HomeMy WebLinkAboutPermit Building 1974-03-05IANE COUNTY
BUTLDTNG E
BUIL-,NG PERMIT OR MOBIIE HOME USr PERMIT
MH E PERMIT NO.
PROPERTY OWNER MAITING ADDRESS PHONE
MAILING ADDRESS PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY IEGAI DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT.q,A i '7€OO
EXISTING STRUCTURES ON PROPERTY
APP[.
NAME
&
MAII.ING
ADDRESS
I.EGAI ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System New System I
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN
SEWAGE DISPOSAT
PUBr.rC n SEPT|C TANK n OTHERE OWNER N OTHER: NAME
PTUMBING INSTALTED BY
FEES WATER SUPPTY
PUBUC tr tr OTHER
BUITDING
WASTE DISPOSAL
PTUMBING
PtAN REVIEW
PARK TRAI[ER
$
TOTAT
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 PUB[IC UTIT. EASEMENT
BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
B[DG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UMBING _ CANARY
BUITDING _ GREEN
SAN ITATION - GOLDENROD
Conslruction to comply with uniform building code ond county
covering plumbing ond sewoge disposol. All buildings require
of occuponcy before being occupied.
(See Stotement on Reverse Side)
(posT THIS PERMIT ON MAIN BIDG. AT SITE)
reg u Iotions
o certif icote
ronu f 655-13
LANE COUNTY, BLDG. & SAN. DIV,, COURT HOUSE, EUGENE, OREGON 9740I
CONTRACTOR
$
BU I LD ING S ITE EVA LUAT I ON TAX LOT
. L.t Qn Bt L-23 B-l
.p( auilding Permit Application
l
( ) Site lnspection
( ) Pre-Permit tnvest igat ion
?Nrl,lt1E
ADDR
PHONE
DATE
LiiNE C0UNTY PLANNING DEPART|,IENT NOT NO YES NAI-1E DATE
I . Zon i ng 0rd i nance Comp I i ance
aool icable*Tr-()(zonelp/_-)
Subdivis ion 0rdinance Compl iance
Requ i red Access
Bu i ld ing S ite (Area, Width,
Frontage, Setback)
0ther (see comments)
VT
(f
(r
(n
z
)
2
?
4
5
)
()
(
()
()
()
() ()
COI4I{ENTS:
BUILDING INSPECT!ON SECTION NOT
aool icable*rT-(0
)
N YES
h
()
NA}4E DATE
6. Pl ans Submitted
7. Soil Stability (footings)
B. Flood Pl a in
9. 0ther (see Comments)
COHHENTS:
)
() ()
() (),7
SAN ITAT ION SECTION NOT NO YES NA}l8 DATE
aool icable*rr-() (>410. Sewage Disposal
I l. Usable Area
12. Water Supply
l l. 0ther (see Conrnents)
((0d
gd
()
(
(()
CO},lH ENTS
TO APPL I CANT:
You r
S-Lt 8f k
Building Permit / Site lnspection:
Can be approved.
Cannot be approved at this time as indicated on itenr N0. above.
Quest ions and further infornrat ion on itenrs I through S coitact tE-Lane-
COUNTY PLANN ING DEPARTMENT. Q,uest ions .rnd further informat ion on iteof 6
through I I contact the Lane CSrLI-
Will be held in this o{f icc' unt
1,l1y-_qg i I d i"19_.1ird_5an i tat ion D i v i s ion.
i I you can re-';o I ve t lre p rob lenrs ind i catt:d.(
(
(
ls being returned.
Your buildinq pernr it appl icat ion fee is being returned under separatc crrr'€r
LANI' COIIN I Y I'I /\NN ING DEPART}4ENT
I it 5 i;xf li Avar"rue Iast, Eugene, 0r cgtrn 971+0 I
I'hoNE 3llt. lil r Ex r . 23l
IANF. COUNI.Y EI,ILDING & SI\NITATlON DIVISION
135 S ixth Avelrue East, f rtqett,', 0r eqon 97401
l'lt0Nl : 342* t lla IXT. 4l I
l''155 -
T R s
/
Wddzu()
LANE COUNTY
BUTtDTNG E
BUITDING PERMIT OR MOBITE HOME USF PERMIT
PERMIT NO.MH
PHONEPROPERTYMAITING ADDRESS
CONTRACTOR MAIIING ADDRESS PHONE
PROPERTY LOCATION _ INCTUDE POST OTFICE
PROPERTY LEGAI. DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
-
EhAPPI..
