HomeMy WebLinkAboutPermit Building 1975-07-16IINTY BUITDING PERMIT OR MOBILEIANE CO
BUILDING
I ''OME USE PERMIT
- PERMIT NO.MH
PR( PERTY OWNER MAILING ADDRESS
26JO ilonrn 2 3T Spnrncrrslo ORtGoN
PHOI.I E
CONTRACTOR MAILING ADDRESS PHONESrus
PROPERTY LOCATION _ INCLUDE POST OFFICE
Orr Hrvorx Bnrooe Tunn Nonrm oN ?lsr
PROPERTY TEGAI. DESCRIPTIO N - METES, BOUNDS
Zno roolrrox To EL Bonrre Lor I Buoer
RANG E SECTI ON
3
TAX LOT NO'tr.e G CODE CENSUS TRACTt1I Fob ee-EDrr0
Fne o Yer h/vcx #z -/z/I) rxrsr,ING STRUCTURES ON PROPERTY
Houc
APPL.
NAME
&
MAII.ING
ADDRESS
Srxr
tEGAt ACCESS TO PROPERTY
Honrx 2lsr
PROPERTY SIZE _ FT.
WIDTH DEPTH AREAFOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing
TYPE CONSTRUCTION
m New mSTRUCTURES TO BE BUILT THIS PERMIT
Psaxrr FoR AoorrroN To Frxruv Root rxo Betx 598
SQ. FT BDRMS TIONj
SEWAGE DISPOSAI.PLUMBING INSTALTED BY
PU BL IC
BU ITDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAIIER
I
TOTAL
SEPTIC TANK OWNER
WATER SUPPTY
PUBTIC
OTHER: NAMEOTHE
$FEES
N OTHER
COUNTY BUILDIN G & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIEI.D REQUIRED
tIN. FT TRENCH WIDIH FT.OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE
j
PUBTIC UTIT. EASEMENT
BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR 7',n t
AUTHORIZED SIGNATURE _ DATE
ls/ l. E. Boss M Ngtusor Sroox/texrTAnrAN 7 /15/75
DATE
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UMBING _ CANARY
BUII,DING - GREEN
SANITATION - GOLDENROD
Coll 687-4065 to schedule qll required inspeclions. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
ITIAPORTANT: 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 PERMIT ON MAIN BLDG. AT SlrE)
IANE COUNTY, DEPT. OF ENYIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I
ronu Jf 655-13
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BU lL0l,rG 5lT E EVALUATION
@.-nu ILDING PERI.IIT APPLti-ATtON NO. Iq L?-?8.
()SITE INSPECTION
PLANNING DIVISION
I''.- .:lg-3__UfLl,_Ar Lor;2Ss;p
SUBlrrV I S l0N:
APPL I CANT
DATE
LOT:BLOCK:
1
acks
Front
Side Exterior
acks from interior nes
Side
Rear
Not
I icableA
Zoning 0rdinance Cornpl iance: Zone
Subdivision 0rdinance Compl iance
Requi red Access
Building Site (Area, Width, Frontage)
0ther (see comments)
COI{HENTS:
No
1-l
YesVe.CKID
Setb
Setb
I
2
3
4
5
(
(
(Vw(.f
()
()
()
()
()
)
)
)
PLANNING DlVlSlON ACTION PENDING: YES( ) N0(l-TPPtrcA-rroN#
BUILDING INSPECTION DIVISION
Plans Submitted
Soil Stabil ity (footings)
Flood Plain
0ther (see conrnents)
YesA
Not
I icable Nor)()
()
()
w()
()
()
)
)
)
7
8
9
0 cK, o BYlT/4.t- Z,/tz/>-Sm
COMMENTS:
},ATER POLUT ION CONTROL
COI{}IENTS:
ll, l{eets Department of Environmental
Qual ity Standards.
12. Other (see comments)
Not
Appf i cabl e
()
No Yes,r) TT
( ) (6()CKID BY:6
DATE
TO APPLICANT:
r Building / Site lnsPection:
Can be approved.
