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Home My WebLink AboutPermit Building 1975-04-08\l ,ltDlNG PERMIT OR MOBILE HOMr- JSE PERMIT MH I PERMIT NO. LANE COUNTY BUILDING , PROPERTY C-ir'NER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE Sp PROPERTY TOCATION _ INCTUDE POST OTFICE Lenxn t oce Aza PROPERTY TEGAL DESCRIPTION - MEIES, BOUNDS Lor 16 f,Locx ! RANG E SECTI ON TAX LOT NO CODE CENSUS TRACT *2\ EXISTING STRUCTURES ON PROPERTY I ' '.APPL. NAME & MAII.ING ADDRESS tlTi LeuxRreor LEGAT ACCESS TO PROPERTY Stn t rcr r gto 0eemu PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System f New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BORMS VALUATION I SEWAGE DISPOSAT PLUMBING INSTATI.ED BY PU BLIC BU ITDING WASTE DISPOSAT PLUMBING PLAN REVIEW PARK TRAITER SEPTIC TANK OTH OWNER WATER SUPPTY OTHERI NAME FEES( .t q PUBUC tr tr OTHER TOTAL $__ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH IT.OR SQ. FT. eoxS?Rucrtora ro tE wlTHlr lo rEET cr sEvlgE', OISPO TYPE OE STRUCTURE OCCUPANCY ZONE PUBLIC UTII. EASEMENT BI,DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY : SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BLDG, PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUI[DING _ GREEN SANITATION - GOTDENROD coll 687-4065 ro schedule oll required inspeclions. All construc- tion sholl comply with Uniform tiuilding Code, D.E.Q. stondords IMPORTANT: for subsurfoce'slwoge disposol ond county regulolions covering plumbing. Alt buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BIDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I ronv = 655- 13 LANE COUNTY .^ ILDING PERMIT OR MOBILE BUTLDTNG il MH r HOME 5E PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE fafinv $cxrrcn Lr**r t oot MAIIING ADDRESS atl31 r*ortx llrx 8p* rrer rflCI Omom* $p*r*orrtl.o Orreax CONTRACTOR PHONE B*rc.ltga* PROPERTY TOCATION _ INCTUDE POST OFFICE Lr*ers r Doa rdl: PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANG E SECT toY t6 [LoHr TAX LOT NO CODE CENSUS TRACT t? ilgmv $erlrt* ISTING STRUCTURES ON PROPERTY 0vrtt lxe APPI.. NAME & MAITINO ADDRESS lf?3 trrmrmr LEGAT ACCESS TO PROPERTY Lrvtn resE Spnrtorrrlo Ortmx PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Pcaxr? ?e rsrt.p r.?tltry *sr I? r lt 3 8.8O Connect to Existing Sewoge System I New mI TYPE CONSTRUCTION se. FT BDRMS VALUATION flo3.m STR URES BE BUILT THIS PERMIT SEWAGE DISPOSAL PUBTIC tr SEPTIC TANK N OTHERE PLUMBING INSTAI-TED BY OWNER [] OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAITER TOTAL e $_ WATER SUPPTY PUBUC tl FEES I OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT l*l rrtr of i3f Gc*l?ffi8lrtt ?0 0c rt?llrl lo rttr of tErtilr ltarltaAt ar3?cxt TYPE OF STRUCIURE OCCUPANCY ZONE PUBI.IC UTII. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. i SIDE EXT. USE CLASSIFICATION REAR 9 AUTHORIZED SIGNATURE _ DATE /a/ a. E. [oft iY c. Itrfit*rrcn Jo;l Seocr/$xrtlit^H DATE \18175 BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION _ GOLDENROD 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 county regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST rHlS PERMIT ON MAIN BIDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENIAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronu l* 655- 13 SLAB FLOOR PLUMB I NG GROUNU4/ORK-- I usprcronAp rnov e o ReManr s cAS P lP I NG GROUND^/ORK Appnov e o Reua Rx s D DrsappRovro D Dare llrsprcron ROUGH PLUMBING AppRovED N DrsapeRove o D ,orr-f-4-Q'7f- ReulRrs I ruspecron ROUGH GAS PIPING Ap pRov r o RruaRx s Dr sappRoveo Dare I usprcron FINAL PLUMBING Arp nov e o RE MARK S DTSAPPRovEDF o*,?-1 c-? f,SPECTOR FINAL GAS PIPING Ap pRov e o RruaRx s D I SAPPROVED Dare I ruseecron CERTIFICATE OF OCCUPANCY Rraov ro lssur ReuaRx s Nor Rerov ro lssue Dare I Nspecron D DrsAPPRovEo D Dote- D D LANE COI]NTY BNVIRON}MNTAI I'IAIIAGEMENT Namc and Address of Orrner Telep ne: The building being.constructed under thls permlt wtl1 be used for PLOl' PI,AN e.f Date this proPerty was P urchased Do you now, or did you ever own property adjat:ent to this tax lot? If so, please list those tax loE nurnbers or draw tirose properties on the plot plan belold.