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HomeMy WebLinkAboutPermit Building 1976-02-24CONSTRUCTION [ ] IVIOBILE HOIVIE n Owner LANE COUNTY PERMIT FO'PERIVIIT NO t ] CHANGE OF OCCUPANCY [ ] CIT ZIP CODE P n Contractor NAIVIE O.S. Reg. + Tw Subd ivision Lot Access to Property (Road Name) Directions to Property - Address: ADD R ESS CITY ZIP CODE Census Tract PHONE 2et-code-Range--Section' .'. Jax Lo' B lock Acreage Width Depth Existing Structures on Property: STRUCTURE (# BEDROON4S)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK t ] OTHER [ ] PLUIVIBI NG INSTALLED BY: owNER[] OTHER[] NArVr E- BUILDING PLUTVIB ING 3% SURCHARGE MOBILE HOME WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COI\4MUN ITY . NAME PR IVATE WE L L OTHER SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS IVIIN. DRAINF IELD- LIN. FT IVIAX. TRENCH DEPTH I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZON tr USE CLASSIF SETBACKS- FT. FROI\4 CTR. OF rAff FRONT SIDE EXT FT. FROI\4 PROP. LINE: SIDE INT. - REAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PEBMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANABY BUILDING - GREEN SANITATION _ GOLDENROD IMPORTANT POST THIS PERMIT ON MAIN BLDG, AT SITE LANE COUNTY. DEPT, OF ENVIFONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required seplic system inspections. All construction shall comply with theState Buidling Code, D.E.Q. stanbardsfor subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy belore being occupied. (See Details on Reverse Side) Bu r L0 lt{g s ITE EVALUAI_! !N lbll' -f/ ux I S ION: LOT- L0T: 4/ BL0CK:4 - - -ilv 7,SUBLNBUILDING PER}.IIT APPLICATION NO. SITE INSPECTION PLANNING DIVISION Zon i ng 0rd i nance Cornp I iance: Zone 2€4.ZL ()APPL I CANT DATE A Not I icable No Yes t/&- r hj 6 CKID BY: Setbacks rom cI 2 3 4 5 Subdivision 0rdinance Compl iance Requi red Access Building Site (Area, Width, Frontage) 0ther (see conments) CI TII( ) (lD iiiil) ) ( ( Front Side Exterior Setbacks from inter Side Rear or nes: COHilENTS: Not I icable No Yes 7. Plans Submitted 8. Soi I Stabi I ity (footings) 9. Flood Plain I 0. Other (see ts) COIMENTS: r) TrI() () () () () (),o Not Appl icable ,4 No Yesr)rI /t CK|D BY: (z CKIO BY / U'ATER POLUTlON CONTROL ll. l{eets Department of Environmental Qual ity Standards. 12. Other (see cornments ) COil}tENTS: (Y () ()() DATE TO APPLICANT: ; .Yoq,/ Building / Site lnspection: ir"l\r)d Can be approved. \ \'' d,( ) Cannot be approved at this time as indicated on item l0"-______-_above. \II t1 ^,\. Questions and further information on items I through 5 contact the LANE- n ( .' \ C0UNTY PLANNING otvlsloN. Questions and further information on iteilf7 dn ( ) tlill be held in this or ated. ( ) ls being returned.t I v.,' u:l rar"gupr.#ih.ftf 'lF*tffiiffiftrr*: 135 Sixth Avenue East Eugene Oregon 97401 pHoNE z 697_4065 LANE COUNTY PLANNING DtVlSlON PHONE: 587-4186 c55-28 PLANNlNGD!vlsl0}lAcTl0NPENDlNG:YES()N0()APPLlcATl0M- - BUILDING INSPECTION DIVISION 7/, I n Owner LANE COUNTY PERMIT FO PERIVIIT NO CONSTRUCTION [ ] IV1OBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] C ITY ZIP CODENAIVIEADDRESS PHONE tr Contractor NAME ADD R ESS O.S. Reg. + Twp- Range- Section-Tax Lot- Code Subdivision Lot B lock Acreage Access to Property (Road Name) CITY ZIP CODE Census Tract PHONE Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER I PLUI\4BING INSTALLED BY: owNER[] OTHERI] NArVr tr BUILD ING WASTE DISPOSAL PLAN BEVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COMIVIUNITY . NAIVIE PRIVATE WELL OTHER . SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS MIN. DRAINFIELD-LIN. FT MAX. TBENCH DEPTH- INCHES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZON USE CLASSIFE SETBACKS- FT. FROIVI CTR. OF r,AN FRONT SIDE EXT FT. FROIVI PROP. LINE: SIDE INT. - REAR ZONE AUTHORIZED SIGNATURES lsl ISSUANCE DATE I BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING _ CANAHY BUILDING - GFEEN SANITATION _ GOLOENBOD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.O. slandards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Beverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OFEGON 97401c5s -r 3 ,-/' PLUIVIB ING - 3% SURCHARGE- TVIOBILE HOIVIE- SITE INSPECTION App Rov E o REmaRx s D I S APPROVED Dar e I NspecroR FOUNDATION I NSPECTION D DrsAPPRovEo F1 Dare c Ap pRov r o RruaRxs I NsPEcroR LL FRAMING INSPECTION Appnoveo ReueRx s D DISAPPROVE, D Darr I NSPEcToR LATH OR SHEETROCK INSPECTION Ap pnov r o RruaRx s D r sappnovro I NsPEcroR FINAL INSPECTION Ap pRov r o D l s APPRovED o^r, 3 - l(;I NspecroR-71 Reue Rx s CERTIFICATE OF OCCUPANCY Reaov ro lssuE D Nor Rrlov ro lssur RruaRx s 4 d//'7o 6*4 / 3s3 Dare I NSPEcToR D Dore- I la^f1r PERTVIIT NO CONSTRUCTION [ ] IVIOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVIE ADD R ESS CITY ZIP CODE LANE COUNTY PERMIT FO'-.. n Owner PHON E tr Contractor NAIVIE O.S. Reg. + Tw Subd ivision Lot Access to Property (Road Name) Range- Section , , Tax Lot ADD R ESS CITY ZIP CODE Census Tract PHONE Code B lock Acreage width Depth Existing Structures on Property Directions to Property - Address: STRUCTURE (# BEDROOMS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC[] SEPTICTANKI]OTHER [ ] PLUNNBING INSTALLED BY: OWNER[] OTHER[] NAM F BUILD ING PLUTUB ING 3% SURCHARGE MOBILE HOME=--- WASTE DISPOSAL PLAN REVIEW TOTA L WATER SUPPLY: PROPOSED [ ] EXISTING t ] PUB LIC COIVITVIUNITY NAME PRIVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.MIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCHES STA Y 1OO' FRONI ALL WELLS TYPE OF CONSTRUCTION- GROUP FIRE ZON F USE CLASSIF SETBACKS- FT. FROI\4 CTR. OF r,A/V FRONT SIDE EXT FT. FROM PROP. LINE: SIDE INT. - REAR ZONE AUTHORIZED SIGNATURES lsl ISSUANCE DATE I t BLDG. PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION - GOLDENBOO IMPORTANT POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIFONMENTAL MANAGEMENT COUFTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401 Calt 687-4065 to schedule all required construclion inspections. Call 687-4061 lo schedule all required septii iysiem inspections. Att construction shall comply with the State Buidling Code, D.E.O. standards ioisuOjurtace sdwage disposat and the State Plumbing Code. All buildings require a certificate of occupancy belore being occuPied. (See Details on Reverse Side) l l l l SLAB FLOOR PLUMB ING GROUND^/ORK AppRoveo ReuaRrs Dr sappnovEo Dar e I rusprcroR GAS PIPING GROUND,VORK Ap pRov r o REua nx s D r sappnovED Dare I nspecton ROUGH PLUMBING AppRov e o Reua ax s Dr snppRovro Dare I NspEcron ROUGH GAS PIPING Ap pnov e o REMaRx s Dr sappRovro Dar E lrusprcton F I NAL PLUMB I NG Appnoveo n DrsappRovEo REMARKS D Dore-%-r**rrro& -fu) FINAL GAS PIPING AppRov e o RrtqaRx s D l sAPPRovEo Dare I NsPEcroR CERTIFICATE OF OCCUPANCY Rrrov ro lssuE D Nor Reaov ro lssue D Reuanxs Dare I xspecron D D )N HAs BEEN JE#;IrrAs{16NOTE: NO PERMIT .L BE ISSUED ITNTIL THIS APPLIC.A APPLICATION FOR CONSTRUCTION MOBILE HOME PLAN REVIEW +le City zipV v OWNER Name ST >5to Census Tract Acreage Width_Depth- CONTRACTOR o.s. REG. /l t, Address pty V*r.l1 L1 '3. L7^* ,o,Codetion/r Subdivls {oaars ro PRoPERTY (Road Narne) Existing Structures on ProPerty: Property Location - Address/Directions: 7 4 Sq. Ft :fl:'i":il::i*",_e&ff_Exlstlng Sewage Dlsposal Systen or New System Requlred Name of Conununity or Public SystenWATER SI,]PPLY: Well Spring Public Other Comurlity PLUAING: Install-ed by owner PLI]MBING FEES:(n *3 Sewage Connectlon PLANS YES Slgnature of Appl icant: Fee Received By: Water Connectlon FACILITY PERMIT YES Date: Other d Name Bldg. Plumblng 3Z Surcharge Waste Dlsp. Plan Revlew Mobile Hone TOTAL I CASH CHECK NO NO Min. Septlc Tank Capaci Dralnfield Requ ired - Lineal Feet Maximum Type of Constructlon Fire Zone Us e ClassiflcaElon Bldg Setbacks - from Center of Road Right of I,Iay: c55-12 I,ANE COI]NTY D Side IT,IENT ENVIRONMENTAL Zone R.A DATE: Front Int.er DATE:DATE: 2A co-3:f- -8T61- r