The URL can be used to link to this page

Home My WebLink AboutPermit Building 1973-02-13IANE COUNTY BUITDING PERMIT OR MOBILE HOME USE ,/PTICATION MAILING ADDRESS MAITING ADD PERMIT TYPE _ BUILDING MOBILE HOME OSC REG. # TAX CODE PERMIT 2tj-Z *7 7- 766tr PHONE PHONE METES & BOUNDS ATTACHED PROPERTY I.EGAL DESCRIPTION t-oT-Bt-ocK-suBDlv. TWP RANGE YES NO CENSUS TRACT APPTICANT NAME. AND MAITING ADDRESS FOR MOBILE HOME PERMIT Number of Bedrooms BE t_T PERMIT DESCRI BE PROPERTY Connect to Existi TYPE CTION ON PROPERTY IF ANY or New System # BEDRooMS ;>-- TO PROPERTY LY AREA VATUATIONFT 0 SEWAGE DISPOSAT PTUMBING INSTATLED BY PUBr.rC tr BtDG. WASTE DIS. PTUIABING PTAN REVIEW PARK TRTR. SEPTIC TANK OWNER PLANS FURNISHED YES NO OTHER NAME OR SQUARE FEET TOTAT MIN. SEPTIC TANK CAPACITY WITH BOX: GAI-. OTHER a FEES WATER SUPPTY PUBTIC PTUMBING FEES FIXTURES CASH E CHECK NECTION FEE DRAIN FIETD REQUIRED ilN. tT, FACITITY PERMIT OTHER---7:7v DATE DAIE 3{-zo PUBTIC WATER CONNECTION ffi- COUNTY BUITDING & SANITATION SPECIFICA TRENCH WIDTH dt iqtiha s?cu6 c.et /,t,-xal >selea TURE OF J 7 7 TYPE OF STRUCTURE ,f /V occuPATY ZONE REAR YARD PUBTIC UTII.. EASEMENT BTDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION form # css-tz SleHIfB-*,.REAR 7-t 4 "7 Dole SIDE INT Direclions to Find Properly: INSP.Dote L-l COPY I - OFFICE COPY 2-JOURNAT COPY 3 _ AUDIT /z -l -zy'- 3- r' ?-(o o la - lrz; IANE COUNTY BthLdlNG PERMIT OR MOBILE HOME I' PERMII ,--,?MlT Nb.BUILDING MH PROPE NER PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAT DESCRIPTION _METES, BOUNDS RANGE SECTION TAX LOT NO CODE CENSUS TRACTrt3 EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS LEGAT 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 Existin TYPE CONSTRUCTION SQ, FT New BDRMS VALUATION SEWAGE DISPOSAT PUBUC ! SEPTIC TANK !OIHERE PTUMBING INSTATTED BY OWNER Tl OTHER: NAME BUITDING WASTE DISPOSAL PI.UMBING PTAN REVIEW PARK TRAIIER TOTAT FEES WATER SUPPLY PUBUC ! s COUNTY BUILDING & SANITATION SPECIFICATIONS AAIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED TIN- FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS -- FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXI, USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUILDING - GREEN SANITATION - GOTDENROD Construction to comply with uniform building code ond county covering plumbing ond sewoge disposol. All buildings reguire of occuponcy before being occupied. (See Stotement on Reverse Side) reg ulotions o certificote (posT TH|S PERMIT ON MAIN BIDG. AT SITE) I.ANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I FoRM fc55-13 MAITING ADDRESS tr OTHER B-U! L! ING S rTE EVALUAT r0N $r /Ln "2s-z4s /tAx Lor SE?_oCENSUS ,CT_3.LL/ /e,O J}*.