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Home My WebLink AboutPermit Building 1974-03-08LANE COU Y BUILDING PERMIT OR MOBILE hvME USE APPIICATION PERMIT TYPE - BUILDING . PROPERTY OWNER CONTRACTO PROPERTY LOCATION - INCTUDE POST tcE PROPERTY TEGAI DESCRIPTION TOT_BLOCK_SUBDIV. RANGE MOBTLE HOME IOSC REG.# ING ADDRESS MAITING ADDRESS PERMIT CENSUS TRACT .72-208 z2- YES NO P1 z- E t- . .- METES & BOUNDS/ol / arracHro TAX CODEta03 )L]:)Ttoo t?-o > /L* bo*T' E t*)o*J bE56nrai rxiiinc aTRUcruReFo_N pfoprnry rF ANyDu.IL.'-- r-\ 1 APPLICANT NAME AND MAITING ADDRESS r 6?7 'E*^rac (-sl- rEGAr ACcEF15 pnopLniv-Elo Nmlr on # froqarnar/< *fr-\ P Ro,' E RTi6 | z E-w I Dr'rH-DEPTH AREApyprcile 0n. ?/+0/ Number of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge System f or New System TYPE CONSTRUCTION SQ. FT BEDROOMS VATUATION& see P"f (h,-)( SEWAGE DISPOSAL PUBTIC SEPTIC TANK oTHER n FEES WATER SUPPI.Y PUBr.rC n OTHER PTUMBING FEES - FIXTURES CASH E s NNECTION FEE PUBIIC WATER CONNECTION FEE COUNTY BUILDING & SANITA DRAIN FIETD REQUIRED TIN. FT. TRENCH d^ OCCUPANCY PTUMBING INSTALIED BY OWNER OTHER PTANS FURNISHED YES NO NATU PERMIT CATIONS FACItITY PEitMlT YES E NO PUBTIC UTII. EASEMENT TOTAI" MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. TYPE OF STRUCTURE BLDG. WASTE DIS. PTUMBING PIAN REVIEW PARK TR[R. TE CHECK 11. - OR SQUARE FEET REAR YARD C ZONE $-ur RA NSP BTDG. SfTI 'f1r/l/4/.*fRONT S-,FROM CTR. OF ROAD RIGHT srDE rNT. -5 Dqte REAR qS SAN ITARI -t USE CIASSIFICATION Form # css-t2 EXT. O Dqle BLDG. INSP.7-Dole Directions to ind Property: COPY I COPY 2 COPY 3 _ OFFICE_ JOURNAI- - AUDIT I ( /t.li LAii[ c.r,lli'lTY Dl.iiLir l:]i.;,i ::, ::iiATIoii Divlsl0N 13, i,'',ET 6Ti'l i,"'IiltJI EUGEiIE , 0R:ccti 97qo l YCUR BJ I LD I NO I'rcB ILE llcl4E t-pERl/rlr ls BElt'lc IIELD FoR TllE RE/is0ils STr)TED ON TItE 13UII.DING S E EVALUATl0u silF[T. WE WILL l-10t.0 Tl"lls APPLICATI(']il UNTIL - /-7 I F, A.T THAT T IME , YOU HAVE NOT I. UilN ISHET) TrlE REQU IRED INFORI',lAT l0N, AS 5l'l0l'/N 0N THE ATTACIIM ENT , Y0t'R APPL ICAT l0N \'/ ILL BE CANCEI.I.ED AND ONE.IJALF THE FEE REFI.INDED TO YOU. 0ltt^I' t-', U 0 IANE CO JTY BU|IDING PERMIT OR MOBILE BUILDING E MH I ..OME USE PERMIT PERMIT NO. PROI-ERTY OW'NER MAII.ING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS il RANG E SECTION TAX LOT NO CODE CENSUS TRACT )? EXISTING STRUCTURES ON PAPPI.. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY Fr to PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBITE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT # BDRMS vALUATtoN \CH --Uu F SEWAGE DISPOSAT PUBIIC tr SEPTIC TANK N OTHERE PI.UMBING INSTAILED BY OWNER n OTHER: NAME q F EES WATER SUPPTY PUBUC D tr OTHER BUITDING WASTE DISPOSAT PI,UMBING PTAN REVIEW PARK TRAITER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: cA[. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT. OT TYPE OF STRUCTURE OCCUPANCY ZONE PUBIIC UTII.. EASEMENT BrqG. SETBACKS . Fr. FROM CTR. OF.ROAD RTGHT OF WAy FRONT SIDE INT, SIDE EXT. USE CLASSIFICATION REAR DATE h BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUIIDING - GREEN SANITATION _ GOTDENROD 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 regulorions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMTT ON MAIN BrDG. AT S!TE) IANE COUNTY, DEPT. OT ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I'c5s-13 1 AUTHORIZED SIGNATURE _ DATE BU I LD ING S ITE EVALUAT ION Bt fffi 3e r_z/ c t+ R s a7,l?rAX LOT €n o 7o.k r_D IENSUS orr,l B-5 L-/ T (X -Buildinq Permit Appl ication No. ( ) Site lnspection ( ) Pre-Permit lnvest igat ion NAI'1E ADDR PHONE DATE L/iNt C0UNTY PLANNING DEPARTT'IENT NOT NO YES NA.IIE DATE appl icable l. Zoning 0rdinance Compl iance (zone )2. Subdivision Ordinance Compl an ce 3. Requ i red Access 4. BuiIding Site (erea, t/idth, Frontage, Setback) 5. 0ther (see comments) c0lr}4 ENTS -rI-( ) )t ) )(( )(() () ) 2- BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Conments) NOT NO YES Ei'i't icab te -(l ()t (X () I'lAi4 E DATE () (\) () () () () 7{.)(dr CO}4HENTS SANITATION SECTION 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Conrnents) NOT NO Eil! ,'eb!" -YES NA},l8 !,rb / DATE rf-()( () () ( () () ( () () ( ) ) COI'1H ENTS TO APPL I CANT q->g<You r -^d{F$- Building Permit / Site tnspection Can be approved. Cannot be app roved at t h i s t. ime a Quest ions and further infornrat ion s indicated on iten, N0.7 aboveon itenrs I through !contact the Lane- COUNTY PLANN ING DEPARTMENT QuesL ions .rnd fr-rrtl-rer infornat ion on iffi 5tlrrough3contact the Lane CourrLy Buildin onci Sanitation Division.q44'4r fl I./ill be held in this orTlZ"-iiilr-i I you can re:,o I ve t he p rob lems ind i catr:d. I s be i ng retu rned.( ) Your buildinq pernr it appl icat ion fee is being returned under separate cur'€r. L,1N1: C0tlN'l Y 1,[ /\NN ING DEt,ARTI,tENT I l5 5 i,xtlr Avcnfie Iast, Eugerre, 0r egon g7t{01 t'tloNE 3lll"l1il Ext. 23t IANI C0IJNTY tit,tLl)tNG 6 S/\NlTATt0N DlVtSt0N 135 S ixth Avqrrurr East, Errrlen,', 0r eqon 9740 I Pl{0Nt'" 3tr2-lllt tXT. 4ll -I{t5:zt // 'II r//+b! IANE CL -.IITY BUITDING PERMIT OR BUTLDTNG [] MH E MOBILE I{OME USE PERMIT . PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR ILING ADDRESS PHONE PROPERTY IOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAL DESCRIPTION -METES, BOUNDS a RANG E SECTI ON TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY IAPPL. NAME & MAITING ADDRESS LEGAI. ACCESS TO PROPERTY I PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New Syslem ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ, FT. # BDRMS VALUATION h N SEWAGE DISPOSAT PUBLIC tr SEPTIC TANK tr OTHERD PTUMBING INSTATTED BY OWNER E OTHER: NAlr{E BUITDING WASTE DISPOSAI. PLUMBING PLAN REVIEW PARK TRAII.ER F EES WATER SUPPTY PUBLTC tr tr OTHER TOTAT $-- COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT.OR SO. FT TYPE OF SIRUCTURE OCCUPANCY ZONE PUBt.IC UTIT. EASEMENT BIDG. SETBACKS FT, FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform duilding Code, D.E.Q' stondords IMPORTANT: for subsurfoce'sLwoge disposol ond county regulotions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 97,IOI roau lf 655-13 s\ I I tu SITE INSPECTION AppRov E o Reuanx s D r sappRoveo Dare I rus ercron FOUNDATION I NSPECTION AppRovto Rr uanx s M" Drseppnove o V {'1. {- /q rNspEcronDar e FRAM I NG APPRovED RE ulnx s I NSPECT I ON Drslppnoveo oorrT'Z'L'7U I Nseec LATH OR SHEETROCK INSPECTION Ap pnov r o RrulRx s D Drsnpp*oveo Fa Dar r I rspecton FINAL INSPECTION ApPRoveo Reuanx s D Dnr e I Nspecroe K.-L\ - 7 CERTIFICATE OF OCCUPANCY Rsaov ro lssuE ReulRx s Nor Rreov ro lssue J 2t-zq trz 7 DarE I Hspeclon ! d APPRoVED D