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HomeMy WebLinkAboutPermit Building 1976-05-19PERI\4IT NO C6{STNUCTION t ] IVIOBILE HOIVIE [ ] PLAN REVIEW t ] CHANGE OF OCCUPANCY t ] Itn Owner NA ADD R ESS CIT DE PHONE n Contractor NAN/ E O.S. Reg. + Twp- Range-- Section Subdivision Lot Tax Lot- Code B lock Acreage ADD R ESS CITY ZIP Width Depth PHONEE Census Tract Access to Property (Road Name) Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOTVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUN/]BING INSTALLED BY: owNER[] OTHER[] NAM E BUILDING PLU I\18ING 3% SURCHARGE IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I ] EXISTING t] PUB LIC COIVIIVIUN ITY - NATVIE PR IVATE WE LL OTHER SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN SEPTIC TANK CAPACITY GALS.IVIIN. DRAINFIELD-LIN. FT IVIAX. TRENCH DEPT I NCH ES STAY 1OO' FROIVI ALL W ELLS TYPE OF CONSTRUCTION G ROUP FIRE ZON E USE CLASSIF SETBACKS FT. FROIVI CTR. OF rAV FRONT SIDE EXT FT. FROIV] PROP. LINE SIDE INT REAR - ZONE- AUTHORIZED SIGNATURES /sl ISSUANCE DATE BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUN4BING - CANAFY BUILDING - GREEN SANITATION - GOLDENBOD IMPORTANT POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIBONL4ENTAL l,/ANAGEI,/4ENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 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 foi sub6urface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) c5s -l 3 LANE COUNTY PERMIT FOR: BUILOIN SITE EVALUATION ]S'" | # l*,#;, Xrura&anx,or;56,ay{B{ILDrNG pERr,ilT AppL lcATloN No" ,?'" " ' ',-LOT: BLOCK: ( ) s rrE .r NSPECT t oN PLANNING DIVISION APPL I CANT DATE Not le No YesTIW 6.()(!4ll8() () ) ) ) CKID Setbacks omc Front Side Exterior Setbacks from inter Side Rear -4 {-/B-76 I 2 3 4 5 Zoning 0rdinance Comp I iance: Zone Subdivision Ordinance Compl iance lERequi red Access Building Site (Area, Width, Frontage 0ther (see cornments) )nes:or<_a_w COHMENTS: Fm[N-IN6-D| v ts tm-IefmN-PEl{D mG a Y BUILDING INSPECTION DIVISION 7. Plans Submitted 8. Soi I Stabi I I ty (foot i ngs) 9. Flood Plain O. 0ther (see conrnents) rT APPL r CAT r Not Aool i cabl e ir IT() () () () ) ) )CKI D BY: COHIENTS: WATER POLUTION CONTROL NOt I | . l{eets Department of Envi ronmental Qual ity Standards. 12. 0ther (see cornments) Aool icable-"-TV-r) TfNo Yes (./CK'0 BY , M f/, r/z DATE CO}IMENTS: () () TO APPLICANT: ,# Your,}d() Building / Site lnsPection: Can be approved" Cannot be aPProved at this t ime as indicated on item N0 Questions and further informa tion on items I through 6 contact the LANE- c0 PLAN 0lvlsl0N Qu estions and further information on items 7 t rou 2 contact the LANE BUILDING AND SAN ON DI 0N.T. abov {r Will be held in this of ls being returned. ce unt you can reso vet c55-28 Your buildin ems s i cated. rmit I ica ion fee is bein AL E 135 Sixth Avenue East Eugene 0regon 'H,NE. 597-4065 LANE COUNTY PLANNING DIVISION PHONE: 97401 687-4t 86 I i n Owner PERIVIIT NO CO;\STRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NA