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Home My WebLink AboutPermit Building 1974-12-03IANE COUNTY i BUTLDTNG [] TDING PERMIT OR MOBITE HOME MHT JE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERIY IOCAIION - INCI.UDE POST OFFICE PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS RANG E SECTION,TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPI.. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge Syslem New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN SEWAGE DISPOSAI. PUBUC tr I'SrpTrCrlNr tr oTHERn PI.UMBING INSTALTED BY OWNER E OTHERI NAME (F EES WATER SUPPI.Y PUBUC n n oTHER BU ITDING WASTE DISPOSAI. PLUMBING PtAN REVIEW PARK TRAITER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIELD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT L TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT . SIDE INT. ' SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE B LDG. PE RM IT - WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD 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 counly regulotions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THls PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENI COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Iroav * 655-13 Tc E EVALI N0"s.tT UAT I ON ll- zt \L-'- dPt ss/t k )t-...Tipl: sUETlffiTb,.. -L AX BLO K: ( ) Bu ruo tNc pERil tr AppL t cAT tou No ( ) srrE tNspEcloN PLANN I}IG D I vlst0N CO}IMENTS: Zoning Ordinance Compliance: Zon Subdivision 0rdinance Compl iance Requi red Access Building Site (Area, Width, Frontage) Other (see cornments ) ( ( Front yo sid e Exterior Setbacks fronr i nterior I ines: Side Rear APPL I CANT DATE ( ') A Not I i cable I 2 3 4 5 e No Yesf) fl)- 6.( ) (t)( ) (/'1)( ) (1tr () () CKID BY: Setbacks'rorn ) ) ) ) PLANN I NG DIVIS YEST-T No{-TAFPT-r cAT | 0][# BU ILD I NG INSPE cTt0N Dtvtst0N 7 . Pl ans Submi tted8. Soi I Stabi I ity (footings) 9, Flood PIain0. 0ther (see corments) COMMENTS: Not I icabl e No Yesr)m( ) (') () () () ()cK'!D BY Wle:r.? Yr DATE WATER P0LUTION C0NTROL Not I ic le No Yesr) rTI l. l{eets Department of Envi ronmental Qual ity Standards. 12. Other (see cornments) COHHENTS: (() ()CKID BY:/,n DATE TO APPLICAN T: Y\ur- Building / Site lnspection: J?d Can be approved" ( ) Cannot be approved at this time Questions and further informati C0UNTY PLANNING DlVlSl0N" Ques r os indicated on item N0" ab on on items I through 5 contact the LANE- tions and further information on items 7"r&through l2 contact t( ) urill be held in this( ) ls being returned. ce unt you can reso vet BU!LDING AND SANITA ON tvtsl0N p he LANE c55-28 Your bui ldin ems indicat ed. ove. rmit I i cation f is bein ENT 135 Sixth Avenue East Eugene Oregon 97401 pHoHr. 0gl-4o65 LANE COUNTY PLANNING DlVtSl0N PHONE: 587-4185 Itr I IANE COUNTY BUILDING -- LDING PERMIT OR MOBILE HOME MHE 5E PERMI PERMIT NO PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MA[.tNG 'AODRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY I.EGAI DESCRIPTION _METES, BOUNDS i "r l' ,.1 RANG E SECTION TAX LOT NO CENSUS TRACT,.1 l: EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAII-ING ADDRESS , I .i TEGAT ACCESS TO PROPERTY t , PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONIY No. of Bedrooms Connect to Existi TYPE CONSTRUCTION SQ. FT m New m BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT I xl? s t6.lo SEWAGE D PUBLIC tr sEPTrc TANK n rl PI-UMBING INSTATTED BY OWNER N OTHER: NAMEoTHERn BUITDING WASTE DISPOSAT PTUMBING PtAN REVIEW TRAILER s FEES WATER SUPPLY PU BI.IC OTHER i - ,-1r COUNTY BUILDING & SANITATIO SPECIFICAIIONS . MIN TANK CAPACITY WITH D DRAIN