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Home My WebLink AboutPermit Building 1975-07-14TANE CT'\TY BLIILDING BUILDING I MH I PERMIT OR MOBITF 'IOME UsE PERMIT PERMIT NO. PROII'iTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS RANG E SECTI ON TAX LOT NO.-f ?,tfr CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAILING ADDRESS TEGAT 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 SEWAGE DISPOSAI. PUBUC tr SEPTIC TANK PTUMBING INSTATTED BY OTHE OWNER OTHER: NAME WATER SUPPTY PUBUC tr tr OTHER F EESBU ITDING WASTE DISPOSAL PTUMBING PLAN REVIEW PARK TRAITER TOTAL s $_ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL, EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE TA BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING - 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 county regulolions <overing plumbing. All buildings require q certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT rHrs PERMIT oN MAIN BIDG. AT SITE) IANE COUNTY, DEPT. OF ENYIRONMENTAL MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE. OREGON 9740I ronv * 655- 13 TYPE CoNSTRUCTIoN sQ. FT. # BDRMS VALUATIoN BU ILO I NG S ITE T ( ) -euilotxe pERt'ur APPLtcATtoN No ( ) srrE rNsPEcrroN PLANNING DIVISION >/c t, l*..., ,. t'i; T_ ' n__U,_s n / tnx Lor_ " ' sG'owls ton:J LOT:BLOCK: APPL I CANT DATE NotIi le cKtD BY: zfu .?-,.a - z{ Zoning 0rdinance Comp I iance: Zone 6 SetbacksffiFront 4r;Subdivision 0rdinance Compl iance Side Exterior -*Setbacks from interiorr-l ines: S i de -5-- Rear CO!{}.IENTS: A No Yesr) n-() () () () () () () () I 2 3 4 5 Requi red Access Building Site (Area, Width, Frontage) 0ther (see cornments ) PLANII NG TIVN _-I_NO(--) APPL I CAT ION# BUILDING INSPECTION DIVISION 7. Plans Submitted 8. Soi I Stabi I ity (footings) 9. Flood Plain I O. Other (see connrents) Not Appl r cq!_l_e ( ( ( ( No Yes 1-l 8l() () () ()CKI D BY COHMENTS: I.'ATER POLUTION CONTROL I I . l{eets Department of Envi ronmental Qual ity Standards. 12. 0ther (see comments) Notli bl e No Yesr)rI (() ())CKID BY 7{ DATE COHHENTS: TO APPLICANT: Your Building / Site lnspecti'(. ) Can be approved" ( ) Cannot be approved at thi Questions and further inf c0u NN DIV s l0N on: s t i me as i nd i cated on i tem N0 .__-_-------above. ormation on items I through 5 contact the LANE- Questions and further information on items 7 t roug 2 contact the LANE BUILDING AND SANIT ON DIVISION ( ) lli I t be held in this ce unt you can reso vet ep ems indicat ed. ( ) ls being returned.( ) Y",' b,rrdr"sp??ffi+h ,ffi,rutfohti: 135 Sixth Avenue East Eugene Oregon 97401 iffft;rr$fl-lffi-rNG Drvrsr0N 'H,NE | 687-41a5 c55-28 --.-,,-,,e- tl IANE CC''NTY BUITDING PERMIT OR MOBIL' BUTLDTNG -- MH I IOME USE PERMIT PERMIT NO. PROPSR1Y OWNER MAITING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY IEGAL DESCRIPTION _ METES, BOUNOS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPT. NAME & MAILING ADDRESS tEGAt ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System ! New Sysrem I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBUC E SEPTTC TANK n OTHERE PLUMBING INSTATTED BY OWNER Tl OTHER: NAME BUITDING WASTE DISPOSAI PI.UMBING PI,AN REVIEW PARK TRAILER F EES WATER SUPPI-Y PU BLIC OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS FRONT FT. IROM CTR. OI ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT - WH ITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUI[DING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. A,ll construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All huildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posr THts pERMtr oN MAIN BrDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENIAT Iv{ANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironu f 655-13 t) SITE INSPECTION Appnoveo Rruanx s D r sappnoveo Drr e I nsprcron FOUNDATION I NSPECTION Ap pRov e o Reulnx s D r s appnov 9 Dar E I rusercton //; FRAMI NG I NSPECTION Appaovro Re lalnx s -rfDr sappnovEo Drr r LATH OR SHIETROCK INSPTCTION Ap pRov r o Rrurnx s Dt sappnovro Dar e I Hspecron Ap pRov r o RrttnRrs ,or, ff'-/- )S- rNspecroR CERTIFICATE OF OCCUPANCY REaov ro lssuE Reua Rx s D Nor Re rov ro lssuE D Dore-lHseecron- /76# 7€i/t rINAL INSPECTION m DrsrppRoveo D PERMTT # iqb,4-75Nott:NO PERMi WILL BE ISSUED UNTIL THIS APPLI*.IION HAS BEEN APPROVED APPLICATION FOR or Offlce e CONSTRUCTION MOBILE HOME Name Ad CONTRACTOR (--_ Name Address o.s. REG. // r"p./3 ':.on 2 7'7,2./ Tax Lot Subdivlslon Lot d ACCESS TO PROPERTY (Road Name)a/, Existing Structures on Property Property Location - Address/Dlrections PI,AN REVIEW 1/ Clty Phone Code Census Tract roperty tt Ft DISPOSAL Slt.e Inspectlon #\:lq Exlstlng Sewage Dlsposal Pub1lc Other Comurllty --T---- Spring 51s tem&or New tem Requlred ty or Pub11c Systen I'IATER SIJPPLY: Well Name of FEES: B1dg. Waste Dlsp. Plumblng Plan Review Moblle Home 12 Surcharge TOTAL i/,DO PLI]MBING: Installed by Orcner PLUMBING Other Nane # of Fixtures Sewage ConnecElon PLANS FIJRNISIIED Signature of Appllcant: Fee Recelved By: WaEer Connection FACILITY PERMIT YES Date: J> CHECK NO //, )) Mln. Septic Tank Capaci Drainfield Requl.red - Lineal Feet Maxlmum Type of Construction Group -ttre Zo ne_---use Classification Bldg Setbacks - from Center of Road Right of I'Iay: Front Slde Int. ?-Side Exterior c55- I2 I-A,NE COI.]NTY OF Rea.r -5-Zone :7J: -.b-DATE: '-/O - r-r rf* Depth- ./, L' F t I C1/Peo's q \:t - rt}-- ).t1 ea It \$\ <> -"\G, (f ! i \t' s\ t,\o \0v 1tI &r* i.Z" u ta t.) )t- L s I I I i --r'i \\1 S _i* I ."!r-:\$ q5> - '*_lNb ir{ \" -\ "{$$ h bts N.- lr \ \q \ \ \ \RNXN -*f:' '( {' I F'l-llL' \.