*ErE"rE__ (-Z B "U) Building Permit Appl ication No, ;/3-'/3 /''( ) Site lnspection ( ) Pre-Permit lnvestigation APPL I NAI'IE ADDRESS PHONE DATE LANE COUNTY PLANNING DEPARTMENT NOT app NO YES NAI'{E I icable Zoning 0rdinance Compl iqnce (Zone AG1 )2. Subd ivis ion 0rd inance Compl iance 3. Requ i red Access 4. Bu ild ing S ite (Area, t/idth, Frontage, Setback) 5, 0ther (see comments) r) ( () () () () ( () () Z1 77, ) ) ( () COHMENTS: BUILOING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Comments) aool icable- r]--( ) ()0 (v) (/) NOT NO YES DATE ( () () ) ()()Z:-1Y ' 7 C COI'1}4ENTS: SAN I TAT I ON SECT I ON Sewage Disposal Usable Area l'Iater Supp I y 0ther (see Comments) NOT NO YES Ei'i't icable - NA}IE DATE t0. I l. 12, t3. ())( () () ('l () () ( $l ( CO}4}IENTS: TO APPL ICANT: Your Bu i $.{ c"n Iding Permit / Site be approved. J-t ln / sP'7<ect ion:a;)()cannot be approved at this time as indicated on item N0.above.Questions and further information on items I th rough I contact the Lane- COUNTY PLANNING D EPARTMENT. Quest ions and fur ther information on iffi; 6contact thed in this o tu rned. Lane unt Buildin and Sanitation Di 1s tonff i ce unt you can reso vet p ems cated. ng permit appl ication fee is being returned under separate cover. through I 3( ) wiu be het( ) ts being re( ) Your buildi LANE COUNTY PLANNING DEPART}IENT I35 S ixth Avenrje East, Eugene, Oregon g74}l PH0NE: 342-1311 ExT. Z3l LANE COUNTY BUILDING S SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon gll+Ol PH0NE | 342-l3ll EXT. 4t I M55-28 ( DATE I Q/- NA}.tE X 94 () I {'t3 *\nL-/ !l t nL,i Ii n GnrW A.lrt ttri'rrrn rfi ) >- L-" LANE COUNTY gUifOII{O BU'ID'NG ! MH D PERMIT OR MOBITE HOME PERlvtlT PERMII NO. PROPERTY OWNER MAITING ADDRESS PHONE PHONE CONTRACTOR PROPERTY TOCATION _ INC MAITING ADDRESS LUDE POST OFFICE PROPERTY TEGAT DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE EXISTING STRUCTURES CENSUS TRACT ON PROPERTY APPt. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FI WIDTH DEPTH AREA TS ONLYFOR MOBILE HOME PERMI No. of Bedrooms Connect to Existin TYPE CONSTRUCTION New m se. FT BDRMS VALUATION tr STRUCTURES TO BE B UILT THIS PERMIT PLUMBING INSTALIED BY SEWAGE DISPOSAT PUBLIC BUILDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAII"ER SEPTIC TANK oTHERn OWNER OTHER: N,AME WATER SUPPTYFEES( PUBLIC N n orHER TOTAI"$---------'----------_-- COUNTY BUILD ING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. TYPE OF STRUCTURE BIDG. SETBACKS FT. T ROM CTR. FRONT SIDE INT OF ROAD RIGHT OF WAY SIDE EXT, AUTHORIZED SIGNATURE - DRAIN FIELD REQUIRED tIN, FT OCCUPANCY REAR DATE TPENCH WIDTH FT. ZONE USE CTASSIFICATION OR SQ. FT PUBTIC UTII. EASEMENT DATE BTDG- PERMIT - WH ITE OFIICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Construction to comply with unif orm building ;";i;g plumbins ond sewose disposol' All of occrlo'ncy before being occupied' code