HomeMy WebLinkAboutPermit Building 1974-3-21 (2)
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LANE COUN.~DING PERMIT OR MOBILE
BUilDING lU MH 0
MAILING ADDRESS
Y/f/ -:- 7/
H.SE PERMIT I
PERMIT NO. 394-7~
PROPERTY OWNER. \.
wi Ibul', -Jack
CONTRACTOR";.
2merald Swlmmnq Pools
PROPERTY LOCATION - INCLUDE POST OFFICE
Route 10 Box 264
MAILING ADDRESS
188; Hlohwav qq North
EUClene. Orellon
PHONE
726.8101
PHONE
EUClenc. Orellon
688-19SQ
.Off BAI~llne ~~ Old Cnburo tn Dead Man Road
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17
o.
14
1400
on4-01 21 ED 1;IA
EXISTING STRUCTURES ON PROPERTY
House~ oaraoe, out buildinGs
LEGAL ACCESS TO PROPERTY
Dead Man Ferrv Road
PROPERTY SIZE - FT.
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
Emerald Swlmmina Pnnls
WIDTH! 40
DEPT~ <;0
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. :;:t BDRMS
New System 0
VALUATION
Swtl'l"'fi'linn Pnnl
SEWAGE DISPOSAL
PLUMBING INSTALLED BY
PUBLIC D
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK D OTHERD
t?C: on
FEES
OWNER D OTHER, NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
t"C nn
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FJELD REQUIRED
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
Ibt rDD 1 ierb I"
TYPE OF STRUCTURE
OCCUPANCY
ZONE
,
PUBLIC UTIL. EASEMENT
~_.tJ _,I
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
<:n
SIDE INT. I:;: SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR 0:;
DATE
Jc I _I 1= A,"",c c. 1,,/ _I R.n,o\I"'t::.
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
'lil2()-74 S IF
Call 6B7.4065 to schedule all required inspections. All construe.
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-lJ
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97401
I r () J2e.tu,(r'hll 1'\ J
-WN
/
~UILUIN~ ~llt tVALUATION
t.
Buildiflg Permit Appl ication No.
.
J. SfrtECH
39'1-7/ .
T-12R O(S 1 LI
CENSUS TRACT
APP.T:. 1/
N/\ME {VI' bl),
ADDRESS
TAX LOT It..! 07)
,
~
( )
( )
,
Site Inspect ion
Pre-Permit Investigation
PHONE
DATE
?- :2 1-7l/
/
~
LI\NE COUNTY PLANN I NG DEPARTMENT
I.
Zoning Ordinance Compl iance
(Zone )
Subdivision Ordinance Compl iance
NOT
appl icable
() ()
)
NO
YES
NAME
D/HE
2.
?
> .
Required Access
4.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
5.
COMMENTS:
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
app I icab Ie (01 ~ ~a.. ..J-L
6. Plans Submitted ( ) ( ) ~~),,"~'-...,q
7. Soil Stability (foot ings) (-1' ( ) ( )
8. Flood Plain (-1' ( ) ( )
9. Other (see Comments) (y' ( ) ( )
COMMENTS:
..
SANITATION SECTION NOT NO YES NAME OATE .//
app I icabJe
10. Sewage Disposal (') ( ) ( )
II. Usable Area ( ) ( ) ( )
12. Water Supply ( ) ( ) ( )
13. Ot he r (see Comments) ( ) ( ) ( )
t
COMMENTS:
TO APPLICANT:
( )
( )
( )
Building Permit / Site Inspect ion:
Can be app roved.
Cannot be approved at this time as indicated on item NO. above.
Quest ions and further informat ion on items I through 5 contact the Lane-
COUNTY PLANN I NG DEPARTMENT.. Ques t ions and fu rt her in format ion on j tems 6
through 13 contact the Lane CounlY Buildinq ,,"0 Sanitation Oivision.
Will be held in this officc unt.il you can resolve (he problems indicat"d.
