HomeMy WebLinkAboutPermit Building 1973-04-16>TANE CC-'\TY
BUILDING 1
BUITDING PERMIT OR MOBItt OME USE PERMIT
PERMIT NO.MH 3
RTY OWNER MAILING ADDRESS PHONE
Sher.mrn, Petcr 2
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
Third Addltlon l{c Konzlc l{anor Lot 7 Block 13
PROPERTY TEGAL DESCRIPTION _ METES, EOUNDS
t7
RANG E
3
SECTIONg,3,2 E*?',dbo CODE CENSUS TRACT
2l -l 00
Krumdiack 8ros.
EXISTING STRUCTURES ON PROPERTY
Dr,vel I I ngAPPt.
NAME
&
MAITING
ADDRESS
274 Pslk St.
TEGAL ACCESS TO PROPERTY
tugene, uregon
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge
TYPE CONSTRUCTION
New
B DRMS V ALU ATI ONSTRUCTURES TO BE BUILT THIS PERMIT
Additlon to Dwelllng
se. FT
480 12 5,760
I Plunblnq Flxturc
SEWAGE DISPOSAI.
PUBTIC tr SEPTIC TANK N oTHER!
PLUMBING INSTALTED BY
OWNER E OTHER: NAME
BUITDING
WASTE DISPOSAT
PTUMBING
PTAN REVIEW
PARK TRAITER
TOTAT
$: FEES WATER SUPPTY
PUBLTC n N OTHER
s_
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: cA[.
DRAIN FIETD REQUIRED
LIN. FT TRENCH WIDTH FT OR SQ. FT.
CONNECT TO EXISTII{G SA'AGE DISPOSAL SYSTE}I. NO PAiT OF ilEY CO}ISTRUCTION TO BE OI'ER AXY PART
EXlSTlt{c SEIrAGE DISPoSAL SYSTEH"
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT
RA
BI.DG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
sroe rNr. b I P. U. E groe exr. &0 ! REAR
USE CLASSIFICATION
AUTHORIZED SIGNATURE _ DATE DATE
Isl J-t Boss by Harbauqh John Crulckshenk,ll-16-73
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UA4BING _ CANARY
BUILDING - GREEN
SANITATION _ GOTDENROD
Conslruclion to comply with uniform building code ond county
covering plumbing ond sewoge disposol. All buildings requireof occuponcy before being occupied.
(See Stotement on Reverse Side)
reg u lotions
o certificqte
(posT TH|S PERMTT ON MAIN BrDG. AT S!TE)
IANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
ronv !1 655- 13
B U I LD J,G S ITE EVALUAT I ON r_/ 7,
f,ENSUS
a o3s
TH'A'fr
=itXBuilding Permit Appl ication
Site lnspection
Pre-Permit lnvest igat ion
*"6j-ffi NA},I
ADDRESS
PHONE
DATE
(
NA}lEk ?ryrs
NOT NO
Eii'l icab le -
YES DATE
Zon ins ord inance i}r"r;,Zts )-rr
Subdivision 0rdinance Cornpliance ( )
Requ i red Access
Bu i ld ing S ite (Area, Width,
Frontage, Setback)
Other (see comments)
)
()
\
2
3
4
5
)
()
)
() (
() (
(())
CO}II.IENTS:
BUILDlNG INSPECTION SECTION
6. Plans Submitted
7. Soil Stabil ity (footings)
8. Flood Pl a in
9. 0ther (see Cornments)
NOT NO
I6t icable -
YES
y{
()
()
)
)
()
rr
(Y
il
DATE
(
()()//- /t " f'r
COH}|ENTS:
SAN ITAT I ON SECT I ON
Sewage Disposal
Usable Area
Water Supply
0ther (see Comments)
NOT NO YES
xA
A
NAt"lE
aool icable-*Tr-()
)
)
I0.
il.
12.
