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Home My WebLink AboutPermit Building 1974-06-07FFEl:l| ,rn m fuf.,-aa. HOME L . PERMIT PERMIT NO. q 7v7 ef_)rNro PERMTT oR MoBrrE MHN LANE COUN BUILDING _l PROPEK, Y OWNER MAIIING ADDRESS 2130 Rensh Drlvc Spr I ngf I rl d, 0rcAon PHONE CONTRACTOR MAILING ADDRESS 3636 $.8. zoth PHONE PROPERTY LOCATION - INCLUDE POST OFFICE',; : PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS i l-i RANG E SECTION CODE CENSUS TR,A.CT 03 EXISTING STRUCTURES ON PROPERTY Hme, garagcAPPt. NAAAE & MAII.ING 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...:Rcprir f ire darge (no rtructurel chrnga, no planr rcqulred) SEWAGE DISPOSAT PTUMBING INSTAILED BY PUBI,IC BU ITDING WASTE DISPOSAI. PTUMBING PTAN REVIEW PARK TRAITER TOTAL SEPTIC TANK OTHE OWNER OTHER: NAME r EES WATER SUPPTY ,rr'.,a )il N OTHER $ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. TT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHI OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATEltl J.E. Botg by C. Harbrugh BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUII,DING - GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. ,All construc- tion sholl comply with Uniform Building Code, D.E.Q. stqndords IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All buildings require o certificote of occuponcy before ,i being occupied. (See Detoils on Reverse Side) (POST TH|S pERMtT ON MAIN BLDG. AT S|TE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 97,IOIronv*655-13 TAX d LANE COUN^ gi)II.IO PERMIT OR MOBTLE HOME L ; PERMIT PERMIT NO.972-?& I BUILDING MH MAITING ADDRESS iprtngf|rld. Ongur PHONE PROPER'Y OWNER ftiO nrc*tt Orlrl PHONE MAITING ADDRESS CONTRACTOR PROPERTY LOCATION -INCt lortlrnd, Orcgan!6tf t.t. ,fth UDE POST OFFICE ;lrlrch Corrl Dr tvr, *7r&6ftold PROPERTY LEGAT D RIPTTON _ METES,lst rddlti BOUNDS Ld,'flta$ ntrkslr CENSUS TRACT SECTION f TAX CODE r7 APPL. NAME & MAITING ADDRESS RANGE u ts*lm0, {lrnor ,l.h.t EXISTING LEGAL ACCESS TO Rmch STRUCTURES ON PROPERTY4ffi' sarr*a PROPERTY C,rrra t PROPERTY SIZE - FT. WIDTH DEPTH AREA rON ,\NOSITE HOME PERM No. of Bedrooms STRUCTURES TO ITS ONLY BE BUILT THIS PERM T Connect to Existi Sewo e System -TYPE CONSTRUCTION SQ. FT BDRMS VALUATION New Yillrlr flrr *r.{l Jchnrtr. nE tlrrr 4qulrrdlt (* ttt PTUMBING INSTALTED BY SEWAGE DISPOSAT OWNER OTHER: NAME PUBLIC BU ITDING WASTE DISPOSAL PI.UMBING PtAN REVIEW PARK TRAILER SEPTIC TANK FEES WATER PUBTIC PPtY OTHER MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITAT ION SPECIFICA DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FTWITH DIST. BOX: OCCUPANCY t ZONE PUBTIC UTIT. EASEMENTTYPE OF STRUCTURE BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION SIDE EXT REAR'FRONT SIDE INT {a/ t,f.AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING - CANARY BUITDING - GREEN SANITAIION _ GOLDENROD C6,ll 687-4065 ro schedule oll required inspections. All construc- tion sholl comply with Uniform Iiuilding Code, D.E.Q."stondords IMPORIANT: for subsurfoce'"Lwqg" disposol ond counly regulolions covering ,'' piumbing. All buildi'igs require o certificole of occuponcy before being occupied. \ (See Detoils on Reverse Side) (posr rHtS pERMtr oN MA|N BLDG. AT S|IE) TANE COUNry, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 97,10I \ ronu1655-13 \ NO n oTHERfl v SITE