HomeMy WebLinkAboutPermit Building 1974-7-26
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BUILDING ID!
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H'.) USE PERMIT
PERMIT NO.
. PROPERTY OWNER
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BUILDING PERMIT OR MOBILE
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MAILING ADDRESS
(611) Gllrden ~/mt,;l. Ew:x<lnn. ~retrlcm
MAILING ADDRESS
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PHONE
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PHONE
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PROPERTY LOCk-nON - INCLUDE POST OFFICE
61J9-.r2lg
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PROPERTY L'EGAL DESCRIPTION -' METES, BOUNDS
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EXISTING STRUCTURES ON PROPERTY
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APPL.,
NA'ME
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'ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
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hBUSS
LEGAL ACCESS TO. PROPERT'Y~-~,
G~rden' Wm,,' /. "\
PROPERTY SitE - FT. ( ~'
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WIDTH 82 . DEPTH-~. AREA
STRUCTURES TO BE BUII..T THIS' PERMIT
Connect to Existing Sewage ,'SystemD
TYPE CONSTRUCTION SQ. FT. :# BDRMS
New System D
VALUATION
Remmd~.l in<1l 'fmnf ~f l2.xis1dno:buildiI1lCl
- -
7 . 000'
AdM i nl1l nT, ki.tt:h~n (f'ilx.l ~ \, ·
117 @ 21.80 1.55a.~O
-Sl..550.GO- .
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. SEWAGEDISPOS~L
,PUBLIC D' SEPHC TANK :B! OTHEREI .
BUiLDIN,G .~, .1/ ..., " .. ~ ' ~.g:f~'"nA, FEES
WASTE DISPOSAL ..,---~\' ~ l:~~t1".;;'",:~~r"2";!': - ), ~ '1 J.~ ... t'JU
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PLUMBING " ~ ,tHl, .I
PLAN ,REVIE~
PARK TRAILER
PLUMBING INSTALLED BY
OWNER 0 . OTHER: NAME
WATER SUPPLY
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COUNTY BUILDING & SANITATION SPECIFICA,TlONS
DRAIN FIELD REQUIRED
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TOTAL
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
L1N. FT
TRENCH WIDTH 'FJ: .
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AUTHORIZED SIGNATURE.-DATE.' .
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. ,'5\t~;1 ~:\~'..'.'D";' Cal! p,87-4,Q65. to ,~~h~d'.0le.~'~1I r~q1irred inspections.t~t~C9r;-~truc-
. \. ,. ..; I . . i .ticirJs~aJ)/,~"1P'ly. with yniform 'Building Cod.e, D.E.d. standards
i, ,S '~'~IM'POR.1iAN,T: . f,or.lsubsur.face lsewgge,".ClisPClsal andA,county, r~gulations coverin'g
.'.~1t;~'"'I'~~' ~l~~"'L J' .,:~ .,' :'1pl .EI~.mbing. ~ltbu11~inl~~~quli~;t~.?,tJ)fiCa't~ P'fb::l\~a,!l~ F~fore
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, ',(PQ$T THIS.~ PERMI!Ji', QNr:lV\~I.N':r,~lDG", '~T: SITE)'
.'. , " ,..,' LANE' c~'.~,~Rt",;pEP~:i2~ Et;I~'IR9N~EN!T~L:.MA~~GEMEN'( "_
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. "DATE
BLDG. ,F'!,RM.!'k-:-"w~ ITE
OFfiCE COP',y,L\WHITE,
COUNTY TAX - PINK
P.LUMBING.-'- CANARY
BUILDING +GREEN
SANITAr'I.oNC; GOLDENROD
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BU liLD ING SITE EVALUAT ION
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C'E'NS9ACT
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( )Bu i I ding Pe rm i t App I i cat i on No.
() Site Inspection
() Pre-Permit Investigation
APPLICANT:
NAME r () I....C"
ADDRESS
PHONE
DATE
/-/7-7lf
3.
4.
Required Access
NOT
app I i cab Ie'
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NO
YES
NAME
DATE
LANE COUNTY PLANNING DEPARTMENT
I. Zoning Ordinance Compliance
(Zone )
2. . Subdivision Ordinance Compl iance
Buil~ing Site (Area, Width,
Frontage, Setback)
Other (see comments)
( )
( )
( )
( )
5.
