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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 (