AENTS:
TO APPL ICANT:
,a -a6.trfir
Your Building Permit / Site lnspection
Can be approved.
Cannot be approved at this time as indicated on iten, N0.above.
Questions and further infornration on itenrs I through 5 contact the Lane-
COUNTY PLANN ING DEPARTMENT" Quest ions and turtl-rer informat ion on iffi 5
through l3 contact the Lane Co!
Wi l l be held in this officc unt
ls being returned.
Your buildinq pernr it appli<,at ion fee is being returned under separate cur'€r
nLv Buildinq orlrd Sanitation Division.
-+-.-**i I you can reso I ve t lre p rob lems ind i catt:d()
()
()
LANT COTINIY I'I i\NNING DEPART},IENT
lt{- 5i,xtlr A"errte Iast, Eugerte, 0lcgtrn 97\Ol
l'tltrNE 3t12. l'lll {:xl.27l
IANt- COI.JNIY t]I.JILDING E SITNITATION DIVISION
ll5 S i x[h Averrur: Easf , Ertqetr,', 0r e<1on q]740 I
l'lt0Nl'. trttZ-tltl tXT. 4tl
M55-28
(
I .l t
TANE COUNTY
BUTLDTNG [_]
BUITDING PERMIT OR MOBITE HOME USE PERMTT
MH tr PERMTT No.
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE+?/c;en
PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAITING
ADDRESS
TEGAT ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE B ILT THIS PERMIT
Connect to Existi Sewoge System I New
TYPE CONSTRUCTION se. FT BDR MS VALUATION
SEWAGE DISPOSAT
PUBUC n SEPTTC TANK Tl OTHERE
PI-UMBING INSTALTED BY
OWNER E OTHER: NAME
BUITDING
WASTE DISPOSAT
PTUMBING
PTAN REVIEW
PARK TRAITER
TOTAL
F EES WATER SUPPTY
PU BLIC OTHER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT.OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTI[. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT, SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BTDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUILDING - GREEN
SANITATION _ GOLDENROD
Construction to comply with uniform building code ond county regulotions
covering plumbing ond sewoge disposol. All buildings require o certificole
of occuponcy before being occupied.
(See Stotement on Reverse Side)
(posT THts PERMTT oN MAIN BLDG. AT S!TE)
TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
ronu f 655- 13I
y'o.-t 6orr n -f u$u*e- C oruf/<*e
tebaitt Du -f 3*'t € ta** I vltb-
SLAB FLOOR
PLUMB I NG GROUND,{ORK)1
AppRoveo K DTsAPPRovED
Reuanx s
4-2fq q
o or rl_- //.:2(_ r rus pr c r
GAS PIPING GROUND^/ORK
APPRoVED
REuaRxs
Drsappnoveo D Dare llrsprcron
ROUGH PLUMBING
Appnoveo A
RruaRxs
Dr sappRoveo
3-- / 3 -2/
oor,3'77),1/I Nspecron
ROUGH GAS PIPING
Ap pnov e o
Re t"tlRx s
D r sappRoveo Dar e I ruspecron
r I NAL PLUMB I NG
AppRoveo m DrsrppRoveo
Reuanx s
o^,r) -/ 1-2y I uspecto
FINAL GAS PIPING
AppRovro D Drsrppnoveo D
Reuaax s
Darr I us pe croR
CERTIFICATE OF OCCUPANCY
Rraov ro lssue
Reuanxs
D Nor Reaoy ro lssue D Dore_I rsprcron
LANE COUNTY BUITDING PERMIT OR MOBITE HOME UsE PERMIT
BUILDING I MH tr PERMTT NO.
PROPERTY OW,ER MAII.ING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCI.UDE POST OFFICE
PROPERTY LEGAT DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPI..
