HomeMy WebLinkAboutPermit Building 1975-02-07HC UsE PERMIT
PERMIT NO.
2 (5 -1<
IANE COUNT--SU: ^-XlBUILDING
ITDING PERMIT OR MOBILE
MHtr
Rrv !/rnren
I
MAILING ADDRESS\':l
MAITING ADDRESS
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Spnmrsrtglo 0nrcpx
PHOt.I E
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
I -. r ,!'
PROPERTY TEGAL DESCRIPTION _ METES. BOUNDS
''. l'l' 'i''l'-r' ;,Lor l0 Br.ocr 3
RANG E SECTION
?\
TAX LOT NO CODE CENSUS TRACT
t1
tCrllv Scr r nren/Rrv L/rnxsn
EXISTING STRUCTURES ON PROPERTY
Ui{ELL I NG
APPt.
NAME
&
MAITING
ADDRESS
I ll30 t'toxlur Stto?
tEGAt ACCESS TO PROPERTY
UcHu Avexug
SrRtxor tEuo, Onsoox
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existi
TYPE CONSTRUCTION
m New m
BDR MS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT
Aootlron Feutlv Roox
se. FT
tBo e t6.lo 3 $zr254,oo
SEWAGE DISPOSAI
PU BL IC 3 Ex tsrsrpttc 1aNx n oTHERn
PTUMBING INSTALLED BY
OWNER n OTHER: NAME
BUILDING
WASTE DISPOSAI.
PLUMBING
PLAN REVIEW
PARK TRAILER' :'' ci' (,:
TOTAI.
-d+3 a4.zl+
FEES WATER SUPPTY
PUBUC tr tr OTHER Rn t xgotr Wltgn Dr sr :
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT.OR SQ. FT.
Ho Panr oF AoDtrror{ To BE pLAcED }lrxtx 5{ or SEP?IC TANK Oi IOI OF SET'AOE DRAITTIELOO
TYPE OF STRUCTURE
5N
OCCUPANCY ZONE PUBTIC UTIt. EASEMENT
AGT
BTDG. SETBACKS . FT. FROM CTR. OF ROAD RIGHT OF WAYttrlFRoNT SIDE INT. I J SIDE ExT.
USE CIASSIFICATION
REAR 5'.
AUTHORIZED SIGNATURE - DATE
Rov Bunxg/tmtrrntrx z/tlts DATE
BTDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UMBING - CANARY
BUILDING _ GREEN
SANITATION - GOTDENROD
Coll 687-4065 to schedule oll required inspections. AII construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
III^PORTANT: for subsurfoce sewoge disposol ond county regulotions covering
plumbing. All buildings require o cerlificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posr rHrs pERMrr oN MAIN BrDG. AT slTE)
IANE COUNW, DEPT. OF ENVIRONMENTAL MANAGEIAENT
COURTHOUSE ANNEX, I35 EAST 6Ih. EUGENE, OREGON 9740Ironv !1 g55-13
PROPERTY OWNER
CONTRACTOR
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RESEIVED
FEB 0 51975
Elttr$Est3*XIT'*''
16 f'..5
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IANE COUNT' ]UITDING PERMIT OR MOBILE HO.
BUTLDTNG []' MH E
UsE PERMIT
PERMIT NO.
PROfERTY OwNER MAITING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY LOCATION - INCLUDE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS trt lO 1gefi t
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
Yrr,lv lrnrrryt/Brrr lr*rgr EXISTING SIRUCTURES ON PROPERTY
.b,
APPT.
NAME
&
MAITING
ADDRESS
tl30 ttilu* m}u'LEGAL ACCESS TO PROPERTY
Srn\i.iliL.r Ortror PROPERTY SIZE - FT.
WIDTH DEPTH AREAFOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existi ng Sewoge System I New Syslem DSTRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATIONABortro: ftrtrr Fror tlo t i6.to 3 ln'tJt
SEWAGE DISPOSAI.PTUMBING INSTALTED BY
PUBI.IC , SEPTIC TANK OTH
BUII.DING
WASTE DISPOSAL
PLUMBING
PtAN REVIEW
PARK TRAILER
. FEES
OWNER OTHER: NAME
WATER SUPPTY
PUBTIC
AI
COUNTY BUILDING & SANI TATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
tIN, FT TRENCH WIDTH FT OR SQ. FT
I I ll :
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIT. EASEMENT
BTDG. SETBACKS FT. FROM CTR. OT
IFRONT SIDE INT.
ROAD RIGHT OF WAY
SIDE EXT.