I\{ E ADD RESS CITY ZIP CODE PHONE D Contractor NAME ADD B ESS O.S. Reg. + Twp- Range- Section-Tax Lot-_-- Code Subd ivision B lock CITY Acreage ZIP CODE Census Tract PHON E 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 [ ] PLUMBING INSTALLED BY: OWNERT] OTHER[] NAIVI E BUILD ING PLUTVIB ING 3% SURCHARGE IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COIVIIVIUNITY . NAIVIE PRIVATE WELL OTHER.SPECIFY CONSTRUCTION PERMITS & lNSPECTIONS A ND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY GALS MIN. DRAINFIELD-LIN. FT IVIAX. TRENCH DEPTH I NCH ES STAY 1OO' FROTVI ALL WELLS TYPE OF CONSTRUCTION GROUP F IR E ZONE USE CLASSIF SETBACKS - FT. FROM CTR. OF rAN FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT R EAR ZONE ISSUANCE DATEAUTHORIZED SIGNATURES lsl BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION _ GOLDETBOD IMPOBTANT POST THIS PERMIT O N MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIBONMENTAL MANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 call 687-4065 to schedule all required construction inspections. call 687-4061 to schedule all required ."piii-.v.i", in.pl"ii*". Att Co-nstruction shall comply with the State Buidling Code, D E.Q. standards ioisuo6urtace sdwage Oisposai ano tre Strt" PtumOing Code. All buildings require a certificate of mcupancy bef ore bei-ng occupied. (See Details on Reverse Side) LANE COUNTY PERMIT FOR: D DrsAPPRovEo D Dare I Hseecron SITE INSPECTION Ap pRov r o RruaRx s FOUNDATION I NSPECTION Appnovro Reur nx s D DrsAPPRovEo F7 DArE FRAMI NG A ppRov e o Reuanx s I NSPECT I O Dr snppnoveo I Nsprcton \ o^r, 7-?'7O I NSPEc LATH OR SHEETROCK INSPECTION Ap pRov E o Reulnx s ffi Dr sappnoveo Dar e I rseEcton FINAL INSPECTION AP PRov E o Ret'tanx s I SAPPROVEO DarE I NSPEcToR CERTIFICATE OT OCCUPANCY Rraov ro I ssue RruaRx s D Nor Reeov ro lssue D to)n te07 Dnre I NS PE croR D p \y*!__tt?€SV/ NOTE: NO PERMIT WI, 3E ISST]ED TTNTIL THIS APPLICATIO" HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION R.'J Name clr Aen l6o7 S Address co /€ ,q/€ €u, City Phone 6 $aCONTRACTOR Name o.s. REc. // Twp.Section subdivtsion 9 n{N0', 7: c"tl ACCESS TO PROPERIY (Road Nane) Existing Structures on ProPertY Property Location - Address/DirectLons:. Le Below I SEI,IAGE Site Inspec tlon /l WATER SUPPLY: Well Sprlng Other ess Lot City ZLP Phone A2:4-h, Lot :a Block I le t/€_ '/ Ft Existing PLUI,IBING: lnstalled by Owner PLII,IBING FEES: ll ot =rT Name of communi /doff,- ty or Publrc syste' efu" tem FEES: Bldg. Pluobing 3Z Surcharge Waste Dlsp. Plan Review Mob11e Home 36rc n7- o Name Sewage Connection FURNISHED Water Connection FACILITY PERM]T YES TOTAL Min. Septlc Tank CaPaci CASH CHECK Drainfleld Required - Llneal Peet YES ture of Applicant: Recelved ayi-f.'L-tC rzt- Date Maxlmum f a> -a2 Fire Zone Use ClasslficationTypeof Construction Bldg Front Setbacks - from Cent *.:g-"* 'rll] u*..'r.,-/Z//f :X"^r/ \ S- t3=16 I.ANE COT,NTY DEPARIMENT oF EI\TIRoNMENTAL Zote RA DATE:DATE:r.t7 cs5- l2 Census t /,- i,E tz, -f(z