HomeMy WebLinkAboutPermit Building 1973-08-25LANE C
BUTLDTNG n
.ITi BUII)ING PERMIT
;\AH E
OR MOBILs-4OME USE PERMIT
PERMIT NO.
PROPERTY OWNER MAILING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY TOCATION _ INCTUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS
SECTION TAX LOT NO,CODE CENSUS TRACTRANG E
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 Connect to Existing Sewo e tr New 'stem
TYPE CONSTRUCTION se. FT BDR MS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT
SEWAGE DISPOSAT
PUBUC n SEPTIC TANK N OTHERE OWNER f OTHER: NAME
PTUMBING INSTATI.ED BY
F EES WATER SUPPTY
BUITDING
WASTE DISPOSAT
PTUMBING
PtAN REVIEW
PARK TRAITER
$
PUBUC tr tr oTHER
TOTAI
COUNTY BUILDING & SANITATION SPECIFICATIO NS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
LIN. FT TRENCH WIDTH FT.OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT
BLDG. SETBACKS FT, FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION
TRONT SIDE INT,SIDE EXT.REAR
AUTHORIZED SIGNATURE - DATE DATE
BI.DG. PERM'T - WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUITDING _ GREEN
SANITATION - GOTDENROD
Construclion lo comply wilh vniform building code qnd ceunl/ regvlcliene
covering plumbing ond sewoge disposol. All buildings require o cerlificote
of occuponcy before being occupied'
(See Stotement on Reverse Side)
(POsT THIS PERMIT ON MAIN BIDG. AT SITE)
IANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE. OREGON 9740I
ronu fc55-13
BUTLD ING S ITE EVALUAT ION r1r7 a o 3s -2 /,4
:ffizuS m'di 6^ L ,-
trS B-3 I<T. A el PuAA--
X Buitdins permit Appticati""n". /h7/-P APPL I
Nrtil E
S t:
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S i te lnspect ion
Pre-Permit lnvest igat ion
ADDR
PHONE
DATE
LANE COUNTY PLANNING DEPARTHENT NOT NO
ffi!_igqu I e
YES NA.t,tI DrrTE
Zon i ng Ord i nance Comp I i ance
(zone ?-& )
Subdivision 0rdinance Compl iance
rr
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(
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)
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2
3. Requ i red Access
4. Building Site (Area, Width,
Frontage, Setback)
5, 0ther (see comments)
() (r
CO}AHENTS:
EUILDING INSPECTION SECTION NOT NO
EEi't icau le
NAHE DATE
6. Plans Submitted
7, Soil Stability (footings)
8. Flood Pl a in
9. 0ther (see Conments)
()
Tf
N
|.,
()
YES
(
()
(()
()()g-7 7"7s
COilHENTS:
NOT [0 YES
() ()
DATESANITATION SECTION
t0.
il.
12.
t3.
Sewage Disposal
Usable Area
llater Supply
0ther (see Conrnents)
I icable
)
)
J
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L 13
COHHENTS
TO APPL I CANT:
Your Building Permit / S lns ct io
x Can be approved.
Cannot be approved at thi S t ime a s indicated on item N0.above.
Questions and further info rmation on items I through 5 contact the ane-
c0 PLANN ING DEPARTMENT. QU est ions and further informat ion on itenrs 6
t roug l3 contact t ane Count Buildin and San i tat ion Division.
Will be held in this of ice until you can reso the problems i i cated.VC
ite. I
tr/2
()
()ls being returned.
( ) Your buildinq Perm it appl ication fee is being returned under seParate cur'er'
LANE COUNTY PLANNING DEPARTMENT
I 36 5 l,x tlr Avenue Eas t , Eugetre, 0rc9on
FnotEr 3{2" lJ l l EXI . 27t
LANE COUNTY BU I LD ING E SAN IT/\T ION D I V IS ION
135 Sixth Averue East, fttqenr:' 0regon 971+0 I
Pll0Nr' : 342't 3ll IxT' 4l I
9740 I
M5q-.rR
W,
NA},IE
LANE C .ITY, BUILDING PERMIT
BUILDING E MH E
OR MOBltt--r{OME USE PERMIT
PERMIT NO.
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY TOCATION _ INCI.UDE POST OFFICE
PROPERTY TEGAT DESCRIPTION -METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAITING
ADDRESS
LEGAT ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge Sysrem f New System !
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION
SEWAGE DISPOSAT
PUBTIC N SEPTIC TANK tr OTHERE
PLUMBING INSTALTED BY
OWNER E OTHER: NAME
BUITDING
WASTE DISPOSAT
PTUMBING
PTAN REVIEW
PARK TRAITER
$FEES WATER SUPPTY
PUBUC tr tr OTHER
TOTAT
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 UTIt. EASEMENT
BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
B[DG. PERMIT _ WHITE
C)FFICE COPY _ WHITE
COUNTY TAX - PINK
PI.UMBING _ CANARY
BUILDING _ GREEN
SANITATION - GOTDENROD
Construction to comply with unif orm building code ond county
covering plumbing ond sewoge disposol. All buildings requireof occuponcy before being occupied.
