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Home My WebLink AboutPermit Building 1973-06-15LANE COUNTY Bt,,rDlNG PERMIT OR MOBILE HOME USE PERMIT BUILDING I-I MH E PERMIT NO. PROPERTY OWNER MAITING ADDRESS v PHONE CONTRACTOR ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS ANGE SECTION TAX LOT NO CODE CENSUS TRACT3.Ll t 3 62-- EXISTING STRUCTURES ON PROPERTY APPT. NAME & MAITING ADDRESS tEGAt ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewog e System tr New System STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAT PUBilC tr SEPTIC TANK tr OTHERE PTUMBING INSTALIED BY OWNER n OTHER: NAME FEES WATER SUPPTY PUBLTC n E OTHER BUITDING WASTE DISPOSAT PIUMBING PTAN REVIEW PARK TRAII.ER { TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIELD REQUIRED LIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Construction to comply with unif orm building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotement on Reverse Side) (posT TH|S PERMIT ON MAIN BIDG. AT SITE) I.ANE COUNTY, BLDG. & SAN. DIV,, COURT HOUSE, EUGENE, OREGON 9740I FoRM * c55-13 N Building permit Application No ( ) S ite lnspect ion ( ) Pre-Permit lnvest igat ion T s -o 3 s3-{ rax CE IACT G,Ltc NAH.E LOT IA -7 _) ADD PHONE DATE LANE COUNTY PLANN ING DEPARTI,IENT NOT NO YES NAI'I8 DATElicble -Zon ing 0rd inance Compl iance subd iv is ion o.o,"jill"#ilh Requ i red Access () ) () () ()% bz-7<( ) ce2 3 4 5 ( ( ( ()Bu ild ing S ite (Area, Width, Frontage, Setback)0ther (see comments) ) () ( COHHENTS: BUILDING INS PECTION SECTION 6. Plans Submitted 7. Soit Stabit ity (footings) 8. Flood Pl a in 9. 0ther (see Conunents) NOT NO 6'_t icable -NA}4E DATE () () () ) ( () ()() COI.IHENTS: SAN ITAT ION SE CTION 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Comments) COHHENTS: NOT YESI * () ) NO () () () ( () NAME apol icableT6 /*WW TO APPL ICANT: You $n() () () () r Building Permit / Site lnspection Can be approved. Cannot be approved at Questions and further couNTY PT ANN tNG DEPARTHENT. tnrough IJ contact the Lane this time as indicated on item N0 above.information on items I through I contact the Lane- Quest ions and further informat ion on iE;; 5 Coun Buildin and Sanitation Divisi on.t/ill be held in this o ce unt i you can resolve the problems n i cated.ls being returned Your building permit aPPl ication fee is being returned under separate cuver. T^Nt COUNTY PLANNING DEPARTHENT I lr, S ixtlr l\vt.nut' l_ast, f ur;errt., 0regon 9740ll'll0Nl : l,r2- lJ I I [.XT. ?31 LANE COUNTY BUILDING S SANITATION DIVISIONl3S S ixth Avenue East, Eugene, 0r.egon 97401 PHoNE: 342-t3t I EXT. 4t I BUILDING SITE EVALUATION {r YES t 6 - /z:tt DATE LANE COUNTY BUITDING PERMIT OR MOBITE HOME USE PERMIT BUTLDTNG I MH tr PERMTT NO. PROPERTY OWNER CONTRACTOR MAITING ADDRESS tr ING ADDRESS PHONE PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY LEGAT IPTION _ METES, BOUNDSI FaNc e SECTI ON TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPI-. NAME & MAII.ING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewo e TYPE CONSTRUCTION New BDR MS VALUATION m STRUCTURES TO BE BUILT THIS PERMIT SQ. FT SEWAGE DISPOSAT PUBUC [] SEPTTC TANK n OTHERE PTUMBING INSTATTED BY OWNER N OTHER: NAME BU ITDING WASTE DISPOSAT PLUMBING PTAN REVIEW PARK TRAILER TOTAT FEES WATER SUPPTY PUBUC tl n oTHER $-- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED IIN. FT TRENCH WIDTH FT.OR SQ. FT. ;\\ TYPE OF SIRUCTURE OCCUPANCY ZONE PUBI.IC UTII.. