HomeMy WebLinkAboutPermit Building 1973-05-31BUITDING PERMIT OR MOBILE HCLANE COUN'
BUTLDTNG E
USE PERMIT
PERMIT NO.
PROPERTY OWNER
MH
MAIIING ADDRESS
lnvegtments Co.
PHONE
CONTRACTOR MAILING ADDRESS
PROPERTY TOCATION _ INCTUDE POSI OFFICE
PROPERTY tEGAt DESCRIPTION _METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
cl lnvestments 0
APP[.
NAME
&
MAII.ING
ADDRESS
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connecl to Existing Sewoge System ! New
TYPE CONSTRUCTION se. FT BDR MS VALUATION
m
STRUCTURES TO BE BUILT THIS PERMIT
Part i t
electrical contractors office nory to
eal Estatc offlce 500
SEWAGE DISPOSAT
PUBTIC tr SEPTIC TANK tr
PLI.JMBING INSTATTED BY
OWNER N OTHER: NAMEOTHERE
FEES WATER SUPPTY
PUBr.rC n ! oTHER
BUITDING
WASTE DISPOSAL
PTUMBING
PLAN REVIEW
PARK TRAILER
t, l
TOTAT
q
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
-l e-2
BLDG. SETBACKS
FRONT
FT, FROM CTR- OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR Off i ce
AUTHORIZED SIGNATURE _ DATE
Wood
DATE
n Cruickshank. R.S i-31-73
BI,DG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION - GOI.DENROD
Construclion 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 PERMTT ON MAIN BLDG. AT SITE)
TANE COUNTY, BIDG. & SAN. DIV,, COURT HOUSE, EUGENE, OREGON 9740I
a.g
ronv t 955-13
PHONE
Building Permit Appl ication
S ite lnspect ion
Pre-Perm i t lnvest igat ion
LJ
q
rJ-
CENSUS
,t 5l *'l,t/. 3. rnx Lor 2'
TRACT
T/APPL I
NAHE
ADDRES
(
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)
PHONE
DATE
LANE COUNTY PLANNING DEPARTHENT NOT NO YES NAl'lE DATE
a' zz' 1n
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2
appl icabler)({
({
(y-
vZoning 0rdinance Compl iance
(zone " .' g)
Subdivis ion 0rdinance Compl iance
3. Requ i red Access
4. Bu ild ing S ite (nrea, I./idth,
Frontage, Setback)
5. Other (see comments)
(r-
)
CO},IMENTS:
BUILDlNG INSPECTION SECTION
5, PI ans Subm itted
7. Soi I Stab i I ity (foot ings)
8. Flood Plain
9, 0ther (see Conments)
NOT NO
EFl Lccble -()()
YES
fi
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() ()
()
()
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()
NA},IE
() ()
CO}4HENTS:
SAN ITATION SECT!ON
Sewage Disposal
Usable Area
Water Supply
Other (see Comments)
NOT NO YES
"iI't icable(N
d
V
DATE
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t2.
t3.
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c0l,1l'IENTS
TO APPL ICANT:
You r Building Permit / Site lnspegtion:
can be approved . t( e {/dl
Cannot be approved at thif time as indicated on item N0 above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTI'IENT. Questions and further information on items 5
f,
()
()
t rou g contact the Count Buildi and San i tat ion D iv is ion.
trill be held in this of ce unt you can resolve the pro em5 n cated
I s be i ng retu rned.
( ) Your building permit appl ication fee is being returned under separate cover.
t/\Nt COUNTY PLANNTNG DEPART}4ENT LANE COUNTY BUILDlNG E SANITATION DIVISION
l't\ Sixth l\ren0e [.asg, Eugene, 0regon 97401 135 Sixth Avenue East, Eugene, 0r'egon 97401
r.rklNr; r,r?-lilt rxt.2il PH0NIt 342-l3ll EXT. 4ll
BU ILD !NG S ITE EVALUAT ION
,D-t{bf^
DATE
NAI'IE
IANE COUN
BUTLDTNG E
BUIIDING PERMIT OR MOBITE H(
MHI
E USE PERMIT
PERMIT NO.
PROPERTY OWNER MAILING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY TOCATION _ INCLUDE POST OFFICE
PROPERTY TEGAT DESCRIPTION _METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPP[.
