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Home My WebLink AboutPermit Building 1974-02-25\ I.ANE COUN, BUITDING PERMIT OR MCSILE HO-.t' USE PERMIT BUTLDTNG I MH tr PERMTT NO. PROPERTY OW, ER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY IEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT "h j #ZA EXISTING STRUCTURES ON PROPERTYAPPI.. 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 Sysrem f New System f] STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIoN PLUMBING INSTALLED BY OWNER N OTHER: NAME s FEES WATER SUPPTY PUBLIC tr N OTHER BUITDING WASTE DISPOSAI PTUMBING PI-AN REVIEW PARK TRAIIER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEID REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTlt. EASE/Y1ENT BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUII.DING _ GREEN SANITATION _ GOI-DENROD Construction to comply with uniform building code ond counly regulotions covering plumbing ond sewoge disposol. All buildings require o certificole of occuponcy before being occupied. (See Stotement on Reverse Side) (posr TH|S PERMIT ON MAIN BLDG. AT SITE) tANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronr.atC55-13 SEWAGE DISPOSAI. PUBUC n SEPTTC TANK ! OTHER! NG S ITE EVALUAT ION T_IZ R CENS US ? AX LOTUSc.f+,TRACT "}(rJl ( ) Site lnspection ( ) Pre-Permit lnvest igat ion udins Permit Appl icaion No. 22 3t N;\h E 6 t(-frrr*.. V;tt L )-B-/'- APF='I CANT: ADDRESS PHONE DATE NAI1 E DATE 4. 8u i ld ing S ite (Rrea, Width, Frontage, Setback) 5. 0ther (see comments) (() ()a -7/ CO}I}4ENTS: BUILDING I NSPECT I O ECT I ON 5. Plans Submitted 7. Soil Stability (footings) B. Flood Plain 9. 0ther (see Conrnents) NO YE E DATE aool icable-Tr-( )(h () {cl ( ) () () () () K)'22-rj COhHENTS: SANITATION SECTION NOT app l_-rgqb !ew NO YIS NAI"IE ((10. Sewage Disposal I l. Usable Area 12. I"/ater Supp ly I l. 0t her (see Comments) COIl}lENTS: () ) ) 1( ( ).( )h TO APPL I CANT Your Building Permit ,/ Site lnspect iorr() ()Can be approved. Cannot be approved Questions and furt at thi s t ime as indicated on iten, N0 above.her in fornration on itenrs I throu sh5 contact the Lane-COUNTY PLANN I NG DEPARTME NT,Qu esl. ions .rnd frrrrher informat iron on it6;th rouqh l3 contact the Lane Cou nl Buildin .rld 5anitation Di v l5 ton.l.Jill tie held in this of icc until v,-can resolve the p roblems indicatr:d.ls being returned, 6 ()() ()Your buildinc, pernr it appli<.:t ic.rn fee is being returned und er Separate Lr.t,ter L^N€ COI'N1 Y PT /\NN I NG OEPARTI,IENTIlt 5 i,x(lr Ave:n0e f ast, frg*,r",' 0rrcgtrnl.lltrNE 3112.t.ltt EXt. 211 i\N[ COUNT"Y f]UIID.ING E s/\NITAT,ON D,y,SIONJt S ixth Av€rrut: f ast, f,,9u,,,,', 'i,'oo.,n 97U0lll0Nt : yt2_ t ltt tXT. 4t t 974tt t I I t' )aM55 - LANE CoUNTY PLANiltNG DEPAETilENT NoT N0 yES aoo I icab le z-s/ /-i. Zon ing ord inance Compl iance T-ffi ttd (zone A/".F )2. subd iv is ion ord inance GiiTlf,i'c e ( + ( ) ( ) 3. RequiredAccess (.Y () () vr' DATE () () / IANE COUN.- BUITDING PERMIT qR MGBITE HO,,.