HomeMy WebLinkAboutPermit Building 1975-9-12
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LANE COUNTY
BUILDING OXX
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BUILDING PERMIT OR MOBILE HOME
MH D
MAILING ADDRESS
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11~o COTTONWOnn ~TRrVT
MAILING ADDRESS
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USE PERMIT
PERMIT NO.
21/'0 '.r;'
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PHONE
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PROPERTY OWNER
, .) ~ ,~: H 1. ; ~ r:
CONTRACTOR
KRlIGt'R
~II~I'"N~ IIOla'f~oM
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71!.. 1_ I ( ;1 I (
. PHONE'
~AM.
PROPERTY LOCATION - INCLUDE POST OFFICE
#)f,
; lLt; t':I)TTONWOOn STRr!"'T
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
FIRST ADDITION TO MENLO PARK LOT 11
TWP RANGE SECTION
17
~
27.3" "3
BLOCK 6
TAX LOT NO,
:1f?~
CODE
CENSUS TRACT
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
KRUGf.R
~2-200
EXISTING STRUCTURES ON PROPERTY
Hous',:
LEGAL ACCESS TO PROPERTY
SAME
r~TTONwnnn ~T~~rT
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System 0
VALUATION
~~EMODE:L CARPOIH
170SQ
"""~'l '/ '''"'\
,lit:: ( " . i-.y'_,~
SEWAGE DISPOSAL
PUBLIC 0 r I"rV SEPTIC TANK 0
BUILDING <t
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SUnCjM~GE
OTHERD
?4.oo
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
'.
PUBLIC 0
o OTHER
7.00
.
TOTAL
<t
.01
, ...,
':)1 O~
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
\
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
~N I
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT 1~5' SIDE INT. ~A SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/s/ J. F::. ;Joss OY j.lARBAUGH
USE CLASSIFICATION
4/:)' REAR
-
BUIlNS I='OR I OWRV IriAN I TAn I AI,;
DATE
qf:')f7r,
....' . 1....-
l~; 'It
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required inspections. All construc-
tion shall comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
~O"" ~ ", - "
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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BU~L~IN~. SI!E EVALUATION e
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BUILDING PERMIT APPLICATION NO.2 L/ 90-
...... /"
( )
( )
SITE I NSPECTI ON
Not
Appl icable
/R..-,4 ( )
( )
( )
( )
( )
PLANNING DIVISION
1.
2.
3.
4.
5.
Zoning Ordinance Compliance: Zone
Subdivision Ordinance Compliance
Required Access
Building Site (Area, Width, Frontage)
Other (see comments)
COMMENTS:
T ___R
SUBD rwsroN:
LOT:
S
TAX LOT
BLOCK :'
APPLICANT
DATE
No Yes
() ( ~
( ) (I
( ) C')
( ) ( )
( ) ( ~
CKID BY:~ 9-':;-7C
Setbacks from cll of roa~:~
Front ~,
Side Exterior ~
Setbacks from interior lines:
Side
Rear
6.
PLANNING DIVISION ACTION PENDING: VESt ) NOt ) APPLICATION#
BUILDING INSPECTION DIVISION
Not
App 1 icab 1 e
( )
( )
( )
( )
7. Plans Submitted
8. Soil Stability (footings)
9 . Flood P 1 a i n
10. Other (see comments)
COMMENTS:
Not
ApplicjJble
( (}
( '-tl
WATER POLUTION CONTROL
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
TO APPLICANT:
~o~Building I Site Inspection:
X> Can be approved.
Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items 1 through 6 contact the LANE-
COUNTY PLANNING DIVISION. Questions and further information on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
Will be held in this office until you can resolve the problems indicated.
Is being returned.
Your building permit application fee is bein9 ~~turn~d under seoarate cov~r_
tJtl't\RTMENT OF ENV I RONMENTAL MANA(jEM~N'r
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
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( )
( )
( )
( )
C55-28
NO~ Y
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( ) ( )
( ) ( )
No Yes
() ( )
( ) ( )
CK'D BY:~'-7
L.-
%J 17~
DATE
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LANE CO!Y BUILDING PERMIT OR MOBILE IME
BUILDING 0 MH 0
MAILING ADDRESS
USE PERMIT
PERMIT NO.
...
.
