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Home My WebLink AboutPermit Building 1975-09-23C Y IANE COUNT} BUILDING - dUIIDING PERMIT OR MOBILE MHE HO[.- USE PERMIT PERMIT NO. PROPERIY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS IAT rl i) PHONE PROPERTY I.OCATION - INCTUDE POST OFFICE PROPERTY I.EGAT DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPI.. NAME & MAII.ING ADDRESS AMT [EGA[ ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Exisling Sewoge System New m TYPE CONSTRUCTION SQ. FT BDRMSSTRUCTURES TO BE BUILT THIS PERMIT OO}I AilO BATH VALUATION SEWAGE DISPOSAL PLUMBING INSTALTED BY PU BL IC BU ITDING WASTE DISPOSAI PI.UMBING PI-AN REVIEW PARK TRAITER TOTAT SEPTIC TANK oTHERn OWNER OTHER: NAME WATER SUPPTY PUBUC n tr OTHER $F EES r5.0( g tu COUNTY BUILDING & SANITATION SPECIFICA TIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEID REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT. ADDITI >osAl EET FROfl SEP TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIt. EASEMENT BLDG. SETBACKS FT. FROM CTR.OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT,SIDE EXT,REAR l. E. I AUTHORIZED SIGNATURE _ DATE DATE c BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD coll 687'4065 ro schedule oll required inspections. Ail construc- rMpoRrANr,l;T,i[:l j,;T'lly:U:H[:::l]x':::"ff *;,?;1.,"n;,""T1?;r;plumbing. All buildings require o certificotl of-occuponcy beforEbeing occupied. (See Detoils on Reverse Side) (POsT TH|S PERMIT ON MA|N BrDG. AT S!TE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6rh, EUGENE, OREGON 97/IOIFoRM fC55-13 \ su rlol.Nc s rTE EVALUAT r0[ BUILDING PERHIT APPLICATION NO. SITE INSPECTION Zoning 0rdinance Cornp I iance: Zone Subdivision 0rdinance Compl iance Requi red Access Building Site (Area, l.ridth, Frontage) Other (see cornnents) COI{HENTS: \/ctr ?-(03,3-ZS t /?- .n-43 s etL+r Lot-,b$- SUBD !Vl >. rJN:d () LOT: BLOCK: APPL I CANT DATE A Not I icable I 2 3 4 5 ) ) )Ifl[ cKr0 Setb6 acks rom Front Setbacks f Side Rear rorn i nter or n6s ,ta PLANN ING DIVISION ACTION PENDING: YEs( ) N0( ) APPLICATION# ILDING INSPECTION D tst Plans Submitted Soil Stabil lty (footings) Flood Plain 0ther (see corments) COHI.IENTS: Not Appl&qbLe 7 8 9 0 (l (r) [(t ir IT() () () ()CKI D 7r },ATER POLUT ION CONTROL I l. l{eets Department of Envi ronmental Qual ity Standards.12. Other (see comments) COHHENTS: Not Appl icable (\ v Nor)YesrT () ()I CK!O BY: DATE TO APPL ICANT:q Yoult Building / Site lnspection: !(7 Can be approved.( ) Cannot be approved at this time as indicated on item N0 Questlons and further in formation on items I through 6 contact t NTY PLANNING O l0N " Questions and further information on ittrough2 contact t eLA BUILDING ANO SAN t0N Dtvtst0NWill be held in this of ce unt you can reso vet probls being returned. above. q'LANE.eilil () () c55-28 Your bui ldi ems indicated. ermi t licati 135 Sixth Avenue East Eugene Oregon pHoNE. 597_4065 LANE COUNTY PLANNING DIVISION PHONE: 97401 687-4r 86 PLANNING DIVISION u ft 7 '* LANE COUNTY BUIIDING PERMIT OR MOBIIE HOMI USE PERMIT MH I PERMIT NO.BUILDING PROPERTY OWNER MAII.ING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ TNCLUDE POST OFFICE I PROPERTY TEGAI. DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAITING 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 TYPE CONSTRUCTION SQ. FT. f BDRMS VALUATION SEWAGE DISPOSAI. PUBr-rC fl SEPTTC TANK tr oTHER! PTUMBING INSTAILED BY owNER n oTHER: NAME BUILDING WASTE DISPOSAT PTUMBING PtAN REVIEW PARK TRAITER $ F EES WATER SUPPI.Y PUBUC D tr OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: cA[. DRAIN FIEI.D REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF SIRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT BTDG. SETBACKS FT FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT SIDE EXT REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD coll 687-4065 to schedule oll required inspections. Ail construc- ,M p o RTA N T, l;",', i[: X.,'.T :]ly! U ! 