HomeMy WebLinkAboutPermit Building 1975-10-09/
IANE COUNTY BUITDING
BUILDING --l MH fI
PERMIT OR MOBILE HOME UsE PERMIT
PERMIT NO.ehl l-ffi
MAILING ADDRESS
9pRrr GF IELD ORCCOU
PHONE
LI ING
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INC[UDE POST OTFICE
?733 t'lonrn 2tsr SrntHcrtguo oneoo$
PROPERTY LEGAT DESCRIPTION - METES, BOUNDS lh Brocr 1
SECTION TAX LOT NO,,4,e f,a737 cooE CENSUS TRACTRANGE
3I
EXISTING STRUCTURES ON PROPERTY
hrell I mcAPPT.
NAME
&
MAITING
ADDRESS
LEGAI, ACCESS TO PROPERTY
t{ontx 2lsr
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connecl to Existin
TYPE CONSTRUCTION
m New m
5.10
se. FT BDRMS VALLJATION
SEWAGE DISPOSAT
PUBLIC D SEPTIC TANK tr orHERn
PTUMBING INSTALTED BY
OWNER ! OTHER: NAME
F EES WATER SUPPTY
PUBUC tr tr oTHER
BU ILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAIIER
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIEI.D REQUIRED
I.IN. FT TRENCH WIDTH FT.OR SQ. FT
)o Nor eutLD ovER sElrAGE DlSPosAL sYgTEx
OCCUPANCY ZONE PUBLIC UTI[. EASEMENTTYPE OF STRUCTURE
J
BLDG. SETBACKS FT. FROM CTR
rnoNr , stDE lNT.
OF ROAD RIGHT OF WAY
. SIDE EXT.REAR
USE CTASSIFICATION
7'PUE
AUTHORIZED SIGNATURE _ DATE
Siroox BY PETRASEI(
DATE
J. E
BI-DG. PERMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Colt 687-4065 to schedule oll required inspections. All construc'
tion sholl comply with Uniform Building Code, D.E.Q. stondords
IMPORIANT: for subsurfoce sewoge disposol ond county regulotions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST IHIS PERMIT ON MAIN BLDG. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT A,{ANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I
ronu = 655- 13
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PLANNING DIVISION
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LOT :_ BL0CK:_S ION:
APPL I CANT
DATE
Not
Appl i cablezon"fu( )ance (*) l r,
No YesI-I CI 6.
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() ()
(\-Y( t() ()
CKID
SetbaI " Zoning Ordinance CornPl iance:
2. Subdivision 0rdinance ComPl i
3. Requi red Access
4. Buildlng Site (Area, width,
5 " 0ther (see cornments )
cks rom c ,Front
Siffirnsrtor
Setbacks from interior I ines:
.fo
Frontage) (
()Side
Rear
COIHENTS:
D!
BUILD!NG TNSPECT!ON DIVISION
Plans Submitted
Soi I Stabi I i ty (footi ngs)
Flood Plain
0ther (see )
COHMENTS:
A
Not
I icable
7I
9
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rNo Yesr) TT() ()
() ()m()
0t(
)CKID BY:
,/2
ITATER PoLUT!0N CoNTRoL
ll. l{eets Department of Environmental
Qual ity Standards.
12. Other (see comments)
Notli le No Yesr) TT
CKID B J6
DATE
COHHENTS:
() ())K
TO APPL!CANT:
-.r
Your Bui ld
!7{can ae-( ) Cannot
Quest i
COUNTY
in9 / Site lnspection:
approved.
be.approvedatthistimeasindicatedonitemN0.#bove.
ons and further information on items I through 6 contact the LANE-
t
},
I
Y
()
()
4 rouill be held in this
s being returned.
rmit a I i cation
ce unt i I you can reso
_fS"g_ j:-^q,e ! nq rel, rJ,ed.,=r!*dq.r-@
RfiIMENTA
t Eugene Oregon 97401
DlVlSt0N PHONE: 687-4185
G DlVlSlON" Questions and further information on items 7
2 contact the E COUNTY BUILDING AND SANITATION D vtsl0N.
ve the prob ems cated.
