HomeMy WebLinkAboutPermit Building 1975-10-27IANE COUNTY gU--ItOINO PERMIT OR
BUTLDING . rXX.X_ __Ml'l tl ___---_
M,AILING ADDRESS
MOBILE HOAAE USE PERMIT
PERMIT NO.. 2q?1-1\
PHONE
Rex t us
CONTRACTOR
Rrxtus lttv.
MAII-ING AOORESS
P.0. Box 22 6
PHONE
EucErue 0Recor.t
PROPERTY IOCATION - INCLUOE POST OTFICE
2\to on 2\12 ttonrn l6rrr Spn rrucr trto On
PROPERTY LEGAI. DESCRIPTION - METES, BOUNDS
Drunose Lor l+ Brocr 2
-ec-o_ry_9117
17
iinr.ib, c
3
SrjcT lol.J
?t4rJ,q
TNX LOT NOtf 3 Koo
cor)E cENSrrs TnAcT
RExtus lNv.
EXISTING STRUCTURES ON PROPERTY
Norue
APPt,
NAME
&
MAII.ING
ADDRESS
S auE
TEGAI, ACCESS TO PROPERTY
Nonrn 1 6rn
PROPERTY SIZE - TT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE AUILT THIS PERMIT
PEnu t T FoR Drle uL tNc
Connect lo Existing Sewoge System lll New Sysle
TYPE CONSTRUCTION 3 $3r,55r.80
T_tr
SO. FT : BDRMS VALUATION
1631 @ 2r.Bo
Ga nacr )+Bl+ o ,.30 t2+20555
g3B, rer.oo
r \73- 7I
SEWAGE DISPOSAL
PUBuc aEx tsr sEPTrc rANK
PIUMEING INSTATTED BY
TEES
OWNER OTHER: NAME
WATER SUPPIY
PUBI.IC N I] OTHER
BUITDING
WASTE DISPOSAL
PI.UMEING
PLAN REVIEW
PARK TRAILER
SURCHARGE
IOTAI
h.oo
5.91
(29.?,91 _
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY
WITH DIST. 8OX: GAL.
DRAIN FIEI,D REQUIRED
IIN. FT TRENCH WIDTH FT OR SQ. FT
CoruruEcr ro sysrEM tNSTALLED ur.rDER Pe nr,,r rr t\73-75 Kre p arr- pARrs oF rHE HousE
l0rEer FRoM THE DRA I NF I rLD:
TYPE OF STRUCTURE
5N
OCCUPANCY
t&J
ZONE PUETIC UTIt. EASEMENT
BTDG. SETEACKSll5 r
rnoNr _ 1[
/,1-!-.-_r,
FT. FROM CTR,
GAR
sroE rNT.'tlA1 r'l *aulH
U')IlA I ll
xr17qr6rR
- ortr '"MA
USE CIASSITICATION1' PrJE
OF ROAD RIGHT O
SIDE E
ORIZED SIGNATURE
Boss BY llanolucH
I REAR-iir ' .
DATE
DLM
8t oG. PERMTT 'Wane
-,/orttcE coPY - wHrTE
COUNTY TAX _ PINK
PTUMBING _ CANARY
suir.otNG - GREEN
SANITATION - GOTDENROO
Suo f'l I TAR I AN
Coll 687-4065 to schedule oll required irrspections. All conslruc-
tion sholl cornply wilh Uniform Building Code, D.E.Q, stondords
TMPORTANT: for st.,bsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o cerlificole of occuponcy before
being occupied.
(ScJ Detoils on Reversc Side)
(posT THrs PERMTT oN rAArN BrDG. AT S!TE)
l/^tll ( ()l!lll/ { lr'l Of IflVl, rl]l'\tll'fAl ri /,ll^Ottr',l'llT
PROPERTY OWNbR
-M
Lo/ ?7 /tt
)
p
c
{r
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)(v
t,lI.
)
fl
fi
hIt
A
{
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)-- --e'q-\-
:\\\At
'{*-*.- .>t\\ q-L\ \e'-a.r\{\
L--{ --v\--L:-i_}.r '-.\- 5,A-A-=t.
-Bu.r!0 r,NG s tT.L E,VA_LUAT-! 0U
() BUILD!NG PERHIT APPLICATION NO
( ) srrE rNsPEcrroN
PLANNING OIVISION
>rlr*
-4.Q<^_-<
T . S TAXLOT
SUBDIVISION:
LOT:BLOCK:
APPL I CANT
DATE
cK'o BY f'% ./e - z- - zSSetbacksffi
Front
Side Exterior q<.-
Setbacks from interi6r Iines:Side {
Rear
A
Not
I icable
l. Zoning Ordinance Compl iance: Zone-/p-n--
2. Subdirition Ordinance Compl iance 7'-
3. Requi red Access4. Building Site (Area, width, Frontage)
5. 0ther (see cornments )
)
)
)
(
(
(
No Yesf)ilI 6( ) (u)
[]tu1]( ) ()
COI{ilENTS:
FIANNIIE o lvr SrW--f No(rTFmTArmr#
BUILDING INSP t0N 0tvlsl0N
Plans Submitted
Soil Stabil ity (footings)
Flood Plain
0ther (see conrnents)
Not
App!i ce!!-q
7I
9
0I
Ir]
qr
No Yesr) trrI( )'( )() ()
() ()CR'D BYO 22"
COHMENTS:
},ATER POLUTION CONTROL
ll. Heets Department of Environmental
Qual ity Standards.
