HomeMy WebLinkAboutPermit Building 1973-04-24IANE COUNTY BUITDINC PERMIT OR MOBITE
BUILDING E MH E
HOME USE _lMtT
PERMIT NO.
PROPERTY OWNER MAII.ING ADDRESS PHONE
q Spfdth
CONTRACTOR
s Jf t
MAITING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
35tl , Spfd.
PROPERTY LEGAL DESCRIPTION -METES, BOUNDS
Valent Ine P ti.1.6
RANGE
2
SECTION
.4,7,
TAX tOT NO./ rnaO
CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
J.ll. Stolnrnuller J
APPI..
NAME
&
MAII.ING
ADDRESS
TEGAT ACCESS TO PROPERTY
:uqene e7m
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System New System !STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT # BDRMS VALUATION
2,160
SEWAGE DISPOSAT
PUBUC n SEPTTC TANK n oTHERn
PTUMBING INSTATTED BY
OWNER N OTHER: NAME
BUILDING
WASTE DISPOSAL
PTUMBING
P[AN REVIEW
PARK TRAITER
TOTAT
s 23.00 FEES WATER SUPPTY
PUBUC tr tr OTHER
$_
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT.OR SQ. FT.
D I icatlon for pernlt to repa I r seyrage d lsposal 3y5tem.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
lsl Bt S b
AUTHORIZED SIGNATURE _ DATE DATE
Cru i ckshanl J
BTDG. PERMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PI.UMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Construction to comply with uniform building code ond
covering plumbing ond sewoge disposol. All buildings rof occuponcy before being occupied.
(See Stotement on Reverse Side)
county regulotions
require o certificole
(POsT THIS pERMtT ON MAIN BIDG. AT SITE)
I.ANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97,10I
ronu = 655- 13
BLDG. SETBACKS
FRONT
BIJ I LD ING S ITE EVALUAT ION
APPL IBuilding Permit Appt icat ion No. .67O -rE NAHE
ADDR( ) Site tnspection
( ) Pre-Permit lnvest igat ion
T,/7 Rl 2-+
CENSUS TRACT.24 d-tz(
s
PHONE
DATE
LANE COUNTY PLANN ING DEPART}IENT NOT
r)(
DATE
1- t?-7<
NO YES NAI'IE
appl icable
Zoning 0rdinance Compl iance
(zone RA )
(
2. Subdivision 0rdinance Compl iance
3. Requ i red Access
4. Bu ild ing S ite (Area, t',idth,
Frontage, Setback)
5, 0ther (see comments)
(()
()
()
()
()
)
(r
(.)-
( ) ( )-'--
)
COMI{ENTS:
BUILDlNG INSPECTION SECTION NOT NO NA},tE DATEYES
fr
()
aool icable-Tr-()6. Plans Submitted
7. Soil Stability (footings)
8. Flood Pl a in
9. 0ther (see Conrnents)
CO}4ilENTS:
()
()
()
()
()U-t l'?3
SANITATION SECTION
Sewage Disposal
Usable Area
Water Supply
0ther (see Comments)
NOT NO
!f,pl icable -
YES
10.
lt.
12.
13.
()()}(
()
()
{\6
(J
)()
()
)
COHHENTS
TO APPL I CANT:
You r
)
lding Permit
Can be approved
Cannot be appro
/ Site lnspectign\
. y'-23-l { n'\'
ved at this time as indicated on item N0 above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANN ING DEPARTHENT. Quest ions and further informat ion on i6; 6
through l3 contact the Lane County Building and Sanitation Division.
) Will be held in this off ice untll you can resolve the problems indicated.
) tr being returned.
) Your building permit appl icat ion fee is being returned under separate cuver.
TI\NT COUNTY PLANN!NG DEPARTI'iENT
115 Sixth A,"'en0e [,ast, Eugene, 0reqon 97401
I'llrlNl : tlr?-llll lXl. ?'il
LANE COUNTY BUILDING E SANITATION DIVISION
135 Sixth Avenue East, Eugene,0r'egon 97401
PH0NI: 342-l3lI EXT. 4lI
rAx t-07
DATENA}4E
T
I.ANE COUNTY BUIIDING :RMII OR MOBITE HOME USE APPTICAIION
PERM'I IYPE _ BUII.D'NG MOBITE HOME OSC REG. #} .MIT a ?a- 23OWNER
PROPERTY I.EGAI. DESCRIPTION
TOT_BTOCK-SUBDIV.
