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Home My WebLink AboutPermit Building 1974-08-19LANE COUNTY BUITDING PERMIT OR MOBITE HOME UsE PERMIT BUTLDTNG -- MH l- t PERMIT NO. I - PROPERTY OWNER '1..- - L MAIIIN 1t h3 G ADDRESS Lono Rtoce Datvr PHONE CONTRACTOR Slug MAITING ADDRESS PHONE PROPERTY 1,. TOCATION _ 'NCIUDE POST OFFICE ,,.,..,,I 0aeoon Tunx Lerr orr Jasprn Roro omro Soutx ONPROPERTY TEGAL r.l DESCRIPTION _ METES, BOUNDS1 :r ''.Aoorr toN To Wtltrugrrs llAiloR RANG E SECTION TAX LOT NO,CODE CENSUS TRACT1,?.4,1 EXISTING STRUCTURES ON PROPERTY Kanxsrn & llcErer J aeonoox xor'rr APPt. NAME & MAITING ADDRESS TEGAL ACCESS TO PROPERTY ll\3 tore Rraoe Dnrvs Loua Rroee Dnrvs PROPERTY SIZE - FT. OnecoN NLY WIDTH tt DEPTH 1 1 AREA FOR MOBITE HOME PERMITS No. of Bedrooms STR UCTU TO BE BUILT THIS PERMIT Connect to Existing Sewoge TYPE CONSTRUCTION New SQ. FT. # BDRMS VALUATION Frutlv Rooy 6l* e t6.to to,368.oo Aootrtoil To Gtnlcg ape 5.9 trl+73.00 tI,81il.oCI SEWAGE DISPOSAT PTUMBING INSTATI.ED BY PU BL IC BUII.DING WASTE DISPOSAT PLUMBING PTAN REVIEW PARK TRAII.ER TOTAL SEPTIC TANK FEES OWNER OTHER: NAME WATER SUPPTY PUBLIC D tr OTHER 9-oo--------l+--1O I Ssuncxenoc COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. A rorAL or eOO LtltEAL FEET oF DRAtilFl TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIt. EASEMENT t&J BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRoNT lo srDE rNr. 5 ,,r, ,rr.REAR USE CTASSIFICATION /t/ ,t. AUTHORIZED SIGNATURE _ DATE J. gnooxrl$AxtrAn rAN DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUI[DING _ GREEN SANITATION _ GOLDENROD f oRNl -- C55 - l3 Coll 687-4065 ,o schedule oll required inspections. .All construc- h/r poRrA N T, l!"1, iL: lj,,'.T'll*: x I i#::l : : I o ::? "ff k j;"',3;.""T1?lj; plumbing. All buildings require o certificotL of-occuponcy before being occupied. (See Detoils on Reverse Side) (POST THrs pER AtT ON MA|N BLDG. AT S|TE) LANE COUNTY, DEPT. OF ENVIRONMENTAI MANAGEvTENT COURIHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I IANE COUNTY BUILDING PERMII OR MOBITE HOME USE PERMIT BUTLDTNG [-r MH E PERMIT NO. PROPERTY OWNER MAIIING ADDRESS PHONE T CONTRACTOR MAII,ING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE tt PROPERTY TEGALv DESCRIPTION _ METES, BOUNDS r, -) : l;. RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAILING ADDRESS I.EGAT ACCESS TO PROPERTY -Il o5 D' PROPERTY SIZE _ FT. WIDTH DEPTH I ., AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN LT tAro torl$.w SEWAGE DISPOSAT PUBLIC tr SEPTIC TANK NSTATLED BY OTHER: NAME T EES OWNER WATER SUPPTY PUBUC tr N OTHER BUITDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAITER TOTAT COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX; GA[. DRAIN FIETD REQUIRED TIN. FT TRENCH WIOTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIt. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE a I BTDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PI.UMBING _ CANARY BUILDING _ GREEN SANITATION _ GOI.DENROD Coll 687-4065 ro schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stqndords IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST TH|S PERMIT ON MAIN BIDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironu 1i 655- 13 OTHERE SITE INSPECTION Ap pRov E o RrM.a.Rr s D Drsappnovro D Dar l nspecton FOUNDATION I NSPECTION AppRoveo D r s appno D /0-a-'4Da I Nspecro Rruanxs -/ lb a? FRAMING INSPECTI APPRoV E o Reua S LATH OR SH Ap pnov r o Rrurnxs Dr sappRo ED NSPECT I ON D t s lppRovro oo,, 4232-d t /,.14t{b 7 'Jr'7 oorrf,'{e'yd e.).PE CTO I ruspec /, FINAL INSPECT Ap pRov r o Reulnx s A PPROV E D Dar r I Nspec CERTIFICATE OF OCCUPANCY Rraov ro lssuE RruaRx s /,, d"lra , aU Drrr I ruspecron tu / t{3 r1 D Nor Rrrov to lssuE D ql.r dl)I Y \ ir5 PHONE DATE BU I LD ING S ITE EVALUAT ION ( ) Building Permit Appl ication No. ( ) S ite tnspect ion ( ) Pre-Permit lnvest igat ion C + APPL I CANT: NAI.IE ADD €, LANE COUNTY PLANNING DEPART}4ENT NOT NO YES NA}l8 Zon ing 0rd inance Compl iance(Zone ) aool icable )() ) 2 3 4 5 Subdivision 0rdinance Compl iance () () () Requ i red Access Building Site (Area, }Jidth, Frontage, Setback 0ther (see comments) ) () () () () () COHIIENTS: EUILDING INSPECT!ON SECTI ON 5. Plans Submitted 7. Soil Stabit ity (footings) 8. Flood Pl a in 9. 0ther (see Conrnents) NOT NO EiE't icabte - (fr YES DATE ()) )() () ( ) ( COHHENTS: SANITATION SECTION Sewage Disposal Usable Area l,/ater Supp I y 0ther (see Comments) NOT NO Ei'i't icable - ( YES DATE 10. ll. 12. 13. ( () ( ( () () ) ) () () ( ( COH}IENTS: TO APPL ICANT: 14"q'' Your Building Permit / Site lnspection: N) Can be approved.( ) Cannot be approved at this time as Quest ions and further informat ion indicated on item N0.above. ont tems I through 5 contact the ane- COUNTY PLANNING DEPA RT},tEN To Quest ions and further information on iG; 6through13 contact the Lane Coun Buildin and San itat ion D iv i s ion. ( () tr being returned. s off ice unti you can reso vet eP ems indicated.) wiil be held in thi ( ) Your buitaing permit application fee is being returned under separate cover. I,A.NE COTINTY PIANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4186 I,ANE COUNTY ENVIROMENTAL MANAGEMEM 135 Sixth Avenue East, Eugene, Oregon 974OL Phone (503) 687-4065 c55-28 r/zR2s 6 rAxLorS/do& CENSUS TRACT_ 7 DATE NA}tE ) LANE COUNTY BUILDING PERMIT OR MOBITE HOME USE PERMIT MH E PERMIT NO.BUILDING PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAII.ING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connecl to Existi Sewo e stem TYPE CONSTRUCTION SQ. FT New System BDR MS VALUATION SEWAGE DISPOSAT PUBI-IC T SEPTIC TANK tr OTHERE PTUMBING INSTAIIED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PLAN REVIEW PARK TRAILER FEES WATER SUPPTY PUBUC tr tr OTHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIELD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ, FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTI[. EASEMENT BtDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CI.ASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD 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 certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posr THIS PERMIT ON MAIN BIDG. AT SlrE) IANE COUNTY, DEPT. OI ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I ronu ,f, 655- 13 $ SLAB FLOOR PLUMBING GROUNU/ORK Appnoveo Reuanx s Dr sappnoveo I rus er cron GAS PIPING GROUND^/ORK Ap pnov r D Rrua Rx s Darr I rusprcron ROUGH PLUMBING Appnoveo N DrseepRoveo n oorul-/.