HomeMy WebLinkAboutPermit Building 1973-10-30IANE COUNIr- BUILDING PERMIT OR MOBIIE HOrvrE USE PERMIT
BUTLDTNG I MH r PERMTT NO.
PROPE.ITY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
PROPERTY IEGAL DESCRIPTION _ METES, BOUNDS
RANG E SECTI ON TAX LOT NO CODE CENSUS TRACT
.4, Z- # .t 7/O
EXISTING STRUCTURES ON PROPERTYAPPI..
NAME
&
MAITING
ADDRESS
TEGAT ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing
TYPE CONSTRUCTION
m New m
BDR MS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT se. FT
SEWAGE DISPOSAT
PUBr.rC tr SEPTIC TANK tr OTHERE
PTUMBING INSTAIIED BY
OWNER n OTHER: NAME
BUITDING
WASTE DISPOSAL
PTUMBING
PTAN REVIEW
PARK TRAITER
FEES WATER SUPPTY
PUBLIC n tr OTHER
TOTAI.
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 PUBTIC UTII.. EASEMENT
BI-DG. SETBACKS FT. FROM CTR, OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BTDG. PERM IT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Conslruction to comply with uniform building code ond counly regulolions
covering plumbing ond sewoge disposol. All buildings require o certificote
of occuponcy before being occupied.
(See Stqtement on Reverse Side)
(posT THls PERMTT ON MAIN BLDG. AT SITE)
ronu #c55-t3
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
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BUI LD ING S ITE EVALUAT ION rJ7*a OSs I d rAx LorCE S TRACT,/*,4/rv7hq/LzW,/ -ts 6_ aappl Iceur:
J,C,
,y<_Euildins Permit Appticat ion No.J//A?-73 NA}1 E
ADDR()
()
S i te lnspect ion
Pre-Permit lnvest igat ion
PHONE
DATE
LANE COUNTY PLANNING DEPART}IENT NOT NO YES DiiTE
I icable
I . Zon i ng Ord i nance Comp I i ance
(zonerA6eil )2. Subdivis ion 0rd inance Compl iijnce
3. Requ i red Access
() ()
)(
)(
)
)
)
)
4. Building Site (Area, l./idth,
Frontage, Setback
5. 0ther (see comments)
COIVIMENTS:
)
((
((
6. Plans Submitted
7. Soil Stability (footings)
8. Flood Plain
9. 0ther (see Conments)
NOT NO
E6'ilt 1g"ute -
YE9
N
()
()
()
()
()
()
NA}4E DATE
r]
h'f
N (
(p
CO}IHENTS:
SANITATION SECTION
Sewage Disposal
Usable Area
Water Supply
0ther (see Comments)
NOT NO
6Et icable -()()
YES
sc
(>d
*
()
DATE
/6 )
10.
ll.
t2.
t3.
((
(
(
()
()
COHHENTS:
TO APPL ICANT:
Your Building Permil / Site lnspection:p{ can be approved. /O-A7-73 Fr4-.( ) Cannot be approved at this time ai indicated on item N0 above.
Questions and further information on items I through 5 contact t e ane-
C0UNTY PLANNING DEPARTMENT. Questions and further information on items 6
through l3 contact the Lane County Building and Sanitation Division.
( ) Will be held in this off ice until you can resolve the problems indicated.
( ) tr being returned.( ) Your building permit applicat ion fee is being returned under separate cur'er.
LANE COUNTY PLANNING DEPARTI'IENT LANE COUNTY BUILDING S SAN]TATION DIVISION
136 5l,xth Avenue East, Eugerre, 0rcgon 97401 135 Sixth Averrue East, Etrcyenr', 0regon 971+0i
FnonE: 3{2-. lJ I I EX I . 231 PH0NI". : 142-t 511 tXT. 4I I
MEq,)Q
NA.t.,IE
%/0-23-23
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BUILDING INSPECTION SECTION
NA}48
IANE COUNTT BUIIDING PERMIT OR MOBILE HOr"c USE PERMIT
BUTLDTNG E MH E PERMIT NO.
PROPE.I.TY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY TOCATION - INCTUDE POST OFFICE
PROPERTY TEGAI- DESCRIPTION -METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPT.
NAME
&
MAII"ING
ADDRESS
TEGAT ACCESS TO PROPERTY
PROPERTYTSTZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PER
Connect to Existi Sewo
TYPE CONSTRUCTION
New
sQ. FT. # BDRMS VALUATION
SEWAGE DISPOSAT
PUBUC tr SEPTIC TANK Tl OTHERD
PTUMBING INSTAILED BY
OWNER E OTHER: NAr\AE
BUITDING
WASTE DISPOSAT
PTUMBING
PI-AN REVIEW
PARK TRAII.ER
FEES WATER SUPPTY
PUBLTC n ! OTHER
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 PUBI.IC UTII.. EASEMENT
BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
BIDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING - CANARY
BUITDING _ GREEN
SANITATION _ GOI"DENROD
Construction lo comply with uniform building code ond county regulotions
covering plumbing ond sewoge disposol. All buildings reguire o certificole
of occuponcy before being occupied.
