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Home My WebLink AboutPermit Building 1975-09-16? IANE COUNTY BUILDING :I BUITDING PERMIT OR MOBILE HOME USE PERMIT MH I PERMIT NO. PROPERTY OV/NER MAII.ING ADDRESS PHONE CONTRACTOR tlv Wrnutn OS#24a0 MAILING ADDRESS PHONE PROPERTY IOCATION _ INCTUDE POST OFFICE PROPERTY TEGAL DESCRIPTION - METES, BOUNDS l0 B-3 RANGE SECTION 3\.2.3 TA#2X LOT NO CODE CENSUS TRACT o3 32-3oO EXISTING STRUCTURES ON PROPERTY I,IONE APPI,. NAME & MAII.ING 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 ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMSp 8l5.ro (3) VALUATION *6 e5.p 58 SEWAGE DISPOSAT PUBUC n SEPTTC TANK Dl PI.UMBING INSTALTED BY OWNER n OTHER: NAMEoTHERn F EES WATER SUPPTY PUBUC ! BUITDING WASTE DISPOSAL PLUMBING PTAN REVIEW PARK TRAII-ER $ 100.n oTHER 00 TOTAT TY BUILDING &SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI,D REQUIRED TIN. FT TRENCH WIDTH FT.TOOR SQ. FT FT Keep 10O FROM A TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT J BIDG. SETBACKS FT. FROM CTR. OF ROAD R FRONT ; SIDE tNT. IGHT OF WAY SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE J. E. Boas BY HABBAUOH BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PIUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. All consrruc- !M p o R TA N r, li'i, i[: X,;T'jlr: U ! 5l [::l : : l' ::', "ff *; j;=,'.,3;,""T1?r,,* plumbing. All buildings require o certificote of occuponcy befori being occupied. (See Detoils on Reverse Side) (POST IHIS pERMtT ON MAIN BIDG. AT S!TE) TANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I - -, = c55- 1l t hlG Irl DATE LANE COUNTY BUILDING I] BUILDING PERMIT OR MOBILE HOME USE PERMIT MH N PERMIT NO. PROPERTY.OWNER MAIIING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFTICE PROPERTY TEGAT DESCRIPTION _ MEIES, BOUNDS RANG E SECTI ON TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPI. NAME & MAII-ING 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 VALUATI ON SEWAGE DISPOSAI PUBLIC N SEPTIC TANK tr oTHERn PTUMBING INSTATTED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAITER FEES WATER SUPPTY PUBUC n tr OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII,. 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 _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspeclions. dll construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords |II/IPORTANT: 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. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu f 655- 13 ( SLAB FLOOR PLUMBING GROUNU/ORK AppRoveo DrsappRovEo I rusprcron Rruanx s GAS PIPING GROUND/ORK AppRov ro Rsua Rx s D r srppRovEo Dar e I Hspecron ROUGH PLUMBING Appnovro N DtsappRovro ReuaRxs D oo',Q'/'TflNspecr ROUGH GAS PIPING AppnovEo D DtsappRove, D RenaRx s Dar e I NsPEcroR F I NAL PLUMB I NG APPRovEo lV7 DtsappRoveol-<-\F' RE uanx s D Dar -7 lrspe c FINAL GAS PIPING AppRoveo D DtsappRovro D Reua nx s DaTr I rusprcron CERTIFICATE OF OCCUPANCY Rerov ro lssuE D Nor Reaov ro lssue D Dare- REulnxs I NSPEcToR Darr CORRECTION NOTICE LANE COUNTY DEPT. OF ENVIRONMENTAT MANAGEMENT Construclion Permits & lnspections Division EUGENE, OREGON This building or struclure does not confoim to Lone County building regulolions, ordinonces or codes os noted below: RE.INSPECTION REQUIRED FOR APPROVAL I nspector-c55-73 Building Permit # 9!.!!@ yf ,utLD tNG pERt'i tr APPL tcAT loN No. ( ) strE lNsPEcrloN r*'7 x-03 s )'lZrox Lor.sBoffitoxGaWZt alu - s 2{/o z LOT: / /\f w-ore-,.,& APPL ! CANT { n"( DATE PLAN NING DIVISION cK'D BY . l'utg ,'s S'et/ 2s' setbacksffi Not I i cable l" Zoning Ordinance Compliance: Zone fi?,2" Subdivision Ordinance Compl iance I \ I 3. Requi red Access 4. guftaing Site (Area, width, Frontage) 5" 0ther (see comments) () ( () ( () ( () ( () () () No Yesf) 'fg--5. ,Yvr Fron Side Setbacks f Side Rear t Exter i or rom inter or ) c0l{t{ENTS: PLANNING DIVISION ACTION PE IN6a rrs ( ) No ()APPTICAT ION# BUILDING INSP !0N Dlvlsl0N 7. Plans Submitted 8. Soi I Stab i I i ty (foot i ngs ) 9. Flood Plain O. 0ther (see corments) Not I icable No Yes6() () () r)() () ()CKI D BY: COH},IENTS: ll. l{eets Department of Environmental Qual ity Standards. 