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Home My WebLink AboutPermit Building 1974-04-01IANE COI Y BUITDING PERMIT OR MOBILE BUTLDTNG Tl MH tr ME USE PERMIT PERMIT NO. PHONEPROPERTY OWNER MAILING ADDRESS CONTRACTOP-MAIIING ADDRESS PHONE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION',lr3 '^.#'[too 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 STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewo e m TYPE CONSTRUCTION New System BDRMS VALUATIONr. I lne se. FT. . f SEWAGE DISPOSAT PUBLIC N SEPTIC IANK E O-THERE PLUMBING INSTATTED BY OWNER X OTHER: NAME FEES WATER SUPPLY PUBUC tr tr OTHER BUII.DING WASTE DISPOSAT PI.UMBING PTAN REVIEW PARK TRAITER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OT STRUCTURE OCCUPANCY ZONE PUBTIC UTI[. EASEMENT BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CIASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE :- .: DATE BIDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc' tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering plumbing. AII buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAI MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9710I roat'r #955-13 PROPERTY - INCTUDE POST a c, l+ J)(Apprication N".qq7-7( -_ nffis 2 2 rni-ror__ e'l-4 UU ILU ING 5 ITE EV ALUAT ION Building Permit s i te ln:pect ion r-1.7 cENj;us 'e rhe AI. L ICANT: N/V"1E ADDRES S ) PHONE( ) Pre-Permit lnvest igat ion L/iNE COUNTY PLANNING DEPART}IENT NOT appl icable Zon i ng 0rd i nance Comp I i ance (Zone 2. Subd ivision 0rdinance Compl iance () DATE -7 NO YES rI-()() () NAJ'IE DriTE ( ( 7 4 5 Requ i red Access Bu i ld ing S i te (Area, Front age 0ther (see comments) ) ) () ) ()l./ idt h, , Setback) COI4I.1ENTS: NOT NO YES NA},lE DATE able 6, Pl ans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Corments) COIIHENTS: () () () () () ( ( (3-Ltr./{ SANITATION SECT!ON 10. Sewage Disposal I l. Usable Area 12. Water Supply ll. 0ther (see Comments) NOT YESNO NAHE DATE li (1 () () () () CO}4HENTS TO APPLICANT: you Z-TqBY Xt() r Building Permit / Site Can be approved. Cannot be approved at lnspect ion this time as indicated on iten, N0.above. ( ( ( Quest ions and further infornrat ion on iten,s I through 5 contact the Lale- CoUNTY PLANNING DEPARTHENT, Q.ue,st ions and frrrther information on items 5 throuq h lJ contact the Lane Cou ,, !_LQg_t .! Silg_ .t,.j San I t at ion D iv i '; ion. t/ill be held in this o{ I s be i ng retu rned. icc until you can re:;o I ve t lre p rob lems ind i catt:d. Your buildinq pernr it applitation fee is being returned under separate ctry'e r. LANT COIIN'I Y I'I i\NN I NG DEPARTMENT l'lt 5irtlr Ave,rue Iast, Eugette, 0rcgtln 97401 I'lrrNE 3112. llll E)(r.27l IANt. COUNI.Y tJI,,ILDING 6 S/\NITATION DIVISION l3t Sixt,h Avgrrur: Iast, Ertqert,', 0reqon 97401 Pll0Nl : 142- t ltl tXT. 'r I I M55 - 28 ) BUILDING INSPECTION SECTION () ) ) ( ( IANE COI Y BUITDING PERMIT OR MOBttE BUILDING fI MH N ME USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY TEGAI- DESCRIPTION _ METES, BOUNDS ll RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY 'r , ; i i APPT. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect lo Existing Sewoge System I New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN xr p.ir 2 SEWAGE DISPOSAT PLUMBING INSTAILED BY PUBTIC BUILDING WASTE DISPOSAT PTUMBING PtAN REVIEW PARK TRAITER SEPTIC TANK OWNER WATER SUPPLY OTHER: NAJv{EOTH I EES PUBilC tl N OTHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIO NS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT,OR SQ. FT. OCCUPANCY ZONE PUBTIC UTIt. EASEMENTTYPE OF STRUCTURE BLDG. SETBACKS FT. FROM CTR FRONT SIDE INT. OF ROAD RIGHT OF WAY SIDE EXT. USE CLASSIFICATION REAR DATEAUTHORIZED