TWP RANGE
MAII.ING ADDRESS
ilAItING A
*h PHONE
PHONE
-7
METES&BOUNDSEYES
ATTACHED NO
a2
SEC TAX TOT CODE CENSUS TRACT
2-
APPTICANT
NAA,lE
AND
AAAil.tNG
ADDRESS
FOR MOBITE
Number of Bedrooms
STRUCTURES ON PROPERTY IF ANY
PROPERTY SIZE_WIDTH DEPTH AREA
Connect to Existing Sewoge System I or New System Req. E
IT
TO BE BUITT THIS PERMIT TYPE CONSTRUCTION SQ. FT.# BEDRooMS vAruATroN
@ o
SEWAGE DISPOSAT PTUMBING INSTAI.I.ED BY
PUBUC n
BtDG.
WASTE DIS.
PI,UMBING
PI.AN REYIEW
PARK TRLR.
SEPTIC TANX OTHER
FEES WATER SUPPLY
PUBI.IC
PTUMBING FEES
FIXTURES
CASH E
CHECK CONNECTION FEE
PUBTIC WATER
CONNECTION FEE
OTHER
OWNER OTHER NAME
PLANS FURNISHED
YES NO
RE OF APPTICANT
E RECE
PERMIT
FACITITY PERMIT
NOYES
DATE
2-
o*
F EET
REAR YARD
USE CTASSIFICATION
DATE
PUBTIC UTIt. EASEMENT
IOTAI-
IAIN. SEPTIC TANK CAPACIIY
WITH DIST. BOX: GAL.
TYPE OF SIRUCTURE occu
BIDG. SETBACKS - FT. FROM CTR.OF ROAD RIGHT OF WAY
rRONI 5 srDE rNr. 5
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT OR
,ARIA INSPDoteDote
'.rm Jf 655-12
REAR
{-zJ Dole
Direclions ro Find Property:
COPY I - OFFICE
COPY 2 -JOURNALCOPY 3 _ AUDIT
POST
A-UZ---Iz ---r uo{accEss ro pRopERrv - nolo N,q,trc on #
-0,r1. Aor 242?-
/{ tr-
J3. *
IANE COUNTY BUILDI._J
BUILDING E MH tr
PERMIT OR MOBILE HOME USE - RMIT
PERMIT NO.
PROPERTY OWNER MAII.ING ADDRESS PHONE
CONTRACTOR MAITING ADDRESS PHONE
PROPERTY TOCATION _ INCLUDE POST OFFICE
PROPERTY TEGAT DESCRIPTION -METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
qr*^V -)
EXISTING STRUCTURES ON PROPERTY
APPt.
NAME
&
MAITING
ADDRESS
TEGAI. ACCESS TO PROPERTY
PROPERTY SIZE _ FT,
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewoge
TYPE CONSTRUCTION
New m!
BDRMS VALUATION
m
SQ. FT
SEWAGE DISPOSAT
PUBHC tr SEPTIC TANK !oTHERn
PLUMBING INSTAILED BY
OWNER - OTHER: NAME
BUITDING
WASTE DISPOSAI.
PTUMBING
PtAN REVIEW
PARK TRAILER
s FEES WATER SUPPI.Y
PUBLIC 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 PUBTIC UTIT. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT,
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BTDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING - CANARY
BUILDING - GREEN
SANITATION _ GOTDENROD
Construction to comply with unif orm building code ond county regulotions
covering plumbing ond sewoge disposol. All buildings require o certificote
of occuponcy before being occupied.
(See Stotement on Reverse Side)
(posT THrS pERMrr ON MAIN BIDG. AT SlrE)
ronu t655-13
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I
SITE INSPECTION
Appnovro
Remanr s
Dt sappnoveo Dare I Nseecron
-:
FOUNDATION INSPECTION
Ap pRov r o
REuanxs
D r sappRoveo
1
DnrE I NspectoR
FRAMING INSPECTI
Appnov r o
Reuenr s
D r sappnovro DrrE d'7,73 I NspecroR
LATH OR SHEETROCK
AppnovrD
Reltanx s
I NSPECT I ON
Dr srppeovro Dar e I Nspecron
FINAL INSPECTION
Ap pnov r o
REuanx s
Dr slppnoveo '17 rNsprcDnrr
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
Reuanx s
D Nor Rraov ro lssuE D Dore_I NSPEcToR
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