HomeMy WebLinkAboutPermit Building 1975-06-10/qq7-7s
PERMIf /fL\k
NOTE: NO PERMIT lfltt BE ISSI,ED UNTIT TMS APPLIC.ATIOT.I HAS BEEN APPROVED
APPLICATION FOR:
CONSTRUCTION MOBILE }IOME PLAN REVIEW CHAI.IGE OF OCCUPANCY
OWNER
Name Addr zlp
O/4
Nane
Sec
/Iot o2.1rY1
")
r (l'Tax Lo c_L9D.O_,Code
B1
Phone
#REGo. s.
Tt^rp Census Trac
o"t3a
-rroperty
Acreage w ldthfZ:oepth-&:Subdlvis ion
ACCESS T0 PROPERIY (Road Name)*^ 'nf oPtF 2p.
Exlstlng Structures on Property:
Property Location - Address/Dlrectlons:
tltur)
Below for off
Sq. Ft.Valuatlon
SEWAGE DISPOSAI
Slte Inspectlon #-
WATER SUPPLY
Well Spring 0ther
Existing Sewage Dlsposal System
Public
Coumunity
ew System Required
Nane of Courmunity or Publlc Systen
FEES
B1dg.
Waste Dlsp.
Plunbtng
Plan Review
Moblle Hone
1Z Surcharge
TOTAL
Mln
2 '-o t)
PLUMBING:
Installed by owner
PLTN{BING FEES:
CASH
Dra
o Name
of Fi,xtures Sewage
Connectlon
FURNISHED
Slgnature of
Fee Recelved By:
- Lineal Feet
Water
ConnecElon
FACILIfi PERMIT
YES fq-o-
Date
Maximum Dep rh
NOS
Tank Capacl
o
t/
Type of Construct Group FLre Zone Use Classiflcation
Bldg Secbacks - frm Center
rro.,t 4S side rn
of Road Right of I,Iay:
r. 5/
cs5-r2 I.ANE COUNTY
Side
OF ENVIRONMENTAL
s'ZoI]e
rrr-PIANNING:DATE:
lcs
TE:
-f
,77-
-27:TT fficx
4"u 4,
LANE COUNTY
BUTLDTNG i--',
USE PERMIT
PERMIT NO.
/v'/7 "/
r !41- t:BUILDING PERMIT OR MOBIIE HOME
MHE
MAITING ADDRESS
t7t8 sen rNcDALr Fuar N r Oercrx
PHONE
CONTRACTOR MAIIING ADDRESS
0rr. Srnrer EucEHE, Oneoox
PHONE
PROPERTY I.OCATION - INCI.UDE POST OFFICE
lltr r 1 Jl,* Sj;r:rlorJrir Drr rv,, :
PROPERTY TEGAT DESCRIPTION -METES, BOUNDS
Sec Aeotttsx FlnrDrlu Br-oix ? (or a3
17
RANG E S ECT ION TAX LOT NO CODE CENSUS TRACT
2 t-200'4'Z l+5oo
Ht C Coxornucrtsr Co
EXISTING STRUCTURES ON PROPERTY
Hous rAPPL.
NAME
&
MAITING
ADDRESS
Srxr
I.EGAI. ACCESS TO PROPERTY
PROPERTY SIZE - FT.
DEPTH AREA
Connect to Existing Sewoge System f New System I
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN
1Genree516
SEWAGE DISPOSAT PI.UMBING INSTALTED BY
PUBTIC
BU ITDING
WASTE DISPOSAL
PTUMBING
PIAN REVIEW
PARK TRAITER
TOTAT
SEPTIC TANK OWNER OTHER: NAME
WATER SUPPTY
PU BI.IC OTHER
F EES
$ | .1
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT,
t
OR SQ. FT
FUr rc Coxsrnucrror ytrxtx l0 rrer oF THE Srvrce DlSFosAL Svsrrx:
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTII.. EASEMENT
BLDG.
FRONT
SETBACKS FT, FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
CLASSIFICATION
REAR :
/s/ J. 8..
AUTHORIZED SIGNATURE _ DATE
Snoox/srxtrARtArt
DATE
OLH
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING - CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Call 687-4065 to schedule oll required inspeclions. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stqndords
IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posr rHrs PERMIT oN MAIN BIDG. AT slTE)
LANE COUNTY, DEPT. OF ENVIRONMENTAT IviANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I
ronu t c55-13
PROPEi-
OTHERE
*--ff
' n>rr
{< 5l eg ->
*Singt*n,
t.F
_qv
f,
,r'
/
I
O $ss,ege '\Nas€o
6,e+?e
..t
,?o
v4
l-?
