HomeMy WebLinkAboutPermit Building 1975-11-05LANE COU' 'Y BUILDING PERI^II OR MOBILE I
I]UILDIt.iG
ERMIT ' iii:-; I
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iX,=..-.lilH-fl
AE USE P
PIRM
TR
E LMAN
MAITING AODRESS
2)/O NonrH J\rn Spn r ucr r rLo Oneeoru 7\7-BhB3
MAILING ADDRESS PHONE ;,,r
DE POST OfFIC
Spn r rucr r
E
ELD
RTY TEGAT DESCRIPTION -ME]ES, BOU Noi
NreBeLuo AcRES Lor J Blocx I
RANG E r SECTION LOT NO03 coo E .ICENSUS TRACT
o?
Irusrtuaru
., EXISTING STRUCTURES ON PROPERTY
Dwrtt- truc GanneE .
11
APPL.
NAME
r&S ar'r e
LEGAL ACCESS TO PROPERTY
Nonrr-r l4rH Srne r r
MAITING
AOD RESS
PROPERTY SIZE - TT.
WIDTH DEPTH - AREA
!,FOR MOBILE HOME PERMtTS ONLY
I No. of Bedrooms
irr*r,, iT*'T toRlcr Root4
URES TO BE BUILT THIS PERMIT
Connect to Exisling Sewoge System [] New Syslem f
TYPE CONSTRUCTION
r )+62. oo
5Q, FT, # BDRMS VALUATION
12x2J ?76@ 0
.il
fi i,:
i'r,r ,;'.ii,t:,'
i i {ji':
AGE OISPOSAT
PU Bt IC lsr sEPTtc TANK
BU II.D ING
OTH
PLUMBING INSTALLED BY
OWNER fI OTHER: NAME
i FEES
Toral
WATER SUPPI.Y,
PUBLIC D [] oTHER, WASTE DISPOSAL
"" PLUMgING
,.PLAN
REVIEW
ILER
HARGE
PeNnlrv $:0.\5
MIN. SEPTIC TANK CAPACITY
WITH DIST. 8OX: GAL.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
LIN. TT TRENCH WIDTH TT OR SQ. TT
.Do llor BUrLD wrrxrr.r l0 o
TYPE SIRUCIURE
rT. TROM CTR.,O.F,ROAD RIGHT OF WAY
ZONE
USE CI.ASSIFICATION
Y OR
being occupied.
(See Detoils on Reverse Side)
OCCUPANCY
J
PUBLIC UTIL. EASEMENT
SIDE INT 5
AUTHORIZEO SIGNATURE -, DATE
Boss nv lllRaaucFt
srDr EXT. ):o .REAR
DATE
N4
)
'ir 8LDG, PERMIT _ WHITE //
'orFlcE coPY - u'ar1 ./Coll 687 -4065 to schedule oll required inspeclions. All conslrut
lion shcrll comply with Uniform Building Code, D.E.Q, slondorrl
IMPORTANT: for subsurfoce sewoge disposol ond county regulolions coverin,
plumbing. All buildings require o cerlificote of occuponcy befor'
NTY TAX _ PINK
PTUMBING _ C,ANARY
BUIIDING _ GRETN
-SANIIATION _ GOLDENROD
: (POSI THIS PERMIT ON MAIN BLDG. AT SITE)
IANE COUNTY, D[PT. Ol' tNVIRONMENIAL MANAGTMENT
COUnIIIO!.,5t ANNEX, I33 iASI 6rh, EUGtNt, ORtGOlt ?7r01
;,1\.)\-v
Saue
I,OCA
11 19 3.1
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)+o
BUiLOtNG S ITE EVALUAT ION :;/c ?Y T R
SUBD I Vt-'l0N:
APPL I CANT
DATE
s TAX LOT
()BUTLDING PERHIT APPLICATION NO.I ? 9/-z{
( ) srrE tNSPECTToN
PLANNING DIVISION
LOT:BLOCK:
Zoning 0rdinance Conrp I iance: Zone
Not
I icable No CKID BY:
Setbacks
Fr
Si
Yesn-1-l 6I
2
3
4
5
Subdivision 0rdinance Compl iance
Requi red Access
Building Site (Area, tridth, Frontage)
0ther (see cornments )
(
(
() ()
() ()
() ()
() ()
)
)
)
on
de
rom
t
Ext
o
error
Setbacks from inter or nes(Side
Rear -COI{ilENTS:
PLANN I NG 0 rV ts |0N-TCTT0N-PFNDTNG-aTE5( -InOTl APPA ICAT ION#
BUILDING INSPECTION DIVISION
7. Plans Submitted
8. Soil Stability (footings)
9, Flood Plain
O. Other (see comments)
)
)
)
)
()
()
()
()
()CK'D BY d-
Not
Appl icable No(
(
(
!
r)
3"7{
COHMENTS:
I.,ATER POLUTION CONTROL
I I . t{eets Department of Envi ronmental
Qual ity Standards.
