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Home My WebLink AboutPermit Building 1973-04-11LANE C ,{TY BUIIDING PERMIT OR MOBIII HOME USE APPIICATION PERMIT TYPE _ BUILDING OWNER MOBILE HOME OSC REG. #PERMIT MAILING MAII G 4 PHONE PHONE -44.2Q PROPE TOCATION INCI.UDE POST PROPERTY TEGAT DESCRIPTION toT-Br.ocK-suBDlv TWP APPTICANT NAME AND MAITING ADDRESS TAX tOT CODE CENSUS TRACT DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY TEGAL TO PROPERTY NAME OR # DEPTH ,vtETES&EOUNDSDYES ATTACHED NO AREA a FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existing Sewoge System f or New System R"q. E TO BE BUII.T THIS PERMIT TYPE roN PLUMBING INSTALTED BY /?dbl sQ. FT. #ATUATION J- SEWAGE DISPOSAT PUBUC tr BtDG. WASTE DIS. PTUMBING PIAN REVIEW PARK TRIR. TOTAT SEPTIC K OTHER FEES WATER SUPPTY PUBTIC CASH ! CHECK OTHER FEE g. a) OWNER PTANS FURNISHED YES OTHER NAME b/3- FACILITY PERMIT YES NO DATE 73 DATE /27 sv PUBI.IC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL.oo DRAIN FIETD REQUIRED UN. fr.TRENCH WIDTH IT,OR SQUARE FE3 BTDG. TYPE OF STRUCTURE OCCUPANCY BI.DG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF 'AY ZONE REAR YARD USE CTASSIFICATION PUBI.IC EASEMENT FRONT SIDE INT, Directions lo Find Property Form # css-tz {SIDE EXT.6 -REAR Dole coPY I - orFlcE COPY 2 -JOURNATCOPY 3 - AUDIT t / LANE C, IITY BUILDING - BUITDING PERMIT OR M( )BIt MHtr IOME USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE E PROPERTY TEGAL DESCRIPTION _ MEIES, BOUNDS RANGE SECT ,3,3'o^'#"sfoV'CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPI.. NAME & MAII.ING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existi Sewo e m New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION FRlve sQ.BDRMS VALUATION 1 t PTUMBING INSTATLED BY BUITDING WASTE DISPOSAL PTUMBING PTAN REVIEW PARK TRAI[ER $F EES OWNER OTHER: NAME WATER SUPPTY PUBLIC tr tr OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEID REQUIRED tIN, FT TRENCH WIDTH FT.OR SO. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIL. EASEMENT :l R-l BTDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR /s/ J. Boss AUTHORIZED SIGNATURE _ DATE DATE I CKSHA BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION - GOLDENROD Conslruction lo 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 THts PERMTT ON MAIN BrDG. AT SITE) TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronm !f955-13 SEWAGE DISPOSAT PUBUC n SEPTTC TANK n OTHERT \ >)TAX LOT /4i2-/_-2 6-z-f Buildins permit Appl ication No. 6tS -X3 NAI'1E ( ) S ite lnspect ion ( ) Pre-Permit lnvest igat ion ADDR s PHONE DATE LANE COUNTY PLANNING DEP ARTHENT NOT 2 Subdivision 0rdinance Compl iance ( aool icable Zon ing Ord i nance Comp I i ance *fT- (Zone R- t ) NO YES NAI'1E ATE )() () ( () ( lr 1 3. Requ i red Access 4. Bu ild ing S ite (Area, Width, Frontage, Setback) 5. 0ther (see comments) ) ) () () ( () CO},IHENTS: EUILDING INSPECTION SECTION 6, Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Corrnents) NOT NO IEE'I icable - YES ttl () NAHE ) ( ( r) v{t (l d) ) ()()/'p-?s COH}AENTS: SAN I TAT I ON SECT I ON Sewage Disposal Usable Area Water Supply 0ther (see Conrnents) aoo I icable--rJ--( () () NO ) ) NOT YES (y A ?+ () () ) () NA},IE DATE t0. il. t2. t3. a,( COHI4ENTS: TO APPL ICANT: Your Building Permit / Site l,nppection: W Can be approved. kc- t/B ( ) Cannot be approved at this time as indicated on item N0. tion on items I through S cffiTEe-Lane- Quest ions and further informat ion on i6; 5 () () above. Questions and further informa COUNTY PLANN ING DEPARTI.IENT. th rough 13 contact the Lane Count Buildi and San itat ion Divis ion.Will be held in this ols being returned. ce unt i I you can reso ve the problems i cated. ( ) Your building permit appl ication fee is being returned under separate cuver. L/\NI COUNTY PLANNING DEPARTHENT I'lr, Sixth l\,,entie [,ast, Euqene, 0reqon gl4Ol l'llrlNt. llr?