HomeMy WebLinkAboutPermit Building 1975-01-22LANE '^UNTY BUILDING PERMIT OR MOB
BUILDI
ER
MHtr
MAILING ADDRESS
HOME USE PERMIT
PERMIT NO. I l-,,
Spa r arcr r etD OntooN
PHOt.I E
CONTRACTOR MAILING AD DRESS
Sourn A 5pn r rcF r Er.o Onqcor
PHONE
KgpxeRt Bu t r-ogns
PROPERTY TOCATION - INCI.UDE POST OFFICE
250J ttonru l4fx
PROPERTY TEGAT DESCRIPTION _ METES, BOUNDS
,l..,,.l.:,.|-l,:,l-:,,.....l..,,^|
RANGE SECTION '*'vli *t CODE CENSUS TRACT
t7 '"3,3
Krpnent tsutr.ogns
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAII.ING
ADDRESS
l59o Sourx A
LEGAI. ACCESS TO PROPERTY
NoRrn I4ra
StR r rcr I rto Onecon
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existin Sew
TYPE CONSTRUCTION SQ. FT
'il 1 ,S 16. l0
New System I
BDR MS VALUATION
Grnrcs I8o e ,.3o $?,
No $rrr lrspecrloH
SEWAGE DISPOSAT PTUMBING INSTATI.ED BY
PUBTIC
BUITDING
WASTE DISPOSAL
PIUMBING
PtAN REVIEW
PARK TRAI
TOTAL
SEPTIC TANK OTH
F EES
OWNER OTHER: NAME
WATER SUPPI.Y
PUBI.IC OTHER
LER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.900
DRAIN TIEI.D REQUIRED
uN. FT l5O TRENCH WIDTH FT Jir,-'ilOR Se. FT
TYPE OF STRUCTURE
5N
OCCUPANCY
taJ
ZONE PUBI.IC UTII.. EASEMENT
BI.DG. SETBACKS
onoNr 45'
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.REAR IOI PUE
USE CLASSIFICATION
AUTHORIZED SIGNATURE _ DATE DATE
lf css- t:
BTDG. PERMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
JonN Sroox T ,t
Coll 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stqndqrdsIi 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 THIS PERMTT ON MAIN BIDG. AT S|TE)
I.ANE COUNW, DEPT. OF ENVIRONMENTAL IAANAGEMENT
COURIHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I
- pio. r,t'i-
Y
'1
ngrlot@
14;'.ilu i r-o iHc PERt't lr nppir"cnr t0N No.
( ) srrE lNsPEcrloN
PLANNING DIVISION
T '7 n^oz s Z* TAX LOT
sthllvlsl0N:/"2-LOT:BLOCK:
t/\APPL I CANT
DATE
A
Not
Ii le Yes c*o agt/Qft/n/K
Setbacks-Tffic7T-df roCd :Front 4S:'
Side Exterior 4t<t
Setbacks from interior I ines:
S ide 5'Rear /O' PoE
6
No
1-l()
()
()
()
I
2
3
4
5
Reoui red Access
Building Site (Area, Width, Frontage)
Other (see cornments )
Zoning 0rdinance ComPliance: Zone
Subdivision 0rdinance Compl iance
f,
()
()
()
COI{MENTS:
PLANNTNG DIVISION ACTION PE
BUILDING INSP t0N Dlvlsl0N
Plans Submitted
Soil Stabil ity (footings)
Flood Plain
0ther (see conrnents)
IrGa YES ( ) No (APPL I CAT ION#
Not
I icable No Yes
7
8
9
0
r)il() ()
() ()
() ()CKI D BY
COMMENTS:
WATER POLUTION CONTROL
COM}IENTS:
I l. l'leets Department of Environmental
Qual ity Standards.
12. 0ther (see comments)
Not
Appl icable-rT No Yesr) rrI
( ) rh()CKID BY:7{
DATE
TO APPLICANT:
c55-28
LANE C0UNTY PLANNING DlVlSl0N PH0NE: 587-4186
t tl
t/
I
2
You()
()
r Building / Site lnsPection:
Can be approved.