Cannot be approved at this time as indicated on item N0.
1/Questions and furt her information on items I through 5 cont
0lvtsl0N"Questions and further informatio
8Ul DING ANO SANITAT 0N Dlyl5l0N.
fr above.
t rou contact t C
Will be held in this office unti
ls being returned.
Your buildin rmit a I ication
NV
act the !AIE-n on items /
you can reso vet eP ems indicat ed.
135 Sixth Avenue East Eugene 0regon
pHoNE. 597_4o65
LANE COUNTY PLANNING DIVISION PHONE:
Itoft'rl,'i,tht t 97401
687-4r 85
^ ---/-c55-28
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LANE C' '\TY BUITDING PERMIT OR MOBIT IOME UsE PERMIT
BUILD|NG-' MHI PERMITNO.
PROPERTY OWNER.rl MAILING ADDRESS
';t: "t'PHON E
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY I.OCATION _ INCI.UDE POST OFFICE
lffirr Sttr Orr htrvwfl SnIoQt ttmx Horrx o*r Slsr
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO.CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
frto Y*t ljrsrAPPI-.
NAME
&
MAII.ING
ADDRESS
TEGAI. ACCESS TO PROPERTY a\J
PERTY SIZE _ FT IWIDTHDEPTHAREA
MOBILE PERMITS ONIY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS MIT
Connect to Existing Sewoge
TYPE CONSTRU ON se. FT
New
BDRMS ATIONV,ALU
.\
SEWAGE DISPOSAL PLUMBING INSTALLED BY
PU BL IC
BUITDING
WASTE DISPOSAL
PIUMBING
PtAN REVIEW
SEPTIC TANK OWNER OTHER: NAME
WATER SUPPTY
PUBLIC ER
F EES
PARK TRAILER
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIETD REQUIRED
I.IN. FT TRENCH WIDTH FT.OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII,. 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 _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION - GOI.DENROD
roau :t 6 55 - 13
Coll 687-4065 ro schedule oll required inspections. All construc-
tion sholl comply with. Uniform Building Code, D.E.Q. stondords.
IMPORTANTT for subsu(focq'slwgge' disposol ond coirnry regulolions covering
plumbing. Alt buildings require o certificole of occuponcy before
[eing occupied.
etoils on Reverse Siide) .-(See D
(POST THIS'PERMIT ON MAIN BLDG. AT SlrE)
IANE COUNTY, DEPT, OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I I
OTHERl-l
AL
S ITE INSPECTION
Appaov r o
RruaRxs
Dr srppRovEo Darr I HsprctoR
FOUNDATION I
Ap eRov e o
ReuaRxs
ON
Dr snepRoveo oor, 6iN 4{- rNspe cro
aazfi -10."
FRAMING INSPECTI
Appnov e o
Re tqanx s
DrsrppRoveo D Dar "fl1 ,?6",t
LATH OR SHEETROCK INSPECTION
AepRovro
REt.taRxs
DrsapeRovro F--l oarz/i.)f '?oa*rrrc 4)'(--l-/,
FINAL INSPTCTION
Ap pRov e o
Rruanxs
D r sappnoveo Dar -ft'I ruseecro
u
T
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
RruaRx s
D Nor REaov ro lssue D Dore_lrusre cron_
72s-?J'Qaeo 2 zrr/
^r/
'a-
U
(
(\LANE C-''NTY BUILDING
BU|LD|NG ._r MH !
PERMIT OR MOBII IOME USE PERMIT
PERMIT NO.
PROPERTY OWNER
lt
MAILING ADDRESS
CI
PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCTUDE POST OFFICE
PROPERTY [EGA[ DESCRIPTION _ METES, BOUNDS
RANGE SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPL.
