HomeMy WebLinkAboutPermit Building 1974-08-27I tANE COUN* BUIIDING PERMIT OR MOBIIE HG,riE t.tsE PERMIT
PERMIT NO.t6t5-7t+BUILDING MHE
PRO RTY OWNER MAILING ADDRESS PHONE
PHONE
41
MAITING ADDRESS
Sourx
CONTRACTOR
..:
PROPERTY TOCATION _ INCIUDE POST OFFICE
Sour* ltrxlo?5
PROPERTY LEGAT DESCRIPTION _ METES,BOUNDS
Wt lulngrrs lhNsn Zno AoP lT loNt-or p Blocr 2
TAX LOT NO CODE CENSUS TRACTRANG E SECTION5.4.1 + ?74a/
EXISTING STRUCTURES ON PROPERTY
HouseAPPt.
NAME
&
MAITING
ADDRESS
l0l) Sourn Jlrx
LEGAT ACCESS TO PROPERTY
Spn tHcr tELD, ORrcoru
PROPERTY SIZE _ TT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERM ITS ONLY
Connecl lo Existing
TYPE CONSTRUCTION
m New mI
BDRMS VALUATIONNo. of Bedrooms
STRUCTURES TO BE BUILT THIS PERM SQ. FT
i0
PTUMBING INSTATTED BYSEWAGE DISPOSAT
PUBTIC
BU ITDING
WASTE DISPOSAT
PTUMBING
PLAN REVIEW
PARK TRAII.ER
I
SEPTIC TANK OTH . OWNER OTHER: NAME
WATER SUPPI-YFEES
PUBUC tr tr OTHER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICA TIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIELD REQUIRED
TIN. FT TRENCH WIDTH FT.OR SO. FT.
BuTI.oIHo MAY BE OVER DRA INL INg.Courrv wtLL Nor BE RESPotlcttLE FoR FAILURE or SYgrEl'l
OR OAiltAOE TO ADDITION CAUSEO BY ILLCGAL CONSTRUCTION
OCCUPANCY
tJ
ZONE PUBTIC UTII-. EASEMENTTYPE OF STRUCTURE
:
BIDG- SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION
4r SIDE INT. 'SIDE EXT REARrRONT
AUTHORIZED SIGNATURE _ DATE
'ri. rr S. PErnrsrx/smr lrAR tA.N
DATE
/ r/ ,1. E.Blzt/t\ ou
BIDG. PERMIT - WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PIUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOI.DENROD
Cott 587-4065 to schedule oll required in:poclions. All construc'
tion sholl comply with Uniform Building Code, D.E.Q. stqndqrds
IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering
plumbing. All buildings require q certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMTT ON MAIN BLDG. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6}h, EUGENE, OREGON 9740Ir"*' =_tlr. _'i -'
(
)
)
)
Itz
I 00'
t
)
---r-tg
-\_
/f
BUILOING S ITE EVALUATION K r /\ **!_s b .rAx LoT_
CENS"( TRACT
0) t td tr)
APPL I CANT:
Nr\l{E
AOD s
P }ION E
DATE
)
C}r
)
()
Bu i ld ing Perm it App I icat ion No. ,,;
S i te lnspect ion
Pre-Permit lnvest igat ion
LANE COUNTY PLANNING DEPARTHENT NOT NO
Efr't icab le ---
()
(l
NA}IE
l. Zoning 0rdinance Compl iance(Zone_)
2. Subdivision 0rdinance Compl iance
3. Requ i red Access
4. Bu ild ing S ite (Area, }Jidth,
Frontage, Setback)
5. 0ther (see comments)
()
()
(
)
()
()
()
()
()
()
(
)
()
)
COH}IENTS:
EUILDlNG INSPECTION SECTION NOT NO
"ppt icable()()
YES
r#/
NAHE DATE
6. Plans Submitted
7, Soil Stabil ity (footings)
8. FIood Pl a in
g, 0ther (see Conrnents)
(
(
)()
()
()
()
()
)
)-2
COHHENTS:
SAN ITAT I ON SECT I ON
10. Sewage Disposal
I l. Usable Area
12. Water Supply
13. 0ther (see Comments)
COH}4ENTS:
aool icable**rT-()
()
()
()
NOT YES[q
()
()
()
()
)
)
)
TO APPL ICANT:
'il,'
n-]}6" i; Your Building Permit / Site lnspection:\
. ' V) Can be approved
/.!'' ./( ) Cannot be approved at this time as indicated on item N0.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANN ING DEPARTHENT. Quest ions and further informat ion on it6; 5
throug h l3 contact the Lane County Building and Sanitation Division.
t./ill be held in this off ice until you can resolve the problems indicated.
ls being returned.
Your buitaing p"rrit appl ication fee is being returned under separate cover
above.