Cannot be approved
Questions and further information on items I through 6
. --.above.contact the LANE-
at this time as indicated on item N0
Your bui ldin
ems
5con t act
Will be held in this
ls being returned.it
Questions and further informat ion on items 7
NG
ce unt you can reso VE
IS
LANE T'UNTY BUITDING PERMII OR MOB
BU|LD|N-_,J MH E
HOME USE PERMIT
PERMIT NO.
OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OTFICE
t
PROPERTY IEGAT DESCRIPTION -METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPL.
NAME
&
MAITING
ADDRESS
TEGAT 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 m
TYPE CONSTRUCTION se. FT
New
BDRMS VALU ATI ON
SEWAGE DISPOSAT
PUBLIC N SEPTICJANK E OTHERE
PTUMBING INSTATTED BY
OWNER n OTHER: NAME
BUITDING
WASTE DISPOSAL
PTUMBING
PtAN REVIEW
PARK TRAITER
$FEES WATER SUPPTY
PUBUC tr E OTHER
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIELD REQUIRED
tIN. FT TRENCH WIDTH FT.OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE PUB[IC UTIL. EASEMENT
BLDG. SETBACKS
FRONT
rT. FROM CTR. OI ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BLDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUITDING - GREEN
SANITATION _ GOTDENROD
Coll 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondqrds
IMPORTANT: for subsurfoce sewoge disposol qnd counly regulolions covering
plumbing. AII buildings require q cerlificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT TH|S PERMTT ON MA|N BLDG. AT SITE)
IANE COUNTY, DEPT. OT ENVIRONMENTAT MANAGEMENT
couRTHousE ANNEX, I35 EAST 6rh, EUGENE, OREGON 9740Ironv = 655- 13
-!
SLAB FLOOR
PLUMB I NG GROUNU/ORK
Ap rRov r o
RrMa nx s
Dat r I rusprcron
GAS PIPING GROUND/ORK
Ap pRov e o
Reue nx s
D Drsrppnoveo D Dare I rusprcroa
ROUGH PLUMBING
A ppRov r o
Reua nx s
& DrsapeRovr o D Dare 2 *lZ -ZS tNspEcroR
ROUGH GAS PIPING
AppnovEo D DrsappRovro D
Rrurnx s
Dar e I lrs pr cron
FINAL PLUMBING
Apenove o K DrsAppRovEo D os&._- ?f t
Rruanx s
NSPECTOR
FINAL GAS PIPING
AppRoveo D DrsAPpRovE, D
ReMaRx s
Date I Ns pE cron
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
ReuaRxs
Nor Rerov ro lssur Dare I rsprcroR
/ 7 Drsrppnoveo F7
D
I
tr''
IANE 'JNTY
BUlLDll.tv-I
BUIIDING PERMIT OR MOB,*,,HOME USE PERMIT
PERMIT NO.MH
OWNER MAILING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS
I I t 'i.
PHONE
PROPERTY TOCATION _ INCTUDE POST OFFICE
PROPERTY LEGAI DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
i:i,, r r
EXISTING STRUCTURES ON PROPERTYAPP[.
NAME
&
MAITING
ADDRESS
rs6 sffi& t LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connecl to Existing Sewoge m
TYPE CONSTRUCTION
New m
SQ. FT BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT
i-\lm
SEWAGE DISPOSAT PLUMBING INSTALIED BY
PUBLIC
BUITDING
WASTE DISPOSAT
PLUMBING ,,
PI.AN REVIEW
K OWNER OTHER: NAME
WATER SUPPTY
PUBLIC tr ER
FEES
\t,\ :R,
)
PARK TRAILER
TOTAL
COUNTY BUIL DING & SANITATION SPECIFICATIONS
MIN.IC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
I.IN. FT ] TRENCH WIDTH FT.OR SQ. FT.
