HomeMy WebLinkAboutPermit Building 1975-05-14IANE COUNT" BUITDING
BUILDINGi' MHll
PERMIT OR MOBILE HO. .: USE PERMIT
PERMIT NO.
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT+
EXISTING STRUCTURES ON PROPERTY
APPt.
NAME
&
MAITING
ADDRESS
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System New System !
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN
SEWAGE DISPOSAT
PUBUC n sEPTlc TANK tr OTHERE
PLUMBING INSTATIED BY
OWNER E OTHER, NAME
BUITDING
WASTE DISPOSAL
PTUMBING
PI.AN REVIEW
PARK TRAILER
TOTAT
F EES WATER SUPPTY
PUBUC tr tr OTHER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTI[. EASEMENT
BLDG. SETBACKS
rRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT, SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BI.DG, PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOLDENROD
Call 687-4065 to schedule oll required inspeclions' All construc'
tion sholl comply with Uniform Building Code, D.E.Q. slondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulotions covering
plumbing. All buildings require o cerlificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMTT ON MAIN BrDG. AT SIIE)
LANE COUNIY, DEPT. OF ENVIRONilENTAL A.{ANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 97,10Ironv =655-13
BU ILO INC ,S ITE EVALUAT I ON \9 T s
SUBD I I S ION:
LOT:
APPL I CANT B nl
'ObrAxLor
()
()
BUILDING PERMIT APPLICATIoN N0. Ua/ - -<-
SITE INSPECTION
PLANNING DIVISION Not
A Ii le
Zon i ng 0rd i nance Cornp I iance: Zone
Subdlvision 0rdinance Compl iance
CKID BY:
Setbacks-Trorn CII of road:Front :2a
Side Exterior
BL0CK:_
DATE
I
2
3
4
5
No Yes
fl t6()
()
()
Reoui red Accessguitalng Site (Area, }Jidth, Frontage)
Other (see cornments)
Setbacks from int
Side ,
erior I ines:-' A.--ERear59€
COI{HENTS:
I}[NG: Y
. Plans Submitted
. Soi I Stab i I I ty (foot i ngs )
. Flood Plain
. 0ther (see corments)
rT APPL I CAT I
Not
Appl i cabl e
7
8
9
0
r]
[l}q)
No Yesr) 3f
( ) (t)
() ()
() ()CK'D BY:-7i
COI'IMENTS:
UATER POLUTION CONTROL
ll. l{eets Department of Environmental
Qual ity Standards.
12. Other (see conrnents)
Not
li le
)
No Yesr) rT
()() cKrD 7{
DATE
COHHENTS:
TO APPLICANT:
Your Building / Site lnspection:
Can be approved.,w \4/())Cannot be approved at this time as indicated on item
Questions and furt her information on items I through
PLANNING DI ON stions and further information on items 7Que
N0" above.
5 contact the LANE-
c
t contact t e E BUILDING ATION DIVISIO
( ) uri I I be held in this of ce unt you can reso vet P I ems
c55-28
(
Your bui ldin
cated.
ls being returned.
rmi t I ication f is bein
NTAL ENT
135 Sixth Avenue East Eugene Oregon l/
PHONE | 687_4065
LANE COUNTY PLANNING DlVlSlON PH0NE:687'
40r
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,t
BUILDING INSPECT!ON DIVISION
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tft. lfldrtr ol trrnch, c
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ilu(N COUIIITY ENVIRONMENTA- {ANAGEMENT PLOT PI,AN
Name and Address of 0t^rner
Telephone:
The building being.consEructed under thls permlt wtll be used for
Do you now, or did you ever own proPerty adjacent to thls tax lot? If so, please
list those tax lot numbers or draw titose properties on the plot plan below'--
Indicate on your drawing
the property, as well as
the location of all homes (including mobile homes) now on
the location of the new buildlng.