12. 0ther (see comments)
COilHENTS:
Not
Appl icable-, No Yes-Tr-r) TT
() ()()CK!O BY
DATE
TO APPLICANT:
1..'15
..Your Building / Site lnspection:
[.) Can be approved.
'-(') Cannot be approved at this time as indicated on item N0
Questions and further information on items I through 5 contact t
COUNTY PLANNING DlVlSl0N" Questions and further information on items 7
throug h 12 CONtACI thE LANE COUNTY BUILDING AND SANITATION DIVISION.
LJill be held in this office until you can resolve the problems
ls being returned.
above.
tt'
()
()
c55-28
Your buildin
i nd i cated.
rmit li f etu
AL I'1A
135 Sixth Avenue East Eugene Oregon 97401
PHONE. 687-4065
LANE COUNTY PLANNING DlVlSl0N PH0NE: 687-4185
I
rANE COI,NTY ENVIRONMENTI- MANAGEMENT PLOT PLAN
zf )a A, 3/Name and Address of owner G L, n (, JrYJaZh* n ;r$
ln ,f .P, o* /r rd d7"19 e.1 Telephon e: 7?2-t/t,--__-7_--_--
The buildlng being constructed under this permit w111 be used fot SIoro?:
Date this property was p urchased t./.,/ /Za5
Do you now, or did you ever own property adjacent to this tax lot? If so, please
list those tax lot. numbers or draw those properties on the plot plan below._
Indicate on your drawing the location of all homes (including rnobile homes) now on
the property, as well as the location of the new building.
Z
;
7a-
1'l
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7-:
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,-.
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t5 t
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I
Name of Appllcant (if different from owner):
Address
Telep,hone
Map
Tax Lot
Appllcantrs Interest: Buyer
M74-99
Se1ler Agent Permlt #
t (
I
,
b
.C
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(
LANE COI
BUltDlt'lG i )q1{
Y BUILDING PERA^II OR MOBILE ME USE PERMIT'
l,1H Tl PE .l M
! J. - l{ o* ._._.?g01:
M^ITING AOORESS
2)10 NonrnLMAN l\rH SpR r{cr r ELD 0REGoN 1 [!]93
MAILING AODRESS PHONE,;,,r I
iPROPERTY LOCATION - INCLUoE POST OTFICE' ?57O l'Jonrn Jhrn Spn rrucr re Lo
PROPERTY I,EGAI. DESCRIPTION * METES, BOUNDS
:'t MoNTEBELLo AcREs Lor j [Jr-ocx 1
11
APPI,.
NAME
:&
RANGE r SF-CTION ,, ITAX LOT NO., CODE
EXISTING STRUCTURES ON PROPERTY
Dwett- truc Ganace . . ,
,ICENSUS TRACT
n2
I rs ruptRt't
19
' l'l': r.l ,.
'1
Sal,tE
TEGAL ACCESS TO PROPERTY
NonrH J\ru Srnrer
MAILING
ADDRE SS
PROPERTY SIZE - FT.
WIDTH DEPTH
:\r r '
i
AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Pe nu tr FoR SronncE Roor,t
Connect lo Existin Sewoge System l-]New Sysiem f
TYPE CONSTRUCTION VALUATION
r )+5z.oo
SQ. FT, 1' BDRMS
12 x 2J '2'16
@
I
SEWAGE DISPOSAL
PU BT IC I sr sEPTrc TANK
BUILD ING
WASTE DISPOSAI.
PIUMBING
PIAN REVIEW
oiHr OWNER
WATER SUPPtY,
PU ELIC
OTHER: NAME
D OTHER
TEES :- :
' ( (..
,
;1 lii.i (
:.i'"',,"
.:ii{ PARK TRA
,:1l".suRc
,i.r
ILER
HAR GE
Pr runL rv t+5Torar $30,
COUNTY BUILDING & SANITATION SPECIFICATIONS
PLUMBING INSTALLED BY
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOXr GAt.