13.
tr
()
()
()(
TO APPL ICANT:
Your Building Permit / Site ln;pection:
\X can be approved. rle q/t
( ) Cannot be approved at this time as indicated on item N0.above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTI4ENT. Questions and further information on items 5
Lane Count Buildin and Sanitat ion Divis ion
f ice unt you can resolve the p ems ind i cated.
(I s be i ng retu rned.
( ) Your building permit appl ication fee is being returned under seParate cover.
through l3 contact the
l.Jill be held in this of)
)
I,I\NE COUNTY PLANNING DEPI\RTHENT
| 'lr, 5 i xt lt r\v'ente f as 1 , t tt<1erte, 0re<;on 97401
I'llrlNl : llrl'-llll tXl.'.'il
LANE COUNTY BUILDING S SANITATION DIVTSION
135 Sixth Avenue East, Eugene, }regon 97\01
PH0NE: 142- I 3l I EXT. 4l I
2 TAX ti ^
d -?
Z-z B- /3w
()
LANE COUNTY PLANNING DEPARTHENT
NAI'IE
/
DATE
COI'1}4ENTS:
i'i
-
I.ANE CC
BUILDING
- Iry BUITDING PERMIT OR MOBITE CME USE PERMIT
PERMIT NO.
E
PROPERTY OWNER
MH
MAITING ADDRESS
af
PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY I-OCATION _ INCTUDE ICE
PROPERTY TEGAL DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO,CODE CENSUS TRACT
rt EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAILING
ADDRESS
TEGAT ACCESS TO PROPERTY
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System I New System !
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT # BDRMS VALUATION
i xtur
SEWAGE DISPOSAT
PUBUC tr SEPTIC IANK n OIHERE
PTUMBING INSTALIED BY
OWNER E OTHER: NAME
FE ES WATER SUPPTY
PUBr.rC fl D OTHER
BU ITDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAITER
$
TOTAI.
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIELD REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT.
i,t
I
TYPE OF STRUCTURE OCCUPANCY ZON E PUBTIC UTII. EASEMENT
BLDG. SETBACKS
FRONT
FT. FROM CTR. OT ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
BI.DG. PERMIT_WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UMBING - CANARY
BUITDING _ GREEN
SANITATION _ GOTDENROD
Conslruction to comply with uniform building code ond county regulotions
covering plumbing ond sewoge disposol. All buildings require o cerlificole
of occuponcy before being occupied.
(See Stotement on Reverse Side)
(posT THrs PERMIT ON MAIN BIDG. AT SITE)
ronr.r Jtc55-t3
IANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
$_
SITE INSPECTION
Appnov E
Reuanxs
I ruspecron
6:L/:C9 Z
FOUNDATION I NSPECTION
Appnov Eo
RruaRxs
D Drsappnoveo V DarE I Hspecton
FRAMING INSPECTION
App nov e o
Rrulnxs
D DrsappnovEo D Dare I Hsercron
LATH OR SHEETROCK
AppRovEo
RexlRx s
I NSPECT I ON
D t sappRovEo DrrE I Hseecton
FINAL INSPECTION
Ae PRov e o DtslPpRoveo
Reuenx
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
REulRx s
D Nor Reaov ro lssuE D
Dar e P E CTOR
I ruspecroR
.iaq"{2))fl
Dar e
R t-t ea
I-
D r snppnovro Dare
D
-
ilorf/a:r 5-fu
LANE CE- ITY BUITDING PERMIT OR MOBILE OME USE PERMIT
PERMIT NO.BUILDING MH
PRO OWNER MAILING 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 PROPERTYAPPt.
NAME
&
MAITING
ADDRESS
TEGAT ACCESS TO PROPERTY
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge
TYP CONSTRUCTION
New m
BDR MS VALU AT I ON
m
STRUCTURES TO BE BUILT THIS PERMIT se. FT
4-3
SEWAGE DISPOSAT
PUBIIC tr SEPTIC TANK N OTHERE
PLUMBING INSTATTED BY
OWNER E OTHER: NAME
BUITDING
WASTE DISPOSAT
PTUMBING
PIAN REVIEW
PARK TRAITER
TOTAT
F EES WATER SUPPLY
PUBUC tl n oTHER
$
$-
COUNTY BUITDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CI,ASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
BIDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUII-DING - GREEN
SANITATION _ GOLDENROD
Construction to comply with uniform building code ond county regulotions
covering plumbing ond sewoge disposol. All buildings require o cerlificote
of occuponcy before being occupied.
