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Home My WebLink AboutPermit Building 1974-03-19LANE COUI BUILDING - dUIIDING PERMIT OR MOBITE } MHN USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS ' t, PHONE CONTRACTOR MAILING ADDRESS tr PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY DESCRI N _ METES, BOUNDS st Vist RANG E SECTION CODETAX LOT NO CENSUS TRACT ",4. I + l$aa EXISTING STRUCTURES ON PROPERTY ,.:.: APPL. NAME & MAII.ING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connecl to Existing Sewoge TYPE CONSTRUCTION SQ. FT New System BDRMS VALUATION II SEWAGE DISPOSAT PUBUC tr SEPTTC TANK n OTHERE PTUMBING INSTAI.TED BY OWNER D OTHER: NAME $TEES WATER SUPPTY PUBUC tr tr OTHER BUII.DING WASTE DISPOSAI. PTUMBING PLAN REVIEW PARK TRAITER TOTAT 0( s COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEID REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASE'I,\ENT FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION FRONT SIDE INT SIDE EXT REAR AUTHORIZED SIGNATURE _ DATE DATE -l B[DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD call 687'4o65 to schedule oll required inspecrions. Ail consrruc- ,rt^ p o RrA N r, l;T, i[: X'ffI']ly: U I H [::i 3I ll' ::? "ff x3; j;l',S;.""H*lj; plumbing. All buildings require o certificotl of-occuponcy beforEbeing occupied. (See Detoils on Reverse Side) (POST THIS pERMtT ON MA|N BLDG. AT SITE) TANE COUNTY, DEPT. OF ENVIRONAAENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6rh, EUGENE, OREGON 97ltolroau S 655- 13 BUILD ING S ITE EVALUATION LOT Ts /c,t/, Bu i l.d i ns Pe rm i t App I i cat ion No _3, EJL S i te lnspect ion Pre-Perm i t I nvest i gat ion Kl D("NAhE ADD RES S n ( PHONE DATE L/iNT COUNTY PLANNING DEPARTI.IENT NOT NO YES Nr'+lE DriTE aool icable*rr--( )1 I Zon i ng Ord i nance Comp I (Zone Subdivision 0rdinance r ance ) Comp I ance t/idth, e, Setback) ( 3. Requ i red Access 4. Bu i ld ing S ite (Area, 5. other (r.. "of,l::::i () ) () ( )(( )) COI'I}I ENTS : EUILDING INSPECT!ON SECTION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Conments) NOT YESNO () () () () NAHE DATE eabc ($ (v) (r) c{)7)( COHfiENTS: SANITATION SECTION 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Conments) NOT NO YES N4IE DATE ( ecab ) ) () () ) () () () CO},lHENTS: TO APPL ICANT: €, Ij-You r,T Building Permit / Site lnspect ion Can be approved. Cannot be approved at this tir Quest ions and further infornra COUNTY PLANN ING DEPARTMENT" me as indicated on iten, N0.above.tion on itenrs I through ! contact the Lane- QuesI ions .tnd furtl'rer infornrat ion on itenG 6 ) ) ) through l3 contact the Wi I I be held in this ofls be ing returned. Lane CourrLy Buildir-r e cr:rci San itat ion D iv is ion. ict unl i I you can re:;o I rze I lre p rob Ienrs ind i catcd. Your bu i ld inq pernr it app I it.at ion fee is be ing returned under separate crrr'€r LANF COt'N'IY I'I i\NNING DEPARTHENT I l{' 5 it f lr Avr,:rr0e Iast , Eugerre, 0r eg()n 97\Ol l'[trNE 3Iu.-t.llt (=xt. 211 IANI C0UNIY f]tjlLl)lNG 6 S/\NtTATt0N DlVtSt0N 135 S ixt,h Avgrruc East, Errr;err,', ()r eqon c1740 I ,'ll0Nl : 3t,2-llla IXT. 4tl -"Mss-it- () () () IANE COUI'\. BUTLDTNG E BUILDING PERMIT OR MOBITE h MHE USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI,UDE POST OFFICE PROPERTY TEGAT DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connecl to Existin Sewo e TYPE CONSTRUCTION New sq. FT.BDRMS VALUATION SEWAGE DISPOSAI. PUBr_rC tr SEPTTC TANK OTHERE PTUMBING INSTATTED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAL PI.UMBING PTAN REVIEW PARK TRAITER $FEES WATER SUPPIY PUBUC tr tr OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOXr GAt. DRAIN FIELD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTII.. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONI SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BI.DG. PERMIT - WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PIUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOI.DENROD Coll 687-1065 to schedule oll required inspections. Att construc-tion sholl comply wirh Uniform Building Code, D.E.Q. stondords Ii,IPORTANT: for subsurfoce sewoge disposol ond county regulotions coveringplumbing. All buitdings reiuire o cerrificotl of-occuponcy beforl being occupied. (See Detoils on Reverse Side) (POST TH|S pERMtT ON MA|N BrDG. AT srrE) LANE COUNTY, DEPT. OF ENVIRONMENTAT A4ANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu $ 655- 13 v I SLAB FL00R -v- PLUMBING GROUNU/ORK Aernov E o ReuaRx s Drsappnovro I Nseecron GAS PIPING GROUND^/ORK D DrsappRovEo D Dare I HsprcronAppRov ro Reul nx s ROUGH PLUMBING Appnov e o ReuaRx s D r SAPPRovED DrrE l nsprcton ROUGH GAS PIPING Ap pnov r o REMaRx s D r sAPPRovEo I Nspecron FINAL PLUMBING Appnoveo F] DtsappcovEo1+' RE uaRx s D oo',/-/?-7e I Nspect FINAL GAS PIPING APPRovEo Re uaRx s D r sappRoveo Dnre I NSPEcToR CERTIFICATE OF OCCUPANCY Rraov ro lssuE D Nor Rraov ro lssuE D RrMlnxs Dare I NsPEcroR C/ DorE- n Dore- LANE COUN BUTLDTNG -Ll-BUITDING PERMIT OR MOBITE H MHI USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS PHONE PROPERTY I.OCATION _ INCTUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANGE SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAITING ,ADDRESS LEGAT ACCESS TO PROPERTY \\-N-e -s $.) FOR MOBILE HOME PERMITS ONLY No. of Bedrooms WIDTH AREA Connect to Existing Sewoge System New System tr STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAL PUBUC !SEPIIC TANK N OTHERN PTUMBING INSTAIIED BY OWNER n OTHER: NAlvlE BUITDING WASTE DISPOSAT PI.UMBING PLAN REVIEW PARK TRAILER TOTAT FEES WATER SUPPTY PUBUC tr tr OTHER 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 PUBLIC UTIL. EASEMENT 8LDG. SETBACKS-- FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUII.DING _ 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 regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detgils on R,everse Side) (POST TH|S PERMTT ON MAIN BLDG. AT S|TE) IANE COUNTY, DEPT. OF ENVIRONMENTAT AAANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Ironu lt q55- 13 .l PROPERTY SIZE - (T. DEPTl\ SITE INSPECTION Ap paov r o Reuanxs DrsappRovro Dare I HspecroR FOUNDATION INSPECTION AppRov eo Drsappnoveo DarE I rusprcton ReuaRx s l( FRAMI NG AppRoveo Re uanr s I NSPECT I ON Dr sAPPRovEo ,orr-4 -3/.-'7 f,/ rNSPEcro.-+-& qr, LATH OR SHEETROCK INSPECTION DISAPPROVED oort {'2 /'I NspEcAe pnov r o Re tt lRx s FINAL INSPECTION Dar e i-'Z-/'// ,NSPEcroRAp pRov r o Reuanxs DISAPPROVED CERTIFICATE OF OCCUPANCY Reaov ro lssue D Nor Rerov ro lssuE n Do'e- REMARK S I NSPEcToR Sed-2y 9EV?-ry D I IANE COUNT"DING PERMIT OR MOBILE HOI MOBILE HOME EOSC REG.# ! APPTICATION PERMIT #-74PERMIT TYPE - BUILDING PROPERTY OWNER MAITING ADDRESS d,ur.lN t N Gt{1.^/r, (I,,g4 M/PS ?as1- ZWL 1,r{4,x!$tpE Lor, P, BJGEJE PHONE CoNTRACTOR r MAILING ADDRESS 7 PHONE o PROPERTY LOCATION _ I CTUDE POST OFFICE PROPERTY TEGAT DESCRIPTION LOT-BIOCK_SUBDIV. RANGE 3 BU)CK METES & BOUNDS ATTACHED YES NO SEC.TAX tOT CODE CENSUS TRACT DESCRIBE EXISTING STRUCTURES ON PROPE IF ANYAPPTICANT NAME AND MAITING ADDRESS ACCESS TO PROPERTY _ ROAD NAME OR \MeMSrtrt= UeeP PRoPERTY Stzr-wrora DEPTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existing Sewoge System I or New System Ruq. E STRUCTURES TO BE BUILT THIS PERIAIT TYPE CONSTRUCTION se. FT. # BEDRooMS vAtuATloN Ffa.^r-E IB UaJ gtft>rls@- 1 Fr €Jd:'Tvx)G. M SEWAGE DISPOSAT PTUMBING INSTATTED BY PUBUC tr BtDG. WASTE DIS. PLUMBING PTAN REVIEW PARK TRLR. SEPTIC TANK OTHER FEES WATER SUPPTY PU BI.IC OTHER 3. oO PtUM rEEs 3,c<: OWNER OTHER NAME PTANS FURNISHED NO ,TURE OT APPTICANT FACII-ITY PERMIT YES YES NO I TE TE c FIXTURES BY SEWER CONNECTION FEE PUBLIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIETD REQUIRED TIN. FT. TRENCH WIDTH FT TOTAT MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[.SQUARE FEET t-" TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD PUB[IC UTIt. EASEMENTir/ s CTR. OF ROAD RIGHT srDE rNT. 5 USE CLASSIFICATION SAN ITA I NSPDoteDole PLANNING 4 Form # css-t2 SI REAR .?Dole COPY I _ OFFICE COPY 2 _ JOURNAT COPY 3 _ AUDIT 4lzl c^*<nal_oe . tzoaata 5rt5-44 t9 'Al-lbO,alb.3t7 N,t q.ar or.l ltc,pe,B tt .vse 35" oo ( - FT. b,,,,q Directions to Find Property: -