HomeMy WebLinkAboutPermit Building 1973-5-11 (2)
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LANE COUNTTWILDING PERMIT QR MOBILE HO SE PERMIT
BUILDING D MH D PERMIT NO.
MAILING ADDRESS
.!?//, ;7.5"
811-73
PHONE
'40" ., . . ~'.
PROPERTY OWNER
_lQper. Bill
CONTRACTOR
Tedro, Mar ion 510 N. 10th. SDfd.
PROPERTY LOCATION - INCLUDE POST OFFICE
1082 Dondea
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
, .
PHONE
747-9914
MAILING ADDRESS
Meadow Green Estates. B1k. 1. Lot 11
TWP RANGE SECTION
18 2 6./. '3
APPl.
NAME Mar Ian Tedro
& lilO N. 10th
MAILING
ilS-6O'o
CODE
CENSUS TRACT
f
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if
~5.400
EXISTING STRUCTURES ON PROPERTY
Dwelllna . ~araae
LEGAL ACCESS TO PROPERTY
Dondea St.
PROPERTY SIZE - FT.
ADDRESS S.~rinafleld. Or.
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. # SDRMS .
New System q
VALUATION
Deck uncovered
300Qil I
300
SEWAGE DISPOSAL
PUBLIC 0
BUilDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
PLUMBING INSTALLED BY
SEPTIC TANK 0
$
OTHERD
<;.00
FEES
OWNER 0 OTHER, NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
$
" nn
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
~ J
BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT 41i
REAR
7
SIDE INT. Ii SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/~/ Bn~~ hv Harhauah
DATE
G.W. Grav. R.S.I.
Ii. 11- n
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require a certifj_~ate
of occupancy before being occupied.
(See Statement on Reverse Side)
',-
(POST THIS PERMIT ON M~IN BLDG. AT SITE)
LANE COUNTY, BLDG. & SA,..s~ DIV., COURT 110USE, EUGENE. OREGON 97401
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FORM .=:'CSS-lJ
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BUILDING SITE EVALUATION
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X Building Permit Appl ication No. r-?//-'7"3
() Site Inspect ion
() Pre-Permit Investigation
.....
T It R t:J.::<. S CJ? TAX LOT
CEN~ TRACT 0.:) -c,;:-o-<J
/10:-~~ ~
APPL~ J. d- //
NAME ~~/ .4- /
ADDR ;, 7;';\. Y~.-<::J
PHONE
DATE
l 'J-/---;(3"
LANE COUNTY PLANNING DEPARTMENT NOT NO YES NAME DATE
app I icab Ie /JIltS
I. Zoning Ordinance Compl iance ( J ( ) ( ) .5-9-7~
(Zone ~ ) dl
2. Subdivision Ordinance Compl iance ( ) ( )
3. Required Access ( I ( ) ( )
4. Building Site (Area, Width, ( \ ( ) ( )
Front age, Setback)
5, Ot he r (see comments) ~ ) ( ) ( )
COMM ENTS : ~
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
aDD I cable
6. Plans Subm i tted ( ) ( ) ( )
7. Soil Stability (foot i ngs) ( ) ( ) ( )
8. Flood Plain ( ) ( ) ( )
9. Other (see Comments) ( ,) ( ) ( ) ~/f~ .,5':. / I . '1 i
COMMENTS:
SANITATION SECTION
NOT NO YES
aDDl icable
(YJ () ()
( ) () ()
(J () ()
() () ()
10. Sewage Disposal
11. Usab 1 e Area
12. Water Supply
13. Other (see Comments)
COMMENTS:
TO APP LI CANT:
NAMIl
DATE
'uJ./~
?- ~r/Or-'C
Building Permit I Sit~lt"lP"~io:'l:')
Can be approved. ~ II; ~
Cannot be approved a t~is time as indicated on item NO. above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANN ING DEPARTMENT. Quest ions and furthe'r informat ion on iten;S 6
through 13 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 being returned under separate cover.
Your
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( )
( )
( )
LANE COUNTY PLANNING DEPARTMENT
IV. Sixth 1I,'enut! East, Eu~elle, Oregon 97401
1'lhINI: ll,~-I:; II [Xl. 7J I
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE: 342-1311 EXT. 411
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LANE COUNT.ILDING PERM.IT !jlR, ~pBILE
BUILDING DMH 0
MAILING ADDRESS
HO.SE PERMIT
PERMIT NO.
"
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CDiod:J
PHONE
PROPERTY OWNER
!'::"? Oin
CONTRACTOR
MAILING ADDRESS
PHONE
'jt>7,,':JD/:
'k('ro~ ";::1'1001 !jIG tJ. 10\:11. f.';)fd.
. PROPERTY lOCATION - INCLUDE POST OFFICE
'C::2 C'or.C::::l
PROPERTY lEGAt DESCRIPTION - METES, BOUNDS
J'::::-::'::'.] Gi'C':::J (lOCO.C:3. one:. I. w~ D I
TWP RANGE SECTION
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APP';:.u
NAME
&
MAILING
ADDRESS r,;linuQIC.lhJ. Cr.
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
lilCl D. IO~~
TAX LOT NO.
"" I1r'.I.-o;'
~ \ Vr~
~ "EXISTING STRUCTURES ON PROPERTY
".':i.....J'-. ~
\~::JI B lin ~ [;::,,;::~
LEGAL "'-CCESS TO PROPERTY
,-C'da::i;::o GO.