5l [::l : : X' :::,ff *; i;1',S;,.'"Hi?,'f;plumbing. All buildings require o cerrificore of-occuponcy u.to.ibeing occupied. (See Detoils on Reverse Side) (POST TH|S pERMtT ON MAIN BrDG. AT S!TE) TANE COUNTY, DEPT, OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6rh, EUGENE, OREGON 9740IFORM :c5s-r3 n Ap pnov E o Reuaax s D r sAPPRovEo Drr e I Nspecton SITE INSPECTION FOUNDATION INSPECTION ((_ APPRov E o REua nx s Dl sAPPRovEo / l-tf- I Hspecron -=Dare 1'\ FRAMING INSPECTION- APPRovEo /72 DtsnpPnoveo? ReulRx s oorz /2-/0 -fft NSPECTOR LATH OR SHIETROCK AppRovro I NSPECT I ON D I SAPPROVED Dar t--J I *r"r. Rrurnxs rINAL INSPECTION E Dt sapenoveo Dnr r I NspecroR AP PRov E o Reua Rx s CERTIFICATE OF OCCUPANCY REaov ro lssur D Nor Rrrov ro lssut D RruaRx s L r|'iaa 7s"Y{ Dnre I NSPEcToR D D ffi Cr IANE COUNTY BUILDING N OUILDING MHT PERMIT OR MOBILE HOA USE PERMIT PERMIT NO. Ph'PERTY OWNER MAII.ING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NA/'AE & MAII.ING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System ! New m STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAT PUBUC ! SEPTTC TANK n OTHERN PTUMBING INSTAIIED BY OWNER - OTHER: NA}IE BUITDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAIIER F EES WATER SUPPTY PUBUC fl D OTHER TOTAL COUNTY BUITDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIEI.D REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTI[. EASEMENT BI.DG. 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 OIFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Coll 687-1065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords !i/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 IHIS PERMTT ON MAIN BrDG. AT s!TE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6rh, EUGENE, OREGON 9740Iroav = 655- 13 -r SLAB FLOOR PLUMEING GROUND/ORK Ap eRov E o Reua nx s D Drsappnoveo D Dare I Hsprcron GAS PIPING GROUND,VORK Ap pnov r o ReuaRx s Dar e I NspecroR ROUGH PLUMBING AppRovro N ReuaRxs Drsappnovro D 1Dare lnsPe ROUGH GAS PIPING AP PROV E D ReManr s Dr sAPPRovEo Drr r I rus pe cron FINAL PLUMBING APpRovEo ffi Rrur nx s D r sappnovro Dar/-2o-I ruspEcroR FINAL GAS PIPING AP PROV E D Reulnx s DrsappRoveo Drre I NsPEcroR CERTIFICATT OF OCCUPANCY Reaov ro lssuE RrulRx s D Nor Re rov ro lssue D Dore-lnsee cron- -l DrsaPPRovE, D NOTE NO PERMIT I^IlLi J ISSUED UNTIL TIIIS APPLIC,ATIO] PERMTT o}gBB-\E .S BEEN APPROVED MOBILE TIOME APPLICATION FOR: PLAN REVIEW \u \_\e \-\- Name CONTRACTOR Name o.s. REG. /l ftop Sec E io Subdlvis ACCESS TO PROPERTY (Road Name) Existing Structures on Property Property Location - Address/Directions ess Address Tax Clty zip * Lot Tract id 5J*e. - .\ Sq. Ft lce Use SEWAGE DISPOSAL: Site Inspec tlon /l c,-><.q WATER SUPPLY: Well B1dg. I,Iaste Dlsp. Plunblng Plan Revlew Moblle Home 12 Surcharge TOTAL Exlstlng Sewage Disposal System Pub11c ity or New System Required Name of Comunlty or Public System \o .€) Other PLIJMBING: Installed by Or^rner \E 8bB-orFixrures \;sE-cHECq - er PLANS Sewage Connectlon Water Connection FACILITY PERMIT Date YES Signature of Fee Recelved By: Drain Required -.Linea1 FeeE <-L 4 d/, (' jn NONO Maxlnun l/ ?zu. -a rqL fr. Type of Construcfion .re Zone Us LANE COI]NTY DEPART},IENT OF ENVIRONMENTAL e Classificatlon '- /ty. Bldg Setbacks -- frorn Ceater ,..^, /l/* side rnt of Road Right of !Jay:! :Rear cs5- r2 DATE:DATE:DATE ( r-r Min. Sepcic Tank Capacity_ Ar\ 6o i