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Home My WebLink AboutPermit Mechanical 1974-11-12LANE COUNI . BUILDING --I BU!tD!NG MHtr PERMIT OR MOBILE HOME USE PERMIT PERMIT NO.zz9\-7\ ,i:q,/ zf' PROPERTY OWNER MAILING ADDRESS Spnrxorrrro Onreox f[6-fghq PHONE CONTRACTOR MAILING ADDRESS l8ao anooxvooo l8 5-r r 5r PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE 39,53 R r cHLAND Spn t Hcr t suo Oneoor.t PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANGE SECTI ON TAX LOT NO CODE CENSUS TRACT r8 Anlon NonnEolnno EXISTING STRUCTURES ON PROPERTY Drctr r rc 1 ?A APPT. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ FT = BDRMS VALUATION F I neplrcg SEWAGE DISPOSAI PTUMBING INSTATI.ED BY PU tc , . SEPTIC TANK BUITDING WASTE DISPOSAI PLUMBING PLAN REVIEW PARK TRAIIER I$sunorlnct TOTAT OWNER OTHER: NAME FEES WATER SUPPTY PUBr-rC tr tr oTHER hl t tr-txettc Weren t COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEID REQUIRED LIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BI"DG. SETBACKS f RONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE I Joxx Sxoox/ BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING - CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce'sewoge disposol ond county regulotions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I roau # C5s-13 BU I iO I NG -S ITE EVALUAT ION \,r /(- -R- 7 s-/, ,ox Lor-5?60- \ \buaTffis ro-n?-\dJa1\ LOT: BL0CK:i \j J {l ,f--,m*-tlJffi APPL I CAT I l-s-" ON NO.A ,.7 Not ( ) srrE rNsPEcTroN PLANNING DIVISION APPL I CANT DATE l. Zoning Ordinance Cornpliance: Zone_ 2" Subdivision Ordinance Compl iance 3. Required Access ( )4. Bui lding Si te (Area, t.Iidth, Frontage) ( ) 5. Other (see conments) ( ) A I i cable CKID BY: 6 Setbacks frqo c/l of road: Front Side Exterior Setbacks from interior lines: Side Rear COHilENTS: No Yesr) TT() () () () () () () () APPTICAT ION# EUILDING INSPECTION DlVlSlON Notti 7. Plans Submitted 8. Soi I Stabi I i ty (foot i ngs) 9, Flood Plain O. 0ther (see conrnents) COMMENTS: ( ( ( YesrT() () () Nor)() () ()CKI D BY b,ATER POLUTION CONTROL I I . l{eets Department of Envi ronmental Qual ity Standards. 12. 0ther (see comments) Notli le Yes TT Nor) () ()()CKIO BY: DATE COI,IHENTS: TO APPL!CANT: r,A Your Building / Site lnsPection: (-) ()Can be approved. Cannot be approved at this time as indicated on item N0. Questions and furt her information on items I through 5 con COUNTY PLANNING DI VlSlON" Questions and further informati above. tact the LANE- on on i tems 7 c55-28 Your bui ldin ems nd i cat ed.through l2 contact Will be held in th ls being returned. rmi t lica ion fee is the LAN COUNTY BUILDING SAN ITAT ION S ION )IS ce unt you can reso ve the Prob AL 135 Sixth Avenue East Eugene Oregon PHoNE z 687-4055 LANE COUNTY PLANNING DIVISION PHONE: 97401 687-4186 I / -LANE COUNTT BUILDING N BUILDING PERMIT OR MOBILE MH [I HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS spn rror rsrp ontEur il&t*y PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY I-OCATION - INCI.UDE POSI OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS Lor 3 BurNx I l;t robrtre,r Urttrnft?l lfirqt RANG E SECTION TAX LOT NO CODE CENSUS TRACT Ihts. 8a lt EXISTING STRUCTURES ON PROPERTYAPPI". NAME & MAITING ADDRESS IEGAI. ACCESS TO PROPERTY R tcntrxs PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New System f] STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION VALUATION f lir^PLlct sQ FT : BDRMS I SEWAGE DISPOSAL PTUMBING INSTALTED BY PUBTIC SEPTIC TANK OWNER OTHER: NAME T EES WATER SUPPI.Y PUBUC ! tr OrHER ii: i I BU ITDING WASTE DISPOSAT PTUMBING PLAN REVIEW $ PARK TRAILER TOTAL $_ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX. GAt. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. BI,DG. SETBACKS rRONT FT. FROM CTR, OF ROAD RIGHT OF W SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUIIDING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspections. All construc- ,M p o RTA N T, l';1, :[: X,;T']l# ul 5l [:: i 3 : X' ::? "f;i:; i ""''3;,".H* #; plumbing. All buildings requt're o certificote of occuponcy before being occupied. ,', (See Detoils on Reverse Side) (POST TH|S PERMIT ON MAIN BLDG. AT SIrE) LANE COUNTY, DEPT. OF ENVIRONMENTAI. MANAGEMENI COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE. OREGON 97,IOI OTHERTI SITE INSPECTION AppRov e D REup.nNs D r sapPRovED Dare llrspe ctoR FOUNDATION INSPECTION Ap eRov e o Rrua nx s D Drsappnove o 77 DrrE I Hspecron FRAMING INSPECTION Appnoveo D Drsappnoveo D Re uenx s Drr E I Nspecron LATH OR SHEETROCK INSPECTION Ap pRov r o Rrltanx s D Drsappnoveo f-1 Dar E I rspecron FINAL INSPECTION AppRovEo Reuanxs D r sappRoveo oo*1,2 -4'7{I ruspec CTRTIFICATE OF OCCUPANCY Reaov ro lssue ReuaRx s D Nor Rrroy ro lssue D DarE J)7(-7tl 3 q.r3 I ruspeclon D NOTE PLEASE PRTNI PROPRTY I,OCATTON wqw 9*z%-7/. IAI{E C0]NTY Buildiag DPARIM$II OF HWIROMENIAL I4AI{AGEMBIT }4cbile H*,9 APPT,ICATION FOR zuIIDT}G PERMIT OR },IOBILE HCI,IE USE I$o permit will be issued urtil this application has been apprcnred. 3?'t*3 R ,eH t^ ,* frl D sPn rAr& Ftrd A AR I ,olps r#nalcr ? sEC. t rlu( Lor it C@E /.27CH'ISUSIRASI OR ACREAGE LCrI NO. (? AccESS to PRopRry &ci Lfr-ild WIDTT{DPIII DESCRTBE DilsrrIG srRUgfl.IRES oN rHE pRopRIy ' i '" MME R,lal /o hRE&A kR o ?93 rfrC. PI{CI{EtarlF35oPcak htao $ MME ANK GoDDftRo ADDRESS 1 I PIToNE lVf r t{1 L1res to t sq t /tlA,/11 Pal Site lespection /i ser^rage disposal system Elor nexrz systen requlred D Hffil"t#ilsrricr x* lJ. tfu-r*&t- at*' wLLI Spring I Ocher Bldg. tr^Iaste Dis. Plurbing Plan Revier^l Ttailer 1% sr-rclrarge TUTAL t, bA Fees Pltrnbing Installed by Gnner Other Nare: 4 Ph-rrblrg Fees Sewer connection Wffin lf of fixttres inspection fee inspecticrn fee Plans ftn'nished Facility Perrnit YesrB- Ido tl NoF 8"qB Signatwe of App te / <1axet/t ' 2 tl Fee received Min. Septic tark capacity with dist. box: Gallons Lineal Feet Ibench Depth _or Sq. Ft. Tlpe of Strrrcture Occtrpancy Fire Zcne Us e Classification BIgd. setbacks-ft. from center of road right of wayFront Side ht. Side E:<terior Zorre c55-L2 te Rear