HomeMy WebLinkAboutPermit Building 1974-10-16ZoqL-1 L/
LANE COUN'i
BUTLDTNG L]
}UILDING PERMIT OR MOBITE
MHT
HC,...; USE PERMIT
PERMIT NO.?092-74
PROPERTY OWNER
Pcrry, Genc F.
MAITING ADDRESS
5pr tngf lcld, 0rcgon
PHONE
lt6-5767
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY I-OCATION _ INCTUDE POST OFFICE
t0p/ Uryr lde Lano
PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS
t7
RANG E SECTION TAX LOT NO CODE CENSUS TRACTv#7a/
0wner
EXISTING STRUCTURES ON PROPERTY
lburc and garagc
APPI..
NAME
&
MAII.ING
ADDRESS
TEGAT ACCESS TO PROPERTY
llayt lde Lane
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existi Sewoge System ! New
TYPE CONSTRUCTION SQ. FT BDRMS VALUATION
m
STRUCTURES TO BE BUILT THIS PERMIT
Addltion of 0eraEe to cxlctlng dre ll ing (re x t6)| ,356.80
SEWAGE DISPOSAT
PUBUC n SEPTTC TANK
PTUMBING INSTALTED BY
F EES
OWNER OTHER: NAME
WATER SUPPTY
PUBLTC tr E OTHER
BUITDING
WASTE DISPOSAT
PTUMBING
PI.AN REVIEW
pARK TRALER | ''/o Strrcndrge
Penan I ty fee
TOTAL
14.10
s___!e,!0__
COUNTY BUILDING & SANITATION SPECIFICAIIONS
MIN, SEPTIC TANK CAPACITY
WITH DIST. BOX: GAT,
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT.OR SQ. FT
Put no part of neu @nttructlon ovcr Sewagc Dlsporol Sy!tcr
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT
BI.DG. SETBAC KS . FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION
FRONT SIDE INT.SIDE EXT.REAR 5
lt/ J.E.
AUTHORIZED SIGNATURE _ DATE
.l' .. ,i ll John Slpok
DATE
BI.DG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Call 687-4O65 to schedule oll required inspections. All construc-
tion shqll comply with Uniform Building Code, D.E.Q. stondordsIi PORTANT: for subsurfoce sewoge disposol ond county 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 stTE)
IANE COUNW, DEPT, OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6rh, EUGENE, OREGON 9740Iroau :* 6 55 - 13
NOTICE
NAME
ADDRESS
Your attention is called to items
checked below:
1. Failure to have or display
building permit
2. Faulty framing
3. Faulty foundation
4. Faulty chimney
5. Faulty sewage disposal
6. Zoning violations
7. Other violations
W
Remarks
BY
LANE COUNTY
BUILDING & SANITATION DIVISION
c 55-43
DATE
Tb A?c to-t,t-zq
BUILFTNG SiTE EVALUATION
,,-1r /eq I*#,,R
0N: I
S LOT
(*BUTLDTNG pERr.ur AppL tcATtoN no. ?42*?4
Zon i ng 0rd inance Cornp I iance: Zone
cK'D BY.-tba,hfu
LOT:7
()ffiKrrf3f,fi t o- t s*71 i o,.ro APPLTcANT ?rnny
PLANNING OIVISION
DATE
Not
I icable No Yes
I
2
3
4
5
Subdivision 0rdinance Compl iance
Requi red Access
Building Site (Area, Width, Frontage)
0ther (see cornments )
Setbacks Frorn c lfof road:Front 4{
Side Exterior *t/n
Setbacks f rom i nterliTTiiiF
T)W'() ()
( ) (.)-() vr() ())
6
(Side
Rear
€
COI{I{ENTS:
PLANlrtlrc Dlvlsrffi(l No(r TPPETEA-fION#
BUILDING INSPE cTl0N Dlvlsl0N
7. Plans Submitted
8. Soil Stabil ity (footings)
9. Flood Plain
O. 0ther (see conrnents)
Notli ble F, tff() ()
() ()
() ())
)CKI D BY
COH},IENTS:
WATER POLUTION CONTROL
ll. l{eets Department of Environmental
Qual i ty Standards.
12. Other (see comments)
Not
Aool icable---Tr No Yqsr) TT
()((()CKID BY:
DATE
COI,IMENTS:
TO APPLICANT:
,WrX
r Building / Site lnsPection:
Can be approved.
Cannot be aPProved at this t
Questions and further info
ime as indicated on itom N0 above.
