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Home My WebLink AboutPermit Building 1974-04-11LANE L:dI BUTLDTNG E BUITDING PERMIT MHE OR MOBITE H IE USE PERMIT PERMIT NO. PROPERTY OWN.R MAII.ING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAT DESCRIPTION _METES, BOUNDS RANG E SECTION 4'jru CENSUS TRACTCODE 1 EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONIY No. of Bedrooms Connect to Existing Sewoge Sysrem ! New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN SEWAGE DISPOSAT PUBTIC N SEPTIC TANK tr OTHERD PLUMBING INSTATLED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAI. PTUMBING PI.AN REVIEW PARK TRAITER $F EES WATER SUPPTY PUBr.rC n N OTHER o TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN, FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BTDG. SETBACKS , FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT ,' SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE q./ .l^ I BLDG. PERM IT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION _ GOI-DENROD ronu #c55-t3 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 regulotions covering plumbing. All buildings require q certificote of occuponcy before being occupied. (See Defoils on Reverse Side) (POST THIS pERMtT ON MAIN BrDG. AT S!TE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I lr ______-EU I LO iNG S ITE EVALUAT ION I;S,/c s Z u,#Z AX LOT il ,4 ( ) aritaing permit nppti."tI ( ) Site lnspection ( ) Pre-Permit lnvest igat ion / n No. AF .- ICANT: N;\h E ADDRES S z-q B- z PHONE DATE NO YES N;{18 Dr\TEtiab le Zoning Ordinance Compl iance(zone/ff ) ) () () () ())( )(( ( 2. Subdivision 0rdinance Compl iance 3. Requ i red Access 4. Building Site (Rrea, t/idth, Frontage, Setback) 5. 0ther (see comments)())6"?--, ) CO},IIIENTS: BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) B. Flood Pl a in 9. 0ther (see Comments) NOT app llqq[ I e YES N () () () () ( N r, NO NA}'l8 DATE ( () ()u-q- ?u COMHENTS: SAN ITATION SECTION NOT NO YES DATE cable . NAI"IE AI,J"T ZSu"e flff€t<10. Sewage Disposal ll. Usable Area lr2. Water Supply l 3. 0ther (see Comments) () () )(( ((t ( ( COM}lENTS TO APPL ICANT ^ Your Lt-q s( ff Building Permit / Site lnspection; Can be approved. Cannot be approved at this time as i nd i cated on i ten, N0.above. () () () Quest ions and further infornrat ion on itenrs I through 5 contact the Lane- C0UNTY PLANN ING DEPARTMENT. Quesr ir:ns .rnd furrher infornrat ion on itenrs 6 throuq h l3 contact the Lane Counl y Euilding .-rrr<i 5an ltat ion Divis ion. I.lill be held in this of f icc until you can resolve tlre problenrs indicaterd. I s be i ng retu rned. Your buildinq pernr it appl icat ion fee is being returned under separat€ cur'cr LANT COTIN'IY I'[ /\NNING DEPART},IENT li5' 5iltlr 4vcnue Iast, Eugerte, 0rcgon 9740 I l'trtrNE 3tr2. l.ill Ext.21l IANt, COUNIY I]IJILDING S S/\NIT/\TION DIVISION ll5 Sixt,h Avqrrull East, frrqenr', 0reqon 9740 I Pl'r0Nr ' 342-t)t1 [XT. 4l I iB"' ' M55 - l-i\NE C0UNTY PLANN NOT ,r' - ,?- 2ru ( ww IANE L-dN --BUTLDTNG I BUITDING PERMTT OR MOBILE H( MHE E USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APP[. 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 Connect to Existi Sewoge m tr New System TYPE CONSTRUCTION SQ. FT BDRMS VALUATION t SEWAGE DISPOSAT PUBilC tr SEPTTC TANK I orHERn PTUMBING INSTATTED BY OWNER E OTHER: NAME FEES WATER SUPPLY PUBUC tr tr OTHER BU ITDING WASTE DISPOSAT PLUMBING PLAN REVIEW PARK TRAITER TOTAT COUNTY BUILDING & SANITATION IFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI-. DRAIN FIEI.D REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. a TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BLDG, SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT, SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE J.. $ DATE BLDG. PERMIT - WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords II^PORTANT: for subsurfoce sewoge disposol qnd county regulotions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT rHrs PERMTT oN MAIN BrDG. AT SITE) I,ANE COUNTY, DEPT. OF ENVIRONMENTAT '$ANAGEMENTCOURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Iroau 1* 655- 13 7 SITE INSPTCTION AppnovEo Rrunnx s D Drsappaovro D Dare I rspecron FOUNDATION I NSPECTION AppRoveo D DrsappRovED Reuanx s Dare I ruseecron /, FRAM I NG Appnovro Re uaRx s I NSPECT I ON D r sapp ovEo Darr I NsercroR LATH OR SHEETROCK INSPECTION Ap pnov r o Reur nx s m DrsappRove o F-a Drr E I NsprcroR FINAL INSPECTION AppRovEo ReuaRrs OVEO Dar r v0 INSPEc CERTIFICATE OF OCCUPANCY Reaov ro lssur Rrulnx s D Nor Rrrov ro lssuE D Dare ,J-00-0cl 2t Oo 7;a-e* lHsprctoR EII|Fq L L.r -. \-' D4 D \Jry LANE CL ,.ITY UITDING PERMIT OR MOBITE HOM UsE APPLICATION PERMIT #5oo -7/ ERTY OWNER ONTRACTOR PERMIT TYPE - BUILDING MOBILE HOME [ 'OSC REG. # MAITING ADDRESSJ(t MAITING ADDRESS PHONE PHONE 5a-n 2,s ./.U PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY I.EGAI DESCRIPTION LOT_BTOCK-SUBDIV. TWP RANGE APPTICANT NAME AND MAITING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms /-METES&BOUNDSEYES ATTACHED tr NO AREA TAX LOT #DE CENSUS TRACT DESCRIBE EXISTING STRUCTURES ON PE IF ANY ACCE TO PROPERTY _NAME OR # PROPERTY IDTH Connect to Existin Sewoge stem ! or New mR BEDROOMS VATUATION'. ' STRUCTURES To BE Buttr THts pERlrltr CONSTRUCTION SQ. FT t o/Oe SEWAGE DISPOSAL PU BI IC oTHER n FEES WATER SUPPTY PUBUC tr PTUMBING FEES e-) rrxtunrs CASH E ER CHECK CONNECTION FEE PUBTIC WATER CONNECTION FEE I SEPTIC TANK PTUMBING INSTAI.TED BY OWNER OTHER NAME PLANS FURNISHED YES NO OF APPTICANT FEE EIVED BY PERMIT # OR SQUARE FEET REAR YARD USE CTASSTFICATION PERMIT DATE*7/ DATE PUB[IC UTIT. EASEMENT BTDG. WASTE DIS. PLUMBING PTAN REVIEW PARK TRtR. 4.oo OTHER _] .t_/ ,32 - ao /\TOTAL MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. TYPE OF STRUCTURE COUNTY BUILDING & SANITATION SPECIFICA s DRAIN FIEID REQUIRED tIN. FT. TRENCH WIDTH FT d OCCUPANCYr\t BIDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY rorm +55 * 7'?, Dole FRONT rections to Find Property: Dole BLDG. lN COPY 'I _ OFFICE COPY 2_JOURNAL COPY 3 _ AUDIT SEC. REAR