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Home My WebLink AboutPermit Building 1974-5-2 ~ " . . <i',;' L.. <fl, '1'- "'.'" .... LANE! COUN'-UILO;NG' PERMIT OR' MOBILE .', BUILDING []l MtI 0 MAILING ADDRESS H. USE PERMIT PERMIT NO. c.----- "--' 648-74 PROPERTY OWNER Ii l\t.. (lOCr.lT IJ. CQNTR,6.(TOR CUllOEl'l, HIe. MAILING ADDRESS PHONE 6~ \:I, CENTIIr;:lIM, BLVD.. O~Q IUGI' III!.\). Q:l. --------~. PHONE 71.JG-~716 _'0 , ..~A~~ PROPEr.TV lOCATION -INCLUDE POST ,.offiCE , ' lroIl ~::,,&A ST. PROPERTY LEGAL DESCRIPTION - METES. BOUNDS SRD. l\:nIYlc:J C(:1;ACOI1 GdltlItJ [WYATtll TWP RANGE SECTION 1 V 02 cG, /f; :J..,. LOT 23 GLQer! 1 TA~OT NO. CODE , d;;</~ CENSUS TRACT ADDRESS 'l"'o FOR MOBILE\HbME No. of Bedrooms PE~i~ONL Yv ~ ~ EXISTING STRUCTURES .oN PROPERTY NQr:1I ""- LEGAL ACCESS Ta PROPERTY ~ Otlr:OltA ,\.' J'ROPERTY,SIZE-FT. '~~ ;"D~H l\>.&J DEPTH}~21.t..:> A~EA '7\~ ' ~~~~~,~.~ ~~\-~" Conn ct to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. #: BDRMS New System 0 VALUATION APPl. NAME & MAILING At~a ,. " :'.~\-'C"~ ~ \ , t\'~ STRUCTURES TO BE BUILT THIS PERMIT CcfQo.L I~:l 1"1'l~~J: 1319 Ull? (3) Ie- ;,:,,", :JI)'-''''''.'. , ~tlt.:lCaClTTACfl!:t>o\.l:-;C. 72(; CJ 3. ,~' 't, - ~ ~\..\~~ ~~~~~~. -l~~r~I-,;' , \ \ ~ f) . ""4 Uplll . ..........". HJDI;,;,;. SEWAGE DISPOSAL . OTHERO (I.W ~;.w.'. ....... ;.J.w FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC ~ 0 OTHER PUBLIC 0 BUILDING WASTE DISPOSAL , PLUMBING ,'" PLAN REVIEW ~ PARK TRAILER SEPTIC TANK Po , TOTAL $ t4:JDIJl) COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED 80 I i WITH DIST. BOX: GAL. MIN. SEPTIC TANK CAPACITY %U lIN. FT TRENCH WIDTH FT. 2 OR SQ. FT. tw - I " ,- . \ \' , .', ________1 \ , TYPE OF STRUCTURE J.~ OCCUPANCY I&.J ZONE R,\ " PUBLIC UTIL. EASEMENT 10' BLDG. SEl~ACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY l;"''< ct FRONT -; SIDE INT.:'> SIDE EXT. .... AUTHORIZED SIGNATURE - DATE /0/ J.C.C~'::D , OYD C. It".r.Jt.1.lOf REAR UO' PUz USE CLASSIFICATION J. :1"lOO:t, SAtlIYArlllAtJ _~~Tt , 'pc;",!.j Jt) BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD , Call 6B7-4065 to schedule all required inspections, All construe. " '. tion shall comply with Uniform Building Code, D,E,Q, standards 0 IMPORTANT:..Jor, subsurface sewage disposal and county regulations covering. -, plumbing, All buildings require a certificate of occupancy before' being occupied. ., , . ~ "'\ }.(See Details on Reverse Side) , , '" , _'.J ' "., F"ORM == CSS.13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401 . 1 II . . , SITE I NSPECTI ON \ ApPROVEO Cl DISAPPROVED Cl OATE INSPECTOR \ REMARKS FOUNDATION INSprON ApPROVED IE Dl SAPPROVED 1--/ DATF#: ~ -3 .If{NSPEcTOR REMARKSl/r1i1./~~~ .f:./i/-'1i(tf!L ,..~U~{;)!"'