HomeMy WebLinkAboutPermit Building 1974-11-05| <-_I1 u
IANE COUN"
BUILDING N
PERMIT OR MOBILE HC. .r USE PERMIT
PERMIT NO.
?-z32)"?u
BUITDING
MHtr
PROPERTY OWNER MAII.ING ADDRESS PHONE
J0J6 Urvsror Loop
CONTRACTOR
l.lcKexz t e lxoultny
MAILING ADDRESS
3755 ltrrx SrRe sr Srntxortrt.o One@x 7l+6 t OtI
PHONE
PROPERTY IOCATION _ INCTUDE POST OFFICE
0rr Hrvoex oxro llrygroe Loop l0l5 Uerlroe Loop
PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS
l
RANG E
3
SECTION TAX LOT NO CODE CENSUS TRACT
t1
APPL.
NAME
&
MAILING
ADDRESS
H rule rr E, Cxrsr/t'lcKrrz rr I xougrnv
Ml rx Srnecr
Srnrxcrreto Onesoil
EXISTING STRUCTURES ON PROPERTY
NoN
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STR RES TO BE BUILT THIS PERMIT
Bronoox rxo Btrx
Connect to Existing Sewoge
TYPE CONSTRUCTION se. FT
New
BDRMS VALUATION
360' t 16.10 5796.00
SEWAGE DISPOSAT
PUBr.rC tr SEPTIC TANK ! OTHERI
PTUMBING INSTALTED BY
OWNER ! OTHER: NAME
BUILDING
WASTE DISPOSAI
PLUMBING
PI.AN REVIEW
PARK TRAITER
TOTAL
$
WATER SUPPTY
PUBLTC n
F EES
tr oTHER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIEID REQUIRED
TIN. FT TRENCH WIDTH FT,OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY
I
ZONE PUBTIC UTIT. EASEMENT
BLDG. SETBACKS FI. FROM CTR, OF ROAD RIGHT OF WAY
FRONT SIDE INT.SIDE EXT.
AUTHORIZED SIGNATURE _ DATE
USE CTASSIFICATION
1i
IREAR
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-
lion sholl comply with Uniform Building Code, D.E.Q. stqndords
IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering
plumbing. All buildings require o cerlificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SlrE)
LANE COUNTY, DEPT. OF ENVIRONIT{ENTAI MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I
'RM = c55- ll
I
'1,o WFc lo-31-7Y
>(
t'cATl0N N0"
BU !I.O ING. S ITE
BUILOING PERMI PL
()SITE INSPECTION
Ll r 17 n!r SUBDlVli.0N
()
PLANNING DIVISION
7s C
2,a.2, - Z y'
Not
I icable
toT: -z BL
s LOT
Rusil-/
APPL I CANT
DATE
Yes CK.D BY:%ze-so--r/
()
()
()
()
)
)
)
)
I
2
3
4
5
Zon i ng Ord inance Cornp I iance: Zone Setbacks Trqrr cll of road:Front _y {Subdivision 0rdinance Compl iance
Side Exterior
Setbacks from interior I ines:Side {
Rear LL
COI{IENTS:
6
Nor)
(
(Requi red Access (
Building Site (Area, Width, Frontage) (
Other (see corments) (
PLANN TNG O I V IS IrN ACTMtrTEND I NG: YES il NO () APPLtCATt0N#
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
I O. 0ther (see conments)
Not
I icable No Yesr)m()()
() ()
() ()CKI D BY
COMMENTS:
WATER POLUTION CONTROL NOtti le No Yes
(
r) TT
()() cK,DBY:
COHHENTS:
ll. l{eets Department of Environmental
Qual i ty Standards.
12. Other (see comments)
E
TO APPLICANT:
$tic
r Building / Site lnspection:
Can be approved.
Cannot be app roved at this time as indicated on item N0
Questions and further information on items I through 5
NG DIVISI Questions and further informat ion on itefrf7
t rou 2 con
lli I I be held in this off
ls being returned.
BUILDING A SAN
ce unt you can reso
" above.
contact the LANE-
ATION DIVIS
vet p I ems
ract the LANE
c55-28
our bui ldin
ON
cated.
rmi t I i cation f bein
AL
135 Sixth Avenue East Eugene Oregon
pHoNE. eAl_4065
LANE COUNTY PLANNlNG DIVISION PHONE:
ENT
97401
587-4t 86
- lt"! f
BUILDING INSPECTION DIVISION
LANE COUI-. f
BUILDING -T
BUILDING PERMIT OR MOBILE HOME USE PERMIT
MH fl PERMTT No.
PROPERTY OV/NER MAILING ADDRESS
LooP
PHONE
CONTRACTOR MAIIING ADDRESS PHONE
PROPERTY TOCATION - INCLUDE POST OFFICE pf6 Yrvrrer Lor
PROPERTY TEGAL DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
Lttf,? t.. \A.ePlrXElrtrr lrsrnrr
EXISTING STRUCTURES ON PROPERTYAPPT.
NAME
&
MAITING
ADDRESS
TEGAI. ACCESS TO PROPERTY
f:
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System f, New tr
TYPE CONSTRUCTION se. FT BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT
rxp 8*r*
\)\
SEWAGE DISPOSAT
PUBTIC ! SEPTIC TANK tr OTHERE
PI.UMBING INSTATLED BY
OWNER E OTHER: NAlitE
BUITDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
F EES WATER SUPPTY
PUBr.rC tr tr OTHER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIETD REQUIRED
I.IN. FT TRENCH WIDTH FT OR SQ. FT
TYPE OT RE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
BTDG.
rRONT
SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
Ds.
