HomeMy WebLinkAboutPermit Building 1975-11-05LANE COU Y
BUITDII.IG ; I NXX
I]UILDING PER/^ OR MOBILE }
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MA[,tNC AOORESS
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V1E U5E PIRMII'
PtRMrr r.ro.29u-15
IR
NAER
Plt
Qrorir Qoo t rrar r -.O-aF.cnr.rELD
MAILING PHONE
11''
'SAME z\z-44:i
PROPERTY TOCATION - INCTUDE POST OTTICE' SourH Jlrn I N SpR I NGF I EL D
PROPERTY TEGAL DESCRIPIION - METES, BOUNDS,'''3no ADD tr toru WILLAMETT'E lrlar,lon Lor 2ll " Bl cox 2
RANG E ., coDE .CENSUS TRACT
8 a?-o6.)+.t 8\ol
APPL.
NAME
1&
Bauaen
Sn ur
EXISTING STRUCTU RES ON PROPERTY
llous
' TEGAL ,ACCESS TO P
39rH Srnerr
_fWeuoust' ' '.
'RoPERTY : .-i:i,:,,,,..,:.{,]:.
r ',1i17
MAII.ING
AODRESS
PROPERTY SIZE - fT.
WIDTH DEPTH
i - AREA
FOR MOBILE HOME PERMITS ONLY' No, of Bedrooms Connect to Exisling Sewoge System New System f
'.!: - ..'i., !.,..I PE RM I T
STRUCTURES TO BE BUILT THIS PERMIT
ron GneeNHousE
.TYPE CONSTRUCTION
se Fr @ ?.bO
BORMS VALUATIONSQ. FT
B x 10 BO $zz)+. oo
;, ii'l'l
SEWAGE DISPOSAI.
,PUBIIC EX , srrrrr,. ,o**OTH
Y, BUILDING
:i
,. WASTE DISPOSAL
i'pruMBrNG
PIAN REVIEW
TRAILERRCHARGE .l)
). l')
s IEES
PLUMBING INSTALLED BY
OWNER OTHER: NAME
WATER SUPP[Y,
PU BL IC OTH ER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[,
DRAIN TIETD REQUIRED
uN. fT TRENCH WIDTH FT OR SQ T
C)l( DASED oil pLor pLAiJ sutt4trtEo. l,lo flljr
10 rrrr or rHE DRA tr.Jr tELD
PE OF STRUCTURE
N
OCCUPANCY ZONE PUBTIC UTIt. EASEMENT
J
i;8I.OG. SETEACKS.. FT. TROM CTR, OF ROAD RIGHT OF WAY , usE ctAsstFlcATloN
l'4cKav r-cn Snoox TA IAN
FRONT t sror tNr SIDE EXT.')+REAR
']/, /
AUTHORIZED SIGNATURE _ DATE
J. t. Boss By llaReaucH
Coll 687-4065 to schedule oll re
tion sholl comply with Uniform
IMPORTANT: for subsurfoce sewoge disposol
plumbing. AII buildings require ,
, being occupied.
: (See Detoils on Reverr
: (POsT TH|S pERMtT ON MAIN BrDG. AT S|TE)
IANE COUNry, DEPI. Ot. TNVIRONMENTAI. MANAGTMENT
COURIIIOt/SE ANl.lEX, 135 iAST 6rh, EUCtll[, Orirooll 97101
DATE
rcluired inspeclions. All conslruc
Building Code, D.E.Q. slondord
ond county regulolions coverin,
o certificote of occuponcr,_t.:tot
J l.t
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
NTY TAX _ PINK
PIUMBING - CANARY
BUITDING _ GREEN
NITATION _ GOLDENROD
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I-ANE COIINTY ENVIRONMENTAI"- I'IANAGEMENT
Name and Address of Oroner
Telepltone:
The building being constructed under this permit will be used for
Date Ehis property was p urchased
Do you now, or did you ever own property adjacent to this tax lot? If so, please
list those tax lot numbers or draw those properties on the plot plan below._
PLOT PLAN
Indicate on your drawing the location of all homes (including rnobile homes) now on
the property, as well as the locaEion of the new building.
