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Home My WebLink AboutPermit Building 1974-01-07a?IANE COUNTY BUILDING PERMIT OR MOBITE HOMF "SE APPLICATION PERMIT TYPE _ BUILDING MOBILE HOME OSC REG. # MAILING ADDRESS NG PERMIT ONE R /zf?:korott PROPERTY TOCATION - INCTUDE POST OFFICE'"""-'<4"""-U*2""r'"'\' h)Ar/ 6"rrjdo7 Lr/kAeIre METES & BouNDs E yEsPROPERTY TEGAT DESCRIPTION tOT_BIOCK-SUBDIV. TWP ATTACHED NO RANGE 'ilt tg qrm)TAX TOT CODE CENSUS TRACT Larrv t)alf DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANYAPPTICANT NAJTAE AND I AIUNG ADDRESS I,EGAL AccESS TO PROPERTY _ ROAD NAME OR # PROPERTY SIZE_WIDTH DEPTH Connect to Existin Sewo stem or New TYPE CONSTRUCTION AREA FOR MOBILE H EP ONLY Number of Bedrooms STRUCTURES TO BE BUITT THIS PERMIT FT BEDROOMS V SE\^/AGE DISPOSAI PUBIIC fl SEPTTC TANK E OTHER tr PTUMBING INSTAI.TED BY owNERn oTHERnNAME PTANS FU PUBTIC OTHER YES PTUMBING FEES - FIXTURES CASH E CHECK CONNECTION TEE PERMIT PUBI.IC WATER CONNECTION FEE COUNTY BUITDING & SANITATION SPECIFICATI FACITITY PERAAITBTDG. WASTE DIS. PTUMBING PLAN REVIEW PARK TRIR. TOTAT YES NO ICANT DATE DATE/-7- 7 MIN. SEPTIC IANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEI.D REQUIRED I.IN. FT. TRENCH WIDTH FT OR SQUARE FEET TYPE OT STRUCTURE OCCUPANCY ZONE REAR YARD PUBI.IC UTIT. EASEMENT,\Gf Form # css- t2 SIDE EXT, USE CTASSIFICATION Dote BTDG, SETBACKS _ TT. FRO A CTR. OT ROAD RIGHT OF WAY FRONT SIDE INT ons lo Find Property: {NNt[G tA )hb-.I Dole elzd I NSP COPY I - OTFICE COPY 2 _JOURNAT COPY 3 - AUDIT {- LANE COUN BUTLDTNG I BUITDING PERMIT OR MOBILE Ht .E USE PERMIT MH fl PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS PHONE PROPERTY I.OCATION _ INCI,UDE POST OFFICE PROPERTY IEGAI, DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING ADDRESS TEGAI. ACCESS TO PROPERTY PROPERTY SIZE-FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONIY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewo e TYPE CONSTRUCTION SQ. FT New BDRMS VALUATION SEWAGE DISPOSAT PUBUC tr SEPTTC TANK tr OTHERE PTUMBING INSTALTED BY OWNER E OTHER: NAME $F EES WATER SUPPTY PUBr.rC n N OTHER BUITDING WASTE DISPOSAT PTUMBING PtAN REVIEW PARK TRAITER TOTAI. COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAT. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT,OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTII,. EASEMENT BtDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHIIE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD Construction to comply with uniform building code ond covering plumbing ond sewoge disposol. All buildings of occuponcy before being occupied. (See Stotement on Reverse Side) county regulotions req uire o certif icote (POsT TH|S PERMTT ON MAIN B|DG. AT SITE) IANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu Jf c55- t3 BU I LD ING S ITE EVALUAT I ON r_Jl.n O a sZT,Iri cENc{s TRACT dsf et ,, Bu i ld ing Permit Appl icat ion no. ll- 7 rf S ite lnspect ion Pre-Permit lnvest igat ion TAX LOT w N() APPL I C NAII E ADD RES ()PHONE DATE LANE COUNTY PLANNING DEPA RTI1ENT NOT NO YES NAJ''1E Dr\TE b 7zon ins Ord inance comp I iance *fief I(zone A6rf )2. Subdivision 0rdinance Compl iance () () ) Requ i red Access Bu ild ing S ite (Rrea, Width, Frontage, Setback) 0ther (see comments) (f 6 6 (-f () I ((') 4 5 () ) () COHHENTS: BUILDING INSPECTION SECTION NOT NA}l E DATEYESNO ecab 6. Plans Submitted 7. Soil Stabil ity (footings) 8. Flood Pl a in 9. 