Loading...
HomeMy WebLinkAboutPermit Building 1974-3-21 (2) ) -_.. A-' ;. ~ f L.lI~,!,....t..1 /.:Jf , ,I :... .'/ -,p \ 1,: ~ ;-.. J ,'. .:. ~ (. y/ F, ," l i1,.:;;l /.. ~~J-' "-- ,.......- ."""1 L (,' I 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 .._ 0" .._.~__._ . - - - -..--,...-..---- MSS-2S-.... ..---- ~""'Jo' , 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 ( ", -, /. I ...." . . , .' 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 // . ~! /J ~_t~~. ~i;J ~ 1f" ~ Mo 0()--JJ :<~ +' t) ~~" .~~ INSPECTOR REMARKS J' 7"'1" 7 '(