-llll tXI. Z'it LANE COUNTY BUILDING S SAN]TATION DIVISION 135 S ixth Avenue East, Eugene, 0r'egon 91401 PHoNI: ]42-r3il EXT. 4il BU ILD ING S ITE EVALUAT ION ( DATE T= t- Date APPLItrATION FOR FAGILITY PERMIT IN THE BOARD OF gOUNTY COMMISSIONERS OF IANE COUNTY Your applicant, , hereby makes application under Rules and Regulations Governing Facilities to be Per- mitted Upon County Road Rights-of-Way, to construct the following facility: Upon the right-of-way of County Road No., at the following location: as shown on the exhibits which are attached hereto, in strict conformity to the state- ments of the exact nature and amount of work to be done, and to the description of the facilities contained in said exhibits. Your applicant will be the beneficial owner of the facility as constructed, or otherwise primarily liable and responsible to members of the public for its proper maintenance, repair, operation and use. Your applicant accepts all terms, conditions, agreements, stipulations and provisions, in Rules and Regulations Gwerning Facilities to be Permitted Upon County Road Rights-of-Way, dated March 31, 1960, and any amendments thereto, and any other applicable regulation, law or ordinance. Signature WHITE. OFFICE FILE GBEEN . RESIDENT ENGINEER PINK . PERMITTEE BLUE. ROAD SUPEBVISOR ORANGE . BUILDING ANO SANITATION DEPT. YELLOVY. SURVEYOR Address Phone No. E r tANE BUILDI JNTY NG fI BUILDING PERMIT MH f] OR MOB. HOME USE PERMII PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE I CONTRACTOR MAII-ING ADDRESS PHONE pRopERTY T.OCATION - INCIUDE PosT oFFlcE t PROPERTY I-EGAL DESCRIPTION -METES, BOUNDS I\t\ RANG E TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPI.. NAME & MAITING ADDRESS t,E\ti,LEGAL ACCESS TO 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 se. FT # BDRMS VALUATIoN ) cf,-U ib\^! SEWAGE DISPOSAT PLUMBING INSTALIED BY OWNER n OTHER, NAMEPU BL IC BUILDING WASTE DISPOSAL PTUMBING SEPTIC TANK tr FEES WATER SUPPIY PUBLIC tr tr OTHER . PLAN REVIEW PARK TRAITER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED TIN. FT TRENCH WIDTH FT.WITH DIST. BOX: GAt.OR SQ. FT. (\ -\\-\ \\l5 s 8'( -\) .}.ln\s- TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY TRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BI.DG. PERMIT - WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI-UMBING _ CANARY BUILDING - GREEN SANIIATION _ GOLDENROD Construction to comply with unif orm building code ond counly regulotions covering plumbing ond sewoge disposol. All buildings require o certificqte of occuponcy before being occupied. (See Stotement on Reverse Side) t (POST THIS PERMIT ON MAIN BLDG. AT SITE) TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu = 655-13 - SECTION :rA \ oTHER-l NN rN\. t SITE INSPECTION Appnov r o Reuanx s D r sappnovro Dare -3{'71 I ruspecroR - .f FOUNDATION I NSPEC t0N Ap pnov e o Reuanxs DrsappRovEo V oorrGf,- lJ I ruspecto ;a FRAMING INSPECTION AppRoveo fr Dr slppnoveo LDrt E - n7X I rsprcron Re ulnr s €- (h,a LATH OR SHEETROCK INSPECTION Ap pnov r o Rrxa Rx s D DrsappRovro F-J Dare I rseecron FINAL INSPECTI Ap PRov e o Rruanxs Dr slppRoveo '?-/0.7 I rusetcton7Dar r CERTIFICATE OF OCCUPANCY Reaov ro lssuE RrmaRx s Nor Rraov ro I ssue Darr I Hspecron - 0 / ? rs /hluW q /? #rtu il#.*,c Y*,V {- //t*"- 0t& 2o- /rf O \- D tANE BUILDI ( ,NTY NYtr BUITDING PERMIT OR MO MHT HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS RANG E TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPL. NAME & MAITING ADDRESS tEGAt ACCESS TO PROPERTY PROPERTY SIZE - TT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existi TYPE CONSTRUCTION Sewoge System tr New se. FT BDRMS VALUATION SEWAGE DISPOSAI PUBUC ! SEPTIC rANK OTHERN PLUMBING INSTATTED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAI PTUMBING PtAN REVIEW PARK TRAIIER F EES WATER SUPPTY PUBUC n tr OTHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED I-IN. FT TRENCH WIDTH FT.OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SAN ITATION _ GOI,DENROD Construction to comply with uniform building code ond counly covering plumbing ond sewoge disposol. All buildings require of occuponcy before being- occupied. (See Stdtement on Reverse Side) reg ulotions o certif icote I (posT THIS PERMTT ON MA|N BrDG. AT SITE) I.ANE COUNTY, BTDG. & SAN, DIV., COURT HOUSE, EUGENE, OREGON 9740I roau lf655-13 SECTION I SLAB FLOOR PLUMBING GROUND/ORK AP PRov E D ReMlRx s D Drsappnoveo D Dnrr I lrs pr cton GAS PIPING GROUND/ORK APpRovED ReuaRx s DrsappRovED Dare I Hspecron ROUGH PLUMBING Appnovro fV7 Drsappnovro -RElta nx s oaref ///. ?3 trspe cron ROUGH GAS PIPING AppRoveo Reuanx s Dr sappRoveo Dar r I nspecron FI NAL PLUMBI NG Appnov r D Rruanx s ,p I ruspecroRDrsappnoveo D o^,$-22 FINAL GAS PIPING AppRoveo D DrsAPpRovEo D REuanx s Dare I usprcron CERTIFICATE OF OCCUPANCY REaov ro lssur Rruenxs D Nor Reroy ro tssuE D Dare I xspecron D -uU