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Home My WebLink AboutPermit Building 1975-10-09--H #14*jlE'/t PERMIT OR MOBITE HOME USE PERMIT PERMIT NO. LANE COUNTY BUTLDTNG 6X BUILDING MHI PROPERTY OWN CR MAILING ADDRESS 24lt ttonrx I 5 s PRtNcFtrlo ORrcou 47 PHONE CONTRACTOR Slxr MAITING ADDRESS PHONE PROPERTY LOCATION _ INCI.UDE POSI OFFICE Itl I Rsrar Avrnue : PROPERTY LEGAI DESCRIPTION _ METES, BOUNDS SECTION T T NO.CODE CENSUS TRACTRANG E 17 3 3\,23 //o6 Meu WorroRo ButLDIR EXISTING STRUCTURES ON PROPERTY APP[. NAME & MAII.ING ADDRESS LEGAI. ACCESS TO PROPERTY 4l t Rornr PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System f New System ! STRUCTURES TO BE BUILT THIS PER MIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION Prnmtr ron &relt txc re80 o at.ib $e Trgol+,oo Ganlce :a9 e 5.30 e,798.1+o $3o,7oa.4oWeluvs Pr-uua: SEWAGE DISPOSAT PLUMBING INSTALTED BY PU BtIC : '- ' sEPTtc TANK OWNER OTHER: NAME WATER SUPPTYFEES BUILDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAII.ER SURCHARGE TOIAT PUBUC tr tr OTHER COUNTY BUILDING & SANITAT ION SPECIFTCATIONS MIN. SEPTIC TANK CAPACITY 'rooWITH DIST. 8OX: GA[. DRAIN FIEI.D REQUIRED I.IN. FT 150 TRENCH WIDTH FT OR SQ. FT 300 OCCUPANCY r&J ZONE PUBTIC UTIL. EASEMENTTYPE OF STRUCTURE 5N FT. FROM CTR, OF ROAD RIGHT OF WAY srDE rNT. ) stDE Exr. USE CI.ASSIFICATIONBLDG. SETBACKS $t REAR 7F RONT /r/,t. AUTHORIZED SIGNATURE _ DATE E. Boss aY i{ansAucx Sxoor/saxtrARtAN 10/eh5 DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SAN ITATION _ GOI-DENROD Coll 687-4065 ro schedule oll required inspections. r{ll construc- rion sholl i"-ply with Uniform Eiuilding Code, D.E.Q. slondords IMPORTANT: for subsurfoce'slwoge disposol ond counly regulolions covering---' pir,.'.'bing. All buildiigs require o cerlificole of occuponcy before being occuPied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE). LANE COUNTY, DEPT. OF ENVIRONMENIAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I roau f, c55- t3 a 'l fl ( ]U BU fL G SITE T ION (BUILOING PERHIT APPLICATION NO. ( ) srrE rNsPEcrtoN PLANN!NG DIVISION f . Zoning Ordinance Cornpl iance:. Zon 2. Subdivision 0rdinance Compl iance 3. Required Access 4. Building Site (Area, width, Fron 5, 0ther (see conments) T SUB S!ON: b s LOT: LOT -7f T 7 APPL I CANT DATE No 1-l() () () () Not Appl i cabl e"eTi+ tage) ( )() Yes cK'D BY, l4r#,3b Se*4 4rISetbacks@ Front ? I 6. () () () () Setbacks f rom interior I igs Side 5 Rear COI{I{ENTS: PLANNING OIVISION ACTION PEND ING: YEs ( ) N0 (APPL I CAT ION# BUILDING INSPECTION D!VISION 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain O. Other (see conments) Not I icabl ) ) )( No Yesr) rt() () () () () ()CK! D 7e' COMI,IENTS: I'ATER POLUTION CONTROL I l. l{eets Department of Envi ronmental Qual ity Standards. 12. 