HomeMy WebLinkAboutPermit Building 1973-04-10LANE COUN' BUILDING PERMII OR MOBILE H( J USE PERMIT
PERMIT NO.
BUILDING MH
MAILING ADDRESS
PROPERTY OWNER
PHONE
lr
CONTRACTOR
MAILING AD DRESS
PHONE
PROPERTY roN -rNCtUOe Posr oFtl
PROPERTY LEGAT DESC RIPTION _BOUNDS
CENSUS TRACT
SECTION TAX LOT NO CODE
RANGE
EXISTING STRUCTU RES ON P
TEGAT ACCESS PROPERTY
APPI..
NAME
&
MAITING
ADDRESS
lrlrlr M
rh l5 rh St-
pnoprnrv slzE - FT
DEPTH AREAWIDTH
FOR MOBILE HOME ERM S ONL Sewoge SYstem New SYste m!Connect to Existing
No. of Bedrooms ivpe coNsrRucr toN se. FT # BDRMS VALUATION
STRUCTURES TOBEB UTIUT TgIS PERMIT
Frane
P f-nv
rwlc*alrh
PLU,UstNO INSTALLED BY
SEWAGE DISPOSAL
PUBLIC tr SEPTIC TANK tr owNER n OTHER: NAME
t
OTHERT
FEES WATER SUPPLY(t ri
BUITDING
WASTE DISPOSAT
PTUMBING
PIAN REVIEW
PARK TRAII"ER
PUBLIC D tr OTHER
COUNTY BUILDING & SAN ITATION SPECIFI CATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
TRENCH WIDTH FT.OR SQ. FTtIN. FT
OCCUPANCY ZONE PUBTIC UTI[. EASEMENTTYPE OF STRUCTURE
J
BTDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BI,DG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUITDING _ GREEN
SANIIATION - GOI,DENROD
Construction to comply with uniform buildin
covering plumbing ond sewoge disposol. Al
of occuponcy before being occupied.
code ond counly regulqlions
buildings require o certificote
g
I
(See Stotement on Reverse Side)
(posT TH|S PERMTT ON MAIN BrDG. AT s!TE)
TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
rau Jf655-13
BU ILDING S ITE EVALUAT I ON w 2-
A Buildins Permit Apptication No. 526 -73 NAHE
ADDRESS
S i te lnspect ion
Pre-Permit lnvest igat ion
LANE COUNTY PLANNING DEPAR T},1ENT NOT NO YES
appl icablel. Zoning 0rdinance Compl iance r)-( )
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Regu i red Access
)
PHONE
DATE
DATE
2
3
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4. Bu i ld ing S ite (Area, h/idth,
5. other (r"" .ol,l:ll:i"' setback)
)
CO}4I{ENTS:
BUILDlNG INSPECTION SECTION NOT NO YES NA''tE
cable6. Plans Submitted
7. Soi I Stab i I ity (foot ings)
8. Flood Plain
9. 0ther (see Conrnents)
CO}.IilENTS:
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)4:? 72
SANITATION SECTION
Sewage Disposal
Usable Area
Water Supply
0ther (see Comments)
NOT NO
6E't isable -w
14
?<)
YES DATE
10.
ll.
12.
t3.
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COHHENTS:
TO APPL ICANT:
Your Building Permit / Siy ll:p
(+--Ten be approved . + 7-( ) Cannot be approved'at fhis
ect io
t ime icated on item N0.above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANN ING DEPARTMENT. Quest ions and further informat ion on i6-s 6
through l3 contact the Laqe qeq!!v--qsl-!-di-!s--q nd Sanitation Division.
Will be held in this off ice until you can resolve the problems indicated.
ls being returned.
Your building permit application fee is being returned under separate cover.
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LANE COUNTY PLANNING DEPARTHENT
I l5 S ixt h l\r,enue Fast , Euqerre, 0reqon 9740I
l'llt)Nl : l,rl'-lill tXI. ?ll
LANE COUNTY BUILDING 6 SANITATION DIVISION
f35 Sixth Avenue East, Eugene, 0regon 97401
PHoNE: 342-l3ll ExT. 4ll
T./Zc' us
RO s ,-07
5o
L
NAI-IE
DATE
NA}l8
(-
IANE COUN
BUTLDTNG E
BUITDING PERMII OR MOBITE H(
MHN
USE PERMIT
PERMIT NO.
