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Home My WebLink AboutPermit Building 1973-07-17IANE COu..lTY BUILDING fI BUITDING PERAtrIT OR MOBITE MHE HOME USE PERMIT PERMIT NO. PROPERTY OWNFR MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY TEGAI. DESCRIPTION -METES, BOUNDS RANG E SECTI ON TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE - FI. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect .to Existing Sewoge System tr New TYPE CONSTRUCTION SQ. FT BDR MS VALUATION SEWAGE DISPOSAL PUBUC n SEPTTC TANK n oTHER-l PTUMBING INSTATLED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAL PI.UMBING PI,AN REVIEW PARK TRAITER TOTAT FEES WATER SUPPTY PUBLTC !tr OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAT. DRAIN FIETD REQUIRED IIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt.' EASEMENT BI-DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUI[DING _ GREEN SANITATION _ GOTDENROD Construclion to comply with uniform bgilding code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificole of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THrs PERMTT ON MAIN BIDG. AT SITE) LANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronv t 65s- l3 $- it App I icat ion No./3ZZ -? CENSIJ., 3-'Tr.Ar, APPL ICAI,IT: NA},IE o/J\a 1a%"#r*,*l c-?a'.L J_?_5L2 L tl -{"ow(,/,"rlding Perm ( ) Site lnspecrion ( ) Pre-Permit lnvest igat ion ADDR PHON DATE ESS E 1-to LANE COUNTY PLANNTNG DEPARTHENT NOT NO YES DATE Zoning 0rdinance Compl iance (zone Subdivis ion 0rdinance Compl iance () ()Requ i red Access 4. Bu i ld ing S ite (Area, }/idth, ( ) ( ) 5.other (r"u "of,l::l:i"' Setback' , ) ( ) appl icable-o-( )@-(r ({(r 2 3 () () ()_ COHHENTS: EUILDlNG INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Comrnents) NOT NO EEEI icable YES N () () () () () ) N t() NA},IE ( () () COHHENTS: SAN ITAT I ON SECT I ON Sewage Disposal Usable Area l./ater Supp I y 0ther (see Comments) NOT NO I icable ( YES ) () () NA}{E DATE 10. I l. t2. 13. )( )( I( () () ( () 4'(2' COHHENTS: above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANN tNG DEPARTI{ENT. Quest ions and further infcrmat ion on ifffi 6 t hroug h l3 contact the Lane County Building and Sanitaticn Division Wil I be held in this of f ice unt il you can resolve the problems indicated" ls being returned. Your building permit application iee is being returned under separate cuV€r. TO APPL I CANT: ! rii'it COUNTY PLANN ING DEPARTI'IENT lt\ Sixtlr i\'t:n0t: ['ait, Eutlene, 0reqon 974O1 l'lhlilt llr?..ltll lXl. ?'il Your Buildino Permit / Site lnsoection: X can be lpp,o,"a . k c 7/ll ( I Cannot be approved at this/time as indicated on item N0 () () () LANE COUNTY BU I LD iI.iG & S,\N ITAT ION D I V IS ICi.i 135 Sixth Avenue East, fuqene, 0r'eeon 97/-0t PiroNr-: l4?-rlll EXT. 4ll NA},I E DATE 7- / b-ZJ LANE CO. .TY BUILDING BUILDING E MH E PERMII OR MOBITE .,OME UsE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION - INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY 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 !t SEWAGE DISPOSAT PUBLIC N SEPTIC TANK tr OTHERE PLUMBING INSTALI.ED BY OWNER n OTHER: NAME BU ILDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAILER TOTAL I EES WATER SUPPTY PUBLTC tr tr OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIELD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT '. BLDG. SETBACKS FT, FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Construction to comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THIS PERMIT ON MAIN BIDG. AT SITE) I.ANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I roau 3655-13 ( SITE INSPECTION Ap Dr sappnoveo I Nspecron 7u'oDEMARK S 3 Darr 7 FOUNDATION I NSPTCTION AppRovro REua Rx s Dr sappRovro Dar r I rspecron J FRAM I NG AppRov r o RrlreRx s I NSPECT I ON Dr slpp ED Darr I Hsprcro LATH OR SHTETROCK INSPECTION AppRovEo Re ttaRx s n DrsappRoveo [---7 Dar E I Hsercton FINAL INSPECTION AppRovro D t sappRoveo D oorr_?