NAME
&
MAITING
ADDRESS
LEGAT ACCESS TO PROPERTY
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect lo Existing Sewoge System I New System tr
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN
SEWAGE DISPOSAT
PUBLIC tr SEPTIC TANK
PI.UMBING INSTATTED BY
OWNER E OTHER: NAr\{E
BUITDING
WASTE DISPOSAT
PIUMBING
PtAN REVIEW
PARK TRAIIER
FEES WATER SUPPTY
PUBUC tr n OTHER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICAIIONS
MIN, SEPTIC TANK CAPACITY
WITH DIST. BOX: GAI..
DRAIN FIELD REQUIRED
I.IN. FT TRENCH WIDTH FT.OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
BLDG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BI.DG. PERM IT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PI.UMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOTDENROD
Csll 687-4065 ro schedule oll required inspections. All conslruc-
tion sholl comply with Uniform Building Code, D.E.Q. stqndords
IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o cerlificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST IHIS PERMIT ON MAIN BIDG. AT s!rE)
LANE COUNIY, DEPT. OF ENYIRONMENIAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I
ronu * 655- 13
OTHERE
SLAB FLOOR
PLUMB I NG GROUND^/0RK
Ap pnov e o
Reulnx s
Dar e I rusprcron
GAS PIPING GROUND/ORK
Ap pnov e o
ReuaRxs
D DrsappRovra D Darr I HspecroR
ROUGH PLUMBING
Appaoveo D DrsaPpnoveo D
Rrxaars
Dar e - 2 >-tNsPEcro R
ROUGH GAS PIPING
Ap pnov E o
ReuaRx s
Dr sAPPRovEo Dar r I NspecroR
F I NAL PLUMB I NG
App nov e o
RE uanx s
M DTsAPPRovED
lJo Z.tntat
Oart ?-D-7A lNspec
FINAL GAS PIPING
Ap pRov r D
Re uaRx s
DrsappRoveo Darr I NSPEcToR
CERTIFICATE OF OCCUPANCY
Reaov ro lssur
Reuanxs
D Nor Reaov ro tssuE D Dor._I xspEcron
D Drsappnoveo D
D
-1 --,r1r?,))-F
NOTE: NO PERMI- TLL BE ISSUED UNTIL THIS r ION HAS BEEN APPROVED
APPLICATION FOR:
CONSTRUCTION MOBILE }IOME PLAN REVIEI'I CHAi'IGE OF OCCUPANCY
OWNER 2t\z
Address
/ lt<-"{.6
Name Clty zip Phone
s
Tax Lot
Ctty 1p
O.S. REG. /I
*o. /'7 *r,r.--*]-,
subdlvlsion 2^J ild *o El ,
Sectlon ZJ Zo c"a "j-*e-L census r,""rRC:-{D$
6."ih"Lot I erty Acrea I,,id th_Depth_
AccESs To PRoPERTY (Road Name)
.L r
Existing Structures on Property:
Property Locatlon - Address/Directlons:
l"z I
Below
AJ.2l T
Ft
Existlng Sewage Disposal Syst
11 I
ValuatLon
o
SEWAGE DISPOSAL:
Site Inspection
WATER SIIPPLY:
Well
FEES
TOTAL
Sewage
Connection
PLANS FURNISHED'Gt#
68,68
#
Pub11c
Other Comunity Name of Col'lmunity orSprlng Systen
-o PLUMBING:
Installed b/ &rner Other Name
3
of ur es
SlgnaEure of icant:
Fee Recelved
Water
Connection
FACILIIY PERMIT
Date:
>
CASH
CHECK
NO
Min. Septic Tank Capaci Dralnfleld Requlred - Lineal Feet Maxinum Dep rh
TyPe of Construction /94o,Flre Zone -3 Use Classiflcation
Bldg Setbag
U lde rnt. t>,Rl8ht of Way:
, Stde exterior ltp I
- from Center of Road
Rear
c5s-12 I,ANE COI]NTY OF E}WIRONMENTAL MANAGEMENT
Zone
DATE:
s-
DATE:DATE
l--_-l
Bldg.
I{aste DLsp.
Plunblng
Plan Revlew
Moblle Hone
1Z Surcharge
*,*r"l:loo
i-o"L