~~ ~ D /'( I~J /3- '71./ f ?2 /fL @I tf2./ FRAMING INSPECTION ApPROVED Cl 01 SAPPROVED Cl DATE . I N$PECTOR REMARKs~~~~~~hJg.P7( , , LATH OR SHEET"K INSP TIO~~ ?I~"'- :Z.17~ _r /7/1 ~. ,i' ApPROVED L::::_.I DrSAPp VED 1/ DATE I NSPECTOR( '-2' L--. ~ REMARKS FINAL I NSP~ /:Y ApPROVED DISAPPROVED Cl AATE .'1-;1. ,{'"...Jj/ INSPECTOr('./~ REMARKS-.::J1.d~ '1,1 't{,1t1 (/Ii.. 0 . e./. CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARKS C, 'IF. 11/, ll-it:t' //1 ,1/-; ~ / ///. a./A-(.~c.-~r / ~v'l tC/Jee.- III"" · '. ~~M . . m \..~ . ~- "'~V-p . ~ f/J~ h.~ ~.~I~ - . 0 ..tJ:- (,vJl. 7t/ V'~-~ , Q,~. / LANE COUNTY TITLE)NSURANCE COMPAN,Y ...... TITlE INSURANCE ESCROWS 941 OAK STREET EUGENE, OREGON 97"01 d)M StVWice (JaLL 3/{./{.-52U C:"'.t.~'>~R.-- . '" ~) ~..-' ~k.~ ROSBORO LUMBER COMPANY . \ <1\ CERTIFICATE OF INSPECTION Issued at: Springfield. Oregon Inspected on Date: .... . P. O. BOX 1098 . SPRINGFIELD, OREGON 97477 PHONE: 503.746.8411 " "Lumber herein' listed has been inspected and tallied under Grading and Dressing Rule 1116 ',at Rosboro Lumber Company plant by bureau i~spector." Shipment made via: 1'1? [. /.1..A. Certified Grader i ", ~ 3- 7' 4-2~-74 . 6~t>-7'1- 648-74 CURB CjJT c+-; II _. __ ~ xuduJ~ "Date Permit No" PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY SIDEWALK WHEREAS, the ottached opplicotion has been fully considered by the Board of County Com- missioners of lane County, and it is the opinion 0 nd judgment of the Board that the said applicotion should be granted, and that a permit should be issued, now, therefore, it is hereby. ORDERED, thot a permit be ond is hereby issued to 870 WEST CeNTENNIAL BLve. SPRING~IELD , OR. or constructing the following facility: DWELL I NG 1204 DONDEA STREET, ~RD. ADD. MEADOW GREEN ESTATES ROBERT N. HILL BUILDER, INC. for plocing, building LOT 2< BLK. 1 upon the right,of,way of County Road No, . Mile Post . in strict conformity to the exhibits ottached hereto, ond subject to all terms, conditions, ogreements, stipulations and provisions contoined in the appl ication ond permit, the Rules and Regulotions Gov, erning Facilities to be Permitted upon County Rood Rights.of-Woy, as set forth by the lane Man- ual 50,190(2) any amendments thereto, ond any other opplicable regulations, low or ordinonce, Special Provisions: 1, Driveway will be constructed in occordance with the ottached drivewoy approach specifico- tions (Drowing M98,50), 2, Permittee will be responsible for the immediote removal of 011 mud, dirt ond debris from the roadwoy ond right of way coused by his operation, leoving the roadway ond areo in 0 neot, occeptoble condition, This permit is revocoble ot any time, ond will be strictly odhered to ond no work other than that specificolly mentioned above is hereby authorized, This permit sholl be void unless the work herein contemploted shall hove been completed be. for,. 