0ther (see Connnents) COHHENTS: ) () ( () () () () () () ())/-/ * t( SAN ITAT ION SECTION 10. Sewage Disposal I l. Usable Area 12. Water Supply ll. 0ther (see Conynents) NO YES E DATE I icable ()/-a-ry )(( )(( ()(( COM}4ENTS: TO APPL ICANT: You r N Building Permit / Site lnspection: can be approved. / -/ / -7/ € Cannot be app roved at t h i s t inre as fnr,.","o on iten, No. ( ( ( above. Quest ions and further infornrat ion on itenrs I through 5 contact thq Lale- C0UNTY PLANNING DEPARTMENT" Quest ions .:nd furtlrer infornration on ltenrs 5 throuq h l3 contact the Lane Cour 1l1_Eg i ld ilgj$-5an i t at ion D iv i s ioI. ) wi t t be held in this of icc unt i I you can resoIve t he problenrs indicated. ) t t be i ng retu rned. ) Your buildinq pernr it applit.ation fee is being returned under separate cur'€F. LANt: CO(IN'I Y I'I i\NN ING DEP/\RT}4ENT I lt 5 i;xtlr Avr:rrte [^ast, Eugerre, 0r cgtrn 97q0 I l'[oNE 3{2. llll EXt.21l lANt, CoUNTY tlL,lLl)lNG 6 S/\N1T/\Tl0N DlVlSl0N ll5 Sixth Averrur: East, [rrqettr', 0reqon 9740 I l,r]0Nr'.342-t)la [XT. 4ll M55 - NOT ) l"'l LANE COUN BUTLDTNG E 14t.lvtT BUITDING PERMIT OR MOBIIE HC...d USE PERMIT MH E PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY I,OCATION _ INCI.UDE POST OFFICE PROPERTY TEGAL DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System I New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT # BDRMS vALUATtoN SEWAGE DISPOSAT PUBUC fl SEPTTC TANK n OTHERE PTUMBING INSTALTED BY OWNER E OTHER: NAME BUII,DING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAIIER F EES WATER SUPPLY PUBI.rC n tr oTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BIDG. SETBACKS FRONT rT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PIUMBING _ CANARY BUITDING _ GREEN SANITATION - GOTDENROD Conslruction to comply wilh uniform buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. code ond counly regulotions buildings require o certificote s I (See Stotement on Reverse Side) (POST THIS PERMTT ON MAIN BrDG. AT S!TE) I,ANE COUNTY, BI,DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu -* 5 55 - 13 SITE INSPECTION AppRov r o Rruanxs DI SAPPRoVED Darr I NSPEcToR FOUNDATION INSPECTION AppRovEo REuanxs Dr sappnovro Darr I ruspecroa FRAM I NG AppRov r o Reuanxs I NSPECT I ON Dare I NsercroR LATH OR SHTETROCK Ap pRov r o RrMaaxs I NSPECT I ON Dr sappRovEo Dare I NSPEcToR FINAL INSPECTI Ap pRov e o Reua nx s D I sAPPRovEo oor, /' ^J'W ECTOR CERTIFICATE OF OCCUPANCY REaov ro lssuE D Nor Rraov To lssuE D Dnre--lHseecton- RrFranx s Edfl /o 7ao D D DrsrppRovro D a D a rf €