AUTHORIZED SIGNATURE _ DATE
oxr Sret /lr*trer,t I 115
DATE
BTDG. PERMIT _ WH ITE
OFIICE COPY - WHITE
COUNTY TAX _ PINK
PI,UMBING _ CANARY
BUII-DING - GREEN
SANITATION - GOTDENROD
IM
THIS PEruhrT ON MAIN BLDG. AT SlrE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 97,IOI
Coll 687-4065 to schedule oll required inspections. All construc'
. tion..shqll comply with Uniform Bui$ing Code, D.E.Q. stondords
POR[{NT: for strpsurfoce sewqge disposol ond county regulolions covering
ronu * 655- 13
SITE INSPECTION
Ap pnov E o
RruaRx s
DrsAPPRovEo Dare I ruspecron
FOUNDATION INSPECTION
Appnoveo
Reulnxs
Dare //-/o-'7/ trseecDrsappnoveo
FRAM I NG
Appnovro
Re vanx s
I NSPECT I ON
Drsrppnoveo D oo,, l/-2d,7 I Nsprc
LATH OR SHEETROCK INSPECTION
Ap pnov E o
RruaRx s
D DrsappRoveo Fa Dar r I Hseecron
FINAL INSPECTION
AP PRov E D
Rruanx s
DrsappRovgo ,/r:l;,r(I ruspectonDar €r
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
ReuaRx s
D Nor Reeov ro lssur D Dorr_
u-/F 3A 7b
I Hspecron
D
IANE COUN
BUTLDTNG []
BUIIDING PERMIT OR MOBIIE HC. -,: USE PERMIT
MH E PERMTT NO.
PROPERTY OWNER MAILING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY I.OCATION _ INCI.UDE POST OFFICE
PROPERTY TEGAT 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 - FI.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existin
TYPE CONSTRUCTION
m New m
BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT se. FT
SEWAGE DISPOSAT
PUBLIC tr SEPTIC TANK N OTHERE
PLUMBING INSTAILED BY
OWNER n OTHER: NAME
BUITDING
WASTE DISPOSAI.
PI.UMBING
PIAN REVIEW
PARK TRAITER
TOTAT
rEES WATER SUPPI.Y
PUBUC D tr OTHER
s
$
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT.OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
BLDG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
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 _ GOI,DENROD
Coll 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform tiuilding Code, D.E.Q. stondords
TMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering
plumbing. All buildings require o certificole of occupqncy before
being occupied.
(See Detoils on Reverse Side)
(posr THIS PERMIT ON MAIN BIDG. AT SITE)
LANE COUNIY, DEPT. OT ENVIRONMENTAT /$ANAGEATENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I
ronu l* c5s- l3
SLAB FLOOR .!/
PLUMB ING GROUND^/ORK
Ap enov s o
Rruanx s
D r srppnoveD Dar r I rsprcton
GAS PIPING GROUND,VORK
AP PRoV E D
Rgi4a Rx s
D r sappaovro D Dare I ruspecron
ROUGH PLUMBING
Appnoveo & DrsappRovEo
Rexaaxs
Dar 2 -).f tNSPEc
ROUGH GAS PIPING
Aepnoveo
Rruanx s
Dr slppRovEo Dare I ruseecron
FINAL PLUMBING
ApeRoveo m DTsAPPRovED
Rr FtrRx s
oortf'2 2-Z i,NSPEcroR
FINAL GAS PIPING
Ap pRov r o
Reulnx s
DrsappRoveo Dare It{specron
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
Rrunaxs
I rspectoRD Nor Rerov ro lssue D Dor._
Rs+ d[m'4
DPARIMMII OF MWIRO}04M{IAL
Pm$,rrr// 223a -
Buildisg
Ibbile llcne
APPLICATION FOR zuILDI}G PffiMIT OR MOBIIE HCI,IE USE
l{o permit will be issr:ed r-rrtil this applicaticn has been approved.NOTE:
PLEASE PRI}II
PROPRTY I.OCAIION
TI^IP 17 RAI\GE = sw.3?.'/. / 'ttxrfrT ll C@E CENSI]S TRATIT
LOI r\x). 7 BT.OCK Z
ACCESS TO PROPRIY
DESCRTBE H(ISTI}G STRUCTI]RES ON TI{E PROPffiIY
L r,,IIuIII 13,{bwm Lq{oR AcREAGE
ADDRESS
MME c ADDRESS PTICNE
t ,O
PTIONE
lieI,'Ege UiSPoSaI:
Site Inspec tion /l ser^rage disposal systsn f] or nernr systen required D
I.trater Sqpply:
Rrblic [] District Nare TG11 I Spring [] Other
Brdg.
Waste Dis.
Plrnrbing
Plan Revier^i
Ttailer
1% swcharge
3a _oO Fees
?,oo
h.,/{
Fees
of fixtures
of
Feet
Nane:
aci
,/A 7
wffi
inspectio'r fee
Pltubirrg Installed by G^arer
Pltlrbins
=Tr
Sewer
fee
try
No
t
TUIAL
with d:ist. box: Gal
Fee te - 2^-
Ttench or Sq. Ft
c55-L2
Rear l/- vu- z,,rn
Bfgd. setbacks-ft. frcrn cemter of roaT riflt oFway
Frorrt lLSide lr:rt. 5 Side Exterior
I