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Home My WebLink AboutPermit Building 1975-10-10, IANE COUN. / BUITDING BUTLDTNG i- MH E PERMIT OR MOBILE I-, AE USE PERMIT PERMIT NO. PROPERTY OWi'IER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS I xc. PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPIION _ METES, BOUNDS ,V TAX LOT NO CODE CENSUS TRACTRANG E SECTION , t'3 fzo y' EXISTING STRUCTURES ON PROPERTY APPL. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System !New System STRUCTURES TO BE BUILT THIS PER M IT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN PLUMBING INSTATLED BY SEWAGE DISPOSAT owNER E OTHER: NAME PUBTIC BUII.DING WASTE DISPOSAT PLUMBING PTAN REVIEW PARK TRAITER SEPTIC TANK rl F EES WATER SUPPLY PUBLIC A ! OTHER 'AL COUNTY BUILDING &SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED TIN. FT TRENC H WIDTH FT. OR SQ. FT 100 ZONE PUBTIC UTIt. EASEMENT TYPE OF STRUCTURE OCCUPANCY SETBACKS FT ROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION BtDG. rRONT SIDE INT.SIDE EXT AUTHORIZED SIGNATURE _ DATE REAR DATE oHx SHoorlsrxlrARlAi BIDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD Coll 687-4065 to schedule oll required inspections' All construc- ti." tniff io.ply *'nfl Uii+".m tiuilding Code' D'E'Q' stondqrds IMPoRTANT:forsubsurfo.e,ewogedisposolondc.ounryregulolionscovering"' pi;;[i;g. att triia-iig, ,"quire o cerrificor-e of -occuponcy before being occuPied. (See Detoils on Reverse Side) (POST TH|S PERMIT oN MAIN BIDG. AT SlrE) I-ANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronu 3c55-t3 TI OTHERT] a arq;r.S.-:\ /\-{- s-lr\<'\:a r=>'\-- *L\ +.s\L- \> qa-.e\- l .\<=r-:> as:{1 ><\.\\aGS\f \# \ 6(-\a Lq- I I I I I I i I ..56t A- A-\ <t:-rB . \I --Lr?rrq\as'\StLaL -'a -.\'b t ?I ci, iril :, I I )' DUII.,ING SITE EVALUAT ION ., \,_, I BUILDING PERI,IIT APPLICATION NO" )7 23.75 SITE INSPECTION PLANNING DIVISION Not I icable r /, R 03 s 34 rAxLor SUBDIVISION: J CK: r - LOT: 4 APPL I CANT DATE cK'D BY, lryl6' zM.E / L*f ,}( () l" Zoning Ordinance Compl iance: Zone E2 ,2o Subdirision 0rdinance Compl iance 3. Requi red Access4. Building Site (Area, }Jidth, Frontage) 5. 0ther (see cornments ) Setbacks Tiorn cllof ioad:Front 10 ( ( ( Sia- _i,+teriOf _- Setbacks f rorn i nterliTTiiiil Side Rear COI{ilENTS: ) ) No Yesr)rr 6. () ()[]tr() () BUILDING INSPECTION DIVISION NOt 7 8 9 0 Plans Submitted Soil Stabil ity (footings) Flood Plain 0ther (see conments)0,fr/fuy.y-ls Aool icable*rr (r )0)(I) Yes rI() () No T.I() () ()CKI D BY -7 DATE COMMENTS: WATER POLUT !ON CONTROL Not I | . Heets Department of Envi ronmental Qual ity Standards. 72. 0ther (see cornments ) Aool i cabl e-*-Tr h-6-7{ No Yesr)o ( ) r(l()CKID BY DATE cOlll'lENTS: TO APPLICANT: *'ff Building / Site lnspection: Can be approved. Cannot be approved at this tir Questions and further informa ermit lication me as indicated on item N0. tion on items I through 5 con above. $fi lact the LANE- on on i tems 7COUNTYNG DIVIS Qu estions and further informati throu 2 con tact the LANE BUILDING ANO SANITATIO Dtvrs!0 ls being returned. Will be held in this office unt you can reso ve the pr ems ln cated.() () rnsoftiiift#i 135 Sixth Avenue East Eugene Oregon pHoNE. 0Al_4o65 LANE COUNTY PLANNING DIVISION PHONE: 97401 587-4r 85 c55-28 Your bui ldin I # LANE COUI.. BUILDING :- BUILDING PERMIT OR MOBITE h MH [] IE USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY LEGAI. DESCRIPTION_METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAII.ING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT WIDTH DEPTH AREA FOR MOBI.I.E HOME PE*MITS'ONLY' No. of Bedrooms Connect to Existin TYPE CONSTRUCTION em New stem STRUCTURES TO BE BUILT THIS PERMIT SEWAGE DISPOSAT PUBI.IC D SEPTIC TANK N OTHERE PTUMBING INSTATLED BY OWNER n OTHER: NA/v{E BU ITDING WASTE DISPOSAT PI.UMBING PIAN REVIEW PARK TRAITER (FEES WATER SUPPTY PUBUC tl n orHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT,OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIL. EASEMENT BIDG, SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUII.DING _ 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 PERMTT ON MAIN BIDG. AT SITE) IANE COUNTY, DEPT. OI ENVIRONMENIAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I ronu :t 6 55 - 13 SQ. FT, # BDRMS VALUATION SITE INSPECTION Appnovro Rruanxs Dr SAPPRovED Drre I uspecton FOUNDATION I NSPECTION AppRoveo D r sappRovro Dar e I Hspecron Rruanxs 0"2 t FRAMING INSPECTION AppRovro Re ulnx s Dr slppnoveo (' I xsprcr g-' .