The URL can be used to link to this page

Home My WebLink AboutPermit Building 1973-12-24LANE COUNTY BUITDING PERMIT OR MOBttE HOME "<E APPLICATION PERMIT TYPE _ BUILDING PROPERTY I.OCATION - INCTUDE POST OFFICE MOBILE HOME f']OSC REG.# ITING ESS PERMIT CENSUS TRACT PROPERTY IF DEPTH PHONE & BOUNDS YES ATTACHED oo AREA E /tr r-r PROPERTY TEGAT DESCRIPTIONtoT-BtocK-suBDtv. TWP RANGE APPTICANT NAIAE AND MAITING ADDRESS 7 NO SEC.TAX TOT DESCRI BE STRUC' IZE_WIDTH ITING ADORESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms TO BE BUITT TH SQ. FTTYPE Connect to Existi Sewoge or New System R tr 'toN SEWAGE DISPOSAI.PI.UMBING INSTATTED BY PUBTIC BLDG. WASTE DIS. PI,UMBING PTAN REYIEW PARK TRtR. IOTAT SEPTIC TANK oTHER n OWNER FEES WATER SUPPTY PTANS RN ISHED PUBTIC OTHER NO PTUMBING FEES PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS OTHER NAME FACITITY PERMIT NOYES CASH CHECK d ,TURE OF MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIELD REQUIRED tIN. FT. TRENCH WIDTH FT OR SQUARE FEET L4 f s TYPE OF STRUCTURE 5A/ "H ZONE REAR YARD PUBTIC UTII.. EASEMENT PA BTDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CI,ASSIFICATION Form # css-tz SIDE EXT -tREAR , a/4 -// NDole a Dote B[DG. rRONT SIDE INT. 5I Dote7- I .?3 Directions to Find Property: COPY I _ OFFICE COPY 2 -JOURNAICOPY 3 _ AUDIT /-s, 7-7oa.-- w BU I hD lNc S ITE EVALUAT l0N y/ r a.yJ Buildins Permit Appt icat ion No.;!uZ?cZZ S i te Inspect ion Pre-Permit Invest igat ion LANT COUNTY PLANN I NG DEPART},IENT NOT ? )( () () ADD PHONE DATE NO YES (+ Dr\TE appl icable Zon i ng 0rd i nance Comp I i ance (zone RA ) 2 Subd iv is ion 0rd inance Comp I iance 3. Requ i red Access 4. Bu i ld ing S ite (Area, b/idth, Frontage, Setback) 5. 0ther (see comments) -rI-() ?r () (f () ef .tt () ) ) () () ()) CO},II'1ENTS: BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) B. Flood Pl a in 9. 0ther (see Conments) NOT appl icable YES t() () () ) () () r) (4 ftr NO NAHE DATE t, ()lz-Aa" 7,7 CO},IltlENTS: SANITATION SECTION 10. Sewage Disposal I l. Usable Area 12. l./ater Supply 13. 0ther (see Conrnents) COHH ENTS NOT app I j gqq_!_er] NO YES ) () () ( () ( ()) )(( DATE TO APPL I CANT: Yo,ur Building Permit / Site lnspection:(n Can be approved . /2-,"* -73 b,/-( ) Cannot be approved at this tinre as indicated on iten, N0 above Quest ions and further infornrat ion on itenrs I through 5 contact the Lane- COUNTY PLANNING DEPART}IENT"Quest ir:ns .rnd turther infornration on itd; 6throuqh l3 contact the Lanr. Cou U1_g*gj I d ilg_-g(5an i r at ion D i v i s ion. i I you can reso I ve I lre p rob lenrs ind i catr,,j. n fee is be ing returned under separate crrr'€[. ( ) wil I be held in this of I C(' Unt ( ( ) t o be i ng retu rned. ) Your bu i ld inq pernrit app I ir. at io LANI: COUN.I Y t'T /\NN ING DEP/\RTHENT ,it 5izrtlr Avcrrue Iast, Eugene, 0rcgon 97!'Ol l'[crNE 3t12..t,llt Ext. 211 IAN[. COUN].Y I]tJILDING 6 S/\NITATION DIVISION 135 Sixt,h Avgrrur: East, [uqerr,,, 0reqon 9740lt l,lloNr . 142- tlta txT. 4r r -Ii5s:18 -- r/n CEN R CANT: LOT Wl/pa*424 t *,1rouNAfiE NAI! E tz I tf' ()( ) ,--.- IANE COUNI BUTtDTNG [] }UILDING PERMII OR MOBITE HO. MHN USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY I.OCATION _ INCI.UDE POST OFFICE PROPERTY LEGAT DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING ADDRESS tEGAt 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 Existin Sewo TYPE CONSTRUCTION New 'stem BDR MS VALUATIONSQ. FT SEWAGE DISPOSAT PUBTIC fI SEPTIC TANK oTHERn PTUMBING INSTALIED BY owNER n oTHER: NAME BUITDING WASTE DISPOSAI PI.UMBING PTAN REVIEW PARK TRAITER TOTAT I EES WATER SUPPTY PUBHC n N 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 PUBLIC UTIt. EASEMENT BI.DG, SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT USE CI.ASSIFICATION SIDE EXT REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PI.UMBING _ CANARY BUITDING _ GREEN SANITATION - GOTDENROD Conslruction to comply with unif orm buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. code ond counly regulotions buildings require o certificote s I (See Stotement on Reverse Side) (POST THrS PERMIT ON MAIN BLDG. AT SrTE) TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu #c5s-t3 fl E LANE COUN1 BUILDING T JUILDING PERMIT OR MOBILE HOrr,c USE PERMIT MH I_I PERMIT NO, PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI,UDE POSI OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO,CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAII.ING ADDRESS I.EGAT ACCESS TO PROPERTY ll PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBITE HOME PERMITS ONLY No. of Bedrooms Connect to Existi Sewo e I New BDRMSSTRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ FT VALUATION SEWAGE DISPOSAT PUBLIC fl SEPTIC TANK N oTHER!OWNER T] PIUMBING INSTAI.IED BY OTHER: NAME BUI[DING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAILER FEES WATER SUPPI.Y PUBUC tr N OTHER cou NTY BUILDING & SANITATION SPECIFICA TIONS MIN. SEPTIC TANK CAPACIIY WITH DIST. BOX: cAt. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT.OR SQ. FT. I TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIt. EASEMENT BI.DG. SETBACKS FT. FROM CTR OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT.SIDE EXT,REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION - GOTDENROD Construction to comply with uniform building code ondcovering plumbing ond sewoge disposol. Alf buildings rof occuponcy before being occupied. (See Stotement on Reverse Side) lcounty regulotions require o certif icote (POST THIS pERMtT ON MAIN BLDG. AT SITE) ronu If g55-13 LANE COUNTY, B[DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I - SITE INSPECTION I Ap pnov r o Rruanx s DrsAPPRovEo D Dare I ruseeclon a- FOUNDATION INSPECTION AppRov eo Reurnx s DTSAPPRovED Dar e I rusprcton FRAM I NG A ppRov e o RetalRx s I NSPECT I ON Dr sappnovro t;att i-77-7 1 I NS PE croR LATH OR SHEETROCK I NSPECT I ON Dr srppnoveo Dat e I NsPEcroRAPPRovEo Rruanxs FINAL INSPECTION D r s APPRovEo o^,, /-tr-?/I NsPEcroRAPPRov Eo Reuanx s CERTIFICATE OF OCCUPANCY Reaov ro I ssuE ReuaRx s Nor Relov to lssue I 4.372,-7 /€t t Drr r I NSPEcTOR