135 Sixth Avenue Eas
PHoNE: 687-4065
LANE COUNTY PLANNING
c55-28
our buildin
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IANE CO[TNTY
BUILDING -fl
BUILDING PERMIT OR MOBITE -HOME UsE PERMIT
PERMIT NO.
PRO PE OWNER
MH
MAILING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY TOCATION _ INCLUDE POST OFFICE
PROPERTY TEGAT DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXTSTTNG STRUCTURES ON PROPSTYAPPt.
NAME
&
MAILING
ADDRESS
TEGAT 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 Existing Sewoge System I New stem
TYPE CONSTRUCTION SQ. FT BDRMS VALUATION
SEWAGE DISPOSAT
PUBilC n SEPTTC TANK fl oTHERn
PTUMBING INSTAILED BY
OWNER n OTHER: NAME
BU ITDING
WASTE DISPOSAT
PTUMBING
PLAN REVIEW
PARK TRAIIER
F EES WATER SUPPTY
PUBr.rC 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
BLDG. SETBACKS FT. FROM CTR, OF ROAD RIGHT OF WAY
FRONT SIDE INT, SIDE EXT.
USE CI.ASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BLDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOLDENROD
Call 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.e. stqndords
IMPORTANT: for subsurfoce sewoge disposol ond counry regulolions coyering
plumbing. AII buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST TH|S pERMtT ON MAIN BrDG. AT S|TE)
IANE COUNTY, DEPT. OF ENYIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Iroav a 655- 13
SITE INSPECTION
Ap ppov r o
Rruanxs
D r srpenovEo Der r I nsprcton
FOUNDATION INSPECTION
APPROVED t5 PR
DrsappRovro
Rr RK
FRAMING INSPECTION
Drr r
Darr
I NspEcton
I NSPEcToRAPPROv E o
RetteRxs
LATH OR SHEETROCK INSPECTION
D r SAPPRovED Dar e Ir.rspEctonAPPRovEO
Rruanx s
FINAL INSPECTION
AP PRov E o
Reuanxs
oor_ /r-7 '-? lo t*u,,SAPP EO TOR /,
4
C IFICATE OF OCCUPANCY
Reaov ro I ssuE f7 Nor Re aov to lssue / t Dore-
LI
RruaRx s
lHsprcroR
J/tr'76 x/
>t
n
D
xl
PERI'{IT # Aq//'2J
NOTE: No PERI'I ;[ILL BE ISSI]ED IINTIL TI{IS APPL. IION HAS BEEN APPROVED
APPLICATION FOR:
CONSTRUCTION MOBILE TIOME PLAN REVIEWre4-K
OWNER e.tLL 7 7 *6b3
Name Address .ty Phone
CONTRACTOR
o.s. REG. /l
Twp
Subdivis io
ACCESS TO PROPERTY (Road Nane)
Address
Tax Lot
ty
Census Tract
erty Acreage Wldth_Depth_
Sect
6d Code
Lot /q Block4
Exlsting Structures on ProperEy:
Property Location - Address/Dlrectlons
Below or ice Use
f
ExlsEing Sewage Disposal Sys
Pub11c
Comunity
PLl]MBING
Installed by Owner
PL1MBING FEES
of ES
Required
.41/L
)o Valuatlon
*
Name of Cornmunity or Public System
Name
Sq
SEWAGE
Site Inspec tion /l
WATER STIPPLY:
Well
FEES:
Bldg.
Weste Dlsp.
Plunblng
Plan Review
Moblle llone
3 surcharse
f;,*/z/ Fz
TOTAI
Ro- aroSpring
?, oo
0ther
Other
-e2 EK
Sewage
Connection
PLANS FURNISHED
[-)Q vrs NO
Signature of Appl ica*t(
Fee Recelved By:
{/.{'
Water
Connection
FACILITY PERMIT
?,ao I_RI NO
^/f'a7
Date:
Mln. Septlc Capacl Maxinum
Type of Constructi FLre Zone Urse Classificatlon
Bldg Setbacks - from Center of Road Rlght of Way:
rront 40' slde rnt. 5 s+d=Bntcriar-,
c55 - l2 LANE COUNTY DEPAR]]'{ENT OF ETWIRONMENTAL
Zor:e
{
PIANNING:DATE:.?r ,TION
h
DATE
7
Depth-
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