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HomeMy WebLinkAboutPermit Building 1973-05-16IANE COUNTY BUTLDTNG I PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE RTY TOCATION _ INCTUDE POST OFFICE N RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAII.ING ADDRESS LEGAT ACCESS TO PROPERTY t PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE No. of Bedrooms RMITS ONLY Connect to Existing Sewoge System ! New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN ,ERMIT AREA SEWAGE DISPOSAT PTUMBING INSTAI.LED BY PUBIIC BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAITER SEPTIC TANK FEES OWNER OTHER: NAME WATER SUPPTY i!!!c ! E oTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTI[. EASEMENT BIDG. SETBACKS FT. FROM CTR, OT ROAD RIGHT OF WAY FRONT SIDE INT SIDE EXT, USE CTASSIFICATION REAR AUTHORIZED IGNATURE _ DATE DATE BLDG, PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING - CANARY BUILDING _ GREEN SAN ITATION _ GOI.DENROD Construction to comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificoleof occuponcy before being occupied. (See Stotement on Reverse Side) (POST THIS pERMtT ON MAIN BrDG. AT S!TE) IANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu !f655-13 JILDING PERMIT OR MOBILE HOME UsE PERMIT MH tr PERMTT NO. rrr Pt rcF- SpntNcr ?E- oTHER! OR SQ. FT. N \l/- rl$s \ rD -, \ \,) \tq\ \-l \ \\(c, r' ^\n ( IF7 t 6 N[\h I a0-[q r-, 0'."^(;1 o,tn,*g J x 6 - (a-$l+r I "s,^.*tide' {X{ ^?osLs \\,\erEL "rnt. &e^res i l, e,e^^^.{7t b,e $l.ooc ifl EMEil[fIF |il)5" \r\*,t fi t^,-c gLn+ eel^"tr.rt ( oof,i., MAY 10 1973 I.fiI{E COUNTY HTATTH UI{IT {43 - z8 Proi,ns"J , -fda rc- h 7'-oro. .,.c ,r* Jt l-to **' It-l'^ ,a-,*U rz-+ff |- I I TRA I LER HOSE CONNTCTION READ CARETULLY ) PIPE DTTAIL FOR SINGL t TRA I LER CONNECT I ON - (?) ./af roR frf or< I 6<0?4/o Z€rEl ( r )--0Use onE ]" cLEANour eLUG FoR TRAe coNNEcrtoN aruo !O DEGREE PLAST I C AOAPTER AT GROUND LEVEL SCREWED I NTO cLEAtour BoDy. CtIMP xosE sEcuRELy ro rHts ADApTER ANo ro AoAprER uNDER TRATLER ouTLET. lr tRap trsELF rs AT GRouNo LEvEL, cLEANour Booy AND !O oecete PLASTIC AOAPTER MAY BE PLACEO IN TRAP WITHOUT USING EXTENSION PIPE. TRrrrER sEwER HosE Husr Nor BE ovER TEN reer (tot) tN LENGTH. Coxuecrtot{s Musr BE GAs AND wATER-TtGHT. Talp MUST BE LEVEL AND CAN AE EXTENOEO NOT OYER FIFTEEN FEET ( 1r' ) FRoM vENr. Ar-l sEr/ER ptptNG Musr BE AT LEAsr rHREE rrucn (3" DIAMETER - MUST BE EITHER CAST IRON SETTER PIPE on A B t - PffirT? prpe S C H 40 D W V on P V C PLAsrlc prpe S C H \O OW V. FrtlINGS AND TRAp rusr BE or rHE sAHE },IATERIAL. Ma tN wlteR L I r{E HAy BE GAL vAN I zED, coppER oR pL Asr I c p I pE. R r sens xusr BE GALVANTZ€O OR COppER ptpE ONLY, USTNG TyO FAUCETS PLACED S I X I NCHES ABOVE GROUND LEVEL. Oxt ro coNNEcr pERMANENTLy ro TRAtLER, THE OTHER FOR OUTDOOR USE. Srnv rcE wArER L rNES |,tusr Nor BE sMALLe n rxrr.r 3/ll"ANo MUST BE pLAcED TEN reer ('l 0t ) FRoM ANy eART oF SE\./ER LINES At{O DtSPOSAL SYSTEtt. ;1" P r pE - 12 reEr ABovE GRouNo. Foun ptPE srRAps. L" x \" Croln posr 2j rrer lN GRouND. Two ]" Cueaxour PLUGs. our l" x ]" la/vr ABovE GRouNo L EVEL . Oxr ]" x ]" Loxc-Tunx Tee WyE. Ore J" P-Tnrp. ONe ]". Txneaoro pLAsrIc 90 DEGREE ELBor{. Tvo J/4" FAucErs. Ore 3/llt' Gr.vrx rzro Te e. rfa IttR (2) - -|2) )/2 FI ) /aFr c1)EI (8) It 4 r/of rOr< 7tlORE FT (r (? le Iz Iro(lo e?fJJ LANE COUNTY zulLDlllc AND SAN ITAT ION D IV IS ION couRTHousE, EIJGENE, OREGON I ( M55-01 -- ) T i Y R z_) -s bd,./ TAx CENS. TRACT LOJ 4ao Eiz--e-z4JAPPL I CA T:pl- arildins Permit App I icat ion No. 7/ 3 ' 73 NAI'IE ()S i te lnspect ion ADDR s PHONE( ) Pre-Permit lnvestigation DATE 10' LANE COUNTY PLANNING DEPARTMENT NOT NO YE NAl'lE DATE I . Zon ing Ord inance 2. Subdivision Ordin 3. Requ i red Access 4. Building Site (Area, }Jidth, 5. other (=." "ol,l:ll:i"' setback) COMMENTS: aool icable*-O.