-2-f2-- RexaRrs I ruspec ROUGH GAS PIPING Appnoveo D DrsappRovco D RrManx s Dar r I us pe cron FINAL PLUMBING APPRoVED E Dr srppRovro oorrj - Z -7e I Nspecton Re t"t aRx s rINAL GAS PIPING APPRoVED D DISAPPROVEo D ReuaRxs Dare I NspEcton CFRTIFICATT OF OCCUPANCY Rraov ro lssue Renanx s D NOT READY TO ISSUE D Dare ItrspEcron D Dore-- D DrsAppRovEo D D I NSIALLER: A I...rPOSED SEITAGE DISPOSAL SYSTE|I REu-,rD W Complete top part of form to signature and submit both copies "I$.t apprication. PERI.l TNO 1 4 JS l-' ng Un ts Loruc RTDGE DRtvE asement Yes ater UPP Publ i c v 0ther-L i s t ePt c an Ft. frorn well Steel lns I mens ons: Ft n tJi NAME ilAILING ADDRESS 114 Lone Rloer DRrve SpRtruerteto 0n re N Lengt nes-t 4.6 Concrete No. Compartments Gal. Capacity e sPosa e Diameter De th Di stribution Box: Yes No e h d Side r er e ow ile in. strtr ut On- romFeet trEl I neLot L Front Total Sq. Ft. etweent Lines er tnTile ptTrench }Jidth I'lot Plan see instruct LOH G Kt DfuT.D ?"IUE flt fiilD O$ED \t\ 6trsTr Nt, rN;..rt\E u5E b t Si nat u re0 I oca Remarks: tFl E For Sanitarian Use Only: Date tn accordance with 1973 gregon Laws Chapter 835, Section 214 this certificate is i as evidence of satisfactory completion of a subsurface sewage disposal system at t ,7tL-*ssued l he above tiqn. Fl npproved: System tnstal lation conforms to current standards ft- Oisapproved: Does not conform to current standards c55-r1 STATE OF OREGON OEPARTMENT OF ENVIRONHENTAL QUALITY gnat ure ?r,- r COUNTY an er No 5c+ue - ----ai- s $Ll Pm{rTir _/) Building I4ANAGEMB{T }bbile Hcnre APPLICATION FOR zuTINI}G PMMIT OR },IOBILE HCI,IE USE N0[E: ittro permit will be issired imtil this applicaticrn has been apprcnred. DPARIMM{I OF PLEASE PRINIY 2 sEC. 6 TAx lm /f r.ryr No. ,e* Br.ocK I sueon[sroN APPT,IC,ANI CME CM{SUS TRASI 4 R_ },IAILI}G ADDRESS PricNE 7l(sa {7MME MME ADDRESS PT{ONE s:30 ting seroage disposal systern or ner^7 systen required D Well [] Spring I Other D Site Inspection 1r ter R:b1ic District ltare E:<i-s Blds. Waste Dis. Pfurbing Plan Revier^l Ttailer l% srrctrarge 6 o Feest5 Pturbing lastalled by Ouner Other Nsne:I Pfunbing3+Fees of fixttres Sewer connection inspection fee ter connec inspection fee D Cash il Ctreck Plans fumished Facility Y NoD TOIAL with dist. box: Gallons Signatme ofTq,67 Fee received fy Lineal Feet te ^4 I or Sq. FtTbench (-\ \ tsIgd. Front setbacks-ft. frcrn center of road risLrt of wav4-r> Side rnt. -<. 'Siffi searsrfq€ c55-12 Zone srnumuds ON] TIIE PROPERIY ACREAGE-ACCESS ro PROPRTY l*o ^,rn PQr.< Dp;o e wrDTri 2 ?. t I I Tlpe of Structure*fui{_occupancy}lffire Zcne Use Classification b7