19_, Expires .19_. Inspected ond Approved Approved by Boord of County Commissioners By DatE' By Director of Public Works WHITE - OFFICE FilE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT. YEllOW - REAL ESTATE C98-79 '. LANE COUN'BUILDING PERMIT OR MOBILE Ha BUILDING MH I] MAILING ADDRESS USE PERMIT PERMIT NO. PROPERTY OWNER PHONE CONTRACTOI MAILING ADDRESS PHONE PROPERTY lOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES. BOUNDS TWP RANGE SECTION TAX LOT NO CODE CENSUS TRACT APPl. NAME . EXISTING STRUCTURES ON P lEGAL ACCESS TO _; , MAILING PROPERTY SIZE - FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms '!:;."''hGCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewaqe System TYPE CONSTRUCTIO~ ~~ FT :: BDRMS New System II VALUATION SEWAGE DISPOSAL . FEES PLUMBING INSTALLED BY ~Wt'E\Q OTHER: NAME WAft) ~PPlY PUBLIC n BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK n OT~E.n PUBLIC n n OTHER TOTAL . MIN. SEPTIC TANK CAPACITY couf.JfV bUILDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED WITH DIST. BOX; GAl. l1N, FT TRENCH WIDTH FT. OR SQ, FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIl. EASEMENT BLDG. SETBACKS FT FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT, 11~~ Pl- AUTHORIZED SIGN UR( - bATE REAR DATE BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SAN ITA liON - GOLDENROD Call 687.4065 ta schedule all required inspectians. All ., IC' tian shall camply with Unifarm Building Code, D,E,Q. I . rds IMPORTANT: for subsurface '. w disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on . Side) .OR'-' = (55.13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97.0101 SLAB FLOOR PLUMBING GROUNDWORK . ApPROVED fI DISAPPROVED .0 DATE REMARK S GAS PIPING GROUNDWORK ApPROVED .0 DISAPPROVED .0 DATE REMARKS ROUGH PLUMBING ApPROVED JZJ DI SAPPROVED C1 DAT~?"71./ REMARKS ROUGH GAS PIPING ApPROVED C1 DISAPPROVED .0 DATE REMARKS FINAL PLUMBING ApPROVED ~ DISAPPROVED C1 DATE'),.1' "')'1 , REMARKS FINAL GAS PIPING ApPROVED C1 DISAPPROVED / / DATE REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE C1 NOT READY TO ISSUE fI DATE REMARK 5 . : INSPECTOR INSPECTOR ... I NSP(CTOR """ INSPECTOR INSPECTOR~~ (/ INSPECTOR INSPECTOR ". .',:'" INFORM^TION REQUIRED FOR BUILDING PERMIT - DWELLING Main Floor 13/ q Sq. Ft. , ., 2nd Floor (above I iving area) Sq. Ft. Garage 72& Sq. Ft. I" L,,;:':',:" Carport Sq. Ft. Deck Sq. Ft. ~ # of Plumbing Fixtures (Partial List of Common Fixtures) Water Closets Wash Trays Dishwashers Disposals Water Heaters Bath Tubs ^utomatic Washers Shower Baths Kitchen Sink ; . i " ", ,BUIUlItIG SITE EVALUATIOIl . . # () Building Permit Appl ication No': () Site Inspection () Pre-Permit Investigation LANE COUNTY PLANNING DEPARTMENT I. Zoning Ordinance Compl iance (Zone f?:.A ) Subdivision Ordinance Comptfance 2. ,3. 4. Required Access Building Site (Area, Width, Frontage, Setback) Other (see comments) 5. ell . ('1r-/~ NOT app I i cab I e () () ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) NO YES I (~ ~ () ) q T A- 62-s () (;, TAX LOT C~ TRACT 5,--d ,..clet M-eCidow 07-rJt?"'