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Home My WebLink AboutPermit Building 1975-10-02PERMIT /} NOTE:NO PERMIT h - BE ISSIIED IINTIL THIS APPLICAT'-III HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION MOBILE }IOME PLAN REVIEW CltAi.lGE OF OCCUPANCY 75 ON Name Name rr7 l/;l* rnoa n l-7V 3ZOWNER s. REG. /i 's ,/t l,,/,u Phone Phone -13 Address(o z3 adh Clty Address c Ey 7YA Census Tract .p Section z/ . L{, i r^* rct 2 Y(fr n-oYCode divls ion Lot 5 Bloc n$-rroperty @ ttfitt"pa,lb.'Acr wld TO PROPERTY (Road Name) istlng Structures on Property:P**da ac<- Property Location - Address/Directlons t1.'?c? "TtOa u L for Use On tlon SEWAGE D Slte Inspectlon 15 Existlng Sewage Disposal System Sprlng Other Public Comunlty FEES: Name of or New System ired or Public System I.IATER SIJPPLY: I.Ie11 Btdg. Waste Disp. Plunblng Plan Review Moblle Horne 1-Z Surcharge TOTAL Mln. Septlc Tank "2{. PLUMBING: Installed by PLIMBING 0ther ures Sewage Connection PLANS FURNISHED CASH Signature of Appl Fee Recelved By Dralnfield Requ lred - Lineal Feet Water Connection FACILITY PERMIT NO Maxirnum Date: Type of Constructlon Fire Zor.--u" cs5- r2 LANE COl'Nfi DEPARTT,IENT OF ENVIRONMENTAL e Classification EA -?r Bldg s Front of Road 4\Rear from Ceater Side Int Right of Way: -€"i.dd:rtcrb= DATE:SANITATION:DATE: '-......ff / LANE COUN'I HC USE PERMIT p7q'-s OWNER H GRtv BUILDING }UILDING PERMIT OR MOBITE MHT MAITING ADDRESS2W V tevMouxr PERM Spn txerr ero oneco x 7l+Gpz7 PHONE CONTRACTOR Eur- r sor Plrrz MAITING ADDRESS 2J Orxvrv Mrur I - l:i ' PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS l- r- i,t .- l-.,.':. - RANGE 3 SECTI ON TAX LOT NO CODE a[.][, r aSoo l9-OI+ CENSUS TRACT15 r? EXISTING STRUCTURES ON PROPERTY DtreLL t xcAPP[. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY V r eYrouxt PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existin TYPE CONSTRUCTION m New m BDR MS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT se. FT Penxrr FoR Aoorrtor or DeN 210 e t6. to r?fr SEWAGE DISPOSAT PTUMBING INSTATI.ED BY OWNER n OTHER: NAMEruarrc ff tst sEPTrc rANK tr oTHERn FEES WATER SUPPTY PUBUC n tr oTHER BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAII,ER TOTAT $ COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED LIN. FT TRENCH WIDTH FT.OR SQ. FT. oK Brseo oN FLAtts suBrlrrEo Do ruor BUrLo yrrHtN l0 reet or DRATxFIELD oR f,ntxtu ) rrrr oF fltE seprtc TArx" TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT ,N BTDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY FRoNT NA srDE lNT. 5t srDE Exr. USE CLASSIFICATION REAR I AUTHORIZED SIGNATURE _ DATE l Sxosx av McKrv/sANt?lRIAN to/1h5 DAIE oLlt BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POsT TH|S PERMIT ON MAIN BLDG. AT SlrE) IANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I roau =955-13 |dr,LorNc PERHTT APPL rcATroN No ( ) srTE tNSPECTToN r /7 -R os s*fitax torlW] suBDtvtst0N LOT: BLOCK: APPL I CANT DAT F xef ttr.T z{ PLANN I NG Dtvtst0N | " Zon i ng Ord i nance Cornpl i ance: 2o Subdivision Ordinance Compl i 3. Requi red Access4. Building Site (Area, Width, 5. Other (see conments) Aool icablezonffiT- ancg (e) [ IFrontage) ( )() No Yes CKID B Not T)W5.