( )
COMMENTS:
/
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BUILDrNG INSPECTION SECTION NOT NO YES NAME DATE
appl i cab I e )Qj
6. Plans Submitted ( ) ( )
7. Soil Stabil ity (footings) ){f ( ) ( )
\ % ( ) ( )
8. Flood Plain ~ r)j~W~/
9. Ot he r (see Comments) ( ) ( ) ~>' ;t ~plf (t
,
COMMENTS: , ,
SANITAT10NSECTION NOT NO YES NAME DATE
app I icab I e ( 1') {>'91/ -; bS-hif
10. Sewage Disposal ( ) ( )
/ /
II. Usable Area ( ) ( ) ( )
12. Wa t e r Supply ( ) ( ) ( )
13. Other (see Comments) ( ) ( ) ( )
COMMENTS: Cl.:11~-U}1 ,tJJc:t,Mh,AA: \~ ~Ar-~ ,~~J~/ ~/J,;t-:nA '7
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Bui'lding Permit / Site Inspection:
Can be approved. r
Cannot be appr~ved at this time as indicated on item NO. .' . -~bove.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County Buildinq and Sanitation Division.
Will be held in this office until you can resolve the problems indi~ated~
. Is being returned.
Your building permit appl ication fee is being returned under separate cover.
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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LANE COUNTY
BUILDING ml
BUILDING PERMIT OR MOBILE
MH D
MAILING ADDRESS
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MAILING ADDRESS
HO"._ USE, PERMIT
PERMIT NO.
I.
PROPERTY OWNER
@t);JtJ CtJ~e
'CONTRACTOR
4
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PHONE
PHONE
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S\i:OW:~n nk,o 3~
. PROPERTY LOCATION - INCLUDE POST OFFICE
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G60 GOf"C~51 ~OV
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
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RANGE
SECTION.
TAX 1..0T NO,
CODE
CENSUS TRACT
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EXISTING STRUCTURES ON PROPERTY
C;;OM~O
LEGAL ACCESS TO PROPERTY
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PROPERTY SIZE - FT.
APPL
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
. No. of Bedrooms
r..O~D
',.
WIDTH ')2
DEPTH ~11~
AREA
STRUCTURES TO BE BUII..T THIS PERMIT
Connect to Existing Sewage" Sy~tem D
TYPE CONSTRUCTION SQ. FT'~. # BDRMS
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41 '-{. -~ t
New System D
VAI..UATlON
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BUILDING .
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
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OTHERD
i3~ n GJ FEES'
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WATER SUPPLY
SEWAGE DISPOSAL
PUBliC, 0
SEPTIC TANK' 14l~,
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TOTAL
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MIN. SEPTIC TANK CAPACITY
WITH DIST, BOX: GAl.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
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lIN. FT
TRENCH WIDTH FT,
OR SQ. FT.
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.TYPE OF STRUCTURE
,OCCUPANCY
ZONE
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USE CLASSIFICATION
PUBLIC UTIl. EASEMENT
BLDG, SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT
;?t)
::~~ SIDE INT. V 3 SIDE EXT. REAR
,AUTHORIZEQ SIGNATURE - DATE
l ~>f J 0 Ci 0 O,:~f>Ol~V- C(r-om" n 0$ Lt<Jf:)(j"~nM0~"
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
'COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION"':" GOLDENROD
c~, 0 0 0 (\"C; if V
DATE
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Call 687-4b65 to schedule all ,r.equired inspections. All construc-
... .' tion shall comp!y~:.wjth Uniform Building Code, D.E.Q. standards
"IIMBbRTANT: for subsu"fa~,eSs~w.ag.e.,dispos~~a~d county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied;
"
(See Details, on . Reverse S~C1e)
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.FORMf!:C55-13
(POST '!THIS PERMIT ON MAIN.BLDG.' AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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SITE INSPECTION
ApPROVED / . / DISAPPROVED / I DATE
REM,a,RKS Y
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INSPECTOR
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FOUNDATION INSPECTION
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ApPROVED I-I DISAPPROVED /
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RE MA RK S11.J(/i 4A.tf/I~VA'..Jl;1~
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FRAMI NG INSPECTION
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APPROVED'~ DISAPPROVED I
I DATE ~- /6'--''/Lf
INSPECTOR
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REMARKS
LATH OR SHEE~~(NSPECTION
ApPROVED I 1/ I DISAPPROVED I
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REMARKS
FINAL. INSPECT I ON
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REMARKS-A ~ 4aie e /( If) -"7-- ?p/R.,
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CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE I I DATE
INSPECTOR
REMARKS
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. LANE COUNTY BUILDING PERMIT OR MOBILE HOL
BUILDING :(ll]: MH D
MAILING ADDRESS
(-t',,1Q) (l'\/,)rI'(~(-"l,':lI Hrrrf ~ fl\oon~(';). Wlfi?OGOO
MAILING ADDRESS- .