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CIASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING - GREEN SANITATION - GOTDENROD Conslruction to comply with uniform building code ond county covering plumbing ond sewoge disposol. All buildings require of occuponcy before being occupied. (See Stotement on Reverse Side) reg ulotions o certif icote (POsT TH|S PERMIT ON MAIN BLDG. AT SITE) I,ANE COUNTY, B[DG. & SAN. DIV.. COURT HOUSE, EUGENE, OREGON 9740I tsoRM = C55-ll - SITE INSPECTION Appnovro D DrsappRove, D RruaRrs Dar e I rusprcroR FOUNDATION INSPECTION AP PRov E D Reuanxs D DrsAppRovEo [7 Dare I ruseeclon FRAMING INSPECTION APPRoVED Ret,tlRxs DarE I rspecroR LATH OR SHTETROCK Ap pnov r D Reuaax s I NSPECT I ON Dr sappcoveo Date IttsPECtOn FINAL INSPECTION Ap pRov e o Reua nx s oor, /*Z fu13 I Nspeclon CERTIFICATE OF OCCUPANCY Reeov ro lssuE Reurnx s I rusprcton 9t o {'> Nor Reaoy ro lssuE Dar e 2 - lra --, l_- Dr srppRove, D d DrsappRove o D 0t IANE COUNTY B BUTLDTNG I )ING PERMIT OR MOBITE HOME -.8 PERMIT PERMIT NO. PROPERTY OWNER PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAT DESCRIPTION -METES, BOUNDS RANGE SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAII.ING ADDRESS TEGAT ACCESS TO PROPERTY PROPERIY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewog e System f New Syslem fl STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # eoRNas VALUATIoN SEWAGE DISPOSAL PUBr.rC tr SEPTIC TANK n orHERn PLUMBING INSTALTED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PI.AN REVIEW PARK TRAITER FEES WATER SUPPIY PUBUC n E OTHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC IANK CAPACITY WITH DIST. BOX: G,A[. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH TT,OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BIDG. SETBACKS FRONT FT- FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CI.ASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUI[DING _ GREEN SANITATION _ GOTDENROD Conslruction to comply with uniform building covering plumbing ond sewoge disposol. All of occuponcy before being occupied. code ond county regulolions buildings require o certificote (See Stotemenl on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) I.ANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu tt C 55 - l3 MHI MAITING ADDRESS v SLAB FLOOR PLUMB I NG GROUND/ORK AppRoveo RruaRx s Dr sappRovED Dnrr llrspe cron GAS PIPING GROUND/ORK APPRovEo ReuaRxs D DrsappRovE, D Darr It'rsprcron ROUGH PLUMBING APPRovED M Drsaepnoveof-' RruaRxs oatt f/-/tt-7 z truspe cron n-qf ROUGH GAS PIPING AppRoveo D DrseppnoveD D ReuaRx s Dat r I Nsprcron FINAL PLUMBING A ppRov e o Rrulnr s DrsappRovro oort /- 7 f I rusprctoR FINAL GAS PIPING APPRoVED D DISAPPRoVE, D RElalnx s DATE I NseEcron t / Nor Rraov ro lssuE n Dare l nsprcron CERTIFICATE OF OCCUPANCY Rraov ro lssuE Rruanxs LANE COUNTY BU'NG PERMIT OR MOBITE HOME U. MOBILE HOME E OSC REG. # APPTICATION