( ) (t-Y Setback s o Front SiCe-{xtcrisr Setbacks from interior lines: S ide a)(r-Y () () () () Rear ?D COHilENTS: PLINNTNG DrVrs|ON-TCTION-TENDING: rr5( I N0( )APPL I CAT ION# BUILDING INSPECTION OIVISION Plans Submitted Soit Stabil ity (footings) Flood Plain 0ther (see conrnents) Not Aool icable No Yes 1-l R() () () () 7I 9 0 ) ) ) ( ( (CKID B COHMENTS: WATER POLUT ION CONTROL I I . Heets Department of Envi ronmental Qual ity Standards. 12. 0ther (see cornments) . Not Appl i cable m No Yesr) TT () ()()CKID BY E COII}.IENTS: TO APPLICANT: .pr'() Building / Site lnspection: Can be approved. Cannot be approved at this ti Questions and further informa ls being ret Your bui ldin above.me as indicated on itom N0" tion on items I through 6 cont PLANNING D S ON Qu estions and further informatio t rou9 2 contact t BUILDING AND SANITATI VISION Will be held in this of ce unt you can reso ve the urned. rmit a I ication f ee s bein u act the !llg-n on items 7 ( ( 135 Sixth Avenue East Eugene Oregon pHoNE. eel_4065 LANE COUNTY PISNNING DIVISION PHONE: 97401 587-41 85 c55-28 ems indicat ed. I IT IANE COUNT 'iUIIDING PEhMI OR MOBITE HC USE PERMIT ; PROPERTY OWNER ..n BUILDING MH PERM 3rnrffrrt,D Omai If6- MAITING?r09 Yrairouttt PHONE CONTRACTOR MAII.ING ADDRESS .&L , i-l:; '',li PHONE PROPERiY LOCATION - INCLUDE POST OFFICE 6t{st or Vrrvrourt: PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACTt{ t?*.1. r ESoo tFol Er.l rrgx Plrtr EXISTING STRUCTURES ON PROPERTY Dvrll tttAPPL. NAME &Srxr IEGAI ACCESS TO PROPERTY V r rrflurnt IMAITING ADDRESS PROPERTY SIZE - FT WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMfrtxtt ron Aesrvtor{ oF iEr Connect lo Existin Sew TYPE CONSTRUCTION New se. FT. # BDRMS VALUATIoN elo f t6. to l3sl,& r?:80 SEWAGE DISPOSAT PLUMBING INSTATTED BY PUBTIC SEPTIC TANK tr BUIIDING WASTE DISPOSAL PIUMBING PLAN REVIEW PARK TRAITER F EES OWNER OTHER: NAME WATER SUPPIY PU BtIC OTHER q COUNTY BUILDING & SANITATION SPECIFICATIONS SEPTIC TANK CAPACITY DIST. BOX: GA[. DRAIN FIEI.D REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT. tlt Brtta rrt ftils rlifrtrlEo B rt?,rut s ytn rtr lO rtrr 6f Dnttxrttl,a oa rr?rur $ rrrt I i I Gf txt $trtrc Trrln TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY Y,lIRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE/a/ t,f. 8Bs8 av rtanaltnx fucsr rv )hl(rvfuilrt.t t.r ro/lft BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspections. All construc- tion sholl'comply with Uniform Building Code, D.E.Q. stqndqrds II PORTANT: for subsurfoce $ewoge disposol ond county regulotions covering plumbing. All buildings require o certificole of occuponcy before being occupied. " (See Detoils oo Reverse Side) (POsT THIS PERMTT ON MA|N BrDG. AT SITE) LANE COUNTY, DEPT. OF ENYIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 5Ih, EUGENE. OREGON 9740IFoRM = C55- 13 TOTAT I I Nspecron SITE INSPECTION AppnovEo D Drsappnovr, D Rrua nr s Darr I I FOUNDATION INSPECTION Drsa PROV E D ,// \/ 'i -',/cToR --'t'l rf,t. ;27 . /O-7// Ap pnov Re ua Rx ED Darr 0 FRAMING INSPECTION Aep nov e o Re uanx s H Drsappnove o D oo,,/ I ";iy- 7,)-,*,,,, (- ,l LATH OR SHEETROCK INSPECTION Ap pRov r o RruaRxs D r s appcoveo Dar E I HspEcton FINAL INSPTCTION Ap pnov r o ReulRx s Drsrppnoveo DrrE I Nspecr CERTlFICATE OF OCCUPANCY Reaov ro lssuE ReuaRx s D Nor Reeov ro lssue D 27O('fr k-tzrtr 23-O7 Dare I rsprcroR t l-/ e M7-