, USE CTASSIFICATION
REAR
UTHORIZED SIGNATURE _ DATE DATE
BI.DG. PERMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PIUMBING _ CANARY
BUILOING _ GREEN
SANITATION _ GOTDENROD
Call 687-4065 to schedule oll required inspecrions. AII consrruc-tion sholl comply with Uniform Building Code, D.E.e. stondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Deroils on Reverse Side)
(POST THIS pERMtT ON MA|N BLDG. AT S|TE)
IANE COUNTY, DEPT. OF ENVIRONMENTAI. MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Ironu 11 655 - 13
tr OTHER
SITE INSPECTION
AP PRov E D
REuaRxs
D DrsAPPRovEo D Darr | ruspecron
FOUNDATION INSPECTION
AppnovEo D Dtsappnoveo
Rruanx s
Da;r e lruspr IO
L '?G
FRAM I NG
AppRov ro
Rrulnx s
INSPECT ION-
/// / DrsAPPRovEo oo-,, / '9 Y-7J-I rspr rJ'; /,
LATH OR SHEETROCT
Apeaoveo d
RrNrRx s
I NSPECT I ON
Drsappaoveo F1 Dare,:P ,t I NsPEcroR I t,
FINAL INSPECTION
D r s APPRovEo oor, ,7- 74 '7'S'
I NsPEcr RAP PRov E o
Rruanx s
CERTI F I CATE OF OCCUPANCY
Reaov ro lssue
RruaRx s
D Nor Rrrov ro rssue D Drre
e nr-/ r;{
I rusprcton
{o Wf( z' 5* /5
Bu.!!l!W E L
(d--BUTLDING PERHIT APPLICAT!ON NO. Z/S45
( ) srrE rNsPECTloN
PLANNING DIVISION
l. Zoning 0rdinance Compl iance: Zone
2o Subdirision 0rdinance Compl iance
3. Required Access ( )4. Building Site (Area, width, Frontage) ( )
5. 0ther (see conrnents) ( )
COI{I{ENTS:
e Hr/7
suBDlvls
APPL I CANT
OATE
-F-o3 s
l0N:
; Z/-Z&ex Lor-@
LOT:_ BLOCK:-
Not
Aool i cabl e
Sch
CKID BY:
Setbacks rom
Il ffi
6
Front
S id€*{x+€',Ei€+-
Setbacks from interior I ines:
Side
Rear
16'
a-o
PUFxNrnc tavaS lOffi
BUILDING INSPECTION DIVISION Not
I icable
Plans Submitted
Soil Stabil ity (footings)
Flood Plain
0ther (see connnents)2 .ll
COMMENTS:
7
8
9
0
)
)
)
No Yes
fl n() ()
() ()CK'D BY:
WATER POLUTION CONTROL
I I . l{eets Department of Envi ronmental
Qual ity Standards.
12. Other (see comments)
Not
Appl icable(t)
(./
No Yesr)il
() ()CKID BY:46t 21{
DATE
C0H!{ENTS i *** A ', +.,;,va )-/)o,/
TO APPLICANT:
0'".x9,g
Jour Building / Site lnspection:
Ddcan be approved.-( ) Cannot be approved at this time as indica
Questions and further information on item
ted on i tem N0.__-----Jbov
s I through 5 contact the LANE-
further information on items 7NNNG OIVISTON Questions and
2 contact the LANE
Wi I I be held in this of
ls being returned.
c0
t rou9 COUNTY BU IN AND SANITATION D 0N.
ce unti I you can reso ve the prob
c55-28
()
()
Your bui ldin
ems
S
n cat ed.
e.
rmi t a li fee is
R0Nl't G
135 Sixth Avenue East Eugene Oregon t/
PHoNE- 587-4065
LANE CoUNTY PLANNING DlvlsloN PHoNE: 587
40r
-4t 86
PERMIT # A/5.'7'f
NOTE: NO PERMIT WI- BE ISSUED I]NTIL THIS APPLICATI. iIAS BEEN APPROVED
APPLICATION FOR
coNSrRUCrroN r.a MoBTLE ItoME
I
owNER ilnUq SrLrL^b 182r aenle gnflcl
PLAN REVIEW CHAI'{GE OF OCCUPA}ICY
*p. / / *ne"-O,j--'4aSection Tax Lot
-'Subdivisio )Lot /o
ACCESS TO PROPERTY (Road Name)&.a,
Existlng SEructures on Property:
Property Location - Address/Directlons:lte_,r-tu
c1l;
Ctty zip
--
census Tract
per Ey Acrea ge_____W1dth_Depth_
(fo"..Address 7
AddressK
o. s. REG. il
7
/6. rb
./
SEWAGE DISPOSAL:
Site Inspec tion /l
WATER SUPPLY:
Well Sprlng 0ther
Existlng Sewage Dlsposal Sydten.(|-or New System Required
Pub1lc
ComunlEy R Name of Comunity or Public ,rrr*@-
FEES:
B1dg.
Waste Dlsp.
Pluroblng
Plan Revlew
Moblle Home
12 Surcharge
J U.oo
PLTDIBING:
Installed by Owner.
PLTJT{BING FEES:
{.?,,,"f Flxtures Sewage
ConnecElon
Water
Connectlon
PLANS FURNISHED
CASH l.:l-vrs
CHECK Signature of Applicant:
Fee Received By:
Dralnfield Requlred - Lineal Feet
FACILITY PERMIT
YES [XNo
nate; J-,f-2tf
Maxlmun Depth
NO
TOTAL
Min. Septlc Tank Capaci
[(,//? ta 4,-(t c u). f4
1+-/d /
Tvp e of ConsEruction Flre Zone Use Classification
Bldg Setbacks - from Center of Road Right of Way:
Pr.cr+Side Int.Rear S Zone
PIANNING:&zdsl*DATE:SANITATION:
Cf|,-r--
DATE:
L/r /z;'ffi;X*i*#tr:a*Ft-(
c55-r2 I.ANE COI]NTY DEPARII"IENT OF E}IVIRONMNNTAL
2-
I /Jo
other [ *^." {*