HomeMy WebLinkAboutPermit Building 1975-03-07IANE COUNTY *rLDlNG
BUTLDTNG rr MH E
PERMIT OR MOBITE HOMI -.5E PERMIT
PERMIT NO.
P OWNER MAILING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
7t+$-2421
PROPERTY TOCATION - INCTUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO E CENSUS TRACT
-la
EXISTING STRUCTURES ON PROPERTY
Dupl ex
APPt.
NAME
&
MAITING
ADDRESS
TEGAT ACCESS TO PROPERTY
h
PROPERIY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System I New System I
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN
3307.2O
SEWAGE DISPOSAI.
PUBTIC tr SEPTIC TANK D OTHERU
PTUMBING INSTAIIED BY
OWNER E OTHER: NAME
$FEES WATER SUPPTY
PUBLTC !! oTHER
BUITDING
WASTE DISPOSAT
PI.UMBING
PTAN REVIEW
PARK TRAII,ER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIEI-D REQUIRED
tIN. FT TRENCH Yr'IDTH FT OR SQ. FT
Strv l0 fcet frm ell partr of exlrtlng drelnfleld wlth ncu construction.
Resorvc rn arct for replacment of thc dralnllncg.
TYPE OI STRUCTURE OCCUPANCY
J
ZONE PUBI.IC UTIT. EASEMENT
BLDG. SETBACKS
FRONT :
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE lNT. P'-J i: SIDE ExT. .i
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOI.DENROD
Coll 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT THIS PERMIT ON MAIN BIDG. AT SlrE)
LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 97,{OIronu Ji 955- 13
(t)--aUlLDlNG PERlllT APPL lCATl0N N0.
( ) srrE lNsPEcrloN
PLANNING DIVISION
| " Zoning 0rdinance Cornpl iance:
2. Subdivision Ordinance ComPl ia
3. Requi red Access
4. Building Site (Area, t.,idth, F
5. 0ther (see comments)
-J 9 rr TIB LOT
SUBDIVISION:
Not
Aool i cabl ezon._BA_( )nce ()
()
rontage) ( )()
BLOCK:
trr"aU
cK'D BY d,ltrdz?l"t{
Setbacks f rqn c/l'of road:
Front
Side Exterior_K_
Setbacks from interiot I ines:
Side /t g2p-
OTL
APPL I CANT
DATE
No YesTII."7( ) (,)'()(+0|.-Y() ()
6
Rear a/4 ,
COHilENTS:
FUANIINc, DIVISION ACTMN PENDING:
BUILDING INSPECTION DIVIS !ON
7. Plans Submitted
8. soil Stability (footings)
9. Flood Plain
I O. Other (see conments)
rTAPP-rl cAT r
Not
I icable
)
)
)
No Yesr)ff()()
() ()
() ()CKI D BY g
COMMENTS:
b,ATER POLUT ION CONTROL
COI,II,IENTS:
ll. Heets Department of Environmental
Qual ity Standards.
12. Other (see comments)
Not
Applicable
(yr
YesrI
() ()()
Nor)
CKID BY:
(-
J.
DATE
^?f,
TO APPLICANT:
trtq'4
.Your-,,8u)t'c"n(') Can
ilding / Site lnspection:
be approved.
not be approv ed at this time as indicated on item N0 above.
Questions and further information on it
COUNTY N NG DIVISION Questions an
t rough 2 conta Ct thc LANE COUNTY
h 6 contact t e E
formation on items 7
t0N D lv ls l0
ce unt i you can reso vet ep ems I
ems I throug
d further in
I)ING AND sAN a
( ) t.lill be held in this of
( ) ls being returned.( ) Y"" b'ltdr"s iffift#ifht
I35 Sixth Avenue East Eugene Oregon 97401
ff$lt;rrffil-lffi-rNc DrvrsroN pHoNE: 687-4186
c55-28
cated.
IANE COUNTY
BUILDING _L-.[DING PERMIT OR MOBITE HOME --JE PERMIT
MH E PERMTT NO.3 7
PITOPERTY OWNER MAILING ,ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
fi+6-21+? I
PROPERTY LOCATION - INCTUDE POST OFFICE
|+ldr Orcgron
PROPERTY LEGAL DESCRIPTION : METES, -BOUNDS
RANG E SECTION TAX LOT NO.CODE CENSUS TRACT
35- l rrAI
EXISTING STRUCTURES ON PROPERTY
APPI..
