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Home My WebLink AboutPermit Building 1973-11-08LANE COt,- .y BUttDtNG PERMIT OR MOBITE MEPERMIT TYPE BUILDING MOB ItE HOME OSC REG. #MAILING ADDRESS MAII.ING ADDRESS TAX I.OT CODEJt UsE ^.,PLICATION PERMIT 7/-u PHONE PHONE OWNER PROPERTY T,OCATION d 2 POSI 2- PROPERTY I.EGAT I.OT - BtocK _ TWP 3/5=41?*DESCRIPTION SUBDIV. RANGE SEC YESMEIES & BOUNDS ATTACHED NOcsJ7-a EXISTING ACCESS TO RTY CENSUS TRACT Lq-o oN pnoprntT IF ANY APPTICANT NAAAE AND MAITING ADDRESS TEGAT NAME ORft-_ ROAD PROPERTY srzE-W IDTH DEPTH AREAFOR Num MOBITE HOME ber of Bedroo PERMIT ONLY ms STRUCTURES TO BE 8UII,T TH IS PERMIT Connect to Ex isti n Sewo TYPE or New mR BEDROOMS VATUAIION ractttry penltn SQ. FT. 4 urL SEWAGE PUBI.IC DISPOSAI. SEPTIC TANK BTDG. WASTE DIS. PI.UA,tBING PTAN REVIEW PARK TRI.R. TOTAT ,a ?*-) OTHER FEES WATER SUPPTY PUBLIC FEES FIXTURES cAsH E CHECK PUBTIC WATER CONNECTION FEE OTH PIUMBING tNsrallro eY OWNER OTHER NAME PTANS FURNISHED YES NO TURE OF BY PERMIT YES NO ,TE FEE DATEFEE -ZJ MIN. SEPT WITH DIST. BOX: 'IC TANK CAPACITY COUNTY BUII DING & SANITAT ION SPECIFICA TRENCH WIDTH FT. TIONSDRAIN FIETD REQU uN. FT. I RED GAt, OR SQUARE FEET q S L TYPE OF STRUCTURE tv BI.DG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT OCCUPANCY Stur_xr_*. REAR I ZONE REAR YA USE C PUBTIC UTlt. EASE/vIENT . Dole ll- t-73 Form # css-t2 PLANN -a Dote BIDG. /-i Dole Directions to Find ProPertY: COPY I _ OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT ( J t [,INE COUNTY BUTLDTNG [--] BUILDING PERI IT Olt MOBIIE ' --,ME USE PERMIT MH I PERMTi NO. A) PROP!PTY O"'\f;R MAII,ING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY I.EGAT DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAITING ADDRESS I.EGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System New System l-l STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAT PUBr.rc tr sEPTlc TANK n OTHERE PTUMBING INSTATTED BY OWNER T OTHER: NAME BUITDING WASTE DISPOSAL PLUMBING PTAN REVIEW PARK TRAITER F EES WATER SUPPTY PUBUC n tr OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTI[. EASEMENT BIDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BTDG. PERM IT _ WH ITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Construclion to comply with uniform buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. code ond county regulotions buildings require o certificote o I (See Stotement on Reverse Side) (posT TH|S PERMIT ON MAIN BLDG. AT SITE) TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronru Jt c5s- t3 $-- BUILD ING S ITE EVALUA T ION G#{-,I#(^ffsp/,{srax rcr a/ao ^/ +Ct/L-hi-C"lL$'-:A(-} K Bu i'-dins permit Appt icat t"^ n".&/Q/-73 ( ) Site lnspection ( ) Pre-Permit lnvestigation AFPL I CANT: Nr\l'lE ADDR ss PHONE DATE L/iNE COUNTY PLANNING DEPARTH ENT NOT l. Zoning 0rdinance Compl iance Bu i ld ing S ite (Area, Width, Frontage, Selback) 0ther (see comments) subd iv is ion o.o,"i"'li"m)." Requ i red Access NO YES NA.I.4 E DATE appl icable ( 2 ? 