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Home My WebLink AboutPermit Building 1974-01-11LANE COUNTY BUITDING PERMIT OR MOBttE HOMF UsE APPLTCATTON PERMIT TYPE _ BUILDINC MOBILE HOME OSC REG. #PERMTT # J/- '/ OWNER PROPERTY TEGAT tOT-BTOCK_SUBDIV TWP MAITING ADDRESS MAII-ING ADDRESS2/PHONE METES & BOUNDS ATTACHED PTION RANGE SECo3')azx- tu 4.3 E YES trNo T.roT CODE CENSUS IRACT 2/ - a.-o=o/? TION -DE POST OFFICE APPTICANT NAAAE AND MAII.ING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY TEGAT ESS TO PRqP ERTY ROAD NAME OR stzE-wt DEPTH 6 AREA Connecl to Exisling Sewoge System tr or New System Req. E STRUCTURES IO BE BUII.T THIS PERMIT TYPE CONSTRUCTION SQ. FT. ING INSTATTED BY OWNERE OTHERNNAME VATUATION 72a PUBuc tr sEPnc rANK K orHER n;--62@ FEES WATER SUPPTY PLANS FURNISHED FACITITY PERMITBtDG. WASTE DIS. PtUrvlBlNG PI.AN REVIEW PARK TRI.R. J2..{O PUBTIC PIUM PUBTIC WATER CONNECTION FEE OTHER NECTION FEE oo &)YES NO BY F EET Cet4 REAR YARD USE CTASSIFICATION )4 /oc {,o YES NO DATP TEcAsH n CHECK PERMTT # / / b.{a 5oTOTAT MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL.o COUNTY BUITDING & SANITATION SPECIFICATIONS DRAIN FIETD REQUIRED TIN. FT.2 {O TREN.H *,rr, ,r. {o 21 /L ()I + 'e occu 'Jnr/ ?? i- L-/oJ;. d //u d TYPE OF STRUCTURE 5 ZONE PUBTIC UTII.. EASEMENT BIDG, SETBACKS _ FT. TROM CTR. OF ROAD RIGHT OT OF FIXTU Form t css-12 SIDE EXT,REAR /- / t-u SIDE INT reclions ro Find Property: Dole PLANNING Dote BIDG.Dqie COPY I _ OFFICE COPY 2 -JOURNATCOPY 3 _ AUDIT , I.ANE COUN BUTLDTNG ! BUIIDING PERMIT OR MOBITE HL -i USE PERMIT MH E PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY TEGAI. DESCRIPTION _METES, BOUNDS . y.3 n rtao RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPL. NAME & MAII.ING ADDRESS I.EGAI. 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 I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBTIC D SEPTIC IANK N oTHERn PLUMBING INSTALTED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAITER (F EES WATER SUPPTY PUBTIC tr OTHER 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 UTIT. EASEMENT BIDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD Construction to comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificole of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THrs PERMTT ON MA|N BrDG. AT SrTE) I.ANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE. EUGENE, OREGON 9740I ronv # C55-13 TOTAT $----- =-j-- COUNTY BUILDING & SANITATION SPECIFICATIONS ffbr -r/ W Bui tdins permit Appt icat ion no.S 1 - U ( ) Site tnspection ( ) Pre-Permit lnvest igat ion T R s .2 -'-TAx Lor 4 c NA}1 s_llg RACT 4 N A PHONE DATE LANE COUNTY PLANNING DEPART}.IENT NOT NO YES ,f LY, (Lr () NAI'IE DrtTE aool icable Zon ing Ord inance Comp I i ance *flf_- (Zone ,4zr ) Subd iv is ion Ord inance Gir-Fffi'ce ( ) Requ i red Access ( ) ( ( 2 ') 4 5 8uilding Site (Area, t/idth, Frontage, Setback) 0ther (see comments) , t- -:t'.)-,'t_ () ( ) ()() ( COMHENTS: BU I LD ING INSPECT ION SECT ION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in NOT NO E[t icable --YES k\ () NAHE DATE (-I 0d N () () () () 9. 0ther (see Conrnen s) CO},IHENTS: )(ff*t SAN ITAT ION SECT ION 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Comments) NOT NO Eiflicable - YES E DATE rT-( )t'-tl- lll ,n m J ( (( COMMENTS TO APPL I CANT: ,r You r () Building Permit / Site lnspect-ion; can be app roved. I -L\ b(Cannot be app roved at th i's t inte as Questions and further infornration indicated on iten, N0. - above. on iten,s I t hrough 5 conTa6t the t-an"- COU|tTt-PLA++NlilG DEPARTHENT. Quest ions .rnd Frrrther infornrat ion on itenrs 6 throuqh l3 contact the Lane CounLy-..Qj i ld ilg-qi{Sanitation Division Wilt be held in this off icc until you can r€!,olve tlre probl en)s ind icated.