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Home My WebLink AboutPermit Building 1974-07-09IANE COUNTY BUILDING PERMIT OR MOBITE HOME UsE PERMIT PERMIT NO. 1 BUILDING MH MAILING ADDRESS L 10 CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE 10 LoueR l oc PROPERTY TEGAL DESCR Wr tr-lugrrg llAxon N _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT WARNER BEUTTEI$TJLLER EXISTING STRUCTURES ON PROPERTY ,) APPL. NAME & MAII.ING ADDRESS TEGAT ACCESS TO PROPERTY 1078 LononrDGE Dnrve PROPERTY SIZE _ FT, FOR MOBILE HOME PERMITS ONLY No. of Bedrooms WIDTH DEPTH AREA Connect to Existing Sewoge Sysrem f New System f] STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION Par r o Coven SEWAGE DISPOSAL PTUMBING INSTATTED BY PUBt IC BUITDING WASTE DISPOSAI- PTUMBING PI.AN REVIEW PARK TRAIIER TOTAL SEPTIC TANK (^ OWNER OTHER: NAME WATER SUPPI.Y PUBUC tr E OTHER 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 ZONE PUBLIC UTI[. EASEMENT BIDG, SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION FRONT It SIDE INT SIDE EXT. E. AUTHORIZED SIGNATURE - DATE 't,:, nian J. SH@K, Srm r rrn r rr 7-!-14 .lx DATE Coll 687-4065 to schedule oll required inspections. All construc- tion 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) (posr THIS pERMtT oN MAIN BLDG. AT SrrE) LANE COUNTY, DEPT. OF ENYIRONMENTAI MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu*655-13 PROPERT,Y OWNER PHONE ,4,/ 52oo OTHERE F EES BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD BU ILD IiiG S ITE EVALUAT ION JS /c r /{n-2s OC rnxrcr7z3)o ( ) Bu i I d ins perm it App I i cat ,"^ rr. ///tr-7y' ( ) Site lnspection ( ) Pre-Permit tnvest igat ion CENSUS TRACT APPL I CANT : NAI'IE ADDR S PHONE DATE PLANNING DIVISION Zoning 0rdinance Compl iance(zone_) Subdivis ion 0rdinance Compl iance 3. Requ i red Access 4. Bu ild ing S ite (Area, Width, Frontage, Setback) 5. 0ther (see comments) NOT NO YES NA}4 E DATE le () () () ( ( ( ( ( ( 2 ( () ) ) CO}IHENTS: BUILDING INSPECTION DIVIS]ON 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Comments) NOT NO YES ffit icable -()() (ry () (-l (-! () DATE / 7*s-z*_ NAHE ()() ( () ( CO}4HENTS: WATER POLUTION CONTROL 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Comments) COH}4ENTS: NOT NO YES E I icable () ) () ) () () () ) ) ( ( ( TO APPL ICANT: ) 7 g () () () our Building Permit / Site lnspection: Can be approved. Cannot be approved at this time as indicated on i tem N0.above. I through 5 contact the Lane- further informat ion on i6 5 g and Salr taLip4_ 9iviqiqn. ?-{' Quest ions and further informat ion on items COUNTY PLANNING DEPARTMENT. Questions and throug h l3 contact the Lane County Buildjn l./ill be held in this off ice until you can resolve the problems indicated. I s be i ng retu rned. Your building permit appl ication fee is being returned under separate cover. DEPARTMENT OF ENVIROI\II'IENTAL MANAGEMENI 135 Sixth Avenue East Eugene Oregon 9740L PHONE: 687 -4065 ll,NE COUNIY PLANNING DIVISION PHONE: 687 -4186 c55-28 ) ) Pr/ i DATE - LANE COUNTY BUTLDTNG E