€ USE PERMIT BUTLDTNG I MH tr PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION - INCLUDE POST OFFICE PROPERTY I.EGAL DESCRIPTION _ METES, BOUNDS RANG E SECTI ON TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PR.OPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge TYPE CONSTRUCTION New m BDRMS VALUATION tr STRUCTURES TO BE BUILT THIS PERMIT SQ. FT SEWAGE DISPOSAT PUBTIC - SEPTIC TANK I OTHERN PLUMBING INSTALTED BY owNER fl OTHER: NAME (F EES WATER SUPPTY PUBUC tr tr OTHER BUITDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAI[ER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEI,D REQUIRED IIN. FT TRENCH WIDTH FT.OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT BIDG. SETBACKS FRONT FT. TROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING - CANARY BUITDING _ GREEN SANITATION - GOI.DENROD Construction to comply with uniform building code ond county covering plumbing ond sewoge disposol. All buildings require of occuponcy before being occupied. (See Stotement on Reverse Side) regulotions o certificote (posT THts pERMtT oN MAIN BrDG. AT S!TE) IANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I FoRM .* C55- 13 $ I Hsercton SLAB FLOOR PLUMB ING GROUND^/ORK Ap pRov e o ReMaRr s /_/ Drsrppnovr o fl Dare GAS PIPING GROUND/ORK AP PRov E D Reuanx s Dr sappaovrD Dare I Hspecron ROUGH PLUMBING Appnoveo / f Drsappnoveo ft ReuaRxs Dare I rsprcron ROUGH GAS PIPING APPRovED D Drsappnovro D Re uaRr s Det e I rusprcron FI NAL PLUMBI NG Appnov r o Re uanx s DrsappRovEo Darr I ruspEcroR FINAL GAS PIPING AppRovEo D DrsappRovro D Re uaRx s Dare I rusprcron CERTIFICATE OF OCCUPANCY Reaov ro lssue REttanrs D Nor Reroy ro tssuE D oo-,*/_f-h_txsprc I IANE COUN_ BUITDING PERMIT OR'MOBILE HOflTE U SE PERMIT PERMIT NO. BUILDING MHT PHONE MAITING ADDRESS PROPERTY OWNER PHONE MAILING ADDRESS CONTRACTOR PROPERTY LOCAT loN - lNc LUDE POST OFFICE 9\ BOUNDSPROPERTY tEGAt DE SCRIPTION _ RANG E APP[. NAME & MAII.ING ADDRESS fh LOT NO,SECTION T EXISTING STRUCTURES LEGAT ACCESS TO pnoprnrv slzE - FT, ON PROPERTY PROPERTY DEPTH AREAWIDTH FOR MOBILE HOME No. of Bedrooms STRUCTUR penmtrs oNt-v ESTOBEB urrur rnts PERMIT Con necl to Existing Sewoge New System [l BDRMS VALUATIONrvpe corusrnucTION Pt-U,l,fetNC INSTALLED BY se. FT SEWAGE DISPOSAL OWNER OTHER: NAME PUBLIC BU ITDING WASTE DISPOSAL PTUMBING PLAN REVIEW PARK TRAITER SEPTIC TANK F EES WATER SUPPTY PUBLIC tr T ( OTHER TOTAT OUNTY BUILDING & SANITAT ION SPECIFICATIONSc MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEID REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. OCCUPANCY ZONE PUBTIC UTIT. EASEMENTTYPE OF STRUCTURE BLDG. SETBACKS FT- TROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION FRONT SIDE INT SIDE EXT REAR AUTHORIZED SIGNATURE - DATE DATE BTDG, PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Conslruction to comply with uniform building code ond county regulotions covering plumping .ond sewoge disposol. All buildings require o cerlificote of occuponcy before being occupied. (See Stotement on Reverse Side) (POST THIS PERMTT ON MAIN BLDG. AT S!TE) oRM -- c55 - 13 I.ANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I METES, ENSUS nft SITE INSPECTION AppnovEo Rr RKS D r sappRoveo ,?