NAME
&
MAITING
ADDRESS
LEGAI. ACCESS TO PROPERTY
Surth 39th,
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing
TYPE CONSTRUCTION
m New m
STRUCTURES TO BE BUILT THIS PERMIT se. FT BDRMS VALUATION
a
SEWAGE DISPOSAT
PUBTIC
BU ITDING
WASTE DISPOSAT
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK E
I
OTHERE
PI.UMBING INSTALIED BY
OWNER OTHER: NAME
WATER SUPPTY
PU BtIC OTHER
/)
I tl
oh
FEES
A.
0q
TOTAI.
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT
lt fr6 cll partn r
r Irr 'l r?mt of thr dmlnl
TYPE OF STRUCTURE OCCUPANCY
I
ZONE PUBI.IC UTIT. EASEMENI
BTDG. SETBACKS
FRONT
FT. FROM CIR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT-
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE
troi.y'rEnl tNrlan
DATE
J.E. iscl by *rrbru*h l-'l-i
BIDG. PERMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOTDENROD
Coll 687-4065 to schedule oll required inspeclions. All construc-
tion shqll comply with Uniform Building Code, D.E.Q. stondords
hIPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posr THts pERMtT oN MAIN BLDG. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT A.{ANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6rh, EUGENE, OREGON 9740Ironu = 655- 13
v
f
-un'*'i,
S!TE INSPTCTION
Appnov r o
R r u,r. Rr< s
C ayi:,!t,( firW lv a-,5
D r s lppnov Drr e
92 6"x3'fr|
E
FOUNDATION INSPECTION
Ap pRov E o
Rruanxs
Dr sappRovEo Dar E I ruspecton
FRAMlNG INSPECTION
Appnov r o
Re uanx s
Dr srppnoveo Dare I Nsprcron
LATH OR SHEETROCK INSPECTION
Appnovro
Rruacx s
Dnrr I HspEcron
FINAL INSPECTION
Ap pRov E o
Reua nx s
D t sappRovco Darr I ruspecroR
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
Rrt'taRx s
Nor Rraov to lssuE Dare
EI
/o/(07
I Nsprcron
lrusee clon--_
n DrsappRoveo f--a
3€d-7{
PERMTT /r 355#
NOTE: NO PERMIT WILL BE ISSUED I]NTIL THIS APPLICA,TIoN HAS BEEN APPRoVED
APPLICATION FOR:
MOBILE TIOME PLAN REVIEW
<t 3q1b.,qd, qr+tl 1z16- 3G8LOWNER
Name ess e
CONTRACTOR Korvo Br.W
ztp
qr+l
z..p
I
o.s. REG. /l
Address
Tax Lot
one
'1dth_Depth_
1\,rp L L Code census ,r^"r 3* 15?+
Subdivis ion
ACCESS T0 PROPERTY (Road Naroe)
B1o .,*E-{e,"Perty
Existing Structures on Property:
Property Location - Address/Directlons:
Slte Inspect 1on /l
WATER SUPPLY:
Well
FEES:
Bldg.
I'Iaste Disp.
Plunblng
Plan Revlew
Moblle Home
1% Surcharge
TOTAL
Spring Other
Sq
Exlstlng Sewage a1 System
Pub
ty
g
Nane of Conmunlty or Public Sy
Name
r t
t
PLUMBING:
Installed
PLTIMBING
CASH
8,-
----:LT
--F<={
Flxtures Sewage
ConnectLon
Water
Connectlon
FACILIfi PERMIT
YES
Date:
PLANS TURNISIIED
\'u'Signaiure of Applic
Fee Recelved By a-2*7
Mln.ic Tank 1e1d Fee DeP rh
)
Type of Construction Fire Zone Use Classiflcation
Bldg Setbacks - fron
wont4Ot s
Center of Road Right of Way:
lde rnt. 7'?O€ slde Exterlor n"". TtRJE zon" %
cs5- r?I,ANE C
4s f
DATE:TE:DATE:
coNsrRUCrro-\-
or New Systern Requlred f-_l