4 5 rT-( )( *1"" ?Y (+- GY ) () () ) (a7 ."' -*- ()(,)()/ l-& 7<- COhHENTS: BUILDING INSPECTION l0N 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Comments) NOT appl icable() () () () YES (\} () ) () () () NA}4 E DATE (*/ / -g COHHENTS: SAN I TAT I ON SECT I ON Sewage Disposal Usab I e Area Water Supp I y 0ther (see Comments) NOT () DATEliab le t0. n. t2. tl. () I() () () ()) COMHENTS: TO APPL I CANT: ,Dd() Your Building Permil / Site lnspe Can be approved. //-7-73 .w_ Cannot be approved at this t.inre as indicated on iten, N0. above. Quest ions and further infornrat ion on itenrs I through I coi'tact tf,e Lane- C0UNTY PLANN ING DEPARTI'1ENT, Q.uest ir:ns .:nd turther informat ion on iten,s 5 t lrrouq h l3 contact the Lane Courrl y Bu!lding o,rrd 5dnitat ion Divir; ion. Will be held in this of icc until you can r€frolve the problems indicated ls tre ing retu rned. Your buildinq pernrit applitation fee is being returned under separate c(ruer () () () Lf\NT TO\IN\\ I,I' \NNING UEPNRTHENT i'ii tlrr,r Avctlue f ast ' [ugerre ' 0rcgtrn ;;;-;3qt.rrrr Exr'23r I /\N[ Col.iN]'Y tiulLDlNG t sr\NlTi\TloN DlvlsloN \35 Sixth Avqtrt"'--Eutt' Ettcletrt" Or eqon 971+Ol ;;;-i :-'irrz-trtr Exr' '{rrel\o \ M 5-zs de ?7 = () I/ NO YES 4 ?\ (() () t,, IANE COUNTY BUILDING BUTLDTNG E MH n PERMIT OR MOBILE F-JME USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY TOCATION - INCI.UDE POST OTTICE PROPERTY TEGAL DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING 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 Existin Sew stem New se. FT. # BDRMS vALUATtoNTYPE CONSTRUCTION SEWAGE DISPOSAT PUBr"tC n sEPTlc rANK D oTHERn PTUMBING INSTAIIED BY OWNER E OTHER: NAI\{E BUITDING WASTE DISPOSAI. PI-UMBING PTAN REVIEW PARK TRAITER $F EES WATER SUPPLY PUBr-rc tr tr oTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN- FT TRENCH WIDTH FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BTDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNW TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Construction lo comply with uniform building code ond county regulolions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THts PERMIT ON MAIN BLDG. AT SITE) tANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu # c55-13 OR SQ. FT. SITE INSPECTION AppnovroDDrsappnover[]Darr Reuanx s I ruspecton FOUNDAT I Appnovro Rruanxs ON I NSPECT Dr sappRoveo oo',, /k'6'73 -P9"tr 7 I ruspecr FRAMING INSPECTION Appnove Re uanx s o Dr slppaoveo az I l-Za . a/ oo,, 12- CJL,,'",,,o*1&ru LATH OR SHEETROCK Ap pnov r o RruaRx s I NSPECT I ON Dr sappnovro Dar r I NSPEcToR FINAL INSPECTION ApPRovro Reuanr s Dt srppnovro oo,, i -/ /'ff I NSPEcTOR CIRTIFICATE OF OCCUPANCY REaov ro lssuE ReuaRx s D Dnrr--I NSPEcToR l? t-73 NOT REAoY TO ISSUE /?*3 Ob w ), "14 t Jlz ?/3, ( /2 --a3 - ?- 4.?\7 L t uz) LANE couNTY INSPECTIoT nEctno OWNER'S NAME PH ONE NUMBER -aC0Nl-Rj[cfOR-'S-N-ANtr-=.._ -- PHONE ETB K FR T RK L SIDE E E U L I L INTERIOR REAR IT DIRECTIONS TO SITE T PE IT E FOOTING / FOUNDATION INSPECTION O MOBILE HOME SET UP IN SP ECT I ON Approvecl_ Correction Disapproved_Date__Inspector-- CONCRETE SLAB / UNDER-FLOOR INSPECT ION Approved Correct j on Di sapproved-Date inspector UXDEilSGB / PLUMBING GROUNDWORK I NSPECT I ON Approved Correct'ion D'isapproved Date I nspector ROUGH PLUMBING INSPECTI ONApproved Correction Disapproved Da te I nsp ector FRAMING INSPECTIONApproved Correction Disapproved Date I nsp ec tor INSULATION / VAPOR BARRIER INSPECTION ApprovedCorrectionDjsapprovedDateinspector LATH / GYPSUM BOARD INSPECI I Approved Correction Disapproved Date I nsp ector FINAL PLUMBING INSPECTIONApproved Correctjon- Disapproved Date I nspector FINAL I,IASTE DISPOSAL SYSTEM I NSPECTIONApproved Correction Disapproved Date-lnsp ector FINAL Approv I NSPECTI ed t/ON BUILDING Correcti on MOBILE HOME Di sapproved te TEMPO YCE Ins pec tor TE OF OC Ins pectorITE Approved Correct'ion IDi sapproved Form C74-197 q U*ra-€7 Date 7?tl-/6-8r { llt -A & rltq1rqI