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Name of Applicant (lf dlfferent from owner):
Address
Telephone
Map
Tax Lot
Applicantts Interest: BuYer
M74-99
Agent Permit //
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I.ANE COUNTY I
BUtLDtNG Ll
BUIIDING PERMIT OR MOBIIE HOr USE PERMIT
PERMIT NO.
PRO OWNER
MH
MAITING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY TOCATION _ INCI.UDE POST OFFICE
PROPERTY TEGAL DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APP[.
NAME
&
MAITING
ADDRESS
IEGAI. 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 Existing Sewoge System
TYPE CONSTRUCTION se. FT
New m
BDRMS VALUATION
SEWAGE DISPOSAT
PUBTIC N SEPTIC TANK tr OTHERN
PTUMBING INSTALLED BY
OWNER N OTHER: NAME
FEES WATER SUPPTY
PUBUC tr E OTHER
BU ITDING
WASTE DISPOSAL
PTUMBING
PLAN REVIEW
PARK TRAII.ER
(
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN- SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIT. EASEMENT
BLDG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CIASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BLDG. PERMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUII.DING _ GREEN
SANITATION _ GOLDENROD
Call 687-4065 to schedule qll required inspections. All conslruc-
tion sholl comply with Uniform Building Code, D.E.Q. stqndords
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 BLDG. AT SlrE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironu=655-13
$--
SITE INSPECTION
Ap pnov E o
Rruanr s
DrsnppRovro Dare I ruspecroa
FOUNDATION INSP toN
AppRov ro
Reuanxs
oo,,{- } ?-flJ-,^,,,,,a
o*Q-
FRAM I NG
Appnovro
ReuaRx s
I NSPECT I ON
Dr sappnovEo oor, .{- 2 e 4,f rrsee croR
LATH OR SHETTROCK
Apenovro
Rrtt nRx s
I NSPECT I ON
DrsappRovro V Darr,I Nspecron
FINAL INSPECTION
Ap pRov e o
Rruanx s
Dr slppaoveoffi oor{' / 2 'U{ rNspe croR
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
REuaRx s
Nor REAoY ro lssue Dar e I NSPEcToR
/t0l-7t /t{q 2LJ ?
D
Drsappnovro V
PERMIT /T
NOTE: NO PERMIT WII BE ISSUED I]NTIL THIS APPLIC.ATION HAS BEEN APPROVED
APPLICATION FOR:
CONSTRUCTION MOBILE HOME PLAN REVIEW C}IAJ.IGE OF OCCUPANCYt
OWNER
CONTRACTOR
gb33
Ad S Clty Phone
Name Address
Lot
Clty zip
Census Tract
Phone
35-
O. S. REG. /I
"--QATrop..Section
Subdlvlslon
ACCESS T0 PROPERTY (Road Name)
Existing Structures on Property:
Property Location - Address/Directions
o"t-L-froperty Acreage Wldth-Depth-
Code
Lot B1
\A
Below for Offic Use
Valuat
6
Sq. Ft.
SEWAGE
Site Inspection
WATER SIJPPLY:
Well
B1dg.
waste Dlsp.
Plunblng
Plan Revlew
Moblle Ilone
12 Surcharge
Spring
Existing Sewage Disposal
Pub11c
Other ComunJ.ty
PLUMBING:
Installed by Ormer
PLiJMBING FEES:
// of Fixtures
Name of Conmunity or Public Systen
Name
tem
Other
Sewage
Connectlon
Water
Coflnectlon
,ll PLANS TURNISHED
YES
Signature of
Fee Received By:
FACILITY PERMIT
YES
Date:
CASH NO
TOTAL
Min. Septic Capacl ield - Lineal Fee
lYpe of Construc Flre Zone Use Classiflcation
Bldg Setbacks - from Center of Roa{ Right of Way:
Frcnt 2? Side Inr. 6 7'1V sid,e Exterior
8al €
LANE COI]NTY DEPARI},IENT OF EIWI
Rear
'f-I
DATE:DATE:
7
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