HomeMy WebLinkAboutPermit Building 1974-9-20
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l LANE COUN.~UILDIN~ PERMIT OR MOBILE
BUILDING 0 MH D
'MAILlNG ADDRESS
66oC'~:IHSA~'lDn~ Hi\V
MAILING ADDRESS'
126 RU!:1H IN .
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. PROPERTy'OWNER,
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tou~ Do~e
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CONTRACTOR
RUSSELL RMODE~
PROPERTY LOCATION - INCLUDE POST OFFICE
660S'OUTl-1 G~\Rotl\l\'/AV
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
. .SECTION
34. 2.. 3
RANGE
17
03
APPL.
NAME
&
MAILING
ADDRESS EUGENE, O~EGOtJ
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
DOUG' COLE'
660 SOUTH GARDlnJ \:JAY
STRUCTURES TO BE BUlL'!" THIS PERMrT
GARAGE STORAGE~' OATH
SEWA,GE DISPOSAL
PUBLIC 0 SEPTIC TANK 0
BUILDING $
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER'
1 ).jSUflCMARG(!
OTHERD .
2t5.00
FEES
10.00
. ~8
16. ''i8
COUNTY BUILDING
. TOTAL
$
MIN.. SEPTIC T'ANK CAPACITY
WITH OIST. BOX, GAL.
DRAIN FiElD REQUIRED
L1N. FT
TYPE OF STRUCTURE
OCCUPANCY
5N & J
BLDG. SETBACKS h FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT50 "
SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REA.R
/ fJl J. E. Boss BY C HAROAUGH
,~.i
.,
. H.~USE PERMIT
PERMIT NO.
TAX LOT NO.
CODE
EoorWE, OREGOr-J
EUGENE, O~EGON
" CENSUS TRACT
3-108,
EXISTING ,STRUCTURES ON PROPERTY
. OtcJtLL ING
LEGAL ACCESS TO PROPERTY
, SOUTH GAtlOEN :t1AY
'PROPERTY' SIZE - FT.
Connect to Existi"ng Sewage System 0
TYPE CONSTRUCTION. . SQ. FT. # BDRMS
629 0 5.30
165S-1L(
1855~ 74
PHONE
6a9-01~ 78
PHONE
New System 0
VAI..UATION
. 3,333, 70
.:
"-'" .
DATE
9/2.0 h4 DM
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
for subsurface sewage disposal and county regulations covering
plumbing." All buildings require a certificate of occupancy before
being occupied. .
(See Details on Reverse Side)
IMPORTANT:
FORM::::C55-13
.'
300
19..03
WIDTH,
PLUMBING INSTALLED BY
OWNER' 0 OTHER: NAME
WATER SUPPLY
PUBLIC b'
& SANITATION SPECIFICATIONS
TRENCH WIDTH FT.
ZONE
AG1
USE ClASSIFICATION
"5
J S"lOO[~1 SAN IT AR I AN
DEPTH
AREA
o OTHER
OR SQ. FT.
PUBLIC UTIl. EASEMENT
11III""'"
of
~UILDING SITE EVALUATioN
. I~~~,
Bu~ I d i n9 Perm i t App I i cat ion No. J15S~-7V" ~
" ,
T~03 S:S~ 1.3 TAX LOT 30()
CENS~ACT
( T)
( )
( )
APPL JCANT: /.
NAME. C6/ E? /RJ-fr"\de..S:.
ADDRESS I'
Site Inspect ion T6 W Pc-g-( 3 - 7<-1
:rR0YJ1 WP~ Q-I7-7u
Pre-Permit Investigation 7
;;) f IS.~
IO~Oo
PHONE
DATE
/
q-IQ,~7q
"
J.
Zoning Ordinance Compl iance
(Zone )
Subdivision Ordinance Compliance
NOT
app I i Gab I e
() () ()
( ~L(,,~ ^ 0 . \
. (0\(0) l/ ~
( )( )
() ()
NO
YES
NAME
DATE
LANE COUNTY PLANN I NG DEPARTMENT'
3.
4.
Required Access
( )
( )
( )
( )
2.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments) .
5.
COMMENTS:
BUILDrNG INSPECTION SECTION NOT NO YES NAME DATE
appl i cab I e ~
6. Plans Submitted ( ) ( )
7. Soil Stability (footings) ~ ( ) ( )
8. Flood Plain {41 ( ) ( )
e$4l1t4:1J/ r
9. o the r (see Comments) ( ) ( ) }f1' 9.../ '1-7~
y
COMMENTS: ><I: ,()~./ p~-tJt; /3\)~r"'7t1 v
SANITATION SECTION NOT NO YES \~ DATE
app I i cab I e la/7'~
10. Sewage Disposal (11 ( ) ( )
11. Usable Area ( ) ( ) ( ) U
12. Water Supply ( ) ( ) ()
13. Other (see Comments) (\) () ( )
COMMENTS:
TO APPLICANT:
( )
( )
( )
Building Permit / Site Inspection:
Can be app roved.
Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and furth~r information on items 6
through 13 contact the Lane County Buildinq and Sanitation Division.
Will be held in this office un,til you can resolve the probl'ems indicated.
Is being returned.