(See Stotement on Reverse Side)
reg u lotions
o certif icote
(POST TH|S pERMtT ON MAIN BrDG. AT SITE)
TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
ronv #Cs5-13
SLAB FLOOR
PLUMB ING GROUND^/ORK
Ap pRov r o
REunRxs
D DrsAppRovEo D Darr I xs pe croR
GAS PIPING GROUND^/ORK
Ap pRov r o
Re uanx s
Ir,tsprcroR
ROUGH PLUMB I NG
Ap pnov e o
REuaRx s
Dr sappnovEo Dar e I ruspecroR
ROUGH GAS PIPING
Ap pnov r o
Reuanx s
DI SAPPRoVED Dar r I Nsprcron
rINAL PLUMBING
AP PROV E D
Re ulnx s
Dr sapPRovro Darr I NspectoR
FINAL GAS PIPING
Ap pRov e o
Reua nx s
D t sappRoveo Darr I NspectoR
CERTIFICATE OF OCCUPANCY
REaov ro lssue
Rrlannr s
Nor REaov ro lssue Dar PECT
D DrsrppRovro D Dorr_
LANE c Nrv -glruorNc
PERMITaurrorNo-i MH E
OR MOBltr" HOME USE PERMIT
PERMIT NO.
PROPERTY OWNER MAILING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY IOCATION _ INCIUDE POST OFFICE
PROPERTY IEGAT 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 Connect to Existing Sewoge System ! New System I
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN
SEWAGE DISPOSAT
PUBLIC ! SEPTIC TANK tr oTHERn
PTUMBING INSTATTED BY
OWNER n OTHER: NAME
BUILDING
WASTE DISPOSAI.
PTUMBING
PI-AN REVIEW
PARK TRAITER
(F EES WATER SUPPTY
PUBLTC tr tr oTHER
TOTAI-
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 UTIt. EASEMENT
BLDG, SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
IRONT SIDE INT. SIDE EXT.
USE CI.ASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
BIDG. PERMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING _ CANARY
BUI[DING _ GREEN
SANITAIION _ GOLDENROD
Construction to comply with uniform building code ond
covering plumbing ond sewoge disposol. All buildings r
of occuponcy before being occupied.
(See Stotement on Reverse Side)
lcounty regulolions
require o certificole
(POST THIS PERMTT ON MAIN BrDG. AT SITE)
tANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
ronu ii 955- 13
-
I
SITT INSPECTION
Ap pRov r o
RrueRxs
Dt sappnoveo Dar e I Nsprcron
FOUNDATION I NSPECTION
Appnoveo D DrsAPPRovEo V Darr
RrulRx s
I ruspecron
FRAMI NG
AppRov r o
Re uanx s
I NSPECT I ON
Drsappnoveo D -f //'2s I NSPEcToR
LATH OR SHETTROCK
AepRovro
Rruanx s
I NSPECT I ON
Dt sapeRovro Dar r I NSPEcToR
FINAL INSPECTION
7./q,4,Dar rAP PRov E D
Rruanx s
CERTIFICATE OF OCCUPANCY
Reaov ro lssur
RrMaRx s
D Noi Rr,rov ro lssur [J Dnre__lNseecroe_
I o 7/- /,7 R{qo Z at 2 g*/"c)
D
drrsAnr,i\-ovrD IJ I ruseEcroR
K I.ANE COU' -Y BUIIDING PERMIT OR MOBITE ,VlE USE APPLICATION
PERMIT TYPE - BUILLTTNG /vlOBlLE HOME Eosc REG.#3/PERMIT /a9wNER
R
LOCATTON - I
PROPERTY TEGAI- DESCRIPTION
t-oT - BtocK -SUBOIV
TV/P RANGE
APPI.ICANT
NAAAE
AND
A ATUNG
ADDRESS
/
sEc.TAX I-OT
MAILING ADDRESS
MAILING ADDRESS
PHONE
PHONE
AREA
Sr's-44
YES
NO
&
<!
,"r7 TRACT a
(--
DESCRI NG
I.EGAT TO PROPERTY _
ON PROPERTY IF ANY
OR
DEPTH
FOR MOBI LE HOME PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BE BUII.T THIS IT
Connect to Existi Sewoge
TYPE CONSTRUCTION
or New System
BEDROOMS VAI.UATIONSQ. FT,
iZdl
SEWAGE DISPOSAI.
PUBt_rC E SEPTTC TANK
^N OTHER N
PTUMBING INSTAI.I.ED BY
owNERE OTHERnNAMEt 6.ef-WATER SUPPTY
PUBr.rC tr
PLANS FURNISHED
vrsf No E
FACITITY PERMIT
YESI NoD
FEES
OTHER
BTDG.
WASTE DIS.
PTUAABING
PTAN REVIEW
CASH !
CHECK
PIUMEING FEES
RES
PUBI.IC WATER
CONNECTION FEE
st6N'lrune oF APPLtcANT
BY
PERMIT #
--?; -
DATE*ts - /s
DATE
7
PARK TRLR. ______*_
f<'.nc7l\ Z>. e2<-t
,oror#u/4^@Gz-/b7/-73
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAI.
DRAIN FIETD REQUIRED
TIN. FT. TRENCH WIDTH FT OR SQUARE FEET
ZONE REAR YARDTYPE OF STRUCTURE
BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY
UTIt. EASEMENT
USE CI-ASSIFICATION
Form # g55-17
nd Property:
N
SIDE EXT
Dole
FRONT
SAN AN
SIDE INT.
Dole
REAR +
Dote BLDG. INSP.
?3
Direclions lo
COPY I - OFFICE
COPY 2 -JOURNALCOPY 3 - AUDIT