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Home My WebLink AboutPermit Building 1974-06-06TANE COU PERMIT TYPE - BUILDING 'nt Vtrac,f,e aeey'cATroN PERMTT # Plea sa Co I LJhen PERMIT OR MOBILE HOME MOBIIE HOME rOSC REG.# MAILING ADDRESS MAILING ADDRE AA t^Ja iJ€- L -/ PHO PHONEz METES&BOUNDSEYES ATTACHED NO -7 PROPERTY OWNER CONTRACTOR ,^l t^J PROPERTY LOCATION - INCTUDE POST OTF PROPERTY LEGAI- DESCRIPTION tOT_BLOCK_SUBDIV. TWP RANGE APPTICANT NAME AND MAITING ADDRESS sEc.TAX I.OT CODE CENSUS TRACT ON PROPERTY IF ANY NAME OR DEPTH ?-o DESCRIBE EXI TEGAT PROPERTY S ic TO DTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms BE II-T THIS PERMIT Connect to Existing Sewoge System I or New stem TYPE SQ.BEDROOMS VALUATION (, BLDG. INSPDote PLANNING SEWAGE DISPOSAT PUBTIC SEPTIC TANK BIDG. WASTE DIS. PTUMBING PLAN REVIEW PARK TRtR. TOTAL MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. oTHER n FEES WATER SUPPTY PUBTIC PTUMBING INSTATTED BY OWNER OTHER NAME PTANS FURNISHED NO OR SQUARE FEET REAR YARD USE CI.ASSIFICATION PUBLIC UTIt. EASEMENT FAC ITITY IT OTHER YES NO Q.-PTUMBING FEES3 ,,*rr*r, ,TE CASH [ 5p147sp FEE BY CHECK CONNECTION FEE PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICA DRAIN FIETD REQUIRED TIN. FT. TRENCH WIDTH FT. S' ZONE 5-?-z r L .H.o TYPE O OCCUPANCY BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. rections to Find Property ( -e Form # css- lz SIDE EXT Dote COPY I - OFFICE COPY 2 _ JOURNAT COPY 3 _ AUDIT ) t A\9r I 8 b T. c'a \o ttl .$t N 5 o b Z 4 ti6/ ^ti t Fod )', ,li/( utD -Ze;c-- \ lr it rl .a I , -td 6, \t\ \- $\ \n \ By RE.lv t) MAY 3 1,I9 74 ENvlSEo''f*?HISu*',, 1 "i q {.,tiafuR^ I.ANE COUNT. -,UILDING PERMIT OR MOBITE {';A- 7/ HO USE PERMIT PERMIT NO.BUITDING MH!g5z-74 OWN\R suTreRLaigot DoN MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE tStit Ysnrr Avr.r Spnrucrrrror0n. PROPERTY TOCATION - INCLUDE POST OFFICE . ;,',: ,.rl - .1.1) PROPERTY tEGAL DESCRIPTION _ METES, BOUNDS . .. .:1. tr ,' .' .', l BLx. I RANG E 03 SECTION TAX LOT NO,CODE CENSUS TRACT r7 5oo Corrnlcro* EXISTING STRUCTURES ON PROPERIY D*eLl ::ttcAPPI.. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY WAYs r oe Lolp PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge m TYPE CONSTRUCTION se. FT New m BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT ADorrro[-FAi{tuv Roor ,-N 5oA ora 6,018 SEWAGE DISPOSAT PTUMBING INSTAIIED BY PU BLIC BUITDING WASTE DISPOSAL PTUMBING PTAN REVIEW PARK TRAILER T.)TAI SEPTIC TANK OTH OWNER OTHER: NAME WATER SUPPTY PUBuc d E orHER q FEES s COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX' GA[. DRAIN FIELD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT J{o pent oF NEU coNgTnucrtox ro BE ovtn 3f PT tc sYsTE}l TYPE OF STRUCTURE OCCUPANCY I ZONE PUBIIC UTIt. EASEMENT 5-N BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION F RONT \5'5'.SIDE INT.SIDE EXT REAR 5 AUTHORIZED SIGNATURE _ DATE J. $F00(; Sex t Ttn trr DATE BIDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ 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 counly regulotions covering plumbing. All buildings require q certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THIS pERMrr oN MAIN BrDG. AT SITE) LANE COUNTY, DEPT. OF ENYIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu # 6 55-13 BU;-D ING 3.ITE EVALUATION Js /c* 75A zL rJZ 53s_32.4 /tax CENsU. . RACT APPL I CANT NA},IE LOT (tct ( ) Building Permit Application No. ( ) Site lnspection ( ) Pre-Permit lnvest igat ion ADD PHONE DATE LANE COUNTY PLA NN ING DEPART}4ENT NOT NO YES NA}lE appl icable Zon i ns 0 rd inance ??:il , "X> ) Subd iv is ion 0rd inance EifrIEice Requ i red Access Building Site (Rrea, Width,- Frontage, Setback) 0ther (see comments) (() (l () () () () () () ) ( ) ) ) ( ( 2 3 4 5 L-s -24 COHHENTS: NOT ffil icable() I(v NO YES;N NAi,lE DATEBU ILD ING INSPECTION SECTION ()() 5. Plans Submitted 7, Soil Stabil ity (footings) 8. Flood Pl a in g. 0ther (see Cornrnents) )( )() () () C0I4HENTS: -.