Your building permit appl ication fee is being returned under separate cover.
~
(}.,~
Your
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LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065 .
CSS-28
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l~NE COUN.UllDING PERMIT OR MOBilE
BUILDING 0 MH 0
MA!lING ADcDRESS
(~i'; ,t~..-~~.~~..,-! ,:~J~L';0Ck: t-::,~v
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PROPERTY OWNER
PHONE
C:>'J~j.~2:{,\;.W: f ~>_t.:~t:(~~'~:
\ - .~,~. ~~<~
.
CONTRACTOR
l"::':::':C~'. ~,.. r~~'/~;~~;:..~)'
MAILING ADDRESS
17.:.~ ,~:~::;~ W
PHONE
?:trn~'~JeC' O,-:Iec~q;.:
PROPERTY LOCATION - INCLUDE pOST OFFICE
,". .
L<~~ ,:'>.i:JV.~ C~:::f);::J t5~~"'il
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
RANGE
,I !7
((~~
::;:1'
SECTION
y):, ii. ").. ':;1.
,,,1--6
(.y
TAX 1..0T NO.
~~~1
CODE
V q "(.'fl
..' vol
.EXISTING STRUCTURES ON PROPERTY
J\;j'CM.. [n;;,}
CENSUS TRACT
'J \l{,,,~l
..~.:-:) u v...J r
APPL.
NAME
&
i' M~llING
ADDRESS
C<'>. (~"1 t/ ~~~G
i$:::;; i:U..fnl O:;r:DC,', tJw.:
LEGAL ACCES?, TO PRO~ERTY
~)O,t'f~c.c>.H)r,~ ~J.:\.',
PROPERTY SIZE - FT.
!::,:,,:;t;;:':11> C1e1.,C:'1
WIDTH
DEPTH
AREA
FOR MOBILE HOME PERMITS ONLY
'. No. of Bedrooms
, :
:"'\:
STRUCTURES TO BE BUILT.THIS PERMIT
".... .): " ... ,,-,~ ,. .~ ;" ^ ., i'"
- '- '.... ......'U(i. L J...../..-,:,,""~
Connect to Existing
TYPE CONSTRUCTION
Sewage System 0
SQ: FT. +/: BDRMS
;::',J i I;
L:~....' 'J' ...tr~
New System 0
VAI..UATION
:~~ I> ~ 1 ~. ~'~,~ At.;
"
^ "
\:;
";,~ ) ,,"
"\,'... " "'"
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE. DISPOSAl.
SEPTIC TANK 0
$
OTHERO .
(';~..)tj,~}
FEES
PLUMBING INSTAllED BY
OWNER D OTHER: NAME,
WATER SUPPLY
PUBLIC 0
o OTHER
, ,
PLUMBING
: i.
PLAN REVIEW
. PARK tR.{'!L~R"",
'f ,.. ,._'f \ ,'....."..
. \:t~:::~ ~;ry.
TOTAL
$
· ;'i~
4>,,~", 7""
~,".F b _,)1
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX, GAL.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
lIN.FT
. TRENCH WIDTH FT.
OR SQ. FT,
~" \,
OCCUPANCY
~ _. l.:r
ZONE
.{,?
USE CLASSIFICATION
PUBLIC UTlL. .EASEMENT
I TYPE OF STRUCTURE
BLDG. SETBACKS n FT. FROM CTR, OF ROAD RIGHT OF WAY
!..
SIDE INT. j SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
j
FRONT
j>~::f ,~o (~6 {:;;-~]C ~_:' G Uf.:'~. ,:,'~~~::l.;
,j I.w',l:~l:.f':;" C', /\~\ I i~lJ
DATE
'~f ' ", i;:,
.-,:;' '. ~ '
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
. PLUMBING ~ CANARY
I BUILDING - GREEN
I 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 subsurface sewage disposal and county regulations covering,
'plumbing. All buildings require a certificate of occupancy before,
, being occupied.
~ (See Details on Reverse Side)
FORM=C55-13
(POST nus PERMiT ION MAIN BLIOG; AT SITIE)
LANE. COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX,' 135 EAST 6th, EUGENE, OREGON 97401
/.
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-
.
SITE INSPECTION
ApPROVED / .I
DISAPPROVED / / DATE
REM,d~I~S
'FOUNDATION INSPECTION
ApPROVED /
/ D!SAPPROVED /
r DATE
REMARKS
"
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,
.
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\
INSPECTOR
INSPECTOR
ApPROVED / ~/ DISAPPROVED /
/
D,n /0". 7 ~ I NS"CTO' td
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ct2)
FRAMING INSPECTION
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
REMARKS
F I NALI NSPECT I tJ~,;1
Ij/f;
ApPROVED./ %ISAPPROVED / /~ATE
7 ;J,. ,.,..--Il
REMARKS " ,--J4tUAi-:tJtii, i- /Ij-' I 6 /~ .
CERTIFICATE OF OCCUPANCY
'1 NS PE C TOR
./J
'/ ., " !-r'- . r4 /
~7 ,'~ f -j:} INSPECTOR t?'{ f
REMARKS
READY TO iSSUE / / NOT READY TO ISSUE I / DATE
INSPECTOR
I~ .l'AAAU r.; /) .
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