.Cjf: APPLICANT: //'1/ L- -2..3 I? \ NAME /17 /, '':'-/ AODRESS PHONE DATE LI-l ~, 7\/ NAHE DATE /VIA t../ -2..5-74 I , COMMENTS: .~ BUILDING INSPECTION SECTION DATE 6. Plans Submitted 7. Soi I Stabi I ity (foot ings) 8. Flood Plain 9. Other (see Comments) COMM ENTS : NOT , app I icab I e () () l () i~ () V( () , NO YES Iff ( ) ( ) ( ) -' NAHE -.' ~ (!J~~/Clj~'lY, ( TO APPLI CANT: 6-',1,11 A1r . ,@( () Building Permit / Site Inspection: Can be app roved. Cannot be approved at this time as indicated on item NO, above. 'Quest ions and further informat ion 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. Wil I 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. ( ) (, ) ( ) LANE COUNTY PLANNING DEPARTMENT 135 Sfxth Aven~e East, Eugene, Oregon 97401 PHONE: 342-1311 EXT. 231 C55-28 LANE COUNTY BUILDING & SANiTATION DIVISION 135 Sixth Avenue East, Eugene. Oregon 97401 PHONE: 342-1311 EXT. 411 . . . . . r: '18-11- CURB CUT . 'Date , Permit No. PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the ottached opplicotion has bee n fully considered by the Board of County Com. missioners af Lane County, and it is the opinion and judgment of the Board that the soid opplication should be granted, and thot a permit should be issued, now, therefore, it is hereby, ORDERED, that a permit be and is hereby issued to \ I for plocing, building or constructing the following focility, upon the right.of,woy of County Road No, Mile Post in strict conformity to the exhibits attached hereto, ond subject to 011 terms, conditions, agreements, stipulations and provisions contained in the applicotion and permit, the Rules and Regulotions Gov. erning Focilities to be Permitted upon County Road Rights.of.Way, as set forth by the Lane Man, ual 50.190(2) ony amendments thereto, and an yother applicable regulations, low or ordinonce. Special Provisions, 1, Drivewoy will be constructed in accordance with the attached driveway opproach specifica. tions (Drawing M98,50), 2, Permittee will be responsible for the immediate removol of 011 mud, dirt ond debris from the roadway and right of way caused by his 0 peration, leoving the roodwoy ond oreo in 0 neat, acceptoble condition, ~~cr~~/ Vle""~ /J ~ 'It/ ~ This permit is revocoble at any time, ond will be strictly adhered to ond no work other thon thot specifically mentioned obove is hereby outhorized, This permit shall be void unless the work herein contemplated sholl hove been completed be, fore ,19 Expires , 19 Inspected and Approved Approved by Boord of County Commissioners By Dote By Director of Public Works WHITE - OFFICE FILE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUILDING & SANITATION DEPT. yeLLOW - REAL ESTATE C98,79 INSTALLER'S NAME ~) No: Living Units I Septic Tank: Ft. from well i!huwu Bedrooms B~tps ....::;> Jlh. ~ ,.