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Name of Appllcant (if different from owner):
Address
Teleph one Tax Lot
Applicantrs InLerest: Buyer
M74-99
Se11er Agent Permit i/
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a Ls$t'"/to* ,o, 0&/BUILDINQ S ITE EVALUAT ION
ffiutLDtNG PERHIT APPLlcnr[H No
( ) strE tNSPEcrloN
PLANNING DIVISION
Zoning 0rdinance CornPl iance: Z
r-6
SUBD lV r- I ON:
LOT:BL0CK:_
APPL I CANT
DATE
Not
I icable CKID BY -?g-
6. Setbacks rom c o
Front
$i+e{r*c+icr-)
)
)
(
(
(
I
2
3
4
5 II]T
Subdivision 0rdinance Compl iance
Requi red Accessguilaing Site (Area, Width, Frontage)
Other (see cornments )
cOitltENTS:
PmnN r N6 tr r v r s toN-AeTIOil
BUILOING INSPECTION DIVIS !ON
7. Plans Submitted
8. Soi I Stabi I I ty (foot i ngs)
9. Flood Plain
O. Other (see connnents)
-N0(TEPrmr r0T#
Not w()() c
Aool icable Nor)()
()
()
(r)
rll KID B 7-7d
COHI.IENTS:
b,ATER POLUT ION CONTROL Not
Aool icable. No Yesrc T)TT
()
I I . ileets Department of Envi ronmental
Qual ity Standards.
12. Other (see comments)() ()CKI O BY
DATE
CO}t}.lENTS:
TO APPLICANT:
Your Building / Site lnspection:
Can be approved.
Cannot be aPProved at this time as indicated on item
Questions and furt her information on items I through
PLANNING D!Questions and further inf ormation on itefr'il
t 2 con tact rhe LANE NG AND SAN T ON DIVISION
Will be held in this of ce unt you can reso vet Pr I ems n cated.
ls being returned.
t\'
"Hr()qn6-4
N0 - above.
5 contact the LANE-
Itfr,iii#t
135 Sixth Avenue East Eugene Oregon !7401
PH0NE: 687-4065
LANE COUNTY PLANNING DlVlsl0N PH0NE: 587-4186
rmit lica
c55-28
()
()
Your bui ldin
,lc rr
Setbacks from interior I ines:
S ide 1tRear -T-
I
"lil LANE COL' Y
DUtLDl.{G I t-nXX
IJUILDING PER/,1 OR MOBILE
.. /,1H-_.Tl
MAITII'IG, AODRESS
,ti.8.t Srpr rr
MAITING
ME USE PIRMIT.
l,t RMlr t.lo,29u-15
PHONE,,,.,
7\7-4t+37
IR
NAE R Sppr NG,F,.TELO Oernnrr
Sln,te
PROPERTY LOCATION _ INCTUDE POST OTTICE"SourH JlrH rru SpnrNGFIELD
PROPERTY tEGAI. DESCRIPTION _ ME]ES, BOUNDS,'Jno eoo rr roN V/tr-leurrrr N1aruon Lor 2)l' 'Br-coi 2
IrB RANGE
02
r SECTION , )r,. ,TAX LOT NO.
B)+or
. CODE ,CENSUS TRACT
06. ll. I
EXISTING STRUCIURES ON PROPERTY
APP!.
NAME
''' &
Baruarn
Saur
llo
, .. TEGAL ACCESS TO PROPERTY
3g rH Srne ET
MAILING
AODRE SS
PROPERTY SIZE _ TT.
WIDTH DEPTH
i . AREA
FO R MOBILE HOME PERMITS ONLY
o. of Bedrooms Connect to Exisring Sewoge System l-l New System f
STRUCTURES TO BE BUILT THIS PERMIT
T FoR GREerunousE
TYP,E CONSTRUCTION sQ. FT. # BDRI",!S VALUATIONl'
Penur B x to' Bosq'rr @ 2.Bo
i:.,t; t j:';i,i,,r,' '
SEWAGE OISPOSAT
PU Bt IC EX'orarrr,a ,o**
PTUMBING INSTALTED BY
OWNER E OTHER: NAMEOTHERT
FEES WATER SUPPTY,
PUBLIC D D OTHER
.;. BUILDING
,,i WASTE OISPOSAL
i'ptu,,aatNG
i.ptaN ntvttw
TRAIIERRCHARGE ,15
,,i,-: i rrJ
lrili
'i'll;:l' .'1.' ,.
).1')
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WIIH OIST, BOX; GAt.
DRAIN FIELD REQUIRED
I.IN. FT TRENCH WIDTH FT SQ. TT
OK Base D oN pLor pLAN suBM tirso. llo llu rr-DING TO BE CONSTRI.JCTFD 'J'ITHIN!
10 rrEr or rHE DRA trJF- |LD
OT SIRUCTURE OCCUPANCY ZONE
I,l I
BtDG.
