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Home My WebLink AboutPermit Building 1976-03-11LANE COUNTY PERMIT F PERI!1IT NO n Owner CONSTBUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAME ADD R ESS C ITY ZIP CODE PHONE n Contractor NAI\4E ADD R ESS Code- ZIP CODE Census Tract CITY PHON E O.S. Reg. + Twp- Range- section a-tax tot / KoO Subd ivision Lot B lock Access to Property (Road Name) Acreage - Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOMS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: OWNER[]OTHER[] NAIVI F BUILDING PLUTVIB ING WATER SUPPLY: PROPOSED t EX ISTING I 3% SURCHARG E MOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS IVIIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCH ES STAY 1OO' FBOM ALL WELLS TYPE OF CONSTRUCTION G ROUP FIRE ZONE USE CLASSIF SETBACKS- FT. FROI\4 CTR. OF rAff FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT REAR - ZONE- AUTHORIZED SIGNATURES ISSUANCE DATE BLDG. PERt\4lT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUT/BING - CANARY BUILDING - GREEN SANITATION - GOLDENROO IMPORTANT Call 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, O.E.O. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate ot occupancy before being occupied. (See Details on Heverse Side) POST TH!S PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIFONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 ] PUB LIC ] COMTVIUNITY.NAME: ] PRIVATE WELL I OTHER .SPECIFY: C Llisu rLD !NG eERHrr AppL tcATtoN no " 57-7 -7 L ,Z2-E, AX LOTJJOO LOT:_ BLOCK:_ T SUBD I t5 t0N: APPL I CANT( ) srrE tNSPECTIoN PLANNING DIVISION DATE Notli le I 2 3 4 5 Zoning 0rdinance Connp I iance: Zone Yeswvr w() Nor)() () () () ) ) ( ( ( ( CKID 6. Setbac o Front 'S ide Extcrier Setbacks from interi Side Rear Subdivision 0rdinance Compl iance Requi red Access Building Site (Area, Width, Frontage) 0ther (see comments) or I lnes:<-, 6, R)E COHHENTS: PLANNING 0lVlslON TeTmfPENDiNG: YES( ) N0( ) APPLIcATIoN# BUILDING INSPECTION DIVISION Not I icable Plans Submitted Soi I Stabil lty (footings) Flood PIain 0ther (see cornnents)CK'D BY , 3-/o- COMMENTS: 7I 9 0 No Yes fl rI() () () () I.,ATER POLUTION CONTROL I l. Heets Department of Envi ronmental Qual ity Standards. 12, Other (see conments) Not Aool icable-"-T'r "i() Nor)Yes T'I () ()CKI D 7 DATE COHHENTS: TO APPL ICANT: ( our Building / Site lnspection: Can be approved. Cannot be approved at this time as indicated on item N0 Questions and furt her information on items I through 6 contEct t PLANN I NG s ON Questions and further information on items t rou9 2 contact t e COUNTY BUILDI AND SAN I 0N Dlvlsl0 above. e4z c55-28 ) ) Your bui ldin LANE COUNTY PLANN !NG DIVISION PHoNE: 587-4185 ems I cated.Wi I I be held in this ls being returned. ce unt you can reso ve the pr rmi t a Ii ti 135 S ixth Avenue PHONE:687-4065 BU I NG.S ITE EVALUAT ION --Jvrrk I ^l ( ({tV LANE COUNTY PERMIT F PERI\,1IT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY t ] NAIVIE ADD R ESS CITY ZIP CODE L,l uwner PHONE n Contractor NAIVE ADD R ESS CITY Acreage - ZIP CODE Census Tract PHON O.S. Res. + Tw Range- Section-Tax Lot- Code- Subd ivision Lot B lock Width DepthAccess to Property (Road Name) Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: owNER[] OTHER[] NArVr tr BUILDING PLUIVIB ING 3OlO SURCHARG E _- IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATEB SUPPLY: PROPOSED I ] EXISTING t] PUB LIC COIVIVIUNITY . NAIVIE CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS I\4 IN. DRAINF IELD- LIN. FT IVIAX. TRENCH DEPT I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION- GROUP FIRE ZONE-- USE CLASSIF SETBACKS FT. FROIVI CTR. OF rAiV FRONT SIDE EXT FT. FROTVI PROP. LINE: SIDE INT. - REAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PERI\4IT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUi/BING - CANABY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT Catt 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic syslem inspeclions. All construction shall comply with the State Buidling Code, D.E.Q. standards foi subsurface sewage disposal and the State Plumbing Code. 