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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 / //;