0ther (see comments) Not Appl icable () () No Yesr) Tff ()t[l CK'D _(c_6 DATE COHHENTS: TO APPL!CANT: q Youf Building / Site I 14 c.n be approved. ( ) Cannot be approved Questions and furt nspect i on : at this time as indicated on item N0" her information on items I through 5 contact t e N Dtvlsl0N Qu estions and further information on items the LANE C BUILDING AND SANlTA 0N Dlvlsl above. lo't P rough 2 contact ( ) },ill be held in this office unt you can reso ve the c55-28 Your bui ldin ems cated. ) ls Ueing returned. rmi t a lication fee is L ENT 97401 587-41 86 135 Sixth Avenue East Eugene Oregon pHoNE. 597_h065 LANE COUNTY PLANNING DIVISION PHONE: ) I LANE COUNTY BUILDING PERMIT OR MOBILE HOME UsE PERMIT BUILDING :-l MH E PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY TOCATION _ INCIUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPI.. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT, WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge System New m TYPE CONSTRUCTION SQ, FT BDRMS VALUATION SEWAGE DISPOSAT PUBTIC D SEPTIC TANK tr oTHERn PI.UMBING INSTATLED BY OWNER E OTHER: NAME F EES WATER SUPPI.Y PUBUC n tr OTHER BUII.DING WASTE DISPOSAT PTUMBING PI.AN REVIEW PARK TRAIIER ( TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIELD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING - CANARY BUITDING - GREEN SAN ITATION _ GOI,DENROD Coll 687-4065 to schedule oll required inspections. All construc- tion shqlt comply with Uniform tiuilding Code, D.E.Q. stondords IMPORTANT: for subsurfoce-sewoge disposol ond county regulotions covering ptumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BIDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronu .* g 55 - 13 ?/l SLAB FLOOR PLUMBING GROUND/ORK AppRovro N Drsappnovto Reunnxs GAS PIPING GROUND/ORK AppRov ro REuanx s D I SAPPROVED I HspEcron ROUGH PLUMBING Appnoveo & Drsappnovro RElt a Rx s oorr.Z1Q12(lrspe cr ROUGH GAS PIPING AP PRov E D RruaRx s DrsappRovro Drr r I Ns pEclon F I NAL PLUMB I NG APPRovEo M DTsAPPRovED ReuaRx s D Daruu- 42, -74 tNseec OR FINAL GAS PIPING AP PRov E o REManxs D r sappRovro Date I xspecron CERTIFICATE OF OCCUPANCY Rraov ro lssue ReMnRxs Nor Rraov ro lssuE Darr I rspecloR oor, / - /2 -2( tusercroa :77*4 D Dore- LANE COUNTY BUILDING I--l BUILDING PERMIT OR MOBILE HOME UsE PERMIT MH I PERMIT NO. PROPERTY OWNER MAII.ING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCAIION _ INCI,UDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ MEIES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPI.. NAME & MAII.ING ADDRESS LEGAL ACCESS TO PROPERTY s \-\\i FT. WIDTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existi Sewoge System New m TYPE CONSTRUCTION se. FT BDRMS VALUATION SEWAGE DISPOSAL PUBTIC tr SEPTIC TANK N OTHERE PLUMBING INSTATLED BY OWNER n OTHER: NAME BUII.DING WASTE DISPOSAI- PI,UMBING PTAN REVIEW PARK TRAILER FE ES WATER SUPPTY PUBLIC D N OTHER TOTAT $----- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT OR SQ. IT OCCUPANCY ZONE PUBLIC UTIT. EASEMENTTYPE OF STRUCTURE BI"DG. FRONT SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR DATEAUTHORIZED SIGNATURE _ DATE BI,DG. PERMIT _ WHITE 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 tiuilding Code, D.E.Q. stondords