(See Stotemenl on Reverse Side)
(posT THls PERMIT ON MAIN BIDG. AT SITE)
roau f, 655-13
IANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
1
I
DrsAPPRovE, D Drrr
:l
SITE INSPECTION
Appnovro
R e Manx
I ruspectoR
'b?V
L-+
FOUNDATION INSPECTION
AppRoveo
Reuanxs
Dr sappRoveo c-/ v- r/ rHspecDar r
I
FRAMING INSPECTI
Appaovro
Re ulnx
Dt PPROV E O aDar r i- tr I rs pe croR
LATH OR SHEITROCK
Ap pnov r o
RruaRxs
I NSPECT I ON
Dt sappcoveo Dare I Nseecton
FINAL INSPECTION
Ap pnov e o
Re ttanx s
DrsAPPRovEo D Dat r ff'7 I NSPEcToR
CERTIFICATE OF OCCUPANCY
Reaov ro lssut
RruaRx s
Nor Reaov ro lssue Dnre I HspecroR
aa7/(,1 20-/(rc
|1
-)
t/
"2
IANE COUN
BUTLDTNG E
BUITDING PERMIT OR MOBITE H(,,I USE PERMIT
PERMIT NO.
PROPTRTY OWN
MH
MAITING ADDRESS PHONE
CONTRACTOR MAII.ING ADDRESS PHONE
PROPERTY TOCATION _ INCI.UDE POST OFFICE
PROPERTY TEGAL DESCRIPTION _METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPL.
NAME
&
MAITING
ADDRESS
TEGAI. 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
m New m
SQ. FT BDRMS VALUATION
SEWAGE DISPOSAT
PUBr.rc tr sEPTlc IANK tr oTHERn
PI-UMBING INSTAII.ED BY
OWNER E OTHER: NAlr{E
BUITDING
WASTE DISPOSAT
PTUMBING
PTAN REVIEW
PARK TRAITER
FEES WATER SUPPTY
PUEr.rC tr ! OTHER
TOTAI.
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
BI,DG. SETEACKS
FRONT
rT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
usE cr.AssrFtcATtoN
REAR
AUTHORIZED SIGNATURE - DATE DATE
BI.DG. PERMIT _ WHITE
OIFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UMBING _ CANARY
BUI[DING - GREEN
SANITATION _ GOTDENROD
Construction to comply with uniform building code ond county regulotions
covering plumbing ond sewoge disposol. All buildings require o certificote
of occuponcy before being occupied.
(See Stotement on Reverse Side)
(POST THIS PERMTT ON MA|N BrDG. AT S|TE)
LANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
ronu lf 955 - 13
7-
SLAB FLOOR
PLUMBING GROUNO/ORK
Dr sappnovro Darr I usercron
GAS PIPING GROUNU/ORK
Ap pnov E o
RruaRxs
D Drsappnovro D Dare I rusprcron
ROUGH PLUMBING
AppRoveo D DrsAppRovEo D
Rexanxs
Dar e I Nspecron
ROUGH GAS PIPING
Ap pnov e o
REuaRr s
Dr sappRoveo I ruspecron
F I NAL PLUMB I NG
Appnovro & DrsAppRovEo D ,orr,/i/-Li-2fiNSpEc
Rr !ranx s
FINAL GAS PIPING
APPRovEo D DrsAppRovEo D
Reurnx s
Dare I Hspecron
CERTIFICATI OF OCCUPANCY
REaov ro lssue
REuaRx s
D Nor Reaov ro lssuE D DrrE I HsprcloR
Apenoveo D
Rrulax s
D Dore-
IANE COUNTY ErJltDlNG PERMIT OR MOBIIE HOME USE APPIICATION
PERMIT TYPE - BUILDING MOBILE HOME OSC REG. #
MAITING ADDRESS
PERMIT 2-z)
OWNER
LOCATI
2a tA-PHONE
PHONEMAII.ING ADDRESSAvwtt
;7P/_ INCTUDE POST OFFICEJa H -z/.
PROPERTY TEGAI- DESCRIPTION
toT-BtocK-su8Dtv.
TWP RANGE
METES&BOUNDSNYES
ATTACHED NO
SEC.toT CODE CENSUS TRACT
ING STRUCTURES ON PROPERTY IF ANY
0 4 J
TEGAT ACCESS TO PROPERTY _ ROAD NAME OR #,*tu -d/.
APPTICANT
NAME
AND
MAITING
ADDRESS
PROPERTY SIZE-WIDTH DEPTH AREA
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms Connecl to Existing Sewoge System f or New System Req. tr
STRUCTURES TO BE BUITT THIS PERMIT TYPE CONSTRUCTION se. FT. # eEDRooMs vAtuATroN
Jo re,c
,/ 2_
SEWAGE DISPOSAT PTUMBING INSTATI.ED BY
PUBTIC
BIDG.
WASTE DIS.
PTUMBING
PTAN REVIEW
PARK TRTR.
SEPTIC ,TANK tr OTHER E OWNER OTHER NAME
FEES WATER SUPPTY
PUBUC !
PI
PLANS FURNISHED
YES NO
BY
FACIIITY PERMIT
OTHER YES NO3- *-*'NG FEES
FIXTURES -14
DATE
-4?
CASH
CHECK
tr DA
ZN FEE
OF APPT
L)PUBI.IC WATER
CONNECTION FEE
COUNTY BUITDING & SANITATION SPECIFICATIONS
aTOTAT
MIN. SEPTIC ]ANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIETD REQUIRED
tIN. FT. TRENCH WIDTH FT.OR SQUARE FEET
I NSP
o-
Dole PIAN N ING
TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD
USE CTASSIFICATION
PUBLIC UTIL.5
BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT srDE lNT. .5-
Directions to Find Property:
/0-
Form # css-t2
REAR
/3 -4"r
Dqte
COPY I _ OFFICE
COPY 2 - JOURNAI.
COPY 3 - AUDIT
,
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