NAME
&
MAITING
ADDRESS
LEGAT ACCESS TO PROPERTY
PROPERTY SIZE _ FI.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewoge
TYPE CONSTRUCTION
New
BDR MS VALUATIONSQ. FT
SEWAGE DISPOSAT
PUBLIC tr SEPTIC TANK N OTHERE
PTUMBING INSTAI.LED BY
OWNER n OTHER: NAME
BUITDING
WASTE DISPOSAT
PI.UMBING
PI.AN REVIEW
PARK TRAI[ER
TOTAL
(FEES WATER SUPPIY
PUEUC n N OTHER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIELD REQUIRED
I,IN. FT TRENCH WIDTH FT OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT
BI.DG. SETBACKS
FRONT
FT, FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BI.DG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING _ CANARY
BUITDING _ GREEN
SANITATION - GOTDENROD
Construction to comply with unif orm building code ond county
covering plumbing ond sewoge disposol. ,All buildings require
of occuponcy before being occupied.
(See Stotemenl on Reverse Side)
regulotions
o certif icote
(posT THls PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
>nu li 655- 13
rt
I rusprcron
SLAB FLOOR
PLUMB ING GROUNCIV/0RK
Ap pRov r o
Reu rnx s
D DrsAppRovE, D Darr
GAS PIPING GROUND/ORK
APPRoV E D
REueRx s
D DrsrppRoveo D DarE I Nspecroa
ROUGH PLUMEING
Appnovro D Drsrppnoveo D Dare
RruaRrs
I rsprcron
ROUGH GAS PIPING
AP PRov E D
ReueRrs
Dt seppRoveo Dar r I rusprctoR
FINAL PLUMBING
APPRo,ED l- / Dr srppRovE o !-/-
Reurnr s
Darr I HspectoR
FINAL GAS PIPING
APPRovEo D DrsappRoveo D
Rruanx s
DnrE I Nspecron
CERTIFICATE OF OCCUPANCY
Rraov ro lssuE
Rruenx s
D Nor Reaoy ro tssue D ,ord!-?_3_trspcc
D
7
IANE COUN
BUTLDTNG E
BUITDING PERM:T OK MOBITE H(
MH [I
E USE PERMIT
PERMIT NO.
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
PROPERTY LEGAT DESCRIPTION _METES, BOUNDS
RANG E SECTION TAX 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 Existing Sewoge System New
SQ. FT BDRMS VALUATIONTYPE CONSTRUCTION
I
SEWAGE DISPOSAT
PUBI.IC tr SEPTIC TANK n OTHERN
PIUMBING INSTALI.ED BY
OWNER N OTHERi NAME
BUII.DING
WASTE DISPOSAT
PTUMBING
PTAN REVIEW
PARK TRAILER
F EES WATER SUPPTY
PuBLtc tr N OTHER
TOTAI.$
COUNTY BUILDING & SANITATION SPECIFICATIONS
MtN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
LIN. FT TRENCH WIDTH FT,OR SQ. FT
TYPE OT STRUCTURE OCCUPANCY ZONE PUBIIC UTI[. EASEMENT
BLDG. SETBACKS FT. FROM CTR. 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
PTUMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOLDENROD
Construction to comply with unif orm building
covering plumbing ond sewoge disposol. All
of occuponcy before being occupied.
code ond county regulotions
buildings require o certificote
(See Stotement on Reverse Side)
(posr THls PERMIT ON MAIN BIDG. AT SlrE)
ronu t 955- 13
TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
SITE INSPECTION
Appnoveo
Rgltrnx s
Dr saepnovro Drr E I Hseecron
FOUNDATION INSPECTION
AppRoveo
Rrurnxs
D r sappnoveo Dar E I ruspecron
FRAMI NG
Appaov E o
ReueRx s
I NSPECT I ON
Dnrr I xs pr cron
LATH OR SHEETROCK
AppRoveo D
RrNaRx s
I NSPECT I ON
Dt sappcoveD Dar e I HspectoR
FINAL INSPECTION
Ap pRov e o
ReuaRx s
Dtsappnoveo D Darr t3.I rspecron
CERTlFICATE OF OCCUPANCY
Reaov ro lssuE
REueRx s
D Nor Rrroy ro lssue D Dare lllsprcron
r\
DrslppRove, D