-ffi.ls being returned. @ Your buildinq pernr it appli, at ion fee is being returned under seParate crrr'€r. LANF COIIN'I Y I'I i\NN ING DEPARTHENT I 1t 5 izx tlr Av(:rrue f as t , Eugene, 0r cg()n 97q0 I t'troNE 3{2 lllI t')(I. 2?l IANI COUN]Y I}t,ILDING T SI\NITATION DIVISION 135 Six[h Av€rruc East, Ettqettr', 0reqon 97401 PrloNt | 142- tlla txT. 4t I -Ii5 s:28 B u I Lp ING s l-LL -E!ALUAI-qI ( I l-fd:j IANE COU]. BUTLDTNG E BUILDING PERMIT OR MOBILE HU.AE USE PERMIT MH I PERMTT NO.- PROPERTY OWNER MAII.ING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAL DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS LEGAI. ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System ! New Syslem f] SEWAGE DISPOSAL PUBLIC tr SEPTIC TANK tr PLUMBING INSTALTED BY OWNER ! OTHER: NAMEOTHERE (F EES WATER SUPPTY PUBUC !N OTHER BUITDING WASTE DISPOSAT PI.UMBING PI,AN REVIEW PARK TRAILER TOTAL 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 PUBTIC UTIt. EASEMENT BI-DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT, USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION - GOIDENROD Construction to comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THIS PERMIT ON MAIN BIDG. AT SITE) TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu i 655- 13 $ il -a' SLAB FLOOR PLUMB I NG GROUND,/ORK Appnov e o Reurnx s Dr slppnovro Dart 7 -f-/-t I rusercr GAS PIPING GROUND/ORK AP PRov E o Reuanx s DrsappRovro D Dar r I ruspecron ROUGH PLUMBING AppRoveo F Dtsrppnoveo D Re lta ax s oat, 7 -/2-7 4 I nspecron ffi, ROUGH GAS APPRoVED Rruanx s PIPING Dr sappnoveo Dar r I Hs pr cton F I NAL PLUMB I NG Appnoveo Reuanx s Drsappnoveo,w o^,u/-2L lNsp FINAL GAS PIPING AppRoveD D DrsaPpRovEo D Rruanx s Date Ir.rspEcron CERTIFICATE OF OCCUPANCY Reaov ro lssue D Nor Reaov ro lssue D Reurcxs Drre | rusprcroR D I I.ANE COUN BUTLDTNG I BUITDNG PERMIT OR MOBITE HO MH[] ..E USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING ADDRESS IEGAI. 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 SQ. FT. # BDRMS VALUATION \\\\ \ SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK D OTHERD PI.UMBING INSTALTED BY OWNER E OTHER: NAJIiE BU ITDING WASTE DISPOSAL PI.UMBING PLAN REVIEW PARK TRAITER FEES WATER SUPPI.Y PUBL IC OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACIIY WITH DIST. BOX: GAL. DRAIN FIEI.D REQUIRED LIN. FT TRENCH WIDTH FT OR SQ. FT \ (.r\ TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BTDG. SETBACKS FRONT FT, FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BI,DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUII,DING _ GREEN SANITATION _ GOTDENROD Construction to comply with uniform buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. (See Stotement on Reverse Side) (posT TH|S pERMrr ON MAIN BIDG. AT SITE) I.ANE COUNTY, BTDG. & SAN, DIV., COURT HOUSE, EUGENE, OREGON 9740I code ond county regulotions buildings require o certificole s I roav t 655- 13 SITE INSPECTION Appnovro Rruanxs Drsappnovro Dr rE I ruspecron FOUNDATION INSPECTION Appnov e o Rrunnx s Dar "30APPROV E O lrusp .fa-e /-ba, FRAMING INSPECTION APPRov E o Reuanx s DrslppRovED Darr I NSPEcToR i-"7 -1+/ LATH OR SHEETROCK Ap pRov r o Rrua nx s I NSPECT I ON Dr sappRoveo Dar e I ruseecton FINAL INSPTCTION AP PRov E o Reua nx s Darr I rusprcron €./, ,( CERTIFICATE OF OCCUPANCY Rraov ro lssue ReuaRx s D Nor Rrrov ro lssue D Dare 7 l'74 -/7/r I Nspecton \ / ru DrsappRoveo D &d