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;;USE PERMIT
PERMIT NO.
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PROPERTY OWNER
~ n~S,,-,i71:j
PHONE
@e,utm tetcrlftm
, CONTRACTOR
PHONE
Rl\>m'n. tH R:n 0~ ~~ & ~ ~m~efi"i-l~ @i"C'l0'@.1l'!J
PROPERTY LOCATION - INCLUDE )6sr.'OFFICE
t1i,r;@ gt)f?(c:/0"1tl ~1r;'r1
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
@f,JSl,.l~n~.
"'1:':::~"~ 't "D ~?'~~,~'
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
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EXISTING STRUCTURES .ON PROPERTY
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LEGAL ACCESS TO PROPERTY
01f1l7'l1ln~ ~()"
PROPERTY SIZE - FT.
APPL.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
[.lll~
WIDTH ~~'-
DEPTH Ro~@
AREA
STRUCTURES TO BE BUII..T THIS PERMIT
Connect to Existing Sewage System D New System D
TYPE CONSTRUCTION SQ, FT. # BDRMS VALUAT'ON
[\,c,',J,,,-,1hlTI fiff,){ll ft~l:r ~f cmnMa~(A ['r;}tJ18 MB~t!lI
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HI' (fJ aL~ ~,,~%@,,'J
~-!J1I:Y-0 0 (;tf--
$
OTHERD
@~ . twIRl
FEES
PLUMBING INSTALLED BY.
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
U 199aU'~8Ii'gJl
SEPTIC TANK fib
PUBLIC 0
I1d OTHER trJoU U
fA Ci'fl)
TOT AL
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COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
F)t!lI uti@~ @r U 00 €Mor or ~ ~ 000 ho8~V "1 €-'.::J€Bo ll!;Jil ~&JO Genet i ~ @ i o~o % 'e~G u:c.w 0UVe UlCl (~,cm) ~ U'~Gt,; n @:7Q 0
TYPE OF STRUCTURE
OCCUPANCY
ZONE
Af.)i'
USE CLASSIFICATION
PUBLIC UTIL. EASEMENT
~~ 9
BLDG. SETBACKS __ FT, FROM CTR. OF ROAD RIGHT OF WAY
FRONT
~tt>> SIDE INT. >>~ SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
~@
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~ . ~ 0 le:.:t"'Y
DATE
lc>f1l~af0 t3>fJ
BLDG. PERMIT - WH ITE
OFFICE COPY - WHITE'
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Ceill 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 it C55'-13'
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT .
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
S LAB flOOR
PLUMBING GROUNDwORK
ApPROVED I
I
DISAPPROVED I.
REMARKS
GAS PIPING GROUNDWORK
1,
ApPROVED I
I DISAPPROVED I
REMARKS
'ROUGH PLUMB I NG
ROUGH GAS PIPING
ApPROV'ED I
I DISAPPROVED I
REMARKS
FINAL PLUMBING
ApPROVED Iv /" DISAPPROVED /
.- '- .
REMARKS
FINAL GAS PIpING
ApPROVED I
I DISAPPROVED I
REMARKS
~CtRTIFICATE OF OCCUPANCY
READY TO ISSUE /
/ DATE
,
I DATE
I DATE.~)'1/1l
I DATE
.
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INSPECTOR
INSPECTOR
I NSPEG-'r'\)~
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. INSPECTOR
I Dm~~/5" .,",mT~~
I DATE
/ No~ READY TO ISSUE /
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REMARKS
I DA TE
INSPECTOR
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INSPECTOR