PROPERTY OWNER
PHONE
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms -.
STRUCTURES TO BE BUILT THIS PERMIT
EXISTING STRUCTURES ON PROPERTY
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System 0
VALUATION
~,
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
OTHERD
PUBLIC 0
o OTHER
TOT AL
<t
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
DATE
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required inspections. All construc-
tion shall comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
FORM=C55-13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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SITE INSPECTION
ApPROVED / / DISAPPROVED / / DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
REMARK S
FRAMING INSPECTION
ApPROVED / / DISAPPROVED / / DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DISAPPROVED /
j DATE
REMARKS
FINAL INSPECTION
ApPROVED tJ... I ,D'J(lRO;,D /
REMARKS /~ '~I!P~ ~t(
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INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
"
"
CERTIFICATE OF OCCUPANCY
I / / NOT READY TO ISSUE / I DATE
READY TO SSUE
REMARKS
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(JUlfl@<CP$IM(~> / /1?1f
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INSPECTOR
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NOTE:
NO PERMIT WILL BE ISSUED UNTIL THIS APPLICATION HAS
PERMIT fFd~qD-~
BEEN APPROVED
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APPLICATION FOR:
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CONSTRUCTION I r I
OWNER~j~....rI T.
Name
CONTRACTOR Ajoy) T
Name .
O.S. REG. # \~ ~
Twp.17 Sn"f),Range3111..~f Section Dl7
SubdivisionFi,..I.Aq,.J..~11 -h. h,../.... AdLLot /7
ACCESS TO PROPERTY (Road Name) t'~ -4." u"",,)
MOBILE HOME
PLAN REVIEW
CWU~GE OF OCCUPANCY 1
//18' & -irl U ]A,,) sl
Address
l/~1 ~tJ,"LL~ 51
Address
;::-JJ~ '
CityJ
9WJ
Zip
~~~ -/f?'V'7
Phone
If' ~ p-
Ci~
q 7-Jf:) I
Zip
Tax Lot
Code
Census Tract
?,..y? - /t.?7
Phone
)
~2fiOO
Block
/:,
Property Acreage..183
Width~Depth /DO"
sf
Existing Structures on property:.II"o~..
Property Location - Address/Directions: //9 f);1 (7".1/;, H ,(J<",J Sf
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E~Ok4.t'-
97'#& J
Below fo r Office Use OnlyXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
\.. ") ,() ____( (- Sq. Ft,' ~ ,/ "edroo~ Valuation =
~= ~"' A '" Q 0 \ c.. ~O' A '~6"q. / d\-f'2".,.
-l r- ~c.. ""''''--. \. t ~ ~~, -~, 1//'
- - -:::::. ' '- \.Y
/
Sewage Disposa~stem
Publi~ / I I
Co ~ty I I
, ~~~ -e '-'
'-
WATER SUPPLY:
Well
Spring
Other
or New System Required I
SEWAGE DISPOSAL:
Site Inspection #
Name of Community or Public System
FEES:
C'\ )- ~"
2::>
~~.o<:!:::>
'S -<.... ~ ~'-
PLUMBING:
Installed by Owner
Other
q~
PLUMBING FEES:
\ ~::=s # of
,/
Iv1(CASH
Fixtures
I Name
\d
Sewage
Connection
~_.
PLANrSHED
1\,,/ I YES I
Water ,~
Connection
Bldg.
Waste Disp.
Plumbing
Plan Review
Mobile Home
1% Surcharge
'loo
FACILITY PERMIT
TOTAL
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CHECK
. ,(\<;;:-
Min. Septic Tank Capacity
Drainfield Required .. Lineal Feet
Maximum Depth
Type of Construction
- ,
() IV
Group
I
Fire Zone
Use Classification
Bldg Setbacks .. from Center of
Front Y' .5:""hl~~:H Side Int.
.
Road Right of Way:
"L/
-/
.
Side Exterior
y.s-
Rear
/3.- /v
Zone d~ A
.
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C55 - 12
DATE:
7-,;J.. 7~~
LANE
/1 ~NITA'YO~J~ ~
(JtiA-..-ry III..... t' LI
, I
COUNTY DEPARTMENT OF ENVIRONMENTAL
DATE: .
7/:;/7)-
,
NAGEMENT
PIANN.ING:
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