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Home My WebLink AboutPermit Building 1974-05-17{ I.ANE COUNTY BUII {G PERMIT OR MOBILE HOME US. APPTICATION PERMTT TYPE - BU|LDING E MOBILE HOME IOSC REG.#PERMIT PROPERTY OWNER MAITING ADDRESS PHONE 0 R TOCATION _ INCI.UDE ST OFFICE MAII.ING ADDRESS e 3, CO TEGAL DESCRIPTION I.OT_BLOCK_SUBDIV. TWP RANGE a8 a PHONE & BOUNDS I ATTACHEDru- SEC.rAx roT #CODE CENSUS TRACT APPTICANT NAME AND MAILING ADDRESS ,/rr 55 € -eo0 DESCRIBE ISTING CTTURES ON PROPERTY rF ANY TEGAL ACCESS TO PROP _ ROAD NAME OR PROPERTY SIZE-WIDTH 'sg r)/ ,, {,'e/d . nr € q a )/a3 PTH -,Vs DE AREA ron A oerty' no,uE pr-n,tatr oNLv Number of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge System ! or New Sysfem Req TYPT CONSTRUCTION SQ. FT BEDROOMS ATUATION SEWAGE DISPOSAI PTUMBING INSTAIIED BY PUBLTC tr BtDG. WASTE DIS. PTUMBING PIAN REVIEW PARK TRI.R. SEPTIC TANK OTHER FEES WATER SUPPLY PUBTIC PTUMBI FEES - FIXTURES CASH E CHECK ONNECTION FEE OWNER PTANS FURNISHED NO SIGNATURE BY PERMIT # OTHER NAME ICANT FACITITY PERMIT OTHER YES 2 7 ,oo PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS -?TOTAL MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED TIN. FT. TRENCH WIDTH FT.OR SQUARE FEET TYPE OF STRUCTURE OCCUPANCY BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT,SIDE EXT ZONE REAR YARD USE CTASSIFICATION PUBTIC UTIT. EASEMENT REAR /7d." BIDG. INSP. jL le PIANNING Dole ctions lo Find Property ]PY 'I _ OFFICE \PY 2 _ JOURNAT )Y 3 _ AUDIT 777-7/ 9b, /.t ,32a.1o3 t I # t css-tz 't^ LANE COUNTY BUITDING PERMIT OR MOBILE BU|LD|NG il MH n HOME USE PERMIT PERMIT NO. 77 7- ? ',y' . ?9?-7\ -! PROPERTY OWNER ,i i 11 , MAITING ADDRESS Z]Jl Rose Btossom Dn. , SPn I NcF I Et-o, 0n. PHO}.I E CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE l.;_r 1 elrzrerrx Frce Scrool PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS i :.:- ,.1\ : :.. I : 1 '.- ,.. r7 RANG E SECTI ON ?6.1.1 TAX LOT NO 33-20o CODE CENSUS TRACT Asove EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY /.\. - i.,,.,-.r ., I PROPERTY SIZE - FT, wtDTH 1O3 DEprH 15 AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System ! New System I STRUCTURES TO BE BUILT THIS PERMIT Parto DscK lt^lo Roor TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN 5-N IrlE o z 8s6 SEWAGE DISPOSAT PI.UMBING INSTALTED BY PU BL IC BUITDING WASTE DISPOSAI- PLUMBING PLAN REVIEW PARK TRAITER TOTAL SEPTIC TANK F EES OWNER OTHER: NAME TER SUPPI.Y PUBtIc E tr oTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBI-IC UTIT. EASEMENT BI.DG. SETBACKS FT. IROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT )+5'srDE rNT. 5 t SIDE EXT REAR .t /s/,1.E Bm, BYr c. HARBAIJGII J. SllOOK, Srn t rAR t ru AUTHORIZED SIGNATURE - DATE DATE B[DG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI"UMBING _ CANARY BUILDING _ GREEN SANITATION _ GOI.DENROD Coll 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords Ii/IPORTANT: for subsurfoce'sewoge disposol ond counly regulotions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST IHIS PERMIT ON BLDG. AT SlrE) LANE COUNW, DEPT, OF MANAGEMENT u 3c5s-t3 COURTHOUSE OREGON 9740I r .tl!l \,5 /c,t4 , 'run*^r*t:Yrex rorJzoL==U I LD ING S ITE EVALUAT ION W"( ) Building Permit Appl ica ( ) site lnspection ( ) Pre-Permit lnvest igat ion n No.q 7 APPL I CANT: NAl'{E CJ, ISM ADDRESS PHONE DATE LANE COUNTY PLANNING DEPARTHENT Zon ing 0rd inance Compl iance (zone tEz{) Subd iv is ion 0rd inance Comp I i ance 3. Requ i red Access 4. Building Site (Area, tridth, Frontage, Setback) 5. 