72. Other (see comments)
Not
Appll ga ,*{No Yesr) rT(t')
() ()()cK,D By r*u,Afrl(u rc.1) -75W,COHHENTS:
TO APPLICANT:
It'()
Building / Site lnspection:
Can be approved.
Cannot be approved at this t
through l2 contact
Will be held in th
ls being returned.
ime as indicated on item N0 above.
V Questions and further informa tion on items I through 5 contEct t LAN
CQUNTY PLANNTNG DlVlSlON" Questions and further information on it eti7
the LA NE COUNTY BUILDING AND SANITATION DIVISION.
is of ated.
c55-28
Your buildin rmit I i cation f is b
NT
135 Sixth Avenue East Eugene Oregon 97401
'H'NE.
68l_4065
LANE COUNTY PLANNING DlVlSl0N PHONE: 587-4185
SITE INSPTCTION
Ap pnov r o
REuaRr s
DrsappRovro Dare I rusprcron
I
t
FOUNDATION I NSPTCTION
AppRovro D r s appRoveo Dlr e lru E CTOR
Rrua nx s /,
..:
I Hsprcron
FRAMING INSPECTION
App Rov r o D r slppnoveo
Reuanx s
LATH OR SHEETROCK I T ION
Appnovro
Rrvanx s
oore/2-7o'?6'
@orsAppRovED D oor, ,/? 0 7-Zd'rPEcro .a--e/,
FINAL INSPECTION
Ap pnov e o
RKS
ISAP ED
4O
Dare J -l PECTOR
'2"
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
REuenx s
Nor Reeov to lssuE Drr e l nsprcron
9 7;7'7,j-d/to- t2 /b
D
D
--+k-. , "
SLAE FLOOR
PLUMBING GROUNU/ORK
APPRovED m DrsAPPRovEo
R'et{ r nx s
oorc /1- /I Hspeoron
GAS PIPING GROUND'ORK
Appnovro
ReuaRxs
D DrsappRovEo D Dare I usprcton
ROUGH PLUMBING
APPRovED fV'7 Dr sappRoveo#
Rru lnx s
D rorrW lNsprct
ROUGH GAS
APPROVED
Reuanx s
PIPING
Dr sAPPRovEo Dar e lNSPEcroR
FINAL PLUMBING
APPRovEo / l// DtsrppRovro
Reunnxs
c-
Darzfl-/g-c7L I NSPEcro
F I NAL GAS
AP PRov E D
Reuanx s
PIPING
D DrsAPPRovEo D Darc lNSPEcroR
CFRIIFICATI OF OCCUPANCY
Rraov ro lssue
Rrurnx s
D Nor RrnDv ro lssur D Darr I Hsprcton
L
D
Cqll 4- frrk oP
No pERMrr wrLb-BE rssuED UNTrL rms -lppr,t PERMIT,,W6
NOTE:
CONSTRUCTION ry MOBILE }IOME
APPLICATION FOR
PI.AN REVIEW
C,ATION HAS BEEN APPROVED
OWNER
Address Clty zlp
Addres
O.S. REG. /I
TVP . /?s tL, secrion
Subdivis ion
ACCESS TO PROPERTY (Road
.u--%-Property Acreage WLd *l Eo"pa,1lf{
Tax Lot Code Census Tract
B1o
Existing StrucEures on PropertY
Locatiofl - Address/Dlrections :
Below
SEWAGE
Site Inspec tion /l
WATER SI'PPLY:
Well Sprlng Other
Existlng Sewage Disposal SYsten
Pub11c
Comunlty
or New System Required
Name
4
FEES:
Bldg.
hlaste Disp.
Plunblng
Plan Revlew
Moblle llone
1Z Surcharge
PLII4BING:
Installed by Otrnert54.---T-PLUMBING,FEES: @3
F tt of Fixrures Sewage
Connectlon 2 Water
Connection A
CASH
PI.A,NS FURNISHED
Signature of Appl
Fee Received By
FACILITY PERMIT
Date
NONO
TOTAL
Dralnfleld Requ ired - LLneal Feet Maxlnun Depth.Mln. Septlc Tank
l/'7_
"t-LA
Type of Constructl Group Fire Zone Use Classification
Bldg Setbacks - frm Center./r ?o-1Ftorrt yc'*n- Side In
of Road Rlght of Wat: 1fu1"4 .*+- r'"";:"
t. {
-slde
nxterior ag;-g<u?'r xea.7',
QAA;ha;*
'?si .-- T"-,-- - ?,Io'ffiio*,* )0 lSyK /(3;YY", U /0:ff;-?,1-I_
cs5-r2 I.A,NE COt]NTY DEPAR dffi;EIVVIRON},IEN
-----7
rAK MANAGE},IENT
Name
NadL of Comuntty or Publlc System
/
7-{-7ozT ffi /)