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Home My WebLink AboutPermit Building 1976-05-24/r^LANE COUNTY PERMIT FOB:PERMIT NO CONSTRUCTION [ ] I\,IOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVE AD ESS CIT H n Owner n Contractor NAIVIE ADD R ESS O.S. Reg. +t Twp- Range-- Section E- Tax Lo 34,2,L ?to Code CITY ZIP CODE Census Tract PHONE t Subd ivision - Lot Access to Property (Road Name) B lock Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOTVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC t ] SEPTICTANK t ] OTHER t ] PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NATVI F PLUIVIB ING BUILDING 3% SURCHARGE TVIOBILE HOIVIE- WASTE D ISPOSA L PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I ] EXISTING t] PUB LIC COMIVIUNITY - NAIVIE PRIVATE WELL OTHER .SPECIFY co NSTRUCTION PERM]TS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS IVIIN. DRAINF IELD- LIN. FT IVIAX. TRENCH DEPTH I NCH ES TYPE OF CONSTRUCTION GROUP F IR E ZONE USE CLASSIF SETBACKS- FT. FROI\4 CTR. OF r,AN FRONT SIDE EXT FT. FROIVI PBOP. LINE SIDE INT REAR -- ZONE- AUTHORIZED SIGNATURES ISSUANCE DATE lsl c55.13 LANE COUNTY, DEPT. OF ENVIBONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OFEGON 97401 BLDG. PEHMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANABY BUILDING _ GREEN SANITATION - GOLDENBOD IMPORTANT POST THIS PERMIT O N MAIN BLDG. AT SITE Cail 687-4065 to schedule all required conslruclion inspections. Call 687-4061 to schedule all required septii system inspections. All construction shall comply with lhe State Buidling Code, D.E.O. standards iofsuOdurtace sdwage disposat and the State etumoing Code. All buildings require a certiticate ot occupancy before being occuPied. (See Oetails on Beverse Side) STAY 1OO' FROIVI ALL WELLS .r/ Bu I LNNG, s rrE, Ey4Lq&IlgI N R 0J 'z/4^ft" BUILD!NG PERMIT APPL ICATION SITE INSPECTION PLANNING DIVISION SUBD I S ION: T APPL ! CANT DATE LOT:BLOCK: () Not fu>pl i cabl e CKID BY: Setbacks ,{/6 rom No ffi6() CIl. Zoning Ordinance Cornpl iance: Toneill 2. Subdirision ordinance Compl iance 1T- 3. Requi red Access4. Building Site (Area, Width, Frontage) 5. Other (see conrnents) () () () () (I () () () () Setbacks from interior lines:Side { Front sid Rear { COHHENTS: PLANN I NG D IV I S |ffi1--; NO (TTPmmrmtr# BUILDING INSPECTION DIVISION 7. Plans Submitted8. Soil Stabil lty (footings) 9. Flood Plain 10. Other (see comrnents) COMMENTS: Not Yes K() () Nor)() () ()CK! D !J** I /-fh trAT ER POLUTION CONTROL Not ll. l{eets Department of Environmental Qual ity Standards. 12. Other (see conments) Aool icablerc Nor)rTYes ()CK'D BY::1lo DATE COI.THENTS: TO APPLICANT: Your ,---fl Bui lding / Site lnspection: Can be approved. Cannot be approv ed at this time as indicated on item Questlons and fu rther information on items I through N0^ above. 6 contact the LANE-I Y PLANNING OI ON Qu estions and further information on items 7 t rou9lrill be held ls being ret Your buildin 2 contact t in this of urned. BUILDING D SAN ITAT ION I S l0N. ce unt you can reso ve the prob rmit a I ica ion fee is R 974o1 687-4t 85 135 Sixth Avenue East Eugene 0regon PHONE. 687_4065 LANE COUNTY PLANNING DIVISION PHONE: ' c55-28 ) ) ems nd i cat ed. Y!?! () () ( ( -trreJ >TnjG - _tfifE:.I"]i G - (' I 92.'-c'' IA'\1 Q 4 3;o 4 >.r. 2 i i,,'i'.'i .' .: ')'' f ,1' i-'-.rr.'r i-' r''.;- tfiii\. !50' t 3' Dr:,i;.:!:ir.u 6€ !. 1 { rl )v{t i\ (s l 4 ( ct{c . F,.AT to \ \ +t? i 54'- L" : -l o .;._} -- f-t ,-- l\ -. ;s.G L Qti- '"/t ?.o+ --4- /_,..; 2, l.- Ii II L"a F I I i /Cli AE 'r'E LITJ , I t I( *. *v__' .a t__ , -t'-" -l FLiCfi Et-Ei:, 43r.1 ') I D Owner LANE COUNTY PERMIT FOR PERI\,1IT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NA ADD R ESS C ITY DE PHONE ! Contractor NAI\1E O.S. Reg. + Twp- Range- Section Subd ivision Lot ADD R ESS Tax Lot- Code CITY ZIP CODE Census Tract HONE B lock Acreage __---Width Depth Existing Structures on Property: - Access to Property (Road Name) Directions to Property - Address: STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL PLUIVIBING INSTALLED BY: OWNER[]OTHER[] NAIVIPUBLIC[] SEPTICTANK tl orHER[]tr BUILD ING PLUIVIB ING 3% SURCHARGE MOBILE HOIVE- WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED i I EXISTING t] PUB