HomeMy WebLinkAboutPermit Building 1975-7-20
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LANE COU_ BUILDING PERMIT OR MOBILE AE
BUILDING D<x MH 0
MAILING ADDRESS
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USE PERMIT
PERMIT NO.
2003-75
PHONE
747-"i?Q"i
. PHONE-
PROPERTY OWNER
L. N. SMITH
CONTRACTOR
SAME
PROPERTY LOCATION -INCLUDE POST OFFICE
2 HOUSE ON RIGHT PAST INTERSECTION
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
ROUTE 10 Box 2~0 D
MAILING ADDRESS
"UGENE, OREGON
Of DEAOMONO ROAD AND GAME FARM ROAO:
TWP RANGE SECTION
17 O~ 1~
APPL. /\
NAME L. N. SNITH ",\
& SANE
MAILING
TAX LOT NO.
CODE
CENSUS TRACT
,Q()()
4-04
EXISTING STRUCTURES ON PROPERTY
.!i(\!!SE ^.~r>. G~I,^r.~
1GAL ACCESS TO PROPERTY
~'1 DEADMDND FERRY ROAD
.; PROPERTY SIZE - FT.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. :# BDRMS
New System 0
VALUATION
PERMIT fOR ADDITION DINETTE
'56 (:) 1610
SCJol.60
LANE COU~TY SPECIAL PERMIT AREA:
SEWAGE DISPOSAL
,
OTHERD
10.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PAR~ TRAILER
3/<,SURCHARGE
SEPTIC TANK 0
PUBLIC 0
o OTHER
TOTAL
.
.iO
10.iO
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
NA RESERVE AN REPLACEMENT AREA, STAY 10 fEET fROM ALL PARTS Of SE~ADE DISPOSAL SYSTEM
~ITH NE~ CONSTRUCTION:
TYPE OF STRUCTURE
5N
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT NA SIDE INT. 15' SIDE EXl.
AUTHORIZED SIGNATURE - DATE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
USE CLASSIFICA liON
REAR 20'
DATE
/S/ J.E, BOSS BY HARDAUDH
LDWRY BY GRAY/SANITARIAN
7/2./7~
DLM
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATlON - GOLDENROD
Call 687-4065 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:;: CSS.13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97-401
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B~lttlNG SITE EVALUATION ~
~UILDING PERMIT APPLICATION NO.
() SITE INSPECTION
&& ~iJ R 03 S I S-:;AX LOT'Sf't:::' (:)
SUBD ION:
~~-7S""" LOT: BLOCK'
APPLICANT Y:. k,.. ~. ct~rr-y
DATE
PLANNING DIVISION Not
Applicable
I. Zoning Ordinance Compliance: Zone~( )
2. Subdivision Ordinance Compliance ( )
3. Required Access ( )
4. Building Site (Area. Width. Frontage) ()
5. Other (see comments) ( )
COMMENTS:
PLANN I NG 0 I V I S I ONA"tTl ON PEND I NG: Y~( ) NOT} A-f>PL I CAT 10NlI - .
BUILDING INSPECTION DIVISION
Not
ADDlicable
( )
(~
( )
(
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
ADDliw.le
II. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
( )
COMMENTS:
No
T)
( ) C
( ) ( )
() ,)
() )
No Kt
T)
( ) ( )
( ) ( )
( ) ( )
No Yes
T)T"T
( ) ( )
CK' 0 Bv:' J4-r-1'~~~
6. Setbac~c/l 'of roa~
Front AI/A
SJ...."" ~Y+-.e.~ ",'
Setbacks from interior IJ!}8s:
Side ,JQ
Rear Zf..)'
CK'D By:e~N~-n~17
IV~' v If '~ATE
CK'D By:.iIJ ~_
7-';U-7S"
DATE
TO APPLI CANT:
Your Building I Site Inspection:
XCan be approved.
( ) Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items I 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 appl ication fee is bein,9 ~"ltu'=.lJ.~d un<!!lL.seoarate cover.
vEPARTMENT OF tNVIRONMENTAL HANA~EM~NI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
rjYJ~)
,y--gR
C55-28
.
BUltblNG SITE EVALUATION
.
,
() BUILDING PERMIT APPLICATION NO.
() SITE INSPECTION
PLANNING DIVISION
Not
Applicable
( )
( )
( )
( )
( )
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
S~N:
LOT:
S
TAX LOT
BLOCK:
APPLICANT
DATE
No Yes
T) TI 6.
( ) ( )
( ) ( )
( ) ( )
( ) ( )
CK'D BY:
Setbacks from cll of road:
Front
Side Exterior
Setbacks from interior lines:
Side
Rear
PLANNING DIVISION ACTION PENDING: YES( 1 NO( 1 APPLICATlONft
BUILDING INSPECTION DIVISION
Not
Applicable
( )
( )
( )
( )
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
Applicable
(")
~ ",
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
( )
COMMENTS:
No Yes
T)TI
( ) ( )
( ) ( )
( ) ( )
CK'D BY:
DATE
_) /; ...;.......:... )1 _ .'
"...... . ,-
,.
,
No Yes
T) TI
( ) ( )
CK'D BY:
'.;.
DATE
TO APPLI CANT:
Your Building I Site Inspection:
'{ ).Can be approved.
( ,. Cannot be approved at th i s time as i nd i cated on i tern NO. above.
Questions and further information on items I 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 Ls beinq..r~tu~n!l.d_under ",oarate ~ver.
uEPARTMENT OF ENVIRONMEIIITAL I1ANAlifMtNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
,;.
LANE COU_ BUILDING PERMIT OR MOBILE HIE
BUILDING 0 MH 0
MAILING ADDRESS
USE PERMIT
PERMIT NO.
PROPERTY OWNER
CONTRACTOR
MAILING ADDRESS
PROPERTY lOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
TWP
RANGE
SECTION
TAX LOT NO.
CENSUS TRACT
CODE
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.
DEPTH
AREA
WIDTH
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. :# BDRMS
SEWAGE DISPOSAL
PUBLIC n
BUilDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEPTIC TANK 0
OTHERO
. ,
.' :'l'
FEES
PUBLIC 0
o OTHER
TOTAL
,
MIN. SEPTIC TANK CAPACITY
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
WITH DIST. BOX: GAL
L1N. FT
OR SQ. FT.
TRENCH WIDTH FT.
,. .
TYPE OF STRUCTURE
OCCUPANCY
PUBLIC UTll. EASEMENT
ZONE
BLDG. SETBACKS. FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
c. ,
/'
PHONE
PHONE
New System 0
VALUATION
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 construe.
tion shall comply with. Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. 'AII buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
"'.....".. ~ r~< _,~
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th. EUGENE, OREGON 97401
.
.
'~
SITE I NSPECTI ON
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED 1---1 01 SAPPROVED 1---1 DATf
v' . h /) /I.-'L
REMARKS r)H ~ ;(lZt1/!1 ,h. r.t.-;t:rl!f/l/LEf..
/
INSPECTOR
r-I--) 5' (J[,
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('-;, I
/
FRAMING INSPECTION
ApPROVED /~DISAPPROVED Cl DATE ~'L/. ~Ij'
INSPECTOR
&e;,
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED L-I DISAPPROVED 1/ DATE
INSPECTOR
REMARK 5
()jl/
FINAL INSPECTI~ 1II~
ApPROVED LfJ DISAPPROVED ~ DATEq, lS/7t INSPEtTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO I SSUE ~ NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARKS
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