The URL can be used to link to this page

Home My WebLink AboutPermit Building 1974-10-03COT]NTY pwwt2_.040^14 Building Ibbile llcnreDPARIMM{I OF },IAMGEMMII }OIE: PLEASE PRINI PROPERIY I.OCAITON APPI,ICATION FOR zu]IDI}G PEBMIT OR }4OBILE HC},IE USEI\o permit will be issued urtil ttris applicaticrn has been aprproved. 4 o TI,IP I 7 RAI\EE t/4 sEC. /q rlu( r.or ttJ?a O ffiE r0r rw. lo Brrcct(SIIBDNrISION AccESS ro pRopRry il, SZZ DESCRTBE H(ISTIIG SIRUMURES ON II{E PROPRIY APPLICA}II MME WIDTII DEIIT CENSUS IRACT S OR AGREAGE rL OsPaP ADDRESS 3 d. ErcNE il MME L*ilz OailgP c ICT I Oil C.o , ADDRESS Iitructtres to be built/Mobile Hcrne sq. ft /fbedroons vak:ation Aadrhavr ix, l\rvct S-o @- lto.ro .7,)ql,zo So^aage llisposal Site Inspection #Exis ting soniage disposal systsn f_-1 or ner^r systan required D Water R:b1ic District Itlare I,le11 ! Sprrng lll Otlrer Bldg. l.Iaste Dis. Pluubing Plan Revierai Trailer Fees lt lestalled by G^ner Other litrane: of fixttres inspection f"?-.arar*sPection ,""r" * Fees Sex,er connection I^Iffi 1%sr.rchargeruJ TUIAL Plans fi::nished Facility Perrnit Yes".ffNo Signa ttre of App Fee received daEe/o ) 'f wiflr dist. box:lrts Lineal Feet r Depth or Sq. Ft tructure cmter way se S Front Trloe Q-l c55-L2 40 Side Int. 5 -trd l Pfi.ubing Plurbing4+ SUPPLEMENT TO BUILDING PERMIT NO. i Lone County, Oregon I II OWNER CONTRACTOR ING ADDRESS 2L (s AJ B) ILING ADDRESS +K-cPROPERTY ADDRESS I ADDITION:tr OORRECTTON: C CHANGE RESULTS IN: ,5 REFUND OF FEE, OR E ADDTTTONAL FEE: BUILDING SEPTIC TANK SANITARY CONNECTIONS $ '\\ I\/a,tq, TOTAL DATE FEE PAID LANE COUNTY DEPT. OF HEALTH & SANITATION 4 tru Cash Checku -l supplement N9 1Bl6 St, tu e ( I.ANE COUNTY -UIIDING PERMIT OR MOBITE HOIV.- UsE PERMIT PERMIT NO.BUILDING I ]MHI PROPERTY OWNER MAILING ADDRESS ti PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANGE SECTI ON CODE,4.e - LOT NO*6.iooTAX CENSUS TRACT Lere Coxsriucr roH Co.,/DEFoRREgT EXISTING STRUCTURES ON PROPERTY {EAPP[. NAME & ntArUNG ADDRESS I.EGAI ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge TYPE CONSTRUCTION New m BDRMS VALUATION m STRUCTURES TO BE BUILT THIS PERMIT.;:SQ. FT SEWAGE DISPOSAT PUBUC tr SEPTTC TANK OTHERD PI.UMEING INSTAITED BY OWNER n OTHER, NAME s F EES WATER SUPPTY PUBr-rC tr ! OTHER BU IIDING WASTE DISPOSAI PTUMBING PLAN REVIEW PARK TRAITER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIO NS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIELD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT:-l B|-DG. SFTBACKS FT. FROM CTR. OF ROAD RTGHT OF WAy .:tFRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR J AUTHORIZED SIGNATURE _ DATE J Snoox/sAN r i,r DATE BTDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING - GREEN SANITATION _ GOTDENROD Coll 687-4065 ,o schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IiAPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detqils on Reverse Side) (posr THIS PERMIT ON MAIN BIDG. AT SITE) I.ANE COUNTY. DEPT. OF ENVIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I FoRM = C55-13 BY INSTALL.