HomeMy WebLinkAboutPermit Building 1974-7-25 (2)
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USE PERMIT I'S ! L( - -; V
PERMIT NO]14-74
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LANE COUNTY
BUILDING fi
BUILDING PERMIT OR MOBILE HOME
MH 0
MAILING ADDRESS
1008 DIAMOND ST. EUGENE. OREGON
MAILING ADDRESS
PHONE
746-0221
PHONE
PROPERTy'OWNER __
!:II)J T I nON
CONTRACTOR
PROPERTY lOCATION - INCLUDE POST OFFICE
Jooa P.IAlIll.~.P ST t
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
OI.6......0WO ACRfS
TWP RANGE
1--8, 8-1
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17
O~
~4.2.4
201&218 12-~O
\ EXISTING STRUCTURES ON PROPERTY
HOI4E
LEGAL ACCESS TO PROPERTY
DIAMOND ST.
PROPERTY SIZE - FT.
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. ;:; BDRMS
New System 0
VALUATION
R~PAIR S~PTIC DISPOSAL SYSTEM
SEW AGE DISPOSAL
PUBLIC D SEPTIC TANK fi
BUILDING ,
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAilER
TOTAl .
MIN. SEPTIC TANK CAPACITY
, WITH DIST. BOX: GAL. qQQ
PlUMBING INSTAllED BY
OTHERD
FEES
OWNER D OTHER, NAME
WATER SUPPlY
1I:;QQ...
PUBliC rn
o OTHER
'''M\
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FielD REQUIRED
UN. FT
1~
TRENCH WIDTH FT.
2
OR SQ. FT.
3X>
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
.1. SHOOK
I:
DATE
7-2'5-14 BP
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 subsurfoce 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 97401
BUILDING SITE EVALUATION
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() Bu i I ding Permit App I i cat ion No. 1'511./- 7V
() Site I nspect ion
() Pre-Permit Investigation
LANE COUNTY PLANNING DEPARTMENT NOT NO YES
;1 icable
1. Zoning Ordinance CampI iance ( ) ( ) ( )
(Zone )
2. Subdivision Ordinance Compl iance ( ) ( ) ( )
3. Required Access ( ) ~ () ()
tf--
4. Building Site (Area, Width, ( ) ()
Frontage, Setback) ( ) j () ()
5. Other (see comments)
COMMENTS:
T_ R03 sz'42, JofAX LOT:<olnl1"
CENSUS TRACT -
~:~ICANT: !Iv /1, I
ADD RES S
PHONE
DATE 7-1.~-7Y
NAME
J
DATE
-':---'-----_._----------:_----------'-=
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
6. !!PP I i cab I e
Plans Submitted ( ) I ,
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7. Soil Stabil ity (foot i ngs) ( )
8. Flood Plain ( ) .... )
. I
9. Other (see COIM1ents) ( ) ( I) ( )
COMMENTS: ~
SANITATION SECTION
NOT NO YES
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DATE
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LANE COUNT~. IlDING PERMIT OR MOBILE HO&" APA~:N' / ., / I I
TYPE - BUILDIN MOBILE HOME Dose REG, # P~T:# /3/ '-f- 7 7
" MAILING A:;Jl.SS PHONE
,;.Ob-n /al3~ ~cf-d./ _~/M/.-.#O) /V~-Ol2/
MAILING ADDRESS ~'-- PHONE
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PERMII
PROPERTY O'llNER
40.1 1;'
CO NT CTOR I
APPLICANT
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ROPERTY lOCATION - 1,~lUDE POST OFFICE (,...L
/ /J.fi).p. IV.-//2/7'7Vrn. d' or ,
PR~PERTY lEGAL DESCRIPTION 01). " /J. /J ) L n /J
LOT - BLOCK - SUBDIY, ~a f Jfl/)/.-,a, ,..,p- (v-- /
TWP RANGE SEC. - TAX lOT # CODE
\.3 ~ .;), -/ ,.e/J / qI ;)/ f
DESCRIBE E~G STRUCTURES ON PROPERTY IF ANY
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lEGAl ACCESS TO PROPERTY - ROAD NAME,-O} #
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PROPERTY SIZE-WIDTH DEPTH
7
;/
C ,IE" S S 0
onnect kto xlstlng ewage ystem
TYPE CONSTRUCTION SQ. FT.
/
mn/
I
/
/
METES & BOUNDS DYES
ATTACHED n NO
NAME
fY-"'3
,~~
CENSUS TRACT
...5.2 -'"3&0
/7
AND
MAIliNG
AREA
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BE BUIlT THIS PERMIT
R..t ~cUA ./ ...\.~ ('
or New System Req. 0
# BEDROOMS VAlUATION
SEWAGE DISPOSAl
BlDG.
WASTE 0[5.
PlUMBING
PlAN REVIEW
PARK TRlR.
.
SEPTIC TANK V
,/
/0.0 i)
PlUMBING INSTAllED BY
PUBLIC D
FEES
OWNER D OTHER D NAME
y:~Yiir~E~~~/7 Y:SA~lITY PE::':VDAT~ f
-J, /U/ - dliIb-P 7--/5 - 7y
FE~ 1-{ S~7V
PERMIT # J' /
I~J </- /'1'
'COUNTY BUILDING & SANITATION SPECIFICATIONS
OTHER D
WATER S~UPP.(Y
PUBLIC
PLUMBI~ ~EES
-----All'TURES
OTHER
TOTAl
;'5.00
\
CASH D
I
CHE,
S I>lR
OJ'lNECTION FEE
~tBlIC WATER
,CONNECTION FEE
MIN. SEPTIC TANK CAPACITY
WITH DIST, BOX, GAL q/) 0
DRAIN FielD REQUIRED
lIN, FT, 1'[;lJ TRENCH WIDTH FT, '?-- OR SQUARE FEET .~ D (')
TYPE OF STRUCTURE
OCCUPANCY
ZONE
REAR YARD
PUBLIC UTll. EASEMENT
BlDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
cl~~~:~~!7if''^"""O
USE ClASSIFICATION
REAR
Dote BlDG. INSP.
Dote
COpy 1 - OFFICE
COPY 2 - JOURNAl
COpy 3 - AUDIT
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