-/J'_ZZ_dI ruseecroR RrManxs CTRTIFICATT OF OCCUPANCY Rraov ro I ssur RruaRx s D Nor Reaoy ro lssue D Drre Ittspecron / 3 ee,73 /ehr/ q,-*e"q 3 2 - lOO I I \ \ IANE COu.{TY BUILDING PERMIT OR MOBILE ilOME USE PERMTT BUTLDTNG ! MH I PERMTT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION - INCLUDE POST OFFICE PROPERTY tEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION 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 ONIY No. of Bedrooms Connecl to Existing Sewoge Sysrem I New System f] STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBLIC T SEPTIC TANK tr OTHERT PTUMBING INSTAIIED BY OWNER E OTHER: NAME BUILDING WASTE DISPOSAI PTUMBING PI.AN REVIEW PARK TRAITER FEES WATER SUPPTY PUBLIC tr N OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED LIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI-IC UTIL. EASEMENT BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUITDING _ GREEN SANITATION - GOLDENROD Conslruclion to comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THrs PERMTT oN MAIN BLDG. AT S|TE) roav * 655- 13 LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ? SLAB FLOOR PLUMB ING GROUND,VORK &Dr sapenovro oo,,?-6-?F-I rusprcronAPPRoVED Reuanx s .; GAS PIPING GROUND/ORK AP PRov E D Reua Rx s D r sappnovro Dare I Hspecron ROUGH PLUMBING A peRov r o Rrua nx s H DrsappRovro 8-t t-7Jr"r"..ro*Dar e ROUGH GAS PIPING Ap pnov e o RruaRr s Dr sapPRoveo Dar e I ruspecron F I NAL PLUMB I NG Appnov e o Re uaRx s D DrsappRove, D D^rfuj--?j_rNspe croR Z///a, C FINAL GAS PIPING AppRovro D DrsAPpRovEo D Rruanx s Darr I rusprcron CERTIFICATE OF OCCUPANCY Reaov ro lssur RruaRr s Dare I rspecroRD Nor Reaov ro tssuE D LANE COUNTY BUI G PERMIT OR MOBILE HO^4E USE APPTICATION PERMIT TYPE _ BUITD MOBILE HOME IOSC REG.#PERMIT PROPERIY OWNER MAITING co a /74 MAITING ADDRESS PHONE.?Sz- PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY I.EGAT DESCRIPTION I.OT_BI.OCK-SUBDIV.t fr 6,* L^q O-t,METES&BOUNDSNYES ATTACHED NO CODE CENSUS TRACT DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY Draz-&-;,APPI.ICANT NAAAE AND ,{Ail.rNG ADDRESS PROPERTY SIZE_WIDTH DEPTH AREA 4o FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUITT THIS Connect to Existin Sew TYPE CONSTRUCTION SQ. FT or New BEDROOMS VATUATION/4/ Mtt*-{on*uA, il @ 3L? d lo 0/.aoT '7 SEWAGE DISPOSAT PLUMBING INSTATTED BY PUBr.rC tr SEPTIC ANK OTHER OWNER PLANS F OTHER NAME fEES \MATER SUPPTY PUBr.rC tr OTHER YES NO - FACILIIY PERMIT YES -I NO BtDG. WASTE DIS. PI,UMBING PTAN REVIEW PARK TRtR. PLUMBING FEES FIXTURES SIGNATURE OF APPI.ICANT DATE cAsH E CHECK FEE RECEIVEA 8YWNECTION FEE OCCUPANCY o OR SQUARE ET REAR YARD USE CLASSIFICATION 2-/"' PUBTIC UTIT. EASEMENT PERMIT TOTAT AAIN. SEPTIC TANK CAPACITY WITH DIST. BOXr GAL. TYPE OF STRUCTURE PUBI-IC WATERtdriiGcii6r{'ree / - {o COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIETD REQUIRED TIN. IT. TRENCH WIDTH FT. *r BIDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY rRONT SIDE INT SIDE EXT NINGDole Dore BLDG. INSP Form fi 955-12 Properly: REAR $ Dole Directions lo COPY I _ OFFICE COPY 2-JOURNAT COPY 3 - AUDIT € TwP RANGE sEc. rlx lor f)1 3 tc7*2' 113 3 Z- z-eo /,<:.s*,