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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 470'7, 446oo*t"ryTVaa-d 2o-/{tts E{D