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HomeMy WebLinkAboutPermit Building 1973-07-16IANE COUNTY BUTLDTNG E BUITDING PERMIT CR MOBILE HOME USE PERMIT PERMIT NO.MH PHONEPROPERTY .)WNIIR MAII.ING ADDRESS CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANGE SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPT. NAME & MAII.ING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge Sysrem !New System STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAI- PUBUC n sEPTlc TANK n oTHERn PLUMBING INSTALLED BY OWNER E OTHER: NAME BU ITDING WASTE DISPOSAI- PTUMBING PtAN REVIEW PARK TRAIIER F EES WATER SUPPTY PUBUC tr tr OTHER TOTAT 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 OCCUPANCY ZONE PUBI.IC UTII. EASEMENT BI.DG, SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Construclion to comply with uniform building code ond counly covering plumbing ond sewoge disposol. All buildings require of occuponcy before being occupied. (See Stotemenl on Reverse Side) reg ulotions o certif icote (POsT THIS PERMIT ON MAIN BIDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronv t 955-13 - -L-r lA4) x )14 "z ', F-2./t IENSUS hb. i AX LOTBUIi.D!iG S ITE EVALIJ;T IOiJ qv /27/.?> TRACT ()Building Permit Appl ication No. ( ) Site Inspection ( ) Pre-Perm i t lnvest igat ion APPL I CANT: Ni\l{E ADDRESS PHONE DATE ,2- L ANE COUNTY PLANNING DEPARTHENT NOT NO YES Ellr icable - NAI'IE DATE Zoning 0rdinance ComPl iance ( zone_) Subdivision 0rdinance Compl iance lfil () ()() rI lp () 2 3 4 5 Requ i red Access Building Site (Area, l.Jidth, Frontage, Setback 0ther (see comments) ) CO}IHENTS: B UTLDING INSPECTlON SECTION NOT ;lg!-igeb-!er) 00 pd NO YES NAJ'IE DATE 6. 7. 8. 9. P I ans Subm i tted Soil Stabil ity (footings) Flood Pl a in 0ther (see Conrnrents) () () () () () () ()()?*/o-Q3 TS SANITATlON SECTION 10. Sewage Disposal I l. Usable Area 12. l.Iater Supply 13. 0ther (see Comments) NO YES () () NA}"18 DATENOT I i cab l'e ( (( ) ) J () () () (),?'\ ,, --r ( COMHENTS: notcPNFP97/t 1At fo rm I'lT. ermit / Site roved. A,; approved at t and further i NN ING DEPARTI'ILA cont a ld in eturne inq pe Your Building Wz:i^'ii'' Ques t ion COUNTY PW TO APPL I CANT: 4 I aboven,o.c- ?i tem L ime ati Qu Cou PP e 5 roug her Lane- tems S h 5 contact the information on i s i nd i cated on on items I th tions and furt can reso ?!;Vi a n s t o n L fno h n E and San i t ation Division. ve the Pro blems i nd i cated.you 7- ee retu;'ned under seParate cuver' nuBdaneLct t hel3 he rough llbe be in ur bu th( ) r./i ( ) ls () Yo untceth is of tac f Dapt g I d rm r d II\Nt COUNTY PI-ANN tNG DEP/\RTHINT l'trr Sixtlt l\.t:nue Iast, Eutlette, 0rt'qun I'llrltJl: ttr.,_llIl tXl. ?il LANE COUNTY BUiLDiItG €. SANITATION DIVISICi 135 Sixth Avenue East, Eugenc' 0rcqon :i7'l t,itttNt-: Jlr2-llll EXT. l+ll t}7lr0l I () rir () LANE COUNTY BUTLDTNG l-l BUITDING PERMIT OR MOBILE HOME USE PERMIT PERMIT NO, PROPERTY OWNER - MH MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY I,EGAL DESCRIPTION _ MEIES, 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 Connecl to Existin Sewo e TYPE CONSTRUCTION New System B DRMS VALUATION m STRUCTURES TO BE BUILT THIS PERMIT SQ. FT SEWAGE DISPOSAT PUBUC tr SEPTTC TANK tr OTHERI PTUMBING INSTATTED BY OWNER n OTHERT NAME BU ITDING WASTE DISPOSAI- PTUMBING PLAN REVIEW PARK