FIELD REQUIRED GAT.tIN. FT TRENCH WIDTH FT.OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT 5N BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OT WAY FRONT SIDE INT. : SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE le/ t" r, '(POST THIS pERMtT ON MAIN BIDG. AT SITE) TANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I I BI.DG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY.BUITDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required i nspections. All Code, D.E.Q.rion sholl comply wirh U niform Building IMPORTANT: for subsurfoce sewoge ond county regulotions PIU bei mbing. All buildings ng disposol require o certificole of occuponcy occupied (See Detoils on Reverse Side) conslruc- stondords covering ronu * 655- 13 before - SITE INSPTCTION Ap pnov r o R E t,l,a. Rr< s Dr sAPPRovEo Dare I NspectoR FOLINDATION I NSPTCTION AppRoveo ta Drsa Rruanxs ROVED TE I ruspecton FRAMING INSPECTION Appnovro Ll Dr SAPPRovED Reuanx s -Ae LATH OR SHEETROCK PICT I ON Ap pnov r o Rruanx s Drrr /* I NSPEcToR I FINAL INSPECTION Ap pRov e o RcNanx s Dr SAPPRovED DrsrppRoveo V Dare -la - // ,*,,,,,€. -/,(,u,,, Dar r CERTIFICATE OF OCCUPANCY Reaov ro lssue ReNaRx s D Nor Reeov ro lssuE D DrrE e** n64* 2?ry"ry ,{ 2f9', I NSPEcToR \ / D LANE COUNTY BUILDING i_ TDING PERMIT OR MOBITE HOME JE PERMIT MH E PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY I.EGAI. DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING ADDRESS TEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System New System tr STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBUC ! SEPTTC TANK n oTHERn PTUMBING INSTALTED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAT PI-UMBING PI.AN REVIEW PARK TRAITER TOTAI. FEES WATER SUPPTY PUBUC tr tr OTHER COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI,. DRAIN FIEID REQUIRED tIN. FT TRENCH WIDTH FT.oR sQ. tT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTII.. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - 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 counly regulotions covering plumbing. All buildings require q certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMTT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I FoRM = C55-13 SLAB FLOOR \/ PLUMBING GROUNDU/ORK Aeenovro D r s APPRovED Dare I rusprclon Rrurnx s GAS PIPING GROUNDI/ORK Ap pRov e o REua Rx s Dr sAPPRovEo I Nspecron ROUGH PLUMBING APPRovEo Reuanr s D r sappnoveoF D*/glfiL I rusprcro ROUGH GAS PIPING Ap pRov r o RrMaRx s D DrsappRoveo D Dar r I usprcron F I NAL PLUMB I NG APPROV E D Rr uaRx s &DI SAPPROVED D o^rrL&-TrHspect FINAL GAS PIPING ApeRov e o Reuanx s DISAPPROVED I NsPEcroR CERTIFICATE OF OCCUPANCY Reaov ro lssue RrlaaRrs D Nor Reaov ro lssur D Dare I HspecroR D Dor.- D Dor.- n I 7 Gil1 1 LL)PERMII/i IANE COJNTY Building DEPARIMEL OF BWIROIS4E\TIAL I4ANAGEMENT }4cbile Hcne APPLICATION FOR zuILDIIG PMMIT OR }4OBILE HC},IE USE No permit will be issued ultil this application has been apprwed. PLEASE PRINI PROPRTY I,OCAIION DESCRTBE ffiISTl]G APPT,IC,A\II MME STRUCf,URES ON II{E PROPffiIY t<- ADDRESS PTICNE I to MME ADDRESS qr2 34 €-vq t1 5xt 5 Site hspection 1t ter R:blic District liane Existing se,hrage disposal systern or nehT systsn required n well D Spring \l Other Bldg. Waste Dis. Phmbing Plan Rewiew Ttailer V. srrdmrge TCEAL 2l',.-Fees L,_ 42, LIA ty Phrbiry Fees (l;J -A*Jt of fi.Ftures inspection fee Pltubing Installed bY G,ner Other l{ane Sernier ccn:nection fee Yes Facili Yes f] Signattre of Fee received te or Sq. Ftwith dist. box:Gallons Lineal Feet e c55-L2 tructure Side Int.i5- Side E:<terior Rear -5_ ?firle -? center Front