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Home My WebLink AboutPermit Building 1976-06-15n Owner LANE COUNTY PERMIT FOR PERIVIIT NO COI\STRUCTION [ ] IVIOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] ZIP CODENAN/E ADD R ESS C ITY PHONE n Contractor NAIVIE O.S. Req. + Twp- Range- Sectio Subd ivision Lot ADD R ESS CITY ZIP CODE PHONE Tax B lock Code Census Tract Access to Property (Road Name) Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOI\,IS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC[] SEPTICTANKT]oTHER [ ] PLUIVIBING INSTALLED BY: owNER[] OTHER[] NAIVI tr BUILD ING PUB LIC COTVIVIUNITY - NAIVIE PLUN4B ING 3% SURCHARGE IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL PR IVATE WE LL OTHER SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WA TER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY: GALS.'-.--- VIIN, DRAINFIELD_--.-LIN. FT IVIAX. TRENCH DEPTH I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION '-_=- GROUP FIRE ZON USE CLASSIFF t SETBACKS FT. FROIVI CTR. OF rM FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT R EAR ZON E ISSUANCE DATEAUTHORIZED SIGNATURES lsl BLDG, PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBTNG - CANARY BUILDING - GBEEN SANITATION - GOLDENROD IMPORTANT (POST THIS PERMU T ON MAIN BLDG. A,T SITE) Call 6g7-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required ""ptiliy.t". inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards ioisuUiurtace sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) c55 -l 3 LANE COUNTY. DEPT, OF ENVIRONMENTAL MANAGEMENT cbuRrnousE ANNEX, 135 EAST 6th, EUGENE, oHEGoN 97401 WATER SUPPLY: PROPOSED t ] EXISTING t] JrA l&L Not Appl icable T SU86TTT5 S TAX LOT-1BIlILOING S ITE EVALUAT ION ( ) surLbtNc PERulr APPLIcATloN No ( ) strE lNsPEcrloN PLANNING DIVISION COHHENTS: '/ ;^; -- 6 ,\rN!LOT:_ BLOCK:- APPL I CANT DATE No Yes CKID BY: 6. Setbacks fl CI() () () () I 2 3 4 5 Zon i ng Ord i nance Conpl i ance z ZonelM- Subdivision 0rdinance Compl iance Requi red Access Building Site (Area, Width, Frontage) Other (see cornnents) n() () () () rom Front Side Exterior Setbacks frorn interior I ines: Side Rear PLANN ING D IV IS ITN_E _MPTTEATTO=NT BUILDING INSPECTION D IVISION 7 . Pl ans Submi tted 8. Soil Stability (footings) 9. Flood Plain I O. 0ther (see conments) CO},IMENTS: Not I icable No Yes 8() () r)() () ()) 0 CK'D BY ITATER PoLUTl0l,l CoNTRoL ll. l{eets Department of Environmental Qual ity Standards. 12. 0ther (see comments) Not Appl i ca6le' No(a r)YesrT () ()()CKIO BY DATE COI{IIENTS: TO APPLICANT: &tq Youf,r Building / Site lnspection: Can be approved. Cannot be approved at this time as indicated on item N0 Questions and further information on items I through 5 " above. contact the LANE- COUNTY PLANNING DIVIS ION"Questions and further information on items 7 through l2 contact the BUI D NG ANO SANITATION DIVISION. c55'28 Your bui ldin pnone. 687-4065 LANE COUNTY PLANNING DlvlSl0N PHONE: 687-4185 ems cated.Wi I I be held in this ce unt you can reso ls being returned. rmit a lication fee is 135 si xth Avenue East Eugene Oregon 97401 ve the prob ( UO () ) BII ILDI NG S IT E EVALUATION EUtL0lNG PERlllT APPLICATt0N N0.- SITE INSPECTION l. Zoning 0rdinance Cornpl iance: Zonu- 2. Subdivision 0rdinance Compl iance 3. Requi red Access 4. Building Site (Area, width, Frontage) 5. 0ther (see conrnents) R s TAX LOT LOT :_ BLOCK:-s0EElI-ts , *,N: T APPL I CANT DATE PLANNING DIVISION Not Appl icabl e CKID BY: Setbacks fiqn c/l of road: Front Side Exterior Setbacks from interior lines: Side Rear COHHENTS: () () () () () No Yesrl rI 6. () () () () () () () () TTPPETCAT roN# BUILDING INSPECTION DIVISION Plans Submitted Soil Stabil lty (footings) Flood Plain 0ther (see conments) Not Appl i cable(l () () () 7I 9 0 No Yesr) rT() () () () () ()CK!D BY: DATE COMMENTS: I,ATER POLUTION CONTROL Not Aool icable r) TT No Yes I I . ileets Department of Envi ronmental Qual ity Standards. 12. 0ther (see cornments)() ()()CK'D BY: DATE COHHENTS: TO APPL ICANT: Your Building / Site lnspection: ( ) Can be approved.