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 ENVIFONMENTAL T,4ANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 t ] PRIVATE WELL [ ] OTHER-SPECIFY: SLAB FLOOR PLUMBING GROUND/ORK Ap pnov r o ReMrnx s D Drsrppnoveo D Dar r I NsprcroR GAS PIPING GROUND/ORK Ap pnov r o D DrsappRovm D Darr I rusprcron Reua nx s ROUGH PLUMBING AppRov r o Rruanx s ff rsAPPRovED D o^rr?- 6-7G I Nspec ROUGH GAS PIPING AppRoveo D DtseppRovro D ReuaRr s Drr e I NsprcroR F I NAL PLUMB I NG APP ROV E o Rr uanx s d DrsappRovro D Dart)-$(,-][ lNsp F I NAL GAS AppRoveo RrlaaRxs PIPING D r SAPPRovED Darr I NSPEcToR CERTIFICATE OF OCCUPANCY RErov ro lssue Rruanr s Nor Rraov ro lssue Darr I rsprctoR n \rL $' I Owner LANE COUNTY PERMIT I t PERIVlIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] CITY ZIP CODENAIVIEADD B ESS PHO NE n Contractor NAIVIE O.S. Reg. + Twp- Range- Section Subd ivision Lot ADD R ESS C ITY ZIP CODE Census Tract PHON E Tax Lo t Code Access to Property (Road Name) B lock Acreage width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE D ISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NAIVI E BUILD ING WATER SUPPLY: PROPOSED I ] EXISTING t] PUB LIC COIVIVIUN ITY NAIVIE PLUNlB ING 3% SURCHARGE IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL PRIVATE WELL OTHEB-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTI ON CONTBOL SPECI F ICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.N4IN, DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCH ES STAY 1OO' FROTVI ALL WELLS TYPE OF CONSTRUCTION-.=- GROUP FIRE ZON USE CLASSIFE SETBACKS- FT. FROIVI CTR. OF rAN FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT R EAR ZONE ISSUANCE DATEAUTHORIZED SIGNATURES lsl BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOLOENROD IMPORTANT (POST THIS PERMIT O N MAIN BLDG AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Call 6g7-4065 to schedule all required construclion inspections. Call 687-406'1 to schedule all required septicl,stem inspections. All construction shall comply with the State Buidling Code, O.E.Q. standards ioiiuUjrrta"e sewage disposat and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. r (See Details on Reverse Side) c55.1 3 SITE INSPECTION Appnovso D DrsappRoveo D RrttlRx s Dare I rus ercton FOUNDATION I NSPECTION APPROVED Reur Rx s Dr slppRovro Dare I ruspecron Z --2 (zo/( FRAMING INSPECTION I AppnovEo / fl DrsAPPRovEo Re urnx s Dar t,NSPEC LATH OR SHEET Ap pRov e o ReltaRxs I NSPECT I ON Dr slppRoveo o^,, //y'(: '?6 ,/^bl €:tI Nspecro 7 FINAL INSPECTI Ap pnov e o Rrua ax s D r sapeRoveo oo-,,il-7-''7i.I ruseEcroR CERTIFICATE OF OCCUPANCY Reaov ro lssue Rr uaRx s D Nor Rraov ro lssue D Dare 11'-)7h HT? I Hsprcron I r- {// / PERMIT II .3 22' 2 L NorE: No pERMrt t.lrt,l BE rssuED UNTrL THrs APPLrcAiroN HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION C}IAI'IGE OF a ^./ Oe,^:,deOWNER Name Address City ztp @ CONTRACTOR o. s. REG. /l /z t rtp. /? Ponge J sect aon 2 Subdivis AccESs ro PRoPERTY (Road Narr) LilDi^! l!'E O,'F' UA L Ctty Census Tract P er ry Acrea ge___wldth-Depth- Name dress rct /7d0 c"de ExisEing StrucEures on ProPertY: Property Location - Address/Dlrections: b-/ for ice Sq Ftr /C, to Valuatlon t-fu"-,,40 OO.6d SEWAGE DISPOSAL Slte Inspec tlon //Existing Sewage Dlsposal System El- or New System Required Pub11c I.{ATER SI'PPLY Well Blds. Plunblng 3Z Surcharge Waste DlsP. Plan Revietr Moblle Hone o oo oO other PLI]MB Installed by Ovrner PLI]MBING FEES: Comunity // of Fixtures otner F-Name Sewage Connectlon Name of Communi ty or Publlc Systen 3 Water Connectlon PI.ANS }'URNISHED CASH F-yrs-NO CHECK Signature of Applicant : Fee Recel,ved By: Dralnfield Required - Lineal Feet /4-L FACILITY PERMIT Date: TOTAL Min. Septlc o-y 6 type of Construct e Zone Use Classificatlon Bldg Setbacks - from Cenr rro,.. N/A su" ter of Road Right of Way: rnt.5' !Hd:B*tet'{or 6 2o * zone fu.v- c55-12 T,ANE COI]NTY DEPARTMENT OF ENVI DATE Rear I'{ANAGEMENT DATE:DATE: /g MoBTLE HoME f--.-l PI-A,N REvrEw f I