--( )) () ( ,-?a ) ) () () () () ( BUILDING INSPECTION SECTTON 5. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Comments) NOT appl icable NO YES NA}1E-rI-( ) *tl ()r) ()m () a () () )fi,/ti--2? COHMENTS: SANITATION SECTION Sewage Disposal Usable Area Water Supply 0ther (see Comments) NOT NO YES NAME I icable ()10. il. 12. 13. ( ( ()() () () ) () )J 5-/ COMHENTS TO APPL ICANT: Yougduilding Permit / Site lnspectigni \"{ Can be approved . i - r f-?> tr( ) Cannot be approved at this time as indicated on item NO. Questions and further info COUNTY PLANN ING DEPARTMENT above. tems I through 5 contact the Lane- and further information on i6,I 5 rmat ion on i . Quest ions through | 3 contact the Lane Count Buildin and Sanitat ion Division. ( ( ) wil I be held in this of ) t r be i ng retu rned. fice until you can reso ve the problems i cated. ( ) Your bui lding permit appl icat ion fee is being returned under separate cover. L/\N[ COUNTY PLANNING DEPARTMENT LANE COUNTY BUILDING S SANITATION DIVISIONlllr Sixt[r l\r'en0e East, Euqene, 0reqon 9740t 135 Sixth Avenue East, Eugene, 0regon g741l I'rl()Nt : trrl'-lill txI. t.it PH0NE: 342-t3ll ExT. 4l I BUI LD ING S ITE EVALUAT ION q DATE DATE LANE COUNTY-BUIIDING PERMIT OR MOBILE HOME USE PERMIT BUTLDTNG E MH tr PERMTT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY IOCATION _ INCIUDE POST OFFICE PROPERTY DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAII.ING 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 ISTRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN I#NU COUNTY SPECIAL PERMIT AREA SEWAGE DISPOSAT PUBUC tr SEPTTC TANK tr OTHER- PLUMBING INSTALIED BY OWNER N OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PLAN REVIEW PARK TRAITER TOTAT s FEES WATER SUPPIY PUBr.rC n tr OTHER COUNTY BUILDING & SANITATION SPECIFICATIO NS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT OR SQ, FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT, SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WH ITE OFFICE COPY _ \MHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Construction to comply. with uniform building code qnd county covering plumbing ond sewoge disposol. All buildings requireof occuponcy before being occupied. (See Stotement on Reverse Side) reg ulotions o certif icqle (posT THls pERMtT ON MA|N BLDG. AT S!TE) LANE COUNTY. BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ru !f655-', T SITE INSPECTION Appnovro Rrttenx s Dt snppRovEo Drre I Nspecron FOUNDATION I NSPECTION D DrsAPPRovEo V DarE I rusrectonAp pnov e o Rrurnxs FRAM I NG AppRov e o Rrunnx s I NSPECT I ON D r sappnovEo Dar r I NSPEcToR LATH OR SHEETROCK INSPECTION Appnovro RrnrRx s D r sappRoveo Dar r I useEcton FINAL INSPECTION oorr d-/1 - Y 3,"rr..ro"AP PRov E o Reuanx s Dr SAPPRovED CERTIFICATE OF OCCUPANCY REaov ro lssur D Nor Rraov ro lssuE D Do,e-lrusRrcron- Rrpla Rx s it/s -tt W1rr t o;r I -{ vt4 3 6'- /,f2 4 D D D IANE COUNTY NG PERMIT OR MOBILEJITDI-/ MH HOME USE PERMIT PERMIT NO,BUILDING PROPERTY OWNER MAITING ADDRESS PHONE PHONE CONTRACTOR MAITING ADDRESS PROPERTY TOCATION - tNCIUDE POST OFFICE PROPERTY TEGAI. DESCRIPTION -METES, BOUNDS TAX LOT NO CODE CENSUS TRACTRANG E SECTION EXISTING STRUCTURES ON PROPERTY APPI.. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY Connect to Existi Sewoge New m BDRMS VALUATION mNo. of Bedrooms TYPE CONSTRUCTION se. FTSTRUCTURES TO BE BUILT THIS PERMIT PLUMBING INSTATLED BYSEWAGE DISPOSAL PUBUC n OTHERN OWNER E OTHER: NAMESEPTIC TANK n FEES WATER SUPPTY(BUILDING WASTE DISPOSAT PtUMEING PtAN REVIEW PARK TRAII.ER PUBLTC tr tr OTHER TOTAT COUNTY BUILDI NG & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACIIY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTII. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT.SIDE EXT REAR AUTHORIZED SIGNATURE - DATE DATE BI,DG, PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITOING _ GREEN SANITATION _ GOI.DENROD Construclion to comply with uniform building code ond county covering plumbing ond sewoge disposol. All buildings require of occuponcy before being occupied. (See Stotement on Reverse Side) reg ulotions o cerlif icote (posT THrs PERMTT oN MAIN BrDG. AT S!TE) TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu Jf655-13 - I ruspectoR SLAB FLOOR PLUMBING GROUND/ORK Ap pnov e o REuanx s / / Drseppnovro ll Dare GAS PIPING GROUND/ORK Ap pnov r o Rruanxs / / DrsappRovEo fl Drre I NspEcron ROUGH PLUMEING Appnovro Reuanx s ffi-7-D r slppRovto Dar r '-7* 72 trrr..ro* ROUGH GAS PIPING Ap pRov r o Rruanr s / / DrsappRovro [l Darr IttspEcron FI NAL PLUMBING AppRoveo D Drsrppnovrc D Rei,ranxs Darr 13 I NsprcroR FINAL GAS PIPING Ap pRov e o Rruanx s Drsappaoveo Dare I NspEcron CERTIFICATE OF OCCUPANCY Reaoy ro lssuE Reuanxs Nor Rraoy ro lssuE Dare I rspecroRD LANE COUNTY BTIILDING PERMIT OR MOBITE HOME ,E APPLICATION PERMIT #PERMIT TYPE _ BUILDING T MOBILE HOME fIOSC REG.#-73 PROPE CONTRACTOR PROPERTY TOCATION TUDE POST OFFICE MAILING + MAILING ADDRESS 4 -?( PHONE METES&BOUNDSEYES PHONE PROPERTY I.EGAT DESCRIPTION tOT-BLOCK_SUBDIV. TWP RANGE ATTACHED NO SEC.TAX TOT CODE CENSUS TRACT -35- DESC E EXISTING STRUCTURES ON PROPERTY IF ANY I.EGAI ACCESS TO PROPERTY _ ROAD NAME OR Ara<o o APPTICANT NA,'AE AND MAITING ADDRESS d, PROPERTY S DEPTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCIURES TO BE BUITT IS PERMIT Connect to Existin Sewo e TYPE CONSTRUCTION o' mI orNew m BEDROOMS VATUATIONSQ. FT. I.ANE COUNTY SPECIAL PERMIT ABEA SEWAGE DISPOSAI.PLUMBING INSTATTED BY PUBUC ! B[DG. WASTE DIS. PTUAABING PIAN REVIEW PARK IRLR. SEPTIC TANK OWNER PLANS FURNISHED YES NO ,TURE OF EIVED BY OTHER NAMEOTHER WATER SUPPTY PUBI"IC PTUMBI - FIXTURES SEWER CONNECIION FEE FACITITY PERMIT FEES CASH CHECK OTHER YES DATE DATE 5 D-t) 4.tf PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIETD REQUIRED tIN. FT. TRENCH WIDTH FT,OR IOTAI. MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.FEET TYPE OF STRUCTURE OCCUPANCY BI.DG. SETBACKS - TT. FROM OF ROAD RIGHT OF WAY REAR YARD USE CTASSIFICATION PUBTIC UTIT. EASEMENT lorm t g55-12 Properly: --SIDE EXT.REAR { ,f-DoteDole BIDG. INSPDole IRONT 0 srDE INT Direclions lo Fi COPY I - OFFICE COPY 2 -JOURNATCOPY 3 - AUDIT -2