( ) Cannot be approved at this time as indicated on item N0e_ above. Questions and further information on items I through 5 contact-tFe teUg- NG DlVlSlON. Questions and further information on iteilfi roug 2 contac t thE LANE COUNTY BUILDING AND SANITATION DIVISION. rtis or ated'( ) ttitl be hetd in t ( ) ls being returned. -- ( , Y.,' b,r'dlypffi .ifttiffifriiii PLANN t c55-28 135 Sixth Avenue East Eugene Oregon 97401 pHoNE. 597_4065 LANE COUNTY PLANNING DlvlSl0N PHONE: 587-4186 LAI,IE C0lrNTY ENVIRONMENIaT, MANAGEMENT |ifrme sld Address of Or.rner Telephone: the buildlng being constructed under this permit. wi77 be used for PLOT PLAN Date this property was purchased Indlcate on your drawln the location of all homes (including nobile hones) now onthe 4 I \Jl E , I -l I f I a {\\ I t I II d I i I ri ( t- B IE I -I I) f. a : .l '!.-! t i I :i: ,l_J )/(( il r,I -t (I I I .t t- _l \\ A ll --1 i Name of Appllcant (if dlfferent from owner): Address Telephone Map Tax Lot Appllcantrs InEerest: Buyer c74-99 Seller Agent Permlt /l - -<- Do you now, or dld you ever own property adjacent to this tax lot? If so, pleaselist those tax lot nurnbers or draw those propertles on the plot plan below. n Owner LANE COUNTY PERMIT FOR:PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] CITY ZIP CODENAMEADD R ESS PHONE f] Contractor O.S. Reg. +r T Subd ivision - Lot Access to Property (Road Name) NAIVIE ADD R ESS Range- Section-Tax Lo CITY ZIP CODE Census Tract PHONE t Code B lock Acreage Width Depth Existing Structures on Property Directions to Property - Address: STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NAIVIPUBLIC I ] SEPTICTANK[] OTHER[]tr WATER SUPPLY: PROPOSED t ] EXISTING t] PUB LIC COIVIIVIUNITY - NAIVIE 3% SURCHARGE IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL PR IVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.IVI IN. DRAINFI ELD-LIN. FT IVIAX. TRENCH DEPTH I NCHES STAY 1OO' FRO[/I ALL WELLS TYPE OF CONSTRUCTION- GROUP F IR E ZONE USE CLASSIF SETBACKS- FT. FROtVI CTR. OF rAfi FRONT SIDE EXT FT. FROIVl PBOP. LINE: SIDE INT. - REAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT (POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Call 687-4065 to schedule all required construclion inspections- Call 687-4061 to schedule all requiredseptic system inspections. All construction shall comply with the State Buidting Code, D.E.e. stanbardsfor subsurface sewage disposal and the State Plumbing Code. All buildingi require a certificate of occupancy belore being occupied. (See Details on Beverse Side) c55-t 3 BUILD ING - PLUIVIB ING SIT[ INSPECTION App Rov e o Rruanx s D Drsappnoveo D Dare lr.rspEclon FOUNDATION INSPECTION -APPRovED & DrsaPPnovro RrulRx s v,{I NseectoR(7" FRAMING INSPECTION APPRovEo Re uanr s M DrsappRoveo LATH OR SHEETROCK INSPECTION APPROv E D DTSAPPRovED Dar e I HseEcton ReManx s FINAL INSPECTION Ap PRov E o Reuanx s &Dr srppnoveo oorr-/-/ 7- 77 I Nspgcron CERTIFICATE OF OCCUPANCY Reaov ro lssuE D Nor Re rov ro lssuE n Dort-lNSPEcroR Rruanx s //4?-/63b -/ oatt /-/ 7 '11 -, +- D oorrq/ -/'-7-4,,n*r*r*Qrg{ D k-L t v NOTE: CONSTRUCTION PERMTT tt.i'44-i ' NO PERMIT WILL BE ISST'ED T'NTIL THIS APPLICATION HAS BEEN APPROVED . APPLICATION FOR MOBILE HOME PIAN REVIEW OI^INER /4 55 Address Ctty l-r CONTRACTOR Name Address City zrp Phone O.S. REG. /I *n./7 u,.e"d3 s"".Ll 3 Lot 1-4 Censustion Subdivis ion ACCESS TO PROPERfi (Road Nane) Existing Structures on Property: Property Location - Address/Directlons Block Perty Below for ice Use Valuatlon SEWAGE DISPOSAI Slte Inspec tion /l Exlsting Se$rage systen J: or New Systen Requlred f-l Pub1lc Name of conmunlty or Public "v"r.&Lh.<) I'IATER SI,PPLY: Well FEES: Blde. Pluobing 3Z Surcharge Waste Disp. Plan Review Mob1le llone Sprlng Other Installed by Owner PLI'MBING FEES: . llof Comunlty 0ther Name€frt---;7r- tlon Water Connection FACILITY PERMIT YES Date NO NOYES TOTAL CITECK Slgnature of Appl Fee Recelved Mln. Septlc Tank Capaclty- Dralnfleld lred - Lineal Feet Maxlmum Type of Conatruct Zore___Use Classifica Bldg Setbacks - from Center of Road Right of !Jay: Front L/ f slde rnr Rear c55 - l2 I.ANE COI]NTY ide Exterior ENVIRONMEN TAL MANAGE},IENT z,,ne M DA Tract- Acreage $tidth/e'Depthlz^d I DePth-- PIANNING:/Duuorue:DATE: !