.Do Nor BU rLD w rrH rr.r l0 rrEr oF
TYPE F STRUCIURE
DRAIN FIELD REQUIRED
IIN. FT TRENCH WIDTH FT OR SQ. TT
OCCUPANCY
J
ZONE PUBLIC UTIL. EASEMENI ,,r,
SETBACKS .. FT. TROM CTR,, OT, ROAD RIGHT OF WAY
srDE ExT. ItO REAR
i j usE .ctAsslFlcATloN
5)lo srDE rNT
AUTHORIZED SIGNATURE _.DATE
J. E. Boss av llnnalucu McK Y OR HOOt(NIT RI
DATE
NSI
BTDG, PERMIT _ WHITE
OFTICE COPY _ WHITE
OUNTY TAX - PINK
ITATION _ GOLDENROD
PLUMBtNG - CANARY ,.
BUIIDING - GREEN t,'
Coll 687 -4065 to schedule oll required inspeclions' All construr
lion sholl comply with Unifornr Building Code, D.E'Q' stondorcl
IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions coverin,
plumbing. All buildings require o cerlificote of occuponcy befor'
1
being occupied.
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, OEPI. OT ENVIRONMENTAI MANAGEMENT '
.
t' couRlllousE ANNEX, 135 IASI 6lh, EUGENE, OREGON 97101
,':
tr t\
ry
'l
GlEN
S a t',te
.' :;'i'.'' '
i ;. ,1i! i'.'':.,;!'-,, ','r:
,t,,., 1! I
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t 'lir i'!, t
I'
.-,*-; r-a,-:-:Ijttfik
SITE INSPECTION
AppRovro IJ
Rrv,rntrs
D r srppnovro DATE I r'isprcton
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f OLTNDAT ION I N:)PtCT l()N
AeeRovco i::l Drsnppnoveo
Rrt'tnnxs
Darr lHspe croR
FRAMI NG
Appnovto
Rr ulnx s
I NSPICT ION
D APPRO Dar t lNsPE.croR
LATH OR SHEETROCK
Aepnovro
Rruanxs
I NSPECT I ON
Dr sappRovro Darr lrrsprcron
i,
I rINAL INSPICTION
APPRovEo
Rruanx s
oo,, l*- r1 -lr lNsPEcroRROVEO
:l' CIRT I F I CAT[ 0t 0CCt]PArlcY
Rraov ro I ssur
Rtunnxs
I'lor READY To lssut Drrc
7qrl 2,{ 7o -v,3
lNSPEcroR
-7
D
.: i
i '1 r'
PERMIT /I \.fls
NOTE: NO PERMIT I^l BE ISSI]ED I]NTIL THIS APPLICAT.
APPLICATION FOR:
HAS BEEN APPROVED
CONSTRUCTION MOBILE HOME PLAN REVIEW CTIAi.{GE OF OCCUPANCY
OWNER (Hq 7a rJ ct/7./7 7 /"-)
Name Address City Phone
coNTRACTos * e+ner
NaEe Address Ctty ZLp Phone
6
r--t
o.s. REG. /l
Tvp.
Subdi
ACCESS T0 PROPERTY (Road Name)
)17%s
fl, 3' z) !7,
Code Census Tract
Pro perty Acrea ge_____Ilid th_Depth_
Tax Lot
Block
Existing Structures on ProperEy:to<t< qal dt:3t:
Property Location - Address/Dlrections:z{7e tY, s'/fu sZ i/?/e;r*r7r' -or Q1a1,
\
Sq. Ft
for Office Use
Va tiontsos\q OO
SEI{AGE DISPOSAI:
Site Inspec tlon /i
WATER SI,]PPLY:
hIell
Bldg.
Weste Disp.
Plunblng
Plan Revier
Mobll-e Hone
TOTAL
C--t<'S
Spring
\q-€
Pub1le
Other Comunlty
PLII,IBING 3
Installed by Ovrner
PL
ll of Sewage
Connectlon
PI.A,NS FURNISHED
Signature of Appl
Fee Recelved By:
Exlsting Sewage Disposal System
Name of Coumunlty or Publlc System
Name
1Z Surcharge
E--- -Ao'-{5
S CASH
NO
Water
ConnecEion
FACILITY PERMIT
YES
Date:
NO
r
Mln. Septlc Tank Capael Dralnfleld Requl.red - Lineal Feet Maximun Depth
type of Construction fire Zone Use Classification
BIdg Setbacks - from Center of Road Right of Way:
Front Slde InE. S Slde Exterior Rear
c55- 12
ION
OF EWIRONMENTAL
{Zone R,-q
?-?t-DATE DATE:
or New System Requlred f--l
ottrer f--l
ffi
LANE COI]NTY