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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)-( ) () () () ()subd iv is ion oro," jil!"m;ti-ml" Regu i red Access ) PHONE DATE DATE 2 3 () ) () () () ( () ) 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: () () (() () ( ) ) () () )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. ()() () () () () () () ( 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. () () () 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