The URL can be used to link to this page

Home My WebLink AboutPermit Building 1974-04-08LANE COU.-- Y BUTLDTNG L--] BUIIDING PEF.r".lT OR MOBILE HUME USE PERMIT MH E PERMTT NO. PROPERTY OWNER MAILING ADDRESS PHONE Srrn x llO coNTRAcTOR MAII,ING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAL DESCRIPTION - METES. BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT It e NG STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS H rx llO TEGAT ACCESS TO PROPERTY 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 on U I LD I NG -- LTUIN EOU I PHE}I] )400 SEWAGE DISPOSAT PUBilC ! SEPTIC TANK tr OTHERD PTUMBING INSTATTED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAILER (t 2.00 F EES WATER SUPPTY PUBUC tl X OTHER 12.00TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEI.D REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BI,DG. SETBACKS FRONT J FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. . SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE lsl u.e E DATE . ,r ), 5AN tTAR tA ronrq#c55-13 BTDG- PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOI.DENROD Coll 687-4O55 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering plumbing. All buildings require q certificqte of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMTT ON MAIN BLDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 97,{OI \ -' Pronrsort pal*<.t ani ///,1 8,ar'U,nq rtrlclian /o S/nef*re a f : /o*24 w:J* 2,7?',d qd,lt'liot.- /r/;//fac//e fi/;por {e1 A Toniuft,p /8 s le e tuesl Un -- 75 oa h YI ^.-f {N ttl ic/d ?.i- 30 si frL \9 .tlj" t\ IL, \l O s 3 I /, ftoy'a pt, gt I So ? ftts' /2*r/ eo rrt or, 8o1ff.'. El&..-n ,B on /to *r'*J/''//L'rep l ast(t oisf o"J' \a\ "ls \ s", \ {,t ,* il5t t\ \l LlxL Beam L'$atupfe g'* 1" C orcrelg rc/c //a* 7 ' lrltr:l b,,il4 i,Y - 1l r l<v- 4 rl or" il 3x'1+ q*w !",f,,/ BU I LD ING S ITE EVALUAT I ON u s, ^/c,tl Ax Lor ZV f(aaor Liy( ) grilding permit Appl ication No. ( ) Sii€ tnspection ( ) Pre-Permit lnvestigation L/iNE COUNTY PLANNING DEP ART'"IENT NOT q6 Ur ) NA}1E ADDR PHONE DATE NAI'IE Di\TENO YES appl icable Zon i ng 0rd i nance Comp I (Zone Subdivision 0rdinance r ance (())Rzt ) Comp I i ance ) ) 2 ') 4 5 Requ i red Access 8u i I d ing S i te (Area, U/ idt h, Frontage, Setback) 0ther (see comments)() ()F"Z ,- ,3-a.a-z / ) () () ) () () COHHENTS: BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Connnents) aool icable--Tr-(YES il) NOT NO NA''lE DATE r:/t d) ) () () () () v(()() COHHENTS: SAN ITAT ION SECTION NOT NO YES NAI"iE ab le10. Sewage Disposal ll. Usable Area 12. Water Supp I y I l. 0t her (see Comments) ( COHHENTS: )) () () () ) () () ) () () TO APPL ICANT Your Euilding Permit / Site lnspection q,'16?dr() LANT COIIN'I Y I'L /\NN ING DEPART},IENT I lt 5 i;xtlr Av(-:nue Iast , Eugene, 0t tegtrn 971{0 I t'lroNE 3lr2 lrlll Ext. 2?l above IANF. COUNIY t]IJITDING & S/\NlTAT1ON DIVISION lStSix[h Avgrrur: East, Ertqerrr', 0reqon 971+0 I Pll0Nl'. 1tt2-t1la txT. 4tl Can be approved. Cannot be approved at this time as indicated on iten, N0 ) ) ) Quest ions and further infornrat ion on itenrs I through 5 contact the Lane- C0UNTY PLANNING DEPARTI'IENT. Quest ions and tt.rrtl.rer informat ion on itern; 5 t hrouqh I I cont act t he Lane Coun !y__B_yj ld iry_.ry-SanItation Division Will be held in this o{f icc until you can re:;olve lhe problenrs indicated. I s be i ng retu rned. Your bu i ld inq pernr it app I it.at ion fee is be ing returned under separate ctt,t€t M55-2 T R Wqrrrfie ( IANE COUN'.. -. BUILDING BUILDING E MH E PEKMIT OR MOBILE HO. .I USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACIOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANGE SECTION TAX LOT NO,CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAII.ING ADDRESS LEGAL ACCESS TO PROPERTY+\ I PROPERTY SIZE - WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONIY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge TYPE CONSTRUCTION m New m se. FT BDRMS VALUATION tr \ SEWAGE DISPOSAT PUBIIC ! SEPTIC TANK tr OTHERE PLUMBING INSTALTED BY OWNER E OTHER: NAlviE F EES WATER SUPPTY PUBUC n tr OTHER (BUITDING WASTE DISPOSAT PI.UMBING PtAN REVIEW PARK TRAILER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX, GAL. DRAIN FIEI.D REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BTDG,. SETBACKS -- FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT,SIDE EXT,REAR x AUTHORIZED SIGNATURE _ DATE ucH DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections."'All construc- tion sholl comply with Uniform Building Code, D.E.Q. stqndqrds IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering plumbing. All buildings require o certificqte of occuponcy before being occupied. (See Detoils on Reverse Side) (posT rHls PERMIT oN MAIN B[DG. AT SIrE) IANE COUNW, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I FoRM = C55-13\ - SIT[ INSPECTION ApenovEo D DrsappRoveo D Rrltanxs Dare I Nsprcton FOUNDATION INSP Ap paov e o Reurnxs T ION Dr saepRoveo o^r, {'/z-2/I Hsprcron FRAM I NG AppRov e o Rr ua nr I NSPECT I Dr srppnoveo i-("I xsprctoRDrr r /2" LATH OR SHEETROCK INSPECTION Ap pRov r o REuaRx s I Hsprcton FINAL INSPECTION Ap pRov E o ReManx s D r sappRovro O^r, 'i4 ^?tl I NspscroR CIRTIFICATE OF OCCUPANCY Reaov ro lssuE Rru aRx s Nor Rraov ro lssue I ruspecron / 8,3'o f /r g/ Drre 3F J -l ffi D DrsappRove o F-J Dorr_ --t Ll .u-)%IANE COL'- Y BUITDING PERMIT BUILDING T MH tr OR MOBIIE IVME USE PERMIT 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 EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAITING ADDRESS LEGAT 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 sQ. FT. # BDRMS VALUATIoN SEWAGE DISPOSAI. PUBI-IC tr SEPTIC TANK tr oTHERn PTI,JMBING INSTATLED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAT PI.UMBING PI.AN REVIEW PARK TRAILER TOTAL FEES WATER SUPPTY PUBTIC OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII. EASEMENT BLDG. SETBACKS . FT, FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule qll reguired inspections. All construc- tion shqll comply with Uniform Building Code, D.E.Q. stondords IIIAPORTANT: for subsurfoce sewoge disposol ond county regulotions covering plumbing. AII buildings require o certificqte of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THrs PERMTT oN MAIN BLDG. AT S!TE) LANE COUNW, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740IronuSg55-13 + r{l ,-.r'r-l jr#a FLooR PLUMB ING GROUNU,VORK Dr sappnovroAp pnov r o Rrurnx s &Drrr 4- / 5U// rNsprcron GAS P IP I NG GROUND,VORK APPRovEo ReuaRxs D r snppnovro Darr I ruspecron ROUGH PLUMBING Appnov r o RexaRrs .8 DrsrppRove o D Dar e 4-?2'74 tNspEcron ROUGH GAS PIPING AP PROv E D RrMrRxs Dr SAPPRovED Dat r Ir.rsptcroR FINAL PLUMBING Appnov r o Re uanx s N I uspecronDrsAPPRovEo D oarr. 5 ->q - FINAL GAS PIPING Ap pRov e o Re uaRx s DrsAPPRovEo I xs pr cron CERTIFICATE OF OCCUPANCY Rrlov ro lssue RrulRrs Nor Rrnov ro lssue D D Dorr- D Dore_lnsercron- q 3z -7/ J LANE COUNTY -JIIDING PERMIT OR MOBILE HOMts USE APPTICATION PERMIT TYPE - BUILDING - MOBILE HOME -oSC REG.# PERMIT :f PROPERTY OWNER MAITING ADDRESS'- U .)' - P a- s';gi"d-rrrA €a*, n Bo* /ro PHONE ?ll - tttts ?coNfnAcron ' " -0 MAIIING ADDRESS ._PfroNE-_ PROPE TOCATION _ INCI.UDE POST OFTICE PROPERTY TEGAI" DESCRIPTION I.OT_BTOCK_SUBDIV. TWP PJv/riT sEc t RANGE l9 t 3 \ TAx ror #trl L-L l6* ts7 & BOUNDS ATTACHED YES NO CODE CENSUS TRACT t32 APPTICANT NAME AND MAITING RESS PRO DESC RI EXISTI STRUCTURES ON IF ANY tEGAt PROPERTY SIZE_WIDTH ROAD EOR DEPTH AREA75 7d FOR MOBITE HOME PERMIT ONLY Number of Bedrooms Connect to Existing Sewoge System f] or New Syslem Req. D STRUCTURES TO BE BUITT THIS PER/,AIT T TYPE CONSTRUCTION SQ. FT.Slrrmoe- b td" - lo.,r,^. ?ooio. €+c- , izx l 6 /q 2'# BEDRooMS VALUATIoNC ?oa Zi.oo u 0 (- I lo 2 SEWAGE DISPOSAT PTUMBING INSTATTED BY PU BI.IC SEPTIC TANK BTDG. WASTE DIS. PTUMBING PIAN REVIEW PARK TRIR. TOTAT MIN. SEPTIC TANK CAPACITY WITH DIST. BOX' GAI. "Oo FEES WATER SUPPTY PUBI.IC OTHER PLANS FURNISHED YES NO PERMIT NAME OR SQUARE FEET ACITITY PERMIT NO e YES PTUMBING FEES - FIXTURES DATE cAsH !R ICHECKCONNECTION FEE PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION DRAIN FIETD REQUIRED TIN. FT. TRENCH WIDTH T o RE OF APPTICANT IFICA TYPE OF STRUCTURE b OCCUPANCY BTDG. SETBACKS _ FT. FROM CTR. OT ROAO RIGHT OF WAY ZONE REAR YARD USE CIASSITICATION PUBLIC UTIL. EASEMENT Form * 655- 12 -3-?Dole RONT SIDE INT SIDE EXT REAR 5- Dole BLDG. INSPPLANN 7 irections to Find Property: COPY I - OFFICE COPY 2 -JOURNALCOPY 3 - AUDIT ,/,/,4?(% t orHER n Nn