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Home My WebLink AboutPermit Building 1975-10-24H'''TE USE PERMIT PERMIT NO. - LANE COUNIY BUITDING PERMIT OR MOBITE BUTLDTNG Ii MHE 'De PRO PERTY OWNER l. MAILING ADDRESS Lil,.,-EuosNr Oneeon PHONE CONTRACTOR E J. CoNsrRucr toHt MAILING ADDRESS _ .i.., ;- .'-i. PHONE PROPERTY LOCATION - INCTUDE POST OFFICE PROPERTY I.EGAL DESCRIPTION _METES, BOUNDS Zno noorltoil Grttc Brno VtLLAeE Lor 5 Blocr la RANG E SECTION TAX LOT NO t7 CODE CENSUS TRACT 3 gw 0olr-6e E. J. CorsrnucrtoN Co EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS 5^lrr a LEGAT ACCESS TO PROPERTY Prrtrn r ooe Wtt PROPERTY SIZE - FT. Connect to Existin DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms New BDR MS ON tr STRUCTURES TO BE BUILT THIS PERMIT CONSTR UCTI ON se. FT Perxrr FoR Rseorernuertoil ( Frnr Olrrear)$5ooo SEWAGE DISPOSAT PI.UMBING INSTATI.ED BY PU BIIC BUITDING WASTE DISPOSAT PI.UMBING PTAN REVIEW PARK TRAITER $URCHARGE TOTAT SEPTIC TANK T EES OWNER OTHER: NAME WATER SUPPTY PUBUC tr tr OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAT. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZEO SIGNATURE - DATEJ.E. BosE 8Y HAeBAuoH DATE to BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc- lion sholl comply with Uniform Building Code, D.E.Q. stondordsIi PORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. AII buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST TH|S PERMTT ON MA|N BLDG. AT SITE) IANE COUNW, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironu i*655-13 oTHERn IANE COUNTY BUITDING BUILDING MHT PERMIT OR MOBITE HOT,IE USE PERMIT . PERMIT NO. PROPERTY MAILING ADDRESS PHONE f,. J. C*trrmrat t,m I MAILING ADDRESS Enout On:r* l&-rEEE PHONE PROPERTY TOCATION - INCTUDE POSI OFTICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS t? RANGE SECTION TAX LOT NO,COOE9r0o flal*e CENSUS TRACT f. rl. Comrr$srl$r Co EXISTING STRUCTURES ON PROPERTY l APPL. NAME & MAII.ING ADDRESS 5f.: e I.EGAT ACCESS TO PROPERIYFmtltrrrrt tdrv WIDTH srzE - FT. DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTU RES TO BE BUILT THIS PERM T Connect to Existi TYPE CONSTRUCTION e New se. FT BDRMS VAL toNf,rrurrucrrs ( f rm eruer) SEWAGE DISPOSAT PU BL IC BUILDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAILER TANK BY N,AME OTHER SUPPTY I COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTI[. EASEMENI 8tDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CI.ASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUI[DING _ GREEN SANITATION _ GOTDENROD : Coll 687-4065 ro schedule oll required inspections. All construc tion sholl comply with Uniform BrTilding Code, D.E.Q. stondorC IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions coveri' plumbing. All buildings reqdire o certificote of occuponcy bef being occupied. (See Detoils on Reverse Side) (POsT TH|S PERMTT ON MAIN BLDG. AT S!TE) TANE COUNTY, DEPT. OT ENVIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 97/TOI M = C55- l3 CONTRACTOR OTHERE (FE ES SITE INSPECTION Ap pnov E o Reuanxs D r sappRoveo Dare I ruspecloR FOUNDATION INSPECTION AppRov e o DrsappRovro Dar e I rusprcton REua nx s FRAM I NG Ap pnov e o Reu anx s LATH OR SHEETROCK I CTION I NSPECT I ON D Drsappnove, D Dar E I NSPEcToR ,o;''*i Jt D DrseppRovE o'' /-a U,q.'/kit 2/ Drr e / -// "7:i I HsprctonAe Pnov r o Rrt'trRx s FINAL INSPECTION Ap pRov e o Ret'taRxs DrsrppRoveo Dar r .4'l I Hspec CIRTIFICATE OF OCCUPANCY Rreov ro I ssuE REuanx s D Nor Rraov ro lssur D DrrE I NSPEcToR ,/ ri13^7,i /,t7,7 I )z*.r-rq**i* D \ ett JQz34s @5PERMI NOTE: NO PERMIT I.I- BE ISSUED UNTIL TIIIS APPLIC.AT: HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION b MOBILE }IOME PLAN REVIEW /€6 7 --* CHAi'IGE 0F OCCUPANCY OWNER CONTRACTOR N*'l+ NemerQ z/n*Addressa 7o 1p/o t/r%/o t/r t-?trr; o. s. REG. /l ACCESS TO PROPERTY (Road Naoe) ExlsEing Structures on Property NiKe /zoayz.Address V secrior,2a4?,,,,o, ff\o City ,^l 'zip c,0 q - be- Phone Census Tract 4l ro"ugflkverty Acrea 1tu'(", #rh I w- Property Locati.on - Address/Dlrections Offlce DISPOSAL: Slte Inspec tlon /l FEES: Bldg. Waste Dlsp. Plunblng Plan Review Moblle Hone 1Z Surcharge Spring 3a,oo Other PLUI"EING: Installed by Owner PLUI4BING FEES: Exlsting Sewage Disposal Sys Publie Comunlty or New System Requlred Name of Comrnunlty or Public Systen ewage Water ConnectionConnec PI.A,NS FURNISHED FACILITY PERMIT ll ot ures Sq. Ft q6 -3537 CASH YES Signature of Fee Recelved NO YES Date: TOTAL Mln. Septlc Tank Capaci fv CHECK Drainfleld Requi.red - Llneal Feet Maximum I}pe of Construc Fire Zone Use Classification Bldg Setbacks - from Center of Road Right of Way Front Slde Int.S ide Exterior________Rear-l c55-12 I.A,NE COI.INTY DEPARI14ENT OF E}WIRONMENTAL Zone 4tu-7rPIANNING:DATE SANITATION:DATE: ( WATER SIJPPLY: Well t