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Home My WebLink AboutPermit Building 1975-11-17I Owner LANE COUNTY PERMIT FOR PERNlIT NO CONSTRUCTION [ ] MOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NA N/IE ADD R ESS CITY ZIP CODE PHONE D Contractor o NAIVIE O.S. Reg. +t Tw Subd ivision Lot Access to Property (Road Name) Range- Section ,{,tlTax Lot==- Code ADD ESS CITY ZIP CODE Census Tract PHO NE B lock Acreage Width Depth Existing structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUTVIBI NG INSTALLED BY: OWNERI ] OTHER[ ] NAM tr BUILDING PLUIVIB ING 3% SURCHARGE IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t EXISTING t PUB LIC COMIVIUNITY . NAIVIE PR IVATE WELL OTHER-SPECIFY CONSTRUCTlON PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.IVIIN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPT I NCH ES STAY 1OO' FBOIVI ALL WELLS TYPE OF CONSTRUCTION GROUP- FIRE ZONE USE CLASSIF SETBACKS- FT. FROIVI CTR, OF rAV FRONT SID E EXT FT. FROIVI PROP. LINE SIDE INT R EAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG, PEBI/IT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT Call 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards for subsurface 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 i,4ANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 t\'r.: GAr/c4 , l-) suBDlvls tu arr b3 FBUILOING SITE EVALUAT tON -- PLANNING DIVISION l. Zoning 0rdinance Cornpl iance: Zone 2. Subdirision Ordinance Compl iance COI{I{ENTS: 'ButL;lNc pERr{rr AppLrcArtoN no.- 3?5t- 7J- S!TE IN$PECTION r .d: L ()APPL ! CANT DATE A Not I icable No Yes W . /o r/ty,Zsar)rI() () () () () () () () 6 CKID BY: Setbacks T?qn €lToi 3. Requi red Access ( 4. Building Site (Area, Width, Frontage) ( 5. Other (see cornments ) ( Front sid Setbacks S ide Rear PLANNTNG DIVISI BUILDING INSPECTION DIVISION Not I i cabl e No Yes 7 . Pl ans Submi tted8. Soi I Stabi I lty (footings) 9, Flood Plain I O. 0ther (see corments) CO}.IHENTS: m() () ()cx,o sv,lh&ay'l-ty-r{( r)() () () I,,ATER POLUTION C0NTR0L Not Appl i cably' no Yes I I . l{eets Department of Env i ronmenta I -----V-r) TT Qual i ty Standards. 12 . Other (see cornments ) COHT,IENTS: () ()() cK'oBYt?"*nrlfftit'ts TO APPLICANT: Your Building / Site lnspection: f ft c"n be aPProved. - 1L^,-( )\Cannot be approved at this time as indicated on item N0" above. .\Y|.'/Questionsandfurtherinformationonitemslthrough5c6iE,5@.\Y ' ^ 1 LOUNTYIIANNING DJl/lSJg. Questions and further information on iteilf7 x)NEcoUNTYBUtLDlNGANDsANlTATtoNDlvls!oN.\}\ ( ) will be held in this or ated.( ) ls being returned.( ) Y"r. bri'dl"roffi -ffiiffifui 135 Sixth Avenue East Eugene Oregon 97401 PHONE z 687-4065 LANE C0UNTY PI-ANNING DlVlsl0N PH0NE: 587-4186 c55-28 X ior I ines: n Owner LANE COUNTY PERMIT FOR:PERIVIIT NO CONSTRUCTION [ ] IV1OBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAN/ E ADD R ESS CITY ZIP CODE PHONE tr Contractor NATVIE ADD RESS O.S. Reg. + Twp- Range- Section-Tax Lo CITY ZIP CODE Census Tract PHONE t Code Subd ivision Lot Access to Property (Road Name) B lock Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOI\4S)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUI\4BING INSTALLED BY: OWNER[] OTHER[] NAIVI E PLU IVIB ING BUILDING 3% SURCHARGE MOBILE HOTVIE- WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t 1 EXISTING t ] PUB LIC COIVII\,lUNITY NAIVIE PRIVATE WELL OTHER-SPECIFY CONSTRUCTION PERMlTS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.MIN. DRAINFIELD-LIN. FT IVIAX, TRENCH DEPTH I NCH ES STAY 1OO' FROTVI ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZONE USE CLASSIF SETBACKS FT. FRO[V CTR. OF r,AlV FRONT SIDE EXT. FT. FROIVI PROP. LINE SIDE INT R EAR ZONE AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENBOO IMPORTANT Call 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all required septic system inspections. Allconstruction shall comply with the State Buidling Code, D.E.Q. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Oetails on Reverse Side) POST TH!S PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 SITE INSPECTION Ap pRov r o Rruanxs Dr sAPPRovEo Drr E I rusercron FOUNDATION I NSPECTION APPRovEo REU anx s Dr sappnoveD Dar r ?I NsPEq (, rdn c< o FRAM I NG APPRovEo RrltaRx s I NSPECT I ON Drsr PPROVEO Dar PE CTOR LATH OR SHEETROCK Ap pnov r o Rruanx s I NSPECT I ON Dt sappRoveo I Hspecton FINAL INSPECTION ApeRovro Reuaaxs Dr sAPPRovEo Darr,'/-?-7t- /'- (u' /t ,l lr.rsee cron-., /.- - )'i CERTIFICATE OF OCCUPANCY Reaov ro lssuE RrulRr s D Nor Re aov ro lssur D DorE-lNSpEcroR- 9 0,rff.-,r? :2 D b // Iclt e:ru D DATE- D tr Owner LANE COUNTY PERMIT FOR:PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVIE ADD R ESS CITY ZIP CODE PHONE n Contractor O.S. Reg. + Tw Range- Sectio C ITY Acreage _- ZIP CODE Census Tract NAME ADD R ESS PHONE 161 Le1 iflI, Code B lockSubd ivision Lot 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[ ] NAM tr WATER SUPPLY: PROPOSED [ ] EXISTING t ] PUB LIC COI\4MUNITY-NAME WASTE DISPOSAL PLAN REVIEW TOTA L PRIVATE WELL OTHER.SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIN. SEPTIC TANK CAPACITY GA LS MIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCH ES STAY 1OO' FRON4 ALL WELLS TYPE OF CONSTRUCTION- GROUP FIR E ZONE- USE CLASSIF SETBACKS FT. FROIVI CTR. OF r/W FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT R EAR ZONE AUTHOR IZED SIGNATURES lsl ISSUANCE DATE BLDG. PEHMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUIMBING - CANARY BUILDING - GREEN SANITATION - GOLDENBOD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.O. standardsfor subsurrace sewage disposal and the State Plumbing Code. All buildings reguire a certificate of occupancy before being occupied, (See Details on Beverse Side) POST THIS PERM!T ON MAIN BLDG. AT SITE LANE COUNTY. DEPT. OF ENVIRONt\4ENTAL tulANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401c55-13 BUILDING PLUIVIB ING 3% SURCHARGE_ IVIOB ILE HOIVIE SLAB FLOOR PLUMB ING GROUNB^/ORK D r sappnoveo Darr l nsercronAp enov e o Reunnxs GAS PIPING GROUNDdORK AP PRov E D REuanx s D r sappRovro Dar r IttspEcron ROUGH PLUMBING APPRovED /V7 ReuaRxs D oor1fu-7fDrslppnovEo I NsprctoR ROUGH GAS PIPING AP PRoV E D ReManr s C/ Dt srppRove o D Drr e I uspecron FINAL PLUMBING M Dr slppnoveo D oorr/ -/o-71,I rspecroAPP ROv E D Rrurnx s FINAL GAS PIPING AP PROV E D RruaRx s DrsappRovro Dare I ruspecron CERTIFICATE OF OCCUPANCY Reaov ro lssur D Nor Rraov ro lssue D Dare I NsPEcroR D NOTE: NO PERMIT WI' 3E ISSTED ITNTIL TIIIS APPLICATIT IAS BEEN APPR0VED APPLICATION FOR: FL punurt /f 3 -,/\> *{ffiCTIAi'{GB OF OCCUPA}ICY Clty zip CONSTRUCTION MOBILE HOME PLAN REVIEW OWNER 7 Address PhoneXCONTRACTOR o.s. REG. ll &OooU 72h rwp. 17 pung"_O3-section-2 Z rax vLot Subd ivis ion ACCESS T0 PROPERTY (Road Name) _1 Flo"k__Z-___]roperry Acreage WtdthToOL OepthJSlL ips Code Census Tract Exlsting Structures on Property Property Location - Address/Directlons3 r fM-f@Gry Sq. Ft.,fag /6/o fr,tzo oo7 SEWAGE DISPOSAL:ai;;-i";;;"; ti t34g-,tf Existing Sewage Disposal System F|- .or New Systern Requlred f-l Pub11c of Comunity or Publtc Sysfem WATER SUPPLY Well RASpring Othe. courunity qffil- FEES: Bldg. Waste Dlsp. Pluroblng Plan Revlew Moblle Hone 3Z surcharge 47.o0 3 ,oo --.;F- Installed by Owner PLTN4BING FEES: Other TOTAL ir]-*{3 @r,cx Min. Sepcic Capaci Type of truction PLANS FURNISHED Signature of Fee Received .red - Llneal Feet Fire Zone CASH // of Flxtures Sewage Connectlon Water ConnecElon FACILITY PERMIT YES Date NO NO a- Maximum // Use Classificat LANE COT'NTY DEPART!,TENT OF DATE: Zone 10n -l Bldg Setback.,-, y Front L/ 5 i Center of Road Right of Way! Slde Int t Rear E)r* I o VaJ,1)'/ DA'E SANITATION:DATE: o c55- 12 .?a S..,, o--J S"f /J. ^ Name