0ther (see comments) YES NA}t E (l () () ) %:4"% -- {-te-7d NOT NO IEEI icable - () r] () () 2 )) ( ( ( (( CO},I}4ENTS: BUILDING INSPECTION SECTION 5, Plans Submitted 7, Soil Stabil ity (footings) 8. Flood Plain 9, 0ther (see Conrnents) NOT YES (Y) appl icable () () () () () (yJ (y) (\) DATE () $--lr-f$()() COHHENTS: SAN ITAT I ON SECT ION 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Conrnents) COHHENTS: NOT YESNO able -() DATE ( ( ( () () ) )) ) () () () () TO APPL ICANT: *r'';# Your Building Permit / Site lnspection: Can be approved. Cannot be approved at this time as indicated on item N0. N()above. () () () Questions and further information on items I through 5 contact t On€- C0UNTY PLANNING DEPARTI4ENT. Questions and further information on iE;;; 5 through 13 contact the Lane Countv Auitainq end San . WilI be held in this of cated. I s be i ng retu rned. Your building permit appl ication 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 '\.8 I.ANE COUMY ENVIROMENTAL },IANAGE},IENT 135 Sixth Avenue Eastr Eugene, oregon 97401 ?hone (503) 687-4065 OATE NO NA}tE I E E I.ANE COUNIY BUII.DING PERMIT OR MOBIIE HOMEBUILDINGMH MAILING ADDRESS MAILING ADDRESS UsE PERMIT PERMIT NO.PROPERTY OWNER CONTRACTOR PHONE PHONE PROPERTY TOCATIO N _ INCTUDE POST OFFICE PROPERIY I.EGAI. DESCRI PTIO N _ MEIES, BOUNDS Ii RANG E SECTION TAX LOT NO,CODE EXISTING STRUCTURES CENSUS TRACT ON PROPERTY APPT. NAME & MAITING ADDRESS FOR MOBILE HOME No. of Bedrooms TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREAPERMITS ONLY STRUCTURES TO BE BUTLT rgts penulr Connect to Existi ng Sewo ge System New System trTYPE coNsrRucitor.r SQ. FT. # BDRMS VALUATION i }Ttrro ofsr a{O n$*}r SEWAGE DISPOSAL PLUMB ING INSTATTED BY PUBTIC BUITDING WASTE DISPOSAT PLUMBING PLAN REVIEW PARK TRAIIER SEPTIC TANK OTHERE (FEES OWNER WATER SUPPI.Y PUBLTC f] OTHER: NAME D OTHER AL MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. TYPE OF STRUCTURE BIDG. SETBACKS FT. FROM FRONT COUNTY BUILDING &SANITA DRAIN FIEI-D REQUIRED TIN. FT OCCUPANCY TION SPECIFICATIONS TRENCH WIDTH FT. ZONE USE CI.ASSIFICATION OR SQ. FT, PUBTIC UTII.. EASEMENT CTR. OF ROAD RIGHT OF WAY SIDE INT.SIDE EXT REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING - CANARY BUILDING _ GREEN SANITATION _ GOTDENROD coll 687-4065 to schedure orr required inspections. Ail construc-tion sholl -comply with Uniform tiuilding code, D.E.e. stondordsIMPORTANT: for subsurfo^c.e'.slwoge disposor "na .o"rnry iegJorions coveringplumbing. All buildings reiui.e o certificotl of-o...rpor,"y befo.!being occupied. (See Detqils on Reverse Side) (POST THIS PERMTT ON MAIN BIDG. AT SlrE) IANE COUNTY, DEPT, OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I c 55 - 13 SITE INSPECTION Ap pRov E o Rrt"'l,r.Rt< s Dr srpPRovro Drr E Ir.rspEcron FOUNDATION I I S APPROVED 6-2t.ql I NspectonDrr rAPPROVED REMA RK S FRAM I NG APP ROV E D Reulnr s I NSPECT I Drr E I NSPEcToRDrslppnoveo LATH OR SHEITROCK Ap pnov r o I NSPECT I ON Dr snppRoveo l useectoR REMnRx s FINAL INSPECTION I NspEcronAP PRov E o ReMaRx s Dr srppnoveo Dar E CERTIFICATE OF OCCUPANCY Reaov ro lssue ReuaRx s 777- ry 2J €€ oh D f---7 Dar r -r D Nor Rrrov ro lssuE D Darr _lnspecroR_ rll