/I rusprcron C? ,O I Dare Dare FOUNDATION INSPECTION APpRovEo Rrua nx s D Drsappnove o [--J FRAMING INSPECTION Ir'rspecron AppRov r o Reu lnx s Appaovro ReuaRxs /- Dr srppnove o D Dare I xsprctoR LATH OR SHEETROCK INSPECTION n DrsrppRovEo [-7 Appnovro RruaRx s Darr I Nsprcton FINAL INSPECTION Dr sappRovEo oorr/ -3 '?{I Nsptcl CERTI F I CATE OF OCCUPANCY Reaov ro lssur D Nor Rraoy ro lssuE t- Darr lNSpEcroR ReuaRx s 2aD"ry - ? d D IANE COUNTY PERMIT TYPE - BUILDING PROPERTY OWNER CONTRACTOR PROPERTY TOCATION _ I NCIUDE POST OFFICE PROPERTY TEGAL DESCRIPTION L TOT_BLOCK_SUBDIV RANGE ITDING PERMIT OR MOBILE HOM SE APPTICATION MOBILE HOME IOSC REG.#PERMIT MAILING ADDRESS .4 MAILING ADDRESS E4-r-€-/- TAX TOT CODE c I PHONE4/r---( PHONE z/o 39,4t, METES&BOUNDSEYES NO'1 SEC ,NT NAME AND MAITING ADDRESS FOR MOBILE a3 PERMIT ONLY EXISTING STRUCTU NTS ON PROPERTY IF ANY PROPERTY SIZE_WIDTH DEPTH TEGAT AREA HOME Number of Bedrooms STNUCTUNTS TO BE BUII.T THIS PE RMIT Connect to Existing Sewoge System or New SYstem Re TYPE CONSTRUCTION SQ. FT EEDROOMS VATUATION d SEWAGE DISPOSAT PUBTIC SEPTIC TANK BI.DG. WASTE DIS. PTUMBING PIAN REVIEW PARK TRLR. TOTAT OO MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. TYPE OF STRUCTURE OTHER FEES WATER SUPPTY PUBI.IC PLUMBI F IXTU RES CASH n CHECK NNECTION FEE PUB[IC WATER CONNECTION FEE OCCUPANCY OWNER PIANS FURN YES FEE ZONE t] ALTED BY OTHER NAME OF APPIICANT BY ')d--7 OR SQUARE FACITITY PERMIT NO DATE PUBI-IC UTIL. EASEMENT t YESOTHER COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIEID REQUIRED tIN. FT. TRENCH WIDTH TT R YARD BLDG. SEIBACKS - FT. FROM CTR. OT ROAD RIGHT OF WAY USE CTASSIFICATION - -lrnoNr b J SIDE INT SIDE EXT REAR SAN Dqte rons Form # g55-12 Properly: NG z Dote BLDG. -Zz Dole COPY I _ OFFICE COPY 2 _ JOURNAT COPY 3 _ AUDIT PROPERTY _ t/( _D I I - - LANE Cq.JNTY HEALTH DEPARTMENT * BUILDING & SANITATION SECTION COURTHOUSE . 2ND FLOOR Dl 2-1311 EUGENE, OREGON BY:rfrF trYr lnll.| REQUEST FOR SITE INSPECTION DATE TrAY 1. 196T TWP. RANGE SEC. caltE RrRn vll I AeE 3tE 333" BROADHAY. EUASXE TEL, ..JO x !50 x OWNER OT PROPERTY r lruF nnllHTY S I ZE OF PROP 197 X 14t rAx Lor #_ CODE NO. DOES PROPERTY HAVE PUBLIC ACCESS? ygt NAME OF ROAO FHr4e^Nf BerULFy^no , DEXCRIPTION OF SITE (orREcrtoNS, LANDMARKS, HousE oR Box NUMBER, lF ANy): LoT E, ELogX l, SIEE 8l*D lHLLlef PURPOSEs RrBrgErcg. DISPOSlTION: THE ABOVE LOT TILL BI EI'ITAELE FOR TI{E IIISTALLA?ION OF A SEPTIC TATIK AHD DIENOEAL TIELO IT T}iE LOT IC FILLEA TITH II}IOY LOIU TO THE SATIE ELEYATIOH AE THE LOY JI'8T HOR?}I OF I ?. A PLOT PLAN Tfl.,ST BE SUBMITTEO TO THIE OTFICE PRIOR TO ISEUANCE OF A BUII.OING PERUIT 6I{OIINO THE LOCATION OF THE PFOPOSED HOUSE AND DISPOSAL SYSTEI' OI{ THE LOT. (. )rnTo c*tu,,Irj-,. ,t-o, Ll a, ) (lr APPROVEO, PLEASE BRTNG THls FoRru AND LEGAL DESCRrprr0N oF THE pRopERTy ro THrs oFFrcE WHEN APPLYINC FOR BUILDIruC ETRI,,IIT. ) DATE I/Ay S, 1961 55-OzL-26 SANITARIAN D. T. OHLEEtI, R.8., SllrltTARlAN