(See Stotement on Reverse Side)
(posT THrs PERMTT ON MAIN B[DG. AT SITE)
TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
ronu :t 6 55 - 13
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT.
i-
SLAB FLOOR
PLUMB I NG GROUND/ORK
Ap pnov e o
Re ltanx s
Dr sappnovEo Drrr lr'rSPrClOn
GAS PIPING GROUND/ORK
Ap pRov r o
REuanxs
D r sappnovEo Dare I ruspecron
ROUGH PLUMBING
APPRovEo D Drsappnove, D
REue Rx s
Dar e I nspecron
ROUGH GAS PIPING
AppnovEo D DrsappRovru D
ReurRx s
Drr r I Nsprcton
FINAL PLUMBING
Appnov E o
Rruanr s
DrsappnovEo Darr I Nseecton
F I NAL GAS
AppRoveo
Rr uanx s
P IP ING
D r slppRovro Dare lNsprc.ron
CERTIFICATE OF OCCUPANCY
Rraov ro lssue
RruaRx s
D Nor Reroy ro tssur D Dare I Nspecron
D
IANE COUN
PERMIT TYPE - BUILDING
BUILDING PERMIT OR MOBITE HC
V MoBILE HoME r--- osc REG. #
.E UsE APPIICATION
PERMIT + s
PROPERTY OWNER MAITING ADDRESS
S'fkzru*z/4-rz'r<2-2y' Sea#I -ar/
CONTRACTOR MAII.ING ADDRESS
L
PROPERTY ION _ INCTUDE POST OFFICE
c
PROPERTY LEGAI. DESCRIPTION
I.OT_BI,OCK-SUBDIV.
{
METES .
ATTAT
TWP RANGE sEc.Z3 rAx ror #CODE CENSUS TRACT
I '')3 )-l-/ o o
KAo, n.r*zl Sazt
DESCRIBE EXISTING,STRUCTURES
Pcz e/l.a.-ON PROPERTY IF ANYAPPI.ICANT
NAIAE
AND
I A|UNG
ADDRESS
27
PROPE SIZE_WIDTH DEPTH AREA
//a y/2a
Number of Bedrooms Connect lo Existinq Sewoqe Syslem d,New System Req. fl
STRUCIURES TO BE ITT THIS PERMIT TYPE CONSTRUCTION se. FT. # BEDRooMS v
SEWAGE DISPOSAI
PUEUC f1 SEPTIC TANK E
PTUMBING INSTATTED BY
owNER ! Orrr* Ed*,7
OTHER TI
BIDG.
WASTE DIS.
PTUMBING
PTAN REVIEW
PARK TRTR.
TOTAT
<L nO
.7 po
FEES WATER SUPPTY
PUBTIC
(PTANS FU
YES
FEE
FACITITY PERMIT
NOOTHERNOYES
PTUMBING FEES
*/ rtxrunrs I DATE
-7
DA
?
BYCASH E
CHECK FEE
PERMIT
PUBTIC WATER
CONNECTION FEE
COUNTY BUILDING & SANITATION SPECIFICATIONS
AAIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIETD REQUIRED
TIN. FT. TRENCH WIDIH FT.OR SQUARE FEET
s
NDole
REAR YARD BTIC UTIt.TYPE OF STRUCTURE
BLDG. SETBACKS _ FT. FROM CTR. OT ROAD RIGHT OF WAY
FRONT SIDE INT
Direclions to Find PropertY:
torm t css-12
,?u
EXT REAR
USE CI-ASSIFICATION
Dole
COPY I _ OFFICE
COPY 2 - JOURNAT
COPY 3 - AUDIT
3gu.,z
Dote BLDG. INSP.
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