- C,,/, 0 '-'rl i1 LATH OR SHEET I NSPECT I ON R -L(APPVEDNSPECTOAepaovEo RrulRx s Dt .(t FINAL INSPECTION Appnoveo M Drsrppcoveo RruaRxs oort j*- fi I xseEc Itt. CERTIFICATE OF OCCUPANCY Rraov ro lssuE Rrurnx s Nor Reeov to lssur D DorE-I Hspecron At R3-Y ry /,t-/ /**"rra.r. d ,0,,/l'lV' ,"$ Da l-/-7- IANE COUi\ BUILDING [l BUILDING PERMIT OR MOBILE H MHI .E USE PERMIT PERMIT NO. PROPERTY OWNER MAII.ING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPL. NAME & MAII-ING ADDRESS TEGAL 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 f New System TYPE CONSTRUCTION SQ. FT BDRMS VALUATION SEWAGE DISPOSAL PUBI.IC N SEPTIC TANK tr OTHERE PLUMBING INSTATLED BY OWNER E OTHER, NAME BU ITDING WASTE DISPOSAL PIUMBING PtAN REVIEW PARK TRAII.ER TOTAL FEES WATER SUPPTY PUBUC n N OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIt. EASEMENT USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION _ GOLDENROD IMPORTANT: (posr rHrs pERMrr oN MAIN BrDG. AT slrE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I Call 687-4O65 to schedule oll required inspections. ,{ll construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords for subsurfoce sewoge disposol ond counly regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) ronu 1* 6 55 - 13 BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. SLABFLooRv PLUMBING GROUNO/ORK Ap pRov r o REManx s Dr sappnoveo Dnrr I NspecroR GAS P lP I NG GROUND^/ORK n DrsrppRovro D Dare I ruspecronAp pRov r o Reua nx s ROUGH PLUMBING AppRoveo N DrsappRoveo Rrua Rr s oarcr/'/ 2 -)C tHspe cr ROUGH GAS PIPING Appnov e o ReuaRx s D I SAPPROVED Dar r I usrecron FINAL PLUMBING AppRov e o Rruanx s Dr sappnovro D Dart ji-* 7-?1, tNse FINAL GAS PIPING AppRovEo D DrsAPPRovEo D RrManx s Dare I xsprcron CERTIFICATE OF OCCUPANCY Rraov ro lssue RrptaRx s D Nor ReaoY ro lssue D Dare I xspEcron PR0.-.ED SEWAGE 0!SP0SAL SYSTEH RECORII- INSTALLER: Complete top part of form to signature and submit both copies with application. PERillT N0. 27?j-75 lS INSTALLERI S NAHT 'j-rur R n*7v PROPERTTAI'I'REss 4rt Rowaru Ave. Baths Basement Yes No Water Supply Publ ic / 0ther-List Sept i c Tank: Ft. f rorn wel I Steel tr Concrete No. Conpartments 1 Gal . Capaci ty /4O4. e sPosa e D i ameter De th5 Distribution Box No t r str ut On-Pe ns e mens ons: t.Iid t h NAHE Glnv Dt r-uor.r/Tn t ptE CRotttt }tA IL I NG ADDRESS Rr. 3 Aox 255 SeR t rucr t ELo, Onrcon Len t. eet rofn I.J II t ne Front F ti S ide r er ov, ile tn IInes- 4.}/idt r Total Sq. Ft. 30; Ft. Between Lines /O Filler woe l,;er ove Ti I pt tn anot s nst r c p f*tt( 75 .,.6 lrau€ 6. natureDate IF EOF Y For Sanitarian Use Only:Date: A-5'7bln accordance with 1973 Oregon Laws Chapter 835, Section 214 this certificate is issued as evidence of satisfactory completion of a subsurface sewage disposal system at the above I ocat i.on.f\f npproved: System lnstallation conforms to current standards l-l Oisapproved: Ooes not conform to current standards Remarks i L r an s LANE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY c55-1I ure PERMIT # 4727 -)T NOTE: N0 PERMIT WILL BE ISSUED TNTIL THIS APPLIC.ATION HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION MOBILE }IOME PLAN REVIEI^IFC OWNER CONTRACTOR ess City ztp 77tzz "4 Phone DS Jr<to/r. Qr?oatN €^tkre,or{ ices l,rr. *g-/ ------l6;E-- o.s. REG. * //4 L/ 3 Twp.o3 3 Subd ivis ion ? AdaEss-- Tax Lot ciry Code zip Census Tract Phone Bloc ACCESS TO PROPERTY (Road Nane)R *l*-*, /2& , Existing Structures on Property Me Property Location - Address/Dlrections 4s-/ QrcQa,4t Below for Office Use Sq. Ft //, /Valuatlon 3 SEWAGE DISPOSAL Slte Inspection Spring Existing Sewage Dlsposal System or New system Requlred -'--L Name of Couununity or Public System A4-h Pub11c Other Comunlty PLI]MBING: Installed by Owner FEES: Bldg. Waste Dlsp. Plumbing Plan Review Mob1le llome JZ Surcharge TOTAL Min. Septic Tank Capaci //.oa ./aa,ob PLUMBING EEES: SLao ad6. ;7, 4-<)*t 1o ,t",Sewage Connection PLANS FURNISHED CASH "E-tIs Signature of Applicant Fee Received By: Drainfield Required - Lineal Feet /sl> NO Water Connecti.on FACILITY PERMIT YES Date NO Maxlmum D Type of Construction Group Fire Zone--U"e Classification Bldg Setbacks - from Center of Road Right of Way: rrc"t t/ e tSlde Int c55- 12 { LANE COT]NTY Side IT,IENT OF Rear MANAGE},IENT tPIANNING:DATE ffine WAIER SUPPLY: Well ----rt.TE -_-_-- otrrer [ *r" 6-e-1^n,