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Home My WebLink AboutPermit Building 1976-04-05LANE COUNTY PERMIT FOR:PERIV]IT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] n Owner LI NAM ADD R ESS C ITY ZIP CODE PHONE tr Contractor NAIVIE O.S. Reg, + Twp- Range- Section-Tax CeytSubdivision- Lot B lock Access to Property (Road Name) ADD R ESS CITY Code Acreage - ZIP CODE Census Tract PHONE Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL PUBLIC [ ] SEPTIC TANK I I OTHER t l PLUIVIBING INSTALLED BY: OWNEB[ ] OTHER[ ] NAM F BUILDING WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING I] PUB LIC COMIIVIUNITY . NAIVIE PRIVATE WELL OTHER.SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTBOL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS I\4IN. D RAINFI ELD- LIN. FT IVIAX. TRENCH DEPTH I NCHES STAY 1OO'FROM ALL WELLS TYPE OF CONSTRUCTION- GROUP FIRE ZONE SETBACKS FT. FROI\4 CTR. OF rAff FRONT SIDE EXT FT. FROIV] PROP. LINE SIDE INT R EAR ZONE AUTHORIZED SIGNATURES ls/ ISSUANCE DATE BLDG, PERN4IT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GBEEN SANITATION - GOLDENROD Call 687-4065 to schedule all required conslruction inspections. Call 687-4061 to schedule all requiredrMPoBrANr' i5l!30"J,"i"#1T,""jJ""11;il#:',llillStilil 8i,lllJI"U8"ff"i?l",:ii!1113:","T,i;"'5S,,1ii"113".,i occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE} LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401c55.r 3 PLUIVIB ING 3% SURCHARG E - MOBILE HOIVIE- USE CLASSIF. \M c l'1,-= T /, sfE'6'TUis I z7 / slz- 3 s €ro*nr /)P L0T:_ BLOCK:_ su itorNG- s rrE EVALUAT roN v R 553- 7L Not licable APPL I CANT ON: BUILDING PERHIT APPLICATION NO ()SITE INSPECTION PLANNING DIVISION Zoning 0rdinance Comp I iance: Zone DATE ( Nofl() () () () es cK'o By , ltfr 2A 7na.z 6. Setbacks rornI 2 3 4 5 Requi red Accessguilaing Site (Area, width, Frontagb) 0ther (see conments) r ) ) ( ( ( ( Subdivision 0rdinance Compl iance Setback ronr interior l in 5lde Rear COI{ilENTS: ) ) ) ) Front Side o pLANlltllcDlvls ( )APPL!CAT!oN#_ BUILDING INSPECTION OIVISION Not I icable 7. Plans Submitted8. Soil Stability (footings) 9. Flood Plain O. Other (see comnrents) DATE COHHENTS: No YesOM() () () () () ()CK!D BY:e,4 v cl-zc bJATER POLUTION CONTROL NOt Appl icable No Yes I I . Heets Department of Envi ronmental --(T r) rT Qual ity Standards. 12. Other (see cornments) DATE COHI,IENTS: () ()() CK'oBY: TO APPLICANT: V 6t,\ ^ Iv() Building / Site lnspection: Can be approved. he BUILDING AND SANITATION D ce unt you can reso ve the pr u Cannot be approved at th i s t ime as i nd i cated on i tem N0 "----------above Questions and further information on items I through 5 contact the LANE- COUNTY PLANNING DlVlSl0N. Questions and further information on items 7 through l2 contact t Wi I I be held in this ls being returned. () () c55-28 Your bui ldin ems s n N cated. rmi t I i cation fee i s ENT 135 Sixth Avenue East Eugene Oregon 974o1 PHgNE, 597-4065 LANE COUNTY PLANNING DlVlSl0N PHONE: 687-4186 r n Owner LANE COUNTY PERMIT FOR PERTVIIT NO CONSTRUCTION [ ] TVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAfVIE ADD R ESS CITY ZIP CODE PHONE tr Contractor NAI!1E ADD R ESS CITY ZIP CODE Census Tract PHONE O.S. Reg. + Twp ' Range- Section Tax Lo Subd ivision Lot B lock Access to Property (Road Name) t Code Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOTVIS)SO. FT VALUATION SEWAGE D ISPOSAL PLUIVIBING INSTALLED BY: OWNER[ ] OTHER[ ] NAMPUBLIC t I SEPTICTANK tl orHER[]tr BUILDING PLUTVIB ING 3% SURCHARGE MOBILE HOIVIE WASTE D ISPOSA L PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I EXISTING t PUB LIC COMMUNITY- NAIVIE PR IVATE WE LL OTHER.SPECIFY CONSTRUCTION PERMlTS & INSPECTIONS AND WATER POLLUT]ON CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.IVIIN. DRAINFIELD LIN. FT MAX. TRENCH DEPT I NCH ES Dt0 tan STAY 1OO'FROI\4 ALL WELLS TYPE OF CONSTBUCTION GROUP FIRE ZONE USE CLASSIF SETBACKS- FT. FROI\4 CTR. OF r,AN FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT REAR - ZONE- BLDG. PEBMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION _ GOLDENROD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with lhe State Buidling Code, D.E.Q. standards for 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 ENVIRONMENTAL N4ANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 AUTHOR IZED SIGNATURES: ISSUANCE DATE: lsl SLAB FLOOR PLUMBING GROUNU/ORK AP PRov E o Rrulnx s Dr sappnovro Dnr e Ir.rspEclon GAS PIPING GROUND^/ORK D DrsAPPRovEo D Dare I NsprcronAppRov r o Reua Rx s ROUGH PLUMBING Appnov e o Reulnrs Drsappnoveo I rsprcron ROUGH GAS PIPING AP PROV E D Reuanx s Dr sAPPRovEo Dar e I Hspecron rI NAL PLUMBI NG AppRovrD E Rr uanx s Dartl -4-?L lNsPrc .nr i,* )Dr srppRoveo FINAL GAS PIPING AP PROV E D REttnnx s Dare l usprcron CERTIFICATE OF OCCUPANCY Reaov ro lssuE Reuanx s Nor Rerov to lssue Drrr I xspecron n Dare- DtsappRovro F7 LANE COUNTY PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVIE ADDRESS C ITY ZIP CODE n Owner PHONE n Contractor NAME ADD R ESS CITY Acreage - ZIP CODE Census Tract PHONE O.S. Reg. * Twp- Range- Section-Tax Lot- Code Subd ivision Lot B lock Access to Property (Road Name) Width Depth Existing Structures on Property: Directions to Property - Address STBUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NAIVI E, BUILDING PLUIVIB ING 3% SURCHARGE IVIOBILE HOI\4E WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I ] EXISTING I ] PUB LIC COIVIVIUNITY . NAIME PRIVATE WELL OTHER .SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY GALS IVIIN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPTH I NCH ES STAY 1OO' FROM ALL WELLS TYPE OF CONSTRUCTION GROUP- FIRE ZONE USE CLASSIF SETBACKS- FT. FROIVI CTR. OF riW FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT REAR - ZONE- AUTHORIZED SIGNATUBES lsl ISSUANCE DATE BLOG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANAHY BUILDING - GREEN SANITATION - GOLDENBOD IMPORTANT Call 687-4065 to schedule all required construclion inspections. Call 687-406't to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. slandards foi subsurface sewage disposal and the State Plumbing Code. All buildings require a certilicate of occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMlT ON MAlN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIBONMENTAL MANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 c55-1 3 SITE INSPECTION Ap paov r o Rrulnxs D r sappRoveo Dare | ruspecron FOUNDATION I NSPECTION Ae pnov e o Dr sappnoveD Darr I NspEcr E (tRrua nx s FRAMING INSPECTI APPRovEo Reulnx s DrsAPPRovEo D /) oo,, d1 2 r'/&",(!#4r LATH OR SHEETROCK INSPECTION Ap pnov r o Rrttr Rx s DtsappnovEo ,^rr/r- V 7A I NseEct FINAL INSPECTION Ap pRov E o Reuenx s &I NSPEcToRD r sappnoveo DarE ? CERTIFICATE OF OCCUPANCY Reaov ro lssuE ReuaRx s Dare '6-J-fu Nor REeov ro I ssue / a8o I HsprctoR D D , PERMIT /r 5537[ NOTE: NO PERMIT I{II BE ISSUED I,NTTL TTIIS APPLIC.ATIC dAS BEEN APPROVED APPLICATION FOR: coNsrRucrroN I= l,IoBrLE HoME o*r*r4 E 37n ns{ t tlo PLAN REVIEW C}IAI'{GE OF OCCI'PANCY lC Eo I n ,, n Eus EuE ?74a/ 7?7 ??eo -- Nare CONTRACTOR Name Address City zLp Phone Twp ,rIl ACCESS TO PROPERTY (Road Name) Existing StrucLures on Property: o.s. REG. /l Slte Inspec tlon /l WATER SI'PPLY: I.Ie11 Spring Bldg. Plunbing 3Z Surcharge !{aste Disp. Plan Review Moblle lloue TOTAL Mln. Septlc Tank Capaci et/s/,- r^*r.or lJ 8 Block a 0a,E Exlstlng Sewage Disposal tem Section N Code Census Tract I,Jid th_Depth_ Property Location - Address/Dlrections: Use SEWAGE DISPOSAL:7ct Public CoEmunity or New System Requlred Name of Comnunity or Public System Name0ther ures PI-ANS F1JRNISHED Slgnature of Fee Recei.ved By: le1d Required - Lineal Feet Sewage ConnectLon Water Connectlon FACILITY PERMIT Da NO Sq, Ft. ed by Owner CASH Type of Construc Flre Zone c55-12 I^A,NE COI'NTY D SANITATION 3 OF ENVIRONMENTAL Use Classificatlon BJ.dg Setbacks - from Center of Road Rlght of Way: Front.Slde Int.Side Rear PIANNING:DATE:DATE x YES V 4---38 I