ond countY regulotions buildings require d certificdte (See Stotement on Reverse Side) (POST THIS PERMIT oN MAIN BIDG' AT SIIE) LANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE' EUGENE' OREGON 9740I ronrv * C55-13 StTE INSPECTION AppRovro Rrmanxs S APPROVED erl. I NsPEcroRDtDatr P ,3-lr9'r?? FOUNDATION INSPECTION Appnovro m DrsappRovso ReMrnr s Dare 3-/3-'?3 I rusprctoc ,4 FRAMING INSPECTION APPRovEo E Rruenx s DrsappRovEo D o^r, 3'/5 -2J /4_ I HspecroR LATH OR SHEETROCK INSPECTION Ae pRov r o Rrxanx s D Drsrppnoveo F1 Darr Ittspecton FINAL INSPECTI AppRoveo Reuanr s DrsappRoveo D Dare JI 4"'21 ?J I Nsercroa CERTIFICATE OF OCCUPANCY Reaov ro lssur Rruanx s D Nor Reaoy ro lssue D Dare lrusprcron /3 -13 3?2b a /2d-/ao zful t {'{- fiI.ANE COUNIY BI,,}TDING PERMII OR MOBITE HOME I BU'rDING ! MH D PERMJT TERMIT NO. PROPERIY OWNER MAII.ING ADDRESS PHONE PHONE CONTRACTOR MAI[ING ADDRESS PROPERTY TOCATION _INCTUDE POST OFFICE PROPERTY tEGAt DESCRIPTION _METES, BOUNDS RANGE SECTION TAX LOT NO CODE EXISTING STRUCTURES ON CENSUS TRACT PROPERTY APPL. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA ERMITS ONLYFOR MOBILE HOME P No. of Bedrooms Connect to Existing Sewoge SYstem TYPE CONSTRUCTION se. FT New m BDRMS VALUATION STRUCTURES TO BE BUILT T HIS PERMIT PLUMBING INSTALLED BY SEWAGE DISPOSAL OTHER: NAMEOWNER PUBtlc tr sEPTlc TANK tr oTHERn WATER SUPPTYFEES( BUITDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAITER PUBUC n tr OTHER At MIN. SEPTIC TANK WITH DIST. BOX: GAL' TYPE OF STRU CTURE CouNrv BUILDI NG& DRAIN FIETD REQUI tIN. FT OCCUPANCY SANITATION TRENCH WIDTH FT. spectrtcArtoNs RED CAPACITY FT. FROM SIDE INT, OR SQ. FT PUBIIC UTIT.EASEMENT ZONE usr cllsstrtcnrto N BTDG. SETBACKS FRONT CTR. OF ROAD RIGHT OF WAY SIDE EXT SIGNATU RE _ DATE REAR DATE Construclion lo comply with uniform building coverinq plumbing cLnt '"*og" disposol' All ;;';:;;;;.t i"rJ," beins occuPied' (See Stotement on Reverse Side) (POsT THls PERMIT oN MAIN BLDG' AT SlrE) IANE COUNTY, BLDG' & SAN' DIV'' COURT HOUSE' EUGENE' OREGON 9740I code ond countY regulotions buildings require o cerlitrcqle BI.DG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING _ CANARY 3l ll'"'Xr?" - "j L'J,. o, * *o o ronu f c5s-13 AUTHORIZED r:l SLAB FLOOR PLUMB ING GROUNil^/ORK Ap enov e o D DrsAPPRovE, D Dare,I Nsprcron Rruanx s $. GAS PIPING GROUND/ORK AP PRov E D ReuaRx s D r s appRovro Dar e I rusprcron ROUGH PLUMBING Appnoveo K DrsappRoveo RruaRxs ROUGH GAS PIPING Ap pnov e o Re i,rrRx s Darr I Nspecton F I NAL PLUMB I NG APPRovED N Drsrppnoveo Re uanx s FINAL GAS PIPING Ap peov e o Rruanxs Rraoy ro lssue Reuanx s DArIQ-t,? * 72- lNseccronlful D DrsappRoveo D Darr CERTIFICATE OF OCCUPANCY I Nsprcton D Nor REAoy ro lssue D Dare lrusprcron o or rZ-/fiZ t *u r r * o* p,{, ful--- t/ - / / DrsAppRovEo f-l