HomeMy WebLinkAboutPermit Building 1975-9-12 '-',' \ ,,: ;,--- , .. .----....~ :' ( \ v' e LANE COUNTY BUILDING OXX e BUILDING PERMIT OR MOBILE HOME MH D MAILING ADDRESS . ()(' 11~o COTTONWOnn ~TRrVT MAILING ADDRESS d -'l qo.- -7:7' ~ ,. :# ...-<' 3' USE PERMIT PERMIT NO. 21/'0 '.r;' ~~J K' 'I ~ ~ J ~ ..: PHONE " PROPERTY OWNER , .) ~ ,~: H 1. ; ~ r: CONTRACTOR KRlIGt'R ~II~I'"N~ IIOla'f~oM 'l ,ct.;,.. 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 I &1/ Ie IF ?,...~ BU~L~IN~. SI!E EVALUATION e ,,,i " 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 q/I/:J ( ) ( ) ( ) ( ) C55-28 NO~ Y () ( () ) ( ) ( ) ( ) ( ) No Yes () ( ) ( ) ( ) CK'D BY:~'-7 L.- %J 17~ DATE v <;. -l' " .." , 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 ~ e 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( ~I _" / e INSPECTOR INSPECTOR INSPECTOR INSPECTOR " " CERTIFICATE OF OCCUPANCY I / / NOT READY TO ISSUE / I DATE READY TO SSUE REMARKS - II)) !lf~ )( !ill/$; / I/oJ;yAJY v (JUlfl@<CP$IM(~> / /1?1f 't'-. i INSPECTOR n ~. ~~t( j ~ '. . ,x' - It' . . NOTE: NO PERMIT WILL BE ISSUED UNTIL THIS APPLICATION HAS PERMIT fFd~qD-~ BEEN APPROVED , .. APPLICATION FOR: / 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 " / / 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 ~\ . g,-~ 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 . ~ 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: -V'/,,/ ..