-: cy Constructlon hrtotle/r .o^" R0 (!E" /), Att,,t e t lon. to ri la St SIITCX (Sre iurrroinr): N 7b Itl{, FOR USE OF SANtTAIt*t( ONLY: System opporenrty ;,n A rtfiT"t-; floa .EJL lr sutt 70 tNDtcAm NOnTHttty onrcTtoN Signoturc -a frnctbn rtisfioctorily, ond is tfierefore opproved 'or'o..rfon.fiOo \t, Remorks Do a, l*rEry oxrx-orr't* IAI,'If ATIAN ro 88 PEflMIT oorc lfll)c ll t?rY To U_r frC io -tl - 7c/ /0 iact au ruoine s ire EvALuAT IoN Wn bpc {0 -{6*7q roroo ( ) Building Permit Appl ication No. ( ) Site lnspection ( ) Pre-Permit lnvest igat ion 2o q o *71/NA}'lE ADDR .1S , TJ_LR t-l cENsus 1Zs l1 r ACT Ax Lor 2q0O APPL I CANT: PHONE DATE NOT NA}lE DATELANE COUNTY P LAN N ING DEPART}IENT I . Zon ing 0rdinance Compl iance Zone aool icable*rr(( ( () dn F () Subdivision 0rdinance Compl iance Requ i red Access Bu ild ing S ite (Area, t'Iidth,- Frontage' Setback) 0ther (see comments) ( () ) () ( 2 3 4 5 () (( )) COHHENTS: BUI LDING INSPECTION SECTION NOT NO EiI't icable --r)() YES (, () 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in g. 0ther (see Conments) COHMENTS: () () () () ()'/3-'? SAN ITAT I ON SECT I ON t0. I l. 12. 13. Sewage Disposal Usable Area Water Supply 0ther (see Conrnents) NOT NO le -() YES DATE /'E/7./( () ()) ) () () ) ) TO APPL ICANT: $rili r Building Permit / Site lnspection: Can be approved. 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 DEPARTHENT. Questions and further information on items 5 t rou g contact t Count Buildin and San i tat i Division. Will be held in this o I s be i ng retu rned. ce until you can resolve the P lems indicate d. Your building permit application fee is being returned under seParate cover. () () () I,ANE COI'NTY PIANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4L86 I"A,NE COUNTY ENVIRONMENTAL },IANAGM,IEM 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4065 c55-28 NO YES NA},IE DATE COI4}4ENTS: LANE COUNTY --JILDING PERMIT OR MOBILE HOM. ,JSE PERMIT BUILDING fI MH E PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS ,)|.r t PHONE PROPERTY I.OCATION - INCLUDE POST OFFICE PROPERTY TEGAI DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT L EXISTING STRUCTURES ON PROPERTY IAPPT. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existi Se e TYPE CONSTRUCTION m New System ! BDRMS VA LU ATI ONSQ. FTSTRUCTURES TO BE BUILT THIS PERMIT d siN\\ SEWAGE DISPOSAI.BY OTHERE Nii\ -N\OTHER: NAMEPUBTIC BUITDING WASTE DISPOSAI. PTUMBING PLAN REVIEW PARK TRAILER (FEES ATERt- PUBUC n fl orHER \^ II TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIETD REQUIRED TIN. FT , TRENCH WIDTH FT.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 I DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule qll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords ITYIPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SlrE) TANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 97,{OI ronu:C55-13 SEPTIC TANK OWNER SITE INSPECTION Appnov r o Rrmp.nx s Drslppnoveo Darr I rusprcton FOUNDATION INSPECTION AppRov E o Dr sappRoveo Rrua Rx s Dar r a- SPECTOR FRAMING INSPECTION APPROvED ReNanx s OR SH Ap pnov r o Rrunnxs I NSPECT I ON Dr sappRoveo D*, lt.1/9-7( Dar e I NSPEc dl,L r"Qt I Nseecron FINAL INSPECTION Ap pnov e o RrManr s Dt sappnoveo oorrf J--t*rr I Nsetclo CERTIFICATE OF OCCUPANCY Reaov ro I ssue RruaRx s D Nor Rraov to lssue D Dare I xsprcron 9 o Yo '7f D" f-"df "? { 6t 2, a7-(1 D Drsrppnovrc D LANE COUNTY BUTLDTNG I BUITDING PERMIT OR MOBIIE HOME -.SE PERMIT MH tr PERMTT No. