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HomeMy WebLinkAboutPermit Signage 1973-06-18IANE COUNTY BUITDING PERMIT OR MOBILE HOME USE APPIICATION ,,4 PERMIT TYPE _ BUILDING TOCATION - I MOBILE HOME IOSC REG.# IING ADDRESS PERMTT #Q- PHONE PHONEMAITI-e PROPERTY TEGAT DESCRIPIION TOT_BTOCK-SUBDIV. METES & BOUNDS !!€rsATTACHEp Dla.,ro TWP RANGE sEc.CODE3L TAX rOT #&Jaa ,/7< CENSUS TRACT3o.-3ao D RIBE EXISTI TEGAT ACC CTU ON PROPERTY IF ANY PERTY NAME OR DEPTH APPTICANT NAME AND MAITING ADDRESS SIZE_WIDTH AREATzro / FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connecl to Existing Sewoge Sysrem I or New System Req. Esrnu onooms vALuATloN aa f, SEWAGE DISPOSAT PTUMBING INSTAI.TED BY PUBUC tr BtDG. WASTE DIS. PTUMBING PI.AN REVIEW PARK TRLR. TANK OTHER FEES WATER. SUPPTY PUBTIC PTUMB FEES - FIXTURES cAsH n CHECK OWNER PI.ANS FURNISHED NO OTHER NAME APPI-ICANT FACITITY PERMIT OTHER YES DAIE 3 "oO /, FEE PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIO DRAIN FIETD REQUIRED tIN. FT. TRENCH WIDTH FT /-73TOTAT MIN. SEPTIC TANK CAPACITY WIIH DIST. BOX: GAL.OR SQUARE FEET .a /ilsTA LL 5 tda Farz Da*cilzd.-s TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD PUBTIC UTIT. EASEMENTq-u )-L C- ?-' USE CTASSIFICATION Form # css-t2 ,6 Dole BIDG. SETBACKS - TT. IROM CTR, OF ROAD RIGHT OF WAY' .\' l,.r FRONI SIDE INT. SIDE EXT.REAR Dote BLDG. lNING Directions to Find Property: COPY I _ OFFICE COP'( 2 - JOURNAT COPY 3 - AUDIT 4Z:s/z/, - r IANE COUNTY BUTLDTNG r BUILDING PERMIT OR MOBILE HOME USE PERMIT MH E PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS PHONE PROPERTY LOCATION _ INCIUDE POST OFFICE PROPERTY tEGAt DESCRIPTION - METES, BOUNDS RANG E SECTION 4 TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAII,ING ADDRESS LEGAI. ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System ! New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAT PUBUC tr SEPTTC TANK -OTHERE PI.UMBING INSTATTED BY OWNER f] OTHER: NAME BUILDING WASTE DISPOSAL PLUMBING PI-AN REVIEW PARK TRAIIER F EES WATER SUPPLY PUBUC n tr OTHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIEI,D REQUIRED TIN. FT TRENCH WIDTH FT,OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIt. EASEMENT BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUII.DING _ GREEN SANITATION _ GOTDENROD Construclion to comply with unif orm building code ond covering plumbing ond sewoge disposol. All buildings rof occuponcy before being occupied. (See Stotement on Reverse Side) county regulolions require o certificote (POsT THIS pERMtT ON MAIN BLDG. AT SITE) I.ANE COUNTY, BLDG. & SAN, DIV., COURT HOUSE, EUGENE, OREGON 9740I FoRM f C55-13 AUTHORIZED SIGNATURE _ DATE (>{ BU I LD I NG S ITE EVALUAT I ON {i c Building Permit Appl icat ion No.,/,// O -73 S ite lnspect ion Pre-Permit lnvest igat ion r^JZ^ @ssy'. U,., rex wr 3fu)a LCENSU. I'RACT.-t--- Z--r4,rdAPPL I CANT -77/ e- NAI"IE ADD ) ()PHONE DATE /- -./O LANE COUNTY PLANNING DEPARTHENT NOT I . Zon ing 0rd inance Comp I i ance aool icable*rl-( )(zone c:-'-:_.) Subdivision 0rdinance Compl iance Requ i red Access NO YES NAI'iE DATE ()' (tr (+'-(r- (3 a 3 2 ? () () () () () () 4. Bu ild ing S ite (Area, Width, 5. other (ru" "o[,]:ll:i"' setback) ( () COH}4ENTS BUILDING INSPECTION SECTION NOT NO EEE'I icable - YES {r )() (6, Plans Submitted 7, Soil Stabil ity (footings) 8. Flood Pl a in 9. 0ther (see Corrnents) COHHENTS: T () () () () () () s9 SAN ITAT ION SECTION 10. il. 12. t3. Sewage Disposal Usable Area UJater Supply 0ther (see Comments) aool icable-Tr-( ) ( NOT NO YES NAI"IE () () () il # () ) ) ) ) COHI1ENTS: TO APPL ICANT: Yo,ur Building Permil / Site lnspect,ion: tt'') Can be app roved. '' . ,,, .' ( ) Cannot be approved at this time aS indicated on item N0. ( ( ( above. Questions and further information on items I through 5 contact t 6Il€- COUNTY PLANN ING DEPARTMENT. Quest ions and further informat ion on items 5 through l3 contact the l-ane Count Buildi and Sanitation Division. Will be held in this of ce unt you can resolve the pro ems ind i cated. ls being returned. Your building permit appl ication fee is being returned under separate cuver. L/\NT COUNTY PLANNING DEPARTI'IENT l't\ 5 ixt h l\rente Liast, Euqene, 0reqon 97401 l'lhlNl : {lr?*llll lX1. ?'il LANE COUNTY EUILDING E SANITATION DIVISION 135 Sixth Avenue East, Eugene, 0r-egon 97401 Pt1ONt-: 342- l3l I EXT. 4l I NA},IE DATE F2L DATE LANE COUN, BUILDING E BUITDING PERMIT OR MOBITE HC" .E UsE PERMIT MH E PERMTT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY I.EGAL DESCRIPTION _ METES, BOUNDS RANG E SECTI ON TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAILING ADDRESS TEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existi Sewoge System ! New TYPE CONSTRUCTION SQ. FT BDRMS VALUATION m STRUCTURES TO BE B ILT THIS PERMIT SEWAGE DISPOSAT PUBUC tr SEPTTC TANK n OTHERD PTUMBING INSTALTED BY OWNER - OTHER: NAME BU II.DING WASTE DISPOSAI- PTUMBING PtAN REVIEW PARK TRAILER TOTAT FEES WATER SUPPTY PUBUC D tr OTHER COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED I-IN. FT TRENCH WIDTH FT,OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT BIDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD 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 Stotemenl on Reverse Side) (POST THIS PERMTT ON MAIN BrDG. AT S!TE) TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu = 655-13 E!ErF.rFlr.E - - S I Tt I NSPECTI ON Ap pnov E o RruaRx s D t snppnoveo Dare I ruspecron FOUNDATION INSPECTION AppRovro REuaRxs D r sappRovEo Drrr I ruserctoR FRAMING INSPECTION AppRov r o Re uanx s Drsappnoveo Drr e I NsPEcroR LATH OR SHTETROCK Ap pRov r o Rruanx s I NSPECT I ON Dr sappRoveo Ir.rspecToR FINAL INSPECTION ilAp pRov e o RrttaRx s d Dt SAPPRovED Darr l^ Zt, 73 ,*rr..ro" CERTIFICATE OF OCCUPANCY REaov ro I ssuE REuanx s n D Dore- D Nor Re aov ro lssue D Dore_lnsercron_