PERMIT TYPE _ BUILDING PERMIT 0 tr -73 PROPERTY OWNER A)ON PROPERTY N _ INCTUDE PROPERTY I.EGAL DESCRIPTION tOT_BIOCK_SUBDIV. TWP r6MAITING ADDRESS MAILING ADDRESSJ7a, 7%/#.ft*rJ PHONE PHONE METES & BOUNDS ATTACHED AREA lcE YES RANGE03 sEc.TAX I-OT CODE DESCRI BE STING TEGAL TO SIZE_WIDTH CENSUS TRACT 0 RES ON PROPERTY IF ANY _ ROAD NAME OR4fuo . DEPTH J APPTICANT NAME AND A ATUNG ADDRESS ,/af,.2? FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connecl to Existin Sewoge System ! or New System SEWAGE DISPOSAT PUBTIC D ,a-/,);a F,7. llt t-lo sEplc rANK Fa. oIHER D PTUMBING INSTATI.ED BY OWNERI OTHERDNAME FEES WATER SUPPTY PUBTIC PtA FACITITY PERMIT NO BtDG. WASTE DIS. PTUMBING PLAN REVIEW OTHER NO YES PTUMB FEES - FIXTURES R FEE OCCUPANCY SIGNATURE sa wJ'i'ii / A,f: -73 BY OR SQUARE R YARD €-6-73 DATE6-/-Z PUBTIC UTIT. EASEMENT ilIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. TYPE OF STRUCTURE BTDG. SETBACKS _ fT. FROM CTR. OF ROAD PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED tIN. FT. TRENCH WIDTH FT ZONE Forn t 655-12 REAR USE CTASSIFICATION , ,,Bi,*r. S RIGHT OF WAY3 SIDE {XTF Direclions to Find Property: Dote BIDG. INSP.Dole COPY I - OFFICE COPY 2-JOURNAT COPY 3 - AUDIT srRucruREs ro BE Bultr rHts pERMtr TypE coNsrRuciloN se. FT. # BEDRooMs vAt.uATtoN ( I 3+xf d== P 1L () t{/ N JilN t5 - ,^ eJn#$rr, 2 w €--e- il^ttt qntql tt tt6t g a ) ) v I t NCUSE a\ q$ \, '=-+q/ L-."-J S Frl- fib1-ro z fV h/ -RA I LER HOS CONNECT I ON RIAD CARTFU LY PI PE DITA I L FOR S I NGLI TRA I LtR CONNICT I ON (, )-*?iUse''oxE ]" cLEAlour PLUG FoR TRAP coNNEcrtoN lr.ro !O DEGREE pLAsrtc AoAPTEn Ar cnbuND LEvEL scREwED rNTo cL'EANour goDy: Clattp HosE SECURELY To rHls ADApTER Ailo ro ADApTER UNoER TRA rLER ourl-ET. I r rnap trsELF rs AT GRoUND LEvEL, cLEAno.ur BoDy AND !O oecnre PLASTIC AOAPTER MAY 8E PLACEO IN TRAP WITHOUT USING EXTENSION PIPE. Tna ruER sElrER HosE t{usr Nor BE ovER rEN FEEr (lOr ) I N LENGTH. CoxnecrloNs lrusr BE GAs ANo TJATER-TtGHT. Tnlp Musr BE LEVEL AND cAN BE EXTENoED Nor ovERIFtFTEEN FEET ( 1r') FRoM vENr. Ar-u sEwER prprNG MUST BE AT LEAST THREE rrucx (3") PIPE }IATER IAL. Ma t N wlreR L I NE MAy BE cALvAN I zED, coppER oR pLAsrlc prpE. RrseRs HUsr BE GALVANTZED OR COPPER PtPE ONLy, USTNG TIJO FAUCETS PLACEO S I X I NCHES ABOVE GROUND LEVEL. ONe To coNNEcr pERMANENTL y ro rRA r L ER, Tr-tE OTI.IER FOR OUTOOOR USE. SrRv rcE \{ArER L rNEs },rusr Nor BE sMALLEn rxln 3/4" ANo MUSr BE pLAcED TEN FEET (l0r) FRoM ANy eART oF SEWER L INES ANO DISPOSAL SYSTEi4. ?" PrPE - l2 reEr ABovE GRouNo. Foun plPE srRAps. [tt , \tr Ce oln posr 2] rrrr l N GRouND. Tvo ]" Cleaxout PLUGS. Our ]" x ]" Wve ABovE GRouNo LEvEL. Oxe J" x ]" Loxc-Tunx Tre Wvr. Ore J" P-Tnap. ONe ]"..TxREnoeo pLAsrlc 90 DEGREE ELBow. Tvo J/4" FaucErs. Oxe 3/lt" Grl vnx r zso Te e . (?) /af roR ftfoRE q4ourYo Z€rcL /of rO,< /t/ORE TIRA I (8) _.rti /oFr * (2) 2) )/2Fl )ueren - xuST BE ETTHER cAsr rRoN sEyER .,.'A B S - ffirT erpe S C H l+O D W V on P V C PLASrrc Plpe S C H \O OW V. F r rl tNGS AND TRAp Musr BE oF TltE sA|,tE ')el ? *a ,t @?fJJ LANE COUNTY zuILDIf\G AND SAN ITAT ION DIV I S ION couRTHotJsE, ETJGENE, OREGO}.I I ? ?( 5,6 6 9 o(r I ,6 ( M55-01 -