NAME
&
MAITING
ADDRESS
LEGAL 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 Se
TYPE CONSTRUCTION
tr New mI
BDRM S VALUATIONSQ. FT
SEWAGE DISPOSAT
PUBt-rC ! SEPTIC TANK oTHERE,
PTUMBING INSTATLED BY
OWNER n OTHER: NAME
BUITDING
WASTE DISPOSAL
PI.UMBING
PIAN REVIEW
PARK TRAILER
q F EES WATER SUPPTY
PUBLTC tr N OTHER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIETD REQUIRED
LIN. FT TRENCH WIDTH FT.OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI-IC UTIt. EASEMENT
BIDG. SETBACKS FT. FROM CIR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
BTDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOI.DENROD
Construction to comply with uniform building
covering plumbing ond sewoge disposol. All
of occuponcy before being occupied.
code ond counlY regulotions
buildings require o certificote
(See Stotement on Reverse Side)
(posT THIS PERMIT ON MAIN BIDG. AT SITE)
TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
FoRM = C55-13
-
SITE INSPECTION
Appnovro D DrsappRoveo D
RruaRr s
Dare I ruspecton
FOUNDAT I O
Appnoveo
Rrurnx s
. /d.'?
.82
I Nsrrcro(,il e:i-
e/
Dar r
c-/
-aDr sappnoveo
/,
-A f;IrRAMING,l:ffc
Dar r INS ECTO
L.-/App nov E o
Re u anx
ISAPP EO
LATH OR SHTETROCK INSPECTION
_1_Appnovro /f / Drsappnoveo
Ret{anxs
,^r, .{--J/-a4
I xspecton
FINAL INSPECTI
Ap pRov E o
Reuanr s
I SAPPROVED DarE r-l nsprcro
(
CERTIFICATE OF OCCUPANCY
Reeov ro lssuE
ReurRx s
) Za-ry
D Nor Rerov ro lssur D Dare I Hspecron
IANE COUNTY BUITDING PERMIT OR MOBILE HOME U>- APPLICATION
PERMIT TYPE - BUILDING MOBILE HOME --IOSC REG,# PERMIT #
"32-7qPROPERTY OWNER MAILING ADDRESS PHONE
co MAI ADDRESS q PHONE
S a _S
PROPERTY I,OCATION _ INCLUDE POST OFFICE
PROPERTY LEGAT DESCRIPTION
tOT-BIOCK_SUBDIV.t*-t B-METES&BOUNDS!YES
ATTACHED tr NO
AREA
SEC.
r
TAX TOT
3"',
CODE CENSUS TRACT
DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY.L
TO ERTY - ROAD N #
PROPERTY SIZE_WIDTH DEPTH
APPTICANT
NAME
AND
MAII.ING
ADDRESS fs lo5
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms Connect to Existi e m n or New Syst11
CONSTRUCTION VATUATIONBUII.T THIS PERMhT
\rn
160 1oZ
?bo 5o ?to
5o
SEWAGE D
PU BLIC
BtDG.
WASTE DIS.
PI.UMBING
PLAN REVIEW
PARK TRI.R.
SEPTIC TANK
30, -LlD,--
OTHER
FEES WATER SUPPLY
PUBTIC
PLUMBING FEES
FIXTURES
CASH !
CHECK NECTION FEE
PUBTIC WATER
CONNECTION FEE
PI.UMBING INSTATTED BY
OWNER OTHER
PTANS FURNISHED
NO
FEE
PERMIT
FACITITY PERMIT
NOOTHERYES
lI
2-tDATE
DATE
O-/-
TURE
r3T ITOTAT
MIN. SEPTIC TANK CA,PAC ITY
WITH DIST. BOX' GAT.Oa
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN TIETD REQUIRED
TIN. FT TRENCH WIDTH FI OR a
N
//
TYPE OF STRUCTURE
groo. srrgacxs - rr
PUSTIC UTI[. EASEMENTREAR YARD
USE CTASSIFICATION
FROM dr nolo ntGxt OF WA
Form # os5-t2
t,
N
SIDE EXT
-2 -2 0*
REAR
FRONT
SAN ITARI
SIDE INT
Dote Dote BIDG. INSP 4
Sil'
Directions to Find ProPertY: -
coPY I - oFFlcE
COPY 2 - JOURNAT
COPY 3 _ AUDIT
BE
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