PLANN I N SION"
t I 2 contact t e
) |rill be held in this of ce unt i
rmation on items
Questions and fu
E COUNTY BUILDING
I through 5 contact t LA
rther information on items 7
SAN TAT I ON s l0N
you can reso ve the prob
c55-28
Your bui ldin
135 Sixth Avenue East Eugene Oregon
PHoNE. 597_4055
t-nt.le COuNTY PLANN ING D I v I S lON PHONE: 5
ems nd i cat ed.
ls being returned.
rmi t li tion fee is bein
AL
97401
87-4t 86
f
TANE COUN1
BUTLDTNG I
3UILDING PERMIT OR MOBITE
MHT
HOrvrr USE PERMIT
PERMIT NO.,2-?\
PROPERTY OWNER MAII.ING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY TOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
RANG E SECTION CODETAX LOT NO.CENSUS TRACT
i.
EXISTING STRUCTURES CN PROPERTYAPPT.
NAME
&
MAILING
ADDRESS
IEGAI. ACCESS TO PROPERTY
l. ',
PROPERTY. SIZE - FT.
WIDTH DEPTH \, AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System ! New System
STRUCTURES TO BE BUILT THIS PERMIT
D
TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN
t\
SEWAGE 'DISPOSAT
PUBTIC tr SEPTIC TANK tr OTHERE
PTUMBING INSTATI.ED BY
OWNER N OTHER: NAME
FEES WATER SUPPTY
PUBUC tr n oTHER
BUII.DING
WASTE DISPOSAT
PTUMBING
PTAN REVIEW
PARK TRAILER
s
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED
TIN. FTWITH DIST. BOX: GA[.TRENCH WIDTH FT OR SQ. FT
t of narqffi ,1 ,. .1 \ ! i,{
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIt. EASEMENT
BLDG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE::DATElor-16-7
BLDG, PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING - CANARY
BUILDING _ GREEN
SANITATION _ GOLDENROD
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 counly regulolions covering
plumbing. AII buildings require q certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT THrs PERMTT oN MAIN BrDG. AT SITE)
I.ANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE. OREGON 9740Isonv t C55- t3
SITE INSPECTION
Ap pRov r o
Reuanxs
Dr snppRoveo D Darr Ir.rspEcron
FOUNDATION I NSPTCTION
Ap pRov e o
Rrun nx s
Drsapp ED
e
Dar r I ruspectonrr
FRAM I NG
AP PRov E D
Re uanx s
I NSPECT I ON
D r sappnoveo D Dar / t"-I NSPEcToR
ILATH OR SHEETROCK
Ap pRov r o
RrunRxs
I NSPTCT I ON
Dr sappRoveo
lt
Dar e I NsPEcroR
F I NAL I NSPECT ION
AppRov ro
Rruanx s
DrsrppRovro oo,,/r/- !J1 f-(I ruspecro
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
Rruaex s
D Nor Reeov ro lssue D DnrE
2o?*-? f 30?7
I HsprctoR
I
/IATIE CC[.]NTY
vww#:MZ::t /
Buildirrg {
Ibbile Hone
APPLICATION FOR zuIIDI}re PERMIT OR },IOBIIE HCI,IE USE
No permit will be issued r:ntil this applicaticn has been approved
\)
DPARIMM{I OF MW]ROIO,IE}IIAL NNCIE
PLEASE PRINI
PROPMTY IOCATTON
lI^lP t1 RAIGE 1 SEC. L>a{x Wr
L0r t\xl.l4 Br-m< / suBDn[sroN
TRACI .2- r.-3 00
ACCESS TO PROPERIY
DESCRTBE
APPLICANI
MME
STRUSiI]RES OT{ IT{E PROPRIY
WIDTTI OR ASREAGE
PTIO{E
PIIONE
z4_6-s76/ADDRESS
ADDRESS
3)
NA}4E //
T
uctrres Lo t sq
I,Iell D
Site Inspection lt' Nh
R:blic trict lhre
ser^rage disposal systern il or systsn required D
[] other
B1dg.
Waste Dis.
Plurbing
Plan Rewier^z
Ttailer
1% srrcharge
14, Fees
Pluurbing
Plr-rrbing
tt
Other l{anp:
Serner connection wffi
inspection fee inspecticrn fee
YesDr/t4l-s'1
t-l Cashfueck YesE--'I6 D
frn'nished Facility Permit
TOIAL Fee
Min.fy
with dist. box: Gallons Lineal Feet Trench Depth
P^t ^, ,^ ^J . -P Yteu, .r- ;'f . r.,, - c/r c ,
tuqte
or Sq. Ft.
c55-L2
S Side E:<terior
e
Rear S Zorte PA.
te
.S center \^7ayFront 45 Side let.
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