)
)
)
I,ANE COUMY PT.A,NNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 9740L
Phone (503) 687-4L86
LANE COUMY ENVIRONMENTAL I"IANAGEMENI
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
c55-28
(
()
YES DATE
DATE@/tr
IANE COUN-', BUltqlNG
BUTLDTNG I MH n
PERMIT OR MOBITE HdME USE PERMIT
PERMIT NO.t6
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAII.ING ADDRESS PHONE
PROPERTY TOCATION _ INCTUDE POST OFFICE
PROPERTY TEGAL DESCRIPTION -METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAITING
ADDRESS
LEGAT ACCESS TO PROPERTY
I
tEGrrcL8r &ffi PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge Sysrem ! New System I
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN
Aot---\\Ut-t -\ rr*'..t
SEWAGE DISPOSAI PLUMBING INSTATI"ED BY
owNER n oTHER: NAMEPUBTIC
BUILDING
WASTE DISPOSAT
Pt-UMBING
PLAN REVIEW
PARK TRAILER
TOTAI
SEPTTC TANK tr
FEES WATER SUPPLY
PUBUC n tr OtXrn
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAT.
DRAIN FIEID REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTI[. EASEMENT
BI.DG. SETBACKS FT. IROM CTR- OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
I
AUTHORIZED SIGNATURE - DATE DATE
BLDG. PERMIT _ WHITE
.OFFICE COPY _ WHITE
louNTY TAx - ptNK
ATUMBING _ CANARY
suil-otNo - GREEN
SANITATIoN _ GoLDENRoD
Ccll 687-4065 to schedule qll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulotions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POsT TH|S PERMTT ON MAIN B[DG. AT SITE)
I.ANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu 1t 655- 13
r-II
\
OTHERN
I
SITE INSPECTION
Ap pnov e o
RrNanxs
Dt sappnoveD Dare
i5,
I nspecron
FOUNDATION I NSPECTION
APPROVED
REua Rx s
D r sarpnoveo Dare I Nspecron
FRAMING INSPECTION
AppRov E o
(a
Re ulnr
IA DtsrPPnoveo Dar r 3- 7d I Nsprc R
L.
LATH OR SHEETROCK INSPECTION
Appnoveo D DrsrppRoveo /-a
ReMaRx s
Dar r I tsercton
rINAL INSPECTION
Ap pRov e o
Rruanx s
3- vdDrslppnovE, D Dar I NspEc
CERTIFICATE OF OCCUPANCY
Rraov ro lssuE
REMARK S
D Nor Reaov ro lssuE D Dare
//$'- 7 u /oy,3- 5 3?q
I uspecron
./4
4ra^tr
PEm'{rr/t lLlS -lf
IANE COUNTY Building
DPARIMB{I OF IIWIROM{ENIIAL MAI{AGEM$U }4cbile Hcme
APPLICATION FOR zuILDI]G PERMIT OR }4OBII.E HCT,IE USE
No permit will be issued until this applicaEicrn has been approved.NOIE
PLEASE PRINI
PROPRTY I.OCATION .3 O.
Tr^rP 1 5 RAIGE ) sB.c. 6, /, 'TAX Lm /l
2_ SIEDr\ISION I e
ACCESS TO PROPRTT
DESCRIBE HflSTIIG STRUCTURES ON II{E PROPRIY v{.:* =.}.'"'
CCDE CENSUS TRAST
,nof &
I I'2- OR ACREAGE
APPT,IC.A}U
MME )n0
I{AILI}G
ADDRESS
ADDRESS
7t ,3
NA},IE Sele PITONE
Structtres to be builtA'Icbile llcrne sq. ft /lbedroons vah:ation
5
Seroage l}J-sposal
Site hspection 1t Exis ting se,,iage disposal systsn il or nerrr systen required D
t,trater STPPIv:
tubric E bi-strict nerre t lt, /1" - {fft OUofe r l{ell [] Sprrng I Outrer
B1dg.
Waste Dis.
Plurrbing
Plan Revimi
Ttailer
/ 6.'-- Fees
Phrbi4glInstalled by
'%'ff?**."
0nlner Nare
fee
I^Iffi
inspection fee
t%sr-rdrarge_ " /E) [Cash Plans fw'nished Facility Perrnit
Tsnc - frr<-
TOIAL
Min. Sep
with dist. box: Gallons
I [] Ored<
Signatwe of App3a, l6 Fee received
ty
Lineal Feet
YesE Ib D Yes fl
da@{-\6,-?q
-llYsrchorSq. Ft
c55-L2
SE
Rear 7-one R-=d
BIgd. setbacks-tt
Front
. fron center of road right of way
Side ht. 5' Sifu E:<terior
Lor No. ?-1
Pt{cNE Q,/ 78Y O L