- Indicate on your drawing the location of all homes (including rnoblle homes) now on Ehe property, as well as the location of the new building. \o I$DlI I \\\t u ( iGS I ) I I ,(s \. (t I ! I I ts- Name of Applicant Address (if different from owner): Telep hone Map Tax Lot APPlicantrs Interest: BuYer M74-99 Se11er Permit i/ \- .;\\ , + I I Asent [-l (r/ surLDrNG pERHtr APPLtcATIoN no. @'.K - -o" sSLtAx Lor- suBD'!r/t s tox: L0T:_ BLOCK:- $/c :'- r lzBUILOING SITE EVALUAT ION ( ) srrE tNsPEcrloN PLANNING DIVISION APPL ! CANT DATE *rr /Rrtchplfr( A Not I icable No Yes Zon ing 0rd i nance CornP I iance: Zone 6 CKID Setba cks rorn cI 2 3 4 5 Subdivision 0rdinance Compl iance Reoui red Accessguitaing Site (Area, width, Frontage) 0ther (see conments) () () () () 1-l() () () ()$ Front Setbacks frorn inter or i nes:ISide Rear c0rlllENTS: PLANN ING DIVIS!ON ACTIO BUI LDING INSPECTION DIVISION Plans Submitted Soi I Stabi I lty (footings) Flood Plain 0ther (see conments) FNDING: YES(T--noIl APPL I iloN# Not I icable 7I 9 0 ( No hLiW() ()( ) ( ) cK,D I WATER POLUT ION CONTROL Not A li ble No Yesr) T-[I I . Heets Department of Envi ronmental Qual i ty Standards. 12. 0ther (see comments)() ())(CKIO BY: DATE COMHENTS: TO APPLICANT: h You ( ,) () r 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 5 0 contact the LANE- c PLANNTNG DIVISION. A uestions and further informat ion on iteilfi throu 2 contact t he LANE NTY BU I D NG ANO SANITATION VISION. Will be held in this office unt you can reso ve the P ls being returned. above c55-28 () () Your buildin LANE COUNTY PLANN ING DlVlSloN PHoNE: 587-4185 ems I cated. ermi t I i cati 135 Sixth Avenue PHONE . 687-4065 2 /. I COMMENTS: f IANE COUNTY BUILDING I_: |LDING PERMIT OR MOBIIE HOME SE PERMTT MH D PERMIT NO. PROPERTY OV,'NER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFIICE PROPERTY LEGAI DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPL. NAME & MAII.ING ADDRESS TEGAI. ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existi Sewoge System New m TYPE CONSTRUCTION se. FT BDR MS VALUATION SEWAGE DTSPOSAT PLUMBING INSTALI.ED BY OTHERN OWNER E OTHER: NAMEPUBTICSEPTIC TANK tr F EES WATER SUPPI.Y BUILDING WASTE DISPOSAT PTUMBING PtAN REVIEW PARK TRAILER PUBUC tr tr OTHER $_TOTAT COUNTY BUILDING & SANITATION SPECI FICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIELD REQUIRED I.IN. FT OR SQ. FT. OCCUPANCY ZONE PUBTIC UTIt. EASEMENTTYPE OF STRUCTURE FT, FROM CTR. OT ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATIONBLDG. SETBACKS FRONT REAR DATEAUTHORIZED SIGNATURE - DATE B[DG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD coll 687-4065 to schedule olt required inspections. All construc- rion sholl comply wirh uniform tiuilding code, D.E.Q. slqndords TMPORTANT: for subsurfoce'slwoge disposol ond counly regulolions covering-'--- pfr-Ui"g. Ali buildiigs require o certificote of occuponcy before being occuPied. (See Detoils on Reverse Side) (POsT rHlS PERMIT oN MAIN BLDG. Ar SlrE) LANE COUNTY, DEPT' OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I FoRM r C55- l3 TRENCH WIDTH FT, SITE INSPECTION AppRov E o ReuaRxs DTSAPPRovED Dare I ruseecton FOUNDATION INSPECTION Appnoveo D Dr sappnoveo Rrul nx s Dar r I ruspecron -Za"I /, ? FRAMING INSPECTI Appnov r o Rr u anx D r slppnoveo '7d' tNSpEc €,t d Dare LATH OR SHIITROCK Ap pnov e o Rrua Rx s I NSPECT I ON DrsapeRoveD oor. 3"-'- li"1)/ I xsprclon FINAL INSPECTION Appnoveo ry DrsrppRoveo D DnrE ReuaRx s I Nspecron CERTIFICATE OF OCCUPANCY Reaov ro lssue ReulRx s D Nor Rraoy ro lssue D Dare lNSpEcroR b b{-Fd /ey3 D D I F o\s55(PERMIT NOTE: NO PERMIT T{ILL BE ISSUED IINTIL THIS APPLIC'ATION HAS BEEN APPROVED APPLICATION FOR CONSTRUCTION MOBILE HOME PLAN REVIEW CtiAi'lGE 0F OCCUPANCY OWNER e(\Y q-' N"r.\-----------N coNrRAcroR B..-l. o-Vr c \.. } Address )'\3\ Name Address \ city -$\qb Phone census rr"".2o- 30 o.s. REc. l/ Twp Section Subdlvis ACCESS TO PROPERTY (Road Name) Exlsting SEructures on Property Property Location - Address/10ns for Offlce Use SEWAGE DISPOSAI.: Slte Inspection # Ar-L- Public Tax Code ?roperty Acreage or Systen Requlred I,,id th_Depth_ d \ Sq. Ft WATER ST'PPLY: Well FEES: Bldg. Wa6te Dlsp. Plumbing Plan Review Moblle Home 12 Surcharge TOTAL Spring \c>: --=---g{ Comunlty PLIN(BING: Installed by O^rner Other Name Conmunlty or Public Systeo Name PL1JMBING FEES: e..)3, or Flxtures 'ub s",.Sa Connection \-Water h<i Connectlon PLANS YES Signature of Fee Received By: NO FACILIfi PERMIT YES Date: NO lc Tank Lineal Feet Depth Type of Constructlon Fire Zone Use Classiflcation Bldg - from Center of Road Right of Way: slde Int. d *i&-&csr.ier-Rear_ .!i(, c55-12 LANE COT'NTY T},IENT OF ENVIRONMENTAL zone PA DATE:TE:DATE: F N \ Existing Sewage Dlsposal System [--l r- .oO, ---€ts- \\.r(