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAI. DESCRIPTION -METES, BOUNDS RANGE SECTION TAX LOT NO CODE CENSUS TRACT 6 EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PR,OPERTY SIZE _ TT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System ! New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAT PUBLIC tr SEPTIC TANK N OTHERE PTUMBING INSTAIIED BY owNER n oTHER: NAME FEES WAIER SUPPTY PUBLTC n N OTHER BUILDING WASTE DISPOSAL PTUMBING PLAN REVIEW PARK TRAIIER $ TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEI.D REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTII.. EASEMENT BI-DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BLDG. PERMIT _ WHITE oFilcE coPY - wr-ilTE COUNTY TAX - PINK PLUMBING _ CANARY BUITDING _ GREEN SAN ITATION _ GOI.DENROD Call 687-4065 to schedule qll required inspections. All construc. tion sholl comply with Uniform Building Code, D.E.Q. stondords Ii,IPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BIDG. AT SITE) IANE COUNIY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I FoRM =C55-13 SLAB FLOOR PLUMB I NG GROUNII4,ORK Ap pnov e o Rrurnx s Drsappnoveo Drr e I rus pr croR GAS PIPING GROUND/ORK Ap pnov E o Reua nx s D DrsappRovEo D Dare I ruspecron ROUGH PLUMBING APPRovEo /X* Drsaepnoveo Reua nr s Dat e -t 5+'I Nspecton ROUGH GAS AP PRoV E D RruaRr s PIPING DI SAPPROVED Dar e I rsprcron F I NAL PLUMB I NG APPROVED B DISAPPROVED Re urnr s o or, /2 -2r'74r Ns pe cron FINAL GAS PIPING Ap pRov r o REuanx s DISAPPROVED Dnre I NspEcton CERTIFICATE OF OCCUPANCY Rraov ro lssue Reuanxs D Nor Rraov ro lssue D DorE-I xspecron D D IANE COUNTY JIIDING PERMIT OR MOBIIE HOMU JSE PERMIT BUTLDTNG I MH I PERMTT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAT DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY raAPPt. NAME & MAII.ING 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 Existin TYPE CONSTRUCTION SQ. FT m New System BDR MS VALUATION SEWAGE DISPOSAI. PUBUC ! SEPTIC TANK n oTHERn PLUMBING INSTALIED BY OWNER ! OTHER: NAME BU ITDING WASTE DISPOSAT PLUMBING PI.AN REVIEW PARK TRAII.ER FEES WATER SUPPTY PUBUC n tr OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIELD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE ! BI.DG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUII.DING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspeclions. All construc- tion shqll comply with Uniform Building Code, D.E.Q. stqndords ITUPORTANT: for subsurfoce sewoge disposol ond county regulotions coyering plumbing. All buildings require o cedificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THrs PERMTT oN MAIN BrDG. AT SITE) LANE COUNW, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Iroeu Jic55-13 SLAB FLOOR PLUMBING GROUNO/ORK Ap enov r o D r sappRovro I r.rs pE cronDare Rruanxs GAS PIPING GR0UND^/ORK AP PRov E o REuanxs Dar E I Hspecron ROUGH PLUMBING Appnove o tfl DTsAPPRovED+...r Reua nr s Dar -22 I Nsprc ROUGH GAS PIPING Appnovro Reurnr s Dr sappRoveo Drr s I NsptcroR F I NAL PLUMB I NG APPRovEo R DrsaepRovro D ,or@fi* Reulnx s SPECTOR FINAL GAS PIPING Ap pnov e o Rruanx s D DrsrpeRove, D Dnre I HseEcron CERTIFICATE OF OCCUPANCY Rraov ro lssue RruaRxs D Nor Rraov ro tssuE D DarE I HseecloR D DrsappRovro D