IMPORTANT: for subsurfoce'sewoge disposol ond county regulolions covering plumbing. AII buildings require o certificote of occuponcy before being occuPied. (See Detoils on Reverse Side) (posr THIS PERMIT ON MAIN BIDG. AT SlrE) IANE COUNTY, DEPT. OI ENVIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th. EUGENE, OREGON 9740I ronv - 655- 13 SITE INSPECTION AppRov t o REuaRx s Dr srppRovro D DarE l nsrecroR 'l FOUNDATION I NSPECTION AppnovEo D r srppRovro Dare r Rrua nx s 6 I I ruspecron tt/ (.,-'Q"t FRAMTNG INSPECT t0^ Dorr "J -J - 7 l,Appnov e o Dr slppnoveo Re uanr s LATH OR SHEETROCK, INSPECTION/' AppRoveo Reurnrs D r srppcoveo tu I Hsprc )i f(' oo* J *r'7/, -/,/ ,/'U ro tlNsptctofl----.1 (, \- f rINAL INSPECTION - Appnoveo H DrsappRoveo RrMlRx s oo.,, 3'-/f - 7b ,"rrr*a/l/7't t CERTIFICATE OF OCCUPANCY Rraov ro lssuE D Nor Rraov ro lssur D Dore_lnsrrcron_ ReueRx s d'//0-7d //m D /M7l PROPuSED SEL/AGE DISPOSAL SYSTEH RECOR. INSTALLER: Complete top part of form to signature and submit both copies with application. PERHIT NO C l0- Snoor v n Un tS B c an Basement ater S es No Publ i c v 0the i st Sept Ft.f rorn wel I Steel tr th MEr- l{orroRD Bu r LDER 241 1 Nonrx l TH Concrete No. Cornpartments Gal . Capaci ty e sPosa e Distribution Box: Yes NoterstrutOn- Feet rorn WE Foundat i on o otL ne Front S ide / aeo ns L L NAME HAILING ADDRESS Spn trucr te to 0REcotr For Sanitarian Use 0nly: ln accordance with 1973 ar ow ile tn SF 3- /- 7l 0regon Laws Chapt'er 835, Section 214 this certificate ssued as evidence of satisfactory completion of a subsurface sewage disposal system at the above I ocat i on.flJ npproved: System lnstalletion conforms to current standards [f Disapproved: Does not conform to current standards Remarks: ons: wi h Diame r 5 n€S-t. }Jidt etweent Lines e lr er ePt n a s / L U]l(/ X"2"/%") -* ht \t,) .; .1.E0EtvB* r rE?"1i JIU At{E CO UNTY AL MGMT si ture an LANE COUNTY STATE OF OREGON DEPARTI.IENT OF ENVIRONMENTAL QUALITY c55-11 ture l+11 RowaN I I I i s NOTE CONSTRUCTION OWNER 4 Br/"e PERMIT NO PERMIT W"II.I. BE ISSUED I,NTIL THIS APPLIC.ATION HAS BEEN APPROVED APPLICATION FOR: rEt MOBILE }IOME PI.AN REVIEW I ts,*-e Address zLp t< PROPERTY (Road Existing St.ructures on Property: Property Location - Address/Directlons Slte Inspection ll WATER S WeIl FEES:PL B1dg. waste Dlsp. Pluublng Plan Revlew Mobile llorne 1Z Surcharge "oc> 60 TOTAL Address Tax Lot Code B1 o.t=jf-rrop Ft Exlstlng Sewag Dlsposal System 11c Comruni!y Owner Other of Fixtures Sewage Connectlon PLANS YES Signature of Fee Received By CONTRACTOR lt Name City zip o.s Twp e Section Census Tract Subdivls io ACCESS TO I"Jld th_Depth_ Valuatlon e- {*o () U f or New System Required Name of Community or Publlc Systen Name \}S1 l^Jater ConnecELon FACILITY PERMIT Date YES NO Mln. Septlc Tank Capaci Dralnfleld Requ ired - Llneal Feet Maxiruum Type of Cons Flre Zone Use Classification Bldg Setbacks - from Front .f -[ ,,:::';:.:' RoayRicht "' ""1H", ')o LANE COT,NTY TMENT OF ENVI Rear 1 B 2- ?r7W, cs5-12 r-_-l \ ----rf.B