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HomeMy WebLinkAboutPermit Building 1975-04-30I.ANE COUNTY BUILDING ;_ iTDING PERMIT OR MOBITE HOME MHI SE PERMIT PERMIT NO. PROF;RTY O\ NER MAII.ING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY I.OCATION _ INCLUDE POST OFFICE PROPERTYd"LEGAL,_ GE .i'"oTM CODE CENSU S e. I N_ EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAII.ING ADDRESS I"EGAT ACCESS TO PROPERTY PRO SIZE _ FT WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ, FT, # BDRMS VALUATION SEWAGE DISPOSAI. PUBr.tC tr SEPTIC TANK n oTHER[-l PLUMBING INSTATTED BY OWNER n OTHER: NAitE BUITDING WASTE DISPOSAL PLUMBING PTAN REVIEW PARK TRAILER F EES WATER SUPPI-Y PUBr-rc D D OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT.OR SQ. FT. OCCUPANCY ZONE PUBI-IC UTIt. EASEMENTTYPE OF STRUCTURE FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATIONBI.DG. SETBACKS FRONT SIDE EXT REARSIDE INT, DATEAUTHORIZED SIGNATURE _ DATE Jot BLDG. PERMIT _ WH ITE OFFICE COPY - WHITE COUNTY TAX _ PINK PI.UMBING - CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections' All conslruc' tioi tfi"ff comply *ilt Unltorm liuilding Code, D'E'Q' stondords IMPORTANT: for subsurfoce'sewoge disposol ond county regulotions covering"' ;i;;ti;s. ltt buildiiss reiuire 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 MANAGEMENI COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronu lf, 655- 13 {. i,A,{E COI'NTY ENVIRilNMEN iAI I'IANAGEMENT Name and Address of Owner Telephone:-_--- The buitding being.constructed under this permlt will be used for Date this property was P urchased Do you now, or did you ever own property adjacent to this tax 1ot? If so, please list those tax lot nurnbers or draw tltose properties on the plot plan below.- PLOl' I'I,AN Indicate on your drawing the location of all homes (incl-uding mobile homes) now on the property, as well as the location of the new building. 1 !vIil l,- .t i I ii I \ I \ "; Y7 _t t_ 7 \J I t I I 2 I I rIluI ,) C II (,I Name of Applicant (if dlfferent from owner): Telep,hone Add..""Map Tax Lot Applicantrs Interest: BuYer M74-99 Sel1er Agent Permit /i l Jil ,l ! I $ I I -l T tr P.n.^Q-\ourSQ ,r-,il 4/'4)*Z€I tA # '*-rrq-t\S I htt ZK(',+t(:.-*-\ G q[tse"---' 7Qe^^e -r ? "oY>'t.6 ( , \/Lr t.BUILO ING S TTE EVALUAT !ON 0 BUILOING PERHIT APPL!CATION NO" ( ) srrE tNsPEcnoN PLANNING OIVISION Zoning 0rdinance Connp I iance: Zone T S TAX LOT ?-e. -r- 2-f Not I i cabl SUBDIVISION: APPL I CANT DAT F LOT:_ BLOCK:_ cKfD BY: *; -?:zz.-nfSetbacksffiFront 1{_ Side Exterior No YesT-)il 6. () () () () () () () () I 2 3 4 5 Subdivision 0rdinance Compl iance Requi red Access Building Site (Area, Width, Frontage) 0ther (see conments) Setbacks from interior I ines: Side Rear COI{HENTS: PTANN-lnc 0 t vt s !-0N-TCTIotrTFNDTNGaTES( ) N0 ()_AFPETEA-TION# BUILDING INSPE cTt0N Dlvlsl0N 7. Plans Submitted8. Soi I Stabi I i ty (foot i ngs) 9. Flood Plain I O. 0ther (see cornnrents ) COMHENTS: Not No Yer I-t.E() () () () ) ) ) ( ( ( le CKI D , },ATER POLUT ION CONTROL Not Aool icable I r{r No Yesr) rTll. l{eets Department of Environmental Qual ity Standards. 12. 0ther (see cornments)() ()CK'D BY DATE COHHENTS: TO APPLICANT: Your Building / Site lnsPection: Can be approved. Cannot be approved at this time as indicated on item N0 .J(Questions and furt her information on items I through 5 contact t LANE- P D lV I S t0N" Quest ion rther on i tems 7 rough 2 contact the LANE S ION ill be held in this office unt s being returned. you can reso ve the p ,*4w a above. s and fu BUILDING i nformat i on SAN ITAT ION D ) ) ( t w ! Y c55-28 our bui ldi em5 nd i cat ed. rmi t a lication f is b E 135 Sixth Avenue East Eugene Oregon pHoNE z 687-4055 LANE COUNTY PLANNING DIVIS!ON PHONE: 97401 687-4t86 lr------*1-- o rt ,ROPOSED SEbJAGE DISPOSAL SYSTEH .