TRAILER TOTAT F EES WATER SUPPTY PU BIIC OTH ER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY wlTH DIST. BOX: GA[. DRAIN FIEI-D REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT BTDG. SETBACKS FT. FROM CTR. OT ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Construction to comply with uniform 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 PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BTDG, & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu*c55-13 SITE INSPECTION Appnovro Rrunnxs D r sappRoveo Darr I ruspecton FOUNDATION I NSPECTION Ap pnov r o RrManxs D r sappRoveo Dare I ruspecron FRAMI NG Ap pnov r o RrMlnx s I NSPECT I ON D Drsrppnoveo D Dare I xsprcroR LATH OR SHEETROCK Ap pnov r o Reltanxs I NSPICT I ON Dr snpPRovEo I NSPEcToR r I NAL I NSPECT ION AppRoveo M Drsrppaove " D oo-rr_/2{-,p_ ReuaRx s I ruspecron CERTIFICATE OF OCCUPANCY Reaov ro I ssue RruaRx s D Nor Rerov ro lssuE D Dore_ I e 7V-13 e{/o V eot4 llrspecroa 4r', n Dore- I5E.9'-56',E .-T 89.-55'.E /fo.@, \ a 9 h" / ro. cD /o 's6'E trEs II ql ql *r I t4 a'E h qb \ \ \ \ 0 / ) .ii t a{ N \./ 77t- s\ B Irl ft\ t/89..56,tU , r-5. s./s.36.lE-E Ir II I u 6/. e2,, s\ .l i a \ t3 ''t B t2 ts -rt s.57'.56'.05'.r{ L.C.4 a 20 a -try tJ i-.. I4 t4 irJ I ail \s h \ r! i a \ @ ttt .7 Gs'. (lr E 'orG + S.,e= \= rSt[(q --.i ..\ 1.. 2 t l. 1. {t lI t -e.._ I a 'l I ,,E /V 89o .56'250.@, f,V./T/A L ';i :.J7r7€ OF O,/?EGO/VZ - -COIJTVTY OF LAIVEJ| d 's' f,../Ot/l/ ZAA/?/LA, JR-. .EE/IVO Zl/Lf7r?A7 7rY/,f /.f .4rV EX4C 7 AOPY OF.422/7/OrV 70 T/I/OZ,/ €.574 7E f 't,U 1L7., LA/U"€ AO(J/VTY Ot?EGOA/. i.:'. ,l .') -Ji./YOR/V , ..OEPO-T.€ 4/1// na \ \J t \ 7.?€ /.V ,r.4P OF a ] n ,o/fr,7/7-U, .4tUD .-fLYO.?V 70 .AEFOITE i4E 'duar /UAfAr?Y PIJ.AZ/4 .2,? Or?€GOrU i4r COir/t //.f-f./ON €XP/ E .SllA,fCteZaEO &"ii'l* * h* i l. +d( ):, "..r-,/'L*/* ,l \. *-*.r' i IJ a ft i il d I @ a NG PERMIT OR MOBILE HOME UsE APPTICATIONLANE COUNTY BUITD! PERMIT TYPE _ BUILDING '/PERMIT #MOBILE HOME OSC REG. # MAILING ADDRESS 6,tr-r PHONE PHONEMAITING PROPERTY - INCI.UDE POST OFFICEL*2,, PROPERIY I.EGAT DESCRIPTIONLoT-BtocK-suBDtv.METES&BOUNDS EYES AT]ACHED AREA NO IWP APPI.ICANT NAIAE AND MAITING ADDRESS TAX tOT CODE CENSUS TRACT DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY RTY SIZE_WIDTH DEPTHb4-vrt4 FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connecl to Existing Sewoge System ! or New System R"q. E STRUCTURES TO BE BUII.T THIS PERMIT TYPE CONSTRUCTION # BEDRooMS vAruATroN J.E22z:- SQ. FT. v SEWAGE DISPOSAT PI-UMBING INSTALTED BY PUBTIC BIDG. WASTE DIS. PI.UMBING PTAN REVIEW PARK TRLR. SEPTIC IANK OTHER FEES WATER SUPPTY PUB[IC OWNER OTHER NAME OTHER PLANS FURNISHED YES NO SIGNATURE OF APPTIC FACII.ITY PERMIT NO DATE 7-.6 z DA -92, PUBTIC UTII. EASEMENT YES PTUMBING FEES -- FIXTURES TOTAI. MIN. SEPTIC TANK CAPACITY WITH DIST. BOX; GAI. TYPE OF STRUCTURE BTDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY rRONT SIDE INT. SIDE EXT. SEWER CONNECTION FEE PERMIT PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECI TIONS cAsHF CHECK E 4 <eL ZONE OR SQUARE FEET REAR YARD USE CTASSIFICATION REAR DRAIN FIETD REQUIRED TIN. FT. TRENCH W occu Form # css-t2 Properly: Dole BLDG.DoleSANITARIAN Direclions to Fin Dote PLANNING P. COPY I _ OFFICE COPY 2 - JOURNAI. COPY 3 - AUDIT PROPERTY 7 JWg-. /:u;r.zZ-b ,4na