TRONT
SETEACKS.. FI. TROM CTR,.OT.ROAD RIGHT OT WAY
45'SIOE INT SIDI EXT
AUTHORIZED SIGNATURE - DAT
Boss gy i.laReaucH
{ u5E CLASSTflCATtON
McKav ron HO N
____L REAR
'/r/ ,.
DATE
E
BI.DG. PERMIT - WHITE
OFTICE COPY - WHITE
Coll 687-4065 to schedule oll required inspections. All conslruc
tion sholl comply with Uniform Building Code, D.E.Q. stondord'
IMPORTANT: for subsur{oce sewoge disposol ond county regulolions coverinq, 'plumbing, All buildings require o certificote of occuponcy befor, I
. being occupied. , ,';:;il,; \wss Y . '-' ,. ,i,'i'iilil4;,;'i
(PO5T THIS PERMIT oN MAIN BLDG. AT slTE) ,l "':;iiijit;.
LANE COUNTY, DEPT, Of ENVIRoNMENTAL MANAGEIT1ENT . ' ;:l ;,.1i,..1*,1: .
, COURTTIOUSE ANNEX, 135 f;AST 6lh, EUGENE, oREGON 97101 . ' "
:"1,!{i{;b-.'
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PIUMBtNG - CANARY /
BUI|DING - GREEN --l
NTY TAX _ PINK
ITATION _ GOLOENROD
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PUBLIC UTIL. EASEMENT
-- !i-rtsil-... -: .-i--
SITE INSPECTION
AppRovro
Rrv,rnt<s
Drsappnovro D Dnrr I r.JsPecroR
:
;
FoLTNDAT tON I NSPtC.T t()t.t
AP PPov t D
Ret.tnnx s
t::l DrsnppnovEo T*J D^Tr lrusprcron
FRAMI NG I NSPECT ION
Appnovco D Drsapenoveo D DArE
ReurRx s
lNSPrcroR
LATH OR SHEITROCK INSPTCTION
Appnovro [a DrsappRovEo
RruaRx s
Dar e lusprcton
t,
.t'
F I NAL I NSPTCT I
APPRovtD
REMARK S
DrsappRoveo D Darc etulrsee ctoR
,1.'.
)
lr
:CIRTIFICATE OT OCCI]PAIICY
Rcaov ro I ssuE D llor RrAoy ro
Rtunnx s
Issur u Drrc
2 7 Fz -/"tr /r f I 4 *rz
lNspccron
1
,:
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NO PERMIT W.-- BE ISSUED T]NTIL THIS APPLIC,ATI-.I HAS BEEN ;!;X#'OZV$V<
APPLICATION FOR
MOBILE }IOME PLAN REVIEW
NOTE
CONSTRUCTION
I il - 41J7
Phone
OWNER
CONTRACTOR
zip
Name Address
Tax Lot
City zip Phone
o. s. REG. /l
)f*,
Y
Section 8 fO/ ""u"
Subdivls e Block a Census Tract
!rop erty Acreage lJldth_Depth_
{-lccnss
fr*i"ting
TO PROPERIY (Road Name)
Structures on Property:
Property Location - Address/Dlrections:
tlsl s s?/A
S.
r ice Use
Sq. Ft ValuatLon
SEWAGE DISPOSAI:
Site Inspection #
WATER
Well {",,,^"
Existing Sewage Disposal System
Public
other CoEmunity
or New System Required
Name of Cotrmunity or Public Systen
Name
FEES:
Bldg.
Waste Dlsp.
Plunbing
Plan Revlew
Mobile Home
12 Surcharge
TOTAL
5.-
PLLIMBING:
Installed by Owner
PLI]MBING FEES:
of
CASI{
PLANS FURNISHED
er
Sewage
Connectlon
Water
ConnectioII
FACILIIY PERMIT
YES
=;j5
YES
Signature of Applicant
Fee Received By:
ffi NO
/0-e{Date:
Min. Septlc Tank Capaei Drainfleld Required Maximum DeP rh
ctn:Lt')lauril&'lO 1 {}-, &t*a.;-r'J^lld )U 5
Iype of ConsEruc Fire Zone Use Classificat 10n
Bldg Setbacks - from Center of Road Right of
r.orrt 4S"-r' slde rnr. 'a /way:
SiJe+*crisr Rear
cs5-12 LANE COI]NTY D
ION:
OF ENVIRONMENTAL
7',Zone 3n
-v.?{LDING:/DATE DATE:DATE
,15
- Lineal Feet
Nz ,|rt a-fr./ r>.. aln da^- S-u L-rnl#, ,{.-- ll " l^-; o A *;o- !-b -[r.-
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