-ORD INSTALLER: Complete top paif of form to signature and submit both copies-with appli I On. PERHIT NO JoxN Snoo Wx rre V/arEn RaNcx Roao No. L i v i ng Un i ts Bed rooms Baths Basement Yes No Water Supply Publ ic 0ther-List Septic Tank: Ft. f rorn wel I Steel ns th ER NAHE GEone e O'NE t t- HAILING ADDRESS Gneeruwooo Dn r ve tr Concrete No. Compartments e sPosa e Distribu Box Yes No t er str ut OO- Feet Gal .Capaci rt / An L ll Lot L Front oundat i on ne ABURG On eco Side Length L es-t.er 6 ile I CATE PL as evidence of satisfactory cornpletion of a subsurface sebrage disposal system at the above I ocat i on.llftI npptoved: System lnstalletion conforms to current standards [J 0isapproved: Does not conform to current standards Remarks: L r ov, For Sanitarian Use 0nly: ln accordance with 1973 0regon Laws Chapter 835, Section 214 this certificate Date: (-.lt- 77 i s issued / thD i ameter tsons: Width F I I I Type E?T/h pt lnove Ti I erTotal Sq. Ft..r 70' Ft. Between Lines / O rTrench },idth^ iee i nstruct ons ./o' b9, ,/ 0s /o3' tlett oql o r=6 S I t,0J f)I c,ar/'+aFv t I /o ( pl tar an LANE COUNTY STATE OF OREGON DEPARTHENT OF ENVIRONHENTAL QI'ALITY sc55-1I re - I t L LANE .COUI.ITY BUILDING - r.-rtDlNG PERMIT MHI OR MOBILE HOME -5E PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE ILING t tt t PH PROPERTY LOCATION _ INCTUDE POST OFFICE _ MET,ES, RANGE loN TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New System STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATToN Djt a SEWAGE DISPOSAL PUBUC n sEPTlc TANK n OTHER- PLUMBING INSTALTED BY OWNER ! OTHER: NAME (F EESBUII.DING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAII.ER TOTAL I $__ WATER SUPPTY PUBUC D tr OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT,OR SQ. FT \ TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT BLDG. SETBACKS FT. IROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE ton* er'{. Hrao*ugn Joq.r Siofrfillrrr*r*t I B[DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUITDING _ GREEN SANITATION _ GOI,DENROD Coll 687-4065 to schedule oll required inspections. All constr tion sholl comply with Uniform Building Code, D.E.Q. stondo IMPORTANT: for subsurfoce sewoge disposol ond county regulolions cover plumbing. All buildings require o cerlificote of occuponcy be{ being occupied. (See Detqils on Reverse Side) (posr THts pERMtr oN MA|N BIDG. AT S|TE) IANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6rh, EUGENE, OREGON 9740Iroau * 655- 13 CONTRACTOR SITE INSPECTION Appnovro REuanrs Dt srppRovro Dare I rusprctoR FOUNDATION INSPECTION APPRov ED REua nx s D DrsappRoveo V Dare I rspecton FRAMING INSPECTION Drte I NSPEcToR LATH OR SHEETROCK AppnovEo RruaRrs I NSPECT I ON D I SAPPRoVED Dar e I Ns PE croR FINAL INSPECTI Ap paov s o REuanx s ,*,/ *//_-7i ROVED lNspe c \rt rr t' :t CERTIFICATE OF OCCUPANCY Reaov ro lssur D Nor Rraov to lssur D Dort-lHsre cron- ReulRx s f;oz ?{-/ilrrtvz<,Ylr /** APPRovEo RrttnRx s D Drsrppnoveo D NOTE: NO PERMIT WILL . ISSI]ED I,NTTL TIIIS APPLIC'ATION I APPLICATION FOR: PERMTT +_7ls-'zS' BEEN APPROVED CONSTRUCTION x.MOBILE }IOME PLAN REVIEW CHAi.IGE OF OCCUPANCY OWNER Lor.t :S " \qr -'l "l .+ 656 t zip PhoneNameCtty CONTRACTOR Name O.S. REG. /I rtlp. lJ nanse 6 ? Sec tion 25 Subdivls Lot ACCESS TO PROPERTY (Road Name) Existing Structures on Property: \\O t^ S €- S City zrp Census Tract Phone Tax Lot Code lock Acreage wutQf,?loepth-I$LOo Property Location - Address/Dlrectlons:l? LZ Lrnr^sr^YiL qe (D , 4 It x ,f ti'rb't'rc ou"*""'" "7"ii7, v / S Slte Inspect lon /l WATER SI,]PPLY: Well FEES B1dg. Waste Dlsp. Plumblng Plan Revlew Mobile Home l% Surcharge TOTAL Sprlng d, oo Exlsting Sewage Disposal System rxl or New Sys Requlred Public CoEmunity Name of Ity or Publ1c Systentr (f,,i-^,rrr-.Other PLII{BING: Installed by Owner PLUMBING FEES: -'---- # of Fixtures Other Sewage Connectlon PLANS FURNISHED NO Slgnature of App 1 icant : ' Fee Received By: Water Connection FACILITY PERMIT ,06 x lK vnsCASH CHECK YES .DKl. ro ? f, o{ Date Min. Septic Tank Capacl Drainfleld Requlred - Lineal Feet Maxlmum DePth_ Type of Constructlon Fire Zone Use ClassificaEion Bldg Setbacks - from Center of Road Right of Way Fron a-Slde Int. d Side Exterior Rear1l1f llf, cs5- t2 I.ANE COTINTY D OF ENVIRONMENTAL Zone DATE: tr t n i I