HomeMy WebLinkAboutPermit Building 1974-10-08Wilbkt
Pffi'{rrii 2Df7-1tl
IAI{E CCUNTY Buildirrg
DPARIMEM 0F EIWIROIO'IDIIAL MAMGE"IBU ]bbile Hcne
APPT-IC,ATION, FOR zuILDI]G PERMIT OR I.CIBItE HCI,IE USE
permit w"ill be issued r-rrtil this applicaticn has been apprwedNOTE:
PLEASE PRII{I
PROPRTY I,OCATTON
TI^IP L1 RAIGE 3 SEC J44,3rlx t-oT lt Ls| CCDE fQ-84 CH$SUS
I,C[ NO BIOCK SUBDTWSION
rRACrl!21Oe>
ACCESS TO PROPRIY WIIyIti IEO, DEPII{ 8{OR ACREAGE
DESCRTBE E(ISTI}G STRUMI]RES ON I}IE PR1PE$Y 3 Beflnsr*, f"sililrc
APPLICANI
MME
MME le,a^ O. D€fl*
MAILNG
ADDRESS
ADDRESS
oo PTICNE
Srnrcttres to be Edf I{drE sq. ft /fbedrooms valtration
Qwncrfirf N.rrr l I (,*r ktr,t ; fuhrr,tl{s
Seroage Disposal
Site l:rspection
:
1I UA seI^Iage disposal system il or neru syston required D
Water Stpplv:
R$ric ff bisrict I'ImE VA Well n Spring [] Ocher
FeesBfdg.
I^Iaste Dis.
Plurbing
Plan Reviery
Ttailer
1% sr.rctrarge -32-D
?2,
TUIAL $3 .\z-
capacr ty
with dist. box: Gallons
Plturbing Installed by Ornrrer Other }hne
Pltrrbing Fees Sevrer corrrection
1l of fixtses inspection fee
Plans ftnmished
Yes fl' No
Signature of
Fee received
Lineal Feet Trench
No
_or Sq. Ft.
Permitfr
da @blsfu
c55-L2
Rear 7-one
BIgd. setbacks-ft. trcrn center of road riglrt of wayFront Side Int. Sifu Exterior
te
- 3'7a
Tlpe of Stnrcture .4N Ocuryancyl_Fire Zcne Use Classification
4
IANE COI,IN BUITDING PERMIT OR MOBITE Ht .E USE PERMIT
BUTLDTNG I MH E prn*n No. ilrt) ,'- ;'
OWNER
'YrLL rrs, HARoLo i1
MAII.ING ADD RESS
Sprrxcrrsto Onecoir
PHONE
CONTRACTOR MAILING ADDRESS
Spnrrcrrelo ORrcox
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
I
PROPERTY tEGAI. DESCRIPTION _ METES, BOUNDS
t7 3
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
e\.lt.3 tu l9-olt
Hmelo l{ HrLLrrsfcr.rr O Eexr
EXISTING STRUCTURES ON PROPERTY
Drrlu r uc
APPT.
NAME
&
MAITING
ADDRESS
169 xerr Srnrer
IEGAL ACCESS TO PROPERTY
Yourxol
Spntxorreto Ongeox
PROPERTY SIZE - FT,
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewo e
TYPE CONSTRUCTION
New
SQ. FT BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT
Rexoogu Hoxt XrYcxer CecrNers
l{ev Roor Prrro Covsn
Glnree oola Cortntcr Pn t cc *5, ooo,oo
SEWAGE DISPOSAT PLUMBING INSTALTED BY
PU IC
BUILDING
WASTE DISPOSAL
PTUMBING
PtAN REVIEW
PARK TRAILER
SEPTIC TANK
FEES
OWNER OTHER: NAME
WATER SUPPTY
PUBLIC fl tI OTHER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT.OR SQ. FT
TYPE OF STRUCTURE
5r{
OCCUPANCY
I
ZONE PUBTIC UTIL. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CI,ASSIFICATION
FRONT SIDE INT.SIDE EXT REAR
lr/ ,t.AUTHORIZED SIGNATURE - DATE
J Srooxr/sAlt I tAt I AH
DATE
BI,DG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOIDENROD
Coll 687-4065 to schedule oll required inspections. AII construc-tion sholl comply with Uniform Building Code, D.E.e. stondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulotions coveringplumbing. All buildings require o cerrificot-e of-occuponcy befori
being occupied.
