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Home My WebLink AboutPermit Building 1974-06-217 SUILDING PERMIT OR MOBILE MH I l HOlvlE USE PERMIT PERMIT NO. TANE COUNT,i '., B IILDING''N PRCJPERTY OWNER MAITING ADDRESS 1757 Rmbllng Drlvc Sprlngflold, Orrgon PHO}.IE CONTRACTOR:'MAII.ING ADDRESS Sprlngflald. 0rogon PHONE PROPERTY LOCATION _ INCI.UDE POST OFFICE , i: i.:.,_:: ;,I, ::_ PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS'.,r. .i.:, ,r,r']i,. i- : I ;,1 RANG E SECTION ' .2.1 TAX LOT NOFZlE CODE CENSUS TRACT r7 EXISTING STRUCTURES ON PROPERTYBralllng rnd grragcAPPt. NAME & MAII.ING ADDRESS LEGAT ACCESS TO PROPERTY Rdrbl lng Drtvc PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMITAdditlon (2 bcdroms, I fally 106) Connect to Existi Sewoge System ! New TYPE CONSTRUCTION se. FT BDRMS VALUATION PI.UMBING INSTALTED BYSEWAGE DISPOSAI PUBr.rC tr SEPTTC TANK BUITDING WASTE DISPOSAI PI-UMBING PTAN REVIEW PARK TRAITER 35. UU FEES OWNER OTHER: NAME WATER SUPPTY ruarrc fr tr OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICA TIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED I"IN. FT TRENCH WIDTH FT.OR SQ. FT. Not eppl lcoblc TYPE OF STRUCTURE OCCUPANCY I ZONE PUBLIC UTIT. EASEMENT BI.DG, SETBACKS FRoNT 45 FT. FROM CTR.OF ROAD RIGHT OF WAY _ .usE.CI-ASS|F|CAT loN SIDE INT. SIDE EXT.REAR /s/ J.E. AUTHORIZED SIGNATURE _ DATEEoss try C. Harbaugh .i : DATE BTDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD coll 687-4065 to schedule orr required inspections. All construc- h^ po RTA N r, lil, i[: :i,""T :jly! U ! il H:i il I' ::: "ff i:;,i"".,:;,.'"**#;plumbing. All buildings require q cerrificorl otI".uf"n.y beforlbeing occupied, (See Detoils on Reverse Side) (POST TH|S PERMTT ON MArN BrDG. AT S!TE) I.ANE COUNTY, DEPT. OF ENVIRONA,IENTAI MANAGEiVIENT COURTHOUSE ANNEX, I35 EAST 6rh, EUGENE, oREGoN gzIo1FoRM -- C55- 13 ts/c # ( ) Buirdins permit Appl icat i"^ Nr. /OSA7V ^ ( ) Site lnspection ' \( ) Pre-Permit lnvest igat ion '_ZE?^L y^^xAPPL I CANT: NA}4E ADDRES 7'/ TAX LOT L zB- PHONE DATE LANE COUNTY PLANNING DEPART},IENT NOT NO YES appl icab q NA}IE I . Zon ing Ord inance Comp I i ance t) (Zone R-?fi ) 2. Subdivision 0rdinance 6mpl iance () 3. Requ i red Access 4. Bu i I d ing S ite (Area, l,ridth, Frontage, Setback 5. 0ther (see comments) ) () () () () () () () () CO},II{ENTS: BUILDING INSPECTION SECTION 6. Pl ans Subm itted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Conrnents) NOT NO ffit icable - YES N () () ) () ) (T tll *1 ,fr NA},IE DATE ( ())b- zYTLr COI4HENTS: SAN ITAT ION SECTION 10. Sewage Disposal I l. Usable Area 12. l,later Supp I y 13. 0ther (see Comments) CO},I}4ENTS: NOT NO EpTl icable ---Tr() () ) ) ) YES TE () () () () () ( ( )( TO APPL ICANT: v,ru'i{ You rt Building Permit / Site lnspection: Can be approved. Cannot be approved at this time as indicated on item N0.above. ( ( ( Questions and further information on items I through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Quest ions and further informat ion on ifffi; 5 through I 3 contact the Lane un Buildin and San i tat ion D iv i s ion. Will be held in this o I s be i ng retu rned. ce unt i you can resolve the problems i cated. Your building permit application fee is being returned under separate cover. I,ANE COUMY PI,ANNING DIVISION 1-35 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4186 LANE COUMY ENVIROMENTAL MANAGM,IEM 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 c55-28 BU Ii-D ING S ITE EVALUAT ION -!