HomeMy WebLinkAboutPermit Building 1975-08-06IANE COUNTY DUIIDING PERMIT OR MOBILE HOMI dSE PERMIT
BUTLDTNG Ir MH I PERMTT NO.2142-
PROPERTY OWNER MAILING ADDRESS
ilT
PHONE
CONTRACTOR MAITING ADDRESS
+{2 ??rx Sp INGIFE r3&li I
PHONE
PROPERTY LOCATION _ INCLUDE POSI OFFICE
PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX L NO CODE CENSUS TRACT
:(# bsTo
EXISTING STRUCTURES ON PROPENTY
H OUS I:
APPT.
NAME
&
MAII.ING
ADDRESS
I.EGAI. ACCESS TO PROPERTY
2 Nonrx 1
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System f New Syslem !
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIoN
SEWAGE DISPOSAT
PUBr.rC E SEPTIC TANK ;El OTHERE
PTUMBING INSTAI-LED BY
OWNER fl OTHER: NAME Yt
BUII.DING
WASTE DISPOSAI.
PI.UMBING
PtAN REVIEW
PARK TRAII-ER
TOTAL
FEES WATER SUPPTY
PUBLTC n tr OTHER
I 1.00
$--
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIEI,D REQUIRED
tIN. FT TRENCH WIDTH FT OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTII. EASEMENT
BLDG. SETBACKS
FRONT
TT. FROM CTR
SIDE INT.
OF ROAD RIGHT OF WAY
I
SIDE EXT.
U5E CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BLDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING _ CANARY
BUITDING _ GREEN
SANITATION - GOTDENROD
Coll 687-4065 to schedule oll required inspections. All construc'
tion sholl comply with Uniform Building Code, D.E.Q. stqndords
IMPORTANT: for subsurfoce'slwoge disposol ond county regulotions covering
plumbing. All buildings require o cerlificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posT THls PERMIT ON MAIN BIDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I
ronu=C55-1l
EOr
ucT r 17 1
(
.a'
Pg!L0 r,N9 s_t,r-g EVALUAT I 0N
BUILDING PERHTT APPL lCATtoN NO.3 /,t/2 -.- -
SITE INSPECTION
PLANNING DIVISION
T ^Db , TAX LOT-v/u+()
()
SUBD I tSt-_.:
APPL I CANT
DATE
LOT:BLOCK:
a lrP
Zoning Ordinance Cornpl iancez Zon
Subdivision 0rdinance Compl iance
Requi red Access
Building Site (Area, Width, Fron
Other (see conments)
CK'DBYifu
Setbacks*Trqn cll of road:
Front 6 {
A
Not
Ii le rIYesNor)6I
2
3
4
5
e-&a-
tage)
() ()
() ()
() ()
() ()
)
)
)
Side Exterior
Setbacks from interior I ines:Side 5
Rear 4
COI{HENTS:
PLANNINc DlVlSlON ACTION PENDING: YES( I N0(
Plans Submitted
Soil Stabil ity (footings)
Flood Plain
0ther (see conments)
Not
Applise!-ls()
il)(l )
t)
7I
9
0I
No YesT)M() ()
() ()
() ()CK! D BY
COHMENTS:
ITATER POLUTI0N CONTROL Not
Appl icable No
I l. l{eets Department of Envi ronmental
Qual ity Standards.
12. 0ther (see comments)
r)
()
r)Y J
CKID BY:/pr"-() ()T't- ?S
DATE
CO}IHENTS:
TO APPLICANT:
({our(.)'(
)
I On:
b 1
Building / Site lnspect
Can be approved.
Cannot be approved at th
Questions and further in
is time as indicated on item N0
formation on items I through 5
rmi t a licati fee is t
above.
q c PLANNING DIVIS . Questions and further information on i
t rou contact the LANE COUNTY BU NG AND SANITATION DIVISION.
tJi I I be held in this off ice unti you can reso ve the pr
ls being ret
Your buildin
urned.
974o1
587-4t 86
135 Sixth Avenue East Eugene Oregon
PHoNE z 687-4065
LANE COUNTY PLANNING DIVISION PHONE:
contact t e LANE-teilfi
c55-28
em5 cated.