~ PR ED SEWAGE DISPOSAL SYSTEM RECO~ part o~rm to signature and submit both copies wit ppliC?tJ~~' '7// PERMIT NO.~7"% - . / PROPERTY AOORESS /PtJ cj tC!-7tde~ Water Supply Pub Ii c X Other-Li st Basement Yes NoX 1'- I~TALLER : Complete top / Stee I 0 Concrete Ii7l No. Compartments I Gal. Capaci ty ~ /O,aEV Inside Dimensions: . ft. Ti Ie Disposal Field: Len9,.th9'b Width Y'R Diameter DePt~9 Distribution Box: Yes X No OWNER ~_./..L //.~~ ,d// "1 Ot,her Distribution-Type NAME ---..r t7r~,l'JL(L.-r ,AI LJb~ ~~ 1" ..J. HAILING,.("7' !d, ~Af~/d' ~~~~ from ADDRESS;) //7 Lot L i n~ Arf..P //L ~Y/ZlZ4A I Front 03 L~h of L rn;.r7Ft.:-' I Trench r'1'<>tal Sq. I Ft. Between Ipn.6#',. Li.N5'~k6. Width Ft. Lines /0 'lot p~~ (see instructions): Foundation /0 Side ~l/ Rear s1 IFi 11er IFi 11er Depth IFi 11 er. Jlel ow Tvper-rlf Above Tllel~ln.lrile/";<ln. '~ , T ~ ~ r - - - ,~: ~, "~ ~ I l ~, I 1L_-0 I L c.. , Date ~/MO .;...t I _ '1'1 / ~I Signature. /A~ .' ~ ( , . CERTIFICATE OF SATISFACTORY COMP~ON J II. For San tarlan Use Only: ~at7: 6 '2'1/1'{ In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate IS ISSU d as evidence of satisfactory completion of a subsurface sewage disposal system at the above loca~~~. Approved: System Installation conforms to current standards Disapproved: Does not conform to current standards Remarks: C55-11 ~~i~\+&e ~ COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY .,'" . - , LANE COUNTY BUILDING PERMIT OR MOBILE HOM~E APPLICATION J J 'PERMIT TYPE - BUILDING ~ MOBILE HOME nose REG, # PERMIT :#: t;,t/?-77 [ "/"JPERjY OWNER . /2, _.... / ' M"",A1LlNG ADDRESS PHONE J1d..t4T ''1J-'-.i/)d L-Jud!f.<u ,.,h,J") CONTRA'b'R MAILING ADORESS 17 I . ~~ /171) '2d, I!~~ PROPERTY loeA TlON - INC,LUDE POST OF~C,} E /da,t.I J:Jtnt.',J,,/~:I::- PROPERTY LEGA~ DESCRIPTION", /J /J /J ...... /J '" ~lZ: ...:E!2BlOCK I- SUBeIV. ...:Hz.d! Oc.C.~ - /~/"a_~~ t:::AL6l4 TWP RANGE SEC. TAX LOT # CODE lr ()2- hl-dL/ PHONE ?~~"'7'7/~ 35-~ METES & BOUNDS 0 YES ATTACHED 0 NO CENSUS TRACT APPLICANT /J ~ / NAME ~71, AND ~ J MAILING ~ a..... t1C-, lid ,42L" dv.e- Ud DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY f7U7t-P LEGAL ACCESS TO PROPERTY - ROAD NAME OR # 51", W /.;1/. ~9 PROPERTY'SIZ(-WIDTH DEPTH AREA ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTU"S TO BE BUILT THIS PERMIT qr "..~/r:1 t1 ... 11 tl/lL21r-' , J..I.4W'). od; TOTAL /~9.nt":? Sewage System 0 or New System Req. 0 SQ. FT@ # JR"'Oo..MS VALUATION J J'3Jc, :;:2rd') h,t':J " - -- 7U~~ ,;)JJ 7 ( /QIJ 0/_ J /' PLUMBING INSTALLED BY / / L) OTHER 0 OWNER 0 OTHER [J NAME!:aclZ., ~~ FEES WATER SUPPLY PLANS FURNISHED (/ FAC~iY PERMIT PUBLIC \21' OTHER YES 0 NO 0 YES~/ NO 0 ,I PLUMBIr(G FEES~.B, 0 ~N~TURE OF A),ICANT _/; _ )DATE -,.J 4 FIXTURES \ 'l fI'/9?J -tr~7?, c::g;d A<dm.J ..;m.v'l-23-ltl CASH 0 WER ' FEE RECl"IVED;' / CATE .:1 CHECK CONNECTION FEE .:J, 00 ,a..