HomeMy WebLinkAboutPermit Building 1976-06-01lane ccunty
Jur're 1 , 1976
J.B. Couren
4495 ruonrx 1lrn,
Spn r ruer r eto, 0n.97\11
RE: Rerrwrl or TErponrnv Moerls HoHe Use Penxir No. MH z6z=15
A TeupoRrnv Moarue HoxE UsE Penurr rs vALro FoR oNE vEAR oNLy, Ar{D HUsr BE
RENE\./Eo AnNUALLy. THE ABovE L rsrEo TeupoRanv Mootle Holte Usg Psnxtr y^s
I SSUED ON Juue 9. 1 915 ANO u,lLL EXPIRE ON Jurue 9, 1916
lr vou lrtsH To RENEU THts eERMtr, pLEAsE srcN THls FoRll AND RETuRx ro Lanr
Coururv DepanrlteNr or EruvrRor.rMENTAu MEraceuENT !nrH THE RENEvAL FEE or $IO.OO.
Ax eoorrloNAL LETTER oF EXpLANATToN oF rl-tE NEED FoR I Texponrny Penrtr itusr
ACCOMPANY TH 1S RENE}'AL I F ANY C I RCUI'ISTANCES REGARD I NG TgE TTTTORARY PENX IT
HAVE CHANGEO DURING THE PAST YEAR
********I****
PueasE RENEw Teuponlnv MoarlE Hor.rg Use Penurr No. lvtl
No cxlxce tN ctRcuMsrANcEs DURtNG THE p^sr YEAR.
THg cxlt{ces tNDIcATED lN T}rE ATTAcHED LETTER REGARDTnc rHE TEHpoRARy
PERMIT HAVE TAXEN PLACE DURINO THE PAS? YEAR.
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CONSTBUCTION PEHMITS & INSPECTION DIV / ENVIRONMENTAL MANAGEMENT DEPT / I35 EAST 6TH / EUGENE, OR 97401 / (503) 687-4065
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PUB-LIC NO-IICE
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OBJECTIONS SHOULD BE SUBMITTED IN
\^JRITING I,/ITHIN TEN (I O ) DAYS OF POSTING DATE
FINAL DATE:POSTiNG DATE:
\. B. (o\k 6 l7- 03 - ZLl. t1. 3
lotrc
7qaNAME:
/J &-ADDRESS:(',)
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PROPOSAL:
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DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
M55-48 687.4065LANE COUNTY ANNEX
pERMrr #nU -Z@-2'i
NOTE: NO PERMIT WI BE ISSIJIID TINTIL THIS APPLICATI HAS BEEN APPROVED
APPLICATION FOR:
rd.CONSTRUCTION MOBILE }IOME PLAN REVIEW
q I 7r'64/a 7
€OIITffi,CTUT
Name
3 tion
Addres d
Addr
Ci
C .ty
L
o.s. REG. /l
T\op & 4,lJ ,^*to" /0 oo*760 *d," / z-o# census r."".2O- kPtS:
,u,f 3i"$,h!A-Z,fs
Subdivis inn *J--Lot Block P roPerty Acr I,i
ACCESS TO PROPERTY (Road Name)
Existing Structures on ProperLy
Property Location - Address/Dlrections av
r&
Below for Offic
S9. Ft.,Valuatlon
SEWAGE DISPOSAL:
Site Inspec tlon /l
WATER SI]PPLY:
Well Spring Other
Exlstlng Sewage Disposal system -fu or New System Required
comrunity /?|-' Name of,'Corununity or Public Sy
FEES:
Bldg.
Waste Disp.
Pluarbing
Plan Revlew
MobLle Hone
1% Surcharge
PLI]MBING
Installed by Owner
PLI]MBING FEES
--,--'Name
4"o o of Fixtures Sewage
Connectlon
Water
Connection
PLANS FURN]SIiED FACILITY PERMIT3O.o0,O4
CASH
CHECK
lcoft:JrEs NO YES
Date:
TOTAL
Min, Septlc Tank Capaci ty
eq*T Signature of Applleant
Fee Received By:
ield Required - Lineal Feet Maximua D
TyPe of Construction Fire Zone Use Classification
Bldg Setbacks - from Center of Road Right of Way:
Fronr FO Side rnt.1 *Z I siae Exrerior {a Rear Z O zor..__-Z-Z
-
PIANNING DATE:
c55- 12 LANE COT]NTY D OF EIVVIRONMENTAL
DATE:o-Q-7)
f--_l fu fo,r 0n /fen ./22a*/,*yA, rt,y /,,t,'n Fn / /, L13o /
Namy'zip Phone
other f]
LANE COUN,
BUILDING i-l \'
BUITDING PERMIT OR MOBILE HO USE PERMIT
PERMIT NO.MHIIOWNERMAITING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY IOCATION - INCI.UDE POSI OFFICE
PROPERTY LEGAI DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPT.