{
APPLICATION#
BUILDING INSPECTION DIVISION
a-
LANE COUNTY dUILDING PERMTT OR MOBIIE HOMr USE PERMIT
BUILDING MH
MAILING ADDRESS
PERMIT NO.
?l?-m?t
PROPERTY OWNER
t93b rlrrn srri xefttt-o. Orgocr
MAILING ADDRESS PHONECONTRACTORSrerrorrrls Sfihlt37rn
PROPERTY TOCATION _ INCTUDE POST OFFICE
alTe ro*rx $ai rrti r rt o, g*taorr
PROPERTY I.EGAI DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO.CODE CENSUS TRACT
IT {}8 t9
EXISTING STRUCTURES ON PROPERTY
APP[.
NAME
&
MAITING
ADDRESS
tEGAt ACCESS TO PROPERTY
sl?a lbrtx lJrx
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
ST RES BE BUILT THIS PERMIT
Connect to Existi
TYPE CONSTRUCTION
e
se. FT
tr New m
BDR MS VALUATION
ABotrrot of ofD*oqr lro al?H *Jt6.t6n (f l b, r5q.&o
SEWAGE DISPOSAT PLUMBING INSTALLED BY
PUBTIC
BUITDING
WASTE DISPOSAI-
PTUMBING
PLAN REVIEW
PARK TRAITER
SEPTIC TANK OWNER OTHER: NAME
F EES WATER SUPPIY
PUBTIC
'(EI tr OTHER ,i?n I uuorE
TOTAT
COUNTY BUILDING & SANITATION SPECIF TIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAt.
DRAIN FIETD REQUIRED
tIN. FT TRENCH WIDTH FT.OR SQ. FT
TYPE OF STRUCTURE
5N
OCCUPANCY ZONE PUBTIC UTIt. EASEMENT
BLDG. SETBACKS FT. FROM CTR. Of ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR 7
AUTHORIZED SIGNATURE - DATE DATE
J. E. Borr ov Crrruer Hirrr$crt
Call 687-4065 to schedule oll required inspections. All conslruc'
tion sholl comply with Uniform Building Code, D.E.Q. stondords
IIIPORTANT: for subsurfoce'sewoge disposol ond county regulotions covering
plumbing. All buildings require o cerlificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
BTDG. PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UMBING _ CANARY
BUILDING - GREEN
SANITATION _ GOTDENROD
(POST rHtS PERMIT ON MAIN BLDG. AT SlrE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEIv{ENT
FoRM=c55-l3coURTHoUsEANNEX,I35EAST6rh,EUGENE,oREGoN9T,40l
PHONE
OTHERE
SLAB FLOOR
PLUMB ING GROUNMORK
Apenoveo N Drsapenoveo D oorr2-?-:2{
ReMaRx s
I Nseecr
GAS P lP I NG GROUND^/ORK
Ap pnov e o
Reurnr s
D r sappRovEo Dare I xspecroR
ROUGH PLUMBING
Appnoveo N Drsaepnovro
Rrua Rx s
Dar luspe c
ROUGH GAS PIPING
Ap pnov e o
Reurnx s
D r sappRovEo Dat E I nsprcron
F I NAL PLUMB I NG
AppRovEo N DrsAppRovEo D oorr/.-/J:2)
Rruanxs
I Nspe
FINAL GAS PIPING
Ap pnov e o
REtlanx s
Drsappaoveo Dare I Ns PE croR
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
Reulnr s
D Nor Rraov ro lssue D Dore-I xsprcron
7
LANE COUNTY -""JILDING PERMIT OR
BUILDING :] MH E
MOBIIE HOMs dSE PERMIT
PERMIT NO.
PROPERTY OWNER MAILING ADDRESS PHONE
CONTRACTOR MAII.ING ADDRESS PHONE
PROPERTY IOCATION _ INCLUDE POST OFFICE
PROPERTY I.EGAI, DESCRIPTION -METES, BOUNDS -{r c frlrL'/
RANG E SECTION TAX LOT NO,CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPL.
NAME
&
MAILING
ADDRESS
TEGAT ACCESS TO PROPERTY
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System f New System !