PROP~~~'- '%.-
WIDTH ~DEPTH
CODE
CENSUS TRACT
n"
2 G
t'\' -"\ ~
C:::l'iGn Yc:::ffi \
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :: BDRMS
New System 0
VAl.UATION
C':C~1 U:~:O~~
~:;o 0 I
::;CD
~!:\'_\\_t
~"-\.l\~'9- ....
\
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
. 'WASTE DISPOSAL
PLUMBING
PLAN REVIEW
. PARK TRAILER
SEPTIC TANK 0
$
OTHERO
!l.C'J
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
s
(1.U)
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
tiN. FT
TRENCH WIDTH FT.
OR SQ. FT.
'.
TYPE OF STRUCTURE
!}il
BLDG. SETBACKS.. FT.
FRONT ~;S
OCCUPANCY
ZONE
PUBliC UTll. EASEMENT
J
FROM CTR. OF ROAD RIGHT OF WAY
SlOE INT, 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
10/ C:lOO 1;" CI:JrV!:::.tr::J
USE CLASSIFICATION
REAR
7
G.V. GO',-:? 1I.5,'i'.
DATE
;:i-l'1f3
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. . All buildings require a certificate
of occupancy before being .occupied.
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
F'ORM'.:= C55-13
~
FOUNDATION INSPECTION
ApPROVED 1--/
/ DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED C1 01 SAPPROV(D C1 DATE
REMARKS".;",JJ7~ 0''-/7'''' 'nl(
I
INSPECTOR
LATH OR SHEETROCK INSPECTION
ApPROVED 1--/ DISAPPROVED II DATE
INSPECTOR
REMARKS
ApPROVED
FINAL INSPECTION
~~SAPPROVED
L:J
DATE
&~ / ?. 7JN5PEcTOR
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE C1 NOT READY TO ISSUE C1 DATE
INSPECTOR
REMARKS
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LANE COUNTY~ING PERMIT 'OR MOBILE HOME. APPLICATION
'~:. . PERMIT TYPE - BUilDING MOBilE HOME Dose REG. # PERMIT #
PR~Y OWNER .r'/ ~ A // MAILING ADDRESS
;:7~L7/>J . ~
- C'},it7"CT'}7 . / ~ a '
'/ e,4/,k ~. .. 7J'.M~
'"1'ROPERlY-LOCATIOW- INCLOOE POST OFFICE
/ /:1 <?' ~
MAILING ADDRESS
9//-7...3
PHONE
7~/-9~/'y
A ./ 2Z' /J./ / PHONE .'
"?f' A'7~ / ttJ ~ ./'1/
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~e'1' /::: -, I.,ETES & BOUNDS 0 YES
~ / t' V. ATTACHED 0 NO
CENSUS TRACT
3 S--L/O d
DESCRI E,X;;;?Z:':P~
lEGAL,)]CEsn~)p.1"PER;Y- ROp }J"ME OR # '?
4' /~1 /.P" 4d. -d?'" .
PROPERTY SIZE-WIDTH . DEPTH
Kd.et
CODE
PROPERTY LEGAL DESCRIPTION -~ .4
lOT - BLOCK - SUBDIV. /' /'t"'~~
TWP RANGE ' ". - SEC.
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- TAX lOT" #
APPLICANT
NAME
AND
MAILING
ADDRESS
FOR MOBilE HOME PERMIT ONLY
Number of Bedrooms
S1RU~S TO ~BUILT THIS PERMIT _ /
,/V::~../~_~
AREA
Connect to Existing
TYPE CONSTRUCTION
/:-> ;<~"
Sewage System -0 ar New System Req. 0
~;~ BEDROOMr3d-o
-
-~ ~~~ /""AM"--1!d2~-"':- ---...
SEWAGE DiSPOSAL /;fM j2bV ~ PlUMBII~INSTAllE9"BY'
PUBLIC 0 SEPTIC TANK OTHER 0 OWNER 0 OT.HER 0 NAME
BLOG. $' ~ t') FEES WATER s~pp PLANS FURN~ED FACILITY PERMIT
WASTE 015. PUBLIC .' OTHER I YES 0 /N~~ YES 0 'NO 0
PLUMBING PLUMBltiG ES V ~M SIG~A~E OF APP.E!5tNT DATE
PLAN REVIEW _fI)<T~RES /\ /'IOf)A~-;:P~ . .-(":.7-7.=?
PARK TRLR. CASH 0 SEW~~ ( FEE EC D BY DATE
CHECK 11'1 ~ECTlON FEE . ./":4- '::;-:"'7- 7 .i.
MIT #j'/ 2?/ /-;z.:;
~;--L./L... ~l
az.: if ,INJ"'Ti
TOTAL
5-;~
PUBLIC WATER
CONNECTION FEE
COUNTY BUilDING & SANITATlO SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY ~ DRAIN FIELD REQUIRED "7
WITH DIST. BOX: GAl. Cl ^'~ :J..J L1N. FT. TRENCHklDTH FT. OR SQUARE FEET
- f ' /
/
/
"-
TYPE OF STRUCTURE J AI ~V
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY
ZONE
REAR YARD
PUBLIC UTIl. EASEMENT
USE CLASSIFICATION
FRONT ~ .0:;
4cJA.
Directions to F~
SIDE INT.:!S' SIDE EXT. REAR 7
Date PLANNING Date BLDG: INSP.
,<:;'''10- H~.h 5- ~ /"-;J
prape: -//>Fd ~A-xA-:-:"
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Dato
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W~(~0--I/-'/J
f--- - 1
COPY I - OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT
Form # C55.\2