,//4
BU!LO st E EVALUATION
1{eu !LDING PERHIT APPLICATI0N nO. t447'F
( ) srrE rNsPEcrtoN
PLANNING DIVISION Not
Appl i cabl e'%ii
tase) ( )()
COI{I{ENTS:
*r /7 -(-93-s ZZ-{AAr Lor-@o-
SUBDIVISION:
LOT:BLOCK:
APPL I CANT
DATE
l. Zoning Ordinance Cornpliance: Zon,
2. Subdivision 0rdinance Compl iance
3. Requi red Access
4. Bui lding Site (Area, width, Fron
5. 0ther (see cornments )
No Yesr) TD- 6
iiitl()(0
CK'D BY
Setbacks om o
Front
Side Exterior
Setbacks from interior I nes:
S ide
Rear
BUILDING INSPECTION D !VIS ION Not
I icable
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
l O. 0ther (see conrnents)
COMMENTS:
)
)
)
No Yes
1-l 8() ()
() ()CK!D BY:
I'ATER POLUTION CONTROL
I I . l{eets Department of Envi ronmental
Qual ity Standards.
12. 0ther (see cornments)
COI,I}4ENTS:
Not
Applicable No ICI
()
r)
()CK'D BY:
DATE
TO APPL ICANT:
Your Building / Site lnspection:
t'" ) can be approved.-'( ) Cannot be approved at this time as indicated on item N0"_ above.
Questionsandfurtherinformationonitemslthrough5c6i.i,5ffi_na-
COUNTY PLANNING 0lVlSlON. Questions and further information on iteilfi
through l2 contact the LANE C0.UNTY BUILDING ANO SANITATION DlVlSlON.
( ) L/ill be held in this office until you can resolve the problems indicated.
( ) ls being returned.
_ t t vorr uri tat"s* ".,,?,?,,fj1+?*9gi!,g,,I?Furged ul-Ce.t:. sspp-rcte iagll--
' -'E liv i nb[MEfr t[-[ffiffi[f,5-ffi
135 Sixth Avenue East Eugene Oregon 97401
PHONE | 697-4055
LANE C0UNTY PLANNING DlVlSl0N PHONE: 582-4185
c55-28
F
LANE COU
BUILDING I-l
NTY BUILDING PERA/iIT OR MOBILE HOME USE PERMIT
MH E PERMIT NO.
PROPERl ( OWNER MAITING ADDRESS PHONE
fr
CONTRACTOR
j
MAILING ADORESS PHONE
PROPERTY TOCATION _ INCTUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO.CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPI..
NAME
&
MAITING
ADDRESS
LEGAT ACCESS TO PROPERTY
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existi Sewo e System New System Itr
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT BDR MS VALUATION
SEWAGE DISPOSAL PLUMBING INSTALTED BY
PU BtIC
BUITDING
WASTE DISPOSAT
PTUMBING
PI.AN REVIEW
PARK TRAII.ER
SEPTIC TANK OTHE OWNER OTHER: NAME
WATER SUPPTYFEES
PUBTIC N N OTHER
TOTAL
COUNTY BUILDING & SANITATION SPECIFIC,ATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAT.
DRAIN FIEI"D REQUIRED
TIN- FT TRENCH WIDTH FT.OR SQ. FT.
A
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIt. EASEMENT
BLDG. SETBACKS FT. FROM CTR
FRONT SIDE INT.
OI ROAD RIGHT OF WAY
SIDE EXT.
USE CLASSIFICATIONI
REAR
AUTHORIZED. SIGNATURE _ DATE DATE
BLDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Call 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
II/IPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.\. ^:, , {S"" Detoils on Reverse Side)
(POST THIS PERMTT ON MAIN BrDG. AT S!TE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Iroav .t 655- 13
S!TE INSPECTION
AppRov E o
Rru.r.Rr< s
Dr sappnoveo Dar e I ruspecton
I
FOUNDATION INSPECTION
AppRov eo
Rruanxs
D r sappnovr o F7 Dare c '!- n-/ V lruspecro
0 6
FRAMING INSPECTION
AppRov e o
Rr vaRx s
D DrsappnovEo D Drr r I NspecroR
LATH OR SHEETROCK INSPECTION
Appnovro
ReurRr s
n Drsappnove o F1 Darr llrspe cron
FINAL INSPECTION
Ap pRov e o
Reuanx s
Drslppnoveo Derr f'b- f 5'I wspEcton
CERTIFICATE OF OCCUPANCY
Rerov ro lssuE
Rruanx s
Nor Rraov ro lssuE
/ 4(7 -75 ,e)/7/tr
Dare I rspectoR
L
ry
t