SIGNATURE _ DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION - GOTDENROD coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform tiuilding Code, D'E'Q' stondords IMpORTANT: for subsurfoce'slwoge disposol ond counly regulolions covering piumbing. All buildiigs require q certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BIDG. AT slrE) IANE COUNW, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I roau :i 655- 13 SITE INSPECTION AppRovroDDrsappRoveoDDare Rruanx s I Nspecron FOUNDATION I NSPECTION Ap enov e o RrNa Rx s DrslppRoveo n Darr Ir.lspe cron FRAM I NG AppRoveo Rruanx s I NSPECT I ON D Drsappnove, D Dare I xseecroR LATH OR SHEETROCK INSPECTION Ap pnov r o Rrxr Rx s D Drsappnovro F-J Darr I Nsprcton FINAL INSPTCTION AppRov e o Reuaax s d' DTsAPPRovE o D o^,,41 ?tt I Ns pE clon CERTIFICATE OF OCCUPANCY Reeov ro lssuE RENanx s D Nor Rreoy ro lssue D Drre lrusprcron q{-7//* zz" rt7''Yc- -rI I Dote Building Permit APPLICATION FOR FACILITY PERMIT (Applicont's Nome) hereby moke opplicotion under Rules ond Regulotions Governing Focilities to be Permitted Upon County Rights-of-Woy, to construct the following focility, Upon the right-of-woy of County Rood No.ot mile post on the side of the rood, or - --.-., mo os shown on the exhibits which ore ottqched hereto, in strict conformity to the stotements of the exoct noture ond omount of work to be done, ond to the description of the focilities contoined in soid exhibits. The opplicont will be the principle owner of the focility os constructed, or other- wise primorily lioble ond responsible to members of the public for its proPer mointenonce, repoir, operotion ond use. The opplicont occepls oll terms, conditions, ogreements, stipulotions ond pro- visions, in Rules ond Regulotions Governing Focilities to be Permitted Upon County Rood Rights- of-Woy, os set forth by the lone Monuol 50.l9O(2), ony omendments thereto, ond ony other op- plicoble regulotion, low or ordinonce. Signoture Address WHITE _ OFFICE FITE GREEN _ RESIDENT ENGINEER PINK _ PERMITTEE c98-78 BTUE _ ROAD SUPV. ORANGE_ BIDG. & SANIT YELTOW _ REAL ESTATE To Permits Processing Noted Dole Noted Direclor Principol Engineer Subdivision Engineer Permit Engineer Weighmoster Zone No. Phone No. No.So.E.w flaaee- cq {{Cotzr w.€Ct J USE APPIICATION PERMIT # Sz'- BUILDING PERMIT OR MOBITE H( tot^ IANE COUN PERMIT TYPE - BUILDING OWNER 1* TION -DE POST MOBTLE HOME [_]OSC REG.#"t MAILING ILING NE 2 PHONE -a METES&BOUNDSEYES ATTAC H ED NO AREA € PROPERTY I,EGAT DESCRIPTION toT-BrocK-suBDlv. TWP RANGE APPTICANT NAME AND MAITING FOR MOBILE HOME P Number of Bedrooms Ga o !t1€-L-( SECa TAX tOT CODE CENSUS TRACT DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY TEGAL ACC TO - RoAD N.AME oR #&te-,T PROPERTY SI DTH DEPTH624 , ONLY Connecl to Existing Sewoge Syste m [] or New System Req. E S'RES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ.# BEDRooMS VAI. rtL c \Po.\ c losat-il 0 tt ,O PTUMBING INSTATTED BYSEWAGE DISPOSAL PUBTIC tr SEPTIC TANK OTHER tr FEES WATER SUPPI'Y PUBI.IC $ PIANS FURNISHED YES NO BtDG. WASTE DIS. PTUMBING PLAN REVIEW PARK TRLR. OTHER OR SQUARE REAR YARD FACITITY PERMIT DATE PUBI.IC UTII-. EASEMENT YES PTUMBING FEES - FIXTURES CASH ! 56yysp cHECK E CONNECTION FEE PERMIT PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICAIIONS DRAIN FIEI-D REQUIRED I.IN. FT. TRENCH WIDTH FT REcErvB BY ?l^,-TOTAL MIN. SEPTIC TANK CAPACITY wlTH DIST. BOX: GAI. TYPE OF STRUCTURE ZONE t9 BI.DG. SETBACKS _ FT. IROM CTR. OF ROAD RIGHT OF W Form # css-t2 Dote BIDG. INSP. USE CIASSIFICATION 3-28 FRONT SIDE INT SAN ITARIAN Directions to Find Property: Dole PLANNING SIDE EXT.REAR Dole COPY I _ OFFICE COPY 2 - JOURNAT COPY 3 _ AUDIT YO,r.) laa