+\
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENTteJ
BLDG.SETBACKS FT. FROM CTR. OF ROAD RIGHT OF USE CI.ASSIFICATION
FRONT SIDE EXTSIDE INT *3,REAR
AUTHORIZEO SIGNATURE _ DATE DATE
BIDG, PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING - CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
coll 687-4065 to schedure orr reguired inspections. Ail construc-
,M p o RTA N T, l;l', i!: li,,H t Iy; [ : yil f:::i :;X. ::: "f]; i:; i;,,:; ""H1:#;plumbins. Att buitdinss require o clrtificor! "i;;;;;;.i'b"for"being occupied.
(See Deroils on Reverse Side)
(POSI TH|S pERMtT oN MA|N BrDG. AT S!TE)LANE COUNTY, DEPT. OF ENVIRONMENTAT MINIOTMTUT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Ironu * 655- 13 r-
SITE INSPECTION
Appaove o
RrueRxs
ry I rusprctonDar r
FOUNDATION I NSPECTION
Dr sAPPRovEo oo,, Z-//) ' 7,f I Nspecr
RruaRxs 'U I
FRAMI NG I NSPECTI
Appnoveo
ARK S
Dt APPROVED T -etu I NSPEcToR a
LATH OR SHTETROCK CTION
D r sAPPRovE o F1 Dar I ruseecton i{'."Appnovro
RrMaRr s
e I
D I SAPPROVED DaT r I Nspecro
ReNanr s ?
CERTIFICATT OF OCCUPANCY
Reaov To lssuE D Nor Rraov to lssue D Dor.-lNSPEcroR-
RruaRx s
I
/ 22-'1 /vt
DrsappRoveo D
APPRovEo M
FINAL INSPECTION
APPRovED E{
7
PERMTT tt_l)2-t,
NOTE: NO PERI
CONSTRUCTION
WILL BE ISSUED I]NTIL THIS APPI
APPLICAIION FOR:
MOBILE }IOME PLAN REVIEW
.TION HAS BEEN APPROVED
C}IAi{GB OF OCCUPANCY
OWNER {Y1,-lk u^--No l{o;.1-, Sp+lA 1't{'72
Name Z Address City zip Phone
tl ll
City zip
)LV
Phone
1
O.S. REG. /I lttt,
mp. l) n^n "-3-2/
CONTRACTOR
Section
Subdivlsion
ACCESS T0 PROPERTY (Road Nane)
Existing Structures on Property
Property LocatLon - Address/Dlrections
Tax Lot Code Census Tract
Lot I Block Pro perty wid thbo-Depth-Fl?-7
Y*t
Below lce Use
Sq. Ft
Exlstlng Sewage DLsposal System
Pub11c
Comunity
or New System Requlred
Name of Communlty or Publlc
,/0
SEWAGE DISPOSAL:
Slte Inspection
WATER SIJPPLY:
Well
ll {
Sprlng Other
/
Bldg.
waste Disp.
Plumbing
Plan Revlew
Mob11e Hone
1% Surcharge
q6.,b
!3c.- oc-
3/-.o
PLUMBING:
Installed by Ormer
PLUMBING FEES:9o of FLxtures
Name
Sewage
Connection
Water
Connectlon
Other
/.22
Z
wF
PLANS FURNISHED FACILITY PERMIT
CASH
TOTAL t7927 CHECK
Mln. Septlc Tank Capacity--qQQ- Dralnfleld
type of Construction
YES NO
Signature of icant
Fee Recel
YES NO
th
Date /t7->{{
I Maximum Dep
Use Classification
- Lineal
Bldg Setbacks - from Center of Road Right of Way:
Int.Ext ex 10 t ---:*S:
-_!".
1tdf9i-ron "-RA
PIA.NNING:c*ffir/t>/z{DATE:SKf*' t/at /1'r BUTLDTN.:DATE;
.1-----7---rT-
c55-12
d=
! !;E5 :
syr, 4
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prorr' 4-5' stde