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Home My WebLink AboutPermit Building 1975-09-12LANE COUNTY BUtLDtNG l BUILDING PERMIT OR MOBITE HOME UsE PERMIT MH I PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE iGT NF ( CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE ITTO N STRFFT PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS Ir- ocx RANG E SECTION TAX LOT NO CODE CENSUS TRACT z-'ca3.3 *7@ EXISTING STRUCTURES ON K nur APPT. NAME & MAITING ADDRESS )AME TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System ! New System I TYPE CONSTRUCTION sQ. FT # BDRMS VALUATIoN SEWAGE DISPOSAT PI.UMBING INSTATTED BY PU BL IC BUITDING WASTE DISPOSAT PI.UMBING PtAN REVIEW PARK TRAILER SEPTIC TANK OTH OWNER OTHERI NAME WATER SUPPTY PUBUC n n oTHER FEES TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY I ZONE PUB[IC UTIt. EASEMENT BLDG. SETBACKS FT FRoNT llr., FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION SIDE INT SIDE EXT REAR AUTHORIZED SIGNATURE - DATE DATE /s A BIDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION - GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc- lion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST IHIS PERMTT ON MA|N BLDG. AT SITE) LANE COUNTY, DEPT. OF ENYIRONIT{ENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I.:oau l: q55- 13 STRUCTURES TO BE BUILT THIS PERMIT ft bu /e tfBu u0 t,NG_s rT.E. EVALUAT l0N 0 BUILDING PERHTT ( ) srrE tNSPEcrtoN PLANN!NG DIVISION T R s TAX LOT SUBDl,rSl0N: APPLICATION NO. ' q ?O. Y.{LOT: BLOCK: CKID BY:g*9:3.7f S et b a ck s-Tiorn c7T-oFroa-d : Front Side Exterior Setbacks from i nterior I ines: Side Rear v-T-- APPL ! CANT DATE Not A licable I 2 3 4 5 Zoning 0rdinance Cornp I iance: Zone CO}iMENTS: Subdivision 0rdinance Compl iance Requi red Access Building Site (Area, Width, Frontage) 0ther (see cornments ) () () () () No Yes 1-l TiI 6.( ) (t, [] [I}( ) (\) ING BUILDING INSPECTION DIVISION Plans Submitted Soi I Stabil ity (footings) Flood Plain 0ther (see conrnents) Not Applicable No 7 8 9 0 ffi() () r)() () () (l ili CKID BY CO}.IMENTS: i. b,ATER POLUTION CONTROL I l. l,leets Department of Environmental Qual ity Standards. 12. 0ther (see comments) COHHENTS: Not Appl lqpb! e rD (9 No Yesr)rf () ()CKID BY ,Vt /2, DATE TO APPLICANT: ,iln YotyBuilding / Site lnspection: -(7 Can be approved.( ) Cannot be approved at this time as indicated on item N0 Questions and f urther information on items I through 5 contict the above.q LANE. eiliTt }, I Y () () COUNTY PLANNING DIVISION . Questions and further information on it hrough l2 contact the LANE CoUNTY BUILDING AND SAN|TATtoN DtVtStoN.ill be held in this office until you can resolve the problems s being returned. ermi t li 135 Sixth Avenue East Eugene Oregon 97401 PH9NE: 687-4065 LANE C0UNTY PLANNING DlVlSl0N PHONE: 587-4185 c55-28 our bui ldin i nd i cated. -f1.? LANE COUNTY BUILDING - BUILDING PERMIT OR MOBILE HOME USE PERMIT MH E PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY IOCATION - INCLUDE POST OFFICE PROPERTY IEGAT DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAII.ING ADDRESS TEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System f New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT, # BDRMS VALUATION SEWAGE DISPOSAI PUBUC ! SEPilC TANK n OTHERI PTUMBING INSTAIIED BY OWNER E OTHER: NAME BUILDING WASTE DISPOSAI. PLUMBING PtAN REVIEW PARK TRAILER F EES WATER SUPPTY PUB|-rC n D OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT BLDG. SETBACKS FT FRONT FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CI.ASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD coll 687-4065 ro schedule oll required inspections. All construc-tion sholl comply with Uniform Building Code, D.E.e. stqndqrds IMPORTANT: for subsurfoc,e sewoge disposol ond county regulolions coveringplumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POsT THIS pERMtT ON MAIN BrDc. AT S|TE) LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGE/v{ENT COURIHOUSE ANNEX, I35 EAST 6rh, EUGENE, OREGON 9740Ironu :1 655- 13 SITE INSPECTION D I SAPPROVED Dare I NspecroRAp pRov r o RruaRxs FOUNDATION INSPECTION APPRov E o Rrul nx s Dare I rusprcron FRAM I NG Appnov E o REt,teRxs I NSPECT I ON DrsAPPRovEo Drr r I NSPEcToR LATH OR SHEETROCK INSPECTION n DrsappRovso f--7 Dar e I HspecronAp pnov r o Reurnxs F I NAL I NSPECT ION AppRov e o Rr ua nx Dt ov D Dar r I Nspecroa CERTIFICATE OF OCCUPANCY Reaov ro lssue D Nor Rerov ro lssuE / / Dore- REMARK S n z(?o-fd //trr I NspEcron D D DrsappRovro 77 D D PERMTT #a{qo-\( NOTE: NO PERMIT WILL BE ISSI]ED ITNTIL THIS APPLIC.ATION HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION MOBILE TiOME PLAN REVIEW CHAI'IGE OF OCCUPANCY OWNER Name CONTRACTOR Name O. S. REG. /I Twp.SecEion ;l 7 Subdivls ACCESS TO PROPERTY (Road Nane) Exlsting Structures on Property: Property Location - Address/Directlons Offlce Use SEIIAGE DISPOSAL: Slte Inspec tion /l B1o ck__A_Property tem ty ess ess Tax Lot zLp Phone Valuatlon OD C Code Census Tlact 6s5'---- WATER SUPPLY: Well FEES: Bldg. Waste Dlsp. Plunblng Plan Revlew Moblle Home 12 Surcharge TOTAL Spring :*{-C'e) PLI,N{BING: Installed by Oroner PLIJMBING FEES: \-' q3 CASH CHECK Name of Coumunlty or Publlc Systen Water ConnecEion Connecrion HED FACILITY PERMIT YES NO ar"rst \a- Other c\€!- 0ther J PI-ANS Signature of Fee Received By: NO Date: Fr. Sewage Dispos Pub1lc Mln. Septlc Tank Capaci Type of Constructlon Flre Zone e Classification Bldg Setbacks - from Cenrer of Road Rlght of lJays Erort-{-{4*tp2r-.slde rnt.Side Exterior LANE COI]NTY DEPARTMENT OF EIWIRONMENTAL .,tLOne DATE: "1 7, cLL c55-12 fi i----l \ e) 3: lf of Fixtures Drainfield Requlred - Llneal Feet Maxlmuo Depth_ ,9.