- NOT NO YEs DATE SAN ITAT ION SECTION 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Comments) COM}1ENTS: TO APPL ICANT: I icable qZt() ( () ( () b-to'JfiYour Building Permit / Site lnspection: ime as indicated on item N0'above. at ion on items I through 5 contact the Lane- COUNTY P LANN ING DEPARTMENT"Qu estions and further information on items through l3 contact the Lane Count Buildin and Sanitation Division. I'lill be held in this o ce unt I you can resolve t e prob ems I i cated. ls being returned. your building permit application fee is being returned under seParate cover' Can be approved. Cannot be apProved at this t Questions and further inform 6 () () () I,ANE COUNTY PI"A,NNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687't+186 I.ANE COUNTY ENVIRONMENTAL MANAGE}'IE\II 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687'4065 c55-28 OATE IANE COUNIY BUILDING BUTLDTNG I MH I PERMIT OR MOBITE HW1E USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE MAILING ADDRESS a PHONECONTRACTOR PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS SECTION TAX LOT NO-CODE CENSUS TRACTRANG E EXISTING STRUCTURES ON PROPERTY APPL. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY . PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System f New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN I: i r t:.:! ,t i.' ' .,., $,\ SEWAGE DISPOSAT PLUMBING INSTAILED BY PU BL IC BUII.DING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAIIER SEPTIC TANK OWNER OTHER: NAME WATER SUPPLYF EES( 'Nt PU BTIC tr fl oTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. I TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIT. 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 _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD ronv = 655- 13 Coll 6d7-4065 ro schedule qll reguired inspections. dll construc- tion sholl comply wilh Uniform Building Code, D.E.Q. stqndords IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering plumbing. All buildings require q certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST TH|S PERMTT ON MA|N BLDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I I I - OTHERt-I : SITI INSPECTION AppRovrD D DrsappRoveo D RruaRx s Dare I rusprcroR FOUNDATION I NSPECTION Ap pRov e o REmaRx s D D^,, d.J2'7/D r s appRovro I rspecr e I FRAMI NG I NSPECTION AppRoveo E o RE uanx s D Dar r I HsprcroR t. LATH OR SHTETROCK INSPECTION Appnovro Dts P PROV Rrxrnx s D Drre l nseecT I FINAL INSPTCTI Ap pRov r o Reua nr s D t sappRoveo Dar /6-I rsprcron f .ld,? CERTIFICATE OF OCCUPANCY Rrrov ro lssue RrulRx s D Nor Reroy ro lssue ta DnrE 76J'7(9OW I NSpECTOn d a LANE COUNI'-dUIIDING PERMIT OR MOB,LE HOr USE PERMIT PERMIT NO. PROPERTY OWNER BUILDING MHT MAILING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New System I TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT SEWAGE DISPOSAT PUBLTc n SEPTIC TANK tr oTHER! PTUMBING INSTALIED BY OWNER E OTHERT NAME FEES WATER SUPPTY BU I[DING WASTE DISPOSAT PTUMBING PIAN REVIEW PARK TRAILER PUBUC tr tr oTHER TOTAI. COU NTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. OCCUPANCY ZONE PUBTIC UTIT. EASEMENTTYPE OF STRUCTURE BLDG. SETBACKS FT. FROM CTR FRONT SIDE INT. OF ROAD RIGHT OF WAY SIDE EXT. USE CLASSIFICATION REAR DATEAUTHORIZED SIGNATURE _ DATE BTDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUI[DING _ GREEN SANITATION _ GOI.DENROD coll 687-4O65 to schedule otl required inspections. All construc- tioi ,niU comply wirh Uniform tiuilding Code, D.E.Q. stondords IMPORTANT: for subsurfoce'slwoge disposol ond county regulotions covering"' ;l;;ti;g. Ari uuitdiis, require o certificore of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BIDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE' OREGON 9740I FoRM = C55- 13 SLAB FLOOR PLUMB I NG GROUNU^'ORK APPROVED RruaRx s Dr SAPPRovED Dar r I rusprcron \ GAS PIPING GROUND/ORK AP PRoV E D REuaRxs D DrsappRovro D Darr I ruspecron ROUGH PLUMBING Appnov r o Rrul Rx s N lr.rspe ctoRDrsappnovro D Dare b"t ,-71 ROUGH GAS PIPING AP PRoV E D RruaRx s Dr sappRovro Dar e I rus pr cron F I NAL PLUMB I NG AppRoveo Rr uanr s N DrsappnovEl D Aorrf_.l)- /r_tNSpEc FINAL GAS PIPING Ap pRov e o Rrttanx s DrsappRovro Dare I Nseecron CERTIFICATE OF OCCUPANCY Reaov ro lssue Reurnx s Lf Nor RrADy ro tssuE fa Darr I HspectoR ,el /