NAME
&
MAITING
ADDRESS
LEGAT 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 Existing Sewoge System I New System
TYPE CONSTRUCTION SQ. FT BDR MS VALUATION
SEWAGE DISPOSAT
PUBUC tr SEPTIC TANK tr OTHERE
PTUMBING INSTALLED BY
OWNER [] OTHER' NAME
FEES WATER SUPPTY
PUBLTC tr tr OTHER
BUITDING
WASTE DISPOSAI
PIUMBING
PtAN REVIEW
PARK TRAITER
q
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIEI-D REQUIRED
I.IN. 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. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BI,DG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOTDENROD
Coll 697-4065 to schedule oll required inspeclions' All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
TMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering
plumbing. AII buildings require o cerlificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT THrs PERMTT ON MAIN BLDG. AT SITE)
LANE COUNW, DEPT. OI ENVIRONMENTAT MANAGEAAENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I
ronr.,t *655-13
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APPLICATION NO.
APPLICATION REVIEt^lED BY THE LAND DEVELOPMENT REVIEt^J COMMITTEE
iX Application meets Ordinance requirements and approval is recomnended.
tl App'lication does not meet 0rd'inance requi rements and deni al i s reconrnended.
Date ,{- zz -73 re
M14-05
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POSTING DATE:
ttiev 2), 1915.
FINAL DATE:
June 6, 1915.
OBJECTIONS SHOULD BE SUBMITTED IN
WRiTiNG WITHIN TEN (Io) onys OF POSTING DATE
NAME:J. B. Colren
ADDRESS:2\95 tlonrn 1lrn Spn r Ner I ELD, OneeoN r7-03-z\.4.3 #looo&goo
PROPOSAL;
TEuponanv Moerur Hoi{e Musr Be Rerueweo Eacx Yrln.
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
LANE COUNTY ANNEX
M55-48 687.4065
PF/)D?+,7 L'r2B//-,€
\S B5 TRS
SUBD lV lSrON:
TAX LOT
( ) gutLDlNG PERHIT APPLIcATIoN N0.
( ) srTE INSPECTT0N
PLANNING DIVISION
LOT:
cK'D BY % s- ts- zd
Zon i ng 0rd i nance Cornp I iance: Zone 6 setbacksffiFront Se
Side Exterior 5o
Setbacks from interior I ines:Side ,/5.3 2
Rear 2e
COI{HENTS:
BLOCK:_
APPL I CANT
DATE
A
Not
I icable
I
2
3
4
5
Subdivision 0rdinance Compl iance
Requi red Accessguitaing Site (Area, I.lidth, Frontage)
Other (see cornments )
No Yesr) 1l() ()
() ()
() ()
() ()
)
)
(
(l APPL I CAT !ON#
BUILDING INSPE cTl0N Dlvlsl0N
Plans Submitted
Soi I Stabil lty (footings)
Flood Plain
0ther (see conrnents)
COMMENTS:
Not
Appl,r re!-!e No Yes
()
()
()
()
7
8
9
0I
r) TT() ()
() ()
() ()CKID BY:
b <o*-t
WATER POLUTION CONTROL NOt
Aool icable No Yesr) il)-
()tll()
I l. l{eets Department of Envi ronmental
Qual ity Standards.
12. Other (see comments)CKIO BY:
DATE
COilHENTS:
TO APPLICANT:
ltu rL
6R
Y-ourtr Building / Site lnspection:
Can be approved.
Cannot be approved at this time as indicated on item N0" above.
Questions and further information on items I through 5 contact the LANE-
COUNTY PLANNING 0lVlSlON" Questions and further information on items 7
through 12 CONtACI thc LANE COUNTY BUILDING SAN AT ON DIVISION
( ) llill be held in this of ce unt you can reso vet p ems i cated.( ) ts being returned.( ) Your building permit qlgUg-g3_'*gll_f9"9-_5s-=E9:+g_tgturned under seDareleleyel-:#
-DEPART,,IENT
oF ENVi'flO[i4ENTA
135 Sixth Avenue East Eugene Oregon 97401
pHoNE. eel_4o65
LANE C0UNTY PLANNING DlVlsl0N PH0NE: 587-4186
c55-28
BtIILOtNG SITE EVALUAT ION
LANE COUN'
BUILDING ;-
BUITD\NG PERMIT OR MOBITE H(
MH
USE PERMIT
PERMIT NO.I
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAIIING ADDRESS PHONE
PROPERTY TOCATION _ INCI.UDE POST OFFICE
PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPI..