(See Detoils on Reverse Side)
(POST TH|S pERMtT ON MAIN BrDG. AT S|TE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu = 655- 13
OTHER-
{
il-zrolJ l'}') N,l /,'I,tt ---1 r
#;J".t - qa,bune-W>Srrrr "d,!, &ne,-u I
Flnnr Q -s c-t ev ttnd
I
N
P.^+i"e{
To tl)Yt l0 -7 - 7Y /: oo
BU!LD ING 5 ITE EVALUATION
*m {rk" \o'1>;7t'l "zo''c
t--Z^-L t//-fr,
CEN1 TRACT
(5 AX LOT 600
C 4
()
)
Building Permit Appl ication No
S i te lnspect ion
Pre-Permit lnvest igat ion
. 2r{ 7-7 NA}4E
APPL I CANT:
AODR
()
PHONE
DATE
LANE COUNTY PLAN N ING DEPARTMENT NOT NO YES NAI'IE DATE
appl icable
I . Zon ing 0rd inance Compl iance
Zone )
Subdivis ion 0rdinance Compl iance (
)(
(
()
()
()
()
)
(
)
(
()
()
()
?$h
(
2
3
4
5
Requ i red Access
Bu i I d ing S ite (Rrea, l, idth,
Frontage, Setback
Other (see comments)
)
)
CO}4I{ENTS:
BUILDTNG INSPECTION SECTION NOT NO YES DATE
le
5. Plans Submitted
7. Soil Stability (footings)
8. Flood Pl a in
9. 0ther (see Corments)
COHHENTS:
()(i
()
()
(
((
(
()
(
()
)
)
)M
SAN ITAT ION SECTION NOT NO YES NA},lE
I icable () ()AJ410.
il.
t2.
t3.
COI'II,IENTS:
Sewage Disposal
Usable Area
Water Supply
0ther (see Comments)
)
)
)
()
()
)
)
TO APPL ICANT:
\,#d{/rt
Your Building Permit / Site lnspection:
Can be
Cannot
Quest i
COUNTY
app roved.
be approved at this time as indicated on item N0 above'
ons and further information on items I through 5 contact the Lane-
PLANNING DEPARTMENT. Questions and further information on iT;;; 6
and Sanitation Divisionthrough l3 contact the
Will be held in this o
Lane Count Buildin
p rob I ems cated.()
()
()
t ice until you can reso vet
ls being returned.
Your building permit application fee is being returned under seParate cover.
I,ANE COI]MY PI,ANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4185
LANE COUMY ENVIRONMENTAI, MANAGN'IE}If
135 Sixth Avenue East, Eugene, Oregon 9740L
Phone (503) 687-4065
c55-28
NA''18
DATE
W
LANE COUn
BUTLDTNG tr
BUITDING PERMIT OR MOBITE H IE USE PERMIT
MH n PERMTT NO.
I(
PI.CPERTY OWNER MAILING ADDRESS PHONE
CONTRACTOR M,AILING ADDRESS PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY I.EGAT DESCRIPTION -METES, BOUNDS
RANG E SECTION TAX LOT NO CODE
t9-0l*
CENSUS TRACT
APPT.
NAME
&
t{mlt, H Yrurrrl€lEx S 0f,8?
EXISTING STRUCTURES ON PROPERTYIltt t rrc
\6p xrrx *r*r:r IEGAT ACCESS TO PROPERTY
Yolxrtpr
. MAITING
ADDRESS
'_ri
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System I New System I
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION so. FT. .f BDRMS VALUATIoN
ffi ffir l*tlo Correr
' rlS'
SEWAGE DISPOSAT PLUMBING INSTAI.LED BY
PUBTIC
BUITDING
WASTE DISPOSAT
PLUMBING
PI.AN REVIEW
SEPTIC TANK
F EES
OWNER OTHER: NAME
WATER SUPPTY
PUBUC tr n OTHER
PARK TRAILER
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT OR SQ. FT
J\t\
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT
BLDG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
f*t AUTHORIZED SIGNATURE _ DATE .r , , ,.i. 1.
DATE
BTDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOLDENROD
IMPORTANT:
Coll 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
for sub'surfocdi..sewoge disposol ond county regulolions covering
plumbing. All buildings require o cerlificote of occuponcy before
being occ.upied.' (See Detoils on Reversd Side)
.). -
\.
t-.
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONMENTAL ,AAANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th. EUGENE, OREGON 9740I
ronv = 655- 13
a
OTHERtr
E
SITE INSPECTION
Ap pnov e o
RrplaRr s
D t sappRoveo Darr I NsprctoR
FOUNDATION INSPICTION
APPROVED
Rruanxs
Dr sApPRovEo Drr r llrspe croR
FRAMI NG
AppRov r o
ReNaRx s
I NSPECT I ON
Drsrppnoveo DarE I NspecroR
LATH OR SHEETROCK INSPECTION
AppRovro
RrxaRx s
Dr srppRovED Drr E I Nspecron
FINAL INSPECTI
AppRov ro
ReMaRx s
Dr slppaoveo D^rr/'L-34 y Ir.rspEctoR
CERTIFICATE OF OCCUPANCY
ReaoY To lssuE
Rru aRx s
D Nor Rraov ro lssuE D Drr r
2 o(Y Po sT
I HspecroR
D
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