" being returned.
Your building perndt appl ication Fee is being returned under separate cu.Jer.
Your
3-- 1,1) eP ~
( )
LANE COllNH I'L/INN ING UEP/IRTMENT
IV, ~i)<t" Avenue E^st. Euyene. 0'''9''" 97401
/"hIN!:: ,Ill.. I :11 t G~ I. 2J'
LANE COUNTY BUILDING & S/'NIT/IlION DIVISION
135" Sixth I'lv~m'" EdSt, E"~lcn,'. fhcCj0n 97401
1'llL1NL: JL,2-lllI EXl. 4.1
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,
LANE COUNalLDING PERMIT OR MOBILE
BUILDING WI MH 0
MAIltNG ADDRESS
H.USE PERMIT
PERMIT NO.
,,- ", .-,
. ......,-:;./.:.'j
'.
PROPERTY OWNER "
. ,- -"H? _ r" '('~'.
CONTRACtOR
:--:'''';'~~{) 'J"I ["''""l''"': ~Y'UV
MAILING ADDRESS
I.' .-,,'"
( '~:-'-'J
PHONE
-:-/,.,' .gr'il
PHONE
. '--oJ}''''' r. ,'- ---..., ~_"'-;~~.:', ,r--- rj-r"-:,- '. C.') ..'.r;.....
PROPERTY LOCATION -'INCLUDE POST OFFICE
r.~0,..r-"" n"-"rr--...,
(/"t..., ~rJ\:l
" r -"rl"'" 0(\ (~~f'i' ,- "-..~''''1 "f\r-- .~~ r:." r'~,'v~
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
n.
q::
at,
or.'')
~~~tl-O~ ?1 :'.... l~ ~\
EXISTING STRUCTURES ON PROPERTY -
APPL.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
,', "~'I"'U(j :-1 '------'c'';''''' p-(v.,nn
~'-'V'.~,..." ,-~r.-"'-"~ ,........~ '...,~11r11 ,,'V
LEGAL ACCESS-TO""PROPERrf
"""'.11 t'l'..., F;'(-r,>V'''
PROPERTY SIZE - FT. ..
" 'j
WIDTHJ"'")
DEPTH~;n
AREA
.
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. :;; BDRMS
New System 0
VALUATION
STRUCTURES TO BE BUILT THIS PERMIT
~rv. (~-..-,"
SEW AGE DISPOSAL
PLUMBING INSTALLED BY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0 OTHERD
cl.: .' ')
FEES
OWNER 0 OTHER, NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
c"V r'1
MIN. SEPTIC TANK CAPACITY
. WITH DIST. BOX: GAl.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FielD REQUIRED
LlN, FT
TRENCH WIDTH FT.
OR SQ. FT.
;'17 .'~l~ ler'lk
"
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIl. EASEMENT
~
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
USE ClASSIFICATION
FRONT
-,
,.
SIDE INT. , SIDE EXT. 0
AUTHORIZED SIGNATURE - DATE
REAR
('
,
DATE
"'II .L.
r"....ll :'-0 ...~& : ,.....,.'~c........
/. ;)~";{\::-o'
, "
BLDG. PERMIT - WH ITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SAN IT A TION - 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 an Reverse Side)
FORM::: CSS-l]
(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 Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNOATION INSPECTION
ApPROVEO L-/ DI SAPPROVEO L-/ DATE
INSPECTOR
REMARK 5
FRAMING INSPECTION
ApPROVEO / / DI SAPPROVEO 17 DATE
INSPECTOR
REMARKS
1\
LATH OR SHEETROCK INSPECTION
ApPROVED L-/ 01 SAPPROVEO I
I OATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVEO ~SAPPROVEO
Cl
DATE
1/-/5.11/
(
INSPECTOR~
REMARKS
CERTIFICATE OF OCCUPANCY
-.
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
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INSPECTOR
REMARKS
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