LIC COIVIIVIUNITY - NAIVIE PR IVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.IVIIN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPTH I NCH ES STAY 1OO' FROIVI ALL WELLS G ROUP FIRE ZONE USE CLASSIF SETBACKS- FT. FRON4 CTR. OF r/W FRONT SIDE EXT FT. FROIVI PROP. LINE: SIDE INT. - REAR ZONE AUTHOR IZED SIGNATURES: lsl ISSUANCE DATE BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANABY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic syslem inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards for subsurlace sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy belore being occupied. (See Details on Reverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY. DEPT, OF ENVIBONMENTAL MANAGEN4ENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401 TYPE OF CONSTRUCTION- I SLAB FLOOR PLUMBING GROUND/ORK Appnoveo DISAPPROVED DarE I NSPEcToR ReMaRx s GAS PIPING GROUND/ORK D DrsapPRovEo D Darr I HspecronAp pnov r o Rst'tanx s ROUGH PLUMBING -_-__--2-AppRoveo /\// DtsaPpRoveo Reulnx s Oatt L-kt-Zi lNspr ROUGH GAS PIPING APPRovED D DtsappRovEo D Reuanr s Dar E I ruspecroR F I NAL PLUMB I NG APPROVED M Rruanxs DrsAPPRovEo D -?L ,u"Jfft'dDarfiI Nsp FINAL GAS PIPING AP PRoV E D Reuanr s DTSAPPRovED D DatE I usprcton CERTIFICATE OF OCCUPANCY Rraov ro lssue RevlRx s D Nor Rrrov to lssue D Dare I NSPEcToR D n Owner LANE COUNTY PERMIT FOR CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] C ITY ZIP CODENAIVIEADD R ESS PHONE n Contractor NAIVIE ADD R ESS O.S. Reg. + Twp- Range- Section-Tax Lot- Code Subdivision- Lot B lock CITY Acreage - ZIP CODE Census Tract PHONE Access to Property (Road Name) Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER I ] PLUIVIBING INSTALLED BY: owNER[] OTHER[] NArVr E- BUILDING PLUIVIB ING 3% SURCHARGE IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COVIMIUNITY- NAIVIE PRIVATE WELL OTHER . SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.tVIIN. DRAINFI E LD-LIN. FT IVIAX. TRENCH DEPTH I NCH ES STAY 1OO' FROIVIALL WELLS TYPE OF CONSTRUCTION- GROUP FIRE ZONE USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAff FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT REAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PEBMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENBOD IMPORTANT POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Call 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply wilh the State Buidling Code, D.E.Q. standards foi sublurface sewage disposal and the State Plumbing Code. All buildings require a certificale of occupancy before being occupied. , (See Details on Beverse Side) c55.t 3 PERIVIIT NO. SITE INSPECTION AppRov r o Re uenx s Dr srppnoveo DarE I xseecron FOUNDATION INSPECTION Ap pnov r o REMARKS DrsAPPRovEo Dr sAPPRovEo Dar r Da I Hspecton FRAM I NG Appnov r o Re uanr s I NSPECT I ON @Z.e p I Hsprcr LATH OR SH Appnoveo Rrvrnx s 1 NSPECT I ON Dr srppnoveo DarE 7 I NspEct FINAL INSPECTION Ap pRov r o Reuanx s EO Dar r JO NS P E CTOR CERTIFICATE OF OCCUPANCY Reaov ro lssue RrmaRx s /0 0 t".j-/ 3 D D D Nor Rrrov ro lssuE D Dorr_lnsercron_ PERr'{rr ttlo 3)-28-- CONSTRUCTION CONTRACTOR No PERMTT l{rrr, BE rssuED UNTrL THrs AppLrcATroN HAs BEEN AppRovED APPLICATION FOR: MOBILE HOME PLAN REVIEW C}IAJ'IGE OF OCCUPA}ICY Addr ess zip o.s. REG. # o@oCtoo a2*{ *n. / 7 *n""--I-3-,ection 33 t- 3 ess Tax Lot Code Census Tract Subdivis ACCESS TO PROPERTY (Road Existing Sfructures on Property: Property Location - Address/Directionsl for f Use Acrease W tdthf2loepthfulQ: Er.,/o System or New System Required f -l |-}< Name of Conrnunlty or Public System I=E*zt SEWAGE DISPOSAL: Slte Inspection WATER SUPPLY: Well FEES: Bldg. Plumblng 3Z Surcharge Waste DJ-sp. Plan Review Moblle Hone # a15 2- Spring 4r,oo ?.oo/'.t-r Lot Existlng Sewage Other PLUMBING: Install-ed by Owner PLI]MBING FEES: ] 3 #or CASH CHECK Drainfleld Block ures 0ther Name Sewage Connection PLANS FURNISHED YES NO Signature of Applicant: Fee Received By Water Connection FACILITY PERMIT YES Date: TOTAL Min. Septic Tank Capacl Type of Constructi Group Flre Zone Use Classification Bldg Setbacks om Center of Road Front Slde Int. f Way: Rear {, DATE: COI]NTY Side OF ENVIRONMENTAL Zone DATE:DATE: cs5- r2 P\ 7 - Lineal Feet- Maxlmum Depth_