NAME
&
MAILING
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
Connecl to Existing Sewoge System New m
TYPE CONSTRUCTION se. FT BDRMS VALUATION
SEWAGE DISPOSAT
PUBLIC N SEPTIC TANK tr OTHERE
PTUMBING INSTAIIED BY
OWNER E OTHERT NAME
BU ITDING
WASTE DISPOSAT
PIUMBING
PLAN REVIEW
PARK TRAII.ER
F EES WATER SUPPTY
PUBUC tl tr OTHER
TOTAT t
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIETD REQUIRED
UN. rT TRENCH WIDTH FT.OR SQ. FT,
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT
BTDG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BLDG- PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUILDING _ GREEN
SAN ITATION _ GOI.DENROD
Coll 687-4065 to schedule oll required inspections. All conslruc'
Iion sholl comply with Uniform Duilding Code, D,E,Q. stqndqrds
TMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering
plumbing. All buildings require q cerlificole of occuPoncy before
being occupied.
(See Detoils on Reverse Side)
(posr TH|S PERMIT ON MAIN BIDG. AT SITE)
IANE COUNTY, DEPT, OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I
ronv - 655- 13
r-r
SITE INSPICTION
Appnoveo
Rrt'tanxs
Drsappnoveo Dare I HspecroR
FOUNDATION INSPECTION
APPRovED
REuaRxs
Drsappnoveo Dare I ruspecton
FRAM I NG
Appnov r o
Re uanx s
I NSPECT I ON
D DrsappRovro D Dar E I NSPEcToR
LATH OR SHEETROCK INSPECTION
Ap pnov E o
Rruanrs
D I sappnoveo Dar e I ruseEcron
FINAL INSPECTION
Ap pRov r o
RrManx s
TE I ruspecron
- ,/ c' ?'s
CERTIFICATE OF OCCUPANCY
Rraov ro I ssuE
Rruenx s
l( l-le*e-7{/r r
I rspecron
D
DrsappRoveo FJ ,oa,v,&JhH
D Nor Rraov ro lssuE D Dore_
LANE COUNT SUILDh{G PERMIT OR
MHE
MOBILE HO USE PERMIT
PERMIT NO.BU ILDING
OWNER MAITING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY LOCATION - INCTUDE POST OFFICE
PROPERTY IEGAT DESCRIPTION _ METES, BOUNDS
RANGE SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
APPL.
NAME
&
MAITING
ADDRESS
TEGAT ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System I New System
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT # BDRMS VALUATIoN
SEWAGE DISPOSAT
PUBLIC tr SEPTIC TANK tr
PLUMBING INSTALTED BY
OWNER E OTHER: NAMEOTHERE
FEES WATER SUPPTY
PUBilC tr tr OTHER
BUITDING
WASTE DISPOSAL
PTUMBING
PtAN REVIEW
PARK TRAITER
s
TOTAL
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 PUBTIC UTII-. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT, SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BLDG. PERMIT _ WH ITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUII.DING _ GREEN
SANITATTON _ GOLDENROD
Call 697-4065 to schedule oll required inspections. All construc-
lion sholl comply with Uniform Building Code, D.E.Q. stondords
TMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT TH|S pERMtT ON MAIN BI.DG. AT SrrE)
LANE COUNry, DEPT. OF ENVIRONMENTAT M/A,NAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Ironu lf 655- 13
r-\
I
I
SLAB FLOOR
PLUMBING GROUNU/ORK
Ap pRov r o
RrMnnx s
D Drseppnovro D Dore---I ruspecroR
GAS P lP I NG GR0UNDI/ORK
Ap pRov r o
Reua Rx s
D DrsnppRovro D Darr I rusprcron
ROUGH PLUMBING
AppRovro D DrsaepRovrD D
RrulRxs
Darr I rs pe cron
ROUGH GAS PIPING
Ae pnov e o
Reulnr s
Dr sappRovro Dar e I Ns pe croR
FINAL PLUMBING
AppRov e o
Rr uanx s
M D I SAPPRoVED Dartfrqb?l lrusprc
FINAL GAS PIPING
Ap pRov r o
Reua nx s
Drsappnoveo Darr I NsPEcroR
CERTIFICATE OT OCCUPANCY
Rraov ro lssue
ReuaRxs
D Nor Rraov ro tssue D Dare I NsPEcroR