-J r ' -7'-,;13 -7 l"iJ PUBLIC WATER q "0 PER~ 15 - .#' I CONNECTION FEE c7 ( C/ 6:? -r~~ '7 ~ Connect to Existing TYPE ~NSTRUCTlON -;t-A-.L7...wf';..- ~ SEWAGE DISPOSAL PUBLIC 0 BLDG. WASTE 015. PLUMBING PLAN REVIEW PARK TRlR. SEPTIC TANK ~ . 7/. /?C> .....'r/J . ~ ~ '" ~. r>f"') MIN. SEPTIC TANK CAPACITY WITH DIST, BOX, GAL. "100 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED - --7 L1N. FT. '2 (I) 0 TRENCH WIDTH FT. J/ OR SQUARE FEET '-to () ~ TYPE OF STRUCTURE is' AI OCCi~ / M REAR~YARD ,/.::/U:L'/2)EMENT BLDG. SETBACKS - FT. FROM eTR. OF ROAD R1G~ WA-Y \.....'<-.,.../" I USE (LA IFI ( o 45 SIDE INT,:::S- SID~ REAR / () tvE, .. \iU\l U~~S cf_Z;_;;;'NSP~~k~ I/-(JIJ"~ \t:O"' '0 "o! ;'0"'" . I 1/ f . I COpy I - OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT '. lIr..i.m #~3.." 12 ..., _.-, " 1.-, '"-~"Cf(jd')i '. ", 7'~d'&u":kZ::;;~='":-~ ",' :.p ..(.;', ." LANE COUNaUILDING, PERMIT OR MOBILE 1.-. ,'" BUILDING I:E MH. 0 r [' . PROPERTY OWNER MAILING ADDRESS ~'''~_'i~.' "--------- ---- f. ,', -..~ .... t yJi- JV'-' -..,..::-- Hce USE PERMIT PERMIT NO, 648-74 PHONE '. H ILL, ROBERT N. .' CONTRACTOR BUILDER. INC. MAILING ADDRESS 670 W. CE~TENNIAL BLVD., SPRINGFIELD, Oa. PHONE , 746-9916 .' ... SAME PROPERTY lOCATION -INCLUDE POST OFFICE 1204 DoNDEA ST. PROPERTY LEGAL DESCRIPTION - METES, BOUNDS 3[10. ADD IT ION ~lEADO\f GREEN ESTATES 18 02 SECTION 06.'h;L LOT 23 BLOCK TA~T NO. .;;? I ~ EXISTING STRUCTURES ON PROPERTY NONE LEGAL ACCESS TO PROPERTY DONDEA CODE CENSUS TRACT TWP RANGE APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT AeOVE PROPERTY SIZE - FT. WIDTH 70.84 DEPTH 121.49 AREA Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ. FT. :;; BDRMS VALUATION DIIELL I NG FRANE 1119 G12. (1) 726 e 1. 1'5,828. 2.178. W,OOb. GARAGE-ATTACHED-UNC. SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK :tJ OTHERD 71.00 50.00 2l:l.00 FEES PLUMBING IN~TALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC r5 0 OTHER . , BUILDING It WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER i TOTAL . 1119.00 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED 200 lIN. FT TRENCH WIDTH FT. 2 OR SQ. FT. 1100 WITH DIST. BOX: GAl. MIN. SEPTIC TANK CAPACITY 900 , TYPE OF STRUCTURE 5N OCCUPANCY I & J ZONE RA PUBLIC UTIL. EASEMENT 10 . BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY 4r.:' 5' FRONT' SIDE INT. SIDE EXT, AUTHORIZED SIGNATURE - DATE /s/ J.E.BOSS , BY, C. HARBAUGH USE ClASSIFICATION REAR 10' PUE J. SHOOK, SANITAR~AN DATE 5-2-74 JH ,.. BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 6B7,4065 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) , (POST THIS PERMIT ON MAIN BLDG. AT SITE) . LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT . COURTHOUSE ANNEX, 135 EAST' 6th, EUGENE, OREGON 97"01 FORM:::: C55-13