INSPECTION Ap pnov r o RruaRx s D DrsappRovm D Dare I rspectoR FOUNDATION INSPECTION AppRov e o Rrua Rx s FRAMING INSPECTION APPRovEo D DrsrppnovEo fl Reuanr s DarE Dalr Ir.rspe cron I NsprcroR LATH OR SHEETROCK Ap pnov r o RrulRx s I NSPECT I ON Dr snppnovro Dar r Ittsprcron FINAL INSPECTION Ap pRov r o ReManx s D r sappRoveo CERTITICATE OF OCCUPANCY Relov ro lssuE D Not Rraov ro lssuE Cl 7"? -Fy fl./ 0 0 Drr e I NSPEcToR REMARK S 7UA c,aY--qz=-==a)r D DrsappRove o FJ &UILD tNG S ITE EVALUAT ION ( ) Building Permit Appl ication No. ( ) s ite lnspect ion ( ) Pre-Permit lnvestigation r JL*-o 3 t-24 {flox CENSUS TRACT B-3,/ I CANT:*APPL NA},lE 1C ADDR PHONE L* q -7 LOT DATE LANE COUNTY PLANNING DEPARTHENT NOT NO YES NA}lE DATE aool icable*rr( ) ) () ( () () I . Zon ing 0rd inance I ance ) 2. Subdivision 0rdinance Compl iance ((r 1 () () '( ) 3. Requ i red Access 4. Bu ild ing S ite (Area, }/idth, Frontage, Setback 5. 0ther (see comments) ) () ) () CO}IMENTS: BUILDING INSPECT!ON SECT!ON NOT NO YES NAI'IE cable 5. Plans Submitted 7. Soil Stabil ity (footings) 8. Flood Pl a in 9. 0ther (see Conrments) COHHENTS: () () () () ( () ( ) ) () () SANITATION SECTION 10. Sewage Disposal I l. Usable Area 12. l'/ater Supp I y 13. 0ther (see Corrnents) NOT NO YES NAI.IE le () () () () ) () )() ( ( COHI4ENTS: TO APPL ICANT: b,6r*lot' Building Permit / Site lnspection: Can be approved. Cannot be approved at this time as indicated on item N0 Questions and further information on items I through ! COUNTY PLANNING DEPARTHENT. Questions and further info above. contact the Lane- rmat ion on iGi 5 () () () through I l contact the Lane Count Buildin and San i ta ion Division Will be held in this office unt you can resolve t Pro ems ind i cated. ls being returned. Your building permit application fee is being returned under seParate cover. I.ANE COI]NTY PI,ANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687'4186 LANE COUMY ENVIRONMENTAL MAI.IAGEMENT 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4065 c55-28 DATE () DATE () .\ LANE COUNTY PERMIT TYPE - BUILDING OWNER tocATtoN CIUD ST OFFICE tt.c G PERMIT OR MOBITE HOME USE "PLICATION MOBILE HOME OSC REG. #PERMIT MAILING ADDRESS -3 PHONE PHONE METES&BOUNDS NYES ATTACHED NO PROPERTY LEGAT DESCRIPTION LOT_BLOCK_SUBDIV. TWP RANGE APPIICANT NAME AND MAITING ADDRESS SEC.TAX CODE CENSUS TRACT3€o DESCRIBE EXI TING STRUCTURES ON PROPERTY IF ANY TEGAL TO '_ ROAD PROPERTY SI DTH 3MAILING ADDRESSR FOR MOBITE HOME PERMIT ONLY Number of Bedrooms Connect to Exisling Sewoge mf orNew m BEDROOMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT DtsPosAt- TYPE CONSTRUCTION SQ. FT. ,0 qlaZztL PI.UMBING INSTATI.ED BY PUBLIC BIDG. WASTE DIS. PTUMBING PTAN REVIEW PARK TRLR. TOTAL MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. TANK tr oTHER n OWNER OTHER NAME F EES cAsH n CHECK WATER SUPPLY PUBTIC PLUMBIN ES - FIXTURES PTANS FURNISHED YES FACILITY PEiMIT YES fl NoOTH ER NO SIGNATURE OF ICANT FEE IVED BY SQUARE FEET 7 DATE /-)N FEE PUBLIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH TT. TYPE OF STRUCTURE occu BI.DG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. 1" l/ZONE REAR YARD PUBI-IC UTIT. EASEMENT Form 5 655- 12 Dote BIDG. INSP USE CIASSIFICATION Dote REAR SAN ITARIAN Directions to Find Property: Dote PLANNING COPY I _ OFFICE COPY 2 - JOURNAI. COPY 3 - AUDIT l