NAME
&
MAILING
ADDRESS
LEGAI.ESS TO PROPERTY
s^'r-t PROPERTY SIZE _fT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System !New System I
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN
SEWAGE DISPOSAI-
PUBLTC n SEPTTC TANK !OTHERT
PLUMBING INSTALIED BY
OWNER E OTHER: NAME
BUITDING
WASTE DISPOSAI
PLUMBING
PLAN REVIEW
PARK TRAITER
F EES WATER SUPPIY
PUBLTC tr N OTHER
TOTAL
COUNTY BUILDING & SANITATION SPECIFICAIIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIELD REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII. EASEMENT
BIDG. SETBACKS
F RONT
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
BUILDING _ GREEN
SAN ITATION _ GOI.DENROD
Construction to comply with uniform building code ond counly regulotions
covering plumbing ond sewoge disposol. All buildings require o certificote
of occuponcy. before being occupied.
', (See Stotement on Reverse Side)
')
(posr rHIs PERMIT oN MAIN B[DG. AT SITE)
TANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
,.M = C55- l3
SITE INSPECTION
APPRovED
Rruanx s
DrsappRovro D Dare I Nseecron
FOUNDATION I NSPECTI
AppRovro
Rruanxs /(
Drsapp vEo Datr 7.
?At
I Nsprcr
lL
FRAMING INSPECTION
AppRov r o
Reuanxs
DrsrppnovEo Darr I NsercroR
r
LATH OR SHTITROCK
AppRoveo
RrvaRr
I NSPECT I ON
Dt sappnoveo Da E I uspecton
FINAL INSPECTION
Ap pRov E o Drsrpp EO
Reuanx s
CERTI FICATE OF OCCUPANCY
Rerov ro lssuE
Rrmanx s
D Nor Reaoy ro lssue D Dore_
Dar I NspEcron
/
21d-ry,9,t-6
I ruspEcroc
'- 7//I
a
PROPOSED SEUAGE DISPOSAL SYSTET \ECORD
Complete top ,. "t';;"ioirn to signature and subm'- both cop h i th app licatiori./I NSTALLER:P TNO zz{-7
YoLptrDA sPF/D3{{LPc
No.tv ng Un ts
o
rooms Basement ater UPP v
NoK Publ i c YO the r-L i st
Concrete No. ComPartments / Gal . capaci tY / a-z>ocTallSteelFt. from we
lns menS ons:Ft.
Len h0 },i d h
NAHE
}1A I L ING
ADDRESS
Length nes-Ft.
e
i ameter D h Di stributi
t str
o
eet rom
-iA5-}J ll
Yes ><No
nda on a
tr E
sPosa e
Box
D r On-yPe
Lot L
Front
SAT
ne Rear aSideoer Be Cl',
ile 1n
ON
Date:
Section 214 this certificate is iss
surface sewage disposal system at the above
5 ?R i ^/ 6 /''rto OP
L
l.(to 4
Date
Remarks:
6
P
For Sanitarian Use 0nly:
ln accordance wi th 1973 Oregon Laws Chapter 835
as evidence of satisfactory completion of a sub
I ocat i on.
Approved: System lnstallation conforms to current standards
Disapproved: Does not conform to current standards
ove 1;1s ?- in
er DePt
Lines D
t. Betweenota
Ft|Jidth2
ren
ctnstr5
I
/\,t'
.t
jrO4.J\
,)t ai-i \
o
\i
N
EEEIU
JULz S ig74
,ilsts,Ylt"*'
nat r
t an s
E COUNTY
c55-11
STATE OF OREGON OEPARTI.IENT OF ENVIR QUAL ITY
9n ure
LANE COUNTY
BUILDING [I
BUIL,TNG PERMIT OR MOBIIE HOME USr PERMIT
MH tr PERMIT NO.
PROPERTY OWNER MAILING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFTICE
PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO cooE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APP[.