12. Other (see cornments) T.'ATER POLUT I 0Nc OL Not Appl icab!q() No Yesr)m CKI D BY DAT COHHENTS: () ()() TO APPLICANT: q- lb me as indicated on item N0" tion on items I through 6 contact-tEe LtqNE- estions and further information on items 7 BUILDING AND SAN TATION DIVISION ep I ems cated. above. Will be held in this of i ce unt you can reSO vet ls being returned. rmit a lication ffift,,#fr#t 135 Sixth Avenue East Eugene 0regon l/ pHSNE | 687_4065 LANE COUNTY PLANNTNG DIVISTON PHONEI 687. 401 -4t 86 c55-28 () () Your buildin ing / Site lnspection: approved. be approved ons and furt D S ON LANE COUNTY BUITDING BUTLDTNG Jl MH tr PERMIT OR MOBILE HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY I.OCATION - INCI.UDE POSI OFTICE PROPERTY IEGAI. DESCRIPTION _ METES, BOUNDS TAX LOT NO CODE CENSUS TRACTRANG E SECTI ON EXISTING STRUCTURES ON PROPERTY APP[. 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 System f New m STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBLIC tr SEPTIC TANK OTHERD PTUMBING INSTATTED BY OWNER ! OTHER: NAME BU ITDING WASTE DISPOSAT PLUMBING PLAN REVIEW PARK TRAITER F EES WATER SUPPTY PUBTIC N tr OTHER TOTAT 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 BLDG. SETBACKS FT. FROM CTR. OT ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PI.UMBING _ 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 counly regulolions covering plumbing. All buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THls PERMIT ON MAIN BIDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONATENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu t' 655-13 r SITE INSPECTION Ap pnov r o Reuanx s D Drsapenoveo D DarE I ruseecron ( FOUNDATION INSPECTION Appnov eo Reulnx s D r srppRovro Dr slppnoveo ,{-ZtlTE lHsprc -/L- I xspecr { ( FRAMING INSPECTION Appnoveo Reuanx s Dare 10 -''/-?o-(? q. LATH OR SHEETROCK INSPECTION AepRovro Retrnnxs m DrsapPnove o F-J '" 2rDrrr I Nspec FINAL INSPECT ON Ap pRov e o Reuanx s Dr sappRovEo oorrj !y.!PA,-{.'prctor I CERTIFICATE OF OCCUPANCY REaov ro I ssue RrptaRx s Nor Rraov ro lssur Dat e 2,5/O-7€A.frf 50( ft 4,z,, I ruspecron d d D / I {_-/. og pERMrr +&&if NOTE: NO PERMIT WILL BE ISSUED ITNTIL TmS APPLI.-'TION HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION MOBILE HOME PLAN REVIEW CHAJ,IGE OF OCCUPANCY OWNER Name Address Clty Phone F.r flcrr.t t)aX-aU /?so'%o/ati B/u, <^d/okl, v?r"? ??/ - /6 2?CONTRACTOR ztp ?/p 3( Address Lot Nanryl CLty -l 2tp Census Tract Phone 3p- o.s. REc. /l Twp Sectlon € Code 5t-' Subdlvision ACCESS TO PROPERTY (Road Name)Rnu)an 4cren roperty Acreage Wid*,EC o"ptU1Q2a7sfPt P Lte Or*ner Existing Structures on Property: Property Locatlon - Address/Directions: o e Use SEWAGE DISPOSAL slre InsPectlon /l WATER SIJPPLY: Well Spring 0ther Exlsting Sewage Dlsposal Public Conmunity or New System Required Name of Comnunity or Public Systen Sewage Sq. Ft ,/6. r o Other Valuatlon 0 FEES: B1dg. I'Iaste Dlsp. Plumblng Plan Review Mobl1e Hone 1% Surcharge ,OO Installed PLIJMBING Water Connectlon < at4, I ./0//. o o roO of Fixtures ConnecElon Ad, PLANS FURNISHED FACILITY PERMIT4.J7 CASH H YES NO YES NO Date. 7-S--re\! TOTAL Signature of Fee Received By: Min. Septic Tank Capaclt'goc Drainfleld Requlred - LLneaL Fee -d/-r7 6 b f rype of consuuctlor,--;flfuf--.c'o.,o / ?f*.I m'"Zone Use Classiflcation Bldg Setbacks - from Center of Road Rlght of I'lay: Front ,/ { slde rnr. { Side Exterlor ,, -*tt S- t"rr Si znn. LANE COIINTY OF EIWIRONMEN MANAGM',IENT Kr DATE: cs5 - 12 DATEf tu d ? ,