PROPERTY OWNER MAIIING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION - INCIUDE POST OFFICE
PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS
SECTION TAX LOT NO CODE CENSUS TRACTRANG E
EXISTING STRUCTURES ON PROPERTY
APPI..
NAME
&
MAII.ING
ADDRESS
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 SYstem
TYPE CONSTRUCTION SQ. FT
New m
BDRMS VALUATION
\r t-1
SEWAGE DISPOSAT
PUBUC ! SEPTIC TANK oTHERn
PTUMBING INSTALTED BY
OWNER E OTHER: NAME
BUII-DING
WASTE DISPOSAT
PTUMBING
PI,AN REVIEW
PARK TRAITER
s FEES WATER SUPPTY
PUBLTC tr N OTHER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN, SEPTIC IANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT OR SQ. FT.
\$
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT
BLDG. SETBACKS
FRONT
FT. FROM CTR. OF 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
PTUMBING _ CANARY
BUITDING _ GREEN
SANITATION - GOTDENROD
Construction to comply with unif orm buildin
covering plumbing ond sewoge d.isposol. Al
of occuponcy before being occupied.
(See Stot6ment on Reverse Side)
(posT THrs PERMIT oN MAIN BIDG. AT SITE)
TANE COUNTY, B[DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
code ond counly regulotions
buildings require o certificote
I
I
ronu t 655-13
TEGAL
J\\
SITE INSPECTION
Appnovro
Reuenx s
L 7 Drsrppnovro D Dare Ir'rsptcron
FOUNDATION INSPECTION
Ap pRov e o
ReuaRxs
D DrsappnovEo Dar r I ruspecton
FRAMING INSPECTI
AppRov e o
Re uanx s
Drsrppnoveo D d,
I Hsercron
LATH OR SHEETROCK
Ap paov r o
RrttaRxs
I NSPECT I ON
Dr sapPRovro Dar e I ruspecron
FINAL INSPECTION
AppRoveo
Reua nx s
t/- t { -?7 (/-
DarE NSPECTOR
CERTIFICATE OF OCCUPANCY
Reeov ro lssuE
Rrurnx s
D Nor Rrrov ro lssuE D Dore_lnseecron_
oY6-rs f-;8 z/?zV /a,rZ zo-y5;p
-
DrsappRoveo D
IDING PERMIT OR MOBIIE HOME JSE APPLICAIIONIANE COUNTY
PERMIT TYPE _ BUILDING
OWNER.
,TI POST OFFICE
MOBILE HOME OSC REG. #
MAITING ADDRESS
s-76 - 73
#
PERMIT
7zy'zZ
CENSUS TRACT
& BOUNDS YES
, ATTACHED
PHONE
PHONE
?
7
*
PROPERTY tEGAt DESCRIPTION
tOT_BLOCK-SUBDIV.
TWP RANGE
2 NO
SEC TAX TOT c
MAITING ADDR
DESCRI
2
t4-
5e v.2 d'
3o-E / s-d
APPTICANT
NAME
AND
MAILING
ADDRESS
FOR MOBI
Number of rooms
TO BUITT TH
PE Y
RMIT
G ON PROPERTY
ACCESS TO ROAD
PROP ,WIDTH DEPTH AREA
Connect lo E isting Sewoge m ! or New System R"q. E
TYPE SQ. FT.BEDROOMS VATUATION
I
SEWAGE DISPOSAI.
PUBr-rC tr SEPTIC TANK
,/'E
,r.4
OTHER tr
PTUMBING INSTATI-ED BY
o;--€,a a-WATER SUPPTY PTANS FACITITY PERMITFEESBTDG.
WASTE DIS.
PTUMBING
PTAN REVIEW
PARK TRIR.
PUBI.IC
-
FIXTURES
OTH YES NO
DBY
YES NO
DATE77J
DATECASH E
CHECK {-r-NECTION FEE
PUBTIC WATER
CONNECTION FEE
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN TIEID REQUIRED
TIN. FT. TRENCH WIDTH FT
TOIAT
AAIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.OR SQUARE FEET
TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD
USE CTASSIFICATION
PUBI.IC UTIT. EASEMENT
BIDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT,REAR
Form t css-t2
Dote BLDG. INSP ,/DoteIT,
Direclions to Find Properly:
Dote PLANNING
COPY I _ OFFICE
COPY 2 -JOURNATCOPY 3 - AUDIT
gt//4/ ilkZ--- -Zz ,/6 a 3r0
/ -/(
-7