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