- OATE t"' .z .4.- u - 7 / IANE COUNT\ dUILDING PERMIT OR MOBILE HOMI USE PERMIT PERMIT NO.BUILDING MH MAILING ADDRESS r: {l ! . PROPERTY OWN ER PI CONTRACTOR MAILING ADDRESS T PRO PERTY LOCATION _ INCTUDE POST OFFICE I PROPERTY LEGAT DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT hr I - EXISTING STRUCTUR E5 ON PROPERTY APPI". NAME & MAILING ADDRESS TEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE No. of Bedrooms PERMITS ONLY Connect lo Existing Sewoge System I New System ! J STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION so. FT. # BDRMS VALUATIoN tf SEWAGE DISPOSAI -PTUMBING INSTATLED BY PUBTIC BUILDING WASTE DISPOSAL PI.UMBING PtAN REVIEW PARK TRAILER TOTAL SEPTIC TANK OWNER OTHER: NAME WATER SUPPTY PU BLIC n tr OTHER FEES COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT,OR SQ. FT. :l:, TYPE OF STRUCTURE OCqUPANCY ZONE PUBTIC UTIT. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USF CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING - CANARY BUITDING _ GREEN SANITATION _ GOLDENROD 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 county regulotions covering plumbing. AII buildings require o cerlificole of occuponcy before being occupied. , i . (See Detoils on Reverse Side) (posT THIS PERMTT ON MAIN BrDG. AT S!TE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. I35 EAST 6th, EUGENE, OREGON 9740Iroau *655-13 Eidj.dE.-lEre r-------i_ a=,\ PHONE OTHERE SITT INSPECTION AppnovEo[]DrsappRovroDDarr Rrua nr s I Hspecron TOUNDATION INSPECTION AppRoveo D DrsappRove o F-7 Darr lNs P CTOR Rruanxs t, FRAM I NG Appnoveo Re S I NSPECT I ON DrslppRovro-lz/Darr I Hsprcron .4Zz -7 LATH OR SHEETROCK APPRoVED Re tt lRx s I NSPECT I ON Dr sappRoveo Dar e I Nsercton FINAL INSPECTION Ap pRov E o Rruanx DI SAPPROVED Darr l nspecron 2z' CERTITICATE OF OCCUPANCY Reaov ro lssur RruaRx s Nor Rraov to I ssur / os o-rf / 7\f F' Drre I ruspecroR D F t*,A pleos€_ Cctll*b* LDING PERMTT OR MOBILE NOME MOBTLE HOME r]OSC REG.# h.kuf JE APPLICATION NG AD ERTY ,*1 APPI.ICANT NAME AND MAITING ADDRESS LANE COUNTY t ,'*,,' TYPE _ BUILDING PE RTY ,TI INC LU DE OFF IC E PERTY LEGAT DESCRIPTION_ BTOCK - SUBDIV. RANGE ^ L-L B- PERMIT o -7 PHON PHONE Or 7tl L - 25s METES&BOUNDSEYES ATTACHED NO MAILING ADDRESS a TAX CODE DESC RI BE NG TEGAT PROPERTY SIZE_WIDTH TRACT (rt) RES ON PROPERTY IF ANY EPTH CINSUS1c> R AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connecl to Existing Sewoge System f or New System Req. I STRU qE BUITT THIS PERMIT I SQ.BEDROOMS VALUATION €o PERMIT # SEWAGE DISPOSAI- PUBTIC SEPTIC TANK PTUMBING INSTAI.I.ED BY owNER n oTHER PTANS FURNISHED YES NO IIONS FACILITY PERMITBIDG. WASTE DIS. PTUMBING PI.AN REVIEW PARK TRTR. TOTAT oTHER n FEES WATER SUPPTY PUBTIC OTHER YES NO PLUMBING FEES - FIXTURES DATE DATECASH E CHECK i5- N FEE PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED [IN. TT. TRENCH WIDTH FT OR SQUARE FEET TYPE OF STRUCTURE i A/ occuPAN?ZONE REAR YARD PUBI.IC UTIL. EASEMENT Form 1l 655 - 1 2 SIDE EXT REAR P,t USE CTASSIFICATIONBLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF \ryAY NT SIDE INT reclions to Find Property I Dote BIDG. INSP COPY I - OFFICE COPY 2 _ JOURNAL COPY 3 _ AUDIT /- LANE COUNTY, ONCCOTV DepT. oF ENVIRoNMENTAL MANAGcMENT coFtFtEcTtc,N NCITTCE JOB ADDRESS / CONSTRUCTION PERMITS & INSPECTION DIV. DATE TO BLDG. PERIVIT ./ 5-2 /-9-r(/ NOTE ,2, c55-73 HE-lNEtPEcrloN ElEolJtFlEo Phone EiEl,T-4;o,ei5 FoEl aPPFlovAL IN SPECTOR -gEr>