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN
SEWAGE DISPOSAT
PUBr.rC D SEPTTC TANK n oTHERn
PTUMBING INSTALTED BY
OWNER ! OTHER: NAME
BU II.DING
WASTE DISPOSAI
PI"UMBING
PLAN REVIEW
PARK TRAILER
FEES WATER SUPPTY
PUBUC tr ! OTHER
TOTAL
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST- BOX: GA[.
DRAIN FIEID REQUIRED
TIN. FT TRENCH WIDTH FT.OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTII.. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BI.DG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
P[UMBING - CANARY
BUILDING _ GREEN
SANITATION _ GOTDENROD
Coll 687-4065 ro schedule oll required inspections. All construc'
lion shqll comply with Uniform Building Code, D.E.Q. slondqrds
IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering
plumbing. All buildings require o cerlificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I
FoRM =C55-13
J(/
I HsPrclon
SITE INSPECTION
Ap pRov E o
Rruanx s
DrsAPPRovEo Dare
FOUNDATION INSP toN
DrsnppRoveo
t/ - I2 '7{,*,"Dar eAppnov eo
Reuanxs P2 -76 t,
FRAMI NG I NSPEC
DrsAFPRovEo o^r,/-/L-rc I NSPEc e IAppnov E o
Reuanx s
LATH OR SHEETROCK TNSPECTION
Ap pnov r
Rrxanxs
IS PROV E Do TE Ir.rspEcton
,-%'4-7
I ruspecroR
ReManx s
CERTIFICATE OF OCCUPANCY
Reaov ro lssur
REuaRx s
D Nor Rerov ro lssur D Dor.-
J.,X r #'7-r
dA/,,
2 47a
I ruspecron
r:)
./
/
D
I
FINAL INSPECTlOt /
,.. l
APPRovEo n Dtsrppnoveo D
*PERMTT /t 2 l Ys '?C'
NOTE: NO PERMIT WILI .E ISST]ED T]NTTL TTIIS APPLIC,ATIO} I,S BEEN APPR,OVED
APPLICATION FOR:
frct MoBTLE HoMET-PLAN REVIEW CHAI'IGE OF OCCUPANCYCONSTRUCTION
e{ffrE(No'76 -*,- * *,i. f , ,yo., &z.a fu*,;.ofu1 747-"?'7/
Orrnvau Hou a.-J Lt*r'tL-^?4lz- u ?t\ 5.H
Name Address
Name Address
Tax Lot
Clty
Code
Ztp Phone
Census Tract
o.s. REG. //3
AccESS To PRoPERIY (Road Name) g7D ,f.
'8,/3 sr""k-l-Property Acreage Wldth-Depth-
Existing Structures on Property:A o,.7J-
Property Location - Address/Dlrectlons f4
SEWAGE DISPOSAL:
Slte In6pec tlon i/
I.IATER SIJPPLY:
Well
Exlstlng Sewage Dlsposal system e or New system Required
Sprlng 0ther
Pub1lc
Comunlty Pub11c syrr*&)ZnaName o_f, Conmunlty or
FEES:
Bldg.
Waste Dlsp.
Plumblng
Plan Review
Moblle Hone
1Z Surcharge
PLIJMBING:
Install-ed by Owner
PLI,]MBING FEES:
Other Name 4/*fu34.pQ
Sewage
Connectlon
Z
Water
Connectlon €-1L oo
"2
PI-A.NS FURNISHED FACILITY PERMIT
J
CASH X vrs NO
Signature of Appllcant
Fee Received By:
YES
Date:
[&o
TOTAL q /.27
Min. Septlc Tank Capacl Dralnfield Requlr ed - Lineal Feet Maxirnum Depth
Iype of conetr.rctlon--4fZ--Group-f--Flre zone us
c55- 12 I,ANE COT]NTY
J
OF E}WIRONMENTAL
e Classiflcatlon
-?J
Bldg Setbacks - froo Center of Road Rlght of Way:
r.oot # 6{ tstde tnt. 5- srae
DATE:DATEi>c -?5
l-1
3 t of Flxrures
(