NAME
&
MAITING
ADDRESS
LEGAI. ACCESS TO PROPERTY
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION BDRMS VALUATIONse. FT
SEWAGE DISPOSAL
PUBLIC tr SEPTIC TANK N OTHERN
PIUMBING INSTALIED BY
OWNER E OTHER: NAJvtE
F EES WATER SUPPTY
PUBr-rC tr tr OTHER
BUITDING
WASTE DISPOSAL
PTUMBING
PI.AN REVIEW
PARK TRAIIER
$
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIEI.D REQUIRED
tIN. FT TRENCH WIDTH FT OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIt. EASEMENT
BI.DG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXI.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
BI.DG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOLDENROD
Construction to comply with uniform building code ond
covering plumbing ond sewoge disposol. All buildings
of occuponcy before being occupied.
(See Stotement on Reverse Side)
lcounty regulotions
require o certificole
(POST THrS PERMTT ON MA|N BLDG. AT S!TE)
tANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
roau =C55-13
Connecl to Existing Sewoge System [] New System !
$=-
-='-
SLAB FLOOR
PLUMB ING GROUND^/ORK
Ap pRov eo
ReuaRx s
D DrsappaovEo D Darr I rusprcton
GAS PIPING GROUND/ORK
AP PRov E o
ReueRx s
D t srppRovro DarE I ruspecron
ROUGH PLUMBING
.
-
Appnoveo ,ru Drsrppnove, D Darg!--;l O. 7tl tNsprcroa
RexaRrs
ROUGH GAS PIPING
Ap pRove o
Re i4aRr s
Dr sappRovro Dar r I rus pr cron
FINAL PLUMBING
Appnoveo
Re uanr s
?tz lr
DrsappRovro Da PECT
FINAL GAS PIPING
APPRovEo
RrulRx s
D r slpeRoveo Dnrr I xsprcron
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
RENanx s
D Nor Reaov ro tssuE D Darr I nspecron
Flease.- Gll a:ill p,tts up,
puCaroruPERMIT OR MOBILE HOME USE ,IANE COUNTY BUIIDI
PERMIT TYPE - BUILDING .-MOBILE HOME OSC REG. #
ADDRESS
PERMIT ?e
OWNER
CONTRACTOR
ATION _ INCTU POST OF
PROPERTY LEGAI DESCRIPTION
LOT_BI.OCK_SUBDIV.
TWP RANGE
lp'pr
5 5Y/-t
MAIIING?v6 - 522
MAILING ADDRESS PHONE
t-1 h{- o^e ,- 5s-
,',d l.L*23 B- I
METES & BOUNDS
ATTACHED
YES
NO
SEC TAX TOT CODE CENSUS TRACT
DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
Z
TEGAI- ACCESS TO PROPERTY T ROAD NAME OR355e Yo(q^do--
NAME
AN:.
MAr"tJG
AL : IESS
PROPERTY SIZE_WIDTH DEPTH AREA
o
FO R MOBILE HOME PERMI LY
Number of Bedrooms
STRUCTURES TO BE BUITT THIS PERMIT
Connect to Existin Sew
ON
m ! or New System
BEDROOMSSQ. FT ,TION
L
,/
Hr 2oo
SEWAGE DISPOSAT PLUMBING INSTATTED BY
PUBIIC SEPTIC TANK
BLDG.
TOTAL
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
NECTION FEE 2
FEEx
OWNER OTH
PTANS FURNISHED
YES NO
SIGNATURE AP
PERMIT #
FACILITY PERMIT
YES
OR SQUARE FEET 2gto
OTH ER
F EES
CASH
CHECK
WATER SUPPIY
PUBTIC OTHER NOwAsTE Dts. 3o ''-PT,MBTNG 43.
-PI.AN REVIEW
PARK TRI.R.
lqq-<
DATE
DATE
PUBTIC WATER
CONNECTION FEE
4-6r
-7rz
COUNTY BUILDING & SANITATION SPECIF
DRAIN FIETD REQUIRED
uN. rT.)O TRENcH wrDTH tT.
TYPE OT STRUCTURE OCCUPANCY ZONE
e.t
REAR YARD PUBTIC UTIL. EASEMENT{M 1*"1!
BIDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION
sroe rNr.5FRONT
ireclions to Find Property:
L
Dote BLDG. INSP
rr # css-12
SIDE EXT REAR 5
Dole
:OPY I _ OFFICE
:OPY 2 - JOURNAI.
OPY 3 - AUDIT
/
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