BUILDING PERMIT OR MOBILE HOME USE PERMIT MH E PERMTT NO. PRQPERTY OWNER MAILING ADDRESS .l PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY I.OCATION _ INCTUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY '! ; APP[. NAME & MAITING ADDRESS I.EGAL ACCESS TO PROPERTY PROPERTY SIZE _ TT WIDTHr" 06. B?f FOR MOBILE HOME PE No. of Bedrooms ITS ONLY DEPTH AREA Connect to Existing Sewoge System f New TYPE CONSTRUCTION BDRMS VALUATION m STRUCTURES TO BE BUILT THIS PERMIT SQ. FT SEWAGE DISPOSAT PUBr-rC tr SEPTTC TANK I OTHERE PI.UMBING INSTATTED BY OWNER E OTHER: NAME $FEES WATER SUPPTY PUBTIC BUITDING WASTE DISPOSAT PI.UMBING PtAN REVIEW PARK TRAITER TOTAL OTHER s_ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAT. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT BLDG, SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT-WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING - GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THIS PERMTT ON MAIN BLDG. AT SlrE) LANE COUNTY, DEPT. OF ENVIRONMENTAT ,I{ANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironv * 655- 13 -- SITE INSPTCTION Appnov r o ReManxs Dr sappRoveo Dare I ruspecroR FOUNDATION I NSPECTION 4 APPRovEo REMA RK s Dr sAPPRovEo Datr zb- -? Ir,rspEcron 6 /,t FRAMING INSPECTI AppRov r o ReuaRx s Dr sAPPRovEo f,- zc-ryDar r I NSPEcro a LATH OR SHEETROCK INSPECTION Ap pnov e o REuanxs D DrsappRovr o f--7 DarE I NseecroR FINAL INSPECTION Ap pRov E o Renanr s Dtsrppnoveo oorrff'2[ -Y/I Nsprcro CERTITICATE OF OCCUPANCY Rraov ro I ssuE Rrlaa Rx s D Nor Rrrov ro lssur D Dare _lruspe croR_ D LANE COUNTY PERMIT TYPE - BUILDING MOBILE HOME I REG, #PERMTT # i/q<-7</ Btr,.OlNG PERMIT OR MOBIIE HOME tr5E APPUCATION PROPERTY OWNER TeWf ESS PHONE PHONE?q6.u2s-2 vU (/ ro 2_ CENSUS TRACT METES & EOUNDS ATTACH ED D D YES NO TWP RANGE sEc TAX CODEi('7 -ol I APPI-ICANT NAME AND ^ o,..,*o/ ADDRESS FOR MOBITE HOME PERMIT ONLY Number of Bedrooms DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY AC TO PRO ERTY _ ROAD NAMa PROPERTY DEPTH AREA /6/ Connect lo Existing Sewoge System [] or New System Req. E STRUCTURES TO BE BUILT THIS PERINIT TYPE CONSTRUCTION SQ. FT #VAI.UATION 2 SEWAGE DISPOSAT PTUMBING INSTATI-ED BY PUBTIC SEPTIC TANK OTH ER owNER ll oTHER NAME FEES WATER SUPPI.Y PUBr.rC tl PTANS FURNISHED YES! NOtr FACIIITY PERMIT YEsn NoEOTH ER PTUMBING TEES SIGNATURE OF APPLICANT OATE BtDG. WASTE DIS. PTUMBING PTAN REVIEW PARK TRTR. - FIXTURES BY DATEcAsH [:l sEwER 6_ CHECK E CONNECTION TEE PERMIT TOTAT *-oc)PUBLIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS /?g- 7 MIN. SEPTIC TANK CAPACIIY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED TIN. TT. TRENCH WIDTH TT OR SQUARE TEET TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD PUBI,IC UTIT. EASEMENT ___{d_ BI,DG, SETBACKS _ fT. FROM CTR. OI ROAD RIGHT OF W sror exr. f!,,,al 1'* *ro^ f USE CTASSIFICATION r RONT srDE rNT. f Dote BLDG. INSP ctions lo Find Property: 2-7 Dole COPY I - OTFICE COPY 2 _ JOURNAL COPY 3 - AUDIT Form :* Cqq tr^ P p/r-A" 'l 2 c Dote PLANNING